HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 23993AUG-10-2005 WED 02:01 PM CFO ENG.
FAX NO. 9702216378
P. 01
CityofFort Collms
rnglnewing Department
Change Order Form
PROJECT TITLE: 2005 Street Maintenance Program
PROJECT NUMBER: 320200 (Bid #5839)
CONTRACTOR: Lafarge Northam, Inc. (PO #5502237)
CHANGE ORDER NUMBER: 5
n preparing change orders show In order as separate numbered 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 $ 10,568,08
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: e✓ V '�
on c e resentative -
SUBMITTED 9Y.
oject gine
APPROVED RY:
/ Engineering Project Manager
ACCEPTED BY: ` '�Utf Lk kft'
0.47%
4.01 %
$2,230,388.32
$78,849.38
$0.00
$10,568.08
$2,319,806.79
DATE: e / o- F%S�
DATE: S 10 o
DATE: ( —10 - c
DATE: 42` 10.OS
11Department Head
APPROVED BY: DATE:
(Purchasing Agent over $30,000)
cc: Purchasing
Accounting
Contractor
Project File
Engineering Department - 281 North College Avenue - P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6605
AUG-10-2005 WED 02:01 PM CFO ENG, FAX N0, 9702216378 P. 02
City of Fort Colliixs 2005 Asphalt Overlay Project
Lafarge North America - Bid No. 5839
Change Order No.. 5
Date: 8/1/2005
1 Reason For Change:
a-f Additional work was required et East Prospect Road for which there are no line tem.
2 Doscripdon of Change:
a- Pay time and materials costs for Remove Silt Fence - Haul and Dispose
b. Pay time and materials costs for Move and Reset Guard Rai Fence at Hageman's Earthcycle.
c. Pay time and materials costs for Culvert and Drn+eway Culvert Extensions
d. Pay time and materials costs for New Inlet and Pipe Modifications.
o, Pay time and materials costs for Install Geoerid - Muck Areas
f. Pay time and materials casts for Furnish Topsoil Material
3 Change In Contract Amount: See Attached
a-
Remove Sift Fence - Haul and Dispose
$
1,058.21
b.
Move and Move and Reset Guard Rail Fence at Hageman's Earthcycle
S
1,338.00
c.
Culvert and Driveway Culvert 6densions
$
1,514.97
d.
New Inlet and Pipe Modifications.
$
3,603.00
e,
Install Geogrid - Muck Areas
$
1,172.50
f.
Furnish Topsoil Material
$
1,083.40
TOTAL, CHANGE IN CONTRACT AMOUNT $ 10,50.06
4 Change In Contract Time
There is no change in contract time
TOTAL CHANGE IN CONTRACT TIME 0 days