HomeMy WebLinkAboutContract 45441-R2 s
N z, CITY SECRETARY
CONTRACT NO.. L A
�RT�Q City of Fort Worth
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Change Order Request
Prafect Name 13-2015 Traffic Signal Task Order Construction Services at Various City Sec# 45441R-2
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cO,Woject#( PW-Tm-2013-00031
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? Installation of traffic signal related items at various locations throughout the City.
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Contractor Bean Ele wcal,Inc. Change Order# Date 12/8/2016
City Project Mgr.1 Kassem Efkhafil City Inspector [ Leroy Soria
Dept. TPW Contract Time
Totals D
Original Contract Amount $1,376,325.77 $1,376,325.77 365
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $ls�325z�1 'xY .<aW . T.. hr $1,376 325.77 365
5,... s
Amount of Proposed Change Order $99,000.00
Revised Contract Amount _:_x$1,475;32577. �y,x r„;- ;i �` „ ` $1,475,325.77 365
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO � 1 `a
Additional Funding(if necessary) ';� $99;bD0 OU;_, , t` $99,000,00
CHANGE ORDERS to DATE(INC NE)AS%OF ORIGINAL.CONTRACT OF07L%on=
MAX ALLOWABLE CONTRACT AMOUNT ORIGINAL CONTRACT COST+2316
Authorize an increase in the contract with Bean Electrical,inc.for additional traffic signal work(conduits,pull boxes,knockdowns and other
signal related items)for various locations throughout the City-Not to exceed$99,000,from$1,376,325,77 to$1,475,324.97. This action will
authorize Change Order No.2 to the construction contract originally authorized with Bean Electrical,Inc.on March 19,2014,for the 2013-2014
Traffic signal task order construction services at various locations throughout the City. The costs for this chage order were based on actual cost
in the original contract and the new item was negotiated with the contractor.
Attested bv. oF FN,
OFFICIAL RECORD
CITY SECRETARY
Allison Tidwell,Assistant to the City Socre `* FT.WORTH,TX
It is understood and agreed that the acceptance of this Change Order by the Contra ctdr a biist'if Utes an accord and satisfaction and represents payment
in full(both time and money)for all costs arising out of,or incidental to,the above Change Order.
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MMBE Breakdown for this Change Order
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Total Irzi-1;
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Previous Change Orders
None
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CFW Change Order Approval St-COApp02 Page 2 of 3
EDRF WORTHv City of Fort Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: -2
Change Order No.:,St-COApp02 Date Started:20 16-12-15
City Sec. No.: 45441 Date Due:•2017-02-03
Project Name: TPW-TM-2013-00031 2013-2015 Traffic Signal Task Order
iTPW-TM-2013-0031
:DOE Numbers:
Project Numbers: :. :..:.._;:::.•.•-
DOE No. NA
Project Traffic Signal construction services at various location
Description: throughout the City
._... .....
Project Manager: Kassem Elkhalil City Inspector:'Leroy Soria
Contractor: Bean Electrical, Inc.
COUNCIL ACTION (If Required):
M&C Log Name:
...........
M&C Number: M&C Date __-....:.-..
COST AND DAYS SUMMARY:
Requested 1
Department: Cost($) Fund Account Center: Days:
:TPW $ 99,000.00 a •_....
I
Total Cost:'$.99,000.00 1 Total Requested Days:;
Approval Status:
I
https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?Siteld=51500&Processl... 1/27/2017
CFW Change Order Approval St-COApp02 Page 3.of 3
n G
';Approved: Yes i
Comments:
:User: Chip Bean
'Date: 2016-12-212:06 PM
'Approved: Yes
Comments:
'User: Fred Griffin
'.Date: 201612-22 4:20 PM
i
;Approved: Yes
;Comments:
"User: All Mozdbar
'bate: 2017-01-10 1:45 PM
;Approved: Yes
;Comments:
'.User: Richard Martinez
,Date: 2017-01-10 1:53 PM
i
Approved: Yes
.Comments:
'User: Doug Wiersig
'Date: 2017-01-10 10:12 PM
,Approved: Yes
Comments:
,User: Doug Black
;Date: 2017-01-24 6:03 PM
i
`Approved: Yes
'Comments:
User: ]ay Chapa
;Date: 2017-01-25 1:27 AM
Action Required:
https://projectpoint.buzzsaw.conV bz web/Forms/FonnPrint.aspx7Siteld=51500&ProcessI... 1/27/2017
CFW Change Order Approval St-COApp02 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/TPW Traffic Management Divislon/TPW-TM-2013-00031 2013-2015 Traffic Signal Task Order Construction
Services at Various Locations to be Determined/Contractor/Change Orders/chance Order Number 2 Breakdown.xls
Attachments d
No Attachments have been added to this form.
i
https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&ProcessI... 1/27/2017
Page 1 of 1
FORT NORTH CITY OF FORT WORTH P.O.DATE: 3/18/2016
Purchase Order Blanket Order Number
PO-16-00092903
SHOW THIS NUMBER ON ALL
PACKAGES,INVOICES AND
SHIPPING PAPERS.
V Vendor Number:0000027137 S TRANSPORTATION&PUBLIC WORKS
E BEAN ELECTRICAL INC H
N P O BOX 40016 1
P
D EVERMAN,TX 76140 T
O O
R B MAIL INVOICE IN DUPLICATE TO:
I
INVOICES: Direct invoices in DUPLICATE to the address shown. L
STANDARD PURCHASING TERMS AND CONDITIONS set forth in the L
City of Fort Worth's Bid or Quotation, are incorporated herein by T
reference and become a part of this order. 101
Payment Terms: ACH(DIRECT DEPOSIT)
Shipping Terms:
Bid No.: Delivery Calendar Day(s)A.R.O.: 0
Item Requisition Quantity Unit Unit Price Total
#
2 Agreement authorized by the City Council on February 18,2014 M&C-26679 for
the Transportation and Public Works Department. The agreement shall begin
March 19,2016 and end March 18,2017.
All prices,terms and conditions of the agreement shall be as stated in Bid No.CS-
45441.
Upon accepting a release order from our user department/division for this
agreement,please insure you are provided a purchase order number and a release
number.
Invoices must be mailed to the ordering department/division releasing
service/commodity and the invoice shall contain:
1)Bid number:2)Department Purchase Order Number;3)Release Number;4)
Department Name;5)Address where service/commodity was delivered.
Class-Item 912-60
1 TRAFFIC SIGNAL CONSTRUCTION TASK ORDER SERVICES CITYWIDE-M&C 1 EA $0.00 $0.00
C-26679 APPROVED 02/18/14,CS45441
LN/FY/Account Code Dollar Amount
TOTAL: $0.00
APPROVED: /���/'�✓J ..---,,,,
A • •
Rev.20091027 By: Barton Ciriot
Phone#: (817)392-8354
BUYER
Contract Compliance Manager:
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.
Ali Mozdbar
Engineering Manager