HomeMy WebLinkAboutContract 44850-CO1 (2)C� ��CR�T� , , �
FORT WORTH� City of Fort Worth C01�1'RA�'f 6��0 l v� �
Change Order Request Breakdown
Project Name HMAC Surface Overlay 2013-13 City Sec # 44850 �
Client Project #(s) DOE 7074, City Project # 02132
Change Order Submittal # �1
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Amount of Proposed Change Order
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
TPW Water Sewer
$777,205.85 $388,602.93 $388,60:
` $777,205.85 ; $388,602,93 $388,60;
$36 412:63 $�3163;82 $1316;
'$813,618:48 $4Q1,766.75 $401;76E
:: "$0:00 $O;pp $(
Date 6/3012014
Contract Time
Totals CD
i54,411.70 210
$1,554,411.70 210
$62,740,27 75
$1,617,151.97 285
Additional Funding (ifnecessary) ° $36;412:63 $13,163:82 $13 i63:82 ` $62,740.27
CHANGE ORDERS fo DATE (INCLUDING THIS ONEJ AS % OF ORIGINAL CONTRACT ' 4.04% "
MAX ALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST+ 25%) ;r $1;943,014.63
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Change order is for additional striping required on Main Street and Henderson Street, Days are requested for coordination and scheduling
around franchise utility conflicts on Main, Magnolia, Felix Gwozdz and St. Louis. Additional days are also required for the coordination of
milling and paving Henderson over night,
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�FpIC1A� �ETARY
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�T. WORTIi, TX
RECEIVED AUG - � �
FORT WOK'i'H city of Fort wortn
-�—� Change Order Additions
Project Name HMAC Surface Overlay 2013-13 City Sec � 44850
Ciient Projecl # DOE 7074, City Project # 02132
Change Order Submittal #� Date 6/30I2014
ADDITIONS
ni ni os o a
op ar w prep .
' o i e ow or ile w prep .
ay urn ane friping w prep P .
ore - e ow or ite w prep .
i e ane w sym o on y w prep
i e ane w rrow w prep
Bi e ane - are w prep TP .
«ow- el .
rrow- ig tor traig t .
ext - n y . A
ie Tnang e w prep TP .
e ective ar er . .
' e lective ar er .
top arw prep ater
o i e ow or ite w prep ater . .
ay um ane triping w prep ater
ore - e ow or ite w prep ater . .
rrow - e t ater
rrow - ig t or traig t ater A
ext - n y ater
' ie Triang e w prep ater .
e ective ar er ater .
Re lective ar er ater . A .
top arw prep ewer
' o i e ow or ite w prep ewer
ay urn ane tnpmg w prep ewer . .
ore - e ow or ite w prep ewer
rrow- et ewer
rrow - Rig t or traig I ewer .
ext - n y ewer .
ie nang e w prep ewer .
' e ect�ve ar er ewer .
' e lechve ar er ewer .
TPW 36,Al2.63
Water $13,163.82
Sewer $13,163.82
u ota A ihons
Change Order Additions Page 1 of 1
Foxr Wox•�•H City of Fort Worth
'�"T"'--� Change Order Deletions
Project Name HMAC Surface Overlay 2013-13 City Sec � 44850
Client Project # DOE 7074, City Pro'ect # 02132
Change Order Submittal # � Date 613012014
DELETIONS
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Change Order Deletions Page 1 of 1
CFW Change Order Approval St-COApp01
Routin
Assigned To;
Assigned By:
Page 1 of 3
Due Date:
Due Time:
Links 2
fortworthqov/Infrastructure Proiects/02132 - HMAC Surface Overlav f2013-13)/Contractor/Chanqe Orders/Chanqe Order Breakdown co
i.xls �
fortworthqov/Infrastructure Proiects/02132 - HMAC Surface Overlav (2013-13)/Contractor/H2O13-13 MBE Commitment.pdf
Attachments (0)
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No Aftachments have been added to this form.
https://projectpoint.buzzsaw.com/ bz web/Forms/ForinPrint.aspx?SiteId=51500&ProcessId=429&ActiveF... 8/7/2014
CFW Change Order Approval St-COApp01
F�(��T ��4�TH� City of Fort Worth
,---••� �--� Change Order Request Approval
� (Change Order Breakdown Available in Links)
For Change Order Submittal No.: 1.
Change Order No.: St-COApp01
City Sec. No.: 44850
Project Name: HMAC Surface Overlay (2013-13)
02132
Project Numbers:
7074
Date Started: 2014-07-18
Date Due: 2014-09-06
DOE Numbers:
Pt'Oj2Ct Hot Mix Asphaltic Concrete Surface Overlay at multiple
Description: locations within the City of Fort Worth.
Project Manager: Kristian Sugrim
Contractor: 7LB Contracting, LLC
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number:
City Inspector: Jeff Wolff
M&C Date:
COST AND DAYS SUMMARY:
Department: Cost($) Fund Account Center:
Transportation & Public Work $ 36,412.63 C293 541200 208620213283
Water $ 13,163.82 P253 541200 608170213283
_ __ _
Sewer $ 13,163.82 P258 541200 708170213283
Requested
Days:
75
Total Cost: $ 62,740.27 Total Requested Days: 75
Approval Status:
Page 2 of 3
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CFW Change Order Approval St-COApp01
_ _
Approved: Yes
Comments:
User: Tara Fishback
Date: 2014-07-23 8:50 AM
Approved: Yes
Comments:
User; Sam Davis
Date: 2014-07-23 9:23 AM
Approved: Yes
Comments:
User: Kristian Sugrim
Date: 2014-07-23 10:23 AM
Approved: Yes
Comments:
User: Najib Fares
Date: 2014-08-01 10:19 AM
Approved: Yes
Comments:
User: Andy Anderson
Date: 2014-08-01 11:05 AM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2014-08-04 11:27 AM
Approved: Yes
Comments:
User: Grant Jordan
Date: 2014-08-06 1:48 PM
Approved: Yes
Comments:
User: Fernando Costa
Date: 2014-08-06 10:25 PM
Action Required:
Page 3 of 3
https://projectpoint.buzzsaw,com/ bz web/Forms/FormPrint.aspx?SiteId=S 1500&ProcessId=429&ActiveF.., 8/7/2014
Language to be inserfed in the M&C for this Contract
JL.B CONTRACTING, l.l..0 agrees to maintain its initial M/WBE commitrnent of 20%�that it made
on th� original contract and extend and maintafn that same M/WBE oammitmeni of 20% to fhis
first change order, Therefore JLB CONTRACTING, LLC remains in compliance with the Clty's
M/WSE Ordinance and attests to its commitment by its signature on the Accepfance of Previous
M/WBE Commitment form executed by an authorized representative of Its company,
To be Completed by the Representative of the Cpntractor
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Printed 5ignafure Title Authorized Signature/Date
JLB CONTRAGTING, �LC
Company Name Contact Name (if different)
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Address E-mail address
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Clty/State/Zip ' Phone number � �'ax Number
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M/VVB� % Pald ta Date
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Current % Level vfa Last
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r°"�'~►�'"-" City of �ort'UVorth
ACCEPTANCE O� PREVIOUS M/WBE COiUi1V11TiUI�IVT FORM
(for use wlth CHANG� ORD�RS or AN(�NdM�N7S greater than $50,QOOj