HomeMy WebLinkAboutContract 49058-CO2 CITY SECRETARY
CONTRACT NO.
WORTHe City of Fort Worth
app �o� •.-- Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: COSub-02
Change Order No.: Pa - COApp02 Date Started: 2017-11-13
City Sec. No.: 49058 Date Due: 2018-01-02
Project Name: Playground Improvements for Arrow, Camp Joy, Harvey Street, Southcre...
Project Numbers: 02463, 02464, 02465, 02467, 02468, 02 DOE Numbers:
Project Playground Improvements at Arrow S, Camp Joy, Harvey St.,
Description: Southcreek, Summerbrook, Titus Paulsel, Monticello, Mallard
Cove, Hallmark, Lincolnshire and Shackleford.
Project Manager: Carlos Gonzalez City Inspector: James Diver
Contractor: Northstar Construction LLC
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:
PAR $ -6,000.00 34014-0800450-5740010-CO2464-C
PAR $ -16,000.00 34014-0800450-5740010-CO2467-C
PAR $ 22,000.00 34014-0800450-5740010-CO2465-C 5
Total Cost: $ 0.00 Total Requested Days: 5
Approval Status:
Of-1;WIAL RECORD
CITY 3ECRETARY
FT's WORTHo TX
I
2
Approved: Yes
Comments:
User: Sandy Martinez
Date: 2017-11-15 9:04 AM
Approved: Yes
Comments:
User: Carlos Gonzalez
Date: 2017-11-15 1:33 PM
Approved: Yes
Comments: Funding verified
User: Debra Rose
Date: 2017-11-20 11:33 AM
Approved: Yes
Comments: Change Order justified
User: David Creek
Date: 2017-11-20 5:50 PM
Approved: Yes
Comments:
User: Richard Zavala
Date: 2017-11-20 4:23 PM
Approved: Yes
Comments:
User: Doug Black
Date: 2017-11-22 1:51 PM
Approved: Yes
Comments:
User: Susan Alanis
Date: 2017-11-27 8:40 AM
Action Required: (' �
Y'"it Secret 7-E3CP�`'
OFFICIAL CITF3
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.
Carlos Gonzalez
Name of Employee
Park Planner
Title
1-1 This form is N/A as No City Funds are� associated w Contract
-5 �ZR
Printed Name Signature
FORT WORTH:, City of Fort Worth
Change Order Request Breakdown
Project Namel Playground Improvements at Arrow S,Camp Joy,Harvey St.,Southcreek, City Sec# 1 49058
Client Project#(s) 02463,02464,02465,02467,02468,02470,02466,02326,02191,
Contractorl Northstar Construction LLC PM Carlos Gonzalez Inspectorl James Diver
Change Order Submittal# 0 Date 8/29/2017
Dept. PACSD Contract Time
Totals CD
Original Contract Amount $1,181,438.00 $1,181,438.00
Extras to Date $279,640.00 $279,640.00
Credits to Date $0.00
Pending Change Orders(in M&C Process) $0.00
Contract Cost to Date $1,461,078.00 $1,461,078.00
Go to ADD&DEL Tabs to Enter CO Backu.p $0.00 10
Revised Contract Amount $1,461,078.00 $1,461,078.00
Original Funds Available for Change Orders $0.00 $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 23.67%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,476,797.50
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Due to the location of the original basket ball court at Harvey St.Park,the court had to be remove to make room for the new playground.
During the award of contract funding to replace the basket ball court was not available. After completing Southrcreek and Camp Joy
Playgrounds, it was determine the change order allowance funds will not used. Insted the Park and Recreation Department(PARD)will
transfer the funds to the Harvey St.Park funds to replace the missing basketball court.
Four Wor�Th City of Fort Worth
Change Order Additions
Project Name I Playground Improvements at Arrow S,Camp Joy,Harvey St,Southcreek,Summerbrook,Titus Paulsel,Monticello,I City Sec# 49058
Client Project# 1 02463,02464,02465,02467,02468,02470,02466,02326,02191,
Contracts Northstar Construction LLC PMJ Carlos Gonzalez Inspector James Diver
Change Order Submittal# Date 8/2912017
ADDITIONS
Unit mt ost Total
5 1993 SF of Basketball Concrete ou alk/Bench Pa o include goal,stnppi A-75-D-
3-06
-D 1. 1
ench( ee age 8 of PA EA 1,7
7 Trash Receptacles(See Page 8 o ) PA D
Basketball ourt-Site Grading(See Page 8 of ) PA L
Site Erosion Control/Tree Protection(See Page 8 of ) L
3-10 Grass Establishment(See Page 8 of ) PACSD 1.00000000 LS $600.00 $600.00
UNIT 7 ALTERNATE BID ER ALLOWANCE-
775—
LL A
-5
7amp Joy Park Change Order AJIowance 1. L
PACSD $24,500.00
Sub otal Additions
Change Order Additions Page 1 of i
Fo r Wo TH City of Fort Worth
Change Order Deletions
Project Name I Playground Improvements at Arrow S,Camp Joy,Harvey SL,Southcreek,Summerbrook,Titus Paulsel, City Sec# 49058
Client Project# 1 02463,02464,02465,02487,02488,02470,02466,02326,02191,
Contractorl Northstar Construction LLC PM1 Cados Gonzalez InspectorF James Diver
Change Order Submittal# Date 1 8/292017
DELETIONS
ITEM ,.r r I�u v ry nit n,;�cs� eta:
UNII H
7-07 Camp Joy Park Change Order Allowance PAUSU 1. 5, 0.
7Harvey Street Park Change r er liowance PA 1. L
7- Harvey Street Park Change Order Allowance PA D L 75
7- outhcreek Park Change-Order Allowance PACSD --i-EMM
7-14 Southcreekark Change Order Allowance PA D L 75
7-15 Southcreek Park Change Order Allowance PACSD 1.00000000 LS $5,000.00
7-iT—Southcreek Park Change Order Allowance PACSD 1. L --�7—,Muu
PACSD $24,500.00
SUb Iota[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
1 8/29/2017 $25,572.75
Total $25,572.75
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
Fortworthgov/PAR/CO2463 - Playground Replacement at 6 Parks/Contractor/Change Orders/CHANGE ORDER
No-2/Change Order 2 Breakdown 9 Park Site.xls
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