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HomeMy WebLinkAboutCHANGE ORDER - GENERAL CORRESPONDENCE - 9929915 (3)Change Order Form C`it� o�E F��ollin9 PROJECT T11'I-F: South Taft Hill Roadway Projects (a.k.a. Taft Hill, Drake to Derby) PROJECT NUMBER: 30521800.6 CONTRACTOR: Zak Dirt (PO #9920916) C1IANGE ORDER NUMBER: 16 In preparing chango orders show in order as separate numbered paragraphs the following: 1. 1leason for change, 2. Description of change. 3. Change In contract cost. 4. Change In contract time. 1 A2. Soo ntlaehod invoice for details 3. Tho contract cost will increase by $4,659.47 4. 7hors will be no change in contract time. ORIGINAL CONTRACT COST TOTAL APPROVED CHANGE ORDERS TOTAL PENDING CHANGE ORDERS TOTAL TI11S CHANGE ORDER TOTAL ak OF TI IIS CHANGE ORDER TOTAL C.O. % OF ORIGINAL CONTRACT ADJUSTED CONTRACT COST (AssUmIng n11 change orders approved) ACCEPTED BY: SUBMITTED BY J Enainee ProjecLManager APPROVED BY: Project Manager 0,09% 3.24% $4.840,495.60 $140,453.46 $11,771.96 $4,559.47 $407,280.49 DATE: 4-Z1otQ2"-- DATE: DATE: APPROVED BY: , lz DATE: Park Planning Project Manager APPROVED BY: APPROVED BY: APPROVED BY. 6:!=f (Purchasing Agent over $30,000) DATE: DATE: —Le pnglnoorina • RoadwaY E4.550 47 CC city Clrnk Porka - Tnul $0 00 Purahadng Utility - Pond EO .DO hoc0w��ng UbIIIY • WalOrllna ED DO Conuaotor on Enginong - r'CLWD E0.00 PlOpcl4110 .__._.'.,.._... m.,.,, ..at nl.,rth ('nlluaa Avenue • P.O. Box 98D •For! Collins, CO 90932-0980 • (303) 331-6603 u y10i�Mc QMn3a D tie. ti 30UTA L.:T N..LROAYM'4Yi�-SS 8'f-.l.R 1 �arrx� a-rtsbaCMn»O�dxmxmnae»WIza7�'1'>a�'n3 Alf �t l mwmb vA'Cns� a, a+6c•+w. s ra+rpaaeV SurcanY afOJvnya inGar'.*a1�__,r 0a CwM1aaSwaM'yN A®Me San W. Maaf 3I �'�ryOB Unit Matt Gal Q tft A—M{S) QUMd COM!S1 r M I Ma ly i s fsa I o.—fer I C—ist i s9n> s sJm o <uv SPR D SFi Ji J 5'G� 40 !o u: J sam o ax 'AtAI O Al G] J S1W Cas Is) f7w Sim ! Sw som s_.m 17.M i -1, e 1 From: Christie White To: Opal Dick Date: 10/14/02 9:42AM Subject: Zak Dirt I'm faxing you Change Orders No. 14 & 15 for Zak Dirt's PO #9929915. No. 14 $5,358.75 - Engineering #30521800.546310.6 $4,299.35 - ParksTrail #40311100.546310.6 $2,113.86 - Utility Pone #50451640.529290.6 No. 15 $4,559.47 - Engineering #30521800.546310.6