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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: