HomeMy WebLinkAboutCHANGE ORDER - BID - 21561 FOSIL CREEK TRAIL SOUTH OF FOSSIL CREEK PARK11/29/2004 MON 16:93 FAX 970 221 6586 CITY OF FT COLLINS CLRS 2 001/001
From:THDITT BRAS CONCRETE CAN INC. 3034581424 11/23/2004 16:33 #451 P.004/004
11/23/004 TaE 14:34 FAX 979 221 6500 CITY OF FT COLLINS CLRS
OP OFFER N0.1
PROJECT TITLE:
FooRll OPPOR TEXIII Mount of Fwap Crw* Prukwey
CONTRACTOR
ThouttBros. C RMIG CoMmctors Ina
PROJECT NUMBER:
"To
PURO N ORDER No.:
44M98
DWORIPTION:
Mhra' ehartWx W rcope of work and n>alifiod line items
1. Reason 1br manse: 0080* ■ 1.18b n0M and additional work required
2. Desalptlon of Change: gee PaymentApplimUon etilldtad fordete(IS
CM#1
Fftwun uphalt d4W praagt xM Iapkm Wft Ip ODllafgte
SS,9aD'ED
CWRd2
AM a mat of fS RalwMW pdd -2W I*M
21 2mm
F1gdrft
ADW0-aWM-A.B.IC-CM6M60.71t=)
42AMOT
RAM"
A I1M-pm"-waksm3Raa
sur."
REDUCED-rCobredCMmbPwft
(544MV)
oWAIM1
ADVID-ADAAamm b'sRomp
$MJM
Rerm"
ADIIE0.12`anb-head
s17o.0a
R
REMUOIID-1rawhoed
(113 1
RaqWop
AVM ; A(V* VAbm F oS
e940.00
PACWKS
REDUCED -RunmCarowdsSidou*
(5106Aq
Rmo rg
ADM. RoM*" C+nb and Gager
93MM
Rees"
REDUCED - powA I rm
(faTP,m
PACBWO
F49LCO - PM Gom"
(i7,S00A0)
R=Wlk q
REDUCW -Sft Fenm
(57186SAP)
Remit
ADM -6-CanomtiPawbu-Non-cdomdSklawft
XZ142Q
NIGio
Raise BaMKy' hbinhWs
IMM
S. Change In Contract Cost
7,387.1
4. Change In Contrast Time: No Change
T+ MAL APPROVED CHANGE ORDER
TOTAL PENDING CHrWpE ORDER
TOTAL THIS CWwaE ORDER
TOTAL % OF ORIGINAL CONTRACT. THIS 0.0.
TOTAL % OF ORIGINAL CDNTRAOT, ALL C.O.'S
AMWED CONTRACT COST
,4ASSVmIrn13 81 Cheaa
IAG04/004
ACCEPTED BY:
DATE: //- 4LT Uzlv-'�
ConvE tor4
ACCEPTED BY:
Project Manager
7
DATE: L7 IaZ
1
1 1
REVIEMO by
DATE.
Title:
APPROVED E3Y:
C
U� 1
""�� ,
Tina:
_ c �--1 l •—
DAIS:
'—'--'
APPROVt P 9r.
�C.
DATE:
PU-01 Ing Agent OMM.b6p
M' atyderk AA:hkod
Canumftr Engines►
Prow Frre PUMMA p