HomeMy WebLinkAboutContract 56293-CO1CSC No. 56293-COl
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City of Fort Worth
Change Order Request
Project Name; 1
Norlhslde II 30-Inch Water Main
IH -170, Part 3
City Sec No.; 166293
Project No,(s)tl
66010-00004 60400201 -00`1787
1. DOE No. I N/A
City Pro), No.; I 100261-3
Project Descr)pllon;
Norlhslde II Water Transmission Main Relocation SH 170 Part 3 (Alta Vista Road, Westport Parkway, Independence
Parkway and Victory Lane)
Conlractod
Mountain Cascade of Texas LLC
Change Order I1
1 Dale 4119/2023
City Project Mgr.I
Scolt Taylor
City Inspector I
Shane Bohn
Phone Number.I
817-392-7240
Phone Number.I
682-328-1264
Dept. Water
Totals Contract Tllno
(CnIonder days)
Original Contract Amount $4,780,432.00
$4,780,432.00 250
Extras to Dale
Credits to Date
Pending Change Orders (In M&C Process)
Contract Cost to Dale $4 788432,00
lr&.49
$4 780 432.00 . 260
�31//N 49
JAmount of Proposed Change Order $j
Revised Contract Amount $4,879,856.49
$4,899MW49 260
Original Funds Available for Change Orders $146,663.00
$146,663.00 J
Remaining Funds Available for (his CO $146,653.00
$146;663.00
Addlllonal Funding (If necessary)
CHANGE ORDERS fo DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
0,66%
MAXALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST4. 25%)
$6,985,640.00
U .SMIFICATION (R15'ASONS)IFORtCH' 'NGEtORDER'
I
Change Order No, I will provide compensalion for the following;
The Installation of a 30-Inch gale valve that was provided by the City,
Adjustment to Increase (lie diameter of a proposed blow off valve manhole at victory as required on the project.
The Installation of a 36-Inch manhole access to meal current TCEQ requirements and adjusting to existing grade.
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, (ite above Change Order.
Conlraolor!Oompany Name it 4onlraotoriName II Coalr' qr sign
Mountain Cascade of Texas LLC Andrew McCulloch y
i
�Inspootor 1, (Date' I • Vprojeot*nd er i .ID.ate. i
Ireoto►'i(Wdleri epl)' I IDale I .Condlruolinn.° tperV(sor1,01alerfRepl) lRdto, I
�nsfonher order S. Apr 26, 202 �r/' ��j�—'%%�
SeltlorAsslslanl(011y,'Qllorney - I� ;Date I -AsslslaOc I IManagor ) Coate
r! Apr 26, 2023 r Apr 28, 2023
•Counall rAdllonTflRequlred) i
M&C Number I N/A I M&C Dale Approved I NIA
OFFICIAL RECORD A
CITY SECRETARY
FT. WORTH, TX
g~ o I:T Wo R'T Ht City of Fort Worth
Change Order Additions
Project Name I Norlhside II 30-Inch Water Main IH -170, Part 3 City Sec No.: 56293
Project No.(s): 1 56019.0600450-100261-001767 DOE No.1 N/A City Pro]. No.: 100261-3
Project Norllislde II Water Transmission Main Relocation SH 170 Par l 3 (Alta Vista Road, Westport Parkway, Independence
Description Parkway and Victory Lane) I
Contractor Mountain Cascade of Texas LLC Change Order: 0 Date: 1 4/19/2023
City Project Mgr. Scott Taylor City Inspector I Shane Bohn
ADDITIONS
kM .:..::ULSCkIPI'IUN -,:... I. .:, ...:..
"DEPT '
, Qty Unit .
Unit Cost
Total .. .
60 Installation of a 30•inch Gale Valve provided by lice City of Fort Worth
Water
1.00 EA
$17,713.67
$17,713.67
51 Adjustment to an existing Manhole at Victory to Increase size of ilia Manhole
Water
1.00 LS
$4,437.36
$4,437.36
52 Changing to a 36-Inch manhole access and lowering to current grade
Water
1.00 LS
$9,272.56
$9,272.56
:Water i$31,423.49
Page 2 of 4 �Addilions Sub Total 11$31,423.49
FORT WOO H City of Fort Worth
Change Order Deletions
Project Name Norlhslde II 30-Inch Water Main IH -170, Part 3 City Sec No.: 66293
Project No.(s): 66019.0600460.100261-001787 DOE No. I N/A City Proj. No.: 100261-3
Project Description Norlhslde II Water Transmission Main Relocation SH 170 Part 3 (Alta Vista Road, Westport Parkway, Independence
Parkway and Victory Lane) a
Contractor Mountain Cascade of Texas LLC Change Order: Dale 4/19/2023
City Project Mgr. Scott Taylor City Inspector: I Shane Behn
DELETIONS
ITEM DESCRIPTION DEPT City Unit Unit Cost Total
49 Construction Allowance Water 0.20948993 LS $150,000.00 $31,423.49
!,Water $31,423,49
Page 3 of 4 Deletions Sub Total $31,423.49
IVIIWBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for this CO
Total
Previous Change Orders
Co
DATE . -AMOUNT
, �':: ..i
Total
Page 4 of 4
4/19/2023
Northside II 30-inch Water Main IH-170, Part 3
CSC: 56293
CPN: 100261-3
Change Order 1 Notes
Staff has reviewed the requested prices and considers them to be fair and reasonable.
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.
Signature
Scott Taylor, P.E.
Name of Employee
Project Manager
Title
ATTEST:
Jannette Goodall
City Secretary
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OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX