HomeMy WebLinkAboutCHANGE ORDER - PURCHASE ORDER - 9951377 (2)0
Planning, DwMs opment tar TI'anspo-a-opt
ctt%iT _o Engineering
281 North College Avenue
i P.O. Box 580
ti Fort Collins, CO 80522.0580
.r �970.221.6605
970.221.6378 -fax
fcgov. com/engineedng
Change Order Form
PROJECT TITLE: W. Harmony Widening, Project
PROJECT NUMBER: 400901707.6 (Bid #7004)
CONTRACTOR: Coulson Excavating Co., Inc. (PO #9951377)
CHANGE ORDER NUMBER: 9
n preparing cnange orders snow In order as separate numoerea paragraphs the Tollowing:
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 $18.639.57
4. There will be no change in contract time.
ORIGINAL CONTRACT COST $2,158,301.45
TOTAL APPROVED CHANGE ORDERS $191.735.37
TOTAL PENDING CHANGE ORDERS $0.00
TOTAL THIS CHANGE ORDER $18,639.57
TOTAL % OF THIS CHANGE ORDER 0.86%
TOTAL C.O. % OF -ORIGINAL CONTRACT 9.75%
ADJUSTED CONTRACT COST $2,368,676.39
(Assuming all change orders approved)
ACCEPTED BY: �O`�.eLt��. DATE: O
(Contractor's Representative)
REVIEWED BY: DATE: C%
(Engi eer- i min
( r
SUBMITTED BY: ' n -� 63 DATE:
(Pr ject Manager - C it Projects)
APPROVE BY- 4 DATE:
//(Dtypartmerit Head - Engineering)
APPROVED BY: DATE:
(Purchasing Agent over $60,000)
cc: Contractor
Purchasing
Project File
West Harmony Widening Project
0
-�-
xn
Coulson Excavating
Item # Item Quantity Unit $ / Unit Total
1 JAsphalt Cost Adjustment 1 11 LS 1 $ 27, 04.971 $ 18,639.57
Harmony Widening Project Cost: 1 $ 18,639.57
TOTAL
1 See Attached CDOT Form
Posted to Pay App #5
MONTHLY ASPHALT CEMENT COST ADJUSTMENT WORKSHEET
Est Date: 108114109
Price index for the month In which bids were opened BP $/Ton
$142.57
Price index for current month (EP, $Iron
1 $302.12
Quantities paid on current month estimate
403 - Hot Mix Asphalt
Item Code
Item Description
% AC (PA)
(decimal)**
HMAISIVIA ons
Placed this pay
period
AC Cost Adjustment
403-32821
Hot Mix Asphalt (Grading SG) (100) (PG 58-28) (6" Depth)
0.0440
2.779.31
$18,639.57
$0.00
$0.00
$0.00
$0.00
$0.00
Total Cost Adjustment for Pay Period
$18,639.67
403 - Stone Matrix Asphalt
Item Code
Item Description
AC (PA)
(decimal)**
Tons
Placed this pay
period (Q)
AC Cost Adjustment
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Cost Adjustment for Pay Period
$0.00
411- Asphalt Cement
Item Code
Item Description
ASphaltuement
placed this pay
period (Tons) (Q)
AC Cost Adjustment
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Cost Adjustment for Pay Period
$0.00
Total HMA Cost Adjustment (FA) for Estimate $18,639.57
Prepared by:
Date: Reference #
Instructions: Enter data in the yellow cells to calculate the Asphalt Cement cost adjustment
This spreadsheet calculates adjustments for Asphalt Cement cost changes only
Enter the estimate cutoff date and estimate number
Enter the price index for the month in which bids were opened (BP).
- Enter the price index for the month of the estimate cutoff date (EP).
- Enter the item code, description and the quantity paid for each item on the current estimate that is included in the Asphalt Cement Cost
Adjustment Project Special Provision . **(Follow instructions for "PA" in specification if RAP is used)
This form automatically calculates the +/- 5% "trigger" shown in the specification.
- If the total fuel cost adjustment is positive or negative, enter the amount shown as an asphalt cement cost adjustment pay item on the
estimate (negative numbers are red and in parentheses). Use Plan Force Account 700-70019.
Enter the Date Prepared and the Reference # (The reference number is determined by the Project Engineer to reference the report).
Print this form, sign it, or save it electronically and include it in your project documentation.
0-0
FROM Qtk Planning, Developirnent Z. Transportation
of
Engineering
t t W SO . %0041 28'1 North College Avenue
;u if Ib P.O. Box 580
For¢ ,. Fort Collins, CO 80522.0580
w• 970.221.6605
970.221.6378 - fax
fcgov. com/engineering
Change Order Form
PROJECT TITLE: W. Harmony Widening, Project
PROJECT NUMBER: 400901707.6 (Bid #7004)
CONTRACTOR: Coulson Excavating Co., Inc. (PO #9951377)
CHANGE ORDER NUMBER: 10
n preparing change oraers snow In oraer as separate numoerea paragrapns the rollowing
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 $11,220.25
4. There will be no change in contract time.
ORIGINAL CONTRACT COST
$2,158,301.45
TOTAL APPROVED CHANGE ORDERS
$191,735.37
TOTAL PENDING CHANGE ORDERS
$18,639.57
TOTAL THIS CHANGE ORDER
$11,220.25
TOTAL % OF THIS CHANGE ORDER
0.52%
TOTAL C.O. % OF ORIGINAL CONTRACT
10.27%
ADJUSTED CONTRACT COST
$2,379,896.64
(Assuming all change orders approved)
�/7—l/0,9
ACCEPTED BY: r!.��t—/��L�C_—
DATE:
REVIEWED I
SUBMITTED
APPROVED
APPROVED BY:
(Purchasing Agent over $60,000)
cc: Contractor
Purchasing
Project File
TE: g
�Q
rE: V `?%� 01
DATE:
� .4 ' >;a «�. � CH NG�.Q,RDER, 0 T �� 4 ,. •�a�"��„ x � ��' }�
West Harmony Widening Project
Coulson Excavating
Item # Item Quantitv unit $ i unit Total
Temporary asphalt sidewalk adjacent to
1
Safeway site
1
LS
$ 7,422.00
$ 7,422.00
Additional cost for thickened edge
2
sidewalk
265
LF
$ 7.85
$ 2,080.25
Reset manhole adjacent to FRCC to
3
match sidewalk elevation
1
LS
$ 1,718.00
$ 1,718.00
Substantial completion contract time
extension due to weather days moved
from July 20th to August 15th. Final
41
completion August 29th.
26
Days
$ -
$ -
Harmony Widening Project Cost: $ 11,220.25
TOTAL
1
A temporary sidewalk adjacent to the future Safeway site was added to the project since the Safeway project has not yet
been formally submitted for development review.
2
No line item was provided on the bid tab for a thickened edge sidewalk constructed near the NE corner of Harmony and
Shields
3
M.H. built per plan did not match new sidewalk elevation. M.H. needed to be adjusted to match sidewalk grade later.
4
Request by Coulson to formally extend substantial completion date to August 15 due to bad weather.
Laar.
2 3 3 «« 374 y j/p
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Posted to Pay App #5