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Contract 39262-CO2 (2)
wtiltt-Fll CITY OF FORT WORTH CHANGE ORDER REQUEST CITY SECRETARY COHTRACTNO. ~~~-~ C295-541200-202240129883 TOTAL RECONSTRUCTION OF PREMATURE FAILED STREETS ORIGINAL CONTRACT AMOUNT.................................................................... $ EXTRAS TO DATE ...•.....•..•.............•.....•......•........•........•...•.....••...... $ CREDITS TO DATE .•....•...................•.........•......•......................•.•.••.• $ CONTRACT COST TO DATE ..••.•......•.•..•.•............•.....•...•................•.•....•.•...•..• $ AMOUNT OF PROPOSED CHANGE ORDER.................................................. $ REVISED CONTRACT AMOUNT ...•................•.•.....•...•...........................•.•...•... $ ORIGINAL FUNDS AVAILABLE FOR CHANGE ORDERS ............................... $ REMAINING FUNDS AVAILABLE FOR THIS CHANGE ORDER .............•....... $ ADDITIONAL FUNDING (IF NECESSARY) .•........•..•..•..•...•.............•.......•.•.•....• $ CHANGE ORDERS TO DA TE (INCLUDING THIS ONE) AS " OF ORIGINAL CONTRACT COST '.AX .ALLOWABLE CONTRACT AMOUNT ORIGINAL CONTRACT COST+ 25" T/PW $ 549,977.50 $ $ 19,375.00 $ $ $ $ 569,352.50 $ $ (0.00) $ $ 569,352.50 $ $ $ $ $ $ $ 39262 TOTALS $ 549,977.50 $ 19,375.00 $ $ 569,352.50 $ (0.00) $ 569,352.50 % 3.52 687471.88 ADOL APPROVED TIME TO DATE APPROVED CONTRACT TIME TO DATE ~ TIIIEFOR Tia C.O. DATE ~ _ Dl8APPROIIED OTifER 10WD 90WD S5WD I -o -Io ~ DATE 11/30 /10 I NO M&C REQUIRED I OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX DATE: November 9, 2010 TRANSPORTATION AND PUBLIC WORKS CHANGE ORDER JUSTIFICATION RECORD AND PROJECT SUMMARY SHEET PROJECT NAME: TOTAL RECONSTRUCTION OF PREMAT URE FAILED STREETS CHANGE ORDER 1\12 : 2 D.O.E. 1\12 : 6182 CLIENT PROJECT 1\12: C295-541200-202240129883. -------------- INSPECTOR: _. ___ GA_._R_Y_D_EY_O_N ___ PHONE 1\12: (817) 223-2257 CITY SECRET ARY 1\12: 39262 PROJECT MANAGER: TARIQUL ISLAM PHONE 1\12: (817) 392-2486 ORIGINAL CONTRACT AMOUNT EXTRAS TO DATE CREDITS TO DATE ORIGINAL AMOUNT TO DATE AMOUNT OF PROPOSED CHANGE ORDER REVISED CONTRACT AMOUNT ORIG . CONTINGENCY FUNDS AVAILABLE FOR CHANGE ORDERS REMAINING FUNDS AVAILABLE FOR THIS CHANGE ORDER ADDITIONAL FUNDING (IF NECESSARY) REASON($) FOR CHANGE ORDER: COMBINED $ 549,977.50 $ $ 19,375 .00 $ $ $ $ 569,352 .50 $ $ (0 .00) $ $ 569,352.50 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ T/PW 549,977.50 $' 19,375.00' $ $ 569,352.50 $ (0.00) $ 569,352.50 $ $ $ $ This change order is to adjust-(increase, add, decrease and delete) line item quantities for project close out Line items· 36 - 38 (ADD): Was used to help stabilize the subgrade and to deter premature fairure of the new pavement Line item 40 (ADD): Was used to remove. and replace residential mail boxes that impeded construction of the street OFFICIAL RECORD CITY SECRETARY FT, WORTH, TX ,L..?-J.~=:::::....---------'--------_J 11 ..J , 0 // /3 O /1 O Date //-?0 -lo /I -3 J -lo D• Data Construction Inspection Supervisor Date 12 -0 2 -1 0 P03 :39 I N ~-FU --COIISTRUCl10N SERVICES ,__ PROJECT IMMAGER OOlDENROO • CONTRACTOR CITY OF FORT WORTH CHANGE ORDER REQUEST C295-541200-202240129883 TOTAL RECONSTRUCTION OF PREMATURE FAILED STREETS ORIGINAL CONTRACT AMOUNT .................................................................... $ EXTRAS TO DATE .•.••••..•.........•...•.•.•..•.•.........................•.......•.•..••.. $ CREDITS TO DATE ...•••.•.••••.•..•..........•.•..•...•.••..•••.•.•..•.••••••...•••.•.•••.• $ CONTRACT COST TO DATE............................................................................ $ AMOUNT OF PROPOSED CHANGE ORDER.................................................. $ REVISED CONTRACT AMOUNT...................................................................... $ ORIGINAL FUNDS AVAILABLE FOR CHANGE ORDERS .•...............•...•.••....•. $ REMAINING FUNDS AVAILABLE FOR THIS CHANGE ORDER .......•....•.•.•.•.• $ ADDITIONAL FUNDING (IF NECESSARY) ....................................................... $ T/PW $ 549,977.50 $ $ 19,375.00 $ $ $ $ 569,352.50 $ $ (0.00) $ $ 569,352.50 $ $ $ $ $ $ $ CHANGE ORDERS TO DATE (INCLUDING THIS ONE) AS" OF ORIGINAi CONTRACT COST ~AX ALLOWABLE CONfRACT AMOUNT (ORIGINAL CONTRACT COST+ 25") ITEM DESCRIPTION • ADDITIONS DEPARTMENT QTY UNIT 2 . (INC.) UTILITY ADJUSTMENTS T/PW 4 .00 LS $ 9 . (INC.) 8-INCH REINF. CONC. PAVEMENJ FOR ALTA VISTA T/PW 1,916.00 SY $ 11 . (INC.) 7-INCH INTEGRAL CONCRETE CURB T/PW 1,655.00 lF $ 15. (INC.) REM, AND REPL. 6-INCH CONCRETE DRIVEWAY T/PW 180.00 SF $ 19. (INC.). SILICON JOINT· SEALANT FOR CONC. PAVEMENT T/PW 3,888.00 lF $ 21 . (INC.) UNCLASSIFIED STREET EXCAVATION T/PW 50.00 CY $ 24. (INC.) UTILITY TRENCH REPAIR T/PW 100.00 CY $ 25. INC.) TOP SOIL T/PW 106.00 CY $ 26> (INC.) MANHOLE ADJUSTMENT T/PW 1.00 · EA $ 29. (INC.} GRASS SOD REPLACEMENT T/PW 606 .00 SY $ 30. (INC.) PAINTING CURB HOUSE ADDRESSES T/PW 3.00 EA $ 31 . 'INC.) BORROW UNCLASSIFIED Fill FOR TRENCH REPAlf T/PW 257.98 CY $ 36 .. ADO .) 8-INCH FLEX BASE T/PW 1,000.00 SY $ 37. (ADD.) GEOGRID FABRIC T/PW 1,000.00 SY $ 38. (ADD.) EXCAVATE AND REMOVE EXISTING SUBGRADE T/PW 225.00 CY $ 39. (ADD.) RE-MO~ILIZATION T/PW 1.00 LS $ 40. (ADO.) REMOVE AND REPLACE BRICK MAIL BOXES T/PW 4 .00 EA $ UNITCn~T 6 ,000.00 32.00 4 .00 6 .00 0.95 12.00 15.50 16.00 100.00 3.00 20.00 9 .25 11 .00 4.00 15.00 3,500.00 750.00 T/PW SUBTOTAL A ITEM DESCRIPTION • DELETIONS DEPARTMENT QTY UNIT UNIT COST 7 . (DEC .) 6-INCH HMAC BASE COURSE TYPE "B" T/PW 1,399.00 SY $ 25.00 8 . (DEC.) 2-INCH HMAC SURFACE COURSE TYPE "D" T/PW 1,399.00 SY $ 8 .50 12 . (DEC.) REM. AND REPL. FAILED 8-INCH RE!NF. CONC. PAl'I T/PW 496.30 SY $ 48.50 13. (DEC.) REM. AND REPL. 7-INCH CONCRETE CURB T/PW 1,813.00 lF $ 5.00 14. (DEC .) REMOVE AND REPLACE 10-FT STORM INLET TOP T/PW 2 .00 EA $ 2 ,400.00 16. (DEC.) REMOVE AND REPLACE 4-INCH CONC. SIDEWALK T/PW 2 ,499.00 SF $ 4.00 17 . (DEC.) REM. AND REPL. 4-INCH CONC . ADA WHLCHR RAN T/PW_ 240.00 SF $ 6 .00 18. (DEC .) NEW 4-INCH ADA CONC. WHLCHR RAMP T/PW 100.00 SF $ 5 .50 20, DEC.) FLEX BASE T/PW 1,413.00 SY $ 5.00 22. DEC.) CONC. FOR REPLD PANELS SUB BASE AS NEEDEC T/PW 498.23 CY $ 0.1 0 23. DEC.) 6-INCH PERFORATED SUB-DRAIN PIPE T/PW 2 ,90&.00· lF $ 8.50 6 . DEC.) LIME FOR SUBGRADE STABILIZATION T/PW 9.00 TN $ 130.00 OFFICIAL RECORD T/PW CITY SECRETARY SUBTOTALB $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ FT. WORTH TX • TdTAL(SlJ.,.TOTALA-SUB-TOTALB)! $ IN ACCORDANCE WITH THIS CHANGE ORDER THE CONTRACTOR !: . .,;__, 39262 TOTALS $ 549,977.50 $ 19 ,375.00 $ $ 569,352.50 $ (0.00) $ 569,352.50 % 3.52', $ 687,471.88 TOTAL 24 ,000.00 61,312.00 6 ,620.00 1,080.00 3 ,693.60 600.00 1,550.00 1,696.00 100.00 1,818.00 60.00 2 ,386.27 11 ,000.00 4 ,000.00 3,375.00 3 ,500.00 3,000.00 . 129,790.87 . 129,790.87 TOTAL 34 ,975.00 11,891 .50 24,070.55 9,065.00 4 ,800.00 9,996.00 1,440.00 550.00 7,065.00 49.82 24 ,718.00 1,170.00 . 129,790.87 . 129,790.87 (0 .00)! PROJECT NAME: PROJECT LIMITS: BuySpeed No (T /PW): City Project No: Contract No: D.O.E. No: Attachment to Change Order No: Todays Date: Original Contract Amount: Extras to Date: Credits to Date: Contract Amount to Date: PROJECT SUMMARY SHEET (Change Order Attachment) 2007 Critical Ca ital Pro Reconst Pre Failed Streets Alta Vista Rd and Confidence Rd CSC0-10-00056363 01298 CS39262 6182 2 11/24110 Total amount of C0#2 = 00 .00 TOTAL $ 549,977.50 $ 19,376.00 $ .. $ 569,362.50 Amount of Proposed Change Order: (Additions) Amount of Proposed Change Order: (Deletions) Revised Contract Amount: $ 129,790.87 $ ( 129, 790.87) $ 569,352.50 Contingency Funds Avail. for Admin . Change Orders: $ Remaining Funds Available for Change Orders: $ Additional Funding (if necessary): $ Prepared By: Christy Ezernack T/PW Construction Services