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HomeMy WebLinkAboutCHANGE ORDER - GENERAL CORRESPONDENCE - 5550237MAY-24-2005 TUE 09:01 AM CFC ENG. Engineering Department FAX NO. 9702216378 !^ Change Order Form �i PROJECT TITLE: 2005 Street Maintenance Program PROJECT NUMBER: 320200 (Sid #5839) CONTRACTOR: Lafarge Northern, Inc. (PO #5502237) CHANGE ORDER NUMBER: 1 n preparing change orders show in order as separate nurnbered 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 increase by $ 444,00 4. There will be no change in contract time. ORIGINAL CONTRACT COST TOTAL APPROVED CHANGE ORDERS TOTAL PENDING CHANGE ORDERS TOTAL THIS CHANGE ORDER TOTAL % OF THIS CHANGE ORDER TOTAL C.O, % OF ORIGINAL CONTRACT ADJUSTED CONTRACT COST (Assuming all change orders approved) ACCEPTED BY; / SUBMITTED BY: APPROVED BY: ACCEPTED BY: �i APPROVED BY: rc: Purchasing Accounting Contractor Projoet File Head (Purchasing Agent over $30,000) 0.0V& 0.02% (2? L"J It $2,230,388.32 $0.00 $0.00 $444.00 $2,230.832.32 ki DATE: ©— U� f — — DATE' W DATE: 5 -/a ^CPS DATE: DATE: Engineering Department • 281 North College Avenue - P.O. Box $80 - Fort Collins, CO 80522-05W (976) 221-6b05 MAY-24-2005 TUE 09:02 AM CFC ENG. 'f City of Fort Collins 2005 Asphalt Overlay Pmject LaFarge Bid No. 5839 Change order No.: 1 Date: 5/2/2005 1 Reason For Change: a. Addidonal work not included in the original contract. 2 Description Of Change: a. Supply Manhole Ring and Cover. 3 Change In Contract Amount: Item a. Standard Manhole Ring & Cover IS") TOTAL CHANGE IN CONTRACT AMOUNT 4 Change In Contract Time TOTAL CHANGE IN CONTRACT TIME FAX NO. 9702216378 IA� Qty Unit Unit Cost Total Cost 2.00 EA $ 222.00 S 444.00 444.00 None None P. 02/02