HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - 2207850CHANGE ORDER NO.1
PROJECT TITLE: COFC WTF- Backwash Recycle Project - U.V. Equipment Procurement i
CONTRACTOR: Hydro Construction CO, Inc
P.O. NUMBER: 2207850
VENDOR NUMBER: 109420
CHARGE NUMBER: 5026433.529290.6
DESCRIPTION
In preparing change orders show inorder as separate numbered paragraphs the
following:
1. Reason for change. 2. Description of change.
3. Change in contract cost. 4. Change in contract time
1. Final quantity adjustments for Contract
2. Change in line item quantities/cost
3. ($17,545.51)
4. None
(Attach additional sheets as required)
ORIGINAL CONTRACT COST
TOTAL APPROVED CHANGE ORDERS
TOTAL PENDING CHANGE ORDERS
TOTAL THIS CHANGE ORDER
TOTAL % OF ORIGINAL CONTRACT, THIS CO:
TOTAL % OF ORIGINAL CONTRACT, ALL CO'S:
ADJUSTED CONTRACT COST
(Assuming all change orders approved)
ACCEPTED
(Contractor's Representative)
REVIEWED BY:
APPROVED BY:
(Water R/Asources and Treatment Manager)
APPROVED BY: A „-
(Utilities General Manager)
APPROVED BY:
(Purchasing Agent Over $30,000)
UU: Uity Clerk Purchasing
Contractor Project File
Stormwater Finance Manager
-10.10%
$173,882.00
$0.00
$0.00
($17,545.51)
$156,336.49
DATE: tI f2o `
DATE: I /117,A9
DATE: /' / �3-6;2
DATE: 1 (1- 1 7-0 3
DATE:
NOTE: Signature of Contractor indicates
agreement herewithin, including any adjustment
in contract sum or contract time.
CHANGFRM.XLS