HomeMy WebLinkAboutContract 57193-CO2CSC No. 57193-CO2
F wi- otrri-l= City of Fort Worth
Change Order Request
Project Name Normandale Street and Las Vegas Trail Intersection Improvements City Sec # 57193
Client Project #(s) 1101591
Project Description Improvements include a multi -lane roundabout, minor storm drain improvements and pedestrian facilities such as sidewalks and American Disability (ADA)
ramps.
Contractor Rebcon, Inc. Change Order # 2 Date 1 /4/2023
City Project Mgr. I Brendan McInnes City Inspector Habte Taezaz, Ariel Durate
Dept
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
TPW I I I Totals I Contract
1.30
0.06
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
,291.30
,010.06
0.34%
$2,903,641.25
A sanitary sewer line called out in the plans to be replaced is in conflict with a franchise utility line as well as an existing waterline where a sanitary sewer manhole is proposed to
be installed. The engineer has reviewed the conflicts and provided two alternatives to resolve the conflicts. One alternative is to use cast -in -place pipe (CIPP) to line the existing
pipe in place to remove the need for the added manhole and the other option is to completely move the proposed sewer line to the other side of the road. Currently 190 LF of the
300 LF of the new line has been installed per plan before the conflict was identified. Use of CIPP is least impactful to the project schedule and budget but requires a CCTV video
of the existing pipe conditions to verify adequacy of the existing line that will remain and a point repair to be conducted at the temporary intersection of the existing clay pipe and
the new pvc pipe. Contractor has submitted prices for the added work of cleaning the line, performing a permanent point repair and videoing the line for existing conditions.
Typical methods for comparing unit costs were not available and were not considered adequate for this work. Instead, the Contractor has submitted invoices and breakdowns of
the time and materials for the added work. The breakdown has been reviewed and deemed to be fair and reasonable for the work being conducted. The documentation has
been attached to this change order. After the CCTV video is conducted it will be reviewed to determine if CIPP is an option. If it is, CIPP will be change ordered into the contract,
otherwise the relocation option will be used.
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 rontractor Name Contract Si natur
Rebcon Inc. Danny Krieg ax
Date
Jan 31, 2023
Ins ector/Ins ection Supervisor
Date
Project and Contract Compliance Manager
Date
Jan 31, 2023
e
Feb 1, 2023
Progrgm i
Date
Senior Capital Project Officer 9W
Date
Feb 2, 2023
ZDI&Ll,
Feb 3, 2023
t
Date
Director, Contracting Department (Dept)
Date
Feb 4, 2023
Feb 4, 2023
Assistant City Attorney
Date
JAssistant City Manager
Date
AMOK
Feb 6, 2023
Feb 7, 2023
AL d ion if require
M&C Number I M&C Date Approved
ATTEST: A -&'
Jannette Goodall, City Secretary p444e0eTn44
P�� F000e000,o�Yo9�d
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OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
City of Fort Worth
Change Order Additions
Project Name Normandale Street and Las Vegas Trail Intersection Improvements City Sec # 57193
Client Project # 101591
Contractor Rebcon, Inc. PM Brendan McInnes Inspector®
Change Order Submittal # 0 Date 114/2023
ADDITIONS
Ft1141 HIII City of Fort Worth
Change Order Deletions
Project Name Normandale Street and Las Vegas Trail Intersection Improvements City Sec # 57193
Client Project # 101591
Contractor Rebcon, Inc. PM Brendan McInnes Inspector®
Change Order Submittal # O2 Date 11412023
DELETIONS
ITEM DESCRIPTION ULF, I Qty Unit Unit Cost Total
TPW $0.00
Sub Total Deletions 0. 00
Change Order Deletions Page 3 of 4
M/SBE for this Change Order
Previous Change Orders
CO # DATE AMOUNT
1 12/5/2022 $281.24
Total $281.24
M-Co Construction Inc.
P 0 Box 489
Springtown, TX 76082
Normandale Street and Las Vegas Trail improvements
Point Repair for Sewer Main L-6134
Point Repair at temporary connection
quarorrn�
T61 Free 1-877-644-4892
Fax Tall Free 1-877-248-4892
DESCRIPTION - — — -
140
Foreman Mike
140
operator R/T Miguel
14.0
Utility Laborer RIT Saul
14.0
Common Laborer RIT Edson
Equipment
14 Charge for Vehicles (Foreman's pickup)
14 Kubota Excavtor
14 Loader - Volvo L-60
Material
1 Material - Embedment sand and rock, pipe and fittings
DATE 1211912023
PROJECT CODE NO
- UNIT !�
Hourly Rate W insurance and taxes
42,000 PER HR
58-38
20.000 PER HR
2780
17 000 PER HR
2363
16.000 PER HR
2224
Daily Rate
DAILY 1921.
DAILY 63.48
DAILY 49-51
AMOUNT
817,32
389,20
330.82
311.36
268,94
888.72
693.14
Lump Sum 465.25 465.25
I
SUBTOTAL ' 4,164.75
OVERHEADICOST
PROFIT 10% 115.25'
TOTAL y4,280.00
REBCON, INC.
1868 W. Northwest Highway
Dallas, Texas 75220
972 444-8230
Project:
Location:
Description:
Date:
Sanitary Sewer Investi4ation
Normandale and Las Vegas Trail Roundabout
Fort Worth, Texas
Work to determine condition of existing SS pipe
12/16/2022
ITEM
DESCRIPTION
UNIT
QTY
UNIT
PRICE
TOTAL
EXISTING ITEMS
NEW ITEMS
CO2-1
TV Inspection and Cleaning, Point Repair
LS
1
$7,672.97
$7,672.97
$0.00
$0.00
Total
Mr, McInnes,
This pricing proposal is for performing work necessary to determine the condition of the existing sanitary sewer line at the Normandale and Las
Vegas Roundabout. This pricing does not include any repair work.
Total Calendar Days Requested: 1
Please contact me with any questions.
Thanks,
,T,1,a47 /`�, �
Danny Krieg
Rebcon, Inc.
Encl: N/A
Rebcon, Inc. Page 1 of 1
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M-Co Construction, Inc.
REQUEST FOR INFORMATION
No. 4
TITLE: CCTV and point repair for Sewer Main L-6134 DATE: 12/16/2022
Rebcon PROJECT: Normandale street and Las Vagas Trail RESPONSE REQUIRED BY: 12/23/2022
OWNER PROJECT: City of Fort Worth
CSJ#
TO: Jim Schumann
WORK IMPACT:F 71YES =NO SCHEDULE IMPACT:EX YES =NO COST IMPACT: X]YES =NO
The Sewer Main will need CCTV and a point repair at the temporary connection to assest condition of pipe. The temporary connection has a
Tee and 90 degree bend. These will need to be removed and the pipe moved in alignment with the existing pipe before the CCTV can be
completed.
Attachements —I
Recommendation:
Point repair $4,280.00 CCTV inspection with cleaning of existing clay pipe $2,310.00
REQUESTED BY: Alford Main
Exclusions: Same as existing project exclusions.
Page 1 RFI form
Magnum Manhole and Underground Company
428 N. First St.
Garland, Texas 75040
Phone 972-276-2048 Fax 972-276-5318
Project: S Normandale CCTV 8 Inch Sewer
FT Worth, TX
Customer: M-Co Construction
Comments or Special Instructions:
Quotation
Manhole Company
Prepared by:
Date: December 14, 2022
SALESPERSON P.O. NUMBER SHIP DATE SHIP VIA F.O.B. POINT TERMS
THANK YOU FOR YOUR BUSINESSI
M-Co Construction Inc.
P 0 Box 489
Springtown, TX 76082
Normandale Street and Las Vegas Trail improvements
Point Repair for Sewer Main L-6134
Point Repair at temporary connection
quarorrn�
T61 Free 1-877-644-4892
Fax Tall Free 1-877-248-4892
DESCRIPTION - — — -
140
Foreman Mike
140
operator R/T Miguel
14.0
Utility Laborer RIT Saul
14.0
Common Laborer RIT Edson
Equipment
14 Charge for Vehicles (Foreman's pickup)
14 Kubota Excavtor
14 Loader - Volvo L-60
Material
1 Material - Embedment sand and rock, pipe and fittings
DATE 1211912023
PROJECT CODE NO
- UNIT !�
Hourly Rate W insurance and taxes
42,000 PER HR
58-38
20.000 PER HR
2780
17 000 PER HR
2363
16.000 PER HR
2224
Daily Rate
DAILY 1921.
DAILY 63.48
DAILY 49-51
AMOUNT
817,32
389,20
330.82
311.36
268,94
888.72
693.14
Lump Sum 465.25 465.25
I
SUBTOTAL ' 4,164.75
OVERHEADICOST
PROFIT 10% 115.25'
TOTAL y4,280.00
From:
McInnes. Brendan
To:
Jim Schumann
Subject:
RE: Camera For Sewer
Date:
Tuesday, January 3, 2023 3:18:00 PM
If we pay for a point repair, there will be no further compensation to repair it again if the CIPP option
is used so they need to make sure it is done correctly at that time. I will work on the change order
language and note it as such in the verbiage as we cannot pay for a repair twice.
Thanks,
Brendan McInnes, P.E.
Project Manager
Office: (817) 392-2817
From: Jim Schumann <Jim@rebcon.com>
Sent: Tuesday, January 3, 2023 3:10 PM
To: McInnes, Brendan <Brendan.MCI nnes@fortworthtexas.gov>
Subject: Camera For Sewer
CAUTION: This email originated from outside of the City of Fort Worth email system. Do not click any links or open
attachments unless you recognize the sender and know the content is safe.
Brendan,
They used a 90-degree bend and a Tee. The only thing they can do is camera from the manhole
down and that won't show them much. To do the point repair they will dig it up and try to bend it
over to make it line up better.
Thank You,
Jim Schumann
972-965-3681
Rebcon, LLC.
McInnes, Brendan
From: Kasavich, John
Sent: Wednesday, December 7, 2022 1:46 PM
To: McInnes, Brendan
Cc: Sholola, Tony; Mainord, Mike; Tierce, Thomas; Gair, Cody Dale; Ruiz, Antonio; Pratt, Hayden; Coffman,
Luke; Jim Schumann; Allen, Chad A; King, Daphne
Subject: RE: [EXT] RE: 101591 Sanitary Sewer Field Change Discussion
Attachments: Normandale plan review comments 12-7-22.pdf
Follow Up Flag: Follow up
Flag Status: Completed
Brendan, attached are comments as both options need work. Option 2 calling for CIPP requires a prequalified
contractor for CIPP, so this will need a new contractor. Also, the pre -CCTV needs to be reviewed by TPW and Field Ops
to determine any point repair locations to address possible sags in the line. Option 3 needs a pothole on the existing
connection point to see if this is feasible. Manholes are needed in both options due to change in grade and/or
direction. Thanks.
John Kasavich.
From: McInnes, Brendan
Sent: Monday, December 05, 2022 8:14 AM
To: Kasavich, John <John.Kasavich @fortworthtexas.gov>
Cc: Sholola, Tony <Anthony.Sholola@fortworthtexas.gov>; Mainord, Mike <Michael.Mainord@fortworthtexas.gov>;
Tierce, Thomas <Thomas.Tierce@fortworthtexas.gov>; Gair, Cody Dale <Cody.Gair@fortworthtexas.gov>; Ruiz, Antonio
<Antonio.Ruiz@fortworthtexas.gov>; Pratt, Hayden <hpratt@geiconsultants.com>; Coffman, Luke
<Luke.Coffman @fortworthtexas.gov>; Jim Schumann <Jim@rebcon.com>; Allen, Chad A
<Chad.Allen@fortworthtexas.gov>; King, Daphne <dking@geiconsultants.com>
Subject: RE: [EXT] RE: 101591 Sanitary Sewer Field Change Discussion
Importance: High
John,
I wanted to follow up with you on options 2 & 3 since Option 1 seems to be off the table. Is it possible to have some
direction back no later than COB tomorrow? Once we know what options are possible that you all will accept we will
work on the revised sheets for approval. Currently or contractor is on hold on his pavement until we know the direction
that we need to go.
Thanks,
Brendan McInnes, P.E.
Project Manager
Office: (817) 392-2817
From: King, Daphne <dking@geiconsultants.com>
Sent: Friday, December 2, 2022 10:49 AM
To: McInnes, Brendan <Brendan.McInnes@fortworthtexas.gov>
Cc: Kasavich, John <John.Kasavich @fortworthtexas.gov>; Sholola, Tony <Anthony.Sholola@fortworthtexas.gov>;
Mainord, Mike <Michael.Mai nord@fortworthtexas.gov>; Tierce, Thomas <Thomas.Tierce@fortworthtexas.gov>; Gair,
Cody Dale <Cody.Gair@fortworthtexas.gov>; Ruiz, Antonio <Antonio.Ruiz@fortworthtexas.gov>; Pratt, Hayden
<hpratt@geiconsultants.com>; Coffman, Luke <Luke.Coffman @fortworthtexas.gov>; Jim Schumann
<Jim@rebcon.com>; Allen, Chad A <Chad.Allen@fortworthtexas.gov>
Subject: Re: [EXT) RE: 101591 Sanitary Sewer Field Change Discussion
CAUTION: This email originated from outside of the City of Fort Worth email system. Do not click any links or open attachments
unless you recognize the sender and know the content is safe.
Hi Brendan,
The 13' lengths result in about 1.5 degree of deflection which is slightly outside of tolerance. I apologize for my oversight
in relaying that detail.
Please let me know if you have additional questions.
Thanks!
GEI
DAPHNE KING, PE
Branch Manager
214.753.8107 1 cell: 972.322.2079
5646 Milton Street, Suite 500, Dallas, TX 75206
@fVin0=
Please Note:
We will no longer be using @haydenconsultants.com for email and will be converting to @geiconsultants.com
On Dec 2, 2022, at 8:24 AM, McInnes, Brendan <Brendan.McInnes@fortworthtexas.gov> wrote:
Daphne, I am assuming that no revision on the 30th meant that 13' sticks would not work.
John, What are your thoughts on options 2 & 3 so we can get this issue pushed into a resolution.
Thanks,
Brendan McInnes, P.E.
Project Manager
Office: (817) 392-2817
From: King, Daphne <dking@geiconsultants.com>
Sent: Tuesday, November 29, 2022 7:09 PM
To: McInnes, Brendan <Brendan.McInnes@fortworthtexas.gov>; Kasavich, John
<John. Kasavich @fortworthtexas.gov>
Cc: Sholola, Tony <Anthony.Sholola@fortworthtexas.gov>; Mainord, Mike
<Michael.Mainord@fortworthtexas.gov>; Tierce, Thomas <Thomas.Tierce@fortworthtexas.gov>; Gair,
Cody Dale <Cody.Gair@fortworthtexas.gov>; Ruiz, Antonio <Antonio.Ruiz@fortworthtexas.gov>; Pratt,
Hayden <hPratt @geiconsultants.com>; Coffman, Luke <Luke.Coffman @fortworthtexas.gov>; Jim
Schumann <Jim@rebcon.com>; Allen, Chad A <Chad.Allen@fortworthtexas.gov>
Subject: RE: 101591 Sanitary Sewer Field Change Discussion
CAUTION: This email originated from outside of the City of Fort Worth email system. Do not click any links or open
attachments unless you recognize the sender and know the content is safe.
Additional discussion is required to ensure we have confirmed the relocation/placement before this
level of detail is added to the sheets. I had a quick chat with Jim last week late Tuesday afternoon 11/22
before the holiday and have attached two additional options discussed for your consideration.
The issue with my suggestion (Option 01) is the mechanical joints identified since we are not
recommending using ductile iron pipe/fittings. We will take another look to see if we can use the 13 ft
pipe lengths and get the 1-degree deflection with bell and spigot. If so, we will provide the detail
requested and return to you by 11/30. However, we were advised during out chat with Jim that our
recommendation of a drop manhole will conflict with the 900 pair AT&T line at San Marcos, so they will
have to pull/shift their line.
Additional Options, see attached and summarized below:
1. Option 2: Use cured in place pipe to maintain the existing pipe configuration. This will address
the deflection and material concerns but not TCEQ horizontal spacing, so we would need a
design variance for this short length of pipe.
2. Option 3: Reroute the pipe for flow coming in from the north of San Marcos into a manhole
located on the opposite side of the roadway and connect to a new manhole near Normandale
along the existing 10" sanitary main. We could connect the existing services to the line already
in place and place a clean out at the end.
Please advise on desired path forward and we can provide the sheet details requested.
Thanks!
DAPHNE KING, PE
Gr I Branch Manager
C 214.753.8107 cell:972.322.2079
5646 Milton Street, Suite 500, Dallas, TX 75206
@f0inP=
From: McInnes, Brendan <Brendan.McInnes@fortworthtexas.gov>
Sent: Tuesday, November 22, 2022 1:48 PM
To: King, Daphne <dking@geiconsultants.com>; Kasavich, John <John.Kasavich@fortworthtexas.gov>
Cc: Sholola, Tony <Anthony.Sholola@fortworthtexas.gov>; Mainord, Mike
<Michael.Mainord@fortworthtexas.gov>; Tierce, Thomas <Thomas.Tierce@fortworthtexas.gov>; Gair,
Cody Dale <Cody.Gair@fortworthtexas.gov>; Ruiz, Antonio <Antonio.Ruiz@fortworthtexas.gov>; Pratt,
Hayden <hPratt @geiconsultants.com>; Coffman, Luke <Luke.Coffman @fortworthtexas.gov>; Jim
Schumann <Jim@rebcon.com>; Allen, Chad A <Chad.Allen@fortworthtexas.gov>
Subject: [EXT] RE: 101591 Sanitary Sewer Field Change Discussion
John,
Thanks for the quick response and the information.
Daphne,
Can you have these revisions made by end of day 11/30 or earlier? I want to make sure we can get these
approved ASAP and contractor back to moving. Currently M-Co is doing the work and is listed as the
preapproved list provided by John.
Thanks,
Brendan McInnes, P.E.
Project Manager
Office: (817) 392-2817
From: Kasavich, John <John.Kasavich@fortworthtexas.gov>
Sent: Tuesday, November 22, 2022 8:28 AM
To: King, Daphne <dking@geiconsultants.com>; McInnes, Brendan
<Brendan.McInnes@fortworthtexas.gov>; Coffman, Luke <Luke.Coffman @fortworthtexas.gov>; Jim
Schumann <Jim@rebcon.com>; Pratt, Hayden <hpratt@geiconsultants.com>; Allen, Chad A
<Chad.Al len @fortworthtexas.gov>
Cc: Sholola, Tony <Anthony.Sholola@fortworthtexas.gov>; Mainord, Mike
<Michael.Mainord@fortworthtexas.gov>; Tierce, Thomas <Thomas.Tierce@fortworthtexas.gov>; Gair,
Cody Dale <Cody.Gair@fortworthtexas.gov>; Ruiz, Antonio <Antonio.Ruiz@fortworthtexas.gov>
Subject: RE: 101591 Sanitary Sewer Field Change Discussion
Daphne, the plans will need to be revised to clearly indicate the type of pipe (and specification)
proposed and the trench details (embedment, backfill, surface restoration) called out on the profile
view, used for this replacement (see attached guide if trench details were not developed).
The drop manhole notes needs to be revised to call out manhole liner — Warren or Chesterton
coating. The contractor needs to provide the prequalified contractor that will install this liner. See
attached active list if the contractor does not have one on board.
This appears to have 2 types of pipe — PVC SDR 26 (note for approved equal should be removed), and MJ
pressure pipe (DI with Protecto 401 coating).
Plans will need to be revised to call out the specification for the pipe called out. I am assuming the
contractor will provide the shop drawings for this pipe in accordance with the specs attached.
Contractor will need to submit all GPS data per the bid item for construction redline survey on both the
main line, service line connections, and manholes per specs so this can be properly as -built.
Thanks.
John Kasavich.
From: King, Daphne [mailto:dking@geiconsultants.com]
Sent: Monday, November 21, 2022 6:26 PM
To: McInnes, Brendan <Brendan.McInnes@fortworthtexas.gov>; Kasavich, John
<John.Kasavich@fortworthtexas.gov>; Coffman, Luke <Luke.Coffman@fortworthtexas.gov>; Jim
Schumann <Jim@rebcon.com>; Pratt, Hayden <hpratt@geiconsultants.com>
Cc: Sholola, Tony <Anthony.Sholola@fortworthtexas.gov>; Mainord, Mike
<Michael.Mainord@fortworthtexas.gov>; Tierce, Thomas <Thomas.Tierce@fortworthtexas.gov>; Gair,
Cody Dale <Cody.Gair@fortworthtexas.gov>; Ruiz, Antonio <Antonio.Ruiz@fortworthtexas.gov>; Allen,
Chad A <Chad.Allen@fortworthtexas.gov>
Subject: RE: 101591 Sanitary Sewer Field Change Discussion
CAUTION: This email originated from outside of the City of Fort Worth email system. Do not click any links or open
attachments unless you recognize the sender and know the content is safe.
Attached is the revised drawing. Based on what I could find for a bell to spigot connection with 20' pipe
lengths the max deflection is 1 degree. If we could use mechanical joints the max deflection is 3 degrees.
I've attached the revised .pdf, as requested. Thanks!
DAPHNE KING, PE
Gr I Branch Manager
C 214.753.8107 cell:972.322.2079
5646 Milton Street, Suite 500, Dallas, TX 75206
<image001.jpg>
8
8
8
8
8
-----Original Appointment -----
From: McInnes, Brendan <Brendan.McInnes@fortworthtexas.gov>
Sent: Wednesday, November 16, 2022 2:47 PM
To: McInnes, Brendan; Kasavich, John; Coffman, Luke; Jim Schumann; Pratt, Hayden; King, Daphne
Cc: Sholola, Tony; Mainord, Mike; Tierce, Thomas; Gair, Cody Dale; Ruiz, Antonio; Allen, Chad A
Subject: 101591 Sanitary Sewer Field Change Discussion
When: Thursday, November 17, 2022 3:30 PM-4:15 PM (UTC-06:00) Central Time (US & Canada).
Where: Microsoft Teams Meeting
Meeting to discuss consultants proposed solution or alternatives from the group.
As discussed, I'm providing a more concise summary of the issue and my recommendation.
1. The proposed 8" sanitary sewer is in the same trench as the existing sanitary sewer.
2. The proposed manhole at station 0+00 and about 125LF of 8" sanitary sewer gravity has been
constructed
3. The remaining —175LF of 8" sanitary sewer and proposed manhole at station 2+00 conflict with
an AT&T line that was previously impacted by construction
1. The proposed manhole at station 2+00 is not replacing an existing manhole and is
included for a pipe directional change. After a closer look, there appears to be an
existing sanitary sewer vertical grade change at this proposed manhole.
2. The existing water main is less than 6' from the proposed sanitary sewer main, which
requires at least 150 psi pressure pipe per TCEQ guidelines.
4. My recommendation is to install the remaining 8" sanitary sewer pipe in the same trench as the
existing sewer main without a proposed manhole at station 2+00. The proposed pressure pipe
can be installed with minimal horizontal deflection to the proposed new manhole at station
3+00 replacing the existing manhole. However, the proposed manhole at station 3+00 must be a
drop manhole to accommodate the vertical grade change at station 2+00. 1 have attached a
sketch to depict this recommendation.
Please let me know when you would like to discuss further to determine how the city would like to
proceed. I'm generally available the remainder of this week and early next week to discuss/resolve.
Thanks!
DAPHNE KING, PE
Gr I Branch Manager
C 214.753.8107 cell:972.322.2079
5646 Milton Street, Suite 500, Dallas, TX 75206
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<01591_NORMANDALE LAS VEGAS_Sht C4.08_Opt 03.pdf>
<01591_NORMANDALE & LAS VEGAS_Sht C4.08_Opt 02.pdf>
<01591_NORMANDALE & LAS VEGAS_Sht C4.08_Opt 01.pdf>
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�VIN H1IM
FORT WORTH.
Routing and Transmittal Slip
Transportation & Public Works
Department
DOCUMENT TITLE: Normandale Street and Las Vegas Trail
Improvements Change Order 02
M&C:
CPN: 105191 CSO: 57193 DOC#: 1
Date:
To:
Name
Department
Initials
Date Out
1.
Misty Monique -Davila— BSP
TPW - initial
MM
Jan 31, 2023
2.
Danny Krieg - Contractor
Rebcon - signature
DK
Jan 31, 2023
3.
Habte Taezaz — Inspector
TPW - signature
�.r
Jan 31, 2023
4.
Brendan McInnes — Project Manager
TPW - signature
sM
Feb 1, 2023
5.
Chad Allen — Interim Program Mngr
TPW - signature
7
Feb 2, 2023
6.
Lissette Acevedo - Interim Snr CPO
TPW - signature
Feb 3, 2023
7.
Michael Owen — Interim Asst. Director
TPW - signature
Mo
Feb 4, 2023
8.
Lauren Prieur — Interim Director
TPW - signatures
Feb 4, 2023
9.
Doug Black
Legal - signature
wb
Feb 6, 2023
10.
William Johnson
CMO -signature
Al
W,
Feb 7, 2023
11.
Jannette Goodall
CSO - signature
Gs'
Feb 7, 2023
12.
TPW Contracts
TPW
DOCUMENTS FOR CITY MANAGER'S SIGNATURE: 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: ❑YES ®No
RUSH: [—]YES ®No SAME DAY: ❑YES [—]No NEXT DAY: [—]YES ®No
ROUTING TO CSO: ®YES ❑No
Action Required:
❑ As Requested
❑ For Your Information
® Signature/Routing and or Recording
❑ Comment
❑ File
❑ Attach Signature, Initial and Notary Tabs
Return To: TPWContracts0fortworthtexas.gov, for pick up when completed; list "Please call Brendan
ext # 2817 for questions. Thank you. "
Updated 08.22.2022, mdhm