HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 27254AUG-08-2006 TUE 08:04 AM CFC ENG, FAX NO, 9702216378 P. 01
Change Order Form
City of Fast Collins
EnSiueeAnq Department
PROJECT TITLE: 2005 Street Maintenance Program
PROJECT NUMBER: 320200 (Bid #5839)
CONTRACTOR:. Lafarge Northern, Inc. (PO #5502237)
CHANGE ORDER NUMBER: 12
n prepanng c angs orders s ow In order as sepora a hum ere paragrap s the following:
1. Reason for change. 2. Description of change.
3. Chango in contract cost. 4. Change in contract time.
1 &2. See attached sheet for detail.
3. The contract Cost will decrease by
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.O. % OF ORIGINAL CONTRACT
ADJUSTED CONTRACT COST
(Assuming all, change orders approved)
ACCEPTED BY:
SUBMITTED BY.
APPROVED BY:
ACCEPTED BY:
APPROVED BY:
cc; Purchasing
Accounting
Coptraotor
Project file
Department Head
(Purchasing Agent over $30,000)
-0.08%
0.90%
A
o io
m
X
z
m
$2,230,3B8.32
$21,974.60
$0,00
($1,881.05)
$2,250,481.81
DATE: —
DATE: !
DATE: 0, 7-�
DATE:
DATE:
Engineering Department - 281 North College Avenue, P,O. Box 580 - Fort Collins, CO 8052Z-0580 • (970) 221-6605
AUG-08-2006 TUE 08 : 04 AM CFO ENG, FAX N0, 9702216378 P. 02
City of Fort Collins 2005 Asphalt Overlay Project
Lafarge -.Bid No. 5939
Change Order No.: 12
Data: 813/2006
1 Reason For Change:
a. Contract quantities do not (notch actual in -place quantities
b. Additional work was performed on the Hot In Place Recycling Project that was not included in the contract
2 Pescription Of Change:
a. Reduco contract quantities to match actual quantities
b. Pay tinla and material rates for additional infrared repairs on Taft Hill Road
3 Change In Contract Amount
a. Seo attached Spreadsheet
$ (2,652.15)
b. [Description
Quantity
Unit Price
Unit
Total Cost
Tandem
1.5
$
70.00
HR
$
105.00
Small Roller
1
$
70.00
HR
$
70-00
Infra Red
1.5
$
250.00
HR
$
375.00
Asphalt Patching
1
5
35.10
Ton
$
35.10
Foreman/Pickup
1.5
$
60.00
HR
$
90.00
Laborer
3
$
32.00
HR
96.00
$
771.10
Total Change In Contract Amount
4 Change In contract Time
V. There is no change in contract time.
b. There is no change in contract time.
$ (1,881.05)