HomeMy WebLinkAboutContract 54210-CO5CSC No. 54210-005
Fc � l: � 1' Wt y 1:' 1' H City of Fort Worth
��- Change Order Request
Projecf Name: Water and Sanitary Sewer Replacement Contracl 2014 WSM-B, Parl 1 Cily Sec No.: 54210
Pf0�8Ci NO.�S�: �7,Lb7043�C017CU�6001A700430.0017E0.30106V200431ti02dE0 DOE No. N/A Clly Pfoj. No.: 2383
Project Descriplion; Water, S�;wer Replacement and Pavement Rehabilila�ion on Bellaire Circle, Ranch View Road, Soulh Hills Circle and
Westcliff Road Soulh
Contraclor: Jackson Cons�ruction, Lld. Change Order# �5 Dale: 3/3112021
City Project Mgr. Scoll Taylor City Inspector: Ramon Chavez
Phone Number: a17-392-7240 Phone Number: 817-392-8306
Dept, Water Sewer TPW Totals Contract Time
(Calanderdays)
OriginalContractAmount $3,573,699.UU $1,tlUZ,byB.UU �1,ZJS,61b.UU �6,b74,y1Z.UU b4U
Extras lo Date 69,525,00 �v0.00 50.00 $69,525.00 0100
Credits to Dale $14,872.30 $210.71 50.00 $15,083.01
Pending Change Orders (in M&C Process)
Conlracl Cost to Date $3,628,351.70 $1,802,387.29 51,238,615.00 $6,669,353.99 640
Amount of Proposed Change Order 0.00 $0,00 $10.00 $10,00
RevisedConlraclAmounl 3,628,351.70 $1,802,3a7.29 �1,238,625.00 $6,669,363.99 640
Original Funds Available (or Ch�mge Orders $107,211.00 $54,078.00 $0.00 �161,289.00
Remaining Funds Availabie (or Ihis CO $52,558.30 $54,288.71 �0.00 �106,847.01
Adtlitlonal Funding (if necessary)
CHANGE ORDERS to DATE (INCLUD/NG THIS ONE) AS % OF ORIGINAL CONTRACT 0.82%
MAXALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST+ 25%J $8,268,640.00
Dale
Director
M&C Number
I NIA
Ap r 8, 2021
Dale
Apr8;2o21
Assislanl �
n� a y��
M&C Dale Approved �
Daie
O4I0112021
4/5/2021
Date
OFFICIAL REC�RD
CITY SECRETARY
FT. W�RTH, TX
in full (bolh time and money) for all cosls arising oul of, or incidental to, the above Change Order.
Conlractors Com�anv IJame Conlractor Name / Conlraclor S���re , Date
Fc � F: 1' Wc > f:' 1 t i City of Fort Worth
Change Order Additions
Project Name Water and Sanitary Sewer Replacement Contract 2014 WSM-B, Part 1 City Sec No.; 54210
Project No.(s): 56002I0600430(C01780-56002107004301C01780- DOE No. N A City Proj. No.: 2383
Projecf
Description
Water, Sewer Replacement and Pavement Rehabilitation on Bellaire Circle, Ranch View Road, South Hills Circle and .
Westcliff Roatl Soulh �
Contractor Jackson ConsUuction, Lltl, Change Order: � Date: 3/31/2021
City Project Mgr. Scolt Taylor City Inspeclor Ramon Chavez
ADDITIONS
�'t;> ►�: �C' Wc_� tF� "l:' t-� City of Fort Worth
— Change Order Deletions
Project Name Water and Sanitary Sewer Replacement Contract 2014 WSM-B, Part 1
Proje�t No.(s); DOE No, N/A
Project Description Water, Sewer Replacement and Pavement Rehabilitation on Bellaire Circle, Ranch Vie�
Contractor
City Project Mgr.
� and Westcliff Road South
Jackson Construction, Ltd.
Scott Tay�or
City Sec No.: 54210
City Proj. No.: 2383
Road, South Hills Circle�
Change Order: �5 Date 3/31/2021
City Inspector: Ramon Chavez �
DELETIONS
Page 1 of 4
M/WBE Breakdown for this Change Order
Contract Compliance Manager
By signing I aclmowle dge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and reporting requirements.
Signature
Name of Employee
� Q..o�ecl r\��
Title
ATTEST:
Mary J. Kayser
City Secretary