HomeMy WebLinkAboutContract 42125-CO1~ ~
FORT WORTH .
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City of Fort Worth
Change Order Request
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CITY SECRETARY
CONl'RACT NO . vfz1zs-c& ,
I City Sec # I 42125 I Project Name! Concrete Restoration at Various Locations (2011-11)
Client Project #(s)! GG01-537110-0202002 DOE : 6730 !
Project Descript ion Concrete Restoration at Various Locations
Contractor! Bradley Douglas Construction Services , LLC Change Order# Date 5/24/2012
City Project Mgr.! Tariqul 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 $490 ,842 .70
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Con tr act Co st to Da te $490 ,842 .70
!Amount of Proposed Change Order $0.00
Revised Contract Amount $490 ,842 .70
Original Funds Available for Change Orders
Remain ing Funds Available for this CO $0.00
Add itio nal Fu ndin g (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
Contract Time
Totals (CD)
$490 ,842 .70 150
$490 ,842.70 150
50
$490 ,842 .70 200
$0 .00
0.00%
$613 ,553 .38
This change order is to request an additional 50 calendar days to cover the time needed for additional requ ired work on Bella ire Dr.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
It is understood and agreed that the acceptance of this Change Order by the con tracto r constitutes an accord and satisfaction and represents payment
in full (both time and money) for all costs aris ing out of , or incidental to , the above Change Order.
Date ~ (r
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\ ~-City of Fort Worth
Change Order Request
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City Sec# 42125
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Project Name I Concrete Restoration at Various Locations (2011-11)
Client Project #(s)I GG01-537110-0202002 DOE : 6730
Project Description Concrete Restoration at Various Locations
Contractor! Bradley Douglas Construction Services , LLC Change Order# Date 5/24/2012
City Project Mgr.! Tariqul 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 $490 ,842.70
Extras to Date
Credits to Date ,v
Pending Change Orders (in M&C Process) 1-'
I.,,{ f'
Contract Cost to Date I'. $490 ,842.70
!Amount of Proposed Change Order ~0.00
Revised Contract Amount $490 ,842.70
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
Contract Time
Totals (CD)
$490 ,842 .70 150
$490 ,842 .70 150
50
$490 ,842 .70 200
$0.00
0.00%
$613 ,553 .38
This change order is to request an additional 50 calendar days to cover the time needed for additional required work on Bellaire Dr .
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 Orde r.
Contractor's Compan Name Contracto
z
M&C Number
,,
FORT WORTH .
~
City of Fort Worth
Change Order Request
C..DP\I ~ 6f A
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City Sec# 42125 ! Project Name! Concrete Restoration at Various Locations (2011-11)
Client Project #(s)j GG01-537110-0202002 DOE: 6730 !
Project Description Concrete Restoration at Various Locations
Contractor! Bradley Douglas Construction Services , LLC Change Order# Date 5/24/2012
City Project Mgr.! Tariqul 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 $490 ,842 .70
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process) ; .
Contract Cost to Date . --$490 ,842.70 '
IAmount of Proposed Change Order $0.00
Revised Contract Amount $490,842 .70
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
Contract Time
Totals (CD)
$490 ,842 .70 150
$490 ,842.70 150
50
$490,842.70 200
$0.00
0.00 %
$613 ,553 .38
This change order is to request an additional 50 calendar days to cover the time needed for additional required work on Bellaire Dr .
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
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Date
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Date Date
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M&C Number ,J/
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FORT WORTH .. City of Fort Worth { I ~ C hange Order Request I {
Project Namel Concrete Restoration at Various Locations (2011 -11) City Sec# 42125
Client Project #(s)I GG01-537110-0202002 DOE : 6730
Project Description Concrete Restoration at Various Locations
Contractor! Bradley Douglas Construction Services , LLC Change Order # Date
City Project Mgr. I Tariqul Islam (817) 392-2486 City Inspector Candace Klenk
Enter Department(s) to the Right and TPW Contract Day Type
Original Contract Amount $490,842.70
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $490 ,842 .70
!Amount of Proposed Change Order $0.00
Revised Contract Amount $490 ,842.70
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
$490 ,842 .70
$490 ,842 .70
$490 ,842.70
$0 .00
0.00%
$613 ,553 .38
5/24/2012
(817) 319-6452
Contract Time
(CD)
150
150
50
200
This change order is to request an additional 50 calendar days to cover the time needed for additional required work on Bella ire Dr .
It is understood and agreed that the acceptance of this Change Order by the contracto r constitutes an accord and satisfaction and represents payment
in full (both time and money ) for all costs aris ing out of , or in ciden tal to , the above Cha nge Ord er.
Contractor's Com an Name Contractor Name Contract Si nature Date
Bradley Dou las Construction Services , I I II ' / . I /t, , I .I-/II !~
Inspector/Inspection Supervisor A • Date Project Manager/Program Manager Date
I '~~
Assistant Director (Dept)
-' Director , Contracting Department (Dept) Date Date
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Assistant City Attorney Date Assistant City Manager
,.
Date \
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Council Action if required)
M&C Number I .;_ I M&C Date Approved I I
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City of Fort Worth
Change Order Additions
Project Name Concrete Restoration at Various Locations (2011-11)
Client Project# GG01-537110-0202002
Project Description Concrete Restoration at Various Locations
Bradley Douglas Construction Services , LLC
City Sec#
DOE : 6730
Change Order # Date 5/24/2012 Contractor
City Project Mgr. Tariqul Islam (817) 392-2486 City Inspector Candace Klenk (817) 319-6452
ADDITIONS
11 t:M !.J!:.~I_ ~It-' I IUN Ut:t-' I Uty Unit un1t cost
NA 11me un1y I l"'VV bU.UU cu :j;U .UL;
TPW
:;uo I otal Add1t1ons
Change Order Additions Page 1 of 1
;l
42125 '\
IOtal
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$0 .00
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FORT WORTH -----....---
Project Name
Client Project#
City of Fort Worth
Change Order Deletions
Concrete Restoration at Various Locations (2011-11) City Sec# 42125
;:::::;G::::G:::01::-5:;37::::1=10::-0:;2:;::;02:;00::::2========::::::::==:::::::=============D:::0E::::::::67::::3=0 ========:=__::__-=:==:::::;
Project Description Co ncrete Restoration at Various Locations
111:.M
Contractor
City Project Mgr.
Bradley Douglas Construction Services , LLC Change Order # 1 Date 5/24/2012
Tariqul Islam (817) 392-2486 City Inspector Candace Klenk (817) 319-6452
DELETIONS
Dt.:SCKlt-' IION Ut.t-' I Uty Unit unit cost 1ota1
TPW
Sub l otal Deletions
Change Order Deletions Page 1 of 1
$0 .00
. ~,
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 :
T oday's Date :
Origin a l Contract Amount:
Extras to Date :
Credits to Date :
Contract Amount to Date :
PROJECT SUMMARY SHEET
(Change Order Attachment)
Concrete Restoration 2011 -11 @ Various Locations
P0-11 -00067 440
N/A
N/A
CS42125
6730
1 C-24987 approved 07-12-11
6/7/12
TOTAL
$ 490 ,842 .70
$
$
$ 490 ,842.70
Amount of Proposed Change Order: TIME ONLY
Rev ised Contract Amount:
Contingency Funds Avail. for Admin . Change Orders :
Remaining Funds Available for Change Orders :
Additional Funding (if necessary):
$ 490,842.70
$
$
$
Prepared By : Christy Ezernack T/PW Construction Services
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