HomeMy WebLinkAboutContract 42116-CO4DI STRIB UTION:
WHI TE-FILE
CANA RY -CONSTR UCTIO N FILE
PINK -PROJECT MANAGER
GO LD EN ROD -CONTRA CTOR
CITY OF FORT WORTH
CHAN GE ORDER REQ UEST
CITY SE CRETAIW %J
CONT RACT NO. ) b-C& 1t
C HANGE ORD ER NO . Fo ur DATE : Apri l 28 ,20 16 D.O .E. NO . (NI A) PROJ EC T NO . 00496
PROJ ECT DESCR IPTION: Ro ll ing Hi ll s Water Trea tm ent Pl a nt, Lak e Worth Spi ll wa y and Wes ts id e Water Treatment Pl an t C ITY SEC RETARY CONTRACT NO.
42 11 6
ORIG INAL CONTRACT AM OU NT ...................................................... $ 2 ,197,09 5.00
EXTRAS TO DATE ........................................................ $ 54 7,627 ,66
C RE DITS TO DAT E ...................................................... $ ~O.=O~O ______ _
CONTRACT COST TO DATE ..................................................................................................................................................................................... $ 2 ,744,722 .66
AMOUNT OF PROPO SED C HA NGE O RD E R ........................... , ................................................................................................................................. $ ~o.~o~o __ _
REV ISED CONTRACT AMOUNT ................................................................................................................................................................................ $ 2 ,744,722 .66
ORIG LNAL FUN DS AVAILAB LE FO R C HANG E ORDERS ....................................................................................................................................... $ 549,2 73 .7 5
ADDITIO NAL FUN DLN G (LF NECESSA RY) ................................................................................................................................................................ $ =0.=00'---
REMA IN ING FUN DS AVA ILABLE FOR C HANGE O RDER .................................................................................................................................... $ ~I =64~6~.0~9 __ _
IN ACCORDANCE WITH THIS CHANGE ORDER , THE CONTRACTOR SHALL: Change Order No . 4 con s ists of a no -cost change order consisting of the
following items :
Credit -Delete installation of a multi-mode fiber connection between pole an Electrical Building at Lake Worth Spillway :
Cred it -Delete installation of a new ca nopy at the end of La ke Worth Spillway
Cost -Add a thermal camera , installed and mounted at Lake Worth Spillway , in cl udes ca mera, installation , and program min g
TOTAL AMOUNT CHANGE ORDER:
$4,465.00 (Credit)
$3,641 .00 (Credit)
$8.106 .00 (Cost)
No Cost
Staff has reviewed this change o rd er and is in agreement with the modification s to the scope of work and the cos ts and credits associated with the work .
Documentation providing addi ti onal information is attached to and made part of thi s chang e order. No additional contract time has been requested by the
Con tra ctor for this propo sed change order.
It is un d e r s tood a n d a g reed th a t th e acce p t a n ce of t hi s Cha ng e Orde r b y th e C o nt ra c to r co n s t itutes a n acc o rd a n d sa t is facti o n and rep res e n t s p a y m e n t in fu ll
(both in t i m e and mo n ey) fo r all c o s t s a ris in g o ut o f, o r in c id e n ta l to , t h e C h a n ge Orde r.
OR IGLNAL CONTRACT TlME ADDITIO NAL APPROV ED TlM E TO DATE APPROVED CONTRACT T IME ADDIT IONAL TlME FO R T HI S CHANGE
TO DATE OR DER
300 Ca lendar Da s 392 Calend ar Da s 692 Calenda r Da s O Ca lenda r Da s
CONTRACTOR~ \:::r ~ <2
MANAGER/CONST. SER.
C ITY MANAGER
~
RECE.\VE
JUM, 410\6
·'r< Or FOR1WOR1h
crN SECRF.1ARY ~ SC
DATES'/J.<>jl{:, PROJECT MANAGE R
DATE ~/I/IC -
DATE C ITY AlTORN E't\
6/.f//t
-)o~ D APPROVED D DI SAPP
by :
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX