Laserfiche WebLink
,.'a„ti,pl frt p .. <br />". el <br />DEPARTMENT DEPARTMENT OF PUBLIC WORKS <br />DIVISION OF ENGINEERING <br />Project Number: 117-031 R Project Name: Water Works North Pumping Station Well Replacement Change Order #° 2 <br />INITIATED,:8/28/19 <br />DATE <br />BPW DATE: <br />Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions Out of Scope, Etc.).. <br />Plans labeled existing Water Main as 10" but is actually 12". <br />Attachments: (List documents support change — required) <br />Contractor cost. <br />Amount of B Increase / ❑ Decrease: $ 1 , 345.00 <br />Categories (Pick One): <br />Previously approved Change Order(s): $ 9,462.72 <br />❑ Scope of Work <br />❑ Differing Site Conditions, Changed Conditions <br />Current Percent of Change: '25 % <br />❑ Conflicted Specifications and Drawings <br />....New To _�. �.._....._........ <br />tal Amount: $ 543,570.72 <br />......_.__. <br />❑ Failed Materials <br />8 Error <br />2.03 <br />❑ Omission <br />Total Percent of Change: <br />❑ Final Quantity Adjustment <br />Funding Secured From: <br />❑ <br />(filled out by PM) <br />RECOMMENDED BY: <br />Josh Ehmer <br />8/28/19 <br />t <br />Project Inspector (Print Name) <br />(Signkr . <br />(Date) <br />REVIEWED BY: <br />W <br />Construction Manag r (Print Name) <br />(Signature) <br />(Date) <br />APPROVED BY: <br />Q)Uj-A <br />Engineering Project Manager (Print Name) <br />(Signature) <br />(Date) <br />APPROVED BY: <br />City Engineer (Print ame) <br />(Sign.", ) <br />(Dalie) <br />