ST0301-CN100923Rev. 06/10
goo � NICHOLS
CONTRACT CHANGE AUTHORIZATION FORM
Amend #5
Client: City of Coppell
FNI Project No.: CPL03243
255 Parkway Boulevard
P.O. box 9478
Coppell, Texas 75019
Client Contract Ref.: Original Contract
Signed May 28, 2003
Date: September 23, 2010
Attn: Ken Griffin, P.E.
Project Description: Bethel Road Reconstruction
Description of Services Added /Deleted:
• Provide structural detail for offset cap
that can handle Sanitary Sewer pipe loads including
0 20" Steel casing pipe
0 12" PVC Sewer Line
Deliverables:
• Structural detail provided on 8.5x11 sheet.
Compensation shall be adjusted as follows:
Basic Services (Lump Sum)
Provide Structural Detail
$2,000
Total Additional Fee
$2,000
Original Contract
$508,300
Contract Amendment #1
$ 53,140
Contract Amendment #2
$ 38,400
Contract Amendment #3
$ 16,000
Contract Amendment #4
$ 14,800
Amended Amount
$ 2,000
Revised Total Contract
$632,640
Schedule shall be adjusted as follows:
No change to the current schedule.
The above described services shall proceed upon return of this Contract Change Authorization. Services will be
billed as they are done. All other provisions, terms, and conditions of the agreement for services which are not
expressly amended shall remain in full force and effect.
❑ A contract modification will be submitted.
® This Contract Change Authorization will serve as contract modification.
FREESE AND NICHOLS, INC.: CITY OF COPPELL:
BY: BY:
Print or Type Nam Print or Ty e Name
TITLE: TITLE:
DATE: g12Q 1tb DATE: 212- U
1701 N MARKET STREET, SUITE 500 LB 51 DALLAS, TEXAS 75202 -2001 1 TELEPHONE: 214 -217 -2200 1 FAX: 214 - 217.2201
R:ICONTRACTS1C1Coppell\CPL03243 Bethel & Coppell RdlAmend #5 Bethel Rd Reconstr\CPL03243 Amend #5.docx