HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 2828011/30/2006 THU 11:35 FAX 970 221 6586 CITY OF FT COLLINS CLRS
Q 001/001
1LXS/L006 TUB 16:41 Phi 970 221 Saab CITY OF ITT COLLIHS CLRS
COMM MORR NO. 1
PROJECT TITLR-- Stalely Park Sidewalk
0ONTRACT M; 9=prese Concrete, xac.
'FROt'l10Lr mummms
11ESCRIPTICN# Actual quantities and item
I. PAas0A for changes Actual quantiea
3. Descriptions
A. Actual come-$7,575.47
3. change in Contract Cost: mine-07,575.07
4. Change in Contract Time: n/a
ORIAIIIA,L, COWERPIM COST $23,691.70
TOTAL AFPROVSD C67Z= ORDER 0
TOTAL PENDTM cmmm ORM a
T07AL THIB CSC OR1= - 7,575,07
TOTAL $ or THIS CMPJM ORDIM -16*
TOTAL C.0.3 OF ORTQXXiMZ CONTRACT -169f
ADJU9TW C04A'RAL`Y C oer $16,116 0 63
-(Mmuming all Change =dorm approved)
ACCSPTSLI HY:,.b .. IJATB:XA�
Contraetor�$ Rcpresexitiative __LL
ACCEPT= By...
sect Manwaar
PJMBWBD BY; DATB:
Title.
APPROV= BYs DATEz
Title:
APPROVED BY: DAM
P4=hasing Agent over $30,000
CC: Ar*hiteCt Contractor Engineer
Project File PUrohasing
0002/002