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Contract 42520-CO3 (2)
FORT WORTH City of Fort Worth CC qCO�AR gR' CA y:�, r��uV. pY � Change Order Request Project Name:I Water and Sanitary Sewer Replacement Contract 2004,STM-C City Sec No.: 42520 Project No.(s): P253-605170137383&P258-705170137383 I DOE No. 4430 CityProj.No.:J 01373 Project Description: Water and Sanitary Sewer Replacement on Sandy Lane,Deewood Court,Mims Street and Green Meadow Court Contractor: M.E.Burns Construction, Inc. Change Order# Date: 1 10/23/2012 City Project Mgr.J Roberto C.Sauceda City Inspector: I Randy Horton Phone Number:1 817-392-2387 Phone Number: 682-432-4037 Dept. Water Sewer Totals Contract Time(Calendar days) Original Contract Amount $961,212.50 $205,077.50 $1,166,290.00 250 Extras to Date $171,562.00 $7,600.00 $179,162.00 080 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $1,132,774.50 $212,677.50 $1,345,452.00 330 Amount of Proposed Change Order $13,500.00 $13,500.00 015 Revised Contract Amount $1,146,274.50 $212,677.60 $1,358,952.00 345 Original Funds Available for Change Orders $28,840.00 $10,255.00 $39,095.00 Remaining Funds Available for this CO $2,655.00 $2,655.00 Additional Funding(if necessary) $13,500.00 $13,500.00 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 16.52% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25916) 1 $1,457,862.50 - - - JUMMATION WEAMNSfMtFi,ANGE ORDER The change order will provide additional pay item quantity for 16-inch valve stem extension braces that are now required by the current City details. Staff concurs with the contractor's request for 15 additional calendar days on the project. 'Cl�0 °®Y C80 00 6.4A OFFICIAL RECORD �^ ° o CITY° SECRETARY Macy J. Kayse �a ?°°°°o°°°°°° ICY FT.WORTH,TX It is understood and agreed that the acceptance of this Change Order by the contractor constitutes 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. M.E. Burns Construction, Inc. Donald Burns — I IP12G �2 75. / Z / _. Deli COW4 M&C Number N/A M&C Date Approved FORT WbowrH City of Fort worth Change Order Additions Project Name I Water and Sanitary Sewer Replacement Contract 2004, STM-C City Sec No.: 42520 Project No.(s): P253-605170137383&P258-705170137383 DOE No. 4430 City Proj. No.: 01373 Project Water and Sanitary Sewer Replacement on Sandy Lane,Deewood Court,Mims Street and Green Meadow Court Description Contractor M.E.Burns Construction, Inc. Change Order: 0 Date:1 10/23/2012 City Project Mgr, Roberto C.Sauceda City Inspector Rand Horton ADDITIONS ITEM DEbURIPTION DE" oty Unit Unit Cost Total 49 16-Inch Walve Stem Extention Braces Water 15.00 EA $900.00 $13,500.00 Water $13,500.00 Sewer Page 2 of 4 Additions Sub Total $13,500.00 JF T WORTH City of Fort Worth Change Order Deletions Project Name Water and Sanitary Sewer Replacement Contract 2004,STM-C City Sec No.: 42520 Project No.(s): P253-605170137383&P258-705170137383 DOE No. 4430 City Proj.No.: 01373 Project Description Water and Sanitary Sewer Replacement on Sandy Lane,Deewood Court,Mims Street and Green Meadow Court Contractor M.E.Bums Construction, Inc. Change Order: [i] Date 10/23/2012 City Project Mgr. Roberto C.Sauceda City Inspector: FRandy Horton DELETIONS ITEM 0ftC§JV1M DEPT Qty Unit Unit Cost Total Water Sewer Page 3 of 4 Deletions Sub Total MIWBE 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 2 R 2 2 R E ¢ o / ' ' (D \ / L � q C 6 C a q q # e m # m # # # cc2 E , 2 R 2 R E d Ni / Ni $ / $ (N U-) & £ a = £ 2 co G C / / $ \ © m m 6cf6c* m 60- m 64 2 2 LU � W) m o w W / § C) w m / E _ _ _ 0 m64% 64% 61% 40 61% � k � / � % ± 0 N CD2 C k 2 w W 0 � � o � R k C,) c � cu O � CD0 V 3 g m ' c k 2 g « J $ a 2 0@ k k k M § cm / E « o o @ « m « w s § 2 2 0 2 2 2 § 0 @ % o @ § 2 7 k B k 2 3 U L 0 0 w A w I - q 2 c O k 2 '% k 0 ' § ƒ m g 3 C) 7 3 J w 3 ƒ 7 LO 0 LO LO 0 0 r- o r- I r- ui ui o C) O co � � co O c0 c0 c0 N c0 0) LO r— N N O N O N N N 69 69 60 69 69 69 69 69 69 R O � O Lq O O J N N � O qr O O A — CO 1,- O [I- O .a QI N LO � LO N 00 LO C jN M CO 00 M c0 1� CM N N0) 06 ER E9 �} 69 ER ER 6R �} E9 N � N W E Q N , w Im O w w o cn N m aM E U I— cn gc 0 Qcu N v a a a N D oLU 0 V N U N ` N cu P 0 V c D O O L co W U D O N m m 0 0 V.. N M N u 0 >. a. a o U U cm L � C cu Z O Q U Z a L m L - a c) o ai O ai co c = -0 0 a) � c"_o CU ccu U o > •�° c cco a o 0 o a) Q toZX Q m w t o °c t c U ca U Q- co � a >Z a Xz z ow li OLL Zco a cm Z a' Cl U Q O U .c ca O U to U — "v p� COa) CLa N W U N N � tn O >+ >+ C O c0 -aC O > C E p O O L O E am O a) O amUUoa � 0 0aw 0wa