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HomeMy WebLinkAboutContract 44743-CO16 CITY SECRETARY CONTRACT NO.44743-CO16 TEXAS DEPARTMENT OF TRANSPORTATION CONSTRUCTION CONTRACT CHANGE ORDER NUMBER: 16 Third Party Funding Notification Sheet This form is used when the subject change order involves funding by a source other than TxDOT/U.S.DOT,and involves third parties who are providing funding under an Advance Funding Agreement or Donation Agreement. 1. Outside funding provided by: CCSJ: 0902-48-539 City of Fort Worth (Outside Entity's Legal Name) Project: BR 2006(132) 2.Type of outside funding agreement for this change: Highway. Precinct Line P]Existing nn Amended Flew County: Tarrant [Chick one] District: Fort Worth 3. Indicate the type and amount of funding: Contract ❑Fixed Price(Lump Sum) (Estimated Amount ) Number: 08133013 Actual Cost J (a) Contract Items(Bid Items): $25,559.14 Use as needed. I hereby acknowledge notification of the modifications (b) E&C*: (a)X = $0.00 covered by this Change Order. enter% (c) Indirect Cost**: (a+b)x = $0.00 enter% Date 8/15/16 TOTAL $25,559.14 By CITY OF FORT WORTH APPR-OVAL RECOMMENDED: Typed/Printed Name Jesus J.Chapa �Q�, G�. (�J� Typed/Printed Title Assistant City Manager Doug Wi sig Director,Transpotation/Public Wor s Department The percentage(%)for E&C(Engineering and Contingencies)charges varies from project to project depending on the contract amount of the project.Projects with higher contract amount will have the lower rate of E&C charge. For a specific project,E&C rate(%)can be derived from the cost of"Engineering and Contingencies"in the"Estimated Cost"of the project. Use the statewide district rate as established by Finance Division each year. This line 3(c)is for Service Project only, unless otherwise specified in the Advance Funding Agreement. See Stand Alone Manual Notice 98-2 for instructions. Funding for this Change Order has been arranged: TxDOT Representative Date Typed/Printed Name: TXDOT Form 2146-AFA(Rev.07/13)Page 1 of 1 PRO AS TO FORM AND LEGALITY O� uglas W. Black Assistant City Attorney �lJl9 1�l�dl$lfflfl!! t7r 7}'8it3pf7f1dtiCR MEMO August 4,2016 To: Mr.Tracy Cain,P.P. Director a Construction Division Thrace Mr.Jay Tarwater Transportation Specialist m Construction Division Frans Mr.Michael Bostic, P.E. Po'� Director e Port Worth District Construction Subject Change Order 16 Project: SR 2006(132) Control: 0902-48-539 Highway: CS County: Tarrant Enclosed Is one copy of Change Order Number 16 on the above captioned project which has been approved by the Area Engineer.This is a NON-PARTICIPATING project.Project plans were prepared by consultant. This Change Order is necessary to reimburse the Contractor for costs incurred as a result of the initial utility delay period.The contract was let on August 6,2013 and awarded to Haydon Building Corporation on October 28,2013.This contract was let with a 180 day utility relocation delay to allow the Local Government the opportunity to assure that the relocation of the utility facilities was completed as stated in the AFA. Work activities were scheduled to begin on this project on May 8,2014.On May 9th of 2014,following coordination efforts between the Department and Haydon Building Corporation,it was mutually agreed to suspend time charges and commencement of construction activities until a start date could be determined In an effort to complete the utility(AT&T,Oncor,Fiberlite,Charter,and Local Government)relocations. It wasn't until August 11,2014 that the utilities were partially cleared for the Contractor to commence construction activities. This Change Order settles all compensation and costs associated with this utility delay,as agreed by TxDOT and the Contractor.No additional compensation or time will be considered as a result of this Change Order. The City of Fort Worth will be responsible for 100 of the change order costs. OUR VALUES: Nople.Accountability a r"I^Honesty OUR MISSION: Through collaboration and leadership,we de!lvera safe,reliable,and integrated transportation system that enables the mowmentofpeople and goads, a_,ears OmmmwSro Ernrtmsx Attached Is one copy of the Area Engineer's memo,supporting the added item(s). The cost In Control 0902-48-538 will increase by$25,559.14. Your review and further handling will be appreciated. If you should have any questions concerning this matter, please contact Mr.Greg Gorecki at(817)370- 6517. CAM Attachments CV. Mr.M.Tran,P.E. Area Engineer Mr.Tracy Cain,P.E. 2 August 4.2016 Texas '1 dnwd tbn MEMO 07/15/2016 Ire'. Michael Bostic,P.E. FTW Director of Construction Minh Tran,P.E. l v Y NTAO Area Engineer subjeft Change Order#16 Project: SR 2006(132) CSJ: 0902-48.539 Highway: CS County: Tarrant GENERAL INFQRMATION Contract Amount: $ 10,498,196.74 Previous Changes: $ 422,697.11 Proposed Changes: $ 25,559.14 TOTAL CHANGES: $ 10,946,452.99 Contractor.HAYDON BUILDING CORP. Plans were prepared by:Freese&Nichols,Aguirre&Fields Work on this change order is:Complete Third Party Participation:City of Fort Worth REVIEW iNFORM6JJQN > Description of Contract:Bridge replacement b Describe the reasons and recommt< dan tions being made for this Change Order. This Change Order Is necessary to reimburse the Contractor for costs incurred as a result of the initial utility delay period.The contract was let on August 6,2013 and awarded to Haydon Building Corporation on October 28,2013.This contract was let with a 180 day utility relocation delay to allow the Local Government the opportunity to assure that the relocation of the utility facilities was completed as stated in the AFA. Work activities were scheduled to begin on this project on May 8,2014.On May 9th of 2014, following coordination efforts between the Department and Haydon Building Corporation,it was mutually agreed to suspend time charges and commencement of construction activities until a start date could be determined in an effort to complete the utility(AT&T,Oncor,Fiberlite,Charter,and OUR VALUES: People.Accountablllry•Trust-Honesty OUR MISSION. Thnstgh collaboration and leadership.we deliver a safe,reliable,anp integrated transportatiar►system that enables the movement of people and goods. An[aunt Oft»EmNger Local Government)relocations.It wasn't until August 11,2014 that the utilities were partially cleared for the Contractor to commence construction activities. This Change Order settles all compensation and costs associated with this utility delay,as agreed by TxDOT and the Contractor.No additional compensation or time will be considered as a result of this Change Order. The City of Fort Worth will be responsible for 100%of the change order costs. > NEW AND/OR REVISED PLAN SHEETS: None Added Items: o 96052010 UNIQUE CHANGE ORDER ITEM 10:Utility Delay Settlement Added Days:NA If you should need additional Information please contact Chuck Putnam at(817)399-4303. Michael Bostic, P.E. 2 07/15/2016 Form 2146 Ch Owdew Checklist (Rev 09110) ee Psge t of 1 Change Order Number. 16 Contractor. Haydon Building Corp. CS1; 0402.48-539 Project: BH 2006(1321 Highway. CS County: Tarrant Area Engineer. Minh Tran,P.E. CO Amount: $25,559.14 Is the change order for an Interim adjustment? ❑Yes ®No Is the change order ®State oversight? ❑Federal oversight? ❑x Participating? ®Non-Participating? If Federal oversight,is the change order ®Major? ❑or Minor? Is the Reason Cotte correct? ,x(]Yes ❑No Is the proposed work within project limits? ®Yes ❑No Does the change order affect the DBE commitment? ❑Yes ®No Has time been addressed? ❑Yes ®No Yes No NA Slgnatum x❑ ❑ ❑ Has the change order been signed by the Contractor? x❑ ❑ Is change order signed by AE7 ❑ ❑ x❑ Is DE signature Included?(If required) ❑ ❑x Is AED•DO signature required?(if so,see"Administrative Approval"below.) Yes No NA 3rd Party Funding ® ❑ Is 3rd party funding Involved in this project? (If no,move to next section) ® ® ® if yes, has the funding been requested and received? ® ❑ Does this change order Impact 3rd party funding? ❑ ® ❑ VIII this impact require a new or revised funding agreement? ❑ ❑ ® If an amendment or new agreement is required, has OGC-CSS reviewed the agreement? ❑ ❑x ❑ Has a Third Party Funding Notification Sheet(Form 2146-AFA)been sent and signed by the 3rd party? Yes No NA Permitting:Environmental,Historical,etc 2 ❑ Is the work within the scope of the original environmental assessments and reviews? ❑ ® Does this change order Impact pedestrian elements previously reviewed by TUR or increase the cost of pedestrian elements to 550,000 or mare?If yes,answer next question. ❑ ❑ ® Has TDLR reviewed the Impact to pedestrian elements associated with this change order? ® ❑x Does work performed in the change order affect any current environmental commitments? ❑ ❑ ❑x Have the necessary environmental clearances or permits been obtained to address the affect? ® ® Does work performed in the change order Increase the impact to wetlands;waters of the U.54 archeological,historical or social issues;endangered species;or any other regulated areas? ❑ ® Have the necessary clearances or permits been obtained to address the Increased impact? ❑ [] If the change order work causes the sail disturbance area to exceed the 1 acre and 5 acre thresholds,has a CSN or NOI been processed? Yes No NA Stockpiled Materials ❑ ❑ ❑ Are materials being received through this change order that will be placed In stock? ❑ ❑ a If yes,have the materials been set up In M5M5? Yes No NA Area Office and District Approval ® ❑ Does the AE's memo include an explanatlon/description of the change order work? x❑ ❑ ❑ is price justification Information Included?(per District procedures) ❑ ❑ ® Are plan sheets attached?(per District procedures) ❑ ❑ ® If a time extension Is being granted,has It been justined?(per District procedures) Yes No NA Administrative Approval X Is a copy of the AE memo Included In the transmittal to CST? x Does the transmittal Indicate who prepared the plans?(TxDOT or Consultant) x ❑ If consultant prepared,Is the consultant name provided? x Is the status of the change order work indicated?(awaiting CO approval,active,complete) x Does the transmittal Indicate If environmental clearance for extra work has been addressed? Has the bank balance category for funding been Identified? ® ❑ Is the transmittal memo from the District to C5T attached and signed? ❑ ❑ Is all required documentation attached?(Ex;Plan Sheets,Form 2146,Price Justification,Force Account Backup Data) ❑ ❑ Has prior verbal approval of the change order work been given by Administration? Comments: N b z V Q A n T� 0 6 P N O r a r Ld gypLn 100 a § w g � €r E m LU Lt "gam W L13 Q 7 fl ® ca m z N ie Ti w 7 r N L1 s9tali a s m m J UU to u. a a 2m m 01 � p O U 7 C a 12in t[�� O N O�O uul w ° " B m Z (a q R N ¢ ❑ �' Z M r NT a 1U CD m Li g 0 +C G N O N ' s d c uELn c� o2A Pmt r w m n a. ga LO 5 E12 ref° $ a O D y ® O U � sgCL � 8 `m Q w m m ® a ro a te` rn° t9 Ly pr c cn C� H L n 4�Y P p- {y d N"t9 �. dj rj m U •r Ww p �y7 1pi r 4 My - V7w M � U E2 a s O L lel u7 u' LQ x O o r a o oaca ® 4 wHN !� en ° E c a m g u1 F �' mwi» Enw v� m �n8 Qac N d G U 3 2 tv 2Lc m un' C, N ja u� E Fram r �y bb a cc a 00 m E! ' � ai rl u u 9 V a W 6 E t3 au c ® 19 Q A ® 6 ® w a O d Ca ® SO F z z = U a. tel Q Qs $ 8 U 0 fJ ri B � e ■ ■ a a § n k� k] g« ]2 AUl � §k � ■ o] z § fk § 2 ) )2 Lin § B $§ LV $ � � 'n t � § 2 � i1-3 m2 J caq 2 �t CIOca ƒ v.§2 & _ UA / ' �- � � \ in tu Le © � u w ƒ � � § a o - \ KS § § k ` B § � § o � % § � La » § / z § 7 � C $ LLI § \ � 00 k � § 2 § � ( ) k 2 (3 @ § § § a 2in § 2 / k a CU) e § C3 § u § B F ai fil d s' aY r Ln ® UY Ln ffi W W O w A 2 S u � g 0 a E Q rn 0 . w m to U f O m el un to u E U Fn ® 6 U IL co U LL Q CERTWICATE OF INTERESTED PARTIES FORM 2295 l of l Complete Nos 1.4 and 6 U there we interested parties. OFFICE USE ONLY Complete Nos 1,2,3,S.and 6 if there are no Interested parties. CERTIFICATION OF FILING 1 Name of business entity filing form,and the cty,state and country at the busirtzss entry's place Certificate Number of business. 2016-85266 Hayden Huilding Corp Phoenix,AZ United Stales Date F 2 Narno o ggvernmen nt aty or state agency at a party to a contract or a arm s *171151220101 6 beano pled Texas Department of Transponation Dates o ledged: dh 3 Provide the Identification number used by the governmental entry 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. 090248539 CO 16 Nature of interest 4 Name at Interested Party City,state,Country(place of business) (check applicable) Controlling Intermediary Behrharsl,Fritz Phoenix,AZ United States X Keeble,les Phoenix,AZ United States X Pullce,Jim Phoenix,AZ United States X Haydon,Gary Phoenix,AZ United States X Eklund,Mark Phoenix,AZ United States X 5 Check only iI there is No interested Party. 6 AFFIDAVIT 1 swear,or affirm,under penalty of perjury,shat the above disclosure is true and Cwtect. OFFICIAL SEA!. DEBBIE A.O�CONNER iNgttaiysigned6rMa+kOHWund i]N:cn.MukO E!'1und.a.HhYOaN Nolarypubk SlamalAttma Mark ® Eklund wzKcwP.att. MARICOPA COUNTY ema4-rwkIuntl04ydWftC0m C-U5 My C mm Expi'meMarch t,2918 sighamure of autfwrited anent o Cgritrnu ng tnrsinoss erhury AFFIX NOTARY STAMP I SEAL ABORT° Swam to and subscribed before me,by the said ds[5 the day o1 to certify Which,witness my hand and seal of office. � -- Warlature or officer adm'mifortnijEat Ptintc_name of officer adminlslertno oath Tide ad gtiictr minister np oath Forms provided by Texas Ethics Commiswon vvww,ethlcs.stale.tX,US Version V1.0.277 FORTWORTH MEMORANDUM TO THE RECORD TO: CONTRACT FILE NO. 44743 DATE: January 3, 2019 FROM: Vania Soto, Administrative Assistant City Secretary's Office SUBJECT: REQUEST TO FILE MULTIPLE CHANGE ORDERS TO CITY SECRETARY CONTRACT NO. 44743 BACKGROUND On January 2, 2019,the City Secretary's Office received Change Order Nos. 38, 43 and 45-51 to City Secretary Contract No. 44743. During routine research before filing, it was discovered that previous change orders had never been filed with the City Secretary's Office. The Administrative Assistant requested originals of these documents from Transportation and Public Works for attesting and recording, but was informed that Change Order No. 1, 7, 29 and 33 did not have any documentation and were not received at the City Secretary's Office. Change Order No. 2, 3, 11, 21, 25, 30, 31, 37, 40 and 44 were not required by TXDOT to be signed by the City. All other Change Orders not mentioned have signatures and do not require a memo to record. Therefore, it was requested by Transportation/Public Works that a copy of the change orders or this memo be made the original in order to facilitate the processing of subsequent Change Orders. Correspondence related to the location of the original and the request for filing has been included in the contract file. AUTHORIZATION FOR CONTRACT NUMBER Per the direction of Mary Kayser, City Secretary, the City Secretary's Office has been requested to issue a contract number,and place in the City of Fort Worth's official contract files the Change Orders that were missing. This request has been approve City Secretary's Office