HomeMy WebLinkAboutbarton Chapel Road Phase II (2)
Augusta Richmond GA
DOCUMENT NAME: ~1'\ R'IOI'l t l.fA r~ L-- <:R<'l A C> ,1'1-1 fiS';;- ::rr
DOCUMENT TYPE: C-\-l~N~t; OR\)e:~
YEAR: ;J OD c)
BOX NUMBER: ;;;.l.\
FILE NUMBER: }/51..o '7
NUMBER OF PAGES: I
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Change Order Form
Change Order Number: Four Date: 01-21-05
Project Title Barton Chapel Rd Phase II
Original Contract Date: 04-15-03 ,. Project Number:322-04-292822678
Owner: ARC P.O. Number: P75245
Contractor: Beams Pavement Maintenance Co.
The following change order is hereby made to the proposal for the above project:
See Attached
TOTAL AMOUNT OF THIS CHANGE ORDER
$ 5,821.47
The Contract time will be increased by 15 calendar day due to this change order
Original Contract Amount
$ 2.364,707.93
Previous Change Order
(Increased / Dooreased)
$ 181,127.73
Current Change Order
(Increased / Deoreased)
$ 5,821.47
TOTAL CONTRACT WITH CHANGE ORDER(S)
$ 2.551.657.13
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Requested By:
Date: 1/;2. 0//63
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Date: ~2J4(05
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Date: ! - .).6.- ;'S
Date: J/2J~/'-
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Date:
Date: J-.21./ - tJ(
Submitted B .
Finance Endorsement:
Recommended By:
Approved By:
Accepted By:
COPIES: Assistant Director-Engineering
Procurement Geri Sams
Kakoli Basu, Accountant, PWE ..
Pre Construction File
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otes for Purchasing - Please use account # 322041110-5414110 / 292822678-541411