HomeMy WebLinkAboutContract 52290-CO1I
I RECEIVED
MAY -6 2021
CITYOFFORTWORTU
CITY SECRETARY
FORT WORTH ®
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City Of Fort Worth
Change Order Request \
\
Fa ci lity and Existing Drop -Off-Statio ns-Bu ild ing Addition & Site Mod ifications : Martin Lu ther
Project Kin g
Description· ~=====================================.----~
Fu nd ing (FID ) 54002-0239901 -533 102 -00192-00 0880-9999
No.{s)
City Sec No. ~15_22-grJ----~
OS Proj . No . 1~1-00-1-92----~
Contractor :iBa secom , In c. Change Order# CJ:] Date: 4/23202 1 ~-=============================~ City Proje ct Mgr.! Alfonso Meza ~-=============================~ Ph one Numb er:I(817) 392-8274
City In spector: ~,D-o-n -ls-aa_c_s---------~
~-========================~ Ph one Number: ~1(8_1_7)_3_92_-8_0_78 ________ _
Contract Time
(C D)
Orig ina l Con tract Amount--------------------1-----'-$_1,c..0_9-'2,_5~14_.o_o-+ __ 1_20_~
Extras to Date-----------------------$0.00 O
Credits to Date-----------------------$0.00 o
$0.00 0
Contract Cost to Date---------------------$1,0 92 ,514 .00 120
Am oun t of Pro posed Chang e Order-----------------,_ ____ (~$_3,_6_55_._98~)+-__ 2_8 _ ___,
Revised Contract Amount--------------------$1,088,858.02 148 >--------+----~
Original Fu nds Ava ilab le for Cha nge Orders ----------------11-------~$$~-:-~~--1
Rem ai ning Funds Avai lable for thi s CO----------------i-----------<
Additional Fun din g (if necessary)------------------,_ ______ So_._oo__.
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT -0.007 %
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25 %) $1,365,642.50 I
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Final ca lculation of contract amount. Th e Owners General Co nt inge ncy Al lowan ce for the project was $70 ,407 .00. There was a total of
$66,751.02 that was expended from the allowance . Th is results in an dedu cti on in the co ntract by $3,655.98 . Th is re sults in an fi nal co ntract
amount of $1,088,858.a 007% decrease fro m the origina l co ntra ct price of $1,092,5 14 .00. Additio nally , there were 28 days approved through
previously approved Owners General Contingency All owa nce request .
It Is understood and agreed that th e acceptance of this Change Order by the contractor consItutes an accord and sa ti sfacti on and repre sents
payment in full {both time and mo ney) for all cos ts arising out of, or in cindenta l to th e above Chang e Order.
I I P7'7A.,, .f,, / -,,,._ A
Basecom , In c. ~ark0a•ac.a{Apr28,202l"08:<IJCOT) Apr 28, 2021
Contractor's Company Name I Contractor Name I Contractor Signature Date
1/JIJJ1 l rnnn Apr 28,2021 /},,.·..,.._ ~-(i,./~ -.... May 3, 2021
Dontsaacs1Aor28 202108:45CDTl
PMD Inspe ctor Date Architecural Services Manag er Date
~,:;:,u.dd Apr 28, 2021 fl, v:r(}ft/J May 6, 2021 JS Strong (Nay6,"t0ll 13:05 con
PMD Superintendent Date Assistant City Attorney Date ',,.._ " Apr29,202 1 "'\h,,A 1/~~,;;A May 5, 2021
'!onsoM('U(Apr29,20l11lJ,IC0T) St~Cool-.e(MJy5, l02l 16:'6CDTI
PMD Proj~ct Manager Date Director/P rop erty Management Department Date
~tt"1.-..-..., May 2, 202 1 f'>AUA b,, r" rr-May 6, 2021
Dan ,R,,r hdoff 6 20-r1 '13_
Proj ect Archit ect Date Assistant City Manag er Date
M&C Number M&C Date Approved
Contract Compliance Manager:
By signing I ack nowledge that I am th e per son r espons ibl e
for th e mon itoring and ad minist ratio n of thi s co ntrac t , i ncluding
ensur in g al l pe rformance and r eportin g requirement s.
Bri an R. Glass, AIA
Ar chi tectural Services Manager
111 ), ,1
CilFFIC IAL RECORD
CITY SECRETARY
FT. WO RTH, TX I