Cascade Land Services LLC (a fictional firm, standing in for yours)
Change Order CO-01
Regulator Station Power Drop: Fifth Permit Application
1. Reason for change
The approved scope for WO#4417 carried four permit applications on the requesting engineer's written confirmation and named one condition for a fifth: a county decision to split the crossing at the road (ISOW Section 4, approved assumption). The land agent reports that the county now requires the road crossing to be permitted on its own application, separate from the conduit run. This change adds that application at the P-101 unit price and changes no other task, quantity, or rate.
2. Change detail
| Task | Item | Unit | Qty | Unit price | Extended |
|---|---|---|---|---|---|
| 1. Permit application, road crossing, through issuance | P-101 | each | 1 | $1,080.00 | $1,080.00 |
| Total of this change | $1,080.00 | ||||
3. Original and amended amounts
| Task | Item | Original | This change | Amended |
|---|---|---|---|---|
| 1. Permit applications, four then five | P-101 | $4,320.00 | +$1,080.00 | $5,400.00 |
| 2. Landowner coordination, town parcel | LC-210 | $2,240.00 | $0.00 | $2,240.00 |
| 3. TUA, construction access and parking | TUA-301 | $1,610.00 | $0.00 | $1,610.00 |
| 4a. Title review, affected parcel | TR-410 | $1,850.00 | $0.00 | $1,850.00 |
| 4b. Field mileage, billed at actual miles | M-900 | $290.00 | $0.00 | $290.00 |
| Total, not to exceed | $10,310.00 | +$1,080.00 | $11,390.00 | |
4. Funding history on this purchase order
| Entry | Reference | Change | NTE after |
|---|---|---|---|
| Original scope, approved and funded | WO#4417 | +$10,310.00 | $10,310.00 |
| Fifth permit application, road crossing | CO-01 | +$1,080.00 | $11,390.00 |
| Amended not-to-exceed | $11,390.00 | ||
All unit prices from rate sheet revision C. Work is billed as performed and capped at the amended NTE. No task proceeds beyond its line amount without a documented change.
5. Assumptions and exclusions
- Approved assumption. The fifth application was approved in advance as a condition of the original scope (ISOW Section 4); this change order is the documented change that condition called for.
- Exclusion. Permit fees remain the utility's cost, invoiced at actuals with receipts, as in the original scope.
- Unchanged. Mileage stays within the Task 4b line and is billed at actual miles.
Prepared by: Cascade Land Services LLC (fictional)
Utility engineering approval: ____________________