HomeMy WebLinkAboutContract 38351-CO1..
~-FU CITY OF FORT WORTH
CHANGE ORDER REQUEST
C293-641200-203620122483
CITY SECRETARY
CONTRACT NO . 3&,351-CO/
6208
HMAC SURFACE OVERLAY (2009-02) CDBG PROJECT AT VARIOUS LOCATIONS 38351
ORIGINAL CONTRACT AMOUNT.................................................................... $
EXTRAS TO DATE ••..•........•......•..•.•........•...•.•.•••.•.........................••• $
CREDITS TO DATE ..•...•......••.•.•.••.•.••.•.•.•..•..•...........•..•.•..••...•........•• $
CONTRACT COST TO DATE ........•......•......•.••........•.•.•.................•..........•....•... $
AMOUNT OF PROPOSED CHANGE ORDER.................................................. $
REVISED CONTRACT AMOUNT...................................................................... $
ORIGINAL FUNDS AVAILABLE FOR CHANGE ORDERS ............................•.. $
REMAINING FUNDS AVAILABLE FOR THIS CHANGE ORDER ..................... $
ADDITIONAL FUNDING (IF NECESSARY) .........................................•.•........•.• $
CHANGE ORDERS TO DATE (INCLUDING THIS ONE) AS" OF ORIGINAL CONTRACT COST
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25")
IN ACCORDANCE WITH THIS CHANGE ORDER THE CONTRACTOR SHALL:
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T/PW TOTALS
$ 732,001.60 $ 732,001.60
$ $
$ $
$ 732,001.60 $ 732,001.60
$ $
$ 732,001.60 $ 732,001.60
$
$
$
'JI.
$ 915,002.00
N ·-ond .--... ..,.,..... of this ChangeOnlor bJ.,. __ ., -and -ond ,.,.__~In 11111 (llalll-ond 1-,oy) fllral <DIis~ oul "'·"'-to, the -Change
Onlor. .
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OFFI IAL RECORD 1
CITY SECR ETARY
FT. WORT H, rx
I NO M&C REQU IRED I
. .. .. ..
DA TE : 09 / 29 / 2009
TRANSPORTATION AND PUBLIC WORKS
CHANGE ORDER JUSTIFICATION RECORD AND PROJECT SUMMARY SHEET
PROJECT NAME: HMAC SURFACE OVERLAY (2009-02) CDBG PROJECT AT VARIOUS LOCATIONS ____________ ...;..._ __ :__ _______________ _
CHANGE ORDER N2 : 1 D.O.E. N2 : 6208 CLIENT PROJECT N2 :
INSPECTOR: ____ M_IK_E_G_L_O_V_E_R ___ PHONE N2 : (817) 944-0914
PROJECT MANAGER: RIAD NUSR.A.LLAI I.. PHONE N2 : (817) 392-2729
fi;J;/';~ ~fry-/µ COMBINED
ORIGINAL CONTRACT AMOUNT $ 732,001.60 $
EXTRAS TO DATE $ $
CREDITS TO DATE $ $
ORIGINAL AMOUNT TO DATE $ 732 ,001 .60 $
AMOUNT OF PROPOSED CHANGE ORDER $ $
REVISED CONTRACT AMOUNT $ 732 ,001 .60 $
ORIG . CONTINGENCY FUNDS AVAILABLE
FOR CHANGE ORDERS $ $
REMAINING FUNDS AVAILABLE
FOR THIS CHANGE ORDER $ $
ADDITIONAL FUNDING {IF NECESSARY) $ $
REASON(S) FOR CHANGE ORDER:
C293-541200-203620122483
CITY SECRET ARY N2: 38351
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I1.fW
732,001 .60
732 ,001 .60
732 ,001 .60
This change order is being generated to request additional time, because of weather delays and the addition of one more
street (COmanche Sl) to this contract. This change order is for~-( 3 o t,J D)
r"'" --------------------------.......... ,------------~
~.h.,1 O. ~ Jo-7-o't ~->V", ..--,a \i\~
Asst. Dir. -TPW Infrastructure Design & Const. Date
\..()
Director of Co ~ng Dept. ' Date I ,, -,~ 1 -J ~-,' . J : ' I I 'i ~: y
PROJECT NAME:
BuySpeed No (T/PW):
BuySpeed No (Water):
City Project No :
PROJECT SUMMARY SHEET
(Change Order Attachment)
HMAC 2009-2 (CDBG) Surface Overlay
CSC0-09-00053242
N/A
01224
Contract No : CS38351 Original M & C approved 02-24-09, C-23362
D.O .E. No : 6208
Attachment to Change Order No : 1
Today's Date : 10/5/09
Original Contract Amount:
Extras to Date :
Credits to Date :
Contract Amount to Date:
Amount of Proposed Change Order:
Revised Contract Amount:
Contingency Funds Avail. for Admin . Change Orders:
Remaining Funds Available for Change Orders :
Additional Funding (if necessary):
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TOTAL
732,001.60 $
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$
$ 732,001.60 $
TIMEONLY $
$ 732,001.60 $
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$
GR76/929960 GR76/132930 GR76/180960
1,282 .81 $
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342 ,676 .79 $ 39 ,644.70 $ 348 ,397 .30
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1,282 .81 $ 342 ,676 .79 $ 39 ,644 .70 $ 348 ,397 .30
$ $
1,282 .81 $ 342 ,676 .79 $ 39 ,644 .70 $ 348 ,397 .30
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Prepared By : Christy Ezernack T/PW Construction Services