030-21 - Nicholson Drilling, Inc. - Supplement / Change Order 1aRCHARD f..
Authorization for Change Order No.1
Date: _March 2, 2021 Contractor: Nicholson Drilling, Inc
Project: Well 8 Pump & Motor �7425 Bethel Burley Rd SE
Replacement Port Orchard, WA 98367
Contract / Job # Co30-21
This Change Order Authorizes a contract extension due to shipping delays of required materials
to execute the contracted work. C030-21 shall be extended to April 30, 2021.
Contract History
Amount Sales Tax Total Date Appvd b
Original Contract
$23,764.02
included
$23,764.02
02-Feb-21
Mayor
Change Order 1
$0.00
included
$0.00
02-Mar-21
Pw DII:ECTOA
Total Contract $23,764.02 $0.00 $23 764.02
I have reviewed the Change Order information above and certify that to the best of my knowledge descriptions and
costs are true and accurate.
—ContractorApprovalSignature Public Dir i nglneer
AIQA /Y 1yAo Sxryi to Pic-I-R'dclier MARK R. DORSEY, P.E.
Printed Narrie & Title Printed Name
Change Orders that do not exceed 30%, with a maximum of
$50,000, of either legally authorized budget fknit or contract Approved:
amount established by City Council can be approved by the Public Mayor
Works Director.
Change Orders that do not exceed 10%, with a maximum of Attest:
$100,000, of either legally authorized budget limit or contract City eric
amount established by City Council are to be approved by the
Mayor. ^ , 1
8
Change Orders over $100,000 or exceed a total of 10% require Council Approval Date
Council Action. pp
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