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HomeMy WebLinkAbout102511 LAFARGE NORTHERN - PURCHASE ORDER - 8853160 (2)Date: 07/09/08 City of Fort Collins Page Number: 1 City of Fort Collins Purchase Order Number: 8853160 Delivery Date: 05/27/08 Buyer: STEPHEN, JOHN Purchase Order number must appear on invoices, packing lists, labels, bills of lading, and all correspondence. Note: Line Qty/Units Description Extended Price 2 1 Lot 3,831.90 Change Order 1 Total $3,831.90 City of Fort Collins Director of Purchasing and Risk Management City of Fort Collins This order is not valid over $5000 unless signed by James B. O'Neill II, CPPO Accounting Department City of Fort Collins Purchasing, PO Box 580, Fort Collins, CO 80522.0580 PO Box 580 Fort Collins, CO 80522-0580 a City of Fork Collins Engineering Department Change Order Form PROJECT TITLE: Drake/Ziegler Improvements -Project .Phase III PROJECT NUMBER: 305232806(Bid #6099) CONTRACTOR: LafargeZhern Inc. (PO #8853160) \ CHANGE ORDER NUMBER: 71 \ 1. Reason for change. 1 2. Description of change. 3. Change in contract cosi,, 4. Change in contract time. 1.&2. See attached invoice for detatls�._, 3. The contract cost will increase by $3,831.90 4. There is no change in contract time. ORIGINAL CONTRACT COST $2,025,011.44 TOTAL APPROVED CHANGE ORDERS $0.00 TOTAL PENDING CHANGE ORDERS $0.00 TOTAL THIS CHANGE ORDER $3,831.90 TOTAL % OF THIS CHANGE ORDER 0.19% TOTAL C.O. % OF ORIGINAL CONTRACT 0.19% ADJUSTED CONTRACT COST $2,028,843.34 ACCEPTED BY: fir"' / DATE:�� ( nlractor's Rel esentative) ,Q REVIEWED BY: /'A 1 If DATE: -7 � �� — (En ar) SUBMITTED BY: '�� G�`7 DATE: (Project MayJ ppgerr-y- Engineering) APPROVED BY: DATE: rL I p 8 Department Hamad) APPROVED BY: - DATE: (Purchasing Agent over $60,000) cc: Accounting Purchasing Contractor Project File Engineering Department - 281 North College Avenue • P.O. Box 580 - Port Collins, CO 80522-0580 • (970) 221-6605 603-02 CHANGE ORDER Harmony - Ziegler Improvement Project SUMMARY OF WORK Lafarge - North America Adjustments to Washed Rock Quantity and 21" RCP Quantity TOTAL 17 3,831.90 REASON FOR CHANGE 206-04 Adjustment to contract quantity based on changes in field conditions due to muck excavation on the southeast side of the box culvert excavation which required additional washed rock filter material for backfill. 603-02 Adjustment to contract quantity. 57 LF of 21" RCP pipe was shown on the plans to be installed with this contract but were not included in the original engineer's estimate/bid tab. WHEN POSTED Posted to Pay App 81