HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9166985Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. #6
PROJECT TITLE: Consulting Support for Asset Register and Work Order Management System
CONTRACTOR: Excergy Corporation
WORK ORDER NUMBER:#7
PO NUMBER: 9166985
DESCRIPTION: Additional scope has been requested for this work order.
1. Reason for Change: Work Order #7 Closure
2. Description of Change: Excergy Work Order #7 is being closed due to work completed. All
remaining funds for this work order will be returned to their project accounts.
3. Change in Work Order Price: $ -2,678.26
4. Completion Date (if changed): July 31, 2019
ORIGINAL WORK ORDER PRICE $ 40,300.00
TOTAL APPROVED CHANGE ORDER $ 50,665.00
TOTAL PENDING CHANGE ORDER $ 0.00
TOTAL THIS CHANGE ORDER $ -2,678.26.00
TOTAL % OF THIS CHANGE ORDER %
TOTAL C.O.% OF ORIGINAL WORK ORDER %
ADJUSTED WORK ORDER COST $ 88,286.74
CONTRACTOR: Excergy Corporation
By: Date:
Name: James Ketchledge Title: President & CEO
REVIEWED: Date:
Pat Johnson, Sr Buyer
ACCEPTANCE: Date:
Lance Smith, Director, FP&A
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
ACCEPTANCE: Date:
Rick Morford, Project Manager
DocuSign Envelope ID: 71CDDC45-33E0-47A9-9DCA-DC46D65B1BB5
7/22/2019
7/23/2019
7/23/2019
7/23/2019
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
Excergy Work Order #7
Change Order #6 Comments / Attachments
With the closure of this work order and associated Purchase Order all remaining funds will be
returned to the following project account(s).
Account: 460221-521210
Account: 502020-000000
DocuSign Envelope ID: 71CDDC45-33E0-47A9-9DCA-DC46D65B1BB5