HomeMy WebLinkAboutContract 39522-CO4,;
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CITY SECRETARY
CONTRACT NO . J'15& 1.-U, '-J FORT WORTH . City of Fort Worth
~ Change Order Request
Project Name! 2007 Critical CIP District 8 C. 0 8 Gcoy.p A 1)06 1:,0 tz8 City Sec # 39522
Client Project#(s~ P253-6081700923, P258-7081700923, C29fr2084000923
Project Description Water, Sewer, Paving & Drainage improvments for Boston, Chicago, Clairernon~ Chelsea, Lynnhaven, Junius & Norma
Contractor! Staible & Winn Inc.
City Project Mgr . ._! _Kh_a_l_Ja_a_fa_ri __________ ....,
Original Contract Amount
Extras to Date
Credits to Date
Dept.
Pending Change Orders (in M&C Process)
Contract Cost to Date
Revi
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
Water Sewer
665,197.00
$47,192.00
Ch.-ige Order#
City Inspector
T/PW
'
4 Date 2/10/2011
John Crowley
Contract Time
CD
375
39
414
63
4n
L RE 'ORD
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment
in fuH (both time and money) for all costs arising out of, or incidental to, the above Change Order.
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PROJECT NAME:
Limits :
BuySpeed No (f/PW):
BuySpeed No (Water):
City project No:
Contract No:
D.0 .E . No:
Attachment to Change Order No:
Today's Date :
Original Contract Amount:
Extras to Date :
Credits to Date:
Contract Amount to Date :
PROJECT SUMMARY SHEET
(Change Order Attachment)
2007 CO's District 8 Neighborhood Streets Group A
Boston, Chicago, Clairemont, Lynnhaven
P0-10-00059459
P0-10-00059436
00923
CS39522
6068
4
3/22/11
TOTAL
$ 2,285,525.54 $ 1,362 ,422.54 $665,197.00 $257,906 .00
$ 106,718.75 $ 4,916.00 $ 47,192 .00 $ 54,610.75
$ $ $ $
Amount of Proposed Change Order:
$ 2,392,244.29 $ 1,367,338.54 $712,389.00 $312,516.75
$ 12,481.00 $ 1,500.00 $ 2,700.00 $ 8,281.00
$ 2,404,725.29 $ 1,368,838.54 $715,089 .00 $320,797.75 Revised Contract Amount:
Contingency Funds Avail. for Admin . Change Orders: $
$
$
78,768.30 $
35,957.00 $
(10,981.00) $
40,873 .00 $ 25,000.00 $ 12,895.30
Remaining Funds Available for Change Orders: 35,957.00 $ $
Additional Funding (if necessary): $ (2,700.00) $ (8,281.00)
Prepared By: Karen Striker T/PW Business Support
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2007 Critical CIP District 8
City of Fort Worth
Change Order Additions
P253-6081700923, P258-7081700923, C295-2084000923
City Sec#
Water , Sewer, Paving & Drainage improvments for Boston, Chicago, Clairemont, Chelsea, Lynnhaven, Junius & Norma
Staible & Winn Inc.
Khal Jaafari
-'!:~'-'"Ir I IUN
11 men I ap, .:>aaaie , ~ & t-1mngs ror , • service
ttet0Ca1e water ~l'VIC8S
14 1ncn ~nnary ~wer 1 ap
2 Inch Temp HMAC Kepairs
'"'erm HMAC pavement repair
, xuu I r ramc l.,()ntrot um ror Lancaster
ADDITIONS
water
water
:sewer
:sewer
1:sewer
1/t'VV
Change Order # I 4 I
City Inspector I John Crowley
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Change Order Additions Page 1 of 1
Date 2/10/2011
Unit unnv0st
t:A ~fUU.U\.
EA ~JOO .I.I\.
EA $500 .UIJ
LF ~H.UIJ
LF ~JO.UIJ
U:i $1,0UU.U\.
water
Sewer
T/PW
Sub Total Additions
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39522
IOtal
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$8,281 .00
$1,500.00
~14!,481.UU
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City of Fort Worth
Change Order Deletions
0 .,, Project Name
Client Project #
2007 Critical CIP District 8 City Sec# 39522 :=;;:;;::;::;;:;:::;:;:;::;;:;;;:::;;;;:::;;;:::;:~::;::::;:;::;;::;;:;::_::;::;:;:;;:;::=================-----.:__---=:::::::::::;
P253-6081700923 , P258-7081700923 , C295-2084000923
.,, -n -)> p . ject Description Water, Sewer, Paving & Drainage improvments for Boston, Chicago , Clairemont, Chelsea , Lynnhaven , Junius & Norma r-co = m n
0 = C
llt:M
Contractor Staible & Winn Inc.
....
"" 1ty Project Mgr. Khal Jaafari .__ _____________ ___,
Change Order # l 4 I
City Inspector l John Crowley
DELETIONS
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Change Order Deletions Page 1 of 1
Date 2/10/2011
Unit Unit l,;OSt
Water
Sewer
T/PW
SUD T Otal Deletions
IOtal
.' I)
~o .oc
$0.00
$0.00
.......
CO# :
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Total
Amount for this CO 1 •
Total
$0.00 .
PROJECT NAME :
Original Contract Amount:
Extras to Date :
Credits to Date:
PROJECT SUMMARY SHEET
(Change Order Attachment)
2007 CO's CD# 8 Neighborhood Streets Group A
Boston, Chicago, Clairemont, Lynnhaven
P0-10-00059459
P0-10-00059436
00923
CS39522
6068
4
3n111
TOTAL
$ 2,285,525.54
$ 106,718.75
$
IJEJi.
$ 1,362 ,422 .54 $
$ 4,916 .00 $
$ $
~ Sewer
665 ,197 .00 $ 257 ,906 .00
47,192 .00 $ 54,610 .75
$
Contract Amount to Date :
Amount of Proposed Change Order:
Revised Contract Amount:
$ 2,392,244.29 $ 1,367 ,338.54 $ 712,389 .00 $ 312,516.75
$ 12,481.00 $ 1,500 .00 $ 2,700 .00 $ 8,281 .00
$ 2,404,725.29 $ 1,368,838 .54 $ 715,089.00 $ 320,797 .75
Contingency Funds Avail. for Admin . Change Orders:
Remaining Funds Available for Change Orders:
Additional Funding (if necessary):
$
$
$
78,768.30 $
35,957.00 $
(10,981.00) $
40 ,873 .00 $
35 ,957 .00 $
$
Prepared By : Christy Ezernack T /PW Construction Services
25 ,000 .00 $ 12,895.30
$
(2,700 .00) $ (8,281.00)