HomeMy WebLinkAboutContract 47925-CA2 CnY SECRETARY
FORT WORTH, City of Fort Worth CONTRACT N0.
Change Order Request Breakdown
Project Namel Concrete Paving Restoration 2016-02 at Various Locations City Sec# 47925
Client Project#(s)l CPN 100065
Contractor Westhill Construction PM Tariqul Islam Inspector Mike Flute
Change Order Submittal# Date 4/13/2017
Dept. T/PW Contract Time
Totals CD
Original Contract Amount $745,524.00 $745,524.00 150
Extras to Date $49,790.00 $49,790.00 45
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $795,314.00 $795,314.00 195
Amount of Proposed Change Order $49,431.25 $49,431.25 10
Revised Contract Amount $844,745.25 $844,745.25 205
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $49,431.25 $49,431.25
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 13.31
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $931,905.00
JUSTIFICATION(REASONS) FOR CHANGE ORDER
This change order is necessary to add items to the contract to complete the installation of the Morningside Railroad Crossing. Increase in the
SY of stamped and stained 4"concrete and 8"raised concrete curb and gutter is due to the change of the width of the median from 3 ft
continuous median to a varying 3-9 ft median.Addition concrete paving due to overruns on Shackleford Street. 10 days are being added to the
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FORT WORTH City of Fort Worth
Change Order Additions
Project Name I Concrete Paving Restoration 2016-02 at Various Locations City Sec# 47925
Client Project# I CPN 100065
Contractor Westhill Construction PM Tadqui Islam Inspector Mike Flute
Change Order Submittal# 0 Date 4/1312017
ADDITIONS
Qty Unit Unit Cost Total
Yellow ermop astic Pavement Markings TIPW
33 24:White Stop Bar T/PW 150.00000000 LF $14.25
3T White Reflective RPM'S T/PW 17.0000 000 EA $4.35
35 White Non Reflective RPM's T/PW 68.00000000 EA $3.16
36 RR Legend Markings T/PW TZ10000000 EA $695.00
37 Removal of Existing Pavement Markings T/PW 1.00000000 LS ---$650.00
650.00
Inc 30 8°Curb dowelled with pavement T/PW 25.00000000 LF $30.00
Inc 31 Stamped and Stained Concrete(4 inch) T/PW 70.00000000 SY 117.00
Inc 4 Remove Concrete and Replace with 7"Concrete Pavement HES T/PW 4 0.00000000 SY $77.00
T/PW $49,431.25
Sub Total Additions $49,431.25
Change Order Additions Page 1 of 1
FOEzr WORTH City of Fort Worth
Change Order Deletions
Project Name Concrete Paving Restoration 2016-02 at Various Locations CitySec# 47925
Client Project# CPN 100065
Contractor Westhill Construction PM Tadqui Islam Inspector Mike Flute
Change Order Submittal# 0 Date 4/13/2017
DELETIONS
HEM DESCRIPTION UEPT City Unit Unit Cost Total
T/PW $0.00
Sub Total Deletions $U.U0
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 $0.00
CFW Change Order Approval St-COApp02 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Projects/100065 - Concrete Restoration (2016-2)/Contractor/Change Orders/Change Order
Breakdown #2 CPN 100065.x1s
Attachments(0)
No Attachments have been added to this form.
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CFW Change Order Approval St-COApp02 Page 2 of 3
FORT WORTH, C'ty of Fort Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: St-COSub02
Change Order No.: St-COApp02 Date Started: 2017-05-01
City Sec. No.: 47925 Date Due: 2017-05-12
Project Name: 100065 - Concrete Restoration (2016-2)
100065 DOE Numbers:
Project Numbers:
Project Concrete restoration at various locations
Description:
Project Manager: Tariqul Islam City Inspector: Mike Flute
Contractor: Westhill Construction
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 39,391.00 39001-0200431-5740010-- 10
C01571-CO7580
TPW $ 10,040.25 30100-0200431-5740010--
100065-003380
Total Cost: $ 49,431.25 Total Requested Days: 10
Approval Status:
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CFW Change Order Approval St-COApp02 Page 3 of 3
Approved: Yes
Comments:
User: Katie Newby
Date: 2017-05-04 9:34 AM
Approved: Yes
Comments:
User: Tariqul Islam
Date: 2017-05-04 9:41 AM
Approved: Yes
Comments:
User: Riad Nusrallah
Date: 2017-05-05 4:46 PM
Approved: Yes
Comments:
User: Richard Martinez
Date: 2017-05-08 9:40 AM
Approved: Yes
Comments:
User: Richard Martinez
Date: 2017-05-09 6:16 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2017-05-11 10:38 PM
Approved: Yes
Comments:
User: Doug Black
Date: 2017-05-19 10:29 AM
Approved: Yes
Comments:
User: Jay Chapa
Date: 2017-05-24 12:50 PM
---------------
Action Required:
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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.
Tariqul Islam
Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature