HomeMy WebLinkAboutContract 39680-CO3..
FoRTrRT!J. City of Fort Worth g~~~ 35lol>D-Co3
Change Order Request ·
ProjedName!....-Edwards--Ranch--Ph~.l-U~nit~2-------------, City Sec# 39680
, Client Project #(s~ #00107 ::::::============================================:::::
Project Desa~ Paving/Drainage-DOE#6147
ContradDrl Jackson Construction Chaige Order# 3 Dale 12/22/2010 :::::====-----======::::! City Project Mgr.I ... _Leon_Wi_lson _________ _ City lnspedDr George Leone
Original Contract Amount
ExtraslDDale
Credits ID Dale
Dept.
Pending Change Orders (in M&C Process)
Contract Cost ID Date
R . Amount
Original Funds Available for Chaige Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
TPW
CHANGE ORDERS to DATE (INCLUDING THIS ONEJ AS" Of ORIGINAL CONTRACT . . .
MAX ALLOWABLE CONTRAC1' AMOUNT (ORIGINAL CONTRACT COST+ ffl'>
It is understood and agreed that the accepta,ce of this Chaige Order by the contractor constitutes an accord
in ful (both time and money) for al cosls aising out of, or incidental. ID, the above Change
0 1-1 3 -11 A0 9 :57 I NFT.WORTH,TX
Total8
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Contract Time
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fORTWORTH •
Project Name
Client Project #
Edwards Ranch Ph.3-Unit 2
#00107
Paving/Orainage-D0E#614 7
Jackson Construction
City of Fort Worth
Change Order Additions
City Sec # 39680
Change Order# 3 Date 12/22/2010 ==i :::a :::a ::i: m m --t n
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oject Description
Contractor
City Project Mgr. Leon Wilson City Inspector George Leone
ADDITIONS ·-IICM .., ___ "' I IUN Ut:t' I Uty Unit Unit (.;()St IOlol
.::iecuon A: .:,tom1 urain u.uu ~u .uu Hr'Ot
.!/-New rwmoval or ~traw Matting , Installation of seed lnJected Compost Blanket fPW 2,080 .00 ~y $5 .00 ;)1 1.~rm
;:,ecuon 1;.;: :street Ligms and Conduit ·-
8-New tr ::i<,;H 40 PVC Conduit Crossings for Atmostoncor fPW 1,bUU.UU LF ~1:1.Ul. ~rm,
·-·------·~ -------·-------·-·-·----·-__.._...._
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Sub Total Additions ~mo1rnu ·-
Change Order Additions Page 2 of 4
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City of Fort Worth
Change Order Deletions
n O Project Name Edwards Ranch Ph .3-Unit 2
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City Sec # 3968 0
:--1 ~ ~ Client Project# #00107 ~~-~==========================~ j ~ f!p~ · Description Paving/Drainage-D0E#6147
~ ~ ~ ::===============================:::::-~~~~~---::::::;:=:-~~~::::::::;::;:==~ -:c ~ !!! Contractor Jackson Construction Ch Ord # 3 D t 12/22/2010 ~"" ange er ae · ~ ~ 0 '---------------------~
>C ~ ~ ty Project Mgr . _L_eo_n_W_ilso_n -----------City Inspector I George Leone
DELETIONS
111:M ...)=~•_:1-(11" 1 IUN Ut:I" I Qty Unit Unit 1.,0S t Jo't5r" -· .
-· --
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·------------_. ___
-----
TPW -re , ·-
·----Sub Total Deletions --·-
Change Order Deletions Page 3 of 4
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CITY S CRETARY 8PJO a811111~ IIIR JOI IJMOPllN.18 38MM
FT. WORTH, TX
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PROJECT NAME:
BuySpeed No (J/PW):
City Project No:
Contract No:
D.0 .E. No:
Attachment to Change Order No:
Today's Date:
Original Contract Amount:
Extras to Date:
Credits to Date:
Contract Amount to Date:
PROJECT SUMMARY SHEET
(Change Order Attachment)
Edwards Ranch Phase Ill Unit 2 & Clearfork Main Street
P0-10-00061619
00107
CS39680
6147
3
12/23/10
TOTAL
$ 2,576,963.65 $ 1,357,013.51 $ 1,219,950.14
$ 43,902.60 $ 43,902.60 $
s $ $
$ 2,620,866.25 $ 1,400,916.11 $ 1,219,950.14
Amount of Proposed Change Order: $ 24,800.00 $ 24,800.00 $
Revised Contract Amount:
Contingency Funds Avail. for Admin. Change Orders:
Remaining Funds Available for Change Orders:
Additional Funding (if necessary):
$ 2,645,666.25 $ 1,425,716.11 $ 1,219,950.14
$
$
$
77,310.00 $
33,407.40 $
$
77,310.00 $
33,407.40 $
$
Prepared By: Christy Ezernack T/PW Construction Services
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PROJECT SUMMARY SHEET
(Change Order Attachment)
PROJECT NAME: Edwards Ranch Ph 3 -Unit 2
BuySpeed No:
Contract No: CS39680
D.O.E. No: 6147 ------Attachment to Change Order No: 3 ------Today's Date: 1/11/11 ------
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):
OFFICIAL RECORD
CITY SECR ETARY
,::.,. .fi ,llRTirt TX
I___ -·-··--
TOTAL
$ 2,576,963.65
$ 43,902.60
$
$ 2,620,866.25
$ 24,800.00
$ 2,645,666.25
$
$
$
77,310.00
33,407.40
Prepared By : Karen Striker T/PW Mgmt Svs.