HomeMy WebLinkAboutContract 43458-CO2 (2)GoR�
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City of Fort Worth
Change Order Request
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Project Name HMAC Surface Overiay At Various Locations (2012-7) City Sec # 43458
Client Project #(s) City Project No.: 01905 DOE: 6839
Project Description
HMAC Surface Overlay Throughout the City
JLB Contractinq, LLC
City Project Mgr. Kristian Sugrim (817) 392-8902
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Original Contract Amount
Extras to Date
Credits to Date
Pentling Change Orders (in M&C Process)
Contract Cost to Date
C'��� Ir> i;l;l) i-. Cil��l. Tabs f��':-:itt�;r CO I_;��r;!;�
Revisetl Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
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Council Action
CHANGE ORDERS to DATE (INCLUDING THIS ONEJ AS % OF ORIG/NAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
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Contract Time
115
5
120
20
140
This change ortler is being requestetl to add 20 Calendar Days (CD) to this contract to cover the construction time for the addition of Ray Alvin
St. (Alcannon St. - Gardenia St.). No additional funtling is requested or requiretl.
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Change Order # �2 Date 2/21/2013
City Inspector Ali Motamed (817) 944-1174
81.312.70
$9,600.00
$790,912.70
$0.00
$790.912.70
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,912.
70
1.23%
$976,640.88
M&C Date Approvetl �
Totals
781,312.
Date
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Date
3�l3// 3
Date
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It is understood antl 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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