HomeMy WebLinkAboutCHANGE ORDER - BID - 5717 CONCRETE PROJECT PHASE IChange Order Form.
PR _ _ I I . _- 2003 Street Maintenance Program
PROJECT NUMBER: 30522131.6 (Concrete Project Phase I - Bid #5717)
CONTRACTOR: Vogel Concrete (PO #3302306)
CHANGE ORDER NUMBER: 1
n 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 contract cost will increase by
4. There is no change in contract time.
ORIGINAL CONTRACT COST
TOTAL APPROVED CHANGE ORDERS
TOTAL PENDING CHANGE ORDERS
TOTAL THIS CHANGE ORDER
TOTAL % OF THIS CHANGE ORDER
TOTAL C.O. % OF ORIGINAL CONTRACT
ADJUSTED CONTRACT COST
$49, 560.00
6
ACCEPTED BY: of 4�
/ -jton ctor's Repres nl
REVIEWED BY( f ���P ✓ l
ACCEPTED BY:
(P 'ect_Manager - Engineering
ACCEPTED BY: r
(Project Manager - Light & Powg0
APPROVED BY:
Head)
APPROVED BY:
Agent over $30,000)
cc: Accounting
Purchasing
Contractor
Project File
7.73%
7.73%
$641, 339.40
$0.00
$0.00
$49,560.00
$690,899.40
DATE: !-�Of I
DATE:
TE: J ` C'),
TE:
Q DATE:
DATE: /Wc-),3
Light & Power $24,372.52
Pedestrian Access $22,130.92
Street Maintenance $3,155.56
Engineering, Department • 281 North College Avenue • P.O. Sox 380 • Fort Collins, CO 80522.0580 • (303) 221-6605