HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 20513R07/22/2004 THU 14:59 FA%
PROJECT TITL :
CONTRACTOR:
PROJECT NUMBER:
PURCHASE ORDER NO.:
DESCRIPTION:
1. Reason for change:
970 221 6586 CITY OF FT COLLINS CLRS
CHANGE ORDER NO.I
SOFT GOLD PARK
Slnnett Builders Inc.
3307981
Change in schedule, utility adjustments
Q 001/001
Start of contract was later than expected and an existing fire line service caused a
change in the water line location_
2. Description of Change:
CW R 2) Lower waterline
$ 5,528.00
Change contract time to June 30, 2004 for substantial $
completion and July 30 for final -completion.
3. Change in Contract Cost: $5,528.00
4. Change in Contract Time: 30 days ( I
TOTAL APPROVED CHANGE ORDER owo.yvc.rt
TOTAL PENDING CHANGE ORDER $
TOTAL THIS CHANGE ORDER $
TOTAL % OF ORIGINAL CONTRACT, THIS C.O. $ 5r528.00
TOTAL % OF ORIGINAL CONTRACT, ALL C.O.'S 0.85%
ADJUSTED CONTRACT COST 0.85 /,
565-- 490 72
(Assuming all change orders approved)
ACCEPTED BY:
Contractor's Representative
DATE:
ACCEPTED BY:
Project
-DATE: ' D
Manager
REVIEWED BY:
Title:
DATE:
APPROVED BY: DATE:
Title:
APPROVED BY: RATE:
Purchasing Agent over $30,000
cc: City Clerk Architect
Contractor Engineer
Project File Purchasing