WA9701-CN060109 CITY OF COPPELL
CHANGE OR EXTRA WORK ORDER
PROJECT:
CONTRACTOR:
OWNER: City of Coppell
CHANGE ORDER NO.: One (1)
Belt Line / Denton Tap 16-Inch Water Line Project #WA 97-01
J.T. Dersner, Inc.
DATE: January 4, 2006
Item # Description Quantity Unit Unit Price
New 12' PVC Water 100 LF 45.65
New 12' Gate Valve 2 EA 1,450.00
12 6" Gate Valve 1 EA 800.00
13 Std Fire Hydrant 1 EA 1,675.00
New Fire Hydrant Ext. 4 VF 600.00
New 16" x 12" Tee I EA 450.00
New 12" x 6" Tee i EA 295.00
New 12' Solid Sleeve 1 EA 250.00
Total Revision to Contraet Amount
Previous contract amount
Net increase in contract mount Change Ord. #1
Revised contract amount
Net increase in contract time of completion
Revised Contract time of completion
Total
4,565.00
2,900.00
800.00
1,675.00
2,400.00
450.00
295.00
250.00
$13,335.00
$791,659.50
$13,335.00
$804,994.50
N/A
N/A
The contractor hereby accepts this Contract adjustment as a final and complete adjustment in full
accord and satisfaction of all past and future liability originating under any clause in the Contract by
reason of this revision to the Contract.
Re~ommend~_~ by City Engineer
Accepted by City
1.5. b
Date
Date
Agreed to by Contractor
I~ate / -
J. T. Dersner, Inc.
2101E. Shady Grove
Irving, Texas 75060
Phone:(972)421-0930 Fax:(972)421-0934
Mr. Rick O'Dell
City of Coppell
~n~ineel~ ~
255 Pexkway Boulevard
Coppell, Texas 75019
Phone: 972-304-7090
Ref: Denton Tap 16" Water Line
Sub; Change Order Request ,1~
December 27, 2005
Extra Work at Tine In South of Airline
DESCRIPTION QI~ITITY MIS UNIT TOTAL TOTAL
12'' PVC Water /~ 100 / If $ 45.65 $ 4,565.00
12'' Gate Valve
~" Gate Valve ( ~1~ 7'- ea $ 1,450.00
,~ I ~/ ea $ 750.00 $ ' 736.06
Std Fire Hydrant -4-'/ ea $ 1,500.00 $
Fire H~/dt Extension 4 vf $ 600.00 $ ', 2,400.00
16'~(12'' Tee I ea $ 450.00 $ . 450.00
12'~(6" Tee I ea $ 295.00 $ '"2~5.00
12.' Solid Sleeve 1 ea $ 250.00 $ 250:00
$
TOTAL
DESCRIPTION
12" Gate Valve
Replace Defective 12" Gate valve
(It' required)
QUANTITY MIS UNIT TOTAL TOTAL
I ea $
$
TOTAL
77-3
12../29/2005
1