HomeMy WebLinkAboutContract 48099-CO1 CITY SECRETARY Ccs
FORT WORTH, City of Fort Worth CONTRACTNO.
Change Order Request Breakdown
Project Namel Westcliff Drainage Improvements-PH 2A City Sec# I CS-48099
Client Project#(s)l 01669
Contractorl Woody Contractors, Inc. PM Debbie Willhelm Inspector Bill Mason
Change Order Submittal# 0 Date 10/28/2016
Dept. Water Stormwater Totals Contract TimeCD
Original Contract Amount $105,760.00 $860,129.00 $965,889.00 240
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $105,760.00 $860,129.00 $965,889.00 240
Go to ADD&DEL Tabs to Enter CO Backup $20,440.00 $40,403.00 $60,843.00 0
Revised Contract Amount $126,200.00 $900,532.00 $1,026,732.00 240
Original Funds Available for Change Orders $6,000.00 $50,000.00 $56,000.00
Remaining Funds Available for this CO $6,000.00 $50,000.00 $56,000.00
Additional Funding(if necessary) $14,440.00 $14,440.00
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 6.307/1
MAXALLOWABLE CONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%) $1,207,361.25
JUSTIFICATION(REASONS)FOR CHANGE ORDER
Three core borings along the east side of existing Surrey Street pavement show 3,000-5,000 psi concrete base with 1"-3"asphalt surface;
which was used as backfill along the existing waterline alignment. Due to subsurface conditions,the pavement rehabilitation will be Mill&
Overlay instead of Pulverize&Overlay. Therefore,the trench repair over the new utility cuts will be a permanent pavement section instead of a
temporary pavement section. No additional days are requested for this change order.
Execution of this Change Order does not require council approval;and will be administratively approved. However,an M&C is required for
appropriation of additional Water Department funding to cover a portion of this change order.
AesW by: FART
SCu Jfl ��C
OFFICIAL RECORD
CITY SECRETARY
FT.WORTHr TX
FORT WORTH City of Fort{North
—`'I-- Change Order Additions
Project Name Westcliff Drainage Improvements-PH 2A City Sec# CS-48099
Client Project# 01669
Contractorl Woody Contractors,Inc. PM Debbie Willhelm Inspector Bill Mason
Change Order Submittal# Date 10/28/2016
ADDITIONS
ITEM DESCRIPTION DEPT Qty Unit Unitos o a
Water Dept Funding 5 6 - 600 0-57 00 0-C01669-C 178
30 5'Wide Asphalt Pvmt Repair,Residential Water 300.00000000 LF 58.00
3T—Asphalt Pvmt Repair Beyond Defined Width,Residential Water 0.00000000 SY 76.00
TPW Dept Funding 59651-0200 31-5740010-CO 669-002880
9'Wide Asphalt Pvmt Repair,Residential Stormwater 30.00000000 LF 08.00
30 TT Wide Asphalt Pvmt Repair,Residential Stormwater 8. 0 00 LF
3 2°Wide Asphalt Pvmt Repair,Residential Stormwater 1,233.00000000 LF $97.00
32 7'Wide Asphalt Pvmt Repair,Residential Stormwater 00 F 0
33 Asphalt Pvmt Repair Beyond Defined Width,Residential Stormwater 100.00000000 SY 76.00
Water $20,440.00
Stormwater $151,817.00
Sub Total Additions
Change Order Additions Page 1 of 1
FORT�WORTH City of Fort worth
Change Order Deletions
Project Name I Westcliff Drainage Improvements-PH 2A City Sec# CS-48099
Client Project# 1 01669
Contractor Woody Contractors,Inc. PM Debbie Willhelm InspectorF Bill Mason
Change Order Submittal# Date 10/28/2016
DELETIONS
ITEM DESCRIFIION DEPT ty Unit Unit Cost Total
TPW Dept Funding 69651-0200431-574001
11 Temporary Asp alt Paving Repair Stormwater 353.0 0000 LF 38.00 5,
29 Field Allowance(Storm) Stormwater 60,000.00000000 EA
Water $0.00
Stormwater $111,414.00
Sub Total 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
See Waiver
Total $0:00
Previous Change Orders
co# - DATE` AMOUNT
N/A
Total $0 00
City of Fort Worth
Departmental Request for Waiver
Of MBE/SBE Subcontracting/Supplier Goal
Transportation and Public Works-Stormwater Management Division $60,843.00 10/27/2016
DEPARTMENT NAME: ESTIMATED COST / PROPOSAL DATE
Westcliff Drainage Improvements-PH 2A CP 01669
NAME OF PROJECT/BID: DOE/PROJECT NO.
Debbie J.Willhelm Digitally signed by Debbie J.Wilhelm
Date:2016.12.0112:21:42-06.00 2481 12/01/2016
SIGNATURE OF /PROJECT MANAGER EXTENSION DATE NIGP CODE
Prior to advertisement the contracting/managing department shall determine whether the bid/proposal is one which MBE/SBE
requirements should not be applied. MBE/SBE requirements may be waived upon written approval of the MWBE Manager. If one
of the conditions listed below exists,the contracting/managing department shall notify the Manager via this form, stating the specific
reason(s)for requesting a waiver.
If the contracting/managing department and the Manager are in conflict over the granting of a waiver, either
may appeal to the City Manager, or designee, and his/her decision is final.
Please Check Applicable Reason:
DA. MWBE Office: A waiver of the goal for MBE/SBE subcontracting requirements was requested
by the Department and approved by the MWBE Office, in accordance with the M/WBE or BIDE
Ordinance, because the public or administrative emergency exists which requires the goods or
services to be provided with unusual immediacy; or
=B. MWBE Office: A waiver of the goal for MBE/SBE subcontracting requirements was requested
by the Department and approved by the MWBE Office, in accordance with the M/WBE or BDE
Ordinance, because the purchase of goods or services from source(s) where subcontracting or
supplier opportunities are negligible; or
QC. MWBE Office: A waiver of the goal for MBE/SBE subcontracting requirements was requested
by the Department and approved by the MWBE Office, in accordance with the M/WBE or BIDE
Ordinance, because the application of the provisions of this ordinance will impose an economic
risk on the City or unduly delay acquisition of the goods or services; or
=D. MWBE Office: A waiver of the goal for MBE/SBE subcontracting requirements was requested
by the Department and approved by the MWBE Office, in accordance with the M/WBE or BIDE
Ordinance, because the MWBE Waiver is solicited based on the sole source information
provided to the MWBE Office by the managing department's project manager.
Justify Commodity or Service Waiver Request:
This change order is required due to a revision to the asphalt pavement repair method,which will result in additional asphalt material.
The approved subcontractors and suppliers selected for asphalt work on this project are non-MBE status;thus the request for this waiver.
Please use additional sheets,if needed
M WBE OFFICE USE ONLY:
v Adrian Zavala Date:l016.12dbyAd4:06-0'0 12/2/16
Date:2016.72.02 14:04:06-06'00'
Approved Signature of M/WBE Authorized Personnel Date
_Q—
Not Approved Signature of M/WBE Authorized Personnel Date
Rev.2.20-13
Willhelm, Debbie BUtZ5Aw A?P(40vAL oo 0, p,, E,,] TS
From: Jay Chapa <DistributionListWithRepliestoSenderOnly@buzzsaw.com>
Sent: Friday,January 27, 2017 11:37 AM
To: WiIlhelm, Debbie
Subject: CFW Change Order Approval SW-COAppr01: ROUTING COMPLETE:
To: Debbie WiIlhelm
CC:
The following document on Buzzsaw has completed the routing process.
Comment:
--------------------------------------------------------------------------------
DOCUMENT SUMMARY: CFW Change Order Approval SW-COAppr01
--------------------------------------------------------------------------------
Subject:
Project: 01669 -Westcliff Drainage Improvements, Phase IIA Date Due: 1/28/2017 11:36:47 AM (GMT-06:00)
Created by: Debbie WiIlhelm
Date Created: 11/16/2016 12:40:53 PM (GMT-06:00)
Modified by:Jay Chapa
Date Modified: 1/27/2017 11:36:47 AM (GMT-06:00)
--------------------------------------------------------------------------------
DOCUMENT LINK
--------------------------------------------------------------------------------
To open the documents) using Buzzsaw, click the following link:
https://proiectpoint.buzzsaw.com/Client/fortworthgov/Infrastructure%20Projects/01669%20-
%20Westcliff%20Dra inage%201 m prove ments,%20Phase%201IA/Actio n%201tem%20Logs/Ch a nge%200 rder%20Approva I
%20-%20TPW%2OStorm%2OWater%2OFunded/CFWChangeOrderApproval-SW-COApprOl.htmI
Please contact our support center if you have any questions about this Buzzsaw notification.
http://www.autodesk.com/buzzsaw-support
i
CFW Change Order Approval SW-COAppr01 Page 1 of 5
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 2
fortworthgov/Infrastructure Proiects/01669 - Westcliff Drainage Improvements, Phase IIA/Contractor/Change
Orders/Change Order 1 Breakdown.xls
fortworthgov/Infrastructure Projects/01669 - Westcliff Drainage Improvements, Phase IIA/Contractor/Change
Orders/01669 - Change Order 1 Departmental Request For Waiver.pdf
Attachments(0)
No Attachments have been added to this form.
https://projectpoint.buzzsaw.com/ bz web/Forms/FonnPrint.aspx?SiteId=51500&Processl... 1/27/2017
CFW Change Order Approval SW-COAppr01 Page 2 of 5
FORT WORTH. C'ty ofFor Worth
Change Orde Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: CO Submittal 1
Change Order No.: SW-COAppr01 Date Started: 2016-11-16
City Sec. No.: 48099 Date Due: 2016-12-07
Project Name: Westcliff Drainage Improvements, Phase IIA
01669 DOE Numbers:
Project Numbers: N/A
Project Westcliff Drainage Improvements PH 2A - Surrey St
Description: Water & Storm Drain
Project Manager: Debbie Willhelm City Inspector: William (Bill) Mason
Contractor: Woody Contractors, Inc.
COUNCIL ACTION (If Required):
M&C Log Name: N/A
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
Water $ 20,440.00 59601-0600430-5740010-C01669-C 0
TPW Storm Water $ 40,403.00 59651-0200431-5740010-C01669-0 0
Total Cost: $ 60,843.00 Total Requested Days: 0
Approval Status:
https://projectpoint.buzzsaw.com/ bz_web/Forms/FormPrint.aspx?SiteId=51500&ProcessI... 1/27/2017
CFW Change Order Approval SW-COAppr01 Page 3 of 5
https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&ProcessI... 1/27/2017
CFW Change Order Approval SW-COAppr01 Page 4 of 5
.Approved: Yes
;Comments:
User: Troy Woody
"'Date: 2016-11-17 3:15 PM
;Approved: Yes
Comments:
User: Troy Woody
Date: 2016-11-23 1:35 PM
Approved: Yes
Comments:
User: Debbie Willhelm
Date: 2016-11-29 3:19 PM
';Approved: Yes
"!Comments:
User: Linda S. Young
Date: 2016-11-29 3:29 PM
Approved: Yes
Comments:
User: Greg Simmons
Date: 2016-11-30 5:21 PM
Approved: Yes
Comments:
"!User: Doug Wiersig
Date: 2016-11-30 10:56 PM
Approved: Yes
Comments:
!User: Troy Woody
Date: 2016-12-07 2:04 PM
Approved: Yes
Comments:
"User: Debbie Willhelm
Date: 2016-12-07 2:25 PM
Approved: Yes
Comments:
User: Linda S. Young
Date: 2016-12-09 1:45 PM
Approved: Yes
Comments:
https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&ProcessI... 1/27/2017
CFW Change Order Approval SW-COAppr01 Page 5 of 5
User: Greg Simmons
Date: 2016-12-09 4:14 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2016-12-11 10:07 PM
Approved: Yes
Comments:
User: Doug Black
Date: 2017-01-25 9:31 AM
Approved: Yes
Comments:
User: Jay Chapa
Date: 2017-01-27 11:36 AM
Action Required: Please review, approve, and submit
https://projectpoint.buzzsaw.com/ bz_web/Forms/FoimPrint.aspx?SiteId=51500&ProcessI... 1/27/2017
Contract Compliance Manager
Re: Change Order No. 1 ($60,843)
Contractor: Woody Contractors, Inc.
Project Name: Westcliff Drainage Phase II A at Surrey St.
City Sec. No. 48099
Project No. 01669
By signing, I acknowledge that I am the person responsible for the monitoring and
administration of this contract including ensuring all performance and reporting
requirements.
Name of Eml5foyee
1`9r
or o,.1 e- /Y)Q.,a g e r
Title