Loading...
HomeMy WebLinkAboutContract 44743-CO22 CITY SECRETARY CONTRACT NO.44743-CO22 TEXAS DEPARTMENT OF TRANSPORTATION CONSTRUCTION CONTRACT CHANGE ORDER NUMBER: 22 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 Blew County: Tarrant [Chick one] District. Fort Worth 3. Indicate the type and amount of funding: Contract El Fixed Price(Lump Sum) (Estimated Amount ) Number: 08133013 ❑ Actual Cost J (a) Contract Items(Bid Items): $2,695.87 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 818/16 TOTAL $2,695.87 By _ CITY OF FORT WORTH APPROVAL RECOMMENDED: Typed/Printed Name Jesus J.Chapa Typed/Printed Title Assistant City Manager Doug Wt"ig Director,Transpotation/Public orks 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.07113)Page 1 of 1 APPROVED AS TO FORM AND LEGALITY ouglas . Black Assistant City Attorney re-as Department of Transportation MEMO May 23, 2016 To: Mr.Tracy Cain, P.E. Director -- Construction Division Through: Mr.Jay Tarwater Transportation Specialist - Construction Division From: Mr. Michael Bostic, P.E.µIP?l Director - Fort Worth District Construction Subject Change Order 22 Project: BR 2006(132) Control: 0902-48-539 Highway: CS County: Tarrant Enclosed is one copy of Change Order Number 22 on the above captioned project which has been approved by the Area Engineer.This is a SLOA project, Project plans were prepared by consultant. This Change Order is necessary to compensate the Contractor for a revision to the electric service.The original plans had a discrepancy between the estimated quantities on sheet 106 for TY A Elec. Service and the data sheets on plan sheets 226, 232,and 233. The Contractor sent out an RFI #1 to get a revised plan sheet.The RFI response and the revised plan sheet, provided from the City of Fort Worth, proposed to change the type of electric service from TY A to TY C.The City of Fort Worth agreed on the price difference incurred due to this change order. This change order will introduce Item 0628-2053-003 "ELC SRV TY C 240/480 100 (NS)SS(E) PS(U)" and will eliminate Item 0628-2312-003"ELC SRV TY A 120/240 100 (NS)SS(E) PS(U)"from the contract. The City of Fort Worth will be responsible for 100%of the change order costs. Attached is one copy of the Area Engineer's memo, supporting the added item(s). The cost in Control 0902-48-539 will increase by$2,695.87. Your review and further handling will be appreciated. OUR VALUES: People •Accountability• Trust •Honesty OUR MISSION: Through collaboration and leadership,we deliver a sate,reliable,and integrated transportation system that enables the movement o(people and goods. An Emml Onnnrtunity Emnlnver If you should have any questions concerning this matter, please contact Mr. Greg Gorecki at(817)370- 6517. CAM Attachments CC: Mr. M.Tran, P.E. Area Engineer Mr.Tracy Cain,P.E. 2 May 23,2016 Texas Department of Transpprtetlon MEMO March 11, 2016 To: Michael Bostic, P.E. Director of Construction, FTW From: Minh Tran, P.E. Area Engineer, N AO Subject Change Order#22 Project: BR 2006(132) CCS1:0902-48-539 Highway: CS County:Tarrant GENERAL INFORMATION Contract Amount: $ 10,498,196.74 Previous Changes: $ 283,321.04 Proposed Changes: $ 2,695.87 TOTAL CHANGES: $ 10,784,213.65 Contractor: HAYDON BUILDING CORP. Plans were prepared by: Freese & Nichols,Aguirre&Fields Work on this change order is: In Progress Third Party Participation:City of Fort Worth REVIEW INFORMATION i Description of Contract: Bridge replacement ;- Describe the reasons and recommendations being made for this Change Order: This Change Order is necessary to compensate the Contractor for a revision to the electric service. The original plans had a discrepancy between the estimated quantities on sheet 10B for TY A Elec. Service and the data sheets on plan sheets 226, 232, and 233. The Contractor sent out an RFI#1 to get a revised plan sheet.The RFI response and the revised plan sheet, provided from the City of Fort Worth, proposed to change the type of electric service from TY A to TY C.The City of Fort Worth agreed on the price difference incurred due to this change order. This change order will introduce Item 0628-2053-003 "ELC SRV TY C 240/480 100(NS)SS (E) PS (U)"and will eliminate Item 0628-2312-003 "ELC SRV TY A 120/240 100(NS)SS(E) PS (U)"from the contract. OUR GOALS MAINTAIN A SAFE SYSTEM - ADDRESS CONGESTION - CONNECT TEXAS COMMUNITIES ■ BEST IN CLASS STATE AGENCY An Equal Opportunity Employer ! A The City of Fort Worth will be responsible for 100%of the change order costs. NEW AND/OR REVISED PLAN SHEET(S): Revision (1): 226, 233; ➢ Added Items: o 06282053 ELC SRV TY C 240/480 200 (NS)SS(E)SP(U) Added Days: NA If you should need additional information please contact Chuck Putnam at(817)399-4303. Michael Bostic,P.E. 2 March 11,2016 L \ § 2 & 2 § ) \ 2 § 43 CY # a E 7 \ I ƒ § 3 � 7 f ° � § � © < § 22 / ] � , > _ \ ; \ k \ << 2 E b § 77 ( � t § P ¢CL § ) w _« o / ] § $ f \ o � m o \ } }§ m 2 K % 0) e \ § �7 �� a0 � ƒ$ [ - f / \ ui ƒ} E2 © D § 2 � ) k � k M $ - ¥ 2 / E � \ � § om CV § § & 29 \ § 22 7 L) » 2 k7 7 z m \ j { " / § E c § w wF E 2 tm ) 2 ) 2 $ § § ® § $ § " = m \ k - r / CL 3 z © © oz B = 0 % § § LU3 § 21.1 S \ � � � / uj � 0C) 0a@ § o § § \ § C k k k ) 2 2 u 3 § 5 kk / 2 3OD i2 0 \ a � o = o ƒ < � � c ° = ao m 2 < ` c oLL k $ co � ƒ \ k C z �k k3 & \ k < § /\_ � F- \ \ \ 2 b § U., u- k § E ^ � q � k_ © § � � Q2 � § Q5 ?•. 2 � � kG Sf ■ ! � m ƒ Qtu § / 3R7 § § kq / \ 5 ° ® § / \ o \ ' o - . co SR@I w8 2 § 4t R = w ] : R � � cer ( « u = o _ E § ) \ e z g § < wW > - � o - o = oGG § � = qn « o � � o $ _ £ = m Z_ ! r\ � d } $ § S ° � a / ƒ &! § £ % § 0 'n k } g w z ( ( U B § t 2 \ 2 ; a � I U G > m , < w _ � 5 @2 m — w 2 @� § \ \ � a 05 LU cc d \ # k 0 / 2 \ \ ! < o o u I o " < o o = @ < \ � E � § � ■ -1 0 § .. � � � � a. ƒ / % ƒ % 21 § c « 22 � o2 < > a: � M § E £ g < z0 'It0z2 44a0. ° ° § E % ® / \ « I § . oreo ■ R0 _ 0 a0a: § E � � = 2 2m = Lu < 0CL0 « 0. « amu oun < o � Ea w _ w - e z = k k k k } § §k as ] \/ z / k § k\ § k� in LU a, LUkLU ( in S LU g \) 2 S ) § d ( OF LU % E) 2 § k \� kk CD cm ca � wAw ` m 2 a � a k Er \� M CO \ § d co 4A m Co § � \�0) v ƒ 02 $�K hof // 1 � 0 ID § 5 ` �� ) K 2 fCL z & q /�/ K - _ § § k / § u w tu « « /§$ k m r k k k et z V m z U O O O N C2 m Q O O 3 $ 3 o Z Cy z ar d z F V v F V c O a y 0 E C C r hT- W O O w 0 z a x > e > OLLP w U CL > a > + w + w N CD 0: Oz N O O m LLI 2 W g m a w a o O �+ w r z S s � a � w N v� m to U7 z z N � GO e Od v N O U p G a > N a > U tin a U y w U O w D w G w ca n 02 N Wco CIDui to CLO U3 X Q p O Co U O Q7 G1 J CD O O CCLU 0 O LU p N 6 W p cp+ V7 Q h m w $LU m W p U U z4c 4c (LLU 0 Er O O K Q m O r m 0 U a U z o a U a 0 v a W a CL ev n c rn m co Z nj a' V> m D O LU C1 z a x v c 0 E M O a CO U .Y O cn M in w � J N U o p J LU d m CL h a Z_ mg z � 3 s ul CC 6 . ga c ITI o 0 0 j t 1 a> a' y LL i i i� w ii m C 55 fQte i, A g Z y e P� S IA R' 4 0 '� O O V 0� 0 � 7 O S � ` �:��� �� � • 'KID l a i n 6 HS N J (GZZ 133HS 335) 1 05•Lll 3NIIH31bW i N X_ �_ �� If�c • E z y� 'o ��• y: •� , 'dam 'tet •� �� Q i� i ! $ • .-� � Vit. .. • ' ri ', /• it a O� i! r r ® •� _ 1 r4 ID�2s�y ,r • u J ��sJ any ••'ti, . . � � b u � OS J +£1 1 3NI lH3�yyy f ® 1 {5ZZ 133H5 3351 -H. :�Wn yam;a Miff s a ,E i +�rot 2 r fills u � N t a �= �o 9p _:j 19 �QW la le Y�u1r+5- ! 4 a�m al I NiN �� cl CZ C.*,9. rc .0. 0.0. 0.6 I ' , d t+ H W � I r r { N Iz_ ai ' 1yI a', a a f � f i I i I Change Order Checklist (Re 09110) Page I of t Change Order Number: 22 Contractor: Haydon Building Corp. CSJ: 0902.48-539 Project: BR 2006(132) Highway: CS County: Tarrant Area Engineer: Minh Tran,P.E. CO Amount: $2,695.87 Is the change order for an interim adjustment? [—]Yes Q No Is the change order ❑x State oversight? ❑Federal oversight? 0 Participating? ❑ Non-Participating? If Federal oversight,Is the change order x❑Major? ❑or Minor? Is the Reason Code correct? Q Yes ❑No Is the proposed work within project limits? ❑x Yes ❑No Does the change order affect the DBE commitment? [:]Yes ❑x No Has time been addressed? ❑Yes ❑X No Yes No NA Signatures ] ❑ ❑ Has the change order been signed by the Contractor? ❑x ❑ Is change order signed by AE? ❑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 ❑X ❑ Is 3rd parry funding involved In this project? (If no, move to next section) ❑ ❑X ❑ If yes, has the funding been requested and received? ❑x ❑ Does this change order impact 3rd parry funding? ❑ ❑x ❑ Will this impact require a new or revised funding agreement? ❑ ❑ ❑x 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 Z ❑ is the work within the scope of the original environmental assessments and reviews? ❑ ❑x Does this change order Impact pedestrian elements previously reviewed by TDLR or increase the cost of pedestrian elements to$50,000 or more?If yes,answer next question. ❑ ❑ x❑ 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? ❑ o Does work performed in the change order increase the impact to wetlands;waters of the U.S.; archeological,historical or social Issues;endangered species;or any other regulated areas? ❑ ❑ El Have the necessary clearances or permits been obtained to address the Increased impact? ❑ ❑ ❑x If the change order work causes the soil disturbance area to exceed the 1 acre and 5 acre thresholds,has a CSN or N01 been processed? Yes No NA Stockpiled Materials ❑ ❑ x❑ Are materials being received through this change order that will be placed in stock? ❑ ❑ ❑x If yes,have the materials been set up in MSMS? Yes No NA Area Office and District Approval 0 ❑ Does the AE's memo include an explanation/description of the change order work? ❑ ❑ Is price justification Information included?(per District procedures) ❑x ❑ ❑ Are plan sheets attached?(per District procedures) ❑ ❑ 0 If a time extension is being granted,has it been justified?(per District procedures) Yes No NA Administrative Approval 0 ❑ 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 CST 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: 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