ADOA_Exhibit_J21_Change_Order_Proposal_ADOA.pdf
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- Attached to
- St. Johns Shooting Range Water Retention Project
- Solicitation number
- BPM005756
- Issued by
- Apache County, Arizona
About this file
This document is a Construction Change Order Worksheet (Exhibit J1) template used by the Arizona Department of Administration (ADOA) for the St. Johns Shooting Range Water Retention Project, a construction services contract with the Arizona Game and Fish Department (AGFD). The worksheet is designed to document and propose modifications to the contract documents, with a pre-bid meeting scheduled for October 25, 2023, at 11:30 a.m. on site at St. Johns Shooting Range, located three miles north of St. Johns, Arizona in Apache County. Solicitation Amendment One extended the bid due date to November 16, 2023, due to planned system upgrades affecting the Arizona Procurement Program (APP) on the original due date of November 8, 2023.
The change order worksheet provides a standardized format for contractors to itemize and propose costs for labor, equipment, and materials associated with contract modifications. The template includes sections for up to six subcontractors with their respective amounts, general contractor fees at zero percent, bond and insurance costs, and applicable taxes. All cost totals, subcontractor amounts, and fees default to $0.00 on the template, with space for schedule modifications measured in days. The worksheet requires submission to and review by both the State Project Manager and State Procurement Officer, with signature and date fields for approval documentation.
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Text version
Proposal for Change Order Construction Change Order Worksheet Exhibit J1
Firm: Date:
Statutory Review #
Project: Change Order Item Request No:
The following Cost Proposal includes all costs associated with the modifications to the Contract Documents described in the Proposal Request.
Labor Equipment Material
Description Q ty
U ni ts Unit Price Extension Q ty U ni ts
Unit Price Extension Q ty
U ni ts Unit Price Extension
Sub 1: Name of Sub 1 Amt: $0.00 General Contractor's Subtotal
Sub 2: Name of Sub 2 Amt: $0.00 GC Fee @ 0%
Sub 3: Name of Sub 3 Amt: $0.00 Sub-Contractor's Total
Sub 4: Name of Sub 4 Amt: $0.00 Subtotal
Sub 5: Name of Sub 5 Amt: $0.00 (GC's) Bonds + Insurance
Sub 6: Name of Sub 6 Amt: $0.00 (GC's) Taxes
Sub-Contractor's Subtotal $0.00 Subtotal
General Contractor fee @ 0% ($ - ) Grand Total Sub- Contractor's Total $0.00 Schedule modification (days):
Submitted by: Title:
Reviewed by State Project Manager / Date Reviewed by State Procurement Officer / Date
Proposal for Change Order Construction Change Order Worksheet Exhibit J1
The following Cost Proposal includes all costs associated with the modifications to the Contract Documents described in the Proposal Request.
Totals
$0.00
Reviewed by State Project Manager / Date Reviewed by State Procurement Officer / Date
REV 2/7/19
File details come from the government source that posted it. Updated .