HomeMy WebLinkAboutContract 50225-CO1 CITY SECRETARY
FORT WORTH. City of Fort Worth CONTRACTNO.
� r Change Order Request Breakdown
Project Namel 2014 CIP Year 3 Contract 9 City Sec# E50225
Client Project#(s)l02696
Contractorl Ark Contracting Services,LLC PM IMary Hanna Inspector Thomas Miller
Change Order Submittal# 0 Date 7/6/2018
Dept. Water Sewer TPW Contract Time
Totals CD
Original Contract Amount $1,191,917.00 $357,161.00 $2,552,605.50 $4,101,683.50 365
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,191,917,00 $357,161.00 $2,552,605.50 $4,101,683.50 365
Go to ADD&DEL Tabs to Enter CO Backup $0.00 $0.00 $23,008'.83 $23,008.83 15
Revised Contract Amount $1,191,917.00 $357,161.00 $2,575,614.33 $4,124,692.33 380
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00 $0.00 $0.00
Additional Funding(if necessary) $23,008.83 $23,008.83
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.56%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $5,127,104.38
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This change order for removing existing concrete pavement found in Kentucky Ave between E.Bessie and E.Stella
OFFICIAL RECORD
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CITY SECRETARY
99 9 FT,WORTN9 TX
City of Fort worth
Change Order Additions
Project Name 2014 CIP Year 3 Contract 9 City Sec# 50225
Client Project# 02696
Contractorl Ark Contracting Services,LLC PM Mary Hanna inspector'
Thomas Miller
Change Order Submittal# 0 Date 7/6/2018
ADDITIONS
I I EM DESCRIPTION DEPT Qty Unit Unit Cost Total
716 to 87oncrete Removal TPW 1,1 000000 SY
62 Barrier Free Ramp Type R1 TPW 0000 0 EA ,400. 0
Water $0.00
Sewer $0.00
TPW $23,008.83
Sub Total Additions 23,00 .
Change Order Additions Page 2 of 4
FORT_1 RTH City of Fort Worth
Change Order Deletions
Project Name 2014 CIP Year 3 Contract 9 City Sec# 50225
Client Project# 02696
Contractor Ark Contracting Services,LLC PM Mary Hanna Inspectof Thomas Miller
Change Order Submittal# Date 7/6/2018
DELETIONS
ITEM DESCRIPTION DEPT Qty Unit UnitCost- I ota
Water $0.00
Sewer $0.00
TPW $0.00
Sub Total Deletions 0.00
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 $0.00
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FORT WORTH, city of Fort worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: 1
Change Order No.: COAppr-01 Date Started: 2018-07-06
City Sec. No.: 50225 Date Due: 2018-08-25
Project Name: 2014 CIP Year 3 — Contract 9
02696 DOE Numbers:
Project Numbers:
Project This is a combined street paving improvements, water and
Description: sanitary sewer main improvements in Bluebonnet Circle, Rouse
St, Smilax Ave and Kentucky Ave
Project/Contract
Compliance Mary Hanna City Inspector: Thomas Miller
Manager:
Contractor: Ark Contracting Services, LLC
COUNCIL ACTION (If Required):
M&C Log Name: N/A
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 23,008.83 39412-0200431-5740010-c02696-c( 15
Total Cost: $ 23,008.83 Total Requested Days: 15
Approval Status:
https://projectpoint.buzzsaw.com/ bz web/Forms/FonnPrint.aspx?SiteId=51500&ProcessI... 7/19/2018
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Approved: Yes
Comments:
User: Mike Plunk
Date: 2018-07-06 3:45 PM
Approved: Yes
Comments:
User: Mary Hanna
Date: 2018-07-06 3:47 PM
Approved: Yes
Comments:
User: Lane Zarate
Date: 2018-07-12 4:15 PM
Approved: Yes
Comments:
User: Ricardo Matute
Date: 2018-07-16 3:11 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2018-07-16 3:40 PM
Attested by:
Approved: Yes /
Comments:
User: Doug Black J• A
Date: 2018-07-18 5:47 PM .O
Approved: Yes
Comments: �q�•.
User: Susan Alanis M&C: A
Date: 2018-07-18 8:27 PM
1295:_
Action Required: Please Review and Approve
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX
https://projectpoint.buzzsaw.com/ bz_web/Forms/FonnPrint.aspx?Siteld=51500&ProcessI... 7/19/2018
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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Name f Employee/Signature
S✓. �yo a�� /L�9,y1.
Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature
OFFICIAL RECORD
CITY SECRETARY
FT. WORTHI TX