HomeMy WebLinkAboutContract 40126-R2CO1 (2),~ FORT WORTH ,,., -.. . City of Fort Worth
Change Order Request
Project Name! Condition Assessment Program Contract 2: Large Diam . SS Cleaning
Project No.(s)! PE45-539120-0707001 DOE No . .-, --N/_A _ _,
City Sec No . 40126-R2 .__ _____ ___,
City Proj. No. I.__N_IA _____ __,
Project Description : The Interceptor Condition Assessment Program (ICAP) Contract 2 includes the cleaning of large diameter sanitary sewers
as identified by ICAP Contract1.-
Contractor : I Ace Pipe Cleaning , Inc .
City Project Mgr.! Roberto C. Sauceda
Phone Number : I 817-392-2387
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
!Amount of Proposed Change Order
Revised Contract Amount
Original Funds Available for Change Orders
Remain ing Funds Ava ilable for this CO
Addit ional Funding (if necessary)
Sewer
$305 ,308 .00
$305,308.00
$40,164.00
$345 ,472.00
$40 ,1 64 .00
Change Order : I Date :
City Inspector : I Darrell Gadberry
Phone Number : I 817-999-7907
Totals
$305,308.00
$305,308.00
$40,164.00
$345,472 .00
$40,164.00
10/31/2013
Contract Time
(Calender days)
365
365
365
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
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 Orde r.
Contracto~Com an Name Con actor Name Contractor Si nature Date
Ace Pipe Clean ing , Inc . Bruce Jameson
M&C Numbe r N/A M&C Date Approved e'E tEIV j: D
FORT WORTH
-r--, •
City of Fort Worth
Change Order Additions
Project Name I Condition Assessment Program Contract 2: Large Diam . SS Clean ing
Project No .(s) I PE45-539120 -0707001
City Sec No. 40126-R2
DOE No .j N/A City Proj. No . N/A .__ ___ __,
Project
Descr iption
The Interceptor Condition Assessment Program (ICAP) Contract 2 inclu des the cleaning of large diameter san it ary sewers
as identified by ICAP Contract'l-
Contractor Ace Pipe Cleaning , Inc . l Change Orde r: QJ Date : l 10/31/2013
City Project Mgr. Roberto C. Sauceda City In spector Darrell Gadberry
ADDITIONS
IICM Ul:~l.."1r-I 1ui-. DEPT Qty Unit Unit Cost Total
33 Additional Pipe cleaning SEWER 1.00 LS $40 ,164.00 $40 ,164.00
Sewer $40 ,164 .00
Page 2 of 4 Additions Sub Total $40 ,164.00
F p RT WORTH City of Fort Worth
W • Change Order Deletions
Project Name I Cond ition Assessment Program Contract 2: Large Diam . SS Cleaning
Project No.(s) I PE45-539120-0707001 DOE No . N/A
City Se c No .
City Proj. No .
40126-R2
N/A
Project Description The Interceptor Condition Assessment Program (ICAP) Contract 2 includes the cleaning of large diamete r sanitary
sewers as identified b ICAP Contract 1
Contractor Ace Pipe Clean ing , Inc . Change Order : [I] Date I 10/31 /2013
City Project Mgr . Roberto C. Sauceda City Inspector I Darrell Gadberry
DELETIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
Sewer
Page 3 of 4 Deletions Sub Total
I
I
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
Page 4 of 4