HomeMy WebLinkAboutContract 51831-CO1 CITY SECRETARY
CONTRACT NO. 51931-
FORTWORTH• City of Fort Worth
Change Order Request
Project Name As halt Pavement Preservation 2019 City Sec#
Client Project#(s)l 101712
Project Installation of HA5, A High Density Mineral Bond, For Asphalt Pavement
Description 9 Y p
Contractorl Andaie Construction Inc. Change order# 01 Date 04
City Project Mgr.1 City Inspector
Dept.. TPW-Storm Contract Time
Water Totals D
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date
Go to ADD&DEL Tabs to Enter CO Backup
Revised Contract Amount
Original Funds Available for Change Orders KOO
Remaining Funds Available for this CO
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%)
Please see attache_d�r Removed Streets a t�e�ets
AtieMAW-
Midy1 K er, ity Secretary
It is understood and agreed that the acceptance of this Change Order by the contractor coil titii s�r Jcevr6nd satisfaction and represents payment
in full(both time and money)for all costs arising out of,or incidental to,the above Change Order. The ProjecUProgram 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.
And$le Cons ruction Inc etty.t M itar Pr idert
y � ik
y C
M&C Number M&C Date Approved
RECEIV
APR 29 2019 I OFFICIAL RECORD
ctN or VORTWORV CITY SECRETARY
CVsic*TP'y FT. WORTH,TX
City of Fort Worth
Change Order#01 Request
After further evaluation of the originally proposed street segments,three segments(Willomet,Lubbock
and Yates)were removed as they were found to be unsuitable for the HAS application.To offset the
reduction in planned work, three new segments from 3100 to 3599 Covert Ave,and segments from
Martin Lyndon Ave( 2600-2699),Greene Ave(4700—4799)and Odessa Ave(4750-4799)were added to
reestablish an equivalent total project quantity(District 9).
Removed Streets
Street name From Block From Street To Street Mapsco Council District Lane Mile
Willomet Ave 3700-3899 Staples Ave W Spurgeon 89R District 9 0.42
St
Yates St 2700-2999 Lubbock Ave Cockrell Ave 90P District 9 0.44
Lubbock Ave 4900-5099 Martin Lydon Leith Ave 90P District 9 0.71
Ave
Added Streets
Street name From Block From Street To Street Mapsco Council Lane
District Mile
Covert Ave 3200-3349 Odessa Ave Leith Ave 90N District 9 0.29
Covert Ave 3350-3599 Westcreek Dr Odessa Ave 90N District 9 0.38
Covert Ave 3100-3199 Leith Ave Rector Ave 90N District 9 0.22
Greene Ave 4700-4799 Binyon St Bilglade Rd 90K District 9 0.19
Martin Lydon 2600-2699 Lubbock Ave Merida Ave 90N District 9 0.16
Ave
Odessa Ave 4750-4799 Binyon St W Fuller Ave 901 District 9 0.31
FOR WOR1-H City of Fort worth
Change Order Additions
Project Name City Sec# 0
Client Project#
Project Description
Contractor Change Order# Date
City Project Mgr. City Inspector
ADDITIONS
Unit Unit Cost Total
TPW-Storm Water $0.00
ub Total Ad itions
Change Order Additions Page 1 of 1
FOx H City of Fort Worth
Change Order Deletions
Project Name City Sec# 0
Client Project#
Project Description
Contractor Change Order# Date
City Project Mgr. City Inspector
DELETIONS
ITEM DESCRIPTION DEPT ty Unit Unit Cost I ota
TPW-Storm Water $0.00
Sub Total Deletions o.00
Change Order Deletions Page 1 of 1
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
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.
Shammi Rahman
Project Manager
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX