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HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8286 CONSTRUCTION CONTRACTOR FOR PROJECTS AT THE WATER AND WASTEWATER TREATMENT FACILITIES (6)Change Order Form (for Work Orders) Official Purchasing Form Last updated 10/2017 CHANGE ORDER NO. 1 PROJECT TITLE: DWRF UV System Procurement CONTRACTOR: Hydro Construction Company, Inc. WORK ORDER NUMBER: H-WRF-2016-12 PO NUMBER: 9164914 DESCRIPTION: 1. Reason for Change: Actual cost was less than the estimated project budget & work order 2. Description of Change: Payment bond was less than estimated. See the attached supporting documentation. 3. Change in Work Order Price: $1,323.00 4. Change in Work Order Time: NA ORIGINAL WORK ORDER PRICE $ 685,330.00 TOTAL APPROVED CHANGE ORDER 0.00 TOTAL PENDING CHANGE ORDER 0.00 TOTAL THIS CHANGE ORDER $1,323.00 TOTAL % OF THIS CHANGE ORDER .19% TOTAL C.O.% OF ORIGINAL WORK ORDER .19% ADJUSTED WORK ORDER COST $ 684,007.00 CONTRACTOR: Hydro Construction Company, Inc. By: Date: Name: Title: ACCEPTANCE: Date: Link Mueller, Special Project Manager REVIEWED: Date: Pat Johnson, Senior Buyer ACCEPTANCE: Date: Jason Graham, Water Reclamation and Biosolids Manager ACCEPTANCE: Date: Owen Randall, Water Systems Engineering Division Manager DocuSign Envelope ID: FA57391B-6C1E-4247-8205-82C2DFB56283 October 16, 2017 VP of Operations October 17, 2017 Stan Javernick October 18, 2017 October 18, 2017 October 18, 2017 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) DocuSign Envelope ID: FA57391B-6C1E-4247-8205-82C2DFB56283 October 23, 2017