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CHANGE ORDER NO.03
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a PROJECT TITLE: PFA Station 5 Addition & Remodel
CONTRACTOR: Sinneff Builders, Inc.
PROJECT NUMBER:
DE SCRI PTIONr See Attach Changes
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In preparing change orders show in orderas separate numbered paragraphs the foflowing:
Reason for change: See Attachments
Description of change: See Attachments
3. Change in contract cost: 33,850.01)
4. Change in contract time: Time to remain the same
o (Attach additional sheets as required)
'-- ORIGINAL CONTRACT COST .............................................. ............................
M4.9w.0D
¢ TOTAL APPROVED CHANGE ORDERS ............... <...... ................... ........................
6,M9.00
TOTAL PENDING CHANGE ORDERS.........................................
TOTAL THIS CHANGE ORDER ................................................... _.................
.....3.850.
. _ ADJUSTED CANTRACTCOST.........................................................................
.00
TOTAL % OF THIS CHANGE ORDER ..........................
TOTAL C.O. Si OF ORIGINAL CONTRACT ... ................ 2%
ADJUSTED CONTRACTCOST.............................................................Se06,626.00
(Assuming I h n
orders aoDrovedl
a ACCEPTED BY:
/SINNETQ0U ERS, INC
DATE
REVIEWED BY:
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V -F E, GARY DENNI N
t DATE
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ACCEPTED BY:
SIEVE WHITE, PROJECT MANAGER
DATE
APPROVED BY__
o
PFA.GAR NUCK S -
DATE
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APPROVED BY_
a
PURCHASING AGENT OVER S30,o00
DATE
a cc: Project File, Contractor, Purchasing, Engineer
A
Change in Work Request
SINNETT BUILDERS, INC.
P.O. Box 1988
4557 Denrose Court
Foil Collins, CO 80522
(970)493-1770
Fax {970) 482-4537
PROJECT: PFA Station 8 Remodel & Addition PR(k1ECT #: 372
CONTRACTOR: Sinnetl Builders, Inc. REQUEST NO. 34
REQUESTREVlEWEDBY: ScottSteel DATE: 4l1J2008
ARCHITECTiENGtNEER
SUB -TRADE ELECTRCIAL
REQUEST BY:
DESCRIPTION OF REQUEST: cw # 23 ihdvded $3850 prevoisly
cred'ded h cwr # A
TRADE- ELECTICAL
$3.850
TRADE-
TRADE-
TRADE -
BOND, INSURANCE
SO
S.B.I FEE
50
_ TOTAL
$3,850
AMOUNT FOR PROPOSED CHANGE: &3,850
ADDED TO Contract
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Date: (�L{ Lee
OWNER
BY:
Date:
!CHANGE WORK REQUEST RECORD
(Project: P.F.A. STATfONS
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