HomeMy WebLinkAboutContract 38299-CO20
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FORT WORTH .
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City of Fort Worth
Change Order Request
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CITY SECRETARY'2 ~'7 9C,-lDZ CONTRACT NO ...... J~l--_;..!..,:_..._..._
Project Name! HMAC Surface Overlay (2008-12) AT VARIOUS LOCATIONS
Client Project #(s)I C293-541200-205620110383
City Sec # I 38299 I
DOE 6206 I
HMAC Surface Overlay at Various Locations Project
Description ~---------------------------------......J
Contractor! JLB Contracting , LP
City Project Mgr. I Kristian Sugrim
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Amount of Proposed Chan e Order
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
TPW
$630 ,834 .00
$113 ,653.85
$744,487.85
$3,509.21
$747 ,997.06
$0.00
$3 ,509.21
Change Order# 2 Date
City Inspector David Bowers
Water Sewer Totals
$400 ,000 .00 $600,000 .00 $1 ,630 ,834 .00
$79 ,557.70 $34 ,096 .16 $227 ,307 .71
$479 ,557.70 $634 ,096 .16 $1 ,858 ,141 .71
$2,192.83 $3 ,070.13 $8,772.17
$481,750 .53 $637 ,166 .29 $1 ,866 ,913.88
$0.00
$0 .00 $0.00
$2 ,192 .83 $3 ,070.13 $8 ,772.17
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 14.48%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $2 ,038 ,542.50
JUSTIFICATION (REASONS) FOR CHANGE ORDER
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
12/3/2012
Contract Time
D
200
90
290
290
It is understood and agreed that the acceptance of this Change Order by the contractor const itutes 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.
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City of Fort Worth ·
Change Order Request
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Project Name! HMAC Surface Overlay (2008-12) AT VARIOUS LOCATIONS
Client Project #(s)j C293-541200-205620110383
HMAC Surface Overlay at Various Location s
City Sec # 38299
DOE 6206
Project
Description '-----------------------------------.....1
Contractor! JLB Contracting , LP
City Project Mgr .! Kristian Sugrim
Change Order# 2 Date
City Inspector David Bowers
I Dept. TPW Water ,1, ,, .,§ewer I -~ 'Totals:_ / -
Original Contract Amount $630 ,834.00 $400 ,000 .00 ( $600 ,000 .00 $1 ,630 ,834 .00
Extras to Date $113 ,653 .85 $79 ,557.70 I $34 ,096 .16 $227 ,307 .71
Credits to Date
Pending Change Orders (in M&C Process) , /~--
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Contract Cost to Date $744 ,487 .85 $479 ,557.70 $634 ,096 .16 $1 ,858 ,141 .71
Amount of Proposed Change Order $3 ,509.21 $2,192.83 $3,070.13 $8 ,772 .17
Revised Contract Amount $747 ,997 .06 $481 ,750 .53 $637 ,16_6 .29 $1 ,866 ,913 .88
Original Funds Available for Change Orders $0.00
Remaining Funds Ava il able for this CO $0 .00 $0.00 $0 .00
Additional Funding (if necessary) $3 ,509 .21 $2 ,192 .83 $3 ,070 .13 $8 ,772.17
CHANGE ORDERS to DA TE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 14.48%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $2 ,038 ,542.50
JUSTIFICATION (REASONS) FOR CHANGE ORDER
12/3/2012
Contract Time
(WD)
200
90
290
290
This change order is to request additional funds to payi or overruns on HMAC paving . After the first final pay request was submitted and paid ,
the contractor reported that the square yards of HMAC was incorrect. After re-measuring the streets on the contract, it was discovered that
3,479 .8 SY of HMAC was not paid for on lfle..original final pay request._ -
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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.
M&C Number
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ORT WORTH ..
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City of Fort Worth ·
Change Order Request
Project Name! HMAC Surface Overlay (2008-12) AT VARIOUS LOCATIONS
Client Project #(s)j C293-541200-205620110383
Project
Description HMAC Surface Overlay at Various Locations
DOE 6206
n -
City Sec # 38299
Contractor! JLB Contracting , LP
City Project Mgr.! Kristian Sugrim
Change Order# 2 Date 12/3/2012
City Inspector David Bowers
t Dept. TPW Water Sewer Contract Time
-Totals (WD)
Original Contract Amount $630 ,834 .00 $400,000 .00 $600,000 .00 $1 ,630 ,834 .00 200
Extras to Date $113 ,653 .85 $79 ,557.70 $34 ,096 .16 $227 ,307 .71 90
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $744 ,487 .85 $479,557 .70 $634,096 .16 $1 ,858 ,141 .71 290
IAmount of Proposed Change Order $3,509.21 $2,192.83 $3,070.13 $8,772.17
Revised Contract Amount $747 ,997 .06 $481,750 .53 $637 ,166.29 $1 ,866 ,913 .88 290
Original Funds Available for Change Orders $0 .00
Remaining Funds Available for this CO $0 .00 $0 .00 $0 .00
Additional Funding (if necessary) $3 ,509.21 $2 ,192 .83 $3 ,070 .13 $8 ,772 .17
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS% OF ORIGINAL CONTRACT 14.48%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $2 ,038 ,542 .50
JUSTIFICATION (REASONS) FOR CHANGE ORDER
This change order is to request additional funds to pay for overruns on HMAC paving . After the first final pay request was submitted and paid ,
the contractor reported that the square yards of HMAC was incorrect. After re-measuring the streets on the contract, it was discovered that
3,479 .8 SY of HMAC was not paid for on the original final pay request.
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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 Orde r.
Date
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Date
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M&C Number
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City of Fort Worth
Change Order Request
......... ...,(1 ·-L -
City Sec # 38299 Project Name! HMAC Surface Overlay (2008-12) AT VARIOUS LOCATIONS
Cl ient Project #(s)j C293-541200-205620110383 DOE 6206
Project
Description ::=::====================::::::;-------;::::::==::::::;-----;:=======: Contractor.._! _J_L_B _C_on_tr_ac_ti.....:ng::.c.., _LP ________ ___.
HMAC Surface Overlay at Various Locations
2 Date
City Project Mgr..._! _K_ri_st_ia_n_S.....:ug'-ri _m _________ ___,
Change Order #
City Inspector David Bowers
Dept. TPW Water Sewer Totals
Original Contract Amount $630 ,834 .00 $400 ,000 .00 $600 ,000 .00 $1 ,630,834 .00
Extras to Date $113 ,653.85 $79 ,557.70 $34 ,096 .16 $227 ,307 .71
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $744 ,487 .85 $479 ,557.70 $634 ,096 .16 $1 ,858 ,141.71
Amount of Proposed Change Order $3,509.21 $2,192.83 $3,070.13 $8 ,772.17
Revised Contract Amount $747 ,997 .06 $481 ,750.53 $637 ,166 .29 $1 ,866 ,913.88
Original Funds Available for Change Orders $0 .00
Remaining Funds Available for this CO $0 .00 $0 .00 $0 .00
Additional Funding (if necessary) $3 ,509 .21 $2,192 .83 $3 ,070 .13 $8 ,772 .17
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 14 .48%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $2 ,038 ,542.50
JUSTIFICATION (REASONS) FOR CHANGE ORDER
12/3/2012
Contract Time
(WO)
200
90
290
290
Th is change order is to request additional funds to pay for overruns on HMAC paving. After the first final pay request was submitted and paid ,
the contractor reported that the square yards of HMAC was incorrect. After re-measuring the streets on the contract, it was discovered that
3,479 .8 SY of HMAC was not paid for on the original final pay request.
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.
Date
Date Director, Contractin Date
•• I
M&C Number Ji
FORT WORTH ---...,---
Project Name
Client Project #
City of Fort Worth
Change Order Additions
HMAC Surface Overlay (2008-12) AT VARIOUS LOCATIONS
C293-541200-205620110383 DOE 6206
Project Description HMAC Surface Overlay at Various Locations
Contractor JLB Contracting , LP Change Order # 2
City Project Mgr . _K_ris_ti_an_S_u ..... g_rim __________ ___. City Inspector David Bowers
ADDITIONS
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l/-lm.., 1,-1ncn ::;urrace 1.;ourse I ype u Mix 11-'W 414 .tlU
27-INC 12-l nch Surface 1.;ourse I ype u Mix water lOl:/.lU
27 -INC 12-lnch Surface 1.;ourse I ype D Mix ::;ewer Jtil.l:/U
.. Change Order Add1t1ons Page 1 of 2
City Sec# 38299
Date 12/3/2012
Unit Unit cost Total
::,y :!,tl .'+C $3,0Ul:/.ll
::,y $8.4t :i,,, l l:/l.tl;:
::,y $8.4t $3,U/U.13
TPW $3 ,509.21
Water $2 ,192.83
Sewer $3 ,070 .13
Sub 1 otal Additions $8,(/L.17
Change Order Additions Page 2 of 2
FORT WORTH -----.---City of Fort Worth
Change Order Deletions
HMAC Surface Overlay (2008-12) AT VARIOUS LOCATIONS Project Name
Client Project # C293-541200-205620110383 DOE 6206
Project Description HMAC Surface Overlay at Various Locations
Contractor JLB Contracting , LP Change Order# 2
City Project Mgr. ....._K_ris_ti_an_S_u .... gr_im __________ __, City Inspector David Bowers
DELETIONS
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Change Order Deletions Page 1 of 2
City Sec# 38299
Date 12/3/2012
Unit Unit l.;OSt Iota!
TPW $0 .00
Water $0 .00
Sewer $0 .00
Sub Total Deletions
Change Order Deletions Page 2 of 2
M/WBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
PROJECT SUMMARY SHEET
(Change Order Attachment)
PROJECT NAME: HMC SURFACE OVERLAY (2008-12) AT VARIOUS LOCATIONS
BuySpeed No (T/PW): P0-11-00062810
BuySpeed No (Water):
City Project No : 1103 Original M & C = C-23327, approved 02-03-09
Contract No : 38299 I
D.O .E. No : 6206 I
Attachment to Change Order No: 2
Today's Date : 12/5/12
TOTAL
Original Contract Amount: $ 1,630,834.00 $ 630 ,834.00 $ 400 ,000.00
Extras to Date : $ 227 ,307.71 $ 113,653 .85 $ 79 ,557.70
Credits to Date : $ -$ -$ -
Contract Amount to Date: $ 1,858,141.71 $ 744 ,487 .85 $ 479 ,557 .70
Amount of Proposed Change Order: $ 8,772.17 $ 3 ,509 .21 $ 2 ,192 .83
Revised Contract Amount: $ 1,866,913.88 $ 747 ,997 .06 $ 481 ,750 .53
Contingency Funds Avail. for Admin . Change Orders: $ -$ -$ -
Remaining Funds Available for Change Orders : $ -$ -$ -
Additional Funding (if necessary): $ (8,772.17) $ (3 ,509 .21) $ (2 ,192 .83)
Prepared By: · E, -e:, o_. ~ T/PW Construction Services
I
$ 600 ,000 .00
$ 34 ,096 .16
$ -
$ 6 34 ,096 .16
$ 3 ,070.13
$ 6 37 ,166.29
$ -
$ . --$ (3 ,070.13 )