HomeMy WebLinkAboutContract 54091-CO4 CSC No.54091-CO4
SORT_ FORTH. City of Fort Worth
Change Order Request
Project Name 2020 Traffic Signal and Street Lighting Improvements Unit Price Construction Contract City Sec# 54091
Client Project#(s) Various
Project Description Unit Price Construction Contract for the installation of traffic Signal and Street lighting Improvements
Contractor Bean Electrical,Inc. Change Order# 4 Date 7/27/2021
City Project Mgr. Iskal Shrestha P.E. City Inspector N/A
Contract Time
Dept. TPW Totals (CD)
Original Contract Amount $1,500,000.00 $1,500,000.00
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,500,000.00 $1,500,000.00
Amount of Proposed Change Order $0.00
Revised Contract Amount $1,500,000.00 $1,500,000.00
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.00%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST,25%) $1,875,000.00
JUSTIFICATION(REASONS)FOR CHANGE ORDER
Additional Bid items that were not included in the original unit price contract is needed in order to construct the project CPN 103174
It is understood and 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. The Project/Program Manager signing below
acknowledges that he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance and
reporting requirements.
Contractor's Company Namel Contractor(Name) Contract Signature Date
Bean Electrical,Inc. Ray E Bean II
�sa�ti Ju127,2021
Project and Contract Compliance Manager Date
vPGta Ju128,2021
lln&t Officer Date
Ju128,2021 Mc+vfln,.,,2, ins Ju128,2021
on ��ze, ion
Assistant Director(Dept) Date Director,Contracting Department(Dept) Date
.. Ju128,20211 Ju128,2021
Assistant City Attorney Date Assistant City Manager Date
5 Jul 30,2021 —8-jAd f Ju130,2021
11111 ouncil Action(if required)
M&C Number M&C Date Approved 0
ATTEST: C� / dpc On
"� bq
00000o000�Oa�
Ronald P.Gonzales,Acting City Secretary Ooo 00
° % �j OFFICIAL RECORD
��0, 0
0 �
CITY SECRETARY
0 o d
da 000000000 a FT. WORTH, TX
r'Z41 XASo�'
City of Fort Worth
Change Order Additions
Project Name 2020 Traffic Signal and Street Lighting Improvements Unit Price Construction Contract City Sec# 54091
Client Project# Various
Contractor Bean Electrical,Inc. PM Iskal Shrestha P.E. Inspector N/A
Change Order Submittal# ® Date 7/27/2021
ADDITIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
623 Furnish/Install Internal BBU Unit(Zinc 5) TPW 0.00000000 EA 10,766.00 0.00
624 Remove and Relocate Blankout Sign TPW 0.00000000 EA $702.00 0.00
625 Furnish/Install Bollards TPW 0.00000000 EA $367.00 0.00
626 Furnish/Install 4"Steel Casing(Under RR Tracks) TPW 0.00000000 LF $,429.75 0.00
627 Furnish/Install VIVDS TPW 0.00000000 EA $1,903.00 0.00
628 Furnish/Install Medium Stone RipRap,Grouted TPW 0.00000000 SY $350.00 0.00
629 Furnish/Install X-RPS RR Preemption TPW 0.00000000 EA $3,266.00 $0.00
TPW S0.00
Change Order Additions Page 2 of 7
Sub Total Additions
Change Order Additions Page 3 of 7
FORT WORTH City of Fort Worth
_. IV--- Change Order Deletions
Project Name 2020 Traffic Signal and Street Lighting Improvements Unit Price Construction Contract City Sec# 54091
Client Project# Various
Contractor Bean Electrical,Inc. PM Iskal Shrestha P.E. Inspecto N/A
Change Order Submittal# ® Date 7/27/2021
DELETIONS
y Unit Unit Cost Total
TPW S0.00
Change Order Deletions Page 4 of 7
Sub Total Deletions $0.00
Change Order Deletions Page 5 of 7
M/SBE for this Change Order
M/SBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
co# DATE AMOUNT
Total $0.00