HomeMy WebLinkAboutContract 47672-CO1 CITY SECREM
FORT WORTH,, City of Fort Worth COMPACT Wo '' t 7 Z'CO
Change Order Request Breakdown
Project Namel Fog Seal 2016 City Sec# 1 47672
Client Project#(s)l 100062
Contractor Innovative Roadway Solutions PM Tariqul Islam Inspector
Change Order Submittal# 0 Date 8/2/2016
Dept. TPW Water Sewer Totals Contract TimeCD
Original Contract Amount $473,178.22 $473,178.22
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $473,178.22 $473,178.22
Amount of Proposed Change Order $11,318.75 $0.00 $0.00 $11,318.75
Revised Contract Amount $484,496.97 $484,496.97
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $11,318.75 $11,318.75
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 2.39%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $591,472.78
JUSTIFICATION (REASONS)FOR CHANGE ORDER
This change order is to add 1,811 gal. of material as final quantity to complete the projec based on actual field measurement
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CITY SECRETARY
FORT WORTH City of Fort Worth
Change Order Additions
Project Name Fog Seal 2016 City Sec# 47672
Client Project# 100062
Contractor Innovative Roadway Solutions PM Tariqul Islam Inspector
Change Order Submittal# 0 Date 8I2J2016
ADDITIONS
ty Unit Unit Cost Total
Fog Seal Application ga ga a
TPW $11,318.75
Water $0.00
Sewer $0.00
Sub Total Additions 1,318.75
Change Order Additions Page 1 of 1
FORT WORTH City of Fort Worth
Change Order Deletions
Project Name Fog Seal 2016 City Sec# 47672
Client Project# 100062
Contractor Innovative Roadway Solutions PM TariqulIslam Inspector
Change Order Submittal# Date 8/2/2016
DELETIONS
Qty Unit Unit Cost Total
TPW $0.00
Water $0.00
Sewer $0.00
Sub Total Deletions
Change Order Deletions Page 1 of 1
M/SBE Breakdown for this Change Order
M/SBEiSub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
co# DATE AMOUNT
Total $0.00
CFW Change Order Approval St-COApp01 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Projects/100062 - Fog Seal 2016/Contractor/Change Orders/Change Order Breakdown Fog
Seal 2016.xis
Attachments(0)
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CFW Change Order Approval St-COApp01 Page 2 of 3
F`O K"T WORTH.., City of Fort Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: St-COApp01
Change Order No.: St-COApp01 Date Started: 2016-08-12
City Sec. No.: 47672 Date Due: 2016-08-27
Project Name: 100062 - Fog Seal 2016
100062 DOE Numbers:
Project Numbers:
Project Emulsified seal coat on asphalt street at various locations
Description:
Project Manager: Tariqul Islam City Inspector:
Contractor: Innovative Roadway Solutions
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 11,318.75 30100-0200431-5740010-- 0
100062-006280-2016
Total Cost: $ 11,318.75 Total Requested Days: 0
Approval Status:
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a
CFW Change Order Approval St-COApp01 Page 3 of 3
Approved: Yes
Comments:
User: Christopher Kinder
Date: 2016-08-15 9:50 AM
Approved: Yes
Comments:
User: Tariqul Islam
Date: 2016-08-15 10:10 AM
Approved: Yes
Comments:
User: Riad Nusrallah
Date: 2016-08-17 4:04 PM
Approved: Yes
Comments:
User: Bryan Beck
Date: 2016-08-18 3:24 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2016-09-06 5:13 PM
Approved: Yes
Comments:
User: Doug Black
Date: 2016-09-07 9:49 AM
Approved: Yes
Comments:
User: Jay Chapa
Date: 2016-09-07 4:25 PM
Action Required:
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