HomeMy WebLinkAboutCHANGE ORDER - AGREEMENT MISC - PONDER COMPANY INCCHANGE ORDER NO.
PROJECT TITLE: N 04kst dz azk lcLtA C'�� vn Ir t
CONTRACTOR: %✓40-r co !=C-- q
PROJECT NUMBER: 1
PURCHASE ORDER NO.: D(o
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1. Reason for Change: UO J - k:- �cu-�(� � I ,�• � q
2. Description of Change: ;A,Ct-;�z� �aL4�9,zL
3. Change in Contract Cost: C O
4. Change in Contract Time: N
ORIGINAL CONTRACT COST $ 5260,p0
TOTAL APPROVED CHANGE ORDERS,{
TOTAL PENDING CHANGE ORDERS
TOTAL THIS CHANGE ORDER a50 OD
TOTAL % OF ORIGINAL CONTRACT, THIS C.O.:�—
TOTAL % OF ORIGINAL CONTRACT, ALL C.O.'S:a%
ADJUSTED CONTRACT COST $XX1X(rXj
(Assuming all change orders approved) $105,1270
Agreed and accepted as of
ACCEPTED BY. DATE: O V,
'V'endor:
ACCEPTED BY: j�1t v� c _�i DATE 2.110 20 (�
Project Manager
REVIEWED BY: DATE:
Title:
APPROVED BY: DATE:
Title:
APPROVED BY: DATE:
Purchasing Agent over $60,000
cc: Purchasing