HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8498 TENNIS COURT MAINTENANCE & RENOVATION ON-CALL (10)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO.
PROJECT TITLE:
SERVICE PROVIDER:
WORK ORDER NUMBER:
PO NUMBER:
DESCRIPTION:
1. Reason for Change:
2. Description of Change:
3. Change in Work Order Price:
4. Change in Work Order Time:
ORIGINAL WORK ORDER PRICE $
TOTAL APPROVED CHANGE ORDER $
TOTAL PENDING CHANGE ORDER $
TOTAL THIS CHANGE ORDER $
TOTAL % OF THIS CHANGE ORDER %
TOTAL C.O.% OF ORIGINAL WORK ORDER %
ADJUSTED WORK ORDER COST $
SERVICE PROVIDER: Date:
, Title
ACCEPTANCE: Date:
, Project Manager
REVIEWED: Date:
, Buyer or Senior Buyer
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 1FEE2526-30A2-47F1-AD14-CA2D5AF1613B
7500
October 9, 2020
1
86,330.00
surface color change for 3 courts from black to green
Jill Wuertz
heat reduction
78830.00
10
7,500.00
Rolland Mre Basketball Ct Rprs
Additional scope
new completion date 11/30/2020
9200481
Evergreen Tennis Courts, Inc.
October 10, 2020
George Stahlin President
October 12, 2020
Elliot Dale