HomeMy WebLinkAboutContract 42413-CO2• I
FORT WORTH .. City of Fort Worth
Change Order Request
CITY SECRETARY
CONTRACT NO. 4l L/ I ) .r (O 1-
Project Name ! Westcreek Drainage Improvements
Client Pro ject #(s)j P227-541200 -203280063083
City Sec# 42413 .__ _____ ___.
Pro ject Descr ipt ion Drainage , Paving , Water and Sanitary Sewer Improvements for Westcreek Drive (Medina to Kellis Park)
2 Date Contractor! Tri-Tech Construction
City Project Mgr. I Chad Simmons
Change Order#
City Inspector Mike Myers
Dep t. Wa ter Sewer T/PW
Origi nal Contract Amount $81 ,390 .00 $91 ,907 .50 $1 ,023 ,624 .00
Ext ras to Date $21 ,560 .00 $10,488.00 $107 ,958 .50
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $1 02,9 50 .00 $102 ,395.50 $1,1 31,58 2.50
!Amou nt of Proposed Change Order $0.00 $0 .00 $7,525 .00
Revised Contract Amount $102 ,950 .00 $102,39 5.50 $1 ,139,1 07.50
Original Funds Available for Change Orders $21 ,560 .00 $10,488 .00 $3 ,86 0.00
Rema ining Funds Available for this CO $0 .00 $0.00 $0.0 0
Additional Funding (if necessary) $7,525 .00
CHANGE ORDERS to DATE (INCLUDING TH IS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CON TRACT AMOUNT (ORIGINAL CONTRACT COST + 25 %)
Tota ls
$1 ,196 ,921 .50
$140 ,006 .50
$1 ,336 ,928 .00
$7,525 .00
$1 ,344,453.00
$35 ,908 .00
$7 ,52 5.00
JUSTIF ICATION (REASONS) FOR CHANGE ORDER
The addition of a hand rail was required on top of 8' high headwall in Kellis Park.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
8/31 /2012
Select Day Type
It is understood an d agreed tha t the acceptance of th is Change Order by the con trac tor constitutes an acco rd and satisfaction and represents payment
in full (both time and mo ney) for all cos ts arising out of, or inci dental to , the above Chan ge Order.
Tr i-T ec h Construction
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M&C Numb er
City of Fort Worth
Change Order Additions
Project Name Westcreek Drainage Improvemen ts City Sec # 42413 ~==========================================--:_______.'.:==::::; Clien t Proje ct# P227-541200-203280063 08 3
Project Descrip tion Dra inage , Pav ing , Water an d Sanitary Sewe r Improvements for Westcreek Dr ive (Medina to Kellis Park)
Contracto r Tri-Tech Construction Change Order# I 2 I Date 8/31/2012
City Project Mgr. Chad Simmons City Inspector Mike Myers L...------'"-----------------1
ADDITIONS
lltM Ut::iGRIP f!ON DEP1 Uty Unit unit Gost 1ota1
46 Galvanized Hand Rail For Head Wall in Kellis Park i/PW 1.UU t:A :i,r ,::>Lo .uu $1 ,b:Cb .UC
Change Order Additions Page 2 of 6
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• .. , ~
Wa te r $0.00
Sewer $0 .00
T/PW $7 ,525 .00
Sub Total Add ition s $7 ,525 .00
Ch ange O rde r Addition s Page 3 of 6
FORT \VORTH ------v---City of Fort Worth
Change Order Deletions
Project Name ~' _W_e_s_tc_re_ek_D_r_a_in~ag~e_lm~p_ro_v_e_m_en_ts ___________________ ~ City Sec# 42413
Client Project#!._ _P_22_7_-5_4_12_0_0-_2_03_2_80_0_63_0_83 ___________________________ __,
Pro ject Descript ion Drainage , Paving , Water and Sanitary Sewer Improvements for Westcreek Drive (Medina to Kellis Par k)
Contractor Tri-Tech Construction Change Order # I 2 j Date 8/31/2012
Chad Simmons City Inspector Mike Myers ....._ _ ___._ _________ _. City Project Mgr .
DELETIUN:S
IIEM Ut~L;Klt-' I IUN Utt-'I Uty unit unit Cost Total
Change Order Deletions Page 4 of 6
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Wate r $0.00
Sewer $0.00
T/PW $0 .00
Su b l ota l !J ele tio ns
Change O r d e r De l eti on s Page 5 o f 6
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M/WBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for th is CO
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
PROJECT NAME:
BuySpeed No (T/PW):
City Project No :
Contract No:
D.O .E . No :
PROJECT SUMMARY SHEET
(Change Order Attachment)
Westcreek-Kellis Park Drainage Improvements
P0-12-00069465
00630
CS42413
5555
Attachment to Change Order No: 2
Today's Date : 9/5/12
TOTAL P227
Original Contract Amount: $ 1,196,921.50 $1,023 ,624 .00
Extras to Date : $ 140,006.50 $ 107,958.50
Credits to Date : $ $
Water Sewer
$ 81 ,390 .00 $ 91 ,907 .50
$ 21 ,560.00 $ 10,488 .00
$ $
Contract Amount to Date : $1,336,928.00 $1 ,131 ,58 2.50 $ 102 ,950 .00 $ 102 ,395 .50
Amoun t of Proposed Change Order:
Revi sed Contract Amount:
Continge ncy Funds Avail. for Admin . Change Orders :
Remaining Funds Available for Change Orders :
Additional Funding (if necessary):
$ 7,525.00 $ 7,525.00 $ $
$ 1,344,453.00 $1,139 ,107 .50 $ 102,950.00 $ 102 ,395 .50
$
$
$
35,908.00 $
$
(7,525.00) $
35 ,908 .00 $
$
(7 ,525 .00) $
$
$
$
Prepared By : Chri sty Ezernack T/PW Construction Services
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