DCM Form C-12 "Contract Change Order - Fully Locally-Funded Public K-12 School Project" - Alabama

What Is DCM Form C-12?

This is a legal form that was released by the Alabama Department of Finance, Real Property Management - Division of Construction Management - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2021;
  • The latest edition provided by the Alabama Department of Finance, Real Property Management - Division of Construction Management;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DCM Form C-12 by clicking the link below or browse more documents and templates provided by the Alabama Department of Finance, Real Property Management - Division of Construction Management.

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Download DCM Form C-12 "Contract Change Order - Fully Locally-Funded Public K-12 School Project" - Alabama

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Do not staple forms and/or attachments; use clips. Print
DCM Form C-12 (fully locally-funded K-12 school project)
single-sided; do not submit double-side printed documents.
August 2021
A Change Order is not valid without an accompanying
completed Change Order Justification (DCM Form B-11).
CONTRACT CHANGE ORDER
DCM (BC) No. ________________
Change Order No. __________
Date ___________________
PROJECT:
TO: (Contractor)
Co. Name:
Address:
TERMS: You are hereby authorized, subject to the provisions of your Contract for this project, to make the
following changes thereto in accordance with your proposal(s) dated _________________________________________
________________________________________________________________________________________________.
FURNISH the necessary labor, materials, and equipment to (Description of work to be done or changes to be made. If
the description is continued in an attachment, identify the attachment below.):
Page 1 of 2
Do not staple forms and/or attachments; use clips. Print
DCM Form C-12 (fully locally-funded K-12 school project)
single-sided; do not submit double-side printed documents.
August 2021
A Change Order is not valid without an accompanying
completed Change Order Justification (DCM Form B-11).
CONTRACT CHANGE ORDER
DCM (BC) No. ________________
Change Order No. __________
Date ___________________
PROJECT:
TO: (Contractor)
Co. Name:
Address:
TERMS: You are hereby authorized, subject to the provisions of your Contract for this project, to make the
following changes thereto in accordance with your proposal(s) dated _________________________________________
________________________________________________________________________________________________.
FURNISH the necessary labor, materials, and equipment to (Description of work to be done or changes to be made. If
the description is continued in an attachment, identify the attachment below.):
Page 1 of 2
DCM Form C-12 (fully locally-funded K-12 school project)
August 2021
Description continued from Page 1:
ORIGINAL CONTRACT SUM
$ _______________________
NET TOTAL OF PREVIOUS CHANGE ORDERS
$ _______________________
PREVIOUS REVISED CONTRACT SUM
$ _______________________
THIS CHANGE ORDER WILL
INCREASE
DECREASE
THE CONTRACT SUM BY
$ _______________________
REVISED CONTRACT SUM, INCLUDING THIS CHANGE ORDER
$ _______________________
EXTENSION OF TIME resulting from this Change Order
None
or
______ Calendar days.
The Owner does hereby certify that this Change Order was executed in accordance with the provisions of Title 39,
Code of Alabama, 1975, as amended.
CONTRACTING PARTIES
_______________________________________________
Architectural/Engineering Firm
_______________________________________________
Contractor Company
Recommended By _________________________________
By _____________________________________________
______________________________________
Name & Title
_______________________________________
Name & Title
_______________________________________________
APPROVAL
Awarding Authority/Owner Entity
By _____________________________________________
ALABAMA STATE DEPARTMENT OF EDUCATION
(SDE)
______________________________________
Name & Title
(Required for locally-funded, SDE projects.)
(for additive $ change orders only)
CONSENT OF SURETY
Date:
_______________________________________________
By ___________________________
______________
State Superintendent of Education
Surety Company
By ____________________________________________
(Attach current Power of Attorney)
______________________________________
Name & Title
Review/Signature flow: Architect/Engineer (prepare documents) > Contractor (review and sign) ( > Surety for additive $ change
orders only [sign]) > Architect/Engineer (review and sign) > Owner (review and sign) > SDE (review, sign, distribute the fully
executed Change Order to all parties and forward a copy to the Alabama Division of Construction Management [DCM]). Note:
DCM does not sign fully locally-funded SDE project contract documents.
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