HomeMy WebLinkAboutContract 39379-CO1-.!l'"(-·v
' I
CITY OF FORT WORTH
CHANGE ORDER REQUEST
C213-20N20135183
PAVING IMPROVEMENTS FOR SOUTH ADAMS ST. BETWEEN MAGNOLIA AND W. ROSEDALE .
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) ....................................................... $
WATER
CHANGE ORDERS TO DATE (INCLUDING THIS ONE) AS" OF ORIGINAL CONTRACT COST
IIAX. ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25")
DEP ENT
T/PN
T/PN
$
$
$
$
$
$
$
$
$
CITY SECRETARY
CONTRACT NO. 31319-LJ:> I
SEWER
$
$
$
$
$
$
$ s
$
39379
T/PW
125,697.00 $
$
$
125,697.00 $
5,650.00 $
131,347.00 $
6,284.85
8,284.85
UNITC T
3,600.00 S
300.00
%
$
TOTALS
125,697.00
125,897.00
5,650.00
131,347.00
4.41
157,121.25
T T
3,600.00
2,700.00
WATER $
SEWER~$..------~
TI PW $ 6,300.00
SUBTOTAL A~$,._...-__,.6 .... ,300..,..,....00,,.,-.1
T T
500.00
150.00
650.00
650.00
IN ACCORDANCE WITH THIS CHANGE ORDER THE CONTRACTOR SHALL:
TOTAL (SUB-TOTAL A -SUB-TOTAL B)._! $,;__ __ s.:,.,650_.oo__.l
1t 1s .-n1~thll llle.....,,...,.ol-Cha!VO<lnlorbJllle--a,......int_n1_.....p.,._1n 1u11(bolllt1menl"°"')farll.-..... oula1,or-to,llle-Clla,ge
<lnlor.
COlllMCTOll'S -CONTitM:TOII (-n:
Allf!NCAN SAFETY CAIUALTY INSURANCE CO. ~. c~ ,~
--
0 fl IAL RECORD
CITY ECRETARY
tWORTH, TX I NO M&C REQUIRED
06-17-10 Po2 :1a IN
-,
DATE: 05/17/2010
TRANSPORTATION AND PUBLIC WORKS
CHANGE ORDER JUSTIFICATION RECORD AND PROJECT SUMMARY SHEET
PROJECT NAME: PAVING IMPROVEMENTS FOR SOUTH ADAMS ST. BETWEEN MAGNOLIA AND W . ROSEDALE
CHANGE ORDER NII : 1 D.O .E. NII : 5238 CLIENT PROJECT NII : C293-~20135183
/
INSPECTOR: LESLIE BAGBY PHONE NI!: (817) 392-8306 CITY SECRET ARY NI!: 39379
PROJECT MANAGER: DEBBIE WILLHELM PHONE NII: (817) 392-2481
COMBINED WATER SEWER I1.fW
ORIGINAL CONTRACT AMOUNT $ 125,697.00 $ $ $ 125,697.00
EXTRAS TO DATE $ $ $ $
CREDITS TO DATE $ $ $ $
ORIGINAL AMOUNT TO DATE $ 125,697.00 $ $ $ 125,697.00
AMOUNT OF PROPOSED CHANGE ORDER $ 5,650.00 $ $ $ 5,650.00
REVISED CONTRACT AMOUNT $ 131 ,347.00 $ $ $ 131 ,347.00
ORIG. CONTINGENCY FUNDS AVAILABLE
FOR CHANGE ORDERS $ 6 ,284.85 $ $ $ 6 ,284.85
REMAINING FUNDS AVAILABLE
FOR THIS CHANGE ORDER $ 6 ,284.85 $ $ $ 6 ,284.85
ADDITIONAL FUNDING (IF NECESSARY) $ $ $ $
REASON(S) FOR CHANGE ORDER:
This project is being Constructed under a takeover agreement between American Casualty Insurance Company and the City
of Fort Worth.
During Excavation, the completion contractor noted that various Public Improvements within Adams St. ROW for adjacent
development had not been performed as planned. So as to not delay the paving construction , the work for fireline installation
and water service abandonments were added to the scope of this project.
Date
Date
06-17-10
OFFICIA L RECORD
CITY SECRETARY
FT. WORTH , TX
Po 2:1a IN