HomeMy WebLinkAboutContract 41718-CO1Ch a nge Order No . Date
City of Fort Worth
Change Order Request
TPW Project No . Fund ing (FAC )
One (1) 12/1/11 DEM11-04 :ACM R101-539410-020211007000
Facility and Proj ect Descript ion C ity Se c retary Con t ract No .
Asbestos Abatement of RD Evans, Police, & Meadowbrook Library
ORIGINAL CONTRACT AMOUNT .............................................................. ..
EXTRAS TO DATE .................................................................... .
CREDITS TO DATE ................................................................... .
41718
$ 18 ,780.00
$ 0 .00
$ 0 .00
CONTRACT COST TO DATE ................................................................................................. .
AMOUNT OF PROPOSED CHANGE ORDER. ............................................ (ADD) ..................... ..
REVISED CONTRACT AMOUNT ............................................................................................ .
ORIGINAL FUNDS AVAILABLE FOR CHANGE ORDERS ........................................................... .
REMAINING FUNDS AVAILABLE FOR CHANGE ORDERS ........................................................ .
ADDITIONAL FUNDING (IF NECESSARY) .............................................................................. ..
IN ACCORDANCE WITH THIS CHANGE ORDER , THE CONTRACTOR SHALL:
$ 13,530
$ 730.50
$ 19,510.50
$ 0 .00
$ 0 .00
$ 730.50
1. Remove add itional surfac ing mate ria ls added to scope by TPW-Arch itectura l Serv ices since contract was initially
formulated and signed . Cost of additional work-$730.50
P0-11-00067 450
All work to be performed in accordance with the Request for Proposal specifications .
It is understood and agreed that the acceptance of th is 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.
Contra cto r's Name
lntercon Environmental, Inc. (Vendor Number: 0000017132)
Origina l Con tract Time Add itional Approved Time To Date Approv ed Contra ct Time To Date Ad dit io nal Time For Th is Chan ge Order
45 days O 45 days 0
Date
\~ '~ ll
Date
l ·J·l'1.._
Date
I //1./ fl-
N/A
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX