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HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 20514AUG-04-2004 WED 06:58 AM CFO ENG, FAX NO, 9702216378
Change Order Form
Carty of ,1���
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r7�rl,,lt"C,"1' 1 I-1 Lk: 2004 Strc, t I AnhiU:nmca Proryram
i`ROA.-CT N()Mlg-,R: no'n0 (F1id Own)
CONTI•RACTOA; Lifarge North(:tt'r, Inc, (PC) 94-101954.)
CN.ANGF, 014MR NUMM-f'l; 2
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r' ti:;. "'':":"1":r:, "�`T`„"u":, n,'� I chm-A1 r; rYl lrt'1 arwi nsranrnn vr• un T n�nnlln'
1, l;e,,pgn ror cll:aHOrs. 2, D.,,vnc'ipfion of di;)rtp.
3. Cll'i;an63r. ill Conh'ad cast. 4. Ch:rrtrir) In contract tislle.
3. Thj co.mtrnr;t cv,,f will hw.remse by $ 26,061.10
4, Fivo (5) wiwkintl 6:,yq will ha a ir.! c1 to tho contreict Urno.
ORIG9iNAL GONTF2ACT c,08T
TOTAL APPRC1Vl ) 01 IANGO: hFtt' ER$
TC)TAL IT]MAW CHANOr- ORIDEr I5
Tc7r/ L TI 118 CHANGE ORI.VR
TO rAL I% 0I..1'NI4 0 IANGI:: ORDER
I ()TAL 0.0, 46 OF ORK3INAL GON1 RAC T
Afi,IM)"I 11) coarRACT C015T
(Asst.tminq nll c h,-Anga orders ippraved)
w.nn•rtiX.� wnY••w p—...�w.wyvn... �.. N.*_ra+r�nw,..e�nw�..ne.....
w''r 'j4��ttractlr�;'.w
APPRO�W:117vcr: —,
M;.rn;1()er
APPROVEV) BY:
(Prrrt;,hj i:titir8 Ar)('nt avr"rr $30,000)
3.02°.v
10.52%
$889,810.65
$66,759,00
$0,00
$20,861,16
$983,430-81
GATT;
.,.......- ...M-- ._.�...ww..w.— ❑A1'E:
DATE
Fstis tn',:tu' l*, j;i,partmcnt + 281 ilurth Colte,re Avenge a p.p Sax 55o 9 Fort Coltiiis, Co 8002.'-0580 • (303) 221.6605
AUG-04-2004 WED 06:58 AM CFC ENG, FAX N0, 9702216378
P. 02
City of Port Coll iow 2004 Asphalt Overliyr Project
Lafarge. - Rld No. 6839
carik r No: 2
n Arltlili'mol rcalc, iiiria is no,, Ifin1 cm IW hq.—,ImA Sfral Parking Lot.
2, r',; ,to'iptic}n Of r1;q oo:
o Add 3fl?7'1•Ut to i4ir11.9Cf3.5w1('nfdiLdp
3 Clii,tn(AoInCordauckhnonnt!
�. 403.11:0 114ahinig
�r0,7.3c7 k.torhrN•LQs'l'I:on1t}0tin
ti 14.16 Traftif.' CO6t;z'.i `vl:i'rrkl0ny
6140.1 Tpp;IWitr':uttlyha
614.17 rla,19+119
TO YAL (A IANGE IN CON UAC T AP 1C3UN r
l�ea6ath� ,iC'.rL'1110:i
Yyrst Arm'gA
4. t3i�a��?{a Irt i':arti�'ack'ri,r�e
t'r Y'r.o (3) LVr);Lls:g clays will t1c) adICA l 1') 015 oorftr.a_1 tima.
city
Unit
coet POT
TuGaICns!
Unit
306
TON
$
60,69
$
23,072,55
69
TON
$
15.36
$
1,061,22
45
Fu Hour
$
24.61
$
1,116.45
255
Pe'x [)ay PL:r Pach
$
0.50
$
127.50
34
Per Hour
$
17.10
$
563.44
$
26,661.16
$
2e3,238.91
s
022.26
$ 26,861.10
0/312004