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Home My WebLink AboutContract 47000-CO1 CITY SECRETAW FORT WORTH CONTRACT N0. City of Fort Worth Change Order Request Breakdown Project Namel CONCRETE STREET RESTORATION AT 4 LOCATIONS 2015-09 City Sec# 1 47000 Client Project#(s)l CPN 02573 50ntractor WESTHILL CONSTRUCTIO PM T.ISLAM Inspectors GARY DEYON Change Order Submittal# Date 1 4126/2016 W Dept T1PW Contract Time Totals CD Original Contract Amount $682,566.40 $682,566.40 150 Extras to Date Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $682,566.40 $682,566.40 150 Amount of Proposed Change Order $98,482.00 $98,482.00 35 Revised Contract Amount $781,048.40 $781,048.40 185 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 Additional Funding(if necessary) $98,482.00 $98,482.00 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 14.43% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $853,208.00 This change order is to cover the costs for additional panel replacement on Meadowbrook Drive.The additional panel replacements were needed to alleviate ponding water which was not identified during the initial street evaluation.35 days are being added to the contract for the additional work. OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Fo T� WOWTH City of Fort Worth -v- Change Order Additions Project Name CONCRETE STREET RESTORATION AT 4 LOCATIONS 2015-09 City Sec# 47000 Client Project# CPN 02573 ContractorF yYESTHILL CONSTRUC110 PM T.ISLAM lnspeclorFGARYDEYON Change Order Submittal# 0 Date 4r2fiJ2016 ADDITIONS Unit Unit Cost Total remove Concrete and Replace with Concrete avemen 5 Flex Base,Type Concrete extra depth) 7—Block Sod Placement aneous tnrcture lustment tone ram Inlet op 11 Geogrid Tenser Remove and Replace Sidewalk TIPW 98482.00 u otal Additions Change Order Additions Page 1 of 1 r Wo H City of Fort Worth Change Order Deletions Pmjed Name I CONCRETE STREET RESTORATION AT 4 LOCATIONS 2015M City See# 4)000 Client Project# F CP 002573 CW.Wblr WESTHILL CONSTRUCTIO PM T.ISLAM Inspector GARY DEYON Change Order Submittal# Date 4/26@0 t6 DELETIONS 1TEM UFSGRIPTION DEPT Qty Unit ni t Gost Total TIPW 0.00 Sub ota Deletions Change Order Deletions Page 1 of 1 M/SBE Breakdown for this Change Order M/SBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders Co# DATE AMOUNT Total $0.00 CFW Change Order Approval St-COApp01 Page 1 of 4 Routing Assigned To: Due Date: Assigned By: Due Time: Links 2 fortworthoov/Infrastructure Proiects/02573 - Concrete Restoration (2015-9)/Contractor/Chanae Orders/MBE Commitment Form 2015-9 5-2-16.pdf fortworthoov/Infrastructure Proiects/02573 - Concrete Restoration (2015-9)/Contractor/Change Orders/Chanae Order Breakdown#1 02573 (2).xls A twbmw b Le No Attachments have been added to this form. https://projectpoint.bi,7 aw.com/—bz—web/Forms/FonnPrint.aspx?SiteId=51500&Processld... 7/1/2016 CFW Change Order Approval St-COApp01 Page 2 of 4 FORT WORTH. city of Fort Worth -•.•�q� Change Order Request Approval (Change Order Breakdown Available in Links) For Change Order Submittal No.: COSub01 Change Order No.: St-COApp01 Date Started: 2016-05-09 City Sec. No.: 47000 Date Due: 2016-05-20 Project Name: Concrete Restoration (2015-9) 02573 DOE Numbers: Project Numbers: Project Replace failed panels on Citywide concrete streets Description: Project Manager: Tariqul Islam City Inspector: Gary Deyon Contractor: Westhill Construction COUNCIL ACTION (If Required): M&C Log Name: M&C Number: M&C Date: COST AND DAYS SUMMARY: Requested Department: Cost($) Fund Account Center: Days: TPW $ 85,492.00 30100-0200431-5740010- 35 100432-003380 TPW $ 12,990.00 39408-0200431-5740010- 100432-003380 Total Cost: $ 98,482.00 Total Requested Days: 35 Approval Status: https://projectpoint.bu7 aw.com/—bz—web/Forms/FormPrint.aspx?Siteld=51500&ProcessId... 7/1/2016 CFW Change Order Approval St-COApp01 Page 3 of 4 Approved: Yes Comments: User: Katie Newby Date: 2016-05-25 11:38 AM Approved: Yes Comments: User: Katie Newby Date: 2016-06-16 10:15 AM Approved: Yes Comments: User: Tarigul Islam Date: 2016-06-16 10:36 AM Approved: Yes Comments: User: Riad Nusrallah Date: 2016-06-16 4:06 PM Approved: Yes Comments: User: Todd Blomstrom Date: 2016-06-21 2:15 PM Approved: Yes Comments: User: Doug Wiersig Date: 2016-06-21 2:35 PM Approved: Yes Comments: User: Doug Wiersig Date: 2016-06-29 3:03 PM ' / ®�� Approved: Yes O Comments: User: Doug Black Ary J• s city Date: 2016-06-30 9:42 PM 0000 Approved: Yes Comments: User: Jay Chapa NO M&C REQUIRED Date: 2016-07-01 1:38 PM OFFICIAL RECORD CITY SECRETARY • 9 https://projectpoint.bilzzsaw.com/—bz—web/Forms/FomiPrint.aspx?SiteId=51500&Processld... 7/1/2016 CFW Change Order Approval St-COApp01 Page 4 of 4 4 Action Required: https://projectpoint.buzzsaw.com/ bz web/Forms/FormFrint.aspx?Siteld=51500&ProcessId... 7/1/2016 City of Fort Worth ACCEPTANCE OF PREVIOUS MBE COMMITMENT FORM A (for use with CHANGE ORDERS of AMENDMENTS greater than$50,000) To be.Comollot e y" ityproject Manager ge dtder(for Construction Contract) project Nome: City`Project Niimtier : .. w Concrete Restoration(2015-9) 02573 City Pro)eet Manger t7o CbntraEtor. .. . . . .... . . . Taariqul(slam Westhill Construction Inc, Clty'$MBf~Projeot'Goal: 13 % OnginalAf i6uht of Contract ;682,668.40 Accepted MBE Commitment: 16 Total of.pfovious Chap0e Orders .. $0.00 Date of Last MOE Report:. 3/30/2016 ; Amo ntfoethls Change Order '' $98,482.00 Change Order#: 1 ` Re ised_Amourt•of Contract: $781,048.40 _ Date: 4/29/2018 . Language to be inserted In the M&C for this Contract Westhill Construction Inc. agrees to maintain its Initial MBE commitment of 16%that It'made on the original contract and extend and maintain that same MBE commitment of 180!to this first change order. Therefore Westhill Construction Inc. remains in compliance with the City's BDE Ordinance and attests to its commitment by Its signature on the Acceptance of Previous MBE Commitment form,executed by an authorized representative of Its company. k. To be Completed by the Representative f the Contractor Print Signature Title hofted gnature/Date -� Westhill Construction Inc. Company Name Contact Name(if.. erent) Address E=mall address n %_CA x City/Statoalp Phone number Fax Number as of 1�1 hs 1 I1.,. i MBE fit;Paid to Date Date ;S I y roles : anager as rev ewe a war associa e. wit s tinge r..er, con§dare'It the same or similar to work In;tl�e original Contract, and recommends Ehat the (Gohiractor.heve the option to r�t In an f'rm ItS a tlsting iat co�mitment.. h Taariqullslam Z l6 City Protect Manager Glty Pr6lec Manaper,Signature . Date Attach Con0lote:Change Oid4i v. to office f To be Completed by • • 's icn lit: Sim-:. AV Q BE ptla ee Staff ID# MBE urrent% Level via ast Report Ree'd M BE nature Date 4� 4: