HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8286 CONSTRUCTION CONTRACTOR FOR PROJECTS AT THE WATER & WASTEWATER TREATMENT FACILITIES (13)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: WTF Solids Hauling 2019
SERVICE PROVIDER: Hydro Construction, Inc.
WORK ORDER NUMBER: WTFSolidsHauling2019
PO NUMBER: 9190421
DESCRIPTION:
1. Reason for Change: Hauling costs lower than estimated resulting in a negative change order.
2. Description of Change: On day two and three of hauling the number of trucks was reduced from
four to two trucks.
3. Change in Work Order Price: <$6,279.60>
4. Change in Work Order Time: N/A
ORIGINAL WORK ORDER PRICE $ 14,033.73
TOTAL APPROVED CHANGE ORDER .00
TOTAL PENDING CHANGE ORDER .00
TOTAL THIS CHANGE ORDER -6,279.60
TOTAL % OF THIS CHANGE ORDER %
TOTAL C.O.% OF ORIGINAL WORK ORDER %
ADJUSTED WORK ORDER COST $ 7,754.13
SERVICE PROVIDER: Date:
Jim Eurich, COO
ACCEPTANCE: Date:
Cole Gustafson, Project Manager
REVIEWED: Date:
Pat Johnson, Senior Buyer
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 02496023-9D8E-456C-99AD-B32ABACAE476