HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 28128NOV-30-2006 THU 09:34 AM CFO ENG,
$oglnearing Department
FAX NO. 9702216378
Change Order Form
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PROJECT TITLE: 2005 Street Maintenance Program
PROJECT NUMBER: 320200 (Bid #5839)
CONTRACTOR; Lafarge Northern, Inc. (PO #6602526)
CHANGE ORDER NUMBER: 4 x
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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 $ 2,745.55
4. There will be no change in Contract time.
ORIGINAL CONTRACT COST
$2,810,339.30
TOTAL APPROVED CHANGE ORDERS
$48,616.83
TOTAL PENDING CHANGE ORDERS
$0.00
TOTAL THIS CHANGE ORDER
$2,745.55
TOTAL % OF THIS CHANGE ORDER 0.10%
TOTAL C.D. %OF ORIGINAL. CONTRACT 1.83%
ADJUSTED CONTRACT COST $2,861,701.B8
(Assuming all change orders approved)
ACCEPTED BY: DATE:
APPROVEDI
APPROVED
APPROVED BY: l Aq x
�f Department Head
APPROVED BY:
(Purchasing Agent over $30,000)
cc: Purchasing
Contractor
project File
$2,745.55 Pedestrain Aceesss
DATE:
DATE: 4 I x Q to
DATE-,— I 1,8.66
DATE:
Engineering Deparinient - 2tit North College Avenue • P.0- Box 580 � Fort Collins, CO 80522-0580 • (970) 221-6605
NOV-30-2006 THU 09 : 34 AM CFC ENG. FAX NO. 9702216378 P. 02
City of Tort Collins 2006 Asphalt Overlay Project
Lafarge North America -Bid No. 1839
Change Order No.: 4
Date: 11/20/2000
1 Reason For Change:
a. Patching Was performed for Ped Access Bridges on Laporte Ave.
2 Description of Change:
a. Pay lump sum for additional asphalt patching at the contract unit price.
3 Change In Contract Amount
a. Laporte Ave. Unit Quantity Unit Price Total Utilities Cost
403.50 Patching TON 32.94 $ 83,35 $ 2,745,55
4 Change In Contract Time
a. No time will be added or chargad for this work
TOTAL CHANGE IN CONTRACT TIME
0 days
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