HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 20423r
City of Fort Collins
Change Order Form
PROJECT TITLE: 2004 Street Maintenance Program
PROJECT NUMBER: 320200 (Bid #5839)
CONTRACTOR: Lafarge Northern, Inc. (PO #4401954)
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 sheet for detail.
3. The contract cost will increase by $ 66,759.00
4. Eleven (11) working days will be added to the contract time.
ORIGINAL CONTRACT COST
$889,810.65
TOTAL APPROVED CHANGE ORDERS
$0.00
TOTAL PENDING CHANGE ORDERS
$0.00
TOTAL THIS CHANGE ORDER
$66,759.00
TOTAL % OF THIS CHANGE ORDER
7.50%
TOTAL C.O. % OF ORIGINAL CONTRACT
7.50%
ADJUSTED CONTRACT COST
$956,569.65
(Assuming all change orders approved)
ACCEPTEDE
SUBMITTED
APPROVEDI
APPROVED!
cc: Purchasing
DATE: 7
DATE: 7 O
DATE: 7-
DATE:
Engineering Department • 281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522.0580 • (303) 221-6605
N
City of Fort Collins 2004 Asphalt Overlay Project
Lafarge - Bid No. 6839
Change Order No: 1
Date: 717/2004
1. Reason For Change:
a. Additional patching is needed in the Quail Hollow neighborhood.
2. Description Or Change:
a. Add 1100 Tonto item 403.50 Patching
3. Change In Contract Amount:
a. 403.5 Patching
TOTAL CHANGE IN CONTRACT AMOUNT
4. Change In Contract Time
a. Eleven (11) working days will be added to the contract time.
Qly Unit Cost
pUnit r Total Cost
1100 TON $ 60.69 $ 66,759.00
$ 66,759.00
7m2004