HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8225 MAXIMO CONSULTING SERVICES (18)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
CONTRACTOR: Excergy Corporation
WORK ORDER NUMBER:LPO_DBREVIEW
PO NUMBER: 9190595
DESCRIPTION:
1. Reason for Change: Work Order Closure
2. Description of Change: Fort Collins Utilities is closing this Excergy work order, the required deliverables
for this work order have been completed. Any remaining funds will be returned to their respective capital
project account(s) (Please see Comments / Attachments section).
3. Change in Work Order Price: $-12,392.15
4. Completion Date (if Changed): May 17, 2019
ORIGINAL WORK ORDER PRICE $ 39,898.00
TOTAL APPROVED CHANGE ORDER $ 0.00
TOTAL PENDING CHANGE ORDER $ 0.00
TOTAL THIS CHANGE ORDER $ -12,392.15
TOTAL % OF THIS CHANGE ORDER %
TOTAL C.O.% OF ORIGINAL WORK ORDER %
ADJUSTED WORK ORDER COST $ 27,505.85
CONTRACTOR: Excergy Corporation
By: Date:
Name: James Ketchledge Title: President Excergy Corporation
REVIEWED: Date:
Pat Johnson, Senior Buyer
ACCEPTANCE: Date:
Tim McCollough, Deputy Director, Utilities
ACCEPTANCE: Date:
Coy Althoff, Utilities Asset Manager
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 50260B5C-C136-4980-9564-2DB27F3BA2EA
6/19/2019
7/5/2019
7/7/2019
7/7/2019
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Rick Morford, Project Manager
Excergy Work Order LPO_DBREVIEW
Change Order #2 Comments / Attachments
The Purchase Order assigned to this work order will be closed by City of Fort Collins Purchasing
following payment of Excergy Invoice #2223. With the closure of this work order any remaining funds
shall be returned to the following capital project account(s).
Light & Power capital project account: 5010090000.521210.6
DocuSign Envelope ID: 50260B5C-C136-4980-9564-2DB27F3BA2EA
7/8/2019