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Contract 57313-CO3
CSC No. 57313-1 Fox_ T�WIo� ,., City of Fort Worth Change Order Request Project Name 2021 Street Rehabilitaiton City Sec # 57313 Client Project #(s) 103609 Project Description] Pulverization of existing street and 4 inch asphalt overlay at various locations Contractor Texas Bit Change Order # 3 Date 1/3/2023 City Project Mgr. I Tariqul Islam City Inspector Sergio Garcia Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date Ti Contract Contract Time (CD) $2,067,672.76 $2,067,672.76 160 $10,237.25 $10,237.25 30 $2,077,910.01 $2,077,910.01 190 Amount of Proposed Change Order $0.00 30 Revised Contract Amount $2,077,910.01 Original Funds Available for Change Orders $82,000.00 Remaining Funds Available for this CO $71,762.75 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $2,077,910.01 220 $82,000.00 $71,762.75 0.50% $2,584,590.95 JUSTIFICATION (REASONS) FOR CHANGE ORDER This change order is to add $0 and 30 calendar days to contract #57313 with a revised contract amount of $2,077,910.01. During construction on Garden Acres Dr it is identified that driveway approaches of a trucking company located on this street needs special base treatment and asphalt paving for heavy truck traffic. To eliminate drainage issue at these drive approaches, a 10" thick concrete valley gutter with sub base is also proposed to install. As the trucking company can't close driveway for their operation, a temporary drive approach is proposed to be installed to facilitate construction which would be removed and make the area back to original after completing the construction. For pavement marking, 4-inch-wide solid and skip lines are proposed to add to this contract as these items were not originally included. The contractor's quote to accomplish the additional work was reviewed by staff and found reasonable for such a labor-intensive work in a confined area. To cover the cost of additional work, a portion of construction allowance has been deleted. For the added scope of work 30 days are proposed to add to the contract. 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 Name Contractor (Name) Contract Signature Date Texas Bit Jamie Greenway Jan 5, 2023 Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date u Jan 4, 2023 *r a Jan 4, 2023 Program manager Date Sem rolec fficer Date Jan 5, 2023 Jan 5, 2023 Assistant Director (Dept) Date nirartnr rnntractin Denrtmant mantl Date Jan 5, 2023 Jan 5, 2023 Assistant City Attorney Date Assistant City Man Date Jan 6, 2023 Jan 9, 2023 Council Action (if required) ATTEST: sannRtrAs aooea0 Jannette Goodall, City Secretary M&C Number I M&C Date Approved 0 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FORTWORTH City of Fort Worth Change Order Additions Project Name 2021 Street Rehabilitation City Sec # 67313 ### Client Project# 103609 Contractor Texas Bit PM Tariqul Islam Inspector Sergio Garcia Texas Bit 0 Date 11312023 ADDITIONS r • r , .. , ' rlr-MMRA rbbTiTi7rIrI , . r r MEELZ ;I:.rlrl r r rrrrrrrr ®�� rr r rrrrrrrr ��� rr 4" Solid Yellow Center Line r•- rrrrrrrr ��� rr: r �4Solid White Edge Linerrrrrrrr����'IrLIr] Change Order Additions Page 2 of 4 FORT, WORTH City of Fort Worth Change Order Deletions Project Name 2021 Street Rehabilitation City Sec # 57313 ### Client Project # 103609 Contractorl Texas Bit PM Tariqul Islam Inspector Sergio Garcia Texas Bit 0 Date 1/3/2023 DELETIONS Change Order Deletions Page 3 of 4 Previous Change Orders CO # DATE AMOUNT Total $0.00 Q XAS A CRH COMPANY PROPOSED CHANGE ORDER # 3 - REV3 PROJECT: 381315 - 2021 Street Rehab (Garden Acres Drive) DATE: December 19, 2022 Attn: TariqulIslam DESCRIPTION OF CHANGE AND/OR EXTRA WORK: UNIT kDD: Description Quantity Unit PRICE AMOUN" 16 3123.0101 Unclassified Excavation -to facilitate installation of Temporary Asphalt Driveway 12 CY $ 65.80 $ 789.60 NEW42 Install 10" Type B HMAC base for temporary driveway. 336.00 SF $ 36.00 $ 12,096.00 NEW43 Remove 10" concrete at two (2) driveways; haul off and dispose. 410 SF $ 11.50 $ 4,715.00 NEW44 Remove asphalt transition at two (2) driveways; haul off and dispose. 510 SF $ 12.00 $ 6,120.00 16 3123.0101 Unclassified Excavation - Overexcavate for flex base and additional depth concrete. 60 CY $ 65.80 $ 3,948.00 30 Install 8" flex base into two (2) driveway transtions. 26.14 CY $ 140.75 $ 3,679.21 NEW46 Pour 10" thick valley gutter at two (2) driveways using high early strength redi-mix concrete. 103 SY $ 245.25 $ 25,260.75 NEW47 Remove temporary asphalt driveway and backfill with 9" topsoil and Bermuda sod. 336 SF $ 23.90 $ 8,030.40 29 9" Topsoil 10.27 CY $ 54.10 $ 555.61 17 Bermuda Sod 37.33 SY $ 13.00 $ 485.29 NEW 4" Solid White Skip Lines 70 LF $ 1.90 $ 133.00 NEW 4" Solid Yellow Center Line 6,094 LF $ 1.15 $ 7,008.10 NEW 4" Solid White Edge Line 4,526 LF $ 1.15 $ 5,204.90 Additional time added to contract: 30 DAYS Change Order Add $ 78,025.85 Add 30 Days Total Change Order Amount = $ 78,025.85 All other items and conditions of our contract with you remain the same and this order is made a part thereof. Kindly signify your acceptance and approval of this agreement by signing and returning to us the enclosed copy. ACCEPTED BY OWNER: Submitted By: By: Date: By: Texas Bit Texas Materials Group, Inc- a CRH Company Russell A. Harris Commercial Estimator (214) 741-3531 Voice (469) 510-6655 Cell 103609-CNCO-2021 Street Rehabilitation, CO 3 Final Audit Report 2023-01-05 Created: 2023-01-04 By: Andrea Munoz (And rea.M u noz@fortworthtexas.gov) Status: Canceled / Declined Transaction ID: CBJCHBCAABAAjsZ1mB8Nglr1fAuOuwJNyaP9878oumDw "103609-CNCO-2021 Street Rehabilitation, CO 3" History Document created by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) 2023-01-04 - 0:41:13 AM GMT- IP address: 204.10.90.100 Document emailed to Valentina.Riera@fortworthtexas.gov for filling 2023-01-04 - 3:15:31 PM GMT Document emailed to jamie.greenway@texasbit.com for signature 2023-01-04 - 3:15:31 PM GMT Document emailed to sergio.garciapedroza@fortworthtexas.gov for signature 2023-01-04 - 3:15:31 PM GMT Document emailed to Tariqul.Islam@fortworthtexas.gov for signature 2023-01-04 - 3:15:32 PM GMT Email viewed by Tariqul.Islam@fortworthtexas.gov 2023-01-04 - 3:17:13 PM GMT- IP address: 204.10.90.100 Email viewed by Valentina.Riera@fortworthtexas.gov 2023-01-04 - 3:17:36 PM GMT- IP address: 204.10.90.100 -, Signer Tariqul.Islam@fortworthtexas.gov entered name at signing as Tariqul Islam 2023-01-04 - 3:18:18 PM GMT- IP address: 204.10.90.100 -`; Document e-signed by Tariqul Islam (Tariqul.Islam@fortworthtexas.gov) Signature Date: 2023-01-04 - 3:18:20 PM GMT - Time Source: server- IP address: 204.10.90.100 Email viewed by sergio.garciapedroza@fortworthtexas.gov 2023-01-04 - 3:39:45 PM GMT- IP address: 107.77.196.183 Signer sergio.garciapedroza@fortworthtexas.gov entered name at signing as Sergio Garcia Pedroza 2023-01-04 - 3:40:37 PM GMT- IP address: 107.77.196.183 FORTW❑RTHg I Pave "Y Adobe Acrobat Sign Document e-signed by Sergio Garcia Pedroza (sergio.garciapedroza@fortworthtexas.gov) Signature Date: 2023-01-04 - 3:40:39 PM GMT - Time Source: server- IP address: 107.77.196.183 Signer Valentina.Riera@fortworthtexas.gov entered name at signing as Valentina Riera 2023-01-04 - 5:02:01 PM GMT- IP address: 204.10.90.100 Form filled by Valentina Riera (Valentina.Riera@fortworthtexas.gov) Form filling Date: 2023-01-04 - 5:02:03 PM GMT - Time Source: server- IP address: 204.10.90.100 Email viewed by jamie.greenway@texasbit.com 2023-01-04 - 10:39:52 PM GMT- IP address: 146.75.164.0 Signer jamie.greenway@texasbit.com entered name at signing as Jamie Greenway 2023-01-05 - 2:42:35 PM GMT- IP address: 40.128.134.166 6© Document e-signed by Jamie Greenway Qamie.greenway@texasbit.com) Signature Date: 2023-01-05 - 2:42:37 PM GMT - Time Source: server- IP address: 40.128.134.166 Document emailed to omar.elbagalati@fortworthtexas.gov for signature 2023-01-05 - 2:42:39 PM GMT Email viewed by omar.elbagalati@fortworthtexas.gov 2023-01-05 - 3:47:13 PM GMT- IP address: 107.115.171.109 G�© Signer omar.elbagalati@fortworthtexas.gov entered name at signing as Omar Elbagalati 2023-01-05 - 3:48:00 PM GMT- IP address: 107.115.171.109 6© Document e-signed by Omar Elbagalati (omar.elbagalati@fortworthtexas.gov) Signature Date: 2023-01-05 - 3:48:02 PM GMT - Time Source: server- IP address: 107.115.171.109 C'.► Document emailed to Leon.WiIson@fortworthtexas.gov for signature 2023-01-05 - 3:48:05 PM GMT Email viewed by Leon.Wilson@fortworthtexas.gov 2023-01-05 - 3:58:57 PM GMT- IP address: 204.10.90.100 Signer Leon.Wilson@fortworthtexas.gov entered name at signing as Leon Wilson, Jr. 2023-01-05 - 4:00:14 PM GMT- IP address: 204.10.90.100 Document e-signed by Leon Wilson, Jr.(Leon.Wilson@fortworthtexas.gov) Signature Date: 2023-01-05 - 4:00:16 PM GMT - Time Source: server- IP address: 204.10.90.100 Document emailed to Michael.Owen@fortworthtexas.gov for signature 2023-01-05 - 4:00:19 PM GMT Email viewed by Michael.Owen@fortworthtexas.gov 2023-01-05 - 4:45:56 PM GMT- IP address: 204.10.90.100 FORTW❑RTHg I P—m4by Adobe Acrobat Sign Signer Michael.Owen@fortworthtexas.gov entered name at signing as Michael Owen 2023-01-05 - 4:47:20 PM GMT- IP address: 204.10.90.100 Document e-signed by Michael Owen (Michael.Owen@fortworthtexas.gov) Signature Date: 2023-01-05 - 4:47:22 PM GMT - Time Source: server- IP address: 204.10.90.100 Document emailed to Lauren.Prieur@fortworthtexas.gov for signature 2023-01-05 - 4:47:25 PM GMT Email viewed by Lauren.Prieur@fortworthtexas.gov 2023-01-05 - 4:50:29 PM GMT- IP address: 108.209.194.42 Signer Lauren.Prieur@fortworthtexas.gov entered name at signing as Lauren Prieur 2023-01-05 - 4:50:54 PM GMT- IP address: 108.209.194.42 6© Document e-signed by Lauren Prieur (Lauren.Prieur@fortworthtexas.gov) Signature Date: 2023-01-05 - 4:50:56 PM GMT - Time Source: server- IP address: 108.209.194.42 124 Document emailed to Priscilla.Ramirez@fortworthtexas.gov for approval 2023-01-05 - 4:50:58 PM GMT Email viewed by Priscilla.Ramirez@fortworthtexas.gov 2023-01-05 - 7:19:04 PM GMT- IP address: 97.99.130.152 p Document canceled by Andrea Munoz (Andrea. M u noz@fortworthtexas.gov) 2023-01-05 - 7:21:19 PM GMT- IP address: 204.10.90.100 FORTW❑RTHg I Pawe"edby Adobe Acrobat Sign FORTWORTH, fi Routing and Transmittal Slip Transportation and Public Works Department DOCUMENT TITLE: 2021 Street Rehabilitation, CO 3 M&C CPN 103609 CSO # 57313 DOC# DATE: 1/3/2023 INITIALS DATE OUT To:Alexiz Ramirez/Valentina Riera Jan 4, 2023 1. Texas Bit IN Jan 5, 2023 2 3.Sergio Garcia (Inspector) sue_ Jan 4, 2023 4.Tariqul Islam (PM) T. Jan 4, 2023 Omar Elba alati (PGM) OE Jan 5, 2023 Leon Wilson (interim P Jan 5, 2023 7. Michael Owen Interim AD) MO Jan 5, 2023 w Jan 5, 2023 Lauren Prmeur (Interim Director) Jan 6, 2023 9 Jeremy Anato-Mensah (ACA) 10. William Johnson (ACM) W, Jan 9, 2023 11, Jannette Goodall (CS) Jan 9 2023 i JSG SG DOCUMENTS FOR CITY MANAGER'S SIGNTURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: U Yes ❑✓ No RUSH: ❑ ❑✓ ROUTING TO CSO: Action Required: ❑ As Requested ❑ Yes ❑✓ No NEXT DAY: []Yes CJ No ❑✓ Yes ❑ No ❑ Attach Signature, Initial and Notary Ta ■ Signature/Routing and or Recording ❑ Comment ❑ File Return to: Please call at ext. for pick up when completed. Thank you.