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olr""00"— Change Order Request
Project Namel Water Rehabilitation Contract LXIX(6 Fart 4 City Sep Nn* 42126
Project No.s P2b3-605170091583 COQ No,. 6622 City Pro.No. F 0091
Project Description East Look'820 Southbound Frontage Road from David Strickland Toad to Martin Street
Contractor Jackson Construction Ltd. .. Change Order Data, 8/902013...........
Cite Project Mgr. Robert Sauceda city Inspector Davi'ld Johnson
Phone Number: 817-392 238 ' Phone Number] 817-392-8370
WONNNOWN
ContractTime
Dept. Water Sewer Totals (Calender days)
Original Contract Amount $612,053.00 %;;; 1
Extras to Cate 5 250.7 % '%f f,,,,%
Credits to Date
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Pending Change Orders(in M&C Process)
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CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25 yo)
The contractor has requested are additional 250 callendar days on the project due to delays,
resulting from having to wait to obtain permission, from Central Truicking Company to work on
its property and also for AT&T t o relocate Its conflicting facility., Staff concurs with the
Contractor's request and recommends approval.
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4, OFFICIAL RECORD,
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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(bath time and money)for all costs arising out of,or incidental to,the above Change Order.
Jackson Consftuction,Ltd Steve Haberstroh
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M&C Number C Date Approved A
RECEIVED' AUG 19 M13
Fc>a-r We a-r m City of Fort Worth
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Project Name =Water Rehabilitation Contract LXIX Part 4 CitySecNio 1261
Project No.(s) P-253-605170091583 i ICE Igo. 662 City Pro.No. 00915,
Project
scription East Loop 820 Southbound Frontage Road a
d from vid Strickland Road to Martin Street
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Contractor Jackson Construction Ltd. Change Order# Date- 2,013 J1
City Project Mgr. ert sauceda City Inspector E,David Johnson
ADUITION5
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Water
Sewer
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Page 2 of 4
FOR-r ll City of Worth
Change Order Deletions
r xA '�Pt �. Water Rehabilitation Contract LXIX 6 1,Part 4 City sec No�. 4212
Project 'o.(s) P!253-605170091583 DOE No. 6622 City Pro.No. 00911 5
Project Description East Lapp 820 Southbound Frontage Road from David Strickland'Road to Martin Street
Contractor Jackson Construction Ltd. Ch�an gile Order Date 8/9/201
City Project Mgr, Robert Saucedai City Inspector EDalvid Johnson
DELETIONS
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MM BE Breakdown for this Charge Order
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