HomeMy WebLinkAboutCHANGE ORDER - GENERAL CORRESPONDENCE - 4401954 (2)CHANGE ORDER FORM
PROJECT TITLE: Parks Rehab
PROJECT NUMBER: PO # 4401954 C/ ( j
CONTRACTOR: LaFarge Wes I Inc
CHANGE ORDER NUMBER: Parks 1
In preparing change orders show in order as separate numbIM par ng:
1. Reason for change. 2. Description of change.
3. Change in contract cost. 4. Change in contract time.
1. Reason for change: Adjust to actual quantities
2. Description: Reduce contract amount
3. Change in contract cost 41,118.71
4. Change in contract time: none
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 BY:
SUBMITTED
REVIEWED BY:
fl .nnin,v r%
APPROVED BY:
cc: City Clerk
Contractor
Purchasing
Project File
-6.88%
-6.88%
$16,259.49
$0.00
$0.00
($1,118.71)
$15,140.78
DATE: sh
DATE: _ LL2-04
TE:
DATE: ) . Z o X