HomeMy WebLinkAboutContract 57293-CO1 FORTWORTH.
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o=° City Of Fort Worth
° ' Change Order Request
Facility and Project Far Southwest Library City Sec No. 57293
Description:
Funding(FID)No.(s) 30100-0210410-5740010-104203-CAPEXP-9999 City Proj.No. 101658
Contractor: Muckleroy&Falls Change Order# = Date: 9/21/2022
City Project Mgr. AI honso Meza City Inspector: IJackson Jones
Phone Number:1(817)392-8274 Phone Number: (817)392-8078
Contract Time
(CD)
Original Contract Amount--------------------------------------------------------------------------------------------------------------------------- 6,987,500.00 365
Extrasto Date----------------------------------------------------------------------------------------------------------------------------------------- 0.00 0
Creditsto Date---------------------------------------------------------------------------------------------------------------------------------------- 0.00 0
Pending Change Orders(in M&C Process)---------------------------------------------------------------------------------------------------- 0.00 0
Contract Cost to Date-------------------------------------------------------------------------------------------------------------------------------- 6,987,500.00 365
Amount of Proposed Change Order------------------------------------------------------------------------------------------------------------- 77,617.00 0
Revised Contract Amount-------------------------------------------------------------------------------------------------------------------------- 7,065,117.00 365
Original Funds Available for Change Orders-------------------------------------------------------------------------------------------------- 0.00
Remaining Funds Available for this CO-------------------------------------------------------------------------------------------------------- 0.00
Additional Funding(if necessary)---------------------------------------------------------------------------------------------------------------- 0.00
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1.11 %
MAXALLOWABLECONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%) 8,734,375.00
JUSTIFICATION(REASONS)FOR CHANGE ORDER
The purpose of this change order,91,is to finish out the Municipal Court area. The interior finishout was originally excluded from the construction contract with
Muckleroy&Falls.This results in an addition to the contract by$77,617.00.Change order 91 results in a final construction contract amount of$7,065,117.00,a
1.11%increase to the original contract price of$6,987,500.00.
It is understood and agreed that the acceptance of this Change Order by the contractor consitutes an accord and satisfaction and represents payment in full(both
Contractor's Company Name Contractor Name Contractor Signature Date
Muckleroy&Falls Josh Roher 44ep22,2010930CD Sep 22,2022
PMD Inspector Date Architecural Services Manager Date
?� _$1— Sep 22,2022 Sep 27,202
PMD Superintendent Date Director/Property Management Department Date
Sep 22,2022 Sep 27,2022
Project Manager Date Assistant City Attorney Date
E ela , Sep 22,2022 Sep 28,202
Project Architect Date Assistant City Manager Dante
Sep 26,202 e ghdoK ep on Sep 28,2022
M&C Number N/A M&C Date Approved I N/A
Contract Compliance Manager: OFFICIAL RECORD 'By signing I acknowledge that I am the person responsible 'Ow'
for the monitoring and adminstration of this contract,including CITY SECRETARY Brian R.Glass,AIA
ensuring all performance and reporting requirements. FT.WORTH,TX Assistant Director
Lr.�. I W� Change Order Request
Detailed(with Breakdown of PCOs), Grouped by Each
MUCKLEROY LEROY FALLS Number
COFW SW Library Project# 22008 HM&MF Ltd.,d/b/a MUCKLEROY&FALLS
8829 McCart Ave Tel: Fax:
Fort Worth TX 76123
Change Order Request: 007 Date: 9/19/2022
To: James Diestel From: Joshua Rohrer
City of Fort Worth HM&MF Ltd.,d/b/a MUCKLEROY&FALLS
401 W 13th St 3200 Riverfront Dr
Fort Worth,TX 76102 Suite 200
Fort Worth,TX 76107
Description Category Status
Municipal Court Finish Out
Reference Required By Days Req Amt Req
Attached 9/26/2022 0 77,617
Notes
PCO No Date Reference Amt Prop Days Req Category Reason
Description Notes
PCO 007 6/29/2022 77,617 0
Municipal Court Finish Out This PCO includes costs finishing out the municipal court area noted in
red as VE 12 on drawing sheet A2.01. The scope of work of this area
was Value Engineered out of the scope of work,but is being added
back into scope per the request of the City of Fort Worth. PCO includes
costs for millwork,doors,frames,hardware,glass,drywall,paint,
flooring,window shades,plumbing, HVAC,and electrical as shown in
the drawings for this area.
This PCO is issued to incorporate the scope of work items as
specifically detailed on the attached cost summary and supporting
documents.This Proposed Change does not include any additional
scope provisions not specifically included herein.If additional costs
become apparent at a later date,or additional information regarding this
scope of work becomes available,we reserve the right to price any
additional cost and/or schedule impacts as they become known.
Item No Item Description Amt Prop Reference
001 Millwork-AEP-Municipal Court 15,831
Prolog Converge Printed on: 9/19/2022 MuckleroyFallsProlog Page 1
Change Order Request
Detailed(with Breakdown of PCOs), Grouped by Each
Number
002 Doors,Frames,and Hardware-The Door Company- 4,959
Municipal Court
003 Glass and Glazing-Equity-Municipal Court 9,000
004 Drywall-Tri Phase-Municipal Court 10,430
005 Flooring-Business Flooring-Municipal Court 7,925
006 Painting-ENM-Municipal Court 3,909
007 Plumbing-Curtis-Municipal Court 1,598
008 H.V.A.C.-NTD-Municipal Court 4,803
009 Electrical-Horn-Municipal Court 10,350
010 Window Treatments-M4-Municipal Court 989
011 Muckleroy and Falls-Overhead at 10% 6,979
012 Muckleroy and Falls-P&P Bond Increase 844
Approved By:
Signature
Name Date
Prolog Converge Printed on: 9/19/2022 MuckleroyFallsProlog Page 2
AEP - SCo #1
MILLWORK
CUSTOM CABINETS}'COUNTERTOPS
DATE: AUGUST 5, 2022
2710 W. Division St.
Arlington, TX 76012
Phone 817-522-4542 Fax 817-460-1478
TO
Muckleroy Et Falls
JOB PAYMENT
TERMS
Far SW Library
QTY DESCRIPTION LINE TOTAL
The following prices are millwork that was removed per the VE pricing phase. To add
them back in the prices are as follows.
To add millwork back as previously bid in Room 118 the price is $1590.00
To add millwork back as previously bid in Room 122 the price is $14,241.00
Total amount added to contract is ` $15,831.00
Quotation prepared by: Greg Hunt
This is a quotation on the goods named, subject to the conditions noted below: [Describe any conditions pertaining to these prices and
any additional terms of the agreement.You may want to include contingencies that will affect the quotation.]
To accept this quotation, sign here and return:
THANK YOU FOR YOUR BUSINESS!
III 10490 Shady Trail, Suite 104, Dallas,Texas 75220
T H E DOOR C O M PA N Y Phone 214-803-6445
Change Order Request
Quote # COR -(2) Date: 8/18/2022
Project Name: Far Southwest Library-City of Fort Worth Customer: Mucleroy&Falls
Location: 8829 McCartAve.,Fort Worth,TX76123 Attn:
SCOPE
Following Is cost for: Add Openings 120,122A,and 124 Back To Scope
Add Openings 120, 122A,and 124 Back To Scope $4,959
TOTAL ,
TAX IF APPLICABLE
TOTAL CHANGE $5,368
NOTE:
This quote was prepared by Christian Cruz
Please call 214-803-6445 or email with any questions to: christian@dooframehardware.com
This quote is valid for 45 days.
1
nqcl
EQUITY GLASS CO.
1215 EXECUTIVE DRIVE EAST
RICHARDSON,TX 75081
(469) 320-1490 • EQUITYGLASS.COM
CERTIFIED HUB, MINORITY & SMALL BUSINESS ENTERPRISE (MBE & SBE)
CHANGE ORDER REQUEST
Date: August 4, 2022 COR#: 04
Project#: E2107-09
To: Muckleroy&Falls From: Ned Mohammad
254.722.7783 1 JRohrer(aDmuckleroyfalls.com 214-842-3623
Attn.: Mr. Josh Rohrer NedM(@Eguj tyGlass.com
This change order quote is requested because of the revisions as described below, and which are not covered by the original contract for:
Project: FAR SOUTHWEST LIBRARY Location: FORT WORTH, TX
Description of Changes: Add: $ 9,000.00 Deduct: $ 0.00
EGC proposes to provide aluminum storefront system in dark bronze anod. finish &'/4" clear glass at Muni office as detailed below:
• Alum. SF door w/(2)sidelites as shown on 01/A2.01 and 04/A2.20. Door HW to be set 101A.
• Alum. SF framing as shown on 01/A2.01 &03, 05/A3.50 @ Muni Court 122—Qty. 3. Mic&associated scope by others.
See attached highlighted sheets for reference.
Time extension required for this change: 30 -40 business days
Total of this Change Order Request: $9,000.20
This change order request is VOID if written acceptance is not received within fourteen (14)days from the date of this request. It is hereby mutually
agreed that when this change order request is approved,the above-described changes in the work required by the contract without changing the terms
of the contract except as herein stipulated and agreed.
No work, if addition,will be executed until written approval is received. EGC has the right to withhold material and/or labor for(additional)work if this
said change order is not paid within the following pay request,all lien rights will be applied,contractor will be notified in writing (72)hours in advance,
if payment is not received within the(72)hours after written notice, lien for said project will be applied.
The necessary work for the execution of this change order will be performed promptly upon your written acceptance of this change order request.
Accepted by: Signature: Date:
PRINT Name: Title:
Change Order Request
Date: 8/4/2022
'ffWk- M RABS Request: COR 02
INTE RIORB LLC
Project: SW Library
To: Muckleroy & Falls
Attn: Josh Rohrer
Re: VE#1
TRIPHASE INTERIORS SCOPE OF WORK HAS BEEN MODIFIED TO INCLUDE THE FOLLOWING:
The price below is to add accepted VE 41 back to contract scope
Sales Tax
Total Change Order Amount $ 10,430.00
Sincerely,
Omar Martinez I Project Manager
Office: (214) 341-7997
Cell: (972) 890-2240
omar@triphaseinteriors.com
TriPhase Interiors
10840 Switzer Ave Suite#114
Dallas,Texas, 75238
Quote
U S I N E S S
FLOORING
Quote#
PARIAERS, LL f H t�o Cuus o7mer PO
Contract#
For: • • ••
Far SW Library/ Muni Court ceramic-CO to Date
Muckleroy& Falls 39535 Sales P2
3200 Riverfront Drive 8829 McCart Avenue Sales Cayce 1
Ft Worth, TX Cole Cayce
Suite 200 Sales Person2
Fort Worth, TX 76107 76123
Type QuantitV Product Description Color/Item Number Price Total
Labor Description Room
Accessories
Materials 1 Each Laticrete LHT-50 lb. Mortar Grey $17.78 $17.78
Notes Thinset
Grout
Materials 1 Each Custom Building Products Custom 183 Chateau $72.74 $72.74
Polyblend Sanded Grout 25#
SgFt
Notes Grout
Ceramic Tile
Materials 31.95SgFt Stipple 3x12 $15.52 $484.47
Labor 30SgFt Ceramic Install-Walls
Notes T07
Information Total
Labor $174.59
Materials $400.41
Contract Total $575.00
Sales Tax
Grand Total $575.00
Date Ck#
Deposit
THIS QUOTE IS GOOD FOR 30 DAYS.AFTER THAT BFS SHALL BE REIMBURSED FOR ALL INCREASES IN THE COST OF MATERIAL,FREIGHT,
TARIFFS,AND TAXES AS OF THE DATE OF PURCHASE INCLUDING OVERHEAD AND PROFIT.
IF YOU CHOOSE TO PAY VIA CREDIT CARD A 3% CONVENIENCE FEE WILL BE ASSESSED A well-planned maintenance program that includes both
preventative maintenance and regular,proper cleaning is key to making sure your flooring retains its appearance over time. Please contact your salesman or
our Maintenance Department at 817-282-1600 for more details.
STANDARD TERMS&CONDITIONS
A sales tax exempt certificate or resale certificate is required before we can proceed with your order.
Upon credit approval,Business Flooring Specialists will furnish, deliver and install the above material in accordance with all transmitted plans, specifications and
general conditions for the listed price. All work is to be completed in a workmanlike manner according to standard practices. This contract supersedes any other
documents. Job site is to be broom swept and ready for floor coverings with other trades'materials and trash removed.
Page 1 Q2-44 Quote#107073 8/9/2022 12:32:13 PM
Continuation For: Muckleroy & Falls, Quote # 107073
Type Quantity Product Description Color/Item Number Price Total
Labor Description Room
Unless specifically included or addressed in this proposal: excludes all demolition,repair or take up of existing floors, double layers of flooring;excludes
vacuuming, damp mopping, buffing, waxing or floor protection;excludes floor floating,leveling or repair, excludes sealing of floor, cleaning or removal of oil,
grease,solvents,paints,plaster, or other foreign substances;excludes asbestos control abatement, moisture mitigation;includes no attic stock of material
beyond installation overage;includes work only during regular hours and for a single phase job;excludes any furniture moving;excludes any addenda beyond
the base bid, BFS must be notified if curing compounds or densifiers have been used.
Floor Preparation will be billed on a time and material basis.Any alteration or deviation from above specifications involving extra costs will be executed only
upon written orders and will become an extra charge over and above this estimate. Client is subject to payment for stored materials. Any material held over 2
weeks will be invoiced as a material draw.Business Flooring Specialists will not accept charge backs of damage or cleaning without the option to inspect claim
(s)to repair or without the option to make arrangements for acceptable repairs at their expense.Monies from this contract may not be withheld to satisfy other
contracts. Business Flooring Specialists is not responsible for any claims that might result from product delivery date changes beyond their control. If a
manufacturer requires a deposit to manufacture/ship certain items, client will pay amount required.
Owner to carry fire, tornado and other necessary insurance. Payments not paid with above mentioned terms will be charged a maximum interest allowable by
law, including any collection and attorney fees, to secure full payment of the hereunder.
This proposal is valid for thirty(30)days. Full payment is due fifteen(15)days from date of invoice unless otherwise specified.
Buyer Date Seller Date
Page 2 Q2-44 Quote#107073 8/9/2022 12:32:13 PM
Quote
U S I N E S S
FLOORING
Quote#
PARIAERS, LL f H t�o Cuus o7mer PO
Contract#
For: • • ••
Date
Far SW Library/ Muni Court Resilient 8/5/2022
Muckleroy& Falls 8829 McCart Avenue Sales Person1
3200 Riverfront Drive Ft Worth, TX Cole Cayce
Suite 200 76123 Sales Person2
Fort Worth, TX 76107
Type QuantitV Product Description Color/Item Number Price Total
Labor Description Room
Wall Base
Materials 3601-nFt Roppe 4"700 Series Cove Base 125 Fig $1.52 $547.45
Labor 3601-nFt Base- Rubber, Vinyl Base-2.5i and 4i
Notes RB02
Rubber Tile
Materials 720SgFt EZ Bundle-Marmoleum modular T3717 Neptune $8.85 $6,374.94
Labor 720SgFt Solid Rubber Tile w/Special Adhesive
Notes SHL01
Specs call for Sheet Goods
This product is a Tile
19.7"x 19.7"
Underlayment
Materials 8Each Uzin NC886 Rapid Patch &Smooth 10 Ibs Skim &Repair $53.45 $427.61
Labor 8Each Floor Prep
Notes Floor Prep
Information Total
Labor $1,230.76
Materials $6,119.24
Contract Total $7,350.00
Sales Tax
Grand Total $7,350.00
Date Ck#
Deposit
THIS QUOTE IS GOOD FOR 30 DAYS.AFTER THAT BFS SHALL BE REIMBURSED FOR ALL INCREASES IN THE COST OF MATERIAL,FREIGHT,
TARIFFS,AND TAXES AS OF THE DATE OF PURCHASE INCLUDING OVERHEAD AND PROFIT.
IF YOU CHOOSE TO PAY VIA CREDIT CARD A 3% CONVENIENCE FEE WILL BE ASSESSED A well-planned maintenance program that includes both
preventative maintenance and regular,proper cleaning is key to making sure your flooring retains its appearance over time. Please contact your salesman or
our Maintenance Department at 817-282-1600 for more details.
STANDARD TERMS&CONDITIONS
A sales tax exempt certificate or resale certificate is required before we can proceed with your order.
Page 1 Q2-44 Quote#107072 8/9/2022 12:27:37 PM
Continuation For: Muckleroy & Falls, Quote # 107072
Type Quantity Product Description Color/Item Number Price Total
Labor Description Room
Upon credit approval,Business Flooring Specialists will furnish, deliver and install the above material in accordance with all transmitted plans, specifications and
general conditions for the listed price. All work is to be completed in a workmanlike manner according to standard practices. This contract supersedes any other
documents. Job site is to be broom swept and ready for floor coverings with other trades'materials and trash removed.
Unless specifically included or addressed in this proposal: excludes all demolition,repair or take up of existing floors, double layers of flooring;excludes
vacuuming, damp mopping, buffing, waxing or floor protection;excludes floor floating,leveling or repair, excludes sealing of floor, cleaning or removal of oil,
grease,solvents,paints,plaster, or other foreign substances;excludes asbestos control abatement, moisture mitigation;includes no attic stock of material
beyond installation overage;includes work only during regular hours and for a single phase job;excludes any furniture moving;excludes any addenda beyond
the base bid, BFS must be notified if curing compounds or densifiers have been used.
Floor Preparation will be billed on a time and material basis.Any alteration or deviation from above specifications involving extra costs will be executed only
upon written orders and will become an extra charge over and above this estimate. Client is subject to payment for stored materials. Any material held over 2
weeks will be invoiced as a material draw.Business Flooring Specialists will not accept charge backs of damage or cleaning without the option to inspect claim
(s)to repair or without the option to make arrangements for acceptable repairs at their expense.Monies from this contract may not be withheld to satisfy other
contracts. Business Flooring Specialists is not responsible for any claims that might result from product delivery date changes beyond their control. If a
manufacturer requires a deposit to manufacture/ship certain items, client will pay amount required.
Owner to carry fire, tornado and other necessary insurance. Payments not paid with above mentioned terms will be charged a maximum interest allowable by
law, including any collection and attorney fees, to secure full payment of the hereunder.
This proposal is valid for thirty(30)days. Full payment is due fifteen(15)days from date of invoice unless otherwise specified.
Buyer Date Seller Date
Page 2 Q2-44 Quote#107072 8/9/2022 12:27:37 PM
PAINTING
CONTRACTORS LLC
Special Work Order
P.O Box 397 RFI#:
Terrell,TX 75160 Change Order#: 001
(972)286-2302 Order Date: 08/06/2022
To: Josh Rohrer Project: Far Southwest Library
Muckleroy&Falls Construction,Inc Fort Worth,TX
3200 Riverfront Dr. Suite 200
Fort Worth,TX 76107
You are hereby directed to make the following changes Plans Attached
the subcontract(s)listed below. Specifications Attached
Description of Work Amount
Value Engineering Option#12:
1.Tape&bed level 4 new gypsum board walls per drawing O1/A2.01
2.Paint new gypsum board walls per drawing Ol/A2.11
3.Paint(3)H.M frame#120, 122A, 124 as indicated in door finish schedule.
Notes:
Amount of Change $3,909.00
Contractor: Date:
Subcontractor: Date:
P.O.BOX 397,Terrell,TX 75160
Office:972-286-2302
https://enmpaintingcontractors.com
estimating@enm pa intingcontractors.com
08/18/2022 Page 1
Curtis Mechanical Contractors
Job Name: Far SW Library DATE: 08/18/2022
Quantity U/OM Unit Cost Burden% Total Cost
LABOR Plumber 7.5 hrs $56.25 0% $ 422
LABOR Apprentice 7.5 hrs $47.50 0% $ 356
LABOR Insulator 0 hrs $36.50 0% 0
LABOR Supervisor hrs $65.00 0% $ _
Labor Total $ 778
TOTAL TOTAL Mat'l&Equip Cost
MATERIAL SALES TAX EQUIPMENT
$674 Tax Exempt $0 $674
TOTAL OF LABOR AND MAT'L $ 1,452
SUBCONTRACTED WORK $0
OVERHEAD(selff'erformed) 10% $145
PROFIT(seIfPerformed) incl above
OVERHEAD/PROFIT(Subcontracted Work) 4% $0
SUBTOTAL $1,598
BOND 0.000% $0
NET ADD-(DEDUCT)-TOTAL $1,598
Description of W ork:
Add sink back that was value engineered.
Quanit U/OM Unit Cost TOTAL COST
1. S1 1 $440.00 $440.00
2. 0 $0.00 $0.00
3. 2"NH Pipe 15 ft $8.81 $132.15
4. 2"Short Sweep 1 $18.16 $18.16
5. 0 $12.99 $0.00
6. 1/2"Type L Copper Pipe 40 ft $2.10 $84.00
7. 0 $0.00 $0.00
8. 0 $0.00 $0.00
9. 0 $0.00 $0.00
10. 0 $0.00 $0.00
11. 0 $0.00 $0.00
12.1 1 0 1 1 1 $0.00 $0.00
13. 0 $0.00 $0.00
14. 0 $0.00 $0.00
15. 0 $0.00 $0.00
Total Material $674
Eauirnnent Quanit U/OM Unit Cost TOTAL COST
1. 0 $0.00 $0
2. 1 1 0 1 1 1 $0.00 $0
3. 0 $0.00 $0
4. 0 $0.00 $0
5. 0 $0.00 $0
Total Equipment $o
Subcontractor Cost Quanity U/OM Unit Cost TOTAL COST
1. 0 $0.00 $0
2. 0 $0.00 $0
3. 01 i $0.00 $0
4. 1 1 0 1 1 $0.00 $0
1
WBE CERTIFICATION—WFWB9945ON0624
SBE CERTIFICATION—WFSB54468NO524
'dL AL HUB CERTIFICATION—1261293274400
TACLA65973C
r9ra Proposed Change Order M-40800
MECHANICAL CONTRACTOR
To: Muckleroy Falls Date: August 9,2022
3200 Riverfront Drive,Suite 200
Fort Worth, Texas 76107 NTD P.C. No.: 1
Attention: Josh Rohrer P.C. Description: Municipal Court Area Finish Out
Phone: 254-722-7783
Fax: Project No.: 22003
Project: Far Southwest Library
G.C. Ref. No.: 8829 McCart Ave.
Arch. Ref. No.: Fort Worth, Texas 76123
We propose to furnish all the labor and material required to install the HVAC and/or Plumbing changes on the above
project in accordance with the following description:
• Added back the ductwork, insulation, volume dampers, (5)diffusers&(1) return air transfer downstream of FPB 1-6
Drawings Affected Dated
Total cost of proposed change to contract ADD $4,803.23
Change to completion date of contract from date of release
Our pricing reflects changes only as indicated by above description. All exclusions and qualifications of the original
contract remain the same. This price is subject to change if not released within thirty (30) days or if trades proceed with
further construction that may hinder normal installation of the work described.
Please, notify us in writing if we are to proceed with the proposed change.
Sincerely,
NTD Mechanical Contractor
7N4
Wiley Cunningham
Project Manager
2477 MERRITT DRIVE, GARLAND,TX 75041
NTDMECHANICAL.COM 469-323-0454
Regulated by the Texas Department of Licensing and Regulation PO Box 12157 Austin TX 78711
(800)803-9202 or(512)463-6599 www.tdlr.texas.gov
If
"I-IRN
E LECTRIC
617 N. RETTA FT. WORTH,TEXAS 76111
817-834-3238 FAX 817-834-8721
DATE:8-15-22
TO:Josh Rohrer
CO:Muckleroy and Falls
REF:FW Far Southwest Library Municipal Court
FROM: Anthony Horn
Electrical power,lighting and controls for Municipal Court Area
$10,350.00 tax not included
REGULATED BY THE TEXAS DEPARTMENT OF LICENSING AND REGULATION,
P.O. BOX 12157, AUSTIN, TEXAS 78711 1-800-803-9202, 512-463-6599
WEBSITE: www.license.state.tx.us/complaints
Printed:Aug 18,2022
1200 Placid Avenue,Suite 600, Plano,TX 75074
41 Phone:972-535-5544
SPECIALTY COMPANY
Change Order
Owner Info Job Info
Change Order ID
Owner(2111009 - Far Southwest 8829 McCart Avenue
Library) Fort Worth,TX 76123 2111009-0001
2111009 - Far Southwest Library
CO ID Created/Approved Date Price
2111009-0001 Created: Aug 18,2022 $989.50
Pending...
Description
Municipal Court Shades
Added shades in Municipal Court-3 Shades in total.
Shades to match whats being provided at Far Southwest Library
Status Signature Date
Approved by:
Approval Comments
Please Note:A signature of Approval OR Electronic Acceptance is required before change order is effective. This change order
becomes part of the existing contract.
TOTAL AMOUNT OF CHANGE ORDER: $989.50