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FORT WORTH.- City of Fort Worth C�SECRETARY g3a3- coa.
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: 2
Change Order COAppr-03 Date Started: 10/22/2018
No.:
City Sec. No.: 49323 Date Due: 12/11/2018 19
Project Name: 01549 - Greenfield Acres Drainage Improvements
Project C01549 DOE Numbers:
Numbers:
Project Drainage improvements in Greenfield Acres neighborhood.
Description:
Project/Contract
Compliance Steven E. Eubanks City Inspector: Martina Salinas
Manager:
Contractor: Woody Contractor, Inc.
COUNCIL ACTION (If Required):
M&C Log n/a
Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Department: Cost($) Fund Account Center: Requested Days:
TPW Stormwater $ 95,448.25 52002-0200431-5740010-CO15
Total: $ 95,448.25 Total Requested Days: 0
Approval Status:
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CAL RECORD
CITY SECRETARY
FT. WORTH, TX
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CFW Change Order Approval COAppr-03 Page 3 of 3
Approved: Yes
Comments:
User: Troy Woody
Date: 2018-10-22 2:40 PM
Approved: Yes
Comments:
User: Steven E. Eubanks
Date: 2018-10-23 2:06 PM
Approved: No
Comments: 000 Bypass
User: Linda S. Young
Date: 2018-10-29 3:57 PM
Approved: Yes
Comments:
User: Ricardo Matute
Date: 2018-11-07 5:07 PM
:,.
Approved: Yes
Comments: j
User: Signing for TPW Director Role Approvals
Date: 2018-11-08 9:04 AMS; :d
Attest by:.
Approved: Yes
Comments: . '�
User: Doug Black M J. Kay er, City Secretary= j�AS
Date: 2018-11-08 9:16 PM
Approved: Yes
Comments:
User: Susan Alanis
Date: 2018-11-11 9:24 PM
Action Required: Please review and approve.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX
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CFW Change Order Approval COAppr-03 Page 1 of 3
Links 1
fortworthgov/Infrastructure Projects/01549-Greenfield Acres Drainage Improvements/Contractor/Change Orders/Greenfield Acres Change Order 2
Breakdown(5).xlsm
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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.
Name of Employee/Signature
Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature
1
OFFICIAL RECORD
CITY SECRETARY
F°I, WORTH,TX
FORT WORTH City of Fort Worth
Change Order Request Breakdown
ProjectNamel Greenfield Acres Neighborhood Draiange Improvements City Sec# 1 49323
Client Prooct#(s)l C01549
Contractorl Woody Contractors,Inc. PM Steven Eubanks,P.E. Inspectoq Martina Salinas
Change Order Submittal# 0 Date 10/4/2018
Dept. TPW STORM TPW PAVING WATER SANITARY SEWER Contract Time
Totals (CD)
Original Contract Amount $2,664,802.70 $100,000.00 $431,736.50 $977,670.00 $4,174,209.20 548
Extras to Date $533,639.70 $533,639.70
Credits to Date $33,696.00 $33,696.00
Pending Change Orders(in M&C Process)
Contract Cost to Date $3,164,746.40 $100,000.00 $431,736.50 $977,670.00 $4,674,152.90 548
Amount of Proposed Change Order $95,448.25 $0.00 $0.00 $0.00 $95,448.25 0
Revised Contract Amount $3,260,194.65 $100,000.00 $431,736.50 $977,670.00 $4,769,601.15 548
Original Funds Available for Change Orders $266,000.00 $266,000.00
Remaining Funds Available for this CO $0.00 $0.00 $0.00 $0.00
Additional Funding(if necessary) $95,448.25 1 $95,448.25
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 14.26%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+2591.) $5,217,761.50
JUSTIFICATION(REASO7 FOR CHANGE ORDER
�r:=mss 7,pis `ti Due to r.h ingFs -potential Lund for iu-urc;,nasi-, a decision was made to enlarge a storm drain int;v.,-h?dg Road to a S x3'[Js in order to
accommodate future extension in a later phase;a portion of these quantities were covered in Construction Allowance 2. (Item 89)Due to expected heavy rains in September,it
was correctly determined that adding a Cudex erosion blanket on the fresh topsoil in the north detention basin would protect it from washing out until the vegetation could be
established. (Item 90)A number of trees are being planted on the North Ridge city-owned lot as part of the urban forestry permit. It was determined that a permanent solar-
powered irrigation system would provide drought protection for the trees beyond the two-year maintenance period. (Item 93)Message boards for road closures were not
included in the original proposal but were required for storm drain installation along Ten Mile Bridge Road. (Items 93 and 94) Water Department recent standards updates
have added flowable backfill and cement sand for protection of water lines in certain crossings with other utilities. These quantities are estimates of what might be required to
complete this project
City of Fort worth
Change Order Additions
Project Name Greenfield Acres Neighborhood Draiange Improvements CitySec# 49323
Client Project# C01549
Contractor Woody Contractors,Inc. PM Steven Eubanks,P.E. Inspector Martina Salinas
Change Order Submittal# = Date 10/4/2018
ADDITIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
7 Remove or plug 30"RCP TPW STORM 97.46893000 LF $13.00 $1,267.10
28 10'wide Temp HMAC Repair TPW STORM 97.46893000 LF $33.00 $3,216.47
55 4'x3'Box TPW STORM 97.46893000 LF $316.00 $30,800.18
89 Curlex Blanket with Seeding TPW STORM 12,500.00000000 SY $2.55 $31,875.00
90 Permanent Irrigation(North Ridge) TPW STORM 1.00000000 EA $13,865.00 $13,865.00
93 Two Message Boards TPW STORM 1.50000000 WEEK $1,303.00 $1,954.50
94 Flowable Backfill TPW STORM 100.00000000 CY $110.00 $11,000.00
95 Cement Sand TPW STORM 30.00000000 TON $49.00 $1,470.00
TPW STORM $95,448.25
TPW PAVING $0.00
WATER $0.00
SANITARY SEWER $0.00
Sub Total Additions 95,448.25
Change Order Additions Page 2 of 4
FOR_ T� WORTH City of Fort Worth
1p1- Change Order Deletions
Project Name Greenfield Acres Neighborhood Draiange Improvements CitySec# 49323
Client Project C01549
Contractor Woody Contractors,Inc. PM Steven Eubanks,P.E. Inspector Martina Salinas
Change Order Submittal# 0 Date 10/4/2016
DELETIONS
ITEM DESCRIPTION DEPT Oty Unit Unit Cost Total
None
TPW STORM $0.00
TPW PAVING
WATER $0.00
SANITARY SEWER $0.00
Sub Total Deletions $0.00
Change Order Deletions Page 3 of 4
M/SBE Breakdown for this Change Order
M/SBE Sub Type of Service Amount for this CO
N/A
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00