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Home My WebLink AboutContract 44708-CO2 (2)FORT WORTH City of Fort Worth C,�� ,CD� Change Order Request ��T � � � e` a Project Name Clear Fork Drainage Basin M-210 Sewer Improvements, Part 3 City Sec No. �. '�e Project No.(s) P265-603170102288 and P275-703170102288 DOE No. 6808 City Proj. No. 01022 000.00 000.00 Change Order: �2 Date: 11/20/2013 City Inspector: Raymond Brice Phone Number: 817-223-2269 Sewer 1,522,665.75 $98,950.00 1,621,615.75 $89,050.00 1,710,665.75 $46,000.00 $89.050.00 CHANGE ORDERS io DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) NS) FOR CHANGE ORDER � m c� r�t C m � � m � � � r�a 0 .� � Project Installation of 1,400 feet of 36-inch sanitary sewer line on Colonial Parkway and 2,110 feet of eight-inch water main in Contractor: William J. Schultz, Inc. tlba Circle "C " Const. Co. City Project Mgr. Roberto C. Sauceda Phone Number: 817-392-2387 Dept. � Water Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date nt of Proposed Chanqe Order Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funtling (if necessary) Totals 1,951 050,151.95 E�:%��1.��I�', 139,201.95 $68,000.00 $22,000.00 9.64% $2,439,002.44 The change order will provide for an additional 137 feet of 24-inch sewer pipe in 60-inch hand tunnel box that is necessary on the project. Staff concurs with the contractors request for 30 additional calendar days on this change order. Attested by: - -�� _ __ ___ f+�� ,�; �.: � ;. ��> : ��„ . S i^ r• � , � - r� �_ � .� .•� .�� c� - � ; � ,�•�� c , r � ' �- _ � � w�q I Contract Time Calendar Days 210 30 240 030 270 It is untlerstood antl agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction antl represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. FC� RT W4 RT H Clty Of FOrt WOrth Change Order Additions �rLl�� Project Name Clear Fork Draina e Basin M-210 Sewer Im rovements, Part 3 City Sec No. �396� Project No.(s) P265-603170102288 and P275-703170102288 DOE No. 6808 City Proj. No. 01022 Project Installation of 1,400 feet of 36-inch sanitary sewer line on Colonial Parkway antl 2,110 feet of eight-inch water main in Description Country Club Circle. Contractor City Project Mgr William J. Schultz, Inc. dba Circle "C " Const. Co. Change Order: �2 Date: 11/20/2013 Roberto C. Sauceda City Inspector Ra montl Brice ADDITIONS DEPT n Sewer 137.00ILF Sewer Total Page 2 of 4 �Additions Sub Total FORT WORTH Project Name Project No.(s) Clear Fork Drai City of Fort Worth Change Order Deletions Basin M-210 Sewer Improvements, Part 3 P265-603170102288 and P275-703170102288 DOE No. 6808 City Sec No. City Proj. No. �� .�66 1022 Project Description Installation of 1,400 feet of 36-inch sanitary sewer line on Colonial Parkway and 2,110 feet of eight-inch water main I in Country Club Circle Contractor William J. Schultz, Inc. dba Circle "C " Const. Co. Change Order: �2 Date 11/20/2013 City Project Mgr. Roberto C. Sauceda City Inspector Raymond Brice DELETIONS ITEM IDESCRIPTION DEPT � Qty �Unit Unit Cost � Page 3 of 4 �Deletions Sub Total Page 4 of 4 City of Fort Warth Departmental Request for Waiver Of MBE/SBE Subcontrac�ing/Supplier Goal Water Department � 98,950.00 10/16/13 DEPARTMENT NAME: ESTiMATED COST / PROPOSAL DATE Clear ForEc Drainage Basin M-210 Sewer Improvements, Part 3 NAME OF PROJECT/BID: Roberto G Sauceda �...4.��„_- -----�---�• SIGNATURE OF /PROJECT MANAGER 2387 EXTENSION 10/10/13 DATE DOE 6&O8, CPN: 01422 DOE/PRCJJECT NO. NIGP CODE ar to advertisement the contracting/managing department shall determine whether the bid/proposal fs one which MBEISBE �uirements should not be applied. MBE/SBE requirements may be waived upon written approval of the M/WBE Ivfanager. If one the conditions listed below exists, the contractingJmanaging department shall notify the Manager via this form, stating the specific son (s) far requesting a waiver. If the contracting/managing department and the Manager are in conflict over the granting of a waiver, either may appeal to the City Manager, or designee, and his/her decision is final. Please Ch�ck Applicable Reason: A. MWBE Ofiice: A waiver of the goal for MBE/SBE subcontracting requirements was requested by the Department and approved by the MWBE Off'ice, in accordance vvith the M/WBE or BDE Ordinance, because the public or administrative emergency exists which requires the goads or services ta be provided with unusual immediacy; or X B. MWBE Office: A waiver of the goal for MBE/SBE subcontracting requirements was requested by the Department and approved by the MWBE Office, in accor@ance with the M/WBE or BDE Ordinance, because the purchase of goqds ar serviees from source(sj where subcontracting or supplier opportunities are negligible; ar C. MWBE Office: A waiver of the goal for MBE/SBE subcontracting requirements was requested by the Department and approved by the MWBE Of%ce, in accordance with the MJWBE or BDE Ordinance, because the application of the provisions oi this ordinaxice will impose an economic risk on the City or urzduly delay acqwisi#.ion of the goods ar services; or D. MWBE Of�ce: A waiver of the goal for MBE/SBE subcontracting requirements was requested by the Department and approved by the MWBE Office, in accorflance wifh the M/WBE or BDE Ordinance, because the MWBE Waiver is saiicited based on the sole source information provided to the MWBE Office by the znanagi.rxg department's project manager. Justify Cornrnodity oar Serviae Wai�rer Req�txes�: A 60 and 46 inch hand funnel is required to accommodate a sewer line for changer order No. 1 Approved Not Approved Please use additional shaets, if needed Y: - �i� Signature of / BE Authorized Personnel Signature of M/WBE Authorized Personnel lU ��lw Date Date Rev. 2-20-19 _:�ti;x-'i�}'j'"•_ s�=3fr?� =='.l= 3� �:LYC�_=.s"i'