HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 4404014CHANGE ORDER NO.1
PROJECT TITLE: Valve on Horsetooth Reservoir 54-inch Raw Water Supply Line
ENGINEER: Stantec
P.O. NUMBER: 4404014
.VENDOR NUMBER: 150670
CHARGE NUMBER: 502 50264300.528180.3
DESCRIPTION: Increase in cost for additional work outside the original scope.
In preparing change orders show inorder as separate numbered paragraphs the
following:
1. Reason for change.
3. Change in contract cost.
2. Description of change.
4. Change in contract time
1. Additional fee required for additonal work. Please refer to attached letter.
2. Change in cost.
3. $1,531.21
4. No change in time.
(Attach additional sheets as required)
ORIGINAL CONTRACT COST
TOTAL APPROVED CHANGE ORDERS
TOTAL PENDING CHANGE ORDERS
TOTAL THIS CHANGE ORDER
TOTAL % OF ORIGINAL CONTRACT, THIS CO:
TOTAL % OF ORIGINAL CONTRACT, ALL CO'S:
ADJUSTED CONTRACT COST
(Assumine all chanee-Drders aunroved) n
ACCEPTED BY
ve)
REVIEWED BY:
(Project Manager)
APPROVED BY: Uri / ,pzO
(Senior Utilities Engineer)
APPROVED BY:
(Utilities General Manager)
APPROVED BY:
(Purchasing Agent Over $30,000)
CC: City Clerk Purchasing
Contractor Project File
Stormwater Finance Manager
$38,839.00
$0.00
$0.00
$1,531.21
3.94%
3.94%
$40,370.21
DATE: 1 L S
DATE: l Z 1i(d5--
DATE:
i
DATE: 147-
DATE:
NOTE: Signature of Contractor indicates
agreement herewithin, including any adjustment
in contract sum or contract time.
CHANGFRM.XLS
Stantee Consulting Inc.
209 South Meldrum Street
Fort Collins CO 80521-2603
Tel: (970) 482-5922 Fax: (970) 482-6368
stantec.com
41
RantK
December 7, 2005
Mr. Dan Mattson, P.E.
Utilities
CITY OF FORT COLLINS
P.O. Box 580 / 700 Wood Street
Fort Collins, CO 80522-0580
RE: 54" Valve at Soldier Canyon Dam
Dear Dan:
We hereby request an increase to our original contract fee to include additional work that was
performed for this project. Our original Scope of Services and Fee Estimate did not include: 1)
preparation of Record Drawings; and 2) the total number of meetings required during design.
Preparation of the Record Drawings required modifications to all sheets to show changes made
to the connection to the existing wye, revisions to the designed vault elevations, inclusion of the
cathodic protection system, revisions to the bypass piping, and addition of various notes.
Secondly, we attended four (4) additional meetings over the seven (7) included in our original
scope and fee. In addition, attendance at these meetings required preparation of agenda and
minutes. In all, these additional services amounted to $1,531.21. Therefore, we would like to
request a change order for this amount.
Thank you for your consideration of this request. Should you have any questions and/or
concerns, please feel free to contact us.
Sincerely,
C CONSULTING INC.
on S'
Project Manager
c. 187310020.invoice
V:\52873flactive\187310020\docs\Administration\Change Order\Letter request 10-07-05.doc