HomeMy WebLinkAboutContract 40126-R2CO1 Fc>a wr Wc>H'-'-r*m C"Ity of Fort Worth C"i
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Change Order Request
Project Namel Condition Assessment Program Contract 2- Large Diam.SS,Cleaning
City Sec No. J �40126�-R2
Project Noi,(s)l� PE45-5391210-0707001 DOE N�o. N/A City Plroj. No. I.........N/A
Project Description, The Interceptor Condition Assessment Program(ICAP)Contract 2 includes the cleaning of large diameter sanitary sewers
as identified by ICAP ContractI.
Contractor. Ace Pipe Cleaning, Inc. Change Order Date., 1 O�/31/2013
C ity Project M�g r, Roberto C. SaUceda City Inspector: Darrell Giadberry J
Phone Number 817-3192-2387 Phone NumberE817-999-7907
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Dept. S,ewe�r T'oltals Coinitra�ct Time
(Calender days)
Original Contract Amount $305,308-00 365
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Extras to Date $/3/05 3 8-�'�O'/O
Credits to Date
P!endingi,Change Orders(in MIK Process)
Contract Cost to,Date
JAmount of Proposed Change Order
Revised Contract Amount
Original Funds Available for Change Orders
Remalining Funds Available for this CO
Additional Funding(i'f n�ecessary)
CHANGE'ORDER'S to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL,CONTRACT
MAXALLOWABLE CONTRACTAMOUNT(ORIGINAL CONTRACTCOST+25%)
The change order will provide for additional pipe cleaning that, wa,s necessary on,the prq*ect.
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CITY SECRETARY
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It is understood and agreed that the acceptance of this Change Order by the contractor const,itutes an accor�d and satisfaction and represents payment
in full(both time and money)for ail costs arising out of,or-incidental to,the above Change Order.
Ace,Pipe Cleaning, Inc., Bruce J�ameson
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M&C Date Approved W"J
M&C Number N/A
Fc�R-r W"R-,vm City of Fort Worth
Change Order Additions
Project Name L-Condition Assessment Program Contract 2: Large Diam., SS Cleaning City Sec No. 40126-R2
Project No,,('s) PE45-539120-0707001 DOE No. City Proj, No, N/A
Project The Interceptor Condition Assessment Program(ICAP)Contract 2 includes the cleaning of large diameter sanitary sewers
Description as identified�by ICAP Contradl.
Contractor Ace,Pipe Cleaning, Inc. - Change Order: L Date: =0/31/2013
City Project Mg,r. L Roberto C., Sau�,ceda City Inspector ElDarrell Gadberry
AUDHIONS
3�3 Additional Pipe cleaning SEWER 1.00 LS $40,164LO $401164.00
MMMMMMI��
Sewer $400164M
Page 2 of 4 lAdditions Sub Total 1$40,1�64,.O�O
City of Fort Worth,
I NJ
Change Order Deletions
Project Na�me Condition Assessment Program Contract 2: Large Diam�.,SS Cleaning J City Sec No. 40126-R2
Project N,o.(s) PE45-539120-0707001 DiOE No. N/A City Proj. No. N/A
Project Description The Interceptor Condition Assessment Program(ICAP)Contract 2 includes the clea,ning of large diameter sanitary
sewers as iden�tified�y ICAP Contract 1
Contractor Ace Pipe Cleaning, Inic. Change Order- Date 10/�31/2013
City Project Mgr. Rolberto,C., SalUcedia, City Inspector Darrell Gad�be�rry
DELETIONS
Sewer
Page 3 of 4 Deletions Sub Total
MMBE Breakdown for this Change Order
IN
AV/
Total
Previous Change Orders
'Total
Page 4 of 4