HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8073 ENGINEERING SERVICES FOR WATER, WASTEWATER & STORMWATER FACILITIES CAPITAL IMPROVEMENTS PROJECTS (5)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: East Mulberry Annexation Stormwater Asset Management Support
CONTRACTOR: HDR Engineering, Inc
WORK ORDER NUMBER: HDR-10292019
PO NUMBER: 9191914
DESCRIPTION:
1. Reason for Change: Time
2. Description of Change: Extend the current completion date to May 4, 2020. Additional
time is needed to complete Task 3 due to weather delays.
3. Change in Work Order Price: NA
4. Completion Date (if changed): May 4, 2020
ORIGINAL WORK ORDER PRICE $ 50,000.00
TOTAL APPROVED CHANGE ORDER $ 0.00
TOTAL PENDING CHANGE ORDER $ 0.00
TOTAL THIS CHANGE ORDER $ 0.00
TOTAL % OF THIS CHANGE ORDER 00%
TOTAL C.O.% OF ORIGINAL WORK ORDER 00%
ADJUSTED WORK ORDER COST $ 50,000.00
CONTRACTOR: HDR Engineering, Inc.
By: Date:
Name: Title:
ACCEPTANCE: Date:
Douglas Groves, Manager, Stormwater Division
REVIEWED: Date:
Pat Johnson, Senior Buyer
ACCEPTANCE: Date:
Andrew Gingerich, Director, Water Field Operations
DocuSign Envelope ID: E94EA326-4EA0-4FA8-9AAB-FA2E484B939D
March 10, 2020
Senior Vice President
March 11, 2020
Brad Martin
March 10, 2020
March 11, 2020
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Theresa Connor, Deputy Director, Water Engineering & Field Services
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: E94EA326-4EA0-4FA8-9AAB-FA2E484B939D
March 11, 2020