HomeMy WebLinkAboutContract 57453-CO2CSC No. 57453-CO2
FORT WORTH,. City of Fort Worth
— Change Order Request
Project Name 2022 Bridge Rehabilitation Contract 2 City Sec # 57453
Client Project #(s) 103456
Project Description Repair and maintenace of bridges at various locations in the city.
Contractor Gibson & Associates Inc. Change Order # 2 Date 1/23/2023
City Project Mgr. Iretomiwa Otuyelu City Inspector Kevin Jackson
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)
$679,646.60
$679,646.60
180
$10,219.00
$10,219.00
30
$689,865.60
$689,865.60
210
Amount of Proposed Chanqe Order
1 $22,325.00
11
$22.325.00
Original Funds Available for Change Orders
$20,000.00
$20,000.00
Remaining Funds Available for this CO
$9,781.00
$9,781.00
Additional Funding (if necessary)
$12,544.00
$12,544.00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
4.79%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
$849,558.25
JUSTIFICATION (REASONS) FOR CHANGE ORDER
This Change Order is to increase the scope of work and contract amount in Construction Contract 57453.
PM approved to Clean and Paint Existing Structure (#17) of the WB Bridge on Trinity Blvd over Boyd Branch, as well as extra 2.5 CY of Riprap (Stone Protection) for the Bridge
at NW 30TH St over Marine Creek. These extra quantities were not estimated in the original contract but were determined to be necessary during construction.
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
Gibson &Associates, Inc
Trey Meador
I AL-klmde.—.Jan
30, 2023
Inspector/Inspection Supervisor
Date
Project and Contract Compliance Manager
to
;-
Jan 26, 2023
Jan 27, 2023
Progra
Date
Senior Capital Project Officer
Date
o—
Jan 30, 2023
—wo
Jan 30, 2023
Assistant Director (Dept)
Date
Q@Q6jotracting Department (Dept)
Date
Jan 30, 2023
—�
Jan 30, 2023
Assistant City Attorney
Date
Assistant City Manager
Date
Jan 30, 2023
w ,am on,o ,a
Jan 31, 2023
Council A
4 �Quy M&C Number
ortT�paa
ATTEST: 000,
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0leo1 Fo.. d
(I dpo gSd.
Jannette Goodall, City Secretary �Pd Il QEx 4g 4 �o
M&C Date Approved
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FORTWORTH City of Fort Worth
—rl--- Change Order Additions
Project Name 2022 Bridge Rehabilitation Contract 2 City Sec # 57453
Client Project # 103456
Contractor Gibson & Associates Inc. PM Iretomiwa Otuyelu Inspector Kevin Jackson
Change Order Submittal # 0 Date 1/23/2023
ADDITIONS
Foe_ r�RTH City of Fort Worth
Change Order Deletions
Project Name 2022 Bridge Rehabilitation Contract 2 City Sec # 57453
Client Project # 103456
Contractor Gibson & Associates Inc. PM Irelomiwa Otuyelu Inspector Kevin Jackson
Change Order Submittal # 0 Dale 1/23/2023
Change Order Deletions Page 3 of 4
Previous Change Orders
CO # DATE AMOUNT
Total $0.00
FORTWORTH
Routing and Transmittal Slip
Transportation and Public Works
Department
DOCUMENT TITLE: Change Order # 2 — 2022 Bridge Rehabilitation Contract 2
M&C
CPN: 103456 CSO # 57453 DOC# CO2
Date: 0111212023 AE
Department
Initials
Date Out
To:
1. Trey Meador (Contractor)
Gibson & Assoc. Inc
treym.gibsonassoc.net
(a
TT
Jan 30, 2023
2. Kevin Jackson (Inspector)
TPW-Signature
7"_
Jan 26, 2023
3. Iretomiwa Otuyelu (PM)
TPW-Si nature
4—
Jan 27, 2023
4. Omar Elbagalati (PgM)
TPW-Signature—
Jan 30, 2023
5. Leon Wilson (Sr CPO)
TPW-Reviewer
Jan 30, 2023
6. Michael Owen (AD)
TPW-Signature
-
Jan 30, 2023
7. Lauren Prieur (Interim Direct
r) TPW-Signature
Jan 30, 2023
8. Doug Black (ACA)
LAW -Signature
d
Jan 30, 2023
9. William Johnson (ACM)
CMO-Signature
AV
Jan 31, 2023
10. Jannette Goodall (CSO)
CSO-Signature
Feb 1, 2023
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 Required:
❑ 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.