HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8225 MAXIMO CONSULTING SERVICES (12)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. #5
PROJECT TITLE: Consulting Support for Asset Register and Work Order Management System
CONTRACTOR: Excergy Corporation
WORK ORDER NUMBER:#7
PO NUMBER: 9166985
DESCRIPTION: Additional scope has been requested for this work order.
1. Reason for Change: Extend Work Order #7 Completion Date
2. Description of Change: Continued support for Strategic Asset Management Plan (SAMP) updates.
3. Change in Work Order Price: $ 0.00
4. Completion Date (if changed): September 27, 2019
ORIGINAL WORK ORDER PRICE $ 0.00
TOTAL APPROVED CHANGE ORDER $ 0.00
TOTAL PENDING CHANGE ORDER $ 0.00
TOTAL THIS CHANGE ORDER $ 0.00
TOTAL % OF THIS CHANGE ORDER %
TOTAL C.O.% OF ORIGINAL WORK ORDER %
ADJUSTED WORK ORDER COST $ 0.00
CONTRACTOR: Excergy Corporation
By: Date:
Name: James Ketchledge Title: President & CEO
REVIEWED: Date:
Marisa Donegon, Buyer II
ACCEPTANCE: Date:
Coy Althoff, Utilities Asset Manager
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
ACCEPTANCE: Date:
Rick Morford, Project Manager
DocuSign Envelope ID: 13E424EA-3A72-4129-91C1-5BD9AE910FF1
6/6/2019
6/13/2019
6/17/2019
6/17/2019