HomeMy WebLinkAboutContract 43571-CO1 (2)FORT W(�I�T� City of Fort Worth
�" ,��`� � Change Order Request
Project Name HMAC Surface Overlay 2012-17 At Various Locations
Client Project #(s)
Project
C293-541200-205620193483
HMAC Surface Overlay At Various Locations
Contractor Peachtree Construction, LTD
City Project Mgr. Kristian Sugrim (817) 392-8902
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
unt
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Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
TPW
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876.70
Water
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Sewer
City Sec # 43571
Totals
$1,095,004.80
00 $99,876.70
$1,194,881.50
$0.00
$99,876.70
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
9.12%
$1,368,756.00
'�1
140
JUSTIFICATION (REASONS) FOR CHANGE ORDER
The purpose of the this change order is to atld to line items that were needetl to complete Kingswootl Drive from Wrigley Way to Fiesta Street
and to increase line items for the adtlition of Wheaton Drive from Walraven Circle to South Hulen Street and to adtl two speetl humps on Lois
Street from S Hughes Avenue to Virgil Street.
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City Project No.01934
DOE:6864
Change Order # �1 Date 3/14/2013
City Inspector Mike Glover
Contract Time
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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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LanquagQ to be inserted in the M&C far fhis Contract
Peachtree ConstrUciion, Lfd. agrees to maintain its inftial IViMJB� commltment of 22% that it made
on fhe origlna( contracf and extend and maintafn fhet same MlW�E comrttitmsnt af 22% ta this
firsf ohange order. Therefore Peachtree Construciion, Lfd. r�mains in compliance with fhe Cify's
M/WBE Ordinance and attests to ifs commitment by #ts signaiure on the Accspfance af Arevious
M/WB� CommiEment form execufed by an authorized rapresenfafive of Its company.
To be Cornpleted by the Represaniat�ve of the Carttracfor
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t�rinted Sigrtature Title � uthorized SignatutelDafs
Peachtree Constructfon, l.tct.
Company Name Contact Name {if differenf)
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PROJECT NAME:
BuySpeed No:
Contract No:
HMAC Surface Overlay 2012-17
CS43571
D.�.E. No: �864
Attachment to Change Order No: 1
Today's Date: 6/12/13
Original Contract Amount:
Extras to Date:
Credits to Date:
Contract Amount to Date:
Amount of Proposed Change Order:
Revised Contract Amount:
Contingency Funds Avaii. for Admin. Change Orders:
Remaining Funds Available for Change Orders:
Additional Funding (if necessary):
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Prepared By: Karen Striker - T/PW Business Support