HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8106 UTILITY INFRASTRUCTURE CONSTRUCTION SERVICES FOR WATER, WASTEWATER, AND STORMWATER FACILITIES CAPITAL IMPROVEMENTS (4)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: Hickory Street RR Bore – Final Design
SERVICE PROVIDER: BT Construction, Inc.
WORK ORDER NUMBER: Hick-BTC-3
PO NUMBER: 9190910
DESCRIPTION:
1. Reason for Change: Cost
2. Description of Change: The Work Order price will reduce from $ 29,498.24 to $ 27,294.12
due to a slightly reduced need in design assistance.
3. Change in Work Order Price: $ 2,204.12
4. Change in Work Order Time: N/A
ORIGINAL WORK ORDER PRICE $ 29,498.24
TOTAL APPROVED CHANGE ORDER 0.00
TOTAL PENDING CHANGE ORDER 0.00
TOTAL THIS CHANGE ORDER $ 2,204.12
TOTAL % OF THIS CHANGE ORDER 7.47%
TOTAL C.O.% OF ORIGINAL WORK ORDER 7.47%
ADJUSTED WORK ORDER COST $ 27,294.12
SERVICE PROVIDER: Date:
John Beckos, BT Construction, Inc. Project Manager
ACCEPTANCE: Date:
Heather McDowell, Civil Engineer III
REVIEWED: Date:
Pat Johnson, Senior Buyer
ACCEPTANCE: Date:
Matt Fater, Director, Civil Engineering
DocuSign Envelope ID: A01DA2CD-4226-4166-BCAB-3F2C22D5B22C
June 1, 2020
June 1, 2020
June 1, 2020
June 1, 2020
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Andrew Gingerich, Interim Deputy Director, Water Engineering & Field Services
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: A01DA2CD-4226-4166-BCAB-3F2C22D5B22C
June 1, 2020