069-21 - Technical Systems, Inc. - Supplement / Change Order 2Authorization for Change Order No. 2
Date: December 1, 2021 Contractor: Technical Systems, Inc.
Project: SCADA Wireless 23031961hSt SW Suite B
Communications Panel Build Lynnwood, WA 98036
Contract /Job # C069-21
This Change Order Authorizes an extension to the contract termination date only for C069-21 due to delays in
materials for the fabrication of the control panel. The contract termination date shall be extended to June 30,
2022.
Original Contract
Change Order 1
Change Order 2
Amount
$141400.00
$0.00
$0.00
Contract
Sales Tax
$1,296.00
$0.00
$0.00
History
Total IDate
$15,696.00
$0000
$0.00
Apovd by.
07-Juk21 Mayor
07-Sep-21 PW DIRECTOR
01-Dec-21 PW DIRECTOR
Total Contract
$14,400.00
$10296400
$15,696.00
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 Approvaisignature
/
i ri" N QGOX
Printed Name &Title
Public V1�r-{cs,Direct�ir,
Qj im� MARK R. DORSEY, P.E.
Printed Name
Change Orders that do not exceed SO%, with a maximum of
$50,OOQ of eitherlegally authorized budget limit or contract Approved:
amount established by City Council can be approved by the Public Works Director, Mayor
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 City Clerk
Mayor,
Change Orders over $100,000 or exceed a total of 10%require
Council Action.
Engineer
t Exlensions1C069-21 TSI -Technical Systems Inc SCADA Panel Build To Mark far signature 12 01,211CC69-21
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