HomeMy WebLinkAboutCHANGE ORDER - BID - 7535 GRADE SEPARATED CROSSING AT NRRC7�71' ) � i
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Planning, Development & Transportation
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Oo9cge Ave,wO
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P.O.N BOX
P.Box 680
Engineering
Fort Celfms, GO 80522.0580
970.221.6605
970.221.6378 - fax
Change Order Form
PROJECT TITLE: Mason Grade Separation at NRRC
PROJECT NUMBER: 400903204 (Bid #7535)
CONTRACTOR: Concrete Express, l PO#9135146)
CHANGE ORDER NUMBER: i
1. Reason for change. 2. Description of char
3. Change In. contract cost. 4. Change In contract
1&2. See attached sheet for detail.
3. The contract cost does not change. $0.00
(Adjustment to Force Account)
4. There viill be no change in contract time.
ORIGINAL CONTRACT COST
TOTAL APPROVED CHANGE ORDERS
TOTAL PENDING CHANGE ORDERS
TOTAL THIS CHANGE ORDER
TOTAL % OF THIS CHANGE ORDER
TOTAL C.O. % ORIGINAL CONTRACT
ADJUSTED CONTRACT COST
(Assuming all change orders approved)
ACCEPTED BY:
REVIEWED BY:
SUBMITTED BY:
APPROVED BY:
$970,634.86
$0.00
$0.00
$0.00
0,00%
0,00%
$670,634.66
APPROVED BY: - DATE:
(Purchasing Agent over $60,000)
ar CanOacbr
Purchasing
projeet Fun
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S -a-111
NRRC Overpass
Item# Item Quantity llnd 5/Unk Total
Install Additional Bridge Metal to the Bridge Girder
Assembly for aesthetic purposes as required by City of Fort
1
Collins - Engineering
1
LS
$ 9,354.24
$ 9,354.24
Adjustment to Force Account Minor Contract Revisions
2
Line Item
1
LS
$ 9,354.24)
$ 9,354.24)
TOTAL
$0.00
The City requested that Big R Bridge install a 1/4" thick by 10" wide metal plate along the bottom chord of the structure to
provide an aesthetic facia to the bottom of the structure.
Adjustment to Force Account Minor Contract Revisions Line Item
Posted to Pay App #2