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Home My WebLink AboutContract 46469-CO1 CITY SEM-7- PRT FORT WORTH. City of Fort Worth Change Order Request Breakdown Project Namel Chisholm Trail Community Park-Ph 1 City Sec# 46469 Client Project#(s)l 02439 Contractor Fain Group PM1 Tom Alves Inspectorl Thomas Miller Change Order Submittal# 0 Date 2/1/2016 Contract Time Dept. PACS Totals (CD) Original Contract Amount $3,400,000.00 $3,400,000.00 Extras to Date $0.00 Credits to Date $0.00 Pending Change Orders(in M&C Process) $0.00 Contract Cost to Date $3,400,000.00 $3,400,000.00 Amount of Proposed Change Order $74,851.52 $74,851.52 Revised Contract Amount $3,474,851.52 $3,474,851.52 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO 1 $0.00 Additional Funding(if necessary) 1 $74,851.52 1 1 1 $74,851.52 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1 2.20% MAXALL OWABLE CONTRA CTAMOUNT(ORIGINAL CONTRACT COST+25%) $4,250,000.00 JUSTIFICATION(REASONS) FOR CHANGE ORDER Elements within the project that have been added or deducted from the project due to overall need of the City. AtMAWb *� City Secret -�a®Fa� : foo ,LAL RECORD ECRETARY O TH,TX FO RT WORTH City of Fort Worth �IV--- Change Order Additions Project Name I Chisholm Trail Community Park-Ph 1 City Sec# 46469 Client Project# 1 02439 Contractor Fain Group PM Tom Alves Inspector Thomas Miller Change Order Submiltal# Dale 21/2016 AQUI I IONS ITEM DESCRIPTION UH,I Uty unit Unit Cost Total Skate Park Ph 11 Design Cost Drinking Fountain model revision ,7 Boulders-Playground AmenityAdd5 —77077—Additional ater Linellountain ow tnp 7. PCO#9R Tree Revision ,5 Irrigation Add from o Plans ACS 1.00000000 LS �8,wd.2b $6 908 2b Phoenix Twist- aygroun menity $16,35T-57 Bleacher Revision 5, Northside rainage PACS $103,326.42 Sub otoAdditions Change Order Additions Page 2 of 8 ruerWoRl_H City of Fort Worth Change Order Deletions Project Name Chisholm Trail Community Park-Ph 1 City Sec# 46469 Client Project# 02439 Contractor Fain Group PM Tom Alves nspector Thomas Miller Charge Order Submittal# 0 Dale 2/1/2016 DLLLI IUNS Unit unit os o a aygroun enc evision rash eceptace Credit Supplier mgahon Controllercr d PACS $28,474.90 Sub oto Deletions Change Order Deletions Page 3 of 8 M/SBE Breakdown for this Change Order M/SBE Sub Type of Service Amount for this CO EI Cala Concrete Sub $23,138.40 Total $23,138.40 Previous Change Orders CO# DATE AMOUNT Total $0.00 DOE ✓ PROJECT BID NUMBER (Please check ane) F Q P,-r TV01R-'=� 7�Q� Minority[Women Business Enterprise Office LETTER OF INTENT TO PERFORM AS A MBE SUBCONTRACTOR/SUBCONSUL.TANT FOR A CONTRACT ADMEN DME NTSICHANG E ORDERS OR EXTRA WORK [NOTE: Pursuant to the City of Fort Worth Business Diversity Enterprise Ordinance,MBE firms participating under the Ordinance must be certified prior to recommendation of award in order to he counted towards subccntracting participation.If the City of Fort Worth determines that a proposed MBE Is not certified accordingly to the Ordinance requirements,the firm should immediately submit a completed certification application to the North Central Texas Regional Certification Agency(NCTRCA),624 Six Flags Drive,Suite 100,Arlington,TX 76011.) 1. Name of Project Chisholm Trail Community Park 2. Name of OfferorlPrime contractor The Fain Groun in- 3. The undersigned is prepared to perform the following described work andlor supply the material fisted in connection with the above project(where applicable specify"supply"or"install'or both): Go n( ye at an additional price of 5 4G added to the MBE fir's current subcontract amount. EI Cala Construction.LLC t 1 Lo (Name of MBE Firm) (Dale) 1 j �G��ue :Cifl, ne wne IAutherized Agent of MBE fir)Type or Print Name Signature f Owner or Authorized Agent of MBE firm) t I i,I r i, ,v"1 C 4IF (Email Address to appear on`N'stings provided by the MY,BE Office) (Office Phone Number) AFFIDAVIT OF Offeror/Prime CONTRACTOR I HEREBY DECLARE AND AFFIRM that I, Lary Frazicr am the duly aufhodzed representa ive of Circle one LOwnerlAuthofized.Agent) The Fain Grout).Inc, and that I have personally reviewed the material and Name of Prime Contractor facts set forth in this Intent to Perform for. To the best of my knovdedge,information and belief the fac',s and representation oontained In this for are true,and no material facts.have been omitted. Pursuant to City of Fart Worth Business Diversity Enterprise Ordinance,any person(entity]who makes a false or fraudulent statement in connection with participation of a SBE in any City of Fort Wo,th contract wilt be referred for debarment procedures under the City of Fort Worth Business Diversity Enterprise Ordinance. I de solemnly swear of affirm that the signatures contained herein and the information provided by the Prime Contractor are true and correct,and that I an authorized on behalf of the Prime Contractor to make the affidavit. Larry Frazier The Fain Group,Inc. Circl e(f%yMfAuthorizedAgent)TypeorPrintName (Name fPrime Contractor-Print or Type) �r r tn, ofher crAuthorized Agent)27-4338 817.927-4389 (Office Phone Number) (Fax Number) 6/1/2012 12/13/2016 Page 1 of 4 Links 1 fortworthoov/PACS/02439 -Chisholm Trail Community Park- Phase I/Contractor/Change Orders/Change Order#1 Breakdown.xls Attachments(0) No Attachments have been added to this form. https://projeetpoint.buzzsaw.com/ bz web/Forms/Fom-Print.aspx?Site1d=51500&ProcessId=1670&R... 12/13/2016 Page 2 of 4 FORT WORTH® City of Fort Worth Change Order Request Approval (Change Order Breakdown Available in Links) For Change Order Submittal No.: COSub01 Change Order No.: Pa - COApp01 Date Started: 2/29/2016 City Sec. No.: 46469 Date Due: 4/8/2016 Project Name: C-02439 Chisholm Trail Community Park - Phase I Project Numbers: C-02439 DOE Numbers: DOE No.7509 Project Chisholm Trail Community Park Phase I - Design Build project Description: Items that are part of the Change Order are as follows: Skate Park Ph II Design Cost Drinking Fountain model revision Boulders - Playground Amenity Add Additional Water Line/Fountain Mow Strip at Soccer Fields Tree Revision with 4 trees from Tree Farm Irrigation Add from 100% Plans Phoenix Twist - Playground Amenity Add Bleacher Revision Northside Drainage Playground Bench Revision Trash Receptacle Credit SOD Supplier Irrigation Controller credit City Project Mgr.: Thomas Alves City Inspector: Thomas Miller Contractor: The FAIN Group, Inc. COUNCIL ACTION (If Required): M&C Log Name: M&C Number: M&C Date: COST AND DAYS SUMMARY: Department: Cost($) Fund Account Center: Requested Days: PARD $ 74,851.52 34014-0800450-5740010-CO24 0 https:Hprojectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?Siteld=51500&ProcessId=1670&R... 12/13/2016 Page 3 of 4 Total: $ 74,851.52 Total Requested Days: 0 Approval Status: https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?Siteld=51500&Processld=1670&R... 12/13/2016 Page 4 of 4 Approved: Yes Comments: User: Debra Rose Date: 2016-04-07 7:38 PM Approved: Yes Comments: User: Larry Frazier Date: 2016-04-07 8:31 PM Approved: Yes Comments: User: Thomas Alves Date: 2016-04-11 1:36 PM Approved: Yes Comments: User: Joel McElhany Date: 2016-04-26 11:58 AM Approved: Yes Comments: User: Richard Zavala Date: 2016-04-26 3:53 PM Approved: Yes Comments: User: Doug Black Date: 2016-04-27 2:53 PM Approved: Yes Comments: User: Susan Alanis Date: 2016-04-27 5:08 PM Approved: Yes Comments: User: Debra Rose Date: 2016-07-01 11:25 AM Approved: Yes Comments: User: Larry Frazier Date: 2016-07-01 2:21 PM Action Required: Please Approve and Submit https://projeetpoint.buzzsaw.com/ bz_web/Forms/FormPrint.aspx?Site1d=51500&ProcessId=1670&R...