HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8225 MAXIMO CONSULTING SERVICES (14)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. #2
PROJECT TITLE: Consulting Support for Asset Register and Work Order Management System
CONTRACTOR: Excergy Corporation
WORK ORDER NUMBER:WEFS_WWS
PO NUMBER: 9190417
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: C48D9189-D4CA-4109-9221-A395521AF203
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 WEFS_WWS
Change Order #2 Comments / Attachments
With the closure of this work order any remaining funds shall be returned to the following capital project
account(s).
Wastewater capital account: 5030200000.521210.6
DocuSign Envelope ID: C48D9189-D4CA-4109-9221-A395521AF203
6/17/2019