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HomeMy WebLinkAboutCHANGE ORDER - AGREEMENT MISC - LANCE MAGUIRE TRACKSPROJECT TITLE: CONTRACTOR: PROJECT NUMBER: PURCHASE ORDER NO.: DESCRIPTION: 1. Reason for change: 2. Description of Change: $ 8,500.00 3. Change in Contract Cost: $ 8,500.00 4. Change in Contract Time: ORIGINAL CONTRACT COST $ 52,995.00 TOTAL APPROVED CHANGE ORDER $ - TOTAL PENDING CHANGE ORDER $ - TOTAL THIS CHANGE ORDER $ 8,500.00 TOTAL % OF ORIGINAL CONTRACT, THIS C.O. 16.04% TOTAL % OF ORIGINAL CONTRACT, ALL C.O.'S 16.04% ADJUSTED CONTRACT COST $61,495.00 (Assuming all change orders approved) ACCEPTED BY: DATE: Contractor's Representative ACCEPTED BY: DATE: Project Manager REVIEWED BY: DATE: Title: APPROVED BY: DATE: Title: APPROVED BY: DATE: Purchasing Agent over $30,000 cc: City Clerk Architect Contractor Engineer Project File Purchasing Added new BMX Start Gate as the original gate was not salvageable Site Changes 9163238 BMX gate was not originally planned to be replaced CHANGE ORDER NO. 1 Southeast Community Park BMX Lance Maguire Tracks no change 9/7/2016 Lance Maguire Tracks 1293 Tamarack st. Junction City Oregon, 97448 541-654-2761 June 10, 2016 FCBMX16 Net on Receipt Build Replace old gate detroyed by deconstructor $7,500.00 Shipping quoted at $1687.00/ Picked up by Lance Maguire Tracks in Bakersfield $1,000.00 delivered to job site Total $8,500.00 Change Order Fort Collins BMX 16 BILL TO: Change Order City of Fort Collins Request Date Job Finish Date Fort Collins Colorado Please make your check payable to LANCE MAGUIRE TRACKS Thank You For Your Business! Customer ID Phone 970-222-5933 Terms AMOUNT DUE NOTES Requested By: Lance Maguire Approved By: ATTN: Craig Kisling Job Start Date Replace with New "Riders Ready" deck gate