HomeMy WebLinkAboutContract 40675-CO2"
FORT WORTH . City of Fort Worth
Change Order Request
CITY SECRETARY 4 O\.o-, 6 -CO ~
CONTRACT NO.~::::..;;;.---
~
Project Name I HMAC Surface Overlay (2010-2) 50/50
Client Project #(s)I C293541200207620145983
City Sec # 40675
DOE: 6362
Projec~
Description! ::============================...:;--------;::====::::;-------;========~ Contractor-I _A_u_st_in_B_ridg-"-e_an_d_R_oa_d_,_L_.P_. _____ __,
Street Maintenance -50/50
Change Order#
City Inspector
2 Date 2/13/2012
City Project Mgr .I Kristian Sugrim (817) 392-8902 ~----------~---''--------' David W. Bowers (817) 350-3522
Dept. TPW Water Sewer Contract Time
Totals (CD)
Original Contract Amount $622,300.00 $373 ,380 .00 $248,920 .00 $1 ,244,600.00 240
Extras to Date $124,459.59 $74,675.74 $49,783 .92 $248 ,919 .25 62
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $746,759 .59 $448,055 .74 $298 ,703.92 $1,493,519 .25 302
I Go to ADD & DEL Tabs to Enter CO Backup $0.00 $0.00 $0.00 196
Revised Contract Amount $746,759 .59 $448,055.74 $298,703.92 $1,493,519 .25 498
Original Funds Available for Change Orders $0 .00
Remaining Funds Available for this CO $0.00 $0 .00 $0 .00
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS% OF ORIGINAL CONTRACT 20 .00%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $1,555,750 .00
JUSTIACA TION (REASONS) FOR CHANGE ORDER
The submission of this Change Order is to request that an additional 196 calendar days be added to this contract to compensate for
conflicts with ATMOS Energy gas lines . The conflicts occurred at the following locations : (1). Townsend Dr. from 3/17/2011 to 5/3/2011
(53 CD), (2). Williamsburg Ln . from 5/9/2011 to 6/10/2011 (31 CD), and (3). South Hills Ave . from 7/29/2011 through 11/17/2011 (112
CD).
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 arising out of, or incidental to , t ange Order.
PROJECT NAME :
BuySpeed No (T/PW):
BuySpeed No (Water):
City Project No:
Contract No :
D.O .E. No :
Attachment to Change Order No :
Today's Date:
Original Contract Amount:
Extras to Date :
Credits to Date :
Contract Amount to Date :
PROJECT SUMMARY SHEET
(Change Order Attachment)
HMAC 2010-2 Surface Overlay 50/50
CSC0-11-00063490
NIA
01459
CS40675
6362
2
2/15/12
TOTAL
$ 1,244,600.00
$ 248,919.25
$
$
$
$
$ 1,493,519.25 $
Amount of Proposed Change Order: TIME ONLY $
Revised Contract Amount: $ 1,493,519.25 $
Contingency Funds Avail. for Admin . Change Orders : $
$
$
$
$
$
Remaining Funds Available for Change Orders :
Additional Funding (if necessary):
C293 P253 P258
622,300.00 $ 373,380 .00 $ 248,920 .00
124 ,459.59 $ 74,675 .74 $ 49,783 .92
$ $
746 ,759 .59 $ 448,055.74 $ 298,703 .92
$ $
746 ,759 .59 $ 448,055.74 $ 298,703.92
$
$
$
$
$
$
Prepared By : Christy Ezernack T/PW Construction Services
FORT WORTH --..........-
Project Name
Client Project#
HMAC Surface Overlay (2010-2)
C293541200207620145983
Project Description Street Maintenance -50/50
Austin Bridge and Road , L.P .
City of Fort Worth
Change Order Additions
DOE : 6362
Change Order # 2 Contractor
City Project Mgr. Kristian Sugrim (817) 392-8902 City Inspector David W. Bowers
ADDITIONS
111::M LJc:;:,1.,r11r-1 ION Ut.t' I Uty Unit
Change Order Additions Page 1 of 2
City Sec# 40675
Date 2/13/2012
(817) 350-3522
Unit (.;OSI 1ota1
TPW $0 .00
Water $0 .00
Sewer $0 .00
Sub 1 otal Add1t1ons
Change Order Additions Page 2 of 2
FORT WORTH --.....--
Project Name
Client Project#
HMAC Surface Overlay (2010-2)
C293541200207620145983
Project Description Street Maintenance -50/50
Austin Bridge and Road , L.P.
City of Fort Worth
Change Order Deletions
DOE : 6362
Change Order # 2 Contractor
City Project Mgr . Kristian Sugrim (817) 392-8902 City Inspector David W. Bowers
DELETIONS
11 t:M Ut:.:>vKlt"' I IUN Ut:t' I Uty unit
Change Order Deletions Page 1 of 2
City Sec# 40675
Date 2/13/2012
(817) 350-3522
Unit l;OSt IOtal
TPW $0 .00
Water $0 .00
' Sewer $0 .00
Sub Total Deletions
Change Order Deletions Page 2 of 2
M/WBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
:*' ~'f . fl.
fORTWORTH a
~
City of Fort Worth
Change Ord.er Request
City Sec# 40675 ~-------' Project Name I HMAC Surface Overlay (2010 -2) 50/50
Client Project #(s)I C293541200207620145983 DOE: 6362
Projec~
Description I ;::::===============================:::::;-------;:::::===~---;::::::======~ Contractor .... ! _A_us_ti_n_B_ridg-=--e _an_d_R_oa_d'"'", _L._P_. _____ __.
Street Maintenance -50/50
2 Date
City Project Mgr. .... I _K_ris_ti_an_S_u'""'g_rim ____ ....;.(8_1 ...... 7)_3_92_-8_9_0_2 _ __.
Change Order#
City Inspector David W. Bowers
Dept. TPW Water Sewer
Original Contract Amount $622 ,300 .00 $373 ,380.00 $248 ,920 .00
Extras to Date $124,459 .59 $74,675 .74 $49,783 .92
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $746,759 .59 $448,055.74 $298 ,703 .92
IGo to ADD & DEL Tabs to Enter CO Backup ~.00 ~.00 ~.00
Revised Contract Amount $746,759 .59 $448,055 .74 $298 ,703 .92
Original Funds Available for Change Orders
Remaining Funds Available for this CO $0.00 $0 .00 $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%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Totals
$1 ,244 ,600 .00
$248 ,919 .25
$1,493 ,519 .25
$1,493,519 .25
$0 .00
20 .00%
$1,555 ,750 .00
2/13/2012
(817) 350-3522
Contract Time
(CD)
240
62
302
196
498
The submiss ion of this Change Order is to request that an add iti onal 196 calendar days be added to this contract to compensate for
conflicts with ATMOS Energy gas lines . The conflicts occurred at the following locations : (1). Townsend Dr. from 3/17/2011 to 5/3/2011
(53 CD), (2). Williamsburg Ln . from 5/9/2011 to 6/10/2011 (31 CD), and (3). South Hills Ave . from 7/29/2011 through 11 /17/2011 (112
CD).
/
,t
/
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 arising out of , or incidental to , t~bove.C ange Order.
Date
2· ~:: ~ 7-/7i~t: v i L ~ ~
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1_ ___ M_&_c_N_u_m_be_r-=::::±======---C-ou_nct_.,_Ac_tion-(i-f requ--ired_M_&_c_D_a_te_App_ro_v_ed_-=====----\)-J._J~'
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FORT WORTH .
~
City of Fort Worth
Change Order Request
Project Name! HMAC Surface Overlay (2010-2) 50/50
Client Project #(s)! C293541200207620145983
City Sec# 40675
DOE : 6362
Projec~
Description! ~============================---------------------l Contractor .... ! _A_u_st_in_B_ridg-=-e_an_d_R_oa_d....;.,_L_.P_. _____ ___,
Street Maintenance -50/50
2 Date
City Project Mgr ..... ! _K_ri_st_ia_n _Su....;:g'-rim ____ ..... (8_1-'7)'-3_9_2-8_9_0_2 _ ___,
Change Order#
City Inspector David W. Bowers
Dept. TPW Water Sewer Totals
Original Contract Amount $622 ,300 .00 $373 ,380.00 l248,920 .00 l 1,244 ,600 .00
Extras to Date $124 ,459 .59 $74,675 .74 $49 ,783 .92 $248 ,919 .25
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $746,759 .59 $448,055.74 $298,703.92 $1 ,493 ,519 .25
I Go to ADD & DEL Tabs to Enter CO Backup ~.00 ~-00 $0.00
Revised Contract Amount $746,759 .59 $448,055.74 $298,703.92 11 ,493 ,519 .25
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0 .00 $0 .00 $0 .00
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS% OF ORIGINAL CONTRACT 20 .00%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $1 ,555,750 .00
JUSTIRCATION (REASONS) FOR CHANGE ORDER
2/13/2012
(817) 350-3522
Contract Time
(CD)
240
62
302
196
498
The submission of this Change Order is to request that an additional 196 calendar days be added to this contract to compensate for
conflicts with ATMOS Energy gas lines . The conflicts occurred at the following locations : (1). Townsend Dr. from 3/17/2011 to 5/3/2011
(53 CD), (2). Williamsburg Ln . from 5/9/2011 to 6/10/2011 (31 CD), and (3). South Hills Ave . from 7/29/2011 through 11/17/2011 (112
CD).
;) ' --~
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 arising out of, or incidental to, the-above CJ;i ange Order.
Date Date ~ \:
3 '1/1.Z. j\ ~ . b 11
M&C Number M&C Date Approved
.,:.1· .• .r'\
I
FORT WORTH City of Fort Worth
Change Order Request
Project Name! HMAC Surface Over1ay (2010-2) 50/50
Client Project #(s)j C293541200207620145983
City Sec# 40675
DOE: 6362
Projec~
Description! ::============================-.---------------------1 Contractor .... ! _A_u_st_in_B_ridg.....;;....e_an_d_R_oa_d_,_L_.P_. _____ __,
Street Maintenance -50/50
2 Date
City Project Mgr.j Kristian Sugrim (817) 392-8902
Change Order#
City Inspector David W. Bowers
Dept. TPW Water Sewer Totals
Original Contract Amount ~22,300 .00 $373,380 .00 $248,920 .00 $1,244 ,600 .00
Extras to Date $124,459 .59 $74,675.74 $49,783.92 $248,919.25
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $746,759 .59 $448,055.7 4 $298,703.92 $1,493,519.25
0 l) te t,U l:)aCkUP $0.00 $0.00 $0.00
Revised Contract Amount $746,759 .59 $448,055.74 l298,703.92 l1 ,493 ,519 .25
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0 .00 $0 .00 $0.00
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE} AS% OF ORIGINAL CONTRACT 20.00%
MAX ALLOWABLE CONTRACT Al,fOUNT (ORIGINAL CONTRACT COST+ 25%} $1,555,750 .00
JUSTIRCATION (REASONS) FOR CHANGE ORDER
2/13/2012
(817) 350-3522
Contract Time
(CD)
240
62
302
196
498
The submission of this Change Order is to request that an additional 196 calendar days be added to this contract to compensate for
conflicts with ATMOS Energy gas lines . The conflicts occurred at the following locations: (1). Townsend Dr. from 3/17/2011 to 5/3/2011
(53 CD), (2). Williamsburg Ln . from 5/9/2011 to 6/10/2011 (31 CD), and (3). South Hills Ave. from 7/29/2011 through 11/17/2011 (112
CD).
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.
Inspector/In ·sor Date
Assistant Director t Date Director, Contracti Date
Date
/I.
M&C Number M&C Date Approved
/