HomeMy WebLinkAboutContract 62637-CO1FoR·1· Wo1n11. -........--·· City of Fort Worth
Change Order Request
ProjectName�l -2_0_2 _5 _Co_n_cre_te _R_e _sto-ra-tio_n _C _on -t ra_ct _2------------------�
Oien! Project #(s) 105778
CSC No. 62637-COl
City Sec# 62637 '---------------------------------------------'
Concrete panel replacement at various locations Project Description I ::· ==========================.-------;:.-:..-:..-:..-:...-:...-_-_-_-_-_-_-_-_,-------.--_ -_ -_ -_ -_ -_ -_ -_ -_ -_ -_ -_ -_ -_ -_ -_ -_ -_ _,--,Contractor! :::::=================: Change Order ..... #I.__ _____ __, Datel Urban lnfraconstruction, LLC 9/8 /2 02 5
City Project Mgr . ._l _____ Ire _1om_iw_a _Ot_u_ye1_u _____. City lnspectorl...._ ____ o_m_a _r_Fn_·a_s _____,
Dept. TPW Contract Time
Totals ICDl Original Contract Amount $3,981,750.00 $3,981,750.00 210 Extras to Date Credits lo Date Pending Change Orders On M&C Process) Contra ct Cost to Date $3,981,750.00 $3,981,750.00 210
IGo to ADD & DEL Tabs to Enter CO Backup $0.00 ,., ,., 30 Revised Contract Amount 53,981,750.00 $3,981,750.00 240 Original Funds Available for Change Orders $0.00 Remaining Funds Avaiable for this CO $0.00 Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS% OF ORIGINAL CONTRACT I 0.00% I
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) I $4,977,18 7.50 I
JUSTIFICA110N (REASONS) FOR CHANGE ORDER
In accordance with this Change Order, the Contractor shall furnish all labor and materials as specified in Change Order #1. This change order adds concrete restoration work on Village Creek Road from Martin Street to Martin Street and on Carey Street from Martin Street to Martin Lu ther King Jr. Freeway. During construction on Martin Street staff evaluated these adjacent segments and determined that both are in poor condition due to heavy truck traffic, making immediate repairs necessary to prevent further deterioration. lnduding these additional locations will provide consistent pavement quality, reduce the need for future repairs, and improve efficiency by avoiding repeat mobilizations. The work will be performed using available contract quantities and does not significanUy alter the overall project scope.
nme: To accommodate the added scope, staff supports the contractor's request for an addnional 30 calendar days to the contract time.
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in ful
(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, induding ensuring all performance and reporting requirements.
Contrador's COlnnanv Name
Urban lnfraconstruction, LLC
lnllNlmllllnsoecaon Su118M1101"
o-,,.,..�
IPr<mram Malllllllll'
_...Jllilill ___ _...,is.zs..-,-am AIUURblnt Oiracldr IIWIII
�Iii� �&;� Patricia L Wad sack (Oct 3, 202514:03:26 COT)
Assistant Cllv Allllmav :...�
ATTEST: r'Jb,..,
""
Jannette Goodall, City Secretary
.LJ<AAAtu
I I Anup Tamrakar
Contractor INamel I Con1rac:t Sianab.Jra Dete I .... _ Sep 18, 202�
Dete ProM and Contract COlnoliance Manaaer Dete
Sep 18, 202� -Sep 22, 202� . ' -' '" ........ ,, ' Dete Senior C8DIIIII Pl0leCt Officer Dete
Sep25,202� �.-�""' 10/02/2025
Dete Dlreclor Contractlna 1W11111m11nt !DeDll Dete
10/03/2025 -.,10/03/2025 u ..... Prl<..,(O<I>,>= ""' Dete Aaalslant Cllv Ma-Dete
10/06/2025 � 10/13/2025
Councl Action 11111111uiradl
M&CNumber N/A M&C Date Approved !NIA
��r�;er� 44a�Fu�rei Clty Of FOIt W01th
�""T`� Change Order Additions
Project Name 2025 Concrete Restoration Conlract 2 City Sec # 62637
Client Projecl # 105778
Contractor Urban InGaconslruction, LLC PM Iretomiwa Otuyelu� Inspector Omar Frias
Change Order Submillal # O7 Dale 9I8/2025
AUUITIQNS
Change Order Additions Page 2 of 3
ra sra �'+ho oti rs i Clty Of FOrt WOrth
—`�"�— Change Order Deletions
Project Name 2025 Concrete Restoration Contract 2 City Sec # 62637
Client Project q 105778
Contractor Urban Infraconstmction, LLC PM Iretomiwa Otuyelu Inspedor Omar Frias
Change Order Submittal q O1 Date 918/2025
DELETIONS
Change Order Deletions Page 3 of 3
105778-CNCO-2025 CONCRETE
RESTORATION CONTRACT 2- CO 1
Interim Agreement Report 2025-09-26
Created: 2025-09-17
By: Andrea Munoz (Andrea.Munoz@fortworthtexas.gov)
Status: Out for Signature
Transaction ID: CBJCHBCAABAA-iuR60r991AkDQWrSOKLhxBtN5kyQLnW
Agreement History
Agreement history is the list of the events that have impacted the status of the agreement prior to the final signature. A final audit report will
be generated when the agreement is complete.
"105778-CNCO-2025 CONCRETE RESTORATION CONTRAC
T 2- CO 1" H istory
Document created by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov)
2025-09-17 - 1:35:30 AM GMT- IP address: 204.10.90.100
Document emailed to LaKeshia Lynch (LaKeshia.Lynch@fortworthtexas.gov) for filling
2025-09-18 - 8:41:28 PM GMT
Document emailed to anup@urbaniconstruct.com for signature
2025-09-18 - 8:4128 PM GMT
Document emailed to Omar Frias (omar.frias@fortworthtexas.gov) for signature
2025-09-18 - 8:41:29 PM GMT
`��� Email viewed by Omar Frias (omar.frias@fortworthtexas.gov)
2025-09-18 - 8:43:33 PM GMT- IP address: 166.205.54.18
Email viewed by anup@urbaniconstruct.com
2025-09-18 - 8:4426 PM GMT- IP address: 172.226.196.31
� Document e-signed by Omar Frias (omar.frias@fortworthtexas.gov)
Signature Date: 2025-09-18 - 8:44:40 PM GMT - Time Source: server- IP address: 166.205.54.18
�=;:� Signer anup@urbaniconstruct.com entered name at signing as Anup Tamrakar
2025-09-18 - 8:46:07 PM GMT- IP address: 67.134.205.28
F�RTWdIiTHg P°"'eY��y
� Adobe
Acrabat Sign
� Document e-signed by Anup Tamrakar (anup@urbaniconstruct.com)
Signature Date: 2025-09-18 - 8:46:09 PM GMT - Time Source: server- IP address: 67.134.205.28
��;� Form filled by LaKeshia Lynch (LaKeshia.Lynch@fortworthtexas.gov)
Form filling Date: 2025-09-19 - 4:55:05 PM GMT - Time Source: server- IP address: 204.10.90.100
Document emailed to Lorrie Pitts (Lorrie.Pitts@fortworthtexas.gov) for signature
2025-09-19 - 4:55:07 PM GMT
Document emailed to Iretomiwa Otuyelu (Iretomiwa.Otuyelu@fortworthtexas.gov) for signature
2025-09-19 - 4:55:08 PM GMT
Email viewed by Lorrie Pitts (Lorrie.Pitts@fortworthtexas.gov)
2025-09-19 - 5:47:13 PM GMT- IP address: 66.169.141.161
�, Document e-signed by Iretomiwa Otuyelu (Iretomiwa.Otuyelu@fortworthtexas.gov)
Signature Date: 2025-09-22 - 2:59:29 PM GMT - Time Source: server- IP address: 204.10.90.100
=�� Document e-signed by Lorrie Pitts (Lorrie.Pitts@fortworthtexas.gov)
Signature Date: 2025-09-23 - 9:00:14 PM GMT - Time Source: server- IP address: 204.10.90.100
Document emailed to Zelalem Arega (Zelalem.Arega@fortworthtexas.gov) for signature
2025-09-23 - 9:00:16 PM GMT
���;� Document e-signed by Zelalem Arega (Zelalem.Arega@fortworthtexas.gov)
Signature Date: 2025-09-25 - 6:45:18 PM GMT - Time Source: server- IP address: 208.184.124.181
- Document emailed to Mary Hanna (Mary.Hanna@fortworthtexas.gov) for signature
2025-09-25 - 6:45:21 PM GMT
Email viewed by Mary Hanna (Mary.Hanna@fortworthtexas.gov)
2025-09-25 - 6:46:33 PM GMT- IP address: 104.47.65.254
F�RTWdIiTHg P°"'eY��y
� Adobe
Acrabat Sign
105778-CNCO-2025 Concrete Restoration
Contract 2 - CO 1
Interim Agreement Report 2025-10-02
Created
By:
Status:
Transaction ID:
2025-09-26
Andrea Munoz (Andrea.Munoz@fortworthtexas.gov)
Out for Signature
CBJCHBCAABAA4sWHLIiqjEUYzxWiQHMkKAEETsQ8Th_x
Agreement History
Agreement history is the list of the events that have impacted the status of the agreement prior to the final signature. A final audit report will
be generated when the agreement is complete.
"105778-CNCO-2025 Concrete Restoration Contract 2- CO 1"
H istory
" Document created by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov)
2025-09-26 - 5:24:55 PM GMT- IP address: 204.10.90.100
Document emailed to Mary Hanna (Mary.Hanna@fortworthtexas.gov) for signature
2025-09-26 - 5:45:15 PM GMT
-. . Email viewed by Mary Hanna (Mary.Hanna@fortworthtexas.gov)
2025-09-26 - 5:54:10 PM GMT- IP address: 104.47.64.254
���� 1'1'd�i��'iy Pawered by
� Adohe
Acroba# 5ign
FORTWORTH�
Routing and Transmittal Slip
Transportation & Public Works
Department
DOCUMENT TITLE: 2025 CONCRETE RESTORATION CONTRACT 2— CO 1
M&C: 25- CPN: 105778 CSO: 62637 DOC#:
Date: 9/15/2025
To: Name Department Initials Date Out
1. LaKeshia Lynch Bus-Sppt : Sep 19, 2025
2. Urban Infraconstruction, Ltd Vendor � Sep 18, 2025
3. Omar Frias TPW - Inspector �� Sep 18, 2025
4. Lorrie Pitts TPW — Sr.Inspector Sep 23, 2025
5. Iretomiwa Otuyelu TPW � o Se 22, 2025
6. Zelalem Arega TPW Z-� Sep 25, 2025
7. Mary Hanna TPW �r✓ Oct 2, 2025
8. Patricia Wadsack TPW AD �(��/' Oct 3, 2025
9. Lauren Prieur TPW Director ?�� Oct 3, 2025
10. Doug Black Legal � Oct 6, 2025
11. Jesica McEachern CMO �� Oct 13, 2025
12. Jannette Goodall CSO � Oct 13, 2025
�� ����o �.0
13. TPW Contracts TPW
CC: Program Manager, Sr. CPO, TPW BSPAP Recon Team, TPW Records Room, TPW Contracts
ALSO List: - Bus Sppt: LaKeshia Lynch; Prg Mgr.: Zelalem Are2a; Sr CPO — Mary Hanna
DOCUMENTS FOR CITYMANAGER'S SIGNATURE: All documents received from any and all
City Departments requesting City Manager's signature for approval ML1ST BE ROUTED TO THE
APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, Jay will review and
take the next steps.
NEEDS TO BE NOTARIZED: ❑YES �No
RUSH: ❑YES �No SAME DAY: ❑YES ❑No NEXT DAY: ❑YES ❑No
ROUTING TO CSO: �YES ❑No
Action Repuired•
❑ As Requested •
❑ For Your Information
� Signature/Routing and or Recording
❑ Comment
❑ File
❑ Attach Signature, Initial and Notary Tabs
Return To: Please notify TPWContracts(a�fortworthtexas.�ov for pickup when complete. Call ext. 7233 or ext.
8363 with questions. Thank you!
F��� �V��T���,
City Secretary's Office
Contract Routing & Transmittal Slip
ContraCtor's Name: Urban Infraconstruction, LLC
Subject of the Agreement: Please see justification on change order.
M&C Approved by the Council? * Yes ❑ No 8
If so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes ❑ No 8
If so, provide the original contract number and the amendment number.
Is the Contract "Permanent"? *Yes 8 No ❑
If unsure, see back page for permanent contract listing.
Is this entire contract Confidential? XYes ❑ No 8 If only specific information is
Confidential, please list what information is Confidential and the page it is located.
Effective Date:
If�different from lhe approval dale.
Expiration Date:
If applicable.
Is a 1295 Form required? * Yes ❑ No 8
*If so, please ensure it is attached to the approving M&C or attached to the contract.
Proj ect Number: If applicable. 105778
*Did you include a Text field on the contract to add the City Secretary Contract (CSC)
number? Yes 8 No ❑
Contracts need to be routed for CSO processin� in the following order:
1. Katherine Cenicola (Approver)
2. Jannette S. Goodall (Signer)
3. Allison Tidwell (Form Filler)
*Indicates the infor7nation is required and if the information is nol provided, the contract will be
returned to the department.