HomeMy WebLinkAboutContract 41406-CO1_i
I
I
,,
)
ClTY SECRETARY -;
' FORT WORTH .
~
City of Fort Worth
Change Order Request
CONTRACT NO. !:\ l Y:0 lo -CD .t
Project Name! 2007 Critical CIP District 9 Group C-DOE 5924
Client Project #(s~ P253-5412000983, C295-5412000983
Project Descriptioi 6th Av , S. Lake Street, Henderson Street
Contractor! CPS Civil , LLC
City Project Mgr.l.__Go-'p'-a_l Sa_hu __________ _,
Orig inal Contract Amount
Extras to Date
Credits to Date
Dept.
Pending Change Orders (in M&C Process)
Contract Cost to Date
Water
547 ,819 .00
City Sec# 41406 .__ _____ _..
Change Order# Date 4/22/2011
City Inspector John Crowley
T/PW Contract Time
Totals CD
895,236 .50 1,443 ,055.50 270
270
2
272
Item # 41, is needed for the Density Controlled Placement of the extra Stabilized borrow ma • J 5, is a special order Ductile iron
fittings to make the connections of the variring OD sizes of the 30" Ductile water line on 6th Av alllt $take St.
M&C Date Approved
0 9 -3 0 -11 A11 :2 2 I
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
City of Fort Worth
Change Order Additions
Project Name 2007 Critical CIP District 9 Group C---DOE 5924 City Sec# 41406 ~========::::::::::::::::::::::::::::::::::::::::::::::::======================:::::.-;__~====
Client Project# ~P=25=3-=54=1=2=00=0=98=3=, C=2=9=5-=54=12=0=00:::::9::::::83==============================================:::::::!
Project Description 6th Av, S. Lake Street, Henderson Street
Contractor CPS Civil , LLC Change Order # 1 Date 4/22/2011
City Project Mgr . ...._Go~pal_Sa_h_u __________ ____, City Inspector I John Crowley
ADDITIONS
lfEM Ut.::Sl.iKII-' I IUN Ul:1-' I Uty Unit Unit vast 1ota1
~U.Ul ~o .uu
i111.11~-41-N uens1ty Controuea Placement (install borrow , Henderson} 1/1-'W 1,Joo.uu ::SY $2 .i: ~J,UJf .50
woo~15-I Kmac D. I. Sleeve (special order} Water 1.0J TN ~J ,OUU.Ul ~.tsw.oo
Water ~.ts~U.Ul
T/PW $3,037 .50
sut> 1 otal Additions ~,.~:a .5C
Change Order Additions Page 1 of 1
. '
City of Fort Worth
Change Order Deletions
Project Name 2007 Critical CIP District 9 Group C---DOE 5924
Client Project# P253-5412000983 , C295-5412000983
Project Description 6th Av , S. Lake Street, Henderson Street
Contractor CPS Civil , LLC Change Order #
City Project Mgr . .__G_o __ pa_l Sa_h_u ------------City Inspector John Crowley
DELETIONS
IIEM L.:=::::•_ ~H-' I IUN Ut:t-' I l .. lty
Change Order Deletions Page 1 of 1
. .,
City Sec# 41406
Date 4/22/2011
Unit Unit l.;OSt IOtal
Water ~u .uu
T/PW $0 .00
:suo I otal Deletions
M/WBE Breakdown for this Change Order
I~" tS't\ MWBE Sub:·· t··· . ,, --~· ,. Type of Service, ·· · .. , 1, Amount for this CO .;. ~?'~. I!.,!: ..,, "' · .. , .•· '
Total 1\~iJj] ··· ·~a';t\,:t· $0.00 · ;t} · *i,~Ylt; · ',·,;,
Previous Change Orders
PROJECT NAME:
PROJECT LIMITS:
BuySpeed No (T/PW):
BuySpeed No (Water):
City PrQject No:
Contract No:
0.0.E. No:
Attachment to Change Order No:
Today's 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)
2007 CO's CD9 Neighborhood Streets Group C
6th Avenue, South Lake Street, Henderson Street
CSC0-11-00065138
csco-11-ooo&s12a
00983
CS41406
5924
1
9/1/11
TOTAL
$1,443,055.50 $ 895,236.50 $ 547,819.00
$ • $ $
$ • $ $
$1,443,055.50 $ 895,236.50 $ 547,819.00
$ 7,927.50 $ 3,037.50 $ 4,890.00
$ 1,450,983.00 $ 898,274.00 $ 552,709.00
Contingency Funds Avail. for Admin. Change Orders: $
$
51,857.00 $
51,857.00 $
26,857.00 $
26,857.00 $
25,000.00
25,000.00 Remaining Funds Available for Change Orders:
Prepared By: Christy Ezernack T/PW Construction Services
~·
PROJECT NAME:
CS . No.:
0.0.E . No.:
Attachment to Change Order No .:
Today's 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)
2007 CCP CD9 Group C -Sixth Avenue, S. Lake Street, Henderson
41406
5924
1
9/28/2011
TOTAL
$ 547,819.00
$
$
$ 547,819.00
$ 4,890.00
$ 552,709.00
Contingency Funds Avail. for Admin. Change Orders: $ 25,000.00
$
Remaining Funds Available for Change Orders:
Additional Funding (if necessary):