HomeMy WebLinkAboutContract 41332-CO2,.-. CITY SE CRETARY
CONTRACT NO . 4 \'332-coz. City of Fort Worth
Change Order Request PD~ J(-@lo4d0 { '
C hange Order No . Da te TPW Proj ect No . Fund ing (FAC )
2 (two) 5/2/11 C234 541200
2'17 060162780
Facility and Project Description C ity Secretary Contract No .
East Multi-Purpose Facility WRMC CS41332
ORIGINAL CONTRACT AMOUNT ................................................................ $15,443 ,305
CONTRACTOR CONTINGENCY INCLUDED IN CONTRACT AMOUN T.............. $ 449 ,805
ORIGINAL CONTRACT AMOUNT LESS CONTINGENCY ................................ $14 ,993 ,500
EXTRAS TO DATE .................................................................... .
CREDITS TO DATE .................................................................. ..
$ 0
$ 0
CONTRACT COST TO DATE ................................................................................................. .
AMOUNT OF PROPOSED CHANGE ORDER .......................................................................... ..
REVISED CONTRACT AMOUN T.. .......................................................................................... .
$ 14 ,993 ,500
$ 58 ,879
$15 ,052 ,379
CONTINGENCY FUNDS AVAILABLE FOR CHANGE ORDERS ...................................................... $ 449 ,805
REMAINING CONTINGENCY FUNDS AVAILABLE FOR CHANGE ORDERS .................................... $ 390 ,926
ADDITIONAL FUNDING (IF NECESSARY)................................................................................ $ 0
IN ACCORDANCE WITH THIS CHANGE ORDER , THE CONTRACTOR SHALL:
Furnish all labor and material as pe r the attached WCPR 's:
PCR 1 -Additional Concrete Removal and Replacement
PCR 2 -Relocate Fiber Optic Line
Total Add This Change Orde r
Add
Add
ADD
$30,822
$28,057
$58,879
It is un derstood and agreed th at th e acceptan ce of thi s Chan ge O rd er by th e cont ractor co nstitutes an accord and sat isfa ct ion and re prese nts payment in fu ll (both t ime
and money) for all costs ari sin g o ut of, or in c id ental to, th e ab ove Chan ge O rder
Con t ractor's Name
Rogers - O'Brien Construction Company , Ltd .
Origi nal Contract Time Additi onal Approved Time To Date App roved Contract Time To Date Additional Time For This Ch an ge Order
Date
L ,/ 'j ' ///.'
Date
~/! lot/
Date
. t "3 . I(
Da te1/8/08
OFFICIAL RECORD
~--......u.~~~~..;....~--'-,-.;;;;;--i. CITY SECRETARY
FT. WORTH, TX
Rogers -O'Brien Construction
April 15 , 2011
City of Forth Worth
401 West 13th Street
Fort Worth, TX 76102
Ph : (817)392 -7913 Fax : (817)392 -8488
ATIN : Jack Durham
RE :Proposed Pavement Removal & Replacement -Area 'A ' & 'B'
10022 Will Rogers Memorial Cntr East
Change Request# 1
Dear Jack:
As requested , proposal includes demo , removal and replacement existing pavement shown as Area 'A'
and Area 'B' on attached detail. Total scope of work includes demo and haul-off of existing concrete ,
scarify & re -compact of sub-grade , blue-top of sub-grade , doweling of existing concrete and place and
finish of concrete paving including all required rei nforcing . We have included sealing of perimete r
construction and expansion joints in new paving and curbs .
Attached please find our pric ing fo r the above referenced revision item .
1901 Regal Row
Dallas, Texas 75235
Main 214962.3000 The total amount to provide th is wo rk is : $30 ,821 .88
Fax 214 .962.3001
39m s. Lamar Blvd. #2oo Please note the attached exclus ions/qual ificat ions .
Austin, Texas 78704
Main 512.486.3800 ! . f I · I Fax 512 .4 86 _37 m f you have any questions or need urther c anfication , p ease contact me at (214)962-3000 .
www.roge r s -obrien .com
Trey Carroll
Rogers -O'Brien Construction Co
OWNER AUTHORIZED SIGNATURE
ATIACHMENT
Dallas I Austin
Change Request 1 Price Breakdown
Job Name: W ill Rog e rs Memorial C ntr Ea st Date: 4/15/2011
Description : Pr op osed Pave m en t Re moval & Replacement - A rea 'A' & 'B' Change Request #:1
Labor Material
No Description QTY Unit Unit Total Unit Total Equipment Subcontract Other Price
1 Misc Si te Demolit ion 6,789 .00 $6,789 .00
2 Mass Excavatio n & Grad ing 4,777.61 $4,777 .61
3 Formwor k/Conc rete Subco ntr acto 14 ,847 .00 $14,84 7.00
4 Wate rproofin g Subcont rac tor 272.00 $272 .00
****EXCLUSIONS AND QUALIFICATIONS**** Subtotal: $26 ,685 .61
Se e attach ed backu p for labor, material and subcon tractor and Overhead 10 .00% $2 668 .56
suppl ier detail. Fe e 5.00% $1 467.71
Price ex cludes all federal , state and local fees .
Pri ce does include sales and / or remod el ta xes .
W ri tten authorization and / or signature on this PC requ ired prior to
p erforming the above descr ibed work .
Total : $30 ,821.88
/
H'I'l'JRA.NT TO ROIAJN
P.Ro rt:cr OUR/NG
COHSTRUC710N.
Pricing Instructions
Ar•a A: price to sAwcut ,
demo and haul-off concrete
Area B: price to sawcut ,
demo and ha.ul-off concrete
Purple .represents curbs to
be included in price for
area A
Yellow represents curbs to
be included in pric~ for
area B
Area A : App . 1 ,900 SF
Area B : App . 2 ,300 SF
_\ / '. -.
( J?RlECISION
DEMOLITION Interior, Selective & Wrecking Demolition
(972) 434-0800 Fax (972) 434-0803
TITLE: Additonal Pav ing Removal
PROJECT: PD100097
WRMC -East Multi-Purpose Facility
TO: Attn : Trey Carroll
Rogers-O'Brien Construction Co ., LTD .
1901 Regal Row
Dallas, TX 75235
DESCRIPTION
PROPOSED CHANGE ORDER
NO . 1
DATE: 04/13/2011
JOB: PD10097
CONTRACT/PO: 10022-02-01 S
SUBMITTED:
COMPLETED:
REQUIRED:
Saw-cut, removal and disposal of approx. 4,200' SF of concrete paving as indicated on sketch sent via
email on 4-7-11 by Brent MacDonald .
Area A:
Area B:
Total :
$3,078.00
$3,711 .00
$6,789 .00
This work is priced to be performed while Precision Demolition is on-site performing contract work . If
equipment has to be mobilized specifically to perform this work there will be an additional charge of
$2,250 .00 per mobilization .
APPROVAL
By:
Date :
-------------Zachary R. West
04/13/2011
By: -------------
Date :
Change order -llm•, Maferlal PD10097 WRMC East Mulll-Purpose
4/12/2011
Description of Wo1k Performed:
Sow-cut. removal and disposal of concrete paving and curbs approx. 4.200' SF .
Cost # of labors II Sub Total Hours TOTAL
Superintendent
Bose pay $ 25.00
Labor Burden 11 .20
Benefits 7.90
Total Hourly Role $ 44 .10 $ 44 .10 16 705 .60
Foreman I
Bose pay 2 1 .00
Labor Burden 9.40
Benefits 5.40
Total Hourly Rate $ 35.80 0 0
Leadman
Bose pay 17 .2 0
Lobar Burden 8.5 1
Benefits 5.05
Total Hourly Rate $ 30.76 2 $ 61 .52 16 984 .32
Laborer I
Bose pay $ 12 .00
Labor Bu rden 5.37
Benefits 0.79
Total Hourly Rate 18 .16 2 $ 36.32 16 58 1.12
Labor Total 2,271 .04
Equipment & Supplies Amt. Cost per day Total
320 Excovolor (2 days) 1 $ 1,260.00 $ 1.260.00
Skid Steerw/ grapple (2 days) 1 $ 445 .00 $ 445 .00
65hp Concrele Sow (I day) 1 $ 175 .00 $ I 75 .00
MP Sow 1 $ 85 .00 $ 85.00
Diese l 150 $ 4.00 $ 600 .00
TA X $ 2 11.61
Equipment & Supplies Total $ 2,776 .61
Disposal & Delivery Ami. Cost per Unit Total
End Dumps 8 $ 10 7.00 $ 856.00
0 $ -$
0 $ $
0 $ . $ -
TAX $
Dlsposal & Delivery Total $ 856 .0 0
Equipmenl & Material Total $ 3,632 .61
Labo r Total 2.271.04
Sub total $ 5.903.65
5% for Overhead 295 .18
10 %forProfit 590 .37
jGrand Total Is 6,789.20
City of Fort Worth
Will Rogers Equestrian Multi-Purpose Facility
Sub Contractor's Summary
Trade: Dirtwork
Sub's Name : Waddell Excavating , Inc .
Project: Will Rogers Multi-Purpose Facility
Date: Apil 14, 2011
Scope of Work Descripti on :
Labor.&. Equipment .to .scarify,_,ReCompact. and .. Fine.grade . in _Pa ving Areas. A .& .. B. ,Apprx_ 4200 .. sq .. ft .......................................................................................................................................................................................................................... .
Item Des cription UOM Qty Cost Per Unit
Scope of Work Descri ption Materials
Total
Units
perMH
1-----,....-L_a_bo_r_.,... _____ l-------""T"E..;q~u;..:;iP;;.m;;.e;,.n;..;t ___ ,... ___ -II To ta l Cost
Rate Total Eq. Typ e # Hrs . Rate I Total I MHRS
Scarify Area A&B i . . . . so.oo j Ope ra to r . 12.00 i 22.84 i $274.08\Mo to r Grade , 16 .00 i $89 .00 i $1,424 .00 i $1,698 .08
Rec=;::~:::• ::: + : :::::: _ : :::l :: : l :::: L ::: L: $000:~:~: j ::::L: :::: l:::: ::::l,m-Pad ROI ~: t 20.00 .i : ;;~;;j ;,:::l·······;;;;;:::
FineGradeAreaA&B l l l l l so .oolOpe ra tor l 16.00 l 22.841 $365 .«l MotorGrade l 16.00 l $89.oo l $1,424.oo l $1,789.44
Fine Grade Area.A&B ...................... , ................................................. , ............... , .......................... , .......................... f .............. so .oo !Laborer .......... !,. ............ 16.00 ., ........... 1.5.181 .......... $242 .88 ! ........................................ , ................ , ..................... 1 ........... $0 .00 , ........... : .. $.~;:~:~:;
Mobil ization l l l l l $0.00l Dri ve r l 4.00 l 20.48 l $81 .92l Haul Tru ck l 4.00 l $80 .00 l $320.0 0 l $401 .92
.............................................................. .1 ................................................. L .......... .J ........................ J .......................... J. ................... J ...................... .J .......................... l ...................... J.. ............ so .oo L. ..................................... L ............. J. ................. .J .......... $O.oo L ................ ·;·~:~:~
Deduct to do Both Areas @ Same Time l 1 l 1 so.oo ! 1 1 l so.oo l 1 1 1 $0.oo l -$1 385.00
......... ------+-··· -! -i -!··············· -!··············'"·"! --!--·· -·I -!·············· "·"!··· -·······················!················!--!·········· $0.00 J _ ;:_~ ; ; ; ; ; $0 .00 , ; ; i $0 .00 ; ; i : $0.00 : $0.0 0
l f l j J so.oo! ! l 1 so .oo J 1 1 ! $0 .00 1 ·;~.~~
I f I I I t I I I I I I I I
Subtotals i i i i i so .oo i i ! ! s1.4 11 .«! ! 56 .o! ! $4 ,128 .oo! $4,154.44 --------------------------------,-------------------------T .............. ., .......................... 'T .......................... T------------r-------------r------------,-----------""T"------------,--------------------""T"-------.,-----------r----------""T"--------------
1 I I I I I I I I I I I I I
I I I I I I I I I I I I I I
I I I I I I I I I I I I I I
I I I I 1 I I 1 I I I I I I 1 r 1 · 1 r r r T 7......... ... ...... ,-T T r............ ... ...... ,-
! : i ! i i ! ! ! ...... ::~:: ...... i ! ! i .......... "><' ........ ! -------------------------------·~-------------------------+--------4-------------~-------------•------------... ____________ .. ____________ -4 ___________ ....,. _________ ".-___________________ _._ _______ ..... __________ ~ _________ ....,_ _____________ _
I I I I I I 1 I I I I I
I I I I I I I I I I I I
I I : : : I I I I I Sub-C on tra ctors Profit & Ove rhead I 15 .00 % I $623.17 --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------r ---------T -------------
To tal CO No . $0.00 $1,411.~4 76 .0 1 $4,128.15 1 $4 ,777 .61
Page _1_ of _1_
Grace Construction Co ..
Concrete Construction
11325 Tantor Rd . Ste 200
Dallas , Texas 75229
CHANGE ORDER REQUEST
To: Rogers -O'Brian Construction
1901 Regal Row
Dallas, TX 75235
Attn: Trey Carroll
Project: Will Rogers Memorial Center
1401 W .R. Watt Drive
Fort Worth , TX 76107
Wednesday, April 13 , 2011
Subject: Pourback of Area "A"
Mr. Carroll,
Change Order Request 11007-001
To pourback 1,900sqft of paving would result in a cost of $6,783 .00 . See below for a breakdown of
LM & E . See Tab labelled "Breakdown" for a detailed breakdown of the additional costs .
Labor $ 1,053.00
Material $ 4,812 .00
Equipment $ 301.00
Subtotal $ 6,166.00
Overhead & Profit 10% $ 617.00
Total Cost: $ 6,783.00
We appreciate the opportunity to be working with you and request that the Change Order to our
contract be issued as soon as possible. Should you have any questions, feel free to contact me.
Sincerely,
Rolf Boettger
Grace Construction Co.
Project Manager
817-829-8657
Attachments: As Tab -"Breakdown"
Phone: (972) 432 -0800 Fax : (972) 432 -0810
1 of 1
Grace Construction Co .
Concrete Construction
11325 Tan tor Rd . Ste 200
Dal las , TX 75229
DETAILED BREAKDOWN OF COSTS FOR CROOl
Labor
# Category Time Rate Cost
1 Foreman 3.0 Hrs $35 .00 $105 .00
1 Carpenter 3.0 Hrs $25 .00 $75 .00
2 Laborers 3.0 Hrs $18 .00 $108 .00
3 Iron Workers 4 .3 Hrs $22 .50 $290 .25
Finishing 1,900 SF $0 .25 $475.00
$1,053.25
Material
Item QTY Price Cost
Rebar 1,096 Lbs $0.50 $548 .00
Concrete 47 CY $85 .00 $3,995 .00
Dowels 58 Ea $2.50 $145 .00
Forms & Misc. $124 .00
$4,812.00
Equipment
Item QTY Price Cost
Bobcat 2 hrs $83.00 $166 .00
Sawcut 200 LF $0 .30 $60 .00
Misc. $75 .00
$301.00
$6,166.25
Grace Construction Co .
Concrete Construction
11325 Tantor Rd. Ste 200
Dallas, Texas 75229
CHANGE ORDER REQUEST
To: Rogers -O'Brian Construction
1901 Regal Row
Dallas, TX 75235
Attn: Trey Carroll
Project: Will Rogers Memorial Center
1401 W.R. Watt Drive
Fort Worth, TX 76107
Wednesday, April 13, 2011
Subject: Pourback of Area "B"
Mr. Carroll,
Change Order Request 11007-002
To pourback 2,300sqft of paving would result in a cost of $8,064.00. See below for a breakdown of
LM & E. See Tab labelled "Breakdown" for a detailed breakdown of the additional costs.
Labor $ 1,2 16.00
Material $ 5,752.00
Equipment $ 363.00
Subtotal $ 7,331.00
Overhead & Profit 10% $ 733.00
Total Cost: $ 8,064.00
We appreciate the opportunity to be working with you and request that the Change Order to our
contract be issued as soon as possible. Should you have any questions, feel free to contact me.
Sincerely,
Ro If Boettger
Grace Construction Co.
Project Manager
817-829-8657
Attachments: As Tab-"Breakdown"
Phone : (972) 432 -0800 Fax : (972) 432 -0810
1 of 1
Grace Construction Co .
Concrete Construction
11325 Tantor Rd . Ste 200
Dallas , TX 75229
DETAILED BREAKDOWN OF COSTS FOR CROOl
Labor
# Category Time Rate Cost
1 Foreman 3.5 Hrs $35 .00 $123 .00
1 Carpenter 3.5 Hrs $25 .00 $88 .00
2 Laborers 3.5 Hrs $18 .00 $126 .00
3 Iron Workers 4 .5 Hrs $22 .50 $304 .00
Finishing 2,300 SF $0 .25 $575 .00
$1,216.00
Material
Item QTY Price Cost
Rebar 1,357 Lbs $0 .50 $679 .00
Concrete 55 CY $85 .00 $4,675.00
Dowels 80 Ea $2 .50 $200 .00
Forms & Misc . $198 .00
$5,752.00
Equipment
Item QTY Price Cost
Bobcat 2 .5 hrs $83 .00 $208 .00
Sawcutt 200 LF $0 .30 $60 .00
Misc. $95 .00
$363.00
$7 ,331.00
ROOFING & SHEET METAL
Modified Bitumen
BUR
EPDM
TPO/PVC
Metal
WATERPROOFING &
CAULKJNG
Joint Sealants
Expansion Joints
Membrane Waterproofing
Elastomerlc Coatings
Water Repellents
Waterblastlng
Concrete/Masonry Repair
Dam proofing
Flashing
Tro1.ffic Coating s
ROOF MAINTENANCE &
LEAK REPAIR
Buil dlng Surveys
leak Repair
Roof Mainten ance
DALlAS /FT.WORTH LOCATION
2346 Glenda Lano
Dallas, TX 75229
214.273.9110 / 817.237.1927
214.273.9120/ 817.237.2676 fax
OTHER LOCATIONS
-Houston
-Austin
• S"'n Antonio
-Oklahoma City
-Tulsa
CRWPC#OO ::.:
Trey Carroll
Rogers 0' Brien
1901 Regal Row
Dallas, TX, 75235
. V ·-
.. CHAMBERLIN
Roofing & Waterproofing
April 12, 201 i
RE: Will Rogers Memorial Complex
Dear Trey Carroll:
We propose to furnish all labor, materials, tools, equipment, and insurance necessary lo fully perform and complete the following scope
of work :
• In response to the request to apply additional site sealants along new curbs at North end of Un.it C .
This proposal includes joint sealants at expansion joints along new curbs per attached detail. To
complete the work as described above the change is as follows :
0 Total. ....................................................................... S272.00
Area A (60 LF) .................................. $184
Area B (17 LF) .................................... $88
We P!"Opose to complete the waterproofing as described above, for the sum listed above; excluding 8.25% sales tax.,
Incorporated Notes:
•
•
This offer is good for thirty (30) days
We acknowledge Addenda_
All work to be performed during normal bll!lincss hours
Owner/Contractor ai:recs to furni!h : complete access to work areas , dumpster, toilet facilities, potable waler, and all electrical power, as required, ::'.
no additional cost to Chamberlin
All surfaces to be given to Chamberlin in a smooth, broom clean condition, free of contaminants, fonn oils, release agenls, voids, fins , and projection,
Chamberlin is not responsible for recognizing, locating, or removing asbestos, PCB's, or other hazardous materials .
Chamberlin is liceruied, certified or approved to install the systems dcscnbcd above
Unforeseen conditions or circumstances are not assumed nor anticipated in the scope of work proposed above and will be brought to your attcntio 1:
immediately upon discovery by Chamberlin personnel for a prompt resolution
Chamberlin's standard warranty excludes: failures caused by failure of the substrate, moisture vapor transmission or hydrostatic pressure, abuse, .
conditions U1at exceed the limitations of the materials, sufficiency of the design; removal and replacement of overburden materials ; incidental an-~
consequential damages
All colors arc to be selected from the manufacturer's standard colors
Pricing is contingent on mutually agreeable contract terms, conditions, and proper coordination of the work
Time and motcrial work will be completed at S48 .00/ mnn-bour with 20% mark-up on materials
Samples of products or systems presented for review are in tended only to provide a general representation and not necessarily an exa ct replica of the
products or systems to be furnished or installed
Please be advised that the products and methods outlined io this proposal are based on our visual survey, plans, specifications, or our practic:,l
experience in resolving similar problems for our customers; we are nol design professionals, architects, or registered engineers, and are no,
responsible for determining building code compliance and do not perform design services
For CIP, not withstanding anything to the contrary the CIP deduction. contract reduction, is limited to the amount of insurance premium that ,viii b~
saved by Chamberlin due to the provision of insurance by General Contractor to Owner. Specifically, but not limited to, cxcess-wnbrella coverage, or,
which Chamberlin bas a flat fixed premium where there will be no deduct provide as there is no savings to benefit Chamberlin.
The proposal is not for the sale of goods, but rather a service contract for the installation or application of products, systems or materials. Therefore,
THE IMPLIED WARRANTIES OR MERCHANTIBILITY AND FITNESS FOR A PARTICULAR PURPOSE ARE HEREB::
EXCLUDED.
• Excludes building permit, P & P Bonds, overtime, window cleaning, accelerated schedules, field or laboratory testing, mockups, liqu idated damage~.
temporary facilities or utility hook-ups o r night or weekend work.
• This proposal EXCLUDES any reference thal Chamberlin hlis fully examined and analyzed all sile conditions thal may affect performance and to
affirm no ·conditions exist that may·affect the progrcs5, performance or price of the work. :If physical conditions arc of an unusual nature that difft.:c
materially from those ordinarily found to exist and generally recognized as inh erent in construction activities of that type, Chamberlin wi!'
i=cdiatcly slop working in the area and provide written no tice promptly and before tl1e coodition5 are disturbed, in addition Chamberlin may b,,
entitled to an equitable adjustment in the contract sum, contract time or both.
We appreciate the opportunity to submit our proposal for this project. Chamberlin has been in business over JOO years. We would like to be your "Sini:Je
Source" cootraclor for everything from waterproofing to caulking to traffic coatings to roofing. We are financially sound and professionally capable an d
will perform the work right-the first time . We would like the opportunity to review the scope of this proposal with you soon. Please call if you have an y
questions .
Sincerely,
CHAMBERLIN ROOFING & WATERPROOFING
Joe Ayala
Waterproofing Project Manager
Accepted by (signature): ___________________________________ _
Printed Name & Title: Date. _________ _
-YOUR FAXED SIGNATURE ABOVE WILL BE TREATEDASAFULLYEXECUTED ORIGINAL CONTRACT-
Rogers-O'Brien Construction
1901 Regal Row
Dallas, Texas 75235
Apr il 15, 2011
City of Forth Worth
401 West 13th Street
Fort Worth , TX 76102
Ph : (817)392-7913 Fax : (817)392-8488
ATTN : Jack Durham
RE:Fiber Optic Relocate @ Bldg . A
10022 Will Rogers Memorial Cntr East
Change Request # 2
Dear Jack :
As directed by owner, relocated existing fibe r optic line that was previously installed within the proposed
Building 'A' footprint. Scope of work includes installation of (2) 24"x36"x24" hand hole boxes wi th (1) 4"
conduit routed underground passing below proposed tunnel foundation to Garage B requiring a directional
bore and then extended along the inside of the Garage to the East and brought underground again and
extended to second hand hole box . As-builts of relocated fiber optic will be turned over at conclusion of
project. Cost of work includes all labor, materials and equipment to complete the re -route of the fiber
optic including backhoe and mini-excavator used by Rogers-O'Brien for excavation purposes .
Main 214 .962.3000 Attached please find our pricing for the above referenced revision item .
Fax 214 .962 .3001
3901 s. Lamar Blvd . #200 The total amount to provide this work is : $28,057 .36
Austin, Texas 78704
Main 512.486.3800 Please note the attached exclusions/qualifications .
Fax 512.486 .3701
www.rogers -obri en .com If you have any questions or need further clarification , please contact me at (214)962-3000 .
~~
Trey Carroll
Rogers-O'Brien Construction Co
OWNER AUTHORIZED SIGNATURE
ATTACHMENT
Dallas I Aust in
Change Request 2 Price Breakdown
Job Name:
Description:
Will Rogers Memorial Cntr East
Fiber Optic Relocate @ Bldg. A
Labor
No Description QTY Unit Unit Total
1 R-0 La bor 1,402 .35
2 R-0 Equipment
3 Electrica l Subcontractor
4 Directional Bore
5 Charter Comm. Invoice
****EXCLUSIONS AND QUALIFICATIONS****
See attached backup for labor, material and subcontractor and
supplier detail.
Price excludes all federal, state and local fees .
Price does include sales and / or remodel taxes.
Material
Unit Total
Subtotal :
Overhead
Fee
Written authorization and / or signature on this PC required prior to
performing the above described work.
Total:
Equipment
967 .94
Date: 4/15/2011
Change Request #:2
Subcontract Other Price
$1,402 .35
$967 .94
11,882 .92 $11 ,882 .92
4,871.40 $4,871.40
5,968.44 $5,968 .44
$25,093.05
7.62% $1 912.46
3.89% $1 051 .85
$28,057 .36
February 24, 2011
Jack Durham
City of Fort Worth Tran sportation and Pub li c Wo rks Depart ment
401 West 13th Street
Fort W orth, TX 76102
Dear M r. Durham:
Per our conversation on the evening of Febr ua ry 23 'd, 2011, Roger ~O'Brien Construct ion understands
that we are to provide a means of temporarily rerouting the existing live fiber-optical l i ne cu r rently
running through the footprint of Unit A. Please see below for a narrative of the work to be performed .
{Please see the attached drawing dep icting the temporary route).
1.) A 4'-0" by 4 '-0 " traffic rated signal bo x will be placed as near to the existing curb as possible where the
existing fiber-optical cable enters the Un it A building footprint. This is where the tempo rary
fiber-optical spl ice will be made on the West side of the property.
2.) A 2" PVC conduit will be routed from the North side of the 4'-0" by 4'-0" box, down 15' (below
finish floor of Unit A level 1).
3 .) The PVC conduit w111 be routed North to 1'-10" North of column line U.
4 .) The PVC Conduit will be routed East 8'-0" West of column line #2 .
5 .) The PVC conduit will be routed vertically to an elevat ion equal to the bottom of the existing
precast-t's In Unit B.
6.) The PVC conduit will be routed through the exterior wall of Unit B into the first precast-t chase .
7 .) The PVC conduit will be hung from the South side of the southernmost leg of the precast-t.
8 .) The PVC conduit will be routed East through the pre cast-t chase to column line ES supported by
hangers every 4'-0" O.C..
9.) The PVC conduit will be routed down along the East wall of future room 8102.
10.)The PVC conduit will routed through the East wall of room 8102 at 30" below finish grade on the
adjacent s'de of this wall .
11.)The PVC condu it will be ran East until the conduit ntersects the existing fiber-optical cable on
the East side of Unit B, West of University Drive.
12 .)The PVC conduit will term i nate Into a 4'-0" by 2'-0" traffic signal box to be located at the
intersection of the conduit and existing fiber-optical cable .
Please confirm the above is what was agreed upon between the City of Fort Worth, Will Rogers -
Memorial Center and Rogers-O'Brien Construction .
Thank you,
Steve Munoz
Superi ntendent
Rogers-O 'Brien Construction
JI
a lJ
1ul.t, aonaeated to
:iatin9' j!!ber , end
,route
r
I
I
I L ____
a
a
a
a
a
a
(2) 4• C. ROUTE E)CpOE)
Al.ONG BOTTaJ OF EXISTING WIJJN/AY RX£
* * PARJ<ING
8 GARA:GE
* *
(2) 4' C. ROUTE EXP08ED
TIRX.IGHOUTCBH;
9"ACE OF 1.Bn 1.
PROPOSED lJTIUTY
TRANSFORMER
LOCATION
* * Abe,,,. CJrDWld EXISTING lfTUTY boxaa SWITCH LOCATION
Direation&l bore undarqroUDd
.i.---(2)4.C. ROUTEE)OIOSE[)
ntlOUOHOIJT cat«;
SPACE OF I.BR 1.
PROPOSED
Ml:JL -nl-Pl:JRPOSE
BUILDING
ffi .
**RQd lines represent ab • ground
routQ, bluQ lines rQpr Qs t below
ground route, red boxes r present
pull bOXQs or vaults**
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rQrouta
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Sy•tt• dat• and ti• 4-1~·2011 10:)~ u
fllu U-.d: \\APPS\TSAPPS\ROL IVE.\""STtR.Ja-t
\ V.PPS\ TSAPPI\ROLIV[\CURROIT . .JCT
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\ \APPS \ TSAPPS \ ROL i Vt\~l-.ST£F;. Q t-I
BQUIPMBNT RDTAL LLC
D:BNTON, TX 76207 'I""/ ,1'JQ -!637 WEST UNIV:r:RSITY ~
940--!8-!-s28s Oll() J
Customer: 3799
eceived
MAR -8 2011
Roqers-O'Brien
ROGERS O'BRIEN CONSTRUCTION CO
1901 REGAL ROW
DALLAS, TX 75235
--..,.
Job Site:
ROGERS O'BRIEN CONSTRUCTION CO
PARKING GARAGE
CORNER HARLEY & UNIVERSITY
FORT WORTH, TX 76107
C#: 214-962-3000 J#: 214-962 -3000
Remit To:
1415 WEST S OUTH AVE.
PONCA CITY , OK 74601
580-762-5717
RENTAL RETURN
Invoice#... 620614-0002
Invoice date 3/03/11
Date out .... 2/25/11 7:00 AM
Date in ..... 3/02/11 4:30 PM
Job Loe ..... PARKING GARAGE, FORT
Job No •• : .. ~-OGERS O'BRIEN C
P.O. #..... 74
Ordered By . . TEV
Terms ....... Net 30 Days
Written by .. KEN BOUCHER ---··
EQUIPMENT IS ON -RENT UNTIL YOU CALL IT OFF. PIC K-UPS WILL NOT BE MADE AUTOMP.TICALLYI
Qty
l
l
SALES
Qty
17
Equipment# Min Day Week 4 Week
BACKHOE LARGE W/CAB 4/WHEEL 175.00 175.00 525.00 900.00
4318 Make: TEREX Model: TX870B Ser#: SMFH44EC050GM6706
HR OUTl 2015 .40
BACKHOE BUCKET,
9523
ITEMS:
Item number
FUEL
FUEL DIESEL
Make:
DELIVERY CHARGE
PICKUP CHARGE
HR INl
16"
WOODS/TERE
2027.80
Model:
Unit
EA
TOTAL: 12.40
N/A Ser #: N/A
Price
4.250
Sub-total:
Fuel:
Tax:
Total:
Amotmt
525.00
N/C
72.25
50.00
so.co
625.00
72 .25
43.31
740.56
l.. r lav a reac1 and =c1aratand th• t •ra• a.nd coodi ticm• OD both side• ct thi• •~c-.nt NID cza:ri:rr TIIAT niosa rt.rllTJID ca na OTUA B1X>&
All.E J.GR?:?:D TO J\S o PllJM:ZD ~ lllY SIC!u\.TIJll . Then an no oral. or other ropreaa:ntaioni not i n clude(! har eui. tllll••• Oecli.n.ci, I ·
alao a9roe to th41 ~g• waiver charges . I hA~• r.caivod & C"l'Y of thi• •!,r•emeut .
2. Cuatoau· i• ru1xm11ibl• -ror all TIRJ:ll, Ttrn, 1llfll P:AC>Pn J:LJ:CTJt.IC CUl.11:liT
3. ••nt a l ,.ataa ara !or noriul us e banc1 ca o.n B boor d.&.y, 40 houra par wulc anc1 160 hou r• per 4 ,raek periOd, On povei::ed equipment,
c:parations in exc••• of o,,e thi!t wil l h • a.t Piono ara coraal ranta1. rat•".
4637 WEST UNIVIRSITY
DENTON, TX 76207
940 -484 -s:rna
Customer: 3799
Received
MAR -8 2011
Rogers-O'Brien
ROGERS O'BRIEN CONSTRUCTION CO
1901 REGAL ROW
DALLAS, TX 75235
Job Site:
ROGERS O'BRIEN CONSTRUCTION CO
PARKING GARAGE
CORNER HARLEY & UNIVERSITY
FORT WORTH, TX 76107
C#: 214-962-3000 J: 214-962 -3000
Remit To:
1415 WEST SOUTH AVE.
PONCA CITY , OK 74601
580-76 2-571 7
RENTAL RETURN
Invoice # ...
Invoice date
Date out ... .
Date in .... .
Job Loe .... .
Job No ..... .
P.O. # ..... .
Ordered By ..
Terms ...... .
621272-0001
2/28/11
2/26/11 7:00 AM
2/28/11 10:18 AM
PARKING GARAGE, FORT
l -ROGERS O'BRIEN C
VERBAL STEVE
STEVE MUNOZ / /11, 7 b;
Net 3 o Days ~ l J
Written by .. KEN BOUCHER ·--
EQUIPMENT IS ON -RENT UNTIL YOU CALL IT OFF. PICK -UPS WILL NOT ~E MADE AUTOMATICALLY!
Qty Equipment# Min Day Week 4 Week
1
1
SALES
Qty
4 .5
MINI EXCAVATOR 6000LB-7999LB 100.00 100.00 350.00
4831 Make: YANMAR Model: VI027 -3 Ser#: 31146B
HR Otrrl 2020.50 HR IN1 2029.50 TOTAL: 9.00
MISC ITEM
Mini excavator bucket 18"
ITEMS:
Item number
FUEL
FUEL DIESEL
DELIVERY CHARGE
PICXUP CHARGE
Unit
EA
Price
4.250
950.00
Sub-total:
Fuel:
Tax:
Total:
Amount
100.00
N/C
19.13
50.00
50.00
200.00
19.13
8.25
227.38
1. :r ba.v e raa.c1 a.nc1 un.deratuid the teriu and condl.ticma cc both aid.ee o! thb •!IT9.-t >JID CDTI J'Y T1lU' 'J'ltOSII P~ Cl' 'nllll OTKD lllllS
~ >.aJtJ:J:D TO A9 I r PJl.IllTED A&OVI! ){'! f:tQL\TtDi . Tllera a.re DO ore.l or otbor repr ••-t&i01>a not i n clud-.1 b.ar ein . tlnl.••• d.ecli.zi~. :X
also agr .. to the duiage ... 1 .,...r cla.rgaa. I b&TII rece.i.Yed • copy o ! thi• •111:eeaent.
2 , cu.toa•r ia reaponaU,le t:or all TIUS, J'tl?::L, KfI> PJlOPJ:11. ~~C COilUJIT
3, RA<>t•l 1.at•• e r a tor n.o.t1Nl u•• bu.O on an 8 hoUr day, 40 houra per '('eU an(l. 160 hour• per 4. weak period. Cle. p<NWrad •quipaeot,
operation• in exc••• of ooe ahi!c wi ll be at Pioctaar• llC'ClDol.l rontal rat••·
City of Fort Worth
Will RogerS1 Equestrian Multi-Purpose Facility
Sub Contractor's Summary
scope of Work DHcr1ptlon:
Trade : Dirtwork
Sub's Name: Wadde ll Excavating , Inc .
Project: WIii Rogers Multi-Purpose Facility
Data: Apil 14, 2011
Labor.&.Equlpment to Install AEE!1£_80.ft. of 4" Fiber optJcConduit ~ Di~ctlona!.!!9re on Overtime .Schedule ... l nciudes .overtime .Excavation .to r.Tie-ln .. Pits ............................................................................................ ..
r ......................................................... ---·····---··--.. -----.................... -... -·--·---·--·---.. --.............................................................................................................................................................................................................................................. ..
ltwn Oelcrtptlon UOM Qty
Scope ofWorx 0Ncr1ptlon
M1t11rtala
Cost Per Unit Total
Units
perMH MHRS
Labor Equipment Total Cost
Rate Total Eq .Type # Hrs. Rate Total
........... Overtime S upervis ion ........... ~ ................................................ , ......... -!---.......... 1 ..... --··-·-· 1-.. -so .oo !Foreman ........ 1 ............... 8 .00 ., ........... 52 .5 0 1 .......... $'420 .00 ! ........................................ , ................ , ..................... , ........... so.00 1 .............. $420 .~-~.
Overtime Operator [ l l ; ! )Operator ; 6.00 l 24.00 ; $1«.oo ; ; ; ; SO.DO ; S144 .00 · ··· · ·~ · ! · ! 1 ! ! · · i t · ; 1 i ·· ·r.... · ···· ·r · · ; ·····
Track Hoe l l ! l ! so .oo l l i i so .oo!Track Hoe ! 6.00 l $9 6.00 ! $576.00 ! $576 .00 · · · · i · · 1 r --, r i i i r r ·1 1 i 1 ·····
Fore man Truck i ! l l l $0 .00 i ! i i $0 .00 !Pick-Up ! 8.00 ! $12.00 ! $96.00 i $96.00 · · · i · i · r 1 r 1 ~ ~ ~ · ·r · · ~ 1 l ~ ··· ·····
Directi onal Bore i ! ! i ! so.oo isubContract ! i i $3,000.00 1 ! i i s o.00 1 S3 ,000 .00
: , : , : $0.00, , : : $0 .00, : : : $0 .00 , SO.DO
j j j 1 1 so .oo ! l j 1 so.oa f 1 1 \ sooo1 so:~·~
I I I I I I I I I I I I I I
I I I I I I I I I I I I I I
Subtotals --------------·-------i--------------------·-.-i------..!---.-------·---i------L-------so.oo~------------t ------------~------------l----$3 .~.oo-!--------------------+---1~:.9.4-----------~---~~?_2.:90t-----~~.!23 6.:~9
I 1 I I I I I I I I I I I I
I I I I I I I I I I I I I I
I I I I I I I I I I I I I I
I I I I I I I I I I I 1 I I · 1 · · T : · 1 · r r r ·r r----...... .. ...... -r T : r--" ........ 7: -
I : : : : : I : : ......... x .. ,: : : l ... /~,: --------------------------------'"4-----------...-----•--------~-----.. ·--------·--------+------------l----------.+-------------.....r---------~--------------------........ --------'-----------~---------~--------------I I I I I I I I I I I I
I I I I I I I I I 1 I I
-------------------------------: ___________________ : ____ : ------: ________ : : _ __:------------I ----------l -----------l~t_:~~~~~~~~~~£'!.?Jil ~_9_v_1:,r_he~~--------: ---~-~9-~"& l -------~~~~~~9
Total CO No. S0.00 $3 ,5 6,4 .00 22.0 $672 .15 $4,871.40
Page _1_ of _1_
04/18/2011 11 :03 Waddell Excavating
~"~~J~;). : .-: .. :.'·r:?I~t%;.\: ·
·-Sm.:rthwest Horizon't~k. : .. ::., . J~t¥~ces, Inc.
4 ~20 Freeman Dri~f t·''.}/(;]i)]{f l(\
Port Worth, Te~ :.Y€~1PFf?'l\f{/.·
.. '. .',. })rt#i~!ittii!'.t:,Jtls> · ..
·• ;:~11;i~~;r::;i;;·tt::·•···: ·
, Kenrte<lH;:icru·:·7.6 110 · ·: · ·. · · : ·. :·: .-:.-: , ·. · . · . '•. ::f~/.i:X)/\\:' . .' -' ... ; ';':: . .
I ' '•, o . . .' ' .
' • • I • '. • .' • ... .° •. ~ ,', 1'1 •' '
(F AX)8175358783 P.001/001
: ··,· ...
Invoice
Dete Invoice#
2/26/.201 l .5 03 1
Job l:J:)~tlon, ·.:Job ·#i ?[cje.ct Name
Will Rov= Mu!!C'llm
Unnlvcrsity & Harlo;y
·Fore Worth
T.erma Duo Gate Dlecoun1 Oate . '+-~~~~~~+-~~~~-+~~~~~~--,....j
1%. 15' NltT 30 3Jl81.201l 2/2:6/'lOll
...... ;,,.1......., •••• 11 ----· ••• t,, '"' ___ ,,, .... ,.,,,,11 ....... •-, .. ,,,, au.,,_•-• I f., .. -,,.-u,, •,,_, ,., ... _
Dl•count Amount
.. ·-.::·:· .. • .. :'i,', •··•• ~ ...
'SP ·. ·. f fll'lmY srcmis
Quantity Daacrlption R&te Completed Amount
l 80' borc ·l.n-dirt for 4'q pvc for. t.efephone 3,Q00.00 3.000.00
, ... -.. ···-'"'" ... _ ..... ' .. ,._.., ······--·-~·--·-·•-1 •. -·
Wob811o Subtotal S.'3,000.00
817"572-4623 dJtl,pa@swhor!zontaldrillin1.com www.,whori~dtillui,.oom Sales Tax (8.26%} so .oo
Thank Youfor the opportunity to serve you. Total S'l ,000.00
PRG Project Resources Group
TIU! Al91't R e..\,OlltCl!:1 •c rrioe k 1Qr,t Tim-:
INVOICE
Q charter
' , '. I .,
Charter Communications
Remit to: Project Resources Group
Attn . Damage Claims
13111 E. Briarwood Avenue, Suite 300
Englewood, CO 80112
Responsible for Damages :
Rogers-O 'Brien Construction
1901 Regal Row
Dallas, TX 75235
Labor and Materials Costs :
Internal Labor Costs
Technicianrrruck
Supervisorrrruck
Sub-Total
Contract Labor Costs
Fiber Splicer
Underground Crew
Sub-Total
Construction
Small Cables (per splice) -Less than 72 splice
Fiber Enclosure Maintenance
Sub-Total
Matertal Costs
Single Sheath, 24 Cnt, Armored
Spl ice Enclosure -Medium
Fiber Splice Sleeve
Sub-Total
Freight
Tax
Sub-total
Invoice# CH -7722
Date : April 8, 2011
Terms: Net 15 Days
Date & Address Where Damage Occurred:
2/23/2011 Harley Ave. & University Dr .
Fort Worth, TX 76107
Units Unit Rate Amount
4 .00 $75 .00 $300.00
4.00 $75 .00 $300 .00
$600 .00
7.00 $75.00 $525 .00
5 .00 $215.00 $1,075.00
$1,600 .00
72 .00 $30.00 $2,160.00
4.00 $200.00 $800 .00
$2,960 .00
1,500.00 S0.25 $375 .00
2 .00 $206.44 $416 .88
72.00 $0.23 $16 .56
$808 .44
1.00 $160.42 < $160.42/>
1.00 $62 .16 $62 .16 ........
$222 .58
Invoice Total $6,191 .02
<.. 2-22..51>)
,~96~.l/'I
Please Make Check Payable to: Project Resources Group
Basecom Inc Request For Change
5209 Vesta Farley Rd
Fort Worth , TX 7611 9
Status : Pend ing
Rogers-O 'Brien
1901 Regal Row
Dallas, TX 752 35
Attn:
Owner Doc No:
Re-route of fiber conduit from within Bldg line A to Bldg B.
Labor & labor burden
Material
Equipment
Outside subcontract services
Materfal credit (Summit invo ice # 9002357(:)91) after 30% restock fee and return freight
Mark-up (15%)
Date : 03/25/11
Respond By Date: 04/01 /11
Internal RFC No: 1
Internal J ob No : 11 -001
Customer Job No: 10022
I/I/ill Rog ers Mu lti Purp ose Cntr
1901 Regal Row
Dallas , TX 75235
... Summit invoice# 9002357091 Is for a thru wall entry seal and was not used, as conduit was bored under sub-surface of bullding
8.
Total RFC:
Approved Change Order No:
Accepted Date: Accepted By:
Please sign and rnturn a copy as soon as posslble
0 .00
4,653.40
5,367 .30
460 .27
250.00
-398 .00
1,549.95
0 .00
04/1412011 01:43:2! PM
Cost Code
1'120
1129
DNcrfptlon Source
TEMPORARY SERVICES· UOBSITE
MISC OTHER JOBSITE SERtriCE P/R
P/R
P/R
P/R
P/R
P/R
PIR
P/R
P/R
P/R
P/R
P/R
P/R
P/R
P/R
P/R
P/R
P/R
P/R
P/R
P/R
A/P
A/P
NP
A/P
A/P
NP
A/P
A/P
A/P
A/P
A/P
Basecom Inc
Job History Detail Report
11-001 -WIii Rogers Mull! Purpose Cntr
To
Date Class Category Dollars Hours/Units Comment
03/04/11 LAB 5606 PRO
03/04/11 LAB
03/04111 LAB
03/04/11 LAB
03/04/11 LAB
03/04/11 LAB
03/04/11 LAB
03/04/11 LAB
03/04/11 LAB
03/04/11 LAB
03/04/11 LAB
03/04/11 LAB
03/04/11 LAB
03/04/11 LAB
03/04/11 LAB
03/11/11 LAB
03/11/11 LAB
03/11/11 LAB
03/18/11 LAB
03/18/11 LAB
03/18/11 LAB
02/25/11 MAT
02125/11 MAT
02/25/11 MAT
02/25/11 MAT
02/25/11 MAT
02/25/11 MAT
02/25/11 MAT
02/26/11 MAT
02/26/11 MAT
02/28/11 MAT
03/01/11 MAT
5606 SAL
9014 OT
9014 REG
5190K OT
5190K OT
5190K REG
5190K REG
5190W FRING
5190W OT
5190W REG
51902 OT
51902 REG
51902 SAL
51902 SAL
5190K REG
51902 SAL
51902 SAL
5190K REG
51902 RETRO
51902 ROT
-0.02
923.09
241 .50
28 .00
229.80
379.17
76.60
122 .56
183.84
114.90
300.00
100.00
352.10
588 .98
30 .64
48 .08
73.60
76.60
8.85
26.55
48.78
71 .39
106.96
306.28
340.00
378.31
1,847 .27
33.65
139.38
460.27
31 .95
HIL0020 Hill , Troy
24 .000 HIL0020 Hill , Troy
11.500 MAD5918 Madrigal , Salomon
2 .000 MAD5918 Madrigal , Salomon
10.000 LOP6895 Lopez , Pablo
16.500 THU9794 Thurlow , David
5.000 LOP6895 Lopez , Pablo
8 .000 THU9794 Thurlow , David
OAX8701 Oaxaca, Ruben 0
8 .000 OAX8701 Oaxaca , Ruben O
7.500 OAX8701 Oaxaca , Ruben O
10.000 FLE6106 Fletcher, Curtis
5.000 FLE6106 Fletcher, Curtis
15.500 D0M9213 Dominguez , Danie l
24.500 TOS9255 Tosh, Mark
2 .000 THU9794 Thurlow, David
2 .000 TOS9255 Tosh, Mark
3.000 D0M9213 Dominguez, Daniel
5 .000 THU9794 Thurlow , David
5.000 FLE6106 Fletcher, Curtis
10.000 FLE6106 Fletcher, Curtis
SUMOOOO SUMMIT ELECTRIC SUP
FASOOOO FASTENAL
SUMOOOO SUMMIT ELECTRIC SUP
SUMOOOO SUMMrT ELECTRIC SUP
CRAOOOO CRA\AIFORD ELECTRIC 1
SUMOOOO SUMMrT ELECTRIC SUP
SUMOOOO SUMMrT ELECTRIC SUP
CREOOOO Credit Card Charges
SUMOOOO SUMMIT ELECTRIC SUP
UNIOOOO UNITED RENTALS INC
GRAOOOO Grainger
Page 1 of 2
Quantity ~ .2)'£!..
04/14/2011 01:43:28 PM Basecom Inc
Job History Detail Report
11-001 -WIii Rogers Multi Purpose Cntr
To
Page 2 of 2
CostCode _o..~c_rl~p_U_on~~~~-----,~~ Source ~ Class Catagory Dollars Hours/Units Comment Quantity ~ Type
NP 03/04/11 MAT 677.63 SUMOOOO SUMMIT ELECTRIC SUP
NP 03/08/11 MAT 1,385.70 SUMOOOO SUMMIT ELECTRIC SUP
P/R 03/04/11 BUR
P/R 03104111 BUR
P/R 03/04/11 BUR
P/R 03104/11 BUR
P/R 03 /04/11 BUR
P/R 03/04/11 BUR
P/R 03/04/11 BUR
P/R 03/04/11 BUR
P/R 03/11/11 BUR
P/R 03/11111 BUR
P/R 03/11/11 BUR
P/R 03/18/11 BUR
P/R 03/18/11 BUR
A/P 02128/11 GEN
Cost Code 1129 Total: LAB
MAT
BUR
GEN
Cost Code Group 1120 Total: LAB
MAT
BUR
GEN
Job 11-001 Total: LAB
MAT
BUR
GEN
Totals:
Totals :
Totals:
54.45
64.11
BO .OB
61 .53
73 .83
117 .71
113.99
123 .68
8.20
8.54
14 .24
20 .29
7.91
250 .00
3,904 .84
5,827 .57
748 .56
250 .00
10,730.97
3,904.84
5,827.57
748 .56
250 .00
10,730.97
3,904.84
5,827 .57
748 .56
250 .00
10 ,730.97
13 .500 MAD5918 Madrigal , Salomon
15.000 FLE6106 Fletcher, Curtis
15.000 LOP6895 Lopez , Pablo
15.500 OAX8701 Oaxaca , Ruben O
15 .500 DOM9213 Dominguez, Daniel
24 .000 HIL0020 Hill , Troy
24 .500 THU9794 Thurlow, David
24 .500 TOS9255 Tos h, Mark
2.000 THU97 94 Thurlow , David
2.000 TOS9255 Tosh , Mark
3.000 DOM9213 Dominguez, Dan i el
5.000 T HU9794 Thurlow , Davi d
15.000 FLEB106 Fletche r, Curtis
MET000 1 METRO CUTIING & SEAi
174.500
174.500
174.500
174.500
174.500
174.500
Origin.al Invoice
s
a
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T
0
BASECOM INC.
5209 Vesta Farl ey
FORT WORTH TX 76119-6529
0 100
0 so
l'fNW38-i14
OOTTif l'llffl:IS114 3/! X l.·J/J. F!IClEI\ WSMR ZN PLTO
HB3at
DOTT1E MBJ813/8 X l. HEX HO TAP BOLT ZlNC PLATED STE'El
DA.18
DOTTIE DAJ! 3/8·16lN DROP•IN ANCHR ( ST!:EL) Z.N PLTD
... .,.._• .... by 03/31/2011
Scr-,let CM-.. HM•Md at• ~ta Of ,IHt,0, ~., ,., ..., .o,.... ,..,.. .,..,o..,nb ,
11,:,.ISUMIVIIT.
jil E L E CTRI C SUPPLY
12.00 C 12.00
59.68 C 29 .84
TOTAL 4 11,711
T ocaUII r Nat lnUdc Add lool I
• Shfpplng I • H1ndllnQ CNroe&
Page: 1 of i
Fastenal Company
P.O Box 1286
P acking Slip
Gust . No . TXFr I I I OQ
Gust. P . 0. 9009S
Job No.
S old To
HASECOM I NC.(E)
5209 VEST VARLEY RD
FORT WORTI I. TX 76119-6479
817-589 -0050: 81 7-483 -2609(fax)
WINONA , MN 55987-1286
The store serving you is
5057 Ml.K Fnxwa~
FORT WORTH . TX 76 11 9
Pb ooc: ~: (8 I 7)446-n9 I
Fax#: (8 17)4 46 -7892 Ship To
Date Reference
No .
2/25/1 I TXFr I 79032
DUE DATE: OJ i:!7/2011
Pi c ked up at Fas tenal Store.
Page
This Order and Document are subject to the "Terms of Purchase" posted on www.fastenal.com.
Une Quantity_ Quantjty_ Quantnv C<:Jntrol Price I No. Orrferea Shippee Backorder Description No. Part No. 11,,Nlntl Amo.uni
:?
3
J
~
Received By
Comments
t·enlld T111')" llill
50
50
50
50 O DR l'-1 3&
50 0 11CSJ/8-16XI 25
50 0 3/ x l .25Zf'cndWL~h
l 0 l/2 ''x6"0 Al.S0SHlft
0 SCT TOOLS 1/2
• fQII re-pacbge or re-sel t1liS product ,a, are n,quinld lo meintsn
irUQl'#y ol Counlly DI Orvin to h ~of this producl.
Re8$0l1Bble CO(le(;tion JJnda:.YS fees wf// be asse~~ to all aocounts bl ~f1on NiJ mer.ila1s ecceptedfor1'9tum·, ourperrmss,on .
X lndicelH part is s hezardous malerial
• [f!dicates part was sold st a promotional CJf special disoount p ricl
l"/Jfl.H • '13
rur\S?1 50-lOJ 62 .7700
180032013 110120.344 25.9600
1800372./5 1133119 12 .0500
220001826 02390.25 342 .0000
r msct ~0-114 757 .0000
Tax Examption ~I
No~ption h~ng & Handling
TX state Tax
County Tax
City Tax
ffiTAL USD
An In vo ice wdl be 1111Ji/ed in sppro,clmately ftve days.
All discrepsnctes must be reported wilhin 10 dPJys
Thank You I
31J9E
l2.9Sl:
6 .03F.
8.42 E
7.57 C
60.l~
S.00
0..00
0.00
0.00
71.39
Original Invoice fflsUMIVltT· iii ELECTRIC SUPPLY
· . · . . · tUvJw .summit.r:am
s r
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0
• 11
Will Rogers Multl Pu
()~'t(
MARK TOSH
BASECOM INC.
5209 Vesta Farley
FORT WORTH TX 76119 -6529
InquJrr..,., crcdlbervlcu01ummlt.com
Tclcpt-,e: 800,124,4400 Fu: 1154.7Sll.5-4SIS
1'7ai~-:uiiwiii~~~~~~g;'.ii;,;iii~~:;:::;;;;~~~~~~~-
PVC 4·llt0! PVC 90 EL80W 36 UiOI RA0ru5, SOiEJ:)jA,E 40
D Contract Documents
106.96
ra,-at .. -i.r uns1z111
TOTAL 1~PI
P!!SIC 1 of 1
Original Invoice s 0 L D T 0 BASEC<JM INC. 5209 Vesta Farley FORT WORTH TX 76119-6529 ~ l~I SUMIVltT· !Ill ELECTRIC SUPPLY m,rn,w.summit.r:om Suf'mit Electric Supply PO x 848345 DA TX 7528+8345 FWOl I}>quh1u: Crtdltsenrlcue1ummlt.com ~ • 1 Telc~ne: 800.&.24.4400 ~all: 8C,6.7'l.G495 I ..... ~ .... r ...... ___ 'ii ---··-..-__ ........ -.. -----------s .;;;:s: ·--~ ....... -... :;a ..... -;. 0 0 4 HOffMAli A504X20:6 SO!EW COVER J-l!OX, 24lt24X6 J,!CH, NEMAJ 21 A24R.246 HOFfKAN A24!U46 HE+IA:JR ENCLOSURE, 24X 24X6 INCH, 50\fW COVER 10 I PVC 4 INCH PVC CONDUIT COUPUN5 PVC 4 INCH PVC CONDUIT COUPLING 0 I PVC 4•INCtj PVC ~O ELBOW 36 INCH RAO PVC 4·JNCH PVC 90 EUIOW 36 INCH RADIUS, SCHEDULE 40 {~: , ~r-=-t r D Contract Documents Olnsurance D Release of Lien ~ o CerJj~ed Payroll ~ [fil~ITlill1_lY n..\, ~roved By ·J\ \r-DC-l "'ob Number C!.'~ tl 1...~ ~'2. "7--... ,_ ~ -by 93/11/291 l I 5--.lca !NolJI• ..-. -..i OI • noto of MS'llo 110.491 E 220.98 205.201 C 10.52 306.28 305,U TOC.1 l!laY Not !('Olde ~lttor>a! S~fp,11\nQ and Hlr,d~ng CM,vH P11C1e 1 of 1
{Cii5CD]
Cnwfor dEicctric Supply
SOLp TO :
BASECOM , INC .
CRAWFORD ELECTRIC SUPPLY
104« N STEMMONS FREEWAY
DALLAS TX 7~120
972-869-3633 Fax 972-869-0533
• I •\ :; ·! . RC, .. '
IU ,\ i i ti. ,n .. L U
5209 VESTA !='ARLEY
FORTWORTH TX 76119
78456410669 CftS 189
4"" (EMT ONLY) COMP CPLG
D Contract Documents
Locati ons: t o ~erve you:
Alice, TX
AusU n, TX
Bryan/College Station, TX
Co nroe, TX
Co ppell , TX
Corpu,:, Chri~li, TX
Dallas, TX
Fort Wo rth, TX
,Ho us ton , TX
'l'[ew Braunfel!, TX
iNew Orle~;1s, LA
!Sa n Antonio, TX
CRAW FORD ELEC'f RIO SUPPLY
P.O . BOX 847160
DALLAS TX 75284-71 60
SHIPPED TO: 6606
BASECOM , )NC .
WILL ROGERS
1601 W.R. WATIS DR
FORTWORTH TX 76119
'Please make nole or our new remit to address a, follows:
~~m.ori:IEl§tric S11pply Co
P-O'Bo 'M7UQ_
D~as TX 75284-7160
Pleasr begin 1e11di11f all payments to thls new address. Thank you.
Original Invoice
s
0
L
D
T
0
0
0
0
0
0
Q
0
0
BASECOM INC.
5209 Vesta Farley
FORT WORTH TX 76119 -6529
MA~ ,1 ~ REC'D
TRACKING NUHOEB; QA.RT COURIERS CQ# 337l3Z3
l'fux dcllttr tod•Y our truck or Dart
•ttn Hnk Tosh Bl7-S:2J-S994
15Q 4-IN-f'VC-SCHED-40 CONDl1IT
PVC 4 IN01 SCH!:OULE 40 CONOUtT
6 TC1110A
STEEL CY TC1110A 4•IN COMP EMT CONN
2 PVC 4•1NCH PVC: 90 ELIIOW ll!i INCH RAD
PVC 4·1NCH PVC 90 ELIIOW 36 INCH RADIUS, SCHEDULE 10
1 PVC 4-tNCH PVC FEMALE ADAPTER
PVC 4·Il10f PVC FE~LE 1'1:lAPTER
10 aSUH-120 t.t.V
II Ultf 1!5'.SN-l'G l•S/8 X 13/16 STRUT SLOTTED HOLES, PRE-c:>.LVNllZED
1 PVC 4-llfCH PVC HAU/RRHINAL
PYC ,C·JljOf PVC l(AI.E/TERMIHAL ADA~
1 6P LN11D
sn.-crt PLHUO 4-IW TliJH LOO:OUT
1 ShlpPfno / Handling ~
..._. lo -by U/31{ll 11
kn-k., "'-I• .,.. ....,....: at• nta. •' .04Q"'
per lllr on all put 11m an,cwnb .
fflsuMIVIIT
~ELECTRIC SUPPLY
FWO!
120.4 7 C 180.71
1,125.67 C 67.S4
26.74 E 53.'IB
223 .DO C 2.23
93 .20 C 9.32
260.00 C 2.60
144 .DO C 1.44
60.99 E 60.9SI
TOTAL 37».31
Pege 1 or 1
Original Invoice ffisUMIVIIT. iii ELECTRIC SUPPl.Y
. · -· : . _ ,vvJw .summit,r:om . .
s
0
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10-098
o~~
M ARK TOSH
BASECOM INC.
5209 Vesta Farley
FORT WORTH TX 75119-6529
~n,5TO
BASECOM INC.
Will Rogers Memorial Center
1601 W R Watt Dr.
FORT WORTH TX 76107
Summit Bectrfc Supply
PO Box 848345
DAUAS TX 75284--8345
~~
0
0
0
0
0
0
0
PhNH 0./Tvrr First Thlr,g
•ttn Hark aJ7-flU-20tSP
100 4 -lH-PVC-SCHED-40 CONDUIT
PVC: 4 rNCH 5CHEOULE •o CONOUrr
100 2-lN-PVC-SCHfD-40 CONDUIT
PVC: 2 INCH 5CHEOULE 40 CONOUCT
1 IPS # 12081,RECT .559S.5
4
2.5Q
.14
:50
PVC QUART Cl.EAR CEMENT• HSOS AVA.IL. •
PVC 1-lNCH P"iC ;o l)~C.RU t ... ow
PVC 2-lNCH PVC 90 DEGREE ELBOW SCHEDUI.E 40
CONDUrT 4 INCH EMT
CONDUIT 4 JNOi EMT
TK111DA
STUL<:Y TlC1UOA fHT COU'UNG, 4 1'10! COMPll!SSIOII mf, STEcL
ll017PA2N
II UJjE 112017PA·ZH 4 JN PLTO CONO CHI' ZllfC JV. TEO
D Con ract Documents
l'al'!'IIJll lsCIN lly IU/SlflOll
• .,.kw~ ............ •\.,.~., .o.c, .....
, .. d•r"" •II put -"'"....,es.
43.44 C
7•0.00 C
1 .55 E
562.78 C
1,3~3.43 C
143.l!S C
TAX
FWOI
120.46 y
43.44 y
7 .40 y
6.20 y
1,.06.95 Y
190.88 Y
71.94 Y
More saving.
More doing t'
1151 BRIDGEWO((J DRIVE
FT . WORTH, TX 76112 (817)496 -3212
6534 00005 77478 02/26 /11 11 :24 AM CASHIER SUSAN -sa<.854
032094550550 61fBGLRf?PICK <A> 31 .97
MAX R£Fl.W VALl£ $31.09 --------------PRO REWARDS------~------31.97 Platlnura -0.88
HUST RETrnN ALL ITE~ FOR A FLlL REFUt-ll
SLtiTOTAL SN.ES TAX
TOTAL
31.Cl9
XXXXXXXXXXX3125 Af£X AUTH CODE 543068/8052597
P.0 .#/JOB NAME: 11-001
~ /~33:ss )
TA /
PRO REWARJS SAVI~ $0 .88
ClJSTCffR RECOGNITIOO NO . ###-l#IHXJ50
!eBERSHIP LEVa: Platfnun
Pro Rewards Savtr,g~ 2011 I 35.52
Total QUaltfylng spehd 2011 1256.85
Addi spend for ne>rt level 23743.15
The 1st pl.l'chase dally I..IXlates total f
Add' 1 pu-chases 111 ""l y :civem I ~t fpr: ~Ions eba.lt Pro~. pleei5e t:iell 1-866 -333-3561 Hable Espanol
Original Invoice
s
0
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T
0
BASECOM INC.
5209 Vesta Farley
FORT WORTH TX 76119-6529
0
0
-
2 l'Ill!RnK WP2!100-400 PULL TAP!
flBERT"EK WP2500-400 PULL T-'PE PONY REEL, POLYESTER , 2500 LBS TENSILE,
40 0 FOOT REEL
l 31•340
?DEAL tN 31-340 PULL LINE, 6500 FEET, 210 POUNDS TENSILE STRENGTH, IN
A BUCKETW/PREPUNOiEO LID
1 31·325
IDEAL tN 31·325 FOAM CARRIER, FOR 4 INCH CONDUIT
I i i SUMMIT' iii ELECTRIC SUPPLY
Summit Electric Supply
PO Box 848345
DALI.AS TX 75284 ·8345
lnqulriu: crrdl~uvl~O•ummlt.com
Telephone: BOD.lll4.4400 fa,,c : 868.792.6495
42.43 E
35.35 E
19.17 E
SUBTOTAL
TAX
TOTAL
84.86 Y
35.35 Y
19.17 Y
139,'38
150.88
Q)
.w
-rl en
..Q g
!_ !nited Renta:'-·
RC'o -ll l?-RENT5 (ll c : ··-:; J637)
unit~dn=ntal s.com
·vcATIOI,j #9 -i2
t;,1 [TTH FR.££1'1/t. Y
FOR'J • . ..,TH, TX 16 l 0-i
811 ·312 •:••1 1 IL ?·JJ'}-Q;>I .J f"A .Y
WILL ROGERS/ROGERS OBRIEN JOB
N .W . CORNER HARLEY /UNIVERSITY
X :lw...RLEY AVE@UNIVER SI TY DR
FORT WORTH, TX 76107
Office: 817 -5 89-0 050 Cell: 817-657 -7839
2.1~2 I MB 0 .362 I 1007S21..,o.! 1 ol 1 200
, 11 . ji u,, .. ,. Jr " I I II, I If 11'' "'" 111 ,l'Jl•l •lllfl' 1111 I ,1111, I
BASECOH INC
5209 VESTA FARLEY
FORT WORT!:l TX 76119 -6 (79
00242
R1::::'N 1;i:~1 RETURN
INV C1 1::-;r::
# 92237326-001
0.1stc!:le:: Nt!..."lbe::-
!nvoi ce Dat e
Rental out
R=t;e.l In
456 945
2/28/11
2/25/11
2 /2 8/11
W!LL ROGERS
'HILL ROGE RS
U-0 01'!'1'1
T!<O Y
Oij9~2 CG
7087
1: 30 !?t-4
7:00 ,P-.,'JJ
PROJECT
PROJE CT
PAYMEl'IT OPTIOHS : Chock(Jokl) • 0-.C~ax) • Credi Card(Prooe)
EILUfG INOUlnlES : Ph-' 261 -340-4800 FxJI 28 1-240-3905
REflfT TO: lJNITED RENTALS NOR11-1WEST , li'IC .
FlLE51122
lOS ANGaes. CA ll0074-1122
_ _ _ _ _ _ _ _ _ _ _ ___ • _ • ___________ Pb."ue d elilcturcl re tum !QI) porb\ WIit! ~_ymrt • __ _
R.EIITAL TTEKS:
---51!::Y Equipment Deacr.:i ptioo ~~M~i.ni~·~11nm1-'='-~~~--=..oa:="-y~~~~W~e~e~k'---~-•'--'w~ee.k'-='~ ~~~~.Alnoo~====·n~t'--1
l l-082502 *TllDicm:R 32-50 BP 245 .00 24!5 .OD 725.00 1:19!5. 00
!Wk a , A.STEC Mod•l : QT,~O
Serial: RT460X82157 Mete r out: C66.,o Meter i n : 4 7 0 .3 0
Purcha1 e Option Quote: $ 46 ,488 .59
Jl.ant o.l Sa.btoto..l:
SA.LES/KISCELLANEOCS ITEMS:
~ ~~=tam~------------'--'-'---"'-.:.;._-=----------=-Pr=-=-ic::ce.=----Unit: of ~aasure
(!:A) :SAC!i 1 El!VIR.ONME!ITAL CHA.RGI!
3.5 i;,.s
1 bELIVERX C!URCE
1 ~ICICUP OlARGE
COMHIDITS /)l'OTBS ,
lx,lfTIICT: TROY ~ELLM: ,co -l,J·S7Jl
Pll!CllG IQr .Xl8 ACROSS FROH NEW
&OTAMlCAL R..ESEAACtl CDl'n:R
[ENV/MCl]
f~ UJ~C. ··:··1 ftJJci11
l\1A~ ~ • kECLI
BY:
'1'0 jCDDl7I,X BQt7IPMEIIT J'OR. PICXIJP, CALL 800-lm-:IUDITS (800 -871 -HB7 l
fflif AU :1.VIJLULII 24/7 TO SlJPPLT '!Ob lr.tTII A CCIJOD!X:1.'rION f
Ill ORDER '1'0 CLOSE T1US OOIITRACr
D Contract Documents
Olnsurance
D Release of Lien
D Certified P.ayroll
1 .170
15.SOO
79.0 0 0
79.000
t,~d2!~::__Approved By
Job Number
[ [-lb\
(!:A) KACH
(EAJ EACH
(EAJ EACH
Sa.lea/Ilia c Subtoto..l,
Agreement subtotal
Fuel
TAX
:roto.l
2 4 S.OO
245.00
1 .17
:12.75
79 .o o
79.00
181.92
404.1"7
22.7s
33.35
460 .:17
Pa.ge: J.
GRAINGER ~
/Jill
30u ,;. VICKERY BLVD
FORT WORTH, TX 76104-1201
www .graing cr.com
SHIP TO
BASECOM INC
5209 VESTA FARLEY RD
FORT WORTI-l, TX 7611 9-6479
BILL TO
MDG2010 00004507 1 AT 0357
PAGE 1 OF 1
111 'I ·1 ill 1lf I'· jl' 'I'' 1 • j 11, ·III• .. , .. I• II 'I' I' •d ljl' '111'" ·I'
BASECOM INC
5-209 VESTA FARLEY RD
FORT WORTH, TX 7 5119 -6479
1N968 UNDERGROUND TAPE
MANUFACTURER I 16624
004507
D Contract Documents
NUMBER OF PI<GS : 0 WEIG!fT : 3 95
DATE SHIPPED: bwJ/2011
GRAINGER ACCOUNT 1~..:1•;~"R
INVOICE NUMBER
IN VOICE DATE
DUE DATE
AMOUNT DUE
PO NUMBER : 11-001
CALLE R: MARK TOSH
CUSTOMER PHONE : (817) 589-00 50
ORDE R/DELlVERYf : 6156787531
!NCO TERM S : FOB ORIGIN
870755410
9474792141
03/01/2011
03/31/2011
34.59
RECEIVED i
MAR 2 1 REC'D
THANK YOU! BY:
f EI NUMBER 3>-1150280
FOR ANY QUESi10NS ABOUT THIS INVOl(l; OR ACCOUITT CALL 817-M0-9501
1 31.95 31.95
These Items are sold for cbmes6c consu~tion rn !he United Slllles Jr expof1ed. purchaser a,sumes f.JU
~ilily forc"!'f,li&1ice with us uporl~lrols I PAYMENT TERMS NET acJDAYS . PAY THIS INVOICE l'OSTATEMENT SENT . PAYAfll.E IN us DCUARS AMOUNT DUE 34 .59
•••••••••·•-••-••..,••••• .. •·--·-~••••-••-•OOoo .. ou,o•-·--••••••••••••••u•t•••·-• .. •••11o ••••••••noooo oo•• ..... o•••••••-... .-••-•••••·-••·•~•• •UO•••-•••H••••••••-..-o-,,o-o ... o.-.oo-•••--•••••••••••••••••••••~oo• ••••••••
... PLEASE DETACH THIS PORTION AND RETURN w:µu YOUR PAYMe..til. .A.
BILL TO;
BASECOMlNC
5209 VESTA f t'\RLE'( RD
FORT WORTH, TX 76119-647~
REMIT TO:
GRAINGER
DEPT. 870755410
P,O. B0X~267
KANSAS , MO 64141-6267
I
D264 1DDDDODD lDDDDDD11033144 . . 87D755Y109Y747921411DDDD0345910
ACCOUNT NUMBER.
870755410
DATE
03/01/2011
IGE NUMBER
4 7921 41
AM PUNT .DUI;
; 31,59
FOR cml MENTS OR CHANGE OF ADDRE SS, ENTER lNFORf,\ATION N RE;VERSE SrDE:. . ..
s
0
L
D
BASECOM INC.
5209 Vesta Farley
FORT WORTH TX 76119-6529
--
BY:
fC'D Summit Electric Supply
PO Box 848345
DAUAS TX 7528'1·8345
Inquiries: c,..dftnntlcc•O•wnmlt.com
Telephona1 800.824..C.COO Fu: 86&.7!12.154!15
tlZ•G FS!C-40 ... 50 Tl1Rl/WALL ENTR SEAL
0 1 Shipping /lfa Ing F<!le t1e.xt d:ay •Ir
..... O-C-on_t_ra_ct_D_o_cu-:m-e-::--n7t~--, ~ \,r/
D Insurance
~(LJ\-D Release of Lien t
O pert1fi~ Payroll
.... _:..-nr::.rarrant v
/C~ic...~r-Aoproved By
p;· t> r;:;-,tt;;--f'-t--=~~"'""
For Delivery Confirmation,
contact credil@summit,com
Job Number
P,,.._t It -br M /30/lDU
s.r.tc:. ..,_'" _..., .. -., .D-1-... •r en .. ,wt.~ .,.....,ta,.
TOTAL
87.63
677,63
Page 1 of 1
•
Original Invoice fflsuMMIT3
iii ELECTRIC SUPPLY
s
0
L
D
T
0
P.
BASECOM INC.
5209 Vesta Farley
FORT WORTH TX 76119 -6529
Full F r eight Allowed
TO
BASECOM INC.
WIii Rogers Multi Purpose
1601 WR Watt Drive
FORT WORTH TX 76107
Summit Electric Supply
PO Box 848345
DALLAS TX 75284-8345
CE
Inqulrfc;5: crcdlt,crvice$O,iummitcom
Tdcprn:ine: soo.824,4400 Fax: S66.7Sl2.6495
0 2 S24Sfa24fA Janctton Sox
ltl!m 2200910
0 2 S24i&HCBOA02 EJ..cb'lc cover
Item 2201010
0 " HEX Bolt 1/2 • 13 x J 1/'l P.-101 SS
lt~m 2700020
For Delivery Confirmation,
contact credit@summit.com
0 Contract Documents
Olnsurance
0 Release of lien
&Payroll
nty
Approved By ff~
JobNumber ~·~~
U--oDl tC H?-q
Paymar,t Is d1M by 0-4/30/2011
s.c..ic:. durtl-.... ...uc<I •t. rKO or ,o,ft'II,
p..-day O!> loll Put due t.mOlll\ts.
Mt\Jn-..d ,.., •• ,. n.lfo<I to"JU\odd"f tlaf'IOf"fl JJlll1'1>'11 \ Ir rWf*td l'of Cffllft ... II f"'-, ,. ....... ol oc111-11loci mo 11111l,,..'f UIO .... !f,,ct lo'Ca,\Q o -rrx ,_r~ fro,olat """"'"or<""°' i.. oon~blo. ~ .,.tt,i,I.,. ,-bl bil.a, »ck W1t l •• ~ ... s -~ ar, u~ 1od •q<N.
E 745 .70
E 611.40
7. E 2e .60
SUBTOTAL 1,385.70
TOTAL 1 ,385,70
Page 1 of 1
•
---~ -----------,
'·C•fftlng
ling
.,. Comm~rcial & Reridential
P . 0 . Box 337
Lewisville, TX. 75067
Phone (972) 434-8722 FAX (214) 222-8502
Basecom, Inc
5209 Vesta Farley
Fort Worth, TX 76119
WORK TICKET
DATE NUMBER QUANTITY DESCRIPTION
02/25/11 256869 1 Core Drilling -Mini.mum
* 5" X l.7"
* 9' Up on Wall.
We appreciate your business!
VISA, M stercard and Discover are accepted.
www.rnetrocutttngandsealln.g .com
Thank You
INVOICE NO :
INVOICE DATE:
099905
02/28/11
PAYMENT TERMS: Net 7
CUSTOMER#: 001704
PURCH ORDER#: TOMMY
JOB#:
ORDERED BY: Tommy
PRICE
250.00
Tax:
.. Total:
TOTAL AMOUNT:
l NVOICE ·
AMOUNT
$250 .00
0 .00
~ 250.00
. ~~50.00
Service Worksheet FRM-160-A /1 BASE(O 'A 1;:C.
Date : ;?-26 -ZOt I Customer Contact:
Work Ticket# -Sir:::v1:::2; M! ~ Zf 4 -12.'{ -o '! CZ 7 ----=___:..:.....:::::.._..xc::-=---=-='--'---'------=----'------1
Location: W ,u_ kZc, .. c--?:$ fJwL+; Vu~~ J;-; L~ontact Phone Number:
Service Required :
-,I'' ~ ~0\.3 I-{. f. b.-6.e-0 1-,. -
time In break time out total hrs time must be noted In military time format
9:~,\ ; '3,::, :.;:'50 . ;., 12:00AM 0.00 12 :00 PM = 12:00
1 :ooA :3t, /0 1:00AM 1:00 1:00 PM 13 .00
.'3,o 7 2:00 AM. 2:00 2:00 PM 14;00
:*' 3:00AM = 3:00 3:00 PM = 15 :00
4:00AM 4:00 4:00 PM : 16 :00
5:00 AM. 5:00 5:00 PM = 17:00
6.00 AM. 6:00 6;00 PM = 18 :00
7:00AM = 7:00 7:00 PM = 19 :00
8.00AM = 8 :00 8:00 PM = 20 :00
9 .00AM 9;00 9:00 PM = 21 :00
II, 10.00 AM = 10 .00 10 :00 PM = 22 :00
11:00 AM = 11:00 11:00 PM = 23 :00
\
Where did you obtain material frorn :
Wes this Mater1al an after hours call :
Mer hours fee: ~-
..
,L.'
Service Worksheet FRM-160-A
Date : ,."! · J -\l .c...=.--=..;...;i~-----------Customer Contact:
W or k Ticket#
Locat ion : LU d \ Rcxr Cs / Ccqrs D a ie;,contact Phone Number:
f
B BASECOM INC.
time in break time must be noted in mllltary tirne format
T,~
Where did you obtain material from :
Was thls Material an after hours ca ll:
After houra fee:
Customer Representa ·ve (print name):
customer Representative Signature:
Basecorn Representative S ig nature:
7 t.\rv,
12:00 AM
1:00 AM
2:00 AM
3·00 AM
4 :00 AM
5:00 AM
6:00AM
7:00 AM
11 :00AM
9:00AM
10:00 AM
.:11:00AM
0:00
= 1:00
= 2:00
3:00
4 :00
5 :00
6:00
7:00
8:00
9 .00
= 10:00
= 11:00
12 .00 PM 12:00
1:00 PM = 13:00
2:00 PM = 14:00
3:00 PM = 15 :00
4 :00 PM 16.00
5:00 PM 17:00
6,00 PM 18:00
7:00 PM = 19:00
8:00 PM = 20 :00
9:00 PM = 21:00
10:00 PM = 22:00
11 :00 PM = 23:00
S ervice Worksheet FRM-160 -A
Date : ~~ -IJ.. 7 " I / ~---~-----------Customer Contact:
Work Ticket# ~l~I -_(X)_~I __________ _
Locat ion : Contact Phone Number:
Service Required:
l M0~a~
Em lo ee Narne: time in break time cul total hrs time must be noted In mllttary time format
/ 12.00AM 0.00 12.00 PM 12 :00
/'). f'M 5 1:00AM = 1:00 1:00 PM = 13:00
/ 2 .00AM 2:00 2:00 PM = 14 :00
Jz_ f'M 4-3 .00AM 3.00 3:00 PM 15:00
4--'4 .00AM = 4 :00 4:00 PM 16.00 ~ J2-PM 5:00AM s·oo 5.00 PM 17 :00
6 :00AM 6:00 6:00 PM = 18 :00
7 :00AM = 7 :00 7:00 PM 19:00
8 :00AM = 8:00 8 :00 PM = 20:00
9 :00AM 9 :00 9:00 PM = 21:00
10:00AM 10 :00 10.00 PM 22:00
11:00 AM : 11 :00 11 :00.P.M " 23:00
S ervice Worksh e et FRM-160-A
Date : 'l-l& ··I I Customer Contact:
Work Ticket# II -DOI
Location : Contact Phone Number:
Servfce Requi red:
e{_ -~ .. -
time In break time out total hrs time must be noted in military time format
ll ~1\ /'" ')__ 12.00 AM 0:00 12.00 PM 12 :00
'Tfl5ri 1:00AM 1 :00 1:00 PM 13 :00
'Tut1e:. 1\/rn\ 2 2:00AM 2:00 2:00 PM 14 :00
14 vf.!.L,.o.,v / '"' 3·00 AM = 3;00 3:00 PM 15 :00
4:00AM C 4 :00 4:00 PM = 1!5;00
5:00 AM = 5:00 5:00 PM = 17:00
6:00 AM = 6:00 6 :00 PM 18.00
7:00AM 7:00 7:00 PM = 19:00
8:00 AM = 8:00 e·oo PM 20 :00
9:00AM = 9:00 9.00 PM : 21 :00
10·00AM 10:00 10 :00 PM = 22:00
11:00 AM = 11 :00 11:00 PM : 23 :00
Item
Where did you obtain rnaterial from:
Was this Material an after hours call : !9'NO
After houcs f~e :
Customer Representative (print narpe ):
Customer ReRresentatlve Signature :
Sasecom Represeo)aUve SI911ature:
PROJECT SUMMARY SHEET
(Change Order Attachment)
PROJ ECT NAME : East Multi-Purpose Facility WRMC
Contract No: CS41332
Attachment to Change Order No : 2
Today's Date : 5/12/11
Original Contract Amount:
Extras to Date :
Credits to Date :
Contract Amount to Date :
Amount of Proposed Change Order:
Revised Contract Amount:
Contingency Funds Avail. for Admin . Change Orders :
Remaining Funds Available for Change Orders :
Additional Funding (if necessary):
TOTAL
$ 15,443,305 .00 $ 15 ,443,305 .00
$ $
$
$ 15,443,305.00 $ 15 ,443 ,305 .00
$ 58,879.00 $ 58,879 .00
$ 15,502, 184.00 $ 15 ,502 ,184.00
$
$
$
449,805.00 $ 449 ,805 .00
390,926.00 $ 3,90 ,926.00
Prepared By: Karen Striker T/PW Business Support