HomeMy WebLinkAboutContract 50567-CO2 CITY SECRETARY
FORT WORTH® City of Fort worth CONTRACT NO. 50 5lo-
_ � Change Order Request Breakdown
Project Name HMAC 2017-5 Street Rehabiliation at Various Locations City Sec# 1 50567
Client Project#(s)l 101265
Contractor JLB Contracting,LLC PM Kristian Sugrim Inspectorl Martina Salinas
Change Order Submittal# 0 Date 12/4/2019
Dept. T/PW Contract Time
Totals (C D)
Original Contract Amount $1,945,950.00 $1,945,950.00 210
Extras to Date $60,604.10 $60,604.10 36
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $2,006,554.10 $2,006,554.10 246
Amount of Proposed Change Order $23,223.80 $23,223.80 48
Revised Contract Amount 2,029,777.90 $2,029,777.90 294
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(ff necessary) F $23,223.80 $23,223.80
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 4,3101
MAXALLOWABLECONTRACTAMOUNT(ORIGINAL CONTRACTCOST+25%) $2,432,437.50
JUSTIFICATION"ONS)FOR OHANG�CRDE
This Change Ordef s.-brrim will provide for the removal and replacement.--f broken innhc:c-collars on the milled of OvertoNew pay items were also
required for the import of topsoil for backfilling new curb and gutter and sealing the cracks on Grace after the surface aspahlt was milled. The change order also adds flatwork
quantities for Marshall,which was added to the project. Additional days are requested for the abnormal weather encountered in August,September and October,as well as
the added project Marshall.
6, 56 7 ,891
P
OFFICIAL RECORD
CITY SECRETARY
681 g 9V�'� FT WORTH,TX
City of Fort worth
Change Order Additions
Project Name HMAC 2017-5 Street Rehabiliation at Various Locations City Sec# 50567
Client Project# 101265
Contractor JLt3 Contracting,LLC PM Kristian Sugrim Inspector Martina Salinas
Change Order Submittal# 0 Date 12/4/2019
AUDI l TUNS
y Unit Unitos o a
new Crack Sealing
---T-
7FFne-w-T Remove&Replace Concrete Manhole CollarI.uuuuuuuu
3TTn-e-wT Topsoilor Backfill
----TY--
Remove Valley Gutter .
Valley Gutter
Remove ADA Ramp
12 ADA Ramp
T/PW $23,223.80
Sub Total Additions 23,223.8
Change Order Additions Page 1 of 1
FORT WORTH City of Fort Worth
rte-- Change Order Deletions
Project Name HMAC 2017-5 Street Rehabiliation at Various Locations City Sec# 50567
Client Project# 101265
Contractor JLB Contracting,LLC PM Kristian Sugdm Inspector Martina Salinas
Change Order Submittal# 0 Date 124/2019
ULLLI IUM
Unit Unit os o a
T/PW $0.00
Sub Total Deletions $u.u0
Change Order Deletions Page 1 of 1
M/SBE Breakdown for this Change Order
M/SBE Sub Type of Service Amount for this CO
None
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
CFW Change Order Approval COAppr-02 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Projects/101265 - HMAC (2017-5)/Contractor/Change Orders/change order 2 - marshall &
sealing on grace/Change Order Breakdown - co2 mh crack seal marshall.xlsm
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CFW Change Order Approval COAppr-02 Page 2 of 3
FORT WORTH. C'ty of Fort Worth
---. i.-.�- Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: 2
Change Order No.: COAppr-02 Date Started: 2019-01-09
City Sec. No.: 50567 Date Due: 2019-02-28
Project Name: HMAC (2017-5)
101265 DOE Numbers:
Project Numbers:
Project Removal and replacement of nonfunctional curb and gutter,
Description: driveways and sidewalks, followed by the pulverization and
stabilization of the existing pavement and a surface overlay
of 2" HMAC.
Project/Contract
Compliance Kristian Sugrim City Inspector: Martina Salinas
Manager:
Contractor: JLB Contracting, LLC.
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 23,223.80 30100-0200431-5740010-101265-0 48
Total Cost: $ 23,223.80 Total Requested Days: 48
Approval Status:
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CFW Change Order Approval COAppr-02 Page 3 of 3
Approved: Yes
Comments:
User: Sam Davis
Date: 2019-01-09 11:20 AM
Approved: Yes
Comments:
User: Kristian Sugrim
Date: 2019-01-09 11:46 AM
Approved: Yes
Comments:
User: Lane Zarate
Date: 2019-01-09 6:29 PM
Approved: Yes
Comments:
User: Ricardo Matute
Date: 2019-01-09 12:58 PM
Approved: Yes
Comments:
User: Signing for TPW Director Role Approvals
Date: 2019-01-09 5:36 PM
Approved: Yes
Comments:
User: Doug Black
Date: 2019-01-11 9:15 PM �ORri
Atte y: _ I v�,• � .•..
Approved: Yes
Comments: _ 2
User: Susan Alanisgar� J. y , City eae
Date: 2019-01-16 12:48 PM
Action Required:
1t0MCIAL RECORD
MY SECRETARY
7T. WORTH,TX
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Contract Compliance Manager
Re: Change Order No. 2 ($23,223.80)
Contractor: JLB Contracting, LLC.
Project Name: HMAC 2017-5 Street Rehabilitation
City Secretary No.: 50567
Project No.: 101265
By signing, I acknowledge that I am the person responsible for the monitoring and
administration of this contract including ensuring all performance and reporting
requirerrtents. -`
Name of Employee
Prolect Manager
Title
�`)FFICIAL RECORD
CITY SECRETARY
EI T. WORTH,TX