HomeMy WebLinkAboutContract 41658-CO2FORT WORTH .
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CITY SECRETARY LJ I & b't>-G O d-
City of Fort WorthCONTRACT NO.--~;.__.---
Change Order Request
CitySec# 41658 Project Name! Concrete Restoration 2010-8 ______ __,
Client Project #(s)j GG01-537110-0202002 DOE Number: 6667
Project Description Concrete Pavement Repair @ Variuous Locations throughout the City
Date 12/7/2011 Contractor! Jet Underground Utilities , Inc.
City Project Mgr . ._! _T_an""""·q'--ul_ls_la_m __________ _,
Change Order# 2 ;:::=====-----========~ City Inspector Gary Deyon ._____,_ ____________ ___.
Dept TPW Water Sewer Totals Select Day Type
Original Contract Amount $495,405 . 70
Extras to Date $22,298 .25
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $517,703.95 . -~.
tAmount Of Proposed Change Order . , ..•. $0.UU ·•lt.-"•i ~.uu I;: "<il· ~.uu
Revised Contract Amount ~517,703.!15 " . ~~·
Original Funds Available for Change Orders
Remaining Funds Available for this CO '" $0.00 9 \,· ., ~· . ,: :_.,;:,-
Additional Funding (if necessary) .,,, . "
CHANGE ORDERS to DATE (INCLUDING THIS ONE} AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%}
$495,405.70 150
$22,298.25 20
$517,703.95 170
15
$517,703 .95 185
$0.00
4.50%
$619,257:13.
The change order is to add a new line item to cover the cost of additional work added at Steinburg. It has been determined that the sidewalk
would need to be raised in order to match the criteria for 1/4" per foot slope in parkway. In order to offsett the cost of the additional work , items
that will not be needed are being deleted . 15 calendar days are being =o the contract for the additional work .
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J:;I ~ o" Oo~ YA t:t"-l °oO~ ~ ' !!l;Jg . \,>~ -M1A Q 11 • oof/:l J ~-¥-\o 00/:t}
Ronald P. Gonzales, Aut. City Seoreta,y\~ ,:i0 ooooo 0 0 -1< '°''°'
ll-n:ll.~t~-<,).~q
I NO M&C RE QUIRED I
OFFICIAL RECORD
CITY SECRETARY
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment
in fuH (both time and money) for all costs arising out of, or incidental to, the above Change Order.
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L---,-2 --2-3--,-,__.!::::~~::::;:;:;:~-------------=====----;J~
Project Name Concrete Restoration 2010-8
City of Fort Worth
Change Order Addition,
Client Project# GG01-537110-0202002 DOE Number: 6667
Project Description Concrete Pavement Repair @ Variuous Locations throughout the City
Contractor Jet Underground Utilities , Inc.
City Sec# 41658
Change Order # 2 Date 12f7/2011
City Project Mgr. ,__T_an_.·g_ul_ls_la_m __________ ___, City Inspector I..__G_ary~De"""yo_n _______ ___.
ADDITIONS
IICM !.!:~·-~:~ r IUN IJ~PI Qty Unit Unit vOSt lOtal
11 4 • 1,;oncrete ror .::,ioewai11. ll"'VV 0~4'.U\J ST ~.UI. ~l,fblU)I.;
1 l ADA Wheelchair ramp w/ Detector Pad lPW 1.UU Is $1,lUU.UI. ~l,lUU.UU
Change Order Additions Page 1 of 2
II W $3 ,968.00
Water $0 .00
Sewer $0 .00
SUD 1 mai Ada1tions $3,Wl:I.UU
Change Order Additions Page 2 of 2
Project Name Concrete Restoration 2010-8
City of Fort Worth
Change Order Deletions
Client Project# GG01-537110-0202002 DOE Number: 6667
City Sec# 41658
PrOjed Description Concrete Pavement Repair @ Variuous Locations throughout the City
IICM
4
6
r
ts
Contractor Jet Underground Utilities, Inc.
City Project Mgr. .__T_an ...... ·g._ul_lsl_am ___________ __,
DELETIONS
W=.:::•_ ~II"' I IUN
.:>111con Joint .::ieaung Tor l.,()flcrete l"'avement I t'VY
·-~ I l"'VY
unctassmea ;:,ueet excavation ll"'VY
v00crete -tnsUt11 ll"'VY
Change Order # ..--:,-~==~---=======::::::: City Inspector .__G_a_..ry_D_ey._o_n _______ __,
2 Date 12/7/2011
UCl"'I Uty Unit Unit 1.,0St
l\J.U\J n ~1.l/:>
1 /U.U\J cy :>LL.lJU
2.U\. cy :)~.UI.I
3 .UU cy :)t>J .UI.I
Change Order Deletions Page 1 of 2
IOtal
:>Ll .UU
:)J,/4U.UU
:)lts.w
:)lOl:I .UU
Tl W $3 ,968.0C
Water $0.00
Sewer $0.00
Sub l otal ue1etions $3.~.Ul
Change Order Deletions Page 2 of 2
M/WBE Breakdown for this Change Order
Totat
Total
PROJECT NAME:
BuySpeed No (T/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 @ Six Locations
P0-11-00065783
NIA
N/A
CS41658
6667
2
1217/11
TOTAL
$ 495,405. 70
$ 22,298.25
$ •
$ 617,703.95
Amount of Proposed Change Order: Additions
Amount of Proposed Change Order: Deletions
Revised Contract Amount:
$ 3,968.00
$ (3,968.00)
$ 617,703.95
Contingency Funds Avail. for Admin. Change Orders: $
Remaining Funds Available for Change Orders: $
Additional Funding (if necessary): $
Prepared By: Christy Ezernack T/PW Construction Services
/
PROJECT NAME:
BuySpeed 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 @ Various Locations
P0-11-00065783
CS41658
6667
2
12/19/11
TOTAL
$ 495,405.70
$ 22,298.25
$
$ 517,703.95
Amount of Proposed Change Order.
Revised Contract Amount:
Additions / Deletions
$ 517,703.95
Contingency Funds Avail. for Admin. Change Orders: $
Remaining Funds Available for Change Orders: $
Additional Funding (if necessary): $
Prepared By: Karen Striker T/PW Business Support