HomeMy WebLinkAboutContract 52833-CO1 CSC No.52833-COI
FORT WORTH, City of Fort Worth
Change Order Request
Project Namel 2020 Brick Pavement Rehabilitation City Sec# 1 52833
Client Project#(s)l 102104
Project Description Brick repair work at various locations
Contractorl C Green Scaping LP Change Order# 0 Date 11/12/2020
City Project Mgr.1 Tariqul Islam City Inspector Manuel Torres
Contract Time
Dept. TPW Totals WD
Original Contract Amount $407,330.00 $407,330.00 210
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $407,330.00 $407,330.00 210
Amount of Proposed Change Order $8,302.00 $8,302.00 75
Revised Contract Amount $415,632.00 $415,632.00 285
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $8,302.00 $8,302.00
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 2.040,
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $509,162.50
JUSTIFICATION(REASONS)FOR CHANGE ORDER
This change order is to add 700 square feet of existing brick pavement removal and white brick replacement work for cross walk and stop bars
located at the intersections of Main Street and 8th,7th,6th,5th,4th,3rd,2nd and list Streets.The white brick installtion work in downtown
requires the removal of existing extra white marking.This change order also adds 75 calendar days to the contract(35 days due to Covid
infection of crews and 40 days due to white brick production delay).
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 Signature Date
C Green Scaping LP Stacy Gei enmiller Dec28,2020
Inspector/inspection Supervisor Date Project Manager/Program Manager Date
Dec 29,2020V.—
NOVIrt, Dec 29,2020
Assistant Director(Dept) Date Director,Contracting Department(Dept) Date
Jan4,2021 � r Jw5,2021
Assistant City Attorney Date Assistant City Manager Date
09A Jan 5,2021 '0 Jan 6,2021
Council Action if required) OFFICIAL RECORD
M&C Number M&C Date Approved
CITY SECRETARY
FT.WORTH, TX
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MMBE 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.
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
ATTEST: °FoRr�yaa�
fvr Rofc7 P. �afc o� dA
° O Y
or Ronald P.Gonzales(Jan ,202114:05 CST) ��p O d
° o°
000 °=d
Mary J.Kayser,City Secretary %* °° °°°°
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44�EXA`�o4Ap
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX