HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9201227Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 001
PROJECT TITLE: Fencing – Coyote Ridge / Brannigan Springs
SERVICE PROVIDER: High Pointe Land Management
WORK ORDER NUMBER: NA
PO NUMBER: 9201227
DESCRIPTION:
1. Reason for Change: Requisition amount based on estimated work required. Field conditions determine actual
fence length, h-braces required, etc.
2. Description of Change: Linear feet of fence increased by 1,059’, single H-braces increased by 14, double H-
braces decreased by 12, pipe gates decreased by 2.
3. Change in Work Order Price: $1,861.54
4. Change in Work Order Time: 0 hours
ORIGINAL WORK ORDER PRICE $ 20,511.00
TOTAL APPROVED CHANGE ORDER 0.00
TOTAL PENDING CHANGE ORDER 0.00
TOTAL THIS CHANGE ORDER $1,861.54
TOTAL % OF THIS CHANGE ORDER 9%
TOTAL C.O.% OF ORIGINAL WORK ORDER 9%
ADJUSTED WORK ORDER COST $ 22,372.54
SERVICE PROVIDER: Date:
Cole Patterson, Owner
ACCEPTANCE: Date:
Justin Fredrickson, Project Manager
REVIEWED: Date:
Elliot Dale, Buyer or Senior Buyer
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
_____ MP
DocuSign Envelope ID: F4E40CC3-FDBA-4296-9301-F6641665EB66