HomeMy WebLinkAboutContract 38672-CO6FORT WORTH .
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City of Fort Worth
Change Order Request
Project Name I Edwards Ranch Rd . Ph .II City Sec# 38672 .__ _____ -...J
Client Project #(s)I C221 -541200-303230010783 DOE 5994
Project Description! Paving and Drainage
Contractor! L. H. Lacy Change Order # 6 Date 1/27/2012
City Project Mgr.'-1 _L_e_on_W_ils_on ___________ -' City In spector Martina Sal inas
Dept. TPW Contract Time
Totals (CD)
Original Contract Amount $3 ,931 ,769 .09 $3 ,931,769.09 210
Extras to Date $280 ,214.18 $280 ,21 4.18 60
Cred its to Date $9 ,973 .64 $9 ,973 .64
Pending Change Orders (in M&C Process)
Contract Cost to Date $4 ,202 ,009 .63 $4 ,202 ,009 .63 270
Go to ADD & DEL Tabs to Enter CO Backup $0.00 27
Revised Contract Amount $4 ,202 ,009.63 $4 ,202 ,009 .63 29 7
Original Funds Available for Change Orders $118 ,000 .00 $118 ,000 .00
Remaining Funds Available for this CO $0 .00
Additional Funding (if necessary)
CHANGE ORDERS to DA TE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 6.87%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $4 ,914,711 .36
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Th \s change order \s to add add\t\onal t\me to the contract for work associated with change order #3 . These days were inadvertently left off of
change order #3 .
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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.
L.H. Lac
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FORT WORTH --....,....--
Project Name Edwards Ranch Rd . Ph .II
City of Fort Worth
Change Order Additions
Client Project# C221-541200-303230010783 DOE 5994
Project Description Paving and Drainage
Contractor L.H. Lacy ......_ __ .._ ______________ __,
City Sec#
Change Order # 6 Date 1/27/2012
City Project Mgr. Leon Wilson ......_ ______________ __, City Inspector Martina Salinas
ADDITIONS
lltM Ut:;:i\.,Klr' r lUN Utt-'I Uty Unit unrt r..;ost
TPW
Sub Total Additions
Change Order Additions Page 1 of 1
38672
IOtal
$0 .00
FORT WORTH ------.---
Project Name Edwards Ranch Rd . Ph.II
City of Fort Worth
Change Order Deletions
Client Project# C221-541200-303230010783 DOE 5994
Project Description Paving and Drainage
Contractor L.H. Lacy
City Sec#
Change Order # 6 _D ate 1/27/2012 ::=:====================:;------' City Project Mgr . Leon Wilson .__ ______________ __, City Inspector Martina Salinas
DELETIONS
II cM ut:;:,L,Klt"" I IUN Ut:t"' I Uty Unit Unit (.;OS!
TPW
Sub Total Deletions
Change Order Deletions Page 1 of 1
38672
1 ota1
$0 .00
M/WBE 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
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 : 6
Today's Date: 2/6/12
Original Contract Amount:
Extras to Date :
Credits to Date:
Contract Amount to Date :
Amount of Proposed Change O rder:
Rev ised Contract Amount:
Contingency Funds Avail. for Admin . Change Orders :
Remaining Funds Available for Change Orders :
Additional Funding (if necessary):
TOTAL
$ 3,931,769.09
$ 280,214.18
$ (9,973.64)
$ 4,202,009 .63
TIME ONLY
$ 4,202,009.63
$ 118,000.00
$
$
Prepared By: Christy Ezernack T/PW Construction Services
$
$
C221 / TPW
3,931,769.09
280 ,214 .18
(9 ,973 .64)
4 ,202 ,009 .63
4 ,202 ,009 .63
118 ,000.00
FORT WORTH .
~
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.J City of Fort ,orth
Change Order Request
City Sec# 38672 Project Namel Edwards Ranch Rd. Ph.II ,__ ______ _,
Client Project #(s)I C221-541200-303230010783 DOE 5994
Project Description! Paving and Drainage
Contractor! L.H . Lacy Change Order# 6 Date
City Project Mgr.~I _L_e_on_W_ils_on ___________ _, City Inspector Martina Salinas
Dept. TPW
Original Contract Amount $3 ,931 ,769 .09
Extras to Date $280 ,214 .18
Credits to Date $9 ,973 .64
Pending Change Orders (in M&C Process)
Contract Cost to Date $4 ,202 ,009 .63
I Go to ADD & DEL Tabs to Enter CO Backup :i;o.oo
Revised Contract Amount $4 ,202 ,009 .63
Original funds-Available for Change Orders $118 ,000.00
Remaining Funds Available for this CO $0 .00
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS% OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Totals
$3 ,931,769 .09
$280 ,214 .18
$9 ,973 .64
$4 ,202,009.63
$4,202 ,009.63
$118 ,000 .00
6.87%
$4 ,914 ,711.36
1/27/2012
Contract Time
(CD)
210
60
270
27
297
This change order is to add additional time to the contract for work associated with change order #3. These days were inadvertently left off of
change order #3 .
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.
Contractor's Com an Name
L.H . Lac
Date
Date Director , Contractin Date
Assistant Ci Attorne Date Date
Council Action if re uired
M&C Number M&C Date Approved
ct}
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I
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FORT WORTH ..
~·
,' City of Fort Worth
Change Order Request
City Sec# 38672 Project Name! Edwards Ranch Rd . Ph .II ,...._ _____ __.
Client Project #(s)! C221-541200-303230010783 DOE 5994
Project Description! Paving and Drainage
Contractor! L.H . Lacy Change Order# 6 Date
City Project Mgr.! Leon Wilson City Inspector Martina Salinas '----------------~
Dept. TPW
Original Contract Amount $3 ,931 ,769 .09
Extras to Date $280 ,214 .18
Cred its to Date $9 ,973 .64
Pending Change Orders (in M&C Process)
Contract Cost to Date $4 ,202 ,009 .63
I Go to ADD & DEL Tabs to Enter CO Backup $0.00
Revised Contract Amount $4 ,202 ,009 .63
Orig inal Funds Available for Change Orders $118 ,000 .00
Remaining Funds Available for this CO $0 .00
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Totals
$3 ,931 ,769.09
$280 ,214 .18
$9 ,973 .64
$4,202 ,009.63
$4 ,202 ,009 .63
$118 ,000 .00
6.87%
$4 ,914 ,711 .36
1/27/2012
Contract Time
(CD)
210
60
270
27
297
This change order is to add additional time to the contract for work associated with change order #3 . These days were inadvertently left off of
change order #3.
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.
Date
~~~~~~~L\4---~~~1...LJ~--:J..-~~~~~~~~--+-~~---l (~
Date Date \)
i------------+----+--------+------1 ~
Assistant Ci Attome Date Assistant Ci Date
Council Action if r uired
M&C Number M&C Date Approved
FORT WORTH ..
~
Project Name! Edwards Ranch Rd . Ph .II
City of Fort Worth
Change Order Request
Client Project #(s}! C221-541200-303230010783 DOE 5994
Project Description! Paving and Drainage
City Sec # 38672
Contractor! L.H. Lacy Change Order# 6 Date
City Project Mgr . ._! _L_e_on_W_ils_on ___________ _, City Inspector Martina Salinas
Dept. TPW Totals
Original Contract Amount $3 ,931 ,769 .09 $3 ,931 ,769.09
Extras to Date $280,214 .18 $280 ,214 .18
Credits to Date $9 ,973.64 $9 ,973 .64
Pend ing Change Orders (in M&C Process)
Contract Cost to Date $4 ,202 ,009 .63 $4 ,202 ,009.63
I Go to ADD & DEL Tabs to Enter CO Backup $0.00
Revised Contract Amount $4 ,202,009 .63 $4 ,202,009 .63
Original Funds Available for Change Orders $118 ,000 .00 $118 ,000 .00
Remaining -Funds Available for this CO $0 .00
Additional Fund ing (if necessary)
CHANGE ORDERS to DA TE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 6.87%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $4 ,914,711.36
JUSTIFICATION (REASONS) FOR CHANGE ORDER
1/27/2012
Contract Time
(CO)
210
60
270
27
297
Th is change order is to add additional time to the contract for work associated with change order #3 . These days were inadvertently left off of
change order #3 .
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.
Contractor's Com an Name Contractor Name Contr,act · nature Date
L.H . Lac
lnsoector/lnsoection Suoervisor t Date , \ ....Proiect Manaaer/Proaram Manaaer Date .. l 11 ~ ;._.. '1 1
Assi ~tant Director (Dept) Date Director , Contractina Department (Dept) Date
Assistant Citv Attomev Date Assistant Citv Manaaer Date
Counci l Action if reau ired)
M&C Number I I M&C Date Approved I I
I