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Contract 41296-CO2
C�+"7 " CITY SECRETARY ° FORT WORM, City of Fort Worth CONTRACT NO. Yl Z-1 Le- Z- Change Order Request Project Namel Concrete Restoration(2010-11)at Various Locations City Sec# 1 41296 Client Project#(s)l C293-541200-202330159383 DOE:Number:6545 City Project Number:01593 Project Description Concrete Panel Replacement at Various Locations Contractorl Westhill Construction, Inc. Change Order# 0 Date 1 4/28/2012 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 $519,984.90 519,984.90 150 Extras to Date $9,200.00 $9,200.00 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $529,184M $529,1800 150 Amount of Proposed Change Order $0.00 95 Revised Contract Amount $529,184.90 529,184.90 245 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1.77% MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $649,981.13 X M Ofm This change order is submitted to request that an additional 95 calendar days be added to this contract to compensate for the inclusion of Hulen St. No additional monies are needed. AV O�00 0100 pf+�� p�►0 00 A by: �' p"No � OFFICIAL RECORD I �0 x d ®R® o CITY SECRETARY ° * FT. WORTH, TX M> y�J. v °°°°°°° a 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 costs arising out of,or incidental to,the above Change OAr. Dale Westhill Construction, Inc. In Dde Mow Dade /- b Z o W, Dale Cky—MM—Mw kv ti M&C Number M&C Date Approved 10 1 NV FORT WORTH.,, City of Fort Worth Change Order Request Project Namel Concrete Restoration(2010-11)at Various Locations City Sec# 41296 Client Project#(s)l C293-541200-202330159383 DOE:Number:6545 City Project Number:01593 Project Description Concrete Panel Replacement at Various Locations Contractorl Westhill Construction, Inc. Change Order# Date 1 4/28/2012 City Project Mgr.1 Tariqul Islam (817)392-2486 J 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 $519,984.90 150 Extras to Date $9,200.00 $9,200.00 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $529,184.90 $529,184.90 150 Amount of Proposed Change Order $0.00 95 Revised Contract Amount $529,184.90 $529,184.90 245 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1.77% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25Y $649,981.13 JUSTIFICATION(REASONS}FOR CHANGE ORDER This change order is submitted to request that an additional 95 calendar days be added to this contract to compensate for the inclusion of Hulen St.No additional monies are needed. i f 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 costs arising out of,or incidental to,the above Change Order. Contractor's Company Nam Contracbr game Contract somwre Date Westhill Construction, Inc. Inspedor/Inspedon Su Date. PmX0 Man /P r Date Assi t Date D bwb t t Date Assi Date Assi6tMiCity Man Date Coed Alan � M&C Number // ,.,- M&C Date Approved � � 1 r FORT WORTH,, City of Fort Worth Change Order Request Project Name I Concrete Restoration(2010-11)at Various Locations City Sec# 1 41296 Client Project#(s)l C293-541200-202330159383 DOE: Number:6545 City Project Number:01593 Project Description Concrete Panel Replacement at Various Locations Contractorl Westhill Construction, Inc. Change Order# Date 1 4/28/2012 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 $519,984.90 150 Extras to Date $9,200.00 $9,200.00 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $529,184.90 $529,184.90 150 Amount of Proposed Change Order 0.00 95 Revised Contract Amount $529,184.90 $529,184.90 245 IL Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1.77 MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $649,981.13 JUSTIFICATION(REASONS)FOR CHANGE ORDER This change order is submitted to request that an additional 95 calendar days be added to this contract to compensate for the inclusion of Hulen St. No additional monies are needed. k 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 costs arising out of,or incidental to,the above Change Order. Contractor's Company Name Contractor Name Contract Signature Da* Westhill Construction, Inc. f .r Inspector/Inspection Su ate Pro' Man /P ram Manager Date J = Assista erector fbepov Date DiYeelpr,Contracti De artrnent t Date it Assi tent C' Date Assistan)City ManaW Daie Council Action Iff r fired M&C Number M&C Date Approved �� FORT WORTH„ City of Fort Worth `- Change Order Request Project Namel Concrete Restoration(2010-11)at Various Locations City Sec# 41296 Client Project#(s)l C293-541200-202330159383 DOE: Number:6545 City Project Number:01593 Project Description Concrete Panel Replacement at Various Locations Contractorl Westhill Construction, Inc. Change Order# Date 1 4/28/2012 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 $519,984.90 150 Extras to Date $9,200.00 $9,200.00 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $529,184.90 $529,184.90 150 Amount of Proposed Change Order 0.00 95 Revised Contract Amount $529,184.90 $529,184.90 245 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1.770/o MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $649,981.13 JUSTIFICATION(REASONS)FOR CHANGE ORDER This change order is submitted to request that an additional 95 calendar days be added to this contract to compensate for the inclusion of Hulen St. No additional monies are needed. 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 costs arising out of,or incidental to,the above Change Order. Contractor's Company Name Contractor Name Contract Signature DaW Westhill Construction, Inc. Inspector/Inspection Su for pate, P 'ect Manager/program Manager Date Assistant Director De Date Director,Contractin Department t Date Assistant City Attome . Date Assistant City M&wW Date Councill Action if M&C Number M&C Date Approved S .2 � to ° C" � � / 0 \ k W m * 3 R % / ƒ « E c co o & b \cu k C� / ^ Q ^ k 3 / ) ° / /CL r-I t � Z�l 2 q § _ z . 0 � co D Al- 8 2 f � � k k k O § © @ 0 / § = t 2 7 0 i U @ � � 7 3 U U) m � / � k > G � a � (D CJ o £ q Cl) \ f 2 ± \ C) 5 C:) / k o $ o $ / / / / m / § - D & 0 / S w © ° o r $ ° y 6 : \ LU 2 S 2 � � ° � � C3 cq /_ _/ m � % CK3 ƒ e o e k E 8 E k H D E cu % - u : � I 6 3 A D o f » @ £ § e 2 0 . g 2 § � cl co / / &— -0 q 3 @ E LLI L � z 0O § � m O A \ 0 % A Cc § / u U ƒ k k ƒ % a C') - CD ƒ \ / § / a)cu 2 k � \ _ co a 7 CD R cu 0 / ƒ / i . f o w o £ $ C) / / ƒ / _ ° q / � / _ t \ \ w (D - / o / x & � 3 L L — MMBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total $Q.00 Previous Change Orders Co# DATE AMOUNT Total $0.00 N N C N O 2 c H O U LU J o W H U _ p O O O O L E O � �- � J CO O Go J Go a/ Q1 N r Z r U Q O v-Q1 N UJ N d Q V to W D L- L O 0 N 4041% 40 40 ~ fA 60. 4040 c C 0) ' N O W U c 4a Ca w L >%W O O vj U) 0 U N a) V v U o O Li a m 0. r+ O N O O 0 O M N ` � V O E N O Cu O Cu oOaLln- Cm "�' U a) U a z o U L 0 a Ca o U z O ¢ L Ca L- 0) o u�i m m ai CO c = v CO r- Z Fu Ca a) L a) O p U O Q Cu w C E O v E > `. bi r_d cu m Q ° ° a) Q 7 Q 0) H Q O O Z O 4) � X O - L C z z z . o a C W U E n- c >' LL IL O _ O U Uai a) a) z app V Q O U aa)i .0 Ca a Q " Ca E Cu Cc C m rn c o O >1Sa }, U �, _ U) O tB +, ., 0 Cu w rn C o > C E of 7 7 t- O y 0 C O E a) O a) a CO CO 0 U p Q F- O U Q of 0 Cr Q