HomeMy WebLinkAboutContract 47949-CO1 FORT WORTH City of Fort Worth CITY SECRETARY
Change Order Request Breakdow
CONTRACT N0.
Project Namel Park Glen Street Improvements City Sec# �.�5�--�
Client Project#(s)l 100024
Contractor Ragle, Inc PM Tariqul Islam Inspectorl Stan Sutterfield
Change Order Submittal# 0 Date 2128/2017
Dept. T/PW Contract Time
Totals CD
Original Contract Amount $1,648,025.25 $1,648,025.25 360
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,648,025.25 $1,648,025.25 360
Amount of Proposed Change Order $87,318.10 $87,318.10
Revised Contract Amount $1,735,343.35 $1,735,343.35 360
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $87,318.10 $87,318.10
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 5.30%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $2,060,031.56
JLISZ11=1C�71Ci�1 (REAS[�N ) �(�R CHANCE QF?1�ER
This change order is needed for additional concrete and sidewaik repairs that are needed within the Park Glen Neighborhood.The
neighborhood had very poor drainage due to the lack of grade percentage on the street.Adjustments were needed to eliminate several ponding
areas.Sidewalk adjustments were needed as a result of having to adjust the paving elevations.
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Maty J. s , GOWN
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OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
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Change Order Additions
Project Name I Park Glen Street Improvements City Sec#
Client Project# 1 100024
Contractor Ragle,Inc PM Tariqul Islam Inspector Stan Sutterfield
Change Order Submittal# Date 2/28/2017
ADDITIONS
unit nit os ota
Remove Concrete and Replace with Concrete Pavement
Remove and ReplaceSidewalk T/PW __T5TMUT0TF
T/PW $87,318.10
Sub Total Additions 7,
Change Order Additions Page 1 of 1
T WORT i? City of Fort Worth
Change Order Deletions
Project Name I Park Glen Street Improvements City Sec#
Client Project# 1 100024
Contractor Ragle,Inc PM Tariqul Islam lnspctor.r Stan Sutterfield
Change Order Submittal# 0 Date 2/28/2017
DELETIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
T/PW $0.00
Sub Total Deletions
Change Order Deletions Page 1 of 1
M/SBE Breakdown for this Change 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
CONTRACT COMPLIANCE MEMORANDUM
Change Order, Amendment or Extra Work
THIS FORM MUST BE ATTACHED TO THE ROUTING "M & C" BEFORE
LAW DEPARTMENT AND CITY MANAGER APPROVAL
To: Tariqul Islam
Project Manacer
From: Tasha Kilgore (817) 212-2643
M/WBE Office Staff Extension
Date: April 25, 2017
In the Amount of $87,318.10 TPw-100024
DOE/Project No.
Project/Bid: Change Order No. 1 2014 CIP, Park Glen Street
Improvements
1. Compliance with the City's Business Diversity Enterprise (BDE)
Ordinance has been achieved by the following method:
a) Ragle. Inc. is in compliance with the City's BDE Ordinance by committing to
an additional 6% MBE participation on this Change Order No. 1.
CFW Change Order Approval St-COApp01 Page 1 of 4
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 2
fortworthgov/Infrastructure Projects/100024 - Park Glen Street Improvements/Contractor/Change Orders/Copv of
Change Order Breakdown Revised.xls
fortworthgov/Infrastructure Projects/100024 - Park Glen Street Improvements/Contractor/Change
Orders/170425 100024 C1 ComplianceMemo.pdf
Attachments(0)
No Attachments have been added to this form.
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CFW Change Order Approval St-COApp01 Page 2 of 4
FORT WORTH, city of Fort Worth
• Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: St-COSub01
Change Order No.: St-COApp01 Date Started: 2017-03-02
City Sec. No.: Date Due: 2017-05-12
Project Name: 100024 - Park Glen Street Improvements
Project Numbers: 100024, 100375 DOE Numbers:
Project park Glen Street and Sidewalk Improvements
Description:
Project Manager: Tariqul Islam City Inspector: Stan Sutterfield
Contractor: Ragle Inc
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 87,318.10
Total Cost: $ 87,318.10 Total Requested Days: 0
Approval Status:
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CFW Change Order Approval St-COApp01 Page 3 of 4
Approved: Yes
Comments:
User: Ammar Elhamad
Date: 2017-03-02 11:12 AM
Approved: Yes
Comments:
User: Tariqul Islam
Date: 2017-03-02 11:28 AM
Approved: Yes
Comments:
User: Riad Nusrallah
Date: 2017-03-02 6:24 PM
Approved: Yes
Comments:
User: Richard Martinez
Date: 2017-03-23 2:24 PM
Approved: Yes
Comments:
User: Ammar Elhamad
Date: 2017-04-24 5:38 PM
Approved: Yes
Comments:
User: Tariqul Islam
Date: 2017-04-25 11:58 AM
Approved: Yes
Comments:
User: Riad Nusrallah
Date: 2017-04-25 10:26 PM
Approved: Yes
Comments:
User: Richard Martinez
Date: 2017-05-04 10:11 AM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2017-05-08 9:38 PM
Approved: Yes
Comments:
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CFW Change Order Approval St-COApp01 Page 4 of 4
User: Doug Black
Date: 2017-05-09 7:34 PM
Action Required:
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i
Contract Compliance Manager:
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract,including
ensuring all performance and reporting requirements.
-
Tariqulislam
Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature