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Contract 46462-CO4 (2)
�:��V ����`Y�� � FORT WORTH City of Fort Worth �;��j�,��� �g� ��� � 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 #�4 Date 7/20/2015 Original Contract Amount Extras to Date Cretlits to Date Dept. TPW Water Sewer Totals $5,180,599.11 $1,497,009.31 $1,170,739.14 $7,848,34� $61,112.79 $19,359.72 $80,47; Pending Change Orders (in M&C Process) Contract Cost to Date Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) 00 Contract Time CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1.22% MAX ALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST+ 25%) $9,810,434.45 JUSTIFICATION (REASONS) FOR CHANGE ORDER Change Order is for additional water seroices for the property at Broadway antl South Main on the East Side of South Main. Costs of this changeorder shall be reimbursed to the by the owner, View Partners, LP, who asked for increase size for their water services antl sanitary connection. al�� . C�— /' l� � �ity �tc�t� 1V0 M�Z� �.��QiJIR�D OFFICI�L �dECORD COTY SECRETARY �1'. VIf�R7'H,1'X � SCANNED �F � :C .��°° � ��� �� o� �� P�y�T` ��� �a `'\� , ;J '?-', „ p , � �i� � �. : F�ft�wnR��� c�ry of Fortwortn Change Order Additions ProJect Name Soulh Main Sireet Improvements City Sec # 46462 Client Project # City ProJ #02113, Water #265-608140211383, Sewer #275-708130211383, DOE 7158, K-2294, X-22529 Contracror JLB ContracUng, LLC PM Patdck Bockiey inspector .Joe Rogers � Change Order Submiqal #�4 Date 712012015 ADDITIONS �IL�'� ' ' •' �'.�'i��"14��9'il������ �I� � � •, „ .,: �11'�1����9i . �� �, ..: �� i�i� � � � ��. � �- '4'��'1'r'_'n��:' , :.. �� < <� �� �I ..� . � : •. � 1� �����u��� � . �� � .�� ��� � ���� � � ���� � � ����� ����� � ����� � ����� � ���� � � ����� � ����� � ����� � ���� � � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ���� � � ����� � ����� � ����� � ���� � � ���� � � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ���� � � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� ��� �:: �� ��� � � . � , � � ��� Change Order Additions Page 2 of 4 FE�rrr�dorsn��� Clty Of FOrt WOrth Change Order Deletions Project Name South Main SUeet Im rovemants City Sec # 46462 Client Project # City Pro' #02113, Water #265-608140211383, Sewer #275-706130211383, DOE 7158, K-2294, X-22529 ConUactor JLB Contrac6ng, LlC PM�Patrick Buckiey Inspeclor Joe Rogers Change Order Submittal #�4 Date 7/20/2015 � • �lL�u� ' ' •' Sl'.�i' ��1l��J'i� ll���I�l� �� �� ��.: : �11'Fl� i��i�r����:i� � � �� � i �� � ����� � ����� � ����� � ����� � �����1 � ����� � ����� � ������ � ����� � ����� � ����� � ����� � ����� � ���� � ����� � ����� � ����� � ���� � ����� � ����� � ����� � ����� � �����1 � ����� � ���� � � ����� � ����� � ����� � ������ � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ������� � ����� � ����� � ����� � ����� � ����� � ���� � � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ���� � � ����� � ����� � �� � � �� � �� . ;..�� � � �*� Change Order Deletions Page 3 of 4 CFW Change Order Approval Wa-COApp04 FORT WORTH���� city of Fort wortn Change Order Request Approval (Change Order Breakdown Available in Links) Page 2 of 5 For Change Order Submittal No.: 4 Change Order No.: Wa-COApp04 Date Started: 2015-07-20 City Sec. No.: 46462 Date Due: 2015-07-25 Project Name: 02113 - South Main Street Reconst - Vickery Blvd. to Magnolia Ave. 02113 Project Numbers: 7158 DOE Numbers: PrOj2Ct Change Order is for additional water services for the property Description: at Broadway and South Main on the East Side of South Main. Costs of this change order shall be reimbursed to the by the owner, View Partners, LP, who asked for increase size for their water services and sanitary connection. Project Manager: Patrick Buckley Contractor: JLB Contracting, LLC COUNCIL ACTION (If Required): M&C Log Name: M&C Number: COST AND DAYS SUMMARY: Department: Water City Inspector: Joe Rogers M&C Date: Requested Cost($) Fund Account Center: Days: $ 14,958.00 P253 541200 608140211383 i ---- � _ � � � --1 _ ;; � �� -- --- � _ _-- - - - -�- -- - - -- -- -J�- --- - --- _-- �. -_ _ _ _ -- _ z_�.. _ - ----- - � � �[__-__` _�_.._ �� _ .__.-- ------ -- --_ - _ . __-�IA �_�- --- l -- --- ------_ _ _ --- r_.--, ----- _ __ ___ -__.___ ___ __-._ _ --�, - � ► i� �! i� Total Cost: � 14,958.00 Total Requested Days: � Approval Status: https://projectpoint.buzzsaw.com/ bz_web/Forms/FormPrint.aspx?SiteId=51500&... 8/4/2015 CFW Change Order Approval Wa-COApp04 Approved: Yes Comments: User: Paul Chamberlain Date: 2015-07-20 2:15 PM Approved: Yes Comments: User: Sam Davis Date: 2015-07-20 2:22 PM Approved: Yes Comments: User: Patrick Buckley Date: 2015-07-20 2:44 PM Approved: Yes Comments: User: Tony Sholola Date: 2015-07-24 7:25 AM Approved: Yes Comments: User: David Townsend Date: 2015-07-24 1:41 PM Approved: Yes Comments: User: Doug Black Date: 2015-07-28 11:14 AM Approved: Yes Comments: User: Paul Chamberlain Date: 2015-07-30 5:17 PM Approved: Yes Comments: User: Sam Davis Date: 2015-07-31 5:17 AM Approved: Yes Comments: User; Patrick Buckley Date: 2015-07-31 12 Approved: Yes Comments: User: Tony Sholola Date: 2015-08-04 il ,_--.__- - - - -- - , 30 PM � �FFICIA�. RECORD ! �ITI( SE�RETARY ��a OC1F�J��f111F fl A=1 29 AM Page 4 of 5 https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&... 8/4/2015 CFW Change Order Approval Wa-COApp04 Approved: Yes Comments: User: David Townsend Date: 2015-08-04 11:32 AM Approved: Yes Comments: User: Doug Black Date: 2015-08-04 2:33 PM Approved: Yes Comments: User: Jay Chapa Date: 2015-08-04 8:35 PM Page 5 of 5 Action Required: Approve C04 - 2nd time through (new signature authority) � AF�ICI�d. �dECOidD CITY SECF�E�'�RY �1'. INOf�'B'�1, VX https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&... 8/4/2015 , CFW Change Order Approval Wa-COApp04 Page 1 of 5 Routinq Assigned To: Assigned By: Due Date: Due Time: Links 1 fortworthaov/Infrastructure Proiects/02113 - South Main Street Vickery to Ma4notia/Contractor/Chanqe Orders/C04/C04 Breakdown South Main JLB.xIs Attachments 10) No Attachments have been added to this form. https://projectpoint.buzzsaw.com/ bz_web/Forms/FormPrint.aspx?SiteId=51500&... 8/4/2015