HomeMy WebLinkAboutCHANGE ORDER - GENERAL CORRESPONDENCE - 16839Change Order Form
PROJECT TITLE: Prospect, Poudre River to Summitview
PROJECT NUMBER: 30521700.6
CONTRACTOR: Anderson Consulting Engineers (PO #9933824)
CHANGE ORDER NUMBER: 3
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 sheet for detail.
3. The contract cost will increase by $59,331.00
4. There will be 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
(Assuming all change orders approved)
ACCEPTED BY:
ACCEPTED BY:
APPROVED BY:
APPROVED BY:
APPROVED BY:
APPROVED BY:
cc: Purchasing
Accounting
Contractor
Project file
(Project Manager -
63.77%
69.90 %
DATE:
$93,037.00
$5,700.00
$0.00
$59,331.00
$158,068.00
DATE: E:2c 3, Z0a 3
Engineering $17,266.54
Natural Resources $21,032.23
Stormwater $21,032.23
DATE: " 6, lar j
DATE: �' Z b
DATE: -TA 103
DATE: i 7 Q-3
Engineering Department • '_81 North College avenue • P.O. Box 580 • Fort Coilins, CO 80322-0580 • (303) 221-6605