004-13 - Pacific Air Control, Inc. - Supplement / Change Order 2CITY OF PORT ORCHARD
Authorization for Change Order No. 2
Date: October 21, 2013 Contractor: Pacific Air Control, Inc.
Project: HVAC Maint. Program 1916 220th Street SE, M#101
Contract / Job # C004-13 Bothell, WA 98021
Brief Description of Change Order work (Documentation to be attached): Repair of hot
water loop to prevent damage to piping and boiler at City Hall.
Original Contract
$8,225.36
11-Dec-12
Council
Change Order 1
$325.80
10-Jun-13
PWD
Change Order 2
$628.79
21-Oct-13
Council
Change Order 3
$0.00
Change Order 4
$0.00
Total Contract $9,179.95
I have reviewed the Change Order information above and certify that to the best of my
knowledge descriptions and costs are true and accurate.
Submitted by: 771
Title: P orks Director/City Engine
�Z
Change Orders over $1,000 up to $15,000 are to be
approved by the Mayor.
Approved:
Mayor
Attest:
City Clerk
Change Orders over $15,000 (per project) require
Council action.
Council Approval Date
Change Order 2 — Pacific Air Control, Inc. Page 1