HomeMy WebLinkAboutContract 43170-CO1 (2)FORT WORTH,.
Project Name'
Client Project #(s)I
City of Fort Worth
Change Order Request
Hot In Place Recycling/HMAC Surface Overlay (2012-02)
City Project No.: 01864 DOE: 6799
Project Description) HMAC Surface Overlay - Street Maintenance
Contractor' Cutler Repaving, Inc.
City Project Mgr.' Kristian Sugrim (817) 392-8902
Enter Department(s) to the Right and
Contract Day Type
Original Contract Amount $1,110,038.90
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $1,110,038.90
!Amount of Proposed Change Order
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO $0.00
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
Change Order #
TY SECRETARY
C,ONTRACTNO. c
I City Sec # I 43170
1 I Date I 8/4/2012
City Inspector I David W. Bowers
TPW
$0.00
$1,110,038.90
(817) 350-3522
Totals
$1,110,038.90
$1,110,038.90
$1,110,038.90
$0.00
0.00%
$1,387,548.63
Contract Time
(CD)
80
80
45
125
JUSTIFICATION (REASONS) FOR CHANGE ORDER
This change order is being submitted to request the addition of a new line item, 13 eight inches Reinforced Concrete Bus Pads on Boca Raton
Blvd. (Woodhaven Blvd - E. Loop 820). Additionally, 45 Calendar Days (CD) is being requested to complete the added work.
47
Attested by. �� o°°°"$0���� OFFICIAL RECORD
a)4IP .4 / CITY SECRETARY
Ka set po Q� FT. WORTH,TX
MaryJ. J y��Cty
°oo
It is understood and agreed that the acceptance of this Change kirtebcontractor 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
Cutler Repaving, Inc.
Inspector/Ins ectioq/S,pervisgr
,4),7
M&C Number I n// 4
Date ��Asy;0l):,Y�y Manager
q
Council Action (if required)
M&C Date Approved
Contractor (Name) Contract Sign�tuurre/
Q 4i G►''d f/zey
, pate
Date Project Mang, er/Program Manacier , Date
ho(-ICE • /AJ 141 c6l12.
Date lektor, C9ptrac g Departmen (Dept) Date CJf_
0 . c 0/l6/i z 6
% .
ate,,
g /Z///4
CicicA I 4., of
kFORT WORTH,, City of Fort Worth
Change Order Request
Project Name' Hot In Place Recycling/HMAC Surface Overlay (2012-02) 1 City Sec # I 43170
Client Project #(s)I City Project No.: 01864 DOE: 6799
Project Description) HMAC Surface Overlay - Street Maintenance
Contractor' Cutler Repaving, Inc.
City Project Mgr.' Kristian Sugrim (817) 392-8902
Enter Department(s) to the Right and
Contract Day Type
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Change Order # I 1 I Date I 8/4/2012
City Inspector I David W. Bowers (817) 350-3522
TPW Totals
$1,110,038.90 $1,110,038.90
Contract Cost to Date $1,110,038.90 $1,110,038.90
!Amount of Proposed Change Order $0.00
Revised Contract Amount $1,110,038.90 $1,110,038.90
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 MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) I $1,387,548.63
0.00%
JUSTIFICATION (REASONS) FOR CHANGE ORDER
This change order is being submitted to request the addition of a new line item, 13 eight inches Reinforced Concrete Bus Pads on Boca Raton
Blvd. (Woodhaven Blvd - E. Loop 820). Additionally, 45 Calendar Days (CD) is being requested to complete the added work.
Contract Time
(CD)
80
80
45
125
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
Cutler Repaving, Inc.
Inspector/Inspection 6petvis r,
/9 ifei4,4=—
Assistant Director? (Dept
Assistant afi Attorney
M&C Number A// A.
Contractor (Name)e
f 77 Gl ,rC>Li�l"-
Contract Signature
Date
/i0//2
LDate Project Man er/Program Manager„ 1>>:11;
Date Dire tor, Contracting Departmen (Dept) Date tJ4
i -/ -7-/2i ,,, C-J • LJ c,,-- h //L/ z
Z .1 L " anager d ---" g/.2/
41
it
te
(Ok
Council Action (if required)
M&C Date Approved
' -FORT WORTH.
City of Fort Worth
Change Order Request
Project Name Hot In Place Recycling/HMAC Surface Overlay (2012-02)
Client Project #(s)I City Project No.: 01864
Project Description) HMAC Surface Overlay - Street Maintenance
Contractor Cutler Repaving, Inc.
City Project Mgr.' Kristian Sugrim
Enter Department(s) to the Right and
Contract Day Type
Original Contract Amount $1,110,038.90
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $1,110,038.90
!Amount of Proposed Change Order
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
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 being submitted to request the addition of a new line item, 13 eight inches Reinforced Concrete Bus Pads on Boca Raton
Blvd. (Woodhaven Blvd - E. Loop 820). Additionally, 45 Calendar Days (CD) is being requested to complete the added work.
(817) 392-8902
DOE: 6799
Change Order # I 1
Col/A( NI- of
/I. I(..((
City Sec # I 43170
City Inspector I David W. Bowers
Date I 8/4/2012
(817) 350-3522
TPW
$1,110,038.90
$1,110,038.90
$0.00
$1,110,038.90
$0.00
Totals
$1,110,038.90
$0.00
0.00%
$1,387,548.63
Contract Time
(CD)
80
80
45
125
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
Cutler Repaving, Inc.
Inspector/Inspectiop Gpervisor
Assistant Director' (Dept)
Assistant;City ,4ttorney
Contractor (Name)
Contract Signature
Date Project Manager/Program Manager.
t lttl ot.r;;f'.,,,n,
Date Director, Contracting Department (Dept)
Date AssistantC1tyManager
21.1 1--
Council Action (if required)
Date
Date
Date
‘,k
44
M&C Number I
M&C Date Approved I
FORT WORTH, City of Fort Worth
Change Order Request
Project Namel Hot In Place Recycling/HMAC Surface Overlay (2012-02)
Client Project #(s)I City Project No.: 01864 DOE: 6799
Project Description) HMAC Surface Overlay - Street Maintenance
Contractor) Cutler Repaving, Inc.
City Project Mgr.' Kristian Sugrim (817) 392-8902
Enter Department(s) to the Right and
Contract Day Type
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)
I City Sec # I 43170
Change Order # I 1 I Date I 8/4/2012
City Inspector I David W. Bowers (817) 350-3522
TPW
$1,110,038.90
$1,110,038.90
$0.00
$1,110,038.90
$0.00
Totals Contract Time
(CD)
$1,110,038.90 80
$1,110,038.90 80
45
$1,110,038.90 125
$0.00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.00% I
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) I $1,387,548.63
JUSTIFICATION (REASONS) FOR CHANGE ORDER
This change order is being submitted to request the addition of a new line item, 13 eight inches Reinforced Concrete Bus Pads on Boca Raton
Blvd. (Woodhaven Blvd - E. Loop 820). Additionally, 45 Calendar Days (CD) is being requested to complete the added work.
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
Cutler Repaving, Inc.
Inspector/Inspection Supervisor
Assistant Director (Dept)
Assistant City Attorney
Contractor (Name)
Date
Date
Date
Contract Signature
Project Manager/Program Manager
Director, Contracting Department (Dept)
Assistant City Manager
Date
Date
Date
Date
Council Action (if required)
M&C Number
M&C Date Approved
FORT WORTH
City of Fort Worth
Change Order Additions
Project Name I Hot In Place Recycling/HMAC Surface Overlay (2012-02)
Client Project # I City Project No.: 01864
Project Description
Contractor
City Project Mgr.
HMAC Surface Overlay - Street Maintenance
Cutler Repaving, Inc.
Kristian Sugrim
ITEM
28 (New) 8" Concrete bus Pads
UES(:FUP I IUN
(817) 392-8902
DOE: 6799
I Change Order #
1
City Inspector I David W. Bowers
ADDITIONS
ULP l
I PO/
Uty Unit
YbU.UU SY
City Sec # I 43170
Date I 8/4/2012
(817) 350-3522
unit Uost 1 otal
$12U.b9 $114,bbb.bU
Change Order Additions Page 1 of 2
TPW $114,655.50
Sub Total Additions $114,655.50
Change Order Additions Page 2 of 2
FORT WORTH City of Fort Worth
Change Order Deletions
Project Name I Hot In Place Recycling/HMAC Surface Overlay (2012-02)
Client Project # I City Project No.: 01864 DOE: 6799
Project Description HMAC Surface Overlay - Street Maintenance
Contractor Cutler Repaving, Inc. I Change Order #
City Project Mgr. Kristian Sugrim (817) 392-8902
11E141
8 (Uec) Unclassified Excavation
10 (Dec) Asphalt Base Repair
11 (Dec) 1" Hot In Place Recycling
13 (Dec) Flex Base Type "A"
14 (Dec) 1" Asphalt Type "D"
15 (Dec) Asphalt Pavement Level Up
16 (Dec) 6" Concrete Pavement (2:27)
UESCKIP I IUN
DELETIONS
1
I City Sec # I 43170
Date I 8/4/2012
City Inspector I David W. Bowers (817) 350-3522
UEP I t�ty Unit Unit Cost I otal
I PVV SU.UU UY $24.UU $ti,000.UU
TPW 165.00 CY $190.00 $31,350.00
TPW 4,083.79 SY $2.40 $9,801.1D
TPW 799.00 SY $9.00 $7,19T.00
TPW 234.00 TN $85.40 $19,983.8U
TPW 191.00 TN $89.00 - -- $T6,999-00
TPW 799.00 SY $29.20 $23,33U.8U
Change Order Deletions Page 1 of 2
TPW $114,655.50
Sub Total Deletions $114,655.50
Change Order Deletions Page 2 of 2
MWBE Sub
MBE 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: Hot In -Place Recycling 2012-2
BuySpeed No (T/PW): PO-12-00071712
BuySpeed No (Water): N/A
City Project No: 01864
Contract No: CS43170 Original M & C approved 04-17-12, C-25566
D.O.E. No: 6799
Attachment to Change Order No: 1
Today's Date: 8/8/12
TOTAL
Original Contract Amount: $ 1,110,038.90
Extras to Date: $
Credits to Date: $
Contract Amount to Date: $ 1,110,038.90
Amount of Proposed Change Order: TIME ONLY
Revised Contract Amount: $ 1,110,038.90
Contingency Funds Avail. for Admin. Change Orders:
Remaining Funds Available for Change Orders:
Additional Funding (if necessary):
Original Days: 80
Additional Time Requested CO#1: 45
Total Days: 125
$
$
$
Prepared By: Christy Ezernack T/PW Construction Services