HomeMy WebLinkAboutBoulder Contracting-5/6/20132705 University Avenue
P.O. Box 898
Waterloo, IA 50704
WAYNE CLAASSEN ENGINEERING AND SURVEYING, INC.
CHANGE OR EXTRA WORK ORDER
No. 1
Contract No.: City of Waterloo Owner: City of Waterloo
Contract No. 841 Project: Riverview Restroom
Phone: 319-235-6294
319-235-6295
Fax: 319-235-0028
Kind of Work: BLDG Date Prepared: 4/26/13
Contractor: Boulder Contracting
You are hereby ordered to make the following changes from the plans, or do the following extra work, on your contract.
A. Description of change to be made or extra work to be done:
Item 7001 — Decrease area of 4 -inch thick Sidewalk.
Item 8001 — Add 6 -inch thick x 10' wide P.C.C. Driveway
B. Reason for ordering change or extra work:
Item 7001 — Sidewalk area displaced by new driveway.
Item 8001 — Owner's request: for access by City's equipment to maintain restroom.
Approved /1,4././ v a <�0 ? 20
CI JFW
WAYNE CLAAStN ENGINEERING & SURVEYING, INC.
Receipt is acknowledged of this change or extra work and terms of settlement are hereby agreed to.
goy
Conttor
CFORM 13 (Folder\ Change Order\Riverview Restroom-xwkorder.doc)
CHANGE/WORK ORDER NO. 1
C. Settlement for cost of work to be made as follows:
Item 7001 — At the Contract Unit Price of $38.00/S.Y.
Item 8001 — Agreed upon price of $45.00/S.Y.
D. ITEMS INCLUDED IN CONTRACT
7 - - 10
Item No.
Item Description
Unit Price
.XXX
Quantity
.XXX
Amount
.XX
71010111
Applies To Item 11010161
Sidewalk, 4 -inch, PCC, C-4 Mix
$38.000
(14.000)
($532.00)
71111
Applies To Item
I III
$1,080.00
81111
71111
Applies To Item
1 I I I
81111
71111
Applies To Item
1 I I I
81111
71111
Applies To Item
1 I I I
81111
71111
Applies To Item
11111
81111
Total
E. ITEMS NOT INCLUDED IN CONTRACT
8 - - 10
($532.00)
Item No.
Item Description
Item Code
Function
Code
Unit Price
.XXX
Quantity
.XXX
Amount
.XX
81010111
Driveway, 6 -inch, PCC
$45.00
24.000
$1,080.00
81111
81111
81111
81111
81111
TOTAL CONTRACT ADJUSTMENT BY WORK ORDER NO. 1 = $548.00
Total
$1,080.00