HomeMy WebLinkAboutContract 44218-CO10 (2)raa« Litt? ,
CONTRACTT NO. �� �
FORT WORTH;, City of Fort Worth
Change Order Request
Project Name' East Rosedale - US287 to Miller Ave. I City Sec # I 44218
Client Project #(s)I C116-02116021222,C200-205230014283,P253-605170014283,P258-705170014283,P227-205280014283
Project' Water Sewer, Strom Drain Paving Street Light Fiber Bridge Improvements
Description
Contractor' Jackson Construction, Ltd I Change Order # I 10 I Date I 9/10/2015 I
City Project Mgr.I Dena Johnson I City Inspector I Randy Horton
Dept. TPW
Original Contract Amount $13,866,014.15
Extras to Date $259,253.46
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $14,125,267.61
Amount of Proposed Change Order $20,757.50
Revised Contract Amount $14,146,025.11
Original Funds Available for Change Orders $497,674.01
Remaining Funds Available for this CO
Additional Funding (if necessary)
Water
$2,149,404.50
$166,459.41
$2,315,863.91
$0.00
$2,315,863,91
$65,000.50
Sewer Totals Select Day Type
$573,715,00 $16,589,133.65 600
$50,586.55 $476,299.42 240
$48,811.19 $48,811.19
$575,490.36 $17,016,621.88 840
$0.00 $20,757.50
$575,490.36 $17,037,379.38 840
$17,500,00 $580,174.51
$254,145,19
$238,420.55 $0.00 $15,724.64
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
USTIFIC7+TION (REASONS) FOR CHANGE ORDER
2.70%
$20,736,417.06
The change order will provide for the installation of 8, 18 and 24-inch brick pavement markin
necessary on the project.
RECEIVED
NOV 11 2015
CITY OFFORT\NORM
CITY SECRETARY
OFFICIAL RL M
CITY SECRETARY
7.:T. WORTH!, TY
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 Orde,
toritii6 or``s'Company Name' ' ' ' Contactor giii er' ---
Steve Haberstroh
Jackson Construction, Ltd
Contract Signature
7
Date
ector/lns.ection Supervisor <:�j,/ ` Date .111111roject, ager/Proram Manage
1Css1stant C,j yyttorne
Assis
Direc or, Contracting Department (Dept)
Assistant
immummimmiriThcli Action (if required) 'f
M&C Number N/A M&C Date Approved j N/A
Manap
FORT WORTH City of Fort Worth
Change Order Additions
Project Name j East Rosedale - US287 to Miller Ave.
Client Project # ( C116-02116021222,C200-205230014283,P253-605170014283,P258-705170014283,P227-205280014283
Project Description Water Sewer, Strom Drain Paving Street Light Fiber Bridge Improvements
Contractor j Jackson Construction, Ltd I Change Order #
City Project Mgr. j Dena Johnson City Inspector j
10
Randy Horton
City Sec #
Date ( 9/10/2015
44218
AUUI I IONS
I I tM • UtbUllF' I IUIv • Utl' I Uty unit unit lost I olal
I'1'I-'IJ4 5 bLU F'ymt Manong, HAb (W) I PVV 2,bbu.UU LI- $J.LS $e,b4b.UU�
111-1J5 0" MI( NM( HAL (w) (9' Long) (9" Skip) I PW 250.00 LI- $3.25 $812.50
111-1J5 10' BKK Pymt HAE (w) (2" Long) (2' skip) I PW 250,00 EA $'IU.UU $2,5UU.UU
111-1J! 24" SLU Pvmt Marking HAt (w) I PW 890,00 LI- $11.UU $8,8UU.UU
TI'W $20,757.50
Water $0.00
Sewer $0.00
Sub Total Additions $20,757.50
Change Order Additions Page 2 of 4
FORT
Project Name
Client Project #
Project Description
Contractor
City Project Mgr.
' IIEM '
City of Fort Worth
Change Order Deletions
East Rosedale - US287 to Miller Ave.
C116-02116021222,C200-205230014283,P253-605170014283,P258-705170014283,P227-205280014283
Water Sewer, Strom Drain Paving Street Light Fiber Bridge Improvements
Jackson Construction, Ltd
Dena Johnson
Change Order #
City Inspector
10
j Randy Horton
City Sec #
Date j 9/10/2015
44218
UtLt I IUNJ
Utbt,Klr I lulu Utr I idly • unit ' unit (ost - 1 otal
!PIN $0.00
Water $0.00
Sewer $0.00
Sub total Deletions
Change Order Deletions Page 3 of 4
MWEE Sub
MIWBE Breakdown for this Change Order
Type of Service Amount for this CO
Total
Previous Change Orders
DATEAMOUNT
Total $0.00
0.00