HomeMy WebLinkAboutContract 45616-CO1 CITY SECRETARW
FORT WORTH. City of Fort Worth CONTRACT NO.,Z4
Change Order Request Breakdown
ProjectNamel WESTERN CENTER BLVD AT NORTH RIVERSIDE DR AND FARM TO City Sec# -93682
Client Project#(s)l 02182
Contractor Durable Specialties, Inc. PM Lissette Acevedo Inspector Thomas Miller
Change Order Submittal# Date 9/2212014
Dept. T/PW Contract Time
Totals CD
Original Contract Amount $748,000.00 $748,000.00
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $748,000.00 $748,000.00
Amount of Proposed Change Order $3,245.00 $3,245.00 3
Revised Contract Amount $751,245.00 $751,245.00
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $3,245.00 $3,245.00
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.43%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $935,000.00
Ti�IC�4TiQN iR4" FOR CRANO _
Change order costs is for temporary repair of sewer line on the southwest corner of FM 1187 at Hemphill Street. Work consisted of re-routing
storm water through a temporary 6"flexible PVC pipe.
Ug 0
$ o�
00 RECORD
Mary J. ka , City ecretary �. °°00°°°°°� or-SC1A�
�?(A S CITY SECRETARY
FT.WORTH,'TX
FOR TTWWORTH City of Fort Worth
Change Order Additions
Project Name WESTERN CENTER BLVD AT NORTH RIVERSIDE DR AND FARM TO MARKET 1187 AT HEMPHILL City Sec# 93682
Client Project# 02182
Contractor Durable Specialties,Inc. PMJ Lissette Acevedo InspectorF Thomas Miller
Change Order Submittal# Date 9/2212014
ADDITIONS
ITEM DESCRIPTION DEPT ty Unit Unit Cost I ota
Change Order Additions Page 1 of 2
T i PW $3,245.00
Sub Total Additions 3,245.00
Change Order Additions Page 2 of 2
FORTWORTH City of Fort Worth
Change Order Deletions
Project Name WESTERN CENTER BLVD AT NORTH RIVERSIDE DR AND FARM TO MARKET 1187 AT HEMPHILL City Sec# 93682
Client Project# 02182
Contractor Durable Specialties,Inc. PM Lissette Acevedo Inspector Thomas Miller
Change Order Submittal# Date 9i22i2014
ITEM DESCRIPTION DELETIONS DEPT Qty Unit Unit Cost Total
Change Order De etions Page 1 0
T/PW $0.00
Sub Total Deletions
Change Order Deletions Page 2 of 2
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 $0.00
CFW Change Order Approval St-COApp01 Page 2 of 3
FORT W of Fort Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: #1
Change Order No.: St-COApp01 Date Started: 2014-10-16
City Sec. No.: Date Due: 2014-12-05
Project Name: Western Center at N. Riverside
02182 DOE Numbers:
Project Numbers:
DOE No. 7134
Project traffic signal improvements at 2 intersections, western center
Description: @ riverside and 1187 @ hemphill
Project Manager: Lissette Acevedo City Inspector: Thomas Miller
Contractor: Durable Specialties
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 3,245.00 C295-541200-204390218283 3
Total Cost: $ 3,245.00 Total Requested Days: 3
Approval Status:
RECEIVED OCT 2 71014
https://proj eetpoint.buzzsaw.com/_bz_web/Forms/FormPrint.aspx?Slteld=51500&Proces... 10/27/2014
CFW Change Order Approval St-COApp01 Page 3 of 3
Approved: Yes
Comments:
User: Keith Fox
Date: 2014-10-17 9:25 AM
Approved: Yes
Comments:
User: Lissette Acevedo
Date: 2014-10-17 9:28 AM
Approved: Yes
Comments:
User: Todd Estes
Date: 2014-10-17 2:16 PM
Approved: Yes
Comments:
User: Andy Anderson
Date: 2014-10-22 9:41 AM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2014-10-22 12:48 PM
Approved: Yes
Comments:
User: Doug Black
Date: 2014-10-23 5:04 PM
Approved: Yes
Comments:
User: Fernando Costa
Date: 2014-10-23 11:05 PM
Action Required:
https://projeetpoint.buzzsaw.com/_bz web/Forms/FormPrint.aspx?Siteld=51500&Proces... 10/27/2014