HomeMy WebLinkAboutContract 49088-R2CO1 \� O wURTH City of Fort worth CtnrscREr
Change Order Request CONTRACT NO.
Fd1�1arry 2017 Sanitary Sewer Emergency Response Contract City Sec No.: I 49088-R2
roject 404s): 56016-0700430-100775-001480 DOE No. N/A City Proj.No.: 100775
:Pr6j 4 Description: Replacing and/or relocating large diameter sanitary sewer mains and other pertinent construction required in response to
emergency sanitary sewer incidents city wide.
Contractor: William J Schultz,Inc d1b/a Circle C Construction Company Change Order# 0 Date: 6/25/2019
City Project Mgr.1 J.Chris Underwood City Inspector: I Paul Gieger
Phone Number: 817-392-2629 Phone Number: 817-223-2258
Dept. Water Sewer Paving Totals Contract Time
(Calender days)
Original Contract Amount $1,250,000,00 $1,250,000.00 365
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,250,000.00 $1,250,000.00 365
Amount of Proposed Change Order $53,876.57 $53,876.57
Revised Contract Amount $1,303,876.57 $1,303,876.57 365
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO
Additional Funding(if necessary) L= $53,876.57 $53,876.57
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 4.31%
MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,562,500.00
UST#FICATM{REASONS)FOR CHANGE ORDER
The change order will provide for increased pay item quantities of bypass pumping and sodding that were required at the 48-inch Sanitary
Sewer(M-245)(Sta. 112+06)Emergency Siphon Repair in West Fork Trinity River Levee.
Q� 1 ooR vv
Attested by:
Ar
Mary J. Kaye i retary
�XAS
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 CompaM Name Contractor Name _ Date
-t. 1 �aC,,,I.CC—w ti.,C mpeny Teri Skelly 27-1
-Date.. Date
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D._ V6,25J9
*lE _. Date
T 5 7-/-/S - S -
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council Mon itRequk,
M&C Number NIA M&C Date Approved
X'-P,x Wo ax vi City of Fort Worth
Change Order Additions
Project Name 2017 Sanitary Sewer Emergency Response Contract City Sec No.: 49088-R2
Project No.(s): 56016-0700430-100775-001480 DOE No. N/A City Proj.No.: 100775
Project Replacing and/or relocating large diameter sanitary sewer mains and other pertinent construction required in response
Description to emergency sanitary sewer incidents city wide.
Contractor William J Schultz, Inc d/b/a Circle C Construction Company Change Order:0 Date:1 6/25/2019
City Project Mgr, J.Chris Underwood City Inspector Paul Gieger
ADDITIONS
ITEM DENCRIPTION DEPT Qlby Unit Unit Cost Total
By-Pass Pumping Sewer 1.00 LS $12,289.45 $12,289.45
Sodding Sewer 1.00 LS $41,587.12 $41,587.12
Water
Sewer $53,876.57
Paving
Page 2 of 4 Additions Sub Total 1$53,876.57
FCJRT W6RTH City of Fort Worth
Change Order Deletions
Project Name 2017 Sanitary Sewer Emergency Response Contract City Sec No.: 49088-R2
Project No.(s): 56016-0700430-100775-001480 1 DOE No. N/A City Proj.No.: 1 100775
Project Description Replacing and/or relocating large diameter sanitary sewer mains and other pertinent construction required in
response to emergency sanitary sewer incidents city wide.
Contractor Oullulv- Change Order: Date 6/25/2019
City Project Mgr. FJ.Chris Underwood City Inspector: Paul Gieger
DELETIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
Water
Sswer
Paving
Page 3 of 4 Deletions Sub Total
MMBE 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 4 of 4
Contract Compliance Manager
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract,including f
ensuring all performance and reporting requirements. I
Signature
�n �0
Name of Employee
Title
,r
RECORD
4= `?'V SECRETARY
T. NORTH,TX