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HomeMy WebLinkAboutCHANGE ORDER - BID - 5836 ROLLAND MOORE SHELTER REPLACEMENT04/14/2004 07:58 6849 PARKS
PAGE 02
CHANGE ORDER FORM
PROJECT TITLE: Rolland Moore Shelter Replacement
PROJECT NUMBER: Bid # 5836 PO # 4401391
CONTRACTOR: G L Hoff Cc
CHANGE ORDER NUMBER: P1
in preparing change orders snow in order as separate numbs
1. Reason for change. 2. Description of change.
3, Change in contract cost. 4. Change in contract time.
1. A. Paint collars on columns constrasting color
B, Add electrcal outlet box to 8 columns
2. A. Powdercoat collars for the columns a contrasting color
B. Add waterproof electrical outlet Coxes attached to post with intedor conduit, 2 per shelter, 8 total
3. A. Add $1,411.53
B. Add $2,951.40
4. A. No Change
S. No Change
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
SUBMITTED
REVIEWED BY:
APPROVED BY:
cc: City Clark
Contractor
Purchasing
Project File
3.58%
3.58%
$121,962.00
$0.00
$0,00
$4,382.93
$126,324,93
DATE: 3 —)A 2
DATE:
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