HomeMy WebLinkAboutCHANGE ORDER - RFP - 8106 UTILITY INFRASTRUCTURE CONSTRUCTION SERVICES FOR WATER, WASTEWATER, AND STORMWATER FACILITIES CAPITAL IMPROVEMENTS (8)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 01
PROJECT TITLE: Alta Vista Waterline Stub
CONTRACTOR: Connell Resources, Inc.
WORK ORDER NUMBER:3-02092017
PO NUMBER: 9171348
DESCRIPTION:
Excavating across Lemay Ave at Main Street to stub a 8” PVC waterline stub into the Alta Vista
Subdivision for future construction.
1. Reason for Change: Project is completed and needing to do a negative change order to
release the funds from the P.O.
2. Description of Change: Project was completed under budget due to coordination with City
Streets department on splitting the cost of patching. Additionally, the bid had included some
additional pipe and appurtenances in case existing main was in poor condition and additional
replacement was required.
3. Change in Work Order Price: $12,035.43
4. Change in Work Order Time: n/a
ORIGINAL WORK ORDER PRICE $ 45,930.00
TOTAL APPROVED CHANGE ORDER $00.00
TOTAL PENDING CHANGE ORDER $00.00
TOTAL THIS CHANGE ORDER $12,035.43
TOTAL % OF THIS CHANGE ORDER 26.2%
TOTAL C.O.% OF ORIGINAL WORK ORDER 26.2%
ADJUSTED WORK ORDER COST $ 33,894.57
CONTRACTOR: Connell Resources, Inc.
By: Date:
Name: Title:
DocuSign Envelope ID: 9E2E09F9-F27B-470E-AC17-657B7CB4AD87
February 1, 2018
Dan Giesler Project Manager
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Andrew Gingerich, Project Manager
ACCEPTANCE: Date:
Matt Fater, Water Engineering & Field Services Operations Interim Manager
REVIEWED: Date:
Pat Johnson, Buyer
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 9E2E09F9-F27B-470E-AC17-657B7CB4AD87
February 1, 2018
February 1, 2018
February 1, 2018