Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 2539201/03/2006 TUE 15:00 FAX 970 221 6586 CITY OF FT COLLINS CLRS 0 001/001
CHANGE ORDER NO.1
PROJECT TITLE: RABBIT BRUSH MINI -PARK
CONTRACTOR: Express Concrete
PROJECT NUMBER:
PURCHASE ORDER NO.: 5506W
DESCRIPTION: Change in concrete quantities for shelter
1. Reason for change: Used 6' flatwork rather than 4" to make up grade change.
2. Description of Change:
1) 6" flatwork $ 569.35
2) Expansion and Sealing $ 53.20
3) Remove 4" flatwork from proposal $ (551.25)
0 fie, ds3 �
V 3 � c�
3. Change in Contract Cost 71.30
4. Change in Contract Time: no change
TOTAL APPROVED CHANGE ORDER $ -
TOTAL PENDING CHANGE ORDER $ -
TOTAL THIS CHANGE ORDER $ 71.30
TOTAL % OF ORIGINAL CONTRACT, THIS C.O. 0.15%
TOTAL % OF ORIGINAL CONTRACT, ALL C.O.'S 0. 5
ADJUSTED CONTRACT COST
(Assuming all change orders approved)
ACCEPTED
Contractor's
ACCEPTED
Project Mang _
REVIEWED BY:
Title:
APPROVED BY:
Title:
DATE: /f r
DATE:
DATE:
DATE:
APPROVED BY: DATE:
Purchasing Agent over $30,000
City Clerk Architect
Contractor Engineer
Project File Purchasing