HomeMy WebLinkAboutContract 53094-CO1 CSC No.53094-COI
FORT-WORTH City of Fort Worth
Change Order Request
Project Namel 2020 Street Rehabilitation-Randol Mill Rd City Sec# 1 53094
Client Project#(s)l 102237
Project Description Street Rehabilitation
Contractorl Pavecon Public Works, LP Change Order# 0 Date 6/29/2020
City Project Mgr,l Traiqul Islam City Inspector Gesse Guptin
Contract Time
Dept. TPW Totals WD
Original Contract Amount $755,848.00 $755,848.00 60
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $755,848.00 $755,848.00 60
Go to ADD&DEL Tabs to Enter CO Backup $0.00 25
Revised Contract Amount $755,848.00 $755,848.00 85
Original Funds Available for Change Orders $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 0.00%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $944,810.00
JUSTIFICATION (REASONS) FOR CHANGE ORDER
This change order is to add 25 calendar days to the contract due to rain delays,to repair a damaged area of pavement,delay for determination
of installation of sod and manhole collars,and to install pavement line striping.
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) Contract Si tore Date
Pavecon Public Works,LP Jason Jones 7/31/2020
Inspector/Inspection Supervisor Date Project ManR, er/Program Manager Date
Assistant 6rector(Dept) Date Director,Contracting Department Dept Date
Assistant City Attorney Date Assistant City Manager Date
Council Action if required OFFICIAL RECORD
M&C Number M&C Date Approved CITY SECRETARY
FT.WORTH, TX
v
0
rn
CD
ch
LO
CV
O
N
0') N
N O
*k Q
U
O C
U �
t6
C
C
.Q
� C
O
N
cn
� � T
N
Ln
N O —
V
c O
N
U C uo
N a �
C U
070 Z +'
Q
L
° 3 a ai
, 1
L O
00 N
U
o
c
co
c a
O J
+_ C O
O — U
N d D
N Q> C N
C7
O N >
N Cn a H
x
0
K1p z a� •o.. ca �_
(J C
O O
H U �
n-
o
(Jr U o U
O O
O •
O •
E!}
CO
C
O
Q
H
O
N
N
tlO
m
d
N
C
O
Q
v
O
d0
C
t
u
0
rn
0
M
LO 0
N
O
N
N O
co
U
O �
A
N
U �
c
c
Q
U`
a>
(' A
N
O Ln
O 4-
O
Q M
en w
U G to
Z '..
C U
p a,
O LU
LJL
L6- O o
_ fo
U O7C, I--
U
U
0
-o
c
cv
c 0-
o -�
o �
N O c N
w
t� o
Cl) > �C.,::) N
OO (n a. h-
x
H (D 4t o 0
O _
04 z o •Q � �
O U
O
E5
�o U
d
0 0
0 0
o<» cn
o
� 0
I-
0
t—
.n
L
0
a�
tin
co
N
C
O
ai
41
0
N
dA
C
l6
U
MIWBE 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
10/1/2020 BIM 360 Document Management
B AUTODESW BIM 360' fortworthgov>102237-2020 Street Rehabilitation—Randol Mill Rd- A TI
Document Management FOLDERS REVIEWS TRANSMITTALS ISSUES
Reviews > Review detail
CLOSED #12 Change Order Approval Workflow
Export Report . This review is closed.
Name Description Version Markup Comments PROGRESS
C01_102237.pdf V1 0 No comme
Initiator Initial Review n
TI Tariqul Islam Aug 14,1:41 PM
<ta riq u l.i sla m @fortworthtexa s.g ov>
Submitted to Reviewer 1
This change order is to add 25 days
to the contract.
Reviewer 1 Initial Review 1 n
JP Jeffrey Perrigo Aug 14,1:59 PM
<ieffrey.pe rri go @fortwo rth texas.g ov>
Submitted to Reviewer 2
Reviewer2 InitialReview2
LZ Lane Zarate Aug 14,2:42 PM
<la n e.za rate @ fortwo rth texas.g ov>
Submitted to Reviewer 3
Reviewer 3 Initial Review 3 n
LP Lauren Prieur Aug 17,8:23AM
<la u ren.p rie u r@fo rtworthtexa s.g ov>
Submitted to Reviewer 4
No comments
Reviewer4 InitialReview4
WJ William Johnson Sep 16,8:48 AM
<willia m.johnson @fortworthtexas.gov
Submitted to Reviewer 5
Reviewers Initial Review 5 n
DB Douglas Black Sep 18,6:07 PM
<doug.black@fortworthtexas.gov>
Submitted to Approver
BIM 360 didn't display the
document in large enough for me
to accurately read it.But if it's just
adding day,it should be fine.
Approved if so.
OFFICIAL RECORD
CITY SECRETARY Approver Final Review n
FT.WORTH, TX DB Dana Burghdoff Sep 22,9:59 AM
<d a na.bu rg h d off @fo rtworthtexas.g ov,
Review ended
https://does.b360.autodesk.com/projects/6bd3bbO7-a55e-4cce-b4f9-44bb6f3e8l4e/reviews/94671 a32-f5d2-473a-a8fO-7cl e2783438e 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 / T-Ar66"4 1p"
Name of Employee/Signature
Project Manager
Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature
pabvbnp4�
p�� °FORpo
0~� °o �d
ATTEST: per° ° a
PP*o o*D,
for RovaaG7 P.T d a rEXASoOp
Oror (Oct,202014:32 CDC �nd�044
Mary J.Kayser,City Secretary
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX