HomeMy WebLinkAboutContract 47060-CO3 H CITY SICRETARY 4-70&0_ 003
FART WORT
City of Fort Worth CONTRACT NO.
Change Order Request Breakdown
Project Namel Street Rehabilitation (H MAC 2015-2) City Sec# 47060
Client Project#(s)l 02520
Contractorl Peachtree Construction PMF Kristian Surgrim Inspectorl Roy Scharfenberg
Change Order Submital# pate 8/712017
Dept. TPW Water Fund Sewer Fund Contract Time
Totals (C D)
Original Contract Amount $822,472.00 $411,236.00 $411,236.04 $1,644.94:.00 190
Extras to Date $267.445.25 $126,090.00 $5,000.00 5398,535.25 194
Credits to Date
Pending Change Orders(in M&C Process)
Contract Costo Date $1,489,917.25 $537,326.00 S416,236.00 $2,043.479.25 384
Amount of Proposed Change Order $2,489.20 $1,244.60 $1,244.60 $4,978.40 150
Revised Cor,tract Amount $1,092,406.45 $538,570.60 $417,480.60 $2,043:457.65 534
Original Funds Available for Change Orders 50.00
Remaining Funds Available for this CO 50.00 $0.00 $0.00
Additional Funding(if necessary) $2,489.20 S1,244.60 $1,244.60 $4,978.40
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 24.53°
MAX ALL 0WABLE CONTRA CT AMOUNT(ORIGINAL CONTRACT COST+23°/) $2,056,180.00
JUSTIMATION(REASQL$)FGIRCH4NGE,QRDER t
This change order request is being submitted to provide additional funding to the contract due to overrun quantities on paving assets. Also, 150
calendar days will be added to the contract to compensate for water conflicts,replacement of 11 lead services on Englewood Ln;stormwater
delays on Oakmont Ln.and gas conflict on Locke Ave. {60 Days};additional milling and overlay of City Hall Streets, pricing negotiations,
community planning and multidepartment meetings to coordinate the world around City Hall 90 days).
K
C\, ,
MY 5n RATA��
os=FrcrAl. RECORD
CITY SECRETARY
FT.11 OFUN, TX
FowrWoun City of Fort Worth
lr"— Change Order Additions
PrcWll,zme I Scree:Re ab.I t,,.:on Y A--201 2' City Sec A 47060
Client P•-
# F 02520
Ccr,ri-,t7i Peachtree Constrwflon PMJ KnOan Surgrim -ispev-r
Change Order Submittal 6 F—3-7 Date F
AUDI I IUN 5
E5
'Ifir �Ir
I':'ipe 2&.00AEju 8 9 9 S2.41=-
- ------ ----T8 nj
Tj
Ij
,j� 140.00000" SY
-.Ie m I I w.v.itr Cc r c r-,;to I�Ir .44 6�1
---------------------------
-------------------- ---
TVA $2,489-20
Fu-id S1,244-M
Se.v9r-Fkji.J— S'24L:
S- OiM.LdK. s S4
Change Order Add"Jo 15 'afe 1 of I
Fcr�rwoszix City of Fort Worth
,7— Change Order Deletions
Prc;ect timeI StMRehabilitabon{HMAC 2015-2} amity Sec x 47Lfi0
Client Pro.9 c# 02520
Coctradq Peachtree Construcbon PMB Kristian Surgrim Inspector Ray Scharfenberg
Charge Order Submittal 9 0 Bale 8ITl2611
DELETIONS
ITP,1, [)ESCRIPTIONfind Unit cost Total
TPW $0.00
Water Fund $0.00
Sewer Fund $000
L Sub Total Deletions
Change Order Deletions Page 1 of 2
WSBE Breakdown for this Change Order
M/SBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
CFW Change Order Approval St-COApp04 Page I of 4
Routin
Assgied To; Due Date:
Assig-ed By: Due Time:
Links-Ll
fo,.-tworthaoy,LILf-astrLictur,e LroAft�t�-J; 2520 -- Street Rehabilitation (HMAC 2015-
2)/Ccnt,act0-/5ubmittaI-,/Ai) roval/Chanae Order #3 CPN 0252D.xIS
Attachments(0)
No Attachments have beer) added to this form-
https:/'/projectpoint.buzzsaw.com/bz—web/Forms/FonnPrint.aspx?Siteld=51500&Processld... 2/8/2018
® CFW Change Order Approval St-COApp04 Page 2 of 4
FORT WORTH. City ofFor Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: .3
Change Order No.: St-COApp04 Date Started: 2017-09-26
City Sec. No.: 47050 Date Due: 2017-11-15
Project Name: 02520 - HMAC 2015 - 2 Street Rehabilitation
02520 DOE Numbers:
Project Numbers: -
DOE No.
Project -Removal and replacement of nonfunctional curb&gutters,
Description: sidewalks and driveways; followed by the pulverization and
stabilization of t:,1e existing pavement and a 2" -HMAC Overlay
Project Manager: Kristian Sugrim City Inspector: ;Roy Schartenberg
Contractor: Peachtree Construction
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
'TPW $ 2,489.20 39408 0200431 CO2520 150
Water $ 1,244.60 59601 Water Capital Fund
Sewer $ 1,244.50 59507 Sewer Capital Fund
Total Cast: $ 4,978.40Total Requested Days:1150
Approval Status:
https://proj eetpoint.buzzsaw.com/—bz_web/Forrns/ForrnPrint.aspx?S iteld=515 00&Processl d... 2/8/2018
C'FW Change Order Approval St-COApp04 Page 3 of 4
Approved: Yes
Comments:
User: Brendan Taylor
Date: 2017-09-26 3:03 PM
Approved: Yes
Comments:
User: Kristian Sugrim
Date: 2017-09-26 3:06 PM
Approved: Yes
Comments:
User: Najib Fares
Date: 2017-09-26 4:21 PM
Approved: Yes
Comments:
User: Kim Arnold
Date: 2017-09-27 11:50 AM
Approved: Yes
Comments:
User: Brendan Taylor
Date: 2017-12-22 10:30 AM
Approved: Yes
Comments:
User: Kristian Sugrim
Date: 2017-12-22 10:57 AM
Approved: Yes
Comments:
User: Najib Fares
Date: 2018-01-04 2:26 PM
Approved: Yes
Comments:
User: Kim Arnold
Date: 2018-02-05 2:20 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2018-02-07 3:18 PM
Approved: Yes
cr1rnMPnts-
haps:,','proj ectpoint.buzzsaw•.com/_bz_web/F orms/FormPrint.aspx`?Siteld=51500&Pro cessId... 2/8/2018
CY W Change Order Approval St-COApp04 Page 4 of 4
User: Jay Chapa
Date: 2018-02-08 8:48 AM
Action Required:
f 71
AU86W by-
. r, 1ty sYcre
FEx��
OFFICIAL RECORD
CITY"SECRETARY
FT.WORTH,Tx
https://projectpoint.buzzsaw.con/_bz_web/Forms/ForrnPrint.aspx?Siteld=51500&ProcessId... 2/8/2018
Contract Complinnea Manager
Re: Change Order No. 4 ($4,978.40)��
Contractor: Peachtree Construction
Project Name: HMAC 2015-2 Street Rehabilitation
City Secretary No.: 47060
Project No.: CO2520
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 Employee
Project Manager
Title