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HomeMy WebLinkAboutContract 45077-CO1 CITY SECRETAW FORT WORTH. City of Fort Worth CONTRACT 140. Change Order Request Breakdown Project Namel HMAC SURFACE OVERLAY(2013-16) City Sec# 1 45077 Client Project#(s)l 02178;DOE 7124 Contractorl JLB CONTRACTING,L.L.G. PM Kristian Sugdm Inspector Bill Mason Change Order Submittal# Date 1/28/2015 Contract Time Dept. T/PW Totals CD Original Contract Amount $1,336,606.22 $1,336,606.22 150 Extras to Date Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $1,336,606,22 $1,336,606.22 150 Go to ADD&DEL Tabs to Enter CO Backup $0.00 227 Revised Contract Amount $1,336,606.22 $1,336,606.22 377 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 0.00% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,670,757.78 .I ICA I€IV, R NS C li l+l i=OMER Additional days added to the contract due to delays on resolving utility conflicts and additional work on: Evans Ave.(Gas)- 52 days Reagan Dr. (Gas)- 16 days ,d4��4��h� Marfa Ave.(Gas)- 7 days a1Wq16000 �` Nolan St.(Water&Gas)- 4 days&5 days c o Lipscomb St.(Water&Gas)- 59 days&12 days 16o 10) Bedford St.(Gas)- 26 days g 0 Fawn Dr.(Gas)- 21 days Additional Sidewalk&driveways-25 days AqesW by, °o° a Op00000000 'AY d Mary L Kayser, City Secretary M M M M NO M&C REQUIRED 0 n N O OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FCity of Fort Worth T Change Order Additions Project Name I HMAC SURFACE OVERLAY 2013-16 CitySec# 45677 Client Project# I 02178;DOE 7124 C.U.-bri JLB CONTRACTING,L.L.C. PM Kristian Sugdm Inspector Bill Mason Charge Order Submittal# Date 112 812 01 5 ADDITIONS UtbGRIPHUN DEPT Qty Unit mt Cost Total me n T/PW $0.00 Sub o a Additions Change Order Additions Page 1 of 1 S FORT WORTH City of Fort Worth Change Order Deletions Project Name I HMAC SURFACE OVERLAY 201316 City Sec# 5077 Client Project# 1 02178•DOE 7124 Con JLB CONTRACTING,L L.C.----J PMJ Kristen Sugrim Inspecto —BI Meson Change Order Submittal# Date F1/28/2 15 UtLt I TUNS Unit—! n os o a u oa sears Change Order Deletions Page 1 of 1 M/SBE Breakdown for this Change Order M/SBE Sub Type of Service Amount for this CO N/A Total $0.00 Previous Change Orders CO# DATE AMOUNT N/A Total $0.00 CFW Change Order Approval St-COApp01 Page 2 of 5 FORT WORTH, City of Fort Worth �---� --- Change Order Request Approval (Change Order Breakdown Available in Links) For Change Order Submittal No.: 01 Change Order No.: St-COApp01 Date Started: 2015-03-30 City Sec. No.: 45077 Date Due: 2015-05-19 Project Name: HMAC Surface Overlay (2013-16) Project Numbers: 02178 DOE Numbers: 7124 Project H2O13-16; remove and replace non functioning curb&gutter and Description: driveways, pulverization and stabilization of the existing pavement followed with an overlay of 2" virgin HMAC surface course. Project Manager: Kristian Sugrim City Inspector: William Mason Contractor: JLB Contracting, LLC. COUNCIL ACTION (If Required): M&C Log Name: M&C Number: M&C Date: COST AND DAYS SUMMARY: Requested Department: Cost($) Fund Account Center: Days: Transportation and Public Wo 227 Total Cost: $ 0.00 Total Requested Days: 227 Approval Status: https://projectpoint.buzzsaw.com/_bz_web/Forms/FormPrint.aspx?Siteld=51500&Processld=787&Acti... 4/21/2015 CFW Change Order Approval St-COApp01 Page 4 of 5 Approved: Yes Comments: User: Tara Fishback Date: 2015-03-30 2:19 PM Approved: Yes Comments: User: Sam Davis Date: 2015-03-30 3:25 PM Approved: Yes Comments: User: Tara Fishback Date: 2015-04-01 9:47 AM Approved: Yes Comments: User: Sam Davis Date: 2015-04-01 10:42 AM Approved: Yes Comments: User: Kristian Sugrim Date: 2015-04-01 10:51 AM Approved: Yes Comments: User: Najib Fares Date: 2015-04-01 11:36 AM Approved: Yes Comments: User: Andy Anderson Date: 2015-04-02 5:16 PM Approved: Yes Comments: User: Doug Wiersig Date: 2015-04-02 3:48 PM Approved: Yes Comments: User: Tara Fishback Date: 2015-04-10 3:19 PM Approved: Yes Comments: User: Sam Davis Date: 2015-04-13 8:14 AM https://projectpoint.buzzsaw.com/_bz_web/Forms/FormPrint.aspx?Siteld=51500&Processld=787&Acti... 4/21/2015 CFVR Change Order Approval St-COApp01 Page 5 of 5 Approved: Yes Comments: User: Kristian Sugrim Date: 2015-04-13 1:31 PM Approved: Yes Comments: User: Najib Fares Date: 2015-04-13 3:48 PM Approved: Yes Comments: User: Andy Anderson Date: 2015-04-17 7:33 PM Approved: Yes Comments: User: Doug Wiersig Date: 2015-04-17 8:49 PM Approved: Yes Comments: User: Doug Black Date: 2015-04-20 12:17 PM Approved: Yes Comments: User: Fernando Costa Date: 2015-04-21 3:34 PM Action Required: https://projectpoint.buzzsaw.com/_bz_web/Forms/FormPrint.aspx?Siteld=51500&Processld=787&Acti... 4/21/2015