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Change Order Form
PROJECT TITLE: 2011 KFCG Street Maintenance Program, Asphah Overlay Project
PROJECT NUMBER: 902111 ( Bid #7222)
CONTRACTOR: Lafarge Northern (PO 09112453)
CHANGE ORDER NUMBER: 1
n prepanng charge orders show in order as Separate nUmered paragraphs the folloyArg
1. Reason for change. 2. Description of change.
3. Change in contract cost. 4. Change In contract time
1. See attached document Change Omer No. 1
3. The contract cost w10 Increase by $239,981.91
4. There is n0 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
ACCEPTED BY:
APPROVED BY:
APPROVED BY:
Contractor
Plectrasfiv
Project Fie
_. ..._... _...___. _:._._.___._......777%%-
7.37%
$3.264,588.76
$0.00
$0.00
$239,981.91
$3,494,568.66
Change Order No: 1
Date: 7/1912011
1 Reason For Change:
a. Bid Alternate 1 Horsetooth Rd -College to Timberline Grinding and Traffic Control
b. Additional Traffic control for patching and milling on Horsetooth
c. Additional Grinding for paver patches
2 Description Of Change:
a. Lafarge Bid Altemate additional grinding and Iraffic controlfor l-imelooth Rd
3 Change In Contract Amount:
Item Oty Unit Unit Con Total Cast
a. 202.10
Grinding (planing) Surface Reparation <1"
74000.00
SY
$2.65
$196,100.00
630.00
Conswction Zone Traffic Control
1.00
E eh
59,078.00
$9,078.00
b. 630.00
Tefic Control additional patches on 14T
1.00
Each
$9.862.00
$8,862.00
C. 202.10
Grinding (planing) Surface Prcparalion <3"
9789.40
SY
$2.65
525,941.91
TOTAL CHANGE IN CONTRACT AMOUNT
TOTAL
$239,981.91
4 Change In Contract Time
a. No Change
TOTAL CHANGE IN CONTRACT TIME 0
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Change Order Form
PROJECT TITLE: 2011 KFCG/Street Maintenance Program, Asphalt Overlay Project
PROJECT NUMBER: 9=120 ( Bid 97222)
CONTRACTOR: Lafarge Northern (Pb #9112453)
CHANGE ORDER NUMBER: 2
1. Reasonlorchange. 2. Descripilonolchar
3. Change In contract cost. 4. Change In combed
1. See attached document Change Order No. 2
3. The contract cost will Increase by $79,97320
4. There is no change in contract tine.
ORIGINAL CONTRACT COST
TOTAL APPROVED CHANGE ORDERS
TOTAL PENDING CHANGE ORDERS
TOTAL THIS CHANGE ORDER
TOTAL % OF THIS CHANGE ORDER
TOTAL C.O. % ORIGINAL CONTRACT
ADJUSTED CONTRACT COST
ACCEPTED BY.
APPROVED BY
APPROVED BY
00: contrw
Purowsty
Proles Fft
2.42%
9600%
S3254,WS.75
$239,981.91
$78,873.20
$3,5T3,44148
)ATE
DATE. C7
DATE: 7,-----
a
Charge Order No: 2
Dale: 7/19/2011
1 Reason For Change:
a. Harmony crossing patching milling and traffic control
2 Description Of Change:
a. Time and materials for Harmony Crossing
3 Change In Contract Amount:
Item
Qty Unit Unit Cost
Total Coal
a. 630.00 Construction Zone Traffic Control
1.00 Each S17.787.00
$17 787 00
40.1.07 HMA - Hand Patching - Remove&Replace
513.20 Ton $I 19.03
$61,086.20
TOTAL CHANGE IN CONTRACT AMOUNT
TOTAL
$78,873.20
4 Change In Contraet Time
a. No Change
TOTAL CHANGE IN CONTRACT TIME g
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Change Order Form
PROJECT TITLE 2011 KFXIIStrem Maintenance Program, Asphalt Overlay Project
PROJECT NUMBER: 902120 ( Bid 87222)
CONTRACTOR: Lafarge Northern (PO 09112453) .. - .... .
CHANGE ORDER NUMBER: 3
1. Reason for Mange. 2. Description OL Mange
3. Charge in contract cost. 4. Change in contract time.
1. See atiachad document Change Order No. 3
3. The contract coat will bxrease Dy $23.478.00
4. There Is no charge In convect time.
ORIGINAL CONTRACT COST
TOTAL APPROVED CHANGE ORDERS
TOTAL PENDING CHANGE ORDERS
TOTAL THIS CHANGE ORDER
TOTAL % THIS CHANGE ORDER
TOTAL C.O. % ORIGINAL CONTRACT
ADJUSTED CONTRACT COST
O.M%
f0.M
$32S4,588.75
$318,855.11
$23,478.00
83,598,919.88
ACCEPTED BY: DATE:
Can r s Represaftilve Q
APPROVED BY: DATE:
Paftwlent Management Manager - /
m OMR00tOr
PLnmaibq (�
PM)w FOR
Change Order No: 3
Dale: 7/19/2011
1 Reason For Change:
a. Prospect T S M SY Petromat 17400SY
b. Prospect Ftow Boys
2 Description 01 Change:
a. Time and materials for Petronat on W Prospect
b. Adclitonal trucking needed on Prospect Project
3 Change In Contract Amount:
Item
Qty Unit Unit Con
Total Cost
a. 420.01 Deotextile Paving Fabric
_ 1740000 SY $1.25
$21,750.00
b. Trucking Prospect Flow Boys
24.00 HR $72.00
$1,728.00
TOTAL CHANGE IN CONTRACT AMOUNT
TOTAL
$23.478.00
4 Change In Contract Time
a. No Change
TOTAL CHANGE IN CONTRACT TIME 0