HomeMy WebLinkAboutContract 43501-CO2 (2)FORT t�ORTH Cl�y Of Fo1`� Wol'�h �S�������;�n;`� �Q�
Change Order Request e
Project Name: Medical District Part 8 City Sec No.; 43501
Project No.(s): P265-609170168787 DOE No, 6786 City Proj. No.: 01687
Project Description:
Water Distribution System Improvements on Bratlner Street, Broadway Street, Henderson Street, Magnolia Avenue, St.
Louis Avenue and South Main Street
Contractor William J. Schultz, Inc., tlba Circle "C" Construction Co.
City Project Mgr. John Kasavich
Phone Number: 817-392-8480
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Amount of Proposed Change Order
Revised Contract Amount
Original Funds Available for Change Ortlers
Remaining Funds Available for this CO
Additional Funding (if necessary)
WATER
$41,410.00
252
$25,000.00
$11,590.00
Change0rder# �2 Date: 4/1/2014
City Inspector: Doug Dickerson
Phone Number: 817-944-0506
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTR.4CT
MAX ALLOWABLE CONTR,4CT AMOUNT (ORIG/NAL CONTRACT COST + 25%)
JUSTIFICATI�N (REASONS) FOR CHANGE
Totals
$1,441,842.00
$41,410.00
$28,000.00
$1,455,252.00
$36,756.00
$1,492,008.00
$25,000.00
$11,590.00
$25,166.00
3.48%
$1,802,302.50
ie change order will pi•ovide for the installation of a 12-inch water main on May Street to repair a
teriorated and leaking water main prior to pulverization and overlay by the Transportation and Public
orks Department.
concurs with the contractor's request foi• 39
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calendar days on this change order.
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It is understood and agreed that the acceptance of this Change Order by the contractor constitutes
in full (both time and money) for all costs arising out of, or incidental to, the above Change Order.
Contractor's Company Name
William J. Schultr, Inc.,dba Circle "C" Const. Co.
Ins e tor `
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Assista t[3i cto Water De t
, _ .- .
M&C Number N/A
Contractor Name
Terri Skelly
Date
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Date
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D e
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Council Acfion
n
Contractor Signature
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Project Manager
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Cons tion Sup visor TPW,Dept)
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p" k:'�.:TfN $�� �. -a�e"e!�-_- _ . V
Required)
M&C Date Approved �
Contract Time
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200
039
239
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Date
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Date
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Date
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ate .
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FORT WORTH
City of Fort Worth
Change Order Additions
Project Name Metlical District Part 8 City Sec No.: 43501
Project No.(s): P265-609170168787 DOE No. 6786 City Proj. No.: 01687
Project
Description
Water Distribution System Improvements on Bradner Street, Broatlway Street, Henderson Street, Magnolia Avenue, St.
Louis Avenue and South Main Street
Contractor William J. Schultz, Inc., dba Circle "C" Construction Co. Chane Order# �2 Date: 4l1/2014
City Project Mgr. John Kasavich City Inspector pou Dickerson
ADDITIONS
76 I Tem
WATER
WATER
Unit Unit Cost
LF $150.00
434.00 I LF
32,850.
$3,906.
�
TER
ons Sub Total
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FORT WORTH
Project Name
Project No.(s):
Medical District Part 8
City of Fort Worth
Change Order Deletions
P265-609170168787
DOE No. 6786
City Sec No.
City Proj. No
43501
01687
Project Description Water Distribution System Improvements on Bradner Street, Broadway Street, Henderson Street, Magnolia Avenue,
St. Louis Avenue and South Main Street
Contractor
City Project Mgr
William J. Schultz, Inc., dba Circle "C" Construction Co.
John Kasavich
ChaneOrder# �2 Date 4/1/2014
City Inspector poug Dickerson
DELETIONS
ITEM IDESCRIPTION
DEPT
Qty �Unit
TER
Unit Cost ITotal
Deletions Sub Total
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