HomeMy WebLinkAboutCHANGE ORDER - PURCHASE ORDER - 9133333Ll
CHANGE ORDER NO. 1
PROJECT TITLE
Southeast Community Park
CONSULTANT.
Civitas, Inc.
PROJECT NUMBER
13 3 3 3
PURCHASE ORDER NO.
i
DESCRIPTION
Description of change
1 Reason for change Additions to original scope of work
2 Description of Change
1) Change to add additional soil borings for soil report $ 2.00000
2) Change to add additional work for park transportation study $ 1.50000
3) Change to add additional work for a cultural site survey $ 6.200.00
3 Change in Contract Cost S 9,70000
4 Change in Contract Time no change
ORIGINAL CONTRACT COST
S
414.650.00
TOTAL APPROVED CHANGE ORDER
S
-
TOTAL PENDING CHANGE ORDER
S
-
TOTAL THIS CHANGE ORDER
$
9,700.00
TOTAL % OF ORIGINAL CONTRACT, THIS C.O.
2 34%
TOTAL % OF ORIGINAL CONTRACT, ALL C.O.'S
2.34%
ADJUSTED CONTRACT COST
$424.350.00
(Assuming all change orders approved)
ACCEPTED BY:
Contractors Representative
ACCEPTED BY
Project Manager
REVIEWED BY
Title
t7/-
APPROVED BY:
Title
DATE
DATE 5 8 /
DATE 5 /
DATE
APPROVED BY. DATE
Purchasing Agent over $30.000
cc Dly Clerk Architect
Contractor Engineer
Project File Purceaoing
CITY OF FORT COLLINS
REQUISITION
VENDOR: Civitas, Inc. DATE ENTERED:5/812014 REQ #: A47.3irl
VENDOR #: 11.P,2.7010 FOR: Southeast Community Park
ADDRESS: 1200 Bannock Street BID #:
Denver, CO 80204 INSTRUCTIONS: CO #1
PHONE* 303-571-0053
FAX #: 303-825-0438
VENDOR CONTACT: Robin Norcross
QUANTITY
DESCRIPTION
TOTAL PRICE
CHARGE NUMBER
1
See Attached Additional
Services Request and CO #1
$3,500.00
400702400.5211200.1
1
See Attached Additional
Services Request and CO #1
$6,200.00
400702400.62tU06.1
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AUTHORIZED SIGNATURE LIZ
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Project Manager