HomeMy WebLinkAboutContract 52598-CO1 Date: 07/24/20
Time: 9:18 am
CSC No.52598-COI
FORTWORTM, City of Fort Worth
Change Order Request
Project Namel Bridge Rehabilitation(2019-2) City Sec# 52598
Client Project#(s)l 102099
Project Bridge Rehabilitation at eight locations
Description
Contractorl Gibson&Associates, Inc. Change Order# 0 Date 6/2/2020
City Project Mgr.I Traiqul Islam City Inspector FTravis Overstreet
Dept. TPW Contract Time
Totals WD
Original Contract Amount $286,599.00 $286,599.00 150
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $286,599.00 $286,599.00 150
Amount of Proposed Change Order $21,010.00 $21,010.00
Revised Contract Amount $307,609.00 $307,609.00 150
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $21,010.00 $21,010.00
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 7.33Yo
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $358,248.75
JUSTIFICATION (REASONS)FOR CHANGE ORDER
This change order is to add 84.04 cubic yards 18"Rock Riprap to this contract. During construction it was identified that due to excessive
erosion the chanel protection work for Anglin Drive and Village Creek Road bridge required more 18"rock riprap than the originally planned
quantity.
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes 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.
Contractor's Company Name Contractor Name Contract SignajuK= Date
Gibson&Associates, Inc. I AI.A r. r T'T " 1 Q S
Inspector/Inspection Supervisor Date Project Manager/Program Manager Date
Assistant Director(Dept) Date Director,Contracting Department(Dept) Date
Assistant City Attorney Date I Assistant City Manager I Date
Council Action if required) OFFICIAL RECORD
M&C Number M&C Date Approved CITY SECRETARY
FT.WORTH, TX
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M/WBE 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
7/23/2020 BIM 360 Document Management
13 AUTODESK BIM 360 fortworthgov>102099-Bridge Rehabilitation(2019-2)at Eight Locations- A TI
•:: Document Management FOLDERS REVIEWS TRANSMITTALS ISSUES
Reviews > Review detail
CLOSED #6 Change Order Approval Workflow
Export Report - This review is closed.
Name Description Version Markup PROGRESS
Change Orderl_CPN102099.pdf -- V1 0
Initiator Initial Review n
TI Tariqul Islam Jun 19,6:13 PM
<tariqu Lisla m @fortworthtexas.gov>
Submitted to Reviewer 1
Reviewer 1 Initial Review 1 n
JP Jeffrey Perrigo Jun 22,10:55 AM
<ieffrey.perrigo @fortworthtexas.gov>
Submitted to Reviewer 2
Reviewer Initial Review 2
LZ Lane Zarate Jun 22,11:36 AM
<la ne.za rate@fortworthtexas.gov>
Submitted to Reviewer 3
Since there is no days in this
change order,its my understanding
there is not additional time needed
for this and its just an overage to
the quantities.
Reviewer3 InitialReview3
LP Lauren Prieur Jun 22,4:02 PM
<la u ren.prieu r@fortworthtexas.gov>
Submitted to Reviewer 4
No comments
Reviewer 4 Initial Review 4 n
WJ William Johnson Jul 7,10:42 AM
<willia m.ioh nson @fortworthtexas.gov:
Submitted to Reviewer 5
Reviewer Initial Review 5 n
DID Douglas Black Jul 13,12:33 PM
<doug.black@fortworthtexas.gov>
Submitted to Approver
Approved.
Approver Final Review n
OFFICIAL RECORD
CITY SECRETARY DB Dana Burghdoff Ju123,12:45 PM
<dana.bu rg hdoff@fortworthtexas.gov=
FT.WORTH, TX
Review ended
https://docs.b360.autodesk.com/projects/c86dOlbO-611 b-4bc0-98e9-18beedaf7909/reviews/28c8c387-091 f-40fe-b3e7-394ec7f51 fe2 1/1
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.
Tariqul Islam / T-Ar66"4 1p"
Name of Employee/Signature
Project Manager
Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature
Pp~�ac°Od ofv0aRpp?�
at°pO °ODo�O�o°s'
°°ATTEST: o=a%
�d�da
0. ��nEXASo4p
Mary J.Kayser,City Secretary
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX