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Contract 41668-CO1
CITY SECRETARY CONTRACT N0A11QL�I FORT WORTH. City of Fort Worth ��'��✓ Change Order Request Project Namel Misc.Storm Drain Improvements Contract B-Phase 2 City Sec# 1 41668 Client Project#(sj P227-541200-2012700094 83 Project Descriptiorl Remove and replace Storm Drain systems at Trail Drivers Park on NE 28th SL&Havenwood Lane Contractorl CPS Civil, LLC Change Order# Date 8/18/2011 City Project Mgr.I Michael Owen,P.E. City Inspector F Joe Rogers Dom. TIPW Contract Time Totals CD Original Contract Amount $260,043.00 $260,043.00 120 Extras to Date Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $260,043.00 $260,043.00 120 Amount of Proposed Change WITEW, $21,125.OF 20 Revised Contract Amount 2 , 281,168.00 140 Original Funds Available for Change Orders $13,002.15 $13,002.15 Remaining Funds Available for this CO $13,002.15 $13,002.15 Additional Funding(if necessary) $8,12288 $8,122.85 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 8.12% MAXALLOWABLE CONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%) $325,051715 This change order is required due to the following unforseen field conditions:obstruction in existing 2x3 box(power pole installed by others through existing section of box and flowable fill placed by others in the area that leaked through hole created by powerpole),bee hive removal, conflict with cast iron fence along edge of driveway to be replaced,and inadequate clearance between existing sanitary sewer and proposed storm drain. FoRr �a OFFICIAL RECORD CITY SECRETARY pw00 A��d Attested by. FT. WORTH, TX O °S o d �� q, oo�cdd Marty liendr CIS► �X It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord andMLon and represents payment in full(both time and money)for all costs arising out of,or incidental to,the above Change Order. 000, ey i CPS Civil,LLC 549 SF w - 1AZA mu Z M&C Number X: M&C Date Approved 09-30-11 A11 :06 1 N n2 m 0 v 3 c = 0 � � a cr o fl, m v co O o � y v o Cl) y CY fD • X y B 03 CD a CD u 0 W N CA O D] 8 � O r n m ' C7 7 (g T Cl) CD O CA r n �d =3 0 ,° ° -0 o m m m $ o v (D a o a o � CA) m a, o u 0 m 4 y 00 0 o m O °. 0 0 y a � � Q a � CL z 0 a0 N Z = � �^ m O rr n N o°'o E fD N co 0 ( (p QO -" p CD 2 F.a o M fD (DD r m J CD cn C 0 v � � n u CO N O A J CD CD 4A 4A 4A 4A 0 401 4A 4A CC rr q o o n § k 3 � _ S 3 ) k � ■ « 2 $ Cl) CD f 03 ? 2 @ 2 CL n e CD ƒ 4 6 00 w � ] _ � # 2 g 0 co a NO « � z ■ 2 ® o § O � (D m LJ C K3 0 © E.- a � � ( RL m 0 2 � $ ® (A 7 D z ® O < ¢ CD � a A CD CD cn c Li ° ¥_ o cu 0 - c � � a k e 0 00 MIWBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total 50.0 ° Previous Change Orders C0# DATE: AMOUNT Total $0.00-