HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8286 CONSTRUCTION CONTRACTOR FOR PROJECTS AT THE WATER & WASTEWATER TREATMENT FACILITIES (11)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: DWRF SPT RAS Chlorination Replacement
SERVICE PROVIDER: Hydro Construction, Inc.
WORK ORDER NUMBER:H-WRF-2018-31
PO NUMBER: 9185755
DESCRIPTION:
1. Reason for Change: Substantial completion extension
2. Description of Change: There was a delay in the storage tank arrival which delayed the
project start date.
3. Change in Work Order Price: NA
4. Change in Work Order Time: April 29, 2019
ORIGINAL WORK ORDER PRICE $ 82,617.00
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 $ 82,617.00
SERVICE PROVIDER: Date:
John Podeyn, Project Manager
REVIEWED: Date:
Pat Johnson, Senior Buyer
ACCEPTANCE: Date:
Link Mueller, Project Manager
ACCEPTANCE: Date:
Jason Graham, Director – Water Reclamation & Biosolids Division
DocuSign Envelope ID: 747658EC-38C8-4959-B0B7-A5ACCDECEF1B
March 26, 2019
March 26, 2019
March 26, 2019
March 26, 2019
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Owen Randall, Director – Civil Engineering
ACCEPTANCE: Date:
Carol Webb, Deputy Director – Water Resources & Treatment Operations
ACCEPTANCE: Date:
Theresa Connor, Deputy Director – Water Engineering & Field Services
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 747658EC-38C8-4959-B0B7-A5ACCDECEF1B
March 26, 2019
March 26, 2019
March 26, 2019