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HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 30786�: Change Order Form Mond City of Fort Collins Engineering Department PROJECT -TITLE: 2007 Street Maintenance Overlay Project PROJECT'NUMBER: 320200 (Bid No. 6049) CONTRACTOR: Lafarge Northern, Inc. (PO #7703171) CHANGE ORDER NUMBER: 1 n preparing change orders show in order as separate numbered paragraphs the o owing: 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 $ 4,419.86 4. There will be no change in contract time. ORIGINAL CONTRACT COST $2,060,684.25 TOTAL APPROVED CHANGE ORDERS $0.00 TOTAL PENDING CHANGE ORDERS $0.00 TOTAL THIS CHANGE ORDER $4;419.86 TOTAL % OF THIS CHANGE ORDER 0.21 % TOTAL C.O. % OF ORIGINAL CONTRACT 0.21% ADJUSTED CONTRACT COST $2,065,104.11 (Assuming all change orders approved) ACCEPTED BY: ,�/" y/�� DATE: G REVIEWED BY: SUBMITTED BY: APPROVED BY: APPROVED BY: cc: Contractor Purchasing Project File DATE: - , )ATE: � _ /0 ~ C)7 (Project Manager) DATE: ' 13 - o ? I'f (DApartmefit Head) DATE: (Purchasing Agent over $30,000) Engineering Department • 281 North College Avenue • P.O. Box 590 • Fort Collins, CO 80522-0580 • (970) 221-6605 2007 Overlay Contract Bid No. 6049 Change Order No.: 1 Date: 7/20/2007 1. Reason For Change: a. T&M work for Hot -in -Place project 2. Description Of Change: a. Raise 4 WV and 1 MH 3. Change In Contract Amount: Item City Unit Unit Cost Total Cost b. Tandems 5 HR $ 70.00 $ 350.00 Compressor 8 HR $ 65.00 $ 520.00 Bobcat/Hammer 3.5 HR $ 125.00 $ 437.50 Transport/ Small Crew 2 HR $ 85.00 $ 170.00 WV Top Section (part only) 1 EA $ 52.00 $ 52.00 Asphalt 3.64 EA $ 49.00 $ 178.36 Foreman/Pickup 10 HR $ 60.00 $ 600.00 Laborers 66 HR $ 32.00 $ 2,112.00 TOTAL CHANGE IN CONTRACT AMOUNT Page 1 $ 4,419.86