HomeMy WebLinkAboutContract 45403-CO4 CITY SECRETARY _
FORTWORTH. City of Fort Worth CONTRACT NO. �
Change Order Request Breakdown
Project Namel Fossil Creek Roundabout City Sec# 1 45403
Client Project#(s)l City Project 2183,DOE 7176
Change Order Submittal# ® Date 1/29/2015
Dept. TPW Contract Time
Totals CD
Original Contract Amount $1,370,926.35 $1,370,926.35 120
Extras to Date $107,940.40 $107,940.40 39
Credits to Date
Pending Change Orders(in MSC Process)
Contract Cost to Date $1,478 866.75 $1,478,866.75 159
Amount of Proposed Chane Order $131624.20 $13,624.20 14
Revised Contract Amount $1,492,490.95 $1,492,490.95 173
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) L $13 624.20 $13,624.20
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 8.87%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,713,657.94
JUPFMT CKANGEORDER
Additonal pay items required for revised scope of work at Riverside/Sandshell intersection
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OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX
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� City of Fort Worth
Change Order Additions
Project Name Fossil Creek Roundabout City Sec# 45403
Client Project# 2163,DOE 7176
Change Order Submittal# ® Date 1/29/2015
ADDITIONS
ITEM DESCRIPTIUN DEPT Qty Unit mt Cost Total
opsoi
Remove Concrete Pavement TPW 97.60Y 75
Grass Sod Pw 5
Additional sawcut PW —5 L
"Median Cap TPW5.9 SF $8.50
1-90 one Paving-match existing thickness Pw 72.60
1-91 Ground Box TPW
TPW $13,624.201
Sub otal Ad itions
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX
Change Order Additions Page 2 of 4
T Wo City of Fort Worth
Change Order Deletions
Project Name Fossil Creek Roundabout City Sec# 45403
Client Project# City Project 2183,DOE 7176
Change Order Submittal# 0 Date 1/29!2015
DELETIONS
ITEM DESCRIPTION DEPT Qty Unit nit Cost Total
TPW $0.00
Sub Total Deletions
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Change order Deletions Page 3 of 4
MISBE 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
2 8/6/2014 $9,775.00
Total $9,775.00
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
CFW Change Order Approval St-COApp05 Page 1 of 3
Routin
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Proiects/02183 - Roundabout at North Riverside and Fossil Creek/Contractor/Change
Orders/Change Order Breakdown co4.xls
Attachments(01
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OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
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CFW Change Order Approval St-COApp05 Page 2 of 3
FORT WORTHeCity of Fort Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: 4
Change Order No.: St-COApp05 Date Started: 2015-02-12
City Sec. No.: 45403 Date Due: 2015-04-03
Project Name: Roundabout at North Riverside and Fossil Creek
Project Numbers: 02183 DOE Numbers:
DOE No.
Project Intersection construction
Description:
Project Manager: Wilma Smith City Inspector: Joe Rogers
Contractor: )LB Contracting
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 13,624.20 C203-541200-204390218383 14
Total Cost: $ 13,624.20 Total Requested Days: 14
Approval Status:
UFFICIAL RECORD
CITY SECRETARY
FT. WORTHS TX
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' CFW Change Order Approval St-COApp05 Page 3 of 3
Approved: Yes
Comments:
User: Tara Fishback
Date: 2015-03-13 5:56 PM
Approved: Yes
Comments:
User: Sam Davis
Date: 2015-03-13 6:57 PM
Approved: Yes
Comments:
User: Wilma Smith
Date: 2015-03-17 3:36 PM
Approved: Yes
Comments:
User: Todd Estes
Date: 2015-04-03 9:29 AM
Approved: Yes
Comments:
User: Andy Anderson
Date: 2015-04-03 9:17 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2015-04-06 3:24 PM
Approved: Yes
Comments:
User: Doug Black
Date: 2015-04-15 4:21 PM
Approved: Yes
Comments:
User: Fernando Costa
Date: 2015-04-15 9:37 PM
Nk
Action Required:
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