HomeMy WebLinkAboutCHANGE ORDER - BID - 5932 MASON STREET HARMONY ROAD SPRING CREEK BIKE P (2)07/20/2006 THU 13:14 FAX. 970 221 8586 CITY OF FT COLLINS CLRS
CA001/001
Change Order Form
CRY ofrint Cowes
MINE
Eng1noning Department
PROJECT TITLE' Mason Street Transporation Corridor
PROJECT NUMBER: 30521900.6 (Bid *5932)
CONTRACTOR:, Mountain Constructors (PO #5606704)
CHANGE ORDER NUMBER: 5
n preparing. change orders s ow In oCder as separate numberednumberad paragraphs the. following:
1, Reason for change. 2. Description of change.
3: Change in contract cost. 4. Change In Contract time.
1 &2. See attached sheet for detail.
3. The contract cost will increase by $ 25,380.00
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.0- % OF ORIGINAL CONTRACT
ADJUSTED CONTRACT COST
(Assuming all change orders approved)
ACCEPTED BY:
SUBMITTED BY:
APPROVED BY:
APPROVED BY:
APPROVED BY:
cc: Purchasing
Accounting
Contractor
Project File
(Purchasing Agent over $30,000)
Parke & Rec.
Engineering
$25,300.00
$0.00
1.82%
3.73%
$1,392,915.11
$26,601.00
$0.00
$26,380.00
$1,444,896.11
DATE: 6 7 -/Q' 0 6
DATE: CZ -!a ^DG
'DATE: /d Olo
DATE: Z
DATE:
Engineering Department, 281 North College Avenue - P.O. Aoz $80 • Fort Collins, CO s0522-0580 • (910) 221405