HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9191343Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: Wood Street Drainage Improvement Project
CONTRACTOR: Lightfield Enterprises, Inc.
WORK ORDER NUMBER: BLA-2019-05
PO NUMBER: 9191343
DESCRIPTION:
1. Reason for Change: Project Cost
2. Description of Change: The following changes increased the total project cost:
Additional work not included in original work estimate (replacement of full length
of pan in parking lot, modification to the sidewalk ramp, finishing layer on concrete
wall)
Concrete wall included under miscellaneous contract (8” height, non-reinforced)
does not equate to the 24” x 10” reinforced wall which we built and resulted in
additional time for the foreman as well as materials
Additional excavation and import of backfill material was required due to soil
conditions encountered within the work site
6” curb along the west edge of the entrance was missed in the initial estimate
3. Change in Work Order Price: $927.51
4. Completion Date (if changed): NA
ORIGINAL WORK ORDER PRICE $ 15,040.94
TOTAL APPROVED CHANGE ORDER 00.00
TOTAL PENDING CHANGE ORDER 00.00
TOTAL THIS CHANGE ORDER $ 927.51
TOTAL % OF THIS CHANGE ORDER 6.16 %
TOTAL C.O.% OF ORIGINAL WORK ORDER 6.16 %
ADJUSTED WORK ORDER COST $ 15,968.45
CONTRACTOR: Lightfield Enterprises, Inc.
By: Date:
Name: Title:
DocuSign Envelope ID: B3248E0A-5C4F-4F5D-A866-962AF4CD96E0
October 14, 2019
Chris Hansen General Manager
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Beck Anderson, Civil Engineer II
REQUISTION ENTERED Date:
REVIEWED: Date:
Dale Elliot, Senior Buyer
ACCEPTANCE: Date:
Ken Sampley, Director, Civil Engineering
ACCEPTANCE: Date:
Theresa Connor, Deputy Director, Water Engineering & Field Services
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: B3248E0A-5C4F-4F5D-A866-962AF4CD96E0
10/11/19
Melissa Walker Coordinator, Finance
October 14, 2019
October 14, 2019
October 15, 2019
October 15, 2019
Invoice
Invoice Date
10/7/2019
Invoice #
51521
Bill To
City of Fort Collins
Stormwater
Attn: Doug Groves
P.O. Box 580
Fort Collins, Co. 80522
Project Location
700 Wood St Drainage
Po#9191343
Beck Anderson
P.O./ Work Order #. Terms
Net 30
Phone #
9704843880
Fax #
970-416-6230
E-mail
smagdaleno@lightfieldenterprises.com
Total
Balance Due
Please Remit To:
2600 Midpoint Drive
Fort Collins CO 80525
Description of Work and Materials QuantityUnit Cost Amount
Valley Pan - 6" 93 LF 7.50 697.50
Metal Sidewalk Culvert - 2' Opening, Remove & Replace 1 EA 775.00 775.00
Pedestrian Access Ramp 164 SF 8.25 1,353.00
Truncated Dome Panel 12 SF 41.00 492.00
Vertical Curb and Gutter - No Sidewalk 57 LF 26.00 1,482.00
Crosspan - 8" 157 SF 8.50 1,334.50
Flatwork - 6" (Sidewalk) 533 SF 5.85 3,118.05
Non-reinforced Concrete Wall - 8" 48 SF 18.00 864.00
Flatwork - 6" (Around grates) 34 SF 5.85 198.90
Barrier Curb - 6" x 12" 21 LF 25.00 525.00
Aggregate Base Course/Recycled Concrete Base > 5 Tons 29 TON 38.00 1,102.00
Foreman 24 HOUR 50.00 1,200.00
Reinforcing Steel 94 LBS 3.75 352.50
Metal Sidewalk Culvert - 2' Opening, Materials Only 1 EA 1,550.00 1,550.00
Excavation - General Less Than 50 CY 22 CY 42.00 924.00
We appreciate your business!
$15,968.45
$15,968.45
DocuSign Envelope ID: B3248E0A-5C4F-4F5D-A866-962AF4CD96E0
Certificate Of Completion
Envelope Id: B3248E0A5C4F4F5DA866962AF4CD96E0 Status: Completed
Subject: Please DocuSign: LEI - CO1 - Wood Street Drainage Improvement Project.docx, Inv_51521_from_Ligh...
Source Envelope:
Document Pages: 3 Signatures: 6 Envelope Originator:
Certificate Pages: 5 Initials: 0 Angel Anderson
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EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
215 N Mason Street
Fort Collins, CO 80522
aanderson@fcgov.com
IP Address: 198.59.47.100
Record Tracking
Status: Original
10/8/2019 11:56:02 AM
Holder: Angel Anderson
aanderson@fcgov.com
Location: DocuSign
Signer Events Signature Timestamp
Melissa Walker
mjwalker@fcgov.com
Coordinator, Finance
City of Fort Collins – Utilities Financial Operations
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Sent: 10/8/2019 11:58:50 AM
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Electronic Record and Signature Disclosure:
Accepted: 12/20/2016 10:08:43 AM
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Elliot Dale
edale@fcgov.com
Buyer
City of Fort Collins
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Sent: 10/11/2019 10:00:51 AM
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Electronic Record and Signature Disclosure:
Accepted: 7/17/2017 10:10:53 AM
ID: ec325db7-18a4-43ec-adda-55edfc66426b
Beck L. Anderson
banderson@fcgov.com
Civil Engineer I
City of Fort Collins - Utilities Water Engineering Field
Operations
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Ken Sampley
ksampley@fcgov.com
Water Systems Engineering
City of Fort Collins Utilities
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Electronic Record and Signature Disclosure:
Accepted: 9/20/2016 1:19:23 PM
ID: 1014db09-9243-4a78-b072-b0c852450d0c
Theresa Connor
tconnor@fcgov.com
Water Engineering & Field Services Operations
Manager
City of Fort Collins Utilities
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Electronic Record and Signature Disclosure created on: 8/25/2016 10:28:47 AM
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Chris Hansen
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