HomeMy WebLinkAboutContract 46853-CO1 FORT WORTH.., City of Fort Worth conn-C-7 . '
s Change Order Request Breakdown
Project Namel North Z. Boaz Park-Dog Park Improvements City Sec# 1 46853
Client Project#(s)l C210/541200/803490221883
Contractor Raydon, Inc. PM Scott Penn I Inspectorl Adilda Cazorla
Change Order Submittal# 0 Date 9/4/2015
Dept. PACSD Totals Contract Time
CD
Original Contract Amount $585,575.70 $585,575.70 120
Extras to Date $0.00
Credits to Date $0.00
Pending Change Orders(in M&C Process)
Contract Cost to Date $585,575.70 $585,575.70 120
Amount of Proposed Change Order $11,194.00 $11,194.00 10
Revised Contract Amount $596,769.70 $596,769.70 130
Original Funds Available for Change Orders $20,000.00 $20,000.00
Remaining Funds Available for this CO $20,000.00 $20,000.00
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1.91
MAXALLOWABLE CONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%) $731,969.63
JUSTIFICATION (REASONS) FOR CHANGE ORDER
ADDITIONS:Add Unit 1 -Line Item 19, purchase of 232 LF of 18"RCP;Add Unit 1 -Line Item 20, Installation of 220 LF of 18"RCP for out
flow and cover/stabilize;Add Unit 1 -Line Item 21,installation of 12 LF of 18"RCP at in flow and cover/stabilize.
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v--- Change Order Additions
Project Name North Z.Boaz Park-Dog Park Improvements CitySec# 46853
Client Project# C210I541200I803490221883
Contractor Raydon,Inc. PMF Scott Penn Inspector AdildaCazorla
Change Order Submittal# Date 9/412015
ADDITIONS
ITEM DESCRIPTION DEPT Qty unit Unit Cost Total
Purchase of 18'RCP PAGSD 232.00000000 $6,090.00
Installation of 8"RCP-pipe&fill existing channel(out flow of pond) PACSD 220.00000000 TF
Installation of "RCP-pipe 8 fill existing channel(in flow of pond) PAGSD 0 LF
PACSD $11,194.00
Sub Total A ibons
Change Order Additions Page 2 of 5
FOR I'WORTH City of Fort Worth
—"v--- Change Order Deletions
Project Name North Z.Boaz Park-Dog Park Improvements CitySec# 46853
Client Project# C210I 541200/803490221883
Contractorl Raydon,Inc. PM[— Scott Penn Inspector'
Adilda Cazoda
Change Order Submittal# 0 Date 9/4/2015
DELETIONS
ITEM DFSMMION DEPT Qty Unit Unit Cost Total
PACSD $0.00
Sub ota Deletions
Change Order Deletions Page 4 of 5
M/SBE Breakdown for this Change Order
M/SBE Sub Type of Service Amount for this CO
NA
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
NA
Total $0.00
CFW Change Order Approval Pa- COApp01 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 2
fortworthgov/PACS/02218 - North Z Boaz Community Park - Phase II/Contractor/Change Orders/RE M&C Review Reauest
{Purple Slip} 80NZ BOAZ CO#2 .msg
fortworthgov/PACS/02218 - North Z Boaz Community Park - Phase II/Contractor/Change Orders/Change Order
Breakdown 9-4-15 (3).xls
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CFW Change Order Approval Pa- COApp01 Page 2 of 3
FORT WORTH. City of Fort Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: 1
Change Order No.: Pa - COApp01 Date Started: '2015-09-03
City Sec. No.: Date Due: 2015-10-23
Project Name: North Z Boaz Community Park - Phase I
02218 DOE Numbers:
Project Numbers:
Project ,Dog Park Improvements at North Z. Boaz Park
Description:
Project Manager: 'Scott Penn City Inspector: Adilda Cazorla
Contractor: Raydon, Inc.
COUNCIL ACTION (If Required):
M&C Log Name: 'na
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
Parks and Recreation ;$ 11,194.00 C210-541200-803490221883 10
Total Cost: $_11,194.00 Total Requested Days: '10
Approval Status:
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CFW Change Order Approval Pa- COApp01 Page 3 of 3
Approved: Yes
Comments: Approved
User: Debra Rose
Date: 2015-09-26 9:08 AM
;Approved: Yes
Comments:
User: Brian Smith
Date: 2015-09-27 12:59 PM
Approved: Yes
Comments:
User: Scott Penn
Date: 2015-09-28 7:02 AM
Approved: Yes
Comments:
User: Joel McElhany
Date: 2015-09-28 8:28 AM
Approved: Yes
Comments:
User: Richard Zavala
Date: 2015-09-29 8:39 AM
Approved: Yes
Comments:
User: Doug Black
Date: 2015-10-09 10:28 AM
"Approved: Yes
Comments: Fred Griffin for
User: Susan Alanis
Date: 2015-10-13 2:14 PM
Action Required:
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