HomeMy WebLinkAboutContract 39651-CO1_,._,...
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CITY OF FORT WORTH
CHANGE ORDER REQUEST
CITY SECRETARY
CONTRACT NO. ,3S\q 5 l-C,0 \
02020·
BRIDGE REPAIR AND REPAINTING AT SEVEN LOCATIONS' CONTRA.CT 2009-21
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) ....................................................... $
T/PW
314,924.20 $
$
314,924.20
$
$
17,700.00 $
332,824.20 $
$
$
17,700.00 $
CHANGE ORDERS TO DATE (INCLUDING THI$ ONE) AS" OF O,,RIGINAI.. CONTRACT CO$'l
MAX. ALLOWABLE CONTRACT AIIOUNT (ORIGINAL CONTRACT COST'+ 2M'f · ; .·
IN ACCORDANCE WITH THIS CHANGE ORDER THE CONTRACTOR SHALL:
$ • $
$
$
$
$
$
$
3Nl1 .
TOTALS
$ 314,924.20
$
$
$ 314,924.20
$ 17,700.00
'4iil
"' ua . $ 393,851.21,'
T T
15,200.00
2 ,500.00
17,700.00
17,700.00
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CON11tACTOll"I -CON1IIAC'TOII CPRWT): DATE:
GIBSON & ASSOCIATES, INC. W"J.1..1..n..-J. G,~ <i / \a \0
90CD
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OFFICIAL RECORD
CITY SECRETARY
fl. WORTH, TX
4CD ,
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CITY SECRETARY
CONTRACT NO. 3l(,SJ-lfi+Ts;.. 0112e 12010
TRANSPORTATION AND PUBLIC WORKS
CHANGE ORDER JUSTIFICATION RECORD AND PROJECT SUMMARY SHEET
PROJECT NAME: BRIDGE REPAIR AND REPAINTING AT SEVEN LOCATIONS CONTRACT 2009-21
CHANGE ORDER N2 : 1 D.O .E. N2 : 6350 CLIENT PROJECT N2 : 02020
INSPECTOR: ALI MOTAMED PHONE N2: (817) 994-1174 CITY SECRETARY N2: 39651
PROJECT MANAGER: TARIQUL ISLAM PHONE N2: (817) 392-2486
COMBINED T/PW
ORIGINAL CONTRACT AMOUNT $ 314,924.20 $ 314,924.20 $ $
EXTRAS TO DA TE $ $ $ $
CREDITS TO DA TE $ $ $ $
ORIGINAL AMOUNT TO DATE $ 314,924.20 $ 314,924.20 $ $
AMOUNT OF PROPOSED CHANGE ORDER $ 17,700.00 $ 17,700.00 $ $
REVISED CONTRACT AMOUNT $ 332,624.20 $ 332,624.20 $ $
ORIG. CONTINGENCY FUNDS AVAILABLE
FOR CHANGE ORDERS $ $ $ $
REMAINING FUNDS AVAILABLE
FOR THIS CHANGE ORDER $ $ $ $
ADDITIONAL FUNDING (IF NECESSARY) $ 17,700.00 $ 17,700.00 $ $
REASON(S) FOR CHANGE ORDER:
"A vehicular accident caused damage to the steel hand rail and deck on Felix Street Bridge. In order to make the Bridge
safe per request of street services department this repair had to be made. Street services department also made a request
to t a light pole base repair on White Settlement Street Bridge. The· pay items in this change order are to compensate for
these repairs . Staff concurs with the contractor's request for an additional 4 days to be added to the contract"
Inspector
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX