HomeMy WebLinkAboutCHANGE ORDER - RFP - 8354 MAXIMO MOBILEChange Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. #2
PROJECT TITLE: DataSplice Business Process, Prototype, and Configuration work for Water Engineering
& Field Services (WEFS) Waste Water division
CONTRACTOR: Datasplice LLC
WORK ORDER NUMBER:1c
PO NUMBER: 9180138
DESCRIPTION: Additional ride along sessions are being requested by the City of Fort Collins Waste Water
Collections division.
1. Reason for Change: City of Fort Collins has requested additional Waste Water Collections crew ride along
support and training from Datasplice which requires an extension of the Work Order completion date.
2. Description of Change: Datasplice will schedule staff to do additional ride along sessions with Waste Water
Collections crews.
3. Change in Work Order Price: $0.00
4. Completion Date (if changed): March 23, 2018
ORIGINAL WORK ORDER PRICE $ $ 62,007.50
TOTAL APPROVED CHANGE ORDER $ 0.00
TOTAL PENDING CHANGE ORDER $ 0.00
TOTAL THIS CHANGE ORDER $ 0.00
TOTAL % OF THIS CHANGE ORDER %
TOTAL C.O.% OF ORIGINAL WORK ORDER %
ADJUSTED WORK ORDER COST $ $ 0.00
CONTRACTOR: Datasplice LLC
By: Date:
Name: Scott Kunze Title: President
ACCEPTANCE: Date:
Nate Poppema, datasplice LLC Project Manager
ACCEPTANCE: Date:
Rick Morford, Project Manager
REVIEWED: Date:
Pat Johnson, Buyer or Senior Buyer
ACCEPTANCE: Date:
Coy Althoff, Utilities Asset Manager
DocuSign Envelope ID: 6A1E6310-CB77-4668-A36E-1BDA325D74BC
3/7/2018
3/7/2018
3/7/2018
3/7/2018
3/8/2018