Laserfiche WebLink
Project Number: 119-052R <br />DEPARTMENT OF PUBLIC WORKS <br />DIVISION OF ENGINEERING <br />COSB Wayfinding Signage Program - Phase 1 2 <br />Project Name: Change Order #: _ <br />DATE INITIATED: 5/4/2020 BPW DATE: <br />Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). <br />Cost Deduct for Eliminating Break Away Pole Bases (-$2,000.00). <br />Added 8-North Arrow Stickers, 1-Kiosk Panel, & 8-City-Center Stickers ($314.00). <br />Attachments: (List documents support change — required) <br />Contractor Cost. <br />Amount of El Increase / ODecrease: $-1 ,686.00 <br />Previously approved Change Order(s): $ 0 <br />Current Percent of Change: -1.21 <br />New Total Amount: $ 137,471.00 <br />Total Percent of Change: -1.21 <br />Funding Secured From: <br />(filled out by PM) <br />RECOMMENDED BY: <br />Josh Ehmer <br />Project Inspector (Print Name) <br />REVIEWED BY: <br />Toy Villa <br />Construction Manager (Print Name) <br />APPROVED BY: <br />Engineering Project Manager (Print Name) <br />APPROVED BY: <br />Categories (Pick One): <br />0 Scope of Work <br />❑ Differing Site Conditions, Changed Conditions <br />❑ Conflicted Specifications and Drawings <br />❑ Failed Materials <br />❑ Error <br />❑ Omission <br />❑ Final Quantity Adjustment <br />11 <br />(Signature) <br />(Signature) <br />(Signature) <br />5/6/2020 <br />(Date) <br />5m6i2020 <br />(ware) <br />(care) <br />City Engineer (Print Name) <br />(Signature) <br />(uate) <br />