CM-11-12-248Item Caption:
CM -I1 --r2-2 RECEIVED
DEC 0 7 2011
City Manager Approval Form
Voice over IP Telephone System
Approval Date: December 09, 2011
Department Name: Information Technology Department
Project Manager: Daniel Saucedo
Assigned Attorney: j Kay Gayle
Item Summary:
Consider executing a contract quantity adjustment/change order for the VoIP telephone system implementation with Mercury
Communications.
No. of Originals Submitted: 1
Project Name: VoIP Telephone System
Cost: $43,953.40
Source of Funds: General Self -Financed Construction
Source of Funds (if applicable): Select Source Fund
Account Number:
Finance Director Approval: LO for Cheryl Delaney
Date: 12-7-11
Department Director Approval: Daniel Saucedo Date: 11-17-2011
**Electronic signature by the Director is acceptable. Please only submit ONE approval form per item. **
CIP ❑ El Budget ❑� ❑ Purchasing I I Accounting Ei
N/A OK N/A OK N/A OK N/A OK
ITEMS WILL NOT BE PLACED ON THE COUNCIL OR CM AGENDA W/OUT PRIOR FINANCE AND/OR LEGAL APPROVAL
REV. 6/20/11
ax!au�uu.Tlrt.
rev. awu
Department: ITC
Contract Quantity Adjustment/Change Order
Project
Name: VoIP Telephone System
City Project
ID Number
3ustificadon
Date:
Change Order/Quantity Adjustment
No.
Page 1 of 4
10/19/2011
Additional equipment and licensing required by configuration changes made during installation.
SUMMARY
Original Contract Price:
Previous Quantity Adjustment(s):
This Quantity Adjustment
Total Quantity Adjustment(s):
Total Contract Price with Quantity Adjustment(s):
Previous Change Order(s):
This Change Order:
Total Change Order(s) To Date:
Adjusted Contract Price (Original Contract Price Plus
Quantity Adjustment(s) Plus Change Order(s)]:
Difference between Original and Adjusted Contract Prices:
Original Contract Time:
Time Adjustment by previous Quan. Adj./Change Order:
Time Adjustment by this Quan. Adj./Change Order:
New Contract Time:
0
0
Amount
oh Change
$0.00
$0.00
$0.00
64.00
$0.00
$43,953.40
$43,953.40
0.00
0.07
0.07
$43,953.40
0
0
0
Signature
Printed Contractor Company Name:
Printed Name, Title
Date
C�-11-12-Zy8
Page`2 of 4
l'retaffale
am 06111
Contract Quantity / rge Order
Project Name: VoIP Telephone System
Quan. Ada./Change Order No.:
0
Page 3 of 4
8526000
8526015
()
Univerge SV70001U-MPC
Invoice# 7664
ea
1
8510800
690010
690630
8510800
SCA -BLOC Invoice# 7664
SV8500 IP Endpoint License Invoice#
7701
M. -81D-1 Inwice# 7752
ea
3
ea
55
$1,427.63
$3,396.69
GBA-L Unit Invoice# 7752
ea
50
SV8500 IP Endpoint license Invoice#
7782
ea
50
$80.37
$1,427.63
$10,190.07
$278.00
ea
55
$65.00
$80.37
$4.420.35
$13,900.00
$3,250.00
$4,420.35
$0.00
$0.00
$0.00
*00
$0.00
W00
$0.00
$0.00
*00
$0.00
M00
*00
$0.00
$0.00
$0.00
$0.00
$0.00
W00
INIENIMIERIEROMEMESO
TOTALS: $43,953A0
0
/rine=
re, a41u
Contract Quantity Adjusbnent/Change Order
Project Name: NoIP Telephone System
Quan. Adj./Change Order No.:
0
Page 4 of 4
$0.00
$0.00
$0:00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
*00
$0.00
$0.00
$0.00
$0.00
.00
TOTAL&
0