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Attest:
Jannette S. Goodall City Secretary
Facility and Project�PSB Municipal Building Roof
Description:
FORT WORTH.
City Of Fort Worth
Change Order Request
Funding (FID) No.(s) �0100 0210410 5430101 104428 CAPEX 9999
Contractor: iCowboys Roofinq, LLC
City Project Mgr.i Juan Serrano
Phone Number: 1(682) 352- 8186
CSC No. 61894-COI
City Sec No. I61894
City Proj. No. I104428
ChangeOrder# Date: 1 12I4I2024 1
City Inspector: JJason Buchanan
Phone Number: 1(682)201-1882
OriginalContract Amount ------------------------------------- —---------------------------------------------------- —----------------------------- —
Extrasto Date--------------------------------------------------------------------------------- -----
Creditsto Date--------------------------------------------------------------------- -----------------------------------
Pending Change Orders (in M&C Process) ------------------------------------ ------------------------------------------------------------------
ContractCost to Date ------------------------------- —----------------------------------------------- ------------------------------------------------
Amount of Proposed Change Order ---------------------------------------------------------------------------------------------------------
RevisedContract Amount ------------------------------------------------- —------------------------ —----- --------------------------------------
Original Funds Available for Change Orders -----------------------------------------------------------------------------------------------------
Remaining Funds Available for this CO ----------------------------------------------------------------------------------------------------------
Additional Funding if necessary) ------------------------------------------------------------------------
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
5685,716.40
0.00
-0.00
'0.00
$685,-16.40
42,000.00
$ 27,716.40
80,000.00
38,000.00
0.00
6.12 %
$857,145.50
Contract Time
(CD)
120
0
0
0
120
20
140
The purpose to Change Order #1 will add scope of work to the project to include the replacement of existing roof drains on the 4th floor of the Public Safety
Building.
Change Order #1 will add funds to the construction contract for PSB Municipal Building Roof Replacement. An increase of $42,000.00 to the original contract
amount ($685,716.40) for a revised contract amount of $727,716.40, a 6.12% increase to the original contract, approved by M&C 24-0584. This results in an
increase in project sum with an additional 20 calendar days of project time. Cowboys Roofing, LLC was selected as the Contractor in July of 2024.
Funding is provided by PMD Facilities Capital Expenditure.
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.
ny Name
Cowboys Roofing, LLC
Contractor Name
Tim Ebel Tim Ebel
Tim Ebel (Dec 4, 202410:19 CST)
Dec 4, 2024
PMD Inspector
Sr. Capital Projects Officer
Ja n Buchanan (Dec 4, 2024 14:24 CST)
Dec 4, 2024
Dec 12, 2024
D Superintendent
Date
Director -Property Management Department
Date
Dec 4, 2024
Dec 13, 2024
Project Manager
Sr. Assistant City Attorney
Date
JvAw = Se-rra.nw,
Dec 4, 2024
Dec 13, 2024
Project Architect
Date
Assistant City Manager
Darte
Harold Stebhens
Harold Stephens (Dec 7, 262410:47 CST)
Dec 7, 2024
Dana Burghdoff
Dana Burghdoff (Dec 16, 202413:54 CST)
Dec 16, 2024
M&C Number
Contract Compliance Manager:
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and reporting requirements.
M&C Date Approved
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
M
Nikita Watts
Sr. Capital Projects Officer
Proposed Change Request #
Job # 24073
Project: PSB ROOF
Client: CFW
Attn: Harold Stephens
From Tim Ebel
4
Description: Repair/Replace Roof Drain lines
UPDATED
Description
Date: 12/2/2024
Provide labor and material to repair/replace necessary damaged drains on Roof B.
Includes removing and hauling off debris. Protection of finishes included. Work during
regular business hours.
EXCLUSIONS: Furniture move, Desks, Filing cabinets, Computers, lights, ceiling fans,
new ceiling tile, abatement demo.
Total
Schedule impact: 20 Days
Accepted: ❑
Rejected:
By: /
Date
Subtotal
Supervision
Subtotal
Overhead
Subtotal
Profit
Subtotal
Sales Tax
Amount
$ 39,900.00
$
39,900.00
$
2,100.00
$
42,000.00
0% $
-
$
42,000.00
0% $
-
$
42,000.00
0.00% $
-
$
42,000.00