HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 24499OCT-20-2005 THU 01:54 PM CFC ENG, FAX N0, 9702216378 P. 03
Change Order Form
ZnQlaeertug Department
PROJECT TITLE: 2005 Street Maintenance Program
PROJECT NUMBER: 320200 (Concrete Project Phase II - Bid #5847)
CONTRACTOR: Vogel Concrete (PO #5501541)
CHANGE ORDER NUMBER: 6
n p Bparing,change orders show In order as separa a numbered paragraplis the folloVing.,
1. Reason for change. 2. Description of change.
3: Change in contract cost. 4. Change in contract time.
1.&2. See attached invoice for details
3. The contract cost will increase by $2,121,00
4. There is no change in contract time.
ORIGINAL CONTRACT COST
$1,379,095.11
TOTAL APPROVED CHANGE ORDERS
$132,594.48
TOTAL PENDING CHANGE ORDERS
$49,838.40
TOTAL THIS CHANGE ORDER
$2,121.00
TOTAL % OF THIS CHANGE ORDER
0.15%
TOTAL. C.O. % OF ORIGINAL CONTRACT
13,38%
ADJUSTED CONTRACT COST
$1,563.648.99
ACCEPTED BY:
REVIEWED BY:
ACCEPTED —
APPROVED BY:
APPROVED BY:
cc: Accounting
Purchasing
Contractor
Projoct File
DATE:
DATE:
( oject in
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jG 1 DATE: jC ~�� } {�`J
(Project Manager - Engineering)
DATE: LD•;&O,S
DATE:
(Purchasing Agent over $30,000)
Engineering Department - 281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6605
OCT-20-2005 THU 01:54 PH CFO ENG, FAX NO. 9702216378 P. 04
2005 Concrete Project - Phase II
Vogel Concrete Bid No. 5847
Change Order No: 6
Date: 10/1112005
1, Beason For Change,
a. A retaining wall needs to be constructed to facilitate installation of a pedestrian access ramp at 1033 Skyline.
2, Description Of Change:
a. Pay lump sum for retaining wall installation.
3. Change In Contract Amount
Item my Unit Unit Cost
Total Cost
a. Reaaining Wall - 1033 Skyline 1 LS S 2,121.00
$ 2,121.00
74TAL CHANGE IN CONTRACT AMOUNT
$ 2,121.00
4. Change In Contract Time
a. There is no change in contract in*.
TOTAL CHANGE IN CONTRACT TIME
0 Days