HomeMy WebLinkAboutContract 54116-CO5CSC No. 54116-005
F(7 RT 'Wt� I2T H City of Fort Worth
Change Order Request
Project Name: Contract 2014 WSM-A, Part 3 Ciry Sec No.: 54116
Project No.{s): 596002-0600430-001�8o DOE No. N/A City Proj. No.: 102695
Project DescripGon:
Water/Sewer replacements and pavement rehabilitation on Oscar Ave., NE 35th St., Sylvania Ave., Akers Ave., Morning
Glory Ave., W. Lotus Ave., Bluebonnet Ave., Carnation Ave.
Contractor: Woody Contractors, Inc. Change Order #� Date: 5/11/2021
City Project Mgr. Leon Wilson City Inspector; Steve Cisneros
Phone Number: 817-392-2387 Phone Number: 817-996-5855
Dept. Water Sewer Paving Totals Contract Time
Original ContractAmount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Amount of Proposed Change Order
57.70
$17.10 $57,542.10
1 $856,303.67 �4,011,107.88 400
0 $298.80 $35,240.60
1 $856,602.47 �4,046,348.48 400
Original Funds Available for Change Orders �115,567.00 $39,297.00 $0.00
Remaining Funds Available for this CO $58,042.00 $39,297.00 $0.00
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OFORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + z5%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Change Order No. 5 will provide for the following items that are necessary on the project:
� Removal of HMAC and concrete paving on Akers Avenue encountered during construction, installatior
of 8" of base material antl 8" cement stabilization.
� Trench Repair on Akers Avenue
� Six Major manhole adjusfinents on Sylvania Avenue.
�154,864.00
$97,339.00
2.35%
�4,941,957.23
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord antl satisfa
in full (both time and money) for all costs arising out of, or incidental to, the above Change Order.
Contractor's Company Name Contractor Name Co�l�tqr Signafure
Woodv Contractors, Inc. Trov Woodv �
Inspecic
�,
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Director
Assistant
M&C Number
Date
� r(�. , � , ��
Date
j � _ ay 12, 2021
Date
May 13, 2021
Council Action (If
NIA
Manager '
L
Construction
Assistant
M&C Date Approved
and represents payment
Date
'% � �!
Date
5-12-21
Date
5/12/21
Date
May 13, 2021
4FFICIAL REC�RD
CITY SECRETARY
FT. WORTH, TX
FORT �t)R 1�H City of Fort Worth
Change Order Additions
Project Name Contract 2014 WSM-A, Part 3 City Sec No.: 54116
Project No.(s): 596002-0600430-001780 DOE No. N/A City Proj. No.: 102695
Projecf I Waler/Sewer replacements and pavement rehabilitation on Oscar Ave., NE 35th St., Sylvania Ave., Akers Ave., Morningl
Description Glory Ave., W. Lolus Ave., Bluebonnet Ave., Carnation Ave.
Contraclor Woody Contractors, Inc. Change Order:�5 Date: 5/11/2021
City Project Mgr. Leon Wilson City Inspector Steve Cisneros
ADDITIONS
F��RT''�V[)RTH City of Fort Worth
Change Order Deletions
Project Name Contract 2014 WSM-A, Part 3
Project No.(s): 596002-0600430-001780 DOE Na. N/A
Project Description Water/Sewer replacements and pavement rehabilitation on Oscar Ave., NE 35th St., Sy�
Morning Glory Ave., W. Lotus Ave., Bluebonnet Ave., Carnation Ave.
City Sec No.: 54116
City Proj. No.: 102695
ia Ave., Akers Ave.,
Contracfor 1Noody Contractors, Inc. Change Order: �5 Date 5/11/2021
City Project Mgr. Leon Wilson City Inspector: Steve Cisneros
DELETIONS
Page 1 of 1
Previous Change Orders
.Contract Compliance Manager
By signing I acicnowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all pei�£ormance and reporting requirements.
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Signature
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Name of Employee
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Title
ATTEST:
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Mary J. Kayser
City Secretary
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OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX