HomeMy WebLinkAboutContract 41296-CO1 CITY SECRETARY
FORT WORTH. City of Fort Worth CONTRACT NO.14 11 �.
Change Order Request
Project Namel Concrete Restoration(2010-11)At Eighteen locations City Sec# 1 41296
Client Project#(sj C293-541200-202330159383 DOE Number:6545 City Project Number.01593
Project Descriptiori Concrete panel replacement at various locations
ContractDrI Westhill Construction, Inc. Change Order# Date 1 9/10/2011
City Project Mgr.1 Tariqul Islam (817)392-2486 City Inspector Candace Klenk (817)319-6452
Enter Department(s)to the Right and TPW Contract Time
Contract Day Type Totals CD
Original Contract Amount $519,984.90 150
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date 19,984. $519,984.90 150
ourrt roposed ange er 5
Revised ntract Amount $529,11W90
$529,184.90 155
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO
Additional Funding(if necessary) ,20Q00- $9,200.00
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1'7M
MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) 1981.1
This change order is requested to increase and add new line item quantities.Due to the shifting of the ground and pavement which caused anjf
impassable trip hazard,it was necessary to remove and replace an inlet top,some sidewalk and a handicapped ramp to resolve the issue.Also
request that 5 additional calendar days be approved for the work performed.
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10 OFFICIAL RECORD
CITY SECRETARY
Fi'.WORTH,TX
Marty Hendrix, ity Secre
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It is understood and agreed that the acceptance of this Change Order stitutes an accord and satisfaction and represents payment
in full(both time and money)for all costs arising out of,or incidental to,the above hange Order.
Westhill Construction, Inc. tFO�
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M&C Number M&C Date Approved
10-01- 11 PU2: 21 in
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PROJECT SUMMARY SHEET
(Change Order Attachment)
PROJECT NAME: Concrete Restoration 2010-11 @ Various Locations
BuySpeed No: PO-11-00064159
Contract No: CS41296
D.O.E. No: 6545
Attachment to Change Order No: 1
Today's Date: 1015111 M 8 C C-24594 Approved 11-16-10
TOTAL
Original Contract Amount: $ 519,984.90
Extras to Date: $
Credits to Date: $ -
Contract Amount to Date: $ 519,984.90
Amount of Proposed Change Order. $ 9,200.00
Revised Contract Amount: $ 529,184.90
Contingency Funds Avail. for Admin. Change Orders: $ -
Remaining Funds Available for Change Orders: $
Additional Funding (if necessary): $ (9,200.00)
Prepared By: Karen Striker T/PW Business Support