HomeMy WebLinkAboutContract 59712-R1CO1CSC No. 59712-R1C01
FORT WORTH City of Fort Worth
Change Order Request
Project Name 2023 Concrete Pavement Joint Seal Contract (Renewal 1)
Client Project #(s)� 104618
Project Description Cleaning and fillling of concrete pavement joints with silicone sealant.
Contractor Straight Line Sawing & Sealing Inc. Change Order #I 1
City Project Mgr.1 Iretomiwa Otuyelu City Inspector)
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
lGo to ADD & DEL Tabs to Enter CO Backup
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
TPW
$484,000.00
City Sec # j 59712-Rl
Datel 3/12/2023
William Fauver
Contract Time
Totals (CD)
$484,000.00 120
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.00%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) $605,000.00
JUSTIFICATION (REASONS) FOR CHANGE ORDER
This Change Order adds locations to the original scope of work to repair concrete pavement joint sealants at Meadowbrook Dr from Eastchase Parkway to W Randol Mill Rd and
Eastchase Parkway from Meadowbrook Dr to Racquet Club Dr. Staff recommends adding these two locations to the project to repair the joint sealant, which has failed, allowing
water to penetrate the pavement and accelerate deterioration.
This is a $0 change order due to the availability of funds in the current contract under the existing bid item quantities. Staff also recommends adding 60 days to the contract to
complete the additional scope of work.
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.
Contractor's Company Name Contractor (Name) Contract Signature Date =
Straight Line Sawing & Sealing Inc. Eric Johnson Mar 25, 2025
In ector/Inspection Supervisor
Date
Project and Contract Compliance Manager
Date
•'n�
Mar26,2025
Mar25,2025
Program Manager
Date
Senior Capital Project Officer
Date
Ze(&(et-1 Aa
Mar26,2025
Mar28,2025
Assistant Director (Dept)
Date
Director, Contracting Department (Dept)
Date
Patricia L. wadsacK
Mar 28, 20257aor.
Mar 29, 2025
'ty Attorney
Date
Assistant City Manager
Date
y
Mar 31, 2025
Apr 6, 2025
ATTEST: p F�Rru�IIa
p op0 00 �`y09dC
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Jannette Goodall, City Secretary pis xo
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Council Action (if required)
M&C Number I I M&C Date Approved
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
I I tM
FORTWORTH City of Fort Worth
—V1--- Change Order Additions
Project Name 1 2023 Concrete Pavement Joint Seal Contract (Renewal 1) City Sec # 1 59712-R1
Client Project # 1 104618 1
Contractorl Straight Line Sawing & Sealing Inc. I PMI Iretomiwa Otuyelu Inspectorl William Fauver l
Change Order Submittal # 0 Date 1 3/12/2023 1
ADDITIONS
DESCRIPIION DtPI Oty Unit Unit Cost total 1
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TPW $0.001
Sub Total Additions $0.001
Change Order Additions Page 2 of 4
ITEM
Foe_ r�RTH City of Fort Worth
Change Order Deletions
Project Name 1 2023 Concrete Pavement Joint Seal Contract (Renewal 1) City Sec # I 59712-Rl
Client Project # I 104618 I
Contractorl Straight Line Sawing & Sealing Inc. I PMI Irelomiwa Otuyelu I Inspeclorl William Fauver I
Change Order Submittal # 0 Dale 1 3/12/2023 1
DELETIONS
DESCRIPTION DEPT Oty Unit Unit Cost Total
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TF W $0.001
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Sub Total Deletions $0.00 1
Change Order Deletions Page 3 of 4
M/SBE for this Change Order
MISBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
co # DATE I AMOUNT
Total 1 $0.00 I
FORTWORTH
Routing and Transmittal Slip
Transportation and Public Works
Department
DOCUMENT TITLE: 2023 CONCRETE PAVEMENT JOINT SEAL CONTRACT (R1) — C01
M&C; 23-0426 CPN. 104618
Date:
To:
Name
1
LaKeshia Lynch
2
Straight Line Sawing & Sealing
3
William Fauver
4
Iretomiwa Otuyelu
5
i
Zelalem Arega
CSO # 59712-R1
Department Initials
BSP AL. -
Vendor EJ
TPW Inspector
TPW S
TP
DOC#
Date Out
Mar 26, 2025
Mar 25, 2025
Mar 26, 2025
M a r 25, 2025
Mar 26, 2025
6
Mary Hanna
TPW
mW
Mar 28, 2025
7
Patricia Wadsack
TPW
Mar28, 2025
8
Lauren Prieur
TPW Director
?
Mar 29, 2025
9
Doug Black
Legal
oo��
Mar 31, 2025
10
Jesica McEachern
CMO
,°!1,-h-
Apr 6, 2025
11
Jannette Goodall
CSO
�
Apr 7, 2025
12
TPW Contracts
TPW
CC: Program Manager, Sr. CPO, TPW BSAP Recon Team, TPW Records Room, TPW
Contracts ALSO List: - Bus Sppt: LaKeshia Lynch; -Prg Mgr: Zelalem Arega Sr CPO: Mary Hanna
DOCUMENTS FOR CITY MANAGER'S SIGNTURE: 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, Jay
NEEDS TO BE NOTARIZED: ❑ Yes X No
RUSH: ❑ Yes X No SAME DAY: ❑ Yes X No NEXT DAY: ❑ Yes X No
ROUTING TO CSO: ❑ Yes ❑ No
Action Required:
❑ As Requested
❑ For Your Information
X Signature/Routing and or Recording
❑ Comment
❑ File
❑ Attach Signature, Initial and Notary Tabs
Return to: Please notify TPWContracts(afortworthtexas.uov for pickup when complete. Call ext. 7233 or
ext. 8363. Thank you!