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Home My WebLink AboutContract 47465-CO1 CITY SECRETARY FORT WORTH. City of Fort Worth "AMTRIWIr °lZkZC& Change Order Request Breakdown Project Namel HMAC 2015-4 Rehab I City Sec# 1 47465 Client Project#(s)l 02551 -39408-0200431-5740010--CO2551-C06283-- Contractor JLB Contracting LLC PM Kristian Sugrim Inspectorl Gary Deyon Change Order Submittal# 0 Date 6/28/2016 Dept. TPW Contract Time Totals CD Original Contract Amount $1,607,630.92 $1,607,630.92 220 Extras to Date Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $1,607,630.92 $1,607,630.92 220 rAm—ount of Proposed Change Order $175,406.14 $175,406.14 35 Revised Contract Amount $1,783,037.06 $1,783,037.06 255 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 Additional Funding(if necessary) $175,406.14 $175,406.14 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 10.91 MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $2,009,538,65 JUSTIFICATION (REASONS) FOR CHANGE ORDER This change order is for the two lane extension of Summer Creek Drive between Rancho Vedrde Parkway and Posada Drive. Subsequently to complete the project an additional 35 calendar days is needed. J r, ity Secretm 00 w° QQM- wo, OFFICIAL RECORD � 0000000- CP* CITY SECRETARY �� FT. WORTH9 TX FOaT�t City of Fort worth Change Order Additions Project Name HMAC 2015-4 Rehab City Sec# 47465 Client Project# 02551-39408-0200431-5740010--CO2551-C06283-- Contractor JLB Contracting LLC PM Kristian Sugr m Inspector Gary Deyon Change Order Submittal# Date 6/28/2016 ADDITIONS ITEM DESCRIPTION DEPT City Unit Unit Cost Total emove Fence TPW LF W7 102 Site Clearing TPW 1.00000000 LS $7,600.06 201 21"RCP,Class III TPW 32.00000000 LF 132.00 202 21"Flared Headwall TPW 2.00000000 EA 1,095.00 301 Unclassified Excavation TPW 60.00000000 CY $24.35 302 Embankment TPW 60.00000000 CY 2.25 303 Hydrated Lime TPW 50.14800000 TN $168.00 304 8"Lime Treatment TPW 2,388.00000000 SY $2.800 305 2"Asphalt Type D TPW 2,220.00000000 SY 12.14 306 4"Asphalt Type B TPW 2,220.00000000 SY 23.70 307 Barbed Wire Fence TPW 259.00000000 LF $26.25 308 Metal Beam Guard Fence TPW 275.00000000 LF $29.25 309 Safety End Treatment TPW 1.00000000 EA $3,450.00 310 Downstream Terminal Anchor TPW 1.00000000 EA $1,065.00 401 4"SLD Pvmt Marking HAS(W) TPW 1,652.00000000 LF 1.25 402 4"SLD Pvmt Marking HAS(Y) TPW 1,466.00000000 LF 1.25 403 24"SLD Pvmt Marking HAE(W) TPW 24.00000000 LF $15.66 404 Furnish&Install Alum Sign Ground Mount TPW 4.00000000 EA $410.0 405 Furnish&Install Type III Barricade TPW 48.00000000 LF 27.05 501 SWPPP=1 acre TPW 1.00000000 LS $3,450.00 502 Seeding,Hydromulch TPW 1,570.00000000 SY $1.45 9999.0096 Paving Construction Allowance TPW 1.00000000 LS 29,137.03 TPW $175,406.14 Sub Total Additions 175,406.14 Change Order Additions Page 1 of 1 FORT WORTH City of Fort Worth Change Order Deletions Project Name NMAC 2015-4 Rehab CitySec# 47465 Client Project# 02551-39408-0200431-5740010—CO2551-C06283— Contractor JLB Contracting LLC PM Kristian Sugrim Inspector Gary Deyon Change Order Submittal# I Date 6/28/2016 DELETIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total T $0.00 Sub Total Deletions Change Order Deletions Page 1 of 1 M/SBE Breakdown for this Change Order MiSBE=Sub ' . . Type of SeNce Amount for this C0.. , ATCO HMAC Haul and Misc. Trucking $5,247.00 JD's Trucking Raw Materials Hauling $6,412.00 Greenscaping Landscaping/Grass $2,100.00 Total $13,759.OD Previous Change Orders C9, ",# DATE . AMOUNT w r Total $ .�� CFW Change Order Approval St-COApp01 Page 1 of 3 Routing Assigned To: Due Date: Assigned By: Due Time: Links 2 fortworthgov/Infrastructure Proiects/02551 - Street Rehabilitation (HMAC 2015-4)/Contractor/Change Orders/HMAC 2015-4 C01 M&C493.Ddf fortworthgov/Infrastructure Proiects/02551 - Street Rehabilitation (HMAC 2015-4)/Contractor/Change Orders/Copy of Copy of Copy of summer creek posada connection Change Order Breakdown.xls Attachments(0) No Attachments have been added to this form. https://projeetpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&Proces... 12/12/2016 CFW Change Order Approval St-COApp01 Page 2 of 3 ORT WORTHo City of Fort Worth �-- Change Order Request Approval (Change Order Breakdown Available in Links) For Change Order Submittal No.: 1 Change Order No.: St-COApp01 Date Started: .2016-11-30 City Sec. No.: 47465 Date Due: 2017-01-19 Project Name: 'Street Rehabilitation (HMAC 2015-4) Project Numbers: 02551 :DOE Numbers: Project 'HMAC Street Rehabilitation; removal and replacement on non- Description: ';functional or damaged curb & gutter and driveways, pulverization and stabilization of the existing pavement followed by a HMAC surface overlay. Project Manager: Kristian Sugrim City Inspector: 'Gary Deyon Contractor: JLB Contracting, LLC COUNCIL ACTION (If Required): M&C Log Name: 20HMAC STREET REHABILITATION(2015-4) CHANGE ORDER NO 1 M&C Number: C-27804 M&C Date: ,6-28-2016 COST AND DAYS SUMMARY: Requested Department: Cost($) Fund Account Center: Days: 7PW $ 175,406.14:.5740010 35 Total Cost-'$ 175,406.14 Total Requested Days: 35 Approval Status: https://projectpoint.buzzsaw.com/ bz web/Forms/FonnPrint.aspx?SiteId=51500&Proces... 12/12/2016 CFW Change Order Approval St-COApp01 Page 3 of 3 Approved: Yes Comments: User: Tara Fishback Date: 2016-11-30 1:52 PM Approved: Yes Comments: User: Sam Davis 'Date: 2016-11-30 2:56 PM 'Approved: Yes 'Comments: 'User: Kristian Sugrim Date: 2016-12-01 10:44 AM Approved: Yes Comments: Attached M & C approved User: Najib Fares °'Date: 2016-12-01 11:02 AM :Approved: Yes Comments: User: Todd Blomstrom Date: 2016-12-05 9:29 AM Approved: Yes .Comments: User: Doug Wiersig Date: 2016-12-09 11:54 AM ;Approved: Yes `Comments: User: Doug Black .Date: 2016-12-09 2:22 PM Approved: Yes Comments: User: Jay Chapa Date: 2016-12-12 9:04 AM Action Required: https://projectpoint.buzzsaw.com/ bz web/Forms/FonnPrint.aspx?SiteId=51500&Proces... 12/12/2016 M&C Review Page 1 of 2 Official site of the City of Fort Worth,Texas oR_ _r CITY COUNCIL AGENDA _ COUNCIL ACTION: Approved on 6/28/2016 -Ordinance No. 22302-06-2016 REFERENCE 20HMAC STREET DATE: 6/28/2016 NO.: C-27804 LOG NAME: REHABILITATION (2015-4) CHANGE ORDER NO 1 CODE: C TYPE: CONSENT PUBLIC NO HEARING: SUBJECT: Authorize Execution of Change Order No. 1 to City Secretary Contract No. 47465 with JLB Contracting, LLC., in the Amount of$175,406.14, Thereby Increasing the Total Contract Amount to $1,783,037.06 and Adopt Appropriation Ordinance (COUNCIL DISTRICT 6) RECOMMENDATION: It is recommended that the City Council: 1. Adopt appropriation ordinance increasing estimated receipts and appropriations in the HMAC Street Rehabilitation 2015-4 Project in the amount of$175,407.00 and reduce reserves in the Contract Street Maintenance Fund by the same amount; and 2. Authorize the execution of Change Order No. 1 to City Secretary Contract No. 47465 with JLB Contracting, LLC., in the amount of$175,406.14 for Hot Mix Asphaltic Concrete Street Rehabilitation (2015-4) (C-02551). DISCUSSION: On December 15, 2015 (Mayor and Council Communication (M&C) C-27572), the City Council authorized the execution of a contract with JLB Contracting, LLC., in the amount of$1,607,630.92 for Hot Mix Asphaltic Concrete (2015-4), following water and sewer line replacements. The subject change order in the amount of$175,406.14 will provide for the two-lane extension of Summer Creek Drive between Rancho Verde Parkway and Posada Drive. The recommended change order will also add 35 calendar days to the construction contract. M&C C-27572 provided funding for the work proposed under Change Order No. 1 with funding from the Council District 6 Undesignated Fund. Subsequent to the approval of M&C C-27572 it was determined that the amount of the change order was mistakenly deducted from the total amount of funding that should have been appropriated from the Contract Street Maintenance Fund for this project. The recommended appropriation ordinance included with this M&C will correct this funding deficit. This change order for the HMAC Street Rehabilitation 2015-4 Project is one component of the overall project that includes design, construction, project management, construction staking, inspection and material testing. The overall budget is $2,056,334.32. M/WBE OFFICE: JLB Contracting, LLC., agrees to maintain its initial MBE commitment of 15 percent that it made on the original contract and extend and maintain that same commitment of 15 percent to all prior change orders up to and inclusive of this Change Order No.1. Therefore, JLB Contracting, LLC., remains in compliance with the City's BDE Ordinance and attests to its commitment by its signature on the Acceptance of Previous MBE Commitment Form executed by an authorized representative of its company. http://apps.cfwnet.org/council_packet/mc review.asp?ID=22461&councildate=6/28/2016 11/16/2016 M&C Review Page 2 of 2 The project is located in COUNCIL DISTRICT 6, Mapsco 116D. i FISCAL INFORMATIONXERTIFICATION: The Director of Finance certifies that upon approval of the above recommendations and adoption of the attached appropriation ordinance, funds will be available in the current capital budget, as appropriated of the Street Rehabilitation Fund. Total current funds available in the Street Rehabilitation Fund reserves are$1,489,631.63. Description Appropriations to Pending Remaining Date Encumbrances and Balance Expenditures HMAC Street Rehab $2,179,637.06 $745,299.24 $1,434,337.82 2015-4 Fund: 39408 TO Fund Department Account Project Program Activity Budget Reference# Amount ID I I ID I Year Chartfield 2) 1 394081 0200431 4905100 CO2551 C06283 I $175,406.14 1 394081 200431 1 CO2551 C06283 1 $175.406.14 FROM Fund Department Account Project Program Activity I Budget Reference# Amount ID I I ID I Year Chartfield 2 394081 0200431 1 5740010 1 CO2551 I I C06283 I 1 1 $175,406.14 Submitted for City Manager's Office by: Jay Chapa (5804) Originating Department Head: Douglas Wiersig (7801) Additional Information Contact: Kristian Sugrim (8902) ATTACHMENTS 20HMAC STREET REHAB H2O15-4 C01 (Map).pdf 20HMAC STREET REHABILITATION (2015-4) CHANGE ORDER NO 1 39408 A016 (Rev6.09.16).docx JLB CONTRACTING LLC H2O15-4 HB1295.pdf http://apps.cfwnet.org/council_packet/mc review.asp?ID=22461&councildate=6/28/2016 11/16/2016 CERTIFICATE OF INTERESTED PARTIES FORM 3.295 lofl Complete Nos.1.4 and 6 if there are interested parties, OFFICE USE ONLY Complete Nos,1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING 1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number: of business. 12016-62485 JLB Contracting, LLC Fort Worth,TX United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 05/26/2016 being filed. City of Fort Worth Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a description of the services,goods,or other property to be provided under the contract. 02551 HMAC Street Rehabilitation 2015-4-Change Order 1 Nature of interest 4 Name of Interested Party Ci ty,State,Country(Place of business) (check applicable) Controlling I Intermediary Humphrey,Jim Fort Worth,TX United States X Davis,Sam Fort Worth,TX United States X 5 Check only if there is NO Interested Party. ❑ 6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct. �Tr'� A Y.,�1, JAMIE GREENWAY 40 �.r°:Notary Public,State of Texas My Commission Expires September 25, 2016 �^ d+nmV�` Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP/SEAL ABOVE _ —, Sworn to and subscribed before me,by the said c.�'�-� I.d"Fty t s ,this the �tt� day of 20J,to cer' which,witness my hand and seal of office. Sig alure o officer administerin oath Printed name of officer administering oath Title of officer a ministering oath Fo m rovided by Texas Ethics Commission www.ethics.state,tx.us Version V1.0.1021