HomeMy WebLinkAboutContract 55381-CO2 CSC No.55381-CO2
FORT WORTH. City of Fort Worth
Change Order Request
Project Name 2021 Concrete Rehabilitation Unit Price Contract(Task Order 4) City Sec# 55381
Client Project#(s) 102884
Project Description Removal and replacement of concrete curb&gutter,sidewalks,ADA ramps,and driveways at Elizabeth Blvd.
Contractor Makou Inc. Change Order# 2 Date 61612022
City Project Mgr. Iretomiwa Otuyelu City Inspector Brian McGill
Contract Time
Dept. TPW Totals (CD)
Original Contract Amount $467,533.7 $$467,533.74 120
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $467,533.74 $467,533.74 120
Go to ADD&DEL Tabs to Enter CO Backup $0.00 20
Revised Contract Amount $467,533.74 $467,533.74 140
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0.00%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $584,417.18
JUSTIFICATION(REASONS)FOR CHANGE ORDER
This Change Order is to increase the number of days in this Construction Contract 55381 for additional work added to Task Order#4.
During construction staff found adjacent poor condition flat work on Willing Avenue that was in need of repair and could be fixed within the existing task order amount.The
additional work was added after the original scope of Task Order#4 was completed,therefore additional time was needed to complete the work.
The project documentation shows that 5 days were needed for administration of the new scope and 15 days were needed to construct:approximately 3400 SF of sidewalks,
180 SF of driveway,65 LF of Curb&Gutter,and 3 ramps.
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 Nam Contractor(Name) Contra Date
MAKOU Inc IMaClsood khan a 7,,,o,,,a77n Jul 2,2022
Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date
= Jul 5,2022 < Jul 5, 2022
Program Manager Date Senior Capital Project Officer Date
Jul 5,2022 Jul 5, 2022
Assistant Director(Dept) All Date Director,Contracting Department(Dept) Date
1,11 Jul 5, 2022 - Jul 5, 2022
Assistant City Attorney Date Assistant City Manager Date
ls=.z�z Jul 5,2022 N„„� Jul 5, 2022
Council Action(if required)
M&C Number M&C Date Approved
ATTEST: d4�oun
�'`�ss(J 6,2022 1`3:11 Cp ba4 FORr��a
0o °°°°°° o
��o°°° °00 0, OFFICIAL RECORD
Jannette Goodall,City Secretary pro ep��d
Pao ° CITY SECRETARY
P.
s=d
d o*�d FT.WORTH,TX
° d
°0000000 GY
(Iatt nEXAsopp
FORTWORTH City of Fort Worth
I---- Change Order Additions
Project Name 2021 Concrete Rehabilitation Unit Price Contract(Task Order 4) City Sec# 55381
Cl ient Project# 102884
Contractor Makou Inc. PM Iretomiwa Otuyelu Inspector Bran McGill
Change Order Submittal# O2 Date 6/0/2022
ADDITIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
TPW S0.00
Sub Total Additions S .
Change Order Additions Page 2 of 4
FOR_ T�H City of Fort Worth
Change Order Deletions
Project Name 2021 Concrete Rehabilitation Unit Price Contract(Task Order 4) City Sec# 55381
Client Project# 102884
Contractor Makou Inc. PM Iretomiwa Otuyelu inspectorF Brian McGill
Change Order Submittal# O2 Date 6/6/2022
DELETIONS
ty Unit unit Uost I ota
TPW 50.00
Sub Total Deletions S .
Change Order Deletions Page 3 of 4
M/SBE for this Change Order
M/SBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
co# DATE AMOUNT
Total $0.00
102884-CNCO-CO# 2 — 2021 Concrete Rehab
U (Elizabeth Blvd from 8th Ave to S Adam St)
Final Audit Report 2022-07-11
Created: 2022-07-01
By: Andrea Munoz(Andrea.Munoz@fortworthtexas.gov)
Status: Canceled/Declined
Transaction ID: CBJCHBCAABAAkmsjUCCFRmsgFb2HDLLhGAs5l8TFC66k
"102884-CNCO-CO# 2 - 2021 Concrete Rehab U (Elizabeth Blv
d from 8th Ave to S Adam St)" History
Document created by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov)
2022-07-01 -11:35:10 PM GMT-IP address:209.194.29.100
Document emailed to makouinc@gmail.com for signature
2022-07-01 -11:37:01 PM GMT
Email viewed by makouinc@gmail.com
2022-07-01 -11:37:06 PM GMT-IP address:74.125.214.110
Email viewed by makouinc@gmail.com
2022-07-02-11:43:46 PM GMT-IP address:74.125.214.110
,Op Document e-signed by Maqsood khan (makouinc@gmail.com)
Signature Date:2022-07-02-11:47:56 PM GMT-Time Source:server-IP address: 172.56.6.17
Document emailed to Brian.McGill@fortworthtexas.gov for signature
2022-07-02-11:47:58 PM GMT
Email viewed by Brian.McGill@fortworthtexas.gov
2022-07-05-12:28:53 PM GMT-IP address:209.194.29.100
6,"" Document e-signed by Brian McGill (Brian.McGill@fortworthtexas.gov)
Signature Date:2022-07-05-12:29:42 PM GMT-Time Source:server-IP address:209.194.29.100
Document emailed to Iretomiwa.Otuyelu@fortworthtexas.gov for signature
2022-07-05-12:29:45 PM GMT
Email viewed by Iretomiwa.Otuyelu@fortworthtexas.gov
2022-07-05-2:06:05 PM GMT-IP address:76.233.71.48
FoR OR I H•a 4_1 Eo ev
Adobe Sign
tJa Document e-signed by Iretomiwa Otuyelu (Iretomiwa.Otuyelu@fortworthtexas.gov)
Signature Date:2022-07-05-2:07:00 PM GMT-Time Source:server-IP address:76.233.71.48
Document emailed to omar.elbagalati@fortworthtexas.gov for signature
2022-07-05-2:07:02 PM GMT
Email viewed by omar.elbagalati@fortworthtexas.gov
2022-07-05-2:49:17 PM GMT-IP address:47.185.62.153
Document e-signed by Omar Elbagalati (omar.elbagalati@fortworthtexas.gov)
Signature Date:2022-07-05-2:55:22 PM GMT-Time Source:server-IP address:47.185.62.153
Document emailed to Lane.Zarate@fortworthtexas.gov for signature
2022-07-05-2:55:25 PM GMT
Email viewed by Lane.Zarate@fortworthtexas.gov
2022-07-05-3:00:02 PM GMT-IP address: 166.137.115.55
�a Document e-signed by Lane zarate (Lane.Zarate@fortworthtexas.gov)
Signature Date:2022-07-05-3:01:44 PM GMT-Time Source:server-IP address: 166.137.115.55
Document emailed to Lauren.Prieur@fortworthtexas.gov for signature
2022-07-05-3:01:46 PM GMT
Email viewed by Lauren.Prieur@fortworthtexas.gov
2022-07-05-4:08:17 PM GMT-IP address: 108.209.194.42
zG Document e-signed by Lauren Prieur(Lauren.Prieur@fortworthtexas.gov)
Signature Date:2022-07-05-4:09:04 PM GMT-Time Source:server-IP address: 108.209.194.42
Document emailed to William.Johnson@fortworthtexas.gov for signature
2022-07-05-4:09:07 PM GMT
Email viewed by William.Johnson@fortworthtexas.gov
2022-07-05-8:28:49 PM GMT-IP address: 172.225.16.32
Document e-signed by William Johnson (William.Johnson@fortworthtexas.gov)
Signature Date:2022-07-05-8:29:19 PM GMT-Time Source:server-IP address: 166.137.115.35
Document emailed to Priscilla Ramirez (Priscilla.Ramirez@fortworthtexas.gov) for approval
2022-07-05-8:29:21 PM GMT
Email viewed by Priscilla Ramirez (Priscilla.Ramirez@fortworthtexas.gov)
2022-07-05-9:21:57 PM GMT-IP address:209.194.29.100
�a Document approved by Priscilla Ramirez (Priscilla.Ramirez@fortworthtexas.gov)
Approval Date:2022-07-05-9:22:23 PM GMT-Time Source:server-IP address:209.194.29.100
FoR OR I H•a 4=R Eo ev
Adobe Sign
124 Document emailed to Douglas.Black@fortworthtexas.gov for signature
2022-07-05-9:22:25 PM GMT
Email viewed by Douglas.Black@fortworthtexas.gov
2022-07-05-9:32:50 PM GMT-IP address:209.194.29.100
Document e-signed by DBlack(Douglas.Black@fortworthtexas.gov)
Signature Date:2022-07-05-9:34:05 PM GMT-Time Source:server-IP address:209.194.29.100
Document emailed to Dana Burghdoff(Dana.Burghdoff@fortworthtexas.gov) for signature
2022-07-05-9:34:08 PM GMT
Email viewed by Dana Burghdoff(Dana.Burghdoff@fortworthtexas.gov)
2022-07-05-10:36:08 PM GMT-IP address:209.194.29.100
tJa Document e-signed by Dana Burghdoff(Dana.Burghdoff@fortworthtexas.gov)
Signature Date:2022-07-05-10:36:16 PM GMT-Time Source:server-IP address:209.194.29.100
Document emailed to Allison Tidwell (allison.tidwell@fortworthtexas.gov) for approval
2022-07-05-10:36:19 PM GMT
Email viewed by Allison Tidwell (allison.tidwell@fortworthtexas.gov)
2022-07-06-5:07:15 PM GMT-IP address:209.194.29.100
Document approved by Allison Tidwell (allison.tidwell@fortworthtexas.gov)
Approval Date:2022-07-06-5:07:21 PM GMT-Time Source:server-IP address:209.194.29.100
Document emailed to jannette.goodall@fortworthtexas.gov for signature
2022-07-06-5:07:23 PM GMT
Email viewed byjannette.goodall@fortworthtexas.gov
2022-07-06-6:11:22 PM GMT-IP address:209.194.29.100
�a Document e-signed by Jannette S. Goodall Qannette.goodall@fortworthtexas.gov)
Signature Date:2022-07-06-6:11:43 PM GMT-Time Source:server-IP address:209.194.29.100
Document emailed to Vania Soto (Vania.Soto@fortworthtexas.gov) for filling
2022-07-06-6:11:45 PM GMT
Email viewed by Vania Soto (Van ia.Soto@fortworthtexas.gov)
2022-07-08-7:22:45 PM GMT-IP address:209.194.29.100
Email viewed by Vania Soto (Van ia.Soto@fortworthtexas.gov)
2022-07-11 -4:25:37 PM GMT-IP address:209.194.29.100
q Document canceled by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov)
2022-07-11 -7:37:32 PM GMT-IP address:209.194.29.100
FoR OR I H•a 4=R Eo ev
Adobe Sign