HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 22444Change Order Form
Engineering Department
PROJECT TITLE: 2004 Street Maintenance Program
PROJECT NUMBER: 320200 (Slurry Seal Project - Bid #5698)
CONTRACTOR: Intermountain Slurry Seal (PO #4404275)
CHANGE ORDER NUMBER: 4
n preparing change orders s ow in order as separate numbered paragraphs the o owing:
1: Reason for change. 2. Description of change.
3. Change in contract cost. 4. Change in contract time.
1 &2. See attached sheet for detail.
3. The contract cost will decrease by $ (520.00)
4. There will be no change in contract time.
ORIGINAL CONTRACT COST
$298,136.50
TOTAL APPROVED CHANGE ORDERS
$9,484.35
TOTAL PENDING CHANGE ORDERS
$0.00
TOTAL THIS CHANGE ORDER
($520.00)
TOTAL % OF THIS CHANGE ORDER
-0.17%
TOTAL C.O. % OF ORIGINAL CONTRACT
3.01%
ADJUSTED CONTRACT COST
$307,100.85
(Assuming all change orders approved)
ACCEPTED BY:
APPROVED BY:
APPROVED BY:
APPROVED BY:
APPROVED BY:
Project File
Head
(Purchasing Agent over $30,000)
($400.00) Parking
($120.00) Engineering
DATE: a QS-
)ATE: l IAI- os--
DATE: ! —/Z 'd
DATE: I - 13 -G v
DATE:
Engineering Department • 281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6605
Change Order Number: 4
Date:
1. Reason For Change:
a. Contract quantities do not match actual quantities due to reduced area covered by ice & snow.
2. Desc-sption Of Change:
a. Reconcile contract quantities to match actual quantities.
3. Change In Contract Amount:
a. Contract Deduction $ (520.00)
4. Change In Contract Time
a. There is no change in contract time.
H:\p.m.p\PROJECTS\2004\Slurry\2004 Pay Estimate
1 /3/2005
FINAL CHANGE OR.
City of Fort Collins
2004 Asphalt Slurry Seal Project
Intermountain Slurry Seal
Bid No. 5698 - Renewal
Item No.
Description
Unit
Contract
Quantity
it Cast=C11tract
UnQuantity
Actual
+/-
Quantity
Cost
105.10
Sweeping - All Streets (Day 5 Only)
LS
3.0
$ - I r.00
$ 12,000.00
2.97
(0.03)
$ (120.00)
105.20
Sweeping - Puking Lots (Day 5 Only)
LS
2.0
$ 40ii. Y
$ 800.00
1.00
(1.00)
S (400.00)
Type II Asphalt Slurry Seal - All Street
SY
260271.5
$ 1.10
S 286,298.68
260271.53
0.00
$ -
409.01
Locations
409.02
Type It Asphalt Slurry Seal - Parking Lots
SY
1760.8
$ 1.15
$ 2,024.92
1760.80
0.00
$ -
6I4.01
"No Parking" Sign With Stand
Per Day Per
700.0
$ 0.25
$ 175.00
700.00
0.00
S -
Each
614.O1a
"No Parking" Sign With Stand (Rented)
Per Day Per
625.0
$ 1.15
$ 718.75
625.00
0.00
$ -
Each
614.02
Vertical Panel Without Light
Per Day Per
0.0
$ 0.25
S=-O0.00
$ -
Each
614.03
Type I Barricade Without Light
Per Day Per
0.0
$ 0.25
$ -
0.00
0.00
$ -
Each
614.04
Type II Barricade Without Light
Per Day Per
Each
0.0
$ 0.50
S -
0.00
0.00
$ -
614.05
Type III Barricade Without Light
Per Day Per
157.0
$ 2.50
$ 392.50
157.00
0.00
S -
Each
614.06
Size A Sign With Stand
Per Day Per
266.0
$ 2.00
$ 532.00
266.00
0.00
$ -
Each
614.07
Size B Sign With Stand
Per Day Per
161.0
$ 2.00
S 322.00
161.00
0.00
$ -
Each
614.08
Size A Specialty Sign - Cost of Manufacturing
Each
0.0
S 50.00
$ -
0.00
0.00
$ -
614.09
Size B Specialty Sign - Cost of Manufacturing
Each
0.0
$ 50.00
$ -
0.00
0.00
$ -
614.10
Cane With Reflective Strip
Per Day Per
1587.0
S 1.00
$ 1,587.00
1587.00
0.00
$ -
Each
614.11
Safety Fence
Per Day Per Roll
0.0
$ 10.00
$ -
0.00
0.00
S
614.12
Light - Steady Bum
Per Day Per
Each
0.0
$ 0.10
$ -
0.00
0.00
S -
614.13
Light- Flashing
Per Day Per
Each
0.0
$ 0.10
S -
0.00
0.00
$ -
Advance Warning Flashing - or Sequencing
Per Day Per
0.0
S 15.00
$ -
0.00
0.00
$ -
611414
Arrow Panel
Each
614.15
Traffic Control Supervisor/Daily
Per Day
7.0
$ 100.00
$ 700.00
7.00
0.00
$ -
614.16
Traffic Control Supervisor/Hourly
Per Hour
45.0
$ 15.00
S 675.00
45.00
0.00
$ -
614.17
Flagging
Per Hour
139.5
$ 10.00
$ 1,395.00
139.50
0.00
$ -
$ (520.00)
TOTAL COST
Parking $ (400.00)
Engineering $-(120.00)
$ (520.00)
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