HomeMy WebLinkAboutContract 49064-CO1 FORT WORTH City of Fort Worth CITYSECRETARY
Change Order Request
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Project Namel Canyon Creek Storm Drain Emergency Repair City Sec# 1 49064
Client Project#(s)l 100961
P=t Emergency rehabilitation of Canyon Creek storm drain by Geo-Krete SpinCast lining.
Description
Contractorl Quadex Lining Systems LLC Change Order# Date 711012017
City Project Mgr.1 Steven Eubanks City Inspector NIA(Inspection by PM)
Dept. TPW-Storm Contract Time
Water Totals D
Original Contract Amount $410,000.00 $410.000.00 14
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $410,000.00 $410,000.00 14
Amount of Proposed Chan2e Order $13,680.00 $13,680.00 28
Revised Contract Amount $423,680.00 $423,680.00 42
Original Funds Available for Change Orders $100,000.00 $100,000.00
Remaining Funds Available for this CO $100,000.00 $100,000.00
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 3.34%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $512,500.00
JtW F"TM FEASONS FOR CHARGE O
Unanticipated high-speed traffic on Boca Raton Blvd.combined with limited site distance necessitated off-roadway staging on private property.
Additionally,to prevent fire hydrant lines from crossing Boca Raton for same reason,a water buffalo was authorized to provide watl&r for
concrete mixing. Additional time required due to exceptionally heavy rains and heavy post-rain stream flow creating num y
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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 Company Name Contractor Name Contra , re
Qualex!min Systems LLC A r ( 1 Ii,
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Asstae r, ocinDermen (Cept) Qafe
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M&C Number M&C Date Approved
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FORTNORTH. City of Fort Worth
Construction Allowance Request
Construction FOA# 1� Date 7/10/2017 City Sec# 1 49064
Client Project#(s)l 100961
FAC#(s)l 52002-0200431-5330201-100961-002880-9999-
Project Name Canyon Creek Storm Drain Emergency Repair
Description
Contractor Quadex Lining Systems LLC City Inspector PM Steven Eubanks
DETAILED JUSTIFICATION FOR CONSTRUCTION FIELD ORDER ALLOWANCE
IN ACCORDANCE WITH THIS CONSTRUCTION ALLOWANCE REQUEST,THE CONTRACTOR SHALL:Furnish all labor and material
as per attached proposed Construction Allowance Request(with attachments)to the Construction Allowance Request: Unanticipated high-
speed traffic on Boca Raton Blvd.combined with limited site distance necessitated adding traffic control.
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MIWBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for this CO
N/A
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
None
Total $0.00
Contract Compliance Manager:
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and reportilkia requirements.
Name of Employee/Si at re
Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature