HomeMy WebLinkAboutContract 43458-CO1 (2)�� 1 o i= �
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Project Name
Client Project #(s)
Project
HMAC Surface
Citv of Fort Worth
Change Order Request
At Various Locations (2012-7)
No#: 01905
HMAC Surface Overlay (Street Maintenance)
Contractor JLB Contracting, LLC
City Project Mgr. Kristian Sugrim (817) 392-8902
i� � i _ i� i,'? �i'i�'i i`� i�', '1�i0 �'�I�fl''6 ilill�
!:.__�:���i:r,�ct Day T�rs�f�
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
ount of Proposed Chanqe Order
Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
TPW
1, 712.70
$0.00
$0.00
U0.00
CHAN�E ORDERS to DATE (INCLUDlNG THIS ONE) AS % OF ORIG/NAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
JUSTIFICATION (REASONS) FOR
GE ORDER
Tptals
712.70
E,� ��
1.24%
$964,640.88
Contract Time
110
110
5
115
This change order is being requested for the addition of a new line item to this contract. During construction, we discoveretl that there were
several valley gutters that needed to be removed and replaced due to their deteriorated condition. Also, five (5) calendar days (CD) is
requested to compensate for the atlditional work.
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City Sec # 43458
DOE: 6839
Change Order # �1 Date 11/29/2012
City Inspector Ali Motamed (817) 944-1174
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It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction antl represents payment
in full (both time antl money) for all costs arising out of, or incidental to, the above Change Order.
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Page 1 of 1
1' 1'
CITY OF FORT WORTH
Purchase Order
P.O. DATE: 8l2/2012
Purchase Order Number
PO-12-00073069
SHOW THIS NUMBER ON ALL
PACKAGES, INVOICES AND
SHIPPING PAPERS.
V
E
N
D
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R
Vendor Number: 0000016042
JLB CONTRACTING LLC
POBOX24131
ACH ONLY
FORT WORTH, TX 76124-7131
INVOICES: Direct invoices in DUPLICATE to the address shown.
STANDARD PURCHASING TERMS AND CONDITIONS set forth in the
City of Fort Worth's Bid or Quotation, are incorporated herein by
reference and become a part of this order.
TRANSPORTATION & PUBLIC WORKS
S Administration
H 1000 Throckmorton Street
� FORT WORTH, TX 76102
P
OPhone: (817) 392-1111
MAIL INVOICE IN DUPLICATE TO:
B TRANSPORTATION 8 PUBLIC WORKS
� Administration
L 1000 Throckmorton Street
L FORT WORTH, TX 76102
T
� Phone: (817) 392-1111
Account Code: C293-541200-205620190583 Payment Terms:
$hipping Terms:
Bid No.: Delivery Calendar Day(s) A.R.O.: 0
Item Class-Item Requisition Quantiry Unit Unit Price Total
#
Class-Item 913-50
1 HMAC Surface overlay 2012-7 1 EA $771,712.70 $771,712.70
C293-541200-205620190583 CS43458
M&C: C-25685 Date: 071012
LN/FY/Account Code Dollar Amount
1/13/C293-541200-205620190583 $771,712.70
TOTAL: �7��,712.�0
APPROVED:
Rev. 20091027
By: Karen Striker
Phone#: (817) 392-6265
BUYER
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COUNCIL ACTION: Approv�d on 7/10�►2012
� DATE:
CODE:
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7H0J2012 REFEitENCE NO.:'`''{C-25685 LOG NAME: 20HMAC SURFACE
OVERlAY 2012-7
C TYPE: CONSENT PUBLIC Nfl
HEARING:
AutfioriYe Ex�ea�tian of a ConMact with dLB Cantracting, LLC, in the Amourrt of
�771 �712.70 for Hot Mix Asphaitic Conc�+ete Surfaoe Qverlay 2012-7 at Various Locations
{COUNCIL DISTRICT3 5 and 8)
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