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Home My WebLink AboutContract 49566-CO2 CITY SECRETARY FORT WORTH® City of Fort Worth CQNTRACT N0. Change Order Request Breakdown Project Name I Traffic Signal Infrastructure City Sec# 1 49566 Client Project#(s)l CPN 100963 Contractorl EAR Telecommunications PM Ali Mozdbar,P.E. Inspector Lee Soria Change Order Submittal# 0 Date 411212018 Dept. TPW Contract Time 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) Contract Cost to Date $500,000.00 $500,000.00 Amount of Proposed Change Order $86,344.43 $86,344.43 Revised Contract Amount $586,344A $586,344.43 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 Additional Funding(if necessary) I $86,344.43 $86,344.43 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 17.27% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $625,000.00 Additional bid items are needed to complete the work. Bid items that are no longer needed are also being removed. OFFICIAL RECORD 2 3 4S 6) CITY SECRETARY P� - 'o FT.WORTH,TX N 8 9�Ti a �99 b £ 2 � City of Fort worth Change Order Additions Project Name Traffic Signal Infrastructure City Sec# 49566 Client Project# CPN 100963 Contractor EAR Telecommunications PM Ali Mozdbar,P.E. Inspector Lee So is Change Order Submittal# 0 Date 4/12/2018 ADDITION$ ty Unit Unit Cost Total 117 ra ison ro er Intersection Install Back Plate on Existing Signal Head TPW 2.00000000 EA 5. 119 Remove / 12 AW Multi- onductor able TPW 0 LF 0 Remove 3/ AING Multi-Conductor Cable TPW 1,000.00000000 LF 1.00 121 Remove 5/C 14 AWG Multi-Conductor Cable TPW 50 . 0 0 0 LF __72T_Remove 7/C 14 AWG Multi- onductor Cable TPW 800.00000000 LF 1. 0 123 Install 12 AWG Multi-Conductor Cable TPW 400.00000000 LF $1.00 __TT4_Install 3/C 14 AWG Multi-Conductor Cable TPW 1, LF sim 1 5 Install 5/C 14 AWG Multi- onductor able TPW 1,500.00000000 LF 1.00 Install 7/C 14 AING Multi-Conductor Cable TPW 800.00000000 LF 1. 127 Replace AWG Multi- onductor Cable TPW 400.00000000 LF 0 Replace 3/C 14 AWG Multi-Conductor Cable TPW 1,000.00000000F 17q-Replace 5/C 14 AWG Multi-Conductor Cable TPW ,000.00 0 0 0 LF $2.0D 130 Install 7/C 14 AWG Multi-Conductor Cable TPW 600.00000000 LF 131 Remove Signal Head(3-sec.,4-sec.,5-sec.(Dog-house or vertical) TPW EA Install - ec.19ignal Head Assembly TPW 200.00000000 EA V-50M. Replace 3-Sec.Signal Head Assembly TPW 150.00000000 EA 95.00 IN Install - ec. ignal Head Assembly TPW 20.00000000 EA $2507 1 5 Replace -sec.signal Head Assembly TPW 25.00000000 EA 295.00 nstall 5-sec. ignal Head Assembly(Dog-house or vertical) TPW 25.00000000 EA 5 . 7 Replace 5-sec.Signal Head Assembly(Dog-house or vertical) TPW 15,00000000 EA $395.00 138 Remove Illumination Fuse Holder TPW 30.00000000 EA 5. Install Illumination Fuse Holder TPW EA 15. 140 Remove No.10 Insulated Elector Conductor TPW 600.000000 0 LF 1 Install No.1 Insulated Elector Conductor TPW LF 0 4 Replace No. Insulated Elector C onductor TPW 600.0 00 000 LF $2.00 Remove Ground Mount Cabinet TPW 5. EA $450.00 144 Install Ground Mount Cabinet TPW 5.00000000 EA $1,500.00 145 Remove Ped.Push Button Assembly TPW 30.00000000 EA $10.05 146 Install Ped.Push Button Assembly TPW 30.0000-0-007 EA 1T7 Replace Ped.Push Button Assembly TPW 0. 0 00000 EA Remove Metro Sign TPW 40.00000000 EA 80. 0 14'9-Install Metro Sign(on Mast Ann or Cantilever) TPW 40.00000000 EA $350.06 --T57-Install Cantilever(above Mast Arm) TPW 30.00000000 EA $280.00 TPW $191,520.00 Sub Total Additions 1,5 .00 Change Order Additions Page 2 of 4 Fox_ T�� City of Fort worth Change Order Deletions Project Name I Traffic Signal Infrastructure City Sec# 49566 Client Project# I CPN 100963 Contractorl EAR Telecommunications PMI Ali Mozdbar,P.E. InspectorF Lee Soda Change Order Submittal# Date 4/1212018 DELETIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total 30 Install Type 41 SignalPole Install Type Signal Pole TP EA 7.5 71 Install Type 43 Signal Pole TPW 7.5 Install Type igna ole TPW EA 7.5 TT Install ype 457ignal Pole TPW 7.5 5 Install Type 46 Signal Pole T EA 7.5 36 TY I Signal Foundation TPW 10.00000000 EA $552.50 7 TY 2 Signaloudnation PW A $59.00 $1,785.00 TY 3 Signal Foundation TPW 3.00000000 EA ---$T,-W7.5 Signal Foundation TPW $1,615. TY5Signal oundaton T FA Signal Cabinet Foundation-352i TPW 1.00000000 EA Dispose of Pole and Mast Arm Assembly W EA 52775 7 Install 16 It Mast Arm TPW 3.00000000 EA nstal Mast Ann EA 7 Install 24 It Mast Arm TPW 3.00000000 CA 5Install 28 ftMast Ann TPW 5T-Install 32 ft Mast Arm TPW A 5 Install astArm TP EA 5T Install 40 ft Mast Arm TPW 3.00000000 54 Install 44 ftMast Arm TPW 4.00000000 FA $980.00 $3,920.00 55 Install 48 It Mast Arm TFW- 7 Install 52 It Mast Arm TPW 4.00000000 EA 57 Install5 It Mast Ann TPW 5T Install 60 ft MastAnn EA 7F REPLACE PED POLE ASSM TPW 4.00000000 EA 7.7 W 77 5.5 78 REPLACE LED TRAF SIG LAMP UNIT TPW 4.00000000 EA $75.00 SHAFTDRILL (TRF SIG POLE)(30 IN) TFW L DRILL THAFT(T POLE)( N) TPW 30.00000000 LF DRILL SHAFT(TRF SIG POLE) PW 7. 7 PED POLE ASSEMBLY EA -ft-Utb I KIAN PUSH BUTTON POLE W A TPW $105,175.57 ub Total Deletions 5,75.57 Change Order Deletions Page 3 of 4 M/SBE 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 $0.00 CFW Change Order Approval 2 Page 1 of 4 Routing Assigned To: Due Date: Assigned By: Due Time: Links 1 fortworthgov/Infrastructure Proiects/100963 -TPW-Traffic Signal Infrastructure/Contractor/Change Orders/Copy of Change Order Brea kdown-100963-CO-02.xlsm Attachments(1) Name Author Size Type Modified �++�� (KB) lkcopyofChangeOrderBreakdown Microsoft Excel XML Macro-- acro 4/19/2018 100963-CO-02.xlsm Scott Arnold 149585 Enabled Workbook 2:39.57 PM _..___ _ z: https://projeetpoint.buzzsaw.com/ bz web/Forms/FonnPrint.aspx?SiteId=51500&ProcessId... 6/5/2018 CFW Change Order Approval 2 Page 2 of 4 FORTWORTHC.,, city of Fort Worth Change Order Request Approval (Change Order Breakdown Available in Links) For Change Order Submittal No.: 2 Change Order No.: 2 Date Started: 2018-04-19 City Sec. No.: 49566 Date Due: 2018-05-01 Project Name: Traffic Signal Infrastructure 100963 DOE Numbers: Project Numbers: Project Installation of traffic signal infrastructure on a task order Description: basis Project/Contract Compliance Scott Arnold City Inspector: Lee Soria Manager: Contractor: COUNCIL ACTION (If Required): M&C Log Name: M&C Number: M&C Date: COST AND DAYS SUMMARY: Requested Department: Cost($) Fund Account Center: Days: TPW $ 86,344.43 0 Total Cost: 86,344.43 Total Requested Days: 0 Approval Status: https://projectpoint.buzzsaw.com/ bz web/Forms/FonnPrint.aspx?SiteId=51500&ProcessId... 6/5/2018 CFW Change Order Approval 2 Page 3 of 4 Approved: Yes Comments: User: Carlos Reyes Date: 2018-04-26 3:53 PM Approved: Yes Comments: User: Scott Arnold Date: 2018-04-30 11:26 AM Approved: Yes Comments: User: Ali Mozdbar Date: 2018-04-30 6:13 PM Approved: Yes Comments: User: Carlos Reyes Date: 2018-05-11 3:47 PM Approved: Yes Comments: User: Scott Arnold Date: 2018-05-11 4:18 PM Approved: Yes Comments: User: Ali Mozdbar Date: 2018-05-16 9:45 PM Approved: Yes Comments: User: Richard Martinez Date: 2018-05-24 8:54 AM Approved: Yes Comments: User: Doug Wiersig Date: 2018-05-30 12:13 PM Approved: Yes Comments: User: Doug Black OFFICIAL RECORD Date: 2018-05-30 3:17 PM CITY SECRETARY FT.WORTH,TX Approved: Yes Comments: https://projectpoint.buzzsaw.com/ bz_web/Forms/FonnPrint.aspx?Siteld=51500&Processld... 6/5/2018 CFW Change Order Approval 2 Page 4 of 4 At1' • User: Susan Alanis Date: 2018-06-04 4:04 PM Maty J. Kay Ci y ; �etary Action Required: T Q� V 'OR Gfi U _ M&C: I� XAs 1295: �l4 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&ProcessId... 6/5/2018 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. 1� lA SS C rV G L1c-1AA L► L Name of Employee/Signature Title ❑ This form is N/A as No City Funds are associated with this Contract Printed Name Signature OFFICIAL RECORD CITY SECRETARY FTn WORTH,TX