HomeMy WebLinkAboutContract 48191-CO3 Page 1 o:
CITY SECRETARY
�G CONTRACT NO. ICIG�
�sF�o9� `90 R `� QRT WORT City of Fort Worth
Change Order Request
�9y Project'Noma HMAC(2016-10 HIR Street Rehobifilallon City Sec 46191
Client Project H(s) 100345
Project Removal and replacement of nonfunctional driveways,curbs and gutters and sidewalks,Wowed by recycling ant]mixing
Oescripllon of Iho existing asphalt and an overlay of 1"surface course asphalt. _
Contractor Culler Repaving,Inc. Chang ardor N Dale 1�/2t12019
CftyPi*cIMqi.J Kristian Sugrim city inspeclor farad Souders
Dept TPW.Biorm Contract Time
Water Totals
Original Coninal Amount $2,767.677.09 $2,767,877.69 105
Exlras to Date $95,060,00 $95,060-00 605
Credits to Date
Pending Change Orders(in MRC Process)
Contract Cost to Date $2 8 2 37.69 $2,802,937,69 870
4o to ADD b DEL Tabs to Enter CO JB&r.ku . 0 51Revised Contract Amount 2, ,93T. _ _ $2.862,937.69 921
Original Funds Ava table for Change 0,p0
Remaining Funds Available for this C
Additional Funding(if necessary)
CHANGE ORDERS to DATE pNCLUDWG THIS ONE)AS%OF ORIGINAL CONTRACT 3.439v
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL,CONTRACT COST+250%) $3,459,847.11
JUSTIFICATION(REASONS)FOR CHAW ORDER
This change order is for tine only.The 51 days are being added to Ilia contract for unseasonably rainy conditions.During the project,tune was
suspended for 113 days from 12018 to 3127119 per article 15.01 of the general conditions,due to cold temperatures non-conducive to file Hot
In-Place recycling procedure.This change order will btirg the contract time to 921 days,however the suspended time accounts for an
ad0innal 113 days.
It Is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents
payment In lu'I(both limo and money)for all costs arising out of,or Incidenlai to,the above Change Order. 1 ha PflectlProgram Manayor s�n'ng
below acknowledges that helsho Is the person responsible for the monitoring and adminlstreion of this contract,IneWing ensuring as pedormanco
and sporting rnquiremenls.
Contractors CompAny Name Contractor Name Conlr ntur pet
Culler Repaving.Inc. Charles A,Vaskerna rLi •
.I ctorr ecgon,5u er r gf Date P M n rl ranWono or Dale
Assistant Director Dn 1 Dale Dlreelor Contmc0n a ntnont D t Dale
Assistant CIV Attorney Date Assistant CRY Manager Un;e
Council Action(if t uired _
W Number IM Date Approved
OFFICIAL RELURD
CITY SECRETARY
WORTH TX
.ps://docs.b360.autodesk.com/projects/5f8bc755-cbc8-4336-aOba-491 e73f957e 1/reviews/909'36ed9-2ce7-47?0-... 12/9/20
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IVIMBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for this CO
N/A
Total $0.00
Previous Change Orders
co# DATE AMOUNT
None
Total $0.00
BIM 360 Document Management Page 1 of 2
B AUTODESK DIM360 fortworthgov>100345-HMACHIR Street Rehab(2016-10)- 0 KS
•:: Document Management FOLDERS REVIEWS TRANSMITTALS ISSUES
Reviews > Reviewdetail
CLOSED #16 Change Order Workflow Approval
Export Report This review is closed.
Name- Description Version Markup Comments PROGRESS
M 100345_Time-0O3.pdf V1 0 LP 7
Initiator Initial Review n
p` Copy of 100345_2016-10_CO3-Time Only-C... V3 0 No comments yet. KS Kristian Sugrim Oct 25,3:26 PM
<kristian.sug rim @fortworthtexas.gov>
Submitted to Reviewer 1
Reviewer Initial Review 1 n
LZ Lane Zarate Oct 28,1:16 PM
<lane.zarate@fortworthtexas.gov>
0 Submitted to Reviewer 2
Approved
A4fe / U S 1= Reviewer 2 Initial Review 2
6e�i J• �: �L..
LP Lauren Prieur Nov 13,5:38 PM
<lauren.prieur@fortworthtexas.gov>
r, Secretary F
Submitted to Reviewer
Please refer to comments section in
the review for explanation of the days
needed.
Reviewer 3 Initial Review 3 n
WJ William Johnson Nov14,9:0ZAM
<wil lia m.j o h nson @ fo rtworthtexas.gov>
Submitted to Reviewer 4
No further comments
Reviewer 4 Initial Review 4
DB Douglas Black Dec 5,3:55 PM
<d oug.black@ fortwo rthtexas.g ov>
Submitted to Approver
approved.
Show more
Approver Final Review n
DB Dana Burghdoff Dec 6,6:01 PM
<dana.burg hdoff@fortworthtexas.gov>
Review ended
Review closed
U
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https:Hdoes.b360.autodesk.com/projects/5f8bc755-cbc8-4336-aOba-491 e73f957el/reviews/9093 6ed9-2ce7-4... 12/9/2019
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.
Kristian Su im / �r
Name of Employee/Signature
Project Manager
Title
❑ This form is N/A as No City Funds are associated with this Contract
Kristian Su grim �---
Printed Name Signatur
-Jia=HUA RECORD
�TIT SECRETARY
E't ' OR7HP TX