HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9190520 (3)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:CISMAX_2019
PO NUMBER: 9190520
DESCRIPTION:
1. Reason for Change: Work Order closure
2. Description of Change: Completion date has changed.
3. Change in Work Order Price: $0.00
4. Completion Date (if Changed): August 1, 2019
ORIGINAL WORK ORDER PRICE $ 0.00
TOTAL APPROVED CHANGE ORDER $ 0.00
TOTAL PENDING CHANGE ORDER $ 0.00
TOTAL THIS CHANGE ORDER $ 0.00
TOTAL % OF THIS CHANGE ORDER %
TOTAL C.O.% OF ORIGINAL WORK ORDER %
ADJUSTED WORK ORDER COST $ 0.00
CONTRACTOR: Excergy Corporation
By: Date:
Name: James Ketchledge Title: President Excergy Corporation
REVIEWED: Date:
Pat Johnson, Senior Buyer
ACCEPTANCE: Date:
Lance Smith, Director FP&A
ACCEPTANCE: Date:
Lori Clements, Sr Manager, Customer Support
ACCEPTANCE: Date:
Kraig Bader, Sr Manager, Elec Engineering
DocuSign Envelope ID: 29D6CBC0-3180-42AD-B720-3F7E4251417E
7/25/2019
7/25/2019
7/29/2019
7/29/2019
7/29/2019
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Rick Morford, Project Manager
Excergy Work Order CISMAX_2019
Change Order #2 Comments / Attachments
The City of Fort Collins Utilities has chosen to close Excergy CISMAX_2019 work order early
due to a Completion Date change. The closure date for this work order is August 1st
, 2019.
Following payment by the City of Fort Collins Utilities for Excergy July invoices, Purchase Order
number: 9190520 will be closed.
DocuSign Envelope ID: 29D6CBC0-3180-42AD-B720-3F7E4251417E
7/29/2019