HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 20655AUG-11-2004 WED 02:02 PH CFO ENG.
FAX N0, 9702216378
hange Order Form
F`f'ic),lru'r'15 l.l: 200 f Strout Mainlr;nnnce 1'rogrtrn
1'riC7,ll'<C F N1,1ML%fIR 3ry0200 (Bid rrsnau)
coisi "f vw'rt;)ft I afxau Nnrtliwn, InC,- (PO (i4401.954 )
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n pai+ji[,irip clirau[jo caf Icr, s uF w i'iir" of n-; Sopar;1jo, luu ro pa a trap Ie r0 Milo:
1 fdt�.ts�n f(,r c11,7n0�. 2. t)w::c,rinGr.,n �f c,lrrnc)c,
3. Ghango in conlr;lcl cost 4• f,Amoo In continct tilde.
VU, ; U sIlachod shr:et for dill,^11
S Th,^ cunlrl+a cgLrt VAp incru,-= bV $ 1,076,40
4. Ihi:n; will ho no dvinp, in colarIv t lirof4,
ORMINAL CON71 YVA WS f
$880,810.65
TOTAL Ar,r,, 1VF0 rl IAM15 (3r2[H"eR,1;
$93,620-16
VIAL [IFNIAK'; D IAN(SE OfUDERq
$0.00
Tt.)TAI, Tt ll:r: rl )AN(,F ORr: M
$1,076.40
TMAI. (S) 01; I'I11'S (.MANGE:`. ORDEai
TOTAL. (, 0 ;,, OF ORIGINAL (:OMIT -di "T
10.64va
AOJU,S f 170 MN RIACT cOST
$984,507,21
(A .(n'nirlrl x01 Chnhp ordw s approvod)
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AUG-11-2004 WED 02:02 PM CFO ENG, FAX NO, 9702216378
P. 02
Gity of Fort Collins 20M Asphalt Overlay project
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1. WL.�:�+cwvFr�rCq,rot;�:
A q• f;lr7 c P ih:� p}l4h ar;,a w rs u m T� d Uy thu City Slax.lts t)eP1rtrt�r'd usln0 the rotun:iil to exp�jile removal of a large
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2. kr z;rrit: dpo l:sl01anon:
e. Aril i n iub!y i le 1'rep,riraii' n d ,m• Grading S , matorief uwd for the prAch Will be pi;d tit the e46 in0 contract unit price for
f fi 31' , reC^Wing SO in rruu or d o K s,lch7.» itrizl.
;f. Cttmtittr try COC1 mGt.4ulrymA:
u. 203- 3 `:ut•gradk) horur.ikifY
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4, cb"nklw in corAsFoct 71,0K.
a. Th('J o I no In c"xiLrar1 f ma.
oty
2691
Unit Cott per Unit Total Cast
$Y $ 0,40 $ 1,070.40
S 1,076,40
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