Fill Out Your Alaska 25D 068 Form Customize Alaska 25D 068

Fill Out Your Alaska 25D 068 Form

The Alaska 25D 068 form is a crucial document used for change orders within construction projects overseen by the State of Alaska's Department of Transportation and Public Facilities. It outlines necessary adjustments to project timelines, costs, and other essential details. Understanding how to accurately fill out this form can ensure smoother project management and compliance.

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Alaska 25D 068 Sample

 

 

STATE OF ALASKA

 

 

 

 

DEPARTMENT OF TRANSPORTATION

 

 

 

 

AND PUBLIC FACILITIES

 

 

 

 

Select REGION

Change Order

 

 

 

 

Project No.:

 

 

Change Order No.

Project Name:

 

 

 

 

 

Contractor:

Address:

Change Order Summary:

Calendar Days (+ / -):

New Completion Date:

Amount of Change Order:

Recommended By:

 

 

 

 

Date:

 

 

 

Title:

Approved By:

 

 

 

 

 

Date:

 

 

 

Title:

 

 

 

 

 

 

 

 

This change order constitutes agreement to terms, conditions and prices stated below.

Accepted By:

Date:

Contractor’s Representative

Acknowledgement indicates only receipt of Change Order and not mutual agreement for basis of payment or time allowance. If a the matter cannot be resolved within 7 days from signature date, an Intent to Claim form must be submitted to the engineer within 14 days.

Acknowledged By:

 

Date:

Contractor's Representative

Permission for previously submitted subcontractor(s) to perform all or portions of the work described herein is as checked: Yes No N/A

Seal of Alaskan Professional Engineer

(if required)

The following change(s) in the above Contract are hereby made in accordance with the terms of the Contract and under the terms and conditions stated below. Price adjustments resulting from inaccurate cost and pricing data are subject to the provisions of AS 36.30.400(c). This document shall become an amendment to the Contract and all provisions of the Contract will be applicable.

DESCRIPTION OF CHANGE (Use Continuation Sheet 25D-065 as Required)

Form 25D-068 (Revised 04/12)

C.O. No.

Page 1 of 1

Common mistakes

  1. Incomplete Information: Failing to fill out all required fields, such as the Project Name or Contractor's Address, can lead to delays. Each section is crucial for processing the change order efficiently.

  2. Incorrect Dates: Entering the wrong dates for the New Completion Date or the signature dates can create confusion. Ensure all dates are accurate and reflect the actual timeline of the project.

  3. Missing Signatures: Not obtaining necessary signatures, especially from the Contractor’s Representative and the Approved By section, can render the form invalid. All required parties must sign before submission.

  4. Neglecting the Change Order Summary: Omitting details in the Change Order Summary, like Calendar Days and Amount of Change Order, can lead to misunderstandings. Provide clear and concise summaries to avoid disputes.

  5. Ignoring the Acknowledgement Section: Failing to complete the Acknowledged By section can result in a lack of mutual agreement. This acknowledgment is essential for confirming receipt of the Change Order.

Detailed Steps for Filling Out Alaska 25D 068

Filling out the Alaska 25D 068 form is a straightforward process. This form is essential for documenting changes in a construction contract. After completing the form, it will need to be submitted to the appropriate parties for approval and acknowledgment.

  1. Start by entering the Region where the project is located.
  2. Fill in the Change Order Project No. and Change Order No. fields with the respective numbers.
  3. Provide the Project Name and the Contractor name.
  4. Include the Address of the contractor.
  5. Summarize the change order by filling out the Change Order Summary section.
  6. Indicate any changes in Calendar Days (+ / -) and specify the New Completion Date.
  7. State the Amount of Change Order clearly.
  8. List the name of the person Recommended By along with the Date and Title.
  9. Have the Approved By section completed with the name, Date, and Title of the approving authority.
  10. Include the Accepted By date and the signature of the Contractor’s Representative.
  11. Check the appropriate box for permission regarding subcontractors: Yes, No, or N/A.
  12. If required, add the Seal of Alaskan Professional Engineer.
  13. Detail the DESCRIPTION OF CHANGE in the provided space, and if more space is needed, use the Continuation Sheet 25D-065.

Dos and Don'ts

When filling out the Alaska 25D 068 form, it is crucial to follow certain guidelines to ensure accuracy and compliance. Here are four things you should and shouldn't do:

  • Do ensure all fields are completed accurately, including project name, contractor details, and change order specifics.
  • Do submit the form within the required time frame, particularly if there are unresolved matters that necessitate an Intent to Claim.
  • Don't leave any sections blank. Incomplete forms can lead to delays in processing.
  • Don't forget to obtain the necessary approvals and signatures before submission, as this is essential for the form's validity.

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