Change Order

Missouri Local Programs

How to Complete a Change Order & Get it Approved

Change Order Form

Change Order Form

(Figure 136.11.XX)

as presented in LPA

Manual and EPG.

Change Order Form

Change Order Forms must include:– #1 - Description and reason for change

– #2 - Estimate of Cost of work Affected by this Change order

– #3 - Settlement of cost summary

– #4 - Appropriate signatures

• The MODOT Change order form can be found in Chapter 11 of the LPA manual. (link)

#1 - Description and Reason for Change

A full detailed description and reason must be given for each item included in a change order.

-The description should include the item (name and contract line item number), location of change.

-The reason for the change should document in full and justification should be provided why the contract is to be modified. The project specification basis for change shall be included.

-The more detailed a change order description and reason for change, the quicker the change order can be approved.

-Documentation of the price verification for contingent items (items not in original contract) shall be included as detailed in EPG 136.11.15.1. (Bid price for existing items in contract, engineering estimates for items added to contract)

-If item is to be a non-participating by MoDOT or FHWA, please indicate in the description.

#1 - Description and Reason for Change

Reasons for changes could include:

Administrative Design

Alternate Pavement

Best Value

Design Error

Claim Settlement

Design Change

Differing Field Conditions

See Change Order Codes in the EPG (MoDOT chapter) for descriptions and boundaries for the reasons listed above.

Differing Site Conditions

Inspection Error

Practical Design

Value Engineering

Routine Adjustment

Delays (utility, acts of god)

#2 - Estimate Cost of work

Change orders must include:

-(B)contract item number, (C) item description (can be found in the contract unless they are new work/pay items added to contract)

-(D)Units previously set up in contract, (E) total units to be constructed (can be found in the contract unless they are new work/pay items added to contract)

-(F) Units over run (shown as a plus contingent), units underrun (shown as a minus contingent)

-(G) The contract agreed price must be shown. This price shall be the bid price for the item or an agreed to price for new items.

-(H) Total to date for overruns per item (shown as a plus contingent), (J) Total to date for underruns per item (shown as a minus contingent)

#3 – Settlement of Cost Summary

1. Contract Amount - this is the contract amount shown in the original bid from contractor.

2. Overrun This Order – This amount is the combination of rows (H) and (I) in the estimate cost section. Over runs are shown as + and under runs are shown as -.

3. Overrun Previous – amount from previously submitted change orders.

4. Total Overrun to Date – Lines 2. and 3. combined.

5. Total – Lines 1. and 4. combined. This total can be less than the original contract amount if most items are underruns.

The name of the contracting company must be listed. The appropriate contractor authority must sign and date thus giving approval.

#4 - Appropriate Signatures

Each change order must be approved and signed by:

– -Engineer of record

– -The representative of the local agency receiving funds

– -MoDOT at local district level

– -MoDOT at central office (if applicable)

Change orders are then submitted to your local MODOT district representative.

MoDOT will approve and return approved copy to LPA representative.

LPA must retain copies for their records.

The End!

Thank You!!