HomeMy WebLinkAboutContract 38237-CO1-..
WHITE -FILE
CANARY -CONSTRUCTION ::.ERVlCES
PINK-PROJECT MANAGER
GOLDENROD • CONTRACTOR
CITY OF FORT WORTH
CHANGE ORDER REQUEST
CHANGE ORDER N2 'DATE
1 11/11/2009
t ROJECTN2
P-258-541200-707170045183
PROJECT DESCRIPTION
2004 CAPITAL IMPROVEMENT PROGRAM , YEAR 4&5 -CONTRACT 49
WATER
ORIGINAL CONTRACT AMOUNT .................................................................... $ 250,550.75
EXTRAS TO DATE ........................................................................... $
CREDITS TO DATE .......................................................................... $
CONTRACT COST TO DATE ............................................................................ $ 250,550 .75
AMOUNT OF PROPOSED CHANGE ORDER .................................................. $
REVISED CONTRACT AMOUNT ...................................................................... $ 250,550.75
ORIGINAL FUNDS AVAILABLE FOR CHANGE ORDERS ............................... $ 12,527.25
REMAINING FUNDS AVAILABLE FOR THIS CHANGE ORDER ..................... $ 12,527.25
ADDITIONAL FUNDING (IF NECESSARY) ....................................................... $
CHANGE ORDERS TO DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT COST
MAX. ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
$
$
$
$
$
$
$
$
$
crrv IICRITARY CONTRACT NO. ? '5Q;2 , -co L
SEWER
175,292.75 $
$
$
175,292.75 $
24,177 .00 $
199,469.75 $
21,310.60 $
21,310.60 $
2,866 .40 $
D.O.E. N2
5448
CITY SEC N2
38237
T/PW
954,627.77
954,627.77
954 ,627.77
31,112 .78
31 ,1 12.78
TOTALS
$ 1,380 ,471 .27
$
$
$
$
$
1,380,471.27
24,177.00
1,404,648.27
2, 6.40
% 1.75
$ 1,725,589.09
ITEM DESCRIPTION -ADDITIONS DEPARTMENT QTY UNIT UNIT COST TOTAL
3 . MANHOLE-STD . 4 FT. DIAMETER (0 TO 6 FT DEPTH)
21 . INSPECTION-PRECONSTRUCTION CLEANING & TV-STUm
22 . 8" DIP SEWER
23 . FLOWABLE FILL
24 . D-HOLE
25 . CONNECT TO EXISTING MANHOLE
5 . VACUUM TEST MANHOLE
6. WATER TIGHT INSERT
ITEM DESCRIPTION -DELETIONS
Order.
CONTRACTOR'S NAME:
MCCLENDON CONST
ORIGINAL CONTRACT TIME
265WD -
APPROVED DISAPPROVED OTHER
SEWER 1.00 EA $ 2 ,400 .00 $ 2,400 .00
SEWER 566.00 LF $ 7.00 $ 3,962.00
SEWER 88 .00 LF $ 95.00 $ 8 ,360.00
SEWER 60 .00 CY $ 125 .00 $ 7 ,500 .00
SEWER 2.00 EA $ 575 .00 $ 1,150.00
SEWER 1.00 EA $ 555.00 $ 555 .00
SEWER 1.00 EA $ 200.00 $ 200 .00
SEWER 1.00 EA $ 50 .00 $ 50 .00
WATER $ -
SEWER $ 24,177 .00
T/PW $ -
SUBTOTAL A $ 24,177.00
DEPARTMENT QTY UNIT UNIT COST
$ $
WATER $
SEWER $
T/PW $
SUBTOTAL B $
TOTAL (SUB-TOTAL A-SUB-TOTAL B>I~ $ ___ 2_4'-,1 _11_.o_o .... l
A
;
DIRECTOR I CONTRACTING DEP,T .
/ I / C
ADDITIONAL TIME FOR THIS C.O.
5WD
DATE
DATE
DATE
12 /ii/o.9
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
I
DA TE: 11 / 11 / 2009
TRANSPORTATION AND PUBLIC WORKS
CHANGE ORDER JUSTIFICATION RECORD AND PROJECT SUMMARY SHEET
PROJECT NAME: 2004 CAPITAL IMPROVEMENT PROGRAM , YEAR 4&5-CONTRACT 49
CHANGE ORDER N2: 1 D.O.E. N2 : 5448 CLIENT PROJECT N2 : P-258-541200-707170045183 ----
INSPECTOR: MICHAEL COLLIER
PROJECT MANAGER: VICTOR TORNERO
PHONE N2 : (817) 223-2273
PHONE N2 : (817) 392-8574
CITY SECRET ARY N2 : 38237
COMBINED WATER SEWER T/PW
ORIGINAL CONTRACT AMOUNT $ 1,380,471.27 $ 250 ,550 .75 $ 175,292.75 $ 954 ,627 .77
EXTRAS TO DATE $ $ $ $
CREDITS TO DATE $ $ $ $
ORIGINAL AMOUNT TO DATE $ 1,380,471.27 $ 250 ,550 .75 $ 175,292.75 $ 954,627 .77
AMOUNT OF PROPOSED CHANGE ORDER $ 24 ,177.00 $ $ 24,177.00 $
REVISED CONTRACT AMOUNT $ 1,404 ,648.27 $ 250,550 .75 $ 199,469.75 $ 954,627 .77
ORIG . CONTINGENCY FUNDS AVAILABLE
FOR CHANGE ORDERS $ 64,950 .63 $ 12 ,527 .25 $ 21 ,310.60 $ 31 ,112 .78
REMAINING FUNDS AVAILABLE
FOR THIS CHANGE ORDER $ 64 ,950.63 $ 12 ,527 .25 $ 21 ,310 .60 $ 31 ,112.78
ADDITIONAL FUNDING (IF NECESSARY) $ 2,866.40 $ $ 2,866 .40 $
REASON(S) FOR CHANGE ORDER:
During construction, it was determined that the proposed sewer line was in conflict with an existing storm drain on Dexter
Ave. A change order is required to add additional quantities such as ductile iron pipe and manholes to re-adjust the sewer .
alignment.
Date
J /-/'1-0 i .. &
Date .l \\
Date
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