081-18 - Julie's Construction Striping, LLC - Supplement / Change Order 1CITY OF PORT ORCHARD
Authorization for Change Order No. 1
Date: JANUARY 17, 2019
Project: THERMOPLASTIC APPLICATION
Contract / Job # C081-18
Contractor: JULIES CONSTURCTION STRIPING
PO BOX 962
MCKENNA, WA 98558
THIS CHANGE ORDER AUTHORIZES A TIME EXTENSION ONLY. CONTRACT END DATE IS NOW FEBRUARY
28TH 2019.
Contract History
illL Amount Sales Tax Total Date A vd b
Original Contract
$9,912.00
S0.00
$9,912.00
30-Nov-18
PW DIRECTOR
Change Order 1
S0.00
S0.00
$0.00
17-Jan-19
PW DIRECTOR
Total Contract $0.00 $0.00 $9,912.00
I have reviewed the Change Order information above and certify that to the best of my knowledge descriptions and
costs are true and accurate.
ntractor Approval Sig r ture
Printed Name & Tit[O
Public orks Director/ ' Engineer
MARK R. DORSEY, P.E.
Printed Name
Change Orders that do not exceed 10%, with a maximum of
$50,000, of either legally authorized budget limit or contract Approved:
amount established by City Council can be approved by the Public
Works Director.
Change Orders that do not exceed 10%, with a maximum of Attest:
$100,000, of either legally authorized budget limit or contract
amount established by City Council are to be approved by the
Mayor.
Change Orders over $100,000 or exceed a total of 10% require
Council Action.
Mayor
City Clerk
Council Approval Date
U:%ENGINEERINGISTREET1Thermoplasic120181110520181,ulies ConstruchonlChange Order 1_Thennoplasac Applications_ Julies Construction Striping doc
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