HomeMy WebLinkAboutContract 50572-CO2 CFW Change Order Approval COAppr-02 Page 2 of 4
CITY SECRETAR
FORT WORTH, C'ty of Fort Worth
CONTRACT W0.� O,�j
�.••. ..-- Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: COSub02
Change Order No.: COAppr-02 Date Started: 2018-10-05
City Sec. No.: 50572 Date Due: 2018-11-24
Project Name: Concrete Restoration 2018-1
101293 DOE Numbers:
Project Numbers:
Project Concrete restoration 2018-1 at various locations.
Description: Remove concrete and replace with 7' concrete pavement HES.
Remove concrete and replace with 10" concrete pavement HES.
Project/Contract
Compliance Juan Pablo De La Cruz City Inspector: Tommy Mckinnon
Manager:
Contractor: Westhill Construction, Inc.
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 $ 8,030.50 30100-0200431-5740010
101293-003380-9999
Total Cost: $ 8,030.50 Total Requested Days: 0
Approval Status:
�\���`� OFFICIAL RECORD
SCG �,� CITY SECRETARY
FT. WORTH,TX
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CFW Change Order Approval COAppr-02 Page 3 of 4
Approved: Yes
Comments:
User: Katie Newby
Date: 2018-10-08 9:53 AM
Approved: Yes
Comments:
User: Juan Pablo De La Cruz
Date: 2018-10-08 9:56 AM
Approved: Yes
Comments:
User: Katie Newby
Date: 2018-10-18 3:49 PM
Approved: Yes
Comments:
User: Juan Pablo De La Cruz
Date: 2018-10-18 3:56 PM
Approved: Yes
Comments:
User: Riad Nusrallah
Date: 2018-10-18 5:08 PM
Approved: Yes
Comments:
User: Lauren Prieur
Date: 2018-10-18 10:43 PM
Approved: Yes
Comments: FO%
User: Signing for TPW Director Role Approvals
Date: 2018-10-19 8:30 AM
Atte
Approved: Yes
Comments: '♦
User: Doug Black Mary J. Kay 1 Seery', �XAS
Date: 2018-10-25 5:45 PM
Approved: Yes M&C;, _
Comments:
User: Susan Alanis 1295.
Date: 2018-10-27 8:15 AM OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX
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CFW Change Order Approval COAppr-02 Page 4 of 4
Action Required: Please Review, Approve and Submit
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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.
Juan Pablo De La Cruz
Project Manager
Title
P This form is N/A as No City Funds are associated with this Contract
Printed Name Signature
OFFICIAL RECORD
CITY SECRETARY
WORTH,TX
FORT WORTH® City of Fort Worth
`'*1`� Change Order Request Breakdown
Project Name Concrete Restoration 2018-1 City Sec# 50572
Client Project#(s)l 101293
Contractor] Westhill PM Juan Pablo De La Cruz Inspectorl Tommy McKinnon
Change Order Submittal# 0 Date 9/4/2018
Contract Time
Dept. TPW Totals CD
Original Contract Amount $711,497.00 $711,497.00 165
Extras to Date $20,000.00 $20,000.00
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $731,497.00 $731,497.00 165
Amount of Proposed Change Order $8,030.50 $8,030.50 0
Revised Contract Amount $739,527.50 $739,527.50 165
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $8,030.50 $8,030.50
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 3.94%
MAXALLOWABLE CONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%) $889,371.25
Westhill Construction was charged$8030.50 by City of Fort Worth Permit Department for bagging meters on Jones Street and are asking for reimbursment since we are
working for the City of Fort Worth.Jones Street had to be done in three sections and cure time was needed on each section.The work done on 9th Street necessitated
closing down the same area on Jones Street to stockpile material.
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City of Fort Worth
Change Order Additions
Project Name Concrete Restoration 2018-1 City Sec# 50572
Client Project# 101293
Contractor Westhill PM Juan Pablo De La Cruz Inspector Tommy McKinnon
Change Order Submittal# Date 9/4/2018
ADDITIONS
Qty Unit Unit Cost Total
Flarking Meter Rental
TPW $8,030.50
Sub Total Additions 30.50
Change Order Additions Page 1 of 1
CFW Change Order Approval COAppr-02 Page 1 of 4
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Projects/101293 - Concrete Restoration 2018-1/Contractor/Change Orders/2018-1 Change
Order 2.xlsm
Attachments(1)
Name author Size Typ Modified
r Adobe Portable 10/18/2018
t�CityofFortWorth3onesStParkingMeterinvoices.pdf Juan De La Cruz 195513 Document 11:33:21 AM
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