HomeMy WebLinkAboutContract 42714-CO2 (2).. -,
FORT WORTH £. City of Fort Worth
Change Order Request
City Secretary Copy
Project Name : I Village Creek Drainage Bas in Sanitary Sewer System Rehabilitation , Part 3
Project No .(s):I P254-705170043883 and P258 -7 05170043883 DOE No. I 6013
City Sec No. I 42714 ::===========::::
City Proj. No.: ._I -'0...;..04'"""'3-'-8 ____ __.
Project
Description :,__s_a_ni_ta_ry_S_e_w_e_r R_e_h_a_bi_lit_at_io_n_o_n_L_lo_yd_A_v_e_nu_e_, _Ed_g_e_w_oo_d_T_e_rr_ac_e_a_n_d_A_ve_n_u_e_G_, _H_, 1_, _J _a_nd_M_. _________ __.
Contractor : I Jackson Construction , Ltd.
City Project Mgr. l~L_ia_m_C_on_lo_n ___ ~
Phone Number : I 817-392-6824
Dept. TPW Water
Original Contract Amount
Extras to Date
Credits to Date
Pend ing Chang e Orders (in M&C Proc ess)
Contract Cost to Date
!Amount of Proposed Chanae Order
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
Change Order# I ::===::::::::'.._---~~---~
City Inspector : I Adilda Cazorla
2 Date : 6/3/2013
Phone Number I 817 -223-2282
Sewer Totals Contract Time
(Calendar days)
$800 ,000.00 $800,000 .00 250
$155,449.84 $155,449.84 098
$955,449 .84 $955,449 .84 348
$10 553.00 $10,553.00
$966,002.84 $966,002.84 348
$25 ,000.00 $25,000.00
$10,553.00 $10,553.00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) ...
The change order will provide increased pay item quantities of 4-inch sewer service and post construction TV inspection that are necessary on the
project.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
It is understood and agreed that the acceptance of this Change Order by the cont ra ctor constitutes an accord and satisfaction and represents payment in full (both time and
money) for all costs aris ing out of , or incide ntal to , the above Change Order .
N/A M&C Date Approved ~----~
RECEIVED JUN 112013
FokTWORTH , •. City of Fort Worth
Change Order Additions
Project Name ... I _V_il_la.._ge_C_r_ee_k_D_ra_in_a..._ge_Ba_s_in_S_a_ni....;.ta_.ry.....;S....;.e_we.;...r....;;S"'-ys;;...;.te;;.;.m....;.R;...;.e;;.;.h;,.;;..ab""'"il....;.ita;..;.ti..;;..on ....... ..;;..P..;;;;art..;;..3.;..._ ____ _
Project No .(s): I P254-705170043883 and P258-705170043883 ~OE No .! 6013
Project
Description Sanitary Sewer Rehabilitation on Lloyd Avenue , Edgewood Terrace and Avenue G, H, I, J and M.
City Sec No .: 42714
City Proj . No .: I 00438
Contractor Jackson Construction , Ltd . ~hane Order I 2 Date : I 6/3/2013
City Project Mgr. Liam Conlon ,__:;.:;;,,;.;,,..,,:,,,,:c.;,,;,;,.:..;,,;___ ____________ __. City Inspector Adilda Cazorla
ADDITIONS
llt:M DESCRIPTION DEPT atv Unit Unit Cost Total
13 Sewer serv ice 4" SOR 35 install Sewer 431 .00 LF $24.00 $10 ,344 .00
32 Inspection post construction Sewer 209 .00 LF $1.00 $209 .00
TPW
Wate r
Page 2 of 4 Sewer $10 ,553 .00
~ORT WORTH •• City of Fort Worth
Change Order Deletions
Project Name
Project No.(s):
I Village Creek Drainage Basin Sanitary Sewer System Rehabilitation , Part 3
P254-705170043883 and P258-705170043883 jooE No . I 6013
City Sec No .:
City Proj . No .:
Project Description Sanitary Sewer Rehabilitation on Lloyd Avenue , Edgewood Terrace and Avenue G, H, I, J and M.
42714
00438
Contractor Jackson Construction , Ltd . ~hane Order m Date I
City Inspector j Adilda Cazorla
6/3/20 13
City Project Mgr . Liam Conlon ,__ ___________ ___,
DELETIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
TPW
Water
Sewer
Deletions Sub Tota l
Page 3 of 4
M/WBE Breakdown for this Change Order
MWBESub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
Page 4 of 4