HomeMy WebLinkAboutContract 45378-CO3A CITY SECRETARY
CONTRACT NO. 1' Au�-
Form 2146-L
(Rev.10/11) CONSTRUCTION CONTRACT CHANGE ORDER NUMBER: 3A
Page 1 of 1
1.CONTRACTOR: Austin Bridge and Road,LP
CCSJ: 0902-48-775
2.Change Order Work Limits:Sta. 156+00 to Sta. 160+00 Project: Dirks Rd Phase 2
3.Type of Change(on federal-aid non-exempt projects): Major (Major/Minor) Highway: Dirks Rd
4.Describe the change and the reason for the change order. When necessary,include County: Tarrant
exceptions to this agreement.
District: 02-Fort Worth
Lowering of 24"water line required additional items and includes project overruns Contract 45378
and underruns. Number:
S.New or revised plan sheet(s)are attached and numbered:
Each signatory hereby warrants that each has the authority to execute this Change Order.
Bysigning this change order,the contractor agrees to waive any and all The following information must be provided
claims for additional compensation due to any and all other expenses;
additional changes for time,overhead and profit;or loss of compensation Time Ext.#: 3 Days added on this C.O.: 59
as a result of this change.Further,the contractor agrees that this agreement
is made in accordance with Item 4 and the Contract.Exceptions should be
noted in the response for#5 above. Amt.added by this change order: $126,738.55
For TxDOT use only:
THE CONTRACTOR Date '5,0• Days participating: 59
ByAustin Bridge and Road,L Amount participating: $0.00
Typed/Printed Name Jerry Culber on
Signature Date
Typed/Printed Title North Texa Area Manager
Name/Title
RECOMMENDED FOR EXECUTION:
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Name itle Date Name tle Date
❑APPROVED F1 REQUEST APPROVAL L-'
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Name/Title Date Name/Title I Date
APPROVED REQUEST APPROVAL
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Name/Title Date Name/Title Date
APPROVED REQUEST APPROVAL
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Name/Title Date Nafnerritle Date
APP t CA h{ S-.eCve ie,1/
Engineer's Seal:
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LEON WILSON, JR.* % `r~ OFPICIAI.RECORD
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Contract Compliance Manager;
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and reporting requirements.
Name of Employee/Signature
5 n-n v; !f e �Ss,�•.�,� Evac,', .-�<tr
Title
0 This form is N/A as No City Funds are associated with this Contract
Printed Name Signature
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