HomeMy WebLinkAboutCHANGE ORDER - BID - 7417 ASPHALT SURFACE TREATMENT PROJECT (2)Planning, Development & Transportation
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925 Prinlh Street
Streets
P.O. Box 680
Fort Co18ns, CO $05224580
970.221.6015
970.221.6210-fax
Change Order Form
PROJECT TITLE 2012 Street Maintenance Program, Asphalt Slurry Seal Project
PROJECT NUMBER: ( Bid #7417)
CONTRACTOR: A-1 Ch' seal(PO#9124934)
CHANGE ORDER NUMBER:
n prep�ar ng change orders snow In orderas separate numoerea paragrapns the icnowing:
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 cast will decrease by ($137,975.25)
4. There Is no change In contract time.
ORIGINAL CONTRACT COST
$877,595.20
TOTAL APPROVED CHANGE ORDERS
$2,569.17
TOTAL PENDING CHANGE ORDERS
$0,00
TOTAL THIS CHANGE ORDER
($137,975.25)
TOTAL % OF THIS CHANGE ORDER
-15.72%
TOTAL C.O. % OF ORIGINAL CONTRACT
-18.43%
ADJUSTED CONTRACT COST
$742,179.12
ACCEPTED BY: DATE: 12l18l2012
Contractor's Representative
APPROVED BY
DATE:
Project Mana er- Parks
APPROVED BY: 1Y .. DATE:. �a )an/l
Street ai t ance Program Manager.
cc Contractor
Piadiae4tg
Pr*ct File
CRy of Fort Coffins
2012ASIP Project
A-1 Ch(paeat
Bid K& 7417
2012 PayFsdmate - ReconcXng CO
thanNO.P
Ua@
Quay ft
UoI1Cou
ConhsA Coa
�d�ty
ActaalCan
4t-pW1NTIITY
IOSAt
SWEEPIM -AU STREer SURFACES
Luz
2
S 6,800.00
S13,600.00
2.00
$ 13,600.00
S
IOS.02
SWEEMM-ALI.PARmGLGrsuRSACES
R.ACH
2
$ 870.00
$1,740.00
2.00
S 1.740.00
$ -
204o1
PT0131MATMPRot,cc1710rl-Wwr71t
cP
150
S 2200
$3,300.001
1,020.00
S 22,440.00
S 19,140.00
_
STORMWATMPROTECRON-SAWS
FA=
3
S 135.00
5405.00
13.00
S 1,755.00
S 1,350.00
40.01
CIO MAL ( TERIAL)
SY
191000
$ 2.80
$30AM.00
$ -
$ (S0,400.00)
409.02
CWSEAL(COLIECTOR)
SY
11,500
S 2.78
$31,970.00
-
S -
S (31,970.00)
4091G
CEMSEALp16HIEMAL)
SY
17AM
S 169
$47344.00
22.933.64
S 61,69IA9
$ 14.347.49
409A4
OOUBT. CHTSUL(RESMID DAL)
sY
29.500
S 4.78
S141410.00
33,711.19
S 161,139.49
$ 20,129.49
409.05
TYPE 11SWILRYSEAL(COLLECTOR)
SY
Ispoo
S 225
S33,750.00
-
S -
$ (33,750.00)
400AS
TYPE BSLUR" SEAL ( UMMI[1AL)
BY
71300
$ 220
$157=00
71,091.96
S 156,40231
; (897.69)
409M
TYPE DSLURRYVAL(PARIM*LOM
SY
4,400
; 3.49
$15,31700
4.143.46
S 14.41924
S (S92.76)
40'm
cArasEALO:=uCrOR)
SY
16.000
S 4,69
$7S,040.00
S
$ (75,040.00)
409.09
CAPE SEAL PREMMMAL)
SY .
66,000
S 4.46
$M3%00
66,401.00
$ 2K148.46
S i,7B8.46
404.10
CAPESM(PARSNOLGISI
sY
1.440
$ 6.98
S10,05120
1,939.99
$ 12,B43.13
S 2,791.93
630AI
VARtABLEIM"EBOARD
EMDAY
10
S 192.00
$1,920.00
-
$
S (11920.00)
63M
ADDMCNAL nAGGDMPERSOMEL
HR
4
$ 2325
$93.00
-
S
s (93.0)
6d&W CoaOad Amount
$877,99S2
9 742,179.12
S (35.4US)
Parks Change Ordar
US59.17
TOTAL COST
SM,15437
$ 742.t79.12
1 S 137,975.2S
NOTES:
s.iSVlQb~DMMwApm.O.PROJECTS1201=11A Som, and Cape seaway E3Ikw14a1CONTRAGTM PATCOM E
C O f Planning, Development and Tiaosporladon
rv�t COttins Streets
625 Ninth Streetet
Fort Collins, CO 80522-580
SYreete 970421.6615 Fax 970-221-6270
fcgov.com/st ects
Project Pay Estimate Form
PROJECT TITLE: 2012 Street Maintenance Program, Asphalt Slurry Seal Project ESTIMATE NUMBER: 3
PROJECT NUMBER: 902120 (Bid No. 7417) PARTIAL:
CONTRACTOR: A-1 CNpseat Co. (PO No. 9124934) FINAL: X
ORIGINAL CONTRACT AMOUNT
APPROVED CHANGE ORDERS
PENDING CHANGE ORDERS
ADJUSTED CONTRACT AMOUNT
$877,595.20
$2,569.17
($137,975.25)
$742,179.12
TOTAL WORK COMPLETED AND MATERIALS STORED TO DATE $742,179.12
REfAINAGE: 5% OF WORK COMPLETED $0.00
TOTAL EARNED LESS RETAINAGE $742,179.12
LESS PREVIOUS PAYMENTS $705,070.16
CURRENT PAYMENT DUE $37,10a.96
:fi �� — —_c 12/1812012
ACCEPTED BY: DATE:
Contractor's Representative
Ja1wSUBMITTED BY: _�� DATE:
Street Maintenance Program Pan
api Lz- ger
APPROVED BY:
Parks Project Manager
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DATE:
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