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Contract 43275-CO1
rl Ics 0 m • 5 City ty of Fort Worth Change Order Request Project Name BNSF Railway Track Installation / Alliance Airport Runway Extension Client Project #(s)I Project Description Enbridge Gathering (North Texas) L.P. Utility Relocation Contractors Enbridge Gathering (North Texas) L.P. City Project Mgr.I Ruseena 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 Change Order Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) Aviation $346,376.00 $0.00 $0.00 $0.00 $346,376.00 $33,628.83 $380,004.83 i i CITV SECR&CRP] '�93`Z'Iscol City Sec# I 43303-001 Change Order # I 1 City Inspector I na $0.00 $33,628.83 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT JUSTIFICATION (REASONS) FOR CHANGE ORDER i Date I 4/29/2014 Totals Select Day Type $346,376.00 $346,376.00 $33,628.83 $380,004.83 $0.00 $33,628.83 • 9.71% I i Additional charges for construction and Right of Way negotiations. r- - 1OEPICIAkL-RMC. ittin ((_-I1 v n ©12 1i1 \ v rr 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 Enbridge Gathering (North Texas) L.P. Inspector/Inspection Supervisor na Assistant Director (Dept) na M&C Number I Contractor (Name) d4 ✓/D 1e Ael Ag r.v Date Date Date t Contract Signature .6.zks •;,/ £`Metiii>i oject Manger/Program Manager Direct r, Contra' ing Department (Dept) Council Action (if required) anager M&C Date Approved rat Date 4e— Saw Date Date, -5-1/4/ice 5 / Perfrf Data —14Pi2:U9 RCVD ORTWO 2TH Project Name Client Project # Project Description ITEM 1 2 Contractor City Project Mgr. City of Fort Worth Change Order Additions BNSF Railway Track Installation / Alliance Airport Runway Extension Enbridge Gathering (North Texas) L.P. Utility Relocation Enbridge Gathering (North Texas) L.P. Ruseena Johnson DESCRIPTION Right of Way Negotiations (Legal Fees and Appraisals) Relocation labor and materials Change Order # City Inspector I na ADDITIONS DEPT Aviation Aviation 1 Qty 1.00 1.00 City Sec # I 43303 - C01 Date I 3/13/2014 Unit Is Is Aviation Unit Cost Total $7,966.43 $7,966.43 $25,662.40 625,662.40 Sub Total Additions 1 1 $33,628.83 $33,628.83 Change Order Additions Page 1 of 1