HomeMy WebLinkAboutCHANGE ORDER - PURCHASE ORDER - 9135165CHANGE ORDER NO. 1
PROJECT TITLE: Parking lot repair
CONTRACTOR: Martin Marietta Materials
PROJECT NUMBER: op-454606
DESCRIPTION: Demo and re -construct asphalt parking lot
City of
F6rt Collins
In preparing change orders show in order as separate numbered paragraphs the following:
1. Reason for change: Soft substrate under old asphalt required extra excavation and additional material
filledin.
2. Description of change -Removal of spongy soils and add back in extra asphalt
3. Change in contract cost: $510.77
4. Change in contract time: N/A
(Attach additional sheets as required)
ORIGINAL CONTRACT COST $26,789.32
TOTAL APPROVED CHANGE ORDERS $0.00
TOTAL PENDING CHANGE ORDERS $510.77
TOTAL THIS CHANGE ORDER
TOTAL % OF THIS CHANGE ORDER 0,00%
Total C.O. % of Original Contract 1.91%
ADJUSTED CONTRACT COST $27,300.09
(Assuming all change orders approved)
ACCEPTED BY: AJ
ACCEPTED BY:
REVIEWED BY:
APPROVED BY,
Representative
Project Manager
Print Name
Print Name
/,e l0n,0" C�+r6fiwki/opt
If over $60,000 - Purchasing Director
cc: City Clerk Project File
Contractor Purchasing
Engineer
Date
//_�3.. /
Date
lI- ( 3 - 13
Date
ate
Date
CHANGE ORDER NO. 1 FF,City OfPROJECT TITLE: Parking lot repairpv& Collins
CONTRACTOR: Martin Marietta Materials
PROJECT NUMBER: op-454606
DESCRIPTION: Demo and re -construct asphalt parking lot
In preparing change orders show in order as separate numbered paragraphs the following:
I . Reason for change: Soft substrate under old asphalt required extra excavation and additional material
tilled in.
2. Description of change:Removal of spongy soils and add back in extra asphalt
3. Change in contract cost: $510.77
4. Change in contract time: N/A
(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
Assuming all change orders approved)
ACCEPTED BY:
ACCEPTED BY:
REVIEWED BY:
APPROVED BY:
APPROVED BY:
Contractor's Representative
Project Manager / 1
Print Name
Print Name
0.00%
1.91%
If over $60,000 - Purchasing Director
cc: City Clerk Project File
Contractor Purchasing
Engineer
$26,789.32
$0.00
$510.77
$27,300.09
Date
Date
t l- r 3 13
Date
Date
Date
�J)0 o�-ySy�c) 6
o'll v�
Remit To:
Martin Marietta Materials MartinMartin Marietta Materials Inc.
PO Box 848241
Dallas, Texas 75284-8241
�r,r ���,13� �g��iNVOICE DATE'�je�€3tt t'�i'
November 5, 2013
CITY OF FORT COLLINS
215. MASON ST. 2ND FLOOR
FORT COLLINS, CO. 80522
ATTN: MONTY WAGNER
970 221.6775
JobSite 218 W. MOUNTAIN AVE - FORT COLLINS, COLORADO
Location
INVOICE
r �GF „`jz INVOICE N_Or � 1 �
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� PURCHASE ORDER NO
12501746
E`s: "a,}m CUSTOMER NO k ,
't , PAGE
RETAINAGE-'
656013
1 OF 1
0%
Last Day Worked: 10-31-13
Final Billing: YES
Estimator. KELLY STEELE
Contract:
218 W. MT. AVE. PARKING LOT R&R
Job #: 1633272424
Item No
Description
Original Qty
Unit
Unit Price
Original
Amount
Quantity This
Period
Amount Due
This Period
Quantity To
Date
Amount To
Date
203.1
203, 10 - Excavation- General Less Than 100
CY-4.5"Depth
100.00
CY
E 24.26
E 2.426.00
100.00
E 2,426.00
100.00
S 2,426.00
306.01
306.01 - Subgrade Prep
746.00
SY
E 1.70
E 1,268.20
727.00
f 1.235.90
727.00
S 1,236.90
403.07
403.07 - Hand Patching Next To New CSG:
3.00
TON
E 110.00
$ 330.00
$ -
-
6
403.09
403.09 - HMA - Paver Patching 4.5" Depth
187.00
TON
E 93.00
E 17,391.00
196.84
E 18,306.12
196.84
S 18,306.12
403.1
403.10 - Sal Sterilanl
1.00
LS
E 156.25
E 156.25
1.00
E 156.25
1.001
156.25
630.01
630.01 - Construction Zone Traffic Control
6.54%
1.00
PCNT
E 1,675.82
$ 1,717.87
1.00
E 1,675.82
1.00
$ 1,676.82
630.02
630.02-Mobilization
1.00
EACH
E 3.500.00
E 3,500.00
1.00
E 3,500.00
1.00
f 3,500.00
700
700.00 - F/A Misc.
1.00
EACH
$ 1.00
E 1.00
E -
-
f
E
E
E
$
E
E
E
f
E
E
E
f
E
E
E
$
$
a
a
s
-
E
-
f
E
E
f
TOTAL
$ 26.790.32
E 27,300.09
E 27.300,09
TOTAL RETAINAGE
E -
E -
E _
TOTAL DUE LESS RETAINAGE
f 26,790.32
f 27,300.09
$ 27,300.09'