HomeMy WebLinkAboutCHANGE ORDER - BID - 7290 CRACK SEAL & FILL PROJECT 2012City, Of
Planning. Development & Transportation
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070.221.6615 • Phone
970.221.6270 • Fox
Change Order Form
PROJECT TITLE: 2013 Street Meintananoe Program, 2013 CredM" Project
PROJECT NUMBER: 902120 (Bid 9729M
CONTRACTOR: Vopal COWele (PO 09130872)
CHANGE ORDER NUMBEFt 1
In preparing change artiste ahow in order ae a,pame nA bwW palagrepha the following
1. Reeeon for change. 2. Deacrom of change.
3. Change in contract ton. A. Change in corm ct am.
1.62. See attached Invetee for dates
3. The amtrac coal w0 decmm by (i3 .W4.42)
A. There rAII he rho change In contract fine.
ORIGINAL CONTRACT COST
$426 63802
TOTAL APPROVED CHANGE ORDERS
$000
TOTAL PENDING CHANGE ORDERS
...
$0.00
TOTAL THIS CHANGE ORDER
($32 BM.42)
TOTAL % THIS CHANGE ORDER
_7 B6%
TOTAL C.O. % OF ORIGINAL CONTMCT
-766%
ADJUSTED CONTRACT COST
W&SA .t3.f0
ACCEPTED BY: _ _
DATE:
(Con re r�e�v�7
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SUBMITTED BY:
DATE:
(SUM Maintenance P Manager)
APPROVED BY: DATE:
(Purchaseg Agent over $60.000)
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TOTAL COST
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