HomeMy WebLinkAboutContract 40673-CO2fORT -,ORTlj. City of Fort Worth
Change Order Request
Project Name! Brick Pavement Repair (2010-12) @ Various Locations
Client Project #(s~ C293-541200-209640154683 DOE: 6535
CITY SECRETARY
· CONTRACT NO. 4{)~13:9>?-.
City Sec# 40673
City Project No: 01546
Project Descrip · To repair/replace brick pavers in the right of way that are a threat to public safety and convience .
Contractor! CPS Civil, LLC
City Project Mgr.j Tariqul Islam (817) 392-2486
Change Order# 2 Date 3/25/2011 ;:::::==----===::::: City Inspector Gary Deyon (817) 223-2257 ..____..:.,___,:"------:.___..: ____ __J
Enter Department(s) to the Right anci TPW
Contract Day Type Select Day Ty
Original Contract Amount t-----+--:n""""~""""+-----+--P.~~--1----1~00~
Extras to Date 30
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Original .Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
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$449,397.50 130
68
198
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It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment
in full (both time and money) for all costs arising out of, or incidental to, the above Change Order.
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fORTWOR T H ---...----City of Fort Worth
Change Order Additions
Project Name Brick Pavement Repair (2010-12) @Various Locations
Client Project# C293-541200-209640154683 DOE : 6535 City Project No : 01546
City Sec# 40673
Project Description To repair/replace brick pavers in the right of way that are a threat to public safety and convience .
Contractor CPS Civil , LLC Change Order# I 2 Date 3/25/2011
City Project Mgr. .....__T_an __ ·q __ ul_ls_la_m ___ ( .... 81_7 .... ) 3_9_2-_24_8_6 ___ __ City Inspector !_G_ary __ De_y_on __ .... (8_17 .... )_22_3_-2_25_7 ___
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Change Order Additions Page 1 of 1
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Project Name
Client Project #
City of Fort Worth
Change Order Deletions
Brick Pavement Repair {2010-12) @ Various Locations City Sec# 40673
:=::;C::;29::3-:::54=1:;200-:;:::::;2::::0964::::::0=154==:68=3:::::::~===::;D=OE:::::=65::3=5 ========c=ity=P=ro=jec=t=N=o=: 0=154==6 ====:::::: _ _;__~===:::;-
Project Description To repair/replace brick pavers in the right of way that are a threat to public safety and convience.
Contractor CPS Civil, LLC Change Order# I 2 Date 3/25/2011
City Project Mgr. .__T_an ..... ·9.._ul_ls_la_m __ ---'{ ... 81_7).._3_9_2-_248_6 ___ ____. City Inspector _! _G_ary~D ..... ey_on __ .... {8_17 __ }_22_3-_2_25_7 ____
DELETIONS
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Change Order Deletions Page 1 of 1
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M/WBE Breakdown for this Change Order
I MWBESub, ·~ .v,, F Type of Service '·
Total
Previous Change Orders
I ,i,;,·'. CO#''. <· DATE ,. · ll' AMOUNT • '''.t 0 ; ' . •.:;-~. .. ,:·
Total l ,,
Amount fur this CO ·.
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OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
PROJECT SUMMARY SHEET
(Change Order Attachment)
PROJECT NAME: Brick Pavement Repair 2010-12 @ Various Locations
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:
P0-10-00062204
N/A
01546
CS40673
6535
2
3/29/11
Contract Amount to Date :
r-----..!...:Amount of Proposed Change Order:
evised Contract Amount:
f ontingency Funds Avail. for Admin . Change Orders :
Remaining Funds Available for Change Orders:
dd itional Funding (if necessary):
TOTAL
$ 449,397.50
$ 16,601.40
$ (16,601.40)
$ 449,397.50
TIME ONLY
$ 449,397.50
$
$
$
Prepared By: Christy Ezernack T/PW Construction Services
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PROJECT NAME:
BuySpeed No :
City Project No:
D.O.E. No.:
Attachment to Change Order No.:
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)
Brick Pavement Repair 2010-12 at Various Locations
P0-10-00062204
01546
6535
2
4/20/2011
$ 449,397.50
$
$
$ 449,397.50
TIME ONLY
$ 449,397.50
Original Contingency Funds Avail. for Admin. Change Orders: $
$
$
Remaining Funds Available for Change Orders:
Additional Funding (if necessary):
Approved on M&C C-17359 dated 3/30/99
Prepared by: Karen Striker, T/PW Business Support
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
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