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4 City Of Fort Worth
Change Order Request
Facility and Project Sycamore Community Center Renovation City Sec No. 57768
Description:
Funding(FID)No.(s) 34018 0800450 5740010 101655 004580 9999 18020109 City Proj.No. 101655
Contractor: Muckleroy&Falls Change Order# Date: 10/17/2022
City Project Mgr. Alfonzo Meza City Inspector: Lisa—Pyper
Phone Number: 817 392-8274 Phone Number: 817 392-2391
Contract Time
(CD)
Original Contract Amount-------------------------------------------------------------------------------------------------------------------------------- 2,150,000.00 175
Extrasto Date----------------------------------------------------------------------------------------------------------------------------------------------- 0.00 0
Creditsto Date--------------------------------------------------------------------------------------------------------------------------------------------- --To00 0
Pending Change Orders(in M&C Process)--------------------------------------------------------------------------------------------------------- 0.00 0
Contract Cost to Date------------------------------------------------------------------------------------------------------------------------------------- 2,150,000.00 175
Amount of Proposed Change Order------------------------------------------------------------------------------------------------------------------ 49,478.00 0
Revised Contract Amount-------------------------------------------------------------------------------------------------------------------------------- 2,199,478.00 175
Original Funds Available for Change Orders------------------------------------------------------------------------------------------------------ —0—00
Remaining Funds Available for this CO------------------------------------------------------------------------------------------------------------- 0.00
Additional Funding(if necessary)--------------------------------------------------------------------------------------------------------------------- 0.00
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 2.3 %
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) 2,687,500.00
JUSTIFICATION(REASONS)FOR CHANGE ORDER
The purpose of Change Order#1 is to add flowable floor leveler in rooms 101 (lobby)and 124(community room).This change order($49,478.00)increases the
original contract amount($2,150,000.00)for a revised contract amount of$2,199,478.00,a 2.3%increase to the original contract,approved by M&C 21-0120.
It is understood and agreed that the acceptance of this Change Order by the contractor consitutes an accord and satisfaction and represents payment in full(both
tome and money)for all costs armsono out of or nae Order
Contractor's Company Name Contractor Name Contractor Signature Date
Muckleroy&Falls Joshua Rohrer 7odwa�o v Oct 17,2022
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PMD Inspector Date Architecural Services Manager Date
P Oct 17,2022 4, a," Oct 20,2022
PMD Superintendent Date Director/Property Management Department Date
Oct 18,2022 A��.s���s�� Oct 24,2022
Project Manager Date Assistant City Attorney Date
Oct 18,2022 Oct 24,2022
Project Architect Date Assistant City Manager Darte
Oct 19,2022 —— Oct 24,2022
M&C Number N/A M&C Date Approved N/A
Contract Compliance Manager: OFFICIAL RECORD . /J� (S�By signing I acknowledge that I am the person responsible CITY SECRETARY I�
for the monitoring and adminstration of this contract,including Brian R.Glass,AIA
ensuring all performance and reporting requirements. FT.WORTH, TX Architectural Services Manager
Lr.�. I M� Change Order Request
Detailed(with Breakdown of PCOs), Grouped by Each
MUCKLEROY LEROY FALLS Number
Sycamore Community Center Project# 22033 HM&MF Ltd.,d/b/a MUCKLEROY&FALLS
2525 E. Rosedale Street,Fort Worth,TX 76105 Tel: Fax:
Change Order Request: 011 Date: 9/29/2022
To: James Diestel From: Joshua Rohrer
City of Fort Worth HM&MF Ltd.,d/b/a MUCKLEROY&FALLS
401 W 13th St 3200 Riverfront Dr
Fort Worth,TX 76102 Suite 200
Fort Worth,TX 76107
Description Category Status
Floor Leveling in 101 and 124
Reference Required By Days Req Amt Req
Attached 10/6/2022 0 49,478
Notes
PCO No Date Reference Amt Prop Days Req Category Reason
Description Notes
PCO 011 9/29/2022 49,478 0
Floor Leveling in 101 and 124 This PCO includes costs of installing a topping slab over existing slab in
rooms 101 and 124. Below slab foam injection was completed per
plans,but slabs did not reach a fully level state. The cost included in
this PCO is to install a leveling compound on top of slab in order to reach
a fully level state as desired.
This PCO is issued to incorporate the scope of work items as
specifically detailed on the attached cost summary and supporting
documents.This Proposed Change does not include any additional
scope provisions not specifically included herein.If additional costs
become apparent at a later date,or additional information regarding this
scope of work becomes available,we reserve the right to price any
additional cost and/or schedule impacts as they become known.
Item No Item Description Amt Prop Reference
001 Flooring-E&S-Floor Leveling in 101 and 124 44,980
002 Muckleroy and Falls-Overhead at 10% 4,498
Approved By:
Signature
Name Date
Prolog Converge Printed on: 9/29/2022 MuckleroyFallsProlog Page 1
A
9/19/2022
201
Sycamore Community Center
4Di 2525 E.Rosedale St
E & S °, Fort Worth,TX 76105
FLOORING � ""
QUOTE VALID FOR 30 DAYS
Description of Work Bid Amount
UPSTAIRS
SLF Laticrete NXT LEVEL 856 $ 52.22 Bag $44,702
NXT Primer 1 $ 277.78 Bag $278
TOTAL CERAMIC $44,980
Addenda Acknowledged:
Deposit Requirements-
Owner/Architect driven product selections may be custom order items. The manufacturer may require up to a 50%deposit prior to accepting
this order. If contract is accepted,a deposit invoice will be sent for funding and then the order will be released(owner/GC may joint check
this payment to mftr/E&S FLOORING,LLC).
This product may also come with up to 10%overage to be determined by the manufacturer at the time of manufacturing. Any additional
overage not covered in our proposal will be added to our contract by change order.
Includes: Grout Sealer and Waterproofing Membrane
Excludes: Major Floor Prep, Epoxy Thinset and Grout, Backerboard, Floor Scrape,Attic Stock,Shop Drawings, Furniture Moving,Overtime(Nights and
Weekends),Sales Tax
Thank you,
Erik Rouls
214-326-2456
erouls(aD esflooringllc.com