HomeMy WebLinkAboutContract 43041-CO3� /��z
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FORT �OR'I'H City of Fort Worth '�'y�' ��c��'�R� (� � L-� ,(' ,-�
Change Order Request C���� ���
Project Name North Beach Street from Timberland to Keller-Hicks City Sec # 43041
Client Project #(s) 01291
Project Description
4-lane divided arterial street from Timberlantl Blvd. to Keller-Hicks Roatl
Contractor JLB Contracting, LLC
City Project Mgr. Michael Weiss, P.E.
Dept. � TPW
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
t�o �o i+,l )I > 8�. i�i �.I_ 1,,u:, to Enter CO f.��cl.�.��,
Revisetl Contract Amount
Original Funds Available for Change Ortlers
Remaining Funtls Available for this CO
Additional Funding (if necessary)
$190,565.00
$0.00
3,910,072.16
$48,000.00
1,958,072.16
$280,492.84
$89,927.84
Change Order # � Date 11 /15/2012
City Inspector Joe Rogers
Sewer
Water
2,197,850.20
$0.00
$199,571.10
1,998,279.10
$0.00
1,998,279.10
$199,571.10
$3,488.50
$0.00
114,272.34
CHANGE ORDERS to DATE (INCLUDING THIS ONEJ AS % OF ORIG/NAL CONTRACT
MAX ALLOWABLE CONTR,4CT AMOUNT (ORIGINAL CONTRACT COST + 25%)
Contract Time
Totals (CD
�,028,141.20 600
$194,053.50
$199,571.10
$7,022,623.60 600
$48,000.00
$7,070,623.60 600
$280,492.84
$289,498.94
0.60%
$8,785,176.50
JUSTIFICATION (REASONS) FOR CHANGE ORDER
A new pay item is needed for Miscellaneous Force Account to cover items not covered by the original plans and specifications.
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.
OFFICI��,1����RC{� '
CO'TY SECREYAF���
F7a WOidTI�, `i'� ;
� Contractor's Com any Name � Contractor Name) � �ntract Signature � Datg �
JLB Contracting, LLC ��q ,,,.,� ,]�,.1J ,r �� i i� � � i i S i
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"%�`f1 FORT WORTH. City of Fort Worth �
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Change Order Request / � � � ( �
Project Name North Beach Street from Timberlantl to Keller-Hicks City Sec # 43041
Client Project #(s) 01291
Project Description 4-lane dividetl arterial streef from Timberland Bivd. to Keller-Hicks Road
Contractor JLB Contracting, LLC Change Order #�3 Date 11/15/2012
City Project Mgr. Michael Weiss, P.E. City Inspector Joe Rogers
Dept. � TPW � Water � Sewer
OriginalContractAmount $4,719,507.16 $2,197,850.20 $110,783.84
Extras to Date $190,565.00 $0.00 $3,488.50
Credits to Date $0.00 $199,571.10 $0.00
Pending Change Orders (in M&C Process)
Contract Cost to Date $4,910,072.16 $1,998,279.10 $114,272.34
Go to ADD & DEL Tabs to Enter CO Backup $48,000.00 $0.00 $0.00
RevisedContractAmount $4,958,072.16 $1,998,279.10 $114,272.34
Original Funds Available for Change Orders $280,492.84
Remaining Funds Available for this CO $89,927.84 $199,571.10 $0.00
Atlditional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORI�INAL CONTRACT
MAX ALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST + 25%)
Contract Time
Totals (CD
,028,141.20 600
6194,053.50
6199,571.10
623.60
000.00
623.60
492.84
498.94
.��
0.60%
$8,785,176.50
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction antl represents payment
in full (both time and money) for all costs arising out of, or incitlental to, the above Change Order.
Contractor's Company Name Contractor (Name Contract Signature Date
JLB Contracting, LLC �,� ,. ; � �'
',
Inspectorllnspection Supervisor Date Project Manager/Program Manager Date
� ' ��� � - . � �
, . ' . ' � , . J'; . , .
' Assistant Director (Dept) Date Director, Contracting Department Dept Date
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Assistant City Attorney Date Assistant Cit Manage� , Date
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.. � . � :� . i . . .
Council Action if required)
M&C Number � j!��, M&C Date Approved �
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��� "�� FORT wORTH,,: City of Fort Worth
� Change Order Request ' �
Project Name North Beach Street from Timberiand to Keller-Hicks City Sec # 43041
Client Project #(s) 01291
Project Description 4-lane divided arterial street from Timberland Bivd. to Keller-Hicks Road
Contractor� JLB Gontracting, LLG �
City Project Mgr. Michael Weiss, P.E.
Dept. � TPW � Water
Change Ortler# �3 Date 11/15I2012
City Inspector Joe Rogers
Sewer Contract Time
Totals CD)
Original ContractAmount $4,719,507.16 $2,197,850.20 $110,783.84 $7,028,141.20
Extras to Date $190,565.00 $0.00 $3,488.50 $194,053.50
Credits to Date $0.00 $199,571.10 $0.00 $199,571.10
Pending Change Orders (in M&C Process)
Contract Cost to Date $4,910,072.16 $1,998,279.10 $114,272.34 $7,022,623.60
Go io ADD & DEL l abs to Enier CO Qacl<up $48,000.00 $0.00 $0.00 $48,000.00
Revised ContractAmount $4,958,072.16 $1,998,279.10 $114,272.34 $7,070,623.60
Original Funds Available for Change Orders $280,492.84 $280,492.84
Remaining Funtls Available for this CO $89,927.84 $199,571.10 $0.00 $289,498.94
Adtlitional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.60%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) $8,785,176.50
600
.11
.��
It is untlerstood and agreed that the acceptance of this Change Order by the contractor constitutes an accortl antl satisfaction and represents payment
in full (both time and money) for all costs arising out of, or incitlental to, the above Change Order.
Contractor's Company Name Contractor (Name) Contract Signature Date
JLB Contracting, LLC , . , � „ .
� � ' ti,
Inspector/lnspection Supervisor Date Project Mar�ager/Program Manager Date
,,
:r � � �
` Assistant Director (Dept) Date Director, Contracting Department (De t Date
Assistant City Attorney Date Assistant ��,y Manager Date
� _ � ; , �
�Y
Council Action if required)
M&C Number �: ; M&C Date Approved �
FORT �ORTH. City of Fort Worth
�� Change Order Request
Project Name North Beach Street from Timberland to Keller-Hicks City Sec # 43041
Client Project #(s) 01291
Project Description 4-lane tlivitled arterial street from Timberlantl Blvtl. to Keller-Hicks Roatl
Contractor JLB Contracting, LLC Change Order# �3 Date 11/15/2012
City Project Mgr. Michael Weiss, P.E. City Inspector Joe Rogers
Contract Time
Dept. TPW Water Sewer Totals (CD)
OriginalContractAmount $4,719,507.16 $2,197,850.20 $110,783.84 $7,028,141.20 600
Extras to Date $190,565.00 $0.00 $3,488.50 $194,053.50
Cretlits to Date $0.00 $199,571.10 $0.00 $199,571.10
Pending Change Orders (in M&C Process)
Contract Cost to Date $4,910,072.16 $1,998,279.10 $114,272.34 $7,022,623.60 600
Go io ADD & DEL Tabs to Enter CO Backup $48,000.00 $0.00 $0.00 $48,000.00
Revised Contract Amount $4,958,072.16 $1,998,279.10 $114,272.34 $7,070,623.60 600
Original Funds Available for Change Orders $280,492.84 $280,492.84
Remaining Funtls Available for this CO $89,927.84 $199,571.10 $0.00 $289,498.94
Atltlitional Funtling (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIC�INAL CONTRACT 0.60%
MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTR,4CT COST+ 25%) $8,785,176.50
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord antl 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 Contractor (Name) Contract Signature Date
JLB Contracting, LLC
Inspector/lnspection Supervisor Date Project Manager/Program Manager Date
Assistant Director Dept Date Director, Contracting Department Dept Date
Assistant Cit Attorney Date Assistant City Manager Date
Council Action if required)
M&C Number M&C Date Approved �
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MfWBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for this'CO
Total I $0.00
Previous Chanae Orders
' Co# � DATE � AMOUNT
Total � $0.00
PROJECT SUMMARY SHEET
(Change Order Attachment)
PROJECT NAME: N.Beach, Timberland to Keller Hicks Rd
CS# 43041
Attachment to Change Order No.: 3
Today's Date: 11/15/2012
Original Contract Amount:
E�ras to Date:
Credits to Date:
Contract Amount to Date:
Amount of Proposed Change Order:
Revised Contract Amount:
Contingency Funds Avail.
Remaining Funds Available
Additional Funding (if necessary):
TOTAL TPW Water Sewer
$ 7,028,141.20 $ 4,719,507.16 $ 2,197,850.20 110,783.84
$ 194,053.50 $ 190,565.00 $ 3,488.50
$ 199,571.10 $ - � 199,571.10 $ -
$ 7,022,623.60 $ 4,910,072.16 $ 1,998,279.10 $ 114,272.34
$ 48,000.00 $ 48,000.00 � - -
$ 7,070,623.60 $ 4,958,072.16 $ 1,998,279.10 114,272.34
$ 280,492.84 � 280,492.84 � - �
$ 289,498.94 $ 89,927.84 $ 199,571.10 $
$ - $ - $ - $
FORT �VORTH City of Fort Worth
Change Order Request
Project Name North Beach Street from Timberland to Keller-Hicks City Sec # 43041
Client Project #(s) 01291
Project Descriptionl 4-lane divided arterial street from Timberland Blvd. to Keller-Hicks Roatl I
Contractor JLB Contracting, LLC Change Order# �3 Date 11/15/2012
City Project Mgr. Michael Weiss, P.E. City Inspector Joe Rogers
Dept. � TPW
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Go in /�I )I ) F� I )I :I _ �I�<if �s 'r�_� I :nter CO L�acla
Water
�
Sewer Contract Time
Totals (CD1
,141.20 600
,053.50
,571.10
.. .......... ........�.,.....,.,..... ,,.,.,.,,.,. �.. ,,.,.,..,_..,. ,., . .,�. �..
Original Funds Available for Change Orders $280,492.84
Remaining Funds Available for this CO $89,927.84 $199,571.10 $0.(
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
600
0.60%
$8,785,176.50
It is understootl and agreetl 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 Contractor (Name) Contract Signature Date
JLB Contracting, LLC
Inspector/ins ection Su ervisor Date Project Mana erlProgram Mana er Date
Assistant Director De t Date Director, Contractin Department De t Date
Assistant Cit Attorne Date Assistant City Manager Date
Council Action if required)
M&C Number M&C Date Approved �