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Home My WebLink AboutContract 41805-CO10 .p.. I N .p.. I N > 0 N .p.. z: fO l!_T;ORTH . City of Fort Worth Change Order Request Project Name! HMAC Surface Overlay (2011-1) At various Locations Client Project #(s)! C293-541200-206620161883 Project Description 50/50 HMAC Surface Overlay Throughout the City Change Order # City Sec# 41805 DOE : 6560 Date 3/26/2012 Contractor! JLB Contracting , LLC City Project Mgr. I Kristian Sugrim (817) 392-8902 City Inspector Ali Motamed (817) 944-1174 Original Contract Amount Extras to Date Credits to Date Dept. Pending Change Orders (in M&C Process) Contract Cost to Date Go to ADD & DEL Tabs to Enter CO Backup Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) TPW $933 ,317 .95 $933 ,317.95 0.00 933 ,317.95 $0.00 Water Sewer $443 ,745 .63 $295 ,830 .42 $443 ,745.63 $295 ,830 .42 0.00 0.00 $443,745 .63 295 ,830.42 $0 .00 $0 .00 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 Contract Time Totals CD $1 ,672 ,894 .00 $1,672,894 .00 $1,672,894 .00 $0 .00 0.00% $2,091,117 .50 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX 240 240 32 272 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. 4---/b -l 0 ~ ~~~~~~~~-+--===--.+--.:~~~~==~~r-;--~~cf ' ~~~----+~~~~~-----a....---+-::~;--1~ M&C Number .. FORT WORTH .. ~ City of Fort Worth Change Order Request Project Name! HMAC Surface Overlay (2011-1) At various Locations Client Project #( s )! C293-541200-206620161883 Project Description 50/50 HMAC Surface Overlay Throughout the City tr;py ~ o+ ~ L/foO ~ to I City Sec# 41805 DOE : 6560 Contractor! JLB Contracting , LLC City Project Mgr.! Kristian Sugrim Change Order# Date 3/26/2012 (817) 392-8902 City Inspector Ali Motamed (817) 944-117 4 '----------'----'------' Dept. TPW Water Sewer Original Contract Amount $933 ,317 .95 $443 ,745 .63 $295 ,830.42 Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $933 ,317 .95 $443,745 .63 $295,830 .42 I Go to ADD & DEL Tabs to Enter CO Backup $0.00 $0.00 $0.00 Revised Contract Amount $933 ,317 .95 $443 ,745 .63 $295 ,830.42 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 $1,672 ,894 .00 $1 ,672 ,894 .00 $1 ,672 ,894.00 $0 .00 I 0.00% I I $2 ,091 ,117.50 I Contract Time (CD) 240 240 32 272 The submission of this Change Order is to request that an additional 32 calendar days be added to this contract to compensate for the delays associated with Gas and Water Utility conflicts on the following streets : Galveston Ave . (W. Vickery Blvd . -W. Broadway Ave.), and Wesley Dr. (Westcreek Dr . -Woodway Dr.). I I I 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 LJ l-"7 rt- Council Action if re uired M&C Number M&C Date Approved FORT WORTH .. ~ City of Fort Worth Change Order Request Project Name! HMAC Surface Overlay (2011-1) At var ious Locations Client Project #(s)j C293-541200-206620161883 ~\{ 'l o+ '-/1 I .,, ('(s J City Sec # 41805 ~----------' DOE : 6560 Project Description 50/50 HMAC Surface Overlay Throughout the City Contractor! JLB Contracting , LLC Change Order# Date 3/26/2012 City Project Mgr. I Kristian Sugrim (817) 392-8902 City Inspector Ali Motamed (817) 944-117 4 .__ ______ __:___,_ ___ __, " Dept. TPW Water Sewer Original Contract Amount $933 ,317 .95 $443 ,745 .63 $295 ,830.42 Extras to Date Credits to Date Pend ing Change Orders (in M&C Process ) Contract Cost to Date $933 ,317 .95 $443,745.63 $295 ,830 .42 I Go to ADD & DEL Tabs to Enter CO Backup $0.00 $0.00 $0.00 Revised Contract Amount $933 ,317.95 $443,745 .63 $295 ,830 .42 Orig ina l Funds Available for Change Orders Remaining Funds Avai lable 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 Contract Time Totals (CD) $1 ,672 ,894.00 240 $1 ,672 ,894 .00 240 32 $1 ,672 ,894 .00 272 $0 .00 0.00% $2 ,091 ,117 .50 The subm iss ion of this Change Orde r is to request that an additional 32 calendar days be added to this contract to compensate for the delays associated wi th Gas and Water Utility conflicts on the following streets : Galveston Ave . (W . Vickery Blvd. -W. Broadway Ave .), and Wosley Dr. (Westcreek Dr. -Woodway Or.). ' It is understood and agreed that the acceptance of th is Change Order by the contractor constitutes an accord and satisfaction and represents payment in full (both time and money) fo r all costs arising out of, or inc idental to , the above Change Order. Date t// l 17/11,,.. Council Action if r uired M&C Number II M&C Date Approved FORT WORTH .. ~ City of Fort Worth Change Order Request .- ·~ . f ' i Project Name! HMAC Surface Overlay (2011-1) At various Locations Client Project #(s)! C293-541200-206620161883 City Sec # 41805 .___ _____ _ DOE : 6560 Project Description 50/50 HMAC Surface Overlay Throughout the City Contractor! JLB Contracting , LLC City Project Mgr.! Kristian Sugrim Change Order# Date 3/26/2012 (817) 392-8902 City Inspector Ali Motamed Dept. TPW Water Sewer Original Contract Amount $933 ,317 .95 $443,745 .63 $295 ,830.42 Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $933 ,317 .95 $443,745.63 $295 ,830 .42 I Go to ADD & DEL Tabs to Enter CO Backup $0.00 $0.00 l0.00 Revised Contract Amount $933,317 .95 $443 ,745 .63 $295 ,830.42 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 ,672 ,894 .00 $1 ,672,894 .00 $1,672 ,894 .00 $0 .00 0.00% $2 ,091 ,117 .50 (817) 944-1174 Contract Time (CD) 240 240 32 272 The submission of this Change Order is to request that an additional 32 calendar days be added to this contract to compensate for the delays associated wit h Gas and Water Utility conflicts on the following streets : Galveston Ave . (W. Vickery Blvd . -W. Broadway Ave.), and Wosley Dr. (Westcreek Dr. -Woodway Dr.). 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 Contractor Name Date JLB Contractin , LLC ~ .. I , Inspector/Inspection Supervisor I Date Project Manaaer/Proaram Manaaer Date f ,I'"' _'b4-I ,1 , ... 1->1 \ l'r • Assistant Director (Dept) . Date Director , Contractina Deoartment /Dept) Date Assistant City Attorney Date Assistant Citv Manaaer Date . •..-..1... t-.,... --;,,,,,.. _ ...... •J-¥1;;. . Council Action if required) M&C Number I I M&C Date Approved I I r I J \ FORT WORTH ---..,..---- Project Name Cl ient Project# City of Fort Worth Change Order Additions HMAC Surface Overlay (2011-1) At va rious Locations C293-541200-206620161883 Project Description 50/50 HMAC Surface Overlay Throughout the City Contractor JLB Contracting , LLC City Sec# 41805 DOE : 6560 Change Order# Date 3/26/2012 City Project Mgr . _K_ri_sti_an_S_u_g_rim ____ ~(8_17~)_39_2_-8_9_02 __ ~ City Inspector .__A_li _M_ot_am_e_d ___ _,_(8_1__.7)'-9_44_-_11_7_4 ___, ADDITIONS 11 t:M Ut:.:>vt{lt' I IUl'I Ut:t' I Wty unit Unit GOS! IOtal .. Change Order Add1t1ons Page 1 of 2 TPW $0 .00 Water $0 .00 Sewer $0 .00 Sub Total Aaa1t1ons Change Order Additions Page 2 of 2 FORT WORTH ---..,--City of Fort Worth Change Order Deletions Project Name Client Project # HMAC Surface Overlay (2011-1) At various Locations City Sec# 41805 :=;c::;::29;::;3:::::_54=1::;::20;::;o=.2==0s=s2;::;0=1 s=18:::8::;::3 ==========================D=o=E=: s=5=so=====-_:_-~==::::;- Project Description 50/50 HMAC Surface Overlay Throughout the City Contractor JLB Contracting, LLC Change Order # Date 3/26/2012 City Project Mgr. ,__K_ris_ti_an_S_u ..... gr_im _____ (._81_7.._) _39_2_-8_90_2 __ __, City Inspector ,__A_li _M_ot_am_e_d ___ _,_(8_1___.7) .... 9_44_-_11_7_4 ___, DELETIONS IIEM Ut~l,;Klt-' I IUN Utt-'I 1 .. ny Unit Unit l,;OSt 1ota1 Change Order Deletions Page 1 of 2 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 PROJECT NAME: BuySpeed No (T/PW): BuySpeed No (Water): City Project No : Contract No: D.0.E. No : PROJECT SUMMARY SHEET (Change Order Attachment) HMAC 2011-1 Surface Overlay 50/50 CSC0-11-00066360 N/A 01618 CS41805 6560 Attachment to Change Order No : 1 ------Today's Date : 3/27/12 Original M & C = C-24872, approved 04-19-11 ------ Original Contract Amount: Extras to Date : Credits to Date : Contract Amount to Date : Amount of Proposed Change Order: Revised Contract Amount: Contingency Funds Avail. for Admin . Change Orders : Remaining Funds Available for Change Orders : Additional Funding (if necessary): TOTAL $ 1,672,894.00 $ 836,447.00 $ 96,870 .95 $ 443 ,745.63 $ 295,830.42 $ $ $ $ $ $ $ $ $ $ $ 1,672,894.00 $ 836,447.00 $ 96,870.95 $ 443,745.63 $ 295 ,830.42 TIME ONLY $ $ $ $ $ 1,672,894.00 $ 836,447.00 $ 96,870 .95 $ 443 ,745.63 $ 295 ,830.42 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Prepared By: Christy Ezernack T/PW Construction Services . ' .