HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 25989FEB-21-2006 TUE 11:12 AM CFC ENG.
FAX NO. 9702216378
P. 01
j Change Form
Engineering Departmeat '
PROJECT TITLE: 2005 Street Maintenance Program
PROJECT NUMBER: 320200 (Concrete Project Phase II - Bid #5847)
CONTRACTOR; Vogel Concrete (PO#5501541)
CHANGE ORDER NUMBER; a
n preparing change orders Show In order as separa a numbered paragraphs the following'
1. Reason W 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 decrease by ($49.68)
4. There is no change in contract time.
ORIGINAL CONTRACT COST
TOTAL APPROVED CHANGE ORDERS
TOTAL PENDING CHANGE ORDERS
TOTAL THIS CHANGE ORDER
TOTAL % OF TH19 CHANGE ORDER
TOTAL C.D. % OF ORIGINAL CONTRACT
ADJUSTED CONTRACT COST
ACCEPTED BY:
REVIEWED BY:
ACCEPTED BY:
APPROVED BY:
APPROVED BY.
ce: Accounting
Purchasing
Contractor
Project File
- Engineering)
(Purchasing Agent over $30,000)
0.00%
17.71%
$1,379,095.11
$244,823.46
$0.00
($49.68)
$1,623,368.89
DATE: i C�Ea
DATE: r3 a 1 OJO
DATE:. , 5 Li
DATE:
DATE:
Engineering Department • 281 North College Avenue - P.O. Sox 580 • Fort Collins, CO 80522-0580 • (970) 221405
FEB-21-2006 TUE 11:12 AM CFC ENG, FAX NO, 9702216378 P. 02
2005 Concrete Project - Phase If
Vogel Concrete Bid No. 5847
Change Order No: 9
Data: 2I9I2006
I.
Reason For Changer
a. Reduce Contract Quantity to match actual quanties
2,
Description Of Change:
a. Reduce contract Quantity to match actual quanties
3_
Change In Contract Amount:
Itom
Qty Unit Unit Cast Total Cost
a. 608.34 Expansion & Caulking
-12 LF $4.14 $ (49.56)
TOTAL CHANGE IN CONTRACT AMOUNT
$ (49.68)
4.
Change In Contract Time
a. There is no change in contract time.
TOTAL CHANGE IN CONTRACT TIME:
0 Days