HomeMy WebLinkAboutCHANGE ORDER - AGREEMENT MISC - PONDER COMPANY INC (2)APR-04-2012 09:50 From:CITY OPERATION SERV 9702246071 To:913037G11719 Paee:l�l
CHANGE ORDER N0. 2-
PROJECT TITLE:
CONTRACTOR: �0 V14 4,r
PROJECT NUMBER:
PURCHASE ORDER NO.:
DESCRIPTION: Ud 1 o q 0 eyl 46C. G ..'At' ` e-4y,' •
1. Reason for Change; w�na wee ,: i L. l 0 4 0 - _:re Kct,(5+w')
2. DescriptionofChange: d 4 a 90 - w4.13u c li va-r-
3. Change in Contract Cost: ��% S + laoo = '2 _ -o
4. Change in Contract Time: A 40r
ORIGINAL CONTRACT COST
TOTAL APPROVED CHANGE ORDERS
TOTAL PENDING CHANGE ORDERS
TOTAL THIS CHANGE ORDER
TOTAL % OF ORIGINAL CONTRACT, THIS C.O.: %
TOTAL % OF ORIGINAL CONTRACT, ALL C.O.'S: _%
ADJUSTED CONTRACT COST
(Assuming all change orders aooroved)
$ 10 Z.S;2o.oio
5.a W •oa
1 .77S,o0
$ �_LA_C? oa
Agreed and accepted as of
ACCEPTED BY: DATE: _4 5 I n-
Vendor.
ACCEPTED BY: DATE (Z
Project Manager
REVIEWED BY: DATE:
Titie:
APPROVED BY: PATE:
Title:
APPROVED BY; DATE:
Purchasing Agent over $60,000
cc: Purchasing