HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 29893Change Order Form
Citynf Fork Collins
&agineerina Department
PROJECT TITLE: E. Prospect - LPATH Berm Erosion Protection Measure
PROJECT NUMBER: 30521700.6 (Bid No. 5998)
CONTRACTOR: J2 Contractors (PO No. 6607398)
CHANGE ORDER NUMBER: 10
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 $ 10'081.50
4. The contract time will Increase by 3 working days.
ORIGINAL CONTRACT COST
$999.996.50
TOTAL APPROVED CHANGE ORDERS
($10,153.03)
TOTAL PENDING CHANGE ORDERS
$4 920.00.
TOTAL THIS CHANGE ORDER
.$10 081 50
TOTAL % OF THIS CHANGE ORDER
1.01%
TOTPU. C.O. % OF ORIGINAL CONTRACT
0.48%
ADJUSTED CONTRACT COST
$1,004,844:97
(Assuming all change orders approved)
ACCEPTEIIBY:
DATE:
Contractors Repro ve)
REVIEWED BY:
-
%-
DATE: t 6 6
(Engineer)
ACCEPTED BY:
DATE:
(Pr4ect Manager - Engineering
ACCEPTED BY:
.
144IX.4 DATE: I 0
ojact M ager aturel Resou s)
ACCEPTED BY:
'
DATE: 7-d % '
( r_o)ee�ctt Ma ger - Stonnwater)
ACCEPTED BY:
,-
l t 1 UU/JkEi f U
DATE: l I Q7
(Department Head)
APPROVED BY: DATE:
(Purchasing Agent over $30,000)
contnid r $1408.53 EngNseft
Rffdmft $6.804.44 Natural Resources
P"d File $1,e08.53 Slarmweler
Enghieering Department • 281 North College Avenue • P.O. Boa 5110 • Fort Collins, CO 80522-0580 • (970) 2214605
Engineering Department
281 North Collage Avenue - P.O. Box 580 - Fort Collins, CO 80522-0580
OtTof Ewt CoUins Tel: (970) 221-6605 - Fax: (970) 221-6378
Change Order
Project LPATH Berm Erosion Protection Measure
Contract / Bid No.: 5998
Contractor: J-2 Contracting Company
CHANGE ORDER NO.: 10
DESCRIPTION:
1. Reason for Change: Change requested by Natural Resources. Add new Item 28 Supply and Spread High Grade Compost,
in lieu of Item 22 Topsoil (Delivery and Stockpile only - No Installation) and some areas under
Item 21 Ground Preparation for Seeding. Area is defined by Natural Resources.
2. Description of Change:
item
Item Description
Unit
Unit Price
Adjust
Adjust
Current
New
28
Supply and Spread High Grade Com ost
AC
$
1,950.00
Quantity
5.17
Amount $
10,081.50
Quantity
0
Quantity
5.17
Total Adjustment
10,081.50
3. Change in Contract Cost: $10,091.50
4. Change in Contract Time: 3 working days
CHANGE IN WORK REQUEST (CWR) "7w - RECYCLED ASPHALT PARKING LOT AND TOPSOIL SPREADING
Initiation Date: 3/4/2007
Project: LPATH Berm Erosion Protection Measures
Owner: City of Fort Collins - Engineering
To: J-2 Contracting Co.
Requested by: An Wang
Authorized by: An Wang
Please furnish change in contract sum for the change in work described below. Do not order material or start any work until approval is
received. Every effort will be made to incorporate this change into the work without affecting the contract date.
Description of Proposed Changes
Amount
1)
Furnish all material, equipment, and labor to install 3" depth of Recycled Asphalt in the North
Riverbend Ponds Parking Lot (Approximately 8200 Sq. Ft.). Parking lot to be wheel -rolled with Cat
430 TLB after 3" lift is placed.
S 4,920.00
2)
Furnish all material, equipment, and labor to spread and amend high-grade compost into disturbed
areas at a rate of 2 Cubic Yards/1000 Square Feet (approx. 350 CY total). Areas for soil amendment
to be identified by City of Fort Collins Representative. Price per acre = $1950 . Estimated number of
acres = 4. Total number of amended acres to be calculated for payment using City of Fort Collins
Survey Crew.
$ 7,800.00
CWR TOTAL ($)
$12,720.00
1-2 Contracting co. , agrees to change the work described above for the change in price shown below. I have
attached a breakdown which lists all costs of labor, materials, taxes, overhead, profit, and all other changes and/or charges involved.
Signature of the Contractor indicates his agreement herewith, including any adjustment in the Contract Sum or Contract Time.
The Contract Time will be by 5 Days.
No change in Contract Sum (Initial if no change)
ADD to the Contract Sum $ 12,720.00
DEDUCT from the Contract Sum $ 0.00
This information shall be valid for thirty (30) calendar days from the date of signature below.
CONTRACTOR'S SIGNATURE DATE:
Conlraclorslmll retaln one (1) cam and mlurn ORIGINAL to Owner
APPROVED BY OWNER: DATE:
Accepted change in work request will be included in a future formal change order. DO NOT bill for this change until a formal change
order has been awcuted by all parties. Acceptance is direction to proceed with the work described herein. Not valid unless signed by the
owner and the contractor.