HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 25511JAN-05-2006 THU 10:58 AM CFO ENG, FAX N0, 9702216378 P. 03
Change Order Form
c1ty o A�Mtcolwus
Ea4ineerinff Department
PROJECT TITLE: Trilby Rd, & Ziegler Rd. Improvements
PROJECT NUMBER: 30523286.6 (Bid #5927)
CONTRACTOR: Gerrard Excavation (PO #5505947)
CHANGE ORDER NUMBER: 4
n preparing.c ange orders show In ofder as separat"umbered paragraphs the following;
1. Reason for change. 2, Description of change.
3. Change in contract cost. 4. Change in contract time.
1 Q. See attached sheet for detail.
3. The contract cost will decrease by $ (49,018.03)
4. There will be no change in contract time.
ORIGINAL CONTRACT COST
TOTAL APPROVED CHANGE ORDERS
TOTAL PENDING CHANGE ORDERS
TOTAL THIS CHANGE ORDER
TOTAL % OF THIS CHANGE ORDER
TOTAL C.O. % OF ORIGINAL CONTRACT
ADJUSTED CONTRACT COST
(Assuming all change orders approved)
ACCEPTED BY:
REVIEWED BY:
-5.83%
-4.30%
DATE; f I L Oh
)ATE: (IVA 6
(Project Engineer)
ACCEPTED BY:' /• DATE: mod°
(Prole onager - Engineering)
ACCEPTED BY: _ DATE; dl)T�—O_f-14
( partment Head - Engineering) r
APPROVED BY:
(Purchasing Agent over $30,000)
oc: Contractor
Purchosing
Project File
DATE:
$841,372.43
$12,880.75
$0.00
($49,018.03)
$806,235.15
Engineering Department - 281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6605
JAN-05-2006
THU
10:58 AM CFO ENG.
FAX NO. 9702216378
P. 04
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Gerrard Excavating
Reconciling Change Order
TRILGY ROAD AND ZIEGLER ROAD IMPROVEMENT PROJECT
- See attached submittal -
Gerrard Excavating Reconciling Change Order
Project total came in under the adjusted contract total.
Please see attached spreadsheet for details on over -runs
and under -tuns.
Pasted to Pay Estimate # 4