HomeMy WebLinkAboutContract 39374-CO1DATE: 02 / 26 / 2010
TRANSPORTATION AND PUBLIC WORKS
CHANGE ORDER JUSTIFICATION RECORD AND PROJECT SUMMARY SHEET
CITY SECRETAR
PROJECT NAME: BRIDGE REPAIR AT THREE LOCATIONS (2009-18) CONTRACT i)„ 's'?Yq--6Gl
CHANGE ORDER Ns: 1 D.O.E. Ns: 6317 CLIENT PROJECT Ns: C293-541200-209260131883
INSPECTOR: RICK ARLINGTON PHONE Ne: (817) 223-2280 CITY SECRETARY Ns: 39374
PROJECT MANAGER: TARIOUL ISLAM PHONE Ns: (817) 392-2486
COMBINED
_
_
T / PW
ORIGINAL CONTRACT AMOUNT
$
252,621.00
$
- $
- $
252,621.00
EXTRAS TO DATE
$
-
$
- $
- $
-
CREDITS TO DATE
$
-
$
- $
- $
-
ORIGINAL AMOUNT TO DATE
$
252,621.00
$
- $
- $
252,621.00
AMOUNT OF PROPOSED CHANGE ORDER
$
24,450.00
$
- $
- $
24,450,00
REVISED CONTRACT AMOUNT
$
277,071.00
$
- $
- $
277,071.00
ORIG. CONTINGENCY FUNDS AVAILABLE
FOR CHANGE ORDERS $ - $ - $ - $ -
REMAINING FUNDS AVAILABLE
FOR THIS CHANGE ORDER $ - $ - $ - $ -
ADDITIONAL FUNDING (IF NECESSARY) $ 24,450.00 $ - $ - $ 24,450.00
REASON(S) FOR CHANGE ORDER:
After milling the asphalt off the Felix Street Bridge there was found to have more deterioration than had expected.
Additional quantities are needed to repair this bridge. This work will require an additional 10 Calendar Days to be added to
the original contract time.
Lk
Nnspector Date Project
/Manag
Asst. Dir. - TOW Infrastructure Design & Const. Date Progra ana r
Director of Contra ng Dept. ate
-5-
19110
Date
Date
�x
^ 4 +
�TRIBl1T10R:
Vaa,E-Fl-E CITY OF FORT WORTH
CAAWY-CONSTRUCTION SERVICES
POW PROJECT
CHANGE ORDER REQUEST
GOIIIENROD -CONTRACTOR
COUD D-COW TRACT
CHANGE ORDER NQ JDATE PROJECT Ns
D.O.E. W
1 '02 126 12010
IC293-541200-209260131883
6317
DESCRIPTION
CITY SEC N12
(PROJECT
BRIDGE REPAIR AT THREE LOCATIONS (2009-18)
39374
T/PW
TOTALS
ORIGINAL CONTRACT AMOUNT.................................................................... $
- $ -
$
252,621.00
$
252,621.00
EXTRASTO DATE........................................................................ $
- $ -
$
-
$
-
CREDITS TO DATE.......................................................................... $
- $ -
$
-
$
-
CONTRACT COST TO DATE............................................................................ $
- $ -
$
252,621.00
$
252,621.00
AMOUNT OF PROPOSED CHANGE ORDER .................................................. $
- $ -
$
24,450.00
$
24,450.00
REVISED CONTRACT AMOUNT...................................................................... $
- $ -
$
277,071.00
$ _277,071.00
ORIGINAL FUNDS AVAILABLE FOR CHANGE ORDERS ............................... $
- $ -
$
-
REMAINING FUNDS AVAILABLE FOR THIS CHANGE ORDER ..................... $
- $ -
$
-
ADDITIONAL FUNDING (IF NECESSARY)....................................................... $
- $ -
$
24,450.00
$
24,460.60
CHANGE ORDERS TO DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT COST
%
9.68
MAX. ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
$
315,776.25
ITEM DESCRIPTION -ADDITIONS DEPARTMENT
QTTY UNIT
UNIT A T
TOTAL
1.ICONCRETE BRIDGE DECK REPAIR CLASS 1
T / PW
880.00
SF
$
5.
$
13,200.00
2.ICONCRETE BRIDGE DECK REPAIR CLASS 2
IT / PW
I
450.001
SFI
$
25.00
1$$
11,250.00
►$
-
T / PW j $
24,450.00
SUBTOTAL Al $
24,450.00
IN ACCORDANCE WITH THIS CHANGE ORDER THE CONTRACTOR SHALL:
It is understood and agreed UW the acceptance of this Change Order by Ne oonhadur oonshkders an accord and-usfaction arld represems_ Paymerri in full (bolo time nd money) for all rnsts arising out of, a incidental to, the above Change
Order. A
CONTRACTOR'S NAME: CONTRACTOR (PRIN CONTRA bR SII,aN '): ATE:
RESTEK, INC.
ORIGINAL CONTRACT TIME ADDL. APPR b �I� }� CO TIME TO ATE ADD( ONAL TIME FOR THIS C.O.
90CD ^ OCD 00CD 10CD
bho*MAN, DATE PROJECTIGER_ DATEASS.DATE DIRECTO /CONTRACTING DEP ATE
CITY ATTORCXRElQUYf*Dl)
' DATE? +/O -ER / DATE����jD
COUNCIL ACTION (I DATE
_APPROVED _DISAPPROVED _OTHER
At`es`wed by:
City Secretary
M&C REQUIRED
°
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10
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OFFICIAL RECOR
CITY SECRETAIW
FT. WORTH, TX