HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - CHANGE ORDER NUMBER 12,.JUL-24-2002 WED 09:32 AM CFO ENG,
FAX NO. 9702216378
P, 01
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Change Order Form
ctty of Fort Cotl'urs
PROJECT TITLE' South Taft I lilt Roadway Projects (a.k.a. Taft Hill, Drake to Derby)
PROJECT NUMBER: 30521800.6
CONTRACTOR: Zak Dirt (PO 99929915)
CHANGE ORDER NUMBER: 12
In preparing change ciders show 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 Invoice for details
3. The contract cost will decrease by $9.087.66
4. There will be no chango in contract time.
ORIGINAL CONTRACT COST
TOTAL APPROVED CHANGE ORDERS
TOTAL PENDING CHANGE ORDERS
TOTAL THIS Cl iANGE ORDER
TOTAL % OF TI IIS CHANGE ORDER
TOTAL C.O. % OF ORIGINAL CONTRACT
ADJUSTED CONTRACT COST
(Assuming all change orders approved)
ACCEPTED BY:
SUBMITTED BY:
APPROVED BY:
0.19%
2,57%
$4,640,49$.80
$115,308.41
$0.00
$9,087.66
64,994,991AS
DATE:'?iIt- Ini .
DATE:
Utility Projoct Manager
APPROVED DY; __., _ )-1 _ DATE:
Park Planning Project Manager
APPROVED DY'
APPROVED BY:
APPROVED BY:
a• City Gark
P��ducing
Axoun6n9
CorAractor
Projunt File
DATE:
DATE: ?- 01_.,
DATE:
(Purchasing Agent over $30,000)
Enginoaring • Roadway
$9.087.65
Porke-Troll
$0.00
Utility • Pond
$0•00
Utility - walarlioe
$0.00
Englnaering • FCLWD
10.00
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