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Home My WebLink AboutContract 41858-CO1• FORT WORTH . ~ City of Fort Worth Change Order Request g~~~~~:" 4J~~/Co/ City Sec # I 41858 ! Project Name! Brick Pavement Repair (2011-12) At Various Locations Client Project #(s)I GG01-537110-0202002 DOE: 6697 ! Project Description Repairing brick pavers at various locations throughout the city Contractor! C. Green Scaping, LP Change Order# Date 6/18/2012 City Project Mgr . ._I _T_ar_iq"'""ul_ls_la_m ____ ___;,_(8_1....:.7)_3_92_-2_4_86 _ __, City Inspector Candace Klenk (817) 319-6452 Enter Department(s) to the Right and TPW Contract Day Type Original Contract Amount $285 ,980 .00 Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $285 ,980 .00 I Go to ADD & DEL Tabs to Enter CO Backup $0.00 Revised Contract Amount $285 ,980.00 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 Contract Time (CD) $285 ,980 .00 150 $285 ,980 .00 150 139 $285 ,980 .00 289 $0 .00 0.00% $357,475 .00 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 Ord er. M&C Number 'J 7 -?. r 1 2 \ 1 ,J : ; J I :~ • -1 "' i City of Fort Worth Change Order Request l}J~S~-{O/ City Sec# 41858 ~---------' Project Name! Brick Pavement Repair (2011-12) At Various Locations Client Project #(s)j GG01-537110-0202002 DOE : 6697 Project Description Repairing brick pavers at various locations throughout the city Contractor! C. Green Scaping , LP Change Order# Date 6/18/2012 City Project Mgr . ._! _T_a_riq.:....u_l l_sl_am _____ (.:....8_17....:..)_39_2_-2_4_86 __ _. City Inspector Candace Klenk (817) 319-6452 Enter Departm~nt(s) to the Right and TPW ' Contract Day Type 1 //", Original Contract Amount $285 ,980 .eo Extras to Date -Credits to Date 'J / .JI,,. < Pending Change Orders (in M&C Process) "J. I Contract Cost to Date $285 ,980.00 I Go to ADD & DEL Tabs to Enter CO Backup $0.00 Revised Contract Amount $285 ,980 .00 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 Contract Time (CD) I 1$285 ,980 .00 150 . $285 ,980.00 150 139 $285 ,980.00 289 $0 .00 0.00% $357,475 .00 This change order is for time only . We request that 139 calendar days (CD) be added to this contract due to the additional work areas that were added. Houston St. (4th St. -5th St.) 14 CD , Main St. (1st St. -Weatherford St.) 27 CD , Main St. (25th St. NW-Exchange Ave.) 10 CD , and River Park Dr. (Southwest Blvd Access Rd . -Bryant Irvin Rd .) 88 CD . ;)latJJ~ 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 Compan Name Contractor Name Date C. Green Scapin , LP /()./'( {A L,ou t)c? 1-11 -I t---::,.,,,~,,,,..,,.-.............,;-----t-::----i'-'1~-;---;---;--""'-:---,-~~----t-----;-------:----t "V I----"";.....__,:,,;.-.;......;....;;~------~-"'----'--------'------__..----'_\( M&C Number ( .:).. c;j)i"! ..2.. .. t l Co.y FORT WORTH . City of Fort Worth lJJ l .)~,(C I ~ Change Order Request Project Name! Brick Pavement Repair (2011-12) At Various Locations City Sec # 41858 Client Project #(s)j GG01-537110-0202002 DOE : 6697 Project Description Repair ing brick pavers at various locations throughout the city Contractor! C. Green Scaping , LP Change Order # Date 6/18/2012 City Project Mgr.! Tar iqul Islam (817) 392-2486 City Inspector Candace Klenk (817) 319-6452 Enter Department(s) to the Right and TPW Contract Day Type ' Original Contract Amount $285 ,980 .00 Extras to Date Credits to Date i .J • Pending Change Orders (in M&C Process) I - I Contract Cost to Date $285 ,980.00 I Go to ADD & DEL Tabs to Enter CO Backup ~0.00 Revised Contract Amount $285 ,980.00 Original Funds Available for Change Orders Remaining Funds Available for th is 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 Contract Time (CD) $285 ,980 .00 150 $285 ,980 .00 150 139 $285 ,980 .00 289 $0.00 0.00% $357,475 .00 This change order is for time only . We request that 139 calendar days (CD) be added to this contract due to the additional work areas that were added . Houston St. (4th St. -5th St.) 14 CD , Main St. (1st St. -Weatherford St.) 27 CD , Main St. (25th St. NW -Exchange Ave .) 10 CD , and River Park Dr. (Southwest Blvd Access Rd . -Bryant Irvin Rd .) 88 CD . 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 Contract Si nature Date C. Green Scapin , LP .l .> Ins ector/lns ection Date ( Date Date M&C Number j A1 /f FORT WORTH .. ~ City of Fort Worth Change Order Request _, ; 1 I j J u I City Sec # 41858 Project Name! Brick Pavement Repair (2011-12) At Various Locations Client Project #(s)! GG01-537110-0202002 '----------' Project Description Repairing brick pavers at various locations throughout the city Contractor! C. Green Scaping , LP City Project Mgr . ._! _T_a_riq-'--u_l l_sl_am _____ (.a....8_17-'-)_39_2_-2_4_86 __ _. Change Order# City Inspector DOE: 6697 Date 6/18/2012 Candace Klenk (817) 319-6452 Enter Department(s) to the Right and TPW Totals Contract Time Contract Day Type Original Contract Amount $285,980 .00 Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $285 ,980 .00 I Go to ADD & DEL Tabs to Enter CO Backup $0.00 Revised Contract Amount $285 ,980.00 Originat Funds-Avaijable 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 (CD) $285 ,980 .00 150 $285 ,980 .00 150 139 $285 ,980 .00 289 $0 .00 0.00% $357,475.00 This change order is for time only . We request that 139 calendar days (CD) be added to this contract due to the additional work areas that were added . Houston St. (4th St. -5th St.) 14 CD , Main St. (1st St. -Weatherford St.) 27 CD , Main St. (25th St. NW -Exchange Ave .) 10 CD , and River Park Dr . (Southwest Blvd Access Rd. -Bryant Irvin Rd.) 88 CD . 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 Compan Name Contractor Name Contract Si nature Date C. Green Scapin , LP Inspector/Inspection Supervisor Date Project Manager/Program Manager Date . Z..tt~Y,.,. -I ... Assistant Director (Dept) Date Director , Contracting Department (Dept) Date Assistant City Attorney Date Assistant City Manager ~ Date -.. ;""""- _ ... ... ..., -~.,i.....-I -t"/ -'/'.. . Council Action if required) M&C Number I . I M&C Date Approved I I FORT WORTH ---w---City of Fort Worth Change Order Additions Project Name Brick Pavement Repair (2011-12) At Various Locations Client Project# GG01-537110-0202002 DOE: 6697 Project Description Repairing brick pavers at various locations throughout the city 11 t:M Contractor City Project Mgr . C. Green Scaping , LP Tariqul Islam ..!!:.~Cl-(ft"'IIUN Change Order# (817) 392-2486 City Inspector Candace Klenk ADDITIONS Ut:1-' I Wty unit .. Change Order Add1t1ons Page 1 of 2 City Sec# 41858 Date 6/18/2012 (817) 319-6452 Unit (.;OSt IOtal TPW $0 .00 Sub l otal Additions Change Order Additions Page 2 of 2 FORT WORTH ----.--- Project Name Client Project# City of Fort Worth Change Order Deletions Brick Pavement Repair (2011-12) At Various Locations GG01-537110-0202002 DOE: 6697 Project Description Repairing brick pavers at various locations throughout the city 1rEM Contractor City Project Mgr. C. Green Scaping, LP Tariqul Islam Ut:.:::ivKlt-'IION Change Order# 1 (817) 392-2486 City Inspector Candace Klenk DELETIONS Ut:.t-'I \ .. Uy Unit Change Order Deletions Page 1 of 2 City Sec# 41858 Date 6/18/2012 (817) 319-6452 Unit vOSt lotal . ' TPW $0 .00 Sub Total Deletions Change Order Deletions Page 2 of 2 . . . , . • MWBE Sub CO# M/WBE Breakdown for this Change Order Type of Service Amount for this CO Total $0.00 Previous Change Orders 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 D ate : Original Co nt rac t Amount: Extras to Date : Credits to Date : Contract Am o unt to Date : Amount of Proposed Change Order: Revised Contract Amount: PROJECT SUMMARY SHEET (Change Order Attachment) Brick Pavement Repair 2011-12 @ Various Locations P0-11-00066463 N/A N/A CS41858 ORIGINAL M & C, C-24808 APPROVED 04-05-11 6697 1 6/20/12 TOTAL $ 285,980.00 $ $ $ 285,980.00 TIME ONLY $ 285,980.00 Contingency Funds Avail. for A d min. Cha nge Orders : $ $ $ Remaining F unds Available for C han ge O rde rs : Add itional Funding (if necessa ry ): Additional tim e r equested : 139 days Prepa red By : Christy Eze rna ck T/PW Construction Serv ices •'