HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 27335Change Order Form
Engineering Department
PROJECT TITLE: Timberline Rd. Widening Project
PROJECT NUMBER: 30523270.6 (Bid #5954)
CONTRACTOR: Connell Resources, Inc. (PO #6601742)
CHANGE ORDER NUMBER: 5
n nranannn clhnnnp nrriprq c nw in nrrip.r as senara a mum ere naraoranirs the followina,
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 $32,819.00
The Contract will increase by 19.5 days.
ORIGINAL CONTRACT COST
$5,277,645.27
TOTAL APPROVED CHANGE ORDERS
$100,920.60
TOTAL PENDING CHANGE ORDERS
$0.00
TOTAL THIS CHANGE ORDER
$32,819.00
TOTAL % OF THIS CHANGE ORDER
0.62%
TOTAL C.O. % OF ORIGINAL CONTRACT
2.53%
ADJUSTED CONTRACT COST
$5,411,384.87
(Assuming all change orders approved)
ACCEPTED BY
ACCEPTED BY:
REVIEWED BY:
(Engineer)
APPROVED BY:
APPROVED BY:
cc: Contractor
Purchasing
Project File
DATE:���
)ATE: g /I6��
O
S /06
T DATE:
(De artment Head) �/� {�` /
DATE: O / 22J0(a
(P c a ing Agent over $30,000)
Engineering Department • 281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6605
Connell Resources Inc.
TIMBERLINE ROAD WIDENING PROJECT • INTERM
See attached submittal
Item Quantity Unit S / Unit Total
9026
Additional Concrete for Concrete Mix Design Change
414
CY
$ 5.10
$ 2,111.40
9027
10" Crosspan & Apron
1356
SF
$ 7.10
$ 9,627.60
9028
Aprons
8
EACH
$ 1,600.00
$ 12,800.00
9029
Additional Irrigation Repairs at Gas Metering Station
1
LS
$ 2,800.00
$ 2,800.00
9030
Fire Hydrant at South End
1
LS
$ 3,900.00
$ 3,900.00
9031
Petro Mat
120
SY
$ 2.00
$ 240.00
9032
Additional 3/4' Irri ation Service at Spring Creek Farms
1
EACH
$ 1,340.00
$ 1,340.00
9033
Additional Contract Days
1 19.51
DAYS
I
Is -
TOTAL
Is 32,819.00
9026
Additional Concrete for Revised Mix Design
9027
No Bid Item for Work at Spring Creek Farms
9028
No Bid Item for Work at Spring Creek Farms
9029
Additional Work completed at the Xcel gas metering station including repairs to the
irrigation, backflow preventors, mainline repairs, new sprinkler heads and labor
9030
Additional work to include a fire hydrant at the south end of the project
9031
Install Petro Mat at the Spring Creek Bridge -Pavement Joints
9032
Additional 3/4" Irrigation Service at Spring Creek Farms
9033
Additional Contract Days for the work included in change order 3, 4 and 5. Including
work at Pond 5, Pond 11, MSE Wall, Tree Removal, Irrigation Service, Support at the
Railroad Crossings and other misc. items.
Posted to Pay Estimate No.5