HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 23760JUL-12-2005 TUE 12:61 PM CFO ENG, FAX NO. 9702216378 P. 01/04
Change Order Form
Engineering bepartment
PROJECT TITLE: 2005 Pedestrain Access Program
PROJECT NUMBER: 30521451.E (Bid#5601)
CONTRACTOR:. Vogel Concrete (PO #5504312)
CHANGE ORDER NUM13ER: 1
n prepanng 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.
142. See attached invoice for details
3. The contract cost will increase by $0.00
4. There is no change in contract time,
ORIGINAL CONTRACT COST
$264,953.88
TOTAL APPROVED CHANGE ORDERS
$0.00 .
TOTAL PENDING CHANGE ORDERS
$0.00
TOTAL THIS CHANGE ORDER
$0.00
TOTAL % OF THIS CHANGE ORDER
0.00%
TOTAL C.O. % OF ORIGINAL CONTRACT
0.00%
ADJUSTED CONTRACT COST
$254,953,88
ACCEPTED
REVIEWED
ACCEPTED BY:
APPROVED I3Y:
APPROVED BY:
cc: Accounting
Purchasing
Contractor
Project Fife
DATE:
)ATE: -1. , ( i - U
DATE:
(Purchasing Agent over $30,000)
(s15,000.00) Pad Access
$15.000.00 Street Maint.
`" 11 "fl,5�
Engineering Department - 281 North College Avenue - P.O. Box 580 - Fort Collins, CO $0522-0580 (970) 221-6605
JUL-12-2005 TUE 12:51 PM CFO ENG, FAX N0, 9702216378 P. 02/04
2005 pedestrian Access Program
Vogel Concrete .131d No. 5601
Change Order No. 1
Date: 7/7/2005
1. Reason For Change:
A & 6. Fund street maintenance projects,
z• Description Of Change:
A. Reduce funds from FED Access.
a. Increase funds from Street Maintenance,
3• Change In contract Amount:
Item
QIY U^lt Unit Cosl
A Reduce funds from FED Access. Cost
g. Increase funds from Street Maintenance, 1
1 (515,00000) ($15,000,00)
$ 15,000.00 $ 15,000,00
TOTAL CHANGE IN CONTRACT AMOUNT—
4• Change In Contract Tlma: S0-00
There IS nO change In contract time,
H.-IP•m PIPEDIPed AccesslPed Access 20051Pay Applications 20p5
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