Laserfiche WebLink
4 <br />„ ms, DEPARTMENT OF PUBLIC WORKS <br />DIVISION OF ENGINEERING <br />Project Number: 118-086R Project Name: Liberty Tower Improvements DivC Change <br />Order #: 5 <br />DATE INITIATED: 10/15/19 <br />BPW DATE: <br />Brief Summary of Change Order; (Construction Change, Alternative, Substitution, Differing Instructions, Out of Scope, Etc.). <br />Provide & Install 27 New Terrace Door Hinges, per owner Direction. <br />Attachments: (List documents support change — required) <br />Contractors cost. <br />Amount of Blncrease / ❑Decrease: $ 3,036.00 <br />Categories (Pick One): <br />Previously approved Change Order(s): $4,781.08 <br />ig Scope of Work <br />El Differing Site Conditions, Changed Conditions <br />Current Percent of Change: °98. % <br />❑ Conflicted Specifications and Drawings <br />. ................................_._._. r wwwwww <br />New Total Amount: $ 311,817.08 <br />m. El Failed Materials <br />❑ Error <br />El Omission <br />Total Percent of Change: m2.57 ^^^...., <br />� <br />❑ Final Quantity Adjustment <br />Funding Secured From: 0- - El <br />(filled out by PM) <br />RECOMMENDED BY: <br />Josh Ehmer <br />10/15/19 <br />Project Inspector (Print Name) <br />(Sign, "` <br />(Date) <br />REVIEWED BY: <br />7 .... <br />Construction Manager (Print Name) <br />(Signature) <br />(Date) <br />APPROVED BY: <br />Engineering Project Manager (Print Name) <br />(Signatu <br />(Date) <br />APPROVED BY: <br />Y t� <br />P4 <br />City Engineer (Print Na e) <br />(Sign tur) <br />(Date) <br />