HomeMy WebLinkAboutContract 44954-CO2 r
u ";TY SECRETARY
FORTWORTH. City of Fort Worth GONMCT oo. qqq� Z
Change Order Request Breakdown
ProjectNamel Bridge Repair and Rehabilitation at Nine Locations City Sec# 1 44954
Client Project#(s) GG01-539590-0202003
Change Order Submittal# Date 7/21/2014
Contract Time
Dept. TPW Totals CD
Original Contract Amount $384,245.00 $384,245.00 150
Extras to Date $26,100.00 $26,100.00 6
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $4 tt};345.00..= $410,345.00 156
Amount of Proposed Change Order ;$22,727.04 $22,727.00
Revised Contract Amount $433,072.00 $433,072.00 156
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00..
Additional Funding(if necessary) $22,727.00 . $22,727.00
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 12.71°1°
MAXALLOWABLE CONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%) $480,306:25
JUSTIFICATION (REASONS) FOR CHANGE ORDER
During the work performed at various locations there was a greater quantity completed on some items than was listed in the estimated quantity
in the contract plans. This change order is to pay for those quantity over runs.
Aged by:
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OFFICIAL RECORD
CITY SECRETARY
FT• WORTH$TX
RECEIVED JUL 3 0 2014
Vt QRT WORT H City of Fort Worth
Change Order Additions
Project Name I Bridge Repair and Rehabilitation at Nine Locations City Sec# 44954
Client Project# I GG01.539590.0202003
Change Order Submittal# L .� Date 7/21/2014
ADDITIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
emove Concrete Approach Slab
6 Remove Concrete Abutment Cap TPW 1.53 CY 2,000.00
8 CI C Concrete Abutment TOOT TPW 0.33 CY $2,350.05
14 Concrete Structural Repair Vertical or Overhead TPW 77.44 F $225.00
16 Rip Rap Stone TY R.Grout 18" TPW 33.50 CY $525.00
TPW $39,807.00
Sub Total Additions 39, 7.00
Change Order Additions Page 1 of 1
>F°R—WORT—H City of Fort worth
Change Order Deletions
Project Name Bride Repair and Rehabilitation at Nine Locations City Sec# 44954
Client Project# GG01-53959H202003
Change Order Submittal# 0 Date 7/21/2014
DELETIONS
ITEM DESCRIPTION I DEPT Qty Unit Unif-Cost Total
Portable Message Sign
3 Remove Concre te idewalks TPW 6.00 SY 1 0.00
10 Cl S Concrete Slab Northside Dr. TPW 1.00 CY 1, 00.00
18 Clean and Seal Existing Joints TPW 510.00 LF 26.00
TPW $17,080.00
Sub Total Deletions 17,080.00
Change Order Deletions Page 1 of 1
M/SBE Breakdown for this Change Order
ft/SBE Sib Type of Service A aunf for-th.CQ
N/A
TotalQ;QQ
Previous Change Orders
DATE; AMOUN
Total 40.
CFW Change Order Approval St-COApp02 Page 1 of 3
Routina
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthoov/Infrastructure Proiects/Bridge Rer)air and Rehabilitation at Nine Locations (2013-25)/Contractor/Change
Orders/Change Order Spreadsheet 2- Quantity Over Run.xls
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CFW Change Order Approval St-COApp02 Page 2 of 3
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FORT WORT He "Y ofFort Worth
Change O r der Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: COSub02
Change Order No.: St-COApp02 Date Started: 2014-07-24
................................................................... ......._..............
....................._...............
City Sec. No.: ;:44954 Date Due: ;2014-08-09
_...�._.__._._____________.....__._.__-__...._-...-...___m.m...___-....__..._...._-______..._._
Project Name: 'Bridge Repair and Rehabilitation at Nine Locations (2013-25)
GG01-539590-0202003 DOE Numbers:
Project Numbers: �^ ._ ._-_
.DOE 7165
_....._........___....................._.._.................................................................._.................................................._........_............._....................................._ ........._.........................-..............................................................................._..._...
€
Project ;Bridge Repair at Nine Locations
Description:
Project Manager: Tariqul Islam
City Inspector: ;Martina Salinas
Contractor: :Gibson &Associates
COUNCIL ACTION (If Required):
E......__.....__......................................._.........................................._............................_.............,..........._,........................................_....._...,,...._..._........_....._........._............._.........................._...._...._..__......._....._....__.........__...._......._
M&C Log Name:
M&C Number: . M&C Date:
.._..---...._............ ........................ _--...................._.._.._.............-......._..__... ._.........
.____.....__._..
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
Tpyy $ 22,727.00 GG01-539590-0202003
_..........................._._......._......_--_-_-.-_..........._.....__............................ :............................................................... ............_................_...................................._................_._............__._......_....._..__............._._..__........._ _.. --.._...._
_.... l.._.._._.-..-.........._._.�t.
_...._.-.__...�...........__...................._.._................� ............._....._.._...._.................................. .... ........................_.........................................._......._......_..........._..._._......-................._...._......._......._.. -._._..... --...
_....._ __......_...._....._...__........_............_ _....._......._.....__.._..._
1 ._
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Total Cost:'_$ 22,.727.._00 Total Requested Days:� _.��.........._.
Approval Status:
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CF W Change Order Approval St-COApp02 Page 3 of 3
;Approved: Yes
'Comments:
`User: Lane Waters
Date: 2014-07-25 7:02 AM
`Approved: Yes
Comments: This is to cover the quantity over runs for pay items.
.User: Tariqul Islam
Date: 2014-07-25 1:10 PM
;Approved: Yes
Comments:
.User: Najib Fares
Date: 2014-07-25 8:52 AM
Approved: Yes
'Comments: While these are units extensions, the total dollar amount exceeds the contract
`plus previous change orders. We have stopped using the Green Sheet as a change order.
:User: Andy Anderson
Date: 2014-07-25 1:19 PM
,Approved: Yes
Comments:
User: Doug Wiersig
Date: 2014-07-25 3:40 PM
.Approved: Yes
.Comments:
User: Doug Black
Date: 2014-07-28 10:56 AM
'Approved: Yes
:Comments:
.User: Fernando Costa
Date: 2014-07-28 5:28 PM
............................................................................................................................................................................................................................................................._......._..............................................................._.........._................_......,
Action Required: Please review, approve and submit.
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