:
2409.15,51.23
Page 1 of 3
x
51.23 - Design Change (C/CT5.254)
Specified Road cost adjustments under this provision shall be documented using Forms GP-2450-38 (Exhibit 1)
and GP-2450-40 (Exhibit 2).
Form GP-2450-38 is used to obtain preliminary agreement to the change.
Form GP-2450-40 is used to document the changes to the Purchaser Credits caused by the change.
GP SUPPLEMENT r6_gifford_pinchot_2409.15-92-1
EFFECTIVE DATE: 02/15/1992
DURATION: Effective until superseded or removed
2409.15,51.23
Page 2 of 3
FSH 2409.15 – TIMBER SALE ADMINISTRATION HANDBOOK
CHAPTER 50 – SPECIFIED TRANSPORTATION FACILITIES
EXHIBIT 1
GP-2450-38 (3/89)
PROPOSED
CONSTRUCTION COST
SALE
CONTRACT NO.
ADJUSTMENT FOR
FOREST
SPECIFIED ROADS
NAME AND ADDRESS OF PURCHASER
(Reference FSH 2409.15,
Chapter 50)
ROAD NAME AND NO.
CITE AUTHORITY
PROPOSED CHANGE NO.
INSTRUCTIONS: List and describe below (use additional sheets as needed) each proposed change and why needed. Identify
(number and description) each specification.
ITEM NO.
PROPOSED CHANGE
SPECIFICATION
DESCRIPTION
The purpose of this agreement is to define the proposed changes to this road segment, indicate the work involved, show the estimated
effect of the changes and provide justification for doing necessary resurvey and redesign work. The parties do agree that the type of
work can be included in a formal agreement.
SIGNATURE
ACKNOWLEDGE
RECOMMENDED
RECOMMENDED
AGREEMENT
TITLE
PURCHASER'S
REPRESENTATIVE
ENGINEERING
REPRESENTATIVE
FOREST SERVICE
REPRESENTATIVE
PURCHASER
CONTRACTING OFFICER
DATE
GP SUPPLEMENT r6_gifford_pinchot_2409.15-92-1
EFFECTIVE DATE: 02/15/1992
DURATION: Effective until superseded or removed
2409.15,51.23
Page 3 of 3
FSH 2409.15 – TIMBER SALE ADMINISTRATION HANDBOOK
CHAPTER 50 – SPECIFIED TRANSPORTATION FACILITIES
EXHIBIT 2
GP 2450-40 (8/88)
CONSTRUCTION COST ADJUSTMENT
FOR SPECIFIED ROADS
Design
C – 5.254
Sale Name
Contract No.
Purchaser
Road Name and No.
CHANGE NO.
Project Segment: From Sta.
To Sta.
Description of Change:
Revised Quantities and Purchaser Credit Affected by Change
Item
No.
Description
Unit
Previous
Quantities
Change
Revised
(+) or (-)
Total
Unit Price
Original
Revised
Adjustments
(+) or (-)
Purchaser
Credit Limit
Prev- Revised
ious
I hereby acknowledge this change.
Purchaser
Signature
Title
Date
Prepared by
Title
Date
Recommended by
Title
Engineering Representative
Reviewed by
Title
Forest Service Representative
Approved by
Title
Date
Date
Date
Contracting Officer