HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8106 UTILITY INFRASTRUCTURE CONSTRUCTION SERVICES FOR WATER, WASTEWATER AND STORMWATER FACILITIES CAPITAL IMPROVEMENTSChange Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: Muir Access Road Improvements
CONTRACTOR: Connell Resources, Inc.
WORK ORDER NUMBER: C-HWSP-2020-04
PO NUMBER: 9200887
DESCRIPTION:
1. Reason for Change: Time
2. Description of Change: The access to the Muir property road has been suspended and is
currently being worked out with the landowner. A work order time extension is required from
June 19thto August 1st to work through these details.
3. Change in Work Order Price: NA
4. Completion Date (if changed): August 1, 2020
ORIGINAL WORK ORDER PRICE $97,600.00
TOTAL APPROVED CHANGE ORDER $ 0.00
TOTAL PENDING CHANGE ORDER $ 0.00
TOTAL THIS CHANGE ORDER $ 0.00
TOTAL % OF THIS CHANGE ORDER 0.0 %
TOTAL C.O.% OF ORIGINAL WORK ORDER 0.0 %
ADJUSTED WORK ORDER COST $ 97,600.00
CONTRACTOR: Connell Resources, Inc.
By: Date:
Name: Title:
ACCEPTANCE: Date:
Linsey Chalfant, Civil Engineer III
REVIEWED: Date:
Pat Johnson, Senior Buyer
DocuSign Envelope ID: E7BEE35E-EAB7-4B27-A6A7-036BE55AE0F5
June 5, 2020
President
June 8, 2020
Dan Gielser
June 5, 2020
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Matt Fater, Director, Civil Engineering
ACCEPTANCE: Date:
Andrew Gingerich, Interim Deputy Director, Water Engineering & Field Services
ACCEPTANCE: Date:
Eileen Dornfest, Civil Engineer III/Halligan Project Manager
ACCEPTANCE: Date:
Carol Webb, Deputy Director, Water Resources & Treatment Operations
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: E7BEE35E-EAB7-4B27-A6A7-036BE55AE0F5
June 8, 2020
June 8, 2020
June 8, 2020
June 8, 2020
June 8, 2020