HomeMy WebLinkAboutCHANGE ORDER - BID - 7366 HARMONY ROAD MAINTENANCE PROJECT - COLLEGE AVE TO TIMBERLINE RD (5)Cit
of
F®ryt Cothns
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Planning, Development & Transportation
Engineering
281 North College Avenue
P.O. Box 580
Fort Collins, CO 60522,0580
970.221.6605
970. 221.6378 -fax
Change Order Form
PROJECT TITLE: Harmony Rd. Maintenance Project (College/Timberline)
PROJECT NUMBER: 902310 (Bid #7366)
CONTRACTOR: Martin Marietta Materials (PO #9122742)
CHANGE ORDER NUMBER: 3
n preparing change or ers s ow In order as separate num5—ered paragraphs the hollowing:
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 $ 6,036.80
4. There will be no 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
(Assuming all change orders approved)
ACCEPTED BY:
REVIEWED BY:
SUBMITTED BY:
0.29%
3.70%
$2,047,316.21
$11,738.10
$57,928.50
$6, 036.80
$2,123,019.61
DATE: 7" Z -I2-
DATE: ?-.;� Ufa
(Project Man er
APPROVED BY:0JND_fADATE:
(Dep ent Head)
APPROVED BY: .DATE:
(Purchasing Agent over $60,000)
cc: Contractor
Purchasing
Project File