HomeMy WebLinkAboutContract 53594-CO5Contract Time
(CD)
Date
Date
Date
Date
Date
ATTEST:
____________________________________________
Jannette Goodall, City Secretary
Original Contract Amount
M&C Date Approved
Contractor's Company Name Contractor (Name)Contract Signature
Senior Capital Project Officer
Director, Contracting Department (Dept)
DateProgram Manager
DateAssistant Director (Dept)
Assistant City Manager
$5,000,000.00
0.00%
$6,250,000.00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
Additional Funding (if necessary)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
DateAssistant City Attorney
An additional bid item that was not included in the original unit price contract is needed to construct the bus pad improvements for project CPN 105012. Prices for this line
item have been verified and compared to the recent paving contract awarded by the City for CPN 102918. The prices proposed for this line item are higher than the recently
opened bids due to small quantities of concrete delivery per location; the price is considerable.
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.
Council Action (if required)
M&C Number
Inspector/Inspection Supervisor Date Project and Contract Compliance Manager
$5,000,000.00
Original Funds Available for Change Orders
Extras to Date
$5,000,000.00
Credits to Date
City Sec #2020 Paving and Sidewalk Improvements Unit Price Construction Contract
Enter Department(s) to the Right and
Contract Day Type Totals
Project Description Unit Price Construction Contract for pavi g and sidewalk improvements
Change Order #The Fain Group
Shweta Rao, P.E N/ACity Inspector
Remaining Funds Available for this CO
Pending Change Orders (in M&C Process)
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
$0.00
Contract Cost to Date
$0.00
Amount of Proposed Change Order
$5,000,000.00
Revised Contract Amount
City of Fort Worth
Contractor
53594
Client Project #(s)Various
Date
City Project Mgr.
Change Order Request
5
Project Name
Sub Total Additions $0.00
ADDITIONS
6" Concrete Pad760
Client Project # Various
5
Shweta Rao, P.E InspectorContractor
Change Order Submittal #
The Fain Group PM N/A
Date
City of Fort Worth
Change Order Additions
Project Name 2020 Paving and Sidewalk Improvements Unit Price Construction Contract City Sec # 53594
TotalUnit Cost
$31.50
Unit
SF $0.00
Qty
0.00000000
DEPTITEM DESCRIPTION
0
Change Order Additions Page 2 of 5
The Fain Group PM Shweta Rao, P.E Inspector N/A
TotalQtyDEPTITEM DESCRIPTION Unit CostUnit
City of Fort Worth
Change Order Deletions
Project Name 2020 Paving and Sidewalk Improvements Unit Price Construction Contract City Sec # 53594
DELETIONS
Client Project # Various
5Change Order Submittal #
Contractor
Sub Total Deletions
Date
$0.00
Change Order Deletions Page 3 of 5
$0.00
1 11/3/2021
CO #DATE AMOUNT
$0.00
2 4/18/2022 $0.00
3 11/23/2021 $0.00
M/SBE for this Change Order
Previous Change Orders
$0.00Total
Type of Service Amount for this COM/SBE Sub
9/1/2023
$0.00Total
4
Routing and Transmittal Slip
Transportation & Public Works
Department
DOCUMENT TITLE:2020 Paving and Sidewalk Unit Price Contract-Change Order
5
M&C: CPN: N/A CSO: 53594 DOC#: 1
Date: 11/17/2023
To: Name Department Initials Date Out
1.Michelle McCullough TPW - initial
2.Larry Frazier, Fain Group Contractor
3.Shweta Rao, PM TPW - Signature
4.Chad Allen, PgM TPW -initial
5.Lissette Acevedo, Sr. CPO TPW -initial
6.Patricia Wadsack, AD TPW - initial
7.Lauren Prieur, Director TPW - signature
8.Doug Black Legal - signature
9.William Johnson CMO - signature
10.Jannette Goodall CSO - signature
11.TPW Contracts TPW
ATURE: All documents received from any
and
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 No
RUSH:YES No SAME DAY:YES No NEXT DAY:YES No
ROUTING TO CSO: YES No
Action Required: Attach Signature, Initial and Notary Tabs
As Requested
For Your Information
Signature/Routing and or Recording
Comment
File
Updated 12.07.2022, mdhm
Return To:TPWContracts @FortWorthTexas.gov at ext. 7233 or 8363, for pick up when
completed. Thank you!
Change order Purpose Statement:
The purpose of this change order is to add a
Paving and Sidewalk Unit Price contract. This item would be used for the City project number: 105012 to
install bus pads at various locations throughout the City of Fort Worth. This line item was not included in
the original contract.
The construction of these bus pads will be issued as a Task order under this contract and hence, it is
important to execute the change order to add the line item. Not approving this change order will delay
the construction start on this project.