HomeMy WebLinkAboutCHANGE ORDER - RFP - 7416 ECONOMIC IMPACT ANALYSIS & CLUSTER REPORTCHANGE 0 DIER NO.
PROJECTTITLE: C�hD�Yl1C LYY1j An-oll ev
CONTRACTOR: � l t Sure ve3
PROJECT NUMBER:
PURCHASE ORDER NO.: q l a,5H- ,,l
DESCRIPTION.
1. Y' Reason for Change: Tom-' PVrje&JL
1 Des4riptionofChange: �1 7�
3. Change in Contract Cost: _* d5C� �b 06
4. Change in Contract Time-
wb
ORIGINAL CONTRACT COST'
TOTAL D APPROVECHANGE
ORDER oTJ
TOTAL PENDINGCHANGE ORDERS
TOTAL THIS CHANGE ORDER
TOTAL %.OF ORIGINAL CONTRACT, THIS C.O.:
TOTAL % OF ORIGINAL CONTRACT, ALL C_0.'S: �%
ADJUSTED CONTRACT COST
(Assuming 211 c:hanae o��ers aupro �e
Agreed and acrepted as of
ACCEPTED BY:4%1 �' = _ DATE: lojio/la
Vendor:
ACCEPTED BY: E <_,�jr a-.-- GATE
Project Managei
REVIEWED BY:
DAT?r`
APPROVED BY: L��—� � DATE:
APPROVEO SY: _ DA'iE:
P'urchaslna : nient ovt r 3C.C;UO O rder N
cc: Purchasing
Vendor/Supplier H V 37 a
Ov 4 Batch
Aca 4