HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 29008JAN-09-2007 TUE 04:43 PM CFO ENG, FAX NO. 9702216378 P. 07
Change Order Form
City of Port Collins
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Englacering Department
PROJECT TITLE: Mason Street Transporation Corridor
PROJECT NUMBER: 30621900.6 (Bid #5931), Harmony Rd., Fossil Creek BikelPedestrain Trail
CONTRACTOR: Mountain Constructors (PO #5506703)
CHANGE ORDER NUMBER: 5
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n prepanng change urgers brlvw ul 0106 as acrai , ,,
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 decrease by $ (10,590,20)
4. There will be no change in contract time
ORIGINAL CONTRACT COST $994,846.35
TOTAL APPROVED CHANGE ORDERS $11,090.20
TOTAL PENDING CHANGE ORDERS $0.00
TOTAL THIS CHANGE ORDER ($10,590.20)
TOTAL % OF THIS CHANGE ORDER .1.06%
TOTAL. C.O. % OF ORIGINAL CONTRACT 0,055/d
ADJUSTED CONTRACT COST $995,346.35
(Assuming all change orders approved)
ACCEPTED BY: < DATE: __1 _d
Co tractors Represen ative
SUBMITTED BY: // l a -M '� DATE: l
Project Engineer
APPROVED BY, /`P/l'4� DATE: Q
Protect Manager - Engineering
APPROVED BY:
cc: Purchasing
Arcounling
Contractor
Project File
DATE:
(Purchasing Agent over $30,000)
�-....:.,,,...:.,,, n,.n,.,•mrnc • 281 North College Avenue � P,O. Box 550 •Fort Collins, CO 11053'_-0550 • (970) 221-b605
JAN-09-2007 TUE 04:43 PM CFO ENG. FAX N0, 9702216378 P. 08
CHANGE ORDER - 5
Project 5931 . Mason Street/Harmony Road/Fossil Creek Bike/Pedestrian Trail
SUMMARY OF WORK
Mountain Constructors
Force Account Adjustment
- See attached submittal -
Item
4uanit
Unit
$ / Unit
Total
Force Account Adjustment
1
LS
-$10,590.20
-$10,590.20
TOTAL ($1%5K20)
REASON FOR CHANGE
Adjustment to Contract for Force Account Work
WHEN D
Posted to Pay Estimate # 10