HomeMy WebLinkAboutCORRESPONDENCE - BID - 8775 SCANNING SERVICESChange Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: Water, Wastewater and Stormwater Capital Project As-Built Mylars
CONTRACTOR: All Copy Products, Inc.
WORK ORDER NUMBER: 1
PO NUMBER: 9191217
DESCRIPTION:
1. Reason for Change: Scope and Cost
2. Description of Change: Additional scanning work related to the Capital Project files in the records
room.
3. Change in Work Order Price: $9,258.11
4. Completion Date (if changed): NA
ORIGINAL WORK ORDER PRICE $ 19,240.00
TOTAL APPROVED CHANGE ORDER 00.00
TOTAL PENDING CHANGE ORDER 00.00
TOTAL THIS CHANGE ORDER $ 9,258.11
TOTAL % OF THIS CHANGE ORDER 48.1%
TOTAL C.O.% OF ORIGINAL WORK ORDER 48.1%
ADJUSTED WORK ORDER COST $ 28,498.11
CONTRACTOR: All Copy Products, Inc.
By: Date:
Name: Title:
ACCEPTANCE: Date:
Matt Fater, Director, Civil Engineering
REVIEWED: Date:
Marisa Donegon, Buyer
ACCEPTANCE: Date:
Theresa Connor, Deputy Director, Water Engineering & Field Services
DocuSign Envelope ID: 09FE597E-5AA2-4751-8673-9F5A3B237087
December 19, 2019
December 19, 2019
December 20, 2019
Ray Bailon Managed Services Director
December 20, 2019
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 09FE597E-5AA2-4751-8673-9F5A3B237087