HomeMy WebLinkAboutContract 38672-CO5FORT WORTH . City of Fort Worth
Change Order Request
CllY SECRETARY
CONTRACT NO. 2,j<o1+ -t;r;,:5
~
Project Name! Edwards Ranch Rd . Ph .II City Sec # 38672
Client Project #(s)j C221-541200-303230010783 DOE 5994
Project Description' Paving and Drainage
Contractor! L.H. Lacy Change Order # 5 Date
City Project Mgr.l_Leon __ Wi_11so_n __________ ...., City Inspector Martina Salinas
Dept TPW
Original Contract Amount $3,931,769.09
Extras to Date $277,117.88
Credits to Date $9,973 .64
Pending Change Orders (in M&C Process)
Contract Cost to Date $4, 198,913.Jl .. ·
IAmount of Proposed Change Order ~.we.JU ~ "!' . ,., ;;· ,,1:t ,, >'. ,,;:. .
Revised Contract Amount .J4,,ll"JI 1•N.t,J. !' 'ii'·.'·~ . r• .·. ,. .
Original Funds Available for Change Orders $118,000.00
Remaining Funds Available for this CO · · $0.00 ·, ' :, ..
Additional Funding (if necessary) $3,096.30 ,, .. ,_ .. '
CHANGE ORDERS to DATE (INCLUDING THIS ONE} AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%}
1i. ' ·> r . , ..
Installation of 2· bore and riser necessary to provide electrical service to the street lights.
Totals
$3,931,769.09
$277,117.88
$9 ,973 .64
$4,198,913.33
~.09ti.3U
$4,202 ,009.63
$118,000.00
$3,096.30
6.87'6
$4,91~,7,11:3&
4/22/2011
Contract Time
(CD)
240
240
10
250
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.
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City of Fort Worth
Change Order Additions
Project Name Edwards Ranch Rd . Ph .II City Sec# 38672 :::::============================================:..._-=----===::;
Client Project# ::::C=22=1:::-54=1=200-=:3=03=2=30:=01=0=78:=3:::D:::O:=E:=59:::94=:=:=:=:=:=:=:=:=:=:=:=:=:=:=:=:=:=:=:=:=:=:~
Project Description Paving and Drainage
Contractor '--L_.H_. L...;a ..... cy'--------------------' Change Order# 5 Date 4/22/2011
City Project Mgr . Leon Wilson ~..;..;_------------------' City Inspector Martina Salinas
ADDITIONS
111:M Ut::St,;Klt-' I IUN Utt-'I CJty Unit unit c.;ost f Otal
"/. J M, 1 ms in 7 scneaul8 '+U t-'Vc.; TPW ou .uu ~r-$1"/..tl ~/Ol.Ul
6 Pull~x 11-'W 2.UU l:A $504 .l:ll $1,UUl:I.Ol
7-NEW 1, Conduit Bore fPW 1.UU L~ ~012.0l $H12 .0U
8-NEW 1, RMC Riser fPW lU.00 LF ~lO.bl $~12.UU
Tl W $J,U!:lo.Jl
~UD I Otal ACIC11tions $J , Ul:lb . JU
Change Order Additions Page 1 of 1
Project Name
Cl ient Project #
Edwards Ranch Rd. Ph.II
City of Fort Worth
Change Order Deletions
C221-541200-303230010783 DOE 5994
City Sec#
Project Description Paving and Drainage
Contractor ......_L_.H_. L_ac_,y...__ _____________ __. Change Order # 5 Date 4/22/2011
City Project Mgr. Leon Wilson ......_ _____________ ____. City Inspector Martina Salinas
DELETIONS
llt:M Ut:;:,l.,~lt' I IUN Ut:t' I 1 .. ny Unit unit c.;ost
TIW
Sub Total Deletions
Change Order Deletions Page 1 of 1
38672
IOtal
$0.UCJ
l
M/WBE Breakdown for this Change Order
MWBESub : ,., ... . Type of Service. . ,., I • Amount for this CO ,,
Total :"Y''. V. ..: .. , . , , so 00
lo' • ,a_ ""
~!<: ' ' :/;!t"-' ,, ,,. ' .. ,,,. ,, , ~·
Previous Change Orders
CO#' .~ ' DATE ' , ... . ·, ., ,· AMOUN T', . ci,;.· -ti,fr}", ,.,;, " • 'j, ... , ,.·· ····~, '· ).:, I ,.,~ •• ' .• \:;(
1._J-I ' SO~OQ t' Total ... . :; \, \ .y , .•
PROJECT SUMMARY SHEET ·
(Change Order Attachment)
PROJECT NAME :
BuySpeed No:
Edwards Ranch Road, Phase II, Unit 2
CSC0-09-00054509
City Project No : 00107
Contract No : CS38672
D.O .E . No : 5994
Attachment to Change Order No : 5
Today's Date : 4/26/11
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):
TOTAL
$ 3,931,769.09
$ 277,117.88 $
$ (9,973.64) $
$ 4,198,913.33
$ 3,096.30
$ 4,202,009.63
$ 118,000.00
$
$ (3,096.30)
Prepared By: Christy Ezernack T/PW Construction Services
C221 /TPW
3,931,769.09
277,117 .88
(9,973.64)
4,198,913.33
3,096 .30
4 ,202,009.63
118,000.00
(3,096.30)
PROJECT SUMMARY SHEET
(Change Order Attachment)
PROJECT NAME: Edwards Ranch Road, Phase II, Unit 2
BuySpeed No:
Contract No:
D.O.E. No :
Attachment to Change Order No:
Today's Date:
Original Contract Amount
Extras to Date:
Credits to Date:
Contract Amount to Date:
CSCQ-09-00054509
CS38672
5994
5
5/12/11
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):
TOTAL/C221
$ 3,931,769.09
$ 277,117.88
$ 9,973.64
$ 4,198,913.33
$ 3,096.30
$ 4,202,009.63
$ 118,000.00
$
$ 3,096.30
Prepared By: Karen Striker -T/PW Business Support