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HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 21033 NORTH COLLEGE CORRIDOR PROJECT (2)OCT-04-2004 MON 08:17 AM CFO ENG,
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0tV of Fort C%0114is
yqw • s�,caunwawMuurrwaw
FAX NO. 9702216378
Chatige Order Form
Friair :rirri,r: Nord ICe)11a0raCol'ridor[It oJed
PROJEO, r NUMBol k 8U52?600,6 (Gid 115195)
CONTRACTOR; moullWin Conr'Aruclors (PC #3305225)
("1.1AhJUN C)ftilk=:h P•I11n,1F1[:F�: 11 _
?n f)R^� �i j L i r1]7,? t�It S`r, a fSW Gr�7 r"�s suNar,+ a null, -red par3�j1'3f] S 1F? o- l7Wln3:
1. Roawrl f,)r chrar,ge. 2. C;:scrlption of ch,moo.
3 Ch:+ go in ce,l uml. cost. 4. Chango In contract tho
1U, Sco oftLwhc l shoot for dotAl.
3. 1'ha; coritrmct rust will increaso by
n. There will I)o rla ("h anpat in cnnlla�d til Ila.
.q�rv.+nm �wnYx.r.�.� • •..._...,.... Vn,vw.ww...`. M•nMwwrn+•y..uw/_.v. u.� .w..w+�w�ar.+.w�.r.ulwax,mw.rwMM1rw..nwnnw+�rrnwriwrw.rrw+.-��.-�+...r.
ORKIINAL CONTRACT COST
TOTAL Ai' PROVED Cl IANGF ORf FRI )
TO 'A.. PP NOING CIJANGF prrl- F11,8
TOTAL •IWS GIIANGF ORDER
TOTAL % OF"I l ll`Cl IAN(F OROL-lt
TOTAL C.O. c„ OF ORK1INAL COW RACf
AfJUSTM CONTRACT COST
(ASSIJII'llog all cll inch" ordr.rS ilppf6%C )
0,26%
0.58%
$3,75V68,B9
$12,534,58
$0.00
$9,332,81
$3,773,636.28
ACC PTC:cr FJY 1.:' �• 7 . F' `�- _ .._.... ...... ...._ ..._... DATE:—td
C�or,trar:lrlr'a; Ctrsf)r�sw4.nt tivo
DATE: `
Af'PROV1�1) BY
l.'.n47htr,•srBi+,) F'rnJ�e:t Nlanac7rr
Al"PROVED f1Y.... ,xf
APF1F't0VF Ia BY_...__..r..,_....._....,.,.-....., .._.._�..
(Purchasing Agcml over $30,000)
PLJI%,h.ItuI,t,
DATr.
_-.. ............. GATE:
-- ...... ....... DATE: -
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Iin1M,l,wcrI'll! 1'kparlrr,ent 1 2$1 NLL fth Cullqu Avov)uo e 11.0, Box 580 + Forl Collins, Cf.) 90522-0580 6 (30) 221-6505