HomeMy WebLinkAboutContract 40443-CO1;;;
,~ J ,~,~ ~~ ..
FORT WORTH .
~
City of Fort Worth
Change Order Request
Project Name! Dirks Road/Alta Mesa, Bryant Irving Road to Grandbury ..
Client Project #(s~ C295-541200-203230076883 (DOE 6129)
CITY SECRETARY LJ.a.w.3 C.0 l CONTRACT NO. ... _
City Sec # 40443 ______ _,
D~;:, :::===================::::-------;:====:----:====::::::::! Contractor! Jackson Construction , Ltd .
City Project Mgr.! ... _L_eo_n_W_ilson __________ __,
Original Contract Amount
Extras to Date
Credits to Date
Dept.
Pending Change Orders (in M&C Process)
Contract Cost to Date
T/PW
Change Order# Date
City lnspeclDr Martina Salinas
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS" OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%}
11/29/2010
Contract Time
CD
400
400
0
400
' ,. ' ' t ' '
~ , ~ . '\ .~ '
It is understood and agreed that the acceptance of this Change Order by the contractor con ·
payment in fuM (boCh tine and money) for al costs arising out of, or incidental to, the above C
., .
:!!
::ii:
"I' -~
fmnWORTH -. City of Fort Worth
Change Order Additions
Project Name Dirks Road/Alta Mesa , Bryant Irving Road to Grandbury
Client Project# l C295-541200-203230076883 (DOE 6129)
Project Description
City Sec# 40443
Contractor Jackson Construction, Ltd . Change Order# 1 Date 11/29/2010
City Project Mgr. Leon Wilson ...._ ____________ _ City Inspector Martina Salinas
ADDITIONS
IICM ·-':'... ... I IUN UCl"I YlY un1t Unit \.iOSt lOtal
20-New Drainage-Revised Rock Backfill to Spnng Lme Tlt1W 1.UU LS $14 ,412 .71 $14 ,412 .71
--
:..; -ii
-< ~
en ~ n ,..
;.: ~
~g
::a ,,ii ........ T/ 1W $14,412 .71
SUI> T Otal AClclluo ns $14,412.71
Change Order Add itions Page 2 of 4
: . '\
City of Fort Worth
Change Order Deletions
Project Name :::::;D::;:irks::::::=R=oa=d/=Al=ta=M=e=sa=, =Bry=a=n=t l=rvi::::ng~R=oa=d=t=o =Gr=an=d=bu=ry=========================~-Ci..:.ty_S_ec_#-====4::::;-0443
Client Project# _C_295-_54_1_200-_2_03_23_00_7_688_3_(D0_E_6_12_.9) _______________________ __.
Project Description
Contractor Jackson Construction, Ltd. Change Order# 1 Date 11/29/2010
City Project Mgr. Leon Wilson ...__ _____________ __, City Inspector I Martina Salinas
DELETIONS
IICM UC;)l,l'(lt" I IUN UCt"I Yl}' Unit unit 1.,0St IOtal
--
"Tl ' -:: "Tl . . ' < =
;::.: ~ ;:
~j I') .-
::c " iii
... I .~
-,, ::a -< 0
Tl~W
SUD Total ue,euons
Change Order Deletions Page 3 of 4
.,
I
.....
~U .00
•
I
.,, .. .-• r ........ , ..
· MWBESub
Total
Total
Amount for this CO
OFFICIAL RECORD
CITY SECRETARY
FT. WOP"'~ .l"\
~.
~ ..
PROJECT SUMMARY SHEET
(Change Order Attachment)
PROJECT NAME: Dirks Rd-Alta Mesa ------~--------8 u y Speed No:
Contract No : CS40443
D.O.E. No: 6129 ------Attachment to Change Order No: 1 ------Today's Date: 12/14110
Original Contract Amount:
Extras to Date:
Credits to Date:
Contract Amount to Date:
Amount of Proposed Change Order:
Revised Contract Amount:
Contingency Funds Avail. for Admin. Change Orders:
Remaining Funds Available for Change Orders:
Additional Funding (if necessary):
TOTAL
$ 3,041,761.10
$
$
$ 3,041,761.10
$ 14,412.71
$ 3,056, 173.81
$ 152,000.00
$ 152,000.00
$
Prepared By: Christy Ezernack T/PW Mgmt Svs.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH TX , I