HomeMy WebLinkAboutContract 47991-CO1 FCS I2T WCC RT H City of Fort Worth
Change Order Request CITY"ECRETARYn
CONTRACT N0. . 1
Project Name Deerfield Addtion Water Main Improvements City Sec No. 47991
Project No.(s)l DOE No. LNA City Proj.No. 02534
Project Description: 12"water main allong Wall Price Keller Rd.and turning S allong RR tracks,just W of 377,from Ray White Rd.to Kroger Dr.
Contractor: Atkins Brothers Equipment Company,Inc. Change Order# Date: 7/20/2017
City Project Mgr. John Kasavich City Inspector: I Thomas Miller
Phone Number: 817-392-8480 Phone Number: 817-223-2260
Dept. TPW WATER SEWER Totals Contract Time
(Calendar Days)
Original Contract Amount $104,180.00 $1,464,291.00 $1,568,471.00 180
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $104,180.00 $1,464,291.00 $1,568,471.00 180
Amount of Proposed Change Order -$99,996.00 -$99,996.00
Revised Contract Amount $4,184.00 $1,464,291.00 $1,468,475.00
Original Funds Available for Change Orders $10,180.00 $47,100.00 $57,280.00
Remaining Funds Available for this CO $10,180.00 $47,100.001 $57,280.00 3 4 g
Additional Funding(if necessary) Q�1% 2 6)�
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 6.380 0
MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,960,588 RECEIVED
JUSTIFICATION (REASONS)FOR CHANGE ORDER
PW will be performing the mill/overlay, and related items of work with in-house forces. r CRY OF FORT ORTH t
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e City Secretary j�-XAS FF'Tr,.WORITH,
RECORD
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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 Contractor ature Date
Atkins Brothers Equipment Company,Inc. 01
AA440a
7
Ins Date Project Manager Date
As nt Director Water Det Date Con tructio u ervisor TPW Dept)
Date
Assistant City Attorney Date 1 Assistant City Mana er Date %A
Y Council Action If Required
M&C Number N/A M&C Date Approved N/A
Foo P,fr VV"RTH City of Fort Worth
Change Order Additions
Project Name Deerfield Addtion Water Main Improvements City Sec No. 47991
Project No.(s) I DOE No.E= City Proj. No. 01468
Project 12"water main allong Wall Price Keller Rd. and turning S allong RR tracks,just W of 377, from Ray White Rd. to Kroger Dr.
Description
Contractor Atkins Brothers Equipment Company, Inc. Change Order No.0 Date: 10/812013
City Project Mgr. John Kasavich City Inspector Thomas Miller
ADDITIONS
DEPT Qty Unit Unit Cost Total
TPW
WATER
SEWER
Additions Sub Total
Page 1 of 1
Fc)P,-r Wo P,-jrH City of Fort Worth
Change Order Deletions
Project Name Deerfield Addtion Water Main Improvements City Sec No. 47991
Project No.(s) DOE No. NA City Proj. No. 01468
Project Description 12"water main allong Wall Price Keller Rd. and turning S allong RR tracks,just W of 377,from Ray White Rd. to
Kroger Dr.
Contractor FAtkins Brothers Equipment Company, Inc. Change Order No.= Date 10/8I2013
City Project Mgr. I John Kasavich City Inspector F Thomas Miller
DELETIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
51 3212.0302 2"Asphalt Pvmt Type D TPW 7692.00 SY $13.00 $99,996.00
TPW $99,996.00
WATER
SEWER
Page 1 of 1 IDeletions Sub Total
MIWBE Breakdown for this Change Order
MWBE Sub Type of Service ° Amount for this CO
Total $0.00
Previous Change Orders
Co# DATE AMOUNT
Total $0.00
Page 1 of 1
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 reporting requirements.
Signature
J Cl
Name of Employee
Title