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Contract 44049-CO3 (2)
� �i�rY SECiZ�TA!!� , FORT WORTH. City of Fort Worth CQ{V'rRAC�i' �IAe � Change Order Request Breakdown Project Name Henderson Street (SH. 199) Detour City Sec # 44049 Client Project #(s) 00144 Dept. Original Contract Amount Extras to Date Credits to Date 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) TPW 1,929,961.63 $315,756.75 2,245,718.38 $9,545.59 2,255,263.97 $0.00 $9.545.59 Change Order Submittal # �3 Date 3/4/2014 Contract Time Totals CD 1,929,961.63 $315,756.75 ?,245,718.38 $9,545.59 ?,255,263.97 $0.00 CHANGE ORDERS to DATE (INCLUD/NG TH/S ONE) AS % OF ORIGINAL CONTRACT 16.86% MAX ALLOWABLE CONTRACT AMOUNT (ORIG/NAL CONTRACT COST+ 25%) $2,412,452.04 JUSTIFICATION (REASONS) FOR CHANGE ORDER Change order is to consolitlate the different force account items (4) into a single item. Additional funding is required to cover overruns on the FWWR flagging within the RR ROW. Also, 2 additional electrical services were required on the project to provide power for the FWWR crossing signals - one on Henderson and one on Commerce. The pay item for 24" pavement repair on Commerce wasn't used needed, so it is being deleted. C01 deleted Line 18 of Base Bid, but had incoreect dollar amount. Item 119 corrects the error in C01. �� ��%: aFF���pl. FtECORD CITY SECRETARY pT, WORTH, TX FORT WORTH City of Fort Worth �— Change Order Additions Project Name Henderson Street (SH.199) Detour City Sec # 44049 ClientProject# 00144 Change Order Submittal # 03 Date 3/4/2014 ADDITIONS ��������y�� � • • � 1 iiii���iYfYiili�i� • r. W�r��7iri{yil��� � ' • ' � • � • • ' ' � • 11 1. 11 � �� 11 �� II� �iitiiiWi7� " � . � 11 � �� 1 11 ', 11 11 if�] :. � � ' : �� �����"'� � ����� � ����� � ����� � ���� � � ����� � ���� � � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ���� � � ����� � ����� � ����� � ����� � ���� � � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � � � , .. �.. �. �� Change Order Additions Page 2 of 4 M/SBE Breakdown for this Change Order FORT WORTH CI�/ Of FOI't WO�FI —1y*`� Change Order Deletions Project Name Henderson Street (SH.199) Detour Ciry Sec # 44049 ClientProject# 00144 Change Order Submittal # 03 Date 314/2014 DELETIONS �IL�►'1� ' ' '' S'1,�� "'+ S'!�t"i� � '' � r �� � -, � � . , ''11�1'� �' � ' �::� �� � � ��►9 ��:.- �.� ..� .�. � '� ���� �, �� �� �� �� �� - � . � . . � � - � � � ��1�-��i�� �, i � �' ��� i�I -�. � � �� ��� ', :. �� ���r�� �I :. , � • : � � S���b�7 ��iidiF] � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ���� � � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � ����� � � � � �r. �' -�• � Change Order Deletions Page 3 of 4 CFW Change Order Approval St-COApp03 ORT� City of Fort Worth WORTH��� Chan e Order Request A proval 9 p (Change Order Breakdown Available in Links) Page 2 of 3 For Change Order Submittal No.: 3 Change Order No.: St-COApp03 Date Started: 7/1/2014 City Sec. No.: 44049 Date Due: 7/4/2014 Project Name: Henderson Street Detour 00144 � DOE Numbers: Project Numbers: DOE 6124 Project TRV Henderson Street - FWWR Overrun of Flagging Description: City Project Mgr.: Patrick Buckley City Inspector: Michael Collier Contractor: JLB Contracting, LLC COUNCIL ACTION (If Required): M&C Log Name: M&C Number: COST AND DAYS SUMMARY: M&C Date: � � � Department: Cost($) Fund Account Center: Requested Days: TPW $ 9,545.59 FE72 538070 006231701000 60 __. _ ..__.______.____._....�_�. _ __, __.._ __ _ .. _ _._ . _.___ .___ . __ _ . .___ ___._ ,. _----------___�_��..__________ i , ____.__o_�_- - --------____.��__p� � � I _ _ --- _ _.____ __ _ _-- __ . __--- -- — ---_----- ------ ---- - ------ Total: � 9,545.59 Total Requested Days: 60 Approval Status: RECEI�ED AUG 18 2014 https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&Proc... 8/18/2014 _ ._ _ _ CFW Change Order Approval St-COApp03 Page 3 of 3 . _ _ _ __ Approved:Yes Comments: User: Danieile Pickle Date: 2014-07-06 9:21 PM Approved: Yes Comments: User: Sam Davis Date: 2014-07-07 4:20 PM Approved: Yes Comments: User: Patrick Buckley Date: 2014-07-11 8:34 AM Approved: Yes Comments: User: Mark Rauscher Date: 2014-07-11 7:37 PM Approved: Yes Comments: User: Andy Anderson Date: 2014-07-15 8:33 AM Approved: Yes Comments: User: Doug Wiersig Date: 2014-07-15 8:35 AM Approved: Yes Comments: User: Doug Black Date: 2014-07-15 9:03 PM Approved: Yes Comments: User: Fernando Costa Date: 2014-07-16 1:40 PM Action Required: Change order is to consolidate all force accounts and Add item 119 to correc https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&Proc... 8/18/2014 . CFW Change Order Approval St-COApp03 Page 1 of 3 Links 1 fortworthqov/Infrastructure Proiects/00144 - Hederson Street Detour/Contractor/Chanqe Orders/Chanqe Order Breakdown co-3 final.xis Attachments (0) No Attachments have been added to this form. https://projectpoint.buzzsaw.com/ bz web/FormslFormPrint.aspx?SiteId=51500&Proc... 8/18/2014