HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8106 UTILITY INFRASTRUCTURE CONSTRUCTION SERVICES FOR WATER, WASTEWATERChange Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: Sherwood Waterline Replacement - Construction
SERVICE PROVIDER: Connell Resources, Inc.
WORK ORDER NUMBER: Sherwood 2019-3
PO NUMBER: 9191079
DESCRIPTION:
1. Reason for Change: Time Extension
2. Description of Change: Change work order end date to allow the contractor additional time to
finalize post-construction televising of the sanitary sewer services within the project area. Time
change is from September 1, 2019 to October 15, 2019.
3. Change in Work Order Price: N/A
4. Change in Work Order Time: 45 days (October 15, 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 0%
TOTAL C.O.% OF ORIGINAL WORK ORDER 0%
ADJUSTED WORK ORDER COST $ 0.00
SERVICE PROVIDER: Date:
John Warren, Connell Resources, Inc. Vice President
ACCEPTANCE: Date:
Heather McDowell, Civil Engineer III
REVIEWED: Date:
Pat Johnston, Senior Buyer
ACCEPTANCE: Date:
Matt Fater, Director, Civil Engineering
DocuSign Envelope ID: 84266BDC-6160-47F3-9711-C189916A6AD8
September 3, 2019
September 3, 2019
September 3, 2019
September 3, 2019
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Andrew Gingerich, Director, Water Field Operations
ACCEPTANCE: Date:
Theresa Connor, Deputy Director, Water Engineering & Field Services
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 84266BDC-6160-47F3-9711-C189916A6AD8
September 3, 2019
September 4, 2019