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CHANGE ORDER - REQUISITION - 20514
AUG-04-2004 WED 06:58 AM CFO ENG, FAX NO, 9702216378 Change Order Form Carty of ,1��� W.wwQM•••rN.wnx.trvuwr�o N..,W"•nw.,�.w.w.w,.� �+e.urw..wiy�x..ww,M�.n.rw�+�,�+./.�.i...�rn-..�r�.s.r.wu•..sn.-- _ _ .nn�+u.�.W��l 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 ..W+ 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