F TRANSFER OF FUNDS N NEW CONTRACT S SUPPLEMENT /AMENDMENT T TIME X REJECTED CLAIM Z NET $0 ADJUSTMENT AUTHORIZED BY: 1. $0 - $25,000 Director – 2. >$25,000 $250,000 AGM for Design & Construction – 3. >$250,000 - $5 Million General Manager – 4. >$5 Million $15 Million Secretary – – 5. >$15 Million Board of Directors – 5. General Counsel SCOPE OF WORK: TIME EXTENSION: _____ Days S/A DURATION: _______ Days CONTRACT OVERVIEW TO: CONTRACT ADMINISTRATION DATE: CONTRACT: _____% DBE PARTICIPATION PERCENTAGE THIS ACTION _____% DBE PARTICIPATION PERCENTAGE TO DATE _____% PERCENTAGE OF WORK COMPLETED $__________ BASE CONTRACT VALUE $__________ TOTAL AUTHORIZED/PENDING TO DATE SHORT SYNOPSIS:
F TRANSFER OF FUNDS N NEW CONTRACT S SUPPLEMENT /AMENDMENT T TIME X REJECTED CLAIM Z NET $0 ADJUSTMENT AUTHORIZED BY: 1. $0 - $25,000 – Director 2. >$25,000 $250,000 – AGM for Design & Construction 3. >$250,000 - $5 Million – General Manager 4. >$5 Million – $15 Million – Secretary 5. >$15 Million – Board of Directors 5. General Counsel SCOPE OF WORK: TIME EXTENSION: _____ Days S/A DURATION: _______ Days CONTRACT OVERVIEW TO: CONTRACT ADMINISTRATION DATE: CONTRACT: _____% DBE PARTICIPATION PERCENTAGE THIS ACTION _____% DBE PARTICIPATION PERCENTAGE TO DATE _____% PERCENTAGE OF WORK COMPLETED $__________ BASE CONTRACT VALUE $__________ TOTAL AUTHORIZED/PENDING TO DATE SHORT SYNOPSIS:
Exhibit%203-4%20PS%20Amendment-Task%20Order%20Internal%20Documentation%20Templates%202013-11-01.docx