HomeMy WebLinkAboutCHANGE ORDER - GENERAL CORRESPONDENCE - 9929915 (2)Change Order Form
City o Fit COW id
PROJECT TITLE: South Taft Hilt Roadway Projects (a.k.a. Taft Hill, Drake to Derby)
PROJECT NUMBER; 30521800.8
CON'T RACTOR: Zak Dirt (PO 09929915) T
CHANGE ORDER NUMBER: 14
4
In preparing change orders show In ardor as separate numbered paragraphs tho following:
1. Reason for change. 2. Description of change. tC
3. Change in contraci cost. 4. Change in contract time.
142, Soo attached Invoice for drAoils i
3. Tho contract cost will increase by $11.771.90
4. Thero will be no change in contract time.
ORIGINAL. CONTRACT COST
TOTAL APPROVED CHANGE ORDERS
TOTAL PENDING CHANGE ORDERS
TOrAi_ TI'iIS CHANGE ORDER
TOTAL Ye OF THIS CHANGF. ORDER
TOTAL G.O. % OF ORIGINAL CONTRACT
ADJUSTED CONTRACT COST
(Assuming all change orders approved)
ACCEPTED BY:
SUBM I TIED DY;
Project Manager
$4,540,495.e0
$140,453,46
$0.00
$11,771.96
0,24%
3.14'/0
$4,992,721.02
DATE;
TE: to 9 a�-
APPROVCDBY: U Se-e 4 -DATE:
Utility Protect Manager
APPROVED BY;
Park Planning Projool Manager
APPROVED BY:
APPROVED BY:
DATE:
DATE;
DATE: o O'L.
APPROVED BY: _ _ Nf� DATE:
(Purchasing Agent over $30,000)
cc City Clark
Erglneenng • RondwQY
$5,353.75
Purohooing
Perks - Tren
$4.299 35
Aa=ntin0
Ublity - Pond
$2.113 88
Conhpflor
Utility - w0wino
$0 00
Prclucl rdo
Eraineadng • FCLWD
so 00
•� ..... _...._...., . ve. .,._.,, r..n.... ate...,.,,.. a n 9n. 580 • Fort Collins. CO 80522-0580 • (303) 211-6608
Change Order Form
PROJECT TITLE: South Taft Hill Roadway Projects (aXa. Taft Hill, Drake to Deity)
PROJECT NUMBER: 30321600.E
CONTRACTOR: Zak Dirt (PO 119929915)
CHANGE ORDER NUMBER: 14
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 in contract time.
1.&2. See attached invoice for details
/
3. The oontraM cost will Increase by $11,771.96 r�
4. There will be no change in contract time.
ORIGINAL CONTRACT COST
$4,840,495.60
TOTAL APPROVED CHANGE ORDERS
$140,453.46
TOTAL PENDING CHANGE ORDERS
$0.00
$11,771.96
TOTAL THIS CHANGL ORDER
TOTAL % OF TI IIS CHANGE ORDER 0,24%
TOTAL 0.0, % OF ORIGINAL CONTRACT 3.14%
$4,992,721.02
ADJUSTED CONTRACT COST
(Assuming all change orders approved)
ACCEPTED BY: DATE:
Contractors Reprosentadvo
SUBMITTED BY:
APPROVED BY:
APPROVED BY:
DATE:
DATE: g 34 -y Z
/ T S.
DATE: _ ILL/Cd L
APPROVED BY: _ v DATE:
Ft, Collins Loveland Water District Project Manager
APPROVED BY: DATE:
Overall Pro)oct Manager
APPROVED BY:
ca Cro' cicdr
AO=Atino
Conlmctor
Project Ftle
(Purchasing Agent over $30,000)
Engin$Wng - Roadway
Padu • Trag
U61ity - Pond
U01ily • Weledlne
Engineering • FCLWD
DATE:
35,}5�78•-- C.`:fTFW30'C. M.' SDrhs/b9+i sZlZ1►7'6
$2,113.86 E- C'("'
$0.00
Moo
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TIME & MATERIAL CHANGE ORDER FOR MAN' HOLES
TIME JTjil I. I�
�9TE
COST
S1V!!E'L ICT HR
416 13 5 25.00
$ 325.00
LL 13 $ 23.00
S 285.00
LC 13 $ 27.00
$ 351,00
TIME & MATERUw TO REPLACE w1 RINGS & GROUT
LABOR hR �E
COST
3LL 24 S 23.00
$ 552.00
T U
SaM
g 61.40
$ 124.60
Grout 16 S 6.32
12 $ 25.00
$ 300,00
Risor RIncs
TOTAL
$ 2,013.20
6%
$ 1p0.G6
TOTAL
21 6
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SAN
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Solb' T01 30386000
ZA'R DIRT. INC-
14200 Ii1LLTOP RD
LONOMONT CO 8OSO4
MAIN • i„MY
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MA
CAP. INWST2I11S • ;
IM201* PO SM 3e000
CA
SHIP TO:
TAF'T HILL R HORSE'll
SO TAFT HILL RD
FT COLLINS CO 90526
3oSr 12201 PADS: 001
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C
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10 4398211001
NON SHRINK FG,D1T 212 500
13
4.32 [SAO
18
11A.30
TOTAL G
OSS
124.20
I
TOTAL T.
`00
TOTAL LIVOICE
124.20
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331'S, SGWIT':VIi* DR. ;
,07Q•3x4rSoto
FORT COLLTS.CO':60534
SOLD T01 30336000
Z,UC DIRT, INC
14290 HILLTOP AD
LON04Wr CO 90504
1 ,•.4'
': PAi?t0�f11+,ICi'O,N,S71P
RCRIi TOI ,pcpT W-0: sm
SAN FRANCISCO, CA
I NV,OICE i2902
SHIP Tot
50 TAFTLHILL RDSmTK
FT COLLINS CO 30546
70B+t I230t PAGE: 001
10
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„"j "'�L ZAK TOTAL II SS H.dO
•,�. I TOTAL T AO
TOTAL I'ICR
8t.d0,
PHASE
COSTCODE
QUANTITY _
POO
% COMPLETE
TAXEXEMPT
K2
VENDOFW
ACCTO�
AMOUNT��
DATE PD.
CK
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