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Home My WebLink AboutContract 41658-CO3' fO l!.,T ;ORTH . Project Namel Concrete Restoration (2010 -8) Client Project #(s)I GG01-537110-02022002 City of Fort Worth Change Order Request Project Description Concrete Pavement Repair @ Various Locations Throughout the City CITYSECRETARY. L.~$ C.D 3 CONTRACT NO. ~ \ u'U - City Sec # 41658 .__ _____ ____, DOE : 6667 Contractor! Jet Underground Utilities , Inc . Change Order # 3 Date 2/13/2012 City Project Mgr.j Tariqu l Islam (817) 392-2486 City Inspector Gary Deyon (817) 223 -2257 ~--~----------'------' Dept. TPW Water Sewer Original Contract Amoun t $495 ,405 .70 Extras to Date $22 ,298.25 Credits to Date Pend ing Change Orders (in M&C Process) Contract Cost to Date $517 ,703 .95 IAmount of Proposed Change Order $0.00 $0.00 $0.00 Revised Contract Amount $517,703 .95 Original Funds Ava ilable for Change Orders Re main in g Fu nds Ava ilable for thi s CO $0 .00 Add itional Fund ing (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS% OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) JUSTIFICATION (REASONS) FOR CHANGE ORDER Totals Select Day Type $495 ,405 .70 150 $22 ,298 .25 35 - $517 ,703 .95 185 5 $517 ,703 .95 190 $0 .00 4.50% $619 ,257 .13 This change order is to request the addition of a new line item . On Steinburg Ln . it was determined tha t the existing sidewalk had to be removed and replaced because it had become a trip hazard and liabil ity . Restoration of the parkway requ ired the use of additional sod . 5 calendar days are be ing added to the con tract for the additional work . It is understood and agreed that the acceptance of th is Change Order by the contractor constitutes an accord and satisfaction and represents pay ment in full (both time and money) for all costs arising out of, or incidental to , the above Change Order. FORT WORTH ----.--- Project Name Client Project # Concrete Restoration (2010-8) GG01-537110-02022002 City of Fort Worth Change Order Additions Project Description Concrete Pavement Repair @ Various Locations Throughout the City Contractor Jet Underground Utilities , Inc. City Sec# 41658 DOE: 6667 Change Order# 3 Date 2/13/2012 City Project Mgr. Tariqul Islam (817) 392-2486 City Inspector ....__G_a ..... ry_D_e..._yo_n ___ _,_(8_17 ..... )_2_23_-2_2_57_....., ADDITIONS 11t:.M Ut:SL;Klt-' I IUN Utt-'I Qty Unit Unit cost Total 1J 1..Jrass :soa Keplacement IPW 210 .UU sy $3 .85 $808.:>U Change Order Additions Page 1 of 2 TPW $808 .50 Water $0 .00 Sewer $0 .00 Sub Tota Add1t1ons $808 .50 Change Order Additions Page 2 of 2 FORT WORTH ----.----City of Fort Worth Change Order Deletions Project Name Client Project# Concrete Restoration (2010-8) City Sec# 41658 :::::==========:::::::::::==============================================--:__~====: GG01-537110 -02022002 DOE : 6667 Project Description Concrete Pavement Repair@ Various Locations Throughout the City Contractor Jet Underground Utilities , Inc. Change Order# 3 Date 2/13/2012 City Project Mgr . Tariqul Islam (817) 392-2486 City Inspector ,__G_a .... ry_D_e._yo_n ___ .... (8_17 ...... )_2_23_-2_2_57 _ _, DELETIONS 11 t:M Dc:;:,1..,rm· 1 IUN DEPl Uty Unit Unit L;OSt lota1 f unc1ass1t1ed :5treet 1::xcavation 11-'VV l:S~J.tjj cy :till.UL :til:SUl:S .bL Change Order Deletions Page 1 of 2 TPW $808 .50 Water $0 .00 Sewer $0 .00 Sub 1 otal Deletions $808 .50 Change Order Deletions Page 2 of 2 M/WBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders CO# DATE AMOUNT Total $0.00 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 N/A N/A CS41658 6667 3 2/14/12 TOTAL $ 495,405. 70 $ 22,298.25 $ $ 517,703.95 Amount of Proposed Change Order: Additions Amount of Proposed Change Order: Deletions Revised Contract Amount: $ 805.50 $ (805.50) $ 517,703.95 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 ' ; r-., . fO li,T ;ORTtt .. Project Name! Concrete Restoration (2010-8) Client Project #(s)j GG01-537110-02022002 City of Fort Worth Change Order Request Project Description Concrete Pavement Repair@ Various Locations Throughout the City Contractor! Jet Underground Utilities , Inc. Change Order # j_ of~ City Sec # 41658 DOE : 6667 3 Date 2/13/2012 City Project Mgr.! Tariqul Islam (817) 392 -2486 City Inspector Gary Deyon (817) 223-2257 Original Contract Amount Extras to Date Credits to Date Dept. Pending Change Orders (in M&C Process) Contract Cost to Date !Amount of Proposed Change Order Revised Contract Amount Original Funds Avai lable for Change Orders Remaining Funds Available for this CO Additional Fund ing (if necessary) TPW Water Sewer $495,405 .70 $22 ,298 .25 $517,703.95 $0.00 $0.00 $0.00 $517 ,703.95 $0 .00 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) JUSTIFICATION (REASONS) FOR CHANGE ORDER Totals Select Day Type $495,405.70 150 $22 ,298 .25 35 $517,703 .95 185 5 $517 ,703 .95 190 $0 .00 4.50 % $619 ,257 .13 This change order is to request the addition of a new line item . On Steinburg Ln . it was determined that the ex isting sidewalk had to be removed and replaced because it had become a trip hazard and liab il ity . Restoration of the parkway required the use of additional sod . 5 calendar days are being added to the contract for the add itional work . , It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an acco rd and satisfaction and represents payment in full (both time and money) for all costs arising out of , or incidental to , the above Change Order. Date \ ~~.omz,;~~~~t:..Lozl.,.~,~~A~::....__~~L..!..=...!~----------+---~t~...x!j i---,:...:::::::::..::i;i;;..:::.:.:.=.:::..:::.:...i::...::..c..:i.~~~~~~~~---t~___;;,~~-+-.....;D..:.ir..:.e.....;ct.....;or..:..., C.:...o~n~tr~ac~ti-'n,.__De_,p~a~rtm~en~t_,_D~e.J....l..t ~~--t-~~D~a~te~--t a~ Assistant Ci Attorne Date Assistant Ci Mana er Date ~ l\,'Q Council Action if re uired ,\ · f-----:-:-~------;:::======:::::::----=-=-=-~=.:..:..:..~=.:...:...:~::-:--:----:---:--;:::=======;-----j /,/l,v... M&C Number M&C Date Approved • i,1\ ..... FORT WORTH . ~ Project Namel Concrete Restoration (2010-8) Client Project #(s)I GG01-537110-02022002 City of Fort Worth Change Order Request Project Description Concrete Pavement Repair@ Various Locations Throughout the City Contractor! Jet Underground Utilities , Inc . 1. of~ City Sec # 41658 DOE : 6667 3 Date 2/13/2012 City Project Mgr.I Tariqul Islam (817) 392-2486 Change Order# City Inspector Gary Deyon (817) 223-2257 . Dept. TPW Water Sewer Totals Select Day Type Original Contract Amount $495,405.70 $495,405 .70 150 Extras to Date $22 ,298.25 $22 ,298 .25 35 Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $517 ,703 .95 $517 ,703.95 185 IAmount of Proposed Change Order $0.00 $0.00 ~0.00 5 Revised Contract Amount $517,703 .95 $517 ,703.95 190 Original Funds Available for Change Orders $0 .00 Remaining Funds Available for this CO $0 .00 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS% OF ORIGINAL CONTRACT 4.50% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $619 ,257 .13 JUSTIFICATION (REASONS) FOR CHANGE ORDER This change order is to request the addition of a new line item. On Steinburg Ln . it was determined that the existing sid ewalk had to be removed and replaced because it had become a trip hazard and liability. Restoration of the parkway required the use of additional sod. 5 calendar days are being added to the contract for the additional work. / 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. Contractor's Com an Name Contractor Name J(1c.lt lA:t1J rv,/clP/ ,' 1- Date Date Assistant Ci Attorne Date Date Council Action if r uired M&C Number M&C Date Approved () I ., ,...,, ~ <ti /\,'Q tu. ~ -- fORTWORTH .. ~ Project Name! Concrete Restoration (2010-8) Client Project #(s)! GG01-537110 -02022002 City of Fort Worth Change Order Request Project Description Concrete Pavement Repair @ Various Locations Throughout the City 1. "'f City Sec # 41658 ~---------' DOE: 6667 Contractor! Jet Underground Utilities , Inc. Change Order# 3 Date 2/13/2012 City Project Mgr.! Tariqul Islam (817) 392-2486 City Inspector Gary Deyon (817) 223-2257 '-----'--'-----......;_....;_ ___ __, Dept. TPW Water Sewer 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 !Amount of Proposed Change Order $0.00 $0.00 $0.00 Revised Contract Amount $517 ,703 .95 Original Funds Available for Change Orders Remaining Funds Available for this CO $0 .00 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) JUSTIFICATION (REASONS) FOR CHANGE ORDER Totals Select Day Type $495 ,405.70 150 $22 ,298 .25 35 $517 ,703.95 185 5 $517 ,703.95 190 $0 .00 4.50% $619 ,257 .13 This change order is to request the addition of a new line item . On Steinburg Ln . it was determined that the existing sidewalk had to be removed and replaced because it had become a trip hazard and liability . Restoration of the parkway required the use of additional sod . 5 calendar days are being added to the contract for the additional work. I 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 . Date Date Date Assistant Ci Attome Date Date Council Action if r uired M&C Number M&C Date Approved ·I. \