HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8073 ENGINEERING SERVICES FOR WATER, WASTEWATER & STORMWATER FACILITIES CAPITAL IMPROVEMENTS PROJECTS (6)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: Cathodic Protection AB Water Line Design and Repairs
CONTRACTOR: HDR Engineering, Inc
WORK ORDER NUMBER: HDR-SCP-CPABDesign-082018
PO NUMBER: 9185133
DESCRIPTION:
1. Reason for Change: Cost increase and time extension
2. Description of Change: Additional time and funds are needed to complete additional design
scope items including a radio path ground study and report for the SCADA antenna design
as well as CP 101 presentation and preparation for City Utility staff and management,
corrosion engineer site inspections and testing, coordination of survey and utility work at the
Timberline location, and initiation of submittal review and log preparation
3. Change in Work Order Price: $7,800.00
4. Completion Date (if changed): June 30, 2019
ORIGINAL WORK ORDER PRICE $ 150,485.00
TOTAL APPROVED CHANGE ORDER 00.00
TOTAL PENDING CHANGE ORDER 00.00
TOTAL THIS CHANGE ORDER $ 7,800.00
TOTAL % OF THIS CHANGE ORDER 5.18 %
TOTAL C.O.% OF ORIGINAL WORK ORDER 5.18 %
ADJUSTED WORK ORDER COST $ 158,285.00
CONTRACTOR: HDR Engineering, Inc.
By: Date:
Name: Title:
ACCEPTANCE: Date:
Susan Paquette, Civil Engineer III
REVIEWED: Date:
Marisa Donegon, Buyer II
ACCEPTANCE: Date:
Matt Fater, Director, Civil Engineering
DocuSign Envelope ID: 2E93D001-D67C-42BE-80D3-0A664F9BF957
May 29, 2019
May 31, 2019
Brad Martin Senior Vice President
May 29, 2019
May 31, 2019
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Andrew Gingerich, Director, Water Field Operations
ACCEPTANCE: Date:
Theresa Connor, Deputy Director, Water Engineering & Field Services
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 2E93D001-D67C-42BE-80D3-0A664F9BF957
May 31, 2019
May 31, 2019