HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 2051207/22/2004 THLT 14:52 FAX 970 221 6586 CITY OF FT COLLINS CLRS
07/22/04 TKU 12:37 FAX 970 482 4537 $INNI3TT BUILDERS INC
07/22/2004 THU 09'53 FAX 970 221 9889 CITY OP yT CoLLINs CLk5
PROJECT TITLE
CONTRACTOR:
PROJECT NUMBER:
PURCHASE, ORDER NO.:
DESCRIPTION:
1. Reason for ahat>yga:
CHANGE ORDER NO, 4
SOFT GOLD PARK
SinnteR Hunaorn Inc.
3307991
Changes in Construction
See change In work requests.
001/001
0004
Q 002/004
2. DescroWh of Change: CM i8
CWR 1$
$
04u.0D
CWR 20
917.00
CWR 21
>;
514.0101
CWR24
$
11887.0o
$
174.00
3. Change In Contrail Cost: $ -6,023 00
4. Chang* in Cahtlact Time. no change
TOTAL APPROVED CHANGE; ORDER mp %rw c+oc.rz
TOTAL PENDING CHANGE ORDER 14.
TOTAL M$ CHANGE ORDER 4
TOTAL % OF ORIGINAL CONTRACT, THIS C.O. S 8,023. d
TOTAL, % OF ORIGINAL CONTRACT, ALL MD.% 3=%
ADJUSTED CONTRACT COST 9
(Av9urrfmg ali Change erdars apprmmd)
ACCEPTED BY:
BATE:
Contractor's Representative
ACCEPTED BY: DATE:
Prole4t Manager 4
REVIEWED KY:
Title:
APPROVED BY:
1100:
DATA
DATE
APPROVED BY_ DAM
PUrchaaing Ageht over $30,000
cc: Cr{yClerk AruMect �`-'� htr° G6dFrngir
or rplrear 1
Project File Purchasing