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Home My WebLink AboutCHANGE ORDER - REQUISITION - 23994AUG-10-2005 WED 02:01 PH CFO ENG, FAX N0, 9702216378 P. 03 Change Order Form ' city ai Fort Collins &pampering Department PROJECT TFLE. 2004 Street Maintenance Program PROJECT NUMBER: 320200 (Concrete Project Phase II - Bid #5847) CONTRACTOR: Vogel Concrete (PO #4406202) CHANGE ORDER NUMBER: 1 n preparing charge orders show in order as separate numSerecl paragraphs the following: 1. Reason for change. 2. Description of change. 3., Change in contract cost. 4. Change in contract time. 1 A2. See attached invoice for details 3. The contract Cost will decrease by ($12,175.23) 4. There is no change in contract time. ORIGINAL CONTRACT COST $211,395.50 TOTAL APPROVED CHANGE ORDERS $0.00 TOTAL PENDING CHANGE ORDERS $0.00 TOTAL THIS CHANGE ORDER ($12,17523) TOTAL % OF THIS CHANGE ORDER -5.76% TOTAL C.O. % OF ORIGINAL CONTRACT -5.76% ADJUSTED CONTRACT COST $199,220.27 ACCEPTED BY: BATE: tra ctor's Re resent iv) Q 0 ' I ' �Sf REVIEWED BY DATE: ct Eng' er) ACCEPTED BY: DATE: ((Project Manager - Engineering) %� ry uu,') tL ��L�_P 1 DATE: APPROVED BY: l_-1 (Department Head) APPROVED BY: cc: Accounting Purchasing Contractor Project File DATE: (Purchasing Agent over $30,000) Enaineering Department • 281 North ColieQe Avenue • P O. Box 580 Fort Collins, CO 90522-0580 - (970) 221-6605 Y AUG-10-2005 WED 02:01 PM CFO ENG, FAX NO. 9702216378 Pr 04 CllyW Fort Caalne 20at Curremh Prdeel Phone S61MMe. 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Culler & 6" Sd.,Ik - R A R 40,00 i, 0.00 S 0 00 f 608 it vnmcnrCurb and Gcllur - No 510owalk. R & R a LF S 2430 3 000 _ S 0.00 5 GOO.12 .w V_maC.1001O.C.,amond Drlya Apph000h-RAR 0 LF S 1150 2 13.00 S A9d,00 11.00 S 494.00 608.13 •EOILM Vclt.Curb,GUOer,D1vo APPrmch NIS_W-R&R o LF 5 2409 S - 000 S a.00 S Ver00al Ou3fnll Curb and Gutter -Rx R' •" 0 ^0 LF S 220 S 0.00 S 0.09 S U8,15 12•Samcr Curti_ LF 5 1750 S - 122.09 $ 2.135.00 122.00 _ S 2.135.00 GWIQ _ Hollywood Cum, Ducar&4"Sldawdk-RBR 17.50 f LF S 0I 50 S 55,13500 1G23.50 S S1,20326 -124AP S (3,921.75 000.17 hollymmil Curb, Gunef & 6" S,dowalk • R It R Sno LF 1�• 31.00 $ 10.800 00 348.50 5 11,500.50 .151.80 S (4,009 50 608.18 Hnllywood Curb end GOlor - No Sldowulk -R&R 25 LF S 21.00 3 525.00 D,DO S - •25.00 $ 1625.00 DO8.10' Holywoo6 Clu0, COUar& Orlye Appf0adl-Raft 2" LF 3 03,00 S 8.250M 312.60 S 1D.35.60 6250 S 2,002M 00620 HlUltpnek Curti &Gullaf-N0541nwnik.R&R 0 LF S 32.90 b "• 43.00 S 1,376.00 43.00 S 1,3]400 808.71 _ HiOhbnck Clrrb,G,,tikr Dw1D5v.App,..h-ri&ft D LF $ 3100 S - O,ODw S - 0.00 yf GOB.22 POd*ilAn AOcn¢s Ramp,Drlvwvw Cu,O-RON 35 LC S 41.00 S 1,60.00 48.00 S 2,DG4.D0 150 E 550,00 00623 Pndrvldun Accwl nO,w- Vwlcal Curb •R6f3 0 LF S 39.50 S M D00 5 0.00 S GOO.24 PudWrlBMCcom Romp • Holywod Cl•h - R & R Sea LF S )ON S 11,4M OO 272.00 S 10,336.00 48.00 f (1,C64 .001 6M.25 Padnilnan Acces¢RanID-Hlpneack rarrb.R&R 0M SF 6 9.00 S 0.00 ; 60025 Trui,vw J DOmn Pmn1(2'k 29 .• 1,10 SF 3 11,90 S OA26 DO 72.00 S 2.721M -96.00 $ (3,704.40 00827 4"FnN.ark"R&R_ 0 Su" 4.80 $ 28.80 5 138.24 20 GO S 139.24 am 20 _ Colored Conemle (4.1 Snn OleDa Duff - Up COnrpe " 0 _5F SF 5 075 J S D W S 000 S 008.20 6' Flalwork • R & R a SF S 510 _ S 245.10 S 1.548.05 246.10 _ S 1,340.06 808 30 Rcpluce FlnMwA-i"Atleluawl Duper 0 SC s 0.6a S 277060 S 11667.70 2777,50 " $ 1,887,70 000.31 4'Vellryy Pen. 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