HomeMy WebLinkAboutContract 44049-CO5 CITY SECRETARY
FORTWORT City of Fort Worth CONTRACT NO. 'C
Change Order Request Breakdown
Project Namel Henderson Street(SH. 199)Detour City Sec# 44049
Client Project#(s)l 00144
Change Order Submittal# L _J Date 3/4/2014
Dept. TPW Contract Time
Totals CD
Original Contract Amount $1,929,961.63 $1,929,961.63
Extras to Date $344,152.34 $344,152.34
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $2,274,113.97 $2,274,113.97
Amount of Proposed Change Order $29,708.75 $29,708.75
Revised Contract Amount $2,303,822.72 $2,303,822.72
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $29,708.75 $29,708.75
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 19.37%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $2,412,452.04
JUSTMATION TREASONS) FOR CHANGE ORDER
Change order is required to add street lighting to detour,and add additional 4"white edge line striping to the project.
°
Mary J. Kayser, City Secretary Good/
SAS
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX
RECEIVED DEC 2 2 P.M.
., FoRr Wo3TH City of Fort Worth
T Change Order Additions
Project Name Henderson Street SH.19g Detour City Sec# 44049
Client Project# 00144
Change Order Submittal# Date 31412014
ADDITIONS
ITEM DLS(;RIPI IUN DEPT Unit n Cost Total
ee rg n9
de Edge Line Striping
TPW 29, 08.75
u ota rhons
Change Order Additions Page 2 of 4
Fo r Wo rN City of Fort Worth
Change Order Deletions
Project Name Henderson Street SH.199 Detour pb,Sac#
CFent Project# 00144
Change Order Submittal# f- 55 Date 3!4!2014
DELETIONS
Unif Una Total
TPW $0.00
Sub ota ebons
Change Order Deletions Page 3 of 4
MISBE Breakdown for this Change Order
M/SBE Sub Type of Service Amount for this CO
none
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
1 9/19/2013 $289,139.75
2 3/27/2014 $26,617.00
3 7/16/2014 $9,545.59
4 9125/2014 $18,850.00
Total $344,152.34
t-r w Change Order Approval St-COApp07 Page 2 of 3
FORT WORTH, city of Fort Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: 5
Change Order No.: St-COApp07 Date Started: 2014-12-15
City Sec. No.: 44049 Date Due: 2014-12-17
Project Name: Henderson Street Detour
00144 DOE Numbers:
Project Numbers:
DOE 6124
Project Henderson Street Detour adding pavemnt markings and street
Description: lights for the project. - TRV to provide Funds to CFW for
this C05.
Project Manager: Patrick Buckley City Inspector: Mike Collier
Contractor: JLB Contracting, LLC
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 29,708.75 C204 541200 209260014480
Total Cost: $ 29,708.75 Total Requested Days: 0
Approval Status:
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CFW Change Order Approval St-COApp07 Page 3 of 3
Approved: Yes
Comments:
User: Tara Fishback
Date: 2014-12-15 4:31 PM
Approved: Yes
Comments:
User: Sam Davis
Date: 2014-12-15 5:01 PM
Approved: Yes
Comments:
User: Patrick Buckley
Date: 2014-12-15 6:00 PM
Approved: Yes
Comments:
User: Doug Rademaker
Date: 2014-12-16 9:32 AM
Approved: Yes
Comments:
User: Andy Anderson
Date: 2014-12-16 12:57 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2014-12-16 3:54 PM
Approved: Yes
Comments:
User: Doug Black
Date: 2014-12-22 10:47 AM
Approved: Yes
Comments:
User: Fernando Costa
Date: 2014-12-22 4:55 PM
Action Required: Approve C05
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CF`11 Change Order Approval St-COApp07 Pagel of 3
Routh!
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Proiects/00144 - Hederson Street Detour/Contractor/Change Orders/Change Order
Breakdown co-5.xls
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