Contract - Patin Construction, LLC - 7/10/2014Contract Quantity Adjustment/Change Order
Date: June 20, 2014
Change Order/Quantity
Adjustment No. 1
Page 1 of
nury Aalusunenwunange uraer v, i is neeaeo Tor aoomon or pavement repave requlrea to maKe me new right tum lane tie in. 1 here is a pavement ramre in
southbound lane at this tie in poiint that is needing to be removed and replaced with new asphalt.
SUMMARY
Original Contract Price:
Previous Quantity Adjustment(s):
This Quantity Adjustment:
Total Quantity Adjustment(s):
Total Contract Price with Quantity Adjustment(s):
Previous Orange Order(s):
This Change Order:
Total Change Order(s) To Date:
Adjusted Contract Price [Original Contract Price Plus Quantity
Adjustment(s) Plus Change Order(s)):
Difference between Original and Adjusted Contract Prices:
Original Contract Time:
Time Adjustment by Previous Quan. Adj./Change Order:
Time Adjustment by this Quan. Adj./Change Order:
New Contract Time:
Signature
City Project
Mayo /City
Manager � V9
R-2014-1568
90
2
0
92
Submitted for Approval
Todd Keltgen, Project Manager,
Approvals
Printed Name,
Project Manager, City
Mayor, City of Round
Amount
$165,696.00)
$0.00
$93,600.00
$93,600.00
$259,296.00
$0.00
$0.00
$259,296.00
$93,600.00
Calendar Days
Calendar Days
Calendar Days
Calendar Days
Date
�L
Date
Date
- ID
Change
161111410
0.00%
0.00%
Department:
Transportation
Project
Red Bud Lane at Forest Creek Drive
Name:
Southbound Right Tum Lane
City Project
ID Number
RBFLC
Date: June 20, 2014
Change Order/Quantity
Adjustment No. 1
Page 1 of
nury Aalusunenwunange uraer v, i is neeaeo Tor aoomon or pavement repave requlrea to maKe me new right tum lane tie in. 1 here is a pavement ramre in
southbound lane at this tie in poiint that is needing to be removed and replaced with new asphalt.
SUMMARY
Original Contract Price:
Previous Quantity Adjustment(s):
This Quantity Adjustment:
Total Quantity Adjustment(s):
Total Contract Price with Quantity Adjustment(s):
Previous Orange Order(s):
This Change Order:
Total Change Order(s) To Date:
Adjusted Contract Price [Original Contract Price Plus Quantity
Adjustment(s) Plus Change Order(s)):
Difference between Original and Adjusted Contract Prices:
Original Contract Time:
Time Adjustment by Previous Quan. Adj./Change Order:
Time Adjustment by this Quan. Adj./Change Order:
New Contract Time:
Signature
City Project
Mayo /City
Manager � V9
R-2014-1568
90
2
0
92
Submitted for Approval
Todd Keltgen, Project Manager,
Approvals
Printed Name,
Project Manager, City
Mayor, City of Round
Amount
$165,696.00)
$0.00
$93,600.00
$93,600.00
$259,296.00
$0.00
$0.00
$259,296.00
$93,600.00
Calendar Days
Calendar Days
Calendar Days
Calendar Days
Date
�L
Date
Date
- ID
Change
161111410
0.00%
0.00%
�y Contract Quantity Adjustment/ Change Order
re.. MAZ
Project Name: Red Bud Lane at Forest Creek Drive Southbound Right Turn lane
Quan. Adj./Change Order No.:
Chance Order Data
Paee 2 of 3
Contract
Item # Item Description Unit Unit Price Amount Time Adjustment (Days)
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
$0.00
0.00
0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$O.00
TOTALS: 1 $0.00 0
Contract Quantity Adjustment/Change Order
m. MII2
Project Name: Red Bud Lane at Forest Creek Drive Southbound Right Tum Lane
Quan. Adj./Change Order No.: 1
Ouantity Adiustment Data
Puec 1 nl 3
Bid Item # Item Description Unit Qty. Unit Price
Contract
Time Adjustment (Days)
Amount
$0.00
12 8" HMAC Base Course B Ton 385 $180.00
$69,300.00 4
13 2" HMAC Surface Course C Ton 90 $270.00
$24,300.00
$0.00
0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
EPHII
0.00
$0.00
TOTALS:
93 600.00