HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8475 CIVIL ENGINEERING PROFESSIONAL ON-CALLChange Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: 21-inch Stover Sewer Replacement Project
CONTRACTOR: Ditesco LLC
WORK ORDER NUMBER: Stover – Ditesco-1
PO NUMBER: 9192047
DESCRIPTION:
1. Reason for Change: Cost
2. Description of Change: Ditesco performed all required tasks in fewer hours than estimated.
The scope of work for the design phase for approximately 54% of the estimated cost.
3. Change in Work Order Price: $17,002.23
4. Completion Date (if changed): N/A
ORIGINAL WORK ORDER PRICE $ 52,199.00
TOTAL APPROVED CHANGE ORDER $ 0.00
TOTAL PENDING CHANGE ORDER $ 0.00
TOTAL THIS CHANGE ORDER $ 17,002.23
TOTAL % OF THIS CHANGE ORDER 32.57%
TOTAL C.O.% OF ORIGINAL WORK ORDER 32.57%
ADJUSTED WORK ORDER COST $ 35,196.77
CONTRACTOR: Ditesco, LLC
By: Date:
Name: Title:
ACCEPTANCE: Date:
Amy Johnston, Project Manager
REVIEWED: Date:
Pat Johnson, Senior Buyer
ACCEPTANCE: Date:
Matt Fater, Director, Civil Engineering
ACCEPTANCE: Date:
Andrew Gingerich, Interim Deputy Director Water Engineering
DocuSign Envelope ID: C2C41878-17C6-4A7E-9C0E-B0C2277402D1
August 24, 2020
August 24, 2020
August 24, 2020
KEITH MEYER Owner/Manager
August 24, 2020
August 25, 2020