HomeMy WebLinkAboutContract 42714-CO3 (2)FORT WORT H • City of Fort Worth
Change Order Request
Project Name : Village Creek Drainage Basin Sanitary Sewer System Rehabilitation , Part 3 Cit y Sec No .: ~I _4_2_71_4 _____ ~
Project No .(s) I P254-705170043883 and P258-705170043883 DOEf.io.· .-I -6-01_3 _ __, City Pro j. No .:..__! _0_04_3_8 ____ __..
Project
Description : Sanitary Sewer Rehabilitation on Lloyd Avenue , Edgewood Terrace and Avenue G, H, I, J and M. ,____ ______________________________________ ~
Contractor:! Jackson Construction , Ltd .
City Project Mgr . j Liam Conlon ::::============: Phone Number : I 817-392-6824
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
!Amount of Proposed Change Order
Rev ised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
TPW Water
.
Change Order# I 3 Da te:
City Inspector : I Adilda Cazorla
Phone Number :! 817-223 -22 82
Sewer Totals
$800,000.00 $800,000.00
$166,002.84 $166,002.84
$966 ,002 .84 $966,002.84
'lo .• "
$966,002 .84 $966,002 .84
$25 ,000 .00 $25,000 .00
7/5/2013
Contract Time
(Calendar days)
250
098
348
348
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
•
•
The deletion of pay item quantity of post construction TV inspection that was inadvertently listed at a unit price of
$1.00/LF on Change Order No . 2 instead of $1.50/LF as originally bid .
OFFICIAL RECORD
CITY SECRETARY
fT. WORTH, TX
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and sa · faction and represents payment in full (both time and
money) for all costs arising out of, or inciden tal to , the above Change Order.
RECEIVED AUlJ -
i
ORTVVORTH • City of Fort Worth
Change Order Additions
Project Name Village Creek Drainage Basin Sanitary Sewer System Rehabilitation , Part 3
Project No .(s): P254-705170043883 and P258-705170043883 DOE 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 . Change Order # 3 Date: I 7/5/2013
City Project Mgr . Liam Conlon ~---------------~ City Inspector Adilda Cazorla
ADDITIONS
11 CM DESCRIPTION DEPT Qty Unit Unit Cost Total
32 Inspection post construction Sewer 139.3333 LF $1.50 $209 .00
..
TPW
Wate r
Sewer $209 .00
Add itions Sub Total $209 .00
Page 2 of 4
FORT WORTH • City of Fort Worth
Change Order Deletions
Project Name !....-V-ill-ag_e_C-re_e_k -Dr-ai-na_g_e_B-as-in_S_a-ni-ta-ry-S-ew_e_r_S_ys-te_m_R_e-ha-b-ilit-at-io-n,-P-a_rt_3 __ __,
Project No .(s): ! P254-705170043883 and P258-705170043883 I DOE No .! 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 . I Change Order # ~ Date !
City Inspector I Adilda Cazor la
7/5 /2013
City Project Mgr . Liam Conlon '-------------~
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
32 Inspection post construction Sewer 209 .00 LF $1 .00
TPW
Water
Sewe r
Deletions Sub Total
Page 3 of 4
$209 .00
$209 .00
$209.00
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
Page 4 of 4