HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9190977 (2)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: Colorado St. Area Inlet Replacement Project
CONTRACTOR: Lightfield Enterprises, Inc.
WORK ORDER NUMBER: 2019-05202019
PO NUMBER: 9190977
DESCRIPTION:
1. Reason for Change: Scope and cost increase
2. Description of Change: Additional work required due to field conditions. The style of the
new inlets had to change to meet the heavy traffic loading in the alley.
3. Change in Work Order Price: $1,657.45
4. Completion Date (if changed): NA
ORIGINAL WORK ORDER PRICE $ 9,687.50
TOTAL APPROVED CHANGE ORDER 00.00
TOTAL PENDING CHANGE ORDER 00.00
TOTAL THIS CHANGE ORDER $ 1,657.45
TOTAL % OF THIS CHANGE ORDER 17.1%
TOTAL C.O.% OF ORIGINAL WORK ORDER 17.1%
ADJUSTED WORK ORDER COST $ 11,344.95
CONTRACTOR: Lightfield Enterprises, Inc.
By: Date:
Name: Title:
ACCEPTANCE: Date:
Douglas Groves, Stormwater Maintenance Operations Manager
REVIEWED: Date:
Dale Elliot, Senior Buyer
ACCEPTANCE: Date:
Andrew Gingerich, Director, Water Field Operations
DocuSign Envelope ID: D2CE7225-FE46-45E6-82BF-38394E0979D2
August 5, 2019
August 5, 2019
August 5, 2019
Keith R. Lightfield Executive Vice President
August 5, 2019
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Theresa Connor, Deputy Director, Water Engineering & Field Services
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: D2CE7225-FE46-45E6-82BF-38394E0979D2
August 5, 2019