HomeMy WebLinkAboutCHANGE ORDER - BID - 7509 CONCRETE MAINTENANCE PROJECT PHASE II (3)City.
of
Collins
Change Order Form
PROJECT TRLE: 2014 Street Maintenance Program, Concrete
PROJECT NUMBER: 902120 (Bid 47509)
CONTRACTOR: Nonhatar Concrete (PO 4914220B)
CHANGE ORDER NUMBER: 1
In preparing change orders shay in order as separate numbered paragraphs the following:
1. Reason for change. 2. Description of change,
a. Change in conlmot cross. 4. Change in contract time.
Planning, Development & Transportation
Sheets Department
625 Ninth Street
P.D. Box 580
Fos Collins, CO 80522,0580
970.221.6615-Phorre
970.221.6270 • Fax
1.&2. Additional wade done on Irish Owe that Engineering dlraeted and will be billed at the eontracl unit prieas.
3. The contract cost will be lnionmimd by$99,944.08.
4. Them W11 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. %OF ORIGINAL CONTRACT
ADJUSTED CONTRACT COST
ACCEPTED BY:
SUBMITTED BY:
6-TIIPW aTdTf A
APPROVED BY:
(Purchasing Agana ever $60,000)
c Convads,
P'nowsin9
ProPe RED
S1,398,851.60
S0.00
S0.00
$99,944.08
7.14%
7.14%
51,490,795.69
8 /G15�—'
Cirtf F6Colfirl'CE;
s
Planning, Development & Transportation
Streets Dapnamene
625 Ninth Street
P.O. Boa 580
Fort Colons, CO 60522.0500
970-221.6615
970.221,6270-lax
Project Pay Estimate Form
PROJECT TiTLE: 2014 Street Maintenance Program. Concrete Project
PROJECTNUMBER: 902120 (Bid #7509)
CONTRACTOR: Nurthstar Concrete. Inc.(PO#9142208)
ESTIMATE NUMBER: 5
PARTIAL: X
FINAL:
ORIGINAL CONTRACT AMOUNT
11.398.851.60
APPROVED CHANGEORDERS
$99.944.08
ADJUSTED CONTRACT AMOUNT
E1.498.7P5.68
TOTAL WORK COMPLETED AND MATERIALS STORED TO DATE
$717.6) 2.28
$35.880.61
RETAINAGE: 5%
TOTAL EARNED LESS RETAINAGE -
$681.731.67
LESS PREVIOUS PAYMENTS
$586.784.79
CURRENT PAYMENT DUE
S94.946.88
ACCEPTED BY:
APPROVED BY
cc. Contractor
Accounting
Project Ries
DATE -
DATE ✓ �� ��
eta ain cc Program Manager
VE# 267431
OV# Batch#
PV# Batch#