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Home My WebLink AboutContract 42286-CO1FORT WORTH . ----..,..---City of Fort Worth Change Order Request Project Name! Summercrest Ct Drainage Improvements Cl ient Project #(s)! P227-541200-203280102383 (DOE# 6000) CITY SECRETARY CONTRACT NO. L\a29$'.Le -CQ\ City Sec # 42286 .__ _____ ___, Install new storm drain system and P.O.L. from Briarhaven@ Summercrest to Sarita Rd . to existing concrete culvert and Project Description from Summercrest@ Briarhaven to Cloudview ; then from 3928 Trails Edge Rd . to Arroyo Rd . Contractor! RKM Utility Services , Inc . Change Order # Date 2/13/2012 City Inspector Joe Rogers City Project Mgr.! Michael Owen ____________ ___, Dept. TPW Water Sewer Original Contract Amount $741 ,269 .00 Extras to Date Credits to Date Pend ing Change Orders (in M&C Process) Contract Cost to Date $741 ,269 .00 !Amount of Proposed Change Order $4 ,300.00 $0.00 $0.00 Revised Contract Amount $745 ,569 .00 Original Funds Available for Change Orders $25 ,000 .00 Remaining Funds Ava ilable fo r this CO $25 ,000 .00 Additiona l 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) $741 ,269 .00 180 $741 ,269 .00 180 $4 ,300 .00 2 $745 ,569.00 182 $25 ,000.00 $25 ,000 .00 0.58% $926 ,586 .25 Removed and replaced 4-6 " and 1-15" RCP storm dra ins (pr ivate system) which were not shown on plans . Removed and rep laced by re-routing (behind new curb inlet) a 4" sanitary serv ice which was in conflict with new storm drain pipi ng and installed 2 way clean-out at 3820 Trails Edge Rd . 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 ~/1 °1 /cl..l. Date ~:===l=~~~~~~~~~-+-___;;-=-~f--=-l~~~~~=-=~::..:.Ll-~+-~~--1 ~~ l-~~~~:::::......,--~~~~~~--+J..::&..~~,M-.-=~~~~~~~=---=:;_--14,;>-1-=-..:..,....:.:..::..:::~G~ ~~~~~~~---+-:-:-~~~~~~ilti"""11:~~~~~/ M&C Number FORT WORTH -----,....-- Project Name Client Project# City of Fort Worth Change Order Additions Summercrest Ct Drainage Improvements P227-541200-203280102383 (DOE# 6000) City Sec# Install new storm drain system and P.O.L. from Briarhaven@ Summercrest to Sarita Rd . to existing concrete culvert and from Summercrest @ Briarhaven to Cloudview ; then from 3928 Trails Edge Rd . to Arroyo Rd . RKM Utility Services , Inc . Change Order# I 1 Date 2/13/2012 42286 Project Description Contractor City Project Mgr. Michael Owen City Inspector!,_ _J_oe_Ro_,,g'-e_rs ________ __. ADDITIONS 11 t.M Uc:vvn.1r I IUN Ut.t"' I Wty Unit un1t cost IOtal oU o· t"'Vv drain pipe -t<emove and replace I t"'VV 4.UU t:A ~ouu .uu $£,UUU .UU 01 1 o" K~I-' pipe tie into new 4£" t<CI-' pipe fPW 1.UU EA $800 .UU $1:lUU .uu 0£ 4" ::;ewer ::;erv1ce wt L way cto-route behind Curo Inlet-Jl:lLU I rails t:dge fPW 1.UU EA $1 ,oUU .UU $1 ,0UU .UU Change Order Additions Page 1 of 2 TPW $4 ,300 .00 Water $0 .00 Sewer $0 .00 Sub Total Add 1t1ons $4 ,JUU .UU Change Order Additions Page 2 of 2 FORT WORTH ---..,.....--City of Fort Worth Change Order Deletions Project Name Summercrest Ct Drainage Improvements City Sec# Client Project# P227 -541200-203280102383 (DOE# 6000) Install new storm drain system and P.O.L. from Briarhaven @ Summercrest to Sarita Rd . to existing concrete culvert and from Summercrest@ Briarhaven to Cloudview ; then from 3928 Trails Edge Rd. to Arroyo Rd . RKM Utility Services , Inc . Change Order# I 1 Date 2/13/2012 42286 Project Description Contractor City Project Mgr . Michael Owen City Inspector .__J_oe_Ro_,g._e_rs ________ ____. DELETIONS 111::.M Ul::.~(.;Klt-' I IUN Ut:r' I Qty Unit Unit 1.,;ost IOtal 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 , • l • 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 : Summercrest Court Drainage Improvements BuySpeed No (T/PW): 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 : P0-12-00068844 01023 CS42286 6000 1 3/7/12 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): Original M & C approved 08-09-11, C-25094 TOTAL $ 741,269.00 $ $ $ 741,269.00 $ 4,300.00 $ 745,569.00 $ 25,000.00 $ 25,000.00 $ Prepared By : Christy Ezernack T/PW Construction Services City of Fort Worth Change Order Request l.\dd 'g (.p-( 0 \ Project Name! Summercrest Ct Drainage Improvements City Sec# 42286 ~-----~ Cl ient Project #(s)j P227-541200-203280102383 (DOE# 6000) Install new storm drain system and P.O.L. from Briarhaven @ Summercrest to Sarita Rd . to existing concrete culvert and Project Description from Summercrest@ Br iarhaven to Cloudview ; then from 3928 Trails Edge Rd . to Arroyo Rd . Contractor! RKM Utility Services , Inc . Change Order # Date 2/13/2012 City Project Mgr.! Michael Owen City Inspector Joe Rogers ,.__ _ ___;; _________ ___. Dept. TPW Water Sewer Original Contract Amount $741 ,269 .00 Extras to Date Credits to Date Pending Change Orders (in M&C Process ) Contract Cost to Date $741 ,269 .00 IAmount of Proposed Change Order $4,300.00 $0.00 $0.00 Revised Contract Amount $745 ,569 .00 Original Funds Available for Change Orders $25 ,000 .00 Remaining Funds Available for th is CO $25 ,000.00 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) $741 ,269.00 180 $741 ,269 .00 180 $4 ,300.00 2 $745 ,569 .00 182 $25 ,000 .00 $25 ,000 .00 0.58% $926 ,586 .25 Removed and replaced 4-6" and 1-15 " RCP storm drains (private system) which were not shown on plans . Removed and rep laced by re-routing (behind new curb inlet) a 4" sanitary service which was in conflict with new storm drain piping and installed 2 way clean-out at 3820 Trails Edge Rd . 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 Date 5 .J."j/ Date Date ,I. '.1. 12 M&C Number Nit,. M&C Date Approved t\} \ FORT WORTH . ~ City of Fort Worth Change Order Request Project Namel Summercrest Ct Drainage Improvements Client Project #(s)I P227-541200-203280102383 (DOE# 6000) City Sec# 42286 ______ ___. Install new storm drain system and P.O.L. from Briarhaven @ Summercrest to Sarita Rd. to existing concrete culvert and Project Description from Summercrest@ Briarhaven to Cloudview ; then from 3928 Trails Edge Rd . to Arroyo Rd . Contractor! RKM Utility Services , Inc . Change Order# Date 2/13/2012 City Project Mgr. I Michael Owen City Inspector ~J_oe_Ro~g_e_rs ________ ___, Dept. TPW Water Sewer Original Contract Amount $741 ,269 .00 Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $741 ,269 .00 !Amount of Proposed Change Order $4,300.00 $0 .00 $0.00 Revised Contract Amount $745 ,569 .00 Original Funds Available for Change Orders $25 ,000 .00 Remaining Funds Available for this CO $25 ,000 .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) $741 ,269 .00 180 $741 ,269 .00 180 $4,300.00 2 $745 ,569 .00 182 $25 ,000 .00 $25 ,000 .00 0.58% $926 ,586 .25 Removed and replaced 4-6 " and 1-15 " RCP storm drains (private system) which were not shown on plans . Removed and replaced by re-routing (behind new curb inlet) a 4" sanitary service which was in conflict with new storm drain piping and installed 2 way clean-out at 3820 Trails Edge Rd . I) {J(l0 / J 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 . isor Date Date '< I J .. _ / .Jf. /, Date I / -'/ J/ Date ~ '.J. :12 M&C Number tJI .. I t" \ ,. ~ .. FORT WORTH . ~ 1• City of Fort Worth Change Order Request Project Name! Summercrest Ct Drainage Improvements Client Project #(s)! P227-541200-203280102383 (DOE# 6000) City Sec # 42286 .__ _____ ___, Install new storm drain system and P.O.L. from Briarhaven @ Summercrest to Sarita Rd . to existing concrete culvert and Project Description from Summercrest@ Briarhaven to Cloudview ; then from 3928 Trails Edge Rd. to Arroyo Rd . Contractor! RKM Utility Services , Inc . Change Order# Date 2/13/2012 City Project Mgr. I Michael Owen City Inspector Joe Rogers '-------'"-------------' Dept. TPW Water Sewer Orig inal Contract Amount $741 ,269 .00 Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $741 ,269 .00 !Amount of Proposed Change Order $4,300.00 $0.00 $0.00 Revised Contract Amount $745 ,569 .00 Original Funds Available for Change Orders $25 ,000 .00 Remaining Funds Available for this CO $25 ,000.00 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) $741 ,269 .00 180 $741 ,269 .00 180 $4,300.00 2 $745 ,569.00 182 $25 ,000 .00 $25,000 .00 0.58% $926 ,586 .25 Removed and replaced 4-6 " and 1-15" RCP storm drains (private system) which were not shown on plans . Removed and replaced by re-routing (behind new curb inlet) a 4" sanitary service which was in conflict with new storm drain piping and installed 2 way clean-out at 3820 Trails Edge Rd . 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 RKM Utilit Services , Inc . / J lnsoector/lnspection Suoervisor Date Project Manager/Program Manager Date Assistant Director (Dept) Date Director, Contracting Department (Dept) Date Assistam,6ity Atto.meY Date Assistant City ManaQer Date // J_ ,J .--,,,,,_. .. ' I ~~ -. -..,/ .. ~ /,I. - \ _A .J' l Council Action if reQuired) M&C Number I /11' I M&C Date Approved I I