HomeMy WebLinkAboutCHANGE ORDER - AGREEMENT MISC - COATING SPECIALIST(r 9
.City Of
Planning, Development & Transportation
Fort
neering
Collins
281 NaUt College Avenue
281 NorthC
Engi�neerin�
P.O. Box 580
Fort Collins, CO 80522.0580
970.221.6605
970.221.6378 - fax
Change Order Form
PROJECT TITLE: City Bridge Program-KFCG, Timberline Bridge Waterproofing
PROJECT NUMBER: 254902100.6
CONTRACTOR: Coating Specialists, LLC (PO #9145048)
CHANGE ORDER NUMBER: 1
n preparing change oraers snow in oraer as separate numaerea paragrapns the rosowing
1. Reason for change. 2. Description of change.
3. Change in contract cast. 4. Change in contract time.
1&2. See attached sheet for detail.
3. The contract cost will increase by - $1,500.00
4. There will 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
(Assuming all change orders approved)
ACCEPTED
REVIEWED BY:
(Engineer)
SUBMITTED BY:
(Project Manager)
APPROVED BY:
$35.456.00
$0.00
$0.00
$1,500.00
4.23%
4.23%
$36,956.00
DATE:
DATE:
DATE:
DATE: '1'aaa4
APPROVED BY: DATE:
(Purchasing Agent over $60,000)
cc: contractor
Purchasing
Project File
Coating Specialist, LLC
6340 Sayres Road
Colorado Springs, CO 80927
I Name/Address I
City of Ft. Collins
An Wang
281 North College Avenue
PO BOX 580
Ft. Collins, CO 80522-0580
Bid# Date
136 9/3/2014
Bid Date
Project lD
Project —�
9/;/2014
Bridge Deck Crack Re...
Bridge Deck Crack Repair
Description
Qly+I-
U/M
Rate
Total
Crack Repair
Concrete Patches
160
3
LF
ea
3.00
340.00
480.00
1,020.00
Excludes Light Plants and Traffic Control.
Contractor to provide all access and time to complete project.
Coating Specialist, LLC is a DBE firm #556S who performs all of their own work
We thank you for the opportunity and look forward to working with you!
For questions or conems please contact Christian Vigil Qa 970-567-0357.
Web Sile
www.coatingspeciolis[Ilc.wm