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Contract 37375-CO4
i CITY SECRETARY FORT WORTH. City of Fort Worth CONTRACT NO. �11 Change Order Request Project Namel 2004 Capital Improvement Program Year 4-Contract 47 City Sec# 37375 Client Project#(sj 00449 Project Descriptioni Pavement reconstruction and water and sanitary sewer main replacement Daeo5Ygj Contractorl McClendon Construction Change Order# ® Date 1 10/27/2011 City Project Mgr.I Leon Wilson City Inspector Richard Salazar Dept TPW Water Sewer Contract Time Totals D Original Contract Amount 1,119,566.39 $740,885.00 255,131.00 2,115,582.39 291 Extras to Date $33,560.70 $179,294.00 $1,950.00 $214,804.70 45 Credits to Date Pending Change Orders(in MSC Process) Contract Cost to Date $1,153,127.0 $920,179.00 $257,081.0 ' $2,330,387.09 336 Amount of Proposed Change Order $0.0&-, $0. W- $6,225. Revised Contract Amount $1,153,127.09, 9 , 2,336,612.09 336 Original Funds Available for Change Orders $33,587.00 $25,000.00 $12,757.00 $71,344.00 Remaining Funds Available for this CO 26.30 $10,807-W $10,833.30 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 10.45% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $Z644,477.Wi This change order is for final quantities that overran contract. 77, ao�Foar 10 OFF, ��C ° RD ,j 0 p CrrY S CRETa Y �� F K,41() f A ►• f�,v� i P() H 7' 040, � °a000a0 a A ap rex 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 al costs arising out of,or incidental to,the above Change Order. 1AMCCIendon Construction v i t" .S• — C„). t7 N•+err G(0 !� M&C Number k/jk M&C Date Approved 1 2-1 5-1 1 1005 : 07 I N O O C Lo 69 N N CD _ O w! Lo ti cn ti r Li O N N N O �# y U O C 0 CD m v o a � oo L C N ca N co .0 L t U L N .0 0 L ei O O cm U c d �..� fa d fO U m O 3 3 Z c a C ° -o LL 3 a L 00 c N o ' o Z` on U m V N v y U t m v () } m ca m cn N O 3 a � c m u> c c O > U o CL E L 8 C g� _ ca c m cc CL a 2 3 F (D at o o` a g F O p U 0 c m U a` 900 601 ° e L o � C) A © v a E o ca 2 3 2 - � -2 o - 0) ° e In. - 6 / no � / v � (D gcc o O 1 O c LU . 0 E -Lli LL § 0O p S ) e C 2 w k cts C.) k k E o e a- _ a E t § § s s 2 £ \ / 39 C $ k C" E (D \ Q [Ni o cc E � : : CL MIWBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total $0.0 ' Previous Change Orders CO# DATE AMOUNT' Total $0.00,. O O O O O O O L 3 Chi_ co N cq � O00 N N N fA ti? � fA fA ER fA fA � O O O O O L 000 W � W O N 00 N V O d � N N N E9 fA 44 4% fA fA V) CD cWO r O , O O M , CM N , N A N Go r' ; ce) Z T- T- CO) W to to to V3 ti? ti? fi? 69 O W = c M �°• 000 °O Cl* V N 1� eA N ri c a d Q aco tlNttoo MOMO U Q H to f O L N N N v m ` ` � O 404040 404040 u! tRfA E F- 0) 0 to r! W (� fo O V-W t o m N C) O O m L -m U CL Oc m m coow a O a) m sa Q V V M a t 0 a �iUUo° U U c a m ` m m z O` Q V L Z' `m cm o` n m O $ coo m - � m m c M m > _ LLJ `. m p Q Q m a o CD U V c c Q 1p 7 c zzz° z m � � Ea c � LLL .. o .. U ro m 4) m � U ° U m .CM CL obi E v, � -- � � c c -' cn a W c� �o � N m O cc :3 -'' o `� 0 w o E a o m v aaoCODUOQ1°- O U a x 0 c a PROJECT SUMMARY SHEET (Change Order Attachment) PROJECT NAME: 2004 CIP Yr 4, Contract 47-Forbes, Griggs, Eastover and Miller T/PW BuySpeed No: CSCO-08-00049509 Water BuySpeed No: CSC048-00050013 Contract No: CS37375 D.O.E. No: 5447 Attachment to Change Orde 4 Today's Date: 11/17/11 TOTAL 0200 Water Sewer Original Contract Amount $ 2,115,582.39 $ 1,119,566.39 $ 740,885.00 $ 255,131.0( Extras to Date: $ 214,804.70 $ 33,560.70 $ 179,294.00 $ 1,950.0( Credits to Date: $ Contract Amount to Date: $ 2,330,387.09 $ 1,153.127.09 $ 920,179.00 $ 257,081.0( Amount of Proposed Change Order. $ 6,225.00 $ - $ - $ 6,225.0( Revised Contract Amount $ 2,336,612.09 $ 1,153,127.09 $ 920,179.00 $ 263,306.0( Contingency Funds Avail. for Admin. Change Ord( $ 71,344.00 $ 33,587.00 $ 25,000.00 $ 12,757.0( Remaining Funds Available for Change Orders: $ 10,833.30 $ 26.30 $ - $ 10,807.0( Additional Funding (if necessary): $ - $ Prepared By: Karen Striker T/PW- Business Support