HomeMy WebLinkAboutCHANGE ORDER - BID - 7658 MISCELLANEOUS CONCRETE ANNUALChange Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
PROJECT TITLE: HP Campus Ductbank
CONTRACTOR: Lightfield Enterprises
WORK ORDER NUMBER: 5010082755
PO NUMBER: 9185395
DESCRIPTION:
1. Reason for Change: Negative Change order to close out project
2. Description of Change: Estimated amount of concrete to be removed and replaced was far
greater than the work ended up requiring. We were able to perform the work with less disturbance
to the existing sidewalk than was anticipated at time of estimate.
3. Change in Work Order Price: $-62,984.00
4. Completion Date (if changed):
ORIGINAL WORK ORDER PRICE $ 74,988.00
TOTAL APPROVED CHANGE ORDER 0.00
TOTAL PENDING CHANGE ORDER 0.00
TOTAL THIS CHANGE ORDER $ -62,984.00
TOTAL % OF THIS CHANGE ORDER %
TOTAL C.O.% OF ORIGINAL WORK ORDER %
ADJUSTED WORK ORDER COST $ 0.00
CONTRACTOR: Lightfield Enterprises Inc.
Name: Date:
ACCEPTANCE: Date:
Austin Kreager, Project Manager
REVIEWED: Date:
Elliot Dale, Sr. Buyer
ACCEPTANCE: Date:
Janet Mctague, Electrical Engineering Mgr.
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 9354AD39-D88B-413E-BB55-662DD65E7F9A
12/19/2019
12/30/2019
12/30/2019
12/30/2019