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Contract 50015-CO1
CITY SECRETARY r iR,CTN0. .r)�0 �J'rite FORT WORTH. City of Fort Worth "111� Change Order Request ProjectNamel 2014 CIP Year 3 Contract 2 City Sec# 50015 Client Project#(s) 02693 Project Description This is a combined Paving,and Water Replacement project in Como Neighborhood. Contractor JLB Contracting,LLC Change Order# Date 1128!2019 CityProjectMigr.1 MaryHanna City Inspector FGiry Doyon Dept. Water Paving Contract Time Totals D Original Contract Amount $1,748,001.05 $1,629,261.10 $3,377,262.15 300 Extras to Date 7 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $1,748,001.05 $1,629,261.10 $3,377,262.15 307 Amount of Proposed Change Order $0.00 $11,231.25 $11,231.25 56 Revised Contract Amount $1,748,001.05 $1,640,492.35 $3,388,493.40 363 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 $0.00 Additional Funding(if necessary) $11,231.25 $11,231.25 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.33% MAXALLOWABLE CONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%) $4,221,577.69 «IU STIF1r-4TI©N,(REASS)FO !Q.8 E , Additional time is requested due to the extraordinary and unusual rains this summer and fall. Historically,we get 4.5 rain days in August,5.8 in September,and 7A in October for a total of 17.4 days. We lost 52 days between August 1st and October 31st due to abnormal weather conditions. Additional tree removal is needed on Goodman. In order to construct the sidewalk on Goodman,a retaining wall needed to be removed,and the yard resloped to match the road and sidewalk profile..A e0ed for to construct a combination sidewalk on Farnsworth. '- F Q R Atte .by: .Mary J. Iia ity Secre * :' f• It is understood and agreed that the acceptance of this Change Order by the con stitutes an accord and satisfaction and represents payment In full(both time and money)for all costs arising out of,or incidental to,the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance and reporting requirements. — 11c JLB Contracting,I-I-C Sam Davis /f �^__ 28-Jan InspOorlinspection Supervispr Date PrAect Manager/Program Manager Date As 'stant Dlrector Mir Mr Uato Con(ractin a ent Det bale 2 -1i AssIft!JQ1-*%0-me4 Date AWstarA City Mana er 4 Mate D. z Council Action if re red M&C Number M&C Date Approved OFFICIAL RECORD CITY SECRETARY ET. WORTH, TX I Fokr WoK'ru City of Fort Worth Change Order Additions Project Name 1 2014 CIP Year 3 Contract 2 City Sec# 5D015 Client Project# 02693 Project Description This is a combined Paving,and Water Replacement project in Como Neighborhood. Contractor JLB Contracting,LLC Change Order# 0 Date 1/2812019 City Project Mgr. Mary Hanna City Inspector I Gary Deyon —7179— DMTHIP I ION ADDITIONS DEPT City Unit Units o a ree Removal-Goodman among II-33 Remove Wall&Regrade Yard-Goodman Paving 1.00 LS 3,000.00 II7Remove&Replace Steps-Goodman Paving 25.00 SF 45.00 II-35 Sidewalk w Cur -Goodman Paving 4 .00 SF 5.00 U–nHa-5silied Excavallon-boodman Paving 11-37 Combination Sidewalk-Farnsworth Paving 147.50, F $7.50 Water $0.00 Paving $11,231.25 Sub Total Additions 11,23 .25 Change Order Additions Page 2 of 4 Portr Wc>,rr>>, City of Fort Worth Change Order Deletions Project Name 2014 CIP Year 3 Contract 2 City sec# 50015 Client Project# 02693 Project Description This is a combined Paving,and Water Replacement project in Como Neighborhood. Contractor JLB Contracting,LLC Change Order# u Date 112812 0 1 9 City Project Mgr. Mary Hanna City Inspector Gary Deyon DELETIONS ITEM CR ly Unit Units ota Water $0.00 Paving $0.00 Sub Total Deletions — .00 Change Order Deletions Page 3 of 4 MIWBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO N/A Total $0.00 Previous Change Orders CO# DATE AMOUNT None Total $0.00 FORT WORTH. City of Fort Worth Change Order Request Approval (Change Order Breakdown Available in Links) For Change Order Submittal No.: 1 Change Order No.:COAppr-01 Date Started:01/28/2019 City Sec. No.: 50015 Date Due:02/01/2019 Project Name: 2014 CIP Year 3—Contract 2 02693 DOE Numbers: Project Numbers: Project Description: This is a combined Paving,and Water Replacement project in Como Neighborhood. Project/Contract Compliance Mary Hanna City Inspector:Gary Deyon Manager: Contractor: JLB Contracting, LLC. COUNCIL ACTION (If Required): M&C Log Name: N/A M&C Number: M&C Date: COST AND DAYS SUMMARY: Department: Cost($) Fund Account Center: Requested Days: TPW $ 11,231.25 34014-0200431-5740010-c02693- 56 Total:$11,231.25 Total Requested Days:56 Approval Status: 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 f Employee/Signature Title ❑ This form is N/A as No City Funds are associated with this Contract Printed Name Signature OFFICIAL RECORD CITY SECRETARY FT. WORTH,TX I