HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8115 ENGINEERING SERVICES FOR WATER RECLAMATION & BIOSOLIDS FACILITY DESIGN & CONSTRUCTION (3)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: DWRF NPT Blower Building HVAC Replacement Design
CONTRACTOR: Carollo Engineering
WORK ORDER NUMBER:C-WRF-2018-16
PO NUMBER: 9183655
DESCRIPTION:
1. Reason for Change: Extend the work order completion date.
2. Description of Change: The original work order completion was set for November 30, 2018
to March 29, 2019.
3. Change in Work Order Price: NA
4. Completion Date (if changed): March 29, 2019
ORIGINAL WORK ORDER PRICE $ 44,472.00
TOTAL APPROVED CHANGE ORDER 00.00
TOTAL PENDING CHANGE ORDER 00.00
TOTAL THIS CHANGE ORDER 00.00
TOTAL % OF THIS CHANGE ORDER 00%
TOTAL C.O.% OF ORIGINAL WORK ORDER 00%
ADJUSTED WORK ORDER COST $ 44,472.00
CONTRACTOR: Carollo Engineers, Inc.
By: Date:
Name: Title:
ACCEPTANCE: Date:
Christina Schroeder, Civil Engineer III
REVIEWED: Date:
Pat Johnson, Senior Buyer
ACCEPTANCE: Date:
Jason Graham, Plant Operations Director
ACCEPTANCE: Date:
Owen Randall, Civil Engineering Director
DocuSign Envelope ID: 354929EF-8F76-4795-9140-DD435B3829B5
November 29, 2018
November 29, 2018
Jason Garside
November 29, 2018
Ron Burdick Vice President
Vice President
November 29, 2018
November 30, 2018
November 30, 2018
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Carol Webb, Deputy Director – Water Resources & Treatment Operations
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 354929EF-8F76-4795-9140-DD435B3829B5
November 30, 2018