Laserfiche WebLink
DEPARTMENT OF PUBLIC WORKS <br />DIVISION OF ENGINEERING <br />Project Number: 118-036C Project Name: Bendix Theater Lift at Century Center Change Order #: 1 <br />DATE INITIATED:5/21/19 BPW DATE:. <br />Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.), <br />Changes to project scope, materials, and time <br />Attachments: (List documents support change — required) <br />PCR #001 <br />Pricing from contractor <br />Explanations of changes from consultant <br />................................. -------- <br />Amount of IngIncrease / ❑Decrease: $ 9550.77 <br />..................................................................... <br />Categories (Pick One): <br />Previously approved Change Order(s): $ 0 B Scope of Work <br />El Differing Site Conditions, Changed Conditions <br />Current Percent of Change: 3'40 % ❑ Conflicted Specifications and Drawings <br />El Failed Materials <br />New Total Amount. $, 80850-.77 ❑ Error <br />13.40 El Omission <br />Total Percent of Change: ,wwwwwwwwwww..... wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww„ % El Final Quantity Adjustment <br />Funding Secured From: MW VA <br />LA In( NnA � <br />(filled out by PM) <br />RECOMMENDED BY: <br />Greg McGowan <br />Project Inspector (Print Name) (,nature) (Date) <br />REVIEWED BY: <br />Toy Villa I <br />Construction Manager (Print Name) (Signature) (Date) <br />APPROVED BY: <br />Rebecca Plantz 5 21 <br />Engineering Project Manager (Print Name) (Signature) (Date) <br />APPROVED BY: <br />Kara Boyles <br />City Engineer (Print Name) (Signatur (Date) <br />