HomeMy WebLinkAboutCORRESPONDENCE - RFP - 7546 DIRECTIONAL BORING & TRENCHING SERVICES (4)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
PROJECT TITLE: Cherry St and N. College Ave
SERVICE PROVIDER: Colorado Boring
WORK ORDER NUMBER:
PO NUMBER: 9166716
DESCRIPTION:
1. Reason for Change: Negative Change order to close out project
2. Description of Change: Negative Change order to close out project
3. Change in Work Order Price:
4. Change in Work Order Time:
ORIGINAL WORK ORDER PRICE $ 253,414.20
TOTAL APPROVED CHANGE ORDER .00
TOTAL PENDING CHANGE ORDER .00
TOTAL THIS CHANGE ORDER $ - 12,456.40
TOTAL % OF THIS CHANGE ORDER %
TOTAL C.O.% OF ORIGINAL WORK ORDER %
ADJUSTED WORK ORDER COST $ .00
SERVICE PROVIDER: Date:
Jon Jacobs
ACCEPTANCE: Date:
Janet Mctague, Project Manager
REVIEWED: Date:
Pat Johnson, Sr. Buyer
DocuSign Envelope ID: 5E40DE48-FF29-487C-B3A0-04A39B796E20
7/11/2019
7/11/2019
7/11/2019