HomeMy WebLinkAboutContract 42468-CO1• l .
FORT WORTH ..
~ City of Fort Worth
Change Order Request
Proje ct Name! Quail Run Drainage Improvements
Client Project #(s) 00629
CITY SECRETARV4117111 4v C/JI CONTRACTNO . f/"1 U'o-
City Sec # 4246 8 ~-----~
~-------------------------------------'
Project Description! Storm Drain and Inlets
Cont ractor! Tejas Commerical Construction , LLC
City Project Mgr .! Chad Simmons
Change Order # Date 3/5/2012
City Inspector Donald Watson
Dept. TPW Water Sewer Contract Time
Totals (CD)
Original Contract Amount $431 ,359.00 $431 ,359 .00 294
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $431 ,359.00 $431 ,359 .00 294
!Amount of Proposed Change Order $18,080.00 $0.00 $0.00 $18,080.00 0
Re vi se d Contract Amount $449,439.00
Original Funds Available for Change Orders $21 ,568 .00
Remaining Funds Available for this CO $21,568.00
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
$449,439 .00 294
$21 ,568 .00
$21 ,568 .00
4.19%
$539 ,198 .75
Added temporary pavement , added filter fabric and bedding material for storm drain to meet current City trench backfill specifications , revised
inlets to TXDOT Type 2 inlets . We also had to relocate three 1 "1/2 water services , to install the Trench drains in various locations .
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 Order.
Date
Y-r-1-z_ 0,...
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Date
M&C Number
P03 :08 IN
FOR T WORTH ---.----
Project Name Qua il Run Drainage Improvements
City of Fort Worth
Change Order Additions
City Sec# 42468
Client Project # 00629 ~---------------------------------------'
Project Description Storm Drain and Inlets
Contractor Tejas Commerical Construction , LLC Change Order # Date 3/5/2012
City Project Mgr . Chad Simmons City Inspector Donald Watson
ADDITIONS
lltM Ut::iGKlt-' I IUN Ut:t"' I Uty Unit Unit GOS! I otal
41 IZ" temporary HMAG I t"'VV 4,ouu.uu ::it-:noo ~r ,4Lo .UU
42 Trench Backfill (geotext1le fabric) IPW ruu .uu Lt-$1 .J5 $840 .00
43 I Trench Backfill (crushed rock embedment to pipe springline) IPW ?uo .uu Lt-$1 .!lU $1 ,L60.00
44 Inlet -TXUU I Type 2 -10 ft TPW 2.00 tA $1,ouu .uu $J ,LUU .OU
45 1"1/2 Water Service lt-'W 3.0U EA $1,/5U .uu $b ,LoU .OU
TPW $18 ,080.00
Water $0.00
I Sewer $0 .00
Sub Tota l Add itions $18 ,080 .00
Change Order Additions Page 1 of 1
'I )
FO R T W O R T H ----.---
Project Name Quail Run Drainage Improvements
City of Fort Worth
Change Order Deletions
City Sec# 42468
Client Project# 00629 ~------------------------------------~
Project Descr iption Storm Drain and Inlets
11cM
Contractor
City Project Mgr .
Tejas Commerical Construction, LLC
Chad Simmons
Uc::iCKlt-' 1 IUN
Change Order # Date 3/5/2012
City Inspector Donald Watson
DELETIONS
Ut:I"' I u.iy Unit unit cost 1ota1
TPW
Water
Sewer
Sub Total Delet ions
Change Order Deletions Page 1 of 1
$0 .00
$0 .00
$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 SUMMARY SHEET
(Change Order Attachment)
PROJECT NAME : Quail Run Drainage Improvements
BuySpeed No (T/PW):
City Project No :
Contract No :
D.O .E. No :
Attachment to Change Order No :
Today's Date :
Original Contract Amount:
Extras to Date :
Credits to Date :
Contract Amount to Date :
P0-12-00069887
00629
CS42468
5561
1
3/9/12
Amount of Proposed Change Order:
Revised Contract Amount:
Contingency Funds Avail. for Admin . Change Orders :
Remaining Funds Available for Change Orders :
Additional Funding (if necessary):
Original M & C approved 10-01-11, C-25203
TOTAL
$ 431,359.00
$
$
$ 431,359.00
$ 18,080.00
$ 449,439.00
$ 21,568.00
$ 21,568.00
$
Prepared By: Christy Ezernack T/PW Const.ruction Services
.,