HomeMy WebLinkAboutContract 47193-CO3 FORT WORTH® City of Fort Worth CO' SECRETARY
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Change Order Request Breakdown
Project Name 2015-5 HIR Street Rehabilitation City Sec# 1 47193
Client Project#(s)l 02644
Contractor Cutler Repaving PM Kristian Sugrim I Inspectorl William Mason
Change Order Submittal# 0 Date 1/8/2018
Dept. T/PW Contract Time
Totals CD
Original Contract Amount $3,714,606.65 $3,714,606.65 190
Extras to Date $104.24 $104.24 134
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $3,714,710.89 $3,714,710.89 324
Go to ADD&DEL Tabs to Enter CO Backup $0.00 324
Revised Contract Amount $3,714,710.89 $3,714,710.89 648
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.00%
MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $4,643,258.31
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This Change Order is to request an additional 324 Calendar Days to the contract.Two new projects,North Hill Ln.and N.Commerce St.,were
added to the contract;also,the limits were extended on NW 21St.The inclusion of these streets segments were authorized by Mayor and
Council(C-28281)communication on 6/20/17.Utility clearances for these additions compounded delays.Similarly,delays were encountered
with TXDOT R-O-W clearance at SH 183 and Amon Carter Blvd.There were construction delays during the installations of traffic loops at
Amon Carter and FAA,Trail Lake Dr., Lackland Rd.and Calmont Ave. Inclement weather conditions was also a drawback.
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OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
FORT� City of Fort Worth
Change Order Additions
Project Name 2015-5 HIR Street Rehabilitation City Sec# 47193
Client Project# 02644
Contractor Cutler Repaving PM Kristian Sugnm Inspector William Mason
Change Order Submittal# 0 Date 1/8/2018
ADDITIONS
Qty Unit UnitCost Total
T/PW $0.00
Sub Total Additions
Change Order Additions Page 1 of 1
FOR�H City of Fort worth
Change Order Deletions
Project Name 2015-5 HIR Street Rehabilitation CitySec# 47193
Client Project# 02644
Contractor Cutler Repaving PM Kristian Sugrim Inspector William Mason
Change Order Submittal# 0 Date 1/8/2018
DELETIONS
ITEM DESCRIPTION DEPT Qty 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
M/SBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
CFW Change Order Approval St-COApp02 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
Fortworthgov/Infrastructure Proiects/02644 - HIR Street Rehabilitation (HMAC 2015-5)/Contractor/Change
Orders/Change Order Breakdown # 3 Copy (2) (3) (003).xls
Attachments t01
No Attachments have been added to this form.
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CFW Change Order Approval St-COApp02 Page 2 of 3
FORT WORM., Ci
Change
ofFor Worth
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Orde Approval
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(Change Order Breakdown Available in Links)
For Change Order Submittal No.: 3
Change Order No.: St-COApp02 Date Started: 2018-01-16
City Sec. No.: 47193 Date Due: 2018-03-07
Project Name: 02644 - HIR Street Rehabilitation (HMAC 2015-5)
Project Numbers: 02644 DOE Numbers:
Project Removal and replacement of nonfunctional curb&gutter,
Description: driveways and sideawlks; followed by a simultaneous multi-step
Cprocess wherein the existing asphaltic pavement is heated,
scarified, thoroughly remixed, to a specified depth, and
reshaping the old asphaltic surface, applying an asphalt
recycling modifier, and then placing an overlay of new
asphaltic concrete pavement for the specified thickness.
Project Manager: Kristian Sugrim City Inspector: William Mason
Contractor: Cutler Repaving
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW 324
Total Cost: $ 0.00 Total Requested Days: 324
Approval Status:
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CFW Change Order Approval St-COApp02 Page 3 of 3
Approved: Yes
Comments:
User: Bob Veskerna
Date: 2018-01-16 4:50 PM
Approved: Yes
Comments:
User: Kristian Sugrim
Date: 2018-01-17 8:16 AM
Approved: Yes
Comments:
User: Najib Fares
Date: 2018-01-17 11:18 AM
Approved: Yes
Comments:
User: Najib Fares
Date: 2018-01-17 11:27 AM
Approved: Yes
Comments:
User: Kim Arnold
Date: 2018-01-17 11:42 AM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2018-01-23 2:37 PM
Approved: Yes
Comments:
User: ]ay Chapa
Date: 2018-02-20 11:14 AM
Action Required:
.
Mary J. Ka r, ity Secre
* f
�XAS
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Contract Compliance Manager
Re: Change Order No. 3 ($0.00)
Contractor: JLB Contracting, LLC.
Project Name: HMAC 2015-5 HIR Street rehab.
City Secretary No.: 47193
Project No.: CO2644
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.
Name of Employee
Project Manager
Title