HomeMy WebLinkAboutContract 48254-CO3CSC No. 48254-0O3
FORT WORTH City of Fort Worth
�� Change Order Request
Project Name: Sanitary Sewer Rehabilitation Confract LXXXIV (84) City Sec No.: 48254 �
Project No.(s): 56002-0�0o43o-co�7so DOE No. N/A City Proj, No.: 015 03 �
Project Oescriplion Sanitary sewer main replacements on Honeysuckle Avenue, Springdale Road, Britfain Street, and Elinor Sfreet
Contractor: William J. Schuliz, Inc. dba Circle C Construction Co. I Change Order # � Date 318/2021
City Project Mgr, John Kasavich City Inspector: David Johnson I
Phone Number: 817-392-8480 Phone Number: 817-392-8455
Dept. Sewer Alternate B Paving Totals Contract Time
Sewer (Calenderdaysl
Original ContractAmount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Con(ract Cost to Date
Amount of Proposed Chanqe Order
$3,300,268.60 � $14,500.00
$113,509.20
$677,672.40
.50 1855
...,.�.......,.,��.�.,..., ����..v��• I I I Wv. • � y...�vvc� � �
Original Funds Available for Change Orders � $355,000.00 � � $44,600.00 � $399,600.00 (
Remaining Funds Available for this CO � � � � �
Additional Funding (if necessary) � � � � �
CHANGE ORDERS fo DATE (INCLUDING 7HIS ONEJ AS % OF ORIGINAL CON7RACT 12.97%
MAXALLOWABLECONTRACTAMOUN7(ORIGINALCON7RACTCOS7+25/) $4,417,540.63
Director (Water
Chrrsl-apher H-rarAer
Assistant City A
�
Date
��$"i� i
Date
Mar15,2021
Date
Mar 16, 2021
Council Action
Assistant
0
�ed �
M&C Date Approved �Rr�� OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
1
Date
.�
,� :
Date
Date
ar 16, 2021
M&C Number NIA �
in full (both time and money) for all cosfs arising out of, or incidental to, the above Change Order.
� ConVacfor's Company Name Contractor Name Contractor Signature � Date �
� William J. Schul�, Inc, dba Circle C Conslruclion Co. Tefl SlCelly � n A� _�' ���� ��. � 3�8 202 � �
FORT WORTH City of Fort Worth
Change Order Additions
Project Name Sanitary Sewer Rehabilitation Contract LXXXIV (84) City Sec No.: 48254
Project No.(s): 56002-0700430-001780 DOE No. N/A City Proj. No.: 01503
Project
Description
Sanitary sewer main replacements on Honeysuckle Avenue, Springdale Road, Brittain Street, and Elinor Street
Contractor William J. Schultz, Inc. dba Circle C Construction Co. Change Order:�3 Date: 3/812021
City Project Mgr. John Kasavich City Inspector David Johnson
ADDITIONS
DEPT Q Unit Unit Cost Total
Sewer
Alternate B Sewer
Paving
Page 3 oi 1 Additions Sub Total
F�IZT' WORTH City of Fort Worth
Change Order Deletions
Project Name Sanitary Sewer Rehabilitation Contract LXXXIV (84)
Project No.(s): 56002-0700430-001780 DOE No. N/A
Project Description
City Sec No.:
City Proj. No
48254
01503
Sanitary sewer main replacements on Honeysuckle Avenue, Springdale Road, Brittain Street, and Elinor Street
Contractor William J. Schultz, Inc. dba Circle C Construction Co. Change Order: �3 Date 3/8/2021
City Project Mgr. John Kasavich City Inspector: David Johnson
ITEM IDESCRIPTION
DELETIONS
DEPT
Qty �Unit �UnitCost
ate B Sewer
Page 1 c�f 1
Sub Total
otal
Page 1 of 1
M1WBE Breakdown for this Change Order
Contract Compliance Manager
By signing I aclmowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and reporting requirements.
Signature
Name of Employee
�J/l�:0 fh�4�
Title
ATTEST:
Mary J. Kayser
City Secretary