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Contract 43797-CO4 (2)
�' �' . . . ;"�_ ;,'', �; � :� ` "� ' � _ ,. .. ; • - • • - � - • - � , , . ; ;,,:�:, Project Name Client Project #(s) 2007 Critical Capital Project (Council District 2) DOE 5913/5914 Ciry Sec # 43797 #00961 - #00956 Change Order Submittal #�4 Date 8/28I2013 Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date IAmount of Proposed Chanpe Order TPW 5,569.50 Water $83,000.00 Sewer c�i�i K] RevisedContractAmount $3,449,791.60 $720,124.90 $324,310,00 Original Funds Available for Change Orders $77,892.03 $31,733.75 $15,721.20 Remaining Funds Available for this CO $2,322,53 $0.00 $0.00 Additional Funding (if necessary) $63,642.47 $2,450.00 CHANGE ORDERS to DATE (INCLUDING THIS ONEJ AS % OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) Totals 2,519.50 1.50 47 6.67% $5,266,615.00 Contract Time 465 60 525 - � .` � .;'�' i a,.'; 'JUST�FICATfON`�REASONS),FOR"CHANG� ORDER ,�,-.`. '' � - This change order is requried to install new junction boxes and storm drain pipe at the following intersections, NW 23rd/Roosevelt & NW 23rdlPrairie where existing brick manholes and deteriated non-reinforced 18" storm drain pipe, where in need of replacement. A new junction box was requried where a new Storm Sewer connected with an existiing Storm Sewer arch pipe. �a �s _�� = . J. � � G:� . - ., ., " ��1� � ' ;' ' ' ' i � � , .Q r CFW Change Order Approval Change Order #4 Approved: Yes Comments: User: Tara Fishback Date: 2013-09-20 1:37 PM Approved: Yes Comments: User: ]erry Henderson Date: 2013-09-20 2:36 PM Approved: Yes Comments: User: Khal Jaafari Date: 2013-09-20 3:15 PM Approved: Yes Comments: User: Najib Fares Date: 2013-09-20 4:34 PM Approved: Yes Comments: User: Andy Anderson Date: 2013-09-23 2:12 PM Approved: Yes Comments: User: Doug Wiersig Date: 2013-09-27 1:30 PM Approved: Yes Comments: User: Doug Black Date: 2013-09-27 3:45 PM Approved: Yes Comments: User: Fernando Costa Date: 2013-09-27 8:53 PM Action Required: httnc•//nrniPntr�nint hi Print acr�v�Cifairl—Sl S(1(1R,Pr.,�A��T Page 3 of 3 Fr>e r WoK�rH —�"r-- City of Fort Worth Change Order Additions Project Name 2007 Critical Capital Project (Councii District 2) DOE 591315914 City Sec # 43197 Ciient Project # #00961 - #00956 Change Order Submittal # O4 ADDITIONS Date 8/28/2013 �1L�u� � .. �, �'J�i�s"1!'��'lil� � , ___.��� � ••�• . ••�, ������ ��� , ,,, .. . . , - 11i�� ���:' :�� �� , ��� �� � ����� � •.�• . .•. �v. , ����� �i� �' �� � , •�1�'� �� �::� �� �� �� �� �i� � i • �.. � � . . �••�. �:. •r�� ����� •���I•,��� �'� 1 1 1� - �,��Y��i��—����������u � '� 111� . � �rOY����� � ' 1 1 ' ' ������ �1 � 1 • . - :� r 'T� i ll� �� 1 1 '. 11 � 1 1 � :.. • n 1 11 � '.. 11 11 '. t 11 11 — ---- — — '�1• � n. . ----- � � � n• • • �� 11 � �. !�1 i1 ', ' 1 11 � � ir__ . I-. .. � . , �� 11� �� 1111 '. 11t1 — —_--- — --_— — — �---- — ----- — ----- — ---- — — ---- — — ---- — — ----- — ----- — ---- — — ---- — — ----- — ----- — ----- — --_-- — ----- — ----- — ---- — — —_--- — ----- — ----- — ---- — _ ---_ — — ---- — — ----- — ----- — ---- — — ---_ — — ----- — —_--- — ----- — ---_ — — ---- _ — ----- — ---- — � '. 11 , 1 11 1 11 � � . ��� � ���: � � 11 Change Order Additions Page 1 of 1 Fo k_1"�_ c�ty of Fo�c wortn Change Order Deletions Projeci Name 2007 Critical Ca itai Project (Council DisUict 2 DOE 591315914 City Sec # 43797 Client Project # #00961- #00956 Change Order Submittal # 04 DELETIONS Date 812812013 ni ni os o a TPW 0.00 Water $0.00 Sewer $0.00 u ota e e ons Change Order Deletions Page 1 of 1 Previous Change Orders Co # DATE AMQUNT Total $0.00 CFW Change Order Approval Change Order #4 FORT �ORTH� City of Fort Worth �--..� Change Order Request Approval (Change Order Breakdown Available in Links) Page 2 of 3 For Change Order Submittal No.: COSub01 Change Order No.: Change Order #4 Date Started: 2013-09-18 City Sec. No.: 43797 Date Due: 2013-11-07 Project Name: 00961 - 22nd and Lincoln, 2007 CO 2E Project Numbers: Combined 2D (00956) & 2E (00961) 5913 & 5914 DOE Numbers: Project Contract 2D ( Refugio & 23rd street) & Contract 2E (Lincoln & Description: 22nd street) Water, Sewer Replacement & Pavement Re- construction of streets, drive approcahes. Project Manager: Khal Jaafari Contractor: Stabile & Winn COUNCIL ACTION (If Required): M&C Log Name: M&C Number: COST AND DAYS SUMMARY: Department: Water TPW Cost($) $ 2,450.00 $ 65,965.00 Total Cost: � 68,415.00 Approval Status: rr i. City Inspector: Richard Salazar M&C Date: Requested Days: 5 Fund Account Center: P253 541200 602170095683 C295 541200 202400095683 23 Total Requested Days: 28 htt»s�//nmiectn�int.hu��saw.com/ bz web/Forms/FormPrint.asvx?SiteId=51500&ProcessI... 9/30/2013