HomeMy WebLinkAboutContract 45115-CO2 . �C SECRETARY FORT WORTH. City of Fort Worth
CONMCT No. a Z
Change Order Request
ProjectNamel HMAC Surface Overlay(2013-15)at Various Locations City Sec# 1 45115
Client Project#(s)l City Project#02162 DOE 7102
Change Order Submittal# L� Date 11/10/2014
Dept. TPW Water Sewer Contract Time
Totals CD
Original Contract Amount $970,877.35 $970,877.35 110
Extras to Date $3,851.56 $3,851.56 15
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $974,728.91 $974,728.91 125
Amount of Proposed Change Order $981000.00 $0.00 $0.00 $98,000.00 56
Revised Contract Amount $1,072,728.91 $1,072,728.91 181
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $9$000.00 $98,000.00
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 10.490/0
MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,213,596.69
This change order is to incorporate supplemental funding from Storm Water's P224 Bond Funds, Sub-Fund 28 in the amount of$98,000.00
into Work Phase 83 of HMAC Surface Overlay(2013-15)for the repaving of Hereford Dr.,Bob Hanger St. and Marvin Brown St..An additional
20 days are requested for this work.Also, 15 days are requested for time lost while awaiting utility clearance for these streets.Additional time
is also requested for the addition of Brookvail St(21 days).
OFFICIAL RECORD
M Mary J. kay , City Sec CITY SECRETARY
M FT. WORTH,TX
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Po T W�R7'H City of Fort worth
Change Order Additions
Project Name I HMAC Surface Overlay 2013-15 at Various Locations City Sec# 45115
Client Project# Ci Project#02182 DOE 7102
Change Order Submittal# LJ Date 11/1012014
ADDITIUNS
Unit Unit Cost o a
un ing Mom orm a er to pave Hereford,Bob Hanger Marvin rown
TPW 797-00000
Water $0.00
Sewer $0.00
Sub ota ions
Change Order Additions Page 1 of 1
Fo T W WTH City of Fort Worth
Change Order Deletions
Project Name I HMAC Surface Overlay 2013.15 at Various Locations City Sec# 45115
Client Project# Qly Project#02162 DOE 7102
Change Order Submittal# Date 11/10/2014
DELETIONS
ITEM DESCRIPHON DEPT City- Unit m os Total
TPW 00
Water $0.00
Sewer $0.00
Sub ota a ebons
Change Order Deletions Page 1 of 1
M/SBE Breakdown for this Change Order
M/SBE Sub Type of Service Amount for this CO
Klutz Construction Structures $20,350.00
Total $20,350.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
CFW Change, Order Approval St-COApp03 Page ] of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
Change Order Breakdown.xlsm removed by Administrator
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CFW Change Order Approval St-COApp03 Page 2 of 3
FORT WORTH. City of Fort Worth
-`.•• rte-- Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: 1
Change Order No.: St-COApp03 Date Started: 2014-11-21
City Sec. No.: 45115 Date Due: 2015-01-10
Project Name: HMAC Surface Overlay (2013-15)
02162 DOE Numbers:
Project Numbers:
DOE No. 7102
Project Remove and replace broken, missing, nonfunctional
Description: curbs/gutters and driveways, followed by the pulverization and
stabilization of the existing pavement and applying a 2" HMAC
surface course
Project Manager: Kristian Sugrim City Inspector: Ali Motamed
Contractor: Advanced paving
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
Transportation & Public Work $ 98,000.00 P227-541200-205280216283 0
Total Cost: $ 98,000.00 Total Requested Days: 0
Approval Status:
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CFW Change Order Approval St-COApp03 Page 3 of 3
1
Approved: Yes
Comments:
User: Tara Fishback
Date: 2014-12-02 2:03 PM
Approved: Yes
Comments:
User: Eric Anderson
Date: 2014-12-02 3:24 PM
Approved: Yes
Comments:
User: Kristian Sugrim
Date: 2014-12-02 3:46 PM
Approved: Yes
Comments:
User: Najib Fares
Date: 2014-12-08 4:43 PM
Approved: Yes
Comments:
User: Andy Anderson
Date: 2014-12-09 8:47 AM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2014-12-11 12:05 PM
Approved: Yes
Comments:
User: Grant Jordan
Date: 2014-12-18 5:23 PM
Approved: Yes
Comments:
User: Fernando Costa
Date: 2014-12-19 12:07 AM
Action Required:
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