HomeMy WebLinkAboutContract 41658-CO1FORT WORTH .
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City of Fort Worth
Change Order Request
Project Name! Concrete Restoration (2010-08) At Six Locations
Client Project #(s» GG01-537110-0202002 DOE Number: 6667
Project Description Concrete Pavement Repair At Various Locations Throughout The City
CllY SECRETARY
CON"TRACT NO. '1 \ \, Q 3-C. o I
City Sec# 41658
City Project Number: N/A
Contractor! Jet Underground Utilities, Inc. Change Order # 1 Date 9/10/2011
;:=::::::;::::....._ __ ....::::::====~
City Project Mgr.! Tariqul Islam (817) 392-2486 City Inspector Gary Deyon (817) 223-2257 L-----:._:..__ _ _.:....._..:.... ____ __.
Enter Department(s) to the Right and TPW Contract Time
Contract Day Type Totals (CD)
Original Contract Amount $495,405 .70 $495,405. 70 150
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $495,405.70 -..• , ~ $495,405.70 150
IAmount of Proposed Change Order ~ , _, I 11:7]1 "'XIV 711 ·.,• J. 522,298.25 20
Revised Contract Amount 'i,. ···,. $517, 703.95· ;. ~ $517,703.95 170 ·-· '"
Original Funds Available. for Change Orders $0 .00
Remaining Funds Available for this CO t. '" I,· ' I:'.} $0.00
Additional Funding (if necessary) . $22,298.25 $22,298.25
CHANGE ORDERS to DATE (INCLUDING THIS ONE} AS % OF ORIGINAL CONTRACT 4.50~ ·
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $619,257 .13'.•
Ii(/'.,"'' •,, . , . t • ' ., I : ' , , , ' , , ' ,,
lf;q{ .-.., -t ~~-} .,. ; ' , • I '
This change order is to add a new line item to cover the cost of additional work added at Fire Station #23. It has been determined that the
driveways need to be remove and replace as to not cause any damage to the fire engines entering and exiting the building . This additional work
will be paid for from Fund Account Center GG01-536010-0205J)2. Additionally, 20 calendar days will be added to the current contract time to
complete the added work.
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.
City of Fort Worth
Change Order Additions
Project Name Concrete Restoration (2010.08) At Six Locations
Client Project# GG01-53711Q.0202002 DOE Number: 6667
Project Description Concrete Pavement Repair At Various Locations Throughout The City
Contractor Jet Underground Utilities , Inc.
City Sec# 41658
City Project Number: N/A
Change Order # 1 Date 9/10/2011
City Project Mgr. Tariqul Islam (817) 392-2486 City Inspector ..__G_a_.,ry_D __ ey._o_n ___ (._81_7.._) 2_2_3-_22_5_7 __ .....,
ADDITIONS
111:M Ut:~vt<II" I IUN Ut:I" I v.ry Unit umt \.,OSt IOtal
1U(aoa) ttemove Ana Replace IHncn v0ncrete onveway At Fire ~tauon Jf"LJ ll"VV J4J.UO ~T .)00.Ul. .)U,£~0.l:J
TPW $22,298 .25
~o I oca1 Additions $22,~ts . .!O
Change Order Additions Page 1 of 1
·' .
City of Fort Worth
Change Order Deletions
Project Name Concrete Restoration (2010-08) At Six Locations
Cl ient Project# GG01 -537110-0202002 DOE Number : 6667
Project Description Concrete Pavement Repair At Various Locations Throughout The City
Contractor Jet Underground Utilities , Inc.
City Sec# 41658
City Project Number: N/A
Change Order# 1 Date 9/10/2011
City Project Mgr . Tariqul Islam (817) 392-2486 City Inspector .__G_a....._ry_D __ ey._o_n _ _,(._81_7.,_) 2_2_3-_22_5_7 __ __,
DELETIONS
lfEM !. ___ ... IIUN Ut.l"' I Qty Unif Unit-Cost lotal
TPW
SUb Total ue1etions
Change Order Deletions Page 1 of 1
$0 .00
. .-
M/WBE Breakdown for this Change Order
Type of Service , ,,
Total
Total
, Amount for this CO. ~
.~ t
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)
Concrete Restoration 2010-8 O Six Locations
P0-11-00065783
N/A
N/A
CS41658
6687
1
9/13/11
C-24732 approved 2-15-11
$
$
$
TOTAL
495,405.70
Amount of Proposed Change Order:
$
$
$
495,405.70
22,298.25
517,703.95 Revised Contract Amount:
Contingency Funds Avail. for Admin. Change Orders :
Remaining Funds Available for Change Orders :
Additional Fund ing (if necessary):
$
$
$
f)
(22,298.25) Will be funded from GG01-0205I02
Prepared By : Christy Ezernack T/PW Construction Services
PROJECT SUMMARY SHEET
(Change Order Attachment)
PROJECT NAME: Concrete Restoration 2010-8 @ Various Locations
BuySpeed No : P0-11-00065783
Contract No: CS41658
D.O.E. No: 6667
Attachment to Change Order No: 1
Today's Date: 9/21/11
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):
M & C C-24732 Approved 02-15-11
TOTAL
$ 495,405. 70
$
$
$ 495,405.70
$ 22,298.25
$ 517,703.95
$
$
$ (22,298.25) Funded from GG01-0205002
Prepared By : Karen Striker T/PW Business Support