HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8286 CONSTRUCTION CONTRACTOR FOR PROJECTS AT THE WATER AND WASTEWATER TREATMENT FACILITIES (3)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: MWRF Biofilter – Carbon Filter Media Replacement
CONTRACTOR: Hydro Construction, Inc.
WORK ORDER NUMBER:H-WRF-2019-16
PO NUMBER: 9192226
DESCRIPTION:
1. Reason for Change: Cost
2. Description of Change: Project completed under budget. Carbon media removal and
biofilter media installation used alternate methods which reduced costs.
3. Change in Work Order Price: $33,270.77
4. Completion Date (if changed): NA
ORIGINAL WORK ORDER PRICE $ 83,990.00
TOTAL APPROVED CHANGE ORDER $ 0.00
TOTAL PENDING CHANGE ORDER $ 0.00
TOTAL THIS CHANGE ORDER $ 33,270.77
TOTAL % OF THIS CHANGE ORDER 40%
TOTAL C.O.% OF ORIGINAL WORK ORDER 40%
ADJUSTED WORK ORDER COST $ 50,719.23.00
CONTRACTOR: Hydro Construction, Inc.
By: Date:
Name: Title:
ACCEPTANCE: Date:
Link Mueller, Project Manager
REVIEWED: Date:
Pat Johnson, Senior Buyer
DocuSign Envelope ID: 1D37E92F-E418-4E1C-8B9C-A893746AD372
September 23, 2020
September 23, 2020
September 23, 2020
Stan Javernick President
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Jason Graham, Director, Water Reclamation & Biosolids
ACCEPTANCE: Date:
Matt Fater, Director, Civil Engineering
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director (if greater than $60,000)
DocuSign Envelope ID: 1D37E92F-E418-4E1C-8B9C-A893746AD372
September 24, 2020
September 24, 2020
September 24, 2020
Hydro Construction Company, Inc.
77 NW Frontage Road
Fort Collins, Colorado 80524
Project: 20-01-593 - MWRF-ODOR CONTROL MEDIA REPL.
918 E MULBERRY ST
FORT COLLINS, Colorado 80524
Phone: 9702252211 Phone: 970-566-0042
Fax: 9702252991
DRAFT
Prime Contract Change Order #001: CE #001 - Project Close Out
TO: FORT COLLINS; CITY OF
700 WOOD STREET
FORT COLLINS, Colorado 80522
FROM: HYDRO CONSTRUCTION COMPANY, INC.
77 NW Frontage Road
Fort Collins Colorado 80524
DATE CREATED: 5/ 06 /2020 CREATED BY: Diane Howell (HYDRO CONSTRUCTION
COMPANY, INC.)
CONTRACT STATUS: Draft REVISION: 0
REQUEST RECEIVED
FROM:
LOCATION
DESIGNATED REVIEWER: REVIEWED BY:
DUE DATE: REVIEW DATE:
INVOICED DATE: PAID DATE:
REFERENCE: CHANGE REASON: Project Close out
PAID IN FULL: No EXECUTED: No
ACCOUNTING METHOD: Amount Based SCHEDULE IMPACT:
REVISED SUBSTANTIAL
COMPLETION DATE:
FIELD CHANGE: No CONTRACT FOR: 9192226:MWRF-ODOR CONTROL MEDIA
REPL. Prime Contract
TOTAL AMOUNT: ($33,270.77)
DESCRIPTION:
CE #001 - Project Close Out
ATTACHMENTS:
CHANGE ORDER LINE ITEMS:
PCCO #001
# SubJob Cost Code Description Type Amount
1 N/A 2-2-10-220 - Carbon Media Removal Project Close out Subcontract ($33,270.77)
Subtotal: ($33,270.77)
Grand Total: ($33,270.77)
The original (Contract Sum) $ 83,990.00
Net change by previously authorized Change Orders $ 0.00
The contract sum prior to this Change Order was $ 83,990.00
The contract sum would be changed by this Change Order in the amount of ($33,270.77)
The new contract sum including this Change Order will be $ 50,719.23
The contract time will not be changed by this Change Order by
Hydro Construction Company, Inc. page 1 of 2 Printed On: 5/6/ 2020 02 :03 PM
PCCO #001
DocuSign Envelope ID: 1D37E92F-E418-4E1C-8B9C-A893746AD372
Jason Garside (CAROLLO ENGINEERS) FORT COLLINS; CITY OF HYDRO CONSTRUCTION COMPANY, INC.
10822 WEST TOLLER DRIVE SUITE 200 700 WOOD STREET 77 NW Frontage Road
LITTLETON Colorado 80127 FORT COLLINS Colorado 80522 Fort Collins Colorado 80524
ProcoreArchitectSignHere ProcoreArchitectSignedDate ProcoreOwnerSignHere ProcoreOwnerSignedDate ProcoreGeneralContractorSignHere ProcoreGeneralContractorSignedDate
SIGNATURE DATE SIGNATURE DATE SIGNATURE DATE
Hydro Construction Company, Inc. page 2 of 2 Printed On: 5/6/ 2020 02 :03 PM
PCCO #001
Project Manager 5/7/20
DocuSign Envelope ID: 1D37E92F-E418-4E1C-8B9C-A893746AD372
Certificate Of Completion
Envelope Id: 1D37E92FE4184E1C8B9CA893746AD372 Status: Completed
Subject: Please DocuSign: Contract CO 595.pdf, Hydro Construction - Neg CO - DWRF Primary Biofilter Medi...
Source Envelope:
Document Pages: 4 Signatures: 6 Envelope Originator:
Certificate Pages: 5 Initials: 0 Angel Anderson
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
215 N Mason Street
Fort Collins, CO 80522
aanderson@fcgov.com
IP Address: 24.8.181.157
Record Tracking
Status: Original
9/23/2020 11:16:51 AM
Holder: Angel Anderson
aanderson@fcgov.com
Location: DocuSign
Signer Events Signature Timestamp
Pat Johnson
pjohnson@fcgov.com
CPPB, Senior Buyer
City of Fort Collins
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Using IP Address: 24.54.161.134
Sent: 9/23/2020 11:21:42 AM
Viewed: 9/23/2020 12:06:03 PM
Signed: 9/23/2020 12:06:11 PM
Electronic Record and Signature Disclosure:
Accepted: 3/6/2017 12:11:29 PM
ID: 04e21175-6705-4189-8da6-00a1010bd0d2
Link Mueller
LMUELLER@fcgov.com
Special Projects Manager
City of Fort Collins Utilities
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Signed using mobile
Sent: 9/23/2020 12:06:12 PM
Viewed: 9/23/2020 12:37:47 PM
Signed: 9/23/2020 12:37:59 PM
Electronic Record and Signature Disclosure:
Accepted: 9/29/2017 3:04:54 PM
ID: 803cd960-00f7-4667-997b-9df91bf01aae
Stan Javernick
sjavernick@hydroconstruction.com
President
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Sent: 9/23/2020 12:06:13 PM
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Signed: 9/23/2020 2:15:25 PM
Electronic Record and Signature Disclosure:
Accepted: 10/1/2017 5:16:56 AM
Signer Events Signature Timestamp
Matt Fater
MFATER@fcgov.com
Special Projects Manager
City of Fort Collins Utilities
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Electronic Record and Signature Disclosure:
Accepted: 12/6/2016 4:18:20 PM
ID: 1a8e8b4d-d117-4be0-975e-cb548f822347
Gerry S Paul
gspaul@fcgov.com
Purchasing Director
City of Fort Collins
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(None)
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Using IP Address: 71.211.249.21
Sent: 9/24/2020 3:03:26 PM
Viewed: 9/24/2020 4:06:08 PM
Signed: 9/24/2020 4:06:32 PM
Electronic Record and Signature Disclosure:
Accepted: 3/7/2017 7:02:26 AM
ID: 1dfa1693-39e5-474b-b394-82f385c8c8d4
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Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 9/24/2020 3:03:26 PM
Certified Delivered Security Checked 9/24/2020 4:06:08 PM
Signing Complete Security Checked 9/24/2020 4:06:32 PM
Completed Security Checked 9/24/2020 4:06:32 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
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Electronic Record and Signature Disclosure created on: 8/25/2016 10:28:47 AM
Parties agreed to: Pat Johnson, Link Mueller, Stan Javernick, Jason Graham, Matt Fater, Gerry S Paul
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ID: 42be0232-dab8-499b-976d-90b59ac672b2
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