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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8497 STORMWATER CONSULTING ENGINEERING SERVICES (5)Change Order Form (for Work Orders) Official Purchasing Form Last updated 10/2017 CHANGE ORDER NO. 01 PROJECT TITLE: Upper Cooper Slough Master Plan Update CONTRACTOR: Icon Engineering, Inc. WORK ORDER NUMBER: DLE-2020-02 PO NUMBER: 9200298 DESCRIPTION: 1. Reason for Change: Cost, Scope and Time 2. Description of Change: Icon needs additional funding to accommodate a request by the Larimer and Weld Irrigation Co. to evaluate different flow scenarios for their ditches. See attached scope and fee. 3. Change in Work Order Price: $30,170 4. Completion Date (if changed): April 30, 2021 ORIGINAL WORK ORDER PRICE $40,680.00 TOTAL APPROVED CHANGE ORDER $ 0.00 TOTAL PENDING CHANGE ORDER $ 0.00 TOTAL THIS CHANGE ORDER $30,170.00 TOTAL % OF THIS CHANGE ORDER 74.1% TOTAL C.O.% OF ORIGINAL WORK ORDER 74.1% ADJUSTED WORK ORDER COST $70,850.00 CONTRACTOR: Icon Engineering, Inc. By: Date: Name: Craig Jacobson Title: Principal ACCEPTANCE: Date: Dan Evans, Project Manager REVIEWED: Date: Marisa Donegon, Buyer III REQUISITION ENTERED BY: Date: Melissa Walker, Finance Coordinator DocuSign Envelope ID: E4D5F91E-D416-44F2-8561-82E0A5A10BCF October 19, 2020 October 19, 2020 October 19, 2020 Change Order Form (for Work Orders) Official Purchasing Form Last updated 10/2017 ACCEPTANCE: Date: Ken Sampley, Director, Civil Engineering ACCEPTANCE: Date: Matt Fater, Interim Deputy Director, Water Engineering & Field Services ACCEPTANCE: Date: Gerry Paul, Purchasing Director DocuSign Envelope ID: E4D5F91E-D416-44F2-8561-82E0A5A10BCF October 19, 2020 October 20, 2020 October 20, 2020