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Contract 43275-CO2 (2)
i kVt'T 'ttH City of Fort Worth Change Order Request Project Name BNSF Railway Track Installation / Alliance Airport Runway Extension Client Project #(s)I Project Description) Enbridge Gathering (North Texas) L.P. Utility Relocation Contractor Enbridge Gathering (North Texas) L.P. City Project Mgr.l Ruseena Johnson Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date !Amount of Proposed Change Order Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) Aviation $346,376.00 $33,628.83 $0.00 $0.00 $380,004.83 $6,680.55 $386,685.38 i i ant gsEct-ei:way ()uklinact wou Change Order # I 2 City Inspector I na $0.00 $6,680.55 i CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT City Sec # I 43275 - CO2 i Date I 6/20/2014 Totals $346,376.00 $33,628.83 $380,004.83 $6,680.55 $386,685.38 $0.00 $6,680.55 11.64% Select Day Type JUSTIFICATION (REASONS) FOR CHANGE ORDER i Additional charges for construction and Right of Way negotiations. eJ ind (Th1 Ronald Cf �s-0 Gonzales9 OD@IAL RECORD C�13UtV SECRETARY WORTh, TY J It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. Contractor's Company Name Enbridge Gathering (North Texas) L.P. Contractor (Name) David K. Martin, Sr. Manager inspector/Inspection Supervisor na Assistant Director (Dept) na Assistant_ tyrney 7 9,k,&t'k Contract Signatur. "C-fl2i_/21I-v62,V1 ,1 ect M. ager/" ro Nana Direciell Contracting Department (Dept) Council Action (if required) • Date 6/20/2014 i M&C Number I 44- 1 M&C Date Approved I i FORT WORTH Project Name Client Project # Project Descnption ITEM 1 2 3 4 5 Contractor City Project Mgr. City of Fort Worth Change Order Additions BNSF Railway Track Installation / Alliance Airport Runway Extension Enbridge Gathering (North Texas) L.P. Utility Relocation Enbridge Gathering (North Texas) L.P. ( Change Order # Ruseena Johnson /4001-01 Company Labor 74003-01 G&A Burden 61999-03 Field/Site Inspection 61999-09 Survey 74001-19 DESCRIPTION City Inspector ADDITIONS DEVI' Aviation Aviation Aviation Aviation Aviation na 2 J City Sec # I 43275 - CO2 I Date I 6/20/2014 (1ty Unit 1.UU hrs 1.00 Currency 1.00 Currency 1.00 Currency 1.00 Currency Aviation Umt Cost $6U8.UU $693.12 $2,243.24 $802.19 $2,334.00 Sub Total Additions 'total $bU8.UU $693.12 $2,243.24 002.19 $2,334.00 $6,680.55 $6,680.55 Change Order Additions Page 2 of 5 David Martin From: Sent: To: Cc: Subject: Johnson, Ruseena <Ruseena.Johnson@fortworthtexas.gov> Tuesday, May 20, 2014 3:39 PM Karen Vail; David Martin Kristen Schwertner RE: Enbridge Invoice - 10323 Hello all, Please go through the form and adjust all the fields that need to be adjusted. I cannot use it if it is partially completed. I've received forms recently from various vendors with the date in the header dated as many as 2 months from the date of signature. This causes problems with payment. So please be sure to review each sheet of the workbook prior to signing and sending. Thank you in advance! Thank you, Ruseena E. Johnson, EIT Aviation Project Manager 817-392-5407 From: Karen Vail [mailto:Karen Vail@enbridge.com] Sent: Tuesday, May 20, 2014 10:54 AM To: David Martin Cc: Johnson, Ruseena; Kristen Schwertner Subject: FW: Enbridge Invoice - 10323 David, we have another change order for this project. if you would be so kind to fill out this form again I would appreciate. Thanks! Ruseena, per PM this should be final invoice. It looks like the miscoded charges were some ROW and labor for Donna. Below is the breakout of charges. Again, I apologize for these miscodings and any trouble. Let me know if you need anything additional. Thanks! 74001-01 COMPANY LBR 74003-01 G&A BURDEN 61999-03 FIELD/SITE INSPECTION 61999-09 SURVEY 74001-19 OTHER INTERNAL LBR 7-Jul-12 7-Jul-12 16-Dec-12 16-Dec-12 16-Dec-12 ROPER, DONNA Hours Currency Currency Currency Currency From: Johnson Ruseena (mailto:Ruseena.Johnson©fortworthtexas.ciovi Sent: Monday, May 19, 2014 3:53 PM To: Karen Vail• Kristen Schwertner Subject: RE: Enbridge Invoice - 10323 Thank you Karen, 608.00 693.12 2,243.24 802.19 2,334.00 1