HomeMy WebLinkAboutCHANGE ORDER - BID - 8063 ARTHUR DITCH MANHOLE RETROFITCity of
Flirt Collins
•_.,/ Englneenng
Planning, Development & Transportation
Engineering
281 North College Avenue
P.O. Box 580
Fort Collins, CO 80522.0580
970.221.6605
970.221.6378 - fax
Change Order Form
PROJECT TITLE: Arthur Ditch Manhole Retrofit
PROJECT NUMBER: 254902100 (RFP 8063)
CONTRACTOR: Osumn, Inc. (PO#9151586)
CHANGE ORDER NUMBER: 1
n preparing change orders show In order as separate numoereo paragraphs ine Miiowing
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 decrease by $ (19,551.48)
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 % OF THIS CHANGE ORDER
TOTAL C.O. % OF ORIGINAL CONTRACT
ADJUSTED CONTRACT COST
(Assuming all change orders approved)
ACCEPTED BY: IF Le-1-
( ontractor's Repr
REVIEWED BY:
(Engineer) ,
APPROVED BY:
(Project Manager)
-24.71 %
-24.71 %
$79,127.40
$0.00
$0.00
($19,551.48)
$59,575.92
DATE: '�-'2-� t5—
TE:
DATE: VZO L-2 0 t S
APPROVED BY: _ 04WLL1- L L .1 Lt.W DATE: A l �
(Department Head)
APPROVED BY:
(Purchasing Agent over $60,000)
cc: Contractor
Purchasing
Project File
DATE:
Change Order
Project: Arthur Ditch Manhole Retrofit
City Bid No.: 8063
Contractor: Osmun Inc.
CO #
Discri tion
Reason for Change
I Unit
I Quantityl
Unit Cost $
Item Cost $
1
1 Reconcile CO
Reconcile CO for Final Pay Application
Orginal Contract Value
79,127.40
New Reconcile Contract Value
59,575.92
COI Total
(19,551.48)