HomeMy WebLinkAboutContract 43145-CO4 (2)FORT WORTH
City of Fort Worth
Change Order Request
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CITY SECRETARY,
N�'1)11. (
Project Name' Longstraw Channel Improvements I City Sec # I 625
Client Project #(s)I DOE 5554
Project
Description
Contractor) Humphrey and Morton
City Project Mgr. J Michael Owen
Remove existing channel structure and concrete replacement
Change Order # I 4 Date I 4/11/2013
City Inspector I Jay P. Lozes
Dept. TPW Water Sewer
Original Contract Amount $873,649.50
Extras to Date $45,744.60
Credits to Date
Pending Change Orders (in M&C Process) $3,308.20
Contract Cost to Date $922,702.30
!Amount of Proposed Change Order $6,808.00 $0.00
Revised Contract Amount $929,510.30
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
$0.00
$0.00
$6,808.00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
Contract Time
Totals (CD)
$873,649.50 250
$45,744.60 60
$3,308.20
$922,702.30
$6,808.00
$929,510.30
$0.00
$6,808.00
6.39%
$1,092,061.88
0
310
0
310
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Add sufficient quantity to complete project considering the aesthetics of the neighborhood.
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OFFICIAL RECORD
CITY SECRETARY
F E 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.
Contractor's Company Name
Humphrey and Morton
Insp ctu"r/ nspection Supervisor
(A�sistar
Assistant
rgctor (Dept)
MC Number i
,Contractor (Name) Cpntract Signature Date
ma✓ hh rc--•
ct Manager/Program Manager Date i9 4 3
ntracting Depprtment (Dept) Date
c_J, <-.� 1 /l 9 3
Mana�,� ate
4 a/3
Date roje
9-/)—/3
ate Dirac
1,9
Da.
911:5I(3
s
Council Action (if required)
M&C Date Approved
RECEIVED APR 23 2016
FORT WORTH City of Fort Worth
Change Order Additions
Project Name 1 Longstraw Channel Improvements 1 City Sec # 1 625
Client Project # DOE 5554 1
Project Description Remove existing channel structure and concrete replacement
Contractor 1 Humphrey and Morton 1 Change Order # 4 Date 1 4/11/2013 1
City Project Mgr. 1 Michael Owen City Inspector 1 Jay P. Lozes 1
I I tM
21 b' fences, Wooa
ADDITIONS
UESCNIPIIUN UEI-'I Uty Unit Unit Cost - iotal
I PW 3(u.UU It $18.4U $ti,808.UU
1
T('W $6,808.001
Water $0.001
Sewer $0.001
Sub Total Additions $6,808.001
Change Order Additions Page 2 of 4
City of Fort Worth
Change Order Deletions
Project Name
Client Project #
Project Description
Contractor
City Project Mgr.
IIb.M
Longstraw Channel Improvements
DOE 5554
Remove existing channel structure and concrete replacement
City Sec # I 625
Humphrey and Morton I Change Order # 4 Date I 4111/2013
Michael Owen
City Inspector j Jay P. Lozes
DELETIONS
UbSCNIP HON DEP I(ay Unit Unit Cost total
TP1N $0.00
Water $0.00
Sewer $0.00
Sub Total Deletions
Change Order Deletions Page 3 of 4
MWBE Sub
MIWBE Breakdown for this Change Order
Type of Service Amount for this CO
Total
Previous Change Orders
co # DATE AMOUNT
Total $0.00
$0.00