HomeMy WebLinkAboutContract 43041-CO4 (2)��� / �'Z
FORT WORTH City of Fort Worth �'��� �����T��L �? �t
Change Order Request CQIV'�'RA�T N�o C �
Project Name North Beach Street from Timberlantl to Keller-Hicks City Sec # 43041
Client Project #(s) 01291
Project Description
4-lane divided arterial street from Timberlantl Blvd. to Keller-Hicks Road
Contractor JLB Contracting, LLC Change Order #� Date 1 211 2/201 2
City Project Mgr. Michael Weiss, P.E. City Inspector Joe Rogers
Dept.
Original Contract Amount
Extras to Date
Cretlits to Date
Pentling Change Orders (in M&C Process)
Contract Cost to Date
Amount of Proaosed Chanae Order
65.00 $0.00
$0.00 $199,571.10
72.16 $1,998,279.10
Revisetl ContractAmount $5,034,288.01 $1,998,279.10 $114,272.34 $7,146,839.45 600
Original Funtls Available for Change Orders $280,492.84 $280,492.84
Remaining Funtls Available for this CO $41,927.84 $199,571.10 $0.00 $241,498.94
Atlditional Funding (if necessary) $34,288.01 $34,288.01
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1.69%
MAX ALLOWABLE CONTRACTAMOUNT (ORI�INAL CONTRACT COST + 25%) $8,785,176.50
JUSTIFICATION (REASONS) FOR CHANGE ORDER
The new traffic signal at Timberlantl/N. Beach Street has been atlded to this construction contract to expedite completion.
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It is untlerstood and agreetl that the acceptance of this Change Order by the contractor constitutes an accord antl 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 Company Name Contractor (Name) Contract Signature Date
JLB Contractinq, LLC _ �. ,.i ,�- �� � .., , s � •�.__... . Z 2 / � <� /�
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M&C Number �,
TPW Water
$4,719,507.16 $2,197,850.20
Date
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Date -
1 _ �; � �r
Sewer Totals
$110,783.84 $7,028,141.20
$3,488.50 $242,053.50
$0.00 $199,571.10
Contract Time
:11
$114,272.34 I $7,070,623.60 I 600
OFFICIAL RECORtA
CITY SECRETARY
FT. WORTH, TX
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Council Action (if requiretl)
M&C Date Approvetl �
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Change Order Request
Project Name North Beach Street from Timberland to Keller-Hicks City Sec # 43041
Client Project #(s) 01291
Project Description
4-lane dividetl arterial street from Timberland Blvtl. to Keller-Hicks Roatl
Contractor JLB Contracting, LLC Change Order# �4 Date 12/12/2012
City Project Mgr. Michael Weiss, P.E. City Inspector Joe Rogers
Contract Time
Dept. TPW Water Sewer Totals (CD1
OriginalContractAmount $4,719,507.16 $2,197,850.20 $110,783.84
Extras to Date $238,565.00 $0.00 $3,488.50
Credits to Date $0.00 $199,571.10 $0.00
Pending Change Orders (in M&C Process)
Contract Cost to Date $4,958,072.16 $1,998,279.10 $114,272.34
Amount of Proposed Change Order $76,215.85 $0.00 $0.00
Revisetl ContractAmount $5,034,288.01 $1,998,279.10 $114,272.34
Original Funds Available for Change Ortlers $280,492.84
Remaining Funtls Available for this CO $41,927.84 $199,571.10 $0.00
Atltlitional Funding (if necessary) $34,288.01
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%J
�
�,028,141.20 600
$242,053.50
$199,571.10
�,070,623.60 600
,146,839.45
6280,492.84
6241,498.94
600
1.69%
$8,785,176.50
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord antl satisfaction antl represents payment
in full (both time antl money) for all costs arising out of, or incidental to, the above Change Order.
Contractor's Company Name Contractor Name Contract Signature Date
JLB Contracting, LLC � , , ,
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�```�� � FORT WORTH: City of Fort Worth ;
Change Order Request
Project Name North Beach Street from Timberlantl to Keller-Hicks City Sec # 43041
Client Project #(s) 01291
Project Description 4-lane dividetl arterial street from Timberland Blvd. to Keller-Hicks Roatl
Contractor JLB Contracting, LLC Change Order# �4 Date 12/12/2012
City Project Mgr. Michael Weiss, P.E. City Inspector Joe Rogers
� Contract Time
Dept. TPW Water Sewer Totals (CD)
OriginalContractAmount $4,719,507.16 $2,197,850.20 $110,783.84 $7,028,141.20 600
Extras to Date $238,565.00 $0.00 $3,488.50 $242,053.50
Credits to Date $0.00 $199,571.10 $0.00 $199,571.10
Pending Change Orders (in M&C Process)
Contract Cost to Date $4,958,072.16 $1,998,279.10 $114,272.34 $7,070,623.60 600
._ _..,.... .,_....... . _ .,......,_. ... ... ., . . .,_. _.., . ., . . . ........... ..,
Original Funds Available for Change Orders $280,492.84 $280,492.84
Remaining Funtls Available for this CO $41,927.84 $199,571.10 $0.00 $241,498.94
Additional Funding (if necessary) $34,288.01 $34,288.01
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1.69%
MAXALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST+ 25%J $8,785,176.50
It is understood antl agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment
in full (both time and money) for all costs arising out of, or incidental to, the above Change Ortler.
Contractor's Company Name Contractor (Name) Contract Signature Date
JLB Contracting, LLC ,
Inspectorllnspection �$upervisor , j' Date Project M�nager/Program Manager ? Date ,
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Assistant Director (Dept Date Director, Contracting Departmeht Dept) Date
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Assistant City Aktorney Date Assistant City Manager Date
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Council Action if required) s�
M&C Number ,,(��, M&C Date Approved �
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� :: FORT WORTH„ City of Fort Worth
Change Order Request
Project Name North Beach Street from Timberlantl to Keller-Hicks City Sec # 43041
Client Project #(s) 01291
Project Description 4-lane tlivitletl arterial street from Timberlantl Blvtl. to Keller-Hicks Roatl
Contractor JLB Contracting, LLC Change Order# �4 Date 12/12/2012
City Project Mgr. Michael Weiss, P.E. City Inspector Joe Rogers
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Ortlers (in M&C Process)
Contract Cost to Date
TPW Water
719,507.16 $2,197,850.20
238,565.00 $0.00
$0.00 $199,571.10
958,072.16 $1,998,279.10
$76,215.85 $0.00
034,288.01 $1,998,279.10
Sewer Contract Time
Totals ICDI
600
$3,488.50 $242,053.50
$0.00 $199,571.10
114,272.34 $7,070,623.60
$0.00 $76,215.85
114,272.34 $7,146,839.45
Original Funtls Available for Change Orders $280,492.84 $280,492.84
Remaining Funds Available for this CO $41,927.84 $199,571.10 $0.00 $241,498.94
Adtlitional Funding (if necessary) $34,288.01 $34,288.01
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1.69%
MAX ALLOWABLE CONTRACTAMOUNT (ORI�INAL CONTRACT COST + 25%) $8,785,176.50
It is understootl and agreed that the acceptance of this Change Ortler by the contractor constitutes an accord antl satisfaction antl represents payment
in full (both time and money) for all costs arising out of, or incitlental to, the above Change Order.
Contractor's Company Name Contractor (Name) Contract Signature Date
JLB Contracting, LLC
Inspectorllnspection Supervisor Date Project ManagerlProgram Manager Date
Assistant Director (Dept) Date Director, Contracting Department Dept) Date
Assistant City Attorney Date Assistant City Manager Date
Council Action if required
M&C Number M&C Date Approved �
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MIWBE Breakdown for this Chanae Order
MWBE Sub � ` Type of Service � Amount for this CO
Total I $0.00
PROJECT SUMMARY SHEET
(Change Order Attachment)
PROJECT NAME: N.Beach, Timberland to Keller Hicks Rd
CS# 43041
Attachment to Change Order No.: 4
Today's Date: 1/8/2012
Original Contract Amount:
Extras to Date:
Credits to Date:
Contract Amount to Date:
Amount of Proposed Change Order:
Revised Contract Amount:
Contingency Funds Avail.
Remaining Funds Available
Additional Funding (if necessary):
TOTA� TPW Water Sewer
$ 7,028,141.20 $ 4,719,507.16 $ 2,197,850.20 110,783.84
$ 242,053.50 $ 238,565.00 $ 3,488.50
$ 199,571.10 $ - $ 199,571.10 $ -
$ 7,070,623.60 $ 4,958,072.16 $ 1,998,279.10 $ 114,272.34
$ 76,215.85 $ 76,215.85 $ - -
$ 7,146,839.45 $ 5,034,288.01 $1,998,279.10 114,272.34
$ 280,492.84 � 280,492.84 $ - �
$ 241,498.94 $ 41,927.84 $ 199,571.10 $
$ 34,288.01 � 3�4,288.01 $ - �
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