HomeMy WebLinkAboutContract 48544-CO1 CITY SECRETARY,p;/�i�ta( .�'���
FORT WORTH. City of Fort Worth CONTRACT NO. _P-------J
Change Order Request Breakdown
ProjectNamel 2014 CIP Year 2-Contract 6 City Sec# 1 48544
Client Project#(s)l 100509
Contractor Stabile&Winn PM Kristian Sugrim Inspectorl Christopher Bell
Change Order Submittal# 0 Date 6/27/2017
Dept. TIPW Contract Time
Totals CD
Original Contract Amount $2,499,467.00 $2,499,467.00 210
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $2,499,467.00 $2,499,467.00 210
Amount of Proposed Change Order $81,348.50 $81,348.50 28
Revised Contract Amount $2,580,815.50 $2,580,815.50 238
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $81,348.50 $81.348.50
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 3.25%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $3,124,333.75
JUSTIFICATION (REASONS) FOR CHANGE ORDER
The requested funding on this Change Order No.1 became necessary due to the additional sidewalks added on E. Cantey St.,E. Devitt St.,
Colvin Ave.and E. Mulkey St.Also,an additional 28 days are being added to the contract.
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FORT WORTH City of Fort worth
-- Change Order Additions
Project Name 2014 CIP Year 2-Contract 6 City Sec# 48544
Client Project# 100509
Contractor Stabile&Winn PM Kristlan Sugdm Inspectorl Christopher Bell
Change Order Submittal# 0 Date 6I27I2017
ADDITIONS
ty unit
nit Cost Total
Inch Concrete Sidewalk
Inch Combination Sidewalk /PW 270.00000000F
ADA Ramps T/PW 4.00000000 EA T7ffO
13 Remove ADA Ramps T/PW 2.00000000 EA 5 . 0
T/PW $81,348.50
Sub Total Additions 5
Change Order Additions Page 1 of 1
FORT WORTH City of Fort worth
V,1—T Change Order Deletions
Project Name 1 2014 CIP Year 2-Contract 6 City Sec# 48544
Client Project# 1 100509
Contractor Stabile&Winn PMJ Kristian Sugrim Inspector Christopher Bell
Change Order Submittal# Date 6/27/2017
DELETIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
T/PW $0.00
Sub otal Deletions
Change Order Deletions Page 1 of 1
MISBE Breakdown for this Change Order
M/SBE Sub Type of Service Amount for this CO
NONE
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
CFW Change Order Approval St-COApp01 Page 1 of 4
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 2
fortworthgov/Infrastructure Projects/100509 - 2014 CIP Year 2 - Contract 6/Contractor/Change Orders/Change Order
Breakdown #1 100509 (002).xls
fortworthgov/Infrastructure Projects/100509 - 2014 CIP Year 2 - Contract 6/Contractor/Change Orders/100509
Compliance Memo C01.pdf
Attachments(0)
No Attachments have been added to this form.
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CFW Change Order Approval St-COApp01 Page 2 of 4
FORT WOCity of Fort Worth
-�- Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: 11
Change Order No.:1St-COApp01 Date Started: 12017-08-03
City Sec. No.: 48544 Date Due: 2017-09-22
Project Name:1100509 - 2014 CIP Year 2 - Contract 6
Project Numbers: 100509 IDOE Numbers:
Project Removal and replacement on nonfunctional curb&gutter,
Description: driveways and sidewalks, followed by the pulverization and
stabilization of the existing pavement and then an overlay of
3" HMAC.
Project Manager:JKristian Sugrim City Inspector: (Christopher Bell
Contractor: Stabile &Winn, Inc.
COUNCIL ACTION (If Required):
M&C Log Name:1
M&C Number: --- M&C Date. ;
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW �� $ 81�0� 34014 Bond Program
Total Cost:1$ 81,348.501 Total Requested Days: 28
Approval Status:
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CFW Change Order Approval St-COApp01 Page 3 of 4
Approved: Yes
Comments:
User: Jerry Henderson
Date: 2017-08-03 3:56 PM
Approved: Yes
Comments:
User: Kristian Sugrim
Date: 2017-08-03 4:46 PM
Approved: Yes
Comments:
User: Najib Fares
Date: 2017-08-03 4:52 PM
Approved: Yes
Comments:
User: Jerry Henderson
Date: 2017-08-04 8:55 AM
Approved: Yes
Comments:
User: Kristian Sugrim
Date: 2017-08-04 9:21 AM
Approved: Yes
Comments:
User: Najib Fares
Date: 2017-08-04 9:25 AM
Approved: Yes
Comments:
User: Najib Fares
Date: 2017-08-04 9:25 AM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2017-08-07 1:36 PM
Approved: Yes
Comments:
User: Doug Black
Date: 2017-09-11 5:49 PM
Approved: Yes
Comments:
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CFW Change Order Approval St-COApp01 Page 4 of 4
User: Jay Chapa
Date: 2017-09-12 11:32 AM
Action Required:
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CITY OF FORT WORTH
CONTRACT COMPLIANCE MEMORANDUM
Change Order, Amendment or Extra Work
THIS FORM MUST BE ATTACHED TO THE ROUTING "M & C" BEFORE
LAW DEPARTMENT AND CITY MANAGER APPROVAL
To: Kristian Sugrim
Proiect Manager
From: Adrian Zavala (817) 212-2679
M/WBE Office Staff Extension
Date: August 01, 2017
In the Amount of $81,348.50 1005209
DOE/Proiect No.
Project/Bid: Change Order No. 1 2014 CIP, Year 2 Contract 6
1. Compliance with the City's Business Diversity Enterprise (BDE)
Ordinance has been achieved by the following method:
a) Stabile & Winn, Inc. is in compliance with the City's BDE Ordinance by
committing to the overall original 1% MBE participation on this Change Order
No. 1
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.
Kristian Sug im /
Name of Employee/Signature
Project Manager
Title
This form is N/A as No City Funds are associated with this Contract
Kristian Su rim c �
Printed Name Signature