HomeMy WebLinkAboutContract 50676-CO2 CITY SECRETARY
FORT WORTH. City of Fort Worth CONTRACT NO. 5016 (o-GOa
Change Order Request
Project Namel Concrete Restoration(2018-2) City Sec# 1 50676
Client Project#(s)l 101294
Project Concrete Restoration at Various Locations
Description
Contractorl Xtreeme Swaing and Sealing Change Order# I� Date 2/4/2019
City Project Mgr.1 Tariqul Islam City Inspector James Diver
Dept. TPW- Contract Time
Totals D
Original Contract Amount $335,668.00 $335,668.00 150
Extras to Date $12,600.00 $12,600.00 30
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $348,268.00 $348,268.00 180
Amount of Proposed Change Order $4,725.00 $4,725.00 45
Revised Contract Amount $352,993.00 $352,993.00 225
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $4,725.00 $4,725.00
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 5.16%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $419,585.00
Due to exremely slow progress for Type B(1/2 depth)concrete repair an additional 31 calendar days are required to complete 2,000 such
repair.14 additional calendar days are requested to complete punch list items after final inspection.A total 45(31 +14)calendar days are
requested to add to this contract.The electronic message board are required to place for 9 addional weeks.
-VORT
Atte . �F' P2®
Mary J. Kayse Ci Secretary
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. The Project/Program Manager signing below
acknowledges that he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance and
reporting requirements.
- 1
Xtreeme Swaing and Sealing Stuart S radle
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M/WBE 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 =$000
i
I
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.
TariqulI am
Title
❑' This form is N/A as No City Funds are associated with this Contract
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Printed Name Signature
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OFFICIAL RECOR
CITY SECRETAR '
FT WORTH, TX