HomeMy WebLinkAboutContract 39525FORJ WORTH .. City of Fort Worth
Change Order Request
CITY SECRETARY
CONTRACT NO. 3 q ~'$-CO .s..
~
Project Namel Sidewalk Infrastructure Project CDBG Contract 2009 Phase I
Client Project#(s)I GR76 541600 017206377020 PPe ~l/56
City Sec # 39525 ------~
Project Description Miscellaneous Sidewalk Contract -Locations Various
Contractor! AUi Contractors , Inc Change Order# 2 Date 3/12/2012
City Project Mgr. I Riad Nusrallah City Inspector Adilda Cazorla
Dept. TPW Water Sewer
Original Contract Amount $689 ,379 .00
Extras to Date $44 ,309 .67
Credits to Date $0 .00
Pending Change Orders (in M&C Process) $0 .00
Contract Cost to Date $733 ,688 .67
IAmount of Proposed Change Order $6,765.00 ~.00 $0.00
Revised Contract Amount $740,453 .67
Original Funds Available for Change Orders
Remaining Funds Availab le for th is CO $0 .00
Addit ional Funding (if necessary) $6,765.00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Increase quantities for completion of contract to the limits specified.
Totals
$689 ,379 .00
$44 ,309.67
$733 ,688 .67
$6,765.00
$740,453 .67
$0 .00
$6 ,765 .00
7.41%
$861,723 .75
Select Day Type
200
OCD
OCD
200
160
360
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.
M&C Number IJ
' I "
'
FORT WORTH --......--City of Fort Worth
Change Order Additions
Project Name Sidewalk Infrastructure Project CDBG Contract 2009 Phase I
Client Project# GR76 541600 017206377020
Project Description Miscellaneous Sidewalk Contract -Locations Various
Contractor AUi Contractors , Inc Change Order # 2
City Project Mgr. Riad Nusrallah City Inspector Adilda Cazorla
ADDITIONS
11tM -'!::::i ... "\1r I JUN Ut:I"' I Uty Unit
lj "L :Lf {.;oncrete tor tsase r<epa1r JJ-'W oo .uu 1.,y
Change Order Additions Page 2 of 6
City Sec# 39525
Date 3/12/2012
unit {.;Ost IOtal
~l'L.j .UU ~o,/oo.uu
TPW $6 ,765.00
Water $0.00
Sewer $0 .00
Sub Tota Add1t1ons :t,0,/1:ib .UU
Change Order Additions Page 3 of 6
FORT WORTH ----,----City of Fort Worth
Change Order Deletions
Project Name Sidewalk Infrastructure Project CDBG Contract 2009 Phase I
Client Project# GR76 541600 017206377020
Project Description Miscellaneous Sidewalk Contract -Locations Various
Contractor AUi Contractors , Inc Change Order# 2
City Project Mgr. Riad Nusrallah .__ ______________ __, City Inspector Adilda Cazorla
DELETIONS
lltM Ut::i{.;Klt' I !UN Ul:.t-'I Qty Unit
Change Order Deletions Page 4 of 6
City Sec# 39525
Date 3/12/2012
Unit {.;OSI 101a1
TPW $0.00
Water $0.00
Sewer $0 .00
:Sub I otal ue1etions
Change Order Deletions Page 5 of 6
M/WBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
PROJECT NAME:
BuySpeed No (T/PW):
City Project No :
Contract No :
D.O .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)
Sidewalk Infrastructure Project CDBG Contract 2009 Phase I
P0-11-00066114
GR76-017206377020
CS39525
N/A
2
3/14/12
TOTAL
$ 689,379.00
$ 44,309.67
$
$ 733,688.67
Amount of Proposed Change Order: $ 6,765.00
Revised Contract Amount:
Contingency Funds Avail. for Admin . Change Orders :
Remaining Funds Available for Change Orders :
Additional Funding (if necessary):
$ 740,453.67
$
$
$ (6,765.00)
Prepared By : Christy Ezernack T/PW Construction Services