HomeMy WebLinkAboutCHANGE ORDER - PURCHASE ORDER - 9151562CHANGE ORDER NO.
PROJECT TITLE: R 1r
CONTRACTOR: 901 - en
C Q R k S oc,,I Ades
PROJECT NUMBER:
DESCRIPTION:
f j 416 a_"1. Reason for change: �, 2C��- IS �-C,j�u `�{ �
2. Description of Change: l d�L"" "� �`A 1 r1(feA,%C to
3. Change in Contract Cost N r✓�5� BY -1 , 50b
4. Change in Contract Time: (.f 3 01 t S (rv,,i ne)
ORIGINAL CONTRACT COST
TOTAL APPROVED CHANGE ORDER
TOTAL PENDING CHANGE ORDER
TOTAL THIS CHANGE ORDER
TOTAL % OF THIS CHANGE ORDER
TOTAL C.O.% OF ORIGNINAL CONTRACT
ADJUSTED CONTRACT COST
(Assuming all change orders apr
ACCEPTED Bf. ,
Contractor's R
$ 1�1155�
DATE: 5� iy/ i 5
ACCEPTED / l�
BY: DATE: f
Project Manager
REVIEWED
BY:
DATE:
Title:
APPROVED
BY:
DATE:
Title:
APPROVED
BY:
DATE:
Purchasing Agent over $60,000
Contractor
Project File
Architect
Engineer
Purchasing