HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8745 CONSULTING ENGINEERING SERVICES FOR FUTURE WATER WW & STORMWATER FACILITIES CAPITAL IMPROVEMENTS (5)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: DWRF Project Management Support
CONTRACTOR: Ditesco
WORK ORDER NUMBER: D-WRF-2018-23
PO NUMBER: 9185224
DESCRIPTION:
1. Reason for Change: Work Order time extension.
2. Description of Change: Time extension, due to delays related to centrifuge start-up.
3. Change in Work Order Price: NA
4. Completion Date (if changed): July 31, 2019
ORIGINAL WORK ORDER PRICE $ 61,890.00
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 $ 61,890.00
CONTRACTOR: Ditesco
By: Date:
Name: Title:
ACCEPTANCE: Date:
Eileen Dornfest, Civil Engineer II
REVIEWED: Date:
Pat Johnson, Senior Buyer
ACCEPTANCE: Date:
Owen Randall, Director – Civil Engineering
ACCEPTANCE: Date:
Jason Graham, Director – Water Reclamation & Biosolids
DocuSign Envelope ID: 8E91FAED-537F-430F-B1F1-1F0BFC947E07
March 26, 2019
March 26, 2019
March 26, 2019
KEITH MEYER Owner/Manager
March 26, 2019
March 26, 2019
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Theresa Connor, Deputy Director – Water Engineering & Field Services
ACCEPTANCE: Date:
Carol Webb, Deputy Director – Water Resources & Treatment Operations
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 8E91FAED-537F-430F-B1F1-1F0BFC947E07
March 26, 2019
March 26, 2019