HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8286 CONSTRUCTION FOR PROJECTS AT THE WATER & WASTEWATER TREATMENT FACILITIESChange Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: Non-Pot and RAS Disinfection Replacement
CONTRACTOR: Hydro Construction, Inc.
WORK ORDER NUMBER:H-WRF-2018-20
PO NUMBER: 9184134
DESCRIPTION:
1. Reason for Change: Additional time needed to address warranty and general condition
issues
2. Description of Change: Hydro working on North tank leak and construction trailer relocation
3. Change in Work Order Price: $0.00
4. Completion Date (if changed): February 28, 2019
ORIGINAL WORK ORDER PRICE $ 270,970.00
TOTAL APPROVED CHANGE ORDER 0.00
TOTAL PENDING CHANGE ORDER 0.00
TOTAL THIS CHANGE ORDER 0.00
TOTAL % OF THIS CHANGE ORDER 0%
TOTAL C.O.% OF ORIGINAL WORK ORDER 0%
ADJUSTED WORK ORDER COST $ 270,970.00
CONTRACTOR: Hydro Construction, Inc.
By: Date:
Name: John Podeyn Title:
ACCEPTANCE: Date:
Christian Schroeder, Civil Engineer III
REVIEWED: Date:
Pat Johnson, Senior Buyer
ACCEPTANCE: Date:
Jason Graham, Plant Operations Manager
ACCEPTANCE: Date:
Owen Randall, Civil Engineering Director
ACCEPTANCE: Date:
Carol Webb, Utilities Deputy Director
DocuSign Envelope ID: 96679EEF-2E53-4D9B-B96B-4B2468D76E6B
November 30, 2018
November 30, 2018
Project Manager
November 30, 2018
November 30, 2018
November 30, 2018
November 30, 2018