HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 23473MAY-25-2005 WED 10:16 AM CFO EK
FAX NO. 9702216378
P. 01
Change Order Form
PRCJ In a 'Dept+rtme 005 Street Maintenance Program
PROJECT NUMBER: 320200 (Concrete Project Phase II - Bid #5847)
CONTRACTOR: Vogel Concrete (PO ff5501541)
CHANGE ORDER NUMBER: 1
n preparing change orders snow in or er as separate numjereo paragraphs 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 $14,312.51
4, There is no change In contract time.
ORIGINAL. CONTRACT COST $1,379,096.11
TOTAL APPROVED CHANGE ORDERS $0.00
TOTAL PENDING CHANGE ORDERS $0.00
TOTAL THIS CHANGE ORDER $14,312.51
TOTAL_ % OF THIS CHANGE ORDER 1.04%
TOTAL. C,O. % OF ORIGINAL CONTRACT 1,040/.
ADJUSTED CONTRACT COST $1,393,407.62
ACCEPTED BY: / �� �- `� �`���`� DATE:
REVIEWED BY:
ACCEPTED BY:
ACCEPTED BY:
APPROVED BY:
APPROVED BY:
cc: Accounting
Purohasing
Contractor
Project Re
DATE:
TE: •�`� % J ' OL
TE: S - Z. I/- D-57
TE: etiZ
DATE:
(Purchasing Agent over $30,000)
$12,266,$3 Minor Sheets
$2,045.88 street Maint.
3
Engineering Department • 281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0380 • (970) 221-6605