HomeMy WebLinkAboutContract 41296-CO2eo'Pc,/
CITY SECRETARY 1 c, t= ~
CONTRACT NO. t//Zv/l!-CtJ 2-FORT WORTH .
~
City of Fort Worth
Change Order Request
Project Name I Concrete Restoration (2010-11) at Various Locations
Client Project #(s)I C293-541200-202330159383 DOE : Number : 6545
Project Description Concrete Panel Replacement at Various Locations
City Sec # 41296
City Project Number : 01593
Contractor! Westhill Construction , Inc . Change Order# 2 Date 4/28/2012
City Project Mgr. I Tariqul Islam (817) 392-2486 City Inspector Candace Klenk (817) 319-6452
Enter Department(s) to the Right and TPW Contract Time
Contract Day Type
Original Contract Amount $519 ,984 .90
Extras to Date $9 ,200.00
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $529, 184 _90
!Amount of Proposed Change Order $0.00
Revised Contract Amount $529 ,184.90
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
Totals (CD).
$519 ,984 .90
$9 ,200 .00
$529.. 184...90
$529,184.90
$0.00
1.77%
$649 ,981 .13
This change order is subm itted to request that an additional 95 calendar days be added to this contract to compensate for the inclusion of
Hulen St. No additional monies are needed .
I
OFFICIAL REC OR D
CITY SECRETARY
FT. WORTH , TX
150
1-50
95
245
It is understoodtand 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 O r.
M&C Number
06 -0 4 -1 2 A09 :10 /N
i
.,
FORT WORTH ..
~
City of Fort Worth
Change Order Request
Project Name! Concrete Restoration (2010-11) at Various Locations
co~
1 or=~
l/lZ1 lf-lo 2-
City Sec# 41296
Client Project #(s)! C293-541200-202330159383 DOE : Number: 6545 City Project Number: 01593
Project Description Concrete Panel Replacement at Various Locations
Contractor! Westhill Construction , Inc . Change Order# 2 Date 4/28/2012
City Project Mgr.! Tariqul Islam (817) 392-2486 City Inspector Candace Klenk (817) 319-6452
Enter Department(s) to the Right and \, -~, Contract Time TPW ~ / ·' -' Contract Day Type Totals (CD)
Original Contract Amount $519 ,984 .90 $519 ,984 .90 150
Extras to Date $9 ,200 .00 $9 ,200 .00
Credits to Date I ,/ ,,,
Pending Change Orders (in M&C Process) I
Contract Cost to Date $529 ,184.90 $529 ,184.90 150
Amount of Proposed Change Order $0.00 95
Revised Contract Amount $529,184.90 $529 ,184 .90 245
Original Funds Available for Change Orders $0.00
Remaining Funds Ava ilable for this CO $0.00
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS% OF ORIGINAL CONTRACT 1.77%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $649 ,981.13
JUSTIFICATION (REASONS) FOR CHANGE ORDER
This change order is submitted to request that an additional 95 calendar days be added to this contract to compensate for the inclusion of
Hulen St. No additional monies are needed .
1,
'
!)21J)tµ6 •
LJ) /L/j I 7_
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 Chang.e Ofd) r.
Westhill Construction , Inc .
Date
.I .IL
M&C Number
.,
FORT WORTH .
~
City of Fort Worth
Change Order Request
Project Name I Concrete Restoration (2010-11) at Various Locations
c.c>~
f o,-= ~
l/171 lt It 2-
City Sec# 41296 .__ _____ ___.
Client Project #(s)I C293 -541200-202330159383 DOE: Number: 6545 City Project Number: 01593
Project Description Concrete Panel Replacement at Various Locations
Contractor! Westhill Construction , Inc . Change Order# 2 Date 4/28/2012
City Project Mgr.I Tariqul Islam (817) 392-2486 '-----------------City Inspector Candace Klenk (817) 319-6452
Enter Department(s) to the Right and TPW .
Contract Day Type
Original Contract Amount $519 ,984 .90
Extras to Date $9 ,200 .00
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $529 ,184.90
IAmount of Proposed Change Order $0.00
Revised Contract Amount $529 ,184.90
Original Funds Available for Change Orders
Remaining Funds Available for this CO $0 .00
Additional Funding (if necessary)
CHANGE ORDERS to DA TE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Contract Time
Totals (CD)
$519 ,984.90 150
$9 ,200.00
$529 ,184 .90 150
95
$529 ,184 .90 245
$0 .00
1.77%
$649 ,981 .13
This change order is submitted to request that an additional 95 calendar days be added to this contract to compensate for the inclusion of
Hulen St. No additional monies are needed .
!)rtt {
L
/
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 Ord,e r.
Westhill Construction , Inc .
Ins Date ~-) ; /
Date
,__I,
M&C Number /J I&
•
FORT WORTH ..
~
City of Fort Worth
Change Order Request
Project Name! Concrete Restoration (2010-11) at Various Locations
I/I I '-
City Sec # 41296
Client Project #(s)! C293-541200-202330159383 DOE : Number: 6545 City Project Number : 01593
Project Description Concrete Panel Replacement at Various Locations
Contractor! Westhill Construction , Inc . Change Order# 2 Date 4/28/2012
City Project Mgr .... I _T_a_riq"'-u_l l_sl_am _____ ---'-{8_17....:.)_3_92_-2_4_8_6 _ _. City Inspector Candace Klenk (817) 319-6452
Enter Department(s) to the Right and TPW Contract Time
Contract Day Type TotaJs (CD)
Original Contract Amount $519 ,984 .90 $519 ,984 .90 150
Extras to Date $9 ,200 .00 $9 ,200 .00
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $529 ,184 .90 $529 , 184 . .90 150
!Amount of Proposed Change Order $0.00 95
Revised Contract Amount $529 ,184.90 $529 ,184.90 245
Original Funds Available for Change Orders $0 .00
Remaining Funds Available for this CO $0 .00
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS% OF ORIGINAL CONTRACT r 1.77% I t--.-----1 MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) I $649 ,981.13 I
JUSTIFICATION (REASONS) FOR CHANGE ORDER
This change order is submitted to request that an additional 95 calendar days be added to th is contract to compensate for the inclusion of
Hulen St. No additional monies are needed.
'
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.
Contractor's Com an Name Contractor Name Contract · nature Date
Westhill Construction , Inc .
lnsoector/lnsoection Supervisor r'I Date Proiect Manaaer/Prooram Manaaer Date
( '[ ~<~ ·.--. 1'
~ ----,i,
J
Assistant Director (Dept) Date Director, ContractinQ Department (Dept) Date
Assistant City Attorney Date Ass istant Citv Manaaer / Date
fi 1' .... .. ---,/ ; ,, ---
Council Action if reauired)
M&C Number I I M&C Date Approved I I
{ ' \ )
,
FORT WORTH ---.---
Project Name
Client Project #
City of Fort Worth
Change Order Additions
Concrete Restoration (2010-11) at Various Locations
C293-541200-202330159383 DOE : Number : 6545
Project Description Concrete Panel Replacement at Var ious Locations
Contractor Westhill Construction , Inc.
City Project Number : 01593
Change Order# 2
City Project Mgr . .__T_ar_iq.._ul_ls_la_m _____ _,_(8_1 ...... 7)_3_92_-_24_8_6 __ _. City Inspector Candace Klenk
ADDITIONS
11tM ut.::.vKlt' 1 IUN Ut.t' I 1 •• ny Unit
NA Aaamonal uays lt-'W ~o .uu uays
City Sec#
Date 4/28/2012
(817) 319-6452
unit c..;ost
:j)U.Ut
TPW
Sub Total Additions
Change Order Additions Page 1 of 1
:,
.. '
41296
Total
:i,u .uu
$0 .00
:i;u .uu
FORT WORTH ---....---
Project Name
Client Project#
City of Fort Worth
Change Order Deletions
Concrete Restoration (2010-11) at Various Locations City Sec# 41296
;:::::;C:::29:::::3=-5=41::::;2=00=-2:::::0=23:::::3=01==5=93:::::8=3========D:::O:::E=: N=u=m=b=er=: 6::5=45=======c::it=y P:::r=oj=ec=t =Nu=m=b=er=: 0=1=59=3~_:_ __ _:::==:::::;
Project Description Conc rete Panel Replacement at Various Locations
11 t.M
Contractor
City Project Mgr .
Westhill Construction , Inc .
Tariqul Islam
Ut.::;c..;KII-' I IUN
Change Order # 2 Date 4/28/2012
(817) 392-2486 City Inspector Candace Klenk (817) 319-6452
DELETIONS
Ut:t" I Wty unit unit c..;ost 1ota1
TPW
Sub Tota Deletions
Change Order Deletions Page 1 of 1
..
$0 .00
. ' ...
M/WBE Breakdown for this Change Order
-MWBE Sub Type of Service Amount for this CO
Total $0 . .00 :,
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
PROJECT NAME :
BuySpeed No (T/PW):
BuySpeed No (Water):
C ity Project No :
Co ntract No :
D.O .E. No :
A tta c hment to Change Order No:
To day's Date :
Ori g in al Contract Amount:
Extras to Date :
Credits to Date :
Contract Amount to Date:
PROJECT SUMMARY SHEET
(Change Order Attachment)
Concrete Restoration 2010 -11 @ Various Locations
P0-11-00064159
N/A
01593
CS41296
6545
2
4/30/12
T O T AL
$ 5 19 ,984.90
$ 9,200 .00
$
$ 529 ,184.90
Amount of Proposed Change Ord er: TIME ONLY
Revised Contract Amount:
Contingency Funds Avail. for Admin . Change Orders :
Remaining Funds Available for Change Orders :
Additional Funding (if necessary):
$ 529 ,184.90
$
$
$
Prepared By : Christy Ezernack T/PW Construction Services
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