Part A "Subcontract Change Order/Overrun Authorization" - New York City

What Is Part A?

This is a legal form that was released by the New York City Department of Design and Construction - a government authority operating within New York City. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 15, 2001;
  • The latest edition provided by the New York City Department of Design and Construction;
  • 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 printable version of Part A by clicking the link below or browse more documents and templates provided by the New York City Department of Design and Construction.

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CITY OF NEW YORK
DEPARTMENT OF DESIGN AND CONSTRUCTION
DIVISION OF STRUCTURES
SUBCONTRACT CHANGE ORDER/OVERRUN AUTHORIZATION
(For CM Build/CM Design Build contracts only)
PART A
_____________________________________________
DDC PROJECT MANAGER’S PROGRAM UNIT:
DDC PROJECT MANAGER’S NAME:
PROJECT NAME:
PROJECT DESCRIPTION:
PROJECT BOROUGH: [ ] M [ ] Q [ ] SI [ ] BX [ ] BK [ ] Multi [ ] Other. Please explain _______________________
FACILITY (if applicable):
SUBCONTRACTOR (Name & Address):
SUBCONTRACTOR TRADE OR SERVICE:
CM BUILDER/CM DESIGN BUILDER (Name & Address):
CONTRACT REG. NO. ____________ FMS ID ___________ Task Order No.* _______ Sub. C.O./O.R. No.________
CONTRACT TITLE:
__________________________________________________________________________________________
SECTION I - PROPOSED CHANGE
:
Description of Change
.
Note: All work shall be performed in accordance with the terms, stipulations and conditions of the original Subcontract Documents
CHANGE ORDER/OVERRUN CLASSIFICATION
[ ] Non-Material scope change [ ] Field Condition [ ] Administrative change [ ] Design Error [ ] Design Omission
[ ] Other
Is this a client agency request? [ ] Yes [ ] No
__________________________________________________________________________________
SECTION II-CM BUILDER/CM DESIGN BUILDER REVIEW AND RECOMMENDATION
)
(Completed by CM Builder/CM Design Builder
The subcontractor’s proposed cost for this change is $__________________. We have reviewed the proposed change indicated above.
Based on our review and analysis, we recommend owner approval of this change in the amount of $___________________. Attached are
copies of the following supporting documents:
[ ] Subcontractor’s Cost Proposal [ ] CM Builder/CM Design Builder’s Independent Cost Estimate [ ] Notarized Cost Pricing Certificate
[ ] Bids (if applicable)
[ ] Copies of specs and/or drawings that relate to the change order condition [ ] Emergency Letter and/or Client
Request Letter [ ] Other (Indicate) __________________________________________________________________________
Note: CM shall provide copies of all Notice of Award Letters for Subcontractor Agreements to DDC Project Manager, EAO and ACCO.
___________________________________________
_______________________________________
__________________
(Print CM Builder/CM Design Builder’s name and title)
(Signature)
(Date)
______________________________________________________________________________________________
SECTION III -DDC REVIEW AND RECOMMENDATION (DDC EMPLOYEE ONLY)
Reviewed By:
__________________________________
______________________________
__________
_________________________
Print Name**)
(Signature)
(Date)
(Recommended Approval Amt.)
* For CM Build Requirements Contracts.
** If = or < $50,000: Project Manager; if > $50,000: Program Director; if Program Unit or Triad Requirements Contract: Triad A/C; if
Division-wide Requirements Contract: First A/C.
Note: After completing Section III, submit to the EAO Director for all recommended amounts > $25,000, and for all credit and no
cost amounts: item numbers 1-7 listed in Step 1 of the “PM Steps for Subcontract Change Order Authorizations”.
Page 1 of 2
3subcont
09/01/98; rev. 03/15/01
CITY OF NEW YORK
DEPARTMENT OF DESIGN AND CONSTRUCTION
DIVISION OF STRUCTURES
SUBCONTRACT CHANGE ORDER/OVERRUN AUTHORIZATION
(For CM Build/CM Design Build contracts only)
PART A
_____________________________________________
DDC PROJECT MANAGER’S PROGRAM UNIT:
DDC PROJECT MANAGER’S NAME:
PROJECT NAME:
PROJECT DESCRIPTION:
PROJECT BOROUGH: [ ] M [ ] Q [ ] SI [ ] BX [ ] BK [ ] Multi [ ] Other. Please explain _______________________
FACILITY (if applicable):
SUBCONTRACTOR (Name & Address):
SUBCONTRACTOR TRADE OR SERVICE:
CM BUILDER/CM DESIGN BUILDER (Name & Address):
CONTRACT REG. NO. ____________ FMS ID ___________ Task Order No.* _______ Sub. C.O./O.R. No.________
CONTRACT TITLE:
__________________________________________________________________________________________
SECTION I - PROPOSED CHANGE
:
Description of Change
.
Note: All work shall be performed in accordance with the terms, stipulations and conditions of the original Subcontract Documents
CHANGE ORDER/OVERRUN CLASSIFICATION
[ ] Non-Material scope change [ ] Field Condition [ ] Administrative change [ ] Design Error [ ] Design Omission
[ ] Other
Is this a client agency request? [ ] Yes [ ] No
__________________________________________________________________________________
SECTION II-CM BUILDER/CM DESIGN BUILDER REVIEW AND RECOMMENDATION
)
(Completed by CM Builder/CM Design Builder
The subcontractor’s proposed cost for this change is $__________________. We have reviewed the proposed change indicated above.
Based on our review and analysis, we recommend owner approval of this change in the amount of $___________________. Attached are
copies of the following supporting documents:
[ ] Subcontractor’s Cost Proposal [ ] CM Builder/CM Design Builder’s Independent Cost Estimate [ ] Notarized Cost Pricing Certificate
[ ] Bids (if applicable)
[ ] Copies of specs and/or drawings that relate to the change order condition [ ] Emergency Letter and/or Client
Request Letter [ ] Other (Indicate) __________________________________________________________________________
Note: CM shall provide copies of all Notice of Award Letters for Subcontractor Agreements to DDC Project Manager, EAO and ACCO.
___________________________________________
_______________________________________
__________________
(Print CM Builder/CM Design Builder’s name and title)
(Signature)
(Date)
______________________________________________________________________________________________
SECTION III -DDC REVIEW AND RECOMMENDATION (DDC EMPLOYEE ONLY)
Reviewed By:
__________________________________
______________________________
__________
_________________________
Print Name**)
(Signature)
(Date)
(Recommended Approval Amt.)
* For CM Build Requirements Contracts.
** If = or < $50,000: Project Manager; if > $50,000: Program Director; if Program Unit or Triad Requirements Contract: Triad A/C; if
Division-wide Requirements Contract: First A/C.
Note: After completing Section III, submit to the EAO Director for all recommended amounts > $25,000, and for all credit and no
cost amounts: item numbers 1-7 listed in Step 1 of the “PM Steps for Subcontract Change Order Authorizations”.
Page 1 of 2
3subcont
09/01/98; rev. 03/15/01
CITY OF NEW YORK
DEPARTMENT OF DESIGN AND CONSTRUCTION
DIVISION OF STRUCTURES
SUBCONTRACT CHANGE ORDER/OVERRUN AUTHORIZATION
(For CM Build/CM Design Build contracts only)
PART A (Cont.)
SECTION IV-CHANGE ORDER/OVERRUN APPROVAL AND AUTHORIZATION
When executed below by Owner, Subcontractor and CM Builder/CM Design Builder, this form will become a valid authorization to proceed.
Note: Information below must be completed by CM Builder/CM Design Builder prior to DDC Authorization.
A. Original Subcontract Sum (without the Bonus)........................................................................... $ _____________________________
B. Net change by all previous authorized subcontract change orders/overruns................................ $ _____________________________
C. Total Subcontract Sum prior to this change order/overrun (A +-B)............................................. $ _____________________________
D. Amount of this subcontract change order/overrun authorization................................................. $ ____________________________
E. The new subcontract sum including this change order/overrun (C +- D).................................... $ ____________________________
F. Current Construction Allowance (including all registered CM constr. allow. change orders).... $ _____________________________
G. Will this subcontract CO/OR necessitate an increase in the construction allowance?................ [ ] yes [ ] no
H. Current Design Allowance (including all registered CM design allow. change orders)*........... $ _____________________________
I. Will this subcontract CO/OR necessitate an increase in the design allowance? *........................ [ ] yes [ ] no
J. Will this subcontract CO/OR impact the critical path of the project............................................ [ ] yes [ ] no
K. Will this subcontract CO/OR necessitate a time extension for the CM? .................................... [ ] yes [ ] no
(If yes, this subcontract CO/OR will be used in a future CM time extension to [ ] increase [ ] decrease time by approx. (
) ccds.
NOTE: IF ANY POST-AUDIT REVEALS THAT THE COSTS FOR THIS SUBCONTRACT CHANGE ORDER/OVERRUN WORK
WERE INACCURATELY STATED DURING THE NEGOTIATIONS, THE AGENCY SHALL RECOUP THE AMOUNT BY WHICH
THE COSTS WERE INACCURATELY STATED BY PROPORTIONATELY REDUCING THE PRICE OF THE SUBCONTRACT
CHANGE ORDER/OVERRUN.
AUTHORIZATION:
ACCEPTED:
Dept. of Design and Construction
____________________________________ _________________________________
(Owner)
(CM Builder/CM Design Builder)
(Subcontractor)
__________________________________
____________________________________ ________________________________
(Print name & title**)
(Print name & title)
(Print name & title)
__________________________________
____________________________________ ________________________________
)
(Signature)
(Signature)
(Signature
Date: _____________________________
Date: _______________________________ Date: ____________________________
____________________________________________________________________________________________________________
* For CM Design Build Contracts.
** Authorized Signature (DDC Employee Only): = or < $50,000 = Project Manager; > $50,000 = Program Director; if Program Unit
or Triad Requirements Contract = Triad A/C; if Division-wide Requirements Contract = First A/C.
Note: A copy of this completed form (Part A, pages 1 and 2) must be submitted to ACCO (Attn: R. Rodriguez), and COTS. Failure
to do so will result in delayed or rejected CM payments.
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09/01/98; rev. 03/15/01
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