HomeMy WebLinkAboutContract 42190-CO1FORT WORTH .
~
City of Fort Worth
Change Order Request
Project Name! Bridge Repair and Rehabilitation at Seven Locations ~0 11 -If
Client Project #(s)! GG01-539590-0202003
Project Description Repairing and rehabilitating bridges at various locations
Contractor! Vendigm Construction, LLC
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CITY SECRETARY
CONTRACT NO. LJ J.\l1 0 -C O l r
City Sec#!~ _4_21_90 ____ _.
DOE: 6738
Date 2/15/2012
City Project Mgr.! Tariqul Islam (817) 392-2486
Change Order#
City Inspector Candace Klenk (817) 319-6452
Dept. TPW
Original Contract Amount $231 ,810 .20
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $231,810 .20
fAmount of Proposed Change Order $0.00 $44,736.00
Revised Contract Amount $276,546 .20
Original Funds Available for Change Orders
Remaining Funds Available for this CO $0 .00
Additional Funding (if necessary) $44,736 .00
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)
$231 ,810 .20 126
$231 ,810 .20 126
$44,736.00 15
$276 ,546.20 141
$0 .00
$44,736.00
19.30%.
$289,762 .75
This change order is to request the addition of line items and the increase of line items to cover the cost of additional work that was added to
the original scope of contracted work. Additional concrete was needed to properly repair the Allen Street Bridge and the Mark IV Parkway
approach slabs. Additional work was required on the bridges on Hulen Street and Bellaire Drive. It became necessary to inspect the welds and
to re-weld any broken anchor bolts . 15 Calendar Days (CD) are requested to cover the allotted time to do the additional work .
"tl.ttl:Lf -6>~
It is understood and agreed that the acceptance of this Change Order by mle\~factor 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
'3 -
Date
3-.'.H-/2 ....
FORT WORTH ----.---City of Fort Worth
Change Order Additions
Project Name Bridge Repair and Rehabilitation at Seven Locations
Client Project# GG01-539590-0202003
Project Description Repair ing and rehabilitating bridges at various locations
Contractor Vendigm Construction , LLC
City Sec#
DOE: 6738
Change Order # Date 2/15/2012
City Project Mgr. Tariqul Islam (817) 392-2486 --~----~----------' City Inspector Candace Klenk (817) 319-6452
ADDITIONS
111::M Ut:ol,Klr' I IUN Ut:1-' I Qty Unit Unit 1..,ost
1 INC-concrete t:lndge uecl< t-<epair Class I (t::l) Shallow lt-'W 1,163 .UU l,Y :jilJ.JO
3 11N1..,-ctearnng and seating uecl< Joints IPW 364 .00 LF :i;ti.04
4 tN1..,-Rep1ace t::lndge Approach Slab IPW 143 .00 l,Y $361.H:
ti I tNC-t-<eplace Concrete sidewalk IPW 1,015 .00 SF :i,~.UL
!:i I INC-Multi-ayer 1::poxy t::lroadcast Overlay IPW ,~.vu SF :i>o.41
11 [AUU-Anchor t::lolt 1nspection/Repa1rtuec1< t-<epa1r on Hulen IPW 1 .vu 1..,y $4 ,tl/o.UL
TPW
Sub l ota Add1t1ons
Change Order Additions Page 1 of 1
42190
IOtal
:jilO ,OLO .UO
;)IL ,~LO.Oti
:i;o,,ouo./4
:i,~,lJo.UU
:jil oti.tl!:i
:j,4 ,010 .UU
$0.00
$85 ,126 .24
$85 ,126 .24
FORT WORTH ------.---City of Fort Worth
Change Order Deletions
Project Name Br idge Repair and Rehabilitation at Seven Locations
Client Project# GG01 -539590 -0202003
Project Descr iption Repairing and rehabilitating bridges at var ious locations
Vendigm Construction , LLC
City Sec#
DOE: 6738
Change Order # Date 2/15/2012 Contractor
City Project Mgr. Tariqul Islam (817) 392 -2486 City Inspector Candace Klenk (817) 319-6452
DELETIONS
11 t.M Ut.::iL;Klt' I IUN Ut.1-' I Qty Unit Unit Cost
'L ut:1.,-L;oncrete i:snage uecK Kepa1r L;iass 11 (!:SJ M1a ueptn I t"'VV 1, 1 Jo .UU ;:,r :j)'L.J .\:111
7 DEC-Replace Concrete Riprap IPW 8.00 L;Y $348 .tslJ
8 ut:L-Flowable t-111 IPW 25 .00 L;Y $416 .16
TPW
Sub l otal Deletions
Change Order Deletions Page 1 of 1
42190
IOtal
:i,zr ,rno .ts4
.i,,, /\:IU.4U
:j,1U ,4U4 .UU
$0 .00
$40 ,390 .24
$40 ,J\:IU .24
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.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)
Bridge Repair & Rehabiliation 2011-18@ Seven Locations
P0-11-0006777 4
N/A
N/A
CS42190 C-25093 approved 08-09-11
6738
1
3/9/12
TOTAL
$ 231,810.20
$
$
$ 231,810.20
Amount of Proposed Change Order: $ 44,736.00
Revised Contract Amount:
Contingency Funds Avail. for Admin . Change Orders :
Remaining Funds Available for Change Orders:
Additional Funding (if necessary):
$ 276,546.20
$
$
$ (44,736.00)
Prepared By: Christy Ezernack T/PW Construction Services
>
...
City of Fort Worth
Change Order Request
Project Name! Bridge Repair and Rehabilitation at Seven Locations ;to11 -1g
Client Project #(s}! GG01 -539590-0202003
Project Description Repairing and rehabilitating bridges at various locations
£-I J \ g 0 -CO I
City Sec# 42190 ~------~
DOE: 6738
Contractor! Vendigm Construction , LLC Change Order # Date 2/15/2012
City Project Mgr .! Tariqul Islam (817) 392-2486 City Inspecto r Candace Klenk (817) 319-6452
Dept. rpw ...-"'"' ~~~; --' ' 11..: ...., ,.._
Original Contract Amount $231 ,810 .2~ ,,.; ..,i.-.,. I
Extras to Date uv-) I< .
Credits to Date _/-'I' I "-,·,;
Pending Change Orders (in M&C Process) I l
ContracLCost to.Date $231 ,810 .20
!Amount of Proposed Change Order $0.00 $44,736.00
Revised Contract Amount $276 ,546 .20
Original Funds Available for Change Orders
Remaining Funds Available for this CO $0 .00
Additional Funding (if necessary) $44 ,736.00
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
' ~tals (CD)
$231 ,810 .20 126
$231 ,810.20 126
$44,736.00 15
$276 ,546 .20 141
$0 .00
$44,736 .00 r
19 .30 %
$289,762 .75
This change order is to request the addition of line items and the increase of line items to cover the cost of additional work that was added to
the original scope of contrac ted work . Additional concrete was needed to properly repa ir the Allen Street Bridge and the Mark IV Parkway
approach slabs. Additional work was required on the bridges on Hulen Street and Bellaire Drive . It became necessary to inspect the welds.and
to re-weld any broken anchor bolts . 15 Calendar Days (CD) are requested to cover the allotted time to do the additional work.
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
3-21-2
Date
Date
'3 -, -r'2.
Date
Date
:I 'Ul/1:z.
. -
FORT WORTH ..
~
City of Fort Worth
Change Order Request
4J\CjO -<O l
Project Name! Bridge Repair and Rehabilitation at Seven Locations ;/011 • 11
Client Project #(s)j GG01-539590-0202003
Project Description Repairing and rehabilitating bridges at various locations
Contractor! Vendigm Construction , LLC
CitySec # 42190 .__ ______ __.
DOE : 6738
Date 2/15/2012
City Project Mgr.j Tariqul Islam (817) 392 -2486
Change Order #
City Inspector Candace Klenk (817) 319-6452
Dept. TPW
.., -'J
I I
Original Contract Amount $231 ,810 .20
Extras to Date
Credits to Date I
Pending Change Orders (in M&C Process) I .
Contract Cost to Date $231 ,810 .20
!Amount of Proposed Change Order $0.00 $44,736.00
Revised Contract Amount $276,546 .20
Original Funds Available for Change Orders
Remaining Funds Available for this CO $0 .00
Add itional Funding (if necessary) $44,736 .00
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)
$231 ,810 .20 126
$231 ,810.20 126
$44,736.00 15
$276 ,546 .20 141
$0 .00
$44 ,736 .00
19.30%
$289 ,762 .75
This change order is to request the addition of line items and the increase of line items to cover the cost of additional work that was added to
the original scope of contracted work . Additional concrete was needed to properly repair the All en Street Bridge and the Mark IV Parkway
approach slabs . Additional work was required on the bridges on Hulen Street and Bellaire Drive . It became necessary to inspect the welds and
to re-weld any broken anchor bolts . 15 Calendar Days (CD) are requested to cover the allotted time to do the additional work .
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 Contract Si nature Date
Date Date
I I ,;n-n ...
Date Date
I .... , '-
Date
:, ~ /,:z.
M&C Number A/ll~·
t\~
J
<>f ,. ...
FORT WORTH ..
~
City of Fort Worth
Change Order Request
City Sec# 42190
fr,
.. , I I
Project Name! Bridge Repair and Rehabilitation at Seven Locations 1111 1 .__ ______ __.
Client Project #(s)! GG01-539590-0202003 DOE : 6738
Project Description Repairing and rehabil itating bridges at various locations
Contractor! Vendigm Construction , LLC Change Order#
City Inspector
Date 2/15/2012
City Project Mgr .! Tariqul Islam (817) 392 -2486 Candace Klenk (817) 319-6452
Dept. TPW
Original Contract Amount $231,810 .20
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $231 ,810 .20
IAmount of Proposed Change Order $0.00 $44,736.00
Revised Contract Amount $276 ,546 .20
Original Funds Available for Change Orders
Remaining Funds Available for this CO $0 .00
Additional Funding (if necessary) $44,736 .00
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)
$231 ,810 .20 126
$231 ,810 .20 126
$44,736.00 15
$276 ,546.20 141
$0 .00
$44 ,736.00
19.30%
$289 ,762 .75
This change order is to request the addition of line items and the increase of line items to cover the cost of additional work that was added to
the original scope of contracted work . Additional concrete was needed to properly repair the Allen Street Bridge and the Mark IV Parkway
approach slabs . Additional work was required on the bridges on Hulen Street and Bellaire Drive. It became necessary to inspect the welds and
to re-weld any broken anchor bolts . 15 Calendar Days (CD) are requested to cover the allotted time to do the additional work .
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 Company Name I Contractor (Name) I Contract Signature Date
Vendigm Construction , LLC I .. ~ . I
J
lftSoector/lnsoection Suoervisor / /t ' Date Project Manager/Program Manaaer Date
Id /f~·-....,..
I ~ --I•
Assistant Director (Dept) Date Director, Contracting Department (Dept) Date
Assistant City Attorney Date Assistant City Manager Date
•: ")-
~
-. .. ·--1' I ~ r IL
Council Action if reQuired)
M&C Number I ' .., I M&C Date Approved I I
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