HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8286 CONSTRUCTION CONTRACTOR FOR PROJECTS AT THE WATER & WASTEWATER TREATMENT FACILITIES (21)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 2
PROJECT TITLE: WTF 2018-Source of Supply Inspection and Repairs Services
CONTRACTOR: Hydro Construction
WORK ORDER NUMBER: SCP-WTF-MIJoe-6718
PO NUMBER: 9183744
DESCRIPTION:
1. Reason for Change: Cost
2. Description of Change: Hydro has completed the project under budget. Improvements completed
included inspection and repairs on Joe Wright head house, road base placement and grading of
Michigan Ditch roadway, installation of steel manway and pipe condition cctv inspection and
recording, Middle Fork improvements with installation of davit sockets and concrete wall repairs.
3. Change in Work Order Price: $ 49,550.23
4. Completion Date (if changed): NA
ORIGINAL WORK ORDER PRICE $ 107,097.00
TOTAL APPROVED CHANGE ORDER $ 0.00
TOTAL PENDING CHANGE ORDER $ 0.00
TOTAL THIS CHANGE ORDER $ 49,550.23
TOTAL % OF THIS CHANGE ORDER 46%
TOTAL C.O.% OF ORIGINAL WORK ORDER 46%
ADJUSTED WORK ORDER COST $ 57,546.77
CONTRACTOR: Hydro Construction
By: Date:
Name: Title:
ACCEPTANCE: Date:
Sue Paquette, Project Manager
REVIEWED: Date:
Pat Johnston, Senior Buyer
ACCEPTANCE: Date:
Matt Fater, Civil Engineering Director
DocuSign Envelope ID: AEB81BF5-DE58-4F71-BB8F-E934800088CF
May 8, 2020
COO
May 8, 2020
Jim Eurich
May 11, 2020
May 11, 2020
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Mark Kempton, Plant Operations Director
ACCEPTANCE: Date:
Carol Webb, Deputy Director, Water Resources & Treatment Op
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: AEB81BF5-DE58-4F71-BB8F-E934800088CF
May 11, 2020
May 11, 2020
May 11, 2020