HomeMy WebLinkAboutContract 47795-CO1 CITY SECRETARY
FORT WORTH® City of Fort Worth CONTRACT No..
Change Order Request Breakdown
Project Namel Bridge Rehabilitation at Ten Locations City Sec# 1 477795
Client Project#(s)l 100122
Change Order Submittal# Date 11/30/2016
Contract Time
Dept. TPW Totals CD
Original Contract Amount $443,255.50 $443,255.50 150
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $443,255.50 $443,255.50 150
Amount of Proposed Change Order $98,840.00 $98,840.00 20
Revised Contract Amount $542,095.50 $542,095.50 170
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $98,840.00 $98,840.00
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 22.30%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $554,069.38
JUS`PI.FICATION (REA50NS) FOR CHANGE 0R OER
The City of Fort Worth has increased the limits of the approach slabs to be removed due to severity of damage at Belknap/Weatherford Street
Locations. Upon removal of the asphalt overlay at E.4th Street Bridge over Trinity River it was discovered that the deck had deteriorated more
than originally thought and as such 920 SF of partial depth deck repair quantity is added to the contract.
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OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
FORT WORTH City of Fort Worth
Change Order Additions
Project Name Bridge Rehabilitation at Ten Locations City Sec# 477795
Client Project# 100122
Change Order Submittal# 0 Date 1113012016
ADDITIONS
ITEM DESCRIPTION DEPT uty Unit Unit os o a
Remove onc.(Approach Slab)
7 Class S Concrete Approach lab TPW 5
Concrete Structure Repair Rapid Deck Repair)PartialDepth) TPW 00 F ---F547
TPW $98,840.00
Sub Total Additions
Change Order Additions Page 1 of 1
FORT WORTH City of Fort worth
Change Order Deletions
Project Name Bridge Rehabilitation at Ten Locations City Sec# 477795
Client Project# 100122
Change Order Submittal# 0 Date 11/3012016
DELETIONS
ITEM DESCRIPTION DEPT upy Unit Unit os otal
TPW 0.00
Sub Total Deletions
Change Order Deletions Page 1 of 1
M/SBE Breakdown for this Change Order
M/SBE Sub Type of Service Amount for this CO
Reyes Group Class S Concrete(Approach Slab) $28,075.50
Total $28,075.50
Previous Change Orders
Co# DATE AMOUNT
NIA
Total $0.00
CFW Change Order Approval St-COApp02 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Proiects/100122 - Bridge Rehabilitation (2016-1)/Contractor/Change Orders/CO #1
Breakdown Rev. 1 12.6.16.x1s
Attachments(0)
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CFW Change Order Approval St-COApp02 Page 2 of 3
FORT WORTH. C'ty of Fort Worth
.--- Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: St-COSub02
Change Order No.: St-COApp02 Date Started: 2017-03-24
City Sec. No.: 477795 Date Due: 2017-04-07
Project Name: Bridge Rehabilitation (2016-1)
Project Numbers: 100122 DOE Numbers:
Project Bridge Rehabilitation at Ten Locations
Description:
Project Manager: Tariqul Islam City Inspector: Tommy Mckinnon
Contractor: Gibson &Associates
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
$ 98,840.00 30100-0200431-5740010-- 20
100122-002680----
Total Cost: $ 98,840.00 Total Requested Days: 20
Approval Status:
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CFW Change Order Approval St-COApp02 Page 3 of 3
Approved: Yes
Comments:
User: Joe Montgomery
Date: 2017-03-28 10:16 AM
Approved: Yes
Comments:
User: Tariqul Islam
Date: 2017-03-28 12:19 PM
Approved: Yes
Comments:
User: Riad Nusrallah
Date: 2017-03-29 9:30 PM
Approved: Yes
Comments:
User: Richard Martinez
Date: 2017-04-13 10:14 AM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2017-04-13 8:39 PM
Approved: Yes
Comments:
User: Doug Black
Date: 2017-04-14 10:44 AM
Approved: Yes
Comments:
User: Jay Chapa
Date: 2017-04-14 11:44 AM
Action Required:
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Contract Compliance Manager:
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract,including
ensuring all performance and reporting requirements.
Tariqul Islam
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