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Contract 45658-CO2
FORT WORTH® City of Fort Worth CITY SECRETARY ~r "r✓ Change Order Request Breakdown CONTRACT NO. Project Namel HMAC Surface Overlay(2014-1) City Sec# 1 45658 Client Project#(s)l 02236 Contractorl Advanced Paving PM Kristian Sugrim Inspectorl William Mason Change Order Submittal# �2 Date 4/23/2017 Dept. T/PW Contract Time Totals CD Original Contract Amount $1,972,174.45 $1,972,174.45 190 Extras to Date $29,888.20 $29,888.20 20 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $2,002,062.65 $2,002,062.65 210 Amount of Proposed Change Order $55,346.45 $55,346.45 253 Revised Contract Amount $2,057,409.10 $2,057,409.10 463 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 Additional Funding(if necessary) [77T5,546.45 $55346.45 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 4.32% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25010) $2,465,218.06 IF JUSTIFICATION (REASONS) FOR CHANGE ORDS This change order is to cover cost overruns on various line items.The overruns on street reconstruction were due to unforeseen repairs needed on the subgrade for milled streets and for improved drainage at intersections.Also,additional manholes were installed during utility reconstruction. Similarly,additional sidewalks were requested to be installed on Ryan PI., Ryan Ave,W.Lowden St.,and 5th.Ave.The additional contract time is requested to compensate for construction delays from franchise utilities,Atmos Energy and SWB,and for the inclusion of W.Anthony St.(Hemphill St.-College Ave.)and Encanto Dr.(Trail Lake Dr.-Arundel Ave.),as well as the extension of W. Lowden St. by two blocks.Additional delays were due to street lightning conflicts on W. Lowden St.,5th Ave.and Ryan Ave. Q `a: %P Q RECEIVED OFFICIAL RECORD a CITY SECRETARY r SEP 192017 N CITY OF FORT WORTH t� FT.WORTH,TX CITYSECREFARY � FOR_ rH City of Fort Worth Change Order Additions Project Name I HMAC Surface Overlay(20141) City Sec# 45658 Client Project# F 02236 Contractor] Advanced Paving PM Kristian Sugdm Inspector William Mason Change Order Submittal# 0 Date 4I23I2017 ADDITIONS ITEM DI,6GRIPlION DEPT Qty Unit Unit Cost Total N REE ID AL T/PW755 SF 11 CONCRETE VALLEYUTTER /P 0 Y 35 2J A PH PAVEMENT BASE REPAIR T/PW 5.62761000 CY 5 MH ADJUSTMENT CONCRETE COLLAR T/PW 15.00000000 EA T/PW $55,346.45 Sub Total Additions sbb,3W.T5 Change Order Additions Page 1 of 1 FoRr_ Wow City of Fort worth Change Order Deletions Project Name I HMAC Surface Ove 20141 City Sec# 45658 Client Project# 1 02236 Con&dctDrl Advanced Paving PMJ Kristian Sugdm InspectorF William Mason Change Order Submittal# 0 Date 4!23/2017 DELETIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total T/PW $000 u ota Deletions Change Order Deletions Page 1 of 1 MISBE Breakdown for this Change Order MISBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders CO# DATE AMOUNT Total $0.00 CFW Change Order Approval St-COApp02 Page 1 of 3 Routing Assigned To: Due Date: Assigned By: Due Time: Links 2 fortworthgov/Infrastructure Projects/02236 - Street Rehabilitation HMAC (2014-1)/Contractor/Change Orders/9-5-17 HMAC Surface Overlay 2014-1 Change Order# 2.pdf fortworthgov/Infrastructure Proiects/02236 - Street Rehabilitation HMAC (2014-1)/Contractor/Change Orders/Change Order Breakdown#2 HMAC 2014-1.xls Attachments(0) No Attachments have been added to this form. https://projectpoint.buzzsaw.com/ bz web/Forms/FomiPrint.aspx?SiteId=51500&ProcessI... 9/19/2017 CFW Change Order Approval St-COApp02 Page 2 of 3 FORT WORTHO City of Fort Worth Change Order Request Approval (Change Order Breakdown Available in Links) For Change Order Submittal No.: 12 — Change Order No.: St-COApp02 Date Started: 2017-09-05 J City Sec. No.: Date Due: 2017-10-25 _.. _ _ Project Name: 02236 - HMAC Surface Overlay (2014-1) _ 02236DOE Numbers: Project Numbers: DOE No. 7195 Project Removal and replacement of non-functional curb&gutter, Description: driveways and sidewalk; pulverization and stabilization of the existing pavement, followed by a 2" HMAC Overlay. Project Manager: JKristian Su rim City Inspector: William Mason Contractor: LAdvanced Paving Acquisition, Ltd. COUNCIL ACTION (If Required): M&C Log Name:L— M&C Number:�— M&C Date: COST AND DAYS SUMMARY: Requested Department: Cost($) Fund Account Center: Days: TPW --- $ 55,346.45 39408-0200431-4910100-CO6283 12.53IF _---� C� Total Cost: $ -5-5,346.451 Total Requested Days: 253 Approval Status: https://projectpoint.buzzsaw.com/–bz–web/Forms/FomiPrint.aspx?Siteld=51500&Processl... 9/19/2017 CFW Change Order Approval St-COApp02 Page 3 of 3 Approved: Yes Comments: User: Becky Garrett Date: 2017-09-05 1:10 PM Approved: Yes Comments: User: Kristian Sugrim Date: 2017-09-05 1:13 PM Approved: Yes Comments: User: Najib Fares Date: 2017-09-05 4:51 PM Approved: Yes Comments: User: Kim Arnold Date: 2017-09-11 9:25 AM Approved: Yes Comments: User: Doug Wiersig Date: 2017-09-12 8:53 PM Approved: Yes Comments: User: Doug Black Date: 2017-09-15 4:37 PM Approved: Yes Comments: User: Jay Chapa Date: 2017-09-19 12:27 PM Action Required: F FORT J ti •.120 OFFICIAL RECORD --z� Wald Foi©11zaIeS,r�ss icy Xp►S C�T'Y SECRETARY FT. WORTH, TX https://projectpoint.buzzsaw.com/ bz web/Forms/ForniPrint.aspx?SiteId=51500&Processl... 9/19/2017 I I i oarwo r City of Fort Worth ACCEPTANCE OF PREVIOUS MBE COMMITMENT FORM (for use with CHANGE ORDERS or AMENDMENTS greater than$60,000) To be Completed by City Project Manager Change Order(for Oonstruotlon Contract) . Project Name: City Project Number HMAC Surface Overlay 2014-1 i 02238 .1 ' ' City Project Mansger. Contractor; ; Krisflan.t3ugrim Advanced Paving Acqulsitlon, Ltd. City's MBE Project Goal'1 6 % Original Amount of Contract: j $1,972,174.45 : Accepted MBE Commitment 16 :% Total of Previous Change Orders: ! $29,888.20 ; Date of Last MSE Report: Amount forthis Change Order: j $55,346.46 Change Order#: I 2 Revised Amount of Contract: $2,067,409,10 Date: i 8/30/2017 Language to be Inserted In the M&C for this Contract Advanced Paving Acquisition, Ltd. agrees to maintain Its initial MBE commitment of 16%that it made on the original contract and extend and maintain that same MBE commitment of 16%to all prior change orders up to and inclusive of this Change Order No.2. Therefore Advanced Paving Acquisition, Ltd: remains in compliance with the City's BDE Ordinance and attests to its commitment by its signature on the Acceptance of Previous MBE Commitment form executed by an authorized representative of its company. To be Completed hy the r int five f the Contra �c.L• -� -ems �1 Printed Signature Tltle Authorized Stg ature/Date Advanced Paving Acquisition,Ltd, Company Name Contact Name(if different) 5/1 �3l G�S��7f Lr.c�U/� �cCea 64 & 06m1 ress Email address City/State tp �j Phone numberax Number cam' i /Q as of 31) M8E%Paid to.Date Date qity-PrFlect Manager has reviewed a work associated With s hange Order,- considers It the same or similar to work in the original Contract, and.recommends that the Contractor have the option to retain and confit Its existing MBE commitment. - . . .- _ , ... -.. . : � . ISristian Sugdm , 8%3012017 !, City Project Manr- City Project Mana r Signature Date Attach Complete 1 c Order Documentation and Forward to MIWBE office 1 be CornpNNVBEletWbylCompliance Mit Com Ilance Staff ID* MS urrent%Leve l la Last Report Recd NVBE Signa ure Date SCEP 1`17 PH 3.21 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 Sugrim / t� Name of Employee/Signature Project Manager Title ❑ This form is N/A as No City Funds re associated with this Contract Kristian Su rim ` Printed Name Signat re