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Contract 41668-CO2
CITY SECRETARY \ CONTRACT NO. US'C01-FORT WORTH. City of Fort Worth Change Order Request Project Namel Misc.Storm Drain Improvements Contrad B-Phase 2 City Sec# 1 41668 Client Project#(sJ P227-541200-201pbOD94 83 DOE 4876 Project Descriptiori Remove and replace Storm Drain systems at Trail Drivers Park on NE 28th St.S Havenwood Lane ContractDrI CPS Civil,LLC Change Order# 0 Date 10/21/2011 City Project Mgr.I Michael Owen,P.E. City Inspector Joe Rogers Dept. TIPW Conftd Time Totals CD Original Contract Amount , .00 $260,043. 120 Extras to Date $21,125.00 $21,125.00 20 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $281,168.00 $281,168.00 140 Eo nt of Proposed Change Order 12 Revised Contract Amount 5 152 Original Funds Available for Change Orders $21,125.00 $21,125.00 Remaining Funds Available for this CO .00- Additional Funding Cd necessary) $21,W.85 $21,480.85 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1638 MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) 25,053.75' This change order is required to adjust plan quantities to match actual field installed quantities due to the following:the box culvert at the trail Drivers Park site was extended to allow more maintainable slopes at the outfall into the park;the headwall at the Havenwood site was revised to better fit into the existing easement,the requirement to adjust manholes in the repaved area on Havenwood was inadverWntly omitted in the contract documents,and miscellanous quantity changes that are a part of every project ie A:P' 000000 a.a►o 00 0� by d tyg dQ� "1 a d-JL o * d P. Go nzales, City SwItIlla ° 00000 0000 ICY 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 al costa arising out of,or incidental to,the above Change Order. CPS Civil,LLC a :I 11 Z3 1 E CJ. &J I -7 A. to I J 0 F F I C I M&C Number � � M&C Date Approved 1. MIRTH, TX 19-1 ?-11 PO4 : 02 IN G 7 - o m co � k _ Cl co CN M Co 2 � - � a 2 v _ o � o e 2 _ E 2 a � ' o - 3 c ° ¢ & G a m v z ©� § 010 0 k � 2 � C14 k _� o 00 % co . c CO Cc ® k $ § 0 k » - E2 e CD 9 � E e ° 2 CL C/3 o £ % 2 uj k A a:k § Q e k k 4) @ � k m & (a to ' . a & a 0 _ n 83 8 t � c c ■ ■ _ . � § � / f � c c § ■ ■ ■ x § § ' . , . � 0 2 c c § c 2 _ CL CL CL LL ' O a r 0 co cD v 0 N r N � C m U o � o c H m _u 3 � N UO CIJ c c6 •'4 O y_ c Ci O if _ N U O 00 C N U d Z O 3p c O a—"q p F- a p ` CL w o m a�i W a`► LL 70 04 M- 0 O a - m C m co is co ti s 9 v E U w C 0 � c E m p o O C cz N W c o n a y LD U � _ c U In c a (z CL v c c cc 3 Z ac MIWBE Breakdown for this Change Order MWBE Sub Type of Service> Amount for this CO Total Previous Change Orders Co# DATE AMOUNT- , Total • CD n -n FIV o � 3 -n pr c a n � =y' D a D v C m v C N 90 4« .O+ n - O 7 O Qo C7 O a CD. .n•. 7 90 Z D ;u .0 Z a Z m co 0 c c m CD C Z � w Q CD c -v v cCDD cD Q a'cD Z Cl) C M N -1 -n °o O 0 ; CD O cep °D o o 0 v o 0 0 CL cr � < m ca m CD a� o O ° m CD a 0 CD 0 y ( _ w N O cn > CL rn 3 D O la -� -� a o 0 � CD X, ;r N d cn C O CD 0 0 C M 7 CD Z ca C CD 0 oo O ? a m O 0 CD m O c O CD 7 (n n cr_ n m m rn a 0)z0 rn w Cl) ° = a . - _ N G) `L' m CL 6 N =CD y v ° O O N CD � V O T m � r 0 O = IIIII N N O CD cQ O r a CD z F I= < Z o .� .� co -6, ~ w x 0 � n 3 �m o CD cnco <_. m co ' D & ( O) pr (D: !� M O 0 � j Cl) Cl) �A O <D p) N ►� �� O �. a co � CA cn CC) ca �c(o CD CD co u, � CD r) °O CO 0. 00 q: =L CL o X 0 A , O w 0 0 0 0 ca 2.Cl) �3 v �- -0 N (n D cD (D NODS C (D (D V W :7 � _ I a fl. d o � � 0 O 01 CD CD o' a a r a co C CD j co a 3 N G) 01 O_ N ~ ca O C ! � N 6O S 0 O () O D W A N C t�' OD -4 h r r A ao O cD cn