HomeMy WebLinkAboutContract 43041-CO7 (2)�Y`PX ���R�'f'�4Bt�
• FORT �OR'1'1I City of Fort Worth
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Change Order Request
Project Name North Beach Street from Timberland to Keller-Hicks City Sec # 43041
Client Project #(s) 01291 DOE 6224
TPW
I,719,507.16
$314,780.85
$27,132.95
i,007,155,06
$0.00
i,007,155.06
$280,492.84
Water I Sewer
197,850.20
247,118.76
208,661.10
Contract Time
Totals CD
4 $7,028,141.20 600
0 $603,971.71
0 $235,794.05
307.86 $152,855.94 $7,396,318.86 600
095.00 $0.00 $36,095.00 3
402.86 $152,855.94 $7,432,413.86 603
$0.00 $0.00
$36,095.00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAXALLOWABLECONTRACTAMOUNT (ORIGINAL CONTRACT COST+ 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Revsied dwgs include 35' of 48"casing pipe w/ carriers to be installed on new 30" water main.
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Project Description
4-lane dividetl arterial street from Timberlantl Blvtl. to Keller-Hicks Roatl
Contractor JLB Contracting, LLC Change Order# �7 Date 3/21/2013
City Project Mgr. Michael Weiss, P.E. City Inspector Joe Rogers
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pentling Change Orders (in M&C Process)
Contract Cost to Date
Amount of Proposed Chanae Order
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Adtlitional Funding (if necessary)
�'
� $36,095.00 �
5.75%
$8,785,176.50
OFFICNA6 iBEC����)
CI'tY S�CRETAI��;'
�'�'� R�I��"�'�g'�"� �
It is understood antl agreed that the acceptance of this Change Order by the contractor constitutes an accord antl 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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� Contractor's Company Name � Contractor (Name � _ Contract Signature � Date �
JLB Contractinq, LLC Y,�.—�-. ��,i, S �--�- �-- ,?�'_'-/. ,
J FOR'C wORTH City of Fort Worth / l`l��' I��� �
��� Change Order Request
Project Name North Beach Street from Timberland to Keller-Hicks City Sec # 43041
Client;Project#(s) 01291 DOE 6224
Project Description 4-lane dividetl arterial street from Timberland Blvd. to Keller-Hicks Roatl
Contractor JLB Contracting, LLC Change Order# � Date 3I21/2013
City Project Mgr. Michael Weiss, P.E. City Inspector Joe Rogers
0
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pentling Change Orders (in M&C Process)
Contract Cost to Date
Order
TPW
1,719,507.16
$314,780.85
$27,132.95
i,007,155.06
$0.00
Water
7,118.76
8,661.10
236,307.86
Sewer Totals
110,783.84 $7,028,141.20
$42,072.10 $603,971.71
$0.00 $235,794.05
152,855.94 $7,396,318.86
RevisetlContractAmount $5,007,155.06 $2,272,402.86 $152,855.94
Original Funds Available for Change Orders $280,492.84
Remaining Funtls Available for this CO $0.00 $0.00 $0.00
Additional Funding (if necessary) $36,095.00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
7,432,41
$280,4�
� $36,095.00 �
5.75%
$8,785,176.50
Contract Time
600
600
3
603
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) Contract Signature Date
JLB Contracting, LLC �' , t : ' ,`'•
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M/WBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for #his C0
Total I $0.00
Previous Change Orders
Co#' 'DATE ` AMOUNT
Total � $0.00