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HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 24183SEP-12-2005 MON 02:18 PM CFC ENG. FAX NO. 9702216378 Itnuineering Department Change Order Form PROJECT TITLE: 2005 Street Maintenance Program PROJECT NUMBER: 320200 (Bid #5839) CONTRACTOR: Lafarge Northern, Inc. (PO #5502237) CHANGE ORDER NUMBER: 7 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. 1 &2. See attached sheet for detail. 3. The contract cost will increase by S 10,323.49 4" There will be no change in contract time. ORIGINAL CONTRACT COST $2,230,388.32 TOTAL. APPROVED CHANGE ORDERS $112,692.44 TOTAL PENDING CHANGE ORDERS $0.00 TOTAL THIS CHANGE ORDER $10,323.49 TOTAL % OF THIS CHANGE ORDER 0.46% TOTAL C.O. % OF ORIGINAL CONTRACT 5,52% ADJUSTED CONTRACT COST $2,353,404.25 (Assuming all change orders approved) / ACCEPTED BY: t ' DATE: SUBMITTED BY: APPROVED BY. ACCEPTED BY: --V� APPROVED BY: cc, Purchasing Accounting Contractor Project File ]ATE: DATE: "L < DATE: G1- a -0 S 1 Department Head DATE: (Purchasing Agent over $30,000) ?Engineering Department - 281 North College Avenue • 0,0. Box 580 - Fort Collins, CO 90522-0580 • (970) 221-6605 SEP-12-2005 MON 02:18 PM CFC ENG, FAX NO. 9702216378 P. 07 City of Fort Collins 2005 Asphalt Overlay Project Lafarge North America - Bid No. 5839 Change Order No.: 7 Date: 9M2005 1 Reason For Change: a-d Additional work was required at East vine Drive for which there are no line items. 2 Description Of Change: a. Pay time and materials casts for Removal/ Load/ Haul of Silt Fence, Old Culvert, Site Trash, and Rocks b. Pay time and materials costs for Excavation, Load, Haul, and Placement of OnsitaTopsoil o. Pay material costs for Imported Topsoil d. Pay time and materials costs for Placement of New Driveway Culverts at 1808 & 1924/1930 E Vine Dr. 3 Change In Contract Amount: See Attachod a. Removal/ Load/ Haul of Silt Fence, Old Culvert, Site Trash, and Rocks $ 4,703.01 b. Excavation, Load, Haul, and Placement of Onsite Topsoil $ 2,310,00 C. Topsoil Material Cost- Imported $ 470.64 d. Placement of Driveway Culverts $ 2,830,84 TOTAL CHANGE IN CONTRACT AMOUNT $ 10,323.49 4 Change In Contract Time There is no change in contract time TOTAL CHANGE IN CONTRACT TIME 0 days