HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9184719Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. #1
PROJECT TITLE: Consulting Support for Asset Register and Work Order Management System
CONTRACTOR: Excergy Corporation
WORK ORDER NUMBER:#12
PO NUMBER: 9184719
DESCRIPTION: Additional scope has been requested for this work order.
1. Reason for Change: Incorrect Work Order #12 total cost.
2. Description of Change: Change Order #1 is to correct Task #3 hours by adding 6 additional hours
for Jim Ketchledge. The new Task 3 Total Cost and corrected work order Total Cost are shown in
Attachment A.
3. Change in Work Order Price: $1,440.00
4. Completion Date (if changed): N/A
ORIGINAL WORK ORDER PRICE $ 35,338.00
TOTAL APPROVED CHANGE ORDER $ 0.00
TOTAL PENDING CHANGE ORDER $ 0.00
TOTAL THIS CHANGE ORDER $ 1,440.00
TOTAL % OF THIS CHANGE ORDER %
TOTAL C.O.% OF ORIGINAL WORK ORDER %
ADJUSTED WORK ORDER COST $ 36,778.00
CONTRACTOR: Excergy Corporation
By: Date:
Name: James Ketchledge Title: President & CEO
ACCEPTANCE: Date:
Rick Morford, Project Manager
REVIEWED: Date:
Pat Johnson, Buyer or Senior Buyer
ACCEPTANCE: Date:
Coy Althoff, Utilities Asset Manager
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 9BE16D2A-0CD5-4FC1-A8D2-69071640891F
9/11/2018
9/12/2018
9/12/2018
9/13/2018
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
Change Order Comments:
o Formula used to calculate Task 3 Total Task Cost was incorrect, it did not include
6hrs for Jim Ketchledge.
o Table in Attachment A shows Task 3 additional hours for Jim Ketchledge, Total Task 3
Cost, and corrected Work Order #12 Total cost.
Attachment A
Work Order #12 – Change Order #3, Excergy Task Labor Cost Breakdown by Task
Figure 1 Labor Costs breakdown
DocuSign Envelope ID: 9BE16D2A-0CD5-4FC1-A8D2-69071640891F