HomeMy WebLinkAboutContract 45132-CO3 TORT WORTH.
CITY SECRETARY, '
CONTRACT NO. `tS I 21a' OA�
CHANGE ORDER REQUEST
Change Order# 003 Date I September 5, 201 Contract—#—T—
ontract# CS-45132
Project Title Annual Services Contract for Removal, Packaging, Transportation and Disposal of Asbestos-
Containing Materials and Mold Contaminated Materials from Cit}-Owned Facilities
Project# ENV 13-08:ACM
Funding (FID) 25005 1 0234106 5330201
Purchase Order# PO-17-00096735
Project Description I Annual Services Contract
Original Contract Amount $50,000. 2 3 4 16 ,>
�
Extras To Date $ c110 9�
Credits to Date $0.00 ECEIVED j
Contract Cost To Date $(39,5$P.89) ;T 4 2011 N
Balance Contract Remaining $10,410.11YOFFORTN,ORTi1
Amount of this Change Order $12,500.0 11YSECRETAF"
Revised Contract Amount $62,500.0 Z�,
IN ACCORDANCE WITH THIS CHANGE ORDER, THE CONTRACTOR SHALL:
Continue to provide Asbestos abatement and Mold Remediation services to the City on an as-needed basis. Future work under this Contract will include,but
not limited to: Asbestos abatement at 1000 Calvert(former Police and Fire Training Center)and other potential operation and maintenance issues involving
the scope of this agreement that may arise at various City facilities.
All work to be performed in accordance with the Proposal Specifications.
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction
and represents in full both time and money)for all costs arising out of,or incidental to,the above Change Order.
Contractor's Name Intercon Environmental, Inc.
Original Contract Time Annual
Additional Approved Time to Date None
Additional Time for This Change Order None
Karen Andrews, President , / Date September 5, 2017
Intercon Environmental, Inc. �{
Project Manager Date
Roger Grantham �A� ; 41/3 1 17
Environmental Manager Ile,
Date
Cody M.Whittenburg
Sr Assistant City Attorney
Date I
Christa Lopez-Reynolds
Assistant City Manager - Date
Fernando Costa
C #A Actio /A
OFFICIAL
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dA6hfir�nV=P= Nt i sion,Change Order Form(03.13)
Mary J. Kay ecretary
FT.WORTH,TX
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.
Roger Grantham
Name of Employee/Signature
Environmental Supervisor
Title
RE:
Intercon Environmental, Inc. Change Order 003
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX