HomeMy WebLinkAboutContract 44658-CO2 (2)FORT WORTHE City of Fort Worth
Change Order Request Breakdown
Project Name HMAC Surface Overlay Contract 2013-07
Client Project #(s) Project # 2117, DOE # 7056
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City Sec # 44658
Change Order Submittal # �
Dept,
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Amount of Proaosed Chanae Order
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
TPW
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CHANGE ORDERS to DATE (INCLUDING TNIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORI�INAL CONTR,4CT COST + 25%)
Date 4/18/2014
Totals
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Contract Time
120
130
250
� $70,520.00 �
7,71%
$1,143,653.36 .
Additional quantities needed to cover the addition of the flatwork on Travis Avenue (W. Biddison to W. Dickson) to the project.
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FORT WOftTH
City of Fort Worth
Change Order Additions
Project Name HMAC Surface Overlay Contract 2013-07 City Sec # 44658
Client Project # Project # 2717, DOE # 7056
Change Order Submitlal # �2
ADDITIONS
Change Order Additions Page 1 of 1
Date 4118/2014
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c�ty of Fort wo�cn
Change Order Deletions
Project Name HMAC Surface Overlay Contract 2013-07 City Sec # 44658
Ciient Project # ProJect # 2117, DOE # 7056
Change Order Submittal # �2
DELETIONS
Date 4/18I2014
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TPW $0.00
Sub Total Deletions
Change Order Deletions Page 1 of 1
Previous Change Orders
CFW Change Order Approval St-COApp03 Page 1 of 3
Routin
Assigned To:
Assigned By:
Links 1
Attachments (0)
No Attachments have been added to this form.
Due Date:
Due Time:
rttps://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&ProcessId=283&Active.., 5/20/2014
CFW Change Order Approval St-COApp03 Page 2 of 3
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Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittai No.: 2
Change Order No.: St-COApp03
City Sec. No.: 44658
Project Name: HMAC Surface Overlay (2013-7)
Project Numbers:
02117
DOE 7056
Date Started: 2014-04-18
Date Due: 2014-06-07
DOE Numbers:
Project Removal and replacement of broken curb/gutter and driveways
Description: and base repairs; pulverization and stabilization of the
existing street surface and then resurfacing with 2" HMAC.
Project Manager: Kristian Sugrim
Contractor: ]LB Contracting, LLC
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number:
COST AND DAYS SUMMARY:
Department: Cost($)
Transportation & Public Work $ 70,520.00
Total Cost: � �0,520.00
Approval Status:
City Inspector: Ali Motamed
M&C Date:
Requested
Days:
Fund Account Center:
C293-541200-204620Z11783
0
Totai Requested Days: �
zttps://projectpoint.buzzsaw,com! bz web/Forms/FormPrint.aspx?SiteId=51500&Processld=283&Active,.. 5/20/2014
CFW Change Order Approval St-COApp03
Approved: Yes
Comments:
User: Tara Fishback
Date: 2014-04-18 4:16 PM
Approved: Yes
Comments:
User: Sam Davis
Date: 2014-04-18 5:11 PM
Approved: Yes
Comments:
User: Kristian Sugrim
Date: 2014-04-21 8:37 AM
Approved: Yes
Comments:
User: Najib Fares
Date: 2014-05-12 2:23 PM
Approved: Yes
Comments:
User: Andy Anderson
Date: 2014-05-16 3:45 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2014-05-19 9:18 AM
Approved: Yes
Comments:
User: Grant Jordan
pate: 2014-05-19 9:55 AM
Approved: Yes
Comments:
User: Fernando Costa
Date: 2014-05-20 2:46 PM
Action Required:
rttps://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint,aspx?SiteId=51500&ProcessId=283&Active...
Page 3 of 3
5/20/2014