HomeMy WebLinkAboutCHANGE ORDER - RFP - 7406 BOBCAT RIDGE HISTORIC BUILDINGS REHABILITATION (3)CHANGE ORDER NO. 2
PROJECT TITLE: Bobcat Ridge Historic Rehabilitation
CONTRACTOR; Wattle & Daub Contractors Inc
PROJECT NUMBER: OP-440934
DESCRIPTION: Barn tt Chicken Coup Work
Fort Collins
In preparing change orders show In order as Separate numbered paragraphs the following:
1. Reason for change: Sam shed roof adjustmens and a deduct for the tree removal
2. DesatpWn of dhange.ijam shed roof adjustments and a deduct for the tree removal.
3. Change In contract cost: Yes, this will increase the contract amount by $1.160.
4. Change In contract time: No.
(Attach additional sheets as required)
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
1.23%
1.23%
$95,642.00
S0.00
Sd.do
s" 51,i 0.00
$96,822.00
(Assuming all change orders aooroved)
ACCEPTED BY: f= R � 7-1= 5 0 j
ConActoeess Representative yron McGough Date
ACCEPTED BY: ..f 6 -1 / ?- I S
Project Manager #tGn coaens Dat
REVIEWED BY:
PrW Name Date
APPROVED BY: I�< Date
ft a Ken enrwn
cc: City Clerk Project Re
Contractor Purchasing
Engineer
Page 1of 4
SCHEDULE OF VALUES AND CERTIFICATE FOR PAYMENT NO, 04
PROJECT TITLE: Bobcat Ridge - Interior and Ederior Restoration
PROJECT NUMBER: CHS/SHF Project $2012-01-040
INSTITUTIONIAGENCY: City of Fort Coffins
For Pedod: 01/01/2013 - 01/312013
SCHEDULE OF VALUES
Attach supporting detail sheets;
TOTAL
VALUE
VALUE OF WORK COMPLETED
PERCENT
COMPLETE
PREVIOUS
VALUE
TO DATE
VALUE
THIS
REPORT
CURRENT
VALUE
TO DATE
A
8
c
De8+c
E•D/A
ORIGINAL CONTRACT ( sum of P3 forms)
95.642
97,030
13,640
70,670
73,89%
APPROVED CHANGE ORDERS ( sum of P2 forts
1.180
ADJUSTED CONTRACT TOTAL
96,822
57.030
13.640
70,670
72.99%
LESS: RETAINAGE
I 3,110
6821
3,792
NET REOUISTIONAMOUNT
1 53,9201
12.9581
66,878
CONTRACTOR CERTIFICATION
The undersigned Corhtrador requests Payment of that portion of the contract price shown on the last One
of the foregoing Schedu:e of Values, and represents and warrants to the Owner that: (1) the data shown an the
Schedule of Values is accurate and correct; (2) the Work covered by this Certificate has been completed in
accordance with the Contract Documents; (3) all previous progress payments received from Owner on account of Work done
under this Contract have been applied to discharge In full (except for allowable retainage) all obligations of Contractor
incurred in connection with Work covered by prior Certificates for Payment numbered j=_ through o � inclusive: and
(4) title to all materials and equipment for which payment is requested in this Certificate, whether or not incorporated
In said Work, wR pass to Owner at time of payment free and dear of all liens, claims, security interests and
encumbrances (except such materials and equipment which are covered by a Band previously accepted by Owner).
FEIN ufi 83-031102D Contractor: Wattle & Daub Contractors. Inc.
Date: 3( _i-AAI. 07013 By. rpin1
Type Name: Byron McGough
ARCHITECTIENGINEER CERTIFICATION
This is to certify that, In accordance with the terms of a contract for Project Number executed
the day of by and between.
the contractor, and the City of Fort Collins,
Owner, for work at . there is due to the
Contractor the amount of
Dollars,
AIE:
Type
By. Name: Date:
AGENCY ACTION
Amount approved for payment this certificate is:
Dollars ( )
By: Title: Date:
By. Title: Dale:
Page 2 of 4
SCHEDULE OF VALUES AND CERTIFICATE FOR PAYMENT NO.04 (continued)
• • APPROVED CHANGE ORDERS • •'
PROJECT TITLE: Bobcat Ridge - Interior and Exterior Restoration
PROJECT NUMBER: CHS/SHF Project #2012-01-040
For Period: 01/01/2013 - 01/31/2013
CHANGE
ORDER
NUMBER
CHANGE ORDER
DESCRIPTION
TOTAL
VALUE
VALUE OF WORK COMPLETED
PERCENT
COMPLETE
PREVIOUS
VALUE
TO DATE
VALUE
THIS
REPORT
CURRENT
VALUE
TO DATE
A
e
C•D-B
D-AxE
E
1
Barn Shed Roof Adjustments-_ _ _
1.780
/
2
Deduct Tree Removal_
_ .600
USTOTAL APPROVED CHANGE ORDERS
1,180
Page 3 of 4
SCHEDULE OF VALUES AND CERTIFICATE FOR PAYMENT NO.04 (continued)
"• ORIGINAL CONTRACT - ITEMIZED BREAKDOWN •'
PROJECT TITLE Bobcat Ridge - Interior and Exterior Restoration
PROJECT NUMBER: CHSISHF Project #2012-01-040
For Period: 01/012O13 - 011312013
ITEM
NO.
ITEM
DESCRIPTION
CATE-
GORY
TOTAL
VALUE
VALUE OF WORK COMPLETED
PERCENT
COMPLETE
PREVIOUS
VALUE
TO DATE
VALUE
THIS
REPORT
CURRENT
VALUE
TO DATE
A
a
C-0-5
D-AxE
E
A.1
Pioneer Bam
Site Work
SUB
W&D
3,100
2500
600
3,100
` 100%
A2
Pioneer Bum
Structural
SUB
W&D
5,400
3,900
_ 1.500
5,400
_ 100%
A.3
Pioneer Bam
Exterior Walls
SUB
W&D
4,050
1,800
2.250
4,050
100%
A.4
Pioneer Bam
Roof
SUB
9,777
4.910
4_910
50%
W&D
A.5
Pioneer Bam
Interior Finishes & Doors
SUB
W&D
1,200
1200
1,200
100%
BA
Pioneer Chicken House
Site Work
SUB
W&D
41137
4,137
4.137
100%
B.2
Pioneer Chicken House
FoundationlExtetlor Wait Log Work
SUB
32,025
26,200
855
27,065
84%
W&D
B.3
Pioneer Chicken House
Roof
SUB
8.126
W&D
B.4
Pioneer Chicken House
Doors & Windows
SUB_
1,750
W&D
C.1
Architectural & Engineering Sorvicos
SUB
6,600
6,600
6,600
100%
W&D --
D.1
General Conditions. Contractors Profit
General Conditions
SUB
_
W&D
10,435
6,716
901
7,617
73%
D.2
General Conditions Contractors Profit
Contractors Profit
SUB
—,,�,_
T —_
_
W&D
9,043
5,177
1.424
6,601
73%
SUBTOTAL (this sheet only)
95,6421
57.0301
13,6401
70,670
Page 4 of 4
SCHEDULE OF VALUES AND CERTIFICATE FOR PAYMENT NO. 04
PROJECT TITLE: Bobcat Ridge - Inlertor and Exterior Restoration
PROJECT NUMBER: CHSISHF Project #2012-01.040
INSTITUTION/AGENCY: City of Fort Collins
For Period: 01/012013 - 0IM2013
SCHEDULE OF VALUES
Attach supporting detail sheets:
TOTAL
VALUE
VALUE OF WORK COMPLETED
PERCENT
COMPLETE
PREVIOUS
VALUE
TO DATE
VALUE
THIS
REPORT
CURRENT
VALUE
TO DATE
A
B
C
D-B+C
E-DIA
ORIGINAL CONTRACT (am of P3 forms)
95,642
57,030
13,640
70,670
73.89%
APPROVED CHANGE ORDERS ( sum of P2 forms 1
1,180
ADJUSTED CONTRACT TOTAL
96,822
57,030
13,640
70,670
T2.99%
LESS: NET REQUISITION AMOUNT 8 04
53,920
12,95E
66.878
RETAINAGE AMOUNT REQUISITION a 04
3,110
U2
3,792
Amount This Certification
The undersigned Contractor requests payment of that portion of the contract price shown on the last line
of the foregoing Schedule of Values, and represents and warrants to the Owner [hat: (1) the data shown an the
Schedule of Values Is accurate and correct; (2) the Work covered by this Certificate has been completed in
accordance with the Contract Documents; (3) oil previous progress payments received from Owner on account of Work done
under this Contract have been applied to discharge In full (except for allowable retainage) all obligations of Contractor
incurred in connection with Work covered by prior Certificates for Payment numbered = through 03 inclusive; and
(4) tide to all materials and equipment far which payment Is requested In this Certificate, whether or not Incorporated
in said Work, will pass to Owner at Ome of payment free and dear of all lens, claims, security Interests and
encumbrances (except such materials and equipment which are covered by a Bond previously accepted by Owner).
FEIN A: 83-0311020 Contractor. Wattle & Daub Contractors, Inc.
Date: 31 TAN • 2013 By: ��rA
Type Name: Byron McGough
This Is to certify that, in accordance with the temps of a contract for Project Number executed
the
Owner, for work at
Contractor the amount of
AfE
Type
By. Name:
Amount approved for payment this certificate Is:
day of
by and between,
the contractor, and the City of fort Collins,
. there Is due to the
Dollars.
AGENCY ACTION
Dollars ( )
Date:
By: True: Date:
BY Title: Date: