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Home My WebLink AboutContract 43305-CO2 (2)FORT WORTH. City of Fort Worth Change Order Request Project Name' HMAC Surface Overlay (2012-3) At Various Locations 50/50 Client Project #(s)I City Project No.: 01865 Project Description) HMAC Surface Overlay - 50/50 Street Maintenance CITY SECRETARY CONTRACT NO. DOE: 6813 City Sec # I 43305 Contractor' Advanced Paving Acquistion, LTD I Change Order # I 2 Date 2/28/2013 City Project Mgr.I Kristian Sugrim (817) 392-8902 I City Inspector I Ali Motamed (817) 944-1174 Dept. TPW Water Sewer Totals Contract Time (CD) Original Contract Amount $398,786.23 $266,443.34 $177,628.88 $842,858.45 90 Extras to Date $0.00 $0.00 $0.00 $0.00 5 Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $398,786.23 $266,443.34 $177,628.88 $842,858.45 95 Amount of Proposed Change Order $11,550.12 $0.00 $0.00 $11,550.12 8 Revised Contract Amount $410,336.35 $266,443.34 $177,628.88 $854,408.57 103 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO Additional Funding (if necessary) $0.00 $0.00 $0.00 $11,550.12 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) $11,550.12 1.37% $1,053,573.06 JUSTIFICATION (REASONS) FOR CHANGE ORDER This change order is necessary for the creation a new pay item, (Retaining Wall) on Columbus Ave (S. Dead End - Angle Ave.). Request that 8 Calendar Days (CD) be added to compensate for the completion of the additional added work . '4 G f 'Q0oo0000'404, 0plc 0.�6 o0 0 ' 0 00000- .a h XA►S.o�a OFFICIAL RECORD CITY SECRETARY FT WORTH TX It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and/atisfaction and represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. Contractor's Company Name Advanced Paving Acquistion, LTD Insp ctor/Inspectigin .�1 per is I >O / Assista it y' torney Contractor (Name)I //A.00,„Ire / I ate, A5 -4. 6/4-rxr n // C3//i !3 c Date Project Ma ger/Program Mane) Date 3,%/ 201 3 14' //V" A:pia., `3h t s ,bate tor, Contra ting De artment (Dept) Date, 3.s/-3 � c 2 lin /3 Date t City Manager Date -.1 -13 u .__Z ,L— 3/i9/i3 Council Action (if required) M&C Number Ai/L RECEIVED MAR 19 2013 M&C Date Approved T" �r FORT WORTH. City of Fort Worth Change Order Request Project Name' HMAC Surface Overlay (2012-3) At Various Locations 50/50 Client Project#(s)I City Project No.: 01865 Project Description) HMAC Surface Overlay - 50/50 Street Maintenance Contractor' Advanced Paving Acquistion, LTD City Project Mgr. Kristian Sugrim (817) 392-8902 Dept. TPW Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date !Amount of Proposed Change Order Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) $398,786.23 $0.00 Water DOE: 6813 Change Order # City Inspector C Sewer City Sec # I 43305 2 Ali Motamed $266,443.34 • K $177,628.88 $0.00 —' $0.00 $398,786.23 $266,443.34 $177,628.88 $11,550.12 $0.00 $0.00 $410,336.35 $266,443.34 $177,628.88 $0.00 $0.00 $0.00 $11,550.12 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) JUSTIFICATION (REASONS) FOR CHANGE ORDER This change order is necessary for the creation a new pay item, (Retaining Wall) on Columbus Ave (S. Dead End - Angle Ave.). Request that 8 Calendar Days (CD) be added to compensate for the completion of the additional added work . I") Date Totals $842,858.45 $0.00 $842,858.45 $11,550.12 $854,408.57 $0.00 $11,550.12 2/28/2013 (817) 944-1174 Contract Time (CD) 90 5 95 8 103 1.37% $1,053,573.06 It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord andAatisfaction and represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. ,�` i Contractor's Company Name Advanced Paving Acquistion, LTD Inspector/Inspecti n,gyper isgr Me na 2 / 4Eti Assistant Direct& (Dept) gstistrf City -Attorney Contractor (Name) .'vv`, 6 A I _(= Date i20/ 3 Date Date _ -lq.(3 I !lin�'n Director, Contracting Department (Dept) Assistant City Manager ..w__ L Council Action (if required) tra�1:��0 ture � pate, Gam- 3iz(1:,� Prolgct Manager/Program %anageeffi� // V "(7 / N"'lk� Date Date 3/0//3 M&C Number I I; j/`( .. M&C Date Approved FORT WORTH City of Fort Worth Change Order Request Project Name' HMAC Surface Overlay (2012-3) At Various Locations 50/50 Client Project #(s)I City Project No.: 01865 Project Description HMAC Surface Overlay - 50/50 Street Maintenance Contractor) Advanced Paving Acquistion, LTD City Project Mgr.' 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 Change Order Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) (817) 392-8902 I City Sec # I 43305 DOE: 6813 Change Order # 2 City Inspector I Ali Motamed Date I2/28/2013 (817) 944-1174 TPW Water Sewer Totals $398,786.23 $266,443.34 $177,628.88 $842,858.45 $0.00 $0.00 $0.00 $0.00 $398,786.23 $266,443.34 $177,628.88 $842,858.45 $11,550.12 $0.00 $0.00 $11,550.12 $410,336.35 $266,443.34 $177,628.88 $854,408.57 $0.00 $0.00 $0.00 $0.00 $11,550.12 $11,550.12 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) JUSTIFICATION (REASONS) FOR CHANGE ORDER This change order is necessary for the creation a new pay item, (Retaining Wall) on Columbus Ave (S. Dead End - Angle Ave.). Request that 8 Calendar Days (CD) be added to compensate for the completion of the additional added work . Contract Time (CD) 90 5 95 8 103 1.37% $1,053,573.06 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. Contractor's Company Name Advanced Paving Acquistion, LTD Inspector/Inspection Supervisor /; CA 1 / ik • / r (K_. Assistant Director (Dept) Assistant City Attorney Contractor (Name) Date Date Contract Signature Project Manager/Program Manager Director, Contracting Department (Dept) Date Assistant City Manager Council Action (if required) Date Date Date Date M&C Number I )ii I M&C Date Approved FORT WORTH City of Fort Worth Change Order Additions Project Name HMAC Surface Overlay (2012-3) At Various Locations 50/50 Client Project # J City Project No.: 01865 Project Description Contractor City Project Mgr. HMAC Surface Overlay - 50/50 Street Maintenance Advanced Paving Acquistion, LTD Kristian Sugrim (817) 392-8902 I 1 EM UESCR11' I IUN 31 (New) Retaining VVall (Columbus Ave.) DOE: 6813 I Change Order # 2 City Inspector I Ali Motamed ADDITIONS DEFT I I -NV Uty 29.UU Unit C;Y I City Sec # I 43305 Date I 2/28/2013 (817) 944-1174 Unit Cost I otal $398.26 $11,bbU.12 Change Order Additions Page 1 of 2 TPW $11,550.12 Water $0.00 Sewer $0.00 Sub Total Additions $11,550.12 Change Order Additions Page 2 of 2 FORT WORTH City of Fort Worth Change Order Deletions Project Name J HMAC Surface Overlay (2012-3) At Various Locations 50/50 Client Project # City Project No.: 01865 Project Description HMAC Surface Overlay - 50/50 Street Maintenance DOE: 6813 Contractor Advanced Paving Acquistion, LTD I Change Order # City Project Mgr. Kristian Sugrim (817) 392-8902 2 City Inspector I Ali Motamed I City Sec # I 43305 Date I 2/28/2013 (817) 944-1174 I DELETIONS 1 I EIVI UESC:NIP I ION UEI- I Uty Unit Unit t;ost I otal Change Order Deletions Page 1 of 2 TFVV $0.00 Water $0.00 Sewer $0.00 Sub Total Deletions Change Order Deletions Page 2 of 2 MWBE Sub MWWBE Breakdown for this Change Order 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: HMAC SURFACE OVERLAY (2012-03) PROJECT LIMITS: AT VARIOUS LOCATIONS 50/50 BuySpeed No (T/PW): PO-12-00072287 BuySpeed No (Water): PENDING City Project No: 01865 Original M 8 C approved 05-15-12 C25613 Contract No: CS43305 D.O.E. No: 6813 Attachment to Change Order No: 2 Today's Date: 3/8/13 TOTAL T/PW Water Sewer Original Contract Amount: $ 842,858.45 $ 398,786.23 $ 266,443.34 $ 177,628.88 Extras to Date: $ $ - $ - $ - Credits to Date: $ $ - $ - $ Contract Amount to Date: $ 842,858.45 $ 398,786.23 $ 266,443.34 $ 177,628.88 Amount of Proposed Change Order: $ 11,550.12 $ 11,550.12 $ - $ Revised Contract Amount: $ 854,408.57 $ 410,336.35 $ 266,443.34 $ 177,628.88 Contingency Funds Avail. for Admin. Change Orders: Remaining Funds Available for Change Orders: $ - $ - $ Additional Funding (if necessary): $ 11,550.12 $ 115,520.12 $ Prepared By: Etta Bacy T/PW Construction Services $