HomeMy WebLinkAboutContract 40603-CO3 e CITY OF FORT WORTH
;�,a •' CHANGE ORDER REQUEST
DORIGINAL
CHANGE ORDER NO.3 DATE 7-18-11 D.O.E.No 6300 PROJECT NO.C280/541600/806470114483
PROJECT DESCRIPTION Improvements at C.P. Hadley Park CITY SECRETARY CONTRACT No. 40603
ORIGINAL CONTRACT AMOUNT $272,742.90 CITY SECRETARY
COKMACT NO. 40 L263-COI
EXTRAS TO DATE $ 13,709.00
CREDITS TO DATE $0.00
CONTRACT COST TO DATE $286,451.90
AMOUNT OF PROPOSED CHANGE ORDER $636.48
REVISED CONTRACT AMOUNT $287,088.38 '
ORIGINAL FUNDS AVAILABLE FOR CHANGE ORDERS $2,206.00
REMAINING FUNDS AVAILABLE FOR CHANGE ORDERS $0.00
ADDITIONAL FUNDING IF NECESSARY) $636.48
IN ACCORDANCE WITH THIS CHANGE ORDER,THE CONTRACTOR SHALL:
ITEM DESCRIPTION QUANTITY UNIT COST TOTAL
INCREASE 6' wide concrete trail 204 SF $3.12 $636.48
LINE ITEM 8
TOTAL $636.48
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It is understood and agreed that the acceptance of this Change Order by the contrl[CltlPbdrtstrtutes an accord and satisfaction and represents
Payment in full(both time and money)for ail costs arising out of,or incidenW to,the above Change Order
CONTRACTOR'S NAM[:
Raydon, Inc.
ORIGINAL CONTRACT TIME ADDITIONAL APPROVED TIME TO DATE APPROVED CONTRACT TIME TO DATE ADDITIONAL TIME FOR THIS CHANGE ORDER
100 Working Days <30> Working Days 70 Working Days 0 Working Days
CONTRACTOR DATE ��/ PROD[ DATE
-7'
DI I Err T (� D, CITY ATTORN9 DATE
a' :[■ DATE COUNCIL ACTION(IF REpU1REDI �r
[ APPROVER [ DISAPPROVE I�VR'l 71u[ RE UIRED
08-19-11 P02:02 IN08-12-11 PO4:25 IN
•• ! DORIGINAL
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DATE 7-18-11
DEPARTMENT OF ENGINEERING
CHANGE ORDER JUSTIFICATION RECORD
PROJECT NAME: Improvements at C.P. Hadley Park
CHANGE ORDER: 3 1 DOE NO. 1 6300 CLIENT PROJECT NO C280/541600/806470114483
INSPECTOR: Randy Horton PHONE NO: 817-392-8306
PROJECT MANAGER: Eric Seebock PHONE NO: 817-392-5742
REASON (S) FOR CHANGE:
Final field measured installed quantity of 6'wide concrete trail per TPW inspector and contractor.
PROJECT MANAGER DATE INSPECTOR DATE
DIRFCTOIMF CONTRACTING DEPT ='1 N DATE
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