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Home My WebLink AboutContract 46469-CO2 CITY SECRE-TARY� coNTPACT NO FORT WORTH., City of Fort Worth Change Order Request Breakdown Project Namel Chisholm Trail Community Park-Ph 1 City Sec# 1 46469 Client Project#(s)l 02439 Contractor Fain Group PM Tom Alves I Inspector Thomas Miller Change Order Submittal# Date 7/19/2016 Dept. PACS Contract Time Totals (CD) Original Contract Amount $3,400,000.00 $3,400,000.00 Extras to Date $103,326.42 $103,326.42 Credits to Date $28,474.90 $28,474.90 Pending Change Orders(in M&C Process) Contract Cost to Date $3,474,851.52 $3,474,851.52 Amount of Proposed Change Order $44,267.30 $44,267.30 Revised Contract Amount $3,519,118.82 $3,519,118.82 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 Additional Funding(if necessary) $44,267.30 $44,267.30 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 3.507A MAXALL OWABLE CONTRA C TAMOUNT(ORIGINAL CONTRA CT 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 and efficiencies for the overall project operation and facility improvement. The items that are part of this Change Order#2 are as follows: 1,)windmill relocation,2.)NW property reconstruction including grading and seeding,3.)picnic tables,4.)light pole relocation,5.)culvert trail crossing, 6.)roundabout boulders and decomposed granite,7.)lighting at windmill,8.)additional topsoil,9.)pedestrian gate at north end of soccer fields, 10.)NE trail connection to neighborhood association open space lot, 11.)north parking lot wheel stops, 12.)ADA revisions at Skatepark and 13.)four trees. The deleltions include: 1.)northside trail drainage and 2.)sod charge reversal. A ary J. s r, ty Sem -_.._ 0 ° o 0 °° [) _{ ��OGaiDiDGUb��d1p IV Vqy . lT- OFFICIAL RECORD CITY SECRETARY FT,WORTH,TX FORT�TIH City of Fort worth Change Order Additions Project Name Chisholm Trail Community Park-Ph 1 City Sec# 46469 ClientProjecl# 02439 Contractor Fain Group PM Tom Alves Inspector Thomas Miller Change Order Submittal# Dale 7/19/2016 AUDI I IUNS Unit Unit os o a W—M-111 Relocation Property Reconstruction 5 # Picnic tables 7, 7. Light Pole Relocation Culvert Crossing 5,5 7. 5 RoundaboutQC&DG5, 5 —PUD-92V 3 Fixtures at Windmill opsei 7 Pedestrian Gate at Soccer Field Trail Connection North ar ing Lot Wheel Stops 70-434—ADA Revisions at Skatepark77 PGO#35 Additional ee ing ee epacement 1.00000000 ILS $3,267.45 PACS $127,011.76 u1 otal Additions $127,011.7-9 Change Order Additions Page 3 of 9 FORt WORTH City of Fort Worth —' - — Change Order Deletions Project Name Chisholm Trail Community Park-Ph 1 CitySec# 46469 Client Project# 02439 Contracto Fain Group PM Tom Alves Inspecto ThomasMiller Change Order Submittal# Date 7/19/2016 ULLL I TUNS Unit Unit os o a o si a rT ramage Sod arge Reversal PACS 62,744.46 u ota a ehons Change Order Deletions Page 4 of 9 M/SBE Breakdown for this Change Order M/SBE Sub Type of Service Amount for this CO EI Cala Concrete $12,610.00 Total $12,610.00 Previous Change Orders Co# DATE AMOUNT 1 2/1/2016 $23,138.40 Total $23,138.40 DOE PROJECT 02439 BID NUMBER FORT WC)R'FH (Please check one) — - --- MinorityMomen Business Enterprise Office LETTER OF INTENT TO PERFORM AS A MBE SUBCONTRACTORISUBCONSULTANT FOR CONTRACT ADMENDMENTSiCHANGE 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 be counted towards subcontracting partidpation.if the City of Fort Worth determines that a proposed MBE Is not certified accordingly to the Ordinance requirements,the firm shouldimmediately submit a completed certification application to the North Central Texas Regional Certification Agency(NCTRCA),624 Six Flags Drive,Suite 106,Arlington,TX 76011.] 1. Name of Project Chisholm Trail Parkl-Phase 1 2. Name of Offeror/Prime contractor The Fain Group.inc, 3. The undersigned is prepared to perform the following described work and/or supply the material listed in connection with the above project(where applicable specify"supply'or•install'or both) Concrete Work at an additional price of$12,610.00 added to the MBE firm's current subcontract amount EI Gala Construction Inc. (Name of MBE Firm) (Date) rn 1 s Circle one Owner uthorized Agent of MBE firm)Type or Print Name (Signature of Omer or Authorized Agent of MBE firm) (Email Address to appWon Listings provided by the MWBE Office) Vffice Phone Number) AFFIDAVIT OF Offeror/Prime CONTRACTOR I HEREBY DECLARE AND AFFIRM that 1, Larry Frazier am the duly authorized representative of Circe one(Owner/Authodzed Agent) The Fain Group.Inc. Name of Prime Contractor and that I have personaily reviewed the material and facts set forth in this Intent to Perform form. To the best of my knowledge,information and belief the facts and representation contained in this form are true,and no material facts have been omitted, Pursuant to City of Fort 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 Worth contract will be referred for debarment procedures under the City of Fort Worth Business Diversity Enterprise Ordinance. I do solemnly swear or 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. /71-arry Frazier The Fain Group,Inc. Circl e(Ommed Authorized Agent)Type or Print Name (Name of Prime Contractor-Print or Type) 80% { nature f r or Authorized Agent) (Date) 81 27-4388 817-9274389 (office Phone Number) (Fax Number) 6/1/2012 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.: COSub02 Change Order No.: Pa - COApp02 Date Started: 8/24/2016 TMI City Sec. No.: 46469 Date Due: 9/10/2016 1 Project Name: C-02439 Chisholm Trail Community Park - Phase I C-02439 DOE Numbers: Project Numbers: DOE No.7509 Project Chisholm Trail Community Park - Phase I - Design Build project Description: Items that are part of this Change Order No. 2 are as follows: Windmill relocation NW Property reconstruction / grading / seeding Picnic Tables Light Pole relocation Culvert crossing Roundabout boulders and decomposed granite Lighting at Windmill Additional Topsoil Pedestrian Gate at north end soccer fields NE Trail Connection to NA Open space lot North Parking Lot wheel stops ADA revisions at skatepark Additional seeding Tree replacement The deletions include: Northside trail drainage Sod Charge reversal 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: PARK $ 44,267.30 34014-0800450-5740010-CO24 0 https://projectpoint.buzzsaw.com/ bz_web/Forms/FormPrint.aspx?SiteId=51500&ProcessId=2313&R... 12/13/2016 Page 3 of 4 Total: $ 44,267.30 Total Requested Days: 0 Approval Status: https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&Processld=2313&R... 12/13/2016 Page 1 of 4 Links 1 fortworthgov/PACS/02439 - Chisholm Trail Community Park- Phase I/Contractor/Chancre Orders/Change Order#2 Breakdown R.xls Attachments(1) Name Author �KB) Type Modified Thomas Alves 1351680 Microsoft Excel 8/24/2016 5:56:51 �CopyofChangeOrder#26reakdownR.xls Spreadsheet PM https://projeetpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?Site1d=51500&Processld=2313&R... 12/13/2016 Page 4 of 4 Approved: Yes Comments: Funds verified User: Debra Rose Date: 2016-08-25 4:55 PM Approved: Yes Comments: User: Larry Frazier Date: 2016-08-26 7:03 AM Approved: Yes Comments: Funds verified User: Debra Rose Date: 2016-08-30 10:48 AM Approved: Yes Comments: User: Larry Frazier Date: 2016-08-30 10:55 AM Approved: Yes Comments: User: Thomas Alves Date: 2016-08-30 11:03 AM Approved: Yes Comments: User: Joel McElhany Date: 2016-08-31 10:53 AM Approved: Yes Comments: User: Richard Zavala Date: 2016-08-31 1:29 PM Approved: Yes Comments: User: Doug Black Date: 2016-09-01 2:00 PM Approved: Yes Comments: User: Susan Alanis Date: 2016-09-01 2:10 PM Action Required: approve https://projeetpoint.buzzsaw.com/ bz_web/Forms/FormPrint.aspx?Siteld=51500&Processld=2313&R...