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Contract 46462-CO6
CITY S>=CRErARY FORT WORTH. City of Fort Worth CONTRACT NO. Change Order Request Breakdown Project Namel South Main Street Improvements City Sec# 1 46462 Client Pmject#(s)l City Proj#02113,Water#265-608140211383,Sewer#275-708130211383,DOE 7158, K-2294,X-22529 Contractorl JLB Contracting,LLC PM Patrick Buckley I Inspectorl Joe Rogers Change Order Submittal# © Date 1 511312016 Dept. TPW Water Sewer Contract Time Totals CD Original Contract Amount $5,180,599.11 $1,497,009.31 $1,170,739.14 $7,848,347.56 Extras to Date $80,300.79 $21,949.72 $102,250.51 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $51180,599.11 $1,577,310.10 $1,192,688.86 $7,950,598.07 Amount of Proposed Change Order .00 .00 Ott $4,400.00 Revised Contract Amount 5,180,599,11 $1,5811710.110 $1,192,688.86 $7,954,998.07 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 $0.00 $0.00 Additional Funding(if necessary) $41400.00 $4,400.00 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1 1.36% MAX ALLOWABLE CONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%) L $9,810,434.45 Change Order is to upsize one 2"domestic service,add one 2"domestic service,add 1"irrigation meter,shift location of sewer service and 16"GV in orignal contract(not an add to the contract). Hatfield Properties ATTN:Dak Hatfield 201 S.Calhoun Street,Suite 125D Fort Worth,Texas 76104 817.239.9701 dak@hatfieldproperbes.net • �J` Mary J. K e , gecretary ` ° � RECEMM SEP -62016 CITY OFFORTWORM CUSERETARY OFFICIAL RECORD CITY SECRETARY FT.WORTH+TX FORT WORTH City of Fort Worth Change Order Additions Project Name I South Main SbW lMpMvWWIS City Sec# 46462 COW Project# I City Proj#02113,Water#265-608140211383,Sewer#275706130211383,DOE 7158,K-2294,X-22529 C.k.wl JLB CordracBng,LLC PM Patrick Buckley IMPeCIOr Joe Rogers Charge Order Submittal# © Date 5113!2016 ADDITIONS Unit n o r e afar TPW 00 Water $4,400.00 Sewer $0.00 Sub Total drops Change Order Additions Page 1 of 1 • FoRRr WWORTTH City of Fort Worth T Change Order Deletions Projed Nmne I South Main Street Improvernenle C4 Sac# 46462 Client Project# I City Pro'#02113,Water#26&608140211383,Sewer#275-708130211383,DOE 7158,K-2294,X-22529 JLB Contracfig,LLC PM1 Petrick Buddey Inspector Joe Rogers Cham Order Submittal# ® Dete F 5113-016 DELETIONS ITEM MS(;PJP-UON DEPT oty n n os o r TPW Water $0.00 Sewer $0.00 Sub o tans Change Order Deletions Page 1 of 1 M/SBE Breakdown for this Change Order M/SBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders Co# DATE AMOUNT Total $0.00 Page 2 of 3 Page 2 of 3 FORTWORTH City of Fort worth Change Order Request Approval (Change Order Breakdown Available in Links) For Change Order Submittal No.: 6 Change Order No.: Wa-COApp07 Date Started: 2016-07-28 City Sec. No.: 46462 Date Due: 2016-08-18 Project Name: 02113 - South Mainb Street Reconst - Vickery Blvd. to Magnolia Ave. Project Numbers: CO2113 DOE Numbers: 7158 Project Change Order is for upsizing a domestic service, adding a 2" Description: domestic meter, and adding a 1" irrigation meter, and to shift locations of the sewer service and gate value at the SE corner of South Main and E. Dashwood Ave. We will be also collect the inspection and material testing funds for this work from developer. Project Manager: Patrick Buckley City Inspector: Joseph Rogers Contractor: JLB Contracting, LLC COUNCIL ACTION (If Required): M&C Log Name: M&C Number: M&C Date: COST AND DAYS SUMMARY: Requested Department: Cost($) Fund Account Center: Days: Water $ 4,400.00 59601-0600430-5740010-CO1480 Total Cost: $ 4,400.00 Total Requested Days: 0 Approval Status: https://projectpoint.buzzsaw.com/ bz_web/Forms/FormPrint.aspx?SiteId=51500&ProcessId... 9/2/2016 Page 3 of 3 Page 3 of 3 Approved: Yes Comments: User: Paul Chamberlain Date: 2016-07-28 4:12 PM Approved: Yes Comments: User: Sam Davis Date: 2016-08-01 7:17 AM Approved: Yes Comments: User: Patrick Buckley Date: 2016-08-02 9:39 AM Approved: Yes Comments: User: Tony Sholola Date: 2016-08-18 4:08 PM Approved: Yes Comments: User: David Townsend Date: 2016-08-22 9:51 AM Approved: Yes Comments: User: Doug Black Date: 2016-08-29 5:13 PM Approved: Yes Comments: User: Jay Chapa Date: 2016-08-30 7:53 AM Action Required: Approve C06 https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&Processld... 9/2/2016 Page 1 of 3 Page I of 3 Routing Assigned To: Due Date: Assigned By: Due Time: Links fortworthgov/Infrastructure Proiects/02113 - South Main Street Vickery to Magnolia/Contractor/Change Orders/CO6/CO 6 Breakdown South Main ]LB.xls Attachments(0) No Attachments have been added to this form. https://projectpoint.buzzsaw.com/ bz web/Forms/ForinPrint.aspx?SiteId=51500&ProcessId... 9/2/2016