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HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 30447Change Order Form Engineering Department PROJECT TITLE: Drake/Ziegler Improvements Project - Phase II PROJECT NUMBER: 30523280.6 (Bid #6029) CONTRACTOR: Gerrard Excavation (PO #7701943) CHANGE ORDER NUMBER: 3 n preparing change or ers s ow In order as separate numbered paragraphs the following: 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 $ 61,534.48 4. There will be no change in contract time ORIGINAL CONTRACT COST . $1,447,739.65, TOTAL APPROVED CHANGE ORDERS $67,808.66 TOTAL PENDING CHANGE ORDERS $0.00 TOTAL THIS CHANGE ORDER $61,534.48 TOTAL % OF THIS CHANGE ORDER 4.25% TOTAL C.O. % OF ORIGINAL CONTRACT 8.93% ADJUSTED CONTRACT COST $1,577,082.79 (Assuming all change orders approved) ACCEPTED BY: REVIEWED BY: SUBMITTED BY APPROVED BY: APPROVED BY: cc: Contractor Purchasing Project File (Contractor's Representative) IEnaineerl DATE: Z DATE: y f 2 z7 o i' h� �i zle 6X DATE: C vz 7 O 7 (Department ad) /� Q DATE: Z (Purchasing Agent over $30,000) Engineering Department • 281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6605 Gerrard Excavating CHANGE ORDER NO.3 Drake/Ziegler Improvement Project - Phase 2 SUMMARY OF WORK See attached submittal Item / Unit 1 I Waterline Work for Sanitary Sewer Department 1 0.51 LS 1 $ 106,210.95 1 $ 53,105.481 15' RCP REASON FOR CHANGE 1 Waterline Material for Waterline Installation along Future Percheron Drive for COFC Sewer Department. Will pay other half of LS price when installed. 2 15" RCP installed at Stoneridge Pond per plan - missed Quantity in Estimate 3 WHEN POSTED Posted to Pay Estimate No.3