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HomeMy WebLinkAboutContract 45786-CO1 • CIT ■ (W 1 FORT WORTH. City of Fort Worth CONTRACT N0. ��r Change Order Request Project Namel Bridge Repair and Rehabilitation At Six Locations(2012-23 City Sec# I 4W4 (, 1,;!-/ Client Project#(s)l GG01-539590-0202003 Project Description Structural,Architectural Concrete Repair,Concrete Restroation and Waterproofing Contractorl Bone Construction Solutions,LLC Change Order# ® Date 4!2712015 City Project Mgr.1 Tariqul Islam City Inspector I Richard Salazar Dept. TPW Water Sewer Totals Select Day Type Original Contract Amount $239,570.09 $239,570.09 120 Extras to Date Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $239,570.09 $239,570.09 120 Amount of Proposed Change Order $0.00 $0.00 $0.00 65 Revised Contract Amount $239,570.09 $239,570.09 185 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%) $299,462.61 JUSTIFICATION(RE;MONS)FOR CHANGE ORDER,, This Change Order is to add 65 calendar days to the contract time due to dealy for Railroad permit. RaJroad shedule conflicted with contractor work area. ° A �--$ 0 v$�° °� r, City Secretary �E% SCANNED It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full(both time and money)for all costs arising out of,or incidental to,the above Change Order. Bone Construction Solutions,LLC Ins tins Date Project Man /Pr rani r pate . AssistantDirector Ike bite Direetor,Con tr be Assistant City Aftoe Date Assistant C' Mans =Y Council Action if r ulredk r' M&C Number M&C Date Approved =SECRETAR 69, Tu- CD # ° « � k # � � � - m � I _ . § d 7 - � k / $ cc CL / 2 2 A V,�. 0 cc 0 k k � « n m < pL. C / LL � 00 k � � o e t § @ c U § 0 / U $ CL ca Cc # @ � � § � k = 2 $ § C 2 k Z § Cl) § 2 G $ cc m 2 . _ 0 CD k � k \ 3 ? 0 ■ $ _ T b ± | E E A � 0 N 0 0 0 0 0 0 Cl 0 ® 0 0 0 c 0 H cn N 4- 0 N G1 00 f0 a c 0 Q v -o O cu oa c ca r U OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX r (d O l{7 O N_ N V- U d O N U is D c N (C (V .- co (C a d 72 0 ` N O C m U O $ `° a E' N 2 ' a C ca U O v 15 . o L C0 LU 0 Cy .9 J O N N W LL CD y_ N m ❑ O O N y G! g U = o U u s U in a y U O d J O C N C UCc M � L O f`4 O N (n cc O O' U U CoCD 7 rn E L? f6 0 N d � U � cm CD U I d ca E O O 3 Zo .1 cc a m o w T y U Ci d U �+ a " 11` C E 0 0 0 0 0 0 0 6 0 c 0 EL j 3 EL � jol .n cn N O N C! 00 f0 a c 0 a� v 0 a� v O c s v OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX MIWBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders G©# DATE AMOUNT Total $0.00 N RECORDRETARYTH, TX CFW Change Order Approval St-COApp01 Page 1 of 3 Routing Assigned To: Due Date: Assigned By: Due Time: Links 1 fortworthQov/Infrastructure Proiects/Bridge Repair and Rehabilitation at Six Locations (2012-23)/Contractor/Change Orders/DOE 7230 C#1 Change Order Form (2).x1s Attachments(0) No Attachments have been added to this form. OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX https://projectpoint.buzzsaw.com/ bz web/Forms/FonnPrint.aspx?Siteld=51500&Processld... 1/4/2016 CFW Change Order Approval St-COApp01 Page 2 of 3 FORT WORTU., city of Fort Worth - ---- Change Order Request Approval (Change Order Breakdown Available in Links) __ For Change Order Submittal No. St COsub01 Change Order No.: St-COApp01 I Date Started: ;2015-11-13 City Sec. No.: Date Due: ;2015-11-20 , .................._..._....._............................................_.................__..... ....................__........_.._._........._......_............_-......_...................................._........3 _ ._.__. ._.______.._............_....____.....__...._...__._.__._..____......__.-________..__.._.._____..... .........._..______..__.__..._......__.____________ Project Name: Bridge Repair and Rehabilitation at Six Locations (2012-23) — GGO1-539590-0202003 DOE Numbers: Project Numbers- -_ __ Project :Bent repair, riprap replacement, joint sealing etc at six Description: bridge locations .. ..................................._............................ Project Manager ,TarlqulIslam City Inspector: Richard Salazar Contractor: =Bone Construction Solutions, LLC i COUNCIL ACTION (If Required): M&C Log Name: _..............-........__._..........------------ M&C Number: : M&C Date: , COST AND DAYS SUMMARY: Requested Department: Cost($) Fund Account Center: Days: ...---._._....._......._...._.._................................---....................... 65 _... .............- ......- -... . ..... .... :_.... ... .. .._ ...._.I .... .............. . ..... -' .......... _.__.........._ ..............__................. ........... - . . .... _ ...._ ..... _... . _ ... ......... ....................._......_ Total Cost::$_0.00 Total Requested Days: 65 Approval Status: https://projectpoint.buzzsaw.com/ bz web/Forms/FomiPrint.aspx?Siteld=51500&Processld... 1/4/2016 CFW Change Order Approval St-COApp01 Page 3 of 3 Approved: Yes Comments: User: John Bone Date: 2015-11-16 12:42 PM Approved: Yes Comments: This CO is to approve additional days to complete contract due to railroad permit. This contract was a take over agreement between bonding company, City and Bone Construction to complete remaing work of Vendigm Constrction contract after they abandoned the job. User: Tariqul Islam Date: 2015-11-16 1:24 PM Approved: Yes Comments: User: Najib Fares Date: 2015-11-16 3:12 PM Approved: Yes Comments: User: Andy Anderson Date: 2015-11-16 3:21 PM Approved: Yes Comments: User: Doug Wiersig Date: 2015-11-16 3:32 PM Approved: Yes Comments: User: Doug Black Date: 2015-12-23 10:12 AM Approved: Yes Comments: User: Jay Chapa Date: 2016-01-04 3:31 PM Action Required: https://projectpoint.buzzsaw.com/ bz_web/Forms/FormPrint.aspx?Siteld=51500&Processld... 1/4/2016