HomeMy WebLinkAboutContract 51569-CO1 Page 1 o:
CITY SECRETARY
' 4;UL `Hs City of Fort Worth CONTRACT NO. (J ( I
J
EiTY OF FOR WORTHco
Change Order Request Breakdown
T
eye CITY SECRvr wate f&SSanbq Inlprovend fm Lake Shm Streets CNy Sec# 51%9
t�.d Z� Ghent 4 6 100M,100741.100743
it tractorf Woodtt Cmirlsct m Inc. 1 PM Kristian Steven Aguirre
Change Order Submittal# Date &10019�
Dept. TPW Water fund Sewer Fund Contract Time
Totals CD
Original Contrail Amount $1.609,695,00 S850.91150 %87,113 00 $3.147.719 50 365
Extras b Date
Credits to Date
Pending Charge Orders(in M&C Process)
Contract Cost to Date $1609 N6.00 $850,911.a0 $W 11300 $3,147.719 50 365
h t: ;F '� :t: 4.tI0 t1Q 1Kmg. $44 868.00 7
Revs Contrad Amount 1,61 ,9 11.50 SMIMT.00 3.192,587 50 372
Orin Funds Available for Change Orders $0 00
RerriMing Funds Avaitable for this CO S000 S0.00 .00
Additional Funding(if necessary) F '$3 014.00 $41794.00 1 54.4 868 00
CHANGE ORDERS to DATE(#VCLLDCNG THIS OW AS%OF ORIGINAL CONTRACT 1.43%
UAX ALLOWABLE CONTRACT AtMOUNT(ORIGINAL CONTRACT COST+25V $3,934,649 38
This change order request is being submitted to provide additional funding to the contract for added sewer appurtenances and paving assets.
Also,seven mender days w be added to the contract to compensate for the added work on Elgin Strom and Handley Drive.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
ps://docs.b360.autodesk.com/projects/c8905628-c2db-425d-b326-7b7566640302/reviews/dl a9dca2-09d7-4e78-... 7/1/20
Page 1 u
htkL�w City of Fort Worth
1 Change Order Additions
PM)w Nov Wear 1 for Law simre smm to cty sac A 1$49
ow Pmpd a Im 100741.M13
YYooOy CQ�MFKfkkS,Ym, i�lt�Krls�r+.S�IgtYe � �spe�A+r Steen Ay�he
Of*suers tea ti�1Q'2Q1p
AMIIUMS
URV
WIN
W*W
Sftw ,W , P 00
aisnp Order Additions Oape 8 of 4
ps://docs.b360.autodesk.com/projects/c8905628-c2db-425d-b326-7b7566640302/reviews/dl a9dca2-09d7-4e78-... 7/1/20
Page 1 o:
City of Fort Worth
Change Order Deletions
R*d Nam ftmf i b laws S mre stwo Qr sR
0*0 P.*"N t5R—w VENT iQO o
Nbodg ►vt r+#f��Kep6ffin$ergrlm bwww Sri AO—.7
awn+adr su�raer r
MLLIK s
;Ttv PUN DEFT
wow r„np sa oo
CtwW Order Deletions Pale 1 of 4
ps://docs.b360.autodesk.com/projects/c8905628-c2db-425d-b326-7b7566640302/reviews/dl a9dca2-09d7-4e78-... 7/1/20
Page 1 o:
M/SBE Breakdown for this Change Order
M/SBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
co# DATE AMOUNT
Total $0.00
cS c ��� �/� /n°g3Q
ps://docs.b360.autodesk.com/projects/c8905628-c2db-425d-b326-7b7566640302/reviews/d 1 a9dca2-09d7-4e78-... 7/1/20
BIM 360 Document Management Page 1 of 2
8 AUTODESK'BIM 360- fortworthgov>100830-Lake Shore Streets Water and Sanitary Sewer Improvements- A KS
Document Management FOLDERS REVIEWS TRANSMITTALS ISSUES
Reviews > Review detail
CLOSED #10 Change Order Approval Workflow
Name^ Description Vers PROGRESS
�—' Change Order Itl_CPN 100830_Lake Shores.... - Vl
Initiator Initial Review n
4 Change Order ttl_CPN 100830_Lake Shores.... V1 KS Kristian Sugrim Jun 20,4:00 PM
<kristian.sugrim@fortworthtexas.gov>
�J RFI-100830-Lake Shore C01,docx -- Vi
Submitted to Reviewer 1
Reviewer 1 Initial Review 1 n
LP Lauren Prieur Jun 20,4:20 PM
{� 40ivy
�ORP <Lauren.prieur@fortworthtexas.gov>
A bJ' 0 Submitted to Reviewer 2
Reviewer 2 Initial Review 2M J. a cretary
SC steve cookes Jun 20,4:43 PM
raA,, <Stephen.cooke@fortworth texas.gov>
Submitted to Reviewer 3
Reviewer 3 Initial Review 3 n
DB Douglas Black Jun 28,5:17 PM
<doug.black@fortworthtexas.gov>
Submitted to Approver
r-O`9 9 P approved.
Approver Final Review A
DB Dana Burghdoff Jul 1,10:55 AM
<dana.burghdoff@fortworthtexas.gov>
Review ended
Review closed II�
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX
littps://docs.b360.autodesk.com/projects/c8905628-c2db-425d-b3 26-7b7566640302/reviews/dl a9d... 7/1/2019
c5C �IS�� cr��J lo ��� °
RFI Template
1. Project Name: Water& SS Improvements for 2. RFI#: WCI-02/04-001
Lake Shore Streets
3. Project No. :100830, 100741, 100743 4. Date Submitted: 6/11/2019
5. City No.:
6. Contractor No.: 7. City Project Manager: Kristian Sugrim
8. Contractor: Woody Contractors, Inc. City PM Action [City PM Action]
9 Design Engineer: MV Engineering, Inc. Date Reponses (NLT): 5/18/2018
10 Subject: Change Order No. 1
Attachments Image ❑ Document
13. REFERENCE DATA:
Specification Section No.[Specification Section No.] Page No.[Page No.] {Page X of Y}
Paragraph No.[Paragraph No.] Drawing No.[Drawing No.]
Detail Description:[Detail description]
Other: Change Order Request Breakdown
14. Description: This Change Order request No. 1 is to provide additional funding for quantity increases to the
sanitary sewer bid items, Unit 2, on Elgin St. Also, it will fund the need for additional asphalt on Handley Dr. to
address back of curb backfilling and gravel driveways.
15. Benefits to the City of Fort Worth
Reduce complaints and delays and increase the citizenry satisfaction
16. Senders Recommendation (Schedule, Scope, Cost)
Due to the minor changes in scope, schedule and cost it will be beneficial to the City to proceed with
processing the requested Change Order No. 1.
THE PROPOSED ANSWERISOLUTION INCLUDED IN THE CONTRACT : Blank
aSc 6-ps-0
RFI Template
ENGINEER'S RESPONSE: Response Number
❑ Information ❑ Interpretation ❑ ENG
Clarification for the items described above or in the attached Response Status
material referenced: Engineer
[Resposne Status Eng]
City Engineering Response
Consultant Action: Response Number
CON
Response Status
Consultant
[Reponse Status
Consultant]
City PM Response Response Number
Proceed with generating and uploading the Change Order No. City 001
1 breakdown. Action — PM Accept
[City PM Response]
THE PROPOSED
ANSWER/SOLUTION
Receiver's Response:
Response By: Date Responded
Kristian Sugrim 06/11/2019
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.
` (l
Kristian Suarim llz
Name of Employee/Signature
Project Manager
Title
❑ This form is N/A as No City Funds are associated with this Contract
Kristian Su rim ! —
Printed Name Signature
FT. WORTli `Tx
--I
CY S c /�� C�°/►l l o o y-?