HomeMy WebLinkAboutContract 45658-CO1 CITY SECRETARY
FORT WORTH., City of Fort Worth "ONTl� L
Change Order Request Breakdown
Project Namel HMAC Surface Overlay(2014-1) City Sec# 1 45658
Client Project#(s)l 02236
Contractor Advanced Paving PM Kristian Sugrim Inspector William Mason
Change Order Submittal# 0 Date 5/11/2015
Dept. TIPW Totals Contract TimeCD
Original Contract Amount $1,972,174.45 $1,972,174.45 190
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,972,174.45 $1,972,174.45 190
Amount of Proposed Change Order $29,888.20 $29,888.20 20
Revised Contract Amount $2,002,062.65 $2,002,062.65 210
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $29,888.20 $29,888.20
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1,57,
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $2,465,218.06
JUSTIFICATION (REASONS) FOR CHANGE ORDER
This Change Order is being submitted to appropriate funding into the Construction Master. This appropriated funding is for Subfund 38 for
Workphase 83,from the 2014 Bond Sidewalk Program. The installation of sidewalk,on this contract,stemmed for the City's sidewalk survey
request.
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OFFICIAL RECORY
CITY SECRETAR
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lv� Change Order Additions
Project Name I HMAC Surface Overlay 2014-1 City Sec# 45658
Client Project# 1 02236
Contractor Advanced Paving PM Kristian Sugrim Inspector William Mason
Change Order Submittal# 0 Date 5/1112015
ADDITIONS
ITEM DESCRIPTION DEPT Qty Unit nit Cost Total
3 7"CONCRETE CURB&GUTTER T/PW 55.00000000 LF 20.00
7 REMOVE SIDEWALK T/PW 150.00000000 SF 1.10
8 4°CONCRETE SIDEWALK T/PW 4,482.00000000 SF $4.35
27 BLOCK SOD REPLACEMENT T/PW 150.00000000 SY 6.50
30 REMOVE ADA RAMP T/PW 1.00000000 EA T218.00
31 ADA RAMP T/PW 2.00000000 EA $990.00
38 PAVING CONSTRUCTION ALLOWANCE T/PW 0.05000000 EA 1157000.00
T/PW $29,888.20
Sub Total Additions 29,888.20
Change Order Additions Page 1 of 1
FoR, ORTH City of Fort Worth
Change Order Deletions
Project Name HMAC Surface Overlay 2014-1 City Sec# 45656
Client Project# 02236
Contractorl Advanced Paving PMJ Kristian Sugrim Inspector William Mason
Change Order Submittal# Date 5/1112015
DELETIONS
ITEM DESCRIPTION Pcity Unit Unit Cost Total
T/PW $0.00
Sub Total Deletions
Change Order Deletions Page 1 of 1
M/SBE Breakdown for this Change Order
Type of Ser��ce .� Agrount for this CO y
Total $8 Od
Previous Change Orders
co`# DATE AMOUNT
Total
CFW Change Order Approval St-COApp01 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Projects/02236 - Street Rehabilitation HMAC (2014-1)/Contractor/Change Orders/Change
Order Breakdown #1 HMAC 2014-1.xls
Attachments(0)
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CFW Change Order Approval St-COApp01 Page 2 of 3
FORT WORTH. City of Fort Worth
�--- Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: 4
Change Order No.: St-COApp01 Date Started: 2015-05-21
City Sec. No.: 45658 Date Due: 2015-07-10
Project Name: HMAC Surface Overlay (2014-1)
02236 DOE Numbers:
Project Numbers:
DOE No. 7195
Project Removal and replacement od broken or non-functional curbs &
Description: ;'gutters, driveways and sidewalks; followed by pulverization
;and stabilization of the existing pavement and an overlay with
virgin HMAC surface course.
i
Project Manager: Kristian Sugrim City Inspector: William Mason
Contractor: Advanced Paving
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
Transportation & Public Work:, $29,888.20 C210-541200-209380223683 ;20
Total Cost::$ 29,888.20 Total Requested Days: 20
Approval Status:
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CFW Change Order Approval St-COApp01 Page 3 of 3
Approved: Yes
'Comments:
User: Tara Fishback
"Date: 2015-06-03 3:46 PM
;Approved: Yes
Comments:
'User: Eric Anderson
Date: 2015-06-08 8:10 AM
Approved: Yes
Comments:
User: Kristian Sugrim
Date: 2015-06-08 8:50 AM
'Approved: Yes
'Comments:
User: Najib Fares
:Date: 2015-06-08 9:47 AM
,Approved: Yes
Comments:
;User: Andy Anderson
Date: 2015-06-09 9:06 AM
,Approved: No
Comments:
User: Doug Wiersig
Date: 2015-06-09 10:17 AM
Approved: Yes
;Comments:
User: Richard McCracken
Date: 2016-12-16 2:12 PM
:Approved: Yes
Comments:
User: Jay Chapa
Date: 2016-12-16 3:47 PM
Action Required:
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