HomeMy WebLinkAboutContract 41657-CO1.~
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FORT WORTH .
~
City of Fort Worth
Change Order Request
CITY SECRETARY
CONTRACT NO . ~ \ l,{)51 ,CO
Project Name! HMAC Hot In Place Recytding (2011-2) City Sec# 41657
Client Project#(s~ C293-541200-208620165183 DOE: 6594 City Project Number: 01651
Project Desaiptio1 Hot In Place -Street Maintenance
Contractor! Cutler Repaving , Inc. Change Order# 1 Date 10/27/2011
City Project Mgr.! Kristian Sugrim (817) 392-8902 City Inspector David W. Bowers (817) 350-3522
Dept. TPW Water Sewer Contract Time
Totals (CD)
Original Contract Amount $1 ,942,439 .30 $1 ,942,439.30 180
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $1,942,439.30 ~," $1,942,439 .30 180
IGo to ADD & DEL Tabs to Enter CO Backup $0.00 ' ·1, $0JJO --,;:f ·i' llJ.00 14
Revised Contract Amount $1,942~439'.30 '-~ l1,942,439.30 194-
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO ; . $0.00 r~ r· . .. -~·'t
Additional Funding (if necessary) }'
CHANGE ORDERS to DATE (INCLUDING THIS ONE} AS% OF ORIGINAL CONTRACT 0.()0%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $2,428,049 .13
City Se«e\a.Y'i
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and sati
in full (both time and money) for all costs arising out of, or incidental to, the above Change Order.
and represents payment
Project Name
Client Project #
City of Fort Worth
Change Order Additions
HMAC Hot In Place Recylcling (2011-2)
C293-541200-208620165183 DOE : 6594 City Project Number : 01651
City Sec# 41657
Project Description Hot In Place -Street Maintenance
llt.M
Contractor
City Project Mgr.
Cuijer Repaving, Inc.
Kristian Sugrim (817) 392-8902
!J!:~1..:!'<11" 1 IUN
Change Order# 1 Date 10/27/2011
,.......,,,...._,::::::::;::=_~~;:;:;::;:;:::=~
City Inspector David W. Bowers (817) 350-3522
ADDITIONS
UC.I" I Yty unit Unit \.,OS{ total
TPW
Water
Sewer
SUI:> l Otal Additions
Change Order Additions Page 1 of 1
~U .Ul.
$0 .00
$0 .00
. ... .
fOtffWORTH ----w----
Project Name
Client Project #
City of Fort Worth
Change Order Deletions
HMAC Hot In Place Recylcling (2011-2)
C293-541200-208620165183 DOE : 6594 City Project Number: 01651
Project Description Hot In Place -Street Maintenance
Cutler Repaving, Inc . Change Order # 1
City Sec#
Date 10/27/2011 Contractor
City Project Mgr. Kristian Sugrim (817) 392-8902 City Inspector David W. Bowers (817) 350-3522
DELETION~
11t:M Ut:::SliKlt' I IUN Ut:t" I l,lly Unit Unit LiOSt
II W
Water
Sewer
Sub Total Deletions
Change Order Deletions Page 1 of 1
41657
1ota1
~U .Ul.
$0 .00
$0 .00
...
M/WBE Breakdown for this Change Order
:.ti . ·~ . ~ MWBESub ; ,,; .. ,. ... ·,., , . .,_..,.,., .... ~ Type of Servica .,-.,·;.,71 j !~ Amount for this CO. ., ·,
Total Ir~; ~il<itJ'. · .i _.,-so ,., , · · . ~ilt:t; · 1 .OO> I~ \' . ,. . ,·c
Previous Change Orders
. ,, ~? ·CO#··. '.f/i' '§_t ,.:S{;t'~·-: L •• DATE,~ ,•,i, ;,J . '·· ' ,',• ,, .
.• ~c,·:·1 ... '
1 AMOUNT "·:<:..i .'/. • ".tr . .-' .rq,; ,;;.·:
Total . 324: ".:V-" "c'l
O
;]:~:}~.,"" _, l -:f,, \>:K:r "· -,'i.,t: ..• $0.00 .
PROJECT NAME:
BuySpeed No Cf /PW):
BuySpeed No (Water):
City Project No:
Contract No:
D.O.E . No:
Attachment to Change Order No :
Today's Date:
Original Contract Amount:
Extras to Date :
Credits to Date:
Contract Amount to Date:
PROJECT SUMMARY SHEET
(Change Order Attachment)
Hot In-Place Recycling 2011-2
P0-11-00067 454
N/A
01651
CS41657
6594
1
11/2/11
TOTAL
$ 1,942,439.30
$
s
Amount of Proposed Change Order:
$ 1,942,439.30
TIME ONLY
Revised Contract Amount:
Contingency Funds Avail. for Admin. Change Orders:
Remaining Funds Available for Change Orders:
Additional Funding (if necessary):
$ 1,942,439.30
$
$
$
Prepared By: Christy Ezernack T/PW Construction Services
' L
PROJECT SUMMARY SHEET
{Change Order Attachment)
PROJECT NAME: HMAC Surface Overlay 2011-02
CPN: 01651
Contract No: CS41657
D.O .E. No: 6594
Attachment to Change Order No: 1
Today's Date: 12/6111
Original Contract Amount:
Extras to Date:
Credits to Date:
Contract Amount to Date:
Amount of Proposed Change Order.
Revised Contract Amount:
Contingency Funds Avail. for Admin. Change Orders:
Remaining Funds Available for Change Orders:
Additional Funding {if necessary):
TOTAL
$ 1,942,439.30 $ 1 ,942,439 .30
$ $
$ $
$ 1,942,439.30 $ 1,942,439.30
$ TIME ONLY
$ 1,942,439.30 $ 1 ,942,439 .30
$
$
$
$
$
$
Prepared By: Karen Striker-T/PW Business Support