HomeMy WebLinkAboutContract 48578-CO1 CFW Change Order Approval St-COApp01 Page 2 of 3
CITY SECRETARY /��t� ^a
CONTRACT N0._ 1C.�✓
FORT WORTH. City of Fort Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: 01
Change Order No.: St-COApp01 Date Started: 2018-01-17
City Sec. No.: 48578 Date Due: 2018-01-24
Project Name: TPW-2016 On-Call Street Light Contract-48578 Bean Electrical
TPW-TM-2016-01 DOE Numbers:
Project Numbers:
Project A maintenance contract that will provide for construction
Description: services on an as-needed (task order) basis for the
construction of projects relating to street lights and
construction components that require a licensed electrician.
Project Manager: Lawrence Hill City Inspector: Raymond Hoffman
Contractor: Bean Electrical Inc
COUNCIL ACTION (If Required):
M&C Log Name: 202016 On-Call Call Street Light Contract
M&C Number: C-27984 M&C Date: 2016-11-08
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 0.00 0
Total Cost: $ 0.00 Total Requested Days: 0
Approval Status:
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CFW Change Order Approval St-COApp01 Page 3 of 3
Approved: Yes
Comments:
User: Chip Bean
Date: 2018-01-17 3:37 PM
Approved: Yes
Comments:
User: Marisa Conlin
Date: 2018-01-19 11:15 PM
Approved: Yes
Comments:
User: Richard Martinez
Date: 2018-02-01 5:11 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2018-02-07 3:23 PM
Approved: Yes
Comments:
User: Doug Black
Date: 2018-02-13 6:02 PM
Approved: Yes
Comments:
User: Jay Chapa
Date: 2018-02-14 11:32 AM
Action Required: Change order approval request change order for the 1st renewal of the o...
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OFFICIAL RECORD
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FORT WORTH, City of Fort Worth
Change Order Request Breakdown
Project Name TPW-2016 On-Call Street Light Contract-48578 Bean Electrical City Sec# 1 48578
Client Praject#(s) TPW-TM-2016-01
Contractor Bean Electrical,Inc PM Lawrence Hill Inspector Raymond Hoffman
Change Order Submittal# Date 1/17/2018
Contract Time
Dept. TPW Totals CD
Original Contract Amount $500,000.00 $500,000.00
Extras to Date $0.00
Credits to Date $0.00
Pending Change Orders(in M&C Process) $0.00
Contract Cost to Date $500,000.00 $500,000.00
Amount of Proposed Change Order $0.00
Revised Contract Amount $500,000.00 $500,000.00
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.00%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $625,000.00
This administrative change order is to amend the 1st renewal contract of the City Contract No.48477,of which PayGo funds will be utilized upon the availabiltiy of funds and
the availabilty of existing contractor. The amended change is to include two additional line items that consist of removing wood light pole,10'or less or longer than 10'.The
1st renewal of the orginal contract amount up to$500,000 will not change.
City of Fort worth
Change Order Additions
Project Name TPW-2016 On-Call Street Light Contract-48578 Bean Electrical City Sec# 48578
Client Project# TPW-TM-2016-01
Contractorl Bean Electrical,Inc PM Lawrence Hill Inspector Raymond Hoffman
Change Order Submittal# Date 1/17!2018
ADDITIONS
Qty Unit Unit Cost Total
126 Remove woo ig t pole arm,101 or-less
127 Remove wood light pole arm,longer than 10' TPW 0.00000000 EA 200.00
TPW $0.00
Sub Total Additions 0.00
Change Order Additions Page 1 of 1
FORT WORTH City of Fort Worth
1yr'— Change Order Deletions
Project Name TPW-2016 On-Call Street Light Contract-48578 Bean Electrical City Sec# 48578
Client Project# TPW-TM-2016-01
Contractor Bean Electrical,Inc PM Lawrence Hill Inspector Raymond Hoffman
Change Order Submittal# Date 1117/2018
DELETIONS
ITEM DESCRIPTION DEP I ty Unit Unit Cost ota
TPW $0.00
Sub Total Deletions 0.00
Change Order Deletions Page 1 of 1
CITY OF FORT WORTH
CONTRACT COMPLIANCE MEMORANDUM
THIS FORM MUST BE ATTACHED TO THE ROUTING "M& C"BEFORE LEGAL AND
CITY MANAGER APPROVAL.
To: Lawrence Hill
(underline appropriate one) Pro'e Mang er Buyer Department Director
From: Melani Villarreal 2122675
MMBE Office Staff Extension
Date: September 14. 20'16
In the Amount of$ 500,000.00 TPW-TM-2016-01
DOE/Pro'ect/Bid Nos .
Project/Bid: 2016 On Cali Street Light Services at Various Locations
throughout the City
1. Compliance with the City's Business Diversity Enterprise(BDE)Ordinance has been achieved by one F
of the following MBE methods:
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a) Bean Electrical, Inc. is in compliance with the City's BIDE Ordinance by committing to 9%
MBE participation on this project. The City's MBE goal on this project is 9%.
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b) is in compliance with the City's BDE Ordinance by committing to_%
MBE participation and documenting good faith effort. identified several
subcontracting and supplier opportunities. However,the MBE's contacted in the areas identified did .
not submit the lowest bids.The City's MBE goal on this project is %. €
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C) is in compliance'with the City's BDE Ordinance by documenting good R
faith effort. The City's MBE goal on this project is %.
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d) is in compliance with the City's BDE Ordinance by documenting good i
faith effort. The City's MBE goal on this project is_%by submission of the prime contractor
waiver form. The City's MBE goal on this project is %. y
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2. The apparent low dollar bidder(s)did not comply with the City's Business Diversity Ordinance y
because:
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Rev.1115112 I
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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.
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Name of Employee/Si at re
Title J7
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature