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Home My WebLink AboutContract 57313-CO1 CSC No.57313-001 FORT WORTH, City of Fort Worth ~" — Change Order Request Project Name 2021 Street Rehabilitation City Sec# 1 57313 Client Project#(s) 103609 Project Description Pulverization of existing street and 4 inch asphalt overlay at various locations Contractor Texas Bit Change Order# 1 Date 1 8/16/2022 City Project Mgr. Tariqul Islam City Inspector Sergio Garcia Dept. TP Contract TimeW Totals CD Original Contract Amount $2,067,672.76 $2,067,672.76 160 Extras to Date Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $2,067,672.76 $2,067,672.76 160 Amount of Proposed Change Order $9,000.00 $9,000.00 15 Revised Contract Amount $2,076,672.76 $2,076,672.76 175 Original Funds Available for Change Orders $100,000.00 $100,000.00 Remaining Funds Available for this CO $100,000.00 $100,000.00 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.41 MAXALLOWABLE CONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%) $2,584,590.95 JUSTIFICATION(REASONS)FOR CHANGE ORDER This change order is to add$9,000 and 15 days to contract#57313 with a revised contract amount of$2,076,672.76. To reduce traffic congestion on Garden Acres Or it is proposed to add a lane between Old Budeson Rd and 700 ft east of Old Budeson Rd,as such widening of existing roadway is necessary.In order to widen the street 3 existing tress located at north side of the parkway need to remove.The quote for tree removal is attached to this document as reference.Staff checked contractor's unit price for tree removal with recent bids and considered as reasonable.AIso,15 days are proposed to add to the contract for additional scope of work to widen the street.Adequate fund is available in this project to cover the change order cost. 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. Contractors Company Name Contractor Name Contract Signature Date Texas Bit Jamie Greenway Aug 18,2022 Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date Aug 20,2022 Aug 22,2022 Program Manager Date Senior Capital Project Officer Date c ps L Aug 22,2022 !9� Aug 22,2022 Assistant Director(Dept) Date Director,Contracting Department(Dept) Date Aug 23,2022 ,-- Aug 24,2022 Assistant City Attorney Date Assistant City Manager Date om, Aug 25,2022 �� - Aug 25,2022 Council Action if required)M&C Number M&C Date Approved ATTEST: /s��e%/�e cl C7000t ,aa��an>1 Jannette S.Goodall(Aug 26,2022 07:21 CDT) pa* aa Jannette Goodall,City Secretary ��o °°° Y� P. o�.,� OFFICIAL RECORD �0° -_o °'�° °gyp CITY SECRETARY ., °°° °° a aaa��EaAS��p FT. WORTH, TX FORT WORTH City of Fort worth v__ Change Order Additions Project Name 2021 Street Rehabilitation City Sec# 57313 ### Client Project# 103609 Contractor Texas Bit PM Tariqul Islam InspectorF Sergio Garoia O1 Date 811612022 ADDITIONS Unit UnitCost Total New 18 inc -24 inch i ree Kemovai 39-New TT Inc an arger I ree Kemova I TPW 2.00000000 EA 3,500.00 TPW $9,000.00 Sub Total Additions Change Order Additions Page 2 of 4 FOR_ T� City of Fort Worth Change Order Deletions Project Name 2021 Street Rehabilitation City Sec# 57313 ## Client Project# 103609 Contractor Texas Bit PM Tadqul Islam InspectorF Sergio Garce O7 Date 8116I2022 DELETIONS Unit ni os o TPW 0.00 u otal ueletions Change Order Deletions Page 3 of 4 MISBE for this Change Order M/SBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders CO# DATE AMOUNT Total $0.00 TEXAS A Q RH COMPANY PROPOSED CHANGE ORDER# 1 PROJECT: 103609-2021 Street Rehab DATE: August 5, 2022 Attn: Tariqul Islam, City of Fort Worth DESCRIPTION OF CHANGE AND/OR EXTRA WORK: Remove Trees on Garden Acres UNIT ADD: Description Quantity Unit PRICE AMOUNT CO2-1 $ - TPW New 18"-24"Tree Removal 1.00 EA $ 2,000.00 $ 2,000.00 TPW New 24"and Larger Tree Removal 2.00 EA $ 3,500.00 $ 7,000.00 UNIT DEDUCT: Description Quantity Unit PRICE AMOUNT Change Order Add $ 9,000.00 Change Order Deduct $ - Total Change Order Amount= $ 9,000.00 All other items and conditions of our contract with you remain the same and this order is made a part thereof. Kindly signify your acceptance and approval of this agreement by signing and returning to us the enclosed copy. ACCEPTED BY OWNER: Submitted By: Texas Bit Texas Materials Group, Inc-a CRH Company By: By \/C Date: Ronald D Stinson, Jr Estimating Manager OFFICIAL RECORD (817)261-2991 Voice CITY SECRETARY (817)538-1635 Cell FT. WORTH, TX 103609-CNCO-2021 Street Rehabilitation, CO 1 Final Audit Report 2022-08-25 Created: 2022-08-16 By: Andrea Munoz(Andrea.Munoz@fortworthtexas.gov) Status: Canceled/Declined Transaction ID: CBJCHBCAABAAgi8le6xkzG8XGBRxevNUd1GrHfgEOKDS "103609-CNCO-2021 Street Rehabilitation, CO 1 " History Document created by Andrea Munoz(Andrea.Munoz@fortworthtexas.gov) 2022-08-16-9:28:22 PM GMT-IP address:209.194.29.100 Document emailed to Alexiz.Ramirez@fortworthtexas.gov for filling 2022-08-16-9:40:42 PM GMT Email viewed by Alexiz.Ramirez@fortworthtexas.gov 2022-08-16-10:21:02 PM GMT-IP address:204.10.91.100 d Signer Alexiz.Ramirez@fortworthtexas.gov entered name at signing as Alexiz Ramirez 2022-08-17-9:08:12 PM GMT-IP address:209.194.29.100 Form filled by Alexiz Ramirez(Alexiz.Ramirez@fortworthtexas.gov) Form filling Date:2022-08-17-9:08:13 PM GMT-Time Source:server-IP address:209.194.29.100 Document emailed to jamie.greenway@texasbit.com for signature 2022-08-17-9:08:16 PM GMT Email viewed by jamie.greenway@texasbit.com 2022-08-17-9:49:39 PM GMT-IP address:107.77.208.34 Signer jamie.greenway@texasbit.com entered name at signing as Jamie Greenway 2022-08-18-10:11:45 PM GMT-IP address:65.140.34.10 Document e-signed by Jamie Greenway Qamie.greenway@texasbit.com) Signature Date:2022-08-18-10:11:46 PM GMT-Time Source:server-IP address:65.140.34.10 Document emailed to sergio.garciapedroza@fortworthtexas.gov for signature 2022-08-18-10:11:49 PM GMT Email viewed by sergio.garciapedroza@fortworthtexas.gov OFFICIAL RECORD 2022-08-19-12:46:58 PM GMT-IP address: 166.137.115.60 CITY SECRETARY Fag `, PoweredeY Adobe FT. WORTH, TX Adobe Acrobat Sign Email viewed by sergio.garciapedroza@fortworthtexas.gov 2022-08-20-4:26:39 PM GMT-IP address:107.77.196.31 dv Signer sergio.garciapedroza@fortworthtexas.gov entered name at signing as Sergio Garcia 2022-08-20-4:29:38 PM GMT-IP address:107.77.196.31 Document e-signed by Sergio Garcia (sergio.garciapedroza@fortworthtexas.gov) Signature Date:2022-08-20-4:29:40 PM GMT-Time Source:server-IP address:107.77.196.31 Document emailed to Tariqul.Islam@fortworthtexas.gov for signature 2022-08-20-4:29:42 PM GMT Email viewed by Tariqul.lslam@fortworthtexas.gov 2022-08-22-2:28:00 PM GMT-IP address:107.211.9.66 Signer Tariqul.Islam@fortworthtexas.gov entered name at signing as Tariqul Islam 2022-08-22-2:28:59 PM GMT-IP address:107.211.9.66 Document e-signed by Tariqul Islam (Tariqul.Islam@fortworthtexas.gov) Signature Date:2022-08-22-2:29:00 PM GMT-Time Source:server-IP address:107.211.9.66 Document emailed to omar.elbagalati@fortworthtexas.gov for signature 2022-08-22-2:29:03 PM GMT Email viewed by omar.elbagalati@fortworthtexas.gov 2022-08-22-5:56:52 PM GMT-IP address:47.185.62.153 Signer omar.elbagalati@fortworthtexas.gov entered name at signing as Omar Elbagalati 2022-08-22-5:57:09 PM GMT-IP address:47.185.62.153 Document e-signed by Omar Elbagalati (omar.elbagalati@fortworthtexas.gov) Signature Date:2022-08-22-5:57:10 PM GMT-Time Source:server-IP address:47.185.62.153 Document emailed to Lane.Zarate@fortworthtexas.gov for signature 2022-08-22-5:57:13 PM GMT Email viewed by Lane.Zarate@fortworthtexas.gov 2022-08-22-6:00:47 PM GMT-IP address:209.194.29.100 Signer Lane.Zarate@fortworthtexas.gov entered name at signing as Lane Zarate 2022-08-22-6:05:50 PM GMT-IP address:209.194.29.100 Document e-signed by Lane Zarate (Lane.Zarate@fortworthtexas.gov) Signature Date:2022-08-22-6:05:52 PM GMT-Time Source:server-IP address:209.194.29.100 Document emailed to Martin.Phillips@fortworthtexas.gov for signature OFFICIAL RECORD 2022-08-22-6:05:54 PM GMT CITY SECRETARY Ffl.... 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WORTH T Acrobat Sign Email viewed by Martin.Phillips@fortworthtexas.gov 2022-08-23-7:39:15 PM GMT-IP address:209.194.29.100 dv Signer Martin.Phillips@fortworthtexas.gov entered name at signing as Martin A Phillips 2022-08-23-9:38:52 PM GMT-IP address:209.194.29.100 Document e-signed by Martin A Phillips (Martin.Phillips@fortworthtexas.gov) Signature Date:2022-08-23-9:38:53 PM GMT-Time Source:server-IP address:209.194.29.100 Document emailed to Lauren.Prieur@fortworthtexas.gov for signature 2022-08-23-9:38:56 PM GMT Email viewed by Lauren.Prieur@fortworthtexas.gov 2022-08-23-9:39:08 PM GMT-IP address:209.194.29.100 -,, Signer Lauren.Pdeur@fortworthtexas.gov entered name at signing as Lauren Prieur 2022-08-24-12:14:39 PM GMT-IP address: 108.209.194.42 Document e-signed by Lauren Prieur(Lauren.Preur@fortworthtexas.gov) Signature Date:2022-08-24-12:14:41 PM GMT-Time Source:server-IP address: 108.209.194.42 Document emailed to Priscilla.Ramirez@fortworthtexas.gov for approval 2022-08-24-12:14:43 PM GMT Email viewed by Priscilla.Ramirez@fortworthtexas.gov 2022-08-24-4:40:53 PM GMT-IP address:174.205.36.117 Signer Priscilla.Ramirez@fortworthtexas.gov entered name at signing as Priscilla Ramirez 2022-08-24-4:41:15 PM GMT-IP address:174.205.36.117 Document approved by Priscilla Ramirez(Priscilla.Ramirez@fortworthtexas.gov) Approval Date:2022-08-24-4:41:16 PM GMT-Time Source:server-IP address:174.205.36.117 Document emailed to Douglas.Black@fortworthtexas.gov for signature 2022-08-24-4:41:18 PM GMT Email viewed by Douglas.Black@fortworthtexas.gov 2022-08-25-6:13:27 PM GMT-IP address:209.194.29.100 Signer Douglas.Black@fortworthtexas.gov entered name at signing as DBlack 2022-08-25-6:16:38 PM GMT-IP address:209.194.29.100 Document e-signed by DBlack(Douglas.Black@fortworthtexas.gov) Signature Date:2022-08-25-6:16:39 PM GMT-Time Source:server-IP address:209.194.29.100 Document emailed to Will iam.Johnson@fortworthtexas.govfor signature OFFICIAL RECORD 2022-08-25-6:16:41 PM GMT CITY SECRETARY F°R�` AdobePowered FT.FT. WORTH TX Adobe Acrobat Sign 7 Document canceled by Andrea Munoz(Andrea.Munoz@fortworthtexas.gov) 2022-08-25-7:16:09 PM GMT-IP address:209.194.29.100 OFFICIAL RECORD CITY SECRETARY FT. WORTH, T FORT WORTH.., Powered by `� Adobe i Acrobat Sign FORTWORTH. Routing and Transmittal Slip Transportation and Public Works Department DOCUMENT TITLE: 2021 Street Rehabilitation, CO 1 M&C CPN 103609 CSO # 57313 DOC# DATE: 8/16/2022 INITIALS DATE OUT TO:Alexiz Ramirez , Aug 17, 2022 2.Texas Bit Aug 18, 2022 e 3.Sergio Garcia (Inspector) -* Aug 20, 2022 4.Tariqul Islam (PM) T.I. Aug 22, 2022 5 Omar Elbagalati (PGM) Aug 22, 2022 6. Lane Zarate (SCPO) L� Aug 22, 2022 7. Martin Philips Interim AD �P Aug 23, 2022 8. Lauren Prieur (Interim Director) LLP Aug 24, 2022 s Doug Black (ACA) dwd Aug 25, 2022 dwb 10. William Johnson (ACM) 4 Aug 25, 2022 11, Jannette Goodall (CS) X1 Aug 26, 2022 DOCUMENTS FOR CITY MANAGER'S SIGNTURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: U Yes❑✓ No RUSH: ❑Yes ❑✓ SAME DAY: ❑Yes❑✓ No NEXT DAY: []Yes R No ROUTING TO CSO: ❑✓ Yes ❑No Action Required: ❑ As Requested ❑ Attach Signature, Initial and Notary Ta ■ Signature/Routing and or Recording ❑ Comment ❑ File Return to: Please call at ext. for pick up when completed. Thank you.