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HomeMy WebLinkAboutCHANGE ORDER - GENERAL CORRESPONDENCE - 44019541 City of Fort Colliz 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 snow 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 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 APPROVED[ APPROVEDE cc: Purchasing 7.50% 7.50% $889,810.65 $0.00 $0.00 $66,759.00 $956,569.65 DATE: DATE: % (i DATE: 7 -7 DATE: -7/I "'6441cc"115 veyacanenc • Yui Norm College Avenue • P.O. Box 580 1 Fort Collins, CO 80522.0580 • (303) 221-6605 �6 City of Fort Collins 2004 Asphalt Overlay Project Lafarge - Bid No. 5839 Change Order No: 1 Date: 7/7/2004 1. Reason For Change: a. Additional patching is needed in the Quail Hollow neighborhood. 2. Description Of 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. Qty Unit Cost r Total Cost 1100 TON $ 60.69 $ 66,759.00 $ 66,759.00 7m2004