HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8225 MAXIMO CONSULTING SERVICES (19)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. #7
PROJECT TITLE: Consulting Support for Asset Register and Work Order Management System
CONTRACTOR: Excergy Corporation
WORK ORDER NUMBER: #10
PO NUMBER: 9182546
DESCRIPTION:
1. Reason for Change: Excergy Work Order #10 Closure.
2. Description of Change: Excergy Work Order #10 and assigned Purchase Order is now closed. All
remaining funds are to be returned to project account(s) (Please see Comments / Attachments for details)
3. Change in Work Order Price: $-21,867.70
4. Completion Date (if changed):
ORIGINAL WORK ORDER PRICE $ 339,996.19
TOTAL APPROVED CHANGE ORDER $ -56,780.00
TOTAL PENDING CHANGE ORDER $ 0.00
TOTAL THIS CHANGE ORDER $ -21,867.70
TOTAL % OF THIS CHANGE ORDER %
TOTAL C.O.% OF ORIGINAL WORK ORDER %
ADJUSTED WORK ORDER COST $ 261,348.49
CONTRACTOR: Excergy Corporation
By: Date:
Name: James Ketchledge Title: CEO & President
REVIEWED: Date:
Pat Johnson, Buyer or Senior Buyer
ACCEPTANCE: Date:
Theresa Connor, Deputy Director, Utilities
ACCEPTANCE: Date:
Coy althoff, Utilities Asset Manager
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: FA5AEAB2-770A-4A8C-8D5C-30AAB74D20B4
7/29/2019
7/30/2019
7/30/2019
7/30/2019
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Rick Morford, Project Manager
Excergy Work Order #10
Change Order #7 Comments / Attachments
Purchase Order number: 9182546 for Excergy Work Order #10 is now closed. All remaining funds
encumbered to Purchase Order 9182546 shall be returned to the following capital project account(s).
Storm Water capital project account: 5040453300.521210.6
DocuSign Envelope ID: FA5AEAB2-770A-4A8C-8D5C-30AAB74D20B4
7/30/2019