HomeMy WebLinkAboutContract 39257-CO1v
CITY SECRETARY
FORT WORTH, City of Fort Worth CONTRACT NO. 5125 7" C721
Change Order Request
Project Name Paving and Drainage Improvements to Serve Keller Middle School (CFA) City Sec # 39257
Client Project #(s)l City Project No. 01393 DOE 6328
Project Description) CFA project (with TPW participation) for the reconstruction of Old Denton Rd from Prestige Rd to Crawford Farms Dr.
Contractorl Steele & Freeman Change Order # 0 Date 2/9/2012
City Project Mgr.1 Raul Lopez City Inspector Wade Johnson
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Amount of Proposed Chance Order
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
Paving � Drainage � Street Lights
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25916)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Totals
1.19%
$711,789.63
Contract Time
75
75
75
Plan revisions required by existing conditions discovered onsite during construction within the segment of road added by the City to the Keller
ISD CFA project. Cost of change order to be borne by the City. Funding already approved as part of CFA Amendment No. 1 of City Contract
No. 39257, M&C C-25057.
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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)
Contract Signature
Dat
Steele &Freeman
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nt City Manager
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MMBE Breakdown for this Change Order
MWBESub
Type of Service
Amount for this CO
Total
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FORT WORTH
Project Name
Client Project
Project
City Project Mgr.
City of Fort Worth
Change Order Request
C)5T DI
on
Paving and Drainage Improvements to Serve Keller Middle School (CFA) City Sec # 39257
City Project No. 01393 DOE 6328
CFA project (with TPW participation) for the reconstruction of Old Denton Rd from Prestige Rd to Crawford Farms Dr.
Steele &Freeman
Raul Lopez
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
Change Order # 0 Date 2/9/2012
City Inspector FYatle Johnson
Paving Drainage Street Lights Contract Time
Totals (CD)
39 ),812.55 $1119544,95 $58,074,20 $5693431,70 75
4.20 � $569,431.70 � 75
IP
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25916) 70
JUSTIFICATION (REASONS) FOR
1
1
1.19%
$711,789.63
75
Plan revisions required by existing conditions discovered onsite during construction within the segment of road added by the City to the Keller
ISD CFA project. Cost of change order to be borne by the City. Funding already approved as part of CFA Amendment No. 1 of City Contract
No. 39257, M&C C-25057.
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)
; ;Contract Signature
Date? �
Steele &Freeman
( ! `'`
�'"
Inspector/Inspection Supervisor
Date
P o ect Manager/Program Manager_
Date
Assistant. Director -(Dept),%'
Date
i ctor Contracting Department (Dept)
Date
AspjiskaQt;Gity A, ttqr5ey
Date
nt City Manager "`
RAs�sist
y pDate /
318
Council Action (if required
M&C Number !. j ;; M&C Date Approved
FORT WORTH
City of Fort Worth
Change Order Request
Project Namel Paving and Drainage Improvements to Serve Keller Middle School (CFA) City Sec # 39257
Client Project #(s)l City Project No. 01393 DOE 6328
Project Description) CFA project (with TPW participation) for the reconstruction of Old Denton Rd from Prestige Rd to Crawford Farms Dr.
Contractorl Steele & Freeman Change Order # Date 2/9/2012
City Project Mgr, Raul Lopez City Inspector Wade Johnson
Dept. � Paving � Drainage � Street Lights
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONEJ AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Totals
,431.
1.19%
$711,789,63
Contract Time
75
75
75
Plan revisions required by existing conditions discovered onsite during construction within the segment of road added by the City to the Keller
ISD CFA project. Cost of change order to be borne by the City. Funding already approved as part of CFA Amendment No. 1 of City Contract
No. 39257, M&C C-25057.
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) Contract Signature Date
Steele & Freeman
Inspector/Inspection Supervisor
Date
Project Manager/Program Manager
Date
Assistant Director (Dept)
Date
Director, Contracting Department (Dept)
Date
Assistant City Attorney
Date
Assistant City Manager
Date
Council Action (if required)
M&C Number
M&C Date Approved