Dept. of Enterprise Services - Energy Conservation Srvcs.q;=;Wft""rV4W CONTRACT 2013-030
FACHIM ONISM GAIDE8 NO. G 1-1
ENGONNO6 a ARMTeOrrtAL sfRVICea prows) AGENCY
ENERGY CONSTRUCTION FIELD City of Edmonds. - Energy services FA No. I
AUTHORIZATION (FA) PROJECT TITLE J —
TO: Ameresxxs Quanttrm, Inc. (CONTRACTOR) REQUEST DATE: 101W013
When auf wind by E&AS, you are directed to proceed raffia work .as described below andfor detaW an the sus
referred taefeto.
Provide a domestic water heater - Emergency work rattled to the holier replacement. $0,250
3 Bonding at 2% $805
0
Total Labor, Material, and Bond
;x
REASON FOR CHANGE:0 OMM BUMS O DEMN Wsswm
EXPLAINATION: Owner requested
CHANGE ORIGINATED BY Grant Tho_rstarW
NAME
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F - W. , 1. ! -.-. IJ 3_. , r.p
Anteresco Quantum, Inc.
- COMPANY --„ -
CONTRACT SUM;
0 No a`"m TO THE CONTRACT SUM WITHIN THE PROPOSED MAXIBAUN COST OF:
fl
aEcMASK Forty four thousand one hundred fifteen and 001100 DOLLARS $ ",115,00
The above amount avers dw ma*mxrr arrow t regdmd In corvrectfon with fflm chas►gs. Wash State sake tax not hscGrafed.
CONTRACT TIME:
I) No 62om
OF: CALENDAR DAYS
Coat data required by one of the following methods In accordance with the General and Supplemental CortdltIms.
Q UWAUM- _
G AMu Wda METHOD OF MEASl1REMENT
Tuns & MaWW with daliy work sheets that Ut fits name, trade, firm, hours, Iternlmd Roterlais, equiprrrmnt and other )ob
related costs. Cenbsetw must obbdn vedf oshon of hours ham (Owner) Rap]
w days from the day work was peikwmed. Cost slate required by. (Data.)
Contmetor agroas to perform We work da seAed above for
the proposed rnexbrium aoat and Erne as shown above. $
C0ntr cr agree8 to &Af* Tat® to OwperWffln@detoly # FINAL COST _
t:?C/TE
MCTPAC;f6
�TI� -0�►3� C hku DATE
i�rop nevi semax um c Final exact Brea h bat.) rr�vfa d andfind i is cs accapM 1.
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GiN ICATION BY AGENCY DATE; DATE
_ AI3Tlif3l?tZEIJ D' ► 5 i7A AA5 - DATE
Psyramentforwork authorfxed by thts FAwilt not be COST VERIFICATION
made prior to incorporation of Oft FA Into a Change
Order to the contract by Ow Department of 6nhWPf1 e
Sarvlces. '>=BAS DAT
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