HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 29952Change Order Form
City of Fork Collins
Engineering Department
PROJECT TITLE: Drake/Ziegler Improvements Project - Phase 11
PROJECT NUMBER: 30523280.6 (Bid #6029)
CONTRACTOR: Gerrard Excavation (PO #7701943)
CHANGE ORDER NUMBER: 1
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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 $ 28,267.86
4. There will be no change in contract time.
ORIGINAL CONTRACT COST
$1,447,739.65
TOTAL -APPROVED CHANGE ORDERS
$0.00
TOTAL PENDING CHANGE ORDERS
$0.00
TOTAL THIS CHANGE ORDER
$28,267.86
TOTAL % OF THIS CHANGE ORDER
1.95%
TOTAL C.O. % OF ORIGINAL CONTRACT
1.95%
ADJUSTED CONTRACT COST
$1,476,007.01
(Assuming all change orders approved)
ACCEPTED BY:1,,
DATE:
CC6nnttractor's Re rrsentative) ,
REVIEWED BY: ! t"11— � '� LJ DATE: ` Z e,;i _
(Project Engineer)
ACCEPTED BY:,
ACCEPTED BY:
APPROVED BY:
cc: Contractor
Purchasing
Project File
Engineering)
Head - Engineering)
(Purchasing f gent over $30,000)
DATE:'
DATE: 1-1 - a L C1
DATE:
Engineering Department • 281 North College Avenue • P.O. Rox 580 • Fort Collins, CO 80522-0580 • (970) 221-6605
Gerrard Excavating
CHANGE ORDER NO.1
DrakeWagler Improvement Project - Phase 2
-SUMMARY OF WORK
See attached submittal
Item Quantity Unit E r Unit Total
1
Rubbelized Concrete for Sub -Grade Stablizatlon
1523.89
TON
$ 13.35
$ 20,341.28
2
FlowtUf at Siphon Structure
84
CY
$ 58,90
$ 3,759.60
3
8" ADS N-12 Subdrein Extension
30
LF
$ 18.95
$ 588.60
4
Recycled Asphalt Base
312.98
TON
$ 9.90
$ 3,098.50
5
Jersey Barriers
14
EA
S 35.00
$ 490.00
TOTAL
$ 28 287.86
REASON FOR CHANGE
1 Placed Rubbel-fzed concrete to Improve poor subgrade at various locations.
2 Placed FWU at Siphon structure for concrete cut-off walls. - used same price as Bid for "Structure Backfill Flowllll QBox Culvert'
3 Extended 8" Clay The pipe with Plastic ADS pipe to get the pipe and out of subgrade
4 Recycled Asphalt for Temp. Road and Tum-a-round at Perecheron
5 Jersey Barrier for Box Culvert Excavation
WHEN POSTED
Posted to Pay Estimate NoA