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Contract 44463-CO2
FORT WORTH.., City of Fort Worth Cff-V 8EGR AR`, Change Order Request Breakdown commar. mo, Project Namel 2011 Intersection Capacity Improvemetns at three(3)Locations City Sec# 1 44463 Client Project#(s)l 01815 Change Order Submittal# Date 12/15/2014 Contract Time Dept. TPW Totals CD Original Contract Amount $415,712.00 $415,712.00 180 Extras to Date Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $415,712.00 $415,712.00 180 Go to ADD&DEL Tabs to Enter CO Backup -$1,550.00 -$1,550.00 Revised Contract Amount $414,162.00 $414,162.00 180 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT -0.37% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $519,640.00 JUSTIFICATION (REASONS) FOR CHANGE ORDER This change order is to correct an error that was found on change order#1 after it had already been processed. The unit price on Item#24 was incorrect on change order#1,and did not match the existing contract item. This change order will delete the quantity that was incorrecty added via change order#1 and add the additiaonl footage of asphalt pavement i pi contract price. b9 . lK e ity Secretary o¢., h AS FORT WORTH City of Fort Worth -- Change Order Additions Project Name 2011 Intersection Capacity Improvemetns at three(3)Locations City Sec# 44463 Client Project# 01815 Change Order Submittal# 0 Date 12/15/2014 ADDITIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total 24 2"Asphalt Pvmt Ty D TPW 50.00 SY 19.00 5 . TPW $950.00 Sub Total Additions Change Order Additions Page 1 of 1 FoxTTWORTH City of Fort Worth Change Order Deletions Project Name 2011 Intersection Capacity Improvemetns at three(3)Locations City Sec# 44463 Client Project# 01815 Change Order Submittal# F2 Date 12/15/2014 DELETIONS ITEM DESCRIPTION DEPT Qty Unit Unit Uodt Total 24 2"Asphalt Pvmt Ty D TPW 50.00 SY ---T50.00---77,5ffb7 TPW $2,500.00 Sub Total Deletions Change Order Deletions Page 1 of 1 M/SBE Breakdown for this Change Order M/SBE Sub Type of Service Amount for this CO Total $0,00 Previous Change Orders CO# DATE AMOUNT Total $0.00 'CFW Change Order Approval St-COApp03 Page 2 of 3 FORT WORTH© City of Fort Worth Change Order Request Approval (Change Order Breakdown Available in Links) For Change Order Submittal No.: 02 Change Order No.: St-COApp03 Date Started: 2015-01-06 City Sec. No.: Date Due: 2015-02-25 Project Name: 2011 Intersection Improvements Phase 1 Project Numbers: 01815 DOE Numbers: DOE No. 6986 Project Intersection revisions to 3 locations throughout the city Description: Project Manager: Lissette Acevedo City Inspector: Michael Collier Contractor: McClendon Construction COUNCIL ACTION (If Required): M&C Log Name: M&C Number: M&C Date: COST AND DAYS SUMMARY: Requested Department: Cost($) Fund Account Center: Days: TPW $ -1,550.00 C295-541200-201390181583 0 Total Cost: $ -1,550.00 Total Requested Days: 0 Approval Status: https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&ProcessI... 1/20/2015 °CFW Change Order Approval St-COApp03 Page 3 of 3 Approved: Yes Comments: User: Justin Blair Date: 2015-01-06 1:48 PM Approved: Yes Comments: User: Lissette Acevedo Date: 2015-01-06 2:05 PM Approved: Yes Comments: User: Todd Estes Date: 2015-01-08 3:05 PM Approved: Yes Comments: Corrects and Error in C.O. #1 User: Andy Anderson Date: 2015-01-09 8:32 AM Approved: Yes Comments: User: Doug Wiersig Date: 2015-01-09 2:35 PM Approved: Yes Comments: User: Doug Black Date: 2015-01-15 8:33 AM Approved: Yes Comments: User: Fernando Costa Date: 2015-01-15 7:13 PM Action Required: https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?Site1d=51500&ProcessL.. 1/20/2015