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Contract 41406-CO1
v ' CITY SECRETARY r• FORT WORTH. City of Fort Worth CONTRACT NO. 'C r Change Order Request Project Namel 2007 Critical CIP District 9 Group C—DOE 5924 City Sec# 41406 —1 Client Project#(sJ P253-5412000983, C295-5412000983 Project Descriptioni 6th Av, S.Lake Street, Henderson Street Contractorl CPS Civil,LLC Change Order# Date 4/2212011 City Project Mgr.I Gopal Sahu City Inspector I John Crowley Dept. Water TIPW Contract Time Totals CD Original Contract Amount $547,819.00 ,2 $1,443,055.50 270 Extras to Date Credits to Date Pending Change Orders(in M&C Process) Contrail Cost to Date $547,819,00 $895,236. $1,443,055.50 270 ourn hangs Order , 2 Revised Contract Amount 1,450, 272 Original Funds Available for Change Orders $25,000.00 $26,857.00 $51,857.00 Remaining Funds Available for this CO $25,000.00 26, Ot1r'. $51,857.00 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.55 MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) s;;L1,803,819,3& Item#41,is needed for the Density Controlled Placement of the extra Stabilized borrow ma !i,is a special order Ductile iron fittings to make the connections of the vadring OD sizes of the 30'Ductile water line on 6th Av am*&take St. .;sr-- � OFFICIAL RECORD tWsWd by. Ems CITY SECRETARY v� ° FT.WORTH,TX 0 0 " XA44.Or It is understood and agreed that the acceptance of this Change Order by stitutes an accord 7tisfaction and represents payment in full(both time and money)for al costs arising out of,or incidental to,the above Change Order. CPS Civil,LLC u lop- 7////4 M&C Number M&C Dab Approved 09-30-11 A11 :22 I % o - - m - 2 Ci _ C� � \ v © k ¢ � ® o e � 0 0 m _ £ f - 2 d _ & k R g _ 0 0 m o _ lt:g 2 C 00 C3 U. 'a 00 o CM u cc 0 2 5 0 G c § CL R § c 2 f e g C, ¢ 2 G a Q_ 2 R q 20 k ~ A $ CD 4 co 2 a $ b 8 m / f 2 L f / ? \ CL A � 2 a I . °o 0 m 0 0 v v Ll 0 N N O y � � C C 0 C% G� d m U Q im D- 0 c m o U c t zm o a) v O rn os ca 0 L ca l"f U S m = U d O O m p L ° L UL O 'd L - 0 0 IM c c LO V CC O °� U C U °0 0 � N � a c rn rn _ i _ N U N M co Cl) d U $ 0 J J N J 7 L v � vi > c`R o Q cn To NG a co a- c0 F m 0 0 cm p ca ts 3 a (D o 0 o U a` v a U a` MIWBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total X0.00 Previous Change Orders CO# DATE AMOUNT Total $0.00` 8 888 SS 0 ct o V Ln N N If1 Ln Ln N 4ow. A!► ip A& iR iR Ln Ln Ln O O O m C N N O N Oct O Gc0 N V ^ a�►o ono ago N 2 CLI C C iA -W Vl G V L7 � O coo O O a In a s 1A 1A O O O LU w s a E ,� � o oaa as 0 In In Ln W ct �€ IA T co ao r Mf N m T4 V4 0 Z ; in in Q! %D %D iii C. CD X00 2 c U a u p e V4 r+ w 0 u a � � � W N � 0 0 r1 ao wo 0 MO03In a ch E a o ova ado cn 3 c � W �. 0. � � � o PROJECT SUMMARY SHEET (Change Order Attachment) PROJECT NAME: 2007 CCP CD9 Group C -Sixth Avenue, S. Lake Street, Henderson CS. No.: 41406 D.O.E. No.: 5924 Attachment to Change Order No.: 1 Today's Date: 9128/2011 TOTAL Original Contract Amount: $ 547,819.00 Extras to Date: $ - Credits to Date: $ - Contract Amount to Date: $ 547,819.00 Amount of Proposed Change Order: $ 4,890.00 Revised Contract Amount: $ 552,709.00 Contingency Funds Avail. for Admin. Change Orders: $ 25,000.00 Remaining Funds Available for Change Orders: Additional Funding (if necessary): $ -