HomeMy WebLinkAboutContract 45115-CO1 FORT WORTH., City of Fort Worth COWRACT NO.!LL))—L
Change Order Request Breakdown
Project Name HMAC Surface Overlay(2013-15) City Sec# 5115
Client Project#(s) 02182
Change Order Submittal# 1 Date [— 6119/2014
Contract Time
Dept. Paving Totals CD
Original Contract Amount $970,877.35 $970,877.35 110
Extras to Date
Credits to Date
Pending Change Orders(in M C Process)
Contract Cost to Date $970,877,35 $970,877.35 110
Amount of Pro used Change Order $ $3,851.56 15
Revised Contract Amount $974,728.91 125
Original Funds Available for Change Orders $50,400.00 $50,400.00
Remaining Funds Available for this CO $50,400:00 $50,400.00
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.40°10
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,213,598.69 `
This change order is for striping on Seminary Dr.,and for extra time due to weather and waiting on striping plan.
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Change Order Additions
Project Dame HIaUtC Surface Overlay 2013.15 City Sec# 45115
Client Project# 02162
Change Order Submittal# 1 Date 6l1gl2Q14
ADDITIM
Qty Unit — -Unit Cost o a
aveng 230,00 LF $37 $75700
aveng --7TM $99796
aveng
TTFI RV MRKTYT(M ARROW aveng
aveng
aveng EA
Paving 951.56
u o a ions
Change Order Additions Page 1 of 1
FoRT WORTi,1 City of Fort Worth
Change Order Deletions
Project Name MSC Surface Overla 21)13-1 Cif Sir# 4 s11
Client Project# Q fit
Cltange Order Submittal# 1 Date 6/1942014
DELLHONS
ni unit os r— To a
Paving QO
Sub ota a e ons
Change Order Deletions Page 1 of 1
MISBE Breakdown for this Change Order
TS78E Sub Type of Service Amo6nt for this CO
Total $0,00
Previous Change Orders
CO# DATE AMOUN T
Total $O.aO
CFW Change Order Approval. St-COApp02 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortwoirthgov/Infrastructure Proiects/02162 - HMAC Surface Overlay (2013-15)/Contractor/Change Orders/Change Order 1
Breakdown.xls
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C:V Change Order approval t- OApp02 Page 2 of 3
FORT WORTHO City of Fort Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal .: 1
Change Order o.: t-COApp02 Date Started: 14-06-2
City Sec. o.: 45115 Date : 2014-08-09
Project Name, HMAC Surface Overlay (2013-15)
02162 um rs:
Project Numbers:
DOE No. 7102
Project Removal and replacement of �,) roke n, missing and nonfunctional
Description: curb gutter an d:r:vewa; til.ver.J..zatio n and stabilization of
existing pav rnen fo]..lowed by an over]..a;y of virgin. HMAC
sirfarce course.
.
Project Manager: Kristian Sugrim City Inspector: Ali Motamed
Contractor: Advanced Paving Acquisition, Ltd.
COUNCIL ACTION (If Required):
Log Name:
C Number: M&C ate:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: s:
Transportation & Public Work $ 3,851.56 C293 541200 205620216283 15
Total Cost: $ 3,851.56 Total Requested Days: 1
Approval Status:
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CFW Change Order Approval St-COApp02 Page 3 of 3
Approved: Yes
Comments:
User: Tara Fishback
Date: 2014-07-01 9:41 AM
Approved: Yes
Comments:
User: Eric Anderson
Date: 2014-07-02 8:39 AM
Approved: Yes
Comments:
User: Kristian Sugrim
Date: 2014-07-02 11:17 AM
Approved: Yes
Comments:
User: Najib Fares
Date: 2014-07-02 11:28 AM
Approved: Yes
Comments:
User: Andy Anderson
Date: 2014-07-08 2:51 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2014-07-08 9:12 PM
Approved: Yes
Comments:
User: Grant Jordan
Date: 2014-07-09 11:40 AM
Approved: Yes
Comments:
User: Fernando Costa
Date: 2014-07-09 9:41 PM
Action Required:
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