HomeMy WebLinkAboutCHANGE ORDER - REQUISITION - 27474SEP-07-2006 THU 11:13 AN CFO ENG,
FAX NO. 9702216378
P. 01
Eepineerhig Depart gnat
Change Order Form
PROJECT TITLE: Ziegler Rd. & Kechter Rd. Roundabout
PROJECT NUMBER: 30523285.6 (Bid #5979)
CONTRACTOR: Gerrard Excavation (PO 06603521)
CHANGE ORDER NUMBER: 2
to preparing change orders show in onf6r as separate numbered paragraphs the o owing:
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 decrease by $ (42,664.64)
4, There will be no change in contract time.
ORIGINAL CONTRACT COST
$1,456.808.87
TOTAL APPROVED CHANGE ORDERS
TOTAL_ PENDING CHANGE ORDERS
$4,123.31
TOTAL THIS CHANGE ORDER
($42,664.64)
TOTAL % OF THIS CHANGE ORDER
TOTAL C.O. °r6 OF ORIGINAL CONTRACT
-2.65%
ADJUSTED CONTRACT COST
$1,418,267.54
(Assuming all change orders approved)
ACCEPTED BY: ~` _ DATE:wim-k-24P040
(Contractors Representative) �f 9
REVIEWED BY DATE:
(Project Engineer)
ACCEPTED BY:
Manager -
DATE:
q,I N-e
ACCEPTED BY: NonW L" L LZ➢,d_ DATE: 'pG
[(Department Mead - Engineering)
APPROVED BY:
(Purchasing Agent over $30,000)
cc: Contractor
Purchasing
Project File
DATE:
Eneineerias Denanment - N1 North Cnrrnas . 13 11 n--- can . F -- m.--. --. . --