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Contract 46823-CO4
CITY SECRETARY , FORT WORTH© City of Fort Worth CONTRACT NO. � _ ' Change Order Request Breakdown Project Namel Ridglea Urban Village Streetscape Improvements City Sec# 46823 Client Project#(s)l 01786 Contractorl The Fain Group PM Lissette Acevedo Inspector Roy Scharfenberg Change Order Submittal# Date 11/3/2016 Dept. Planning Water Contract TimeTotals D Original Contract Amount $274,322.00 $272,646.00 $546,968.00 128 Extras to Date $80,182.64 $80,182.64 4 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $354,504.64 $272,646.00 $627,150.64 132 Amount of Proposed Change Order $3,159.19 $0.00 $3,159.19 0 Revised Contract Amount $357,663.83 $272,646.00 $630,309.83 132 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 $0.00 Additional Funding(if necessary) $3,159.19 $3,159.19 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 15,247/ MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $683,710.00 JUSTIFICATION (REASONS) FOR CHANGE ORDER (1)Bid Item 65:The irrigation cost is to repair the drip line in the median noise at Camp Bowie(The lines did not show on the plans). The lateral and heads that need to be repair at the planter bed North on West Ridge.(This was cause during tie-in's,we needed to excavate more into the planter bed than what it called for in the plans. The material and labor for the irrigation under the crosswalk at Camp Bowie was to sleeve a line that was not located on the plans. (2)Clean up quantity overruns and underruns to close out the project. ��o o� Fp R� oEpEIVEp4 co 1 SAN 2CD 6 MM'y I. c, Fo�rw �— C/1�ySECpE, ORTH `" qg" � a s � a- ii. ` OFFICIAL RECORD CITY SECRETARY FT. WORTH TX FORT WORTH City of Fort worth Change Order Additions Project Name Ridglea Urban Village Streetscape Improvements City Sec# 46823 Client Project# 01786 Contractor The Fain Group PMJ Lissette Acevedo Inspector Roy Schartenberg Change Order Submittal# F---3 --j Date 11/3/2016 ADDITIONS Qty Unit I T-nl-ti7o-st-I Total ammng �' 2 REMOVING CONC(SIDEWALK OR RAMP) Planning 73.88000000 SY $34.00 3 REMOVING CONC(FLUME) Planning 22.33000000 SY IX) 15 BARRICADES,SIGNS AND TRAFFIC HANDLING Planning 2.00000000 MO $4,200.00 17 ICON CURB&GUTTER(TY I) Planning 125.00000000 LF $28.00 20 CONC SIDEWALKS(4°) Planning 7.47000000 SY $50.00 26 ,EFL PAV MRK TY I(W)(ARROW)(100MIL) Planning 1.00000000 EA $190.00 27 REFL PAV MRK TY I(W)(WORD)(100MIL) Planning 2.00000000 EA $200.00 32 REFL PAV MRK TY II(W)(ARROW) Planning 1.00000000 EA $15.00 33 REFL PAV MRK TY 11(W)(WORD) Planning 2.00000000 FA 24.00 35 ELIM EXT PAV MRK&MRKS(24°) Planning 3.00000000 LF $5.00 41 PAV SURF PREP FOR MRK(ARROW) Planning 1.00000000 EA $15.00 42 PAV SURF PREP FOR MRK(WORD) Planning 2.00000000 EA $20.00 43 REMOVAL OF GROUND BOXES Planning 1.00000000 EA $200.00 51 REFL PAV MRK TY 1(W)4°(SLD)(100MIL) Planning 146.00000000 LF $1.50 52 REFL PAV MRK TY I(W)8°(SLD)(100MIL) Planning 60.00000000 LF $2.30 53 REFL PAV MRK TY I(Y)4°(SLD)(100MIL) Planning 160.00000000 LF $1.50 $240Z 1 55 REFL PAV MRK TY II(W)4°(SLD) Planning 146.00000000 LF 0.40 558.401 56 REFL PAV MRK TY 11(W)8°(SLD) Planning 60.00000000 LF $2.30 57 REFL PAV MRK TY 11(Y)4°(SLD) Planning 160.00000000 LF $5.00 58 REFL PAV MRKR TY I-C Planning 9.00000000 EA $5.75 60 PAV SURF PREP FOR MRK(4°) Planning 98.00000000 LF $0.40 61 PAV SURFPREP FOR MRK(8°) Planning 60.00000000 LF $0.60 62 D-GR HMA(METH)TY-D SAC-B PG70-22 LATEX ADDITIVE Planning 55.72000000 TON $225.00 65 IRRIGATION REPAfRS TO MEDIAN AND NE CORNER Planning 1.00000000 LS $1,628.12 Planning $36,290.85 Water $0.00 Sub Total Additions 1 536,290.E Change Order Additions Page 2 of 4 FORT WORTH City of Fort Worth Change Order Deletions Project Name I Ridglea Urban Village Streetscape Improvements CitySec# 46823 Client Project# 1 01786 Contractor The Fain Group PM Lissette Acevedo Inspectof Roy Scharfenberg Change Order Submittal# 0 Date 1113/2016 DELETIONS ITEM DESCRIPTION DEPT QtY nit UnitCost Tota PC 99TMP IN P GR4)(6') Planning --------T7-.ZUUU 0 7 12 CONC PVMT(CONT REINF-CRCP)(12')CL HES Planning 88.00000000 SY $140.00 13 CONC PVMT(CONT REINF-CRCP)(HES)(8') Planning 65.3 000000 SY $116.00 16 COLORED TEXTURED CONC(8') Planning 10.56000000 SY $270.00 ,5. 21 CONC MEDIAN(SY) Planning 5.20000000 SY $70,00 24 REFL PAV MRK TY I(W)12'(SLD)(100MIL) Planning 28.00000000 LF $5.00 25 REFL PAV MRK TY I(W)24'(SLD)(100MIL) Planning 2.00000000 LF $9.00 $18.00 30 REFL PAV MRK TY II(W)12'(SLD) Planning 28.00000000 LF $1.00 31 REFL PAV MRK TY II(W)24'(SLD) Planning 2.00000000 LF $2.00 36 ELIM EXT PAV MRK&MRKS(ARROW) Planning 1.00000000 EA $50.00-----T5= 37 ELIM EXT PAV MRK&MRKS(WORD) Planning 1.00000000 EA $65.00 5. 39 PAV SURF PREP FOR MRK(12') Planning 28.00000000 LF $1.00 8.0 40 PAV SURF PREP FOR MRK(24') Planning 2.00000000 LF $2.00 45 TEMPORARY SEDIMENT CONTROL FENCE INSTLL Planning 40.00000000 LF $2.00 $80.00 46 TEMPORARY SEDIMENT CONTROL FENCE REMOVE Planning 40.00000000 LF $2.00 48 MESSAGE BOARD(CO#) Planning 0.50000000 LS $14,199.34 $-7,61M 7 50 REFL PAV MRK TY I(W)4-(DOT)(100MIL) Planning 208.00000000 LF $1.15 54 REFL PAV MRK TY II(W)4-(DOT) Planning 208.00000000 LF $1.15 59 ELIM EXT PAV MRK&MRKS(4') Planning 593.00000000 LF $1.15 W75 5 63 ELM EXT PAV MRK TY I-C Planning 12.00000000 EA $3.00 Planning $33,131.66 Water $0.00 Sub Total Deletions $33,131.66 Change Order Deletions Page 3 of 4 M/SBE Breakdown for this Change Order M/SBE Sub Type of Service Amount for this CO N/A Total $0.00 Previous Change Orders CO# DATE AMOUNT Total $0.00 CFW Change Order Approval PD-COAppr04 Page 2 of 4 R T WOI�R�THO City of Fort Worth Change Order Request Approval (Change Order Breakdown Available in Links) For Change Order Submittal No.: 3 Change Order No.: PD-COAppr04 Date Started: 2016-11-16 City Sec. No.: 46823 Date Due: 2017-01-05 Project Name: 01786 - The Ridglea Urban Village Streetscape Project 1786 DOE Numbers: Project Numbers: 6885 Project streetscape improvements on Camp Bowie at Westridge Description: Project Manager: Lissette Acevedo City Inspector: Roy Scharfenberg Contractor: Fain COUNCIL ACTION (If Required): M&C Log Name: M&C Number: M&C Date: COST AND DAYS SUMMARY: Requested Department: Cost($) Fund Account Center: Days: Planning and Development $ 3,159.19 31001 0060419 5740010 C01786 C( 0 Total Cost: $ 3,159.19 Total Requested Days: 0 Approval Status: https://pro.jeetpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&ProcessI... 1/26/2017 CFW Change Order Approval PD-COAppr04 Page 3 of 4 Approved: Yes Comments: User: Larry Frazier Date: 2016-11-16 3:22 PM Approved: Yes Comments: User: Lissette Acevedo Date: 2016-11-16 3:47 PM Approved: Yes Comments: User: Patrina Newton Date: 2016-11-16 4:50 PM Approved: Yes Comments: User: Larry Frazier Date: 2016-12-15 3:01 PM Approved: Yes Comments: User: Lissette Acevedo Date: 2016-12-29 2:39 PM Approved: Yes Comments: User: Patrina Newton Date: 2016-12-29 5:12 PM Approved: Yes Comments: User: Randle Harwood Date: 2017-01-20 10:38 AM Approved: Yes Comments: User: Doug Black Date: 2017-01-24 6:26 PM Approved: Yes Comments: User: Fernando Costa Date: 2017-01-25 12:08 PM haps://Drojectpoint.buzzsaw.com/ bz web/Forms/FolmPrint.aspx?Siteld=51500&ProcessI... 1/26/2017 Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Lissette Aceved7,P.E.,PTOE Sr.Professional Engineer Title