HomeMy WebLinkAboutContract 51953-CO1 CSC No.51953-COI
FORT WORTH City of Fort Worth
Change Order Request
Project Name:1 Sanitary Sewer Rehabilitation Contract 93, Part 2 City Sec No.: 1 51953
Project No.(s): 59607-0700430-01787 DOE No. LN/A CityPrcj.No.:1 100420
Project Description: Replacement of sewer laterals in the Rosement and Worth Heights Neighborhood Association(CD 9)
Contractor: William J.Schultz,Inc.dba Circle C Construction Co. Change Order# 0 Date: 1 10/19/2020
City Project Mgr.1 Liam Conlon City Inspector: I Jesse Reed
Phone Number: 817-392-6824 Phone Number: 817-392-8362
Dept. Sewer Totals Contract Time
(Calender days)
Original Contract Amount $1,374,880.00 $1,374,880.00 300
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,374,880.00 $1,374,880.00 300
Amount of Proposed Change Order $0.00 $0.00 180
Revised Contract Amount $1,374,880.00 $1,374,880.00 480
Original Funds Available for Change Orders $68,744.00 l
g g $68,744,00
Remaining Funds Available for this CO
Additional Funding(if necessary)
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CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,718,600.00
JUSTIFICATION (REASONS)FOR CHANGE ORDER
The change order will provide 180 days on the project for the time period it took Atmos Energy to mobilize and
relocate gas mains that were in conflict with project sewer mains.
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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 Contractor Si nature Dale
William J.Schultz,Inc.dba Circle C Construclion Co. Teri Skelly
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Inspector Date Projec Manager Date
Director(Water Dept) Date Construction Supervisor(Wafer Dept) Date
-A-.„_,;,M-0 ?S. Oct 22,2020 •r Dnv,' l�s�. �o—�/—�a�
Assistant City Attorney Date Assistant City Manager Date
Oct 22 2020 Oct 23 2020
oaYck,Oc[;AA&MCon ! h 1116 CD
Council Action(If Required) OFFICIAL RECORD
M&C Number N/A M&C Date Approved N/A CITY SECRETARY
FT.WORTH, TX
T NA/I� j I XLT-I-E City of Fort Worth
__ Change Ceder Additions
Project Name I Sanitary Sewer Rehabilitation Contract 93,Part 2 City Sec No.: 1 51953
Project No.(s): 59607-0700430-01787 I DOE No. N/A City Proj.No.: 100420
Project Description Replacement of sewer laterals in the Rosement and Worth Heights Neighborhood Association(CD 9)
Contractor William J. Schultz, Inc.dba Circle C Construction Co. Change Order:= Date: 10/19/2020
City Project Mgr. Liam Conlon City Inspector Jesse Reed
ADDITIONS
IT�IND 8—CRIPTION D-PT Oty Unit Unit Cost Total
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Sewer
Page 2 of 4 Additions Sub Total
F" City of Fort Worth
Charge Order Deletions
Project Name Sanitary Sewer Rehabilitation Contract 93, Part 2 City Sec No.: 51953
Project No.(s): 59607-0700430-01787 DOE No. EKI City Proj. No.: 100420
Project Description Replacement of sewer laterals in the Rosement and Worth Heights Neighborhood Association(CD 9)
Contractor William J. Schultz, Inc.dba Circle C Construction Co. Change Order: 71 1 Date 10/19/2020
City Project Mgr. Liam Conlon City Inspector: Jesse Reed
DELETIONS
ITEM IDESCRIPT ION I DEPI I Oty JUnit Unit Cost JTotal
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1
Sewer
Page 3 of 4 Deletions Sub Total
MIUVBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for this CO
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Total $0.00
Previous Change Orders
Co# DATE AMOUNT
Total $0.00
Page 4 of 4
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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.
Signature
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N1 C-0i oOJ y
Name of Employee
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Title
abF FORT Q �,I�
cF °090
ATTEST: ono o=o
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r Ronald P.Gonzales(0ct 23,202013: DT) QQQ .�
t!TEXA`ti600 i
Mary J. Kayser nna�o4
City Secretary
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OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX