HomeMy WebLinkAboutContract 40273-CO2FORT WORTH . City of Fort Worth
Change Order Reques t
CITY SECRETARY'-\ O d-1 0 _ co.;;>. CONTRACl NO . ...J;..;:;..;;..~--
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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# 2
City Sec # 40273 ------~
Date 2/20/2012 Contractor! Mas T ec North America
City Project Mgr.I Leticia Rodriguez City Inspector Darry l Ruffin '---"-------------'
Dept. TPW Water Sewer
Original Contract Amount $500 ,000 .00
Extras to Date
Cred its to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $500 ,000 .00
I Am ount of Proposed Cha nge Ord er $5 ,000.00 w.oo $0 .00
Revised Contract Amount $505 ,000 .00
Original Funds Available for Change Orders
Remain ing Funds Available for this CO $0 .00
Addi ti ona l Funding (if necessary) $5,000.00
CHANGE ORDERS to DATE (I NCLUDING THI S ONE) AS % OF ORIG INAL CONTRA CT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT CO ST+ 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Totals Select Day Ty pe
$500 ,000.00
$500 ,000 .00
$5,000 .00
$505 ,000 .00
$0 .00
$5 ,000 .00
1.00%
$625 ,000 .00
In the existing contract , the contractor furnished and installed the fixture . The change order will only require the contracto r to install the fixture
because the City of Fort Worth will furnish fixture . The add ition of the 1-1 /2 " conduit is needed due to the smaller diameter of the pole base .
OFFICIAL RECORD
CITY SECRETARY
FT. WOR TH, TX
It is understood and agreed that the accepta nce of thi s Change Order by the contractor const itutes an accord and satisfaction and represents payment
in full (both time and money) for all costs ari sing ou t of, or inc idental to , the above Change Order.
Contractor's Company Name Contractor (Name) Date
Mas T ec North America
FORT WORTH -.. City of Fort Worth
Change Order Additions
Project Name TASK ORDER STREET LIGHT CONSTRUCTION CONTRACT
Client Project# TPW-TS-2009-002
Project Description Street light installation and repair at various locations city-wide
Contractor Mas T ec North America
City Sec# 40273
Change Order# 2 Date 2/20/2012
City Project Mgr. Leticia Rodriguez City Inspector .__D_a_rry __ l_R_uffi_n ________ _.
ADDITIONS
I lt:M U=':: .:1-(lt-' I IUN Ut:t" I l..llY unn Unit ~OS! IOtal
4/ street Llgnt r-1xrnre -Install item supplied by the City IPW lUU.UU t.A $50.UL $5 ,uuu.uu
48 (;ondu1t -Schedule 40 PVC 1 1/2 inch l:jore -Install ll"'W 1,ouu.uu Lt· ~lZ.UL ~l!:l ,UUU .UU
4!:l c.;ondu1t -Schedule 4U PVC 1 1/2 Inch Open cut -Install ll"'W 1,uuu.uu LF $3.Bt :j>j ,tl!SU.UU
Change Order Additions Page 2 of 6
TPW $26 ,880.00
Water $0 .00
Sewer $0 .00
Sub Total Add1t1ons ~26 ,880.UU
Change Order Additions Page 3 of 6
FORT WORTH -w City of Fort Worth
Change Order Deletions
Project Name TASK ORDER STREET LIGHT CONSTRUCTION CONTRACT
Client Project # TPW-TS-2009-002
City Sec# 40273
Project Description Street light installation and repair at various locations city-wide
Contractor Mas T ec North America
City Project Mgr. Leticia Rodr iguez
Change Order# ,............._:::::=.=:::.._ _ _...:======:
City Inspector .__D_a_rry._1 _R_uffi_in ________ _.
2 Date 2/20/2012
DELETIONS
lltM _':::,::;_~::-'I IUN Ut:t' I I.II)' Unit Unit (.;OSI IOtal
3 1.;onau11 -::icneau1e 4U r1v1,; L men t:iore -install I t'VV r:iu .uu Lt· :iil'L .Ul ;i,::i ,UUU .UU
4 <.;oncJu1t -!:>cnedule 4U 1-'VC 1 1/4 Inch Bore -Install 11-'VV r:iu .uu U· !li12 .Ul :i,~.uuu .uu
2 Conduit -::icneau1e 4U 1-'VG 1 114 men upen <.;ut -install I t'VV l ,UUU .UU Lt-$3.88 :jjj,l:Sl:SU.UU
Change Order Deletions Page 4 of 6
TPW $21 ,880 .00
Water $0 .00
Sewer $0.00
Sub I otal ue1et1ons :i;i1 ,oou .uu
Change Order Deletions Page 5 of 6
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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 2/23/20 11 $64 ,125 .34
Total $64,125.34
4 • t •
FORT WORTH .
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M&CNumber ~~-1
City of Fort Worth
Change Order Request
M&C Date Approved