HomeMy WebLinkAboutContract 57552-CO3CSC No. 57252-COl
FORT WORTH,
City of Fort Worth
Change Order Request
Project Name 2022 CONCRETE RESTORATION CONTRACT 1 City Sec # 57252
Client Project #(s) 103445
Project Description] Repair and replacement of concrete pavement, curb & gutter, driveway, and sidewalks.
Contracto Makou Inc Change Order# 1 Date 8/2/2022
City Project Mgr. Iretomiwa Otuyelu City Inspector James Ruiz
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
TPW
Totals
Contract Time
(CD)
$929.690.00
$929,690.00
180
$929,690.00
$929,690.00
180
Amount of Proposed Change order
$0.00
Revised Contract Amount $929,690.00
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%)
$929,690.00
180
$0.00
0.00%
$1,162,112.50
JUSTIFICATION (REASONS) FOR CHANGE ORDER
This Change Order is to increase the scope of work in Construction Contract 57252.
The installation of curb and gutter on Churchill Rd (Rockwood Dr - City Limits) requires adding the new line item #33 to this contract. The change order also provides for the
installation of approximately 1100 SF of driveways along this curb line.
This increase in scope of work can be funded within the existing contract amount.
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)l Contract Signature
Date
MAKOU INC Maqsood Khan
for/Inspection Supervisor
Date
Aug 2, 2022'-
Project and Contract Compliance Manager
Date
Aug 3, 2022
anager
Date
S roject Officer
Date
7sistant
Aug 3, 2022
Aug 3, 2022
irector (Dept)
Date
Director, Contracting Department (Dept)
Date
Ca�e�r �ier�
Aug 3, 2022
Aug 4, 2022
Assistant City Attorney
Date
ity Manager
Date
Aug 8, 2022
Aug 9, 2022
Council Action (if required)
M&C Number
ATTEST: aaW)a&
Jannette S. Goodall (Aug 9, 202210:38 CDT)
Jannette Goodall, City Secretary 44400nny
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M&C Date Approved
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FORTWORTH City of Fort Worth
—— Change Order Additions
Project Name 2022 CONCRETE RESTORATION CONTRACT 1 City Sec # 57252
Client Project # 103445
Contractor Makou Inc PM Iretomiwa Otuyelu Inspector James Ruiz
Change Order Submittal # 0 Date 8/2I2022
ADDITIONS
FoeORTr1 City of Fort Worth
Change Order Deletions
Project Name 2022 CONCRETE RESTORATION CONTRACT 1 City Sec # 57252
Client Project # 103445
-------------
Contractor Makou Inc PM Iretomiwa Otuyelu Inspectorr James Ruiz
Change Order Submittal # 0 Date 8/2/2022
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Change Order Deletions Page 3 of 5
M/SBE for this Change Order
Previous Change Orders
CO # DATE AMOUNT
Total $0.00
FORTWORTH
Routing and Transmittal Slip
Transportation and Public Works
Department
DOCUMENT TITLE: Change Order # 1 — 2022 Concrete Restoration Contract 1
M&C 22-0116
Is] aki =[8IdL9
CSO # 57252
DOC#_C01_
Date: 810212022 FM
Department
Initials
Date Out
To:
1. Magsood Khan (Contractor)
Makou Inc
makouing@_Qmail.com
rk
Mak
Aug 2, 2�22
2. James Ruiz (Inspector)
TPW-Signature
Aug 2, 2022
3. Iretomiwa Otuyelu (PM)
TPW-Si nature
'r
Aug 3, 2022
4. Omar Elbagalati (PgM)
TPW-Reviewer
21
Aug 3, 2022
5. Lane Zarate (Sr CPO)
TPW-Reviewer
_7V_
Aug 3, 2022
6. Lauren Prieur (AD)
TPW-Signature
Z41
Aug 3, 2022
7. William Johnson Director
TPW-Signature
4-
Aug 4, 2022
8. Doug Black (ACA)
LAW -Signature
awn
Aug 8, 2022
9. Dana Burghdoff (ACM)
CMO-Signatures
Aug 9, 2022
10. Jannette Goodall (CSO)
CSO-Signature
Aug 9, 2022
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: ❑ Yes X No
RUSH: ❑ Yes X No SAME DAY: ❑ Yes X No NEXT DAY: ❑ Yes X No
ROUTING TO CSO: ❑ Yes ❑ No
Action Reguired:
❑ As Requested
❑ For Your Information
X Signature/Routing and or Recording
❑ Comment
❑ File
❑ Attach Signature, Initial and Notary Tabs
Return to: Please call Iretomiwa Otuyelu at ext. 6747 for pick up when completed. Thank you.