HomeMy WebLinkAboutContract 47922-CO2 ' S
FORT WORTH® City of Fort WorthSECRETARY '��C�
Change Order Request Breakdown CONTRACT N0.
Project Name Concrete Restoration(2016-1)at Various Locations City Sec# 1 47922
Client Project#(s)l 100064
Contractorl Cheyenne Construction Co. PM Tariqul Islam Inspectorl Michael Flute
Change Order Submittal# 0 Date 8/15/2017
Dept. T/PW Contract Time
Totals CD
Original Contract Amount $1,118.470.00 $1,118,470.00 180
Extras to Date $207,247.50 $207,247.50 72
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,325,717.50 $1,325,717.50 252
Amount of Proposed Change Order $49,672.29 $49,672.29 124
Revised Contract Amount $1,375,389.79 $1,375,389.79 376
Original Funds Available for Change Orders $368,458.00 $368,458.00
Remaining Funds Available for this CO $161,210.50 $161,210.50
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 22.97%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,398,087.50
JUSTIFICATION(REASONS)FORCHANGE ORDER.
This change order was necessary for added expenditures on existing damaged panels on E.Weatherford St.from N. Pecan St-N. Nichols St.
and E.Belknap St.from N. Pecan St.-N. Nichols St.Also,leveling up the existing asphalt shoulder to the new curb height.The work was
added to this contract in order to be completed during the limited lane closure time and for the convince of no lane closures on a future date.
124 days were needed for approval of 1 st change order,complete additional work,and coordinating efforts to accommodate all parties
involved,e.g., Downtown Inc..
OFFICIAL RECORD
CITY SECRETARY
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Change Order Deletions
Project Name I Concrete Restoration 2016-1)at Various Locations City Sec# 47922
Client Project# I 100064
Contractor Cheyenne Construction Co. PM1 Tariqul Islam Inspector Michael Flute
Change Order Submittal# 0 Date 8/1 512 01 7
DELETIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
T/PW $0.00
but)Total Deletions
Change Order Deletions Page 1 of 1
M/SBE Breakdown for this Change Order
M/SBE Sub Type of Service Amount for this CO
NA
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
NA
Total $0.00
CFW Change Order Approval St-COApp02 Page 1 of 3
r
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Proiects/100064 - Concrete Restoration (2016-1)/Contractor/Change Orders/Change Order 2
CFW.xls
Attachments(0)
No Attachments have been added to this form.
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CFW Change Order Approval St-COApp02 Page 2 of 3
FORT WORTH,,, city of Fort Worth
-..--- Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: St-COSub01
Change Order No.: St-COApp02 Date Started: 2017-08-24
City Sec. No.: Date Due: 2017-09-08
Project Name: 100064 - Concrete Restoration (2016-1)
100064 DOE Numbers:
Project Numbers:
Project Concrete Resstoration at various locations
Description:
Project Manager: Tariqul Islam City Inspector: Michael Flute
Contractor: Cheyenne Construction Co.
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 49,672.29 30100 0200431 5740010 124
100064 003380
Total Cost: $ 49,672.29 Total Requested Days: 124
Approval Status:
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CFW Change Order Approval St-COApp02 Page 3 of 3
Approved: Yes
Comments:
User: Jonathan White
Date: 2017-08-24 2:48 PM
Approved: Yes
Comments:
User: Tariqul Islam
Date: 2017-08-24 3:18 PM
Approved: Yes
Comments:
User: Riad Nusrallah
Date: 2017-08-25 4:11 PM
Approved: Yes
Comments:
User: Richard Martinez
Date: 2017-08-25 4:18 PM
Approved: Yes FOR)' '
Comments: pF O
User: Doug Wiersig
Date: 2017-08-28 10:23 AM yy��
Approved: Yes erg
Comments:
User: Doug BlackA5
Date: 2017-09-07 11:51 AM
Approved: Yes
Comments:
User: Jay Chapa
Date: 2017-09-07 12:02 PM
Action Required:
M&C REQUIRED
OFFICIAL RECORD
CITY SECRETARY
�-T.WORTH TX
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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.
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TariqulI am
Title
❑• This form is N/A as No City Funds are associated with this Contract
Printed Name Signature