HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 23164APR-13-2005 WED 07:02 AM CFO ENG, FAX NO. 9702216378 P. 09
Change Order Form �CI,U,I \fif, D
APR 4 2005
LTnalneering Department
PROJECT TITLE: Street Maintenance - Lemay Ave. to Merganser Drive
PROJECT NUMBER: 320200
CONTRACTOR: Stantec Consulting (Bid No. P-816)
CHANGE ORDER NUMBER: 2
n preparing change orders s ow In order as separate nuffered 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 invoice for details.
3. The contract cost will increase by $21,034.00
4. There will be no change in contract time.
ORIGINAL CONTRACT COST
$218,977.00
TOTAL APPROVED CHANGE ORDERS
$0.00
TOTAL PENDING CHANGE ORDERS
$18,966.00
TOTAL THIS CHANGE ORDER
_ $21,034.00
TOTAL % OF THIS CHANGE ORDER
9161 %
TOTAL C.O, % OF ORIGINAL CONTRACT
18.21%
ADJUSTED CONTRACT COST
$258,977.00
ACCEPTED BY.
ntractors(Re resentative)
ACCEPTED BY:
/f�li2roject Manag r)
REVIEWED
(Engineer)
A
APPROVED BY:
_Uti
//,Department Head)
��ff
APPROVED BY:
(Purchasing Agent over $30,000)
cc: Accounting
Contractor
Project File
DATE: � . q Os -
)ATE:
,TE:
DATE: -D5
DATE.
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Engineering Department • 281 North College Avenue • P,O. Box 5$0 Fort Collins, CO 80522-058e • (970) 221-6e05
Vine Drive - Roadway Maintenance Project - Lemay Avenue to Merganser Drive
Stantec Project Number 181700051 Design Fee Estimate
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