HomeMy WebLinkAboutContract 38672-CO3' ' . ,,
Foat WORTH .
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City of Fort Worth
Change Order Request
Project Namel Edwards Ranch Rd. Ph .II (Paving-Drainage)
Client Project#(s~ C221-541200-303230010783 (DOE 5994)
City Sec # 38672
Contractor! L.H. Lacy Change Order # 3 Date 11/30/2010
City Project Mgr . ._! _L_eon_Wi_llson __________ ~ City Inspector George Leone
Dept
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
T/PW
CHANGE ORDERS to DA TE (INCLUDING THIS ONE} AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AIIOUNT (ORIGINAL CONTRACT COST+ 25%)
Contract Time
CD
210
0
210
0
210
Additional footage of 4" PVC pipe required for electrical runs. Additional pull boxes are necessary to pull the electrical wire thru the
approximately 3500 linear feet of conduit.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
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.
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Project Name
Client Project #
City of Fort Worth
Change Order Additions
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C221-541200-303230010783 (DOE 5994)
Project Description
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Change Order # 3 Date 11/30/2010 Contractor L.H.Lacy ~====================:;--_____. City Project Mgr. Leon Wilson .__ _____________ __, City Inspector George Leone
ADDITIONS
.!=!:~~It"" I IUN Ut:l"'l Yty Unit Unit cost
Sec. C(Lighting) 4' Schedule 80 PVC(lncrease) T/PW 1,/ 15 .00 LF $7 .9E
Sec. C(Lighting) Pull Box(lncrease) T/PW 17.00 EA $504 .90
1/PW
SUb Total Addmons
Change Order Additions Page 1 of 1
lotal
$14,129.00
$8,583 .30
$22,712.3C
~22,712.3C
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City of Fort Worth
Change Order Deletions
Project Name Edwards Ranch Rd . Ph .II (Paving-Drainage)
Client Project # C221-541200-303230010783 (DOE 5994)
Project Description
City Sec#
Contractor .__L_.H_. Lac_y ______________ _. Change Order# 3 Date 11/30/2010
City Project Mgr. Leon Wilson -----------------City Inspector George Leone
DELETIONS
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>< ~ ~ SUb Total Deletions
Change Order Deletions Page 1 of 1
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38672
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$0.UU
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M/WBE Breakdown for this Change Order
Total
Total
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
PROJECT SUMMARY SHEET
(Change Order Attachment)
PROJECT NAME:
BuySpeed No:
Edwards Ranch Road, Phase II, Unit 2
CSC0-09-00054509
City Project No: 00107
Contract No : CS38672
D.O .E. No : 5994
Attachment to Change Order No: 3
Today's Date : 12/7/10
Original Contract Amount:
Extras to Date:
Credits to Date :
Contract Amount to Date:
Amount of Proposed Change Order:
Revised Contract Amount:
Contingency Funds Avail. for Admin . Change Orders:
Remaining Funds Available for Change Orders:
Additional Funding (if necessary):
TOTAL C221 /TPW
$ 3,931,769.09 3,931,769.09
$ 254,405.58 $ 254,405 .58
$ $
$ 4,186,174.67 4 ,186 ,174 .67
$ 22,712.30 22,712.30
$ 4,208,886.97 4 ,208,886.97
$ 118,000.00
$
$ (22,712.30)
118,000.00
(22,712 .30)
Prepared By : Christy Ezernack T/PW Construction Services
. . .
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PROJECT NAME:
BuySpeed No:
Contract No :
D.O .E. No:
Attachment to Change Order No:
Today's Date:
Original Contract Amount:
Extras to Date:
Credits to Date:
Contract Amount to Date:
PROJECT SUMMARY SHEET
(Change Order Attachment)
Edwards Ranch Road, Phase II, Unit 2
CSC0-09-00054509
CS38672
5994
2
10/20/10
TOTAL/C221
$ 3,931,769.09
$ 254,405.58
$
Amount of Proposed Change Order:
$ 4,161,232.17
$ 22,712.30
$ 4,186,174.67 Revised Contract Amount:
Contingency Funds Avail. for Admin . Change Orders: $ 118,000.00
Remaining Funds Available for Change Orders : $ (136,405.58)
Additional Funding (if necessary): $ 22,712.30
Prepared By: Ka,eu Striltef. -T/PW Business Support
61"A,J'f Cr."
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX