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CHANGE ORDER - BID - 7290 CRACK SEAL & FILL PROJECT 2012 (3)
Fort Collins Change Order Form PROJECT TITLE: 2014 Street Mainlemnce Program, Crackseal RD Project PROJECT NUMBER: 902120 (Bid 0729D) CONTRACTOR: Vogel Concrete (PO 9140734) CHANGE ORDER NUMBER: 1 In preparing change orders stow In order as saparata numbered paragraphs the to" 1. Reason for charge, 2. Dm*Jon of change,. 3. Change in contract cost. 4. Change in contract time. I.Q. Reconciling charge order 3. The canrad Ow wR be decreased by E112.564.70. 4. Thera will be no change in contract Ifnra Planning, Development & T rtatlm Streets Department 625 Ninth Street P.O. Box 580 Forl Colons, CO 60522.0580 970.221.6615 - Phone 970.221.6270- Fax ORIGINAL CONTRACT COST $440 6B&90 TOTAL APPROVED CHANGE ORDERS MOD TOTAL PENDING CHANGE ORDERS $000 TOTAL THIS CHANGE ORDER (E112 564 70) TOTAL % OF THIS CHANGE ORDER TOTAL C.O. % OF ORIGINAL CONTRACT -- .26,8046 ADJUSTED CONTRACT COST - 6326,134.20 ACCEPTED BY: (. ractoes Representative) F�riT!lin—'�.7371 (street Maintenance APPROVED 8Y: _ (Purtsasap Agent over 66D,OD0) ¢ Gomrgmr ROW Fie DATE: )31 a-L� fi- 49Roo 10$LF23 —1 eW& v -& g02(30,SS30?-'Q . §§§§#■■■##\ � /\§§§§§]§§� ^\ \ � . �--------- w� | i!© �»3 � ( �'(k(8'8 {) . ) # � ■�, ` � 4 eee \j 1 al --! -,