HomeMy WebLinkAboutContract 50030-CO1 aw CITY SECRETARY
CONTRACT NO.
RECEIVED
FEB 2% 2018 Change Order Number: 1
CITY O"
r.I7v St CWOTS No: 1051 T16
Applicant: City of Fort Worth
THIS CHANGE ORDER IS EXECUTED IN DUPLICATE AS FOLLOWS:
® First Original (SWBT dba AT&T) ❑ Second Original (Applicant)
Contract Change Order No: 1 Date: November 30, 2017
1. The following is an amendment to the terms and conditions of CWOTS No. 1051T16/Job Number:
A008JWG.
Item No. 1
After a preliminary estimate was made, revisions requested by the city of Ft worth, changed the total
cost of the project. These revisions encompass additional costs of material, labor, and overhead,
which were necessary to the completion of this project.
For any additional items
Item No. 2:
TOTAL EXTRA: $17,002.92
2. The estimated cost in the CWOTS issued in this matter is adjusted to the following amount:
TOTAL ESTIMATED COST: $120,000.00
Review of CWOTS Estimated Cost
A. Original CWOTS Estimated Cost $120,000.00
B. Net Sum of Previously Authorized Change Orders
C. Present CWOTS Cost $120,000.00
D. This Change Order $17,002.92
E. New CWOTS Estimated Cost $137,002.92
F.
This Change Order entered into as of the day and Year indicated below, by signature, amends and modifies
the original CWOTS agreement between Southwestern Bell Telephone Company DBA AT&T Texas and
Applicant. By signature below, Applicant agrees to make payment to AT&T Texas in the amount of this Change
Order.
Southwestern Bell Telephone Company /
By. rD.4 el- �q x By.
Title: MGR—OSP Planning & Engineer& Design Title: Assistant City Manager
Printed
Name: Deb Robey Printed Name: Jay Chapa
Date: November 30, 2017 Date:
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH9 TX
APPROVAL RECOMMENDED:
By: Zv, C..J.
DouglaQ W.Wiersig, P.E.
Director, Transportation and Public Works
APPROVED AS TO FORM AND LEGALITY
By: M&C:L•28965- iC/fiQ
Douglas W. Black
Sr. Assistant City Attorney Date: 2moo
Form 1295#2&+6--t44035-
ATTEST:
-ATTEST: FORT
ary JqVsJ
Citv Secr tary 'k
ACAS
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.
AIU�
Michael Weiss, P E.
Sr. Professional Engineer
OFFICIAL RECORD