HomeMy WebLinkAboutContract 39980-CO3. ' -.
City of Fort Worth
Change Order Request
CITY SECRETARY o.oqro-103 CONTRACT NO. ---1., 'J.J-LT_~ .... ~---
Project Name! TASK ORDER STREET LIGHT CONSTRUCTION CONTRACT
Client Project #(s)! TPW-TS-2009-002
Project Description Street light installation and repair at various locations city-wide
Change Order # 3
City Sec # 39980
Date 4/19/2012 Contractor! C&S Utility Contractors Inc.
City Project Mgr.! Leticia Rodriguez
:=:==:::::::_ ___ .:=::======:
City Inspector Darryl Ruffin
Dept. TPW Water Sewer
Original Contract Amount $600,000 .00
Extras to Date $64,490.00
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $664,490.00
!Amount of Proposed Change Order $11,000.00 $0.00 $0.00
Revised Contract Amount $675 ,490 .00
Original Funds Available for Change Orders
Rema ining Funds Available for this CO $0 .00
Addit ional Funding (if necessary) $11 ,000.00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Totals Select Day Type
$600 ,000 .00
$64,490.00
$664,490 .00
$11,000.00
$675,490 .00
$0.00
$11,000.00
12 .58%
$750,000.00
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
It is understood and agreed that the acceptance of this Change Order by the contrac tor constitutes an accord and sa tisfaction and represents payment
in fu ll (both time and money) for all costs arising out of , or incidental to, the above Change Order.
04-27-12 AOS:07 IN
Project Name
Client Project#
City of Fort Worth
Change Order Additions
TASK ORDER STREET LIGHT CONSTRUCTION CONTRACT
TPW-TS-2009-002
Project Description Street light installation and repair at various locations city-wide
Contractor C&S Utility Contractors Inc.
City Sec# 39980
Change Order# 3 Date 4/19 /2012
City Project Mgr. Leticia Rodriguez City Inspector Darryl Ruffin '---"-----------'
ADDITION~
11 t:M Ut:SL;Kll-"IIUN Uti"'I Uty Unit Unit L;OS! IOtal
50 <.;ore LJnll ~treet to txpose tx1st1ng urnmes lt'VV :.w.uu tA ;)>OOU .UL :i,11 ,uuu .uu
.. Change Order Add1t1ons Page 2 of 6
·,
.,
TPW $11 ,000.0
Water $0 .0
Sewer $0 .01
::iub I otal Add1t1ons :i;11 ,uuu.u1
Change Order Additions Page 3 of 6
FORT WORTH -, City of Fort Worth
Change Order Deletions
Project Name ! TASK ORDER STREET LIGHT CONSTRUCTION CONTRACT
Client Project# I TPW-TS-2009-002
Project Description Street light installation and repair at various locations city -wide
Contractor I C&S Utility Contractors Inc .
City Project Mgr. I Leticia Rodriguez
11 t:M -·=~ .. )·{It" I IUN
DELETION~
Change Order# I 3
City Inspector I Darryl Ruffin
Ut:.t"I Uty
Change Order Deletions Page 4 of 6
.,
City Sec# I 39980
•'
Date I 4/19/2012
Unit Unit GOSt 1 otal
•'
TPW $0 .0
Water $0.0
Sewer $0 .0
Sub Total Deletions
Change Order Deletions Page 5 of 6
:, .., &
4. ... f ...
. -~ ,.
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
1 2/23/2011 $58,040 .00
2 2/20/2012 $6,450.00
Total $64,490.00