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HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 21766DEC-13-2004 MON 11:49 AM CFO ENG, FAX NO. 9702216378 P, 03
(liange Order Form
a1.w: tH rifl, o t.a(se Irr!pravrtrlrnt
rrROJECT Nt,1N1rt ."R-, 4105.2027.0 (i11-1115-1 50)
(;PIN1,010iOR: (31,IiurfWD#44t),2Sj!)3)
('1, IAYJOI�� Oltr'' R NUNI5F:f'. 7
3. Ciya:igv i l ronrrad cost. 4, !>li,aIlp in cnr•drsrcl iiroo.
3, nio t.o,!1s;s ( coe i avid incrcmio h)y $ 872,67
4, '111w rc, will i.>:1 rla (.) in corlUtict Ill i10•
,Rw •W YV o-vry,mil'.�.•.^•.'.✓,x.,�•..YR.�•R+.w...w,•.•uv�.ulw.n�mi,1.yn..nl.n,a.•wuxa••wu..xs.q.M•Y'q,w�vwww.�MW111�Y��W.�.MMMM,.1,Yw/.r.•W.tY.i•M�YW+ - iw[N '".ww.��M
ORICINAI- (7Ir COST
Col"AI,. Al"I i 0\10") ("'HANr3), ()P4r?l'.rt;k
Pl'.11'PL PrIADIN6 C:NANCII': ORDE_F i,
TOTAI., 11 KI (*lAPJ(,riP)fix--rl
$413,379.91
($54,246,79)
$0.00
$872.87
7T)'(Al.. 4„ UI" 11118 (;F1ANC?E: ORDER
T()TFd. C„ 0, -i, Dr- (1C' 01 NA1_ CONTRACT t�•$1°'"
PTF).i9J i'1 F"it C ONT)'r"A1:'I' C OST $360,006,99
�Aa„I,unfrYs) (till ri!rlriq!� orric!r; j)ppr,'nrurl)
u.u.u�wl'... •�... r_ • vr+ r•rwTMM .•.w..u... �..u.i�.�Mwm.�rn M..V�.ruu.,ran'lN.,o'W.IjWJ.+wow•n.'-�vwwew.rt•wlTminnu�-r'Yauutw.we..rrn�..i.r�rwwrwr--�•
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(l'roject M,nnagor)
(f OO1" l''raJs�l',a hl9a rspr�r) r DATE . i _ f �1�-r_.. A+".CE�1"I F:'C) 11\` .�;'"�:!° �'''!._...✓;r'.:�...,.¢.�t(__..:'.:�._........._._____.____---....w.w....,..�__w_.,..,----
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(fryw�cha';inr1 /Ipa3nl ('wG�r $;0,ppp) _._..._.�_�_.... _,__
Cr Cxir,tr.;cl,1°
I'ul SIR,w1roj
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vrrrtlx 1)(f ;tt'l ss4nt Y.i l l i+rth (,'ioiler;;e Av tug P.O. itoa 52S(1 • fart Cullla , CC)$052..0580.—'_..,.....___�__....
O BU522-OS80 • (970) 221465
DEC-13-2004 MON 11:49 AM CFO ENG, FAX NO. 9702216378 P. 04
l4c,:. Q11/7.0(14
Tr* t `it,a:ltl h1111:•r, CliO
Colclr^isha 011,r#nlrnt bJ"1',,1n5ft lt,tliisn
14AU 2"'1 Sltrct
(hooky, (4) RIM)
Cillcri Kic^tact, Prllji,,ij 1?rtlar lcct
No, ('11:111p ()rrl,.:r 140, 7 -- %" Copjwr l.juc I'kv TAc,tiin Ira4olio13
brJ+;s,t1":liaat,;,t#�Y,ii.s laitoImprotcntc;nis
r4(1CAI44 (7+i()1076)
'flyi^a c:lt;tria,r. brdcr \v1a wilWnl to p:ly for ;i IV' copper hnc Owl ucuN' to he pl;tced fi11111 the miter pit to 111e
kjr:01411v Arld b1olvom tm, rol 111c;1noli:111 inigallon.
,#Cru'ltc bid ilatn G;t; .#�ril;•aiiCln'I'",11r third aN1r,Icr errs nett utM d ko the ccltlract, twat was inslcad imiallcd by C#ly
l)lils Am, The t:l ns uvro n0l clellr vrllen. lha l '�ponsibilhy lie rrsr insialintio n of tltt; %" Copper litre. The NISis
Of I1.1y n1:;tt1 for Ow lv' " Goat;sr Ha for Wdi,1n lrtigallilm will. tic paid tat the ,tcgollcl#cd Inallp sum price or
This cis;ttwt',' +tb" ❑all hstpra,:t the crilwal ptt1h1 oid Ihci-Obrc no adrhlicitial lim,. is rcr}tairesct.
TkI c'uvc:r+di com of Ihis; c1,1u1.>,a trecla iy R,'972.t0. Ilia prujmtcd coM for this cbntmei, inGludinl; this change
if, $'.36ll,(St)0.99.
S9wld+J f cd,:r:il (11who Itol bt; wailtatyta Ib Cow•cr Ihcs:• addititxtrsl cot:is, or the VHWA doride not to patticipalo in
lhi'7im tl:'+GY K lire City of Fm I ('cilt,rs avcces 10 prbvide'lllc re• ydrt'rl tuner's.
I•i.e (11y of f'ol t'oiltltis>?ti'{Iar,7vC'•s ibis C'l;anl,a 0alcr hlo. 7 by 941,11it,tp Ih10m
,...N
h
N61:'+a k.c4goll
t'1'(1.91a is+11�,1a1�:I,r
DEC-13-2004 MON 11:50 AM CFO ENG, FAX N0, 9702216378 P. 05
West Plix.J104 Bike I "'me 1<'to,11M
G,1,. 11M [:' it akwity - 11id No. 5850
)A': II/I$iANi'I
For (.Ifnr pz 7:
,a, A ,1/1" ooj)por lien nz-�A t To bo l)la, .,xl I'mia the -fletor pit, sot by City I ltiiitics, to ti)a Nickilow and blowout tv
1,1,T 11w roL-(Hrkn irripti+.)+.
a. I';ry li++'iyv i))+t tiu,i5laiiti+ t):)1 filrl: gild r;a;lr;srial5 to in.lall 31q" r�l)Per lii)+: t)') rcquirewl.
1, a :1q fat;;da 141 ('ab4dlra0 Aiii4s W.; Q'y Unit 'Unit cmt TWO Cost
3/ I" ('r}illrcr l,inr: •• tv1k%N ;e) IrriW,a;iim 1 I'S $ 87>.87 $ 872,87
'10TA1, CIIAPdOF I1\1 Cai?3l'RACT AMOUNT
�. t"las ogv It coldll':act "t'iow
0, Ihcr,; is 00 dvWf,,0 ill conif'ad'f till)C.
$ 87.2.87
11/19/2001
DEC-13-2004 MON I1:50 AM CFO ENG, FAX N0. 9702216378
N�;iV 11 "r'OU4 "1HU 10:50 AM G. L. WFI, t;0, FAX NO, 9700631666
OLAI
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� 9YaG£+9^3:55 +'37r7'fifi3»iGddFAJ{
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r',',a.t ti> WOO %%Tt a.r lroill free 0l• pit to 040,*m prawnw
rlrb•p4.q�#I l+4Yrr A B PA
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P. 06
P. 02/03
DEC-13-2004 MON 11:51 AM CFO ENG.
NOV -11 rf'OGri 1111(1 101,50 RM G, {., W."IFF CO.
FAX NO, 9702216378 P. 07
FAX NO, 9'106631566 F. 03/03
AM f4midlif':stpo Inc,
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01111 TO
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DUE AAI t
m10/30/1.0(!
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Invoice
DATE
INVOICF, #
9/30/2004
2626
stilt, "1"t;1
'lWost F)izahelh llike iam'Imprtwement
wx....r nngnnwn4Y.r.,✓uJl.nr.. W..�_.. �.��n �.y,py-.M
PROJECT
QI'lr' RATE AMOUNT
wt,50b.00 6,500.00
X00,00
600.00
30,00
1
2,310.00
,195
485
1,86535
,
I._ .. 1..... r__1r
Total K $12,020.75.