HomeMy WebLinkAboutContract 52034-CO2 A
��CE(*WORTH.RE - City of Fort Worth CSC No.52034-0O2
JUNChange Order Request
CiTYOFFORTWORTH
CITYSECRETect Name 2019 Street and Bridge Improvements Unit Price,Task Order 2 City Sec# 52034
Client Project#(s)l 101846
Project
Description
Contractorl Urban Construction Change Order# 0 Date 4/30/2019
City Project Mgr.1 Traiqul Islam City Inspector Oscar Aguillan
Dept. TPW Contract Time
Totals WD
Original Contract Amount $895,606.00 $895,606.00 180
Extras to Date -$300.00 -$300.00
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $895,306.00 $895,306.00 180
Amount of Proposed Change Order $46,124.45 $46,124.45 40
Revised Contract Amount $941,430.45 $941,430.45 220
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $300.00 $300.00
Additional Funding(if necessary) $45,824.45 $45,824.45
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 5.129D
MAX ALLOWABLE CONTRACT AMOUNT.(ORIGINAL CONTRACT COST+25%) $1,119,507.50
JUSTIFICATION(REASONS)FOR CHANGE ORDER
The major items added to this change order requst are 1,751 square feet of driveway approach and 249 linear feet of curb&gutter.During
construction,more than anticipated driveway and curb&gutter failures were identified on Lee Avenue,Prospect Avenue and Loving Avenue.
Other items to add in this change order request are 252 square feet of sidewalk,63 square feet of retaining wall,2 ADA-compliant ramps,30
square yards of flexbase and other minor items.For this addtional work,40 calendar days are required to complete this change order.
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment
in full(both time and money)for all costs arising out of,or incidental to,the above Change Order. The Project/Program Manager signing below
acknowledges that he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance and
reporting requirements.
Contractor's Company Name Contractor Name Co i nature Date
Urban Construction An1vP TA-M 9,A44A4Z_— If S G Zo
I dor/l s echo Date Pro'�VanNe ram ana er Rate
Assi Di e t Date Director,Contracting Department(Dept) Date
Assistant City Attorney Date Assistant City Manager
I Jun 1,2020
Council Action if required)
M&C Number ��� M&C Date Approved
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MWWBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for this CO
NIA
Total $0.00
Previous Change Orders
co# DATE AMOUNT
None
Total $0.00
6/1/2020 BIM 360 Document Management
p AUTODESK BIM 360 fortworthgov 101846-2019 Street and Bridge Improvements-Unit Price Contract- A TI
•.. Document Management FOLDERS REVIEWS TRANSMITTALS ISSUES
Reviews > Review detail
CLOSED #31 Change Order Approval Workflow-Task Order 2
Export Report , This review is closed.
Name Description Version Markup Comments PROGRESS
Change Order 2.pdf -- VI 0 No comments yet. Initiator Initial Review n
cm
TI Tariqul Islam May 19,5:51 PM
<ta riquListam @fortworthtexas.gov>
Submitted to Reviewer 1
Reviewer 1 Initial Review 1 n
JP Jeffrey Perrigo May 20,2:59 PM
<jeffrey.perrigo@ fortworthtexas.gov=
Submitted to Reviewer 2
Reviewer 2 Initial Review 2 n
LZ Lane Zarate May 28,9:14 AM
<lane.zarate@fortworthtexas.gov>
Submitted to Reviewer 3
approved
Reviewer 3 Initial Review 3 n
LP Lauren Prieur May 28,1:37 PM
<lau ren.prieur@ fortworthtexas.gov>
Submitted to Reviewer
No comments
Reviewer 4 Initial Review 4 n
WJ William Johnson May 28,5:42 PM
<willia m.johnson@fortworthtexas.go,
Submitted to Reviewer 5
Reviewer S Initial Review S n
DB Douglas Black May 29,12:28 PM
<doug.btack@fortworthtexas.gov>
Submitted to Approver
Approved.
Show more
Approver Final Review n
WJ William Johnson Jun 1,8:51 AM
<william.joh nson @fortworthtexas.go,
OFFICIAL RECORD) Review ended
CITY SECRETARY
Review closed
FT WORTH,TX
https:Hdocs.b360.autodesk.com/projects/81 cfff7f-1727-4bd 1-8592-c093363754cf/reviews/35a8d318-d083-4794-b682-c263a 19ec2f3 1/1
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.
Tariqul Islam / nr, ttt Ia44V
Name of Employee/Signature
Project Manager
Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature
OR
ATTEST:
i'Y U 0�' 0 �;> �•.
Mary J. Kayser, City Secretary f. r
E
ECORD
,OFFOCI � YARH, .
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