HomeMy WebLinkAboutContract 58614-CO3CSC No. 58614-CO3
FORT WORTH. City of Fort Worth
—�' Change Order Request
Project Name 2022 Traffic Signal and Street Lighting Improvements Unit Price Construction Contract City Sec # I 58614
Client Project #(s)� Various Projects
Project Description Unit Price Construction Contract for Traffic Signal and Street Lighting Improvements Projects
Contractor Bean Electric, Inc. Change Order #I 3 I Date 8/15/2024
City Project Mgr.1 Iskal Shrestha P.E. City Inspector) N/A
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Amount of Proposed Change Order
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
TPW
$3,000,000.00
$71,566.65
$3,071,566.65
$0.00
$3,071,566.65
$0.00
Contract Time
Totals (CD)
$3,000,000.00
$71,566.65
071,566.65
$3,071,566.65
$0.00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1 2.39%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) $3,750,000.00
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Additional bid items are needed but were not included in the original unit price contract. The items being added are needed for the construction of the traffic signal
improvements at Wichita St & Martin St(CPN 103995).
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. The Project/Program Manager signing below
acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and
reporting requirements.
Bean Electric, Inc. I Roy E Bean II
Sep 12, 2024
Inspector/Inspection Supervisor
Date
Project and Contract Compliance Man
Date
Sep 12, 2024
Program Manager
Date
Senior Capital Project Officer
Date
_
Sep 13, 2024
�e o $eps o a o p
Sep 16, 2024
pusistant Director (Dept)
Date
Director, ng Department (Dept)
Date
TaENcia L Wairack
Sep 17, 2024
A m-
Sep 17, 2024
ity Attorney
o'
Date
Sep 17, 2024
Q�
Date
Sep 20, 2024
ATTEST: p Fo 4ZLZ'
I.g
Jannette Goodall, City Secretary a$o oxa
APaan nezaS a
(if required)
M&C Number I NA M&C Date Approved I NA
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FORT WORTH City of Fort Worth
Change Order Additions
Project Name 2022 Traffic Signal and Street Lighting Improvements Unit Price Construction Contract City Sec # 58614
Client Project # Various Projects
Contractorl Bean Electric, Inc. I PMI Iskal Shrestha P.E. I Inspectorl N/A
Change Order Submittal # 0 Date 1 8/15/2024 1
ADDITIONS
ITEM
DESCRIPTION
DEPT
Oty
Unit
Unit Cost
Total
/65
PKE-CC I V 8" SEWtK MAIN
I PW
0
Lh
$9.00
$0.001
766
POST -CCTV 8" SEWER MAIN
TPW
0
LF
$9.00
$0.001
767
CLSM BACKFILL
TPW
0
CY
$1,012.00
$0.001
768
CONCRETE ENCASEMENT
TPW
0
CY
$1,840.00
$0.001
TPW $0.001
Sub Total Additions $0.001
Change Order Additions Page 2 of 5
HEM
FOR_ TT WORT City of Fort Worth
Change Order Deletions
Project Name 2022 Traffic Signal and Street Lighting Improvements Unit Price Construction Contract City Sec # 58614
Client Project # Various Projects
Contractor Bean Electric, Inc. PMI Iskal Shrestha P.E. Inspectorl NIA
Change Order Submittal # 0 Date 1 8/15/2024
DELETIONS
DESCHIP I ION DFP I Oty Unit Unit Cost I otal
Change Order L eletions Page 3 c } 5
TOW $0.00 1
Sub Total Deletions $0.001
Change Order Deletions Page 4 of 5
MISBE for this Change Order
M/SBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO # DATE I AMOUNT
4/13/2023 $71,566.65
12/5/2023 $0.00
Total I $71,566.65 I
FQRT WORTH(�,
Routing and Transmittal Slip
Transportation & Public Works
Department
DOCUMENT TITLE: 2022 Traffic Signal and Street Lighting
Improvements Unit Price Construction
Contract — Change Order #3
M&C: N/A CPN: Various CSO: 58614 DOC#: I
Date: 08/15/2024
To: Name
Department
Initials Date Out
1. Roy E Bean II
Bean Electrical, Inc.
as 11 Sep 12, 2024
2. Alexandra Ripley
TPW - Review
A - Sep 12, 2024
3. Iskal Shrestha
TPW - Signature
is W's' Sep 12, 2024
4. Chad Allen
TPW - Signature
C*- Sep 13, 2024
5. Lissette Acevedo
TPW - signature
G�v Sep 16, 2024
6. Patricia Wadsack
TPW - signature
Sep 17, 2024
7. Lauren Prieur
TPW - signature
Sep 17, 2024
8. Doug Black
Legal - signature
oB O8 Sep 17, 2024
9. Jesica McEachern
CMO - signature
a` Sep 20, 2024
10. Jannette Goodall
CSO - signatures
Sep 20, 2024
11. TPW Contracts
TPW
DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any
and all City Departments requesting
City Manager's signature
for approval MUST BE ROUTED
TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip,
David will review and take
the next steps.
NEEDS TO BE NOTARIZED: DYES ®No
RUSH:DYES ®No
SAME DAY: DYES ®No
NEXT DAY:DYES ❑No
ROUTING TO CSO: ®YES ❑No
Action Required:
❑ As Requested
❑ For Your Information
® Signature/Routing and or Recording
❑ Comment
❑ File
❑ Attach Signature, Initial and Notary Tabs
Return To: TPWContracts(_a,FortWorthTexas.2_ov at ext. 7233 for pick up when completed.
Thank you!