HomeMy WebLinkAboutCHANGE ORDER - BID - 7273 N COLLEGE IMPROVEMENTS PROJECT - VINE TO CONIFER (8)City of
F6rt Collins
�- Engineering -
Planning, Development & Transportation
Engineering
281 North College Avenue
P.O. Box 580 '
Fort Collins, CO 80522.058D
970.221.6605
970.221.6378 -fax
Change Order Form
PROJECT TITLE: N. College Rd. Improvements
PROJECT NUMBER: 400903900.6 (Bid #7273)
CONTRACTOR: Connell Resouces, Inc, (PO #9116026)
CHANGE ORDER NUMBER: 25
In preparing cnange oraers snow m viuei as sepdrdie uunivc
1. Reason for change. 2. Description of change.
3. Change in contract cost. 4. Change in contract time.
CAP 2tt^ in ri t, f : .V ...:� - /' i � ' _.L�U "CMf D"
3. The contract cost will not change. $0.00
4. There will be no change in contract time. 0 ��
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)
.0.00%
0,00%
$6,11 i,000.00
$0.00
$0.00
$0.00
$6,111,000.00
ACCEPTED BY:
N/i4
DATE:
(Contractors Representative)
REVIEWED BY:
T
DATE:
/a's 63
(En ' r)
SUBMITTED BY:
DATE:,
jI —a.0
(Projec nager)
APPROVED BY:
��77 ,,i
(./Y1 iii �.t �i
DATE:
i "a0- t3(Department
Head)
APPROVED BY:
DATE:
(Purchasing Agent over $60,000)
cc: Contractor
-
Purchasing
($21,731.14) BOB Funding
_Project File
-
$21,731.14 CMAQ Funding