HomeMy WebLinkAboutContract 43484-CO1 (2)F'�RT Z�ORTH Clty Of Fort Worth r ry Copy
Chan e Order Re uest ��� �� �
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Project Name Construction of the Reclaimed Water Main Extension on American Blvd. City Sec No. 43484
Project No.(s) P258-705290178980 DOE No. 6929 City Pro. No. 01789
Project Description
Reclaimed Water Main Extension along American Blvd.
Contractor Jackson Construction, Lttl.
City Project Mgr. David Townsend
Phone Number: 817-392-8430
Dept. � Water
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
Revisetl Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Adtlitional Funding (if necessary)
Change Order # �1 Date: 6/10/2013
City Inspector Thomas Bean
Phone Number: 817-392-8370
328.10
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
J
The change order will provide for the following:
328.1
3.94%
$708,595.00
• The installation of 8-inches of reinforcement concrete (instead of 7 inches) to match the
pavement depth that was encountered during construction.
• The replacement of conflicting storm drain inlet throats.
• Restocking fee for 24"x12" conc�t�,,�ucer and 12-inch pipe that were not needed on the
project.
• The deletion of pay item q
�ye
S+d 9
Sta�f concurs v�cith the�ntractors
!� � i: .
Sewer
Totals
Contract Time
aar
120
120
030
150
�
calendar days on
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y, r � .s
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It is understood and agreed that the acceptance of this Char��i�.,"�e'�ontractor constitutes an accortl and satisfaction antl represents payment
in full (both time and money) for all costs arising out of, or incidental to, the above Change Ortler.
Contractor's Companv Name
Jackson Construction, Ltd.
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M&C Number
_ �'
L�- .:mYr'��+� : - - - .
Contractor Name � Conifac r
Steve Haberstroh i�
Date P' t Mana er
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Date Co struction Supervisor W�
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Date ana er
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Council Action (if required)
M&C Date Approved N/A
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/
Date
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Date
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Date
f�4'` �3
FORT V��ORTH
City of Fort Worth
Change Order Additions
Project Name Construction of the Reclaimetl Water Main Extension on American Bivd. City Sec No. 43484
Project No.(s) P258-705290178980 DOE No. 6929 City Pro. No. 01789
Project
Description
Contractor
Reclaimed Water Main Extension along American Blvd.
Jackson Construction, Ltd. Change Order #�1 Date: 6/10/2013
David Townsend City Inspector Thomas Bean
City Project Mgr
ADDITIONS
DEPT
23
8-inch Concrete Pa
10-foot Inlet Throat
"x 12" Concentric
-inch Non Potable
Fee
Sewer
Sewer
Sewer
Sewer
918.
1.
1.
1.
EA
EA
EA
LF
r
Unit
1,500.
?,500.
$518.
$1,500.00
$1,197.60
b Total
$83,788.1
$83,788.1
Page 2 of 4
F+� RT WO RT H
Project Name
Project No.(s)
Project Description
Contractor
City of Fort Worth
Change Order Deletions
�onstruction of the Reclaimed Water Main Extension on American Blvd.
City Sec No.
DOE No. 6929 City Pro. No
43484
01789
P258-705290178980
Reclaimed Water Main Extension along American Blvd.
Jackson Construction, Ltd.
City Project Mgr. David Townsend
ITEM DESCRIPTION
4 7-inch Concrete Pavement Repair (Monolithic Curb)
12 12" Water Pipe
13 Connection to Existing 12" Water Main
14 Connection to Existing 24" Water Main
Change Order #�1 Date 6/10/2013
City Inspector Thomas Bean
DELETIONS
DEPT
Sewer
Sewer
Sewer
Sewer
Qty Unit
750.00 SY
60.00 LF
1.00 EA
1.00 EA
Water
Sewer
Unit Cost Total
$74.00
$51.00
$900.00
$2,000.00
$55,500.00
$3,060.00
$61,460.00
Page 3 of 4 �Deletions Sub Total � $61
MlWBE Breakdown for this Change Order
JACKSON CORISTRUCTION LTD.
Force Account Daily Tirt�e and MaEerial
County Tarrant Pro)act American 6aufevard Project G25151 Highway �a
Descrlptian of Work: Because of the CQFlW added fire 12" rectatmed water pJggfng wye (by othersJ the 24" x 12" concenfrtc reducer pu
Date: for credit and a restackin fee was charged. in additlon, 60' ai f?" pt!!Dl@ DIIIB O(!fClteSEd 6V JCL wJl/ nnf hw roH�rn:
Descrip�on Hrs Rate Amount
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� � -
s -
s -
� -
$ -
$ -
s -
- $ -
� " -
- � -
� -
� -
� -
$ -
Sub-7otal $ -
15°% $ -
Tatal EauiomenL• S .
Descrip�on
x 12" concenUic
�cer meterial reium
pproved_
U8M Rafe Amount
� $ -
$ -
EA $ 518.QD $ 518.0
�._.,,.
$ -
LF $ 19.96 $ _.1�i97.6
$,__ -
$ -
$ -
Sub-Toisi $ 1,715.6
$ -
Total Material: S 1.715.6�
�o, date 03115113
Da[e
JACKSON CONSTFtUCTiON JOB # 306i
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5124l2013 3:32 PM