HomeMy WebLinkAboutCHANGE ORDER - AGREEMENT MISC - BIKE FORT COLLINS�;� ® Planning, Development & Transportation
CoWns
281 North
Coon Planning & Special Protects
F6rt 287 tJorlh College Avenue
P.O. Box580
Fort Collins, CO 60522.0580
970.224.6058
970.221.6239 - fax
regov. com/iransporlalion
CHANGE ORDER FORM
PROJECT TITLE: SR2S 201112012 Grant
PROJECT NUMBER: 292901900 sty
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CONTRACTOR: Bike Fort Collins (PO#912U4193)
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. & 2. Please see attached for reason and description of change.
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3. The contract cost will increase $12,000.00
4. The contract time will be extended to June 30, 2013.
ORIGINAL CONTRACT COST
$16,800.00
TOTAL APPROVED CHANGE ORDERS
$0.00
TOTAL PENDING CHANGE ORDERS
$0.00
TOTAL THIS CHANGE ORDER
$12,000.00
ADJUSTED CONTRACT COST
$28,800.00
(Assuming all change orders approved)
ACCEPTED BY: O A /ZroL64 DATE: �/ 7112
1� (Co tractor's Representative)
SUBMITTED BY. �. DATE: 3 $'i -3
(Project Ma ager
REVIEWED BY:
APPROVED BY:
DATE: 7 C 3
APPROVED BY: _ N AN-, DATE:
(Purchasing Agent)
cc: City Clerk
Contractor
Purchasing
Project File