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Contract 44049-CO2 (2)
� �ill 1 �sl�,� . 'Z. FORT wORTH;> City of Fort Worth COI�TRACT �• a Change Order Request Breakdown Project Name Henderson Street (SH.199) Detour City Sec # 44049 Client Project #(s) 00144 Original Contract Amount Extras to Date Dept. TPW $1,929,961.63 $289.139.75 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) 19.101.38 Change Order Submittal # �2 Date 3/4/2014 Contract Time Totals CD �29,961.63 t89,139.75 ?19,101.38 626,617.00 ?45,718.38 $0.00 CHANGE ORDERS fo DATE (INClUDING THIS ONE) AS % OF ORIG/NAL CONTR,4CT 16.36% MAX ALLOWABLE CONTRACTAMOUNT (OR/GINAL CONTRACT COST+ 25%) $2,412,452.04 JUSTIFICATION (REASONS) FOR CHANGE ORDER Change order is required to allow contractor to fumish traffic signal equipment that was originally to be supplied by city. This change order is for the purchase of materials only, labor is a(ready included in the original contract. OFFICIA�'��pRY CITY SE�R FT. VIIORTH, TX FORT WORTH Cltj! Of FOPt WOPNI �— Change Order Additions Project Name Henderson Street (SH.199) Detour City Sec # 44049 ClientProject# 00144 Change Order Submittal # �2 Date 3/4/2014 ADDITIONS �lL9u� � � • • � �.»�i�,��' 1'�i��r�r�.r.�a . r - � � � � � :► � - . � � � . - • • ��1�- � � �:i' ', i � �iciiR� � � � i � �' ' r � ' i � . � u � 11 � ''G 11 '� 1 I ���i r .�' � 11111�� �� 111 � - w' � .i � .�. � 11 � ',, .: 11 ', :' 11 � � , i � . � '�� 11 y '� : 1'1 ', �k 11 � :1 111 .i . � �•��. �. �. �� 11� , :- 11 ', : 11 � R - . � '�Yi�� 11 � �, 11 ',. •' 11 �i'1nl'.d.$$.`f�7�Tif���Y.i�ITi1E : i � � � .i 1Ri6iTiit�lr[!� e. � i ayu � � �" 'i: � � . • � � � n 1 . i r .. . • . � . � - 'Y�i- 1�I 1 11 � ', 1 1 � III�� - ---- - - ----- - ---- - - ---- - - ---- - - ----- - ---- - - ----- - ---- - _ ---- - - ----- - ---- - _ ---- - - ---- - - ---- - - ---- - - ---- - - ----- - ---- - � ---_ - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ---- - - ----- - -_--- - ---- - - -_--- - ---- - - ---- - _ ---- - - ---- - - ---- - - ---- - - ---- - - ---- - , . . 11 - - � � � . ' � � i � �3'i��r�11�� �� Change Order Additions Page 2 of 4 FoRr� H City of Fort Worth Change Order Deletions Project Name Henderson Street (SH.199) Detour City Sec # 44049 Client Project # 00144 Change Order Submittal #�2 Date 3/4/2014 DELETIONS �1'{� � • � � ��1� "+ ���� � ' ��� � -���� - -���- - ----- � �---- � ---- � � -�--� � -���- � -���- - ----- � -���- - ---- � � -�-- � - ---- � � ����- - ---- � � -���- - ---- � - -�-� - � -���- � ---- � - -�-�- � ----- - -��-� � ---�- � -�--- � ���-� - -�-- � � ---� - - ----- � -��-� � -���- � ---� - - ----- � ---� - � ----- - -�--- � ---� - � -�-- - - ----- � ---� - - -�-- � � -���- � ----- � -��� � - -�-- � _ ---- � � ---� � � ---�- � -��-� � ----- � ����- .� �� - _ � ..: �- -�. - Change Order Deletions Page 3 of 4 CFW Change Order Approval St-COApp02 Approved: Yes Comments: User: Danielle Pickle Date: 2014-03-11 2:48 PM Approved: Yes Comments: User: Sam Davis Date: 2014-03-17 7:50 AM Approved: Yes Comments: User: Patrick Buckley Date: 2014-03-17 1:40 PM Approved: Yes Comments: User: Mike Domenech Date: 2014-03-17 8:33 PM Approved: Yes Comments: User: Andy Anderson Date: 2014-03-18 11:04 AM Approved: Yes Comments: User: Doug Wiersig Date: 2014-03-21 10:08 AM Approved: Yes Comments: User: Doug Black Date: 2014-03-27 11:36 AM Approved: Yes Comments: User: Fernando Costa Date: 2014-03-27 6:52 PM Action Required: Please add funds � �; � Ci Secretary Page 3 of 3 (Consultant had specified it to be _� nT� M&G ���Uyii�D OFFICIAL RE�012D CITY SECRETARI( �1'. WARTH, 'TX https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteI... 3/27/2014 �� �`�"��l ���-,„ o° ��o° 0 o °� �g � I�a o� o � �S � ��� 0 0 o�o � �Q, _ , ����� .�� �' - CFW Change Order Approval St-COApp02 Page 2 of 3 GiiY S�T�' , CONTi3ACT 1d0. �-1� � �-� �i - c�2 ORT WORTH�;; City of Fort Worth Change Order Request Approval (Change Order Breakdown Available in Links) For Change Order Submittal No.: 2 Change Order No.: St-COApp02 Date Started: 3/10/2014 �ity sec. rvo.: yy v� cj Date Due: 4/29/2014 Project Name: Hederson Street Detour 00144 DOE Numbers: Project Numbers: DOE 6124 Project TRV Henderson Street Detour - Add signal equipment that City was to Description: provide. City Project Mgr.: Patrick Buckley City Inspector: Contractor: JLB Contracting, LLC � COUNCIL ACTION (If Required): M&C Log Name: M&C Number: "^^� COST AND DAYS SUMMARY: M&C Date: -) J —1 � Department: Cost($) Fund Account Center: Requested Days: TPW $ 26,617.00 C204 539900 209260014480 240 Approval Status: - i --- - — --------- - Total: � 26,617.00 Total Requested Days: 240 https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteI... 3/27/2014