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Home My WebLink AboutContract 46784-CO1 CITY SECRETAW, CONTRACT NO. FORT WORTH City of Fort Worth 1� Change Order Request Breakdown Project Namel Forest Park Improvements City Sec# 1 46784 Client Project#(s)l CO2088(DOE 7410) Contractorl Northstar Construction,LLC I PM Bryan Lyness,RLA Inspectorl Randy Horton Change Order Submittal# Date 1/25/2016 Dept. PARD Contract Time Totals (CD) Original Contract Amount $972,962.00 $972,962.00 120 Extras to Date $0.00 Credits to Date $0.00 Pending Change Orders(in M&C Process) $0.00 Contract Cost to Date $972,962.00 $972,962.00 120 Amount of Proposed Change Order $52,446.42 $52,446.42 80 Revised Contract Amount $1,025,408.42 $1,025,408.42 200 Original Funds Available for Change Orders $53,452.27 $53,452.27 Remaining Funds Available for this CO $53,452.27 $53,452.27 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 5,39% MAXALLOWABLECONTRACTAMOUNT(ORIGINAL CONTRACTCOST+25%) $1,216,202.50 MI[��— IC11t The change of,and addition of, pavement and/or drainage improvements noted as necessary during the course of construction.Included is the construction of pavement and electrical improvements at Log Cabin Village(which is located within Forest Park). 234ss N� ECEIVED �o PR-5 2016 WORTH EfARY �a Maty J. e , City Secrt~tary �tiez � or, OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX •1 ii: 1• 1 - .�MEEL:$x,:1:1:1I,11I1:1]MEWIN I`I •1'1 ITP,f119 MEW' •Y:fl • .1'l -�- .,i^+ lR. ••-1��i1C111:lil:laI11�'' .�..PI . 4.1'1 :': �MMM NONE 1:C,1:IDI1:1]MEW—001211..11moon+ 'fl fl �l'V Flaxillia ` ■'. •��11."11,;(la:,JU:,IPII_'a �,-, :ll PI �� •� � � .�, ••�i��x>!:x_(1at,ll:e� � r,�iEir�ul,ur� jL2=Zw_skucr&_pVaYS_pe_ed Bump �MMMiL222,I1:11MEW' t lY11'l • i��b!(,a8YaU2I0�y' + f1 1 .f1 ' ----- �MMM NOONfl'1'fI'1,1 MEWIM :•1 fl :.1 P, l�Wti- :1'1'1'1,•111 MMW' y. fl moons&,"" �� i�il,hY:C1AAI11�� .: •rl .: •r1 —i11loNaCnGria-FPa ma-y-SiT?^1lxlndPe stri-an.idpeFn3FiiF- ----- � �MMMM••[la:caal: MMUHNMNIME ;l��il SN111 �1 �MMMikYB,:I',I",IM'LHIM INEWAII1] 1 Y 1 e �•l SI iF17:17�'7t13F11FS 1rmrrr.e171f nTTiiia—• MiLgrf fl I IlI1� .4,1�}wv1e1.1,I11 �1 S� 'INIMMU'a:Pllf1 r,ME r'MMU.W,fl •Ifl 1Type 4,2 Ba-m—er Free Ramp 'iLI A11IC, MEWIM lfl ,P, �MMMWI NOWNEMMIR1=1 Sm. -iMEN ME=cl:ala:PuMyNE�MMM N 0 0 1 LiBxlxafil rY311YNIYWi 1'1.1•I'l 1 PI ':1 1'1 {..1 I'1 010 0E• i� N0=jQLM-PEAW79 m�MMM MIMEMAll"ll"r,"MEWIN ELMS,"ll,EMER26%Uri, ��•. . . .'i[QgCQ1AIl:11�� 1 f1mmmu=lfl farr 4-South Forest Onve and Rogers Road ParkingGoff#l) :f,. �MMMMMMU a.+.1Ur,lNOy_ I r, A. 1 l r1 --�-- MMMMMl__ —Forest Park-Log Cabin lribpe ----- �S� -n. • ��i�1:1:1:1aI1:1I1]� '. ,•'PI 11 1••1'1 1'1 NOON -��, �.�i�1:1:111:1A:Q11� ' ••,11 , "1 I.1 ---- ti117fSF.1I_GGr1'��i69#•R5[YJ Fq1MTVAMH City of Fort worth Change Order Deletions Project Name I Forest Park Improvements City Sec# 46784 Client Project# I CO2088 7410 North-W Coro& .,LLC PMJ Bryan Lyness,RLA Inspector Randy Horton Change Order Submittal# O Data 1/25/2016 DELEHUNS ITEM DESCRIP11ON DEPT QtY Unit Unit Total Uolonial Parkway Reconstruction exr a e, ype 5. Colonial Parkway Vehicular Bridge Reconstruction emove spose ewa Remove0spose EX.Concrete&GroutedRip Rap Conc.Pavement PARD 44.00000000 SY $58.00 $7,552.UU Flexible e,Type A, nsta esonnect ume wiBaffle Block Concrete Pip Rap Colonial Parkway Parking Lot 7 psi Concrete avementSY PARD 260.00000000 $42.00 $10,920.00 Colonial Parkway Parking Lot Parking Lot Subgrade PreFrWn psi Concrete Pavement South orest Drive and Rogers Road Parking Lot 1.14-1 Remove/Dispose Ex.Asphaltep Remove/Dispose Ex.Concrete Curb&Gutter PNM-74T.MOMM Remove/Dispose Ex.Conrete Pavement emov age Ex.Post (;able Remove/Dispose Ex.Gate 5 Subgrads Preparation psi Concrete Pavement1,055.00000000 $42.00 $44,3113,00 1.14-10 Connect to Ex.Asphalt Pavement Adjust SSMH Rim lust SDMH Rim Re "MM ate Grading-Unclassified Excavation Grading-Haul PARD 99,788.00 Sub o elebons Change Order Deletions Page 1 of 1 M/SBE Breakdown for this Chan a Order M/SBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders CO# DATE AMOUNT Total $0.00 City of Fort Worth Departmental Request for Waiver Of MBE/SBE Subcontracting/Supplier Goal Park OW RWM&m(PARO) $52.446.42 012512016 DEPARTMENT NAME: ESTIMATED COST / PROPOSAL DATE Forest Park Improvements 74101 002088 NAME OFqx%OJECT/BID: DOE/PROJECT NO. <VA 5781 03/032016 1110NAT / 11CT MANAGER EXTENSION DATE NIGP CODE age— .----entent. the eontractinghnanaging department shall determine whether the bid/proposal is one which MBFJSBE requirerneats should not be applied. MBE/SBE requirements may be waived upon written approval of the M/WBE Manager. If one of the conditions listed below exists,the eontracting/mansging department shaft notify the Manager vis this form,stating the specific reason(s)for requesting a waiver. If the contracting/managing department and the Manager are in conflict over the granting of a waiver,either may appeal to the City Manager,or designee, and hie/her decision is final. Please Check Applicable Reason: A. MWBE Office: A waiver of the goal for MBE/SBE subcontracting requirements was requested by the Department and approved by the MWBE Office,in accordance with the M/WBE or BDE Ordinance,because the public or administrative emergency exists which requires the goods or services to be provided with unusual immediacy;or B. MWBE Office: A waiver of the goal for MBE/SBE subcontr ting requirements was requested by the Department and approved by the MWBE Office,in accordance with the M/WBE or SDE Ordinsnee, because the purchase of goods or services from source(s)where subcontracting or supplier opportunities are negligible;or C. MWBE Office: A waiver of the goal for MBE/SBE subcontracting requirements was requested by the Department and approved by the MWBE Office,in accordance with the M/WBE or BDE Ordinance, because the application of the provisions of this ordinance will impose an economic risk on the City or unduly delay acquisition of the goods or services; or D. MWBE Office: A waiver of the goal for MBE/SBE subcontracting requirements was requested by the Department and approved by the MWBE Office,in accordance with the M/WBE or BDE Ordirisnce, because the MWBE Waiver is solicited based on the sole source information provided to the MWBE Office by the managing department's project manager. Justify►Commodity or Service Waiver Request: The dww wdar to the contract reduced tiro amimt of MBE partfdpatlon odpba8y oomm tted to by the contractor. There was no other reglatemd MBE participant used on the pro)sct.The project did not require anoUnr participant the contradw was unable to runt WE participation winn Ura dwas order. Please uae additional sheers,if needed M/W P9 OFFICE USE ONLY: 1+U Approved Si ature�of M/WBE Authorize raoranel Date Not Approved Signature of M/WBE Authorized Personnel Date aft.1:0.17 CFW Change Order Approval Pa-COApp01 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.: COI Change Order No.: Pa - COApp01 Date Started: 2/9/2016 _a City Sec. No.: 46784 Date Due: 2/20/2016 Project Name: 02088 - Forest Park Improvements 02088 DOE Numbers: Project Numbers: 7410 Project pavement rehabilitation and installation within Forest Park Description: City Project Mgr.: Bryan Lyness City Inspector: Randy Horton Contractor: Northstar Construction LLC COUNCIL ACTION (If Required): M&C Log Name: M&C Number: M&C Date: l COST AND DAYS SUMMARY: Department: Cost($) Fund Account Center: Requested Days: Park and Recreation Dept. $ 36,446.02 39302-0800450-5740010--0O21 80 Park and Recreation Dept. $ 16,000.00 39801-0800450-5740010--0O2, Total: $ 52,446.02 Total Requested Days: 80 Approval Status: Moz- 0900 #,o - opolo- - enoso - L---* 31bOI - 080016-0 -61400% -- co;127-Co0 https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?Siteld=51500&ProcessI... 3/29/2016 CFW Change Order Approval Pa-COApp01 Page 3 of 3 Approved: Yes Comments: User: Randy Horton Date: 2016-02-20 9:49 AM Approved: Yes Comments: User: Mike Heimlich Date: 2016-02-22 8:39 AM Approved: Yes Comments: User: Bryan Lyness Date: 2016-02-22 10:45 AM Approved: Yes Comments: User: Joel McElhany Date: 2016-03-22 10:14 AM Approved: Yes Comments: User: Richard Zavala Date: 2016-03-25 1:39 PM Approved: Yes Comments: User: Doug Black Date: 2016-03-28 2:55 PM Approved: Yes Comments: User: Susan Alanis Date: 2016-03-28 8:04 PM Action Required: https:Hprojectpoint.buzzsaw.com/_bz_web/Forms/FormPrint.aspx?Siteld=51500&ProcessI... 3/29/2016