HomeMy WebLinkAboutContract 43415-CO1 (2)FORT WORTH,
Project Name BNSF
Client Project #(s)
City of Fort Worth
Change Order Request
Track Installation / Alliance
Extension
CITY SECRETARY , C.
CONTRACT N0.
City Sec # 1 43415 - C01
Project Description) Millennium TeICOm, LLC dba OneSource Communications Utility relocation for BNSF Rail Relocation
Contractorl OneSource Communications Change Order # Date 2/17/2014
City Project Mgr.j Ruseena Johnson CityInspector na
Dept. Aviation
Original Contract Amount $201,895670
Extras to Date $0.00
Credits to Date $0.00
Pending Change Orders (in M&C Process) $0.00
Contract Cost to Date $201,895.70
Totals
70
Amount of Proposed Change Order $6 000.00 $6,000.00
Revised Contract Amount $207,895,70 $207,895,70
Original Funds Available for Change Orders $0,00
Remaining Funds Available for this CO $0.00
Additional Funding (if necessary) $6,000.00 $6.000.00
CHANGE ORDERS to DATE (INCLUDING THIS ONEJ AS % OF ORIGINAL CONTRACT
FOR CHANGE OR
Day Type
Additional work is requried to complete the shift of approximately 120 feet of duct and fiber that is in conflict wish bent #7 drill shafts of the
proposed Henrietta Creek Bridge,
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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. /I
Inspector/Inspection
Contractor's Company Name
Contractor Name
C tract Si n lure
Date
OneSource Communications
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Supervisor
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Date
Assistant Director (Dept)
Date
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Asslstant.Cjty Manager
Date
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Council Action
if required)
M&C Number L.14 PII, IM&C
Date Approved
RECEIVED MAR 19 2014
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MIWBE Breakdown for this Change Order
MWBE Sub
Type of Service
Amount for this CO
Total
$0,00
Previous Change Orders