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Change Order Form
Engineering Department
PROJECT TITLE: Drake & Ziegler Phase I Improvements
PROJECT NUMBER: 30523280.6 (Bid #5893)
CONTRACTOR: Don Kehn Construction, Inc. (PO #5501441)
CHANGE ORDER NUMBER: 2
n preparing change orders show in order as separate numbered paragraphs the following:
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 $72.370.99
4. The contract time will be increased by 5 days.
ORIGINAL CONTRACT COST $1,207,441.00
TOTAL APPROVED CHANGE ORDERS $10,743.19
TOTAL PENDING CHANGE ORDERS $0.00
TOTAL THIS CHANGE ORDER $72,370.99
TOTAL % OF THIS CHANGE ORDER 5.99%
TOTAL C.O. % OF ORIGINAL CONTRACT 6.88%
ADJUSTED CONTRACT COST $1,290,555.18
(Assuming all change orders approved)
ACCEPTED BY: —' DATE: 6 - 11- O S
ACCEPTED
REVIEWED I
TE: G��S
(Engineer) or
APPROVED BY: DATE: 7
( part ent Head)
APPROVED BY: DATE:
(Pu has g Agent over $ 0,000)
cc: Contractor
Purchasing
Project File
Engineering Department • 281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6605
DRAKE AND ZIEGLER PHASE I MOVEMENT PROJECT
Don Kehn Construction
Additional Flowfill for Deep Utilities
- See attached submittal -
Item
Unit
$ / Unit
I Total
on Kohn Construction Flowfill
1077 CY
$ 38.00
1 $ 40,926.On
$ 40,926.00
Additional flowfill was used due to larger excavation required to
safely install the utilities. Trench boxes and shoring could not be
effectively utilized due to the proximity of existing utilities.
Posted to Pay Estimate # 3
0
Don Kehn
Construction Inc.
GENERAL CONTRACTORS
CHANGE ORDER
PROJECT Drake & Zeigler Phase I Tmprovement DiRfrict
City of Fort Collins CHANGE ORDER NO,
Issued Date: May19 2005
Muount (t)
THE CHANGES AS ENUMERATED BELOW ARE HEREBY AUTHORIZED AND THE CONTRACT WILI. BE ADJUSTED AS INDICATED:
Flowfill 1077 c.y. @38.00
$40,926.00
Additional flowfill used due to larger excavation
required to safely install the work. Trench boxes
and shoring could not be effectively utilized due
to the proximity of existing utilities.
City of Fort Collins
C14iP[lGFGL+S 4iEUWner
By:
Date:
OFFICE USE ONLY:
Don Kehn Construction, Inc.
Contractorxxxiwmm
By:
1 (x
Date: -
The Contract Sum prior to this Change Order was ........................................... ......... ......................... $
The Contract Sum will be (increased) (decrease([) (unchanged) by this Cltange Order. ...... ............. $
The new Contract Sum including this Change. Order will be . ..................... .................. ....................
$
The Contract Tinie will be (increased) (decrcasell) (unchanged) by .................................. ..............
PLEASE SIGN AND RETURN ONE. COPY
LC15-0210
DRAKE AND ZIEGLER PHASE I IMROVEMENT PROJECT
Don Kehn Construction
1 1/2" Washed Rock
- See attached submittal -
Item
Unit
/ Unit
Total
on Kenn Construction 1 1/2"Washed Rock134
Tons
14.00
1,876.00
MIAL $ 1,376.00
Additional rock was used due to the over excavation for muck excavation
required to install the box culvert.
Posted to Pay Estimate # 3
Don Kehn
.EEHo..._�1 Construction Inc.
GENERAL CONTRACTORS
CHANGE ORDER
0
PROJECT Drake & Zeigler Phase I Improvement Project
_ City of Fort Collins CHANGE ORDER NO.
Issued Date: May 19, 2005
Amount. (t)
THE CHANGES AS ENUMERATED BELOW ARE FIEREBY AUTHORIZED AND THE CONTRACT WILL BE ADJUSTED AS INDICATED:
1 1/2" Washed Rock 134 Tons @14.00 $1,876.00
Additional rock used due to the over excavation
required to install the box culvert.
City of Fort Collins
fd XXmXda fdfditXOa�ner
By:
Date:
FOR OFFICE USE ONLY
Don Kehn Construction, Inc.
Contractor m t5nni m
By:
Date:
The Contract Sum prior to this Change Order c-aas................ ............................. ................................ $
The Contract Sum will be (increased) (decreased) (unchanged) by this Change Order_ . .........
The new Contract Sum including this Change Order will be ..... ................. ................... ................... $
'I1ie Contract Time will be (increased) (decreased) (unchanged) by .................................................. _
-A* PLEASE SIGN AND RETURN ONE COPY -Arr,�r 1.01sonn
DRAKE AND ZIEGLER PHASE 1 IMROVEMENT PROJECT
Don Kehn Construction
Flyash, Milling, Curb and Gutter Removal and Prep, Cargill Utilities, Rigden Irrigation
- See attached submittal -
Item
Unit
$ / Unit
Total
Don Kohn Construction Additional FI ash
621 SY
$
5.06
$
3,142.26
Don Kehn Construction Remove Curb, Gutter and S lashblock
327 LF
$
5.75
$
1,880.25
Don Kohn Construction Mobilization for Milling West End
2 EA
$
600.00
$
1,260.00
Don Kehn Construction Additional 8" Milling
1840 SY
$
2.30
$
4,232.00
Don Kohn Construction Removal and Prep for Curb and FI ash
621 SY
$
4.07
$
2,558.75
Don Kehn Construction Installation of Sewer Service to Cargill
1 LS
$
1,836.00
$
1,836.00
Don Kehn Construction Installation of Water Service to Cargill
1 LS
$
4;150.00
$
4,150.00
Don Kehn Construction Flowfill for Car ill Services
120 CY
$
38.00
$
4,560.00
Don Kehn Construction Addtitional Irrigation for East Side of Rigden
1 LS
$
6,039.73
$
6,039.73
TOTAL $ 29,568.99
m� .- e e S da s
Posted to Pay Estimate # 3
tjft E Don Kehn
1 ---�-. -.1 COnStfUCtlOn Inc. GENERAL CONTRACTORS
CHANGE ORDER
n
PROJECT Drake/Zeigler Road Improvements
City of Fort Collins CHANGE ORDER NO.
Issued Date: May31, 2005
Amount. (t) _++$29,568.99
THE CHANGES AS ENUMERATED BELOW ARE HEREBY AUTHORIZED AND THE CONTRACT NVILL BE ADJUSTED AS INDICATED:
Additional Fly Ash 621 s.y. $ 3,142.26
Additional Removal Curb, Gutter &
Splash Block. 327 l.f. 1,880.25
Additional Mobilization for Milling
West End. 2 ea. 1,200.00
Additional 8"
Milling
1840 s.y.
4,232.00
Additional Removal & Prep for Curb &
Fly Ash
621 s.y.
2,528.75
Installation
of Sewer Service to Cargill
l.s.
1,836.00
Installation
of Water Service to Cargill
l.s.
4,150.00
Flowfill for
Cargill Services
120 c.y.
4,560.00
Additional Irrigation for East Side
of Rigden, l.s. 6,039.73
29,568.99
Contractor or OWner Contractor or Owner
By: By: —
Date: Date:
FOR OFFICE USE ONLY
The Contract Sum prior to this Change Order was ............................................................................. $_
The Contract Sum will he (increased) (decreased) (unchanged) by this Change Order __.................$
The new Contract Sum including this Change Order will be ... ................... .............. ....... ... .............. $__
The Contract Time will be (increased) (decreased) (unchanged) by ................................................. _
tYii l PLEASI SIGN ^.l`V'D RE'RIRN ONE COPY -'cull 1,0150210
Date Hours for Norm.
31-Mar
1.00
14-Apr
2.00
26-Apr
3.00
27-Apr
4.50
2-May
8.00
3-May
7.00
6-May
4.00
9-May
6.50
20-May
1.00
23-May
2.00
39.00
hr rate
$48.00
$1,872.00
Total Labor/Equipment
Hours Ryan
Hours Ditch Witch/Mini-ex
0.00
2.00
3.00
3.50
4.50
2.00
7.00
7.00
6.00
2.00
3.50
5.00
1.00
2.00
34.00
14.50
$27.00
$45,00
$918.00
$652.50
$3,442.50
Total Parts $1,809.44
Total before 15% $5,251.94
Total project $6,039.73 with 15% added