HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 24186SEP-12-2005 MON 02:19 PM CFO ENG,
FAX NO. 9702216378 P. 10
Engineering Department
Change Order Form I r1
SEP 1 2005
PROJECT TITLE: 2005 Street Maintenance Program
PROJECT NUMBER: 320200 (Hot In Place Recycle Project)
CONTRACTOR: Cutler Repaving, Inc. (PO #5504311)
CHANGE ORDER NUMBER: 1
n preparing cnange orders snow to order as separate numderecl paragraphs the totiowing:
1. Reason for change. 2. Description of change.
3. Change in contract cast. 4. Change in contract time.
1&2. See attached sheet for detail.
3. The contract cost will decrease by-$7,270.60
4. There will be no change in contract time.
ORIGINAL CONTRACT COST
$160,275,50
TOTAL APPROVED CHANGE ORDERS
$0.00
TOTAL PENDING CHANGE ORDERS
$0.00
TOTAL THIS CHANGE ORDER
($7,270.60)
TOTAL % OF THIS CHANGE ORDER
-4.54%
TOTAL C.O.,% OF ORIGINAL CONTRACT
-4.54%
ADJUSTED CONTRACT COST
$153,004.00
(Assuming all change orders approved)
ACCEPTED BY:
ACCEPTED BY:
(Project Manager)
DATE: ! " � P*V Jr
)ATE:
REVIEWED BY: Nil A T DATE:
(Engineer)
APPROVED BY:
APPROVED BY:
co; contractor
Purchasing
Project File
DATE: Q - L Z `AS -
DATE:
(Purchasing Agent over $30,000)
Engineeting Department • 281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 , (970) 221-6605
SEP-12-2005 MON 02:19 PM CFO ENG. FAX NO, 9702216378
P. 11
2005 Not -in -Place Recycling Project
Cutler Re -Paving - Bid No. 5778
Change Order No.: 1
Date: 9/7/2005
7 Reason For Change:
a. Contract quantities do not match actual quantities.
2 Desoription Of Change:
a. Reconcile contract quantities to match actual quantities.
3 Change In Contract Amount:
a. Contract Deduction
4 Change In Contract Time
a. There is no change In contract time.
$ 7.270.60
SEP-12-2005 MON 02:20 PM CFO ENG, FAX N0, 9702218378 P. 12
" r I
City of Fort Collins
Recllying Change Order
2005 Hol-In-Plato Recycling Projecl
Bid Na. 5770
low) Nn, � Alierlpllon
umQ�lplty
Orlplaal Caalrul
Ilea Cml Odglul Canllptl C'm
Apwl Q,Mnpq
+/-Qoullty
+1-Coll
405,01 1lol-I0-Place R"Yeling
OV
12,00000
S
LGB S
137,760r00
79,739.00
(2,261.00) S
(3,798.4p)
406,02 Rnjammling Agwp
Gallon
0,575.DD
S
1.70 S
11,177.50
5,7W.75
(911.21) S
(1,379,13)
210.03 Adjunl VAIVC BOX will, Ring
Emb
47
S
9000 S
3.760.00
27.00
(20.00) S
(1,60D.00)
21 U4 Adjusl Valve box wide Screw Typo Adjutable Riser
Each
0
S
6500 S
-
23,00
25.00 S
1,625A0
2t0.05_ AljjuslManholewi�_,Lding _
Ench
54
Sy
14D.w S
7,SG0.00
39,an
(15.00) S
(2,100.00)
TOYfAl. C01.'T
S
Ifi0,275.50
S
7,Z70.60