HomeMy WebLinkAboutContract 53215-CO3CSC No. 53215-0O3
�QRTV�OR7'(i. City of Fort Worth
�""�,�� Change Order Request
Project Name �<eller Haslet City Sec � 53215
Clienl Pmject N(sj 1016971101492
Project Draina e Im rovemenls tor KeBer-Haslet Road
Descriolion 9 P
Conlraclor MCMAHON CONTRACTING LP. Change Order# 3 Date 3129/2021
City Projecl Mgr. Mike BenneU City Inspeclor William Mallegal
Dept.
Original ConlractAmount
6ctras to Dale
Credils lo Date
Pending Change Orders (in M&C Process)
Confr;cl Cost to Date
l=0 I� ,ACD Z D�L I ab: lo En!er CO 3�zl,nn
TPW � Water I Sewer
Totals
Time
Original Funds Available for Change Orders
Remaining Funds Available for Ihis CO
Additional Funding (if necessary)
CHANGE ORDERS fo DATE (INCLUDING THIS ON� AS °5 OF ORIGINAL CONTRACT 5.71 %
MAXALLOWABLECON7RACTAMOUNT(ORIGINALCONTRACTCOST+25%J $2,146,t382.23
222
the reconcilialion change order reduciny the conlracl to the aclual amount inwiced. This project had a net reduclion at complelion. AddiGonal days have been
to address adilional construction ilems added vAlh construction allowance 1. Additionally heavy rains causetl some minor re�tinrk at the end of lhe projecl, which
d more tlays.
It is understood and agreed that the acceptance oF this Change Order by the contractor constituies 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. The Project/Program Manager signing below
acknowle�ges that he/she is the person responsible for the monitoring and administretion of this contract, Including ensuring all performance and
reporting requirements.
'.Linga young
Assistanl Director (�epf)
[g«eti :✓�ier� _
Assislant Cily Attomey
�
ATTEST:
'�"�S�
Mary J. Kayser, City Secretary
Da(e Pro ecl and ConUacl
�G�� t 2r M� 8e,�,��
Dale Senior Ca ifal Pro'e�
Apr 21, 2021 � i
Date �irecior, CoNractio
Apr 22, 2021 !J/Lf�,L.
Qale Assislant Cit Manac
Apr 23, 2021 qnq 8ur5ht�off
M&C Number
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0 00 ��
0
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Apr19,2021
Dale
Apr21,2021
Date
Apr22,2021
'"' .` Date
Apr26,2021
M'&C Date Approved �
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Compliance Manager:
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and reporting requirements.
iYlr'�Ce- �e�ute�t
Mlke Bennett (Apr 19, 202111:12 CDT)
Mike Bennett
Project Mana�er
Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature
1'nx s W'crKr�� City of Fprt Wolth
�''— Change OF'tlerAtlditions
ProjectN�ne KellerHaslet Ci4ySec# 5315
Clie�f Pwject# 101697H01492
Contrador MCh1ANQN CONTRAC7fNG L.P. PM Mike 8ennett Inspector Wlliam Mattegat
Change Order Submittal #� �ala 3l2912021
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Change Order Additions Page 2 of 4
Fueerzi'csNn� City of Fort Worth
�- Ghange Orper Deletions
�'�1�� ��e Keiler Haslet City Sec # 53215
ClientPrajeci# 101897l101A92
Conhactor MCMAHON CONiRP,C7ING L.P. PM Mike Benneit Inspector William Maltegat
Change Drder Sa6mittal #� Date ! I
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Change �rder Qeletfons Page 3 of 4
Previous Char�ge Orders
ca # DA1�� AMOElNT
1 6I231202Q $43,463.22
2 92/11/2020 $134,725.30
Totai $'� 78,'� 88,52