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Home My WebLink AboutContract 44573-CO1 (2)FORT V�ORTH� City of Fort Worth �'�� Chan e Order Re uest �� ° � S ')) 9 M Project Name HMAC Surface Overlay 2013-5 City Sec #--P99� 'j'3 Client Project #(s) DOE # 7025 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 Additional Funding (if necessary) TPW 00 Change Order Submittal # � Date 10/25/2013 Contract Time Totals CD ,341, 343.06 180 1,341 180 5 070.00 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.30% MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $1,676,678,83 �1�.;�1),I� �`fY{ ��11+ �A_t.�� a�:sr�f£ t , �,:,•;;lU$TIFIC�AT.IO,N; RFASpNS) FAR`,C,H.A G�ORAEt� � `��-' ,; ,. .;�, +� :, 4 �7 �;.n, .f .�,; .1..� `�' .k�.��.� l 1.�F:�.i_ �.i.'. f�Y.•'. 4 �4. Add pay items for 10' inlet bottom, Exposed Aggregate Sidewalks, Colored Concrete Sidewalks and Steps o \ I �o � 1 ��2/�-��-- � if�%'Y) aeeun. �� '', �'�17��:�, k� 9 �`I�j`' *, ,.,' _.,p.r �t ':� '` ,,a . lil �'S''�'" .�l � Si 1 ,� `� � �� • :� y . -. - � �> = ; � � , NM � �1' , �i`. ; �.' � ��f.. �11� ~ t 1 fr��_ `•I �,` • __�)i�� E� re� ��'' SV/�1'�1 rii�� FFICIAL RECORD �1'i'X ��3��'e�R1' � �'e ��'�� ( � RECEIVE� 2 7 ti�i� Fc�Ki Wc�KrF� City of Fort Worth �— Change Order Additions y � �� Project Name HMAC Surface Overlay 2013-5 Ciry Sec �� Clienl Project # DOE q 7025 Change Order Submittal # O Dale 10I25I2013 ADDITIUNS �tL�u� • . . � � �'L�ii��.l" t�� '' ��7� , r, � � - :,•, �. • ►. •�� i' ':� �� :� �� , T1 - �� •� � .. �. , .;� n � �� •'��- 1111� 11�. 1111 I, �-rr : � �� :1 �� n „ •�� 1111�� "111 - -_--- _ ----- - - ---- - _ -_-_- - ----- - ----- - _��--_-� - --_-- - -_--- - ---- _�� - -_--- - ---- -� - _-_--- _ --_- _�� - ---- - - -__--1� - ---_ - - -,_--- - ---- - - ---- - - _�1_--- - --_-- _ ---_- - ___--- - -_--- _ ----- - -,_--�,1 _ ----- - -.,--- _��, _ ----- - ---- _�� - ---_- - -----,�1 _ ----- _ �---- - ----- - --__- - ----- - --__- _ -.---- - ----- - -�,---- - ----- - ----- - ----- - -_--- _ -_--- '., 1 111 -. - � �. �� r '� 1 1 11 Change Order Additions Page 1 of 1 Fc�rc r Wc�i: rt� City of Fort Worth —`�'`— Change Order Deletions ��,��,� Project Name NMAC Suriace Overlay 2013•5 City Sec �� Client Project it DOE # 7025 Change OrderSubmittalit � Date 1012512013 DELETIONS �Il�u� ' ' •' ��i�s'l►�S'lJt� � '' �� 1■ � �� ■�� I■�� ■ � �� ■�� ■��1� � �� 1�� 1 � �� ■�� ■� � ��1� � �■1�� 1�� 1�� ■1 � �� "�. �•• � •�� Change Order Deletions Page 1 of 1 MISBE Breakdown for this Change Order FW,Change Order Approval St-COApp01 �ORT �ORTH� City of Fort wortn �r•---- Change Order Request Approval (Change Order Breakdown Available in Links) For Change Order Submittal No.: 1 Change Order No.: St-COApp01 City Sec. No.: 44573 Project Name: HMAC Surface Overlay (2013-5) Date Started: 2013-11-13 Date Due: 2013-12-04 02098 DOE Numbers: Project Numbers: DOE 7025 PrOjeCt Inclusion of pay item for 10' inlet bottom, colored concrete Description: sidewalk and steps. Project Manager: Kristian Sugrim Contractor: 7L6 Contracting, LLC City Inspector: Martina Salinas COUNCIL ACTION (If Required): M&C Log Name: M&C Number: M&C Date: COST AND DAYS SUMMARY: Department: Cost($) Fund Account Center: TPW / Infrastructure $ 4,070.00 C293 541200 209620212683 Total Cost: � 4,070.00 Approval Status; Requested Days: 5 Total Requested Days: 5 Page 2 of 1ps://projectpoint.buzzsaw.com/_bz_wcb/f�orms/FormPrint.aspx'?SiteId=51500&ProccssId=90&ActiveI�or... 1 1 /27/201 FW.Charige Order Approval St-COApp01 Approved: Yes Comments: User: Tara Fishback Date: 2013-11-15 4:43 PM Approved: Yes Comments: User: Sam Davis Date: 2013-11-17 11:19 AM Approved: Yes Comments: User: Kristian Sugrim Date: 2013-11-18 8:49 AM Approved: Yes Comments: User: Najib Fares Date: 2013-11-18 10:49 AM Approved: Yes Comments: User: Andy Anderson Date: 2013-i 1-25 1; 51 PM Approved: Yes Comments: User: Doug Wiersig Date: 2013-11-25 2:27 PM Approved: Yes Comments: User: Doug Black Date: 2013-11-27 10:43 AM Approved: Yes Comments: User; Fernando Costa Date: 2013-11-27 5:22 PM Action Required: Page 3 of tps://projectpoint.buzzsaw.com/ br �veb/I�orms/l�ormPrint.asnx?Siteld=51500&Processld=90&ActiveFoi•... 11/27/201 FW Charige Order Approval St-COApp01 ;outinq lssigned To: lssigned By: Page 1 of Due Date: Due Time: inks 1 �rtworthqov/Infrastructure Proiects/02098 - HMAC Surface Overlav (2013-5)/Contractor/Chanae Orders/Change Order 1 Breakdown revise .xis �ttachments (0) No Attachments have been added to this form.