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CHANGE ORDER - BID - 6066 ROOFING SERVICES ANNUAL
CHANGE ORDER NO, I PROJECT TITLE: MWRF Headworks Building Re -roof CONTRACTOR: ACC Roofing, Inc. P.O. NUMBER: 9952110 VENDOR NUMBER: 318518 CHARGE NUMBER: 5036315600.562020.6 DESCRIPTION In preparing change orders show inorder as separate numbered paragraphs the following: 1. Reason for change. 2. Description of change. 3. Change in contract cost. 4. Change in contract time 1. Additional work beyond the scope of the contract 2. During stripoff discovered asphalt coating on parapet walls requiring the installation of densdeck cover over the asphalt and replacement of the parapet wall caps 3. $2361.00 4. Not Applicable (Attach additional sheets as required) ORIGINAL CONTRACT COST TOTAL APPROVED CHANGE ORDERS TOTAL PENDING CHANGE ORDERS TOTAL THIS CHANGE ORDER TOTAL % OF ORIGINAL CONTRACT, THIS CO: TOTAL % OF ORIGINAL CONTRACT, ALL CO'S: ADJUSTED CONTRACT COST (Assuming all change orders approved), ACCEPTED BY: Representative) REVIEWED BY: r ,. (Project Manager) APPROVED BY: APPROVED BY: APPROVED BY: $15,835.00 $0.00 $0.00 $2,361.00 14.91 % 1491% Resources and ,Treatment k-rvices Manager) J (Utilities Executive Director) (Purchasing Agent Over $30,000) $18,196.00 DATE: ,� .Z DATE: S //d /auc�. DATE: ` ( k 2 1 o `i DATE:,6 DATE: CC: Purchasing NOTE: Signature of Contractor indicates Contractor agreement herewithin, including any adjustment Project File in contract sum or contract time. 1713 E. Lincoln Ave. Unit 3-3, Fort Collins, Colorado 80524 Ln ACC Roofing NCORGORLIEO Change Order To: City of Ft. Collins Water Reclamation leadworks Bldg. Attn: Mr. Link Mueller Imueller(h4egov.com Enviromental Drive Ft. Collins, Co Phone: (970) 222-0465 Fax: (970) 221-6619 Date: April 16, 2009 RE: Re -roof Bid #09-C231 www.roofsbyacc.com Q info@roofsbyacc.com © 970.493.2801 O 970.493.8868 Proiect: Headworks Location: Mullbery Following Char a Order Submitted: cap metal and curb caps and parapet wall corrections. Scone of Work: Installed dens deck on the parapet walls to cover asphalt and smooth out the surface, Installed new parapet cap metal and new curb caps Back Charge Price: TWO THOUSAND THREE. HUNDRED SIXTY ONE dollars (S2,361.00). Labor: Parapet cap installation. S 700.00 Dens Deck on parapet walls. S 600.00 Metal curb cap installation. S 300.00 Material: 24 ga. Galv. Parapet cap metal S 450.00 12 Tubes caulking x 5.00 S 60.00 Dens Deck S 175.25 Olybond adhesive S 75.75 Curb Caps No Charge S 0 Sub total $2,361.00 Total $2,361.00 N e Ileeh\ propose to furnish labor and inaterials-cornplele in accordance oiih the above spceinell ions. Bills are ill he paid upon completion unless other arran,crnenls have be nade. Unpaid balances shall incur (merest at the rate of 1.3%per month m ! and aaccount turned over for eolfeelili hat assessed all costs orcnlleciion. including ailornek's fees. / :Authorized Signature / �____- ,,..... //-i Xl% Senior Connnercial ACCEPTANCE OP 13ACK CI-IAR(3ES— The above prices. specifications k conditions are hereby accepted. You are authorized to do the work as specilied. Payment will be made as outlined above. .Accepted: Yes_ --S print