HomeMy WebLinkAboutContract 41532-CO3-,
FORT WORTH • City of Fort Worth
Change Order Request
CITY SECRETARY, i/07. --lQ3 CONTRACT NO. _'-1~U...:.;....;;;;....,._
Project Name :! Sanitary Sewer Replacement Contract 65 , Part 1 City Sec No .: .... I _4_1_53_2 ____ _.
Project No .(s):! P258-704170073087 DOE No . ,...I -3-5-70-~ City Proj . No.: !.__0_0_73_0 ____ _.
Project Description : Sanitary Sewer Rehabilitation on Sylvania Avenue , Brentwood Stair Boulevard and Stratford Park Drive
Contractor : I Utilitex Construction , LLP
City Project Mgr! Roberto C. Sauceda
Phone Number:! 817-392-2387
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pend ing Change Orde rs (in M&C Process)
Contract Cost to Date
!Amount of Proposed Change Order
Revised Contract Amount
Original Funds Ava ilable for Change Orders
Rema ining Funds Available for this CO
Additional Funding (if necessary )
Change Order# .... I __ 3 _ _. Date :
City Inspector : I Phil Teague
Phone Number :! 817-223-2245
Sewer Totals
$1 ,107 ,520 .00 $1,107,520.00
$152 ,500.34 $152,500 .34
$1,260,020.34 $1,260,020.34
-$26,600 .00 -$26,600.00
$1,233,420.34 $1 ,233,420.34
$33 ,226 .00 $33 ,226.00
6/29 /2012
Contract Time
(Calendar days)
180
120
300
300
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
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
0'7 -1 8 -12
' .
FORT WORTH •• City of Fort Worth
Change Order Additions
Project Name
Project No .(s):
Sanitary Sewer Replacement Contract 65 , Part 1 CitySecNo.: 41532
P258-704170073087 DOE No .! 3570 I City Proj . No .: I 00730
Project
Description Sanitary Sewer Rehabilitation on Sylvan ia Avenue , Brentwood Stair Boulevard and Stratford Park Drive
Contractor Utilitex Construction , LLP I Change Order: [TI Date : I 6/29 /2012
City Project Mgr . Roberto C. Sauceda City Inspector ~I _P_h_il _Te_a-gu_e _____ ~
ADDITIONS
111:M . ,. .. ,1u" DEPT Qty Unit Unit Cost Total
6 Pipe -Sewer-8 inch DIP Other Than Open Cut Sewer 145.00 LF $166 .00 $24 ,070 .00
29 Manhole -Vacuum Test-Services Sewer 5.00 EA $105 .00 $830 .00
..
Sewer $24 ,900.00
Additions Sub Total $24 ,900.00
Page 2 of 4
FORTV'VORTH • City of Fort Worth
Change Order Deletions
Project Name
Project No .(s):
!.--S-a-nit_a_ry_S-ew_e_r_R-ep-la-c-em_e_n_t -Co-n-tr-ac-t-65-, -Pa_rt_1-------------, City Sec No .: 41532
I P258-704170073087 DOE No. 3570 City Proj . No .: 00730
Project Description Sanitary Sewer Rehabilitation on Sylvania Avenue , Brentwood Stair Boulevard and Stratford Park Drive
Contractor Utilitex Construction , LLP Change Order: [I] Date I 6/29/2012
City Project Mgr. Roberto C. Sauceda City Inspector : !_P_h_il T_e_a_gu_e _______ -
DELETIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
6 Pipe -Sewer-8 inch DIP Other Than Open Cut Sewer 145 .00 LF $350.00
29 Manhole -Vacuum Test-Services Sewer 5.00 EA $150 .00
Sewer
Deletions Sub Total
Page 3 of 4
$50 ,750 .00
$750 .00
$51 ,500.00
$51 ,500.00
, . ... . , ' ..
M/WBE Breakdown for this Change Order
MWBESub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
Page 4 of 4
PROJECT NAME :
BuySpeed No :
City Project No:
Contract No:
D.O .E. No :
PROJECT SUMMARY SHEET
(Change Order Attachment)
SSR Contract LXV (65) Part 1, N. Sylvania, Stratford Park, Brentwood Stair
CSC0-11 -00066224
00730
CS41532
3570
Attachment to Change Order No : 3
Today's Date: 7/3/12
TOTAL sewer
Original Contract Amount: $ 1,107,520.00 $1 ,107,520.00
Extras to Date : $ 152,500.34 $ 152 ,500 .34
Credits to Date : $ $
Contract Amount to Date : $ 1,260,020.34 $1 ,260 ,020 .34
Amount of Proposed Change Order: $ (26,600.00) $ (26 ,600 .00)
Rev ised Contract Amount: $ 1,233,420.34 $1 ,233 ,420 .34
Contingency Funds Avail. for Admin . Change Orders : $ . 33,226.00 $ 33 ,226.00
Remaining Funds Available for Change Orders : $ $
Additional Funding (if necessary): $ $
Prepared By: Christy Ezernack T/PW Construction Services
, .