HomeMy WebLinkAboutContract 40828-CO3C
rv
I r--.:
C
I
1..;1
0
(_
:z:
CO'C .. '"[ _L. D •-<:7"\
. FORT WORTH .
~
City of Fort Worth
Change Order Request
CITY SECRETARY
CONTRACT NO. L\ o 31-'3-Co':=>
City Sec# 40828 Project Name! HMAC Surface Overlay (2010-3) At Various Locations
Client Project #(s}! C293-541200-202620152183 City Project No . 01521 DOE : 6476
Project
Description HMAC Surface Overlay At Various Locations 50/50 Projects
Contractor! Peachtree Construction, LTD Change Order# 3 Date 2/4/2013
City Project Mgr.! Kristian Sugrim (817) 392-8902 City Inspector Mike Glover (817) 944-0914 ~---------'---'------'
Dept. TPW Water Sewer
Original Contract Amount $1 ,057 ,936 .00 $740 ,555.20 $317 ,380 .80
Extras to Date $53 ,570 .45 $237,437 .54 $208 ,553 .83
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $1 ,111,506.45 $977 ,992.74 $525 ,934 .63
!Amount of Proposed Change Order $0.00 $0.00 $0.00
Revised Contract Amount $1 ,111 ,506.45 $977,992 .74 $525,934 .63
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 DA TE {INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Totals Contract Time
(CD)
$2 ,115 ,872.00 240
$499 ,561 .82 399
$2 ,615,433 .82 639
30 ,
$2 ,615,433 .82 669
$0 .00
23 .61%
$2 ,644 ,840 .00
This change order is for time only . Request that an additional 30 Calendar Days (CD) be added to this contract for the unexpected utility
delays that were no fault of the contractor during the reconstruction of the additional previously added street (Mapleleaf St. (Watauga Rd . -
Daisy Ln .)). No additional monies are being requested .
;\l.'\l,~~~
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.
Contractor's Com an Name
M&C Number
/. COP'-( ..1.. Or-~
••
City of Fort Worth
Change Order Request
City Sec# 40828 .__ _____ __. Project Name! HMAC Surface Overlay (2010-3) At Var ious Locations
Cl ient Project #(s)! C293-541200 -202620152183 City Project No . 01521 DOE : 6476
HMAC Surface Overlay At Various Locations 50/50 Projects Project
Description ,__ _________________________________ _J
Contractor! Peachtree Construction , LTD Change Order # 3 Date 2/4/2013
City Project Mgr.! Kristian Sugrim (817) 392-8902 City Inspector Mike Glover (817) 944-0914
'----------'----'------'
Dept. TPW Water I, , , Se er --
I ' -
Original Contract Amoun t $1 ,057 ,936 .00 $740 ,555 .20 $317 ,380.80 '
Extras to Date $53 ,570 .45 $237,437 .54 $208 ,553 .83 .
Credits i o !:late
Pending Change Orders (in M&C Process) ...
Contract Cost to Date $1 ,111 ,506.45 $977 ,992 .74 $525 ,934.63
!Amount of Proposed Change Order $0.00 $0.00 $0.00
Revised Contract Amount $1 ,111 ,506 .45 $977 ,992.74 $525 ,934 .63
Original FlltltIB 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
1 ~ Totals Contract Time
(CD) -
I $Z, 115 ,872.00 240
$499 ,561 .82 399
$2 ,615 ,433 .82 I 639
( 30
$2 ,615 ,433.82 ' 669
$0 .00
23 .61%
$2,644 ,840.00
' This change order is for time only . Request that an additional 30 Calendar Days (CD) be added to this contract for the unexpected util ity
delays that were no fault of the contrac tor during the reconstruct ion of the additional previously added street (Mapleleaf St. (Watauga Rd . -
Daisy Ln .)). No additional monies are being requested .
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.
Date
l ., 1.1}
M&C Number
.. . '
ORT WORTH.
~
City of Fort Worth
Change Order Request
City Sec # 40828
I -
,
l { '""..>
Project Name! HMAC Surface Overlay (2010-3) At Various Locations
Client Project #(s)! C293-541200-202620152183
______ ____,
City Project No . 01521 DOE : 6476
Project
Description HMAC Surface Overlay At Various Locations 50/50 Projects
'------------------------------------'
Contractor! Peachtree Construction, LTD Change Order # 3 Date 2/4/2013
City Project Mgr.! Kristian Sugrim (817) 392-8902 City Inspector Mike Glover (817) 944-0914 --------~-----'
Dept. TPW Water Sewer
Original Contract Amount $1 ,057 ,936 .00 $740 ,555 .20 $317 ,380 .80 '
Extras to Date $53 ,570.45 $237,437 .54 $208 ,553 .83
Credits to Date
Pending Change Orders (in M&C Process) ,_,
Contract Cost to Date $1 ,111 ,506 .45 $977 ,992 .74 $525,934 .63
IAmount of Proposed Change Order $0.00 $0.00 $0.00
Revised Contract Amount $1 ,111,506 .45 $977,992 .74 $525 ,934 .63
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 Contract Time
~ (CD)
$2 ,115 ,872.00 240
$499 ,561 .82 399
$2 ,615 ,433.82 639
30
$2 ,615,433.82 669
$0 .00
23.61%
$2,644,840.00
This change order is for time only . Request that an additional 30 Calendar Days (CD) be added to this contract for the unexpected utility
delays that were no fault of the contractor during the reconstruction of the additional previously added street (Mapleleaf St. (Watauga Rd . -
Daisy Ln .)). No additional monies are being requested .
)
7') /
/ Y)L( ,<. /. l{J"n • L
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.
Date
11. I~
Council Action if r
M&C Number J\Jf I
...
~ FORT WORTH~
~
City of Fort Worth
Change Order Request
r
Project Name! HMAC Surface Overlay (2010-3) At Various Locations
Client Project #(s)j C293-541200-202620152183
City Sec # 40828 .__ _____ __.
Project
Description HMAC Surface Overlay At Various Locations 50/50 Projects
City Project No . 01521 DOE : 6476
~----------------------------------'
Contractor._! _P_e_ac_h_tree_C_o_ns_tru_c_ti_on_,_L_TD ______ __.
City Project Mgr. .... I _K_ri_st_ia_n _Su....;:g;_ri_m ____ ___.;.(8_1_7'--) 3_9_2-_89_0_2____,
Change Order#
City Inspector
3 Date 2/4/2013
Mike Glover (817) 944-0914
Dept. TPW Water Sewer Totals Contract Time
Original Contract Amount $1 ,057 ,936 .00 $740 ,555.20 $317 ,380 .80
Extras to Date $53 ,570 .45 $237 ,437.54 $208 ,553.83
Credits to Date
Pending Change Orders (in M&C Process) ./
Contract Cost to Date $1 ,111 ,506 .45 $977,992 .74 $525 ,934.63
IAmount of Proposed Change Order $0.00 $0 .00 $0.00
Revised Contract Amount $1 ,111 ,506 .45 $977 ,992 .74 $525 ,934 .63
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
(CD)
$2 ,115 ,872 .00 240
$499 ,561 .82 399
$2 ,615,433.82 639
30
$2 ,615 ,433 .82 669
$0 .00
23.61%
$2 ,644 ,840 .00
This change order is for time only . Request that an additional 30 Calendar Days (CD) be added to this contract for the unexpected utility
delays that were no fault of the contractor during the reconstruction of the additional previously added street (Mapleleaf St. (Watauga Rd . -
Daisy Ln.)). No additional monies are being requested .
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 inc idental to , the above Change Order.
Contractor's Com an Name Contractor Name Contract Si nature Date
Peachtree Construction , LTD
lnsoector/lnsoection Su~isor l I Date Project Manager/Program Manaaer Date
l oc./, ,~,;i_ ( ..s
~
Assistant Director (Dept) Date Director, Contracting Department (Dept) Date
Assistallt<City Attorney Date . ManaQer Date .. "' ... ; (--J ·/7, I~ ;' I, ·• ••1 ") I _,A --. ~. , ~ I '.:I -~
Council Action if reQuired)
M&C Number I /!]_A-I M&C Date Approved I I
\ ..
"')
FORT WORTH -----,---City of Fort Worth
Change Order Additions
HMAC Surface Overlay (2010-3) At Various Locations Project Name
Client Project# C293-541200-202620152183 City Project No . 01521
Project Description HMAC Surface Overlay At Various Locations 50/50 Projects
Contractor Peachtree Construction , LTD Change Order #
City Sec# 40828
DOE : 6476
3 Date 2/4/2013
City Project Mgr. Kristian Sugrim (817) 392-8902 City Inspector .__M_ik_e_G_lo_ve_r ___ ...,.(8_1 __ 7) __ 9_44_-_09_1_4 __,
ADDITIONS
1 IE:M Dr::-,vt'\II-' I IUN Utl-'I Uty unit Unit l,;OSt IOtal
•••• 11me on1y-··-:j,U .UL
Change Order Additions Page 1 of 2
;i,u .uu
TPW $0 .00
Water $0.00
Sewer $0.00
~ub l ota Add1t1ons ~u .uu
Change Order Additions Page 2 of 2
FORT WORTH ---.---City of Fort Worth
Change Order Deletions
Project Name HMAC Surface Overlay (2010-3) At Various Locations
Client Project# C293-541200-202620152183 City Project No . 01521
Project Description HMAC Surface Overlay At Various Locations 50/50 Projects
Contractor Peachtree Construction, LTD Change Order #
City Sec# 40828
DOE : 6476
3 Date 2/4/2013
City Project Mgr. Kristian Sugrim (817) 392-8902 City Inspector .__M_ik_e_G_lo_ve_r ___ ...,,(8_1~7)~9_4_4-_09_1_4 __.
DELETIONS
ttt:M Ut.;:il;Klf-' I ION Ut.f-' I i..ny Untt Untt (.;OSI lotal
Change Order Deletions Page 1 of 2
TPW $0 .00
Water $0 .00
Sewer $0 .00
Sub 1 otal 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
PROJECT SUMMARY SHEET
(Change Order Attachment)
PROJECT NAME : HMAC SURFACE OVERLAY 2010-3 AT VARIOUS LOCATIONS
BuySpeed No (T/PW): P0-10-00062373
BuySpeed No (Wate r):
City Project No :
Con t ract No :
0.0.E. No :
Attachment to Change Order No :
Today's Date :
Original Contract Amount:
Extras to Date :
Cred its to Date :
Con t ract Amount to Date :
1521
CS40828
6476
3
1/5/13
Amount of Proposed Change Order:
Revised Contract Amount:
I
Con t ingency Funds Avail. for Admin. Change Orders :
Remain ing Funds Available for Change Orde rs :
Additional Funding (i f necessary):
I
Original M & C = C-25781, approved 08-14-2014
TOTAL
$ 2, 115,872.00 $1,057 ,936.00 $ 740 ,555.20
$ 499,561 .82 $ 53 ,570.45 $ 237,437 .54
$ -$ -$ -
$ 2,615,433.82 $ 1 ,111 ,506.45 $ 977 ,992.74
$ -
$ 2,615,433.82 $ 1 ,111 ,506 .45 $ 977 ,992.74
$
1: I: $
$
Prepared By : Etta Bacy T/PW Construction Serv ices
I
$ 317 ,380 .80
$ 208 ,553.83
$ -
$ 525 ,934.63
$ 525 ,934.63
I :