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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