056-21 - Aqua Tech LLC - Supplement / Change Order 1II CITY OF PORT ORCHARD
Authorization for Change Order No. 1
Date: August 12, 2021
Contractor: Aqua Tech LLC
Project: Cedar Heights Lift Station 111 Sparrow Court
Valving & Piping Replacement Port Ludlow, WA 98365
Contract / Job # C056-21
This Change Order Authorizes a contract time extension only due to shipping delays in acquiring
needed materials to complete the contracted work. C056-21 shall be extended to December 31, 2021.
Amount
Contract History
Sales Tax Total Date Appvcl b
Original Contract
$28,500.00
$2,565.00
$31,065.00
08-Jun-21
Mayor
Change Order 1
$0.00
$0.00
$0.00
12-Au -21
Pw DIRECTOR
Total Contract $28,500.00
$2,565.00 $31,065.00
I have reviewed the Change Order information above and certify that to the best of my knowledge descriptions and
costs are true and accurate.
Contractor Approval Signature
Robert Thurston / Owner
Printed Name & Title
Public or/City 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.
Page 1
Mayor
City Clerk
Council Approval Date