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HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 23762 (2)JUL-12-2005 TUE 12:52 PM CFO ENG, FAX NO. 9702216378 P. 03/04 Change Order Form Engineering Department PROJECT TITLE' --- ,.... f•1Qe1wndnce i'rogram PROJI=CT NUMBER; 320200 (Bid #5839) CONTRACTOR; Lafarge Northern, Inc. (PO #5502237) CHANGE ORDER NUMBER: 3 n prepanng c ange or ers s ow in or er as separa a num erec 1. Reason for change. 2. Description of change. 3. Change in contract cost. 4. Change in contract time. 1 Q. See attached sheet for detail. 3. The contract cost will Increase by $ 19,010,20 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: APPROVED BY: cc: Purchasing Accounting Contractor Protect File (Purchasing Agent over $30,000) $2,230,388,32 $666.00 Koo $19,010.20 0.85% 0.88% $2,250,064.52 DATE: r qj— DATE: 1 I t) S DATE: DATE: � . l •-©5 DATE: -• I ------l- -�- •�. �u tiouege Avenue • P.O, Box 580 • Fort c JUL-12-2005 TUE 12:52 PM CFC ENG. FAX NO. 9702216378 City of Fort Collins 2OO5.4spl:alt Overlay project Lafarge North America - Bid Aro. 5839 Change Order No.; 3 Date: 5/7/2005 1 Reason For Change: a. There Is no line item for Variable Message Board b. There is no line Item for Silt Fence o. There Is no line item for Combination Fence - needed on East prospect Road d Additional mailboxes need to be reset on East Prospect Road 2 Description Of Change: a. Add new line Item for Variable Message Board b. Add new line item for Slit Fence c. Add new line item for Combination Fence d. Add 3 mailboxes to the existing contract 3 Change In Contract Amount: New Items a. 614.19 Variable Message Board Qty b. 208.01 Silt Fence - Installed 35.00 c- 210.12 Remove and Replace Woven Wire Fence 10.00 300, 00,g0 Existing Items d. 210.00 Reset Mailbox 3.00 TOTAL, CHANGE IN CONTRACT AMOUNT 4 Change In Contract Time There Is no change in contract time TOTAL CHANGE IN CONTRACT TIME Unit Unit cost Total Cost DAY/LA $ 143,00 9 5,005.00 LT $ 0,94 $ 11,167.20 LF $ 6.96 $ 2,088.00 EA $ 250.00 $ 750.00 - 179, 0 days P. 04/04