Loading...
HomeMy WebLinkAboutContract 61693-CO2CSC No. 61693-CO2 FORT WORTH City of Fort Worth Change Order Request Project Name 2024 Sidewalk Improvements Unit Price Construction Contract City Sec # l 61693 Client Project#(s)l Various Projects Project Description) Unit Price Construction Contract for Sidewalk Improvements Projects Contractor Ti-Zack Concrete, LLC I Change Order #1 2 1 Datel City Project Mgr.l Fanta Kaba City Inspector 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 evised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) TPW $1,500,000.00 5/16/2025 N/A Contract Time Totals (CD) $1,500,000.00 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.00% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 259.) $1,875,000.00 JUSTIFICATION (REASONS) FOR CHANGE ORDER Requesting to modify the bid item numbers for these items as there are currently duplicates in the contract. 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 Ti-Zack Concrete, LLC JEREMY GIBBS l OS/17/25 Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date —��A— 05/17/25 Program Manager Date Senior Capital Project Officer Date 05/22/25 ' - = ­)- 05/28/25 Date Director, Contracting Department (Dept) Date L fYI IQi,rac!< 05/29/25 - 05/30/25 Assistant City Attorney Date Date �G ioa„e,�,ai°kon,�na„s,z,c con 05/30/25�� 06/11/25 Council Action (if required) N/A M&C Date Approved NIAM&C Number ATTEST: pon°t"Ilc '' per' g9.1`D_ Jannette Goodall, City Secretary °oa+ NJ aga' OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FOR1' Wi RTH City of Fort Worth ■ Change Order Additions Project Name 1 2024 Sidewalk Improvements Unit Price Construction Contract I City Sec # 1 61693 1 Client Project # I Various Projects I Contractorl Ti-ZackConcrete,LLC I PMI FantaKaba I Inspectorl N/A Change Order Submittal # 0 Date 1 5/16/2025 1 ADDITIONS I I LM DLSCRIP I ION DLP 1 155 3216.0301 7" Conc Valley Gutter, Residential TPW Oty Unit Unit Cost total I U SY $108.01 $0.001 I I I I 1 1 1 1 1 1 1 1 1 1 1 I I I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 1 I I I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 1 1 I I I I I I I I TPW $0.001 I I I I I I Sub Total Additions $0.001 Change Order Additions Page 2 of 4 Foe_ T�RTH City of Fort Worth Change Order Deletions Project Name 1 2024 Sidewalk Improvements Unit Price Construction Contract I City Sec # 1 61693 1 Client Project # I Various Projects I Contractorl Ti-ZackConcrete,LLC I PMJ FantaKaba I Inspectorl N/A Change Order Submittal # 0 Date 1 5/16/2025 1 DELETIONS HEM EM UESGRIP I IUN UEPI 54 3216.0301 T' Conc Valley Gutter, Residential TPW Uty Unit Unit Cost total I 0 SY $108.01 $0.001 1 I 1 I 1 1 I 1 I 1 I 1 I 1 I 1 1 I 1 I 1 I 1 I 1 I 1 I I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 1 I 1 I 1 I 1 I 1 I 1 I I 1 I 1 I 1 I TPW $0.001 I I I I I I Sub Total Deletions $0.001 Change Order Deletions Page 3 of 4 M/SBE for this Change Order M/SBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders co # DATE I AMOUNT 11 /21 /2024 $0.00 Total I $0.00 I CS61693-CNCO-2024 Sidewalk Improvements Unit Price Construction Contract Final Audit Report 2025-06-12 Created: 2025-05-16 By: Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) Status: Canceled / Declined Transaction ID: CBJCHBCAABAA-fx5B-1YawVdECIEfBs2oWwKfKvMOgpl "CS61693-CNCO-2024 Sidewalk Improvements Unit Price Cons truction Contract" History Document created by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) 2025-05-16 - 10:26:35 PM GMT- IP address: 204.10.90.100 Document emailed to Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) for filling 2025-05-16 - 10:28:49 PM GMT &0 Form filled by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) Form filling Date: 2025-05-16 - 10:29:03 PM GMT - Time Source: server- IP address: 204.10.90.100 C'y Document emailed to Ann Estes (ann.estes@fortworthtexas.gov) for approval 2025-05-16 - 10:29:05 PM GMT C'y Document emailed to JEREMY GIBBS Qgibbs@tizack.com) for signature 2025-05-16 - 10:29:05 PM GMT C'- Document emailed to Fanta Kaba (fanta.kaba@fortworthtexas.gov) for signature 2025-05-16 - 10:29:06 PM GMT Email viewed by Fanta Kaba (fanta.kaba@fortworthtexas.gov) 2025-05-16 - 10:29:12 PM GMT- IP address: 20.159.64.152 Email viewed by Ann Estes (ann.estes@fortworthtexas.gov) 2025-05-16 - 10:29:16 PM GMT- IP address: 52.244.129.126 Email viewed by JEREMY GIBBS Ogibbs@tizack.com) 2025-05-17 - 12:43:41 PM GMT- IP address: 66.188.186.242 GS© Document e-signed by JEREMY GIBBS agibbs@tizack.com) Signature Date: 2025-05-17 - 12:44:46 PM GMT - Time Source: server- IP address: 66.188.186.242 FoRTW❑RTHg I P°He1 "y Adobe Acrobat Sign Document e-signed by Fanta Kaba (fanta.kaba@fortworthtexas.gov) Signature Date: 2025-05-17 - 8:32:53 PM GMT - Time Source: server- IP address: 204.10.90.100 Document approved by Ann Estes (ann.estes@fortworthtexas.gov) Approval Date: 2025-05-19 - 2:10:56 PM GMT - Time Source: server- IP address: 208.184.124.181 Document emailed to Chad Allen (Chad.Allen@fortworthtexas.gov) for signature 2025-05-19 - 2:10:58 PM GMT Email viewed by Chad Allen (Chad.Allen@fortworthtexas.gov) 2025-05-19 - 2:11:51 PM GMT- IP address: 52.244.129.126 Document e-signed by Chad Allen (Chad.Allen@fortworthtexas.gov) Signature Date: 2025-05-22 - 4:18:57 PM GMT - Time Source: server- IP address: 208.184.124.181 Document emailed to Lissette Acevedo (Lissette.Acevedo@fortworthtexas.gov) for signature 2025-05-22 - 4:19:00 PM GMT Email viewed by Lissette Acevedo (Lissette.Acevedo@fortworthtexas.gov) 2025-05-22 - 4:19:55 PM GMT- IP address: 52.244.129.126 Document e-signed by Lissette Acevedo (Lissette.Acevedo@fortworthtexas.gov) Signature Date: 2025-05-28 - 9:11:16 PM GMT - Time Source: server- IP address: 208.184.124.181 Document emailed to Patricia Wadsack (patricia.wadsack@fortworthtexas.gov) for signature 2025-05-28 - 9:11:19 PM GMT Email viewed by Patricia Wadsack (patricia.wadsack@fortworthtexas.gov) 2025-05-28 - 9:11:26 PM GMT- IP address: 20.159.64.138 Signer Patricia Wadsack (patricia.wadsack@fortworthtexas.gov) entered name at signing as Patricia L. Wadsack 2025-05-29 - 10:25:33 PM GMT- IP address: 208.184.124.181 Document e-signed by Patricia L. Wadsack (patricia.wadsack@fortworthtexas.gov) Signature Date: 2025-05-29 - 10:25:35 PM GMT - Time Source: server- IP address: 208.184.124.181 Document emailed to Lauren Prieur (Lauren.Prieur@fortworthtexas.gov) for signature 2025-05-29 - 10:25:37 PM GMT Email viewed by Lauren Prieur (Lauren.Prieur@fortworthtexas.gov) 2025-05-29 - 10:25:43 PM GMT- IP address: 20.159.64.152 Document e-signed by Lauren Prieur (Lauren.Prieur@fortworthtexas.gov) Signature Date: 2025-05-30 - 2:09:54 PM GMT - Time Source: server- IP address: 208.184.124.181 FoRTW❑RTHg I P°He1� Y Adobe Acrobat Sign Document emailed to Lorita Lyles (Lorita.Lyles@fortworthtexas.gov) for approval 2025-05-30 - 2:09:56 PM GMT Email viewed by Lorita Lyles (Lorita.Lyles@fortworthtexas.gov) 2025-05-30 - 2:10:05 PM GMT- IP address: 20.159.64.138 g Document approved by Lorita Lyles (Lorita.Lyles@fortworthtexas.gov) Approval Date: 2025-05-30 - 2:13:21 PM GMT - Time Source: server- IP address: 204.10.90.100 Document emailed to Douglas Black (Douglas.Black@fortworthtexas.gov) for signature 2025-05-30 - 2:13:23 PM GMT Email viewed by Douglas Black (Douglas.Black@fortworthtexas.gov) 2025-05-30 - 2:14:48 PM GMT- IP address: 20.159.64.152 &0 Document e-signed by Douglas Black (Douglas.Black@fortworthtexas.gov) Signature Date: 2025-05-30 - 10:16:16 PM GMT - Time Source: server- IP address: 204.10.90.100 P+ Document emailed to Jesica McEachern Qesica.mceachern@fortworthtexas.gov) for signature 2025-05-30 - 10:16:19 PM GMT f) Email viewed by Jesica McEachern Qesica.mceachern@fortworthtexas.gov) 2025-05-30 - 10:16:27 PM GMT- IP address: 52.244.179.71 GS© Document e-signed by Jesica McEachern Qesica.mceachern@fortworthtexas.gov) Signature Date: 2025-06-12 - 4:19:31 AM GMT - Time Source: server- IP address: 204.10.90.100 rD* Document approval automatically delegated to Katherine Cenicola (Katherine.Cenicola@fortworthtexas.gov) by Ronald Gonzales (Ronald.Gonzales@fortworthtexas.gov) 2025-06-12 - 4:19:33 AM GMT C'.. Document emailed to Ronald Gonzales (Ronald.Gonzales@fortworthtexas.gov) for approval 2025-06-12 - 4:19:33 AM GMT C.► Document emailed to Katherine Cenicola (Katherine.Cenicola@fortworthtexas.gov) for approval 2025-06-12 - 4:19:34 AM GMT Email viewed by Katherine Cenicola (Katherine.Cenicola@fortworthtexas.gov) 2025-06-12 - 4:19:43 AM GMT- IP address: 20.159.64.152 ,001 Document approved by Ronald Gonzales (Ronald.Gonzales@fortworthtexas.gov) Approval Date: 2025-06-12 - 12:15:36 PM GMT - Time Source: server- IP address: 208.184.124.181 2+ Document emailed to Jannette Goodall Qannette.goodall@fortworthtexas.gov) for signature 2025-06-12 - 12:15:38 PM GMT FoRTW❑RTHg I Paw m"Y Adobe Acrobat Sign Email viewed by Jannette Goodall Oannette.goodall@fortworthtexas.gov) 2025-06-12 - 12:15:44 PM GMT- IP address: 20.159.64.152 Document e-signed by Jannette GoodallOannette.goodall@fortworthtexas.gov) Signature Date: 2025-06-12 - 12:29:58 PM GMT - Time Source: server- IP address: 208.184.124.181 Form filling automatically delegated to Elisa Winterrowd (Elisa.Winterrowd@fortworthtexas.gov) by Allison Tidwell (allison.tidwell@fortworthtexas.gov) 2025-06-12 - 12:30:00 PM GMT Document emailed to Elisa Winterrowd (Elisa.Winterrowd@fortworthtexas.gov) for filling 2025-06-12 - 12:30:01 PM GMT Document emailed to Allison Tidwell (allison.tidwell@fortworthtexas.gov) for filling 2025-06-12 - 12:30:01 PM GMT Email viewed by Elisa Winterrowd (Elisa.Winterrowd@fortworthtexas.gov) 2025-06-12 - 12:30:10 PM GMT- IP address: 52.244.129.126 Document canceled by Andrea Munoz (Andrea. M u noz@fortworthtexas.gov) 2025-06-12 - 1:22:05 PM GMT- IP address: 204.10.90.100 FoRTW❑RTHg I Paw m"Y Adobe Acrobat Sign