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Assigned To: Anne-Marie Stowe CONTRACT NQ. �"�Q� �'W� Due Date: 7/2/2015
Assigned By: Paul Will Due Time: 9:39 AM
Links 1
fortworthgov/Aviation Proiects/00960 - RTR at AFW/Contractor/Change Orders/960 AFW RTR Change Order 04 Breakdown.xls
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FORT NORTH. City of Fort Worth
Change Order Request Submittal
(Change Order Breakdown Available in Links)
Submittal No.: CO-04 Date Started: 7/1/2015 al
Date Due: 8/1/2015
Buyspeed Updated to Pay:
Contractor Submitted Invoice:
City Project No: 00960
Project Name: 00960 - AFW RTR Duct Bank and TWY H Impvt
Closeout Requirement: r Yes r No
MBE/DBE Opportunity Required: f Yes G No
MBE/DBE Documentation Completed or Marked
Yes r No
NA:
Contractor: EAS
Description: This change order is drafted to add ground protection mats
(Limit 5000) due to weather conditions, bore under roadways in lieu of
open-cut trench (at no charge to Owner) , and sweeping taxiway
and runway shoulders at night.
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,Thr' at
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CFW Change Order Approval CO-04 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.: 04
Change Order No.: CO-04 Date Started: 2015-07-01
City Sec. No.: 46547 Date Due: 2015-08-20
Project Name: RTR Duct Bank &Taxiway H Improvements
00960 DOE Numbers:
Project Numbers:
DOE No.
Project
Description:
Project Manager: Anne-Marie Stowe City Inspector: Billy Jones
Contractor: EAS Contracting, LP
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:
Aviation $ 10,249.00 GR14-539120-055218634800 0
Total Cost: $ 10,249.00 Total Requested Days: 0
Approval Status:
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CFW Change Order Approval CO-04 Page 3 of 3
Approved: Yes
Comments: I have reviewed this CO and I am ok with it
User: Billy Jones
Date: 2015-07-01 2:41 PM
Approved: Yes
Comments:
User: James McKenzie
Date: 2015-07-01 7:23 PM
Approved: Yes
Comments:
User: Anne-Marie Stowe
Date: 2015-07-07 3:33 PM
Approved: Yes
Comments:
User: Christian Childs
Date: 2015-07-07 9:44 PM
Approved: Yes
Comments:
User: Tom Harris
Date: 2015-07-07 9:57 PM
Approved: Yes
Comments:
User: James Burris
Date: 2015-07-13 9:00 AM
��ORr
Approved: Yes
Comments: 70
User: Grant Jordan N- gm
Date: 2015-07-13 1:06 PM V g$
Atft_ _ d000040
Approved: Yes �X��
Comments:
User: Fernando Costa g J iyser, City Secretory
Date: 2015-07-13 6:30 PM
Action Required:
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
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FORT WORTH. City of Fort Worth
Change Order Request Breakdown
Project Namel Alliance Airport-RTR Duct Bank and TWY H Impvt City Sec# 1 46547
Client Project#(s)l 960
Contractorl EAS Contracting, LP PM Anne-Marie Stowe I Inspector Billy Jones
Change Order Submittal# ® Date 7/1/2015
Dept. Aviation Totals Contract TimeCD
Original Contract Amount $1,137,690.00 $1,137,690.00 70
Extras to Date
Credits to Date
Pending Change Orders(in MBC Process) -$9,015.00 -$9,015.00 54
Contract Cost to Date $1,128,675.00 $1,128,675.00 124
Amount of Proposed Change Order $10,249.00 $10,249.00 0
Revised Contract Amount $1,138,924.00 $1,138,924.00 124
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $9,015.00 $9,015.00
Additional Funding(if necessary) $1,234.00 $1,234.00
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.11%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+259.) $1,422,112.50
JUSTIFICATION (REASONS) FOR CHANGE ORDER _
This change order is drafted to add ground protection mats due to weather conditions,bore under roadways in lieu of open-cut trench(at no
charge to Owner),and sweeping taxiway and runway shoulders at night.
X61 5 910 1,
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`' RECEIVED
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JUL 15 2015
`j CITY OF FORT WORTH w
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a CITY SECRETARY
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FoeT_ WowCity of Fort Worth
'i Change Order Additions
Project Name I Alliance Air -RTR Duct Bank and TWY H Im vt City Sec# 46547
Client Project# F 960
ContractDri EAS Contracting,LP PM Anne-Marie Stowe Inspector Billy Janes
Change Order Submittal# ® Date 7/1/2015
ADDITIONS
—ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
Protection atsviation
R49.1 DIRECTIONAL BORE 2-4"HDPE UNDER ROADWAY Aviation 55.00000000 LF 70.00
R#09.2 DIRECTIONAL BORE 4-4"HDPE UNDER ROADWAY Aviation 55.00000000 LF 90.00
R#09.3 DIRECTIONAL BORE 8-0"HDPE UNDER ROADWAY Aviation 30.00000000 LF 149.80
R#12 Sweep Shoulders at Night Aviation 3.00000000 DAY $1,030.05
Aviation $23,544.00
Sub Total Additions $23,544.00
Change Order Additions Page 2 of 4
e. t
Fox_ rWORTH City of Fort Worth
Change Order Deletions
Project Name Alliance Airport-RTF Duct Bank and TAY H Impvt City Sec# 46547
Client Project# 960
Contractor EAS Contracting,LP PM Anne-Marie Stowe Inspector Billy Jones
Change Order Submittal# F--4 —1 Date 7/1/2015
DELETIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
3 24'SHCEDULE 40 PVC CONCRETE ENCASED DUCT BANK Aviation 55.00000000 LF 25.00 $1,375.00
4 4-4'SHCEDULE 40 PVC CONCRETE ENCASED DUCT BANK Aviation 55.00000000 LF F50.00 2,750.00
6 8-4'SHCEDULE 40 PVC CONCRETE ENCASED DUCT BANK Aviation 30.00000000 LF $110.00 3,300.00
14 ASPHALT ROADWAY PAVEMENT REPAIR AT DUCT BANK CROSSING Aviation 10.00000000 SY $85.00 850.00
15 CONCRETE ROADWAY PAVEMENT REPAIR AT DUCT BANK CROSSING Aviation 20.00000000 SY $250.005,000.00
21 AOA FENCE(INCLUDES DEMOLITION AND INSTALLATION OF TEMP.AND Aviation 2.00000000 EA $10.00 $20.00
Aviation $13,295.00
Sub Total Deletions $13,295.00
Change Order Deletions Page 3 of4
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 CO-04 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Aviation Proiects/00960 - RTR at AFW/Contractor/Change Orders/960 AFW RTR Change Order 04 Breakdown.xls
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