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Contract 44429-CO3 (2)
- �''° "� �� 1' 1' • . • �. ..;�. / . - • . - - . . . - - - Project Name Client Project Concrete Restoration 2013-10 GG01-537110-0202002 DOE 7070 City Sec # 44429 Change Order Submittal # �3 Original Contract Amount Extras to Date Credits to Date Dept. Pending Change Orders (in M&C Process) Contract Cost to Date �Amount ot Nroposed cnange order Revisetl Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) TIPW .20 53,131.61 13,396.57 66,528.18 $0.00 $0.00 13,396.57 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) Date Totals $98,230.41 131.61 E,� �� E�I 20.12% $693,626.50 2/6/2014 Contract Time 150 42 192 14 206 JUSTIFICATION (REASONS) FOR CHANGE ORDER This Change Order is for the addition of pavement markings to the contract due to the fact that T/PW- Signs and Markings Division is no longer available to provide service for pavement markings on Street Maintenance Contracts. An additional 14 days is requested to be added to the contract for the additional work. � �L o- r!� � , C� �: ,� ,, ��` ; �. �i � `, � �. �i _ - -' , , ' I 5 � ,3 � �, t t ' 4 � � Fox_�_x city of Fort wortn Change Order Additions Project Name Concrete Restora6on 2013-10 City 5ec # 44429 Client Project # GG01-537110-0202002 DOE 7070 Change Order Submittai # �3 ADDITIONS Date 2/612014 �IL�1'1� ' ' •' �'.����:l+�s'l�iti � '' �� ; � n . � . � � � �� •'riWl�— ���:i' ''�� �� '.��� �� •��� . - ��� •n ����'����':� � 1 t n . , � .. ... • .,, ������� �� �::� � �� ��'i�i , �, , , .. .,, ��������� , „ . , : ,, . . . , , ",,, . .- . , �►-.�� . ���::����� �c��� . � �� , � •- � � . •n ���:i'���' � � � , ��n - . � . . . . �. , , .' � � Y•�f�� .� Il����x�';yLr, �•• � -�. .�-� . � � r •r� ������f�Y � \ n •. . . '. - • �. � lt , � Y •If�� � 11 ���� . 1 � 1 ii�Yi� ' � �, •n �ii�i/����ii��f�Y — ----- — ----- — ----- — —_--- — ----- — —_--- — ---- — — ----- — ---_ — — ----- _ --_�-- — ----- _ --_-- — ----- — —_--- — ----- _ --_-- — ----- — --_-- — ---- — — --_-- — ---- — — —_--- — ---- — — —_--- — ---- — — —_--- _ ----- — —_--- — ----- — —_--- — ----- — —_--- — ----- — ---- — — ---_— — —1,---- — --_-- _ ----- — --_,-- — ---_ � — —�����;� � � � . � � � � �iY�iYii Change Order Additions Page 1 of 1 Fox_�r W�o�xTH c�ty of Fort wortn Change Order Deletions Project Name Concrete Restoration 2013-10 City Sec # 44429 Ciient Project # GG01-537110-0202002 DOE 7070 Change Order Submittal # 03 DELETI�NS Date 2/6/2014 �IL�u� � • • � �u��'��� ' ' • �� � ����� � ����� � ����� � ����� � ���� � � ����� � ����� � ����� � ����� � ���� � � ����� � ���� � � ����� � ����� � ����� � ����� � ����� � ����� � ����� � �11���� � ����� � ����� � ����1� _ ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����1� � ����� � ����� � ����� � ����� � ����� � ����1� � ����� e ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� ;� �� � �� , .. �- -�. � Change Order Deletions Page 1 of 1 M/SBE Breakdown for this Change Order CFW Change Order Approval COApp03 Routin4 Assigned To: Assigned By: Page 1 of 3 Due Date: Due Time: Links 1 fortworthaov/Infrastructure Proiects/Concrete Restoration (2013-10)/Contractor/Chan4e Orders/ChanQe Order Breakdown #3 7070.x1s Attachments (0) No Attachments have been added fo this form. ' https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&ProcessId... 3/6/2014 CFW Change Order Approval COApp03 � � � t • • • Q � .- • .- -. �.. . .- • .- .. � .. Page 2 of 3 _ . __ For Change Order Submittal No.: COSub03 ' _ __. _ __ Change Order No.: `COApp03 Date Started: 2014-02-13 City Sec. No.: 44429 , Project Name: ,Concrete Restoration (2013-10 GG01-537110-0202002 Project Numbers 7070 PI'OjeCt Concrete Restoration Description: ' Project Manager: Tariqul Islam Date Due: 2014-02-28 DOE Numbers: at Various Locaitons City Inspector: ;Jeff Wolf Contractor:''2CMD Inc. COUNCIL ACTION (If Required): M&C Log Name: M&C Number: _ _ _ _ COST AND DAYS SUMMARY: M&C Date: Department: Cost($) Fund Account Center: TPW $ 13,396.57 GGO1-537110-0202006 _ _ __ __ __ Requested Days: 14 Total Cost: $ 13,396.57 �; Approval Status: Total Requested Days: 14 https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&ProcessId... 3/6/2014 CFW Change Order Approval COApp03 Approved: Yes Comments: User: Tara Fishback Date: 2014-02-13 4:57 m Approved: Yes Comments: User: Maqsood Khan Date: 2014-02-18 10:04 AM Approved: Yes Comments: No M&C required User: Tariqul Islam Date: 2014-02-18 10:13 AM Approved: Yes Comments: User: Najib Fares Date: 2014-02-20 12:57 PM Approved: Yes Comments: User: Andy Anderson Date: 2014-02-21 11:18 AM Approved: Yes �omments: Jser: Doug Wiersig �ate: 2014-03-05 4:04 PM Approved: Yes Comments: User: Doug Black Date: 2014-03-06 3 C�Z�I�u' Approved: Yes Comments: User: Fernando Costa Date: 2014-03-06 10:09 PM Action Required: Page 3 of 3 https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&ProcessId... 3/6/2014