HomeMy WebLinkAboutContract 40539-CO5, FORT WORTH. City of Fort Worth CITY SECRETARY. ~ ChangeOrderRequest CONTRACTNO.qOS3'J-C tu
Project Name .... ! _H_arle_y_A_ve-.----------------1 City Sec# L 40539
Client Project #(s~ #01468, 00143--DOE # 5380
Project Descriptioi Paving, Drainage, Water , and Sewer, Units 1 &2
Contractor! SJLouis
City Project Mgr.!._ _L_eon_Wi_llson __________ ___.
Dept
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
TPW Water
Change Order# 5 Date
City Inspector Carlos Vasquez
Sewer
6/7/2011
Contract Time
CD
340
73
30
443
10
453
CHANGE ORDERS to DATE (INCLUDING THIS ONE} AS% OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%}
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes oo accord and satisfaction and represents payment
in fuU (both time and money) for al costs arising out of, or incidental to, the above Change Order.
08-1?-11, Df'\A•'"''"°
I
•' •• ,I.
City of Fort Worth
Change Order Additions
Project Name Harley Ave . City Sec # 40539 =:::::::=:====================================:::::::..-:__~==:::::; Client Project# #01468, 00143-DOE # 5380
Project Desaiption Paving , Drainage, Water, and Sewer, Units 1&2
Sll/2011 Contractor SJLouis !:::=::::::::==================:;------' City Project Mgr. Leon Wilson ~..;..;_ ______________ ___.
Change Order # 5 Date
City Inspector I Carlos Vasquez
ADDITIONS
II t.M DESCRIP I IUN Ut.t' I '-,ll'f Unit Unit \.,OSl IOtal
unit 2 Pavmg & Drainage ~U.IJ\. ~u.w
26-INC _ .. _, 1nsta11 11-'W 1.:>U I.if $480 .IJ\. ~t.ru.UU
l>H~fW -·----t:XISlting T X 3' i:,ox Culvert 11-'W 1.00 LS $24,Jt>U.IJ\. ~t4,JOU.IJ\.J
ll'W l:l::>,UUU .UIJ
Water $0 .00
Sewer $0.00
SUb l Otal Additions J:l::>,UUU .00
Change Order Additions Page 1 of 1
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City of Fort Worth
Change Order Deletions
Project Name Harley Ave . City Sec# 40539 :::::===========================================-__::...._~==:::; Client Project# #01468 , 00143-DOE # 5380
Project Description Paving, Drainage, Water , and Sewer, Units 1&2
Contractor SJLouis :::::=====================:;----' City Project Mgr. Leon Wilson .__ _____________ __,
Change Order # 5 Date
City Inspector l Carlos Vasquez
6/7/2011
DELETIONS
lltM ... ,.,. . ... IIUN Ut.t"I YtY unit UOltvOSl IOtal
Unit II
13-0el Pavement-HMAC Level up ll"YV 1 ,o«ru.UU ~ ~41:.0U ~,4!:UU.UU
IIW $4.~uu.oo
Water $0 .00
Sewer $0.00
SUb I ota1 ueietions
Change Order Deletions Page 1 of 1
,
MIWBE Breakdown for this Change Order
Total
Total
PROJECT NAME:
BuySpeed No (T/PW):
BuySpeed No (Water):
City Project No:
Contract No:
D.0 .E . No:
Attachment to Change Order No:
Today's Date:
Original Contract Amount:
Extras to Date:
Credits to Date :
Pending M & C:
Contract Amount to Date :
PROJECT SUMMARY SHEET
(Change Order Attachment)
Harley Street Relocation
P0-10-00061658
P0-10-00062333
01468 (W&S) & 00143 (TPW)
CS40539
5380
5
6/27/11
TOTAL
$ 4,695,805.66 $ 2,065,071.46 $ 1 ,375,302.70
$ 65,397.27 $ $ 64 ,237.97
$ (59,993.28) $ (59,993.28) $
$ 6,662.50 $ 6,662.50 $
$1,255 ,431.50
$ 1,159 .30
$
$
$ 4,707,872.15 $ 2,011,740 .68 $ 1,439 ,540 .67 $1,256,590.80
Amount of Proposed Change Order: $ 20,880.00 $ 20,880.00 $ $
Revised Contract Amount: $ 4,728,752.15 $ 2,032,620.68 $ 1,439,540.67 $1,256,590.80
Contingency Funds Avail. for Admin. Change Orders: $
$
$
152,200.00 $
169,033.98 $
$
72,200.00 $
132 ,193.28 $
$
42 ,000 .00 $ 38,000 .00
$ 36,840.70
$
Remaining Funds Available for Change Orders:
Additional Funding (if necessary):
Prepared By: Christy Ezernack T/PW Construction Services
, ...
,
PROJECT NAME:
BuySpeed No :
Contract No:
D.O .E. No: ,
Attachment to CQ#.:
Today's Date:
PROJECT SUMMARY SHEET
(Change Order Attachment)
Harley Ave
P0-10-00061658
CS40539
N/A
5
6/5/20
TOTAL T/PW Water Sewer
Original Contract Amount
Extras to Date:
s 4,695,805.66 $ 2,065,071.46 $ 1,375,302.70 $1,255 ,431.50
s 72,059.77 $ 6,662.50 $ 64,237.97 $ 1 ,159 .30
Credits to Date: s 59,993.28 $ 59,993.28
Contract Amount to Date: $ 4,707,872.15 $ 2 ,011,740.68 $1,439,540.67 $1,256,590.80
$ 20,880.00 $ 20,880.00 $ $ Amount of Proposed Change Order.
Revised Contract Amount $ 4,728,752.15 $ 2 ,032,620.68 $1,439,540.67 $1,256,590.80
Contingency Funds Avail. for Admin. Change< S
Remaining Funds Available for Change On:1ef'! S
Additional Funding (if necessary): S
152,200.00 $
162,371.48 $
$
72,200.00 $
125,530.78 $
$
Prepared By: Karen Striker T/PW Business Support
42,000.00 $
$
$
38,000.00
36,840.70