HomeMy WebLinkAboutCORRESPONDENCE - RFP - 9085 DIVE TEAM SERVICES FOR JOE WRIGHT RESERVOIR (3)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: Joe Wright Reservoir Low Flow Gate Replacement
CONTRACTOR: Marine Diving Solutions, LLC
WORK ORDER NUMBER: 2 8-21-2020 -2020
PO NUMBER: 9201222
DESCRIPTION:
1. Reason for Change: Cost
2. Description of Change: Additional time (2 employees for 6 hours) was required due to unforeseen
issues that happened during the repair work.
3. Change in Work Order Price: $2,100
4. Completion Date (if changed): N/A
ORIGINAL WORK ORDER PRICE $84,700.00
TOTAL APPROVED CHANGE ORDER $0.00
TOTAL PENDING CHANGE ORDER $0.00
TOTAL THIS CHANGE ORDER $2,100.00
TOTAL % OF THIS CHANGE ORDER 2.5%
TOTAL C.O.% OF ORIGINAL WORK ORDER 2.5%
ADJUSTED WORK ORDER COST $86,800.00
CONTRACTOR: Marine Diving Solutions, LLC
By: Date:
Name: Title:
ACCEPTANCE: Date:
Amy Johnson, Project Manager
REVIEWED: Date:
Marisa Donegon, Buyer
ACCEPTANCE: Date:
Mark Kempton, Interim Deputy Director, WR&T
ACCEPTANCE: Date:
Matt Fater, Interim Deputy Director Water Engineering
DocuSign Envelope ID: CEB1956C-91B9-44E6-8BF8-4A2B9B0BAEDE
10/30/2020
10/30/2020
Ian Stephens
10/30/2020
Owner
10/30/2020
10/30/2020
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: CEB1956C-91B9-44E6-8BF8-4A2B9B0BAEDE
Attn: Mark Kempton, P.E., CWP/ Amy Johnson, P.E., PMP
City of Fort Collins/ Water Resources & Treatment
Change Order Request:
This change order request for the Joe Wright Reservoir Low Flow
Gate Replacement Project includes the additional charges below:
Additional Charges:
2 employees for 6 hours @$175/hr on 9/26/2020 $2,100
10/12/2020
Ian Stephens, Owner Dated
Marine Diving Solutions LLC
21670 E Geddes Place
Centennial, CO 80016
Office Phone: 800-637-1322
Office Fax: 303-309-0097
DocuSign Envelope ID: CEB1956C-91B9-44E6-8BF8-4A2B9B0BAEDE