HomeMy WebLinkAboutContract 40539-CO2 V ,•y a CITY�{•IRG'PU\T
FO T WORT City of Fort Worth CONTRgCT� a
Change Order Request
Project Namel Harley Ave City Sec# I 40539
Client Project#(s #01468 Y#001 qTIPM
Project De=iptaf Paving,Drainage,Wafter,Sewer(DOE 5380)
S.J.Louis Change Order# Dale 12121/2010
Cilyy Projed Mgr• ' L.eon Wlsor► City Inapeclor 1 Canoe V
Dept TPW Water Sews► Tom Select Day Ty
Original Cwbvd Amount 340
Extras to Dad
Cremes to Dab
Pending Charge Orders(in MiC Prooess) $814.02 $29,065.36 $Z593.87 $32,473.25
Contract Cast to Dad $4,728,278.91 340
M Of ftposM change
Revised 340
Original Funds Available for Charge Orders $152,200.00
Remaining Funds Available for ttds CO $119,726.7
Additional Funding(N necessary)
MANGE ORDERS to DATE(WMDWO TM ONO AS%OF OR GAM CONTRACT
MAXALLOWABLE CONTRACTAMWWNT(OR WM CONTRACT COST+25W
The size and location of the fire lure service was based on coorditatiorr wit the design consultant for the proposed Multipurpose
the 4'water line and valve were constructed at Burnett Tandy Dr sts 3+57.05,the size of the water litre and valve was -
determined that a 6'water line was necessary for adequate fire proledion. °0
� $x
Attested by. w
NO M&C REQUIRED *% 00
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Marty Hendrix, ity Secretary
it ie wrdersbod and agreed that the acceptance of fhis Change Order by the contraebr constitutes an a000rd and satisfaction and represents payment
in ful(both time and money)for all costs arWng out of,or incidental W,the above Change Order.
S.J.Louie O—
AliPWA
/ Zoe
C Number M&C Dale Approved
C I—'2 1 -1 1 i'04: 51 IN
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OFFI L RECORD
CITY SECRETARY
FT. WORTH, TX
MIWBE Breakdown for this Change Order }
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OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX
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