HomeMy WebLinkAboutContract 45403-CO1 pow SECMAW
FORT WORTH. City of Fort Worth COMP AC7 N0. q Wo /
Change Order Request Breakdown
Project Namel Fossil Creek Roundabout City Sec# 1 45403
Client Project#(s)l 20.0
Change Order Submittal# 0 Date 5/5/2014
Contract Time
Dept. TPW Totals CD
Original Contract Amount $1,370,926.35 $1,370,926.35 120
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,370,926.35 $1,370,926.35 120
Amount of Proposed Change Order $47,770.00 $47,770.00 7
Revised Contract Amount $1,418,696.35 $1,418,696.35 127
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $47,770.00 $47,770.00
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 3.487%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25916) $1,713,657.94
JUSTIFICATION(REASONS)FOR CHANGE ORDER
Change order required due to additional electrical work needed to keep existing street lights functioning throughout construction,and additional
fill material was needed to build design road grades. Lime quantity also needed to be adjusted to meet the lab's lime series recommendation.
Additional time requested for the import of borrow material.
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OFFICIAL RECORD
CITY SECRETARY
FT• WORTH, TX
FORT WORTH City of Fort worth
Change Order Additions
Project Name Fossil Creek Roundabout City Sec# 45403
Client Project# 20.0
Change Order Submittal# Date 5/5/2014
ADDITIONS
ITEM UEbGHII`I ION DEPT Qty Unit Unit Cost Total
Additional Electrical worK for I emporary ig tmg
1-58 Borrow Material TPW 1,840.00 CY 20.50
22-Jan Hydrated Lime TPW 35.00 TN 180.00
I
TPW $47,770.00
Sub Total Additions $47,770,00
Change Order Additions Page 2 of 4
FORT WORTH City of Fort Worth
Change Order Deletions
Project Name Fossil Creek Roundabout City Sec# 45403
Client Project# 20.0
Change Order Submittal# 0 Date 515/2014
DELETIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost I ota
TPW $0.00
Sub Total Deletions
Change Order Deletions Page 3 of 4
M/SBE Breakdown for this Change Order
M/SBE Sub Type of Service Amount for this CO
N/A
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
N/A
Total $0.00
CFW Change Order Approval St-COApp02 Page 1 of 3
Routin
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Proiects/02183 - Roundabout at North Riverside and Fossil Creek/Contractor/Change
Orders/Change Order Breakdown coi.xls
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CFW Change Order Approval St-COApp02 Page 2 of 3
FO RT WO RT He C i ty of Fort Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: 1
Change Order No.: St-COApp02 Date Started: 2014-05-20
City Sec. No.: 45403 Date Due: 2014-07-09
Project Name: Roundabout at North Riverside and Fossil Creek
Project Numbers: 02183 DOE Numbers:
DOE No. 7176
Project Construction of Roundabout at N. Riverside and Fossil Creek
Description:
Project Manager: Wilma Smith City Inspector: Joe Rogers
Contractor: JBL Contracting
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 47,770.00 C203-541200-204390218383 7
Total Cost: $ 47,770.00 Total Requested Days: 7
Approval Status:
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CFW Change Order Approval St-COApp02 Page 3 of 3
Approved: Yes
Comments: FAR 7/31/14
User: Danielle Pickle
Date: 2014-07-31 2:49 PM
Approved: Yes
Comments:
User: Sam Davis
Date: 2014-08-01 1:21 PM
Approved: Yes
Comments:
User: Wilma Smith
Date: 2014-08-04 4:25 PM
Approved: Yes
Comments:
User: Todd Estes
Date: 2014-09-17 10:24 AM
Approved: Yes
Comments:
User: Andy Anderson
Date: 2014-09-23 2:35 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2014-09-24 9:41 AM
Approved: Yes
Comments:
User: Doug Black
Date: 2014-09-24 10:18 AM
Approved: Yes
Comments:
User: Fernando Costa
Date: 2014-09-24 11:39 PM
Action Required:
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