HomeMy WebLinkAboutContract 51372-CO1 d
CITY SECRETARY
ORTH, City of Fort Worth CONTRACT NO.
Change Order Request
�\ Project Namel Concrete Restoration 2019-1 at various locations City Sec# 1 51372
Client Project#{s)l 101604
project Remove and replace with 7'concrete pavement HES M eight locations.
Description
Contractorl Urban Infraoonstnxtion,LLC Change Order# Date W1312019
City Project Mgrl .loan Pablo De La Cruz City Inspector Damuel Roy
Dept TPWStorm Contract Time
Water Totals CD
Original Contract Amount S753,760.00 $753,760.00 165
Extras to Date •24%
Credits to Date
Pending Change Orders(in MdC Process)
Contract Cost to Date $753.760.00 $753,760.00 488'
Amount of Proposed Change Order $57,350.00 $57,350.00 Z
Revised Contract Amount $811,110.00 $811,110.00 189
Original Funds Available for Change Orders $0.00 "
Remaining Funds Available for this CO $0.00 ..��`` A
Additional Funding(d necessary) $57,350.00 $57,350,00 'A,�v'
}
CHANGE ORDERS to DATE INCLUDING THIS ON AS%OF ORIGINAL CONTRACT 7.6196
(
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $942,200.00 1 LL
Change Order No.1 provides funding for the removal and replacement of 550 square yards of additional damaged concrete panels, ;
Seminary Drive and the removal of fifteen non-compliant ADA curb ramps on East Seminary Drive,Saint James Street,Knights Court;``rt "
-
Royale Drive.Change Order No.1 adds a new item"REMOVE ADA RAMP"to this contract
The Transportation and Public Works Department staff has reviewed and verified the quantities for additional work under this Change Order
No.1.Additionally,to complete this worts,staff recommends that the contract time be extended by a total of 24 calendar days.
This Change Order will have no impact on Transportation and Public Works annual operation budget. v
M/WBE OFFICE—Office of Business Diversity(OBD):A waiver of the goal for MBE/SBE subcontracting requirements was requested by
Transportation and Public Works Department and approved by the OBD,in accordance with the M/WBE or BDE Ordinance,because the
purchase of goods or services from sources where subcontracting or supplier opportunities are negligible. V
These projects are located in COUNCIL DISTRICTS 4,6,7,8,and 9.
ai
It is understood and agreed that the acceptance of this Charge Order by the contractor constitutes an accord and satisfaction and represents paymer ►_;
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.
Maw
Urban Infraconstruction,LLC 11419~# �5
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7M&CNumber M&C Date Approved
RY
FT. WORTH,TX
FORT WORTH City of Fort Worth
Change Order Additions
Project Name Concrete Restoration 2019-1 at various locations City Sec# 51372
Client Project# 101604
Project Description FRemove and replace with 7"concrete pavement HES at eight locations.
Contractor Urban Infraconstruction,LLC Change Order# Date 6l13l2019
City Project Mgr. Juan Pablo De La Cruz City Inspector F Daniel Roy
ITEM —TSCRIPTIMIT— ADDITIONS
Unit Unit Cost Total
Remove Concrete and Replace with Concrete Pavement HES TPW-M—orm- a er
27 0241. 0 Remove ADA Ramp TPW- torm Water 15.0 EA 00
TPW-Storm Water $57,350.00
Sub Total Additions 57, 5 .
Change Order Additions Page 2 of
FORT WORTH City of Fort Worth
V-�— Change Order Deletions
Project Name Concrete Restoration 2019-1 at various locations City Sec# 51372
Client Project 101604
Project Description Remove and replace with 7"concrete pavement HES at eight locations.
Contractor Urban Infraconstruction,LLC Change Order# Date 6/13/2019
City Project Mgr. Juan Pablo De La Cruz City Inspector F Daniel Roy
DELETIONS
ITEM DESCRIPTION DEPT ty Unit UnitCost ota
TPW-Storm Water $0.00
ub Total Deletions
Change Order Deletions Page 3 of 4
MWWBE 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.
Juan Pablo De La Cruz /
Name of Employee/Signature
Project Manager
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
FORTWORTHCity of Fort Worth
ACCEPTANCE OF PREVIOUS MBE COMMITMENT FORM
(for use with CHANGE ORDERS or AMENDMENTS greater than$50,000)
To be Completed by City Project Manager
I
Change Order(for Construction Contract)
Project Name: City Project Number
101604
Concrete Restoration 2019-1
City Project Manager
Contractor: Juan Pablo De La Cruz
Urban Infraconstruction, LLC City's MBE Project Goal: 15
Original Amount of Contract: $753,760.00 Accepted MBE Commitment: 15 %
Total of Previous Change Order: Date of Last MBE Report: 6/10/2019
i
Amount for this Change Order: $57,350.00 Change Order#: 1
Revised Amount of Contract: $811,110.00 Date: 6/10/2019
Language to be inserted in the M&C for this Contract
Urban Infraconstruction, LLC agrees to maintain its initial MBE commitment of 15% that it made
on the original contract and extend and maintain that same MBE commitment of 15% to this first
change order. Therefore Urban Infraconstruction, LLC remains in compliance with the City's BIDE
Ordinance and attests to its commitment by its signature on the Acceptance of Previous MBE
Commitment form executed by an authorized representative of its company.
To be Completed by the Representative of the Contrac
Prin a gnature Title Autho iz ignature/Date
Urban Infraconstruction, LLC
Company Name Contact Name(if different)
2512 C�QAVC�L-- �� 6?MV ( UTbcr�IC�v�sf'�yCf'• COA,
Address E-mlbil address
f-DkT 76, t l b 9I4-616 -.�k'/
City/State/Zip /4 n Phone number Fax Number
f� as of p C2 1
^~ MBE% Paid to-Date Datb
City Project Manager has reviewed the work associated With is Change Order,
considers it the same or similar to work in the original Contract, and recommends that the
Contractor have the option to retain and confer ' existing MBE commitment.
Juan Pablo De La Cruz
City Project Manager City Project Manager Signature Date
Attach Complete Change Order Documentation and Forward to MIWBE office
To be Completed by • •
Tasha Kilgore 600539 24%
M/WBE Compliance Staff ID# MBE Current% Level via Last Report Redd
Digitally signed by
Tasha Kilgore 6/13/19
Date:2019.06.13 09:08:28-05'00'
M/WBE Signature Date