HomeMy WebLinkAboutContract 41658-CO1 1 •
CITY SECRETARY
FORT WORTH. City of Fort Worth CONTRACT NO-Al 65 g�GO
Change Order Request
Project Namel Concrete Restoration(2010-08)At Six Locations City Sec# 1 41658
Client Project#(sJ GG01-537110-0202002 DOE Number.6667 City Project Number.N/A
Project Descripbo Concrete Pavement Repair At Various Locations Throughout The City
Contractorl Jet Underground Utilities, Inc. Change Order# Date F 9/10/2011
City Project Mgr.I Tariqul Islam (817)392-2486 City Inspector Gary Deyon (817)223-2257
Enter Department(s)to the Right and TPW Contract Time
Contract Day Type Totals CD
Original Contract Amount $495,405.70 5, 5.7 150
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contrail Cost to Date 7 95,405.70 150
cunt of Proposecl Change Order $2429L25 $22,298.25 20
Revised Amount 170
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO .OD
Additional Funding(9 necessary) $M,298.25 $22,298.25
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 4.
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) 19,257.1
This change order is to add a new line item to cover the cost of additional work added at Fire Station#23.It has been determined that the
driveways need to be remove and replace as to not cause any damage to the fire engines entering and exiting the building.This additional work
will be paid for from Fund Account Center GG01-536010-0205002.Additionally,20 calendar days will be added to the current contract time to
compiete the added work.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
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 Charge Order.
Jet Und erground Utilities, Inc.
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PROJECT SUMMARY SHEET
(Change Order Attachment)
PROJECT NAME: Concrete Restoration 2010-8 @ Various Locations
BuySpeed No: PO-11-00065783
Contract No: CS41658
D.O.E. No: 6667
Attachment to Change Order No: 1
Today's Date: 9121111 M 8 C C-24732 Approved 02-15-11
TOTAL
Original Contract Amount: $ 495,405.70
Extras to Date: $ -
Credits to Date: $ -
Contract Amount to Date: $ 495,405.70
Amount of Proposed Change Order. $ 22,298.25
Revised Contract Amount: $ 517,703.95
Contingency Funds Avail. for Admin. Change Orders: $ -
Remaining Funds Available for Change Orders: $ -
Additional Funding (if necessary): $ (22,298.25) Funded from GG01-0205002
Prepared By: Karen Striker T/PW Business Support