Agenda

CHANGE ORDER
SUMMARY

CHANGE IN CONTRACT PRICE

Original Contract Price:

CHANGE IN CONTRACT TIMES

Original Contract Times:

Substantial Completion:

Ready for Final Payment:

Net Changes from previously approved Change Orders

Net Changes from previously approved Change Orders

Substantial Completion:

Ready for Final Payment:

Contract Price prior to this Change Order:

Contract Times prior to this Change Order:

Substantial Completion:

Ready for Final Payment:

CHANGE ORDER

No.
PROJECT: 2021 Landfill Gas Expansion
EXECUTED CONTRACT DATE:
DATE OF ISSUANCE: EFFECTIVE DATE: Upon City Approval
OWNER: City of Nashua, NH
OWNER’s Purchase Order NO.:
CONTRACTOR: Stearns, Conrad, Schmidt Engineers, dba SCS Field

ENGINEER: Sanborn Head and Associates

The Contract is modified as follows upon execution of this Change Order:

Description:

Justification:

Attachments:

Change Order # 1 of 2
2021 Landfill Gas Expansion

CONTRACTOR'S FINAL RELEASE AND WAIVER OF LIEN

Project: 2021 LANDFILL GAS EXPANSION
Owner Contractor
Owner: City of Nashua, New Hampshire Name: Stearns, Conrad, and Schmidt Engineers, Inc.
dba SCS Field Services
Address: 229 Main Street Address: 1260 Roger Bacon Dr., Suite 401
Nashua, New Hampshire 03060 Reston, Virginia 20190
City State Zip City State Zip
Contract Date:

TO ALL WHOM IT MAY CONCERN:

CERTIFICATE OF FINAL COMPLETION

PROJECT: 2021 LANDFILL GAS EXPANSION
DATE OF ISSUANCE:
OWNER: CITY OF NASHUA, NH

OWNER’ s Purchase Order NO.:

CONTRACTOR:

ENGINEER: SANBORN HEAD & ASSOCIATES, INC.

The Work to which this Certificate applies has been inspected by authorized representative of OWNER,
CONTRACTOR, and ENGINEER, and that Work is hereby declared to be finally complete in
accordance with the Contract Documents on

(DATE OF FINAL COMPLETION)

CERTIFICATE OF SUBSTANTIAL COMPLETION

PROJECT: 2021 LANDFILL GAS EXPANSION
DATE OF ISSUANCE:
OWNER: CITY OF NASHUA, NH

OWNER’ s Purchase Order NO.:

CONTRACTOR:

ENGINEER: SANBORN HEAD & ASSOCIATES, INC.

The Work to which this Certificate applies has been inspected by authorized representative of OWNER,
CONTRACTOR, and ENGINEER, and that Work is hereby declared to be substantially complete in
accordance with the Contract Documents on

(DATE OF SUBSTANTIAL COMPLETION)

ACKNOWLEDGEMENT OF NOTICE

Receipt of the above NOTICE TO PROCEED is hereby acknowledged

By
The day of , 20
By
Title
2021 Landfill Gas Expansion NOTICE TO PROCEED

Page 2 of 2

NOTICE TO PROCEED

DATED:
CONTRACTOR: Stearns, Conrad, and Schmidt ADDRESS: 1260 Roger Bacon Dr., Suite 401
Engineers, Inc. dba SCS Field Services Reston, VA 20190
OWNER: City of Nashua, New Hampshire ADDRESS: 229 Main Street

Nashua, NH 03060

PROJECT: 2021 Landfill Gas Expansion

TO CONTRACTOR:

You are notified that the Contract Times under the above contract will commence to run on

Failure to comply with these conditions within the time specified will entitle OWNER to consider
your bid in default, to annul this Notice of Award and to declare your Bid Security forfeited.

By:
(FOR THE CITY OF NASHUA)
(TITLE)
ACKNOWLEDGEMENT OF NOTICE

Receipt of the above NOTICE OF AWARD is hereby acknowledged
By
The day of , 20
By
Title

2021 Landfill Gas Expansion NOTICE OF AWARD

Page 2 of 2

NOTICE OF AWARD

DATED:
CONTRACTOR: Stearns, Conrad, and Schmidt ADDRESS: 1260 Roger Bacon Dr., Suite 401
Engineers, Inc. dba SCS Field Services Reston, VA 20190
OWNER: City of Nashua, New Hampshire ADDRESS: 229 Main Street

Nashua, NH 03060

PROJECT: 2021 Landfill Gas Expansion

TO CONTRACTOR:

You are notified that your Bid dated February 4, 2021 for the above Contract has been
considered. You are the apparent Successful Bidder and have been awarded a contract for

INSERT CERTIFICATE OF LIABILITY INSURANCE

COI-1