HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8498 TENNSI COURT MAINTENANCE & RENOVATION ON-CALLChange Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: Troutman Court Renovation
SERVICE PROVIDER: Evergreen Tennis
WORK ORDER NUMBER:
PO NUMBER: 9177799
DESCRIPTION:
1. Reason for Change: Additional funding became available for the next phase
2. Description of Change: Installation of one post-tension tennis court per 8498 Tennis Court
Maintenance & Renovation Troutman Project bid
3. Change in Work Order Price: $56,880
4. Change in Work Order Time: na
ORIGINAL WORK ORDER PRICE $ $73,920.00
TOTAL APPROVED CHANGE ORDER .00
TOTAL PENDING CHANGE ORDER .00
TOTAL THIS CHANGE ORDER 56880.00
TOTAL % OF THIS CHANGE ORDER %
TOTAL C.O.% OF ORIGINAL WORK ORDER 77%
ADJUSTED WORK ORDER COST $ .00
SERVICE PROVIDER: Date:
George Stahlin, Title
ACCEPTANCE: Date:
Jill Wuertz, Project Manager
REVIEWED: Date:
Name, Buyer or Senior Buyer
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: 267E278C-21B4-4ECB-989D-CD94253A8902
12/8/2017
Beth Diven 12/8/2017
President 12/11/2017