HomeMy WebLinkAboutContract 48735-CO1 FORTWORTH City of Fort worm
C" �4R I.JEL tZ I
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: 1
Change Order No.: Pa - COApp01 Date Started: 2018-06-05
City Sec. No.: Date Due: 2018-07-25
Project Name: Mosier Valley Park
Project Numbers: CO2306 DOE Numbers:
Project
Description:
Project Manager: Carlos Gonzalez City Inspector: Eddie Walker
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:
PARD $ 1,719.08 39302-0800450-5740010-0O2306-C 0
Total Cost: $ 1,719.08 Total Requested Days: 0
Approval Status:
23456
O
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
�49
� .9
2
Approved: Yes
Comments:
User: Emilie Shaulis
Date: 2018-06-21 2:34 PM
Approved: Yes
Comments:
User: Mike Glover
Date: 2018-06-21 3:42 PM
Approved: Yes
Comments:
User: Mike Glover
Date: 2018-06-21 3:43 PM
Approved: Yes
Comments: F GIRT
User: Carlos Gonzalez ••
Date: 2018-06-27 3:04 PM ;, -� Q
A b
Approved: Yes
Comments:
User: Joel McElhany M J. K �, 'ty ivu" SAS
Date: 2018-07-01 9:32 PM
Approved: Yes
Comments:
User: David Creek
Date: 2018-07-03 3:49 PM
Approved: Yes
Comments:
User: Richard Zavala
Date: 2018-07-03 4:24 PM M&C:
1295:
Approved: Yes
Comments:
User: Doug Black
Date: 2018-07-10 7:51 PM
Approved: Yes OFFICIAL RECON
Comments: CITY SECRETARY
User: Fernando Costa
Date: 2018-07-10 7:58 PM FT. WORTH,TX
3
Action Required:
4
FORT WORTH, City of Fort Worth
Change Order Request Breakdown
Project Namel Mosier Valley Park City Sec# 1 48735
Client Project#(s)l 39302-0800450-5740010-CO2306-C04780
Contractorl Denco CS Corp PM Carlos Gonzalez Inspectorl Eddie Walker
Change Order Submittal# 0 Date 4/21/2017
Dept. PAR Totals Contract TimeCD
Original Contract Amount $221,284.00 $221,284.00
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $221,284.00 $221,284.00
Amount of Proposed Change Order $1,719.08 $1,719.08
Revised Contract Amount $223,003.08 $223,003.08
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $1,719.08 $1,719.08
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.78%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $276,605.00
JUSTIFICATIOR(REASONS)FOR-CHANGE ORDER
After the contract books were executed,the project manager(PM)discovered a math error on the total amount awarded on the M&C(C-
28086). This change order is to compensate for the difference.
Also,during
the pre-construction meeting the PM discover the survey layout was not included in the contract documents. The city requested the contractor
for a quote. The city reviewed it and found the quote acceptable. No extra contract days were requested by the contractor.
r Wo TH City of Fort Worth
Change Order Additions
Project Name Mosier Valley Park City Sec# 48735
Client Project# 39302-0800450-5740010-CO2306-C04780
Contractor Denco CS Corp PM Carlos Gonzalez Inspector Eddie Walker
Change Order Submittal# Date 4/21/2017
ADDITIONS
ITEM DESCRIPTION UEP I ty Unit Unit Cost Total
Contract funding amount shortfall
1 Park Survey and Stakeout PAR 1.00000000 1 1,
PAR $1719.08
Sub Total Additions 1,719.
Change Order Additions Page 1 of 1
FORTWORTH City of Fort Worth
Change Order Deletions
Project Name Mosier Valley Park City Sec# 48735
Client Project# 39302-0800450-5740010-CO2306-C04780
Contractor Denco CS Corp PM Carlos Gonzalez Inspector Eddie Walker
Change Order Submittal# Date 4/21/2017
DELETIONS
HEM DESCRIMM DEPT ry Unit Unit Cost Total
PAR
Sub Total Deletions
Change Order Deletions Page 1 of 1
MISBE 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
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.
Carlos Gonzalez
Name of Employee
Park Planner
Title
❑ This form is N/A as No City Funds are associated with this Contract
Ca e2 (h
Printed Name Signature
Routin
Assigned To: Due Date:
Assigned By: Due Time:
Links 2
fortworthgov/PAR/CO2306 - Mosier Valley Park/Contractor/Change Orders/PCO 1 (REVISED TO CLARIFY SCOPE
WORDING).Ddf
fortworthgov/PAR/CO2306 - Mosier Valley Park/Contractor/Change Orders/CONo.1 Mosier Valley Park.xls
Atte (0)
No Attachments have been added to this form.
1