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Home My WebLink AboutContract 46462-CO3 (2)��`�`�' ��Cf�TI� ;i1i14-1� 2 " �(> �� FORT �VORTH; City of Fort Worth C�+�TR�ACT �IOD ' Change Order Request Breakdown Project Name South Main Street Improvements City Sec # 46462 Client Project #(s) City Proj #02113, Water #265-608140211383, Sewer #275-708130211383, DOE 7158, K-2294, X-22529 Contractor JLB Contracting, LLC PM Patrick Buckley Inspector Joe Rogers Change Order Submittal #�3 Date 7/6/2015 Dept. Original Contract Amount Extras to Date Cretlits to Date Pending Change Ortlers (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 Atlditional Funding (if necessary) TPW Water 180,599.11 $1,497,009.31 $51,407.79 180,599.11 $1,548,417.10 $0.00 $9,705.00 180,599,11 $1,558,122,10 $0.00 $0.00 $9,705.00 Sewer I Totals 72 I $70,767.51 00 Contract Time CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1.03% MAXALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST+ 25%J $9,810,434.45 JUSTIFICATION (REASONS) FOR CHANGE ORDER Change order is for additional water services for the property at Dagget Ave and South Main on East Side of South Main. Costs of this change order shall be reimbursed to the city by the owner, Churchill Properties, who asked for increase of water services. , � ys�'�,�; j I!11_16%�. OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX ' . ORT'�v'';: �. �� ;; � SCANHED Fc�rzr 4i�c>R rw City of Fort WOrth Change Order Additions Pro)ect Name South Main Street Improvements City Sec # 46462 CNent Project # City ProJ #02113, Water #265-608140211383, Sewer #275-708130211383, DOE 7158, K-2294, X-22529 Contractor JLB ConVaciing, LlC PM Patrick Buckley inspector Jce Rogers Change ONer Submittal #�3 Date 7I6I2015 .�� IL95� ' ' �' �'1��:1l�� ' �� i�'� � {��. • c r�rr�ri� �:� ::� �� ..:. i� � 1 �`T, .�• •• � • Y��Y�ti�I�� I I Irl l l l�" � I i i� I I � 1 � n . � � � � Wi1ti1-��Q�� ":1 11 ��i� 1 1'1 � - ----- - ---- - - ---_- - ----- - ----- - ----- - ----- - ----- - ----- - ----- - ----- - ----- - ----- - ----- - ----- - ----- _ ----- - ----- - ----- - ----- - ---- - - ---- - - ---- - - ---- - - ----- - ----- _ ----- - ----- - ----- - ----- - ---- - - ----- _ ----- - ---- - - --_-- - ----- - ---_- _ ----- - ----- - ----- _ ----- - ----- - ----- _ ----- - ---- - - ---- - - ---- - _ ---- - - ---- - - ---- - - ----- - ----- - ---- - _ ---- - - ----- - ----- _ ---- - � ---- - - ----- - ----- - ----- - ----- - ----- - ----- - ----- - ----- - ---_- 1 11 1�^'� 1 71 11 ■ 1 11 � r. �� . 1 �:111 Cha�ge Order Additions Page 2 of 4 �oxr�i�errt City of Fort Worth Change Order Deletions Project Name Soulh Main SUeet Im ovements City Sec # 46462 Client Project# City Proj #02t13, Waler #265-608140211383, Sewer#275-708130211383, �OE 7158, K-2294, X•22529 Contractor JLB Contracting, LLC PM Patrick Buckley Inspector Joe Rogers Change Order Submiflal #�3 Date 7/612015 � • �IL�+'� � . . � � �'7��"1t�� •' �7� �Gi� �� .: : � +:: •• � : ��.: ��i��:;� r��.. .�� 1 � �� ■ � �� . � . �� . ��:�, , �� Change Order Deletions Page 3 of 4 CFW Change Order Approval Wa-COApp03 �ORT�ORTH�.;�City of Fort Worth Change Order Request Approval (Change Order Breakdown Available in Links) Page 2 of 3 For Change Order Submittal No.: 3 Change Order No.: Wa-COApp03 City Sec. No.: 46462 Date Started: 2015-07-07 Date Due: 2015-07-11 Project Name: 02113 - South Main Street Reconst - Vickery Blvd. to Magnolia Ave. 02113 Project Numbers: 7158 DOE Numbers: PI"OjeCt Water Improvements along South Main needed forChurchill DeSCrlptlon: Properties at Daggett and South Main, east side. This developer shall provide the costs of this change order, the material testing, and inspection fees. Water impact fees will be paid in the future when meter is upsized. A check for these funds will be provided and deposited in South Main project before work will be preformed. Project Manager: Patrick Buckley City Inspector: Joe Rogers Contractor: JLB Contracting, LLC COUNCIL ACTION (If Required): M&C Log Name: M&C Number: COST AND DAYS SUMMARY: Department: Cost($) Water $ 9,705.00 M&C Date: Fund Account Center: P253 541200 608140211383 Requested Days: � __ i _._._�_� ��.._.�._.�._. , . _. . _ _ _ - ^ .. , � __ � ,� i; . iI� � - _ �___� � �-- - - - - � � -- � _____ __-- ---- . -_ � ��__�- ____ , �---_ __ -- -_ __ _ ---.- . _. - _, _, � � ; � - -- - - --- -- � - � �_ - -- - --- - -- -- _ __. _ � _ _ - _ _ . _ __ ___ .. __ -- - - ----) � _ - 1 i - -- .-- � � - . I -- _ -. _ -- - _._ _ . __� �__._��_�.�__ ___-�.____--�_ � , i r - � _.__ __ . �.__ . . -- -_ _ _._� r _.,� __ _ -. �__.i Total Cost: � 9��05.00 Total Requested Days: � Approval Status: https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&Proc... 7/16/2015 CFW Change Order Approval Wa-COApp03 Approved: Yes Comments: User: Paul Chamberlain Date: 2015-07-07 1:40 PM Approved: Yes Comments: User: Sam Davis Date: 2015-07-07 4:43 PM Approved: Yes Comments: User: Patrick Buckley Date: 2015-07-09 10:48 AM Approved: Yes Comments: User: Tony Sholola Date: 2015-07-13 9:41 AM Approved: Yes Comments: User: David Townsend Date: 2015-07-13 9:46 AM Approved: Yes Comments: User: Doug Black Date: 2015-07-16 1:31 PM Approved: Yes Comments: User: Fernando Costa Date: 2015-07-16 6:43 PM — - _•-- -� IvC� �1'�� E�UII�I) Page 3 of 3 A sted by. - --' � � � ,% i Mary J. er, i 3ecreta�r Action Required: Approve CO3 OFFIC9AL RECORD CIiY SECRET�+RY �% W�R46i, TX https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&Proc... 7/16/2015 CFW Change Order Approval Wa-COApp03 Routina Assigned To: Assigned By: Page 1 of 3 Due Date: Due Time: Links 1 fortworth4ov/Infrastructure Proiects/02113 - South Main Street Vickery to Maqnolia/Contractor/Chanae Orders/CO3/CO3 Breakdown South Main JLB.xlsx Attachments 10) No Attachments have been added to this form. https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&Proc... 7/16/2015