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Contract 44743-CO6
CITY SECRETARY CONTRACT NO.44743-CO6 TEXAS DEPARTMENT OF TRANSPORTATION CONSTRUCTION CONTRACT CHANGE ORDER NUMBER: 6 Third Party Funding Notification Sheet. This form is useo'°when the subject change order involves fundi4g by a s71 ource other fhan TxDOT/U.S._DOT, (arid involvas thl al parties who are providing funding under an Qtivance Fut►ding Agreement or ponation Agreement: 1. Outside funding provided by: CCSJ. 0902-48-539 City of Fort Worth (Outside Entity's Legal Name) Project: BR 2006(132) 2.Type of outside funding agreement for this change: Highway. Precinct Line Existing Amended Jew County: Tarrant [Cock one] District. Fort Worth 3. Indicate the type and amount of funding: Contract Fixed Price(Lump Sum) (Estimated Amount ) Number: 08133013 ❑Actual Cost (a) Contract Items(Bid Items): $8,969.22 Use as needed. �I he by,oknou�lad��notft-joy of,the mQdlticatton , (b) E&C*: (a)x 4.16% _ $373.12 �covod. thls Chalked (c) Indirect Cost**: (a+b)x = $0.00 enter% j Dafe 41b/ TOTAL $9,342.34 /'/ BY c�c.�o C�siL — CITY OF FORT WORTH APOVAL RECOMMENDED: Typed/Printed Name Fernando Costa W . Typed/Printed Title Assistant City Manager Douglas ft Wiersig, P.E. Director,Transportation/Publicorks Department *The peroen a(%�fos E&C(En I Qrtnst a'nd Corttingenctes)ch 4atl s frpm prom-qt fo ro]act film approxi atety 6y=)Qf1igon(he:cdriZY )aJtotttisjet P'r.'o� l ll ,h � t� 4trtk1 4avetfilbterafe of t Foi;asp�sJflp p0 t,I~& r;to(%a)cert be di i e tbd Wit` ' 13 a eX1d ar! con 11>t ari t� rltt urSles�otli �espeolfled i'n:the•Advance=l=gnding Agreat�reiitiBse"�tid�illtitie;A�i3nUaf Notf9� #fdr ht9tPo�tt�s; lFU�ig fol' bts�Chartgi3 Ottley las`been drrang�i 1 IP Date Typed/Printed Name: APPR E TO FORM AND LEGALITY TXDOT Form 2146-AFA(Rev.6/2005) City Attorney p.(�}p,cy� ■ ® IL f k » 2 \ C . ƒ ) / / § ❑❑D❑ f ± . L § 2 e e \ d - § § CL ¥ 0 2 t § _ m e z ) g g 8 z £ C §E % f §d § ƒ k kW\ \ / / z / k 0 ' LL. tSI❑❑❑❑ / § [/ / $ K « c cu . 2 « » o w 2\ 0 W K « @ 4 § � o \ & t > 0 U ¥ e U- W Iz . § § � ¥ . 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During routine research before filing, it was discovered that previous change orders had never been filed with the City Secretary's Office. The Administrative Assistant requested originals of these documents from Transportation and Public Works for attesting and recording, but was informed that Change Order No. 1, 7, 29 and 33 did not have any documentation and were not received at the City Secretary's Office. Change Order No. 2, 3, 11, 21, 25, 30, 31, 37, 40 and 44 were not required by TXDOT to be signed by the City. All other Change Orders not mentioned have signatures and do not require a memo to record. Therefore, it was requested by Transportation/Public Works that a copy of the change orders or this memo be made the original in order to facilitate the processing of subsequent Change Orders. Correspondence related to the location of the original and the request for filing has been included in the contract file. AUTHORIZATION FOR CONTRACT NUMBER Per the direction of Mary Kayser, City Secretary, the City Secretary's Office has been requested to issue a contract number,and place in the City of Fort Worth's official contract files the Change Orders that were missing. This request has been approve City Secretary's Office