HomeMy WebLinkAboutContract 40675-CO2 CRY SECRETARY�10�—r 5
FORT WORTH. City of Fort Worth
Change Order Request
Project Namel HMAC Surface Overlay(2010-2) 50/50 City Sec# 1 40675
Client Project#(s)l C293541200207620145983 DOE:6362
Prolec Street Maintenance-50/50
Description
Contractorl Austin Bridge and Road, L.P. Change Order# Date 1 2/13/2012
City Project Mgr.I Kristian Sugrim (817)392-8902 J City Inspector I David W. Bowers (817)350-3522
Dept TPW Water Sewer Totals Contract Time CD
Original Contract Amount $622,300.00 $373,380.00 $248,920.00 1,244,600.00 240
Extras to Date $124,459.59 $74,675.74 $49,783.92 $248,919.25 62
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $746,759.59 $448,055.74 $298,703.92 $1,493,519.25 302
Go to ADD&DEL Tabs to Enter CO Backup .00 $0.00 196
Revised Contract Amount $746,759.59 $448,055.74 $298,703.92 $1,493,519.25 498
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00 $0.00 $0.00
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 20.00%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,555,750.00
JUS'WATM CWA M ORM
The submission of this Change Order is to request that an additional 196 calendar days be added to this contract to compensate for
conflicts with ATMOS Energy gas lines. The conflicts occurred at the following locations: (1).Townsend Dr.from 3/17/2011 to 5/3/2011
(53 CD), (2).Williamsburg Ln.from 5/9/2011 to 6/10/2011 (31 CD),and (3). South Hills Ave.from 7/29/2011 through 11/17/2011 (112
CD).
Ar Attested by: _._ o°° a���d
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Mary J. kiiiiii, City Secretary �\°° °O
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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 all arising out of,or incidental to, ange Order.
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MIWBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00