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FORT WORTH. City of Fort Worth CITY SEQV:7MY
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Change Order Request CONTR=NOo V
Project N'ame�l� 210!0'8 CIS"Contract#2A alt Sac# 43-9-94
Client,Project#(s)l DOE#62181 C�P#01320,
Project Descriptioni 16th ST NW,22nd ST NW,Highland Ave,Belmont Ave,Odd ST,Gould Ave.
Contractor Stabile&Winn, Inc. Change Order# Date L,8/16/2013
City Project Mgr., Golpal Sahu City Inspector =ados Vasquez
Dept. TPW Water Sewer Contract Time
'Totals (CD)
Original Contract Amount $10357,595.76 .$401,112.70 $75,329.00 $1,8314,097.46 270
Extras to Date
Credits to Date
Pending Change Orders din M'&C Process)
Contract Cost to Date $1 o357m595.76 $ �1 72.7�O $75,329.00 $1,834,09 7.46 270
JAmount of Proposed Change 0 er $01-00 $71$5,50.00 $0.00 $710550.00
11111M 0 1 11 I'll I � 15
Revised Contract Amount $11357,595.76 $4721722.70----- $75,329.00 $1,905,647.46 285
Original Funds Available for Change Orders $67,879.791 $20,0518.64 $377661.45 $911704-88�
Remaining Funds Available for this CO wowwk�$67x879.79 $20s058-64 $31766.45 $91,704.88
Additional Funding it necessary), L5114419136 $51,491.36
CHANGE'ORDERS to DATE(INCLUDING,THIS ONE),AS%OF ORIGINAL CONTRACT
3.90%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONS`RACTCOST+25%) $2,2921621
This change order is to increase the number of water semces specified in the contract which were not accurately quantified.This change
order is also to incr+ ase!the number of service relocates specified which were also,miscalculated in the contract due to the fact that the
,,consultant referenced the old specification for service,relocates n the new water specification section 33-12-,10.15 calendar days,
are requested for additional 45 services andl 96 relocate
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It is understood and agreed that the acceptance of this Change,Order by the contractor constitutes an a=rd and satisfaction and represents
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payment in,full(both firrille and money)for ailll costs arising out off or ncident al to,the above hange Order.
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MMBE Breakdown for this Change Order
MWBE Sub Type of Service,
Amount for thi's C0
'Total ;00.00
Previous Change Orders
CO DATE AMOUNT
$0,10
Total 8
PROJECT SHEET
(Change Order Attachment)
PROJECT NAME: 2008 CIP Contract
PROJECT LIMITS: I t NW, 22nd� i e, BelmoinIt e f l Ave.
CS. No.- CS439914
.E. N . 6 '
Attachment to CO 1
Today's Cate: 9/10/2013
Contract Time
TOTAL Water Sewer T (Days)
Original Contract Amount'. $ 1i , 4011172.70 751329.00 1135,715951.�76 270
Extras to ate: $ *0
Credits, to Date: $
Contract Amount to ate' "11834109 7,4 401, 172.70 75,329.00 113571595.76 5, 27
Flu Int of Proposed Change Order: 711)15150.010 711550.010 _ 1
Revised Contract Amount, 1 1905,64 .46 4721722.70 75329.00 11357,59576 285
Contingency Funds Avail�. for Ad in. Cha $ 911704.88 20,058.64 317661.45 671879.79
Remaining Funds Available for Change C $ 91,704.188 20,058.64 31766.45 $ 67,879.79
Additional Feu nd iing of necessary): $ 51A91.36 51,14911-36,