HomeMy WebLinkAboutContract 48981-CO1 CITY SECRETARY
FORT WORTH,,, City of Fort Worth
CONTRACT N0.
Change Order Request Breakdown
Project Namel HMAC Street Rehabilitation at Various Locations Contract 2016-7 City Sec# 1 48981
Client Project#(s)l CPN#100620
Contractor TexasBit an Oldcastle Co. PM Tariqul Islam Inspector Daniel Roy
Change Order Submittal# 0 Date 5/9/2017
Dept. T/PW Contract Time
Totals CD
Original Contract Amount $1,090,406.02 $1,090,406.02 170
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,090,406.02 $1,090,406.02 170
Amount of Proposed Change Order $13,907.60 $13,907.60 7
Revised Contract Amount $1,104,313.62 $1,104,313.62 177
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $13,907.60 $13,907.60
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1.2870
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,363,007.53
JUSTIFICATION(REASONS) FOR CHANGE ORDER
This change order is to incorporate funds into the contract to pay for stripping on North Caylor Rd.within the limits of Sunset Circle and Keller
Haslet Rd. North Caylor Rd.was paved under a Water Dept.contract, however the contract did not include stripping.The contract time will be
extended by 7 days for the additional work.
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FORT WORTH City of Fort Worth
Change Order Additions
Project Name HMAC Street Rehabilitation at Various Locations Contract 2016-7 City Sec# 48981
Client Project# CPN#100620
Contractor TexasBit an Oldcastle Co. PM[ Tadqul Islam Inspector Daniel Roy
Change Order Submittal# 0 Date 519/2017
ADDITIONS
Unit mCost Total
Solid/Dash, de a ow Spray Thermoplastic Double Yellow
24 "Solid/Dash,White/Yellow Spray Thermoplastic Edge Line T/PW 7,900.00000000 LF $0.83
25 4"Reflective Marker,Type I-C or Type ll-C/R,A/A or BB Installed T/PW 100.00000000 Each 4.13
26 Prep and Seal Pavement Surface for "Markings(Double Yellow) T/PW 420.00000000 LF 0.22
27 Prep and Seal Pavement Surface for 4"Markings(Edge Line) T/PW 420.00000000 LF 0.11
28 2"Preformed Thermoplastic(125 mil)White/Yellow Solid Line Installed T/PW 11.00000000 LF $22.00
T/PW $13,907.60
EE
Sub Total Additions ;13,907.60
Change Order Additions Page 1 of 1
FORTWORTH City of Fort Worth
Change Order Deletions
Project Name I HMAC Street Rehabilitation at Various Locations Contract 2016-7 City Sec# 48981
Client Project# I CPN#100620
Contractor TexasBit an Oldcastle Co. PM Tariqul Islam I Inspector Daniel Roy
Change Order Submittal# 0 Date 5/9/2017
DELETIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
TPW $0.00
Sub Total Deletions 0.00
Change Order Deletions Page 1 of 1
M/SBE Breakdown for this Change Order
M/SBE'Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
CFW Change Order Approval St-COApp01 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Projects/100620 - HMAC Surface Overlay (2016-7)/Contractor/Change Orders/#100620 C01
Change Order Breakdown 051217.x1s
Attachments(0)
No Attachments have been added to this form.
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CFW Change Order Approval St-COApp01 Page 2 of 3
FORT City of Fort Worth
WORTHo. Change Order Request Approval
(Change Order Breakdown Available in Links)
...............................................................
For Change Order Submittal No.:
:.............................................................:
Change Order No.: St-COApp01 Date Started: 2017-05-15
City Sec. No.: 48981 Date Due: 2017-05-26
Project Name: 100620 - HMAC Surface Overlay (2016-7)
100620 DOE Numbers:
Project Numbers:
Project HMAC surface overlay at various locations
Description:
Project Manager: Tariqul Islam City Inspector: William Mason
Contractor: Texas Bit
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 13,907.60 30100 0200431 5740010 7
100620 006280
Total Cost: $ 13,907.60 Total Requested Days: 7
Approval Status:
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CFW Change Order Approval St-COApp01 Page 3 of 3
Approved: Yes
Comments:
User: Daniel Roy
Date: 2017-05-24 9:32 AM
Approved: Yes
Comments:
User: Mary Loveless
Date: 2017-05-24 9:55 AM
Approved: Yes
Comments:
User: Tariqul Islam
Date: 2017-05-24 9:57 AM
Approved: Yes
Comments:
User: Riad Nusrallah
Date: 2017-05-24 1:39 PM
Approved: Yes
Comments:
User: Richard Martinez
Date: 2017-05-25 9:59 AM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2017-05-30 11:24 AM
Approved: Yes
Comments:
User: Doug Black
Date: 2017-06-01 1:25 PM
Approved: Yes
Comments:
User: Jay Chapa
Date: 2017-06-09 4:40 PM
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.
a,
Tariqul Islam
Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature