HomeMy WebLinkAboutContract 40153-CO1fORT;ORTH. Ci~ ofi Fort.Worth
Chang• Ordef Request
Cl1Y SECRETARY
CONTRACT NO. 4 DI $3 -CJ) I
Project Name:::! :::B:::rick=Pa:::v=em=en=t=R=ep=a=ir :::(2=009-:;::13::::) =For==Cam=p=Bowie=· =Blvd=· =·=· ==::::;;:::======~-C_:ity_Sec_#_.:=40=1=5=3 ========:'
Client Project #(s~::::::::C:::::29::3-=54=1200-===20=7640==1=40483======::::::~Plt==. 0=1:::40t====D0E==: 636==1====================:::!l
Project Descrip11 Brick Pavement Repair on Camp Bowie Blvd. (Hulen S\ -Montgomery St.) I
contractor!~ =c=.G=reen==Scapi===-~=eom===pan=y=,L=P=.========--~f -~Chan--ige-Order---#-;::l·=,==~---D-aa--l~-=1,1~2/20==1=1=!
City Project Mgr.! Kristian ~grim t City lnspectof i..l _Ali_·. Motaned_· ___ • ______ ....._ __ __,
Enter Department(s) to the Right and. . Tf'W . Contract Time
Contract Day Type CD
Original Contract Amount ai.----~~ ....... ~~...-----+--:ln'lmll""ft-t---.i.ii~150~
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
This chang& order i\foi time only. Due to the expanded area of work, the inflrllction. of Lancaster Ave. W. &r=U=ni=versi=· ~~~:...:..:.=:.:;
CD (Calendar Days) be added to this contract.
OFFICIAL REC9RD
CITY SECRETARY
FT. WORTH, X
Attested by:
U\~~ Marty Hendrix, ~-
It is understood and agreed that the acceptance of this Change Order by the contractor CX>nStitutes an accord and satisfaction and represents payment
in fuU (both time and money) for all costs arising out of, or incidental to, the aboY8 Change Order.
-
City of Fort V)lqrtll
Change Order Additions
Project Name Brick Pavement Repair (2009-13) Fo r Camp Bowie Blvd .
Client Project# C293-54120Q.207640140483 CPN : 01404 DOE : 6361
Project Description Brick Pavement Repair on Camp Bow ie Blvd . (Hulen St.. Montgomery St.)
Contractor C. Green Scaping Company, LP . Change Order #
City Sec# 40153
1 Date 1/12/2011
City Project Mgr . ...._Kri_·s_ti_an_Su_gn_·m __________ ___. City Inspector Ali Motamed --------------
ADDITIONS
llt::M !... ___ ,., I IUN Ut::t'I u.ty Unit Unit l.iOSt Total
-,.
"'! ::; .!
:.: -c; •
~ ;;; ti
~ ~ ::a ;r. mm ---------TPW ---------... J> 0
)C = ~ Sub Total Additions
Change Order Additions Page 1 of 1
-~
$0 .00
I
Project Name
Client Project #
City of Fort Worth
Change Order Deletions
Brick Pavement Repair (2009-13) For Camp Bowie Blvd .
C293-541200-207640140483 CPN : 01404 DOE : 6361
Project Description Brick Pavement Repair on Camp Bowie Blvd. (Hulen St. -Montgomery St.)
Contractor C. Green Scaping Company, LP .
City Sec# 40153
Change Order # 1 Date 1/12/2011
City Project Mgr . .__Kri_·s_ti_an_Su ___ gn_·m __________ __. City Inspector Ali Motamed L------------~
DELETIONS
11t:.M ___ ... IIUN Ut:I"' I ~l)' Unit Unit 1.,0S[ IOUII
--21 ::: ~ -...._ ::::
C, -· ii ::a ~ r--------TPW ;!-21 ::a ---------_ mm
-, ~ n ::xJD 1 ota1 ue1euons >c;:aO
-< ~ Change Order Deletions Page 1 of 1
$0 .00
M/WBE Breakdown for this Change Order
Total
Previous Change Orders
Total
OFFICIAL RECORp
CITY SECRETARY
FT. WORTH, TX
PROJECT NAME:
BuySpeed No (T/PW):
BuySpeed No (Water):
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)
Brick Pavement Repair 2009-13 for Camp Bowie Blvd.
CSC0-10-00060349
NIA
01404
CS40153
6381
1 C-24098 approved 02 -23-10
1/13/11
TOTAL
$ 234,000.00
$
$
$ 234,000.00
Amount of Proposed Change Order: TIME ONLY
Revised Contract Amount:
ontingency Funds Avail. for Admin . Change Orders:
emaining Funds Available for Change Orders :
dditional Funding (if necessary):
$ 234,000.00
$
$
$
Prepared By: Christy Ezernack. T/PW Construction Services
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