HomeMy WebLinkAboutCHANGE ORDER - SOLE SOURCE - STANTEC CONSULTING SERVICES INCChange Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 01
PROJECT TITLE: Fort Collins System Model Upgrade
SERVICE PROVIDER: Stantec Consulting Services, Inc.
WORK ORDER NUMBER:
PO NUMBER: 9172228
DESCRIPTION:
1. Reason for Change: Date extension required to allow time for Stantec to complete work on the
optimization module as described in the original contract scope.
2. Description of Change: This change order is to extend the contract date through December 31,
2018.
3. Change in Work Order Price: $0
4. Change in Work Order Time: Contract extension through December 31, 2018
ORIGINAL WORK ORDER PRICE $ 58,000.00
TOTAL APPROVED CHANGE ORDER 19,714.00
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 $ 77,714.00
SERVICE PROVIDER: Date:
Lisa Fardal, Project Manager, Title
ACCEPTANCE: Date:
Meagan Smith, Project Manager
REVIEWED: Date:
Donnie Dustin, Water Resources Manager
REVIEWED: Date:
Pat Johnson, Senior Buyer
DocuSign Envelope ID: F9BAD21C-A750-4581-9906-972B885DBE20
4/23/2018
4/23/2018
4/23/2018
4/23/2018
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: F9BAD21C-A750-4581-9906-972B885DBE20