HomeMy WebLinkAboutCHANGE ORDER - PURCHASE ORDER - 9125295CHANGE ORDER NO. 1
PROJECT TITLE: DWRF 2012 Primary Clarifier Repair & Lighting Replacement
CONTRACTOR: Hydro Construction Company, Inc.
P.O. NUMBER: 9125295
VENDOR NUMBER: 109420
CHARGE NUMBER: 5030373617.563040.6
DESCRIPTION
In preparing change orders show inorder 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. Requested work completed under budget
2. N/A
3.-$5,990.77
4. No change in contract time.
(Attach additional sheets as required)
ORIGINAL CONTRACT COST
TOTAL APPROVED CHANGE ORDERS
TOTAL PENDING CHANGE ORDERS
TOTAL THIS CHANGE ORDER
TOTAL % OF ORIGINAL CONTRACT, THIS CO:
TOTAL % OF ORIGINAL CONTRACT, ALL CO'S:
ADJUSTED CONTRACT COST
(Assuminia all chance orders anoroved)
ACCEPTED BY:
REVIEWED BY:
APPROVED BY:
(font or representative)
(Prof
(Chief Engineer)
APPROVED BY:
(Water kesources and Treatment Ops Manager)
APPROVED BY:
(Pur asing Agent Over $34,WM)
60,E
$295,874.00
$0.00
$0.00
($5,990.77)
-2.07%
-0.34%
$289,883.23
DATE:
DATE:
DATE:
DATE: Ll -4( — L.?
DATE: L'1 ` / 7 - /
CC: Purchasing NOTE: Signature of Contractor indicates
Contractor Project File agreement herewithin, including any adjustment
in contract sum or contract time.
Application for Payment
PROJECT: DWRF 2912 Primary Clarifier Repair & Lighting Replacement
Page 1 of 2
OWNER: City of Fort Collins - Utilities CONTRACTOR: Hydro Construction Co., Inc.
APPLICATION NUMBER: 5 - FINAL
700 Wood Street 301 E. Lincoln Ave.
APPLICATION DATE: 4/l/2013
Fort Collins, CO 80522 Fort Collins, CO 80524
PERIOD BEGINNING: 1/l/2013
ENGINEER: NIA
PERIOD ENDING: 313112013
PO NUMBER: 9125295
CHANGE ORDERS:
PAY APPLICATION:
RETAINAGE:
NUMBER DATE AMOUNT
Application is made for Payment as shown below in connection with
the Contract.
The present status of the account for this Contract is as follows.
Original Contract Amount:
$ 295,874.00
Retainage to Date: $ 14,793.70
Net Change by Change Order:
$0.00
Retainage Previous: $ 14.793.70
Revised Current Contract Amount:
$295,874.00
Ch a in Retainage: $ -
Total Work Completed and Stored to Date:
$ 289,883.23
Less Previous Payment:
$
Amount due this Pay Application (before retamage):
$ 15.315. 6
Less Retainage:
$ 14,793 0
Net Change by Change Order: $0.00
AMOUNT DUE THIS APPLICATION:
$ 521
96
Change Order %: 0.00
CERTIFICATION:
The undersigned CONTRACTOR certifies that all obligations of CONTRACTOR incurred in connection with
the WORK have been satisfied as required in paragraph 14.3 of the General Conditions of the Contract.
The above Amount Due this Application is requested by
4CORACTOR.
Date: g
Payment of the above Amount Due This Application is recommended by the ENGINEER.
n
V -1 7
/
Date: B NIA
`�'`j� -5
:
f
Payment of the above Amount Due This�AppplicatigVha; been review y the OWNER'S Project Manager.
`-' IV
Date: By:
Payment of the ve Amount Due This Application is approved by the OWNER.
ate: By:
12-Oi-274
Application for Payment
PROJECT: DWRF 2012 Primary Clarifier Repair & Lieht ng Replacement
OWNER: City of Fort Collins - Utilities CONTRACTOR: Hydro Construction Co., Inc.
700 Wood Street 301 E. Lincoln Ave.
Fort Collins. CO 80522 Fort Collins, CO 80524
ENGINEER: N/A
SCHEDULE OF VALUES
Page 2 of 2
APPLICATION NUMBER:
5 - FINAL
APPLICATION DATE:
04101/13
PERIOD BEGINNING:
01/01113
PERIOD ENDING:
03/31/13
PO NUMBER:
9125295
Item
ff
Job
Code It
Description
Cty.
UOM
Contract Summary
Billed
This Period
Billed
Previous
Billed
Total to Date
Stored
Materials
Total Billed
& Stored to Date
Cost
Remaining
Billed Percent
Complete
Unit Price Total Amount
Qty.
Amount
City.
Amount
Qty.
Amount
1
Bond & Insurance
1
LS
$4,586.00
$ 4,586.00
0%
$ -
102%
$ 4,655.00
102%
$ 4,655.00
$ -
$ 4,655.00
$ (69.00)
102%
2
General Conditions
1
LS
$6,209.00
$ 6,209.00
73%
$ 4,539.89
0%
$ -
73%
$ 4,539.89
$ -
$ 4,539.89
$ 1,669.11
73%
3
MSR Wells
1
LS
$5,316.00
$ 5,316.00
0%
$ -
0%
$ -
0%
$ -
$ -
$ -
$ 5,316.00
0%
4
Primary Clarifier Repair
1
LS
$91,674.00
$ 91.674.00
0%
$ -
107%
$ 98.052.33
107%
$ 98,052.33
$ -
$ 98,052.33
$ (6,378.33)
107%
4
PRPA Valve &Meter
1
LS
$11.869.00
$ 11.869.00
0%
$ -
1%
$ 104.24
1%
$ 104.24
$ -
$ 104.24
$ 11.764.76
1%
4
DWRF Site Lighting
1
LS
$140.051.00
$ 140,051.00
-4%
$ (5,805.85)
100%
$ 140.051.00
96%
$ 134,245.15
$ -
$ 134,245.15
$ 5,805.85
96%
Sub -Totals:
$ 259,705.00
1 0%
$ (1,265.96)
94%
$ 242,862.57
93%
$ 241,596.611
$ 241,596.611
$ 18,108.39
93%
Fixed Fee charges:
$ 36,169.00
6%
$ 2,170.30
94%
$ 33.998.70
100%
$ 36,169.00
$ 36,169.00
$ -
100%
GRAND SUB -TOTALS:
Pendinq Issues:
1
Channel Prep for Inspection
1
LS
2
West Channel Sandblasting
1
LS
3
East Channel Sandblasting
i
LS
4
Metal Recycling
i
LS
5
Lincoln St. Ga e
1
LS
Pending issues Sub -Totals:
$ 295,874.00 $ 904.34 $ 276.861.27 $ 277,765.61 $ 277.765.61 $ 5,990.77 94 %
$5,500.00
$ 5.500.00
0%
$ -
100%
$ 5.500.00
1009/6
$ 5,500.00
$ -
$ 5,500.00
$ -
100%
$3,500.00
$ 3,500.00
0%
$ -
100%
$ 3.500.00
100%
$ 3,500.00
$ -
$ 3,500.00
$ -
100%
$3,500.00
$ 3,500.00
0%
$ -
100%
$ 3,500.00
100%
$ 3,600.00
$ -
$ 3,500.00
$ -
100%
($2,733.50)
$ (2,733.50)
100%
$ (2,733.50)
0%
$ -
100%
$ (2.733.50)
$ -
$ (2,733,50)
$ -
100%
$2.351.12
$ 2.351.12
100%
$ 2,351.12
0%
$
100%
$ 2.351.12
$
$ 2,351.12
$
100%
$ 12.117.62 $ (382.38) $ 12,500.00 $ 12,117.62 $ 12,117.62 $
PAY APPLICATION TOTALS: $ 295,874.00 $ 521.96 $ 289,361.27 $ 289,883.23 $ 289,883.23