HomeMy WebLinkAboutCHANGE ORDER - RFP - 8745 CONSULTING ENGINEERING SERVICES FOR FUTURE WATER WW & STORMWATER FACILITIES CAPITAL IMPROVEMENTSChange Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: Wood Street Drainage Improvement Project
CONTRACTOR: Ditesco
WORK ORDER NUMBER: BLA-2019-05
PO NUMBER: 9185681
DESCRIPTION:
1. Reason for Change: Project Time
2. Description of Change: As built of drainage improvements still needs to be completed.
Extension in original work order completion date of May 31st, 2019.
3. Change in Work Order Price: NA
4. Completion Date (if changed): April 1, 2020
ORIGINAL WORK ORDER PRICE $ 0.00
TOTAL APPROVED CHANGE ORDER $ 0.00
TOTAL PENDING CHANGE ORDER 00.00
TOTAL THIS CHANGE ORDER $0.00
TOTAL % OF THIS CHANGE ORDER 0.0 %
TOTAL C.O.% OF ORIGINAL WORK ORDER 0.0 %
ADJUSTED WORK ORDER COST $ 0.00
CONTRACTOR: Ditesco
By: Date:
Name: Title:
ACCEPTANCE: Date:
Beck Anderson, Civil Engineer II
REVIEWED: Date:
Pat Johnston, Senior Buyer
DocuSign Envelope ID: 8A776A6F-F579-4A02-B466-691EC01481EA
December 20, 2019
December 20, 2019
December 20, 2019
KEITH MEYER
Owner/Manager
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Ken Sampley, Director, Civil Engineering
ACCEPTANCE: Date:
Theresa Connor, Deputy Director, Water Engineering & Field Services
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 8A776A6F-F579-4A02-B466-691EC01481EA
December 20, 2019
December 26, 2019