HomeMy WebLinkAboutContract 43501-CO1 I cffy e I I 4�0 J�--(() i
F" Wc>a-F*4 City of Fort Worth =Sqrr e t aq 0 P Y
Change Order Request
Project Name. Medical District Part 8 City Sec No. [:4:3�5011
Project No.(s)-EP2615-609170168787 DOE No, City Proji.No.-
Project Description: Water Distribution System Improvements on Braldner Street',Broadway Street, Henderson Street, Mag:nolia Avenue, St.
Louis Avenue and South Main Street
Contractor:[ William J.Schultz,lnic,,,dba Circle"C"Construction:Co. Change Order# 1 Date. 5/17 1/2
City Project Mgr,F John Kasavich, City Inspector: Mike Myers
Ph�one Number] 817-392-8480 Phone Numberl 817-480-4451
Delpt. WATER Totals Contract Time
(Calendar d'a S)
M L
�M$43/1 5
A
Original Contract Arnount $1$,441,842.00 1:80
"M/1"Alk/1111IN Mwv/11111 1,
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
-"I
Contract Cost to Date
11/1011
NINE
JAmount of Pr22osedl Cha e Orde, /11/32 020
Mw',111'n
pygg NO Orl MMIVIR71�'
11A
Revised:Contract Amount
Noll-
Original'Funds Available for Change,Orders $25,000.00
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1 71,
x 11/1'�,/�,���'ll"�",,//�l/",�
OWN`
Remaining Funds Available for this CO
Additional Fu�nding(if necessary)
CHANGE ORDERS to,DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT
MAXALLOWAB,LE CONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%)
The change order will provide for the followin.g.-
The installation of a 12-inch casing pipe by box tu,nnel instead of by bore and jack method due to
limited job space at the job site to install a bore bit.
0 'Fhe removal and replacement of a conflicting 18-inch storm drain pipe.,
0 The removal of trolley ties and concrete basethat were encountered during construction.,
0 No&.
Staff concurs with the contractor's request for, ar days on this change order.
M
Abided
M, 0 OFFICIAL RECORD
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o"
CITY�SECRETARY
Am y
mary se Se F'Tn WORTH, TX
CA2
It is understood and agreed'that the acceptance of this,Change(1�%fV&iWktor 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.
Oil
Willliam J.Schultz,lnc,,dba Circle"C"Const.,Co. Terri Skelly
�4 6 ji't ;—A�3 A3
J-11 K" ,
46
M&C Number N= M,&C Date Approved N/A
City of Fo�rt Worth
Change Order Additions
Project Name M edical District Part 8 City S,ec No.:
Project No.(s): __P2656091 701168787 DOE No.[_16786, Proj.No.
City
Project Water Distribubon,System Im�pro!vemen�ts on Brad'n�er Street, Broadway Street, Hendiers,on,Street,, Miagniolia Avenue,,St,,
Description Louils Avenue and South Main Street
Contractor ['william J, Schultz, Inc.,dba Circle"C"Construction,Col., Chane Order# Date. 5/117'/
City Project Mgr. L—John Kasavich City inspector Mike Myeers
AUDITIUNS
...............
73 48"'Wood Box Tunnel WATER 80.00 LF 50�010 $36,000-001
74 18"RCP w/CSS Backfill-Remove and Replace �WATER 16,�O�O LF $160,010 $2,560-010
75 1 moval Trolley Ties and Concrete Base WATER 1,00 LS $,21,850.00 $�2)850.00
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NOW
WON_,"'ON.M.
m Wil
N�hli MINIM......
41 01110 1 IN I",I OWN,I I ''I
WATER $41)4101,00
Plage 2,of 4 l�Ad�ditilon�s Sulb To�tall $41$
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Fco n 0-r Wc>P,-r m City of Fort Worth
Change Order Deletions
Project Name
Medical District Part 8 City Sec No,,: 4�3�501
Project No.(s): P265-60:9170168787 DOE No. 6786 City Proj.Nom:
Project Description Water Distribution System Improvements on Bradner Street, B:r a way Street, Henderson Street, Magnollia Avenue,
St.Louis Avenue and South MainamStreet
Contractor W'illiam J.Schultz, Inc.,dba Circle"C"Construction Co!. Chiane Order# Date' 5/17/2013
City Project Mglr. John Kasavich City Inspector Em:ikeMyers
DELETIONS
8 12"Casin!g By Other Than Open!Cut WATER 80.00 LF $350.00 $281010!0,�0!01
0100— -am 0
mom imi�pi
WON
ma
WATER $28,000-00
Page 3 of 4 Deletions Sub,Total, $28�000.00
MIWBE Breakdown for thi's Change Order
I RONNIE lllil'
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Total
Previous, Change Orders,
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VE
Total
Page 4 of 4
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