HomeMy WebLinkAboutContract 43994-CO2 CiTY SECRETA P1,Y
FORT WCONTPACT,City of mill-
Change M ..
Order Request
Project Namel 2008 CIP Contract 21,A city Sec#
Client Project#(S)J DOE#62 , CP# 1X20
Change Order Submittal 2 Date 10/2/201
' e I. TPW Water Sewer
Totals C
Original Contract Amount $1 357,595 76 $40111172.70 $7513291.00 $1)83,41097.46: 2
Extras to Date $71,,550-100 $71,550.00 15
Credits,to Date
Pending!Change Orders in M&C Process)
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JAmount of Proposed Change Order „,J r, r�:,r ,r,;,r ,, r
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�Original Funds,Available for Change Orders 67”879.79 $20,058.64 $3,766.45 9 ,7'04.
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CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS ORIGINAL CONTRACT
MAX LLOWABLE CONTRACT ORIGINAL CONTRACT COST+25%)
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This change order is required to Increase the contract quantity to o 'er the,actual work ins,taliled on the project.
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ilk" � H City of Ford Worn Change Order Additions
Project Name 2008 C1P Contract 2A City Sec 43994
Client Project# , P#01320
Change Order SUbraittal# Date
DUITI NS
ITEM RiPTI EP t snit Unit Cost TFal
UNIT I TER IMMUEMENTS
19-INCR 3305.0207 Imported,Er ba r art/ ac fli',Select Fill, Water 26H01 CY 115. u01
1 INCR 331 2.2003 1 re Water Service Water 5.00 FA 0.00 $4,7'50-0
T W $0.00
"eater $8,650.00
Saver $0.00
Sub Total Additions $8,660.66
Charge Order Additions Page 1 of 1
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FORTWORTH City of Fort Worth
Change Order Deletions
Project Name 2008 GiP Contract 2A City Sec# 43994
Client Project 4 DOE# 21 ,CP401320
Grange Order Submittal# Date 2-1 .....
DELETIONS
11EM DE7RIPTION DEPT OR Unit c t Total
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TP $0.00
'dater $0.00
Sewer $9,99
Sub Total Deletions $0.00
Change Order Deletions Page 1.cif
M/S�-BE Breakdown for this Change Order
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Previous Change Orders
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Total
LFW Change Order Approval Wa-COAppO I Page 2 of 3
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'%TH City of Fort Wofth
IF o'K'T WO TK @
Change Order Request Approval
(Change Order Breakdown Available "in Links)
For Change Order Submittal No.a. 1 (ON LINE),
Change Order No Wa-COAppO 1 Date Started: 2013-10-09
City Sec. No..* 43994 Date Due.- 2013-11-28
Project Name: 2008 CI P Contract 2A
01320 DOE Numbers:
Project Numbers., DOE 6218
Project 2 C1: 16th Street,, Highland Ave, Odd Street, 22nd Street
Description' NW, Belmont Ave and Gould Ave.
Project Managers. GopalSahu, City Inspectors, Carlos Vasquez
Contractor: Stabile & Winn
COUNCIL ACTION (If Required):
1 Log Name:
MSC Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department'. Cost($) Fund Account Center: Days:
Water Department 81650.00 P253 5412010, 6021701312083 5
Total Cost. $ 8f650-00 Total, Requested, Days: �5
Approval Status:
htt :,//projeetpol,nt.buzzsaw-coi-nJ—bz—web/Fo,mi.s/Forte Priiit.aspx,?S*Iteld=515010&Processl... 1/16/2014
Approved: Yes
comments:
User: Tara Filshhac
Date: 2013-10-09 3:125 PM
Approved: 'des
User: Jerry Henderson
Date: 2013-10-09 4:06 PM
Approved: Yes
ornmonts:
Meer: Gopal Sahu
Date: 2013-10-14 3:22 PM
Approved: Yes
Comments:
User.- Tony Sholola
Date: 2013-10-16 28#23 PM
Approved: Yes
Comments:
User: Andy Cronberg
Date: 2014-01-07 1:17 AM
Approved: Yes
Comments:
User: Doug Black
Date: 2014-01-14 7:1 PM
Approved: Yes
Comments:
User: Fernando Casty
Date.- 2014- - 5 2:52 A1``
Action Required:
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(,'.FW Change Order Approval Wa-COAppO I Page, I o�f 3
Roulting
Assigned To Due Late:
Assigned By: due Time:
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