HomeMy WebLinkAboutContract 43795-CO4 (2)FORT �0,�'['H City of Fort Worth
`�'�,,`;"y�� Change Order Request
Project Name 2008 CIP Contract 9D DOE 6219
Client Project #(
Project
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City Sec # 43795
Pavement Reconstruction and Water Replacement on Portions of Beddell St, Bewick St, Flint St, Wayside Ave, and
Wiliina Ave.
Contractor Stabile & Winn Change Order# �4 Date 11/5/2013
City Project Mgr. Fred Ehia City Inspector Wade Miller
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
��� '. .i ��� o i i i �',: ,. �� r�;t,.. r�(� ri,.,,i,.
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
TPW
,148,665.35
$25,316.23
1,173,981.58
$12,222.00
1,186,203.58
$115,000.00
$89,683.77
Water
162,000.00
,150.00
$0.00
Sewer Totals
$1,509,998.35
$187,316.23
$1,697,314.58
$0.00 $12,222.00
$1,709,536.58
$151,150.00
$89.683.77
Select Day
280
15
295
295
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTR,QCT 13.21 %
MAXALLOWABLECONTRACTAMOUNT (ORIGINAL CONTR,4CT COST+ 25%) $1,887,497.94
JUSTIFICATION (REASONS) FOR CHANGE ORDER
It was tliscovered there was 6" of concrete under the 2" HMAC on Bewi �C # ad to be removed before the reconstruction of this street
could begin. ' � ��i�,
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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.,
Contractor's Company Name
Stabile & Winn
M&C Number
Contractor (Name)
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Date Pri
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Date
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Date As
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Council Action (if req
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M&C Date Approved �
Date
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Date
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City of Fort Worth
Change Order Request
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Project Name 2008 CIP Contract 9D DOE 6219 City Sec # 43795
Client Project #(s) 01321
Project Description
Pavement Reconstruction and Water Replacement on Portions of Beddell St, Bewick St, Flint St, Wayside Ave, and
Willing Ave.
Contractor Stabile & Winn Change Order# �4 Date 11/5/2013
City Project Mgr. Fred Ehia City Inspector Wade Miller
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
lo
io �r�ter CO �acku
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
���4�1
316.23
$1,173,981.58
115,000.00
$89,683.77
Water I Sewer
$361,333.00
$162,000.00
333.00
$523,333.00
$36.150.00
$0.00
Totals
I ,509,998.35
$187,316.23
1,697,314.58
1,709,536.58
$151,150.00
$89.683.77
Select Day
280
15
295
295
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 13.21 %
MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $1,887,497.94
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.S
�
� FORT WORTH.
City of Fort Worth
Change Order Request
Select Day
Project Name 2008 CIP Contract 9D DOE 6219 City Sec# 43795
Client Project #(s) 01321
Project Description
Pavement Reconstruction and Water Replacement on Portions of Beddell St, Bewick St, Flint St, Wayside Ave, and
Willing Ave.
Contractor Stabile & Winn Change Order# �4 Date 11/5/2013
City Project Mgr. Fretl Ehia City Inspector Wade Miller
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pentling Change Orders (in M&C Process)
Contract Cost to Date
Go to ADD & DEL Tabs �u Lnier CO f�acl<�
Original Funds Available for Change Orders
Remaining Funds Available for this CO
A.dditional Funding (if necessary)
TPW
$1,148,665.35
$25, 316.23
1,173, 981.58
$1,186,203.58
$115, 000.00
�89,683.77
Water
$361,333.00
�162,000.00
523,333.00
$36,150.00
$0.00
Sewer I Totals
1, 509, 998.35
$187, 316.23
$1,697,314.58
.00 $12,222.00
$151,150.00
$89.683.77
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 Company Name � Contractor (Name
�ile & Winn . 4 .
Date
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, ;
280
15
295
295
, ,F ;
Inspector/Inspection Supervisor Date Project ManagedP�ogram Manager Date
. ` ji �
Assistant Di�ector (Dept) Date Director, Contracting Department jDept) Date
Assistant City Attomey , Date Assistant City Manager Date
Council Action (if required)
M&C Number M&C Date Approved �
�
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 13.21 %
MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $1,887,497.94
.
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, , / �
City of Fort Worth
Change Order Request
Project Name 2008 CIP Contract 9D DOE 6219 City Sec # 43795
Client Project #(s) 01321
Project
Pavement Reconstruction and Water Replacement on Portions of Beddell St, Bewick St, Flint St, Wayside Ave, and
Willina Ave.
Contractor Stabile & Winn Change Order# �4 Date 11/5/2013
City Project Mgr. Fred Ehia City Inspector Wade Miller
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Go io ADD & C�CI_ Tabs io Enter CO �iacl;�
Revised
Original Funds Available for Change Orders
Remaining Funtls Available for this CO
Additional Funding (if necessary)
TPW
$1,148,665.35
$25.316.23
1,173,981.58
� 1,186,203.58
$115,000.00
$89,683.77
Water
$361,333.00
$162,000.00
523,333.00
$36,150.00
$0.00
Sewer I Totals
1,509,998.35
$187,316.23
14.58
22.00
$151,150.00
$89,683.77
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.
280
15
295
295
Contractor's Company Name Contractor (Name) Contract Signature Date
Stabile & Winn `
Inspector/Inspection Supervisor Date Project Manager rogram anager Date
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Assistant Director (Dept) Date Director, Contracting Department (Dept) Date
Assistant City Attorney Date Assistant City Manager Date
t(• Z�•�
Council Action (if required)
M&C Number � M&C Date Approved �
Select Day
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 13.21 %
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $1,887,497.94
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MIWBE Breakdown for this Change Order
Previous Change Orders
PROJECT SUMMARY SHEET
(Change Order Attachment)
PROJECT NAME:
PROJECT LIMITS:
CS. No.:
D.O.E. No.:
Attachment to Change Order No.:
Today's Date:
2008 CIP Contract 9D
Beddell St, Bewick St, Flint St, Wayside Ave and Willing Ave
CS43795
6219
4
11 /25/2013
TOTAL
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): $
1,509,998.35
187,316.23
1,697,314.58
12,222.00
1,709,536.58
151,150.00
89,683.77
TPW
$ 1,148,665.35
$ 25,316.23
$ 1,173,981.58
$ 12,222.00
$ 1,186,203.58
$ 115, 000.00
$ 89,683.77
$ -
Water
361,333.00
$162, 000.00
523,333.00
523,333.00
36,150.00
Sewer