HomeMy WebLinkAboutContract 61075-CO1Docusign Envelope ID: F4BF4621-13C4-4D29-9C80-OAE31CFED61A
CSC No. 61075-COI
Change Request Form
Change# 001 Between: GTS
Client Name The City of Fort Worth
Change JamilJabri
Manager
City of I Priority High
Fort Worth I (select one)
Date 11/25/2024
Related Issue N/A
CONTACT INFORMATION
Prepared by Trevor Henson Phone Email 713-679-4964
Trevor.henson@gts-ts.com
Change Owner Trevor Henson Phone Email
Client/Contract City of Fort Worth — Jamil Jabri Phone Email iamil.iabri(a),fortworthtexas.gov
or Contact 817-392-7334
DESCRIPTION OF EXISTING STATE
Details:
The original SOW is to Image, Asset Tag, Mount and Dock Swap/Refresh Services.
Qty. 153 — Image, Asset tag, and Dock Swap Services
Qty. 64 — Image and Asset Tag
Qty. 258 — Asset Tag Only
PO#FW004-0000009365
TOTAL: $58,437.27
REQUESTED IMPACT -> N/A Quality or N/A Related SOW Pricing
CHANGE Cost $12,457.09 Schedule Quantity Section Section
Services
Details
The City of Fort Worth departments did not adhere to the mutually agreed upon schedule. Vehicles were to be
made available to GTS installers in a regular and timely fashion as established in a mutually agreed upon
schedule. Any time spent beyond the projected project hours will be billed to the customer at the project staff
standard Time and Material (T&M) hourly rate. The IMPACT is 156 total tech hours.
In addition, if final deployment falls below 95% of expected devices GTS will require a Change Order and pricing
may be subject to change. The project currently has a balance of 16 Installations. 137 out of 153 Installations have
been completed. This puts the project at 89.5%, which is below the 95% of expected installations.
Per the City of Fort Worth team, bill the balance of sixteen installations and apply the difference to the impacted
cost of 156 Tech Hours. Please see the IMPACT details below.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Docusign Envelope ID: F4BF4621-13C4-4D29-9C80-OAE31CFED61A
IMPACT
Details:
PO#FW004-0000009365
INSTALLATION SERVICES:
- QTY. 1 — Off Schedule Change Order for Tech Time (156 Hours) = $12,457.09
BALANCE OF INSTALLATIONS:
- Qty. 16 Installation Services = $4,979.36
Off Schedule Change Order — Balance of Installations.
$12,457.09 - $4,979.36 = $7,477.73
Total Cost of $7,477.73 Paid By 4
this Change (keep all that
apply)
GTS
Signature —DocuSigned by:
I
J V16,',
Name
rrac e"�imeri'fal
VP of Servijg/2025
The City of Fort Worth
CUSTOMER
Signature
Name Mark McDaniel
Deputy City Manager Date J an 8, 2025
Docusign Envelope ID: F4BF4621-13C4-4D29-9C80-OAE31CFED61A
[Executed effective as of the date signed by the Deputy City Manager above.] / [ACCEPTED
AND AGREED:]
CITY OF FORT WORTH INTERNAL ROUTING PROCESS:
Approval Recommended:
By:
Name: Kevin Gunn
Title: Director, IT Solutions
Approved as to Form and Legality
N Kevin Anders, //
By: M. Kevin Anders, II (Jan 8, 2025 10:37 CST)
Name: M. Kevin Anders, II
Title: Assistant City Attorney
Contract Authorization:
M&C: N/A
Approved:
1295:
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.
CP�k
By:
Name: Jeff Park
Title: Senior Manager, IT Solutions
City Secretary:
By:
Name: Jannette Goodall
Title: City Secretary
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OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX