HomeMy WebLinkAboutCORRESPONDENCE - RFP - 7546 DIRECTIONAL BORING & TRENCHING SERVICES (5)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
PROJECT TITLE: Harmony Duct Bank – Phase 3
SERVICE PROVIDER: Colorado Boring
WORK ORDER NUMBER:
PO NUMBER: 9175580
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: $ - 5,087.29
4. Change in Work Order Time:
ORIGINAL WORK ORDER PRICE $ 596,602.60
TOTAL APPROVED CHANGE ORDER .00
TOTAL PENDING CHANGE ORDER .00
TOTAL THIS CHANGE ORDER -5,087.29
TOTAL % OF THIS CHANGE ORDER %
TOTAL C.O.% OF ORIGINAL WORK ORDER %
ADJUSTED WORK ORDER COST $ 591,515.31
SERVICE PROVIDER: Date:
Jon Jacobs
ACCEPTANCE: Date:
Janet Mctague, Project Manager
REVIEWED: Date:
Pat Johnson, Sr. Buyer
DocuSign Envelope ID: D246AB9E-076A-43A1-9154-0FB785788197
7/11/2019
7/11/2019
7/11/2019