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Facilities Division CAG-19-170 CO NO. 1
CONTRACT CHANGE ORDER(CO) PROJECT TITLE HMAC welding
TO: Aqua Dive Services (CONTRACTOR)
The following mutually agreed to and Owner approved Change Order Proposal(s)and/or Field Authorization(s)are hereby
incorporated by reference into the contract.
Description Amount
Labor for additonal welding $500.00
CONTRACT SUM:
OF: — — — I $550.001
(WASHINGTON STATE SALES TAX INCLUDED)
CONTRACT TIME:
OF: 0
CALENDAR DAYS
The foregoing amount covers everything required in connection with the change.All other provisions of the contract remain in full force and effect.
CONTRACT SUMMARY(Internal Use Only)
ORIGINAL CONTRACT SUM $2,200.00
PREVIOUS TOTAL $ 2,200.00
CHANGE AMOUNT THIS CHANGE ORDER $ 550.00
REVISED CONTRACT TOTAL $ 2,750.00
PERCENT TOTAL CHANGE FROM ORIGINAL 25.00%
PREVIOUS CONTRACT CALENDAR DAYS 90
REVISED CONTRACT CALENDAR DAYS THIS CHANGE ORDER 0
CURRENT SUBSTANTIAL COMPLETION DATE
City Attorney Date Contras r cknowiedgement Date
The City of Renton hereby accepts the foregoing Field Authorization(s)and/or Change Order Proposal(s).This formal acceptance constitutes a
Change to the contract only when authorizing signature is affixed.Invoices incorporating this Change Order constitute acceptance by the
Contractor as total reimbursement due in con 'on ' his C 00,ge Order.
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AUTHORIZING GNAT 7E DATE
Aqua Dive Services, LLC
9622 Aurora Ave N -Ste B Estimate
ier Seattle, WA 98103
Phone#206-782-0157 Date Estimate#
info@aquadiveservices.com 5/22/2019 2019001
DIVE SE ICES www.aquadiveservices.com
Name/Address
City of Renton
1055 South Grady Way
Renton,WA 98057
Project
Description Qty Rate Total
Labor-Change Order for 14 Additional Stainless Steel Welds 1 500.00 500.00T
at the Henry Moses Aquatic Center wave pool.
Thank you for your business.We look forward to serving you again in the
future. Subtotal $500.00
Sales Tax (10.0%) $50.00
Total $550.00