HomeMy WebLinkAboutContract 38984-CO1CITY SECRETARY
NO._
FORT WORTH.
City of Fort Worth
CONTRACT .
Change Order Request
Project Name)
HMAC Surface Overlay 2009-17
4 City Sec # 138984
Client Project #(s)l
C293-541200-208620132683
DOE:6282 City Project Number. 01326
Project Description
Street Maintenance (50/50)
Contractor
Austin Bridge S Road
Change Order #
1 Date ' 9/13/2011
City Project Mgr. J
Kristian Sugdm
City Inspector
David W. Bowers
- Contra Time
Dept I TPW Water Sewer Totals (tvD)
Original Contract Amount $732,932.00 $366,466.00 $366,466.00 1,465,864.00 i 210 �.
Extras to Date
Credits -to Date• '
Pending Change Orders (in M&C Process)
ContradCostloDate $732,932.00 $366,466.00 $366,466.00 $1,465,864.00 210
'Uo to ADD &DEL Tabs to Enter CO Backup W W W _ 499
Revis ontractAmount M ,9;i1.W �366,4 .00—$36Ei, ''W I�$1,465,864.04 709
Original Funds -Available for Change Orders $0.00 ,
Remaining Funds Available for this CO $0.00 $0.00 $0.00
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.00%
MAXALLOWABLECONTRACTAMOUNT (ORIGINAL CONTRACT COST+25%) $1,832,330.00
This Change Order is being submitted for the addition of 499 days to our HMAC Surface Overlay (2009-17) contract. It became necessary
because of the delay casused by the utility contractor's work on Blue Ridge Dr. and Weiler Blvd. and for the re -work of the utility trench on
Blueridge Dr. Also, there were an additional quaannti5t,0�59 LF, of curb and gutter.
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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 all costs arising out of, or incidental to, the above Change Order.
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MSC Number MSC Date Approves! t 1. WORTH, TX
FORT WORTH City of Fort Worth
Change Order Additions
Project Name HMAC Surface Overlay 2009-17 City Sec # 38964
Client Project # C293-541200-208620132683 DOE:6282 City Project Number: 01326
Project Description Street Maintenance (50150) I
Contractor Austin Bridge & Road Change Order # 0 Date 1 9/13/2011
City Project Mgr. Kristian Sugrim City Inspector I David W. Bowers
I I t:M
AUUMUN5
UtbLKll' I IUN Uhl' I
uty unit unit host I otal
TPW $0.U0
Water 0.00
Sewer 10.00
Sub Total Additions
Change Order Additions Page 1 of 1
l wo r City of Fort Worth
Change Order Deletions
Project Name , HMAC Surface Overlay 2009-17 City Sec # 38984
Client Project # C293-541200-208620132683 DOE:6282 City Project Number: 01326
Project Description Street Maintenance (50/50) `
Contractor Austin Bridge & Road Change Order # 0 Date 1 9/13/2011
City Project Mgr. Kristian Sugdm City Inspector I David W. Bowers
11 tM
DELETIONS
UtbI.KIF' I IUN UtF I
uty unit - unit Lost I otal
TPW $0.00
Water $0.00
Sewer $0.00
Sub Total Deletions
Change Order Deletions Page 1 of 1
MWBE S&
MIWBE Breakdown for this Change Order
Type of Service,
Total
Amount for this Ca:'
Previous Change Orders
DATE. AMaU1-..
- - — - - Total _ T$0.00 ^�