HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8354 MAXIMO MOBILE (8)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. #3
PROJECT TITLE: DataSplice Business Process, Prototype, and Configuration work for Water
Engineering & Field Services (WEFS) Waste Water division
CONTRACTOR: Datasplice subsidary of Prometheus Group inc.
WORK ORDER NUMBER:4a
PO NUMBER: 9190779
DESCRIPTION: Datasplice support for Utilities Warehouse Broadband Materials Management.
1. Reason for Change: Extend Warehouse Broadband Materials Management work order Completion
Date.
2. Description of Change: Work Order #4a was executed several months ago, due to schedule changes
and delays, the Completion Date for Work Order #4a needs to be extended through August 2020.
3. Change in Work Order Price: $0.00
4. Completion Date (if changed): August 30, 2020
ORIGINAL WORK ORDER PRICE $ 17,637.50
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 $ $ 17,637.50
CONTRACTOR: Datasplice subsidary of Prometheus Group.
By: Date:
Name: Michael Ives Title: CFO, Prometheus Group
REVIEWED: Date:
Pat Johnson, Buyer or Senior Buyer
ACCEPTANCE: Date:
Lori Clements, Sr Manager, Customer Support
ACCEPTANCE: Date:
Lisa Rosintoski, Deputy Director, Utilities
ACCEPTANCE: Date:
Colman Keane, Executive Director, Broadband
ACCEPTANCE: Date:
Coy Althoff, Utilities Asset Manager
DocuSign Envelope ID: D40A6D26-0C50-4D1B-8BE6-92F933F15D3F
12/5/2019
12/15/2019
12/16/2019
12/17/2019
12/17/2019
12/19/2019
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Rick Morford, Project Manager
Attachment A
Datasplice Work Order #4a, Change Order #3 – updated Broadband schedule
DocuSign Envelope ID: D40A6D26-0C50-4D1B-8BE6-92F933F15D3F
12/19/2019