HomeMy WebLinkAboutContract 43149-CO3 (2)Cape oC �.
FORT WORTH.
Project Name' 2008 CIP Contract 9A
Client Project #(s)I #01237 / DOE 6145
Project Description) 5th / 6th / Beddell
Contractor' Stabill&Winn
City Project Mgr.' Gopal Shau
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
kevised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
City of Fort Worth
Change Order Request
TPW
$631,268.50
$14,487.50
$645,756.00
$3,965.00
$649,721.00
$25,000.00
CRY SECRETARY
TRACT NO.
CiCONty Sec # ' 43149
Change Order # I 3 I Date I 7/12/2013
City Inspector I Kim Brenz
Water Sewer
$255,401.75
$36,056.25
$291,458.00
$0.00
$291,458.00
$12,770.00
Totals
$0.00 $886,670.25
$50,543.75
$0.00
$0.00
$0.00
$10,512.50
$0.00 $0.00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
The following is the cost to relocate the electrical conduit for lighting in conflict of the paving Beddell @ Hemphil, and pour collars on rcp
pipe for new inlet on 5th Ave.
$937,214.00
$3,965.00
$941,179.00
$37,770.00
$10,512.50
6.15%
$1,108,337.81
Select Day
Type
250
32
282
282
OFFICIAL RECORD
CITY SECRETARY
Fr. WORTH, TX
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.
111 Contractor's Company Name
Stabill&Winn
/Inspectipnpper is
Assistant City Attorney
Contractor (Name)
.‘Talot Le., 4-W,mot ttkt.
M&C Number I
rp. / 6 (3 %%Jz-i a a s �•:
Council Action (if required)
C+�oct Suture Date
Dgte �Prrject Manager/Pr gram Managed) Date
li3�/Zo d .1 //jo:''a ` �� :li//%
ate Die r, Contra tin Department (De tP) Date
Date Assistad City Manager Date
' 8//6//3
M&C Date Approved I
1
tka
RECEIVED AUG 192D13
Copts 1 o C
FORT WORTH,
Project Name' 2008 CIP Contract 9A
Client Project #(s)I #01237 / DOE 6145
Project Description) 5th / 6th / Beddell
Contractor' Stabill&Winn
City Project Mgr.' Gopal Shau
City of Fort Worth
Change Order Request
Dept. TPW 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
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
Change Order #
City Inspector
$631,268.50 $255,401.75
$14,487.50 $36,056.25
$645,756.00 $291,458.00
$3,965.00 $0.00
$649,721.00 $291,458.00
$25,000.00 $12,770.00
$10,512.50 $0.00
Sewer
City Sec # I 43149
3
Kim Brenz
Date
Totals
$0.00 $886,670.25
$50,543.75
$0.00 $937,214.00
$0.00 $3,965.00
$0.00 $941,179.00
$37,770.00
$0.00 $10,512.50
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
The following is the cost to relocate the electrical conduit for lighting in conflict of the paving Beddell @ Hemphil, and pour collars on rcp
pipe for new inlet on 5th Ave.
7/12/2013 I
Select Day
Type
250
32
282
282
6.15%
$1,108,337.81
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.
Contractor's Company Name
Stabill&Winn
Inspector/Inspection , pervisor
Assistant [lir dP(D,�ptf r ',,'"
y C.
As itant City Attorney
1 Contractor (Name) I / Cpcntfa t Sig6 Lure
ST A F51 Lr -)- \n..I i nr 0. t +" C . I- .I---_. �j
// (
MC Number I VA,
Datg I
Da a Pro'e'ct Manager/PPgran3 Ma nag Date
7/3/ 7o !S ` �, /;�I, t <-i({ :g/ f/j
date_ I Dir, ctor, Contracting Department (Dept) Date./
/ i. ! j (, /C1(_,
Date Assistant/City Manager j Date
S',/6, t3 --, 8/i6//3
Council Action (if required)
M&C Date Approved
CDpy 1, tac a.
Assistant.City Attorney
FORT WORTH,.:
Project Name'
Client Project #(s)I
Project Description
Contractor'
City Project Mgr.I
2008 CIP Contract 9A
#01237 / DOE 6145
5th / 6th / Beddell
Stabill&Winn
Gopal Shau
City of Fort Worth
Change Order Request
Dept. TPW Water
I City Sec # I 43149
Change Order# I 3 I Date I 7/12/2013
City Inspector I Kim Brenz
Original Contract Amount $631,268.50 $255,401.75
Extras to Date $14,487.50 $36,056.25
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $645,756.00 $291,458.00
!Amount of Proposed Change Order $3,965.00 $0.00
Revised Contract Amount $649,721.00 $291,458.00
Original Funds Available for Change Orders $25,000.00 $12,770.00
Remaining Funds Available for this CO $10,512.50 $0.00
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
Sewer
Totals'
$0.00 $886,670.25
$50,543.75
$0.00 $937,214.00
$0.00 $3,965.00
$0.00 $941,179.00
$37,770.00
$0.00 $10,512.50
6.15%
$1,108,337.81
Select Day
Type
250
32
282
282
JUSTIFICATION (REASONS) FOR CHANGE ORDER
The following is the cost to relocate the electrical conduit for lighting in conflict of the paving Beddell @ Hemphil, and pour collars on rcp
pipe for new inlet on 5th Ave.
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.
Contractor's Company Name
Stabill&Winn
Inspector/I nspectipn,Su pervispr
Assistant Director (DOT)"
1
1.A P.A L.
M&C Number I E/k-
Contractor (Name)
\,. ! :.
C ntF'ct Sigh ture
Project Manager/Program Manager
Director, Contracting Department (Dept)
Date I Assistant City Manager
f3
Council Action (if required)
M&C Date Approved
Date
Date
Dat,1
Date
FORT WORTH, City of Fort Worth
Change Order Request
Project Name' 2008 CIP Contract 9A I City Sec # I 43149
Client Project #(s)I #01237 / DOE 6145
Project Description
5th / 6th / Beddell
Contractor' Stabill&Winn
City Project Mgr.' Gopal Shau
Change Order # I 3 '
City Inspector I Kim Brenz
Date I 7/12/2013
Select Day
Dept. TPW Water Sewer Totals Type
Original Contract Amount $631,268.50 $255,401.75 $0.00 $886,670.25 250
Extras to Date $14,487.50 $36,056.25 $50,543.75 32
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $645,756.00 $291,458.00 $0.00 $937,214.00 282
Amount of Proposed Change Order $3,965.00 $0.00 $0.00 $3,965.00 -
Revised Contract Amount $649,721.00 $291,458.00 $0.00 $941,179.00 = 282
Original Funds Available for Change Orders $25,000.00 $12,770.00 $37,770.00
Remaining Funds Available for this CO $10,512.50 $0.00 $0.00 $10,512.50 1
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT I 6.15% I
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) $1,108,337.81
JUSTIFICATION (REASONS) FOR CHANGE ORDER
The following is the cost to relocate the electrical conduit for lighting in conflict of the paving Beddell @ Hemphil, and pour collars on rcp
pipe for new inlet on 5th Ave.
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.
Contractor's Company Name
Stabill&Winn
Inspector/Inspection Supervisor ,
Assistant Director (Dept)
Assistant City Attorney
M&C Number
Contractor (Name)
Contract Signature Date
Date Project Manager/Program Manager
Date Director, Contracting Department (Dept)
Date Assistant City Manager
i
Council Action (if required)
M&C Date Approved
Date
Date
Date
FOR o�
Project Name
Client Project #
Project Description
Contractor
City Project Mgr.
I I EM
34 new
35 new
36 new
37 new
2008 CIP Contract 9A
#01237 / DOE 6145
5th / 6th / Beddell
Stabill&Winn
Gopal Shau
UESCKIP I ION
tpw
18"rcp
concrete collar for 18"connection
2"sch 40 pvc w/2#4&1#6 branch ckt wireing
type a ground box
City of Fort Worth
Change Order Additions
I Change Order #
ADDITIONS
TPW
TPW
TPW
TPW
3
City Inspector ' Kim Brenz
Qty Unit
6.00 If
1.00 ea
60.00 If
2.00 ea
I City Sec # 1 43149
Date 1 7/12/2013
Unit Cost I otal
$U.UU $0.00
$95.00 $5/O.00
$750.00: $ibO.UU
$20.75 $1,246.00
$700.00. $1,400.UU
Change Order Additions Page 1 of 2
TPW
Water
Sewer
Sub Total Additions
$3,965.00
$0.00
$0.00
$3,965.00
Change Order Additions Page 2 of 2
FORT WORTH
Project Name I
Client Project #
Project Description
2008 CIP Contract 9A
#01237 / DOE 6145
5th / 6th / Beddell
Contractor Stabill&Winn
City Project Mgr. a Gopal Shau
UESC:NIP I ION
City of Fort Worth
Change Order Deletions
1 Change Order #
DELETIONS
3
City Inspector I Kim Brenz
UE1' 1
Unit
I City Sec # I 43149
Date I 7/12/2013
unit Cost
1 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 $0.00
PROJECT SUMMARY SHEET
(Change Order Attachment)
PROJECT NAME: 2008 CIP Contract 9A
PROJECT LIMITS: 5th, 6th, W Beddell
CS. No.: CS43149
D.O.E. No.: 6145
Attachment to Change Order I 3
Today's Date: 8/6/2013
TOTAL TPW Water Sewer Days
Original Contract Amount: $ 886,670.25 $ 631,268.50 255,401.75 250.00
Extras to Date: $ 50,543.75 $ 14,487.50 $36,056.25 $32.00
Credits to Date: $
Contract Amount to Date: $ 937,214.00 $ 645,756.00 291,458.00
Amount of Proposed Change Order: $ 3,965.00 $ 3,965.00
Revised Contract Amount: $ 941,179.00 $ 649,721.00 291,458.00
Contingency Funds Avail. for Admin. Change 0 $ 37,770.00 $ 25,000.00 12,770.00
Remaining Funds Available for Change Orders: $ 10,512.50 $ 10,512.50
Additional Funding (if necessary): $ - $
282.00
282.00