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HomeMy WebLinkAboutCHANGE ORDER - RFP - TRANSPORTATION PERFORMANCE MEASUREMENTTransportation Services Transportation Planning CHANGE ORDER FORM City of Fort Collins PROJECT TITLE: Transportation Performance Measurement System PROJECT NUMBER: 410.380400.529290 CONTRACTOR: PBS&J (PO #4406598) CHANGE ORDER NUMBER: 1 In preparing change orders show in order as separate numbered paragraphs the followinc fo change. Z.-vesGiitJUU11 U1 Ilcflyt:!. 3. Change in contract cost. 4. Change in contract time. 1 &2. Due to budgetary concerns, this project was cancelled. The contractor is being paid for work completed to date on the project. There will be no additional work. 3. The contract cost will decrease by $46,265.00 4. The contract time will end on December 31, 2004. ORIGINAL CONTRACT COST $49,620.00 TOTAL APPROVED CHANGE ORDERS TOTAL PENDING CHANGE ORDERS TOTAL THIS CHANGE ORDER ADJUSTED CONTRACT COST (Assuming all change orders approved), ACCEPTED BY: (Contractor's Repr sentative) SUBMITTED BY: REVIEWED BY: $0.00 $0.00 ($46,265.00) $3,355.00 DATE: O S- DATE: /Z /ZZ A0 _ (Projec a ager) %( DATE: (Department Head) APPROVED BY: rN, ( fr- DATE: (Service Area Director) APPROVED BY: ty t lA- DATE: (Purchasing Agent) cc: City Clerk Contractor k,PTrchasing Project File 21 , North Mason • First Floor • P.O. Box 580 • Fort Collins, CO 80522-0580 • ("970) 224-6058 • FAX (970) 221-6239