HomeMy WebLinkAboutCHANGE ORDER - BID - 7336 SHIELDS STREET & LAPORTE AVE BRIDGE REPLACEMENT (3)). s
FCity of
ort Cothns
Engineers g
Planning, Development & Transportation
Engineering
281 North college Avenue
P.O. Box 680
Fort Collins, CO 80522.0580
970.22Y.6605
970.221.6378 - fax
Change Order Form
PROJECT TITLE: Lapod Bridge & Shields Bridge Replacement
PROJECT NUMBER: 400902103,E (Bid #7336)
CONTRACTOR: Zak Dirt (PO #9121438)
CHANGE ORDER NUMBER: 6
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 invoice for details
3. The contract cost will not change. $0.00
4. There will be no 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:
REVIEWED BY:
SUBMITTED BY:
$2,083,055.05
$0.00
$0.00
$0.00
0.00%
0.00%
$2,063,065.06
DATE: 14 W) 3
y/7/L3
DATE: ✓' — i — i 3
(Project Madaa06
APPROVED BY: \ A JY DATE: LL 16. 13
—.(b (Department Head)
APPROVED BY: DATE:
(Purchasing Agent over $60,000)
cc: ConlraU«
Purchasing
Pra(ecl Flo
MONTHLY FUEL COST ADJUSTMENT WORKSHEET
Ee11nu...., Aar.I 2011 EstimateNumber e
r.a..... a, n...map a,nn...N,n....p...a.ti aw"
Faspesa OV N:. map areas.. mann—n. •nl ens [" ins,
thimInch)
202-Rottomi lliemIteomte itemsanth, IFF-0.006
3MI13V
I u�
IYm DescriILn
9 u»1.11.
nevern Inches,ms.h.0-IncMe
I ! 4PENOVALOG
ACPHRLT MAi". __.
0
PEMOVALOFASPIMLT MAI PIANING I'�'DEPTM
0
tt
0
L
i
Total
b u raYand -Incivol
o
Fuel COfl yolubarrientl
50.00
203 Items (mo.,k rack ... vation)-E.rtherark(muck.... valian, undevified
excavalian), embankment, borrow (FF • 0.29 galloy)
203-Rack Escavalion lbms only [FF -0.39 galley)
flan .-- bn
Cuble Yards
Item OeseX flan
Cuble Yards
UNCIAEEIFI ED E_%GVATIONI COMPLETE IN
MVCKE%GVATION '-
Total Cubic Yards
0
Total Cubic Yana
0
Fuel Cast AdI.Imunl
30.00
Fuel Cosl Adjustment
$0.00
Me items - Structure Excavation and Backflll(FF•0.29 B.V,)
304Items= Ag9mgaW Base Co.. (an clacaes)(FF -
0.a5 papcy)
It De,ce Mn
Cubic Yen.
teem Deaca ton
Cetus Yard.
STRUCTVREE%CAVATION-
."- 1385
RGGPEGTE RPSELWPSE ClA5b5
STPVCTIRE CUSS
_
MCKFILL
STPUC PE KF0.l C1A) 21
_ .
IVATEF
FiTER MATERVt GASSA
F 6TER MATERLLL GAa9B
ToW Cubic Y.M.
tb0
Total Cubic Yards
0
Fuel Cost adjustment
$109.20
Fuel Cost Aduslmm
SodO
30T-0roaasin, Lt.. Treated Subgnde pit co,tha) it...(FF • 0.12 gaga,)
310-Full Depth Reclamation of HMA Pavement theme
all do tha FF•0.06 .lh
Ilan D—I in
reY.m.
Ilemoe-e bn Ynw
lolal5 uan Y.ne
0
Food S uan Yards a
Fuel Co..Joktmen
So.00
Fuel Cast Aeesmk 10.00
403It...-Hot Mi. Asphen(HMA),Induct., Stand Maato Asphalt (SMA)(FF =]A
palHan)
405- Heating A ScaXfying items only [FF •Dal p.Usy)
Item w..R wn
Tene
teem o.nR ten
f e eras
rpT Ml%ASpIbLLT GMOING 6G 1W M35&2e
ii mix edtWLT
XOTMISASPNALTGMDIW IW PG5625
--..
--
s
HOT MI%ASPHALT GNADIN3S 1W POwTw
-
-
Tobl Tons
0
Total wre
a
Fuel Cast Ad uslmen
- fg00
- Fuel Cosl Atl'utlmr-men
SI1.00
4%Items -Cold Bituminous Pavement (Recycle) (IF = 0.01 BaVay Inch)
Item Descd bn
nY.n.CToto00
5ffiA41US.�n
s
412 items -Portland Cement Concrete Pavement (PCCP) (FF • 0.03 galley Inch)
brennuentemnson
S »YUO. IMcsran IrcMs
b um1W-etches
LONCPETE pAVEMENi1bINCH1
EW
0
1 ..
CONCRETE PPVE E T 0.1R INLX
� BW
0
P
0
_
Toms wrt Yan-Inch.
0
Fuel Cost Adu.lman
$0.00
Total Fuel Cost Adjustment FA for Estimato 9 $109.20
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