HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8225 MAXIMO CONSULTING MOBILEChange Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. #2
PROJECT TITLE: DataSplice Business Process, Prototype, and Configuration work for Water
Engineering & Field Services (WEFS) Waste Water division
CONTRACTOR: Datasplice LLC
WORK ORDER NUMBER:3a
PO NUMBER: 9190702
DESCRIPTION: Initial Water Distribution requirements gathering and ride-along.
1. Reason for Change: Work Order closure
2. Description of Change: Datasplice (subsidiary of Prometheus Group) Work Order #3a deliverables
have been completed. Work Order #3a and assigned PO number will be closed, any remaining funds shall
be returned to project accounts. (Please see Comments / Attachments for details)
3. Change in Work Order Price: $-5,355.00
4. Completion Date (if changed):
ORIGINAL WORK ORDER PRICE $ 22,440.00
TOTAL APPROVED CHANGE ORDER $ 0.00
TOTAL PENDING CHANGE ORDER $ 0.00
TOTAL THIS CHANGE ORDER $ -5,355.00
TOTAL % OF THIS CHANGE ORDER %
TOTAL C.O.% OF ORIGINAL WORK ORDER %
ADJUSTED WORK ORDER COST $ $ 17,085.00
CONTRACTOR: Datasplice LLC
By: Date:
Name: Ryan Hall Title: Contracts Manager
REVIEWED: Date:
Pat Johnson, Buyer or Senior Buyer
ACCEPTANCE: Date:
Bambi Hesher, Project Manager
ACCEPTANCE: Date:
Lance Smith, Director FP&A
ACCEPTANCE: Date:
Rick Morford, Project Manager
DocuSign Envelope ID: 2DBD370F-6761-433E-88EA-FD988202E91D
7/23/2019
7/25/2019
7/29/2019
7/29/2019
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
Datasplice Work Order #3a
Change Order #2 Comments / Attachments
The City of Fort Collins Utilities is closing Datasplice (subsidiary of Prometheus Group) Work
Order #3a. Work Order #3a deliverables have been completed; Work Order #3a and Purchase
Order number: 9190702 will be closed and all remaining funds returned to the following project
account(s).
Water capital project account: 5020200000.521210.6
DocuSign Envelope ID: 2DBD370F-6761-433E-88EA-FD988202E91D