HomeMy WebLinkAboutContract 41718-CO1 'FORT WORTH CITY CW
City of Fort Worth
Change Order Request
Change Order No. Date TPW Project No. Funding(FAC)
One (1) 12/1/11 DEM11-04:ACM R101-539410-020211007000
Facility and Project Description City Secretary Contract No.
Asbestos Abatement of RD Evans, Police, & Meadowbrook Library 41718
ORIGINAL CONTRACT AMOUNT................................................................ $ 18,780.00
EXTRAS TO DATE..................................................................... $ 0.00
CREDITS TO DATE.................................................................... $ 0.00
CONTRACT COST TO DATE.................................................................................................. $ 13,530
AMOUNT OF PROPOSED CHANGE ORDER.............................................(ADD)....................... $ 730.50
REVISED CONTRACT AMOUNT............................................................................................. $ 19,510.50
ORIGINAL FUNDS AVAILABLE FOR CHANGE ORDERS............................................................ $ 0.00
REMAINING FUNDS AVAILABLE FOR CHANGE ORDERS......................................................... $ 0.00
ADDITIONAL FUNDING (IF NECESSARY)................................................................................ $ 730.50
IN ACCORDANCE WITH THIS CHANGE ORDER, THE CONTRACTOR SHALL:
1. Remove additional surfacing materials added to scope by TPW-Architectural Services since contract was initially
formulated and signed. Cost of additional work-$730.50
PO-11-00067450
All work to be performed in accordance with the Request for Proposal specifications.
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 Name
Intercon Environmental, Inc. (Vendor Number: 0000017132)
Original Contract Time Additional Approved Time To Date Approved Contract Time To Date Additional Time For This Change Order
45 days 0 45 days 0
Contractor-Intercon Environmental,Inc. Date Environ ntal Supervisor- Date
Kare Brews, P side t 11 Roger ntham 11311Z
Environmental Pro ana r- Date Assistant 01rector/T n r mental rvices Dat
Clarence Reed 1 .3 , 'Z Michael Gange ��-
Director,TPW Date Assistant City Attorney Date
Douglas W.Wiersig,P.E. / 1' / `//Z/IL Art ashor _-R �/ /7
Assistant City T'r Date Council Action (If Required) !_
Fernando Cosa 4� ❑ Approved ❑ Disapproved N/A
Other
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