HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 27146JUL-21-2006 FRI 09:17 AM CFO ENG, FAX NO. 9702216378 P. 07
iiLy arartcomm
&agintrring Department
Change Order Form
PROJECT TITLE: E. Prospect Rd. Improvements
PROJECT NUMBER: 30521700.6 (Bic #5958)
CONTRACTOR, DO n Construction, Inc. (PO #0601846
CHANGE ORDER NUMBER: 1
n Reeanna c atii nae ar ecerrs Ph in order as seeara a numbered Daraorac ii s`fhe lollowina:
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 $19,72430
4. There will be no than a in con ct 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'CONTRACTCOST
(Assuming all change orders approved)
$3,757,638.35
$19,724.50
0.52%
0.52%
$3,777,262.85
ACCEPTED BY:
DATE:
(Contractor's Representati
ACCEPTED BY:
. y d
DATE: ^ ! L-/
(Project Managerl
l f
1
REVIEWED BY:
DATE:
(E ginear)
APPROVED BY:
DATE: {
�! I ( apartment Head)
D
APPROVED BY:
_
DATE:
(Purchasing Agent over $30,000)
cc: Conlractor
PurOo4og
Prajact Filc
I_ er^ I - Rern DasuiPlian I Unk ' OuUnfuy + Untf Price (S). 1 Ram Price �57 1 Ouanthy J a nourR (sl I OIY j A�rzaunt �i�
CHANGE ORDER NO. T
GD-DOi
IREMOVE TREES
EACH
37.M
S2'0 Q7
5250.00
53
$ 13,250.OD
16
S 4,000.00
CO-002
RIPRAP (SPECAU 12-INCH
CY
73dA]
MIX)
585.00
867
S 73.696,03
129
$ 10,965.OD
CO-003
R EMOVE XC EL GAS LINE(6-STEELS
LS
0
S -
S1,347.50
i
S 1,347.50
1
S 1,347.50
C0-004
INSTALL RESTRAINT ON HDPE FORCE MKIN (AS)
EACH
0
$ -
ST,705.00
2
5 3A72.00
2
$ 3.412 ED
CO-005
ADAPTER FROM 14- PVC TO 16' WIDE F0RCE MAIN (AB)
EACH
0
$
$2.088.00
2
$ 4,176.00
2
5 4,176.00
C0-006
14`1f.25 BEND LL'lSAEGALUNGS (AB)
EACH
0
$1.20400
1
$ 1,204.00
1
$ 1.204.00
CQ-0037
1E--INCH HDPE. DR 11. SO DEGREE ELBOW (EACH)
EACH
1
5 1,T00.00
$1,100.CA
2
S 2,200.00
1
$ 1, 100.00
S T9,724.50
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