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Community Services Department
CONTRACT CHANGE ORDER AGREEMENT
DATE 9/13/2022
CONTRACT:Divison 9
CAG #22-268
CONTRACTOR:Divison 9 Flooring
CHANGE ORDER:1
SUMMARY OF PROPOSED CHANGE:
Reason/Justification:
Additional Labor for Skim Coat and Expedited Shipping for VCT Tile
DESCRIPTION:
Item Qty. Description Unit Price Amount
No.w/ WSST
1 1 Labor / Expedited Shipping 2,350.00$ 2,587.35$
Total this Change Order: 2,587.35$
ORIGINAL CONTRACT CURRENT CONTRACT NET CHANGE REVISED CONTRACT
AMOUNT (W/ WSST) AMOUNT THIS ORDER (W/ WSST) TOTAL AFTER CHANGE
Additional Calendar Days:
(xx calendar days) (written #) calendar days - Extension of Time. Completion Date is (date).
SIGNATURES:
Project Manager:Date 9/15/2022
Approved By:Date:
(position of appoval authority)
The payment specified and agreed to in this change order includes every claim by the contractor for
any extra payment with respect to the work described in this change order. The work covered by
this change order must be performed under the same terms and conditions as that included in the
original agreement. All of the other terms of the original agreement remain in effect.
18,064.67$ 18,064.67$ 2,587.35$ 20,652.02$
Edward Grube
CAG-22-268, CO #1-22