HomeMy WebLinkAboutContract 46227-CO1 CITY SECETAW
FORT WORTH,,, City of Fort Worth
Change Order Request Breakdown
Project Namel Brick Pavement Repair(2014-12) City Sec# 1 46227
Client Project#(s) DOE:7395
Contractorl C. Green Scaping, LP PM Tariqul Islam Inspectorl Candace Klenk
Change Order Submittal# 0 Date 7/5/2016
Contract Time
Dept. TIPW Totals CD
Original Contract Amount $307,458.00 $307,458.00 210
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $307,458.00 $307,458.00 210
Amount of Proposed Change Order $0.00 150
Revised Contract Amount $307,458.00 $307,458.00 360
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.00%
MAXALLOWABLE CONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%) $384,322.50
JUSTIFICATION (REASONS) FOR CHANGE ORDER
This change order is requesting additional days be added to the contract. Green Scaping ran over days with additional work requested.
AU88W b ,
0- a r, qty Secretary
s o�
ms'so�
0
o �
nr.�JClp&RECORD
FORT WORTH City of Fort Worth
Change Order Additions
Project Name Brick Pavement Repair(2014-12) City Sec# 46227
Client Project# DOE:7395
PM Tariqul Islam Inspector Candace Klenk
Contracted C.Green Scaping,LP
Change Order Submittal# 0 Date 7/5/2016
ADDITIONS
ITEM Dh7MIP I ION DEPT Qty Unit Unit Cost Total
No change in cost
0
T/PW $0.00
Sub Total Additions $0.001
Change Order Additions Page 1 of 1
FORT WORTH City of Fort Worth
Change Order Deletions
Project Name Brick Pavement Repair(2014-12) CitySec# 46227
Client Project# DOE:7395
Contractor C.Green Scaping,LP PM Tariqul Islam Inspector r Candace Klenk
Change Order Submittal# 0 Date 7/5/2016
DELETIONS
ITEM DESCRIPTION DEPT ty Unit Unit Cost Total
TIPW $0.00
Sub Total Deletions
Change Order Deletions Page 1 of 1
M/SBE Breakdown for this Change Order
M/SBE 4Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
co# DATE AMOUNT
Total $0.00
CFW Change Order Approval St-COApp01 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Proiects/Brick Pavement Repair(2014-12)/Contractor/Change Orders/Change Order
Breakdown - Days co#l.xls
Attachments(0)
No Attachments have been added to this form.
https://projectpoint.buzzsaw.com/ bz_web/Forms/FonnPrint.aspx?Siteld=51500&ProcessI... 9/14/2016
CFW Change Order Approval St-COApp01 Page 2 of 3
City of Fort Worth
`� Change Order Request Approval
(Change Order Breakdown Available in Links)
...............................................................
For Change Order Submittal No.:
....................................................
Change Order No.: St-COApp01 Date Started: 2016-07-26
City Sec. No.: 46227 Date Due: 2016-08-10
Project Name: Brick Pavement Repair (2014-12)
Project Numbers:
DOE Numbers:
7395
Project Brick pavement repair at various locations
Description:
Project Manager: Tariqul Islam City Inspector:
Contractor: C. Green Scaping, LP
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
150
Total Cost: $ 0.00 Total Requested Days: 150
Approval Status:
https://projectpoint.buzzsaw.com/ bz_web/Forms/FormPrint.aspx?SiteId=51500&Processl... 9/14/2016
CFW Change Order Approval St-COApp01 Page 3 of 3
Approved: Yes
Comments:
User: Dana Loucks
Date: 2016-07-26 4:50 PM
Approved: Yes
Comments:
User: Tariqul Islam
Date: 2016-07-26 4:53 PM
Approved: Yes
Comments:
User: Riad Nusrallah
Date: 2016-07-28 10:28 PM
Approved: Yes
Comments:
User: Bryan Beck
Date: 2016-08-04 2:28 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2016-09-07 5:16 PM
Approved: Yes
Comments:
User: Doug Black
Date: 2016-09-14 12:45 PM
Approved: Yes
Comments:
User: Jay Chapa
Date: 2016-09-14 12:54 PM
Action Required:
https://projeetpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&ProcessI... 9/14/2016