HomeMy WebLinkAboutContract 44386-CO4 '0111-Y SECE-Mr �r
FORT WORM, City of Fort Worth Comm,C7 ma. -
'� Change Order Request Breakdown
Project Namel Concrete Restoration(2013-09)At Various Locations City Sec# 1 44386
Client Project#(s)l GG01-537110-0202002
Change Order Submittal# ® Date 9/4/2014
Dept. TIPW Contract Time
Totals CD
Original Contract Amount $499,074.00 $499,074.00 150
Extras to Date $115,917.45 $115,917.45 88
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $614,991.45 $614,991.45 238
Amount of Proposed Change Order $0.00 35
Revised Contract Amount $614,991.45 $614,991.45 273
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 23,23%
MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $623,842.50
JUSTIFICATION(REASONS) FOR CHANGE ORDER
This change order is to add 35 days to the contract for additional concrete work on S. Edgewood Terrace between Carol Street and E. Berry
Street.
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Mary J. K y , ity rM
MFICIAL RECORD
TY SECRETARY
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PECEIVEO 0CY 0 7 20 K
FoliT WORTH City of Fort Worth
�ir Change Order Additions
Project Name I Concrete Restoration 2013-09 At Various Locations City Sec# 44386
Client Project# F GG01-537110-0202002
Change Order Submittal# ® Date 9I4I2014
ITEM ADDITIONS
DESCRIPTION ty m mt os Total
Time Only Days
T/PW $0.00
Sub Total Additions 0.00
Change Order Additions Pagel of 1
Fc TWORTH City of Fort Worth
—'Ir-- Change Order Deletions
Project Name I Concrete Restoration 2013-09)At Various Locations City Sec# 44386
Client Project# F GG01-537110-0202002
Change Order Submittal# ® Date 9/4/2014
DELETIONS
ITEM DESCRIPTION DEPT city Unit Unit Cost Total
TIPW
Sub Total Deletions
Change Order Deletions Page 1 of 1
MISBE Breakdown for this Change Order
MISBE Sub m . .Type
,S
Total
Amount for this CQ .
Total $p00
Previous Change Orders
:_ AMOUNT
Total $0 00
CFW Change Order Approval St-COApp03 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Proiects/Concrete Restoration (2013-9)/Contractor/Change Orders/Bradley Douglas Change
Order Breakdown #4 7053 Revised.xls
Attachments(0)
No Attachments have been added to this form.
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CFW Change Order Approval St-COApp03 Page 2 of 3
FORT WORTHe City of Fort Worth
- Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No COSub08
Change Order No.: St COApp03 Date Started: 2014-09-22
City Sec. No.: 44386 Date Due: .2014-10-10
Project Name: ;Concrete Restoration (2013-9)
GG01-537110-0202002 DOE Numbers:
Project Numbers:
.7053
Project Concrete restoration at various locations
Description:
Project Manager: Tariqul Islam City Inspector: Candace Klenk
Contractor: Bradley Douglas Construction Services, LLC
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TpN/ $ 0.00 GG01-537110-0202006 35
_ __ _
Total Cost:'$_0 00 Total Requested Days:=._35
Approval Status:
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CFW Change Order Approval St-COApp03 Page 3 of 3
Approved: Yes
Comments:
,User: Tara Fishback
'Date: 2014-09-22 10:18 AM
Approved: Yes
:Comments:
:User: Cheryl McKnight
'Date: 2014-10-02 10:19 AM
'Approved: Yes
Comments: i
lUser: Tariqul Islam
,,Date: 2014-10-02 3:31 PM
Approved: Yes
'Comments:
,User: Najib Fares
Date: 2014-10-02 10:45 AM
Approved: Yes
.Comments:
'User: Andy Anderson
'Date: 2014-10-02 1:42 PM
;Approved: Yes
�Comments:
:User: Doug Wiersig
;,Date: 2014-10-02 1:53 PM
Approved: Yes
;Comments:
,User: Doug Black
',Date: 2014-10-06 4:16 PM
Approved: Yes
Comments:
Vser: Fernando Costa
(Date: 2014-10-06 11:29 PM
.......... ............ ......
Action Required:
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