HomeMy WebLinkAboutContract 40827-CO1...
PROJECT NAME:
CHANGE ORDER:
INSPECTOR:
PROJECT MANAGER:
REASON (S) FOR CHANGE:
CITY SECRETARY
CONTRACT NO. ':f:og r}..7-~o .1-
DEPARTMENT OF ENGINEERING
CHANGE ORDER JUSTIFICATION RECORD
DA TE 4-18-10
Improvements at Parkwood Hills Park an d Anderson Campbell Park
I DOE NO. 6311 CLIENT PROJECT NO C280/54I600/80647011 4 683
6301 C280/541600/806470114583
Adilda Cazorla PHONE NO: 817-392-8306
Eric Seebock PHONE NO: 817-392-5742
It was decided to leave the existing drive into the si te to use for maintenance access.
Elec tric al service hookup was not included in the plans and specifi ca tion s.
Tree needed to be removed per electric company requirements .
Sealant was not specified for the parking lot . T PW inspector sugges ted thi s area be scaled fo r increase lo ng evity of co ncr ete .
INSPECTOR DATE
04-21/11
DIRECTOR OF MANAGING DEPT DATE
\)
PROJECT MANAGER
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
M ,\NAGE_!{ OF CONSTUCTION SE RVI CE
DATE
4 .10 .11
DATE
-~-)/
NO M&C REQ UIRED
it,-
7
CITY OF FORT WORTH
CHANGE ORDER REQUEST QO~JGINAL
C IIANGE ORDER :"10. l DATE 4-18-1 I D.O.E. NO 6J I I l'HO.JE CT NO .C280/541600/806470114683
6JOI C280/541600/806470114583
PROJ ECT DESCRIPTION Improvements at Parkwood Hills Park and CITY SECRETARY CONTRACT NO. 40827
Anderson Campbell Park
ORIGINAL CONTRACT AMOUNT S 468,89 I .69
EXTRAS TO DA TE -0 .00-
CREDITS TO DATE -0 .00-
CONTRACT COST TO DATE
AMOUNT OF PROPOSE D CHANGE ORDER
REVISED CONTRACT AMOUNT
ORIGINAL FUNDS AVAILABLE FOR CHANGE ORDERS
REMA IN ING FUNDS AV AI LAB LE FOR CHANGE ORDERS
ADDITIONAL FUNDING (IF NECESSARY)
IN ACCORDANCE WITH THIS CHANGE ORDER. T HE CONTRACTOR SHALL:
ITEM DESCRIPTION QUANTITY UNIT COST
DELETE Match existing concrete cur b and gutter 30 LF $ 25.00
UNIT TWO I
LINE ITEM 5
ADD Add 2" electrica l service cond u it from tra nsformer LS $ 375 .00
UNIT ONE to new meter; concrete for pedestal a nd installation
LINE ITEM 17 of electric meter pedestal, com pl ete in place
AD D Add 2" electrical se rvice cond u it from transforme r LS $ 375 .00
U NIT TWO to new meter; conc rete for pedestal a nd installation
LINE ITEM 16 of electric meter pedestal, co mpl e te in place
INCREASE Removal of existing tree to allow for new LS $ 450.00
UN IT TWO electr ical meter se rvice
LINE IT EM 4
ADD Furnis h and install a one-part, se lf-leveli ng sealer 850 LF $ 1.25
UNIT TWO on parking lot joints, complete in place
LINE ITEM 17
It is understood a nd agreed tha t the a"c ptancc o f th is Chan ge O rde r by th<: con tra ctor const itute s an accord and sati sfac t io n and represe nt s
Payment in full (bo th time and money) for a ll costs arising o ut o f. o r incidental to. the a bove C hange O rder
CONT RACTOR'S NAME:
Henneberger Con s truction, Inc .
$ 468 ,891 .69
$1,5 12.50
S470.404 .19
$ 70.000.00
S 68,48 7 .50
S 0 .00
TOTAL
$ <750 .00>
$ 375.00
$ 375 .00
$ 450 .00
$ 1,062 .50
O RIGINAL CONTRACT TIME
100 Workin g Days
ADDITIONAL APPROVED TIM[ TO DATE
0 Working Days
APPROVED CONTRACT TlMt: TO DATE
10 0 Working Days
,\OD1T10N A L TIME FO R TIIIS C HANG[ ORDE R
0 Wo rkin g Days
CO l 'IICtL ACTtOII (If' REQ UIRE D) DAf[
5 0 APPKOVED O DIS A PPRO Vf.D 0 OTll[R
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