HomeMy WebLinkAboutCHANGE ORDER - BID - 5799 NORTHEAST AREA OVERLAY PROJECT (3)JUN-14-2004 MON 12:23 PM CFC ENG, FAX NO. 9702216378 P. 01/04
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Change Order Form
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PRQJF'CT'f ITL-F,:;� N.E. Areal Overlay Project
PrcO,lji!G ' NUMUFR: 3052V(30.6 (Bid 115700)
CONTmCTOR: C onnirll R saurrais, Inc. (Po #d401390)
Cl(ANQC-:ORDER N11h,4[TF:rt: 4
ii j')n^F rin0 all,'4nga 0tU'iN i^In o�iiar nsia�iaral riifrrrxt;:r1ed pa7agrnp s tNo a ovJrng:--
1. fZl;1ason luf charign. 2. Degrtiption of cllanga.
3. Ghanga3 in contract cOst. 4, Oh.inOO in contract timo.
182. EiE:u ntl, rthf:d t hre k for datail.
3. The c,onui;ct t%IJ�t Will IncrG'ns0 by S5,292.70
4 YtlGra will Car no channO In con11V3 time.
otjlclNhr. CONTRACT COST $074,289.40
TOTAL. Al4r'f1CrVC,.D CI IANGE ORDLU $ 48,390.29
TOTAL PENOINO CHANOC: ORDERS $0.00
TOTAL Tit , GHANCf• ORDER $5,292.70
TOTAL % OF TI"II3 CHAW-013 0110ME d 0.54%
MAL C.0 % OF ORIGINAL CONTRACT 5.51�0
ADJOeIVU i4 I -,ON rAACT cOs r $1.027,980.30
(Axsiurdng r,ll chanr,ln orders npprovod)
ACCF`TTED BY:
AGCC:PTF'C' BY:
UVIEWF'rl CIY;
APPROVE) BY:
APPROVU.0 riY; .. ,..._.. -_�.. �_....,�.—_._._., ..^........._,T_...._--- PATE;
(Purchminr) Agant over $30,000)
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" ; 'rau.�rcn,ent • 291 Notch C011M Avenue • V.0, Dos 580 • Fort Collins, CO 80514-0580 1 (303) 221.6605