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Contract 43797-CO5 (2)
FORT �ORTH<< Cit of Fort Worth �'�'� �������J' _ � �`� ` Y ��R9T�� ��. . � ,. Change Order Request Project Name 2007 Critical Capital Project (Council District 2) DOE 5913/5914 City Sec # 43797 Client Project #(s) #00961 - #00956 Change Order Submittal # � Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date osed Chanqe Order Dept TPW ,257.10 791,60 E,i ii Water $720,124.90 Sewer 1 Revised ContractAmount $3,449,791,60 $737,524.90 $338,385.00 Original Funds Available for Change Orders $77,892.03 $31,733.75 $15,721.20 Remaining Funds Available for this CO $0.00 $0.00 $0.00 Additional Funding (if necessary) $17,400,00 $14,075.00 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) JUSTIFICATION '� 11 Date Totals �� � 125.346.98 5.00 7.41 % $5,266,615.00 .� :: � 567 In Contract 2E, one sevice line inconflict with a storm drain line, another sewer service line was not evident in plans, a drop manhole was added to the same service line. In Contract 2D a 12 inc pvc line replaced a cast iron line that was too shallow to pave over. Additional temp pavement was needed at 24th & Refugio (2D) to shore up existin�d�' � _ crease in pay items necessitates this CO Change � r a � 1� y�/� t � �I�� /- � "'/ P Gonzz�lles, (����IV�D �1QV �2 ��13 ���-;`ti ��. A �� ��� ,�• -.y � .: �► „o�,o�.. ����� ':. o � "�' .��: � � ��� , ��. _ �. 9/26/2013 Contract Time � Fox r WaKrH �— City of Fort Worth Change Order Additions Project Name 2007 Cri6cal Capital Project (Council District 2) DOE 5913I5914 City Sec # 43797 Client Project # #00961 - #00956 Change Order Submittal # �5 ADDITIONS Date 9/26/2013 _ �IL�u� ' ' •' �'1�����s9i11� � ' �� � -•�� � �,. • ��� �,� �� •,� �� �� � i �• • , . •-�. •• �• �• � ��1�(i� � ��`� '.' �� ; : � �� �� �'' '� r�, - • �• '� � �� �� •„ �� ��,�� �� _ '�i• n•,• . � . � �. �• . �• � �----- �� � � �1����������� — � � � �—���g�---- � ' 11 , � • � • • � ■ � �iliO�� 11 � ' ' 11 1 I '. , 11 11 �,' ' 11 � ' `• `�� il �' '. 11 t1 ' 11 il � 1 , I - �� 11 � � ' 1 i 11 �, :11 11 � 1 1 • ►��-' � . ••�. '• �• �- � YiW'i�� 11� �,� 11 ',l i � 11 - ----- - --�-- - ---- - - ----- - ----- - ---- - - ----- - ---- - - ----- - ----- - ---- - - ----- - ----- - ---- - - ----- - ----- - ----- - ----- - ---- - _ ----- - ----- - ----- - ----- - ---- - - ----- - ----- - ---- - - ----- - ---- - - ----- - ----- - ---- - - ----- - ----- - ---- - - ----- - �---- - ----- - ----- - ---- - - ----- ', i l l , � 11 11 ', • 1 11 � �. •�� � ', � 11 Change Order Additions Page 2 of 4 FoxrWoxry City of Fort Worth � Change Order Deletions Project Name 2007 Critical Capital Project (Council District 2) DOE 5913/5914 City Sec # 43797 Client Project # #00961 - #00956 Change Order Submittal #�5 Date 9/2612013 DELETIONS ni ni os o a TPW 0.00 Water $0.00 Sewer $0.00 u Tota De etions Change Order Deletions Page 3 of 4 Previous Change Orders ' Co # DATE AMOUNT' Total $0.�0 ' CFW Change Order Approval Change Order 5 Routina Assigned To: Assigned By: Page 1 of 3 Due Date: Due Time: Links 1 fortworthQov/Infrastructure Proiects/00961 - 22nd and Lincoln, 2007 CO 2E/Contractor/Chanqe Orders/Chan4e Order 5 Breakdown.xlsm Attachments (0) No Aftachments have been added to this form. https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&Proces... 11/22/2013 ` CFW Change Order Approval Change Order 5 ORT �ORT�-I�.a, city of Fort worth Change Order Request Approval (Change Order Breakdown Available in Links) Page 2 of 3 For Change Order Submittal No.: Change Order No.: Change Order 5 Cost($) $ 4,950.00 City Sec. No.: 43797 Date Due: 2013-12-26 Project Name: Combined Contracts 2D(00956) & 2E(00961), Dist 2 2007 Critical Capital 00956 & 00961 Project Numbers: 5913 & 5914 Date Started: 2013-11-06 DOE Numbers: Project Replacement of Water, Sewer mains & the total reconstruction Description: of pavement for streets in combined contracts 2D or segments of Refugio ave & 23rd street, contract 2E or segments of Lincoln & 22nd street. Project Manager: Khal Jaafari Contractor: Stabile & Winn COUNCIL ACTION (If Required): M&C Log Name: none M&C Number: COST AND DAYS SUMMARY: Department: Water Sewer City Inspector: Richard Salazar M&C Date: Fund Account Center: P253 541200 602170096183 Requested Days: 4 5 5 $ 12,450.00 P253 541200 602170095683 $ 14,075.00 P258 541200 702170096183 ,; • -.... . � _ - - _ _ . _ il _ _ ,� _ _ -- Total Cost: � 31,475.00 Approval Status: t� - I! - _ Total Requested Days: 14 https://projectpoint.buzzsaw.com/ bz_web/Forms/FormPrint.aspx?SiteId=51500&Proces... 11/22/2013 ` CFW Change Order Approval Change Order 5 Page 3 of 3 ;Approved: Yes Comments: User: Tara Fishback Date: 2013-11-07 9:26 AM jApproved: Yes Comments: User: Jerry Henderson 'Date: 2013-1i-07 9:49 AM !.Approved: Yes Comments: '�IUser: Khal Jaafari Date: 2013-11-07 4:09 PM :Approved: Yes Comments: User: Najib Fares Date: 2013-i1-08 8:50 AM Approved: Yes Comments: User: Andy Anderson Date: 2013-11-08 10:30 AM Approved: Yes Comments: User: Doug Wiersig Date: 2013-i1-18 3:31 PM Approved: Yes Comments: 'User: Doug Black Date: 2013-11-19 4:45 PM Approved: Yes Comments: User: Fernando Costa Date: 2013-i1-19 11:23 PM Action Required: Review & Approve please https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&Proces... 11 /22/2013