HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 20737ALIC-26-2004 THU 08:37 AM CFO ENG,
FAX NO. 9702216378
Change Order Form
Pi20Jr i)1' 1'11'0h:: wort Eliznbrtl l bike, Lane Irnprovriments
r1f2O,Jr CT NUMf11'.R: 410820.7.0 (UM 95f,'50)
CONINACTM: (11.1f01F(P( E-I402903)
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1 fPcn 0n for ckr:ingt;, 2 tx.,nnptlon ai'change.
3. Chancy., in contract cast. 4. Chr+nr),> in con(ract time.
11�?. Raa);dluchr!rJ5ht`r3tfnrdetnil.
3. Till t.nnlrni,t;:oa will increaso. 4y $ 8,030,30
4. 1'I;r,ra will N. <'. stfaliUnn. 1 dgyc t.5dd(,r.l to 1Y,a c0nb'nrt [ilrtn.
0RICIN.AL CON "r1(AOT COST
TOTAL. APPROVED Cl IANOr ORL)El2
TO'I'AI. r Nf1IN[:1 CI IANCE ORMR-j
TOTAL. 'I-t it s CHANOH ORDER
'TO CAI., % OF TI II"+; CHANGI
TOTAI. C.O 94 01- O`ZIGINAL CON'MACT
ADJ11S ra CO RACT r09T
(Asswdin0 111 chang) ordon::vpprnvacf)
ACCE-41M Ely.
• (ra(�tractar:s F2(rf^
A0CfYi1'1"kD t.1Y•
$�13,3Y0.g1
$0.00
$890.60
$5,936.30
1.444a
1.65yo
$420,206.81
7
DATE'
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DATE'
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ACJCC PT f D BY
(Dep arinrLsnt l k' ad)
APPROVE[) CJY:
_.._.._(Pun:huein0 Araont ovor $30,000)
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Pal .hx,mp
DATE:
DATE:
Cn$Ina rigr, r'a4pprt nrnt • 1181 :North college avenu • (,0. 10x 580 • Fgtt Colling, CO 802'-0580 9—(303) 321-6605
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AUG-26-2004 THU 08:38 AM CFO ENG, FAX N0, 9702216378 P. 02
nr4Wc 7/1:1/2001
Ts,^ 51110i1 M+ll-:r, Cl OT
I.,`owor,,00 of rrdia5l'iof mion
1,120 2" 4 5lrcul
i'Mxlcy. CC) Mi+i l
1-N4W: k'.rikaa J u:lop,1'uj a1 I?a3I irsrir
Vo: C.'lraaer. Qrdi;i' No ,� - f alh:Incv cl C'NICI'M C"rossualk, Alkumlo laid Ilona
We:-1 Eli/Atw'111 Jiikc; k„me Improvumnis
A17:,' M455-tk'i0 (11076)
7 his cir;atti,c OrdcC1V 1S Wrilii`r110 flC1i131ieraa;dc bid dean (,08, RTIN'luceil CConcrido- Crossiv alk, to lire coma" o,
'1"h0. D114c orpapmm will Iws nt the bid voil pl'ice of Qi06.70/sclo:rrc Put, for n VAII area of k) square yards. Tbc
Iola] WM Of Iliici clam o onlor 15 $5,930-'R
This chwgq o does iiiipllct tllu critip'll I'ullli a+1d thQ fore 2 Idditlowil days brill he added to rho coadracf.
Tli( t+ri)i. t,t tl cost far this prirji;c;,t, ifiellaA13INS clonge bider, is $420,206,81,
8,1100017c.&Ial fuiula 1145i to cover Iliesc addition;ll cos(;. oe IhQ IA IWA decide no( to Imil ieipe in
Ibl,, a Iaast ,.11w oily of 1'as I t.II0)1ins ;li.1 0 to pa vitIv Ilse rul alrcd furids.
'.I'1.n t'11y of fort C'ullii'lis;Zj7y)i'E i'GS this C baug Oviler No. 2 by sil;ulral;ln,lasv.
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