HomeMy WebLinkAboutContract 50124-CO1 FORT WORTH City of Fort Worth CITY SECREURY . I ��to
CONTRACT N0.
v — Change Order Request Breakdown
ProjectNamel 2014 CIP Year 3 Contract 5 CitySec# 1 50124
Client Project#(s)l 02694
Contractorl JLB Contracting,LLC PM Mary Hanna Inspector Daniel Roy
Change Order Submittal# �1 Date 7/13/2018
Dept. Water Sewer Paving Contract Vme
Totals CD
Original Contract Amount $1,859,812.75 $967,037.88 $1,864,066.79 $4,690,917.42 425
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,859,812.75 $967,037.88 $1,864,066.79 $4,690,917.42 425
Go to ADD&DEL Tabs to Enter CO Backup $0.00 $0.00 $83,919.40 $83,919.40
Revised Contract Amount $1,859,812.75 $967,037.88 1,947,986.19 $4,774,836.82 425
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00 $0.00 $0.00
Additional Funding(f necessary) r $83,919.40 $83,919.40
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1.79%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $5,863,646.78
The change order was required to add additional flatwork quantities,and change the scope of work on McKinley changed from a milled street to a pulverized street.
OF FORT
Mary . K r,� i etre •�`XAs.
OFFICIA
Y SItL RECORD
CIT
9y ORITARY
F,WORrif,'rX
City of Fort Worth
Change Order Additions
Project Name 2014 CIP Year 3 Contract 5 City Sec# 50124
Client Project# 02694
Contractor JL8 Contracting,LLC PM Mary Hanna InspectorF Daniel Roy
Change Order Submittal# O1 Date 7/13/2018
ADDITIONS
Qty unit Unit Cost Total
3-4 Remove Conic CurbB utter Paving 4,0 .00000000 LF 6.55
7 Pavement Pulverization(11") Paving 3,000. 000000 SY 5.85
3- —Asphalt Pvmt Type D Paving 3,000.00000000 SY 22.6
concrete Sidewalk Paving 2,000.00000000 F 5.55
3-72 one Curb and Gutter Paving 2,00 . 0 0000 —LF ----72-67.1
39 new Remove Trees(36") Paving 3,00000000 EA $3,000.00
Water $0.00
Sewer $0.00
Paving $184,090.00
Sub Total Additions $184,OT.FO
Change Order Additions Page 2 of 4
Fo r Wo ti City of Fort Worth
Change Order Deletions
Project Name 2014 CIP Year 3 Contract 5 CitySec# 50124
Client Project# 02694
Contractor JLB Contracting,LLC PM Mary Hanna Inspector Daniel Roy
Change Order Submittal# Date 7/1 312 01 8
DELETIONS
—11 EM DESCRiPTION DEPT City Unit Unit Cost Total
3- Butt Joint Paving300.00 0 00 LF 12.35 ,7
3-15 "Asphalt Pvml Type D Paving 5,040. 00000 SY 15.44
-5 'Surface Milling Paving 5,040.0 00 Y 3.70
Water $0.00
Sewer $0.00
Paving $100,170.60
Sub Total Deletions'—i $100,170.601
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
roRrTH City of Fort Worth
ACCEPTANCE OF PREVIOUS MBE COMMITMENT FORM
(for use with CHANGE ORDERS or AMENDMENTS greater than$50,000)
To be Completed by City Project Manager
Change Order(for Construction Contract)
Project Name: City Project Number
02694
2014 CIP Year 3 Contract 5 City Project Manager
Contractor: Mary Hanna
JLB Contracting, LLC City's.MBE Project Goal: 8 %
Original Amount of.Contract: $4,690,917.42 Accepted MBE Commitment: 8
Total of Previous Change Orders: $0.00 Date of Last MBE Report:
Amount for this.Change Order: $83,919.40 Change Order#: 1
Revised Amount of Contract: $4,774,836.82 Date: 7/20/2018
Language to be inserted in the M&C for this Contract
JLB Contracting, LLC agrees to maintain its initial MBE commitment of 8% that it made on the
original contract and extend and maintain that same MBE commitment of 8% to this first change
order. Therefore JLB Contracting, LLC remains in compliance with the City's BIDE Ordinance and
attests to its commitment by its signature on the Acceptance of Previous MBE Commitment form
executed by an authorized representative of its company.
To be Completed by the Representative of the Contractor
Sam Davis President -��!-- 7/20/18
Printed Signature Title Authorized Signature/Date
JLB Contracting, LLC
Company Name Contact Name(if different)
PO Box 24131 sdavis@jlbcontracting.com
Address E-mail address
Fort Worth,Texas 76124 817-261-2991 817-261-3044
City/State/Zip Phone number Fax Number
3% as of 5/30/2018
MBE% Paid to Date Date
City Project Manager has.reviewed.the.work.associated wit this.:Change.Or er,
considers it the same or similar to work in.the original Contract, and.recommends that the .
Contractor have the option to retain and 'confirm its existing MBE commitment.
Mary Hanna
City.Project Manager Cly P t Manager Signature , Date.:
AttachComplete Change �
OrderDocuThentation and Forward to MIWBE office
To be Completed .
5 lrr r el avt a `1.�, c D� Q r
M/VVBE Compliance taff ID# MBE Current% Level via Last Report Rec'd
M/WBE Signature Date
FORT WORTH City of Fort Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: 1
Change Order No.: COAppr-01 Date Started: 7/23/2018 A
City Sec. No.: 50124 Date Due: 9/11/2018
Project Name: 2014 CIP Year 3 - Contract 5
02694 DOE Numbers:
Project Numbers:
Project This is a combined street paving improvements, water and saintary sewer
Description: main replacements in Northside area.
Project/Contract
Compliance Mary Hanna City Inspector: Daniel Roy
Manager:
Contractor: JLB Contracting, LLC.
COUNCIL ACTION (If Required):
M&C Log Name: N/A
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Department: Cost($) Fund Account Center: Requested Days:
TPW $ 83,919.40 34014-0200431-5740010-c02& 0
Total: $ 83,919.40 Total Requested Days: 0
Approval Status:
Approved: Yes
Comments:
User: Martin Wigg
Date: 2018-07-23 1:46 PM
Approved: Yes
Comments:
User: Mary Hanna
Date: 2018-07-23 1:52 PM
Approved: Yes
Comments:
User: Lane Zarate
Date: 2018-07-24 8:25 PM
Approved: Yes
Comments:
User: Ricardo Matute
Date: 2018-07-30 2:58 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2018-07-30 3:26 PM
Approved: Yes
Comments:
User: Doug Black
Date: 2018-07-30 9:33 PM
Approved: Yes
Comments:
User: Susan Alanis
Date: 2018-07-31 8:41 AM
Action Required: Please review and approve
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.
Name 9f Employee/Signature
Sr ��
Title
❑ This form is N/A as No City Funds are associated with this Contract
l
Printed Name Signature