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Home My WebLink AboutContract 45292-CO1 (2)�� RT WO RT H City Of FOrt WOrth CD� �� '�.� � % cor�� a � � i� ��: � Change Order Request Project Name: Sanitary Sewer Rehabilitation Contract 80, Part 2 City Sec No.: 45292 Project No.(s): P254-605170149983 & P258-705170149983 DOE No. 6974 Ciry Proj. No.: 01499 Project Description: The replacement of sanitary sewer mains on Medford Roatl from Chelsea Road to Stratford Park Drive Contractor: M. E. Burns Construction, Inc. City Project Mgr. Roberto C. Sauceda Phone Number: 817-392-2387 Dept. � Sewer Original Contract Amount Extras to Date Cretlits to Date Pending Change Orders (in M&C Process) Contract Cost to Date of Proposed Change Order Revisetl Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Atltlitional Funtling (if necessary) Totals 1.181.784.00 $1,181,784.00 $87,250.00 1,269,034.00 $35.000.00 181,784.00 ,,_ $35,000.00 $35,000.00 $52,250.00 Change Order # � Date: 7/7/2014 City Inspector: Edward Davila Phone Number: 817-223-2268 CHANGE ORDERS to DATE (INCLUDING THIS ONEJ AS % OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%J 7,38% $1,477,230.00 Contract Time 230 JUSTIFICATION (REASONS) FOR CHANGE ORDER The change order will provide increased pay item quantities of permanent asphalt pavement repair that are necessaiy on the project. Staff concurs with the contractor's request for 30 additional days be provided on the project. ��' �}-". i � ,n'idf+�D'.... aa�iGS-. �. ..- ., � � { �a : / F,i 1 � �' t , . �: .- .�,. � i �`' • +' t Y { . '�. , �i ." � It is understood antl agreed that the acceptance of this Change Ortler 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. � Contractor's Com an Name Contractor Name � Contractor Si nature Date �` M. E. Burns Construction, Inc. Donald Bums '� - c� S�3 � � � �c3 � �r_� Project Name Project No.(s): Project Description Contractor City Project Mgr. City of Fort Worth Change Order Additions Sewer Rehabilitation Contract 80, Part 2 5170149983 & P258-705170149983 � City Sec No.; 45292 DOE No. 6974 City Proj. No.: 01499 The replacement of sanitary sewer mains on Medfortl Road from Chelsea Road to Stratford Park Drive M. E. Burns Construction, Inc. Roberto C. Sauceda � Change Order: � Date: 7/7/2014 City Inspector Edwartl Davila ADDITIONS w �, . : ��. � � ; . - � i�EPT' Unit U�it�Gost� �� i'otal� �� , � ,,�. ...;. , ��,� . 30 4 foot Wide Asphalt Pavement Repair, Residential Sewer 900.00 LF $37.00 $33,300.00 31 6 foot Wide Asphalt Pavement Repair, Residential Sewer 1300.00 LF $41.50 $53,950.00 Sewer $87,250.00 Page 2 of 4 Additions Sub Total $87,250.00 FC� RT VVO RT H Clty Of FOrt WOrth Change Order Deletions Project Name Sanitary Sewer Rehabilitation Contract 80, Part 2 Project No.(s): � P254-605170149983 & P258-705170149983 DOE No. 6974 City Sec No. City Proj. No. 45292 01499 Project Description I The replacement of sanitary sewer mains on Medfortl Road from Chelsea Road to Stratford Park Drive I Contractor M. E. Burns Construction, Inc. Change Order: � Date 7l7/2014 City Project Mgr. Roberto C. Sauceda City Inspector: Edward Davila DELETIONS Page 3 of 4 Page 4 of 4 City of Fort Wort� Departmental Request for Waiver Of MBE/SBE Subcontrac�ing/Suppli.er Goal Water oepartment � 87,250.00 7/2/14 DEPAR'1`MENT NAME; ESTIMATED COST / PROPOSAL DATE Sewer Rehabililation Coniract 80, Part 2 l. �„ ��.�1 NAME OF NATURE OF /PROJECT MANAGER 2387 EXTENSION 7/2/14 DATE DOE 6974, CPN: 01499 DOE/PROJECT NO, NIGP CODE �, �; r�• r� o-� � a- � �� :� �� Prior to advertisement, the conh•Acting/managing department shnll determine whether thc bid/proposal is onc which MBE/5BE i•equirements should not be applied, MBE/SBE requirements may be �vaived upon wcitten appcoval of the M/�VBE Managec If one of the conditions listed below exists, the contcacting/managing department shall notify the Manager vi� this form, stating the specific reason (s) for t�equestin� 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 Check Applicable Reason: A. 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/WBE or BDE Ordinance, because the public oi• administrative emergency exists which requires lhe goods or services to be provided with unusual immediacy; or X B, MWBE Offce; A waiver of the goal for MBE/SBE subcontracting requirements was requested by the Departrnent and approved by the MWBE Office, in accordance with the M/WB� or BDE Ordinance, because the purchase of goods or services from source(s) where subcontracting 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/WBE or BDE Ordinance, because the application of the provisions of this ordinance will impose an econornic risk on the City or unduly delay acquisition of the goods or services; or D, MWBE Office: A waiver of the goal for MBE/SBE subcontracting requirements was requested by the Depertment and approved by the MWBE Office, in accordance with the M/WBE or BDE Ordinance, because the MWBE Waiver is solicited based on the sole source information provided to the MWBE Offlce by the managing department's project manager. Justify Commodity or Service Waiver Request: Insialletlon of Asphalt pevement repalr on City streals Please use additional sheets, if needed OF`FICE USE ONLY: Approved ❑ Authorized Personnel 0 Date Not Approved Signature of M/WBE Authorized Personnel Date Ray.2.so-13