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Home My WebLink AboutContract 45379-CO1 (2)FORT WORTH City of Fort Worth Change Order Request CITYGWRSTWcoPM37q4) coat CT a0. Project Name:l Sanitary Sewer Rehabilitation, Contract 79 Project No.(s):l P254-708170149183 Project Description:1 Contractor:1 DOE No. l 6948 City Sec No.: l 45379 I City Proj. No.: 1 01491 The replacement of sanitary sewer mains on Riverside Drive, Berry Street, Ellis Ranch Trail, Fairway Drive, Glen Garden Drive, Stardust Lane and Three Easements William J. Shultz, Inc. dba Circle C Const. Co 7/21/2014 City Project Mgr.l Roberto C. Sauceda Phone Number:I 817-392-2387 Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date !Amount of Proposed Change Order Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) Sewer $2,977,235.00 $2,977,235.00 $96,000.00 $3,073,235.00 $89,317.00 $89,317.00 $6,683.00 Change Order # City Inspector: l Phone Number:) 1 l Date: Edward Davila 817-223-2268 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) Totals $2,977,235.00 $2,977,235.00 $96,000.00 $3,073,235.00. $89,317.00' $89,317.00_ $6,683,001 3.22% $3,721,543.75 JUSTIFICATION (REASONS) FOR CHANGE ORDER Contract Time (Calender days) 210 210 030 240_ ammin The change order will allow for by other than open installation across Berry Street in order to avoid conflict with an existing gas main and eliminate open cut installation across newly reconstructed Berry Street. Staff concurs with the contractor's request for 30 additional calendar days on the project. co �® OOp0000000 ® 0000 ��A _.8 It is understood and agreed that the acceptance of this Ch' in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. mpany Na Wiliam J. Schultz dba Circle C. Const CO Teri Skelly ,',1,L,i 7- 5".. OFFIC@GAP RECC W CITY SECRETARY' ssjsta M&C Number by the contractor constitutes an accord and satisfaction and represents payment , Date 7/241/4 gate, •S. Ls )y 1.60L N/A Project Manager 'Constrgction Supejvi . =(—fPW Dept) A istant City Manager °Z 30 /it M&C Date Approved I N/A RECEIVED AUG 1 2014 FO RT W(o RT If —I City of Fort Worth Change Order Additions Project Name Project No.(s): Project Description Contractor City Project Mgr. Sanitary Sewer Rehabilitation, Contract 79 P254-708170149183 City Sec No.: I 45379 I DOE No.I 6948 I City Proj. No.: ( 01491 The replacement of sanitary sewer mains on Riverside Drive, Berry Street, Ellis Ranch Trail, Fairway Drive, Glen Garden Drive, Stardust Lane and Three Easements William J. Shultz, Inc. dba Circle C Const. Co Roberto C. Sauceda II EM ' t)hSURIN I IUN 13 84 inch Tunnel Liner Plate by OTOC ADDITIONS Page 2 of 4 Change Order:l 1 I Date: I 7/21/2014 City Inspector I Edward Davila DEPT Qty "Unit Unit Cost 1 Total Sewer 120.00 LF $800.00 $96,000.00 Sewer Additions Sub Total $96,000.00 $96,000.00 FORT Worth City of Fort Worth Change Order Deletions Project Name Sanitary Sewer Rehabilitation, Contract 79 Project No.(s): 1 P254-708170149183 Project Description I City Sec No.: I 45379 DOE No. 1 6948 1 City Proj. No.: I 01491 The replacement of sanitary sewer mains on Riverside Drive, Berry Street, Ellis Ranch Trail, Fairway Drive, Glen Garden Drive, Stardust Lane and Three Easements Contractor William J. Shultz, Inc. dba Circle C Const. Co I Change Order: 1 Date 1 7/21/2014 City Project Mgr. 1 Roberto C. Sauceda City Inspector: I Edward Davila DELETIONS ITEM DESCRIPTION DEPT Qty Page 3 of 4 Unit Unit Cost (Sewer 1 (Deletions Sub Total 1 1 Total MWBE Sub MIWBE Breakdown for this Change Order Type of Service Amount for this CO Total $0.00 Previous Change Orders Co# DATE AMOUNT Total $0.00 Page 4 of 4 Water Department DEPARTMENT NAME: Sanitary Sewer Rehabilitation Contract 79 NAME OFOJECT ; GNA IT E OF /PROJECT MANAGER City of Fort Worth Departmental Request for Waiver Of MBE/SBE Subcontracting/ Supplier Goal 96,000,00 7/16/144 ESTIMATED COST / PROPOSAL DATE 1-6 DOE 6948, CPN: 01491 R DOE/PROJECT NO.8 2387 7/2/14 EXTENSION DATE NIGP CODE Prior to advertisement, the contracting/managing department shall determine whether the bid/proposal is one which MBE/SBE requirements should not be applied. MBE/SBE requirements may be waived upon written approval of the M/WBE Manager. If one of the conditions listed below exists, the contracting/managing department shall notify the Manager via this form, stating the specific reason (s) for requesting a waiver, If the contracting/managing department and the Manager are in conflict over the granting of a waiver, either may appeal to the City Manager, or designee, and his/her decision is final. Please Check Applicable Reason: A. MWBE Office: A waiver of the goal for MBE/SBE subcontracting requirements was requested by the Department and approved by the MWBE Office, in accordance with the M/WBE or BDE Ordinance, because the public or administrative emergency exists which requires the goods or services to be provided with unusual immediacy; or X a MWBE•Office; A waiver of the goal for MBE/SBE subcontracting requirements was requested by the Department and approved by the MWBE Office, in accordance with the M/WBE or BDE Ordinance, because the purchase of goods or services from source(s) where subcontracting or supplier opportunities are negligible; or C, MWBE Office: A waiver of the goal for MBE/SBE subcontracting requirements was requested by the Department and approved by the MWBE Office, in accordance with the M/WBE or BDE Ordinance, because the application of the provisions of this ordinance will impose an economic risk on the City or unduly delay acquisition of the goods or services; or D. MWBE Office; A waiver of the goal for MBE/ SBE subcontracting requirements was requested by the Department and approved by the MWBE Office, in accordance with the M/WBE or BDE Ordinance, because the MWBE Waiver is solicited based on the sole source information provided to the MWBE Office by the managing department's project manager, Justify Commodity or Service Waiver Request: Installation of a 84 Inch hand tunnel under East Berry Street. Please use additional sheets, if needed M/WJE OFFICE USE ONLY: Approved Signature oi(/VBE Authorized Personnel Not Approved Signature of M/WBE Authorized Personnel 7/r7/ Date Date RoV, 2.20.13