HomeMy WebLinkAboutCHANGE ORDER - BID - 7654 WESTSIDE ACCESS ROAD - NORTH COLLEGE ROAD IMPROVEMENTS (3)City of
/Fort Collins
--. Englneenn
Planning, Development & Transportation
Engineering
281 Narlh CaOege Avenue
P.O. an 600
Fort Coltlne. 0080522.0580
970.22118605
970.221.6378-fax
Change Order Form
PROJECTTITLE: N. College Ave., Rear Access Project
PROJECT NUMBER: 400903951 (Bid *7654)
CONTRACTOR: Mountain Constructors, Ina (PO #9144039)
CHANGE ORDER NUMBER: 4
1. Reason for change. 2. Description of change.
3. Change In contract cost. 4. Change In contract time.
1 &2. See attached sheet for detall.
3. The contract cost will increase by 0 6,781.87
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 % THIS CHANGE ORDER
TOTAL C.O. % ORIGINAL CONTRACT
ADJUSTED CONTRACT COST
(Assuming all change orders approved)
$586,D34.75
$3.575.00
$885.91
$8.781.87
9.47%
2.22%
$609,277.63
ACCEPTED BY: DATE:
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REVIEWED 8Y: DATE:
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SUBMITTED BY: DATE: (�14
(Prof a g )
APPROVED BY: OA DATE: (- C N - C L/
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APPROVED BY: V DATE:
(Purchasing Agent over $60,000)
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City of
Frt Collins
Engineering
Planning, Development & Transportation
Engineering
281 North College Avenue
P.O. Sox 500
Fort Collins, CO 80522.0580
970.221.0606
970.221.6378 - tax
Change Order Form
PROJECTTITLE N. College Ave., Rear Access Project
PROJECT NUMBER: 400903951 (Bid #7654)
CONTRACTOR: Mountain Constructors, Ina (PO#9144039)
CHANGE ORDER NUMBER: 3
1. Reason for change. 2. Description of change:
3. Change In contract cost. 4. Change in contract time.
1&2. See attached sheet for detail.
3. The contract cost will Increase by $ 885.91
4. There Will be no change in contract time.
ORIGINAL CONTRACT COST
TOTALAPPROVED CHANGE ORDERS
TOTAL PENDING CHANGE ORDERS
TOTAL THIS CHANGE ORDER
TOTAL % THIS CHANGE ORDER
TOTAL C.O. a%OF ORIGINAL CONTRACT
ADJUSTED CONTRACT COST
(Assuming all change orders apprpved)
ACCEPTED BY:
REVIEWED SY:
SUBMITTED BY:
APPROVED BY:
$696,034.76
$3,675.00
$0.00
$885.91
0.15Y,
0.76%
$600,495.66
DATE: —Yjd
i
1 V-M' q
DATE: Ir•rsTY •.�Y'
APPROVED BY: DATE:
(Purchasing Agent over $60,000)
w: Contractor
Purchasing
Protect Fus
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