HomeMy WebLinkAboutContract 42787-CO1 (2)FORT WORTH .. City of Fort Worth
Change Order Request
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CITY SECRETARY
CONTRACT NO . L/ZJ'i1-C Q l ~
Project Name! SCOUR AND EROSION ABATEMENT CONTRACT 2011-21
Client Project #(s)j GG01-539590-0202003 DOE# 6797
Project Description Eastchase Bridge Over Cottonwood Creek
Contractor! Environmental Safety Services , Inc . Change Order#
City Sec # 42787 .__ _____ ___,
Date 3/6/2012
City Project Mgr.._! _T_a_riq"'""u_l l_sl_am ___________ _, City Inspector Ali Motamed
Dept. TPW Water Sewer
Original Contract Amount $377 ,155.00
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $377 ,155 .00
IAmount of Proposed Change Order $665.00 $0.00 $0.00
Revised Contract Amount $377,820 .00
Original Funds Available for Change Orders
Remaining Funds Available for this CO $0 .00
Additional Funding (if necessary) $665 .00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS% OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Contract Time
Totals (CD)
$377 ,155 .00 230
$377 ,155.00 230
$665.00
$377 ,820.00 230
$0 .00
$665 .00
0.18%
$471 ,443 .75
These changes are requested to provide an additional gabion wall and a gabion toe on the upstream end of the bridge for added protection
against erosion . Additionally , the use of gabion mattresses in lieu of the stone rip-rap will prov ide more adequate channel while reducing the
cost of construction .
M&C Number I /J /~
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OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
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City of Fort Worth
Change Order Request
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L/z7i1 -r o 1
Project Name! SCOUR AND EROSION ABATEMENT CONTRACT 2011-21
Client Project #(s)I GG01-539590-0202003 DOE# 6797
Project Description Eastchase Bridge Over Cottonwood Creek
_ Cont~actod Environmental Safety Services , Inc . Change Order#
City Sec # 42787 ~-----~
Date 3/6/2012
City Project Mgr ..... ! _T_a_riq-'--u_l l_sl_am ___________ _. City Inspector Ali Motamed
.,.,. ;,
Dept. TPW Sewer Water L
I~ I I
Original Contract Amount $377 ,155 .00 "' :
Extras to Date
Credits to Date I
Pending Change Orders (in M&C Process) /
Contract Cost to Date $377 ,155 .00
!Amount of Proposed Change Order $665.00 $0.00 $0.00
Revised Contract Amount $377 ,820 .00
Original Funds Available for Change Orders
Remaining Funds Available for this CO $0.00
Additional Funding (if necessary) $665.00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS% OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
-Contract Time
I I"\ Totals (CD)
J $377 ,155.00 230
'
$377 ,155 .00 230
$665.00
$377 ,820 .00 230
$0.00
$665 .00
0.18%
$471 ,443 .75
These changes are requested to provide an additional gabion wall and a gabion toe on the upstream end of the bridge for added protection
against erosion . Additionally , the use of gabion mattresses in lieu of the stone rip-rap will provide more adequate channel while reducing the
cost of construction. -
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 aris ing out of, or incidental to , the above Change O der~
/
.. 9?1 Joi=~
fORTWORTH ..
~
City of Fort Worth
Change Order Request
Project Name! SCOUR AND EROSION ABATEMENT CONTRACT 2011-21
Client Project #(s)j GG01-539590-0202003 DOE# 6797
Project Description Eastchase Bridge Over Cottonwood Creek
Contractor! Environmental Safety Services , Inc. Change Order #
'I I 7 t J tc I
City Sec# 42787 .__ _____ ___,
Date 3/6/2012
City Project Mgr ..... ! _T_a_riq"--u_l l_sl_am ___________ _, City Inspector Ali Motamed ~-------------'
Dept. TPW Water Sewer
Original Contract Amount $377 ,155 .00 L
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $377 ,155 .00
IAmount of Proposed Change Order ~665.00 ~0 .00 ~0.00
Revised Contract Amount $377,820 .00
Original Funds Available for Change Orders
Remaining Funds Available for this CO $0 .00
Additional Funding (if necessary) $665 .00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS% OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Contract Time
Totals (CD)
$377 ,155 .00 230
$377 ,155 .00 230
~665.00
$377 ,820 .00 230
$0 .00
$665 .00
0.18%
$471,443 .75
These cha nges are requested to provide an additional gabion wall and a gabion toe on the upstream end of the bridge for added protection
against eros ion . Addit ionally , the use of gabion mattresses in lieu of the stone rip-rap will provide more adequate channel while reduc ing the
cost of construction.
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. 1
Contractor's Com an Name Contractor Name Contract Si nature Date
ate I ~
Date f\\J
lr Date
I I ,t
:lt ~.} i M&C Number I Al /~
.. . •
•
fORTWORTH .. City of Fort Worth
Change Order Request ~
Project Name! SCOUR AND EROSION ABATEMENT CONTRACT 2011-21
Client Project #(s)! GG01-539590-0202003 DOE# 6797
Project Description Eastchase Bridge Over Cottonwood Creek
Contractor! Environmental Safety Services , Inc. Change Order#
I '
City Sec# 42787
Date
City Project Mgr.! T ariqul Islam City Inspector Ali Motamed
Dept. TPW Water Sewer
Original Contract Amount $377 ,155.00
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $377,155 .00
!Amount of Proposed Change Order $665.00 $0.00 $0.00
Revised Contract Amount $377 ,820.00
Original Funds Available for Change Orders
Remaining Funds Available for this CO $0 .00
Additional Funding (if necessary) $665 .00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS% OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Totals
$377 ,155 .00
$377 ,155 .00
$665.00
$377 ,820 .00
$0 .00
$665 .00
0.18%
$471 ,443 .75
I { I
3/6/2012
Contract Time
(CD)
230
230
230
These cha nges are requested to provide an additional gabion wall and a gabion toe on the upstream end of the bridge for added protection
against erosion . Additionally , the use of gabion mattresses in lieu of the stone rip-rap will provide more adequate channel wh ile reducing the
cost of construction .
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 Compan Name Contractor Name Contract Si nature Date
Environmental Safe! Services , Inc .
Inspector/Inspection Supervisor "' . Date Project Manager/Program Manager Date
I /1_ anu~'1 ', I /l '-,. I
Assistant Director (Dept) ' I Date Director , Contracting Department (Dept) Date .
Assistant City Attorney Date Assistant City ManaQer /f Date
) : -1.. -,.I_~-·"'--..;._) '-,1,,., I .
Council Action if required)
M&C Number I < '~ I M&C Date Approved I I
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FORT WORTH ---.....---
Project Name
Client Project #
City of Fort Worth
Change Order Additions
SCOUR AND EROSION ABATEMENT CONTRACT 2011-21
GG01-539590-0202003 DOE# 6797
Project Description Eastchase Bridge Over Cottonwood Creek
Contractor Environmental Safety Services , Inc.
City Sec# 42787
Change Order# Date 3/6/2012
City Project Mgr. Tariqul Islam .___'-----------------' City Inspector Ali Motamed .__ ___________ -
ADDITIONS
111:.M Ut:-:ivKlt' I IUN Ut:t' I Uty Unrt unrt t,;ost IOtal
lb 1 'L" Galvanized Gabron Mattress lt'VV oou .uu ;:,y :ji11b .Ul. ~~~.,ou.uu
16 Gabion (S x SJ (GalvJ I t'VV 014 .UU t.;Y $1 ru .uu :!il:l/,Jl:lU .uu
Change Order Additions Page 1 of 2
TPW $187 ,140 .00
Water $0 .00
Sewer $0 .00
~ub I otal Addt!lons !li18/,14U .uu
Change Order Additions Page 2 of 2
FORT WORTH ---,....--City of Fort Worth
Change Order Deletions
Project Name SCOUR AND EROSION ABATEMENT CONTRACT 2011-21
Client Project# GG01-539590-0202003 DOE# 6797
Project Description Eastchase Bridge Over Cottonwood Creek
Contractor Environmental Safety Services , Inc .
City Sec# 42787
Change Order # Date 3/6/2012
City Project Mgr . Tariqul Islam '---'------------------' City Inspector Al i Motamed ~-----------~
DELETIONS
11tM -'!::.~L ~:~ 1 IVN Ut:t" I Uty Unit unit cost 1ota1
f Kll-'KAI-' ::i I UNt t"Kt" I t:C I IUN 11:l IN I t"VV 1 ,bb/.UU vY ~fO.UL :i;110 ,uo.uu
8 GABIONS 3' X 3' GALV IPW 410 .UU vY $1 /U .uu ~o~,ruu .uu
Change Orde r Deletions Page 1 of 2
TPW $186,475 .00
Water $0 .00
Sewer $0 .00
Sub l otal Delet ions $186 ,475 .0U
Change Orde r Deletions Page 2 of 2
. '
M/WBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
PROJECT NAME :
BuySpeed No (T/PW):
BuySpeed No (Water):
City Project No:
Contract No :
D.O .E. No:
Attachment to Change Order No:
Today's Date :
Original Contract Amount:
Extras to Date:
Credits to Date :
Contract Amount to Date :
PROJECT SUMMARY SHEET
(Change Order Attachment)
Scour & Erosion Abatement Contract 2011-21
P0-12-00070802
N/A
N/A
CS42787
6797
1
3/26/12
C-25276 approved 11-15-11
TOTAL
$ 377,155.00
$
$
$ 377,155.00
Amount of Proposed Change Order: $ 665.00
Revised Contract Amount:
Contingency Funds Avail. for Admin. Change Orders:
Remaining Funds Available for Change Orders :
Additional Funding (if necessary):
$ 377,820.00
$
$
$ (665.00)
Prepared By : Christy Ezernack T/PW Construction Services
..