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CHANGE ORDER - BID - 5300 CARPET MAINTENANCE PROJECT (5)
P1 L /4 5 It {, �S - CHANGE ORDER PROJECT TITLE - Carpet Maintenance PROJECT NUMBER 5300 CHANGE ORDER NUMBER-2-2000 DESCRIPTION In preparing change orders show in order as separate numbered paragraphs the following 1 Reason for change 2 Description of change 3 Change in contract cost 4 Change mcontract time 1 A Additional SF B Additional entrance mat clearing 2 A Fleet Services - 584SF — high cleaning City Hall Elevator 30SF - high cleaning B Matting in 15 additional buildings - see attached sheet for detail 3 A Fleet Services — 32 12monthly Total 6-1-00-12-31-00 $224 84 City Hall Elevator — 1 65 monthly Total 6-1-00-12-31-00 11 55 B Matting in 15 buildings Total 6-1-00-12-31-00 39401 $ 630 40 Adjustment for dry clean method 60373 Total contract change $123413 4 No change in contract time ORIGINAL CONTRACT COST $44,583 89 APPROVED CHANGE ORDERS 2,12329 TOTAL PENDING CHANGE ORDERS -00- TOTAL THIS CHANGE ORDER 1,2341 ADJUSTED CONTRACT COSTS $47,941 31 (Assuming all change orders approved) i ACCEPTED BY TE (S - 5 -(qY SUBMITTED BY DATE &0 ( todial Contract Administrator) REVIEWED BY APPROVED BY DATEG'L—a0 (Building Maintenance Supervisor) cc Contractor Contract Coordinator Department File City Clerk Purchasmg� Finance _11 C O 2P-2000 -Addition of MMnq on HI III and Medium schedules in 15 builtlin s Mats cleaned size location total sly It monthly cost City Hell tire mat North ant 57 tire mat South ent 57 2-3x5 Meldrum ent 30 1-3x5 copy room-2nd is_— Crty Hail total 5 159 H (HIS 75 6122 8-3x10 basement total 8 240 M M 14 40 4320 281 North College 3-3x5 2 West ant 45 1-3x5 North ant 15 1-3x5 2 East ent 15 1-3x10 Conf Room 30 281 N college total 6 105 H 578 4042 Facilities 1Jx10 hallway 30 2-4 5x5 5 east ant 50 14 5x5 5 west ent 25 Facllitiestotal 4 105M 630 1260 Fleet 4-3x5 shop area 60 1-3x5 North ant 15 1-3x5 north stairs 15 Fleet total 6 90 H 495 34 65 IT annex 1-3x5 south ant 15 1-3x5 North ent 15 IT annex total Libra 4-3x5 east ant 60 1 Jx5 5 west ant 15 Library total 75H 413 2887 Museum 13x10 east ent 30 1Jx5 south ent 15 2-3x5 west ant 30 Museumtotal 4 75M 450 900 Northside 53x5 hallway Northside total 5 76 M 450 900 Park Shop 1-3x10 back area 30 3-3x5 enL To break m 45 1-3x5 office 15 Park Shoptotal 5 90 H 495 3465 PFA 1-3x5 lwest ant 15 PFA total 1 15H 083 578 Polka Services 14x6 North ent 24 2-3x5 west ent 10 Brush off? 5x6 west ant 45 1-3x5 15 1-3x5 break room 15 Police Services total 6 129 H 7 09 4967 Purchasing 13x5 south ent 15 1-3x5 north ant 15 Purchasing total 2 30H 165 1156 Recreation 13x10 South west ant 30 1 Jx5 8 1-300 South east ent 45 1-3x5 west ent 15 edi-mat 30 Recreation total 5120 H 6 60 66 ZO Risk 1-3x5 15 1-3x5 15 Risk total 230 M 1801 360 Total for contract PNorthwmtent 39401 110 South Coll a 24.5x5 5 50 23x10 lobby 60 1-3x5 nt 15 4-3x5 nt 60 2-3x5 Meter Reader 30 330 S college total 11 J 215 H 11 83 D CERTIFICATE 4F ACOR05/04/2000 LIABILITY INSURANCE °°'�"°"°°" PRODUCER Rledman Corporation THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. BOX 2226 HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Fort Collins, CO 80522-2226 ( 970)482-7747 FAX(970)484-4165 COMPANIES AFFORDING COVERAGE q COMPANY A KEMPER INSURANCE INSURED PORTER,,.INDUSTRIES, INC. COMPANY B UNITRIN GROUP COMPANY `a�� C CIGNA/INDEMNITY OF NOe�' MERICA PO BOX 27 LOVELAND, CO 80537 COMPANY\� D COVERAGES'' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO LTR TYPE OF INSURANCE POLICY NU1dBER POLICY EFFECTIVE DATE (MWDD/YY) POLICY EXPIRATION DATE (MMMD/YY) MMIfS A GENERAL LIABIL TY CCO431 04/30/00 04/30/01 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGO $ 2.000.000 COMMERCIAL GENERAL LIABILITY CLAIMS MADE ® OCCUR PERSONAL $ ADV INJURY $ 1 000,G00 EACH OCCURRENCE $ 1 .000 OWNERS S CONTRACTORS PROT FIRE DAMAGE (My one fire) S 300.000 MED EXP (Any one p rwn) $ 10,000 AUTOMOBILE LIABILTTY MY AUTO CCO431 04/30/00 04/30/01 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per Perwn) $ A ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident $ HIRED AUTOS NON OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY ANY AUTO EACH ACCIDENT $ AGGREGATE $ A EXCESS LIABILITY CC0043 04/30/00 04/30/01 EACH OCCURRENCE $ 2 Q.000 AGGREGATE $ 2.000,000 UMBRELLA FORM $ OTHER THAN UMBRELLA FORM `' WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS,FXECUTIVE NW C C4 260317A 01 / 01 / 0 0 01 / 01 / 01 TORv IM °ER EL EACH ACCIDENT $ 100,000 EL DISEASE - POLICY LIMIT S 00,000 EL DISEASE - EA EMPLOYEE $ 100-000 OFFICERS ME EXCL OTHER D EMPLOYEE CCO432 04/30/00 04/30/01 $5,000 DISHONESTY BOND DESCRIPTION OF OPEAATK)NSILOCATIONSIVEHICLESISPECIAL ITEMS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED, AS RESPECTS LIABILITY ARISING OUT OF WORK PERFORMED BY THE NAMED INSURED. EXCLUDING WORK COMP. RE: CARPET MAINTENANCE PROJECT 5300 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF FORT COLLINS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ATTN : JAMES B . O I NEILL , CPPO 10 DAYS WRITTEN NOTICE TO THE CEATIFXATE HOLDER NAMED TO THE LEFT, PO BOX 580 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY FORT COLLINS CO 80522-0580 OF ANY KI UPON THE COMPA , ITS AGENTS OR REPRESENTATIVES aunlORlaD R ACORD 25-S 0/115) ©ACORD CORPORATION IN8 rl „t-R- 1AAnr. P(1R TNT ACORD,. CERTIFICATE,OF`ILIABILITY `'>S INSURANCE DATE (MM/DD/YY) 12/29/99 PRODUCER /I.,y Flood & Peterson Insurance Incl-� 4821 Wheaton Drive `� `� .,.Ly ,' P O BOX 270370 Q Fort Collins, CO 80527 L,k, ( ® !! THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW ./ INSURERS AFFORDING COVERAGE , INSURED ;y Porter Industries, Inc. = 1 P O Box 27 Loveland, CO 80537 INSURER Travelers Insurance INSURER BACE/ Wdllsdu NsuRERcTravelers Indemnity (Bonds) INSURER D INSURERE PAXIVDArpc THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE MM/D /Y DA A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE_ OCCUR XfPD Ded: $500 660506X321AIND99 04/30/99 04/30/00 EACH OCCURRENCE $1, 000, 000 FIRE DAMAGE (Any one tire)$ 300, 000 MEDEXP(An)oneperson) $ lO 000 PERSONAL BADV INJURY $1, 000, 000 GENERAL AGGREGATE $2, 000, 000 GEN L AGGREGATE LIMITAPPLIESPER POLICY PRO LOC PRODUCTS-COMPIOPAGG $2, 000, 000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS _ HIRED AUTOS NON -OWNED AUTOS 810506X321ATIL99 _ _ 04/30/99 04/30/00 COMBINED SINGLE LIMIT Eaaccident) $1, 000,000 X BODILY INJURY (Per person) $-- X X B ODI LY INJ URY (Per ae.'o rt) $ X PROPERTY DAMAGE (Peraccident) $ GARAGE LIABILITY ANV AUTO AUTO ONLY -EA AC CI DE NT $ OTHERTHAN EAACC AUTO ONLY AGG $ $ A EXCESS LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $o CUP50GX321ATIL99 04/30799 04/30/00 EACH OCCURRENCE $2, 000,000 AGGREGATE $2, 00.0 000 $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY 2311-00-064747 01/01/00 01/01/01 X WCSTATu- __ oTH- - TORV LI MI TSE EL EACH ACC IDENT _ $ 100, 000 E LD,BEASE-EAEMPLOYEE$ 100,000 E L DISEASE -POLICY LIMIT $ 500,000 C OTHERCrime Employee Dishonest 19BY103168988BCM 04/30/99 04/30/00 $100,000 Limit $ 500 Deductible DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS AD DED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Carpet Maintenance Project 5300 Certificate holder is named as additional insured, but only as respects liability arising out of work performed by the named insured (Excluding Workers' Compensation). City of Fort Attn: James PO Box 580 Fort Collins, SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION Collins DATE THEREOF,THE ISSUING INSURER W ILLEN DEAVORTO MAI 0.0 DAYS WRITTEN B O'Neill, CPPO NOTICETOTHE CERTIFICATE HOLDER NAMEDTOTHE LEFT, BUTFAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OFANYKIND UPON THE INSURER,ITSAGENTS OR CO 80522-0580 REPRESENTATIVES AUTHORIZED REPRESENTATIVE -� ACORD 25-S 1719711 i4mi A-1 F1 Q r 1988