HomeMy WebLinkAboutCORRESPONDENCE - RFP - 8468 CM GC FOR POUDRE RIVER WHITEWATER PARK (4)Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: Whitewater Park Spring Wrap-up
SERVICE PROVIDER: ECI site Construction Management
WORK ORDER NUMBER:4
PO NUMBER: 9200831
DESCRIPTION: Reconcile the change in concrete layout as directed in the field by City project
manager. See attached Change Order Request #1, dated 9/14/20 from ECI.
1. Reason for Change: Site conditions
2. Description of Change: Deduct square footage of 6” concrete not poured
3. Change in Work Order Price: -1,549.37
4. Change in Work Order Time: na
ORIGINAL WORK ORDER PRICE $ 27,509.00
TOTAL APPROVED CHANGE ORDER 0.00
TOTAL PENDING CHANGE ORDER 0.00
TOTAL THIS CHANGE ORDER -1,549.37.00
TOTAL % OF THIS CHANGE ORDER -17.8%
TOTAL C.O.% OF ORIGINAL WORK ORDER -17.8%
ADJUSTED WORK ORDER COST $ 25,960.15.00
SERVICE PROVIDER: Date:
Name, Title
ACCEPTANCE: Date:
Name, Project Manager
REVIEWED: Date:
Name, Buyer or Senior Buyer
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: C3B3E24C-385C-4E4E-943A-74423F14A9DE
Senior Landscape Architect October 14, 2020
Project Manager October 18, 2020
Sr Buyer October 19, 2020
CHANGE
ORDER
REQUEST
TO OWNER:
PROJECT:
Poudre
Whitewater Park
Spring Wrap Up
Items WO#4
City of Fort Collins
Attn: Matt Day
215 N. Mason, 3rd Floor Fort Collins
COR NUMBER: 1
DATE: 9/14/2020
Submitted by: Jeron Siegert CONTRACT NO: WO#4
Description: Deduct concrete trail not poured
The Contract to change as follows: Quantity Unit Unit Price Total
Deduct 6" sidewalk not poured -125.05 SF $12.39 -$1,549.37
COR TOTAL -$1,549.37
The original Contract Sum was $27,509.52
Net change by previously authorized CORs $0.00
The Contract Sum prior to this COR $27,509.52
If approved the Contract Sum will be adjusted by this COR in the amount of -$1,549.37
The New Contract Sum including this COR will be $25,960.15
Original Days Allocated: 24
Additional Days Approved: 0
Additional Days Requested on this CO: 0
Total Adjusted Days: 24
Signature - Owner Signature - General Contractor
City of Fort Collins ECI Site Construction Management Inc.
Name Printed Name Printed
Date: Date:
P.O. Box 2135
Loveland, CO 80539
Phone: (970) 669-6291
Fax: (970) 669-6411
DocuSign Envelope ID: C3B3E24C-385C-4E4E-943A-74423F14A9DE