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Home My WebLink AboutContract 52634-CO1 FORT WORTH City of Fort Worth Change Order Request CSC No.52634-COI Project Namel Trffic Signal Mods and Upgrades at Various Location throughout the City City Sec# 52634 Client Project#(s)l 101729 Project Description Traffic Signal Modification and Upgrades contrac for varoios construction projects Contractorl Siemens Mobility,Inc. Change Order ft 1 Date 11/23/2020 City Project Mgr.1 Yang Jin City Inspectorl Cedric Dorsey Dept. TPW Contract Time Totals CD Original Contract Amount $7,10"00.00 5750,000.00 365 Extras to Date Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date 5750.DD0.00 S760 000.00 365 Amount of Pro osed Change Order $0.00 Revised ContractAmounl $750,000.00 S750,000.D0 365 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO S0.00 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.00% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) S937.500.00 JUSTIFICATION(REASONS)FOR CHANGE ORDER Additional bid items that were not included in the original contract are needed in order to construct proposed improvements.The additional bid items will not increase the total contract amount. 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.The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract,including ens in all performance and reporting requirements. Contractor's Company Name Contraaor Name Contra nature Date Siemens William Tucker.Jr f 2�7•ZO Transporlationand Public Works Date Transportation and Public Works Date Yano Jin vans iin Ra nish Gupta .�,.P ,, Date Transportation Transportation and Public Works and Public Works Date c Y 1J n0. Tanya Brooks `� ��- „ William City of Fort Worth L I Date CMO Date Doug Black Dana Burghdoffl-0.1-11, ,._,,.. Data Date Date Coundl Acton i(raquir4 M&C Number NIA M&C Date Approved NIA /ATTTTESTQ: OR .�/�� ba44��ngp Mary J.Kayser,City Secretary �01oo-0--.4k& c'.° 'add _moo Pvo oo=A Pp 00 o o*dd Oao oIV a 00000a a a>Z nEX A5o4p OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX 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. Yang Ji(in, P.E., PTOE Engineering Manager OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX City of Fort Worth Change Order Additions Project Name I Trffic Signal Mods and Upgrades at Vanous Location throughout the City City Sec M Client Project# 101729 Convactorl Siemens Mobility,Inc. PMJ Kassem Elkhalil Inspector Cednc Dorsey Change Order Submittal Date 11 AUUI I IONS Unit I Unit-c4stotal umtsry ns �ncn an mch)Condurts,in same ditch Install video presence detecton device umis nsta video Presence detection e Install ish-ye Uelection 5ystem nd bmart.Mic,Vision or similar) lUb Furnish and InstallInstall is-ye Detection ys em(Und Smart Mio ision emove etewon FdaUle7PVr- IIJA o l'umish/Install calWe cable Install catoie cable wap communication device em, In3t8I1 Radio Communication unit roue Snooting for communication unit(4U Modem.Radio) �. roor inters n,con urts and grouncl boxes lFstall I ype 41 SignalPole . lblb Install ype 42 bignalPole Install ype 43 Signale Ipw Idlu Install ype 44 Signalo Install ype 45 SignalPole Install I ype 4b bignalPole Install traffic sign on mast arm,vertical shaft or post Install c sign wth post iWA Remove itgrit nirture o Remove tremc related sign(other than Metrosign o, a ice support per omcer our Install railroad an out sign I Jam» .v�J.I:V Ub Ofa CO210n5 �+i.0 JVJ Change Order Additions Page 2 of 4 Fn .t. VOR I+ City of Fort Worth Change Order Deletions Project Name Trffic S nal Mods and U ades at Various Location throughout the City City Sec: 263a Client Project- 1 101729 Contractor Siemens Mobility,Inc. PMj Kassem Elkhelil InspectorCedric Dorsey Charip Order Submidal+ = Dale iIfX020 UhLF I TUNS unit NI otal luu umis ns System btand Alone IN Fumishiln stall Hyloncl e ys m t-UMISM InSitall A um Sign Mast Arm MountecoSign) n um Ign nl 283 umis nsta um gn nt 1 294 FsTalf sign(Traffic Sign orSign) emove Sgn(Traffic Ign or Metro n I. 9 $241.883.00 0 oa eeoons Change Order Deletions Page3of4 MISBE for this Change Order iV,/SB Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders CO# DATE AMOUNT � I� Total $0.00