HomeMy WebLinkAboutCHANGE ORDER - RFP - 7491 BLOCK 32 CM/GC IMPROVEMENTSCHANGE ORDER NO. 01
PROJECT TITLE: Utilities Administration Building - Phase 2
CONTRACTOR: Adolfson & Peterson Construction
PROJECT NUMBER: 7491� y �7 C/ 1 7
DESCRIPTION: MEP Reconstruction services for UAB
Cltyof
Fort Collins
In preparing change orders show in order as separate numbered paragraphs the following:
1. Reason for change: Bring MEP Subcontractors to the table to help with design.
2. Description of change:Adding US Engineering for HVAC and Plumbing and Gregory for the Electrical
3. Change in contract cost: $10,000.00
Ten I housandand OD/100
4. Change in contract time: No change
(Attach additional sheets as required)
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 BY:
Contractor's
ACCEPTED BY:
Project Manager
REVIEWED BY:
APPROVED BY:
APPROVED BY;
Print Name
$11,600.00
$0.00
$0.00
$10,000.00
86.21%
86.21 %
$21.600.00
Eric Kimmelshue - Project Manager
Services
Ken Marmon - Operagon Services 01redor
o.y vaw o-.ee. ✓ wa..a wq. u...pmM
If over $60,000 - Purchasing Director
cc: City Clerk Project File
Contractor Purchasing
Engineer
3/10/2015
Date
3110/15
Date
Date
Date
Date
FACILITIES REOUISITION FORM
VENDOR Ado]fson & Peterson Construction DATE 3/11/15
REQ BY: Brian Hcrgott - Opem ion Smiccs
CHARGE# 5010022557.535010.3900
Work Order # OP-452626
TOTAL COST: $10,000.00
Billable? Y/N Yes
BUYER: John Stephen
OTY DESCRIPTION COST
Additional cost to bring MEP subcontractors on board for Design Assist. US Engineering for Mechanical
and Gregory Electric for Electrical. $10,000.00
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COMPUTER INPUT O.
VENDOR# REQUISITION # DATE ENTERED: