HomeMy WebLinkAboutCHANGE ORDER - PURCHASE ORDER - 9121438•
Planning, Development & Transportation
Engineering
281 North CoOege Avenue
P.O. BOX 580
Fort CoWns, CO 80522.0580
970.221.6605
970.221.6378 - fax
Change Order Form
PROJECT TITLE: Laport Bridge & Shields Bridge Replacement
PROJECT NUMBER: 400902103.6 (Bid #7336)
CONTRACTOR: Zak Din (PO #9121438)
CHANGE ORDER -NUMBER: 10
In preparing change orders show in order as separate numbered paragraphs the following:
1. Reason for change. 2. Description of change.
3. Change In contract cost. 4. Change In contract time.
1.82. See attached Invoice for details
3. The contract cost will decrease by-$37.24
4. There mall be no change in contract lime.
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:
REVIEWED BY:
$2,063,055.05
($235,378.07)
$0.00
($37.24)
0.00%
-11.41%
$1,827,09.74
DATE:
SUBMITTED BY: DATE:
AV
((Proje}ct anager)
APPROVED BY: 8 --.. )VAI& DATE: J'G 1g
11 (Departrilent Head)
.APPROVED BY: DATE:
(Purchasing Agent over $60,000)
x Contractor
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