HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 27852Change Order Form
PROJECT TITLE: S. Taft Hill Rd. Improvements - Horsetooth Rd, to Harmony Rd,
PROJECT NUMBER: 30521100.6
CONTRACTOR: Aggregate Industries (PO #6603341)
CHANGE ORDER NUMBER 4
In preparing change orders show in order as separate numbered paragraphs the following:
1. Rea56h for change. 2. Description of change.
3. Change in contract cost. 4. Change in contract time.
1 &2. See attached sheet for detail,
S. The contract cost will increase by $1,605.64
4. There will be no change in contract time,
ORIGINAL CONTRACT COST
$1,031,432.50
TOTAL APPROVED CHANGE ORDERS
$20,623.15
TOTAL PENDING CHANGE ORDERS
$0,00
TOTAL THIS CHANGE ORDER
51,505.64
TOTAL % OF THIS CHANGE ORDER
0.16y6
TOTAL C.C. % OF ORIGINAL CONTRACT
ADJUSTED, CONTRACT COST
$1,053,651.29
(Assuming all change orders approved)
ACCEPTED BY:
ACCEPTED BY:
REVIEWED BY:
APPROVED BY: n�QJi%�G( LT DATE: /4) aS ac
Department H d)
APPROVED BY: DATE:
(Purchasing Agent over $30.000)
cc; Purcha91ng
Accounling
Contractor
Pioiect Filc
Engineering Department • 281 North College Avenue - P.O. Bo: 50 • fort Collins, CO 80522-0580 • (970) 221-6605
90/50 'd M91320d 'ON Xd.d '9N3 O3O Wd 9£: [0 a3M 90H-R-100
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Aggregate Industries - WRC, Inc.
Change Order No. 4
SOUTH TAFT HILL ROAD IMPROVEMENTS - HORSET007H TO HARMONY {CR 38E}
Date 201W2006
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Corstract Sunuftaiy
N
ItBlri . Item Description' Unit
Quantity
Unit Price (§}
Item Price {s}
0
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CHANGE ORDER NO.4
z
604 Additional oostsforJJ's Hvdrant relocation
1,063.99
IS 7,063.99
604 Reconcile Elliptical Pipe restock
LS
1
S 541.65
$ 541.65
TOTAL
$ I,s0as4