HomeMy WebLinkAboutContract 42306-CO1 GC71–"y
FORT WORTH, City of Fort Worth CITY SECRETARY -CCS
Change Order Request CONTRACT NO.
Project Namel HMAC Surface Overlay At Various Locations(2011-17) City Sec# r 42306
Client Project#(s)l C293-541200-205620176483 DOE:6698
Project Description HMAC Surface Overlay Throughout The City(Street Maintenance)
Contractorl JLB Contracting, LLC Change Order# 0 Date 4/28/2012
City Project Mgr.I Kristian Sugrim (817)392-8902 City Inspector I David W.Bowers (817)350-3522
Dept. TPW Water Sewer Totals Contract Time
CD
Original Contract Amount $571,857.90 $228,743.16 $152,495.44 953,096.50 110
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $571,857.90 $228,743.16 $152,495.44 $953,096.50 110
Amount of Proposed Change Order $9,485.49 $3,794.20 $2,5297- 15,809.15 69
Revised Contract Amount $581,343.39 $232,537.36 $155,024.90 $968,905.65 179
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00 $0.00 $0.00
Additional Funding(if necessary) $9,485.49 $3,794.20 $2,529.46 $15,809.15
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1.6607/0
MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,191,370.63
JU KANI �OtS` 01 ,Ct1i1E
The submission of this Change Order is to request that and additional 69 days be added to this contract along with the increase in fine item
quantities to compensate for the addition of Merida St.(Berry to Benbrook).
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Maty J. Kayser, City Secre Q-.oa�'-
Z 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.
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M&C Number M&C Date Approved E
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FORT WORTH„ City of Fort Worth
Change Order Requesth
Project Namel HMAC Surface Overlay At Various Locations(2011-17) City Sec# 42306
Client Project#(s)l C293-541200-205620176483 DOE:6698
Project Description HMAC Surface Overlay Throughout The City(Street Maintenance)
Contractorl JLB Contracting, LLC Change Order# 0 Date 1 4/28/2012
City Project Mgr.1 Kristian Sugrim (817)392-8902 City Inspector David W.Sowers (817)350-3522
Dept. TPW Water Sewer Totals Contract Time
CD
Original Contract Amount $571,857.90 $228,743.1"6 152,495.44 $953,096.50 110
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $571,857.90 $228,743.16 $152,495.44 $953,096.50 110
Amount of Proposed Change Order '0,485.49 $3,794.20 $2,597-6 $15,809.15 69
Revised Contract Amount $581,343.39 232,537.36 $155,024.90 $968,905.65 179
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00 $0.00 $0.00
Additional Funding(if necessary) $9,485.49 1 $3,794.20 $2,529.46 $15,809.15
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1.66%
MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,191,370.63
JUSTIFICATION(REASONS)FOR CHANGE ORDER
The submission of this Change Order is to request that and additional 69 days be added to this contract along with the increase in line item
quantities to compensate for the addition of Merida St. (Berry to Benbrook).
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.
ConbacWs CwW1 Name ConWcW Name Cat ' ature gab
JLB Contracting, LLC
In /l ale ManaW Date
Assistant ,Con t
tit
{ Dale Wj ` 4
f
Counciii Ac5on K
M&C NumberM&C Date Approved
k �l
FORT WORTH, City of Fort Worth
Change Order Request `� t
Project Namel HMAC Surface Overlay At Various Locations(2011-17) City Sec# 42306
Client Project#(s)l C293-541200-205620176483 DOE:6698
Project Description HMAC Surface Overlay Throughout The City(Street Maintenance)
Contractorl JLB Contracting, LLC Change Order# 0 Date 1 4/28/2012
City Project Mgr.1 Kristian Sugrim (817)392-8902 City Inspector David W.Bowers (817)350-3522
Dept. TPW Water Sewer Totals Contract Time
CD
Original Contract Amount 571 R57.QQ (492R 743.16 $152,495.44 GQSA nQ6.5Q 11n
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $571,857.90 $228,743.16 $152,495.44 $953,096.50 110
Amount of Proposed Change Order $9,485,49- $3,79410 $2,1529a46 $15,809.15 69
Revised Contract Amount $581,343.39 $232,537.36 $155,024.90 $968,905.65 179
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00 $0.00 $0.00
Additional Funding(if necessary) $9,485.49 $3,794.20 $2,529.46 $15,809.15
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1.6601
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,191,370.63
JUSTIFICATION(REASONS)FOR CHANGE ORDER
The submission of this Change Order is to request that and additional 69 days be added to this contract along with the increase in line item
quantities to compensate for the addition of Merida St.(Berry to Benbrook).
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 Company Name Contractor Name contWASignature Date
JLB Contracting,LLC ' - ``
Ins for/Ins tion ry r pate, Project Manager/ProgM
( Manager Date
t
Assistant Director' apt) Date ®ireetpr,Con 'n De artment Det 10
J bate
A i' tto a Date Assistanttity ManaW Date
Cound Action ifrequired)
M&C Number 7, ,„ M&C Date Approved Q �\\
FORT WORTH. City of Fort Worth
Change Order Request
Project Namel HMAC Surface Overlay At Various Locations(2011-17) City Sec# 1 42306
Client Project#(s)l C293-541200-205620176483 DOE:6698
Project Description HMAC Surface Overlay Throughout The City(Street Maintenance)
Contractorl JLB Contracting, LLC Change Order# 0 Date 1 4/28/2012
City Project Mgr.1 Kristian Sugrim (817)392-8902 City Inspector David W. Bowers (817)350-3522
Dept. TPW Water Sewer Totals Contract Time
CQ
Original Contract Amount 571,857.90 228,743.16 152,495.44 $953,096.50 110
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $571,857.90 $228,743.16 $152,495-.44 $953,096.50 110
Amount of Proposed Change Order ,485. ,794.20 2,529.46 15,809.15 69
Revised Contract Amount $581,343.39 $232,537.36 $155,024.90 $968,905.65 179
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00 $0.00 $0.00
Additional Funding(if necessary) $9,485.49 $3,794.20 $2,529.46 $15,809.15
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1.66°
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+2595) $1,191,370.63q
JUST (CATION(REASONS)FOR CHANGE ORDER
The submission of this Change Order is to request that and additional 69 days be added to fhis contract along with the increase in line item
quantities to compensate for the addition of Merida St.(Berry to Benbrook).
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 Cbange Order.
Contractors Company Name Contractor Name re Pao
JLB Contracting, LLC — - % t–
In or/Inspectilm 99tel Pr*d Manager/PrManager/Prpgraip Manager Date
Assistant Director t Date Director,Contracting Department t Date
Assistant A Date Manager Dale
Counc!Action rf
M&C Number M&C Date Approved �.
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M/WBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for this CO
Total
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
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