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Home My WebLink AboutContract 49616-CO2 CITY SECRETARY ,,�'tX/Z FoR_ T WORTH. City of Fort Worth CONTRACT NO. Change Order Request Breakdown pmjedNamej 2014 CIP Year 3 Contract 3 City Sec# 1 49616 —� M"'Pra)ea#(s) My1 Contractorl Slablie&Winn,Inc. PM Hanna---,] lmpwwF Rye Wer Charge Order Submittal# 0 Date Bh 1!2018 Dept. Water SewContract Timeer TPW Totals CD Original Contract Amount $684,895.00 $437,486.00 1,713,587.90 2,835,968,90 300 Extras to Date $40.00 $40.00 60 Credits to Date Pendirg Change Orders(in M&C Process) Contract Cost to Date $684,895.00 $437,526.00 $1,713,587.90 $2,836,008.90 360 Go to ADD&DEL Tabs to Enter CO Backup ,00 $0.00 $66,767.88 $66,767.88 20 Revised Contract Amount 4,8 5. ;437,526.00 $1,780,35538 2,902,776.78 380 Original Funds Available for(urge Orders $0.00 Remaining Funds Awliable for this CO $0.00 $0.00 $0.00 Additional Funding Of necessary) $66,767.88 $66,767.88 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 2.36% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $3,544,961.13 _ J USTIFiChTION(REASONSJ FOR CHANOE ORDER Grease pwo qu m%Es to aeewnl for actcrai quantifies in IMe cDweie pavement Ur lQ 0east Parkway — Atbye. • RjoWd P.Gonzales,Ass ity Secretary � OF FO ,l2 U.: :,O XAS OFFICIAL RECORD CITY SECRETARY FT.WORTH,Tx TPW Scan 0 3 ��' •r City of Fort Worth Change Order Additions Protect Name 1 2014 CIP Year 3 Contact 3 Sec f 49818 Ckerd Protect N comactorl 9wo&Wqm,Ine. PMj MaY Natw!—� hrepec Flan MMei Charge Oder SrbdW/ Oats & 18 AUUITIONS cost TOM lop coreffile amne Waler $0.00 Saver $0.00 TPW $89,988.88 Sub 0 Change Order Additions Page 2 of 4 FORT% ,Kct.+ city of Fort worth llwChange Order Deletions Projed Nemo 2014 ClP Year 3 Ca"y� C0y Sae M CBent Pmed 9 JA&q ` Contredor�Sf�ile 8 VMinn,Mc Pq A&—yH--..----1 Invecw Ryan Air CArga Order SuhdBY 0 C� pate 8111 18 DELETIONS ITEM DESCRIPTION DEPT Qly UfdCAMI Total ammo Wabr A6 sewer $0.00 TPW $23,219.00 Change Order Deletions Page 3 of 4 M/SBE Breakdown for this Change Order M/SBE Sub Type of Service Amount for this CO None(see approved waiver) $0.00 Total $0.00 Previous Change Orders Co# DATE AMOUNT 1 4/10/2018 $40.00 Total $40.00 City of Fort Worth Departmental Request for Waiver of MBE/SBE Subcontracting/Supplier Goal TPW $66,767.88 06/11/2018 DEPARTMENT NAME: ESTIMATED COST / PROPOSAL DATE (Please check the appropriate box below) oRFP oRFQ QRFI oCISV oOther State Cooperative Program oReverse Auction NOTM All support documentation needs to be attached to this request 2014 CIP Year 3 Contract 3 02694 NAME OF PROJECT/BID DOE/PROJECT NO. Mary Hanna �;;�„ ,-,. 5565 06/13/2018 SIGNATURE OF PROJECT MANAGER EXTENSION DATE NIGP CODE Prior to advertisement, the contracting/managing department shall determine whether the bid/RFP is one which MBE/SBE requirements should not be applied. MBE/SBE requirements may be waived upon written approval of the MWBE Manager. If one of the conditions listed below exists,the contracting/managing department shall notify the Manager via this form,stating the specific reasons)for requesting a waiver. If the contracting/managing department and the Manager are in conflict over the granting of a waiver, either may appeal to the City Manager, or designee, whose decision is final. Please Check Applicable Reason: MWBE Office: A waiver of the goal for MBE/SHE subcontracting requirements was requested by the Department and approved by the MWBE Office, in accordance with the MWBE or BDE Ordinance,because the public or administrative emergency exists which requires the goods or services to be provided with unusual immediacy; or B. MWBE Office: A waiver of the goal for MBE/SHE subcontracting requirements was requested by the Department and approved by the MWBE Office, in accordance with the MWBE or BDE Ordinance, because the purchase of goods or services is from sources where subcontracting or supplier opportunities are negligible; or C. MWBE Office: A waiver of the goal for MBE/SHE subcontracting requirements was requested by the Department and approved by the MWBE Office, in accordance with the MWBE or DBE Ordinance,because the application of the provisions of this ordinance will impose an economic risk on the City or unduly delay acquisition of the goods or services;or D. MWBE Office: A waiver of the goal for MBE/SHE subcontracting requirements was requested by the Department and approved by the MWBE Office,in accordance with the MWBE or DBE Ordinance, because the MWBE Waiver is based on the sole source information provided to the MWBE Office by the managing department's project manager. E. OTHER: Justify Commodity or Service Waiver Request: There Is no MBE subcontracting opportunities on this change order#2 because the concrete pavement Is being performed by the non-certl8ed company(Peachtree ConstrwAon,LTD)already contracted with the prime to perform this work. Please use additional sheets,if needed M/WBE OF'l'ICE USE ONLY: n/ Patty Jean Wilson Approved Signature of M/WBE Authorized Personnel Date Not Approved Signature of M/WBE Authorized Personnel Date Ray.2-27-18 CF W Change Order Approval COAppr-O 1 Page 2 of 3 FORT WORTH. city of Fort Worth �---�� .--- Change Order Request Approval (Change Order Breakdown Available in Links) For Change Order Submittal No.: ;2 Change Order No.: COAppr-01 Date Started: 2018-06-13 City Sec. No.: 49616 Date Due: 2018-08-02 Project Name: 2014 CIP Year 3 - Contract 3 Project Numbers: 02694 DOE Numbers: Project This is a combined project includes water, sanitary sewer and Description: paving improvements on Northeast Parkway from Great Southwest to Rondo Drive and on Urban Drive from Northeast Parkway to N.E. Loop 820. Project/Contract Compliance Mary Hanna City Inspector: Ryan Miller Manager: Contractor: Stabile & Winn, Inc. COUNCIL ACTION (IF Required): M&C Log Name: N/A M&C Number: M&C Date: COST AND DAYS SUMMARY: Requested Department: Cost($) Fund Account Center: Days: TPW $ 66,767.88 34014-0200431-5740010-c02694-c( 20 CM40 � C Total Cost: $ 66,767.88 Total Requested Days: 20 Approval Status: https://projectpoint.buzzsaw.com/ bz web/Forms/FomiPzint.aspx?Siteld=51500&ProcessI... 6/29/2018 CFW Change Order Approval COAppr-01 Page 3 of 3 Approved: Yes Comments: User: Jerry Henderson Date: 2018-06-13 4:39 PM Approved: Yes Comments: User: Mary Hanna Date: 2018-06-13 5:04 PM Approved: Yes Comments: User: Lane Zarate Date: 2018-06-19 7:59 PM Approved: Yes Comments: User: Ricardo Matute Date: 2018-06-19 3:03 PM Approved: Yes Comments: User: Doug Wiersig Date: 2018-06-21 3:25 PM Approved: Yes Comments: User: Doug Black Date: 2018-06-26 4:29 PM Approved: Yes Comments: User: Susan Alanis Date: 2018-06-28 1:15 PM Action Required: Please review and approve https://projectpoint.buzzsaw.com/ bz web/Forms/F-ormPrint.aspx?SiteId=51500&ProcessI... 6/29/2018 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. Y1�a(`1�_hit / __-- _. Name y f Etn to ee/Si ature P Y t� Title ❑ This form is N/A as No City Funds are associated with this Contract Printed Name Signature