HomeMy WebLinkAboutContract 41698-CO1 (2)CITY SECRETARY .
CONTRACT NO. 4 / ~9 ~ -e,o I
FORT WORTH .
~
City of Fort Worth
Change Order Request
Project Name! 2011-9 Concrete Restoration @ Various Locations City Sec # 41698
Client Project #(s)j GG01 -537110-0202002 DOE#6676
Concrete Restoration 2011-9 provides for repair and reconstruction of failed concrete pavement at locations list in the
Project Description contract documents .
Contractor! Macval Associates, LLC Change Order# Date l 10/31/2011
City Project Mgr.! Tariqul Islam (817)392-2486 City Inspector Gary Deyon (817 )223-2257
Dept. TPW Water Sewer Totals Select Day Typt
Original Contract Amount $455,606 .00 $455,606 .00 150
Extras to Date
Credits to Date
Pending Change Orders {in M&C Process)
Contract Cost to Date $455,606.00 · ''>-· ' $455 ,606.00 150
IAmount of Proposed Change Order IU.UU IU ,UU SO.DO · 0
Revised Contract Amount $455 ,t>Uti .UO . " $455 ,606 .00 150 "
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
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%}
0.00% I
$569,507.50
This change order is to add a new line item to cover the cost of additional work added to 2011-9 Concrete Restoration . It has been determined
that concrete panels to be removed and replace near deliver/ receiving driveway bays will need 24 hour high early concrete . We had
coordinated times with businesses to restore panels and not affect truck deliveries during business hours.
[ NO M&C R.llQUIRED J
OFFICIAL RECORD
CITY SECRETARY
Ftwo
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.
..G \,,
\.i '\
t-,!...,.., ... Fi~~~~~~~__.ijl5."1::4~~~~.;::;.;~~~~~~'.!!'"iai~r.JJ.j,~\1
1
12 -23 -1 1
Project Name
Client Project#
City of Fort Worth
Change Order Additions
2011-9 Concrete Restoration@ Various Locations
GG01-537110-0202002 DOE# 6676
City Sec#
Project Description Concrete Restoration 2011-9 provides for repair and reconstruction of failed concrete pavement at locations list in the contract
documents .
Contractor Macval Associates, LLC Change Order# I 1 I Date ! 10/31/2011
City Project Mgr. Tariqul Islam (817)392-2486 City Inspector I Gary Deyon (817 )223-2257
ADD1TION5
llt:M !J!:.~l..:"\ll"' I IUN Ut:t' I Qty Unit Unit liOSt ,, ;.::4 Hour H1gn t:any wncrete -msiau I t'VV ;.::1u.w .:>T .-oo.Ul
Change Order Additions Page 1 of 2
41698
TOtal
~10,oou.uu
TPW $15,560 .00
Water $0 .00
Sewer $0.00
Sub Total Additions $15,bOU .00
Change Order Additions Page 2 of 2
City of Fort Worth
Change Order Deletions
Project Name
Client Project#
2011-9 Concrete Restoration @ Various Locations City Sec# 41698 :=;::::::::=:::::::::::======================================--.:__~==:::::; GG01-537110-0202002 DOE# 6676
Project Description Concrete Restoration 2011-9 provides for repair and reconstruction of failed concrete pavement at locations list in the contract
documents .
Contractor Macval Associates , LLC Change Order# l 1 Date l 10/31/2011
City Project Mgr. Tariqul Islam (817)392-2486 City Inspector l Gary Deyon (817 )223-2257
DELETIONS
11t::M !J!:.~L ~:~ I JUN Ut::1-'I Qty Unit umt c.;ost
0 FlexDase Il'W HS.:'..Uli \.iY $10.UU
7 unctassified Street Excavation ,PW 1,384.UL \.iY $10.Uli
Change Order Deletions Page 1 of 2
total
$1,ts.:'.U .UU
$13,ts4U.00
,,w $15,boU.00
Water $0.00
Sewer $0 .00
sut> Total Deletions $15 ,btlU .UU
Change Order Deletions Page 2 of 2
•.
M/WBE Breakdown for this Change Order . ~ .~ MWBESub · . ".,,..._· . ;' Type of Service .'." 1 • I)' Amount for this CO/ · ',_ ;...•·. '·.:,. . " '.'-~···i,
Total . ',, l': -~·if >tt ...;~;ii"W~.ti.: ,.·,·t.: so.~.
•.•
1
·r ! .;'i J,-(.:',,;. ~ ' · .
Previous Change Orders
'-.,~
.T ,;. :.
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 2011-9 @ Various Locations
P0-11-00065781
N/A
NIA
CS41698
6678
1
12/7/11
C-24743 approved 03-01-11
TOTAL
$ 455,608.00
$
$
$ 455,808.00
Amount of Proposed Change Order: (Debits)
Amount of Proposed Change Order: (Credits)
Revised Contract Amount:
$ 15,660.00
$ (15,660.00)
$ 455,606.00
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 2011-9@ Various Locations
P0-11-00065781
CS41698
6676
1
12/19/11
TOTAL
$ 455,606.00
$
$
$ 455,606.00
Amount of Proposed Change Order: Additions / Deletions
Revised Contract Amount: $ 455,606.00
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