HomeMy WebLinkAboutCHANGE ORDER - RFP - 8106 UTILITY INFRASTRUCTURE CONSTRUCTION SERVICES FOR WATER, WASTEWATER, AND STORMWATER FACILITIES CAPITAL IMPROVEMENTS (3)Change Order Form (for Work Orders) Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 2
PROJECT TITLE: DWRF UV System Construction
CONTRACTOR: Hydro Construction, Inc.
WORK ORDER NUMBER: H-WRF-2016-19
PO NUMBER: 9167618
DESCRIPTION:
1. Reason for Change: Work Order Completed within projected budget
2. Description of Change: deductive change due to unused equipment rental
3. Change in Work Order Price: $8,905.74
4. Change in Work Order Time: 0 days
ORIGINAL WORK ORDER PRICE $ 3,070,820.00
TOTAL APPROVED CHANGE ORDER 0.00
TOTAL PENDING CHANGE ORDER 0.00
TOTAL THIS CHANGE ORDER $8905.74
TOTAL % OF THIS CHANGE ORDER 0.3%
TOTAL C.O.% OF ORIGINAL WORK ORDER 0.3%
ADJUSTED WORK ORDER COST $ 3,061,914.26
CONTRACTOR: Hydro Construction, Inc.
By: Date:
Name: Stanley A. Javernick III Title: Vice President of Operations
ACCEPTANCE: Date:
Link Mueller, Project Manager
REVIEWED: Date:
Pat Johnson, Senior Buyer
ACCEPTANCE: Date:
Jason Graham, Water Reclamation & Biosolids Manager
ACCEPTANCE: Date:
Owen L. Randall, Chief Engineer
Page 1 of 3
DocuSign Envelope ID: 35C4CB0E-0AB6-427A-9BAF-525E740C8B42
January 9, 2018
January 9, 2018
January 9, 2018
January 16, 2018
January 11, 2018
Change Order Form (for Work Orders) Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Carol Webb, Water Resources/Treatment Operations Manager
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
Page 2 of 3
DocuSign Envelope ID: 35C4CB0E-0AB6-427A-9BAF-525E740C8B42
January 16, 2018
Ph : (970) 225-2211
77 NW Frontage Rd.
Fort Collins, CO 80524
Change Order
Date:
Project:
Hydro Construction Co., Inc.
77 NW Frontage Rd.
Fort Collins, CO 80524
17-01-425 DWRF - UV CONSTRUCTION
Change Order: 2
12/21/17
To Contractor:
FORT COLLINS, CO 80525 Architect's Project:
3036 ENVIRONMENTAL DR.
The Contract is changed as follows:
Project Close out change order
28 Project Close out $-8,905.74
NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACT AND OWNER.
ENGINEER CONTRACTOR OWNER
Hydro Construction Co., Inc.
The date of Substantial Completion as of the date of this Change Order therefore is
$3,070,820.00
$3,061,914.26
The original Contract Amount was
Net change by previously authorized Change Orders
The Contract Amount prior to this Change Order was
The Contract will be increased by this Change Order in the amount of
The new Contract Amount including this Change Order will be
$0.00
$3,070,820.00
$-8,905.74
77 NW Frontage Rd.
Fort Collins, CO 80524
(Signature) (Signature)
Date Date Date
By By By
(Signature)
Page 3 of 3
DocuSign Envelope ID: 35C4CB0E-0AB6-427A-9BAF-525E740C8B42