HomeMy WebLinkAboutContract 47795-CO2 X CITY SECRETARY
FORT WORTH® City of Fort Worth CONTRACT NO.
"*16� Change Order Request Breakdown
ProjectNamel Bridge Rehabl0 Location 2016-1 City Sec# 1 47795
Client Project#(s) CPN 100122
Contractorl Gibson&Associates,Inc PM Tariqul Islam Inspector Tommy McKinnon
Change Order Submittal# 0 Date 1/9/2018
Dept. TIPW Water Sewer Contract Time
Totals CD
Original Contract Amount $443,255.50 $443,255.50 150
Extras to Date $98,840.00 $98,840.00 20
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $542,095.50 $542,095.50 170
Amount of Proposed Change Order $4,587.13 $0.00 $4,587.13 200
Revised Contract Amount $546,68263 $546,682.63 370
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO 1 $0.00
Additional Funding(if necessary) 1 $4,587,13 1 $4,587 13
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 23.33%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $554,069.38
This Change Order is to reconsile contract pay items.Time also ran over contract due to delays for Belknap Weatherford bridge approach slab and pavement repair by other
contractor.Delayed mostly due to TxDOT project on Belknap at same location.To consider Downtown traffic during pick season this project need to be delayed for few
months.
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City of Fort worth
Change Order Additions
Project Name Bridge Rehabl0 Location 2016-1 City Sec# 47795
Client Project# CPN 100122
Contractor Gibson&Associates,Inc PM Ta qul Islam Inspector Tommy McKinnon
Change Order Submittal# � Date 1/9/2018
ADDITIONS
Qty Unit Unit Cost Total
1i5—CONC STR REPAIR(RAPID DECK REP)(PRT DPT) T/PW 95.0 00
11 CNC STIR REP(VERTICAL R VERHEAD) T/PW 32.40000000 F 40.00
T/PW $12,066.00
Water $0.00
Sewer $0.00
ub Total Additions 12, 00
Change Order Additions Page 1 of 1
FoarH City of Fort Worth
Change Order Deletions
Project Name Bridge Rehab10 Location 2016-1 City Sec# 47795
Client Project# CPN 100122
Contractor Gibson&Associates,Inc PM Tariqul Islam Inspector Tommy McKinnon
Change Order Submittal# 0 Date 119/2018
DELETIONS
ITEM DESCRIPTION DEP I ty Unit Unit Gost Total
19 CNC CRC AIR(DISCRE I E)(HOU I AND SEAL) TrPW =,5 .
BRIDE N TRU N ALLOWANCE T PW .597887 EA 1 MOM
T/PW $7,478.87
Water $0.00
Sewer I $0.00
ub Total Deletions $7,476.87
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
City of Fort Worth, Texas
Mayor and Council Communication
COUNCIL ACTION: Approved on 6/5/2018
DATE: Tuesday, June 5, 2018 REFERENCE NO.: **C-28702
LOG NAME: 20BRIDGE REHABILITATION 2016-1 CHANGE ORDER 2
SUBJECT:
Authorize Execution of Change Order No. 2 to City Secretary Contract No. 47795 with Gibson &
Associates, Inc., in the Amount of$4,587.13 and the Addition of 200 Days to Reconcile Contract Pay Items
for a Revised Contract Amount of$546,682.63 (COUNCIL DISTRICTS 2, 4, 8, and 9)
RECOMMENDATION:
It is recommended that the City Council authorize execution of Change Order No. 2 to City Secretary
Contract No. 47795 with Gibson &Associates, Inc., in the amount of$4,587.13 and the addition of 200
days to reconcile contract pay items and add an additional 200 days for a revised contract amount of
$546,682.63 (City Project No. 100122).
DISCUSSION:
On April 19, 2016, (M&C C-27681) the City Council awarded City Secretary Contract No. 47795 in the
amount of$443,255.50 to Gibson &Associates, Inc., for Bridge Rehabilitation at ten locations as
illustrated in the attached map.
Change Order No. 1 was approved administratively on April 14, 2017 in an amount of$98,840.00 to add
128 square yards of approach slab and 920 square feet of bridge deck repair for E. 4th Street bridge to
this contract.
Change Order No. 2 will reconcile contract pay items based on actual work completed at all locations and
add days to the contract time for delays not caused by the contractor. The major items added to this
change order are 95 square feet of bridge deck repair and 32 square feet of overhead structural repair.
This change order will close out the contract and complete the bridge rehabilitation at the10 locations. This
contract was delayed slightly to avoid other construction activity by TxDOT on the IH-35 project and travel
lane availability on Belknap Street in Downtown. As such, contract time has been extended by 200
calendar days.
Funding for this project is as follows:
Original Contract 1$443,255.50
_____
Change Order No. 1 — administrative approval $ 98,840.00
Change Order No. 2—this M&C $ 4,587.13
otal Change Order Amount 1$103,427.13
____
Revised Contract Amount $546,682.63
The project is located in COUNCIL DISTRICTS 2, 4, 8, and 9.
FISCAL INFORMATION / CERTIFICATION:
Logname: 20BRIDGE REHABILITATION 2016-1 CHANGE ORDER 2 Page I of 2
The Director of Finance certifies that funds are available in the General Capital Project funds as previously
appropriated.
FUND IDENTIFIERS (FIDs):
TO
FunDepartment ccoun Project Program ctivity Budget Reference # moun
ID ID Year Chartfield 2
FROM
"�Dep
artment ccoun Project Program ctivit Budget Reference # mol
ID ID Year Chartfield 2
CERTIFICATIONS:
Submitted for City Manager's Office by: Susan Alanis (8180)
Originating Department Head: Douglas Wiersig (7801)
Additional Information Contact: Tariqul Islam (2486)
ATTACHMENTS
1. Bridge Rehab CO 2.pdf (CFW Internal)
2. FID Bridge Rehab CO 2.pdf (CFW Internal)
3. Form 1295 CO Gibson Associates.pd (Public)
4. Map Bridge Rehabilitation 2016-1.pdf (Public)
Logname: 20BRIDGE REHABILITATION 2016-1 CHANGE ORDER 2 Page 2 of 2
CF W Change Order Approval 02 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 2
fortworthgov/Infrastructure Projects/100122 - Bridge Rehabilitation (2016-1)/Contractor/Change Orders/Change Order 2
Breakdown CPN100122.xlsx
fortworthgov/Infrastructure Proiects/100122 - Bridge Rehabilitation (2016-1)/Contractor/Change Orders/M&C Copy of
Chage Order2 Bridge Repair 2016-1.pdf
Attachments(0)
No Attachments have been added to this form.
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CFW Change Order Approval 02 Page 2 of 3
FORTWORTH,. Cityof Fort Worth
�.••.�� Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: St-COSub02
Change Order No.: 02 Date Started: 2018-06-08
City Sec. No.: 47795 Date Due: 2018-06-23
Project Name: Bridge Rehabilitation (2016-1)
100122 DOE Numbers:
Project Numbers:
Project Bridge rehabilitation at 10 locations.
Description:
Project Manager: Tariqul Islam City Inspector: Tommy McKinnon
Contractor: Gibson &Associates, Inc
COUNCIL ACTION (If Required):
M&C Log Name: 20BRIDGE REHABILITATION 2016-1 CHANGE ORDER 2
M&C Number: C-28702 M&C Date: 2018-06-05
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 4,587.13 30100 0200431 5740010 200
100122 002680
Total Cost: $ 4,587.13 Total Requested Days: 200
Approval Status:
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CFW Change Order Approval 02 Page 3 of 3
Approved: Yes
Comments:
User: Joe Montgomery
Date: 2018-06-08 1:26 PM
Approved: Yes
Comments:
User: Tariqul Islam
Date: 2018-06-08 4:53 PM
Approved: Yes
Comments:
User: Riad Nusrallah
Date: 2018-06-11 8:19 AM
Approved: Yes
M&C: o C°IS I�?
Comments: 2=lw-��Ir� 8\
User: Richard Martinez 1295:
Date: 2018-06-18 5:54 PM
Approved: Yes
Comments: c fG 71
User: Doug Wiersig
Date: 2018-06-21 3:28 PM
U; 2
Approved: Yes
Comments: }�qpo
User: Doug BlackAc�
Date: 2018-06-26 4:34 PM
P-onald P. Gonzales,AW. City Semvtm ►
Approved: Yes
Comments:
User: Susan Alanis
Date: 2018-06-28 8:09 PM
Action Required:
OFFICIAL RECORD
CI!`1`y wccRETARY
Fir.woraAv'rX
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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.
Tariqul Islam
&S4" AA -r
Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature
WX'1!'"l
OFRVAL'RU
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CERTIFICATE OF INTERESTED PARTIES
FORM 1295
iofi
Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 it there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2018-345572
Gibson&Associates, Inc.
Balch Springs,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 04/27/2018
being filed.
City of Fort Worth Date Ackno leddg
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the services,goods,or other property to be provided under the contract.
2016-1
Project No.100122, Bridge Rehabilitation at Ten Locations,Change Order#2
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Meador, III,Alan C. Balch Springs,TX United States X
Welch,John N. Balch Springs,TX United States X
Blackburn,Patricia L. Balch Springs,TX United States X
Gibson,William E. Balch Springs,TX United States X
Gibson,William J. Balch Springs,TX United States X
5 Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATION r t
My name is er icici '✓(ay-W r n and my date of birth is
My address is I J Edd �t8i• tre.0- 64 un se (�S U) USA
(street) (cRy) (state) (rip 00de) (country)
I declare under penalty of perjury that the foregoing is true and correct vA Eh
Executed in OGLI�I County, State of �2YAS on the L.►' day of 2Q
(Mardh) (year)
Signature of authorizQ agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.5523