HomeMy WebLinkAboutContract 38161-CO1 €NS ?✓N: CITY OF FORT WORTH a$'11-1`co
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CANARY—<ONSTRUCTION SERVICES CHANGE ORDER REQUEST CITY SECRETAR
PINK—PROJECT MANAGER 3%I
GOLDENROD-CONTRACTOR CONTRACT NO.
CHANGE ORDER NO. DATE D.O.E.NO PROJECT NO.
1 04/13/09 N/A C293-541200-20926011 l 483
PROJECT DESCRIPTION CITY SECRETARY CONTRACT NO.
Bridge Repair and Repainting at Various Locations(2008-16) 38161
ORIGINAL CONTRACT AMOUNT........................E $781,271.60
EXTRAS TO DATE..............................E -0-
CREDITS TO DATE..................................$ -0-
CONTRACT COST TO DATE.........................................................................................................................................$ 595,333.12
AMOUNT OF PROPOSED CHANGE ORDER.....................................................................................................................................$ 14,295.52
REVISED CONTRACT AMOUNT............................................................................................................................................................$ 795,567.12
ORIGINAL FUNDS AVAILABLE FOR CHANGE ORDERS......................................................:..........................................$
REMAINING FUNDS AVAILABLE FOR CHANGE ORDERS..............................................................................................$
ADDITIONAL FUNDING IF NECESSARY .........................................................................................................................$
PERENTAGE(INCLUDING THIS CHANGE ORDER)OF THE ORIG.CONTRACT COST 1.82%
MAX.ALLOWABLE CONTRACT AMOUNT(ORIG.CONTRACT+25%) $976,588.75
IN ACCORDANCE WITH THIS CHANGE ORDER THE CONTRACTOR SHALL:
Item Description Quantit Unit Cost Total
Add:
4. Concrete Bridge Deck Repair Class I1(13)(Mid-Depth) 1668.25 $27.50 $45,876.87
5. Concrete Surface Repair 39.42 $135.00 $5,321.70
Deduct:
3. Concrete Bridge Deck Repair Class I(B)(Shallow) 1630.22 <$19.00> <$30,974.18>
7. Cleaning Deck Joints 161.00 <$1.00> <$161.00>
12. Epoxy Injection 25.00 <$100.00> <$2,500.00>
16. Carbon Fiber Reinforced Polymer Concrete Repair 51.28 <$61.00> <$3,128.08>
18. Multi-Layer Epoxy Broadcast Overlay 32.51 <$4.30> <$139.79>
Net Change $14,295.52
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.
CONTRACTOR'S NAME:
Gibson&Associates
ORIGINAL CONTRACT TIME ADDITIONAL APPROVED TIME TO DATE APPROVED CONTRACT TIME TO DATE ADDITIONAL TIME FOR THIS CHANGE ORDER
90 working days 0 working days
CONTRACTOR DATFj/��0� PROJ DATE O�
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DIRECTOR/CONTRACT[N EPT DATE, ITYA' OR E /TE
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9 APPROVED 9 DISAPPROVED 9
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Attested by:
OFFICIAL RECORD
04-30-0 9 Pr :56 IN CITYSECRETARY
MUtyy Hendri City SIMMI ry FT.WOMITX
DATE 04J13/09
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
CHANGE ORDER JUSTIFICATION RECORD
PROJECT NAME: Bridge Repair and Repainting at Various Locations(2008-16)
CHANGE ORDER: I DOE NO. N/A PROJECT NO C293-541200-209260111483
INSPECTOR: Mark Bertram PHONE NO: 817-392-2516
PROJECT MANAGER: Tariqul Islam PHONE NO: 817-392-2486
REASON(S)FOR CHANGE:
Items 4 and 5—Additional quantities necessary due to detoriated field condition to complete the project.
Item 3,7, 12, 14 and 18—Quantity for these items reduces per field condition.
INSPECTO ; PROJE R
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MANAGER OF CONST.SERVICE
DIRECTOR F I DEP
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DIR.OF CONTRACTING DEPT.
OFFICIAL mr.140UMU
CITYSECRETARY
FT.WORTH,TX
SPECIFICATIONS AND CONTRACT DOCUMENTS
BRIDGE REPAIR AND REPAINTING AT VARIQ1AF:
LOCATIONS (2008-16) co~m
CONTRACTOR'!!wwaNc co I
CITY SECRET _..,._CRYMCRETAW
CONTRACT NO ---.-crff ma Eno 9m
PROJECT NO. C293-541200-209260111483 °gNOM (.
1VW•FU Corr
IN THE CITY OF FORT WORTH, TEXAS E
JULY 2008
MIKE MONCRIEF DALE A. FISSELER, P.E.
MAYOR CITY MANAGER
GREG SIMMONS, P.E.
ACTING DIRECTOR
TRANSPORTATION
AND PUBLIC WORKS DEPARTMENT
II
GEORGE BEHMANESH, PE
ASSISTANT DIRECTOR OF TRANSPORTATION
AND PUBLIC WORKS DEPARTMENT
Prepared b �`�� OF �1°
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TranSystems Corporation Consultants
500 W. Ph Street, Suite 1100
Fort Worth, Texas 76102 e. * GGGVVV
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e TERESA LAMB DELLIES
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