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Home My WebLink AboutContract 42306-CO1 (2)z N l"'I 0 CL N I r '<:I" J N I \ lf\ ) 0 • ; ~-City of Fort Worth Change Order Request ~-7 f c:,p ~ CITY SECRETARY!'?~ n1,,-(()J CONTRACT NO. _'::::J...J.J~~~J.) ~~'--" .......... City Sec# I 42306 I Project Name! HMAC Surface Overlay At Various Locations (2011-17) Client Project #(s)! C293-541200-205620176483 DOE : 6698 ! Project Description HMAC Surface Overlay Throughout The City (Street Maintenance) Contractor! JLB Contracting, LLC City Project Mgr.! Kristian Sugrim Change Order# Date 4/28/2012 (817) 392-8902 City Inspector Dav id W. Bowers (817) 350-3522 Dept. TPW Water Sewer Original Contract Amount $571 ,857 .90 $228 ,743 .16 $152 ,495 .44 Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $5 71,85 7.90 $228 ,743 .16 $152,49.5-44 IAmount of Proposed Change Order $9,485.49 $3,794.20 $2,529.46 Rev ised Contract Amount $581 ,343 .39 $232 ,537.36 $155 ,024 .90 Original Funds Available for Change Orders Remaining Funds Available for this CO $0 .00 $0 .00 $0.00 Additional Funding (if necessary) $9,480.49 $3 ,7 94 .20 $2,529-46 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) $953 ,096 .50 110 $.95-3,096..50 110 $15,809.15 69 $968 ,905 .65 179 $0.00 $15 ,809.15 1.66% $1,191,370.63 The submission of this Change Order is to request that and additional 69 days be added to this contract along with the increase in line item quantities to compensate for the addition of Merida St. (Berry to Benbrook). A~by: OFFICIAL RECORD CITY SECRETARY FT. WORTH , TX 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 , th e above Change Order . ~~Fn~=~q::.,.~~----+-~=+-----i'--rr~~~~~~ii,P~~---t-.--r=-=F---:-1 /~ ~VP!:J=,~~~~~----i.~~~~~~~~~~fb~t~ ~~~~~===-__..!.:..2..;~~:....µL:L...JZ...::J.~.....st::~~::::...:....:~~--~.i.=.L:.~w~ M&C Number ... C-OP'-/ I op~ FORT WORTH .. ~ -City of Fort Worth Change Order Request 4Z5Llc · (uJ City Sec # 42306 .__ _____ ___, Project Namel HMAC Surface Overlay At Var ious Locations (2011-17) Cl ient Project #(s)I C293 -541200-205620176483 DOE : 6698 Project Description HMAC Surface Overlay Throughout The City (Street Maintenance) Contractor! JLB Contracting , LLC City Project Mgr. I Kr istian Sugrim Change Order # Date 4/28/2012 (817) 392-8902 City Inspec tor Davi d W. So wers (817) 35 0-3522 Dept. TPW Water Sewer JI Orig inal Con tract Amount $571 ,85 7.90 $228 ,743 .,16 $152,495 .44 Extras to Date Credits to Date -· r' - Pending Change Orders (i n M&C Process) Contract Cost to Date $571 ,85 7,90 $228 ,743.16 $152 ,495.44 !Amount of Proposed Change Order $9,485 .49 $3,794.20 $2,529.46 Revised Contract Amount $581 ,343.39 $232 ,537 .36 $155 ,024.9 0 Original Funds Available for Change Orders Remaining Funds Available for th is CO $0 .00 $0 .00 $0.00 Add iti onal Funding (if necessary) $9,485.49 $3,794 .20 $2 ,529.46 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS% OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25°,1,) JUSTIFICATION (REASONS) FOR CHANGE ORDER Totals Contract Time -(CD) $953 ,096 .50 110 -, 2.. $953 ,096.50 -110 $15,809.15 69 .$968 ,905 .65 179 $0 .00 $15 ,809 .15 1.66% $1,191,370 .63 The subm issi on of this Change Order is to request that and additional 69 days be added to this contract along with the increase in line item quantities to compensate for the addition of Merida St. (Berry to Benbrook). It is understood and agreed that the acceptance of this Change Order by the contractor consti tutes an accord and satisfact ion and represents paymen t in full (both ti me and mo ney) for al l cos ts ari sing ou t of, or inci dental to , th e above Cha nge Order. I z_ W=&!.-1=.~~H!!::::.==-----~l!!P!:-~~~~~~6..+~~-~(r I--A~::::::.~~~~=--'1:.1 ·2.S .:....· ~f.,-~l\~U'.J,:.&.:.j.......~2...:..!.~l---:s!:::Z:::::~~:....:...-=-=--...A...----1-:....!....!...~:....:.:...::....i W ~ Date ) M&C Number FORT WORTH . ~ City of Fort Worth Change Order Request 7 I o;-: ~ 47'~Llr -(t I City Sec# 42306 Project Name! HMAC Surface Overlay At Various Locations (2011-17) Client Project #(s)j C293-541200-205620176483 DOE : 6698 Project Description HMAC Surface Overlay Throughout The City (Street Maintenance) Contractor! JLB Contracting , LLC City Project Mgr.! Kristian Sugrim Change Order# Date 4/28/2012 (817) 392-8902 City Inspector David W. Bowers (817) 350-3522 Dept. TPW Water Sewer Totals Contract Time (CD) Orig inal Contract .A.mo unt $571 ,857.90 $228 ,743 .16 $152 ,495 .44 $953 ,096 .50 110 Extras to Date Credits to Date . ' Pending Change Orders (in M&C Process) Contract Cost to Date $571 ,857.90 $228,743 .16 $152,495 .44 $953 ,096 .50 110 IAmount of Proposed Change Order $9 ,485.49 $3,794 .20 $2 ,529 .46 $15 ,809 .15 69 Revised Contract Amount $581 ,343 .39 $232,537 .36 $155 ,024 .90 $968 ,905 .65 179 Original Funds Available for Change Orders $0 .00 Remaining Funds Available for this CO $0 .00 $0 .00 $0 .00 Additional Funding (if necessary) $9,485.49 $3 ,794.20 $2 ,529.46 $15 ,809.15 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1.66% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $1 ,191 ,370.63 JUST ICATION (REASONS) FOR CHANGE ORDER The submission of this Change Order is to request that and additional 69 days be added to this contract along with the increase in line item quantities to co mpensate for the add ition of Merida St. (Be rr y to Benbrook). v ,( l L t 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 mone y) for all costs ari sing out of, or incidental to , the above Change Orde r. Ins i---,;...;.;;..~~i;;,,,;.r,,..__.a,....__ __ +----i--.--.......-'--------"'---'---___.___._.......___-+--_---1 ti.J; 1-----A_,. __ .,,._,,,.;,__/ _ _:.-:.;,___..,:.'f;..a. S~-;...;{.,;,__l\..;,.•....,t ""''-·-+-----+-..:..--------------+---'-'--1 ~ T Date M&C Number I A/ /A,. I --... City of Fort Worth Change Order Request t I /. . City Sec# 42306 Project Name! HMAC Surface Overlay At Various Locations (2011-17) Client Project #(s)j C293-541200-205620176483 ~-------' DOE : 6698 Project Description HMAC Surface Overlay Throughout The City (Street Maintenance) Contractor! JLB Contracting , LLC City Project Mgr .! Kristian Sugrim (817) 392-8902 Change Order# Date 4/28/2012 City Inspector David W. Bowers (817) 350-3522 Dept. TPW Water Sewer Totals Contract Time Original Contract Amount $571 ,857 .90 $228,743 .1 6 $152 ,495.44 Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $571,85 7.90 $228 ,7 43 .16 $152,495A4 IAmount of Proposed Change Order $9,485.49 $3,794.20 $2,529.46 Revised Contract Amount $581 ,343.39 $232 ,537.36 $155 ,024 .90 Original Funds Available for Change Orders Remaining Funds Available for this CO $0.00 $0 .00 $0 .00 Additionai Funding (ii necessary ) $9,485 .49 $3,794 .20 $2,529 .46 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) $953 ,096 .50 110 $953,096 .50 110 $15,809.15 69 $968 ,905 .65 179 $0 .00 $i 5,80 9.15 1.66% $1 ,191 ,370 .63 The submissio n of this Change Order is to request that and additional 69 days be added to this contract along with the increase in line item quantities to compensate for the addition of Merida St. (Berry to Benbrook). 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 Compan Name Contractor Name Date JLB Contractin , LLC .., ._ .., J> /-I I Inspector/Inspection Su'pervisor Date Project Manager/Program Manager Date ( -l (l I ..,....__ . I •,i, Assistant Director (Dept) Date Director , Contracting Department (Dept} Date -r ' . I Assistant City Attorney Date Assistant City Manaqer Date / l . ~~ ,r ,, ., / "'" ,,,_ :,,I ... .,, - -- Council Action if required) M&C Number I ' I M&C Date Approved I I - ' ... \ ' \ FORT WORTH -----.--- Project Name Client Project# Project Description Contractor City Project Mgr. City of Fort Worth Change Order Additions :=:H=M=A=C=S=u=rt=ac=e=O=v=er=la::::::y::At::V=a=rio=u=s=L=oc=a=tio=n=s::::(2=0=11=-1=7=)=============================---C-it.:.._y_s_ec_#~====4:::2306 DOE : 6698 C293-541200-205620176483 HMAC Surtace Overlay Throughout The City (Street Maintenance) JLB Contracting , LLC Change Order # Date 4/28/2012 Kristian Sugrim (817) 392-8902 City Inspector David W. Bowers (817) 350-3522 ADDITIONS c1ter ater c1ter c1ter c1ter c1ter c1ter c1ter c1ter c1ter c1ter Change Order Additions Page 1 of 2 18 (Inc) 8 Inch Pulverization sewer LL.00 ::,y $J.4o :i, ff .tlJ 19 ,Inc) cement Moamcat1on sewer 4.JL IN :i,l:10 .0U $414./L 20 ,Inc) unc1ass1t1ed Excavation sewer 3.LU L;Y $19.0U :j,OU .tlU 28 ,Inc) '2." HMAC Surface overlay sewer I.LU ::,y $!:l.4'2. :i,o r .tlL JL ,Inc) water Valve l:3ox Adjustment w/ cone . Collar sewer 0.tlU t:A $350 .0U :j,LtlU.00 35 ,Inc) Manhole Adjustment w/ Cone . Collar sewer 0.JL t:A $450 .0U $144.00 j( (Inc) Grass Sod Replacement sewer 84 .1o ::,y :i,o .50 $54 /.04 TPW $9,485.49 Water $3,79 4.20 Sewer $2 ,529.46 Sub Total Additions $15 ,809 .15 Change Orde r Additions Page 2 of 2 FORT WORTH ----,...-- Project Name Client Project # City of Fort Worth Change Order Deletions HMAC Surface Overlay At Various Locations (2011-17) C293-541200-205620176483 Project Description HMAC Surface Overlay Throughout The City (Street Maintenance) Contractor JLB Contracting , LLC DOE : 6698 Change Order # City Project Mgr . Kristian Sugrim (817) 392-8902 '--------"'------....._-'---------' City Inspector David W. Bowers DELETION~ 11 t:M Ut:::;L;KII"' 1 IVI\I Ut:r' I Uty Unit Change Order Deletions Page 1 of 2 City Sec# 42306 Date 4/28/2012 (817) 350-3522 unit cost I otal TPW $0 .00 Water $0.00 Sewer $0 .00 ::iub I otal uelet1ons 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 : PROJECT SUMMARY SHEET (Change Order Attachment) HMAC 2011-17 Surface Overlay 50/50 P0-11-00068128 NIA 01764 Contract No: CS42306 Original M & C = C-25139, approved 09-13-11 D.O.E. No: 6698 Attachm ent to Change Order No : 1 Toda y's Date : 4/30/12 Original Contract Amount: Extras to Date : Credits to Date : Contract Amount to Date : Amount of Proposed Change Order: Revised Contract Amount: $ $ $ $ $ $ TOTAL 953,096 .50 $ $ $ 953,096.50 $ 15,809.15 $ 968,905.65 $ C293 P253 P258 571,857.90 $ 228 ,743.16 $ 152,495.44 $ $ $ $ 571,857.90 $ 228 ,743 .16 $152,495.44 9 ,485.49 $ 3 ,794 .20 $ 2,529.46 581,343.39 $ 232 ,537.36 $ 155,024 .90 Contingency Funds Avail. for Admin . Change Orders: $ $ $ $ $ $ $ Remaining Funds Available for Change Orders : $ $ Additional Funding (if necessary): (15,809.15) $ (9,485 .49) $ (3 ,794 .20) $ (2 ,529 .46) Prepared By: Christy Ezernack T/PW Construction Services ' ' 4