HomeMy WebLinkAboutContract 36695-CO2 CITY SECRETARY
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PM-PR0JWT ^VAW CHANGE ORDER REQUEST
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CHANGEORDERN* JDATE PROJECT No No
2 0810512010 IGGOI-639670-0203002 6249
PROJECT DESCRUMON CITY SEC N1
SIDEWALK CONTRACT GROUP 6;1ST RENEWAL SPI5 36695-Ri
WATER SEWER T/PW TOTAL$
ORIGINAL CONTRACT AMOUNT__....................................... 113,968.00 $ 113,968.00
EXTRAS TO DATE...............»................»........................................ - 9,538." $ 9,538.68
CREDITS TO DATE. $
CONTRACT COST TO DATE. ..............__..».................. »».. - I - $ 123,506.68 $ 123 506.68
AMOUNT OF PROPOSED CHANGE ORDER...-------...............---------------........_ $ $ - $ (0.10) $ (0.10)
REVISED CONTRACT AMOUNT........................... ........»..................__...»... $ - $ - $ 123,506.58 $ 123 508.68
ORIGINAL FUNDS AVAILABLE FOR CHANGE ORDERS $ - $ - $ 11,397.00
...............................
REMAINING FUNDS AVAILABLE FOR THIS CHANGE ORDER..................... $ - $ $ 1,11M.32
ADDITIONAL FUNDING(IF NECESSARY)...................._._............................. $ - $ - $ -
CHANGE ORMS 717 DATE M CLUAWO THE ONE)AS%OF OROMAL CONMACT COST41 8.37
MAX ALLOWABLE CONTRACT AMOUNT(OR/G VAL CONTRACT COST+25V 142,W.00
ITEM DESCRIPTION-ADDITIONS DEPARTMENT TY UNIT UNIT COST TOTAL
31. (ADD.)TYPE G CONCRETE SIDEWALK RAMP IT/PW 2.00 EA $ 1,400.00 $ 2,800.00
WATER $ -
SEWER $ -
T/PW $ 2,800.00
SUBTOTAL A $ 2,800.00
ITEM DESCRIPTION-DELETIONS DE PARTMENT TY UNIT UNIT COST TOTAL
15. (DEC.)TYPE 3 CONCRETE SDWK RAMP T/PW 2-001 EA $ 1,000.W $ 2,000.00
22. (DEC. REMOVE AND REPLACE DRAIN LINES ITIPW 1 26.571 LF $ 30.00 $ 800.10
WATER $
SEWER $ -
T/PW $ 2,800.10
SUBTOTAL B $ 2,800.10
TOTAL(SUB-TOTAL A-SUB-TOTAL B) 0.10
IN ACCORDANCE WITH THIS CHANGE ORDER THE CONTRACTOR SHALL
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CONTRALTO"NAME CONTRACTOR(PRINTI: (lt10NA DATE:
MACVAL AND ASSOCIATES Pt Lo %i%xS A D
ORIM"CONTRACT TIME ADDL.APPROM TOE TO DATE APPROM CONTRACT THE TO DATE ADonxwAL TIE FOR TM C.O.
100 CD 20 CD 120 CD 153 CD
PROGRAM MANAGER DATE MANAGER DATE
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FT.WORTH, TX Q
10-12-10 PO4:55 IN
DATE: 08 f 05/2010
TRANSPORTATION AND PUBLIC WORKS
CHANGE ORDER JUSTIFICATION RECORD AND PROJECT SUMMARY SHEET
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PROJECT NAME: SIDEWALKP: !" T A�CCFt0k( kl R I Pw
CHANGE ORDER Ng: 2''. D.O.E. Ns: 6249 °CLIENT PROJECT Ns: aiQ ':
INSPECTOR: LUI$AALLBRIGI T PHONE N2: (07}223-2259` CITY SECRETARY NQ: 36695-R1
PROJECT MANAGER: KHAL JAAFARI PHONE N2: (817)W-7872
COMBINED WATER SEWER T/PW
ORIGINAL CONTRACT AMOUNT $ 113,968.00 - - $ 113,968.00
EXTRAS TO DATE $ 9,538.68 ' .$ 9,538.68
CREDITS TO DATE $ -
ORIGINAL AMOUNT TO DATE $ 123,506.68 $ - $ - $ 123,506.68
AMOUNT OF PROPOSED CHANGE ORDER $ (0.10) $ - $ - $ (0.10)
REVISED CONTRACT AMOUNT $ 123,506.58 $ - $ - $ 123,506.58
ORIG.CONTINGENCY FUNDS AVAILABLE
FOR CHANGE ORDERS $ 11,397.00 - $: - $` 11,397.00
REMAINING FUNDS AVAILABLE
FOR THIS CHANGE ORDER $ 1,858.32 $ - $ - $ 1,858.32 �.
ADDITIONAL FUNDING(IF NECESSARY) $ - $ - $ - $ -
REASON(S)FOR CHANGE ORDER:
Change Orda Z f lrt ic�stalled.
to the f okL o recluctf c f:'i' I tiew
adjustmenftothdcontracfovrer 'aos erW► �slalitra _ tit ce �tt�tha
x
following reasons: i)Qrilrla Contract Irborkihda�h'ouve `` tith same
number of days but as calendar days.Aticiitional days'should haves I�ie: aitiyca # cCtunt fc the stlfCw 2)New sidewalk
site locations we►a added to the contractor's origtnat utiork load in th :. trrse of-our work-`3)Sporadic site replacement
locations for a city wide contract letd to rrrarneEpu mobillzat[orta de. €I�ati6ts and 4�Gonfffctq wltfrtee in the path of
sidewalk replacement atso caused coIank
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX -«
I pector Date Project Manager Date
Asst.Dir.-TPW Infrastructure Design&Const. Dee Program Manager Date `o
/D /i Xo
Dir r of Contr cting Dept. Date x `
10-1 -1 0 PO4:55 IN (��\