HomeMy WebLinkAboutContract 40540-CO8,.
Change Order No . Date
City of Fort Worth
Change Order Request
TPW Proj ect No. Funding (FAC )
C 295 541200 8 (eight) 08/01/2012 208110073980-00004868
Facility and Project Description City Secretary Contract No .
Fire Station 5 40540
ORIGINAL CONTRACT AMOUNT................................................................ $2,413 ,807
EXTRAS TO DATE .................................................................... .
CREDITS TO DATE ................................................................... .
$ 133 ,199.48
$ 0
CONTRACT COST TO DATE .................................................................................................. $
AMOUNT OF PROPOSED CHANGE ORDER. .......................................................................... .
REVISED CONTRACT AMOUNT ............................................................................................ .
ORIGINAL FUNDS AVAILABLE FOR CHANGE ORDERS ........................................................... .
REMAINING FUNDS AVAILABLE FOR CHANGE ORDERS ........................................................ .
ADDITIONAL FUNDING (IF NECESSARY) ............................................................................... .
IN ACCORDANCE WITH THIS CHANGE ORDER , THE CONTRACTOR SHALL:
Provide all labor and materials as per the attached Proposed Change Request
2 ,547 ,006.48
$ 3259.48
2 ,550 ,265.48
$150 ,000
$ 13 ,§4 1.04
t1
0
Reimbursement of attached utility bills incurred after substantial completion . ADD $3,259.48
TOTAL ADD $3,259.48
It is und erstood and agreed that the acce ptance o f thi s C hange Order by the cont ra ctor constitutes a n accord and sati s fa cti on and re pres ents pay me nt in fu ll (both time
and money) fo r a ll costs ari sin g o ut of, o r in cid enta l to, th e above C han ge O rd er
Contractor's Name
Imperial Construction , Inc.
Origi nal Contract Time Additional Approved Time To Date Ap proved Contract Time To Date Addit io na l Time For This Change Orde r
287cd 130 cd 417 cd 185 cd
Di stribution :
File
roject Manager
<OfflCIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Date
TPW Facilities Management Division
Change Order Form (12 /19/0 1)
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•~lfflU~ energy
Customer Service Emergency Telephone
24/7
1-866-322-8667
M-F 7am-8prn Sat Bam-5pm (Central)
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atmosenersv.com
USAGE COMPAR ISON
10 DATE OF SERVICE METER READING
4
O THIS lAST LAST
MONTH MONTH Y-t.AR
FROM I TO
04/27/12 05/24/12
-----
RATE CODE
USAGE IN MCF:
IMPORTANT MESSAGES:
MAINTAINI NG YOUR GAS LINE
PREV IOUS I
21.7
You Dre responsi ble for the naiural gas piping running from
our gas meter to yout house or business. Atmos Energy does
not maintain the gas fine on your property beyond our meter.
We recommend that you have buried gas piping inspected
annually for l eaks . A licensed plumbing or heating contractor
can locate, inspect and repsir buried piping on your property. It
a dangerous condition or corrosion is ciiscovered, the piping
should be repaired as soon as possible .
If you smell a 'rotten egg' odor or suspect a gas leak. leave
the area and call us at 1-866-322-8667 or call 911.
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Save up to 30 percent on in ternet, TV, telephone and other
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IF BILL IS NOT PAID BY DUE DATE A PENALTY
[tF APPLICAB LE) WILL APPEAR ON YOUR NEXT BILL
PRESENT
30.7
C020
9.0
VU;)lVJJJ~I 1 ... Ullt.U'C'H .
Cu stomer Name :
SRVC Address:
IMPERIAL CO N ST RUCTION
850 IRMA
Accoun t Number:
Meter Serial ti;
B i lling Date:
FORT WORTH TX
80-00 5584830-3077172-7
11R 145857
05/29/12
PAST DUE AFTER 06/13/12
BILLING INFORMATION:
PREVIOUS BALANCE
PAYMENT RECEIVED 21 -MAY-2012 61 .92
CURRENT GAS CHARGE TOTAL
CUSTOMER CHARGE 16.75
CONSUMP CHRG 9.0@ 1.02170 9.20
RtDER GCR 9 .0 @ ~-29440 29.65
TAX/FEE CHARGE TOT AL
RIDER FF@ 0 05375 2.99
STATE SALES TAX@ 0 .06250 3 . 73
FORT WORTH MT A 2 @ 0.01000 0 .50
CITY SALES TAX@ 0.01000 0 .60
R\DER TAX@ 0.02037 1.19
CURRENT CHARGES
TOTAL AMOUNT DUE
61 .82
55.60
9.11
64.71
64 .7 1
TOT AL AMOUNT DUE
$64.71
PAST DUE AFTER
06/13/12 ATMOS energy. Bill is dve upon receipt . If current bfll is net paid by the past due after date, a penalty {if applicabJ.
wil l appear on your next bill . Prior amounts already past due ·may resu lt in d i sconnection.
D
7!
• 18
Account Number: 80-005584830-307717 2· 7
flllllllll IHI llllllllll I 111111111111111111
To update your address or donate to energy assistance,
check here and comp lete the form on the back.
X
s;o
65553 1 AT 0 .374 • • .... AUTOH3-D1GlT 760
lMPER IAL CONSTRUCTJON
PO BOX 967
WEATHERFORD TX 76086-0%7
Amount Enc losed :$
ATMOS ENERGY
PO Box 790311
St. Louis, MO 631 79-03 1 1
I 11111 ulf III ii II III IJ I I 11 II 11111 I l1111ll 11, 1111 l II I
Please rnturn this portion with your payment. Jr.elude your customer
number on your check or money order. If payir,g in person, please
bring this bill. Thank you.
DOOOODOOOOODDD8DD0558 483 030771727000006471 4
,
TXU
energy
Account Summary
customer Name:
Account Number;
Invo ice Number:
I nvo ice Date:
IMPERIAL CONSTRUCTION
1000191554 11
056375603611
06/27/2012
This is your
final bill
Previous Balance Credits/Payments Balance Forward Total Current Charges Total Amount Due Due Date
$1 ,954 .67 $0.00
Customer Communications
How to Contact Us
Customer Service: 972-791-2897 or
1-800-711-9112 (8AM-530PM M·F}
$1,954.67 $1,24 0.10 $3,194.77 07/13/2012
See remaining pages for invoice details .
Power Outage Notification:
Oncor Efectric Delivery -1-888-313-4747
REP Certificate: #10004
P\oose re,urn this port.ion wilh your payment in the enclosed envelope. Make checlcs payabla to 'TXU Energy. Do not include corresponoence with your paymeni.
The TXU Energy A id 5M program helps families In
crltical situatlons with bill payment assistance.
For Donations Only
One-f1rne gift to $
TXU Energy AidSI.< program
Recurring monthly donation $
to TXU Energy AidSM program
AT 01 002590 7SOS78 10 D**3DGT
ll lJli l II llll w Jl!1 I 1IIJ, JI ll 11l ll Ii 11 •111 1 llh t 1•11111J. 11, 1 ,I I
IMPERIAL CONSTRUCTION
PO BOX 967
WEATHERFORD TX 76086-0967
Account Number:
100019 155411
Total Amount Due I · Due Date
$3,194.77 I 0111312012
To ensure proper payment posting, p l ease provide this
number (100019155411) on all payments and send to the
address directly below.
TXU ENERGY
PO BOX 650638
DALLAS, TX 75265-0638
21100019155411000031947700001954b79
r
Customer Name:
Account Number:
invoice Number:
Invoice Date:
Important Information
IMPERIAL CONSTRUCTJON
100019155411
056375603611
06/27/2012
Page 2of 3
If you belleve this bill includes unauthori zed charges, contact TXU Energy at (888) 399-5501 to dispute such charges. If you are not satisfied with our response
you may fife a complaint with the Public Utility Commission ofTexas, PO Box 13326, Austi n, TX 78711-3326; (512) 935-7120 or toll free in Texas (888) 782-8477.
Hearing and speech-Impaired lndlvlduals with te).1 telephones {TTY) may contact the Public Utiffty Commis sion ofTexas at (512) 936-7136.
Account Summary Detail
Previous Balance $ 1 ,954.67
Credits/Payments $ 0.00
Balance Foiward $ 1,954.67
Debits/Charges $ 0 .00
I
I
• I
ESI ID Detail:
10443720009327448
Seivice Address:
850 IRMA ST
FORT WORTH, TX
76104-S i iO
Plan:
Business AdvantageSM
The average price you paid for
electric service this month was
18.1 cents per kWh excluding
taxes and non-recurring
· charges or credits.
Customer Name:
Account Number:
Invoice Number:
Invoice Date:
IMPERIAL CONSTRUCTION
100019155411
056375603611
06/27/2012
Electric Service Commercial Electric Service Distribution
Page3 of 3
Service Period: 06/06/2012 to 06/24/2012
Meter: 111276654LG Mult: 80.00000
Service Period: 06/06/2012 to 06/24/2012
Read Type: Actual Days in Reading: 19
Current Meter Read -kWh (06/24/2012)
Previous Meter Read -kWh
(06/05/2012)
Current kV\lh with Multiplier
Current Meter Read -k:N (06/24/2012)
kW with Mu lti plier
Billing kW
TXU Energy Business Advantage5 M
Energy Charge $
Delivery Charge $
Subtotal $
Sales Tax
Commercial Charges
for Period
jT otal Current Charges
$
$
$
886
607
6320
0 .3 0
24.00
980.01
163.06
1,143.07
94.30
1,237.37
1,240 .10
32
Advanced Meter Charge $
Subtotal
Sales Tax
Distribution Charges
for Period
$
$
$
2.52
2.52
0 .21
2.73
-=
PROJECT NAME:
BuySpeed 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 :
Amount of Proposed Change Order:
Revised Contract Amount:
PROJECT SUMMARY SHEET
(Change Order Attachment)
Fire Station #5
P0-10-00060917
CS40540
N/A
8
8/6/12
TOTAL
$ 2,413,807.00
$ 133,199.48
$
$ 2,547,006.48
$ 3,529.48
$ 2,550,535.96
Original Funds Avail. for Admin. Change Orders: $
$
150,000.00
13,271.04 Remaining Funds Available for Change Orders:
Additional Funding (if necessary):
Prepared By : Karen Striker T/PW Mgmt Svs .
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