HomeMy WebLinkAboutCHANGE ORDER - PURCHASE ORDER - 9117548CHANGE ORDER NO. 1
PROJECT TITLE:
DWRF 2012 Network Fiber Installation
CONTRACTOR:
Hydro Construction
P.O. NUMBER:
9117548
VENDOR NUMBER:
109420
CHARGE NUMBER:
5036315306.565020.6
DESCRIPTION
In preparing change orders show inorder as separate numbered paragraphs the
following:
1. Reason for change.
3. Change in contract cost.
1. Work required beyond the original scope
2. See attached
3. $16, 653.00
4. None
2. Description of change.
4. Change in contract time
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
all change orders
ACCEPTED BY:
(Con tor' Representa ' e)
REVIEWED BY:
�• (Project Manage
APPROVED BY:)-'� (
�
Chief Engin
APPROVED BY:
APPROVED BY:
APPROVED BY:
(WAter Resources & Treatment Ops Manger)
(Utilities Executive Director)
(Purchasing Agent Over $30,000)
$136,048.00
$0.00
$0.00
$16,653.00
12.24%
12.24%
$152,701.00
DATE: 2 0 20/'2
DATE:1�--
DATE: eb "Zo —1
DATE:
DATE:
CC: City Clerk Purchasing NOTE: Signature of Contractor indicates
Contractor Project File agreement herewithin, including any adjustment
Stormwater Finance Manager in contract sum or contract time.
N
/CDM ELECTRIC, INC.
916 381h Ave C1 Suite 6
Greeley, CO 90634
(970) 353-0835 FAX (970) 353-0836
DATE: 811312012
DWRF - Network & Communication Project Adders
SUBMITTED TO: STAN JAVERNICK
JOB NAME: DWRF - NETWORK & COMMINCATION PROJECT ADDERS
JOB LOCATION: DWRF
WE ACKNOWLEDGE THE FOLLOWING ADDENDA:
1.) Design meeting 7-27-12
INCLUDED IN OUR PRICE WE OFFER THE
(1) - O&M Camera purchase & installation located in area'G' on the network & communication project drawings
(3) - media convertor j-boxes with din rail receptacles
(1) - Conduit for power to headwork's UPS circuit
EXCLUSIONS:
1.) Fiber optic equipment & terminations are purchased & provided by MIS
2.) Media convertors furnished by MIS
3.) Taxes, licenses or bonds of any kind
$16,653 COST
Authorized Signature:_B rLGiNVJ. ZP.GWYU