HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9183351Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 2
PROJECT TITLE: Alternative Project Delivery System for Water Engineering & Field Services
CONTRACTOR: Institute For The Built Environment
WORK ORDER NUMBER:
PO NUMBER: 9183351
DESCRIPTION:
1. Reason for Change: Change charge numbers from the 2018
2. Description of Change: 2018 PO had used the charge orders below. This year new accounts
were developed. Change order 1 used the correct numbers and change order 2 is to remove the
numbers are below.
$550.70 243000.521210
$2,572.30 343000.521210
$2,550.00 345000.521210
3. Change in Work Order Price: $5,673.00
4. Completion Date (if changed): August 1, 2019
ORIGINAL WORK ORDER PRICE $ 14,950.00
TOTAL APPROVED CHANGE ORDER $12,000.00
TOTAL PENDING CHANGE ORDER 0.00
TOTAL THIS CHANGE ORDER $5,673.00
TOTAL % OF THIS CHANGE ORDER 70.3%
TOTAL C.O.% OF ORIGINAL WORK ORDER 70.3%
ADJUSTED WORK ORDER COST $ 21,277.00
CONTRACTOR: Institute For The Built Environment
By: Date:
Name: Title:
ACCEPTANCE: Date:
Andrew Gingerich, Director – Water Field Operations
REVIEWED: Date:
Pat Johnson, Senior Buyer
ACCEPTANCE: Date:
Theresa Connor, Deputy Director – Water Engineering & Field Services
DocuSign Envelope ID: 217D9FAD-3603-444B-A70E-3CAADD71B857
March 20, 2019
April 2, 2019
Associate Director
March 20, 2019
Josie Plaut
April 2, 2019