HomeMy WebLinkAboutContract 44495-CO1 (2)FORT wORTH�. City of Fort Worth CDl'Y SEC�ZET�
Change Order Request CON'f6�1CT4�e �'���L�C��-('���
Project Name HMAC Surface Overlay (2013-2) City Sec # 44495
Client Project #(s)� 02068
Change Order Submittal # �1
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� � Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
to
abs to Enter CO Backu
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
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CHANGE ORDERS to DATE (INCLUDING THIS ONEJ AS % OF ORIGINAL CONTR,4CT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%J
JUSTIFICATION (REASONS) FOR CHANGE
We had to return to Malvey st and install a valley gutter. Time from 11/14 to 1213 total of 20 days
We had to wait on tree removal on 9116 for 20 days
We had to wait while decision was made on rework on South antl North Chandler -10 days
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Dept. � Paving
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777,452.90
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Date
Totals
777,452.90
,452.
0.00%
$971,816.13
1l2/2014
Contract Time
OFFICIAL RECORD �
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RECEI�I�D �EI3 � 0 x�1�
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Project Name
Client Project #
ciry of Fort wortn
Change Order Additions
HMAC Surface Overlay (2013-2) City Sec # 44495
02068
Change Order Submittal # �1
ADDITIONS
Date 112/2014
ry ni mt os ota
Paving $0.00
Sub Total Addi6ons 0.00
Change Order Additions Page 1 of 1
Fr�x r WoircH City of Fort Worth
Change Order Deletions
Project Name HMAC Surface Overlay (2013-2) City Sec # 44495
ClientProject# 02068
Change Order Submittal #�1 Date 1l212014
DELETIONS
nit ni os ota
Paving $0.00
S�b Total Deletions 0.00
Change Order Deletions Page 1 of 1
CFW Change Order Approval St-COApp01
Routinq
Assigned To:
Assigned By:
Page 1 of 3
Due Date:
Due Time:
Links 1
fortworthqov/Infrastructure Proiects/OZ068 - NMAC Surface Overlav (2013-2) CDBG/Contractor/Chanqe Orders/Copv of 2013-2 Cha
order.xls
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CFW Change Order Approval St-COApp01
� � � E • • �
�,, . - � . - - . � . . .
� ��Y • • • : • • ' •
For Change Order Submittal No.: O1
Change Order No.: St-COApp01 Date Started: 2014-01-08
City Sec. No.: 44495 Date Due: 2014-02-27
Project Name: HMAC Surface Overlay (2013-2) CDBG
� �.:
Project Numbers:
7017
DOE Numbers:
Project HMAC Surface Overlay (x2o13-2) cDSG
Description:
Project Manager: Kristian Sugrim City Inspector: Gary Deon
Contractor: Advanced PavingAcquisition, Ltd.
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number:
COST AND DAYS SUMMARY:
Department:
TPW
Approval Status:
Cost($)
Total Cost: � 0.00
M&C Date:
Requested
Days:
Fund Account Center:
GR76 541200 020206280130
50
Total Requested Days: 50
Page 2 of 3
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CFW Change Order Approval St-COApp01
Approved: Yes
Comments:
User: Tara Fishback
Date: 2014-01-13 8:39 AM
Approved: Yes
Comments:
User: Eric Anderson
Date: 2014-02-05 11:18 AM
Approved: Yes
Comments:
User: Kristian Sugrim
Date: 2014-02-05 4:05 PM
Approved: Yes
Comments:
User: Najib Fares
Date: 2014-02-07 5:09 PM
Approved: Yes
Comments:
User: Andy Anderson
Date: 2014-02-10 7:46 AM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2014-02-10 10:48 AM
Approved: Yes
Comments:
User: Doug Black
Date: 2014-02-10 1:39 PM
Approved: Yes
Comments:
User: Fernando Costa
Date: 2014-02-10 8:18 PM
_
Action Required:
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2/10/2014