Declaration of Emergency and Permission to Proceed with Work


Ohio Revised Code 5525.14. Change orders or extra work contracts.

(B) The one hundred thousand dollar or five per cent restriction in division (A) of this section does not apply to change orders or extra work contracts when the total dollar amount of the increase is twenty-five thousand dollars or less or to change orders or extra work contracts resulting from any of the following:

(3) Circumstances that would create a life-, safety-, or health-threatening situation or would unduly delay the completion of a project and increase its costs, but only if the director makes a finding of such fact, declares an emergency, and issues the finding. Extra work that the director contracts for in these circumstances may include not only construction needed to complete a project, but also adjustments needed to meet changed conditions, alterations in original plans, unforeseen contingencies, or payments necessitated by contract terminations or suspensions.

All change orders or extra work contracts set forth in division (B) of this section shall be reported to the Controlling Board quarterly in writing.

Please provide the following information:

Name of Person Completing form      District 

County:         Project Number      PID 

Description of the Work:


Estimated cost of work:     

Description of cost of work: 

 

Statement of Fact that an Emergency Exists:

It has been determined that circumstances exist that may:

Create a Life, safety, or health threatening situation
Unduly delay completion, and increase costs

        Describe the impact of not declaring an emergency, estimates of costs that will be avoided


Right of Way:

Added work is within existing Right of Way
Added work will require additional Right of Way

Environmental Document:

Added work is within the approved environmental docs
Added work will require reevaluation of environmental docs

Waterway Permits:

Added work does not require a waterway permit
Waterway permits/mods will have to be obtained

Miscellaneous Permits:

Added work does not require a permit
Added work will require a permit

Project Limits:

Added work is within Project Limits
An Extension of Project Limits form has been filled out

FHWA Concurrence:

No FHWA concurrence required
FHWA concurrence obtained

District Program Manager Concurrence:

No Program Manager concurrence required
Program Manager concurrence obtained

Central Office Program Manager Concurrence:

No Program Manager concurrence required
CO Program Manager concurrence obtained

District Deputy Director Signature.