HomeMy WebLinkAboutCHANGE ORDER - PURCHASE ORDER - 9133617Planning, Development & Transportation
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Engineering
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281 North College. Avenue
P.O. Box SBO -
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Fort Collin¢, CO 80522.0580
970.221.6605
970.221:6378 - fax
Change Order Form
PROJECT TITLE: Lemay Ave. Bridge Joint, Replacement
PROJECT NUMBER: 254902101 (Bid #7519)
CONTRACTOR: KECI Colorado Inc.
CHANGE ORDER NUMBER: 1
n nronnnnn rhnnnp nr arcs nw in nrripr as sanara a numbered
oaraarao s the o owlna:
1. Reason for change. - 2. Description of change.
3. Change in contract cost 4. Change in contract time.
1&2. See attached sheet for detail.
3. The contract cost will increase by $ 085:00
4. There will be no change in contract time.
ORIGINAL CONTRACT COST
$74,356.00
TOTAL APPROVED CHANGE ORDERS
$0.00
TOTAL PENDING CHANGE ORDERS
$0:00
TOTAL THIS CHANGE ORDER
$1,785.00
TOTAL % OF THIS CHANGE ORDER
2.40` o
TOTAL C.O.'% OF ORIGINAL CONTRACT
2.40%
ADJUSTED CONTRACT COST
$76,141.00
(Assuming all change orders approved)
ACCEPTED BY: DATE: g< fir' 3
( Contractor' Representative)
/yy�//j� G J3 v l 3
REVIEWED BY: '/ / "�� DATE: ` l I
ACCEPTED BY:
ACCEPTED BY:
tment Head)
APPROVED BY:
(Purchasing Agent over $60,000)
c : Contractor
Purchasing
Project He
DATE: ( —3 0 I -S
DATE:
Q•310.13
Item #
Item
1 Remove Additional Sidewalk
2 Concrete Patch
TOTAL
..... `?::::CHANGEORDER
..... . . . .
Lemay Avo. Expansion Joint Repair
:::SUMMARYOFWORK.
Quantity Unit $/Unit Total
5 SF $110.00 $550.00
5 SF $247.00 $1.235.00
$1,785.00
. : , . ::i . i.. :.� : '� I , I . , .. . , .., . . . , . . ..
-REASON FOR CHANGE
Remove and Replace spalling concrete sidewalkicurb face.
WHEN POSTED . .. . ....
Posted to Pay App #1
-
Cit lV of a
F®� � � n�
Planning, Development & Transportation
Engineering
291 North Avenue
En g i neen n g
5800ege
P.O. Boxox580
Fort Collins, CO 80522.0580
970.221.6606
970.221,6378 - fax
Change Order Form
PROJECT TITLE: Lemay Ave: Bridge Joint Replacement
PROJECT NUMBER: 254902101 (Bid #7519)
CONTRACTOR: KECI Colorado Inc.
CHANGE ORDER NUMBER: 2
n preparing change orders show in order as separate numuereo paragraphs me ronowtng
1. Reason for change. 2: Description of change.
3. Change in contract cost 4. Change in contract lime.
1 &2. See attached sheet for detail.
3. The contract cost will decrease by $ (824.40)
4. There will be no change in contract time:
ORIGINAL CONTRACT COST $74,356.00
TOTAL APPROVED CHANGE ORDERS $1,785.00
TOTAL PENDING CHANGE ORDERS $0.00
TOTAL THIS CHANGE ORDER ($824.40)
TOTAL % OF THIS CHANGE ORDER 1:11
TOTAL C.O. % OF ORIGINAL CONTRACT 1.29%
ADJUSTED CONTRACT COST $75,316.60
(Assuming all change orders approved)
ACCEPTED.BY: �J �`/-- DATE: C//�C(3
( Contractor's Representative) fj
REVIEWED BY: / t' l,J I � DATE: � /'3Ul /Z
ACCEPTED BY:
ACCEPTED BY:
APPROVED BY:
(Purchasing Agent over $60.000)
cc: Contractor
Purchasing
Prolect File
DATE: C( o — 13
)ATE a' so - 13
DATE:
CHANGE OROER2 !.,:y
Lemay Expansion Joint Repair
SUMMARY OF WORN
Plan Placed
ems Ile. Quantity Ouanih Until S/Unit
202-00220
REMOVAL OF ASPHALT MAT
36.00
32.80
SY
$72.00/yd2
202-00504
REMOVAL OF EXPANSION DEVICE
134.00
134.00
LF
$55.00/LF
515-00120
WATERPROOFING (MEMBRANE)
18.00
0.00
Sy
$33.D0/yd2
518-01004
BRIDGE EXPANSION DEVICE (0-41NCH)
134.00
134.00
LF
$200.00/LF
518-OZO10
ELASTOMERIC CONCRETE END DAM
80.00
80.00
CF
$365.00/fta
626-000DO
MOBILIZATION
1.00
1.00
LS
$ 71000.00
700-70380
EROSION CONTROL
1.00
1.00
LS
$ 800.00
TOTAL
Over-mn I Under-
mn
Total
-3.20
($230.40)
0.00
$0.00
-18.00
($594.00)
0.00
$0.00
0.00
$0.00
0.00
$0.00
0.00
$0.00
:dWASON FOR CHANGE .. ...
Reconcile unused quantities
WHEN POSTED
Posted to Pay App dl
($824.40)