HomeMy WebLinkAboutContract 40672-CO1I
I
-"'-FU
CAMAI('(-CONSTRUCTION SERVICES
PNC-PROJECT IMNAGER
GOlDENROO • CONTRACTOR
CITY OF FORT WORTH
CHANGE ORDER REQUEST
CITY SECRETARY
CONTRACTNO. Lf:o~J#-COI
C293-541200-204620146983
HMAC SURFACE OVERLAY (2010-05) AT VARIOUS LOCATIONS
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
1,559,381.50
1,559,381.50
13,40,1.97
1,572,783.47
13,401 .97
CHANGE ORDERS TO DATE (INCLUDING THIS ONE) AS" OF ORIGINAL CONTRACT COST
MAX. ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25")
ITEM DESCRIPTION -ADDITIONS DEPARTMENT QTY UNIT
39. !(ADD.) LIME STABILIZED SUBGRADE 30 LBS PER SY I T/PW I 4 ,136.21 I SY I$
40. !(ADD.) LIME FOR SUBGRADE STABILIZATION I T/PW I 61 .73 I TN I$
IN ACCORDANCE WITH THIS CHANGE ORDER THE CONTRACTOR SHALL:
$
$
$
$
$
$
$
$
$
UNIT COST
1.30 $
130.00 $
$
T/PW $
$
SUBTOTAL A $
40672
TOTALS
1,559,381.50
13,401.97
% 0.88
$ 1,949,228.ai
TOTAL
5,3n.07
8,024.90
-
13,401.97
-
13,401.97
n 1s ...-ood -agreed that the accel]lanco of 1111s Chango Onlor i,y the __ .., IICClOfd and ----. P.,..-i11u1 {balll -and money) ror a1 ams arising au1 of,"' -'°· lho -Chango
O<dw.
CONTRACTOR'S NAME:
rL JLB CONTRACTING, LLC
oco
r"f ORIGINAL CONTRACT TIME
~ 210 D
• ).AJ---,;>,
DATE
ff-24-0
DATE
l(-2--/tJ
DATE
{2 -(-//}
DISAPPROVED OTHER
OFFICIAL RECORD
CITY SECRETARY
Ft WORTH, TX
5CD
by:
I NO M&C REQUIRED I
DATE: November 20, 2010
TRANSPORTATION AND PUBLIC WORKS
CHANGE ORDER JUSTIFICATION RECORD AND PROJECT SUMMARY SHEET
PROJECT NAME : HMAC SURFACE OVERLAY (2010-05) AT VARIOUS LOCATIONS
CHANGE ORDER N2 : 1 D.O.E. N2: 6409 CLIENT PROJECT N2: C293-541200-204620146983 .
INSPECTOR: MIKE GLOVER PHONE N2: (817) 944-0914 CITY SECRETARY N2: 40672 ·
PROJECT MANAGER: KRISTIAN SUGRIM PHONE N2: (817) 392-8902
COMBINED T/PW
ORIGINAL CONTRACT AMOUNT $ 1,559,381 .50 $ $ 1,559,381 .50 $
EXTRAS TO DATE $ $ $ $
CREDITS TO DATE $ $ $ $
ORIGINAL AMOUNT TO DATE $ 1,559,381 .50 $ $ 1,559,381.50 $
AMOUNT OF PROPOSED CHANGE ORDER $ 13,401.97 $ $ 13,401.97 $
REVISED CONTRACT AMOUNT $ 1,572,783.47 $ $ 1,572,783.47 $
ORIG . CONTINGENCY FUNDS AVAILABLE
FOR CHANGE ORDERS $ $ $ $
REMAINING FUNDS AVAILABLE
FOR THIS CHANGE ORDER $ $ $ $
ADDITIONAL FUNDING {IF NECESSARY) $ 13,401.97 $ $ 13,401.97 $
REASON(S) FOR CHANGE ORDER:
Due to the type of sub grade material discovered during the pulverization of Manhattan Blvd, it was determined that lime ,
needed to be added to stabilize the subgrade prior to the street being overlayed.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
//--Z2:-JO
Date
! I -2J-/o
Data
• c/,f ~ \ \-""Li-l 0 t• ___________________ \\'
Wlffll•FU --~-,.._ PIIOJECT IMNMJBI ! ' '
oaumaaD-COlffllACTOII
CITY OF FORT WORTH
CHANGE ORDER REQUEST
CITY SECRETARY .
CONTRACT NO. %1o::JY iA> t
' 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..................... $
ADDmONAL FUNDING (IF NECESSARY) ....................................................... $
T/PW
,, .. , ·' . $· 1.1~3:41.00 . $ '·
-. $ . ' :,, -' $.
• '. $ ·l ··, .' ' -7 --s:
$ 1,154,347.00 $
$ 11,811.70 $
$ 1,1K,158.70 $
$ $
$ $
$ 11,811.70 $
TOTALS
• ,, , $ 1,154,347.00
-~ $
' f $ -
. $ 1,154,347.00 '
$ 11,811.70 ' ...t·
CHANGII. ORDERS to DATE-(l#CCUDI.NG THIS ONEJ· A$ " OF ORIGINAL. CONTRACT COST,/,·. .. ~
~-AUOWABI.S'J:()N.11~ACT. AMQU,NT (ORIGINAL CONTRACT'CO$T.., ~5"J. .. r ·" , ·, · ':
. ! :
DEPARTMENT TY' UNIT UN
T/PW 3,159.00 SY $ •·
., T/PW 67.00 ' TN $
SUBTOTAL A,_$'-----1-'1,;..;.81_1.,...7_0_,,·
IN ACCORDANCE WITH THIS CHANGE ORDER THE CONTRACTOR SHALL:
... ..-.., .................... oflNoC!la,geOldlrllJ .. __ .. ____ ,...__p.,.._1ny(llllll __ ._, ...... ___ autof,c.-_lD, .. _Cllalgl
I Ona., • .
DATE
_OTIER
lZ -I -v
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
DATE: November 20·, 201 O
TRANSPORTATION AND PUBLIC WORKS
CHANGE ORDER JUSTIFICATION RECORD AND PROJECT SUMMARY SHEET
PROJECT NAME: HMAC SURFACE OVERLAY (2010-04) AT VARIOUS LOCATIONS
CHANGE ORDER N2: 1 D.O.E. N2 : 6363 CLIENT PROJECT N2: C293-541200-206620146183
INSPECTOR: ALI MOTAMED PHONE N2: {817} 944-1174 CITY SECRETARY N2: 40674
PROJECT MANAGER: KRISTIAN SUGRIM PHONk N2: {817} 392-8902
COMBINED T/PW
ORIGINAL CONTRACT AMOUNT $ 1,154,347.00 $ $ 1,154,347.00 $
EXTRAS TO DATE $ $ $ $
CREDITS TO DATE $ $ $ $
ORIGINAL AMOUNT TO DATE $ 1,154,347.00 $ $ 1,154,347.00 $
AMOUNT OF PROPOSED CHANGE ORDER $ 11,811.70 $ $ 11,811.70 $
REVISED CONTRACT AMOUNT $ 1,166,158.70 $ $ 1,166,158.70 $
ORIG. CONTINGENCY FUNDS AVAILABLE
FOR CHANGE ORDERS $ $ $ $
REMAINING FUNDS AVAILABLE
FOR THIS CHANGE ORDER $ $ $ $
ADDITIONAL FUNDING (IF NECESSARY) $ 11,811.70 $ $ 11,811.70 $
REASON(S) FOR CHANGE ORDER:
Due to the type of subgrade material discovered during pulverization of Forest Creek Dr. and Clover Meadow Dr. It was
determined that lime needed to be added to stabilize the subg.rade prior to the street being overlayed.
// -2 J-{ i)
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX