HomeMy WebLinkAboutCHANGE ORDER - BID - 5998 LPATH BERM EROSION PROTECTION MEASURES (4)FEB-05-2007 MOM 04:01 PM CFO ENG• FAX N0, 9702216378 P. 10
Change Order Form
Engineering Department
PROJECT TITLE: E. Prospect - LPATH Berm Erosion Protection Measure
PROJECT NUMBER: 30521700.6 (Bid No, 5998)
CONTRACTOR; J2 Contractors (PO No, 6607396)
CHANGE ORDER NUMBER: 5
n preparing change orders show In order as Separate- nUrrftred paragrap s the a mg:
1. Reason for change. 2. Description of change,
3. Change in contract cost. 4. Change in contract time.
10. See attached sheet for detail.
3. The contract cost will increase by $ 11,664.51
4. The contract time will tncr82s9 by 2 working days.
ORIGINAL CONTRACT COST
TOTAL APPROVED CHANGE ORDERS
TOTAL PENDING CHANGE ORDERS
TOTAL THIS CHANGE ORDER
TOTAL % OF THIS CHANGE ORDER
TOTAL C.O. % ORIGINAL CONTRACT
ADJUSTED CONTRACT COST
(Assuming all change orders approved)
ACCEPTED BY;'
(C*16actio
REVIEWED BY;
(Engineer)
ACCEPTED BY:
ACCEPTED BY:
ACCEPTED BY:
ACCEPTED BY:
APPROVED BY:
oc; Contactor
Purchashig
Prclrct Re
Manager - Engineering)
1.17%
-O,SS%
DATE:
DATE: I ((C
_DATE: G S
$999,996.50
S10,335,75
($27,812.06)
$11,684.51
$994.184.70
DATE:
(Pro ect Mana tura esourcesJ
DATE:
(Project gar - S rm or)
DATE: 1 -5 ,01
( partment Head)
DATE: - —
(Purchasing Agent over $30,000)
SUBB.17 Englneering
$3,805.17 Nulural Resources
$3,808.17 alonnWBlor
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Engineering Department
281 A'arth Collage Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580
MdL= = Tel: (970) 221-6605 - Fax: (970) 221-6378
Change Order
Project: LPATH Berm Erosion Protection Measure
Contract J aid No.: 5998
Contractor. J-2 Contracting Company
CHANGE ORDER NO-: 5
DESCRIPTION:
1. Reason for Change: Update items quantity that have been rmallized.
2. Description of Change:
Item
Item Description
Unit
Unit Prical
Adjust
Adjust
Current
NOW
S�
QuantityAmount
{$
Quantity
Quanti
18
4" to 8" Crushed Concrete Rubble
TON
15.80
738.26
11,664.51
1968
2706.26
Total Adjustment
11-664.51
3. Change in Contract Cost: $11,664.51
4. Change in Contract Time: 2 working days
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