HomeMy WebLinkAboutContract 50437-CO1 CITY SECRETARY
CONTRACT NO._ 50437-Go t
FORT WORTH. City of Fort Worth
Change Order Request Breakdown
Project Namel Brick Pavement Rehabilitation 2018 at Various Locations City Sec# 50437
Client Project#(s) 101295
Contractor C.Green Scaping,LP PM Juan Pablo De La Cruz Inspectorr C+den Weyman
Change Order Submittal# 0 Date 1013012018
Contract Time
Dept. TPW Totals CD
Original Contract Amount $389,715.00 $389,715.00 210
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $389,715.00 $389,715.00 210
Amount of Proposed Change Order $2,336.90 $2,336.90 0
Revised Contract Amount $392,051.90 $392,051.90 210
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $2,336.90 $2,336.90
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.60%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $487,143.75
A change order is required to add additional contract amount to cover the cost of$2,336.09 of brick repair.
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C* MQ�O�G� o��o�'y OFFICIAL RECORD
CITY SECRETARY
G FT. WORTH,IX
City of Fort Worth
Change Order Additions
Project Name I Brick Pavement Rehabilitation 2018 at Various Locations City Sec# 50437
Client Project# Flo1295
Contractor C.Green Scaping,LP PM Juan Pablo De La Cruz InspectorF Oden Weyman
Change Order Submittal# �1 Date 10/30/2018
ADDITIONS
ITEM DFS ION UEP I Qty Unit Unitcost Total
3 0241.1200 Remove Brick Pavement
8 3214.0100 Brick Pavement TP-W 14.47000000 SY132.60
TPW $2,336.90
Sub Total Additions 2,336.90
CFW Change Order Approval COAppr-01 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Projects/101295 - Brick Rehabilitation 2018/Contractor/Change Orders/CR 101295 -Change
Order Breakdown.xlsm
Attachments(0)
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CFW Change Order Approval COAppr-01 Page 2 of 3
FORT WORTH. C'ty of Fort Worth
�. �•..--- Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: COSub01
Change Order No.: COAppr-01 Date Started: 2018-11-02
City Sec. No.: 50437 Date Due: 2018-12-22
Project Name: Brick Pavement Rehabilitation 2018 at Various Locations
101295 DOE Numbers:
Project Numbers:
Project Brick Pavement Rehabilitation 2018 contract provides for
Description: removal and replacement of failed brick pavement.
Project/Contract
Compliance Juan Pablo De La Cruz City Inspector: Oden Weyman
Manager:
Contractor: C. Green Scaping, LP
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 2,336.90 30100-0200431-5740010
101295-006480-9999
Total Cost: $ 2,336.90 Total Requested Days: 0
Approval Status:
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CFW Change Order Approval COAppr-Ol Page 3 of 3
Approved: Yes
Comments:
User: Dana Loucks
Date: 2018-11-02 12:14 PM
Approved: Yes
Comments:
User: Juan Pablo De La Cruz
Date: 2018-11-02 2:10 PM
Approved: Yes
Comments:
User: Riad Nusrallah
Date: 2018-11-20 1:25 PM
Approved: Yes
Comments:
User: Lauren Prieur
Date: 2018-11-21 7:58 PM
Approved: Yes
Comments:
User: Signing for TPW Director Role Approvals
Date: 2018-11-21 2:34 PM
Approved: Yes
Comments: �. •k.�.
User: Doug Black A�� FOR7-
Date: 2018-11-26 5:16 PM Q
Approved: Yes A t) _
Comments: * 'k
User: Susan Alanis —
Date: 2018-12-12 5:29 PM J. S , City �CI'8X�►S
Action Required: Please Review, Approve and Submit
I OFFICIAL RECORD
CITY SECRETARY
FT 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.
Juan Pablo De La Cruz
Project Manager
Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature