HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 28686DEC-27-2006 WED 09:55 AM CFC ENG. FAX NO, 9702216378 P, 05
Change Order Form
Engineering (Department
PROJECT TITLE: 2006 Street Maintenance Program
PROJECT NUMBER: 320200 (Concrete Project - Bid *5847)
CONTRACTOR: Vogel Concrete (PO #6601601)
CHANGE ORDER NUMBER: 9
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1. Reason for change. 2. Description of change.
3. Change in contract cost. 4. Change in contract time,
1,&2. Sea attached invoice for details
3. The contract cost will increase by $663.58
4. Two (2) days will be added to the contract time.
ORIGINAL CONTRACT COST
$1.491,976.37
TOTAL APPROVED CHANGE ORDERS
$66.550,53
TOTAL PENDING CHANGE ORDERS
$0.00
TOTAL THIS CHANGE ORDER
$663.58
TOTAL % OF THIS CHANGE ORDER
0104%
TOTAL C.O. % OF ORIGINAL CONTRACT
4,51%
ADJUSTED CONTRACT COST
$1,559,190.48
ACCEPTED BY; " DATE: 7 d
Contractor's Representative)
APPROVED BY: DATE;
(Project ngineer
APPROVED BY:
DATE: a
APPROVED BY; \ A)S i-L I o.L 1i e , DATE: IZ • 21.4 10it
l (rtment Head)
APPROVED BY: DATE:
(Purchasing Agent over $30,000)
cc: Purchasing
Accounting
Contractor
Projact Filo
Engineering Department • 281 North College Avenue • Y.O. Box 580 - Fort Collins, CO 8052:-0580 • (970) 221-6605
DEC-27-2006 WED 09:55 AM CFC ENG, FAX NO. 9702216378 P. 06
2006 Concrete Project
Vog®I Concrete Hid No. 5847
Change Order No.: 9
Data: 11/29/20OG
1. Roaaon For Change:
a. Adeidional work to repair wator luak in basement well in alley paving at 119 W. Ok3 Street.
2. Description Of Chaoao:
A. Lump Sum Price for the repair costs.
3. Change In Contract Amount:
n. Additional concrete repair.
Lump sum for repairs.
TOTAL CHANGE IN CONTRACT AMOUNT
4. Change In Contract Time
A. Two duya bra adducl in contract lime.
TOTAL CHANGE IN CONTRACT TIME
Unit Total Units Unit Cost Total Coal
LS 1.00 $ 663.56 S 603.55
S 663.53
2 pays
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