HomeMy WebLinkAboutContract 39374-CO1 (2), ) ,
DATE: 02 / 26 / 2010
TRANSPORTATION AND PUBLIC WORKS
CHANGE ORDER JUSTIFICATION RECORD AND PROJECT SUMMARY SHEET
CITY SECRETARY
PROJECT NAME: BRIDGE REPAIR AT THREE LOCATIONS (2009-18) CONTRACT N0 .:313l;/£oi
CHANGE ORDER NQ : 1 D.O.E. NQ : 6317 CLIENT PROJECT NQ : C293-541200-209260131883 ----
INSPECTOR: RICK ARLINGTON
PROJECT MANAGER: TARIQUL !SLAM
ORIGINAL CONTRACT AMOUNT
EXTRAS TO DATE
CREDITS TO DAT E
ORIGINAL AMOUNT TO DATE
AMOUNT OF PROPOSED CHANGE ORDER
REVISED CONTRACT AMOUNT
ORIG . CONTINGENCY FUNDS AVAILABLE
FOR CHANGE ORDERS
REMAINING FUNDS AVAILABLE
FOR THIS CHANGE ORDER
ADDITIONAL FUNDING (IF NECESSARY)
REASON(S) FOR CHANGE ORDER:
$
$
$
$
$
$
$
$
$
PHONE NQ : (817) 223 -2280
PHONE NQ : (817 ) 392-2486
COMBINED
252 ,621 .00 $
$
$
252 ,621 .00 $
24 ,450 .00 $
277 ,071 .00 $
$
$
24 ,450 .00 $
CITY SECRETARY NQ : 39374
$
$
$
$
$
$
$
$
$
$ 252 ,621 .00
$
$
$ 252 ,621 .00
$ 24 ,450 .00
$ 277 ,071 .00
$
$
$ 24,450 .00
After milling the asphalt off the Felix Street Bridge there was found to have more deterioration than had expected .
Additional quantities are needed to repair this bridge. This work will require an additional 10 Calendar Days to be added to
the original contract time .
Date
Asst. Dir. -TOW Infrastructure Des ign & Const. Date
Date
~ . I
'(1tSTRt8UTION: I
I
I
WHITE-FILE
CANARY -CONSTRUCTION SERVICES
PINK-PROJECT MANAGER
GOLDENROD -CONTRACTOR
CHANGE ORDER N2 I DATE
1 02/26/2010
PROJECT DESCRIPTION
CITY OF FORT WORTH
CHANGE ORDER REQUEST
I PROJECT N2
C293-541200-209260131883
BRIDGE REPAIR AT THREE LOCATIONS (2009-18)
ORIGINAL CONTRACT AMOUNT .................................................................... $
EXTRAS TO DATE ........................................................................... $
CREDITS TO DATE .......................................................................... $
CONTRACT COST TO DATE ............................................................................ $
AMOUNT OF PROPOSED CHANGE ORDER .................................................. $
REVISED CONTRACT AMOUNT ...................................................................... $
ORIGINAL FUNDS AVAILABLE FOR CHANGE ORDERS ............................... $
REMAINING FUNDS AVAILABLE FOR THIS CHANGE ORDER ..................... $
ADDITIONAL FUNDING {IF NECESSARY) ....................................................... $
CHANGE ORDERS TO DA TE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT COST
MAX. ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
$
$
$
$
$
$
$
$
$
ITEM DESCRIPTION -ADDITIONS DEPARTMENT QTY UNIT
1.I CONCRETE BRIDGE DECK REPAIR CLASS 1 IT/PW I 880.oo I SF I $
2 . ICONCRETE BRIDGE DECK REPAIR CLASS 2 IT/PW I 450 .00 I SF 1 $
IN ACCORDANCE WITH THIS CHANGE ORDER THE CONTRACTOR SHALL:
D.O.E . N2
6317
CITY SEC N2
39374
T/PW TOTALS
$ 252,621.00 $ 252,621.00
$ $
$ $
$ 252,621.00 $ 252,621.00
$ 24,450.00 $ 24,450.00
$ 277,071.00 $ 277,071 .00
$
$
$ 24,450.00 24,450.00
% 9.68
$ 315,776.25
UNIT COST TOTAL
15.00 $ 13 ,200 .00
25 .00 $ 11 ,250 .00
$ -
$ -
T/PW $ 24,450 .00
SUBTOTAL A $ 24 ,450.00
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and re~nts. Payment in full (both time nd money) for all costs arising out of, or incidental lo, the above Change
Order.
CONTRACTOR·S NAME:
RESTEK , INC.
ORIGINAL CONTRACT TIME
APPROVED DISAPPROVED
-lo
OTHER
OFFICIAL RECOR
CITYSECRE A
FT. WORTH, TX