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HomeMy WebLinkAboutContract 40540-CO2 CITY SECRETARY City of Fort worth CONTRACT NO. 4�5AO Change Order Request Change Order No. Date TPW Project No. Funding(FAC) 2 (two) 10/5/11 C 295 541200 208110073980-00004868 Facility and Project Description City Secretary Contract No. Fire Station 5 40540 ORIGINAL CONTRACT AMOUNT................................................................ $2,413,807 EXTRASTO DATE..................................................................... $ 14,166 CREDITSTO DATE.................................................................... $ 0 CONTRACTCOST TO DATE.................................................................................................. $ 2,427,973 AMOUNT OF PROPOSED CHANGE ORDER............................................................................ $ 22,485 REVISED CONTRACT AMOUNT............................................................................................. $ 2,450,485 ORIGINAL FUNDS AVAILABLE FOR CHANGE ORDERS............................................................ $ 150,000 REMAINING FUNDS AVAILABLE FOR CHANGE ORDERS......................................................... $ 113,349 ADDITIONAL FUNDING (IF NECESSARY)................................................................................ 0 IN ACCORDANCE WITH THIS CHANGE ORDER, THE CONTRACTOR SHALL: Provide all labor and materials as per attached PCR's: 8, 9, 11, 12, 13, 14 and 17 as per the attached Proposed Change Requests. ADD $ 22,485 -------------------------------------------------------------------------------------------------------------- PCR's 10 and 11 are REJECTED TOTAL ADD $ 22,485 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 Name Imperial Construction, Inc. Original Contract Time Additional Approved Time To Date Approved Contract Time To Date Additional Time For This Change Order 287cd 65 cd 352 cd 65 cd Contr or-Imperial nstr ' n,Inc Date Co ucti na r Date oq��> Chief,Archite ral Services Division Date r,Transportation and Public works Date Pro t Architect/ PGA % ate C _ y Date ►Ole City Ma Date Counci ion(If Required) Date1/8/08 ❑ Approved ❑Disapproved Aftelstt.—FW IM �� ❑ Other cr�'�FOA�� Distribution /9 °u��o0.;,- 'i;t File <:/ , r ,� _.._ % Cons iO1Uanag r� ��� ti� �' --- OFFICIAL RECORD °•� ' Hendrix. Ci Secre coy 1�►0- o=�M�Y ty tary CITY SECT SECRETARY 0,00 o T. Y4 0( �'•}� TX o° oa° t�i�me,�Q °o u �j em nt Division -1 1 P 4 00000°° 4Y TID Y r Form(1 /19/01) �a,._ p�a Change Order 2 Fire Station #5 District No. 8 PCR 8 - Changes to door hardware. ADD $ 782.00 PCR 9R- Changes to masonry wall in apparatus bay. ADD $1,742.00 PCR 1 OR—Cast concrete changes. (REJECTED) No Change PCR 11 —Install sprinkler heads at back porch. (REJECTED) No Change PCR 12—Relocate masonry wall. ADD $1,444.00 PCR 13 -Block net flashing not used at apparatus bay. ADD $ 536.00 PCR 14—Revise concrete and fence. ADD $ 6,029.00 PCR 17 - Changes to concrete flume, add handrail. ADD $ 11,952.00 ------------------------------------------------------------------------------------ Total This Change ADD $ 22,485.00 PROJECT SUMMARY SHEET (Change Order Attachment) PROJECT NAME: Fire Station #5 BuySpeed No: PO-10-00060917 Contract No: CS40640 D.O.E. No: N/A Attachment to Change Order No: 2 Today's Date: 10120111 TOTAL Original Contract Amount: $ 2,413,807.00 Extras to Date: $ 14,166.00 Credits to Date: $ - Contract Amount to Date: $ 2,427,973.00 Amount of Proposed Change Order: $ 22,485.00 Revised Contract Amount: $ 2,450,458.00 Original Funds Avail. for Admin. Change Orders: $ 150,000.00 Remaining Funds Available for Change Orders: $ 113,349.00 Additional Funding (if necessary): Prepared By: Karen Striker T/PW Mgmt Svs. TO: City f Fort Worth Y 2/23/2011 JOB NAME: Fort Worth Fire Station#5 DATE CONTRACTORS ATTENTION:Jack Durham CHANGE PROPOSAL 1�Z•t� 10-0413 The following is a detailed cost breakdown,including both materials 8 labor, PROJECT NO. for all additions to and/or deductions from the contract sum. SCOPE: Changes to door hardware per returned submittals 8 CHANGE PROPOSAL NO. 1. LABOR NUMBER RATE LABOR CATEGORY MAN HOURS PER HOUR COST SUPERVISION 0 $ 59.00 $ CARPENTER 0 $ 37.00 $ _ LABORER 0 $ 24.00 $ _ 0 $ $ LABOR SUB TOTAL $ LABOR BURDEN $ : $ _ 2. MATERIALS/EQUIPMENT RENTALS TOTAL ITEM 1 DESCRIPTION QUANTITY UNIT PRICE 3. SUBCONTRACTS TOTAL ITEM 2 : $ _ SUBCONTRACTOR DESCRIPTION DFW Door Door hardware changes per returned submittals $ 660.53 TOTAL ITEM 3 : $ 660.53 4.SUBTOTAL WITHOUT MARKUP (ITEMS 1,2, $3) M$ 1 53 5. G&A OVERHEAD 05 6. SUBTOTAL INCLUDING OVERHEAD 58 7. PROFIT 3 8. SUBTOTAL INCLUDING OVERHEAD AND PROFIT 1 9. PERFORMANCE AND PAYMENT BOND 7 10. SALES TAX 11.TOTAL(ADDITION/DEDUCTION)TO CONTRACT SUM IF ACCEPTED 8 REQUEST IS MADE FOR ADDITION OF 0 CALENDAR DAYS TO THE CONTRACT PERIOD The above proposal is subbmitted for your consideration. The undersigned contractor understands and agrees that this proposal is validated only by the Owners signature. This change proposal for subject work requires your approval by( ASAP }. Jimmy Tuley A delinquent response will accrue additional cost that is not included Jimmy Tuley Project Manager in this original change order price. Each day beyond the required date additional items will be added to the change proposal to reflect the acrued change. This will be ICI (Imperial Construction Inc) determined after your authorization is finally received Accordingly,upon receipt of NAME OF CONTRACTING FIRM your approval,all cost resulting from these additional factors will be submitted to correct the final change order price Change Order Approval by Owner Architect Date IDFVV1 1 1 3TH STREET 'RAN D PRAIRIE.TX 750.50 CHANGE ORDER PHONE: 972.988.3070 Page 1 of 2 FAX: 972.606.0607 ■ - Matt agan 8/18/ 9013.001 Biala]= • - _ � . ,�� T . IM Imperial Construction Fire Station No 5 Fort Worth Station No --- Attn: Jimmy Tule' --�_ -Y _2 _- 8SO Irma Street 187 Cod Road — Fort Worth, TX Weatherford TX 76087 (817) 341-8886 (817) 341-0191 PHONE 7AX Quantity Description Revisions per returned submittals,Incorporated into S02 submittals Opening Number(s): 02,03, 16, 18, 209 21, 22, 23, 24, 25,26,28,29, 309 31, 329 33, 34, 359 369 37, 39 Per notations with returned SO1 submittals, we are adding kick plates at all wood doors. Please note, we schedule hardware per the hardware sets specified. Kick Plate -- Rock-A-ood KIOSO 10"x 34-1/2"US32D Opening Number(s): 04 Per notations with returned SO1 submittals, adding threshold Threshold Pemko 171A 42" Opening Number(s): 10, 15, 19, 27 Per notations with returned SO] submittals, adding exterior floor stop with holder 4 Floor Stop w/Holder Rockwood 473 US26D Opening Number(s): 22,23,26, 28, 29, 32, 33 Per notations with returned SO] submittals, changing from a passage latchset to a privacy set -7 Passage Latchset Schlage NDIOS ATH 626 7 Privacy Latchset – — Schlage ND40S ATH 626 TERMS AND CONDITIONS: 1 Upon acceptance, this proposal will become part of the official contract documents. 2, valid for acceptance within 30 days. 3. Glazing is not included unless noted otherwise 1 Shipping Is not Included unless noted other ose S 'nstallation is not Included unless noted otbel-vvtse G Shlpmenr of nnarerial mad be[,io 8 weeks after recenp! of approval to prutced 1 173 1 13Th STREET GRAND PRAIRIE.TX 75050 CHANGE ORDER PHONE: 972.986.3070 Page 2 of 2 FAX: 972,606-0607 Matt Feaga-7--i 8;18/2010 9013.001 Imperial Constniction • Fire Station No 5 - Fort Worth Attn:jimilly'ruley -50 Irma Sweet ti 187 Coy Road Fort Worth,TX V%leatherford,TX 760 17(817) 341-8886 (817) 341-0191 PHONE FAX • Quantity Description Opening Number(s): 36 Per notations with returned So I submittals, changing from a privacy function latciiset to a passage set Privacy LaTchsei Schlage ND40S ATH 626 Passage Latchset Schlage NDI OS ATH 626 Misc. Opening(s): Administrative&Engineering Sub Total $660.53 T ax (OK 50.00 Freight 50.00 Accepted: Grand Total $66033 SM I No will be Ordered, Processed, Signature Date r Delivered Plivered without Written Ai2proval. ( TERMS AND CONDITIONS: I Upon acceptance,this proposal will become part of the official contract documents. 2. Valid for acceptance within 30 days, 3 Glazing is not included unless noted otherwise 4 Shipping is not included unless noted otherwise. in,,tattation is not included unless noted otherwise lrjjpjrient of ijidt(,j ial inad, be ()to 8 weeks after I e(vll)t of approval to proceed TO: City of Fort Worth 03/22/2011 " t'V%aZ JOB NAME: Fort Worth Fire Station#5 DATE CONTRACTORS C-V-w C'•0•462 ATTENTION:Jack Durham CHANGE PROPOSAL �� 41_.00 10-0413 The following is a detailed cost breakdown, including both materials&labor, PROJECT NO. for all additions to and/or deductions from the contract sum. SCOPE: Changes to masonry per ASI 10 9 REVISED CHANGE ]PROPOSAL NO. 1. LABOR NUMBER RATE LABOR CATEGORY MAN HOURS PER HOUR COST SUPERVISION 0 $ 59.00 $ CARPENTER 0 $ 37.00 $ LABORER 0 $ 24.00 $ _ 0 $ - $ - LABOR SUB TOTAL $ _ LABOR BURDEN Is _ : _ 2. MATERIALS/EQUIPMENT RENTALS TOTAL ITEM 1 $ DESCRIPTION QUANTITY UNIT PRICE 3.SUBCONTRACTS TOTAL ITEM 2 : $ _ SUBCONTRACTOR DESCRIPTION Father and Sons Extend CMU in room per ASI 9 $ 1,471.35 $ - TOTAL ITEM 3 : $ 1,471.35 4.SUBTOTAL WITHOUT MARKUP (ITEMS 1,2, &3) $ 1,471.35 5. G&A OVERHEAD 10% $ 147.14 6.SUBTOTAL INCLUDING OVERHEAD $ 1,618.49 7. PROFIT 5% $ 80.92 8.SUBTOTAL INCLUDING OVERHEAD AND PROFIT $ 1,699.41 9. PERFORMANCE AND PAYMENT BOND 2.50% $ 42.49 10. SALES TAX 0.00% $ - 11.TOTAL(ADDITION/DEDUCTION )TO CONTRACT SUM IF ACCEPTED $ 1,741.89 REQUEST IS MADE FOR ADDITION OF 0 CALENDAR DAYS TO THE CONTRACT PERIOD The above proposal is subbmitted for your consideration.The undersigned contractor understands and agrees that this proposal is validated only by the Owners signature. This change proposal for subject work requires your approval by( ASAP ). ,jimmy Tuley A delinquent response will accrue additional cost that is not included Jimmy Tuley Project Manager in this original change order price. Each day beyond the required date additional items will be added to the change proposal to reflect the acrued change.This will t ICI(Imperial Construction, Inc) determined after your authorization is finally received.Accordingly, upon receipt of NAME OF CONTRACTING FIRM your approval,all cost resulting from these additional factors will be submitted to correct the final change order price. Change Order Approval by Owner/Architect Date TM V.- Document G710 AIA - 1992 Architect's Supplemental Instructions PROJECT(Name and address): ARCHITECT'S SUPPLEMENTAL OWNER: City of Fort Worth Fire Station#5 INSTRUCTION NO:010 850 Irma Street ARCHITECT: Fort Worth,Texas 76104 CONSULTANT:❑ OWNER(Name and address): DATE OF ISSUANCE:January 14,2011 CONTRACTOR: City of Fort Worth FIELD:❑ 401 W. 13th Street CONTRACT FOR:General Construction Fort Worth,Texas 76102 OTHER:❑ FROM ARCHITECT(Name and CONTRACT DATE: address): RPGA Design Group,Inc. 101 S.Jennings Avenue,Suite 100 Fort Worth,Texas 76104 TO CONTRACTOR(Name and ARCHITECT'S PROJECT"NUMBER: address): Imperial Construction,Inc. PO Box 967 Weatherford,Texas 76086 The Work shall be carried out in accordance with the following supplemental instructions issued in accordance with the Contract Documents without change in Contract Sum or Contract Time. Proceeding with the Work in accordance with these instructions indicates your acknowledgment that there will be no change in the Contract Sum or Contract Time. DESCRIPTION: Apparatus bay interior masonry wall details ATTACHMENTS: (Here insert listing of documents that support description) SK-9 ISSUED BY THE ARCHITECT: �&'UlhgdAv Heather Hall, Project Designer (Signature) (Printed name and title) _—__- AIA Document G71101-—7992.Copyright m 1979 and 1992 by The American Institute of Architects.All rights reserved.WARNING.Th.Al ocument Is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA` Document,or any portion of it,may .� result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law this document was produced by AIA software at 1/ 11 54 on 010412011 under Order No 0618801040_1 which expires on 0212112011 and is not for resale User Notes. (134/054442) AT BUNKER GEAR PARTITION DIAL. STEEL BRACING REF. STRUCTURAL AT RM 127 EAST W AT BUNKER GEAR PARTITION LS % }L-771- LLV WELDED TO BEAM L5% 3 % 1 4 LLV (ANCHORS k VERTICAL WELDED TO BEAM SLOTS ARE NOT REO'D) ,ado W/ 1/2"0 HIL71 HUS-H �o SCREW ANCHOR INTO CMU O 48" O.0 AT RM 127 EAST WALL k ^� (4"EMBEDMENT) AT BUNKER=WALL PROVIDE 1•' VERTICAL SLOTS CONTINUOUS BOND BEAM i IN ANGLE LEG GROUTED AND REINFORCED 'p O n� AT BUNKER GEAR PARTITION O O O PROVIDE 1"VERTICAL SLOTS J 1 5 IN ANGLE LEG 02 A-7.06 I A GUARDRAIL 03 ANGLE DETAIL 1 SCALE,1' 1'-0' JOIST, REF. STRUCTURAL MUST BE WITHIN 4"FROM LADDER OPENING CONCRETE K I BRACES LOCATIONS REWIRED, CONCRETE ON REFASTRUCTURAL I COORDINATE LOCATIONS METAL DECK h TO CLEAR MEZZANINE REF. STRUCTURAL ACCESS LADDER I� STEEL FRAMING DIAL STEEL BRACING I' REF. STRUCTURAL AT BUNKER GEAR — EXPOSED SURFACES CONT. BOND BEAM PARTITION ONLY, TO BE PAINTED REF. STRUCTURAL REF. STRUCTURAL, EXPOSED SURFACES TO BE PAINTED MOISTURE RESISTANT MOISTURE RESISTANT ACCOUSTICAL TILE ACCOUSTICAL TILE 8"CMU 8"CMU Y I 1 k K 1'-6" f4 K T-6„ OWL.O 48"O.C. DWL O 48"O.C. GROUT CELLS AT OWLS. GROU T CELLS AT OWLS. 61/2KBK 16 61/2 KBK 16 STARTER COURSE STARTER COURSE CONCRETE FOUNDATION CONCRETE FOUNDATION REF. STRUCTURAL REF. STRUCTURAL CARTON FORMS CARTON FORMS 1 VAPOR BARRIER VAPOR BARRIER ° -- �NIlt CONCRETE PIER _ CONCRETE PIER REF. STRUCTURAL REF. STRUCTURAL I RM 127 EAST WALL SECTION 01 RM 127 NORTH WALL SECTION 02 BUNKER GEAR PARTITION WALL (SIM.) SCALE.1/4'-1'4' SCALE:1/4'-1'4' ASI 10- APPARATUS MASONRY WALL DETAILS CD SHEET NO. RPGA DESIGN GROUP, INC. FORT WORTH FIRE DEPARTMENT DATE: 101 S. JENNINGS AVE, STE. 100 FIRE STATION #5 1/14/11 FT. WORTH, TEXAS 76104 850 IRMA STREET 817- 332- 9477 FORT WORTH, TEXAS 76104 SK-9 AT SUHM WM►ARTI M DIAG. STEEL BRACING AT RM t27 gAg WAl.\' REF. STRUCTURAL L5X3X 1/4 LLV WELDED TO BEAM % 3 X 1 ! LL(ANCHORS @ VERTICAL 71-D WELDED TO BEAM SLOTS ARE NOT REO'D) W/ 1/2"0 HILTI HUS-H SCREW ANCHOR INTO CMU O 48"O.C. AT W 127 EAST MALL! (4"EMBEDMENT) AT IILRMC L OEM PM7, M PROVIDE 1" VERTICAL SLOTS CONTINUOUS BOND BEAM i IN ANGLE LEG GROUTED AND REINFORCED ' AT SU11QJt OIAR PAR11110M PROVIDE 1" VERTICAL SLOTS ANGLE LEG D2 A-7.D6 I GUARDRAIL OJ' ANGLE DETAIL ] ANCHORING CHANNEL - SCALE.1••1'4' JOIST, REF. STRUCTURAL MUST BE WITHIN 4"FROM LADDER OPENING I � I CONCRETE GN 2 LOCATIONS REWIRED, CONCRETE ON I I I METL DECK REF.A STRUCTURAL BRACES U METAL DECK COORDINATE LOCATIONS TO CLEAR MEZZANINE REF. STRUCTURAL ACCESS LADDER I II --J 03 SK-9 STEEL FRAMING DIAG STEEL BRACING I) REF. STRUCTURAL AT BUNKER GEAR L. EXPOSED SURFACES PARTITION ONLY, TO BE PAINTED SOUND BATTS REF. STRUCTURAL, 5/8"GYP. BOARD EXPOSED SURFACES TO BE PAINTED ANCHORING CHANNEL CUP L4x3 x 1/4x0'-5" MOISTURE RESISTANT (LLV) W/(2)- 5/8 x 2 VERT. MOISTURE RESISTANT ACCOUSTICAL TILE SLOTTED HOLES ACCOUSTICAL TILE 8"CMU CONT. BOND BEAM 8"CMU REF. STRUCTURAL I I Y A4 X P-6" 114 X 1'-6" DWL.O 48" O.C. DWL.O 48" C. O. GROUT CELLS AT DWLS. GROUT CELLS C' DWLS. 61/2 %8X 16 61/2 %8X 16 STARTER COURSE STARTER COURSE CONCRETE FOUNDATION CONCRETE FOUNDATION REF. STRUCTURAL REF. STRUCTURAL CARTON FORMS 7, CARTON FORMS VAPOR BARRIER VAPOR BARRIER I �_- �• �-ill I � 1- -I-I II � r I 9 I CONCRETE PIER -11-II REF. STRUCTURAL CONCRETE PIER REF. STRUCTURAL RM 127 EAST WALL SECTION O1 RM 127 NORTH WALL SECTION 02 BUNKER GEAR PARTITION WALL (SIM.) SCAM S 1/4•.1'-0' SG1LE:1/4'.1'-0' ASI 10- APPARATUS MASONRY WALL DETAILS CD SHEET NO. RPGA DESIGN GROUP, INC. FORT WORTH FIRE DEPARTMENT DATE: 101 S. JENNINGS AVE, STE. 100 FIRE STATION #5 3/4/11 FT. WORTH, TEXAS 76104 850 IRMA STREET 817-332-9477 FORT WORTH, TEXAS 76104 SK-9R TO:City of Fort Worth 03/22/2011 JOB NAME: Fort Worth Fire Station#5 DATE CONTRACTORS ATTENTION:Jack Durham CHANGE PROPOSAL 10.0413 The follows is a detailed cost breakdown,including both materials&labor, PROJECT NO. for all to and/or deductions from the contract sum. SCOPE: Ca concrete changes 10 Revised CHANG PROPOS NO. 1.LABOR NUMBER RATE LABOR CATEGORY \ MAN HOURS PER HOUR COST - SUPERVISION 0 $ 59.00 $ CARPENTER \ 0 $ 37.00 $ = LABORER 0 $ 24.00 $ \ U $ - $ - LABOR SUB TOTAL $ LABOR BURDEN $ TOTAL ITEM $ 2.MATERIALS/EQUIPMENT RENTALS \ DESCRIPTION UANTITY\ UNIT P E 3.SUBCONTRACTS OTAL ITEM 2: $ - SUBCONTRACTOR DESCRIPTION \,\ Father and Sons Cast concrete changes $ 1,805.50 $ - TOTAL EM 3: $ 1,805.50 4.SUBTOTAL WITHOUT MARKUP (ITEMS 1,2,&3) $ 1,805.50 5.G&A OVERHEAD 10% $ 180.55 6.SUBTOTAL INCLUDING OV HEAD $ 1,986.05 7.PROFIT 5% $ 99.30 8.SUBTOTAL INCLUDIN VERHEAD AND PROFIT $ 2,085.35 9.PERFORMANCE AN AYMENT BOND 2.50% $ 52.13 10.SALES TAX 0 00% $ - 11.TOTAL(ADDIT N/DEDUCTION)TO CONTRACT SUM IF ACCEPTED $ 2,137.49 REQUEST I MADE FOR ADDITION OF 0 CALENDAR DAYS TO THE NTRACT PERIOD The ab proposal is subbmitted for your consideration.The undersigned contractor understands and rees that t proposal is validated only by the Owners signature. This change proposal for subject work requires your approva y( ASAP ). ,jimmy 7ufey A delinquent response will accrue additional cost that is not inc ed Jimmy Tuley Project Manager in this original change order price.Each day beyond the required to additional items will be added to the change proposal to reflect the acrued c e.This will t ICI(Imperial Construction,Inc) determined after your authorization is finally received.Accordingly,u receipt of NAME OF CONTRACTING FIRM your approval,all cost resulting from these additional factors will be submitted to correct the final change order price. Change Order Approval by Owner/Architect Date TO:City of Fort Worth 03/03/2011 B NAME: Fort Worth Fire Station#5 DATE CONTRACTORS A NTION:Jack Durham CHANGE PROPOSAL 10-0413 The followin a detailed cost breakdown,including both materials&labor, PROJECT NO. for all additions ,and/or deductions from the contract sum. SCOPE: Install' a protection ads at rear patio. Please see attached information sheet 11 CHANGE ]PROPOSAL NO 1. LABOR NUMBER RATE LABOR CATEGORY AN HOURS PER HOUR C T SUPERVISION 0 $ 59.00 $ CARPENTER 0 $ 37.00 $ LABORER 0 $ 24.00 $ _ 0 $ _ LABOR SUB TOTAL $ _ LABOR BURDEN $ _ : 2. MATERIALS!EQUIPMENT RENTALS TOTAL ITEM 1 $ DESCRIPTION QUANTITY UNIT PRICE 3. SUBCONTRACTS TOTAL ITE 2: $ " SUBCONTRACTOR DESCRIPTION EFS install six additonal heads at rea atio $ 3,104.00 �+ TOTAL ITE $ 3,104.00 4.SUBTOTAL VV'ITHOUT(MARKUP (ITEIVIJ 1, 2, � 5. G&A OVERHEAD $ 3,104.00 6. SUBTOTAL INCLUDING OVERHEAD 10% $ 310.40 7. PROFIT $ 3,414.40 8. SUBTOTAL INCLUDING OVERHEAD AND OFIT 5% $ 170.72 9. PERFORMANCE AND PAYMENT BOND $ 31585.12 10.SALES TAX 2.5 ° $ 89.63 11.TOTAL(ADDITION/DEDUCTION ) CONTRACT SUM IF ACCEPTED 0.00°° $ 3,674.75 REQUEST IS MADE FOR ADDIT N OF 0 CALENDAR DAYS TO THE CONTRA T PERIOD The above proposal is subbmi d for your consideration.The undersigned contractor understands and agrees that this proposal is validate my by the Owners signature. This change proposal for subject work requires your approval by( SAP ). -7immy Tuley A delinquent response will accrue additional cost that is not included Jimmy Tuley Project M ager in this original change order price.Each day beyond the required date add ' nal items will be added to the change proposal to reflect the acrued change.This ill t ICI(Imperial C struction, Inc determined after your authorization is finally received.Accordingly, upon receipt 'AME OF CON CTING FIRM your approval,all cost resulting from these additional factors will be submitted to correct the final change order price. Change Order Approval by Owner/Architect Date i TO: City of Fort Worth 03J22/2011 JOB NAME: Fort Worth Fire Station#5 DATE CONTRACTOR'S ATTENTION:Jack Durham CHANGE PROPOSAL 10-0413 The following is a detailed cost breakdown,including both materials&labor, PROJECT NO. for all additions to and/or deductions from the contract sum. SCOPE: relocate masonry wall after partial construction. 12 CHANGE PROPOSAL NO. 1. LABOR NUMBER RATE LABOR CATEGORY MAN HOURS PER HOUR COST SUPERVISION 0 $ 59.00 $ _ CARPENTER 0 $ 37.00 $ _ LABORER 0 $ 24.00 $ _ 0 $ - $ - LABOR SUB TOTAL $ _ LABOR BURDEN $ _ : _ 2.MATERIALS/EQUIPMENT RENTALS TOTAL ITEM 1 $ DESCRIPTION QUANTITY UNIT PRICE TOTAL ITEM 2: $ 3.SUBCONTRACTS SUBCONTRACTOR DESCRIPTION Father and Sons move 6"wall $ 1,219.74 TOTAL ITEM 3 : $ 1,219.74 4.SUBTOTAL WITHOUT MARKUP (ITEMS 1,2,&3) $ 1,219.74 5.G&A OVERHEAD 10% $ 121.97 6.SUBTOTAL INCLUDING OVERHEAD $ 1,341.71 7.PROFIT 5% $ 67.09 8.SUBTOTAL INCLUDING OVERHEAD AND PROFIT $ 1,408.80 9. PERFORMANCE AND PAYMENT BOND 2.50% !Ea 10.SALES TAX 0.00% 11.TOTAL(ADDITION/DEDUCTION)TO CONTRACT SUM IF ACCEPTED REQUEST IS MADE FOR ADDITION OF 0 CALENDAR DAYS TO THE CONTRACT PERIOD The above proposal Is subbmitted for your consideration.The undersigned contractor understands and agrees that this proposal Is validated only by the Owners signature. This change proposal for subject work requires your approval by( ASAP ). ,jimmy Tueey A delinquent response will accrue additional cost that is not included Jimmy Tuley Project Manager in this original change order price.Each day beyond the required date additional items will be added to the change proposal to reflect the acrued change.This will t ICI(Imperial Construction,Inc) determined after your authorization is finally received.Accordingly,upon receipt of NAME OF CONTRACTING FIRM your approval,all cost resulting from these additional factors will be submitted to correct the final change order price. Change Order Approval by Owner/Architect Date TO:City of Fort Worth 03/22/2011 CFW GO. 2- r JOB NAME: Fort Worth Fire Station#5 DATE CONTRACTORS ATTENTION:Jack Durham CHANGE PROPOSAL 53(o.Ot7 10-0413 The following is a detailed cost breakdown,including both materials&labor, PROJECT NO. for all additions to and/or deductions from the contract sum. SCOPE: Per PR 10 Block net is not to be used. 13 CHANGE PROPOSAL NO. 1.LABOR NUMBER RATE LABOR CATEGORY MAN HOURS PER HOUR COST SUPERVISION 0 $ 59.00 $ CARPENTER 0 $ 37.00 $ LABORER 0 $ 24.00 $ _ 0 $ $ - LABOR SUB TOTAL $ _ LABOR BURDEN $ _ : 2.MATERIALS/EQUIPMENT RENTALS TOTAL ITEM 1 $ DESCRIPTION QUANTITY UNIT PRICE TOTAL ITEM 2: $ 3.SUBCONTRACTS SUBCONTRACTOR DESCRIPTION Father and Sons Credit for block net and cost of demo installed block net $ 452.70 TOTAL ITEM 3: $ 452.70 4.SUBTOTAL WITHOUT MARKUP (ITEMS 1,2,&3) $ 452.70 5.G&A OVERHEAD 10% $ 45.27 6.SUBTOTAL INCLUDING OVERHEAD $ 497.97 7. PROFIT 5% $ 24.90 8.SUBTOTAL INCLUDING OVERHEAD AND PROFIT $ 52-2.87 9.PERFORMANCE AND PAYMENT BOND 2.50% $ 13.07 10.SALES TAX 0.00% $ - 11.TOTAL(ADDITION/DEDUCTION)TO CONTRACT SUM IF ACCEPTED $ 535.94 REQUEST IS MADE FOR ADDITION OF 1 CALENDAR DAYS TO THE CONTRACT PERIOD The above proposal is subbmitted for your consideration.The undersigned contractor understands and agrees that this proposal is validated only by the Owners signature. This change proposal for subject work requires your approval by( ASAP }. Jimmy 7uky A delinquent response will accrue additional cost that is not included Jimmy Tuley Project Manager in this original change order price.Each day beyond the required date additional items will be added to the change proposal to reflect the acrued change.This will t ICI(Imperial Construction Inc) determined after your authorization is finally received.Accordingly,upon receipt of NAME OF CONTRACTING FIRM your approval,all cost resulting from time additional factors wilt be submitted to correct the final change order price. Change Order Approval by Owner/Architect Date FF 11 ., f,-AIA Document G709'm 2001 Work Changes Proposal Request PROJECT(A'arne andat/dress). PROPOSAL REQUEST NUMBER:010 OWNER: City of ort: Worth Fire Station#15 ARCHITECT: 856 Irma Street DATE OF ISSUANCE: March 22,2011 Fort Worth,Texas 76104 CONSULTANT:❑ OWNER(flame and address): CONTRACT FOR:General Consn-uction CONTRACTOR: City of Fort Worth FIELD:❑ 401 W. 13th Street CONTRACT DATE:JuIv 15,201 I OTHER: Fort Worth,Texas'7610') ❑ FROM ARCHITECT 6,Vame and ARCHITECT'S PROJECT NUMBER: address)• RPGA Design 0roup,Inc. 101 S. Jennings Avenue,Suite 100 Fort Worth,Texas 76104 TO CONTRACTOR t'.,k"anic and address). Imperial Construction,Inc. PO Box 967 Weatherford,Texas 76086 Please submit an itemized proposal for changes in the Contract Sum and Contract Time for proposed modifications to the Contract Documents described herein.Within Fourteen(14)days, the Contractor must submit this proposal or notify the Architect,in writing*.of the date oil which proposal submission is anticipated. THIS IS NOT A CHANGE ORDER,A CONSTRUCTION CHANGE DIRECTIVE OR A DIRECTION TO PROCEED WITH THE WORK DESCRIBED IN THE PROPOSED MODIFICATIONS. DESCRIPTION(lnsei-i a written description qfthe ff'brk): Provide pricint,for a credit to eliminate the Block\ct at the apparatus bay. c ATTACHMENTS(List attached ekwuniews that supjwt dusci-intion): REQUESTED BY THE ARCHITECT: n+ Heather Hall, Prp�jcct Designer Ab � (Sig,hamrei 'Printed name and title) AJ A Document G7091w-2001 CopvngnN 993 anti 200',by The Amertcan Institule of Archoacts.All rights reserved. as t ood,.ed tv AIA ,,,PwAre a•"'q S3 �2 -nde,0,J • Yo 25)3'AFW4 whwl V'?,'2C"1 All, s 113t User Notes TO:City of Fort Worth 10!5/2011 JOB NAME: Fort Worth Fire Station#5 DATE CONTRACTORS CJP1,3 C'o'w-Z ATTENTION:Jack Durham CHANGE PROPOSAL (p�OZ�t.oc7 10-0413 The following is a detailed cost breakdown,including both materials&labor, PROJECT NO. for all additions to and/or deductions from the contract sum. SCOPE: Revised concrete/fence and parking bumper scope of work per Change request 11 R2 14 CHANGE PROPOSAL NO. 1. LABOR NUMBER RATE LABOR CATEGORY MAN HOURS PER HOUR COST SUPERVISION 0 $ 59.00 $ CARPENTER 0 $ 37.00 $ LABORER 0 $ 24.00 0 $ - $ LABOR SUB TOTAL $ _ LABOR BURDEN $ TOTAL ITEM 1 : $ 2. MATERIALS/EQUIPMENT RENTALS DESCRIPTION QUANTITY UNIT PRICE T _ 3. SUBCONTRACTS TOTAL ITEM 2: $ SUBCONTRACTOR DESCRIPTION Consys Added concrete per attached breakout $ 3,891.30 F&F composite Fence fenceing per attached breakout $ 1,081.02 Superior Striping parking bumpers $ 120.00 S - S - TOTAL ITEM 3: $ 5,092,32 4.SUBTOTAL WITHOUT MARKUP (ITEMS 1,2,&3) S 5_092 32 5.G&A OVERHEAD _ 10%1 $ 509.23 6.SUBTOTAL INCLUDING OVERHEAD S 5,601.55 7. PROFIT 5% S 2$0.08 8.SUBTOTAL INCLUDING OVERHEAD AND PROFIT 5 5,881.63 9. PERFORMANCE AND PAYMENT BOND 2.50% S 147.04 10.SALES TAX 0 00% $ 11.TOTAL(ADDITION/DEDUCTION)TO CONTRACT SUM IF ACCEPTED 1$ 6,028.67 REQUEST IS MADE FOR ADDITION OF 0 CALENDAR DAYS TO THE CONTRACT PERIOD The above proposal is subbmitted for your consideration.The undersigned contractor understands and agrees that this proposal is validated only by the Owners signature. This change proposal for subject work requires your approval by( ASAP ). jimmy q- Ce A delinquent response will accrue additional cost that is not included Jimmy Tuley Project Manager in this original change order price.Each day beyond the required date additional items will be added to the change proposal to reflect the acrued change.This will be ICI(imperial Construction,Inc) determined after your authorization is finally received.Accordingly,upon receipt of NAME OF CONTRACTING FIRM your approval,all cost resulting from these additional factors will be submitted to correct the final change order price. Change Order Approval by Owner/Architect Date QAIADocument r" - 2001 Work Changes Proposal Request PROJECT(Name and address): PROPOSAL REQUEST NUMBER:011 R2 OWNER:(� City of Fort Worth Fire Station#5 850 Irma Street DATE Or ISSUANCE:May 17,2011 ARCHITECT: Fort Worth,Texas 76104 CONSULTANT:❑ OWNER(Marne and address): CONTRACT FOR:General Construction CONTRACTOR: City of Fort Worth FIELD: ❑ 4Dl W. 13th Street CONTRACT DATE:July 15,2011 Fort Worth,Texas 76102 OTHER:❑ FROM ARCHITECT tWame and ARCHITECT'S PROJECT NUMBER: address): RPGA Design Group,Inc. 101 S.Jennings Avenue,Suite 100 Fort Worth,Texas 76104 TO CONTRACTOR(Name and address): Imperial Construction,Inc, PO Box 967 Weatherford,Texas 76086 Pleasc submit an itemized proposal for changes in the Contract Stun and Contract Time for proposed modifications to the Contract Documents described herein.Within Fourteen(14)days,the Contractor must submit this proposal or notify the Architect,in writing,of the date on which proposal submission is anticipated. THIS IS NOT A CHANGE ORDER,A CONSTRUCTION CHANGE DIRECTIVE OR A DIRECTION TO PROCEED WITH THE WORK DESCRIBED IN THE PROPOSED MODIFICATIONS, DESCRIPTION(Insert a written description of the Work): Provide pricing for adding the following(as indicated in the attached drawing): 1. a concrete gate pad 2. four(4)parking bumpers 3. ornamental picket fiberfence panels At no additional cost,relocate the sliding gate to thte edge of the parking curb and locate the keypads as indicated in L attached drawing, ATTACHMENTS(List attached documents that support description): SK-I I R2-5/17/2011 REQUESTED BY THE ARCHITECT: Heather Hall,Project Designer (Signature) (Printed name and title) AJA Document G709-—2001.Copyright 81 1993 and 2001 by The American irls"AS of Architects.All rights reserved.WARNING Thit AIAe Doeuatsnt is protaetad by U.9.Copyright Lew and International T oatias.Unauthorized reproduction w distribution of this AtA`Document,or any portion of It,may rtsuh it&Overt clvl;and criminal penalties,and wilt be prosecuted to the maximum extant potsiblo under the trw.This document was produced by AlA eahwere et 1-54:28 or O5r1712011 under Order No.251a149474 1 which Mirea on 02/22/2012,and is not for resale User Notes: — (2037801579) s I s EXIT GATE —6'—D" HIGH ' KEY PAD FENCE! PANELI PA KING —� BU PERS i CONCRETE �j �--� GATE iv s _----- PAD 6'-0'' HIGH FENCE PANEL o ENTRY GATE KEY PAD O /I\ CONCRETE GATE PAD PLAN SLIDING GATE 's 1/2" PREMOLDED JOINT FILLER W/. SEALANT _4 4 r�i i iu iltJ� 1/8" PER FT. - Z—L Ili DRIVE—ELEVATION NK� I it i I I tl I Ii-f ,HIL... 2'—4" l�i i 1 i 1 i� i� —iris si i o f ru is�t n�a 1011 i � L—" PARKING�BUMPER — i A s i it i ss �is� sr �a , � � � — — TURN D OWN CONCRETE =lf 6-=� AT EDGE OF PAVEMENT LI=III A�I� I C1 (IILI�(il I �� q uiLU ii `w 911 Fs i sis —s CONCRETE GATE PAD SECTION suu:Un.ra PR 11R- CONCRETE GATE PAD CD SHEET NO. A-2.01 RPGA DESIGN GROUP, INC. FORT WORTH FIRE DEPARTMENT DATE: 101 S. JENNINGS AVE, STE. 100 FIRE STATION #5 5--17-11 FT. WORTH, TEXAS 76104 850 IRMA STREET 817-332- 9477 FORT WORTH, TEXAS 76104 SK-11 R2 „o,o-ftc ie.”, sum,�, Delos, 7523a, C p L-ri JC rec Pt-214-349-3782 W 214•349•0080 www.com7scnncrere.cml PROPOSAL Work performed by: PROJECT: Fire Station No.5 ( )General Contractor (x)Subcontractor CONTRACTOR: Imperial Construction ConSys Concrete Corp.'s Proposal Number P-004 Pco# .�� Time Extension(If any): none PRO A5t A �� ��. Description of Change: Revised gate pad ADDITIONS AND/OR[CREDITS) EXTENSION scn ton anti nit ota ateria Labor quip. Mu4n,ntendan, JF ac tin oncr 're" u ment s P e ar 7 1 e r 1 ace an inis Add 1571st V13. u in s 1 u m s u oas Rates% Line I Enter total of Columns A+B+C+D+E $2,975.44 Line II Enter%of Col B for Workman's Comp., Social Security,and like taxes 40.98 $554.08 Line III Benefits and Vacation/Holiday 0,00 $0.00 Line IV Overhead 5.00 $17648 Line V Total Line i thru IV $3,706.00 Line VI Fee/Profit 5.00 $185.30 Line VII Bond Costs 0100 $0.00 Line VIII Total 53.891.30 SIGNATURE: DATE: October 5,2011 n s Concrete Corp. May 26 11 02:44p F&F COMPOSITES 6173794296 p.2 is n v n n m x o N N 01 W W N W 1 l 7 � � n o v '" 3 3 fD td d C1 O S N V< m w O ar d Yl ? ynj f°E N N 97 O CL m 'a a p ti uy. co a 3 ° N O O a d ro �% s n m Im » w m o rn a N O A v: p- m N cn Ln t• io In co rZ m D !I ro m taJ m 3 c N Y o 07 � N N O p W at ? a Q .-r Q ep V LO J N O�1 A Q N Vf µ1 N GAD N t'9 C L a \ CL cm � N - S as to N T N m � go N O � � Fl C) D Q �S O" C O N -n A O �+ O T 0 7 4 I Page 1 of 2 Jimmy Tuley From: Hotly Donaldson Sent: Wednesday, May 11, 2011 1:37 PM To: Jimmy Tuley Subject: FW: FS 5-PR 11 Pricing from Superior Striping for PR 11 Holly Donaldson Assistant Project Manager Imperial Construction, Inc. 817-341-8886 office 817-341-0191 fax From: Marirose Goocher[mail to:marirose @superiorstriping.com] Sent: Wednesday, May 11, 2011 1:35 PM To., Holly Donaldson Subject: RE: FS 5-PR 11 Holly, Do you want just the price to add the 3 wheelstops that will be needed in addition to the ones already in the contract? If so that would be $120.00 total. Please let me know if you need anything else. Thanks, Marirose Goocher From: Holly Donaldson jmallto:HDonaidson @imperial-construction.comj Sent: Wednesday, May 11, 20118:47 AM To: Melissa Westmoreland (mwestmoreland @consysconcrete.com); Marirose Goocher (marirose@superiorstriping.com) Subject: FW: FS 5-PR 11 Importance: High All, Please see attached PR 11for the Fire Station#5 project. Please send in the requested pricing ASAP so that we can get this to the architect for review. Thank you Holly Donaldson Assistant Project Manager Imperial Construction:, Inc. 6/10/2011 TO: City of Fort Worth 10/05/2011 JOB NAME: Fort Worth Fire Station#5 DATE CONTRACTORS ATTENTION: Jack Durham CHANGE PROPOSAL CA.�-Z 10-0413 I� Z.QO following is a detailed cost breakdown, including both materials&labor, PROJECT NO. r all additions to and/or deductions from the contract sum. SCOPE: Changes to Flume per ASI wc.P R� t4 CHANGE PROPOSAL NO. 1. LABOR NUMBER RATE LABOR CATEGORY MAN HOURS PER HOUR COST SUPERVISION 0 $ 59.00 $ CARPENTER 0 $ 37.00 $ _ LABORER 0 $ 24.00 $ 0 $ - $ - LABOR SUB TOTAL $ _ LABOR BURDEN $ : _ 2. MATERIALS/EQUIPMENT RENTALS TOTAL ITEM 1 $ DESCRIPTION QUANTITY UNIT PRICE T _ 3. SUBCONTRACTS TOTAL ITEM 2 : $ SUBCONTRACTOR DESCRIPTION A&S steel handrail $ 3,450.00 Consys Concrete concrete work at flume/handrail $ 6,645.49 TOTAL ITEM 3 : $ 10,095.49 4. SUBTOTAL WITHOUT MARKUP (ITEMS 1, 2, &3) $ 10,095.49 5. G&A OVERHEAD 10%'$ 1,009.55 6. SUBTOTAL INCLUDING OVERHEAD $ 11,105.04 7. PROFIT 5% $ 555.25 8. SUBTOTAL INCLUDING OVERHEAD AND PROFIT $ 11,660.29 9. PERFORMANCE AND PAYMENT BOND 2.50% $ 291.51 10. SALES TAX 0.00% $ 11. TOTAL (ADDITION/DEDUCTION)TO CONTRACT SUM IF ACCEPTED $ 11,951.80 It ,95Z .00 REQUEST IS MADE FOR ADDITION OF 2 CALENDAR DAYS TO THE CONTRACT PERIOD The above proposal is subbmitted for your consideration. The undersigned contractor understands and agrees that this proposal is validated only by the Owners signature. This change proposal for subject work requires your approval by( ASAP ). ,jimmy Tueey A delinquent response will accrue additional cost that is not included Jimmy Tuley Project Manager in this original change order price. Each day beyond the required date additional items will be added to the change proposal to reflect the acrued change. This will be ICI (imperial Construction, Inc determined after your authorization is finally received. Accordingly, upon receipt of aME OF CONTRACTING FIRM your approval all cost resulting from these additional factors will be submitted to correct the final change order price Change Order Approval by Owner/Architect Date r j- -� Document G709T11 - 2001 Work Changes Proposal Request PROJECT('Warne and address): PROPOSAL REQUEST NUMBER:014 OWNER: City of Fort Worth Fire Station 15 ARCHITECT: 850 Irma Street DATE OF ISSUANCE: 8i31i201 I Fort Worth,Texas 76104 CONSULTANT:❑ OWNER(Name and address): CONTRACT FOR:General Construction CONTRACTOR: City of Fort Worth FIELD:❑ 401 W. 13th Street CONTRACT DATE:July 15,2011 OTHER:❑ Fort Worth,Texas 76102 FROM ARCHITECT(7Vame and ARCHITECT'S PROJECT NUMBER: address): RPGA Design Group,Inc. 101 S.Jennings Avenue,Suite 100 Fort Worth,Texas 76104 TO CONTRACTOR(Name and address): Imperial Construction,Inc. PO Box 967 Weatherford,Texas 76086 Please submit an itemized proposal for changes in the Contract Sum and Contract Time for proposal modifications to the Contract Documents described herein. Within Zero(0)days,the Contractor must submit this proposal or notify the Architect,in writing,of the date on which proposal submission is anticipated. THIS IS NOT A CHANGE ORDER,A CONSTRUCTION CHANGE DIRECTIVE OR A DIRECTION TO PROCEED WITH THE WORK DESCRIBED IN THE PROPOSED MODIFICATIONS. DESCRIPTION(Insert a written description of the: Work); Please provide pricing for the work outlined in the attached sheets,regarding revisions made to the flume on the north side of the site. ATTACHMENTS(Gist attached documents that support description): PR 14-SK-21; PR 14-SK-22:PR 14-SK-23 REQVESTED BTI T ARCHITECT: 11 r (i Colin Wright, Project Designer (Stgri7t ure) (Printed name and title) AlA Document G709— - 2001 Copynyhl:c:1993 and 2001 by The American Inslih,le of Arehgecl%.All rights reserved.wA ,,N:, 1 is AIA �n- rr,s.to—mew was pro0ucec.ray 1 AiA 9c tlwwr a 1 5"f iii rnrn b 11'21 ,u„ar')'d-No?f,'q 1494731 which naaues ur 02 22 20*2 fro mate User Notes 18990,572221 Lij �A\ w 00 V) Q o ui a GO X O/VA/VA WL-0 W W OC:�*z L J F- U O G I pQ < O GO O � Lij O of 00 LL O LJ_J iw LJ Q � 0 m Z W U O LL- O v� Q OC O w I� O VZ � r� V f� - - ao � 0 oc L 00 "- EZ-)IS -VOL9L SVX31 `H180M 1803 LL-V6-ZCC-Ll8 13381S VV461 O98 M9L SVX31 `H180M '13 <<-«-e S# NOLLViS 3813 OOl'31S `3AV SONINN3r 'S Loi :31VO 1N3WlbVd3a 3113 HISOM 121Od 'JNI 'dnOND NJIS30 VOM `:133HS STVi3o 3H I A — tb ad OD \\ 0 w Ir \\ J �O zu \\ N o \\30 w a oa Of �U 00 Oa \\ Nc0 �\ \ w OD LU 0 N < OD w o LLI m J\\ o LL Z O ZZ-)IS -VOL9L SVX31 `H12JOM 12j03 LL-V6—ZC2—Ll8 1338iS VV481 092 VOL91- S`dX31 `H180M '13 9# N011`d1S 32113 001'31S `3AV SONINN3f'S LOL :31VO .LN3Wf bVd3(3 3111) HMM lbOJ 'JM 'dnow) NJIS34 VDA `1 :133HS sidlaa ivc�A o N, O \ a V \ F LU cl 0 cn o > > ce 0 r , Z - J Q N z- Z U U O W Ow w 0 a 00� O U lD �Q O � J OZ co a� < o LL N O A & S Steel (all 1701 Brennan Avenue Tel 817-626- 7720 Fort Worth, Texas 76106 Fax 817-626- 0267 10/10/2011 Company: Imperial Construction Attn: Jimmy/ Freddy Reference: FS#5 Flume Handrail Scope of Work: Furnish labor, equipment and material for the following: Fabricate and install handrail/guardrail as per drawing. Material to be prime painted Post to be core drilled and poured after flume is complete. Price=$3,450.00 Exclusions: Taxes, permits, engineering, Lee Bristow Project Manager 817-996-3490 Lee a�ASFabrication.com NCTRCA CERTIFIED DBE HUB - STATE OF TEXAS i ,}I 11010 Swit—Avenue,Suite 100 C O T Dallis,Texas 75238 Phone 214•349•3782 but 214•349,4084 www.c0nsyso0MMts.cam PROPOSAL PROJECT: Fire Station No.5 Work performed by: ( )General Contractor (X)Subcontractor CONTRACTOR: Imperial Construction ConSys Concrete Corp.'s Proposal Number P-004 Pco# Time Extension(if any): none PR#ASI# Description of Change: Revised flume ADDITIONS AND/OR[CREDITS] eSCrl tlon Quantity nit Total Material Labor ul U con. fora e U rinten eii s ra a eams ormin 90111f - Foncre Ing an ac ing e ui ment g e ar $500.001 4 ear 72011b $0.071 -TRM Ask ace an Finish g u in 1 s u in 1 s Elu otoas Rates% Line I Enter total of Columns A+B+C+D+E $4,971.05 Line II Enter%of Col B for Workman's Comp., Social Security,and like taxes 40.98 $1,056.61 Line III Benefits and Vacation/Holiday 0,00 $0.00 Line IV Overhead 5.00 $301.38 Line V Total Line I thru IV $6,329.04 Line VI Fee/Profit 5.00 _ $316.45 Line VII Bond Costs 0.00 SO 00 Line VIII Total $6,645.49 SIGNATURE: DATE: October 5, 2011 n s Concrete Corp. I C I IMPERIAL construction inc Jack Durham Senior Construction Manager T/PW Architectural Services Mr. Durham Imperial would like to request a time extension for the Fire Station #5 project. I am requesting an additional 65 days due to slow production from the Cast Concrete supplier. As you are aware the manufacturer could not provide acceptable submittals in a timely manner. The other issue with the manufacturer was their productions time was slow and several items had to be remade due to in correct forms they built. Please let this serve as a official request for 65 additional days. Respectfully, Jimmy Tuley Project Manager POST OFFICE BOX 967 * N1'EATHERFORD, 7X 76086 * 817-341-8886 * FAX (817) 341-0191