HomeMy WebLinkAboutContract 49915-CO2 CSC No.49915-CO2
FORT WORTH City of Fort Worth
Change Order Request
Project Narne.-I Viitage Creek Drainage Basin Main 325 Pardel Roger Sewer Part I I City Sec No,: 1 49916
Project 1404a): M1,14MOMW10- 0133MI783 DOE No. N/A Clly Prof.N0.:J 01333
Project[>esaiptioR 4"A S w*"Sewer lnslaitalon from Oak Grove Rout Natmistedy 3,100 feet
Conlrachor.1 Mountain Cascade of Texas LLC Change Order# !—`J Dale: 3/28/Z020
City Project Mgr.1 John Kaeavkfi City Inspector. I Paul Gleger
Phone Number.1 817-392-8480 Phone Number. 8f 7-302-8371
Dept. Sewer Totals Contract Time
(Colander days)
Original Contract Amount $1,215,610.00 $1,215,610.00 170
Extras to Dale 029
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,216,510.00 $1,215,510,00 199
$0.00 $0.00 515
Revised Contract Amount $1,215,510.00 $1,216,510.00 714
Original Funds Available for Change Orders $60,776.00 $60,776,00
Remaining Funds Available for this CO $60,776.00 $60,776.00
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT
MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,619,387.50
1 OTIFICATION((REASONS)IFOR.�CN4NGE,ORD9R t
This change order will provide additional time for the period it took to obtain a permit from Tarrant County to
access the project site and for the manhole protective coating contractor to mobilize to the jobsfte.
It Is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents
payment In full(both time and money)for all costs arising out of,or Incidental to,the above Change Order.
CanttaolorsSOompa►iylNemey jCotatraatgrlName11
Al- IRA
Mountain Cascade of Texas LLC Chris Windsor
f,�o
220
;Dlreoto�i:(WaterlQepl) ?Dale, ;` i0 .-uotion'80erVsorf(W,410 Dept) _ ,Date.-T-5. Apr2,2020 �-�¢I'
Assistant',City:Attgrney: !Date J. 'A`ssistant.011ylManager 1 . Rats
A r3 2020 1AD r3 2020 —:
Counoll+Wiwi
(If Requlred)
M&C Number NIA M&C Date Approved NiA
FORT WORTH City of Fort Worth
Change Order Additions
Project Name J Village Creek Drainage Basin Main 325 Parallel Reller Sewer Part I City Sec No.: 49915
Project No.(s): 56014-0700460-5740010-001333-001783 DOE No. N/A City Proj.No.: 01333
Project Description 484nch Sanitary Sewer Installation from Oak Grove Road Northeasterly 3,100 feet
Contractor Mountain Cascade of Texas LLC Change Order:= Date: 3/26/2020
City Project Mgr. John Kasavich City Inspector Paul Gteger
ADDITIONS
Qty � Unit UM(p t
DEPT Total
Sewer
Page 2 of 4 Additions Sub Total
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FORT WORTH City of Fort Worth
Change Order Deletions
Project Name Village Creek Drainage Basin Main 325 Parallel Relier Sewer Part I City Sec No.:
Project No.(s): 56014-0700460-5740010-001333-001783 DOE No. N/A City Pro).No.: 01333
Project Description 48-inch Sanitary Sewer installation from Oak Grove Road Northeasterly 3,100 feet
Contractor Mountain Cascade of Texas LLC Change Order; L Dale 3/26/2020
City Project Mgr. John Kasavich City Inspector: Paul Gieger f
DELETIONS }f
ITEM DESCRIPTION REP1 Qty Unit Unit Cost :_` Total
Sewer
Page 3 of 4 Deletions Sub Total
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MIWBE Breakdown for this Change Order
MWBE Sub Type_of Service Amount for this CO
Total $0 00
Previous Change Orders
co# DATE AMOUNT
Total $000
Page 4 of 4
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.
Win.• � ��
Signature
Name of Employee
Title
ATTEST:
V U \� '�_ F .,.gib:••+
Mary J. Kayser
City Secretary
z
t
1
UFMOAL RECORD
jTy SECRETARY4.