HomeMy WebLinkAboutCHANGE ORDER - BID - 7417 ASPHALT SURFACE TREATMENT PROJECTCHANGE ORDER FORM
PROJECT TITLE: Street Maintenance Slurry Program
PROJECT NUMBER: Bid #7417 PO #9124934
CONTRACTOR: Al Chipseal Co
CHANGE ORDER NUMBER: 1
In preparing change orders show in order 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. Increase in quantities
2. Add 366 sq yds of cape seal
3. Increase PO by $2,559.17
4. No change.
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[
SUBMITTED
(Project Manager)
REVIEWED BY:
Engineer)
APPROVED BY:
(Department Head)
cc: Accounting
Contractor
Purchasing
Project File
9.44
9.44
$27,103.20
$0.00
$0.00
$2,559.17
$29,662.37
DATE:
DATE:
TE:
DATE: / /oZ(0 /42