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Home My WebLink AboutContract 45889-CO1FORT�ORTH� City of Fort Worth CITYS�CR�`I'qR�' `� �jGj+ ;-� I CONTRACT N0, s7 � / Change Order Request Breakdown - Project Name HMAC STREET REHABILITATION CONTRACT 2014-4 City Sec # 45889 Client Project #(s) 02282 Contractor ADVANCED PAVING PM KRISTIAN SUGRIM Inspector GARY DEYON Change Order Submittal #�1 Date 11/15/2016 Dept, Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date nt of Proposed Chanqe Order Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) TIPW 321,645.10 321,645.10 $22,167,20 343,812.30 $0.00 $22,167.20 Contract Time Totals CD 321,645.10 260 155 321,645.10 415 $22,167.20 343,812.30 415 $0.00 �22,167.20 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTR,4CT 0,95% MAXALLOWABLE CONTR,4CTAMOUNT (ORIGINAL CONTR,4CT COST+ 25%J $2,902,056.38 JUSTIFICATION (REASONS) FOR CHANGE ORDER This change order is for additional time to be added to the contract for the following reasons: 30 days due to the water line conflict on Ellis Ranch Rd.; 20 days for an elictrical confiict on Edgefield Rd.; 15 days for additional sidewalk work on Brentwood Stair Rd.; 32 days for excessive rain & ice tluring the months of Feburary and March of 2015; 5 days for Greenway Street which was changed from a MOL to POL; 20 days lost due to water line conflict on Christine Ct.; 13 days for time lost during the holitlays; 20 days for a water line conflict on Brentwood Stair Rd. Also, additional funtling is requiretl for over runs on��i & Gutter in various locations. � R;�.;' vt ', � OFFICIAL. RE�O�� CITY SEGR�YARY pT.1NORTH, '�X F��Et,.��H c�ry of Fortwortn Change Order Additions Project Name HMAC STREET REHABILITATION CONTRACT 2014-4 City Sec # 45889 Client Project # 02282 Contractor ADVANCED PAVING PM KRISTIAN SUGRIM Inspector GARY DEYON Change Order Submittal # 0 Date 11/15I2016 �� • �It�u� � .. �� S'l�ii��ll��l�l��a�]� � � •� • .�, �� . � ••�. • � �� .�� .r,�«rzn � �� . •,� � �"� Change Order Additions Page 1 of 1 FoH-r_�H City of Fort Worth Change Order Deletions Projecl Name HMAC STREET REHABIUTATION CONTRACT 2014-4 City Sec # 45889 ClientProject# 02282 Contractor ADVANCED PAVING PM KRISTIAN SUGRIM Inspector GARY DEYON Change Order Submiflal # � Date 11115/2016 � • �u� ' ' •' �' �i' ��tLl� � '' �� ..�• � Change Order Deletions Page 1 of 1 �0�- T�" REQUEST FOR M/SBE CONTRACT GOAL Chec type of contract; � Construction C� CMAR � Construction Management �, Design/Build � Professional �- C/S/P � Other, please explafn DEPT, Name; 7raneportaqon & Pu611c Woriss First Advertise bate: 01/95/15 Date to MWBE Office: 08/04/15 IS THIS CONTRACT ASSOCIATED WITH TRV? Yes � No Q✓ OR WITH SH-121TR Yes � No � Dollar value of TRV contract pai�tion $ � SH-121TR contract portion $ IS TNIS A FEDERALLY FUNDEp CONTRACT? Yes j� No0 (S THIS A CIP CONiFiACT? YesO NoG✓ IS THlS A BOND FUNDED CONTRACT? Yes � No � if yes, what year Construction: IS THIS A LUMP SUM CONTRACT? Yes 0 No� BID DATE Professional: IS THIS A�IXED FEE NOT-TO-EXCEED CONTRACT? Yes 0 No[�✓ IS THIS A HOURLY NOT-TO-EXCEEQ CONTRACT? Yes � No ✓C] � IS THIS A COMSINED PROJECT? Yes [] No []✓ IS THIS A REVISION? Yes � No0 If yes, enter the revision number� fS THIS A CHANGE ORDER? Yes []✓ No ❑ Enter # � � Contractor: Advanced Paving IS THiS AN AMENDMENT7 Yes� No�✓ Enter #� Design Firm: !f this is not tho initlal changa order/amendment, subm(t copiea of ali previous ct►ange order/amendments repardless of whether a M&C was requlred tor fundiny. CONTRACT DESCRIPTION (�nc�uamy streat Names): tHMAC 2094-4) Street Rehabilitation Check applicable boxes: ❑ Concrete Paving ✓ Asphalt Paving Drainage Water Sewer ❑ Other Aiternates Capital Project# DOE/Other Project# ozza2 ! r2ss TOTAL CONTRACT ESTtMATE: $ 575,595.91 (Please ATTACH individual sub-tota(s for contracts wfih multiple units/sections including contingency. If the doaumentation is not clear and concise, It will be returned to the department.) Kristian Sugrim Kristian Sugrimoe'aa2oieoa.o<Ytaie3iA5roa 8902 , Exr. Project Manager Project Manager Signature DATE: os/o4/�5 Name of Design Firm �..��ecK nere �v acKnow�eage inai �r pay i[em quanaues are added to the proposal secflon afler an MlSBE noal has bsen ✓ provlded by the MlWBE OHtce, the revlsed proposal must be submitted to the MlWB� OHice for revlew, A compilance revlew w111 not be performed if addlllonal pay Items or quantitles, whlch will potentlally impect the MI3IDBE goal, are added to the proposal section aiter the issuanca of a Mt38E poai. ..� ��..� TMIS PORTION TO BE COMPl.ETED BY MIWBE OFFICE Prof. 89E Goal ConBt. MBE Ooal Const. SBE Goal M/SBE PROJECT GOAL: °�a % % If ihe goai provlded by the only authorlxed enUty, the MWBE OHice atefl is modlBad in eny wey, lhe aubmlanlon of Ihe foilow•up comp nce pcumen e on wlll ba null and void. �� O �� A ' � Comments: � �� t -iN��-4� ` � MMIBE CCS: , � �XT: i- DATE: a�l� �� Rev. 07/24/12 CFW Change Order Approval St-COApp01 Routinq Assigned To: Assigned By: Page 1 of 5 Due Date: Due Time: Links 2 fortworthaov/Infrastructure Proiects/02282 - HMAC (2014-4) Street Rehabilitation/Contractor/Chanae Orders/Chanqe Order #1 Breakdown 2014-4.xls fortworthaov/Infrastructure Proiects/02282 - HMAC (2014-4) Street Rehabilitation/Contractor/Chanae Orders/APCF for CO#1 on H2O14-4.�df Attachments (0) No Attachments have been added to this form. https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&ProcessI... 2/21/2017 CFW Change Order Approval St-COApp01 �°�� ,�� c�ty of Fo�t wo�tn ��, ; I, !I ��-- Change Order Request Approval � (Change Order Breakdown Available in Links) Page 2 of 5 For Change Order Submittal No.: 1 Change Order No.: St-COApp01 Date Started: 2016-12-19 City Sec. No.: 45889 Date Due: 2017-02-07 Project Name: HMAC (2014-4) Street Rehabilitation 02282 DOE Numbers: Project Numbers: DOE No. 7235 PI"Oj2Ct Removal and replacement of broken and non-functional curb & DeSCrlptl011: gutter and driveways; pulverization and stabilization of the 'existing pavement, followed by and 2" overlay of virgin HMAC. Project Manager: 'Kristian Sugrim City Inspector: Gary Deyon Contractor: Advanced Paving COUNCIL ACTION (If Required): M&C Log Name: M&C Number: COST AND DAYS SUMMARY: M&C Date: Requested Department: Cost($) Fund Account Center: Days: TPW $ 22,167.20 : 39408 155 , _. __ __ _ _. Total Cost: �� 167.20 ; Total Requested Days: 155 Approval Status: https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&ProcessI... 2/21/2017 CFW Change Order Approval St-COApp01 Page 3 of 5 https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&ProcessI... 2/21/2017 CFW Change Order Approval St-COApp01 Approved: Yes '!Comments: 'User: Tara Fishback Date: 2017-01-17 9:49 AM ',Approved: Yes Comments: 'User: Becky Garrett Date: 2017-01-17 11:45 AM Approved: Yes Comments: User: Kristian Sugrim Date: 2017-01-17 11:59 AM Approved: Yes Comments: User: Najib Fares Date: 2017-01-17 2:43 PM Approved: Yes Comments: User: Tara Fishback Date: 2017-01-19 2:01 PM 'Approved: Yes 'Comments: User: Becky Garrett ;Date: 2017-01-19 3:39 PM 'Approved: Yes Comments: 'User: Kristian Sugrim 'IDate: 2017-01-20 8:23 AM ;,.Approved: Yes iComments: 'User: Najib Fares ;Date: 2017-01-20 8:58 AM Approved: Yes Comments: User: Kim Arnold Date: 2017-01-23 9:10 AM Approved: Yes Comments � Page 4 of 5 https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&ProcessI... 2/21/2017 CFW Change Order Approval St-COApp01 User: Kim Arnold `Date: 2017-01-23 9:22 AM Approved: Yes Comments: User: Doug Wiersig Date: 2017-01-23 11:31 AM ,;Approved: Yes 'Comments: User: Richard McCracken 'Date: 2017-02-02 2:30 PM Approved: Yes IComments: ;�User: )ay Chapa (Date: 2017-02-21 2:17 PM Action Required: Page 5 of 5 https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&ProcessI... 2/21/2017 Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and adminisn�ation of this contract, including ensuring all performance and reporting requirements. _ . _ ti� �... 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