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ST9905-CN071112 CITY OF COPPELL CHANGE OR EXTRA WORK ORDER PROJECT: Bethel Road I Project # ST 99-05 CONTRACTOR: Tiseo Paving Company OWNER: City of Coppell CHANGE ORDER NO.: Six (6) DA TE: November 12, 2007 Page 1 of 2 Item Description Quantity Unit Unit Price Total ADD: Creekview Drive 1. Mobilization LS 13,000.00 $13,000.00 2. ROW Preparation (tree removal by LS 8,000.00 $8,000.00 others) 3. Borrow and Embankment 1,410 CY 14.30 $20,163.00 4. Saw Cut Concrete &Asphalt 41 LF 4.15 $170.15 5. Remove & Dispose of Asphalt 400 SY 7.15 $2,860.00 Paving 6. 9" Concrete Pavement with 6" Curb 4,414 SY 29.00 $128,006.00 7. Lime 42 lbs./SY 105 Ton 105.00 $11,025.00 8. Lime Stabilized Subgrade 4,680 SY 2.95 $13,806.00 9. 6" Concrete Drive 202 SY 46.75 $9,443.50 10. Stamped Concrete 82 SY 83.00 $6,806.00 11. Erosion Control LS 2,500.00 $2,500.00 12. Restore Parkway & Disturbed Areas LS 3,000.00 $3,000.00 13. Concrete Street Header 105 LF 15.00 $1,575.00 Two Additional Median Openings 14. 9" Concrete Pavement 685 SY 29.00 $19,865.00 15. Lime 15 Ton 105.00 $1,575.00 16. Lime Stabilized Subgrade 70S SY 2.95 $2,079.75 17. Median Nose 4 EA 1,200.00 $4,800.00 18. Stamped Concrete 258 SY 83.00 $21,414.00 Total Revision to Contract Amount $270,088.40 Page 2 of 2 Previous contract amount $7,293,659.00 o $8,000.00 $8,580.00 $14,247.00 $57,767.65 $270,088.40 $7,652,342.05 30 Net increase in contract amount Change Order #1 Net increase in contract amount Change Order #2 Net increase in contract amount Change Order #3 Net increase in contract amount Change Order #4 Net increase in contract amount Change Order #5 Net increase in contract amount Change Order #6 Revised contract amount Net increase in contract time of completion Revised Contract time of completion 603 Calendar Days 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. 1/'\")'7