HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 2101009/30/2004 THU 13:09 FAX 970 221 6586 CITY OF FT COLLINS CLRS
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PRo 9CT TITLE:
CONTRACTOR -
PROJECT NUMBER:
PURCHA5E ORDER NO.:
DESCRIPTION.
1. Rcusc n for ctâ–ºanga:
2. Description of Change:
S. Change In Canb-.ct Cost:
CHANGE ORDHR NO. S
sOFT Gaut PARK
Sinnott 6ulldem Inc.
3307931
Changes In CCestfudion
See change in work requeaft
CYVR A,12117,76,2a,Z3.25,26.28,29,80,31,32,33.34.36
See 010ngc in work mqued Iog.
4. Change In OohbueTlme_ no change
TOTAL APPRavED CHANGE ORDER
TOTAL PENDING CHANGE ORDER
TOTAL THIS CMNGE ORDER
TOTAL % OF ORI(NNAL CONTRACT, THIS C.O.
TOTAL % OF DItIGINAL CONTRACT, ALL c.o. s
AD,aUS W CONTRACT COST
to rA nu all Chaos
ACCEPTED EY:
Cola Rep
ACCEPTED 9Y.
F" e d Msmger
REVIEWED BY:
Tine:
APPROVED BY:
TWO:
APPROVED M
Purchasing Alton[ over sw,000
cvcurk Arcwdvd
Enb6,aer
P(44FL b Purch®ieq
DATE:
DATE:
DATE
5 24,678.00
$ 24,57 -W
0