HomeMy WebLinkAboutContract 43145-CO1CITY SECRETARY
CONTRACT NO. Lin (15- C 0
FORT WORTH.. City of Fort Worth
Change Order Request
Project Name, Longstrraw Channel Improvements
Client Project #(s)I 00625 (DOE 5554)
Project Remove existing channel structure and concrete replacement
Description
Contractor' Humphrey and Morton
City Project Mgr.! Michael Owen
Change Order #
City Inspector
! City Sec # 1 43145
1 I Date
Adilda Cazorla
I 12/28/2012
Dept. TPW Water Sewer Totals Select Day Type
Original Contract Amount $873,649.50 $873,649.50 250
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $873,649.50 $873,649.50 250
'Amount of Proposed Change Order $45,744.60 I $0.00 $0.00 $45,744.60 30
Revised Contract Amount $919,394.10 $919,394.10 280
Original Funds Available for Change Orders $26,209.48 1 $26,209.48
Remaining Funds Available for this CO $26,209.48 $26,209.48
Additional Funding (if necessary) $19,535.12 $19,535.12
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Additional quantity of rip -rap was necessary due to field changes made to minimize disruption to adjacent properties and avoid the need for
unanticipated retaining walls.
5.24%
$1,092,061.88
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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 al costs arising out of, or incidental to, the above Change Order.
Contractor's Company Name ontractor(Name) Cotract Signature 1 Date
Humphrey and Morton I/I/ - . U re--, ,�� I / 3d 1 2
1
I ; - for/Inspection ,u ' "so
As ista i ector Dt)
Assistant
M&C Number j isak}—
Date Project�erlProgram Manager
d- 3o-t3�`
Datenctgt,✓Contrac]/tin�q Department (Dept)
Date
Z-17 ./3
Council A
Manaser
_/1,,!/FF
M&C Date Approved ) CPij' SECRETA
Date
1-4-13
Date
all lI/7
Date
D
0 2 — I —1 - Al FT WORTH TX
FORT WORTH
Project Name
Client Project #
Project Description
City of Fort Worth
Change Order Additions
Longstrraw Channel Improvements
00625 (DOE 5554)
Remove existing channel structure and concrete replacement
Contractor Humphrey and Morton
City Project Mgr. Michael Owen
Change Order #
1
City Inspector J Adilda Cazorla
I City Sec #
Date I 12/28/2012
43145
ADDITIONS
I I EN1 UtSUKIF' I ION ULF' I Uty Unit Unit lost I otal
12 313/.U1U1 Uoncrete np rap I PVV Vb/,UU SY $4/,3U $4b,/44.bU
Change Order Additions Page 1 of 2
TFW $45,744.60
Water $0.00
Sewer $0.00
Sub Total Additions $45,744.60
Change Order Additions Page 2 of 2
FORT WORTH
Project Name
Client Project #
Project Description
Contractor
City Project Mgr.
II EM
City of Fort Worth
Change Order Deletions
Longstrraw Channel Improvements
00625 (DOE 5554)
Remove existing channel structure and concrete replacement
Humphrey and Morton
Michael Owen
1
I Change Order #
1
City Inspector I Adilda Cazorla
I City Sec # I 43145
l
Date I 12/28/2012 I
I
DELETIONS
UESUKII' I IUN UEF' I Uty Unit Unit Uost I otal
Change Order Deletions Page 1 of 2
TPW $0.00
Water $0.00
Sewer $0.00
Sub Total Deletions
Change Order Deletions Page 2 of 2
MWBE Sub
MWWBE Breakdown for this Change Order
Type of Service Amount for this CO
Total $0.00
Previous Change Orders
co # DATE AMOUNT
Total f $0.00
PROJECT NAME:
BuySpeed No (T/PW):
BuySpeed No (Water):
City Project No:
Contract No:
D.O.E. No:
Attachment to Change Order No:
Today's Date:
PROJECT SUMMARY SHEET
(Change Order Attachment)
Longstraw Channel Improvements
PO-12-00072426
N/A
00625
CS43145
5554 I Original M & C = C-25540, approved 04-03-12
1
1/11/13
TOTAL
Original Contract Amount: $ 873,649.50
Extras to Date: $
Credits to Date: $
Contract Amount to Date:
Amount of Proposed Change Order:
Revised Contract Amount:
T/PW
Water Sewer
$ 873,649.50
$
$
$
$
$
$ 873,649.50 $ 873,649.50 I $ - I $
$ 45,744.60
$ 919,394.10 $ 919,394.10 $ - $
$ 45,744.60
Contingency Funds Avail. for Admin. Change Orders: $ 26,209.48
Remaining Funds Available for Change Orders: $ 26,209.48
Additional Funding (if necessary): $ (19,535.12)1 $ (19,535.12)1 $
$ 26,209.48
$ 26,209.48
Prepared By: Christy Ezernack T/PW Construction Services