HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8225 MAXIMO CONSULTING SERVICES (13)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. #6
PROJECT TITLE: Consulting Support for Asset Register and Work Order Management System
CONTRACTOR: Excergy Corporation
WORK ORDER NUMBER:#10
PO NUMBER: 9182546
DESCRIPTION:
1. Reason for Change: Work Order Closure
2. Description of Change: Fort Collins Utilities is closing this Excergy work order. Any remaining funds will
be returned to their respective capital project account(s) (Please see Comments / Attachments section).
3. Change in Work Order Price: $ 0.00
4. Completion Date (if changed): June 14, 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: CEO & President
REVIEWED: Date:
Pat Johnson, Buyer or Senior Buyer
ACCEPTANCE: Date:
Theresa Connor, Deputy Director, Utilities
ACCEPTANCE: Date:
Coy althoff, Utilities Asset Manager
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 663A95D9-3655-4C7D-83E5-5D471B2D35B4
6/13/2019
6/14/2019
6/17/2019
6/17/2019
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Rick Morford, Project Manager
Excergy Work Order #10
Change Order #6 Comments / Attachments
With the closure of this work order any remaining funds shall be returned to the following capital project
account(s).
Storm Water capital project account: 5040453300.521210.6
DocuSign Envelope ID: 663A95D9-3655-4C7D-83E5-5D471B2D35B4
6/17/2019