14-00660 Form Change Order No 1.pdf

PDF 89 KB Posted

Attached to
Route 54 Sanitary Sewer Extension Project
Solicitation number
Not on record
Issued by
Lycoming County, Pennsylvania

About this file

This is a blank Change Order form for Contract No. WB-1 related to the Route 54 Sanitary Sewer Extension Project, issued by the West Branch Regional Authority in Pennsylvania. The project involves the construction of approximately 1,520 linear feet of gravity sanitary sewer, 11 manholes, 13 lateral connections, one duplex sewage pumping station, 404 linear feet of force main, and one stream crossing located within easements over private property and Snaurytown Road right-of-way in Clinton Township, Lycoming County, Pennsylvania. Sealed bids for the project were to be received online through PennBid until 1:00 PM on Monday, February 16, 2026. The Engineer of Record is Levine Engineering, LLC, located in Altoona, Pennsylvania.

The Change Order form is unfilled, showing zero values for the original contract price, net increase or decrease of previous change orders, net increase or decrease of this change order, and contract price with all approved change orders. Prospective bidders were required to submit a bid bond or certified check in the amount of ten percent (10%) of the total bid amount. All work performed under this contract is subject to Pennsylvania prevailing wage rates as established by the Department of Labor and Industry, and contractors must comply with the Pennsylvania Steel Products Procurement Act of 1978, P.L. 6, as amended. Complete bid documents and project information were available exclusively through the PennBid website, with periodic updates regarding addenda and other relevant bidding information provided to registered plan holders.

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Text version

CHANGE ORDER NO. ___

CONTRACT NO.: WB-1 DATE OF ISSUANCE:

__________________________, 20____

PROJECT: Route 54 Sanitary Sewer Extension Project

ORIGINAL CONTRACT PRICE:

$0.00

OWNER: West Branch Regional Authority NET INCREASE OR (DECREASE)

127 Girton Drive OF PREVIOUS CHANGE ORDER:

Muncy, PA 17756 $0.00

SUCCESSFUL BIDDER: CONTRACT PRICE PRIOR TO

THIS CHANGE ORDER:

$0.00

ENGINEER: Levine Engineering, LLC NET INCREASE OR (DECREASE)

2703 Washington Avenue OF THIS CHANGE ORDER:

Altoona, PA 16601 $0.00

CONTRACT PRICE WITH ALL

APPROVED CHANGE ORDERS:

$0.00

Purpose of Change Order:

Conditions of Change Order: 1.

2.

Attachments: 1.

2.

RECOMMENDED: By:_________________________________

Project Engineer

APPROVED: By:_________________________________

West Branch Regional Authority

APPROVED: By:_________________________________

Contractor

Contract No. WB-1 Page 1 West Branch Regional Authority

File details come from the government source that posted it. Updated .