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HomeMy WebLinkAboutCHANGE ORDER - BID - 8844 MISCELLANEOUS CONCRETEChange Order Form (for Work Orders) Official Purchasing Form Last updated 10/2017 CHANGE ORDER NO. 1 PROJECT TITLE: Garfield St. Inlet & Concrete Replacement Project CONTRACTOR: Lightfield Enterprises, Inc. WORK ORDER NUMBER: 2019-05232019 PO NUMBER: 9190956 DESCRIPTION: 1. Reason for Change: Cost 2. Description of Change: The project scope did not change during the project. Actual work complete was paid at contract unit prices per the work order. The reduction in the PO amount reflects the difference between the estimated and actual quantities necessary to complete the work including the contingency amount. 3. Change in Work Order Price: $11,558.90 4. Completion Date (if changed): NA ORIGINAL WORK ORDER PRICE $ 42,481.25 TOTAL APPROVED CHANGE ORDER 00.00 TOTAL PENDING CHANGE ORDER 00.00 TOTAL THIS CHANGE ORDER $ 11,558.90 TOTAL % OF THIS CHANGE ORDER 27.2% TOTAL C.O.% OF ORIGINAL WORK ORDER 27.2% ADJUSTED WORK ORDER COST $ 30,922.35 CONTRACTOR: Lightfield Enterprises, Inc. By: Date: Name: Title: ACCEPTANCE: Date: Douglas Groves, Stormwater Maintenance Operations Manager REVIEWED: Date: Dale Elliot, Senior Buyer DocuSign Envelope ID: 03A3593C-D2EA-4BAF-AA6E-E576E33B3930 November 14, 2019 November 14, 2019 November 15, 2019 Keith R. Lightfield Executive Vice President Change Order Form (for Work Orders) Official Purchasing Form Last updated 10/2017 APPROVED AS TO FORM: Date: Name,City Attorney's Title (if greater than $1,000,000) ACCEPTANCE: Date: Sandra Bratlie, Civil Engineer III 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: 03A3593C-D2EA-4BAF-AA6E-E576E33B3930 November 14, 2019 November 16, 2019 November 19, 2019