HomeMy WebLinkAboutCHANGE ORDER - BID - 6088 CONCRETE MAINTENANCE PROJECT II (2)0
City Of-
planning, Development & Transportation
Streets
ll
Street
Streets
P.O. Box 580
Fort Collins, CO 80522.0580
970.221.661 S
970.221.6270- fax
Change Order Form
PROJECT TITLE: 2012 CONCRETE MAINT PROJECT
PROJECT NUMBER: 902120 Bid No. 6088
CONTRACTOR: NORTHSTAR CONCRETE (PO No. 9122294)
CHANGE ORDER NUMBER: 2
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 &2. See attached sheet for detail.
3. The contract cost will increase by $155,000.00
4. There will be a 60 day 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:
Contractor's Representative
BY:
APPROVED BY:
—q(Purchasing Agent over $60,000)
cc: Purchasing
Accounting
Contractor
Project File
$670,842.72
$41,595.71
$0.00
$155,000.00
23.11 %
29.31 %
$867,438.43
DATE: 1.2 `3 is
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