HomeMy WebLinkAboutContract 42544-CO1 (2) C10TY 1 0 F
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FORT WORTH City of Fort Worth CITY SECRETARY
Change Order Request
CQI� ACTNO.
Project Name HMAC Surface Overlay At Various Locations(2011-19) City Sec# 1 42544
Client Project#(s)l C293-541200-203620178883 City Project No.:01788 DOE:6722
Project Descriptio HMAC Surface Overlay At Various Locations throughout the city..
ContractorF JLB Contracting LLC Change Order# Date 1 6/17/2012
City Project Mgr.1 Kristian Sugrim (817)392-8902 City Inspector FMike Glover (817)944-0914
Dept. TPW Water Sewer Totals Contract Time
(CD)
Original Contract Amount $614,977.20 $245,990.88 $163,993.92 $1,024,962.00 110
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $614,977.20 $245,990.88 $163,993.92 $1,024,962.00 110
Go to ADD&DEL Tabs to Enter CO Backup fo.00 0.00 $0.00 110
Revised Contract Amount $614,977.20 $245,990.88 $163,993.92 $1,024,962.00 220
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00 $0.00 $0.00
Additional Funding(if necessary) I I d
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.000/0
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25916) $1,281,202.50
JUSTIFICATION(REASONS)FOR CHANGE ORDER
This change order is being submitted to request that an additional 110 calendar days(CD)be added to this contract.The added time will allow
for the construction of two added projects,Bonnie Dr.and Pennsylvania Ave.The pulverization and overlay of Bonnie Dr.(Ewing Ave-
Southwest Dead End),38 CD and the full mill and overlay of Pennsylvania Ave.(6th Ave-8th Ave),72 CD. The extended time on
Pennsylvania is necessary to mitigate the noise,time and traffic restrictions stipulated on the street work permit.
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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.
Ccntrac&s CwVany Name Contractor Nam Contract SJ nature Dale
JLB Contrading LLC
Inspector/Inspection Su rviso Date ProjV Ma eriProgram Manager Date
z �..
Ass' t Date r,2W ng De artrnent(Dept) Date
A i tto a Date Aggictaid i Mana ate `y
U z
Council Action if required)
M&C Number M&C Date Approved
10 FORT WORTH. City of Fort Worth , I
Change Order Request
Project Namel HMAC Surface Overlay At Various Locations(2011-19) City Sec# 42544
Client Project#(s)l C293-541200-203620178883 City Project No.:01788 DOE:6722
Project Descxiptio HMAC Surface OverLay At Various Locations throughout the city.
Contractorl JLB Contracting LLC Change Order# Date 6/17/2012
City Project Mgr.1 Kristian Sugrim (817)392-8902 City Inspector FMike Glover (817)944-0914
Dept. TPW Water Sewer Totals Contract Time
CD)
Original Contract Amount $614,977.20 $245,990.88 $163,993.92 $1,024,962.00 110
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Copi#ract Cost toDate $614,977.20 $245,990.88 $163,993.92 $1,024,962.00 110
Go to ADD&DEL Tabs to Enter CO Backup O 00 0.00 $0.00 110
Revised Contract Amount $614,977.20 $245,990.88 $163,993.92 $1,024,962.00 220
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00 $0.00 $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+2591.) $1,281,202.50
JUSTIFICATION(REASONS)FOR CHANGE ORDER
This change order is being submitted to request that an additional 110 calendar days(CD)be added to this contract.The added time will allow
for the construction of two added projects, Bonnie Dr.and Pennsylvania Ave.The pulverization and overlay of Bonnie Dr.(Ewing Ave-
Southwest Dead End),38 CD and the full mill and overlay of Pennsylvania Ave.(6th Ave-8th Ave),72 CD. The extended time on
Pennsylvania is necessary to mitigate the noise,time and traffic restrictions stipulated on the street work permit.
t
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.
Contractor's CorTany fume Contractor(Name) Cq*ad Signature Dale
JLB Gontmctang LLC 51 f -- I
Inspector/Inspecfion Supervisor Date Pro' t Manager/Program Manager Date
Assist or t Date Dig ,CpWAng Pepartrrleent(Dept) Date
r
As tto Date i Mana a ate
Council Action i€required)
M&C Number ., M&C Date Approved
+. 6 6 b
r
FORT WORTH® City of Fort Worth
Change Order Request +
Project Namel HMAC Surface Overlay At Various Locations(2011-19) City Sec# 42544
Client Project#(s)l C293-541200-203620178883 City Project No.:01788 DOE:6722
Project Descrilptiori
HMAC Surface Overlay At Various Locations throughout the city.
Contractorl JLB Contracting LLC Change Order# Date 6/17/2012
City Project Mgr.1 Kristian Sugrim (817)392-8902 City Inspector FMike Glover (817)944-0914
Dept. TPW Water Sewer Totals Contract Time
(CD)
Original Contract Amount $614,977.20 $245,990.88 $163,993.92 $1,024,962.00 110
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $614,977.20 $245,990.88 $163,993.92 $1,024,962.00 110
Go tc -'D5&D L—abs.r)E-i!,;;. 0 B:;.,k!.p $0.00 $0.00 $0.00 110
Revised Contract Amount $614,977.20 $245,990.88 $163,993.92 $1,024,962.00 220
Original Funds Available for Change Orders 1 $0.00
Remaining Funds Available for this CO $0.00 $0.00 $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%) $1,281,202.50
JUSTIFICATION(REASONS)FOR CHANGE ORDER
This change order is being submitted to request that an additional 110 calendar days(CD)be added to this contract.The added time will allow
for the construction of two added projects,Bonnie Dr.and Pennsylvania Ave.The pulverization and overlay of Bonnie Dr.(Ewing Ave-
Southwest Dead End),38 CD and the full mill and overlay of Pennsylvania Ave.(6th Ave-8th Ave),72 CD. The extended time on
Pennsylvania is necessary to mitigate the noise,time and traffic restrictions stipulated on the street work permit.
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.
JLB Contracting LLC
Inspector/Inspection Supervis94 Date Pro ct Marvager/Program Manager Date
Assistant Director Dept) Date Director,Contra in De artment(Dept) Date
AssisjpLCity Attompy Date Assata"ity manager Date
Council Action if required)
M&C Number M&C Date Approved
FORT WORTH® City of Fort Worth
Change Order Request `
Project Namel HMAC Surface Overlay At Various Locations(2011-19) City Sec# 42544
Client Project#(s)l C293-541200-203620178883 City Project No.:01788 DOE:6722
Project Description HMAC Surface Overlay At Various Locations throughout the city.
Contractorl JLB Contracting LLC Change Order# 0 Date 1 6/1 712 0 1 2
City Project Mgr,I Kristian Sugrim (817)392-8902 1 City Inspector FMike Glover (817)944-0914
Dept. TPW Water Sewer Totals Contract Time
k — (CD)
Original Contract Amount $614,977.20 $N5,990.88 $163,993.92 $1,024,962.00 110
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $614,977.20 $245,990.88 $163,993.92 $1,024,962.00 110
D :D! ; Td::- 1'e, rs.� ^ackap 0.00 $0.00 $0.00 110
Revised Contract Amount $614,977.20 $245,990.88 $163,993.92 $1,024,962.00 220
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00 $0.00 $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%) $1,281,202.50
JUSTIFICATION(REASONS)FOR CHANGE ORDER
This change order is being submitted to request that an additional 110 calendar days(CD)be added to this contract.The added time will allow
for the construction of two added projects,Bonnie Dr.and Pennsylvania Ave.The pulverization and overlay of Bonnie Dr.(Ewing Ave-
Southwest Dead End),38 CD and the full mill and overlay of Pennsylvania Ave.(6th Ave-8th Ave),72 CD. The extended time on
Pennsylvania is necessary to mitigate the noise,time and traffic restrictions stipulated on the street work permit.
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.
1pt�t1C #utttt
JLB Contracting LLC A 9—
Inspector/inspection Su ervi Date Project Manager/Program Manager Date
Assistant Director Dept Date Director,Contracting Department(Dept) Date
Assistant City Attorney Date Assigtent-Ci1y Manager Date
Council Action if required
M&C Number M&C Date Approved
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MWBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
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