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Home My WebLink AboutContract 44574-CO1 (2)COTY SECR�iARY' l� � .. � FORT WORTH� City of Fort Worth C�R�1�'4�. `� �� C�� Change Order Request � ProJect NamQ HMAC Surface Overlay 2013-4 City Sec # Clfertt Project #(s) Change prder Submitlal # � i� �n,�. .,,. f� r Dept. Original Contract Amount Extrag tn Dat� Crediis to Date panding Change Orders (ir� M&C Process) C�nlrect Coat tp pste r 7PW , i Revised Contract Amount �1,595,280.80 Original Funds Available for Chenge Orders Remaining Funds Available for this CO $OAO Additional Funding (if necessary) $7 940,00 CHANGE ORDE'RS to DATE (INCLUDING THIS ONE) AS ! OF ORIGINAL CONTRACT MAX ALLOWABL� Gt1NTFiACiAMOUNT (Of�fGINAI �ONTRACT COST+ 25°!0) 0,50°/v $1,9a4,17�.00 ` - E�'' fE��,' To facilitate the cansfruciton of a new valley gutter on Macon at 5ih Street, additional traffic control and high early sfrength concrete is required. nue to the revised grades required to ensure adequate drainage, there is also some additlonal roadway excavation. Temporaray pavement repair is n�aded to rd-oper� the lanes on Macon to kraffic b�tween pha�es on tha v�lley guttor, and prior to mill�ng the stre�t, ;ti 9M�o v' . !� ��r�" SCA�,►�� ; `` >;;f . 1� s,f �'a�s!'Y'C q i#�J� � t. t7� rr �L ' t � Is� �l�i�{�, �, ' , •'' } .. � � � =r :. � � r � , � � 1 ;� h. �� • :. , � : �1�� ''. >.1�+ �- ..� ll ��w � �S•N� � _.,1St`1�1. Date 10/3/2013 Contract Time Totals CD i87,340,80 1 OFFlCIAL RECORD CI'�'X S�CRETARY �'p �A9ART�IB, 'B'X RECEIVED pCT 23 20i3 .� . rc�Krw�,i�rri City of Fort Worth ��— Change Order Additions Project Name HMAC Sur(aco Ovorlay 2013-0 Ciry Sec # ry� Cliont projact Jt Change Ordor Submittal #� Date 101312013 ��11� � � � � � � � ��''�� ,�� . • � � � .n �, �� ;,� �� ',�,�r � . � � . � : ��•: i . :�. � ��a r � '�� 11�11� '� �1111� I� �� N�� —� � �� —�� —�� _� � —�� —�� —�� —�� 0�� — � �� —�� — �� — � .. �,� � � �,� �� Change Order Additions Page i of 1 F�r�x r 1'Voirrii City of Fort Worth —`"�`y Change Order Deletions ProJ�tct Name HMAC 5uriaco Ovoriay 7.013-0 � City 5ec #� Cliant FJroJecl d � -� Chango Order Submittal #�t Dale 1013/2013 DELETIONS �II3u� , . . �• �tlJii�`"l��i� il� ' ' � � �� Q �� ''�'�" �� '�� .:��.� .�.��..�..�... � .�.................�...... .... ......�........�.�... . � ..��:� � .�.�..�.....�....... ." :� _ _ ' .�.'��""..� .�: �.� .:�'�".� � ��....�.�...�.�� .� �.....��.�.. .... ��..��.�. � ��..��..�� ..��.�.�.�. .�. ��...��...�.... � ��..�...��.....�� .��..�.�.... ��..��. .��...��.�.� �.. �....��....�......�� ....��.�.� �.�.�.�� :��.�.........�. � .��...��" :': � ��.�.....�� ""..�'�=.�� . - �.=s=--.;- � �-=�� . _ .-.-��-�.�- - �-� � � s��.�...-: - .., _ _. ,-,., .. �„ Change Order Deletions Page 1 0/ 1 .. �.r, . , � MlS�E Breakdown for this Change Order �� . ��M�� ub � � � . :, < , ��'ypa�of�� e�v c� � � � Ar�aurit #�r NA Total � �` � i; � $O,Q4 � ` , . � ., ,.� . , . �.. �. CFW Change Order Approval St-COApp02 FORT�VORTH��ty of Fo�tvvo�tn �---- Change Order Request Approval (Change Order Breakdown Available in Links) Fund Account Center: C293-541200 209620212683 For Change Order Submittal No.: 1 Change Order No,: St-COApp02 Date Started: 10/3/2013 City Sec. No.: 44573 Date Due: 11/22/2013 Project Name: 02092 - HMAC Surface Overlay (2013-4) 50_50 Project Numbers: 2098 DOE Numbers: 7024 Project Valley gutter at the intersection of Macon St. and W, Sth. St. Description: City Project Mgr,: Kristian Sugrim City Inspector: Mike Glover Contractor; JLB Contracting, LLC. COUNCIL ACTION (If Required): �, �� M&C Log Name: � �;� M&C Number: � M&C Date: COST AND DAYS SUMMARY: Department: TPW Approval Status: Cost($) $ 7,940.00 Total: � ��940,00 Page 2 of 3 �a � �� Requested Days: Total Requested Days: � � ;. https://projectpoint.buzrs3w.com/_bz web/Forms/f�ormPrint.aspx?SiteId=51500&ProcessI.., 10/7/2013 m CFW Change Order Approval St-COApp02 Approved: Yes Comments: User: Tara Fishback Date: 2013-10-03 2:44 PM Approved: Yes Comments: User: Sam Davis Date: 2013-10-04 7:39 AM Approved: Yes > '`� Comments: , ;r: User: Kristian Sugrim Date: 2013-10-04 9:51 AM ' Approved: Yes Comments: User: Najib Fares Date: 2013-10-04 10:52 AM Approved : Yes Comments: User: Andy Anderson Date: 2013-10-04 11:05 AM Approved: Yes Comments: User: Doug Wiersig Date: 2013-10-04 12:39 PM � � Approved: Yes , . Comments: User: Doug Black � Date: 2013-10-07 1:16 PM Approved: Yes Comments: User: Fernando Costa Date: 2013-10-07 7:17 PM Action Required: Page 3 of 3 https://projectpoint.buzzsaw.com/_bz web/Forms/FormPrint.aspx?SiteId=51500&ProcessI... 10/7/2013 'CFW Change Order Approval St-COApp02 Yage 1 ot .S Links 1 fortworthqov/Infrastructure Proiects/02092 - HMAC Surface Overlav (2013-4) 50 50/Contractor/Chan4e Orders/chanqe order 1 breakdown revised.xls Attachments (Ol No Attachments have been added to this form. �4 , .., t https://projectpoint.buzzsaw.com/_br_web/Forms/FormPrint.aspx?SiteId=51500&ProcessI.., 1 U/7/2U 13