HomeMy WebLinkAboutContract 44708-CO1 (2)� - K' +'�,! � �'`;
� � • • • �
• • � � i`_ ` ( ti�ll�, � - -
• � •- -•
• • � . � - 1 � • ' � f..��- i '
' •- • ' . •1 1 1 ::. �' 1 1 1 :: �• � •:1: ' • � 1 1
Project Description
Contractor:
Installation of 1,400 feet of 36-inch sanitary sewer line on Colonial Parkway and 2,110 feet of eight-inch water main in
William J. Schultz, Inc. dba Circle "C " Const, Co.
City Project Mgr. Roberto C. Sauceda
Phone Number: 817-392-2387
Dept.
Original Contract Amount
Extras to Date
Cretlits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
ount of Proposed Chanqe Order
Revisetl Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Adtlitional Funding (if necessary)
�il
536.20
Sewer
Change Order: �1 Date: 10/24/2013
City Inspector: Raymond Brice
Phone Number: 817-223-2269
665.75
1,522,665.75
$98,950.00
1, 621.615.75
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
JUSTIFICATION
FOR
Totals
$1,951
$1,951
$98,950.00
050,151.95
$68,000.00
$68,000.00
$52.950.00
5.07%
$2,439,002.44
The change order will provide for the following additional pay items that are necessary on the project:
24-inch sewer pipe in 60-inch wood hand tunnel box.
24-inch sewer pipe in 48-inch wood hand tunnel box.
�
m
�
�
�
n
��
f�
;��
--�
�
c. a,r
r--.:,
��
Staff concurs with the contractors
0
C�
,�' �
�
(�' ; ;
; , �: � �,
� -
i ,;
� ti-
/ !. ►� �.' ' � �
Contract Time
iaar
210
210
030
240
�iaz�Y J. � er; Cit��e�reeta�r`�"`�;-y`�:- ''— - -
It is untlerstood and a reed that the acceptance of this Change Ortler by the contractor constitutes an accord antl satisfaction and represents payment
in full (both time antl money) for all costs arising out of, or incidental to, the above Change Order.
��
� `��
� 1
Water
calendar days on this change order.
FORT WORTH
Project Name � Clear Fork
Project No.(s)
Project
Description
Contractor
City Project Mgr
City of Fort Worth
Change Order Additions
Basin M-210 Sewer
P265-603170102288 and P275-703170102288
ts Part 3 City Sec No. 23966
DOE No. 6808 City Proj. No. 01022
Installation of 1,400 feet of 36-inch sanitary sewer line on Colonial Parkway and 2,110 feet of eight-inch water main in I
Country Club Circle
William J. Schultz Inc. dba Circle "C " Const. Co. Change Order: �1 Date: 10/24/2013
Roberto C. Sauceda City Inspector Ra mond Brice
ADDITIONS
�'dCj'C L V I '+
F'C� �2T ��O RT H City of Fort Worth
Change Order Deletions
Project Name Clear Fork Drainage Basin M-210 Sewer Improvements, Part 3
Project No.(s)
P265-603170102288 and P275-703170102288
DOE No. 6808
City Sec No.
City Proj. No
23966
01022
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 Ortler: �1 Date 10/24/2013
City Project Mgr. Roberto C. Saucetla City Inspector Raymond Brice
DELETIONS
ITEM IDESCRIPTION
DEPT
Unit IUnit Cost ITotal
Page 3 of 4 �Deletions Sub Total
�
t
Page 4 of 4
City of For� Worth
Departmental Reques� for Waiver
Of MBE/SBE Subcontracting/5upplier Goal
Water Department $ 98,950.00 10/16/13
DEPARTMENT NAME: ESTIMATED CpST / PROPOSAL DATE
Clear Forlc Draina$e Basin M-210 Sewer Improvements, Part 3
NAME OF PROJECT/BID:
Roberto C. Sauceda �..ti.�v...� ------�---�•
SIGNATURE OF /PROJECT MANAGER
2387
EXTENSION
10110/13
DATE
DOE 6808, CPN: 01422
DOE/PROJECT NO.
NIGP CODE
-----
or to advertisement, the contracting/managing department shall determine whether the bid/proposal ts ona which MBE/SBE
�uirements should not be applied. MBEISBE requirements may be waived upon written approval of the M/WBE Manager. If one
the conditions listed below exists, the contractinglmanaging department shall notify the Manager via this form, stating the specific
son (s) for 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.
Pleas� Ch�ck Applicable Reason:
A. MWBE Ofiice: A waiver of the goal for MBE/SBE subcontracting requiremen.ts was requested
by the Department and approved by the MWBE Office, in accordance vvith the.M/WBE or BDE
Ordinance, because ihe public or administrative emergency exists which requires the goads or
services to 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 appraved by the MWBE Office, in accordance with the M/WBE or BDE
Ordinance, beeause the purchase of goods or services from source(s) where subcantracting or
supplier opportunities are negligible; or
C. MWBE Office: A waiver of the goal for MBE/SBE subcontracting requirements was requested
by the Department and approved by the MWBE Office, in accordance with the M jWBE or BDE
Ordinance, because the application of the provisions of this ordinance will impose an economic
risk on the City or uxzduly delay acqwisition of the goods or services; or
D. MWBE Of�ce: A waiver of the goal for MBE/SBE subcontractxxxg requirements was requested
by the Department and approved by the MWBE Ofiice, in accordance wifh the MJWBE or BDE
Ordinance, because the MWBE Waiver is soiicited based on the sole source information
provided to the MWBE Office by the znanaging department's project manager.
Justify Cornmodi�y or Service Waiver Requesfi:
A&0 and 48 inch hand funnel is required to accommodate a sewer [ine for changer arder No. 1
M/W� OFFI�
Approved
Not Approved
Please use additional shcets, if needed
USE ONLY: - ;rtOG� l
Signature of / BE Authorized Personnel
Signature of M%WBE Autharized Personnet
!� {G' �
Date
Date
Rev, 2-20-13
—y�s� si7�— � '�Sr;�fz
s `-`-.a: ��_ �_: !'�'—=.. ---