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Contract 45039-CO6
CITY SECRit;TAW, FORT WORTH, City of Fort Worth 'nNTRACT NO. 4 �CDCQ- Change Order Request Project Name I Sanitary Sewer Rehab,Contract 75, Part 2. DOE#6973 City Sec# 1 45039 Client Project#(s)l P253-609170148083-P258-709170148083 Project Description The replacement of water and sanitary sewer mains on Medford from Chelsea Rd to Strafford Park Dr. Contractorl Tejas Const. Change Order# © Date 2/6/2015 City Project Mgr,I Robert Sauceda(817-392-2387) City Inspector FJohn Crowley(817-944-0975) Dept. TPW Water Sewer Contract Time Totals CD Original Contract Amount $199,488.50 $523,195.00 $722,683.50 180 Extras to Date $223,048.20 $9,475.20 $232,523.40 210 Credits to Date $70,067.50 $70,067.50 Pending Change Orders(in M&C Process) Contract Cost to Date $422,536.70 $462,602.70 $885,139.40 390 Amount of Proposed Change Order $0.00 •$28,800.00 $28,800.00 0 0 Revised Contract Amount $393,736.70 $491,402.70 $885,139.40 390 Original Funds Available for Change Orders $10,000.50 $25,000.00 $35,000.50 Remaining Funds Available for this CO $0.00 $85,592.30 $85,592.30 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 22.48% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $903,354.38 JUSTIFICATION (REASONS)FOR CHANGE ORDER Error on change order#5.Line item#23 on the sewer deletion page had 600 LF deleted,that made the line item a negative number.Change order also includes a deletion of 600 LF of 6Foot Wide Asphalt Pavement repair on the Water section a4 C, t m � � o rn OFFICIAL RECORD AueW by: - rri CITY SECRETARY FT. WORTH,TX '� rri tm r Ci `* It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment o in full(both time and money)for all costs arising out of,or incidental to,the above Change Order. Contractor's Compan Name Contractor(Name) Contract Signature Date Teas Const. 16:A-6 AR— ' z ,f_ Date Project M er/P am na er D to 9— Datp Dir tor,Contracting Department(Dept)_ Date 5 t In- 4i qtaq 4 ty Att me y AL Ofite Assistant Ci ", er Date Council Action if required) M&C Number M&C Date Approved / DO / - # / C \ m 00ƒ O / 7 Q ELL- / 2 CD / \ CDLO / / 2 3 z _ & \ \ \ m E ^ $ 6 f 6 ® 7Z11 2 c o O E \ t = 2 g 7 . 0 £ 7 ® \ t � / \ 2 L p 00 k @ 0 � lao U § & @ / / 00 & E k ƒ _ 00 \ / / k \ \ ® $ @ % / 00 Fla � 8 a k m & 2 cz / 2 / § $ � m 2 c / 2 // � _ U § / S & & § o f * u \ f 8 $ / = R 7 m � CS C5 F- 0 0 0 0 0 0 C) 00 DON EA rn C O LB Fo O lD O m Q) tin co a 0 =a d Q) O a) eo c co t U \ LI Q» # / - J o J 2 f E \ © § co \ # k U) k o m _ & \ 0 elf ƒ ca- # ® / to c o e s w § t § o � \ \ © 2 ¥ 5 D LIJ e o@ r w LL & § v _ 4- O 2 @ o 4) 0 E txo U § 2 k / Ld CD \ 00 Fz- 2 � _ c) C C? * # ® g 3 * / 00 / co / � k 2 a � o f / 2/ § � / /� k cu � E / = 2 7 C, 6 � 2 / B k / .& Z3 = » O O O O O O CD 691 C) HA co coN CN EA Ml N C O 0 3 0 0 0 ui v 04 �o a c 0 v v 0 v O v an c m L U M/WBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders CO# DATE AMOUNT Total $0.00