HomeMy WebLinkAboutContract 40126-R1CO1· FORT WORTH City of Fort Worth crrvSECRETARVJJ O(Zlo-lC)CQI
• Change Order Request CONTRACT NO. -:l..L.:.~~---
Project Name! Condition Assessment Program Contract 2: Large Diam. SS Cleaning I City Sec No . j 40126-R1 ========::: Project No.(s)j PE45-539120-0707001 DOE No. ! N/A I City Proj . No .! .... _N_IA _____ ~
The Interceptor Condition Assessment Program (ICAP) Contract 2 includes the cleaning of large diameter sanitary sewers Project Description : as identified by ICAP Contract 2, First Renewal
Contractor: j Ace Pipe Cleaning , Inc .
City Project Mgr.j Roberto C. Sauceda
Phone Number:! 817-392-2387
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
1Amount of Proposed Change Order
Rev ised Contract Amount
Original Funds Available for Change Orders
Rema ining Funds Avai lable for this CO
Additional Funding (if necessary)
Sewer
$308 ,000 .00
$308,000.00
$24,330.50
~2.;,;,u.50
$24,330.50
Change Order : j Date :
City Inspecto r: j Darrell Gadberry
Phone Numbe r:! 817-999-7907
Totals
~.uuu.uu
$308,000.00
124,330.:IU
~i.3;,u.50
$24,330.50
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS% OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
The change order will provide for additional pipe cleaning that was necessary on the project.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
12/2/2013
Contract Time
(Calender days)
365
365
365
It is understood and agreed that the acceptance of th is 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.
RECEIVED DEC O 5 2013
\
---FORT WORTH • City of Fort Worth
Change Order Additions
Project Name Condition Assessment Program Contract 2: Large Diam . SS Cleaning City Sec No . 40126-R1
Project No .(s) PE45-539120-0707001 DOE No .! N/A City Proj. No. !..._N_IA __ __.
Project
Description
The Interceptor Condition Assessment Program (ICAP) Contract 2 includes the cleaning of large diameter sanitary sewers
as identified by ICAP Contract 2, First Renewal
Contractor Ace Pipe Cleaning , Inc .
City Project Mgr. Roberto C. Sauceda
AUUIIION~
IICM :.,. ___ ,.,. 'IIUN
33 Additional Pipe cleaning
Page 2 of 4
! Change Order: [TI Date:! 12/2/2013
City Inspector I Darrell Gadberry
Ut:.t'I YlV Unit Unit Cost Total
SEWER 1.00 LS $24,330.50 $24 ,330 .50
Sewer $24,330.50
Additions Sub Total $24,330.50
FORT WORTH • City of Fort Worth
Change Order Deletions
Project Name '""I -C-o-nd-iti-.o-n -As_se_ss_m-en-t-Pr-og-r-am-Co_n_tr_act_2:_L_ar-ge_D_i-am-.-S-S-C-le-an-in_g _____ _ City Sec No .
City Proj. No .
40126-R1
Project No.(s) I PE45-539120-0707001 DOE No . N/A
Project Description The Interceptor Condition Assessment Program (ICAP) Contract 2 includes the cleaning of large diameter sanitary
sewers as identified b ICAP Contract 2, First Renewal
Contractor Ace Pipe Cleaning , Inc.
City Project Mgr. Roberto C. Sauceda
Change Order: [D Date I
City Inspecto r I Darrell Gadberry
DELETIONS
12/2/2013
N/A
ITEM DESCRIPTION DEPT Qty Unit Unit Cost !Total
Sewer
Page 3 of 4 Deletions Sub Total
M/WBE Breakdown for this Change Order
MWBESub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
Page4 of 4