HomeMy WebLinkAboutContract 49216-CO2 CITY SECRETARY .
FORT WORTH City of Fort Worth CONTRACT NO.
` J Change Order Request Breakdown
Project Namel Concrete Restoration(2017-3)At Heritage Trace Parkway City Sec#_ 49216
Client Project#(s)l 100835
Contractorl C.Green Soaping,L.P. PM Tariqul Islam Inspectorl Habte Taezaz
Change Order Submittal# 0 Date 8/31/2018
Contract Time
Dept. TPW Totals CD
Original Contract Amount $683,055.00 $683,055.00 120
Extras to Date $38,393.40 $38,393.40
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $721,448.40 $721,448.40 120
Amount of Proposed Change Order -$20.00 -$20.00
Revised Contract Amount 721,428.40 $721,428.40 120
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 5.62%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $853,818.75
The purpose of this change order is to add the samples and striping that we did at 200 E.2nd St.in Downtown Fort Worth.For a small stamped concrete job in Downtown
and dealing with closing lane for a week for each lane traffic control was necessary.After completing work at Heritage Trace Pkwy and per schedule requested by Sundance
Square Authority contractor asked to move to Downtown to complete this small job.To compensate a remobilization cost is added to this contract.To cover all these work
$16,360.00 is added to contract while 28CY of extra depth concrete($16,380.00 worth of work)is deleted to contract as it is not required.As a reasult a net change order of-
$20.00($16,360-$16,380)is necessary.
0
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0MCIAL RE-CORD
CITY SECRETARY
FT.WORM,TX
City of Fort worth
Change Order Additions
Project Name Concrete Restoration(2017-3)At Heritage Trace Parkway City Sec# 49216
Client Project# 100835
Contractor C.Green Scaping,L.P, PM Tariqul Islam Inspector Habte Taezaz
Change Order Submittal# 0 Date 8/31/2018
ADDITIONS
HEM DESCRIPTION DEPT ty !EA
nit os oto
Non e e r Buttons
"Refl Ty II R O Mrkr TPW 5 .0 00 0 0 1New 4"White of Thermo tripe TPW 0 10. 0
24 New Traffic Control TP 0 DAY 0.00
5 New Concrete TPW 5.000 000 Y 5
26 New Colored concrete TPW 5.00000000 CY $400.00
7 New Multiple Remobilization TPW 1. LS $5,000.00
TPW $16,360.00
Sub Total Additions16, 6 70
Change Order Additions Page 1 of 1
FORrrH City of Fort worth
Change Order Deletions
Project Name Concrete Restoration(2017-3)At Heritage Trace Parkway City Sec# 49216
Client Project# 100835
Contractor C.Green Scalping,L.P. PM Tariqul Islam Inspector Habte Taezaz
Change Order Submittal# 0 Date 8/31/2018
DELETIONS
ITEM --- DESCRIPTION DEPT Qty Unit Unit Cost I ota
Concrete HES Extra ep
TPW $16,380.00
Sub Total Deletions 6,
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 $0.00
CFW Change Order Approval 02 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Projects/100835 - Concrete Restoration 2017-
3/Contractor/100835CO1ConcreteRestorationAtHeritageTraceParkwayChange Order 2d Breakdown.xlsm
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CFW Change Order Approval 02 Page 2 of 3
FORT WORTH® city ofFort Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: CO-SUb02
Change Order No.: 02 Date Started: 2018-09-11
City Sec. No.: 49216 Date Due: 2018-09-21
Project Name: 100835 - Concrete Restoration 2017-3
100835 DOE Numbers:
Project Numbers:
Project Stamped Concrete to replace bricks along Heritage Trace Pkwy
Description:
Project Manager: Tariqul Islam City Inspector: Habte Taezaz
Contractor: C. Green Scaping L.P.
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ -20.00
Total Cost: $ -20.00 Total Requested Days: 0
Approval Status:
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CFW Change Order Approval 02 Page 3 of 3
Approved: Yes
Comments:
User: Dana Loucks
Date: 2018-09-12 7:13 AM
Approved: Yes
Comments:
User: Tariqul Islam
Date: 2018-09-12 8:54 AM
Approved: Yes
Comments:
User: Riad Nusrallah
Date: 2018-09-13 1:58 PM
Approved: Yes
Comments:
User: Lauren Prieur
Date: 2018-09-13 8:06 PM
Approved: Yes
Comments: FORT
User: Doug Wiersig
Date: 2018-09-18 6:27 PM rAOT: 0. .0IA
►—. :
Approved: Yes U
Comments: mafy , j{ay ei ecretary
User: Doug Black Cj
Date: 2018-09-19 12:18 AM AXP
Approved: Yes �I1 Q c p f a�
Comments: �V�Oc
User: Susan Alanis
Date: 2018-09-25 1:57 PM 1295.x.. A
Action Required:
OffiCIAL RECORD
VTY SECRETARY
' WORM TX
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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
Graduate Engineer+
Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature
OFFICIAL R,=X IRD