In the realm of construction and infrastructure projects in Alaska, the Alaska 25D 068 form plays a pivotal role in maintaining the fluidity and adaptability required for the execution of such endeavors. Issued by the State of Alaska Department of Transportation and Public Facilities, this document primarily serves as an official amendment to existing contracts, facilitating necessary adjustments to the project's scope, schedule, or costs. Whether it's an extension of deadlines, a modification in the project's budget, or changes to the contracted work's details, the 25D 068 form captures and formalizes these alterations. Upon its completion, the form must be accepted and acknowledged by the contractor, indicating receipt but not necessarily agreement with the terms, especially relating to payment or time allowances. A distinct procedure is laid out for disagreements, requiring the submission of an Intent to Claim form if issues are not resolved within a specified timeframe. Additionally, the form encloses sections for the authorization of subcontractors previously proposed for portions of the work, incorporating a thorough review and approval process. Ensuring compliance and mutual understanding, this document underscores the importance of clear communication and agreement between the involved parties, thereby aiming to minimize disputes and misunderstandings during the life cycle of a project.
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| Form Name | Alaska Form 25D 068 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
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STATE OF ALASKA |
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DEPARTMENT OF TRANSPORTATION |
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AND PUBLIC FACILITIES |
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Select REGION |
Change Order |
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Project No.: |
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Change Order No. |
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Project Name: |
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Contractor:
Address:
Change Order Summary:
Calendar Days (+ /
New Completion Date:
Amount of Change Order:
Recommended By: |
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Date: |
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Title: |
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Approved By: |
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Date: |
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Title: |
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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: |
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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
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