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Home My WebLink AboutContract 43465-CO1 (2)_�� Project Name Client Project #(s) HMAC Surface Overlav (201 �o,o Y City of Fort Worth Change Order Request :� _� : �!' ' j -' i _ j, At Various Locations City Sec # 43465 City Project No. 01909 DOE: 6847 Project Descriptionl HMAC Surface Overlay At Various Locations Throughout The City I Contractor JLB Contracting, LLC Change Order #�1 Date 2/4/2013 City Project Mgr. Kristian Sugrim (817) 392-8902 City Inspector Ali Motamed (817) 944-1174 Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date mount TPW Water Sewer 657.83 91 75 66 Original Funds Available for Change Orders Remaining Funtls Available for this CO $0.00 $0.00 $0.00 Additional Funding (if necessary) $4,153.50 $2,076.75 $2,076.75 CHANGE ORDERS to DATE (INCLUDIN� THIS ONEJ AS % OF ORIGINAL CONTR,4CT MAX ALLOWABLE CONTRAGT AMOUNT (ORIGINAL CONTRACT COST + 25%J JUSTIFICATION (REASONS) ORDER Totals 1,143,315.65 1,143,315.65 $8,307.00 1,151,622.65 307.00 0.73% $1,429,144.56 Day 20 120 10 130 This change order is to request the atltlition of a new line item. It became necessary to use high early concrete to replace a Valley Gutter on Fair Park (E. Seminary Dr. - Sahara PI.) that's atljacent to Carter Park Elementary School. RequeS t that 10 Calendar Days (CD) be added to thiscontract. � ,/ %�� yK��.�� y,f,��d/ �p��dc7` !� / / ��' q� .�'�' �t��° ��1` 2-�3-/3 pp� �oQp06��}0�� n �� p � Y a'�1 n � h� O O �� Y ',� ��o �� _ � -y-�,c�,C, ��,,, � ¢ � � ° d o ° � �Yd � c��fl�, ��, �� °°�o o�°° � 00000 � aa� �"`I�ZC ��'' 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 and money) for all costs arising out of, or incidental to, the above Change Order. Contractor's Company Name Contractor (Name) Contract Signature Date JLB Contractinq, LLC �....� � � do ► _5 ,� _�-- --_ � : /_ , M H � � � ;� F � ' V �i z m m m � � � c�o m m 0 0 0 m m m sp c�u c�n m � -o a � � � � � � C7 > > > c� c� � m m � m N ni N � — — m `c � � G7 c c c m m m S 2 � co co � m m n� m n� � � � c� o n > > c� S n n � fl1 � � (p � CD (D fD � Q. (� "S D Q.. n. '+ O � � � m � � v m m ro � N O -i, N � � c�ii c�i� `� � � � � v � O O O O � Y ❑ ❑ � O Z � c� �� o n �- o c�. _- � � � o �Ilo � r r C7 w � N � CO O N n � 5 C� � � � v c� � c� ca O � � O Q (D D � � 0 a� � � m n � m m w � � N � .� N O v � � W —o 0 `m� � � m � � �' o' � _ � n (n � v m O < m n� � D G m o' � r 0 c� v o' � N � O C (fl O � � � m n � c� �- � � o � � o z �� m � � � m � � < D � n o � n� c � Z c�i o rn o O � < co � � ,n� � O m rn � .� � D < v o' � O n � O � C4 n � � m c') � ? W � � � � :: 77 -� � � z n � p1 � � � � � � Q � i�.i � � O � p�,. � � �' O O � � N � � v � vo m O � � m � D � � re' O � N �O N Oq fD N O —+, N n S � 7 70 fD � Q r� � 0 � � 0 � � -D � � (D F-� � � N � � � O N O N ❑ m r m � 0 z �n c7 �� o n �• o � � cQ � 0 � � � � Qi C� � o - � r r C� 8 w cfl N � � O N c� �� n � s � v (D 7 f') (Q O � � O a cD D � � 0 v 3 � m a 4 � cD � v � N ? �A N O � � �P W � 0 `m' � 0 m � � -6' o' � _ � D n � c � v C� (D � < m w � D < � � � C � 0 � v o' � N � 0 C � � O � � � � � �� c� �• -o � o � � o z m � � � � m � 0 0 m rn � .A v _ � D C7 � c � v A CD G` D < m o' � N O c� N O� � � C7 � � m n � �A W � � Ul '�7 O � -� O � � s n 3 � � � � � � � O Q � Q. � � � � � vg �D o o � � y � � v � � m O -, Q m � � m m �+ 0 � � -v n� � m N O � N M/WBE Breakdown for this Change Order � � m -� v m a � � � � v � c� � v � ro � � � Q. � —I � C� G n O � �- C � 0 � � m � n CD N . . . � • . , . ' : : � � m o � � � o n'_ � � �. � v � � c� � � � c � Q � � � Q � D � -� v D m_. < v �. � �- _ N � �, y o 0 v � n Q •`� � � � �. � � � n t� � O � �. c� m m �' O � � � :i� .. � � G:i7 .� � (31 W N O � N O v � � J lJ'� � N O v W � v t3i < � � . o ,� m � v � � � a o D � o 0 � � rt o � D m o � g � n � � � ro .. � � m � ro -� r>>�r:-.�r.!� . = �-�� tn csti � � � � 1 � -� C37 C37 -� W �1 W Ch OD W O W � N N v N c.�i� � � W � v � � t3t � � N N � N U�i (�3� � O�0 � v � � U� � cQ' 5" v C� 0 m � � � v � � � � � .-,. o D a p � o � � � � � • � ._ 0 w � � � (1ti � � W --I D � l� N CO W � N C�s'i 4��i N � � � � � � � � (� � � N � � � � � D � n n W W� � � n.� 0�� o � �- m v � � -� � `� � � � �� m ro n �� o z� �n.—I � o � z o o D (� � ^ j � � � � m � � � � � .... ro a ro z 0 - . . , . • .. . � �' .. _� � . . • -. C� � v � � m O Q � � D + N n 3 � (D � � �. � � �