HomeMy WebLinkAboutContract 41699-CO1 C0® tl SECRETAW, j
FORT WORTH. City of Fort Worth COMTRACT NO.
Change Order Request Breakdown
Project Namel SH 183 Local Air Quality-Phase II City Sec# 41699
Client Project#(s)l 01531
Change Order Submittal# Date 9/10/2014
Dept. TIPW Contract Time
Totals CD
Original Contract Amount $295,000.00 $295,000.00
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $295,000.00 $295,000.00
Amount of Proposed Change Order $384.56`_ $384.56 7
Revised Contract Amount $295,384.56 $295,384.56
Original Funds Available for Change Orders . $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $384.56 : -- $384.56
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $368,750 00
i
-All locations-Although the pavement marking and sign installations were shown in the plans,the bid items and quantities were not included
in Section 00 42 43 Unit Bid Price Proposal Form.
-SH 183 at Azle-It was determined during construction that the ramp design and traffic signal mast arm placement could be reloacted to
accomodate both signal head and pedestrian pushbutton placement. The resulted in eliminating the need for two pedstrian pedestal poles and
adjusting conduit/wire quantities. The driveway to be removed and replaced only needed to have the curb returns removed and replaced,
remaining quantity of driveway removal and installation was removed.
-SH 183 at Clinton-During construction it was determined that an existing street light needed to be relocated from the old wood pole to the
new traffic signal mast arm. In addition,the two driveways called out to be removed were removed from the Contract based on discussions
with the Contractor. The Contractor is not set up to remove and replace driveways of this size.
IF COW
8�
A b ° o�
°°o°°°
°°4
�'
Imary do s r, City Sege
a
18I FF AL RECORD
in. n6tll g Iron
FORT WORTH City of Fort Worth
T'- Change Order Additions
Project Name SH 183 Local Air Quality-Phase II City Sec# 41699
Client Project# 01531
Change Order Submittal# I i Date 9/10/2014
ADDITIONS
ITEM DESCRIPTION DEPT Qty unit Unit Cost Total
15 3217.0002 4"SLD Pvmt Marking
17 3217.02018"SLD Pvmt Marking HAS(W) T/PW 280.00 LF 3.00
19 3217.050124"SLD Pvmt Marking HAE(W/) T/PW 93.00 LF 10.00
20 3217.1002 Lane Legend Arrow T/PW 6.00 EA 135.00
21 3217.1004 Lane Legend Only T/PW 6.00 EA 150.00
24 3217.4301 Remove 4"Pvmt Marking T/PW 365.00 LF $1.0
26 3217.4306 Remove 24"Pvmt Marking T/PW 101.00 LF 3.00
28 3217.4402 Remove Lane Legend Arrow T/PW 6.00 EA 55.00
29 3217.4404 Remove Lane Legend Only T/PW 4.00 EA 55.00
30 3441.1001 3-Sect Signal Head Assmbly TIPW 2.00 EA 850.00
32 3441.1011 Ped Signal Head Assmbly T/PW 6.00 EA 500.00
41 3441.13114/C 14 AWG Multi-Conductor Cable T/PW 35.00 LF $1.00
44 3441.1321 9/C 14 AWG Multi-Conductor Cable T/PW 125.00 LF 2.00
45 3441.1322 3/C 14 AWG Multi-Conductor Cable T/PW 80.00 LF 1.00
67 3441.4005 Install Alum Sign Mast Arm Mount T/PW 4.00 EA 100.00
71 3217.4303 Remove 8"Pvmt Marking T/PW -20 00 LF 1.38
72 3217.00014"SLD Pvmt Marking HAS(W) T/PW 140.00 LF 2.00
73 3217.0003 4"BRK Pvmt Marking HAS(W) T/PW 50.00 LF $2.00
74 3217.2102 REFL Raised MarkerTY I-C T/PW 28.00 EA 11.00
75 Attach Exist OHILL Circuit to TRFSIG LUM Upright T PW 1.00 EA 625.00
76 4"Reinforced Concrete Monolithic Nose T/PW 4.00 SY 246.14
77 6"Flex Base T/PW 55.00 SY 91.09
78 4"Type B Asphalt T/PW 55.00 SY 70.44
79 8"Reinforced Concrete T/PW 55.00 SY 111.15
T/PW $27,765.56
Sub Total Additions 27,765.56
Change Order Additions Pagel of 1
Fowr WORTH City of Fort Worth
—� V-" - Change Order Deletions
Project Name SH 183 Local Air Quality-Phase 11 City Sec# 41699
Client Project# 01531
Change Order Submittal# F-1 Date 9/10/2014
DELETIONS
ITEM 57SCRIPTION ty nit Unit Cost ota
7—0241.0401 Remove Concrete Drive
7 2605.3014 2"CO T RM(RISER) T/PW 20.00 LF TlO.00
10 2605.3025 3"CONDT PVC SC H 80(T) T/PW 10.00 LF 10.00
13 3213.0403 8"Concrete Driveway T/PW 750.00 SF $1.00
43 3441.1320—61C14 AWG Multi-Conductor Cable T/PW 206.00 LF 1.00
48 3441.1414 NO 8 Bare Elec Condr T/PW 25.00 LF 1.00
51 3441.1601 Furnish/install 5'Pedestrian Push Button Pole T/PW 2.00 EA 1,000.00
58 3441.1701 TY 1 Signal Foundation TIPW 2.00 EA 800.00
TIPW $27,381.00
Sub Total Deletions 27,381.00
Change Order Deletions Page 1 of 1
M/SBE Breakdown for this Change Order
jM/SBE Sub _ Type of Service = Amount for this CO
Total
Previous Change Orders
Total
CFW Change Order Approval St-COApp01 Page 1 of 4
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Protects/01531 -Traffic Signal Improvements to Serve SH 183 LAQ - Phase
II/Contractor/Change Orders/01531 - SH 183 LAQ - C0#1 to Durable Contract.As
Attachments(0) _ -_--_�_—_
No Attachments have been added to this form.
CFW Change Order Approval St-COApp01 Page 2 of 4
FORS WORTH, city of Fort Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: 1
Change Order No.: St-COApp01 Date Started: 2014-09-12
City Sec. No.: 41699 Date Due: 2014-09-23
Project Name: Traffic Signal Improvements to Serve SH 183 LAQ — Phase II
01531 DOE Numbers:
Project Numbers:
DOE No NA
Project Traffic Signal Reconstruction on SH183
Description:
Project Manager: Beth Ramirez City Inspector: Ken Brock
Contractor: Durable Specialties, Inc.
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW ;$ 384.56 C295 541200 020720153180 7
Total Cost:'$ 384.56 Total Requested Days:
Approval Status:
CFW Change Order Approval St-COApp01 Page 3 of 4
Approved: Yes
Comments:
User: Keith Fox
Date: 2014-09-12 2:23 PM
Approved: Yes
Comments:
User: Fred Griffin
Date: 2014-09-15 9:19 AM
Approved: Yes
Comments:
User: Marisa Conlin
Date: 2014-09-17 10:24 AM
Approved: Yes
Comments:
User: Keith Fox
Date: 2014-09-18 2:32 PM
Approved: Yes
Comments:
User: Fred Griffin
Date: 2014-09-18 2:44 PM
Approved: Yes
Comments:
User: Marisa Conlin
Date: 2014-09-22 7:52 AM
Approved: Yes
Comments:
User: Alonzo Linan
Date: 2014-09-22 2:19 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2014-09-22 9:53 PM
Approved: Yes
Comments:
;User: Doug Black
Date: 2014-09-24 1:19 PM
;Approved: Yes
Comments:
CFW Change Order Approval St-COApp01 Page 4 of 4
User: Fernando Costa
Date: 2014-09-24 11:36 PM
Action Required: Please Approve