HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 27704Change Order Form
Engineering Department
PROJECT TITLE: Ziegler Rd. & Kechter Rd. Roundabout
PROJECT NUMBER: 30523285.6 (Bid #5979)
CONTRACTOR: Gerrard Excavation (PO #6603521)
CHANGE ORDER NUMBER: 4
n preparing change orders show in order as separate numbered paragraphs the following:
1. Reason for change. 2. Description of change.
3. Change in contract cost. 4. Change in contract time.
1 &2. See attached sheet for detail.
3. The contract cost will increase by $ 51,800.00
4. There will be no change in contract time.
ORIGINAL CONTRACT COST
$1,456,808.87
TOTAL APPROVED CHANGE ORDERS
($38,541.33)
TOTAL PENDING CHANGE ORDERS
$9,003.05
TOTAL THIS CHANGE ORDER
$51,800.00
TOTAL % OF THIS CHANGE ORDER
3.56%
TOTAL C.O. % OF ORIGINAL CONTRACT
1.53%
ADJUSTED CONTRACT COST
$1,479,070.59
(Assuming all change orders approved)
ACCEPTED BY: ( DIu" uj-(.l - DATE:
Contractor's Representative)
REVIEWED BY: DATE: )D S oZoO(o
(Project Engineer) /
ACCEPTED DATE:
(Project Man (r - Engineering)
ACCEPTED BY: LJU) At p� k A `11 L DATE: jU • 4 •0
1(5epartment Head - Engineering)
APPROVED BY: 0 DATE:
(Purch ing 'gent over $30,000)
t
cc'. Contractor
Purchasing
Project File
Engineering Department • 281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6605
Zeigler Road and Kechter Road Roundabout Project
Gerrard Excavating
The Contractor was awarded a Contract Substantial Completion Incentive per Section 00520, Page 2, Article 3.2.3) of the contract.
Item Quantity Unit $ 1 Unit Total
Contract Incentive
1 251
DAYS
$ 2,072.00
$ 51,800.00
TOTAL
I $ 51,800.00
The Contractor substantially completed the project 25 days prior to the total number of days
allowed in the contract.
Posted to Pay Estimate No.4 - FINAL