HomeMy WebLinkAboutCHANGE ORDER - BID - 7256 HOT APPLIED CHIPSEAL OVERLAY (5)City Of
F6rt Collins
Planning, Development & Transportation
6�
Nrnth Street
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P 0 Box 580
Fort Collins. CO 80522 0580
970.221.6615
970 221.6270. tax
Change Order Form
PROJECT TITLE: 2012,Street Maintenance Program, HACO Program
PROJECT NUMBER: ( Bid 97256)
CONTRACTOR: A-1 Chipseal (r ` a,770
CHANGE ORDER NUMBER: 1
n preparing change orners snow in order as separate numbered paragraphs the fol o
1. Reason for change. 2. Description of change.
3. Change in contract cost. 4. Change In contract time.
See attached document 2012 Pay Estimate Reconciling CO
3. The contract cost will decrease by $24,019 05
4. There is no change in contract time.
ORIGINAL CONTRACT COST
$965,651.25
TOTAL APPROVED CHANGE ORDERS
$0.00
TOTAL PENDING CHANGE ORDERS
$0.00
TOTAL THIS CHANGE ORDER
($24,019.05)
TOTAL % OF THIS CHANGE ORDER
-2.49%
TOTAL C.O. % OF ORIGINAL CONTRACT
-2.49%
ADJUSTED CONTRACT COST
$941,632.20
ACCEPTED BY: _ DATE: 11 /20/2012
Contractors Representative
APPROVED BY:
�fananceogram Manager
cc: Contractor
Purchasing
Project File
DATE: