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Contract 46462-CO2 (2)
�:f� ���� FORT WORTH. City of Fort Worth C��'����'� 8Nl�• Change Order Request Breakdown Project Name South Main Street Improvements City Sec # 46462 Client Project #(s) City Proj #02113, Water #P265-608140211383, Sewer #P275-708130211383, DOE 7158, K-2294, X-22529 Contractor JLB Contracting, LLC PM Patrick Buckley Inspector Joe Rogers Change Order Submittal #�2 Date 5/2212015 Contract Time Dept. TPW Water Sewer Totals (CDl Original Contract Amount Extras to Date Cretlits to Date Pentling Change Orders (in M&C Process) Contract Cost to Date Amount of P�oposed Change Order Revised Contract Amount Original Funtls Available for Change Orders Remaining Funds Available for this CO Adtlitional Funtling (if necessary) $19,006.79 $19,359.72 $38,366.51 11 $1,516,016.10 $1,190,098.86 $7,886,714.07 00 $32,401.00 $0.00 $32,401.00 $32,401.00 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0,90% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $9,810,434.45 JUSTIFICATION (REASONS) FOR CHANGE ORDER Change order is for additional water services for the property on South Main just south of Vickery. Costs of this change order shall be reimbursed to the city by the owner on South Main development, Main and Daggett Properties, LLC, that asked for increase of water services. ��� �o ��� �����Y��� � m � � � � r_a � � � � � 0 � SCANNED (� a P o� � �p P� �$ b� oO� pV�� �q.� O � �p'"�QOUo4�0 ` . " �N`al�� .00 AFFICOA�� �BECORD ci�r ��c�e��uz� �. �r��r�, �rx F��Kr �e%oa rti City Of Fort WOlth Change Order Additions Project Name South Ma(n SUeet Improvements City Sec # 46462 Client Project # C(ty ProJ #02113, Water #P265-608140211383, Sewer #P275-708130211383, DOE 7158, K-2294, X-22529 Conuactor JLB Contracting, LlC PM Patrick Buckley Inspector Joe Rogers Change Order Submittai #�2 Date 5I22/2015 ��� • �IL�u� ' ' •' �'19i��:jl���L11���0� �� ��� � • � ��. � • � • �1���'�E��1���3'l�u� ��� � �•� . � � � � : �, � � � � . . .11 . . : �. • • �YY1��i'� ' 1 11 ' i 1 11 �� 1 . � •� �. � ' �• • ���II%� . 11 . 1'1 � � • � • t��,lIlIl��' .11 PI 11 1� �� � �. • • ����iI�I�I�D7�UDl`�+' :. � � • � � � �� i •. � • . • �� : �i�ii����i' . �i �. :�� �i �a � .� . � . • '4'���i� ':� i� �33i1 rl � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � �����1� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ���� �� � ����� � ����� � ����� � ���� � � ����� � ����� � ����� � ����� � ����� � ����� � ���� �1 � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � �� �" � . � � � �� � �. ��� � ���:fi Change Order Additions Page 2 of 4 FoRrlAJo�zrH City of Fort Worth Change Order Deletions Project Name South Main Streel Improvements Ciry Sec # 46462 � Client Project # City Proj #02113, Water #P265-608140211383, Sewer #P275-708130211383, DOE 7158, K-2294, X-22529 ConVactor JLB ContracBng, lLC PM PaUick Buckley Inspector Jce Rogers Change Order Submittal # �2 Date 5122/2015 DEIETIONS �IL�u� � . . � � ��i��"3����L11� � • �� �Gi� i � � � , . . . � . . . . , �I�l� � ��� r��� � � �:� � � �, � � � � ����� � ����� � ����� � ����� � ����� � ����� � ������ � ����� � ����� � ����� � ������ � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � �1���� � ����� � ����� � ����� � ��e�� � ����� � ����� � ����� � ����� � ������ � ������� � �■���� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � �����1 � ��■��� � ������ � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � �����11 � ����� � ��■��� � �������� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � �� �� � �� � �. ��- � �� Change Order Deletions Page 3 of 4 CFW Change Order Approval Wa-COApp02 FORTWORTH���city of Fort worth Change Order Request Approval (Change Order Breakdown Available in Links) Page 2 of 3 For Change Order Submittal No.: 2 Change Order No.: Wa-COApp02 Date Started: 2015-06-14 City Sec. No.: 46462 Date Due: 2015-06-20 Project Name: 02113 - South Main Street Reconst - Vickery Blvd. to Magnolia Ave. 02113 DOE Numbers: Project Numbers: 7158 PrOjeCt Water improvements along South Main needed for Main and Dagget Description: Properties, LLC. This developer shall provide the costss of this change order and the material testing and inspection fees, and Water Impact Fees. 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: ]LB Contracting, LLC COUNCIL ACTION (If Required): M&C Log Name: M&C Number: COST AND DAYS SUMMARY: Department: Water M&C Date: Requested Cost($) Fund Account Center: Days: $ 32,401.00 P253 541200 608140211383 ;; Ii I1__ -. y, _ ,� I�_ _ , �--. _.____ ,. __ � �� -_ � � i Total Cost: � 32,401.00 Approval Status: J �� _�.._ -- — .�) � _ - __ ; _ _ ---� �� — _� -- _ - -- -� _. � �� - - �� Total Requested Days: 0 �FFrco�` �Eco��� CIYY SECRE'�ARiI �'1'. VYA1tTF1, ?� I https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&Proc... 6/18/2015 CFW Change Order Approval Wa-COApp02 Approved: Yes Comments: User: Tara Fishback Date: 2015-06-16 2:13 PM Approved: Yes Comments; User: Sam Davis Date: 2015-06-17 7:53 AM Approved: Yes Comments: User: Patrick Buckley Date: 2015-06-17 8:56 AM Approved: Yes Comments: User: Tony Sholola Date: 2015-06-17 10:30 AM Approved; Yes Comments: User: David Townsend Date: 2015-06-17 11:33 AM Approved: Yes Comments: User: Doug Black Date: 2015-06-17 3:16 PM Approved: Yes Comments: User: Fernando Costa Date: 2015-06-17 8:19 PM �FFICIe4L 6�E�OfiD CIYY S���E�ARY �'. WO�VEH, TX Page 3 of 3 Action Required: Approve CO2 for Main and Daggett Properties work on 100 Block of Sout... https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&Proc... 6/18/2015 CFW Change Order Approval Wa-COApp02 Page 1 of 3 Routinq Assigned To: Due Date: Assigned By: Due Time: Links 1 fortworthqov/Infrastructure Proiects/02113 - South Main Street Vickery to Maqnolia/Contractor/Chanqe Orders/CO2/CO2 JLB Breakdown.xls Atkachments (0) No Attachments have been added to this form. https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&Proc... 6/18/2015