HomeMy WebLinkAboutContract 50411-CO1 s CITY SECRETARY �t
FORT WORTH,. City of Fort Worth CONTRACT NO._ �U I
'14� Change Order Request Breakdown
Project Namel Six Points Urban Village Streetscape Improvements City Sec# 1 50411
Client Project#(s)l 00705
Contractorl The Fain Group,Inc. PM Wilma Smith Inspectorl Roy Scharfengerg
Change Order Submittal# 0 Date 4/26/2018
Dept. TPW Contract Time
Totals WD
Original Contract Amount $2,357,709.60 $2,357,709.60 214
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $2,357,709.60 $2,357,709.60 214
Amount of Proposed Change Order $14,714.44 $14,714.44
Revised Contract Amount ,372,424.04 $2,372,424.04 214
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $14,714.44 $14,714.44
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.62%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $2,947,137.00
This change order is required so the contractor can perform the construction staking for this project. Contract documents indicated that the City would perform construction
staking;however,the city's survey department does not have the resources to add the construction staking for this project to their current workload.
A� by' SOF F ORT
. �• :O
A J. K y r, Ci Secretary
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OFFICIAL RECO'u I
CITY SECRETE R
FT.WORTH,l`
City of Fort Worth
Change Order Additions
Project Name Six Points Urban Village Streetscape Improvements City Sec# 50411
Client Project# 00705
Contractor The Fain Group,Inc. PM Wilma Smith Inspector Roy Scharfengerg
Change Order Submittal# Date 4/26/2016
ADDITIONS
y Unit Unit Cost Total
onstruction Surveying
TPW $14,714.44
Sub Total Additions 71 .4
Change Order Additions Page 2 of 4
Foa�H City of Fort Worth
Change Order Deletions
Project Name Six Points Urban Village Streetscape Improvements City Sec# 50411
Client Project# 00705
Contractor The Fain Group,Inc. PM Wilma Smith Inspector Roy Scharfengerg
Change Order Submittal# 0 Date 4/2fi12018
DELETIONS
[IEM DESCRIPTION DEPT Qty Unit UnitCost Total
TPW $0.00
Sub Total Deletions
Change Order Deletions Page 3 of 4
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 $0.00
CFW Change Order Approval COAppr-01 Page 2 of 3
FORT WORTH . city of Fort Worth
•..-�- Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: r1
Change Order No.: COAppr-01 Date Started: 2018-05-14
City Sec. No.:150411 - Date Due: 2018-07-03
Project Name:100705 - Six Points Urban Villages
00705 DOE Numbers:
Project Numbers: � ==1
ProjectSix Points Urban Villages - Streetscape improvements on Race
Description: Street from Holden Street to Grace Street.
Project/Contract
Compliance Wilma Smith City Inspector: Roy Scharfenberg
Manager: -)
Contractor: IThe Fain Group
COUNCIL ACTION (If Required):
M&C Log Name: N/A
M&C Number: N/A � M&C Date: I �
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
Planning & Development i $ 14,714.44 34014-0060419-5740010--C00705- 10
Total Cost:Fs 14,714.44 Total Requested Days:
Approval Status:
Approved: Yes
(Comments:
'User: Perla Banda
Date: 2018-05-17 12:27 PM
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https://projectpoint.buzzsaw.com/ bz web/Forms/FonnPrint.aspx?SiteId=51500&ProcessI... 6/19/2018
Approved:
Comments: ®V
User: Wilma Smith, —
Project Manager, TPW Signature
Date:
Approved:
Comments:
User: Lissette Acevedo,
Program Manager, TPW Signature
Date:
Approved:
Comments:
User: Ricardo Matute,
Sr. Capital Projects Officer, TPW Signature
Date:
Approved:
Comments:
User: Kim Arnold,
Assistant Director, TPW Signature
Date:
Approved:
Comments:
V
User: Doug Wiersig,
t Director, TPW SigJ r
Date:
Approved:
Comments:
User: Doug Black,
Sr. Assistant City Attorney, LEGAL Signature
Date:
Approved:
Comments:
User: Susan Alanis,
Date: �gnaeAssistant City Manager, CMO
Approved:
Comments:
User: Mary Kayser,
City Secretary, CSO /ign*ate
Date:
I
Approved:
Comments:
User: Roy Scharfenberg,
Inspector
Date: "igpnature �,/
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I
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/Signa ure
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Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature