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FORT WORTH City of Fort Worth COMPACT ,_�"►�
Change Order Request
Project Name I Cultural District/Will Rogers Sanitary Sewer Improvements, Part 4 City Sec No. 46789
Project No.(s) P266-707170146889 DOE No. 7453 City Pro.No. 01468
Project Description 24-inch Sanitary Sewer Main Installation on Montgomery Street
Contractorl S.J.Louis Construction of Texas, Ltd. Change Order# 0 Date: 4/4/2016
City Project Mgr. John Kasavich City Inspector Don Watson
Phone Number: 817-392-8480 Phone Number: 817-392-8306
Dept. Water Sewer Totals Contract Time
(Calendar days)
Original Contract Amount $1,645,417.20 $1,645,417.20 150
Extras to Date $49,330.00 $49,330.00 21
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,694,747.20 $1,694,747.20 171
Amount of Proposed Change Order $31,570.48 $31,570.48
Revised Contract Amount $1,726,317.68 171
Original Funds Available for Change Orders $50,000.00 $50,000.00
Remaining Funds Available for this CO 1 1 $670.001 $670.00
Additional Funding(if necessary) 1 1 $30,900.48
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 4.92%
MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $2,056,771.50
JUSTIFICATION (REASONS)FOR CHANGE ORDER
The change order will provide compensation for increased and additional pay item quantities of 41'inch -�
sewer service,concrete collar,
48-inch tunnel liner plate, pavement marking and 4-inch bored se JeV�[1( ) "i!, L21CORID
that were necessary to complete the project.There are sufficient available funds to pay for the cf�atfl j� F"
order. ARY
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APR 2 0 2016It V � 0
CITY FORT WORTH ® °
CIOF TY SECRETARY
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It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satis ac ion and represents
payment in full(both time and money)for all costs arising out of,or incidental to,the above Change Order.
Contractor's Company Name Contractor Name ontractor Signature Date
S.J.Louis Construction of Texas, Ltd. Adam Lunsford
Inspector Date Project Manager Date
Assistant Director(Water Dept) Date on ction Supervisor(TM Dept) Date
Assistantttor Date Assistant City Manager Date
Council Action(if quired)
M&C Number N/A M&C Date Approved N/A
FORT WORTH City of Fort Worth
Change Order Additions
Project Name Cultural District/Will Rogers Sanitary Sewer Improvements,Part 4 City Sec No. 46789
Project No.(s) P266-707170146889 DOE No.= City Pro. No. 01468
Project 24-inch Sanitary Sewer Main Installation on Montgomery Street
Description
Contractor S.J. Louis Construction of Texas, Ltd. Change Order# =2 Date: 4/4/2016
City Project Mgr. John Kasavich City Inspector F Don Watson
ADDITIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
2 48"Tunnel Liner Plate by Other Than Open Cut Sewer 7.00 LF $1,009.00 $7,063.00
4 24"Fiberglass Sewer Pipe Sewer 1.00 LF $466.00 $466.00
11 6"Concrete Driveway Sewer 2.00 SF $10.00 $20.00
12 Con PVMT Repair W/Asphalt overlay Sewer 39.00 SY $93.00 $3,627.00
14 4"SLD PVMT Marking Sewer 1776.00 LF $1.50 $2,664.00
24 Concrete Collar Sewer 7.00 EA $600.00 $4,200.00
40 Redo 5"Dia Manhole Base Sewer 1.00 LS $1,250.00 $1,250.00
41 4"Bored Sewer Service Under Box Culvert w/Cleanout&Plug Sewer 1.00 LS $17,500.00 $17,500.00
42 18" Plug for Slubout Sewer 1.00 LS $1,000.00 $1,000.00
43 Additional 4"Sewer Services on Line A-3 Sewer 1.00 LS $7,500.00 $7,500.00
Water
Sewer $45,290.00
Additions Sub Total $45,290.00
Page 2 of 4
FORT WORTH City of Fort Worth
Change Order Deletions
Project Name Cultural District/Will Rogers Sanitary Sewer Improvements, Part 4 City Sec No. 46789
Project No.(s) P266-707170146889 DOE No. 7453 City Pro. No. 01468
Project Description 24-inch Sanitary Sewer Main Installation on Montgomery Street
Contractor S.J. Louis Construction of Texas, Ltd. Change Order#=2 Date 4/4/2016
City Project Mgr. John Kasavich City Inspector Don Watson
DELETIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
3 24"Sewer Carrier Pipe Sewer 1.00 LF $360.00 $360.00
6 12"Sewer Pipe CSS Backfill Sewer 7.00 LF $163.00 $1,141.00
10 4"Conc Sidewalk Sewer 26.00 VF $6.00 $156.00
15 4" BRK PVMT Marking Has Sewer 150.00 LF $1.50 $225.00
16 SEFL Raised Marker TY II A-A Sewer 30.00 EA $4.00 $120.00
17 REFL Raised Marker TY II C-R Sewer 15.00 EA $4.00 $60.00
18 Seeding Hydromulch Sewer 1.00 SY $15.00 $15.00
19 Pre CCTV Inspection Sewer 150.00 LF $2.50 $375.00
20 Post CCTV Inspection Sewer 172.00 LF $1.00 $172.00
22 Trench Safety Sewer 552.00 LF $0.01 $5.52
29 5" Extra Depth Manhole Sewer 1.00 VF $144.00 $144.00
34 Contaminated Material Handing Sewer 746.00 LF $1.00 $746.00
35 Contaminated Material Loading, Transporting&Disposal Sewer 100.00 EA $52.00 $5,200.00
36 Specified Remobilization Sewer 1.00 EA $5,000.00 $5,000.00
Water
Sewer $13,719.52
Page 3 of 4 IDeletions Sub Total 1$13,719.52
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MMBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for this CO
Total 00
Previous Change Orders
0#",
DATE AMOUNT
Total $0;00