HomeMy WebLinkAboutContract 45640-CO1 COTY SECT .
FORTWORTH$ City of Fort Worth CONTRACT NO.
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Change Order Request
Project Namel HMAC Overlay 2014-3 City Sec# 1 45640
Client Project#(s)l DOE#7215; City Project#02258
Change Order Submittal# 0 Date 9/26/2014
Contract Time
Dept. TIPW Totals CD
Original Contract Amount $1,458,547.34 $1,458,547.34 180
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1;458;547.34: $1,458,547.34 180
Amount of Proposed Change Order .;$10,298'75,.;- $10,298.75 5
Revised Contract Amount $1.;468,846.09' $1,468,846,09 185
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO
Additional Funding(if necessary) $101298.75 - $10,298.75
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT ..0.71%-
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COS T+25%) x$1,823;184;18:.
This Change Order is being submitted to request the inclusion of an additional bidlist pay item, retaining wall, as well as added pay item
quantities. This request stems from the requested inclusion of Owasso Dr.;which is appropriated as a TIF project.
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OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
FORT WORTH City of Fort Worth
! - Change Order Additions
Project Name HMAC Overlay 2014-3 City Sec# 45640
Client Project# DOE#7215;City Project#02258
Change Order Submittal# 0 Date 9/26/2014
ADDITIONS
rn jUnit s o a
Remove Sidewalk
Concrete Sidewalk
Remove ADA Ramp P A
Ramp P A
Sidewalk etaining Wall TFPW-
Mobilization
T/PW $10,298.75
Sub ota R!=
Change Order Additions Page 1 of 1
FORT WORTH City of Fort Worth
Change Order Deletions
Project Name HMAC Overlay 2014-3 City Sec# 45640
Client Project# DOE#7215;City Project#02258
Change Order Submittal# Date 9I26I2014
DELETIONS
ITEM DESGRIPIIUN DEPT City Unit Unit Cost o a
T/PW $0,00
Sub ota Deletions
Change Order Deletions Page 1 of 1
M/SBE Breakdown for this Change Order
"M/SBE:Sub . ' pad Service Amourit for this GO.
None
Total
Previous Change Orders
`CO DATE AMOUNT
NA
Total $0:00
CFW.Change Order Approval St-COApp01 Page 1 of 3
Routin
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Proiects/02258 - HMAC Surface Overlay (2014-3)/Contractor/Change Orders/Change Order Breakdown - col
revised.xls
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CFW,Change Order Approval St-COApp01 Page 2 of 3
FORT WORTH, City of Fort Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: 1
Change Order No.: St-COApp01 Date Started: 2014-10-07
City Sec. No.: 45640 Date Due: 2014-11-26
Project Name: HMAC Surface Overlay (2014-3)
02258 DOE Numbers:
Project Numbers:
DOE No. 7215
Project Removal and replacement of broken or nonfunctional curbs &
Description: gutters, driveways and sidewalks; pulverization and
stabilization of the existing pavement, then an overlay of
HMAC surface course.
Project Manager: ,Kristian Sugrim City Inspector: Mike Glover
Contractor: JLB Contracting, LLC.
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
Transportation & Public Work $ 10,298.75 C293-541200-209620225883 5
Total Cost: $ 10,298.75 Total Requested Days: 5
Approval Status:
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CFW,Change Order Approval St-COApp01 Page 3 of 3
Approved: Yes
Comments:
User: Tara Fishback
Date: 2014-10-07 9:23 AM
Approved: Yes
Comments:
User: Sam Davis
Date: 2014-10-07 9:33 AM
Approved: Yes
Comments:
User: Kristian Sugrim
Date: 2014-10-07 9:40 AM
Approved: Yes
Comments:
User: Najib Fares
Date: 2014-10-09 11:54 AM
Approved: Yes
Comments:
User: Andy Anderson
Date: 2014-10-09 4:15 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2014-10-10 12:38 PM
Approved: Yes
Comments:
User: Grant Jordan
Date: 2014-10-20 11:22 AM
Approved: Yes
Comments:
User: Fernando Costa
Date: 2014-10-20 4:36 PM
Action Required:
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