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Contract 41224-CO1
r CITY SECRETARY FORT WORTH. City of Fort Worth CONTRACT NOIqIA�--LC Change Order Request Project Namel Matyastik Daycare Addition No.2 /DOE 6563 City Sec# I CS41224 Client Project#4 P265-600150162583,P275-700130162583 Project Descrip' Water and Sanitary Sewer irfpv meets Contractorl CLEBURNE UTILITIES Change Order# Date 2/15/2011 City Project Mgr.1 Raul Lopez City Inspector Wade Johnson Dept. Water Sewer, Contract Time Totals CD Original Contract Amount $37,251.00 $1,781.00 $39,032. 40 Extras to Date $0.00 Credits to Date $0.00 Pending Change Orders(in M&C Process) $0.00 Contract Cost to Date 7 251.00 ;7 1.Oa $39,032.00 40 JAmount of Proposed Change Order $0.06, $5,000.00 Revised Contract Amount ,0 .00 40 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO .00. $0. Additional Funding(if necessary) ,000.00 1. $5,000.00 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT i '81 M AX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $48,790.W' The water line plan for Irish Glenn Tr.Showed the water main located in the center of theRight-0f-Way.The contractor field verified the water main locationon the east side of the right-0f-Way.Twenty one LF of additional 8'C900 DR14 pipe needed to connect to water main located at Irish Glenn Tr. is is a developer project with Water Dept.participation. Ref.M&C:60Matyastik2 and CFA No.2010059 for City cost share. It is understood and agreed that the acceptance of this Change Order by the contactor constitutes an accord and satisfaction and represents payment in fW(both time and money)for all costa arising out of,or incidental to,the above Change Order. CLEBURNE UTILITIES 4f 3r--Z 3`-Z- -g- I lot A LT 1� ii M&C Date Approved "Two M&C REQUIRED cD JI (D cD CD f f 0 o n v O D CD 3 < CD CD' Co VJ O m CD <D d Q C ' t0 O O 3 <D y N , 3 `,Z d C 8 03 m d PO v ID m ' p C rn w m y z a CD 7r ^' m �" v ° Si ' g F N cn f =D n 0 0 0 CD IV p W- 3 7 N n p n m CA w w C1 ID rD C 0 O °+ a CL n � CL Z `° O � n 3 W ° w 0 N � ° O� n co F, o O CD a R CD O 0 O cn LiC ° � v 0 Q N O J 0 4A 46A N O O o n CD 0 § 3 2 _ � 2 E E § ƒ K CL 7r m � @ U F CA § m 3 > CA J � a g � e n / m g � c k CA) 0 0 � m rr 0 © a m so 0 2 *a c � � a ca 9 ® 2 § E CD o / ƒ 4t CD 0 Li 15- 0 � E E 0 ' ƒ § a _ q n o k 9 . 8 MIWBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total Previous Change Orders coy DATE. AfG[OUIVT° Total