HomeMy WebLinkAboutContract 39257-CO2FORT WORTH:
City of Fort Worth
Change Order Request
CITY SECRETARY
CONTRACT NO. W a�7 �C�
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 Is
Contractorl Steele & Freeman Change Order # Date 2/9/2012
City Project Mgr.1 Raul Lopez CityInspector Wade Johnson
Dept. I Paving I Drainage I Street Lighting I Totals
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Amount of Pronosed Chanae Order
ontract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1.60%
MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) $711,789,63
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Contract Time
75
0
0
0
II
Perforated drains were added north and south of Crawford Farms to eliminate constant groundwater flow over sidewalks within the segment of
road added by the City to the Keller ISD CFA project. Cost of change order to be borne by City. Funding already approved as part of CFA
Amendment No. 1 of City Contract No. 39257, M&C C-25057.
All
i i' + ��
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 D to
Steele & Freeman 2,01 Z...
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M/WBE Breakdown for this Change Order
MWBE Sub
Type of Service
Amount for this CO
Total
$0000
Previous Change Orders
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DATE
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Total
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FORT WORTH,
City of Fort Worth
Change Order Request
Project Namel Paving and Drainage Improvements to Serve Keller Middle School (CFA)
Client Project #(s)l City Project No. 01393 DOE 6328
City Sec # 39257
Project Description, CFA project (with TPW participation) for the reconstruction of Old Denton Rd from Prestige Rd to Crawford Farms Dr.
Contractor
City Project Mgr.
Steele &Freeman
Raul Lopez
Change Order # Date I zlwzu12
City Inspector Wade Johnson
Dept. � Paving � Drainage
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Street Lighting
4.20
'Amount of Nroposea L;nange uraer
Revised Contract Amount $402,326007 $118,153650 $58,074.20
Original Funds Available for Change Orders $2,513.52 $6,608.55
Remaining Funds Available for this CO $0.00 $23354.55 $0.00
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25916)
IFICATION
FOR CHANGE ORDER
Contract Time
Totals
431./U
75
767.52
0
0
0
199.22
75
354.55
0
553.77
75
122.07
354.55
1.60%
$711,789.63
Perforated drains were added north and south of Crawford Farms to eliminate constant groundwater flow over sidewalks within the segment of
road added by the City to the Keller ISD CFA project. Cost of change order to be borne by City. Funding already approved as part of CFA
Amendment No. 1 of City Contract No. 39257, M&C C-25057.
I
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
{
� i
l � . �
Insp ctor/Inspection Supervisor
Date
Project Manager/Program Manager
Date
Assistant Director (Dept)
Date
bjreGtor, Contr c{ng Department Dept
Date
Z
As'sistant City Attofney
Date
AssistanCity Manager %
Date
- -
t,
Council Action (if required)
M&C Number M&C Date Approved
T.
`( ';�E �) - r D�4
FORT WORTH.,
Project Name Paving and
Client Project
City of Fort Worth
Change Order Request
Improvements to Serve Keller Middle School (CFA)
No. 01393 DOE 6328
City Sec # 1 39257
Project Description) CFA project (with TPW participation) for the reconstruction of Oltl Denton Rd from Prestige Rd to Crawford Farms Dr.
Contractorl Steele & Freeman Change Order # Date 219/2012
City Project Mgr,l Raul Lopez City Inspector F7Watle Johnson
Contract Time
Dept. Paving Drainage Street Lighting Totals (CD)
Original Contract Amount $399,812.55 $111,544,95 $583074,20 $569,431.70 75
Extras to Date $23513052 $4,254.00 $6,767,52 0
Credits to Date 0
Pending Change Orders (in M&C Process) 0
Contract Cost to Date $402,326.07 $115,798.95 $58,074,20 $576,199022 75
Amount of Proposed Change Order 0.00 2,354.55 0.00 25354.55 0
Revised Contract Amount $402,326007 $118,153,50 $58,074,20 $578,553,77 75
Original Funds Available for Change Orders $2,513,52 $6,608055 1 $9,122007
Remaining Funds Available for this CO $0.00 $2,354.55 $0.00 $2,354,55
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1.600to
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $711,789.63
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Perforated drains were added north and south of Crawford Farms to eliminate constant groundwater flow over sidewalks within the segment of
road added by the City to the Keller ISD CFA project. Cost of change order to be borne by City. Funding already approved as part of CFA
Amendment No. 1 of City Contract No. 39257, M&C C-250571
i
r
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, Contrqcting Department (Dept)
Date
Assistant City Attorney
Date
Assistant City Manager
Date
A4
Council Action if required)
M&C Number 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,J 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
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
Paving
Drainage � Street Lighting
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 259o)
� 1US7I1:ICAiI®N (PEAczON4z) FAR CHANCE BRUER
Totals
1.60%
$711,789,63
Contract Time
75
0
0
0
75
0
75
Perforated drains were added north and south of Crawford Farms to eliminate constant groundwater flow over sidewalks within the segment of
road added by the City to the Keller ISD CFA project. Cost of change order to be borne by 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