HomeMy WebLinkAboutContract 40603-CO3t CITY OF FORT WORTH
CHANGE ORDER REQUEST e []ORIGINAL
CHANGE ORDER N0.3 DATE 7-18-11 D.O.E. NO 6300 PROJECT NO. C280/541600/806470114483
PROJECT DESCRIPTION Improvements at C.P. Hadley Park CITY SECRETARY CONTRACT NO. 40603
ORIGINAL CONTRACT AMOUNT $272,742.90 g~~Llo(eb3-c.o~
EXTRAS TO DATE $ 13 ,709.00
CREDITS TO DA TE $0.00
CONTRACT COST TO DA TE $286,451.90
AMOUNT OF PROPOSED CHANGE ORDER $ 636.48
REVISED CONTRACT AMOUNT $ 287,088 .38
ORIGINAL FUNDS AVAILABLE FOR CHANGE ORDERS $2,206.00
REMAINING FUNDS AVAILABLE FOR CHANGE ORDERS $ 0 .00
ADDITIONAL FUNDING (IF NECESSARY) $ 636.48
IN ACCORDANCE WITH THIS CHANGE ORDER, THE CONTRACTOR SHALL :
ITEM DESCRIPTION QUANTITY
INCREASE 6' wide concrete trail 204 SF
LINE ITEM 8
TOTAL
UNIT COST TOTAL
$ 3.12 $ 636.48
$ 636.48
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order
CONTRACTOR'S NAME:
Raydon, Inc.
ADDmONAL APPROVED TIME TO DA n: APPROVED CONTRACT TIME TO DAn: ADDmONAL TIME FOR THIS CHANGE ORDER
<30> Working Days 70 Working Days O Working Days
DAT!:
-?~ ~./I
DAT!:
08-19-11 P02:02 INOS-12-11 P04:25 IN
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PROJECT NAME:
CHANGE ORDER:
INSPECTOR:
PROJECT MANAGER:
REASON (S) FOR CHANGE:
DEPARTMENT OF ENGINEERING
CHANGE ORDER JUSTIFICATION RECORD
Improvements at C.P. Hadley Park
3 I DOENO. 16300 CLIENT PROJECT NO
Randy Horton PHONE NO:
Eric Seebock PHONE NO:
Final field measured installed quantity of6' wide concrete trail per TPW inspector and contractor.
PROJECT MANAGER DATE INSPECTOR
~ 716.//
DIRECTO DATE
l
lJORIGINAL
DATE 7-18-11
C280/541600/806470114483
817-392-8306
817-392-5742
DATE
7-;t,7-/ I