HomeMy WebLinkAboutContract 40539-CO2Project Name! Harley Ave
crient Project#(st #01468 (W&S)-#00143(TPW)
City of Fort Worth
Change Order Request
CITY SECRETARY
CONTRACTNO. 4-053S-lo;)..
City Sec# 40539 _____ ___,
Project~ Paving, Drainage, Water, Sewer (DOE 5380)
ContractDr! S.J.Louis Change Order# 2 Dal& 12/21/2010
City Project Mgr.l'-1 _Leon_Wi_,_isoo _________ __, City Inspector Cartos Vasquez
Original Contract Amount
ExtraslDDal8.
Credits to Dal8.
Pendilg Change Orders (in M&C Process)
Contract Cost ID Date
evised
Original Funds Available b Change Orders
Rernaning Funds Available for this co
Additional Funding (if necessary)
TPW Water
CHANGE ORDERS· tu DATE (INCLUDING THIS ONEJ' AS" OF ORIGINAi. CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL . CONTRACT COST+ ffl''
Totale
'~,, ~i j .' {
1' i l '" , I
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The size mid location of the fire line service was based on coordination_ with the design consullalt for the proposed Multipurpose E
the 4" water line and valve were constructed, at Burnett Tandy Dr sta 3+57.05, the size of the water line-and valve was · d!!l!.11"'
. determined that a s~ water line was necessary for adequate fire protection.
I NO M&C REQUIRED I
It is understood and agreed that the accepta,ce of this Change Order by the contrador constitutes "' accord and satisfaction and represents payment
in ful (both tine and money) for al cosls arising out of, or incidental ttr, the above Change Order.
0 1-2 ·1-1 1 P04 :5 1 I N
City of Fort Worth
Change Order Additions
Project Name Harley Ave City Sec# 40539
Client Project# _#01468( _W&S).-#00143(.TPW)_ .
no. Description Paving, Drainage, Water, Sewer (DOE 5380) ;!I~~ . n
I I I ~ (I) -Contractor S.J.Louis I Change Order # 2 Date 12/21/2010 o m J:-
:::IQ n r:.ty ?roject Mgr. Leon Wilson I City Inspector I Carlos V~uez -t ;IJ I :c m m -~ n ADD1TION5 -t ,,. l"ll
,....... IU M ~ -·=::·_~::-'I IUN Ut:l"I Qty Unit Unit vOSt lOtal
--1,ange ,.,re une lfOOl 4· w tr vvater 1.00 L::S J4,tsts/ ·"" J4,tsts/ .Oll
IIW $0.00
Water $4,887 .50
Sewer $0.00
SUb I ota1 Aaamons ~.tstst .Oll
Change Order Additions Page 2 of 4
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Project Name Harley Ave
no Client Project # #01468 {W&S}: #00143(TPW) --n -t -n
City of Fort Worth
Change Order Deletions
City Sec# 40539
-<a .
111,l Description Paving , Drainage, Water, Sewer (DOE 5380) en jJt "'l ~ ,-
::a ::a Contractor S.J.Louis I Change Order# mm I 2 I Date I 12/21/2010
~ n Ci I I Carlos Vasquez :I> 0 ~ Project Mgr. Leon Wilson City Inspector
~~ DELETION5
IICM -'=::·_:~::--1 IUN Uct"I Uty unit unn \,,Oil lOtal
11 'VV
Water
Sewer
SUb Total Deletions
Change Order Deletions Page 3 of 4
$0.UU
$0.00
$0.00
, MWBESub .
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Total
QATE ·
' '· Amount for thl& CO ,
'$0.~
-... . . •
PROJECT NAME:
BuySpeed No ('f /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)
Harley Street Relocation
Pending
Pending
01468 (W&S) & 00143 {TPW)
CS40539
5380
2
12/23/2010 (Draft)
TOTAL I1J:Y:J.
$ 4,695,805.66 $ 2,065,071.46
$ 32.473.25 $ 814 .02
$ $
Water Sewer
$ 1,375,302.70 $1,255,431.50
$ 29,065.36 $ 2,593 .87
$ $
$ 4,728,278.91 $ 2,065,885.48 $ 1,404,368.06 $1,258,025.37
Amount of Proposed Change Order: $ 4,887.50 $ $ 4,887.50 $
Revised Contract Amount: $ 4,733,166.41 $ 2,065,885.48 $ 1,409,255.56 $1,258,025.37
Contingency Funds Avail. for Admin. Change Orders: $
$
$
152,200.00 $
119,726.75 $
$
72,200 .00 $
71,385 .98 $
$
42,000.00 $ 38 ,000.00
Remaining Funds Available for Change Orders : 12,934.64 $ 35,406.13
Additional Funding (if necessary): $
Prepared By: Christy Ezernack T/PW Construction Services
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(Pending M & CJ