HomeMy WebLinkAboutContract 41210-CO2..;--..
FORTWORTH s
CITY SECRETARY L\ \;;)_ \ 0 -C oa CONTRACT NO.--:..~---
~
City of Fort Worth
Change Order Request
Project Name! 2010 Signal Grant Task Order Construction Services at Various Locations to be I City Sec# .__4_12_1_0 ____ _.
Client Project #(s)j TPW-TS-2010-00030
Project Description Signal Contruction Contract used to expedite contruction as plans become available .
Contractor! Durable Specialties , Inc. Change Order # 2 Date 2/2/2012
City Project Mgr .! Homero Beltran City Inspector Ken Brock .._ ___________ __.
Dept. TPW Water Sewer
Original Contract Amount $600 ,000 .00
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $600,000.00
!Amount of Proposed Change Order $0.00 $0.00 $0.00
Revised Contract Amount $600,000.00
Original Funds Available for Change Orders
Remaining Funds Available for this CO $0.00
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS% OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Contract Time
Totals (WD)
$600 ,000 .00 180
$600 ,000.00 180
$600,000.00 180
$0.00
0.00%
$750,000 .00
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.
M&C Number I p: { ~
"--!~-·--: • _,,. I I " d
Date
FORT WORT H ----.---City of Fort Worth
Change Order Additions
Project Name 2010 Signal Grant Task Order Construction Services at Various Locations to be Determined
Client Project# TPW-TS-2010-00030
Project Description Signal Contruction Contract used to expedite contruction as plans become available .
Contractor Durable Specialties , Inc. Change Order#
Homere Beltran
City Sec# 41210
2 Date 2/2/2012
City Project Mgr. City Inspector Ken Brock ~------------'
ADDITIONS
11 t:M Ut:S(.;1<11-' I ION LJt:1-' I Qty Unit Unit Cost Total
1Uf signal -c..;aoinet Mounted t:!attery t:!ackup system -c..;1ty rurn1shed-lnstalf rPW 8.UU EA :j)b4b .UU $b ,1tiU.UU
1U!S Concrete Testing TPW 9.UU LS $745 .UU $0 ,ruo .UU
1U\:J Audible Pedestrian Pushbutton & Sign Assembly -City Furnished-Install TPW 45 .uu EA $145 .00 $b ,b~b .UU
110 Signal-LED Lens Arrow/Ball (RYG) -Install TPW 100 .UU EA $145 .uu $14 ,bUU .UU
111 Signal-International Pedestrian Signal Type Countdown LED Insert-Install TPW 50 .UU EA $70 .UU $3 ,::>UU .UU
TPW $36 ,390.00
Water $0.00
Sewer $0 .00
Sub Total Additions $Jb ,JH0 .00
Change Order Additions Page 1 of 1
.I
.,'
FORT W O RTH ---.---City of Fort Worth
Change Order Deletions
Project Name 2010 Signal Grant Task Order Construction Services at Various Locations to be Determined
Client Project# TPW-TS-2010-00030
Project Description Signal Contruction Contract used to expedite contruction as plans become available .
Contractor Durable Specialties , Inc . Change Order#
Homero Beltran
City Sec# 41210
2 Date 2/2/2012
City Project Mgr . City Inspector Ken Brock ......_ ___________ .....,
DELETIONS
11 t:M Dt::Sl,.;Klt-' I IUN Ut:t-' I Qty Unit Unit l,.;OSt 1ota1
jb :s1gnal-lnternat1onal Pedes trian Signal l ype P-Install 11-'W 26 .UU EA ~ouu .uu :jilJ ,UUU .UU
40 Signal-Pedestrian Pushbutton & Sign Assembly-Install TPW 26 .UU EA $240 .UU :titi ,l4U .uu
36 Signal -Loop Detector Saw Cut -Install TPW 12.UU EA $1 ,lUU .00 :jil4 ,4UU .UU
[L Fill Material-Flowable Fill -Install TPW 10.UU l,.;Y $150.uu :i;1 ,ouu .uu
81 Cable-Num 6 lnplex -Install TPW 625 .uu LF $2 .UL :til ,LOU .Ul.
TPW $36 ,390 .00
Water $0 .00
Sewer $0 .00
Sub I otal Deletions $36 ,J~U.UU
Change Order Deletions Page 1 of 1
,•
.... , -...
M/WBE Breakdown for this Change Order
MWBESub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO# DATE ,0 ····;>AMOUNT
1 5/10/2011 $0 .00
Total h $0.00
-
PROJECT SUMMARY SHEET
(Change Order Attach ment)
PROJECT NAME: 2010 Signal Grant Task Order Const. Serv. @Various Loe.
BuySpeed No :
Contract No : CS41210
D.O.E. No:
Attachment to Change Order No : 2 ------Today's Date : 2/9/12 ------
TOTAL
Original Contract Amount: $ 600,000.00
Extras to Date: $
Credits to Date : $
Contract Amount to Date: $ 600,000.00
Amount of Proposed Change Order: Time Only
Revised Contract Amount: $ 600,000.00
Contingency Funds Avail. for Adm in. Change Orders : $
Remaining Funds Available for Change Orders : $
Additional Funding (if necessary): $
Prepared By: Karen Striker T/PW -Business Support