HomeMy WebLinkAboutContract 49291-CO5 CFW Change Order Approval St-COApp05 Page 2 of 3
CO AoTRNqq I-C05
FORT WDRTH,) City of Fort Worth
--..•• Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: COSub05
Change Order No.: St-COApp05 Date Started: 2018-12-20
City Sec. No.: 49291 Date Due: 2019-01-10
Project Name: CO2014 - Old Decatur Rd Reconstruction, Phase 2
CO2014 DOE Numbers:
Project Numbers:
CPN: CO2014
Project Reconstruction of Old Decatur Road from IH-820 to Angle Avenue.
Description:
Project Manager: IT Auldridge City Inspector: Weyman Oden
Contractor: Jackson Construction, Ltd.
COUNCIL ACTION (If Required):
M&C Log Name: NA
M&C Number: NA M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 9,894.93 34014-0200431-5740010-- 0
CO2014-CO2380-9999-14010199
Total Cost: $ 9,894.93 Total Requested Days: 0
Approval Status:
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CITY SECRET,
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CFW Change Order Approval St-COApp05 Page 3 of 3
Approved: Yes
Comments:
User: Carmen Estep
Date: 2018-12-20 1:16 PM
Approved: Yes
Comments: Approved
User: ]T Auldridge
Date: 2018-12-26 4:30 PM
Approved: Yes
Comments:
User: Lissette Acevedo
Date: 2018-12-28 9:37 AM
Approved: Yes
Comments:
User: Signing for TPW Director Role Approvals
Date: 2019-01-02 1:30 PM
Approved: Yes
Comments:
User: Doug Black
Date: 2019-01-11 9:07 PMS .oy.
A7Approved: Yes
Comments: `
User: Susan Alanis Pary1- Kayser, City SCC •••.
'
Date: 2019-01-16 12:49 PM ��xA'" f
Action Required: Please approve.
OFFICIAL RECORD
CITY SECRETARY
FT WORTH,TX
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CFW Change Order Approval St-COApp05 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Proiects/02014- Old Decatur Rd IH820 South to Angle Ave Roundabout/Contractor/Change
Orders/CHANGE ORDER#5/CHANGE ORDER#5.xlsm
Attachments(Ol
I---
No Attachments have been added to this form.
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FORT WORTH® City of Fort Worth
~' Change Order Request Breakdown
Project Namel Old Decatur Rd Reconstruction, Ph 2 Limits from 11-1820 to N.of Angle Ave. City Sec# 1 49291
Client Project#(s)l 3180
Contractor Jackson Construction, Ltd PM Lissette Acevedo Inspector Weyman Oden
Change Order Submittal# 0 Date 12/19/2018
Dept. TPW WATER SEWER Contract Time
Totals CD
Original Contract Amount $4,298,923.00 $12,705.00 $8,000.00 $4,319,628.00 300
Extras to Date $17,819.16 $42,092.99 $0.00 $59,912.15 61
Credits to Date $0.00 $0.00 $0.00
Pending Change Orders(in M&C Process) $0.00 $0.00 $0.00
Contract Cost to Date $4,316,742.16 $54,797.99 $8,000.00 $4,379,540.15 361
Amount of Proposed Change Order $9,894.93 $0.00 $0.00 $9,894.93 0
Revised Contract Amount $4,326,637.09 $54,797.99 $8,000.00 $4,389,435.08 361
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00 $0.00 $0.00
Additional Funding(if necessary) $9,894.93 1 $9,894.93
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1.62%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $5,399,535.00
JUSTIF1QkT 9N;(REASONS)FOR GHANGE.QRDER
This change order is needed to correct the construction allowance deduction from a previous change order.
FORT WORTH City of Fort Worth
Change Order Additions
Project Name Old Decatur Rd Reconstruction,Ph 2 Limits from IH 820 to N,of Angle Ave. City Sec# 49291
Client Project# 3180
Contractor Jackson Construction,Ltd PM Lissette Acevedo Inspector Weyman Oden
Change Order Submittal# �5 Date 12/19/2018
ADDITIONS
HEM DESCRIPTION DEPT Qty Unit Unit Cost Total
orce Account
APPROACH SLAB TPW 20.00000000 Y 425. 0
III-10 3213.0301 6'WIDE4'CONC SIDEWALK TPW 55 . 0 00 SY 6.00
TPW $86,055.52
WATER
SEWER
Sub Total Additions 86,055.52
Change Order Additions Page 2 of 5
FOR�_H City of Fort Worth
Change Order Deletions
Project Name Old Decatur Rd Reconstruction,Ph 2 Limits from IH 820 to N.of Angle Ave. City Sec# 49291
Client Project# 3180
Contractor Jackson Construction,Ltd PM Lissette Acevedo Inspector Weyman TO
den
Order Submittal# 0 Date 12/19/2018
DELETIONS
ITEM DESCRIPPON DEPT Qty Unit Unit Cost Total
7 9999.0017 Force Account
III-10 32f3.0301 6'WIDE 4' NC SIDEWALK TPW —55T.00000007 SY 6.15
TPW $76,160.59
WATER $0.00
SEWER $0.00
Sub Total Deletions 7,1 .59
Change Order Deletions Page 3 of 5
M/SBE Breakdown for this Change Order
M/SBE Sub Type of Service Amount for this CO
NONE
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
CPN: CO2014
Change Order#5
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.
Wilma Smith PE / G�/
Name of Employee/Signature
Sr. Professional Engineer
Title