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WHITE-FILE CITY OF FORT WORTH CITY SPUITl W
CANARY-CONSTRUCTION FILE
PINK-PROJECT MANAGER CHANGE ORDER REQUEST CONTRdCj a(j,
GOLDENROD-CONTRACTOR
CHANGE ORDER NO. ONE DATE: July 17,2016 D.O.E.NO.(N/A) PROJECT NO.02294
PROJECT DESCRIPTION: WALSH RANCH PUMP STATION PROJECT CITY SECRETARY CONTRACT NO.
47348
ORIGINAL CONTRACT AMOUNT.......................................................$1.584.685.00
EXTRAS TO DATE.........................................................$0.00
CREDITS TO DATE........................................................$0.00
CONTRACTCOST TO DATE.......................................................................................................................................................................................$ 1.584.685.00
AMOUNT OF PROPOSED CHANGE ORDER.............................................................................................................................................................$ 12,972.85
REVISEDCONTRACT AMOUNT................................................................................................................................................................................$ 1.597.657.85
ORIGINAL FUNDS AVAILABLE FOR CHANGE ORDERS.......................................................................................................................................$163.000.00
ADDITIONAL FUNDING(IF NECESSARY)................................................................................................................................................................$0.00
REMAINING FUNDS AVAILABLE FOR CHANGE ORDER......................................................................................................................................$150.027.15
IN ACCORDANCE WITH THIS CHANGE ORDER,THE CONTRACTOR SHALL: modify/change the contract as shown below to provide a complete,functional,and
operational booster pump station meeting current regulatory requirements. This change order consists of minor piping,instrumentation and controls,and lighting
modifications recommended during the course of construction by the engineer and operations and maintenance staff. A summary breakdown of the extra work associated
with this change order is shown below.
Price Proposal#I—Provide three 16"pipe spools sized to fit(COST)...........................................................................................................................$4,782.93
Price Proposal#2—Provide proximity switches on pump discharge check valves(COST)............................................................................................$2,655.32
Price Proposal#3—Delete power factor correction capacitors within motor control cabinet(CREDIT)........................................................................-$5,407.79
Price Proposal#4—Start-Up Services for pre-purchased pump and motor units(COST)...............................................................................................$1,166.57
Price Proposal#5—Add lighting wall packs over pump station exterior doors(COST).................................................................................................$4,856.41
Price Proposal#6—PLC modifications to allow for DNP3 communications protocol(COST)......................................................................................$4,919.41
TOTALCOST—Change Order#1(COST)..............................................................................................»»............»..._...,...................................$12,972.85
Staff has reviewed this change order and is in agreement with the modifications to the scope of work and the costs and credits associated with the work. Documentation
providing additional information is attached to and made part of this change order.
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 in time and money)for all costs arising out of,or incidental to,the Change Order.
ORIGINAL CONTRACT TIME ADDITIONAL APPROVED TIME TO DATE APPROVED CONTRACT TIME ADDTfIONAL TIME FOR THIS CHANGE
TO DATE ORDER
210 Calendar Day None `` 210 Calendar Days 0 Calendar Days
CONTRACTOR �� DATE , j 116 PROJECT MANAGER CZ j4 jj.� DATE
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CITY MANAG DATE COUNCIL ACTION(IF REQUIRED): DATE
❑ APPROVED ❑DISAPPROVED ❑ OTHER
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