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061213-R1CO1 - Construction-Related - Contract - C. Greenscaping, LP
CSC No. 61213-R1CO1 FORT WORTH City of Fort Worth Change Order Request Project Nam Brick Pavement Rehab Unit Price Contract- First Renewal City Sec # F61213 Client Project #(s)� Project Description Brick pavement and sidewalk repair/replacement Contractor C. Greenscaping, LP Change Order # _ Date[ 6/18/2025 City Project Mgr. L Tariqul Islam City Inspector[___ Roderick Baker Dept. I TPW I I Contract Time Totals l (CD) Original Contract Amount $550,000.00 $550,000.00 Extras to Date Credits to Date PendingChangeOrders (in M&C Process) Contract Cost to Date 1 $550.000.00 1 $550.000.00 Original Funds Available for Change Orders ] I I ] $0.00 Remaining Funds Available for this CO ] $0.00 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.00% J MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $687,500.00 JUSTIFICATION (REASONS) FOR CHANGE ORDER This change order adds a new bid item to the original unit price contract to allow for brick veneer repair on top of utility vault steel lids at various locations. The repair work is labor-intensive, requiring standard -size bricks to be cut into custom shapes and sizes to fit the limited space on top of the vault lid and align flush with the surrounding surface. This is a zero -change order and will not increase the contract price. Staff has reviewed the proposed unit price for this item and determined it to be reasonable, considering the complexity of the 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 ChangeOrder. 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 I Date C. Greenscaping, LP Curtis J. Green rrksG n 06/19/25 InspecfDdInspecfion Suvervisor Date Project and Contract Compliance Manager Date A06/20/25 06/20/25 [Program Manager Date Senior Capital Project Officer Date ?!'A a 06/24/25 J 4& 06/24/25 Assistant Director (Dept) Date Director, Contracting Department (Dept) Date edilLifi{klYQ25 06/25/25 ���%_ I 06/27/25 (Assistant City Attorney I Date lAssistant City Manager Date -- �- 07/02/25 07/1 1 /25 Council Action (if required) M&C Number N/A ATTEST: 4F FOR)- Pao °.1P Jannette Goodall, City Secretary vo o=a �dII� SEX ASo 7 M&C Date Approved N/A OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FoRr WORTH City of Fort Worth —` --- Change Order Additions Project Name Brick Pavement Renewal Unit Price Contract- First Renewal City Sec # 61213 Client Project # Contractorl C. Greenscaping, LP PMI Tariqul Islam Inspector Roderick Baker Change Order Submittal # 0 Date 611612025 AUUI I IONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total New 54 9999.0001 Brickveneer repair over stee TPW $0.00 Sub Total Additions 0.00 Change Order Additions Page 2 of 4 FORT WORTH City of Fort Worth -r- Change Order Deletions Project Name I Brick Pavement Renewal Unit Price Contract- First Renewal City Sec # 61213 Client Project # Contractor C. Greenscaping, LP PM Tarqul Islam Inspector) Roderick Baker Change Order Submittal # 07 Date 6116I2025 UtLtfIUNS Change Order Deletions Page 3 of 4 M/SBE for this Change Order M/SBE Sub Type of Service Amount for this CO N/A N/A Total $0.00 Previous Change Orders co # DATE AMOUNT N/A Total $0.00 CNCO-Brick Pavement Rehab Unit Price Contract CO# 1 Interim Agreement Report 2025-07-10 Created: 2025-06-18 By: Andrea Munoz (Andrea. M unoz@fortworthtexas.gov) Status: Out for Signature Transaction ID: CBJCHBCAABAAHZwg2lsuGrx8fp823Jnej4oV5GKgKSOY 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. "CNCO-Brick Pavement Rehab Unit Price Contract CO# 1" Histo ry Document created by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) 2025-06-18 - 9:57:58 PM GMT- IP address: 204.10.90.100 Document emailed to Crystal Greene (crystal.greene@fortworthtexas.gov) for filling 2025-06-18 - 10:21:01 PM GMT Document emailed to Curtis Green (cgreen@greenscaping.com) for signature 2025-06-18 - 10:21:02 PM GMT Document emailed to Roderick Baker (Roderick.Baker@fortworthtexas.gov) for signature 2025-06-18 - 10:21:02 PM GMT Email viewed by Roderick Baker (Roderick.Baker@fortworthtexas.gov) 2025-06-18 - 10:21:08 PM GMT- IP address: 20.159.64.152 ^E Email viewed by Crystal Greene (crystal.greene@fortworthtexas.gov) 2025-06-18 - 10:21:12 PM GMT- IP address: 52.244.179.71 Email viewed by Curtis Green (cgreen@greenscaping.com) 2025-06-18 - 11:23:48 PM GMT- IP address: 104.28.97.25 Document e-signed by Curtis Green (cgreen@greenscaping.com) Signature Date: 2025-06-19 - 2:47:50 PM GMT - Time Source: server- IP address: 137.27.173.66 FoRTWQRTH. P-1-d6y -- Adobe ■ Acrobat Sign o Form filled by Crystal Greene (crystal.greene@fortworthtexas.gov) Form filling Date: 2025-06-20 - 3:19:21 PM GMT - Time Source: server- IP address: 204.10.90.100 Document e-signed by Roderick Baker (Roderick.Baker@fortworthtexas.gov) Signature Date: 2025-06-20 - 3:59:40 PM GMT - Time Source: server- IP address: 166.198.250.26 Document emailed to Randall Horton (Randall. K. Horton@fortworthtexas.gov) for signature 2025-06-20 - 3:59:43 PM GMT Document emailed to Tariqul Islam (Tariqul.Islam@fortworthtexas.gov) for signature 2025-06-20 - 3:59:43 PM GMT i Email viewed by Randall Horton (Randall.K.Horton@fortworthtexas.gov) 2025-06-20 - 3:59:49 PM GMT- IP address: 20.159.64.138 _i Email viewed by Tariqul Islam (Tariqul.Islam@fortworthtexas.gov) 2025-06-20 - 3:59:52 PM GMT- IP address: 20.159.64.152 v Document e-signed by Tariqul Islam(Ta riq u 1. Islam @fortworthtexas.g ov) Signature Date: 2025-06-20 - 4:34:03 PM GMT - Time Source: server- IP address: 107.211.9.66 =7� Document e-signed by Randall Horton (Randall.K.Horton@fortworthtexas.gov) Signature Date: 2025-06-24 - 1:12:29 PM GMT - Time Source: server- IP address: 204.10.90.100 Document emailed to Zelalem Arega (Zelalem.Arega@fortworthtexas.gov) for signature 2025-06-24 - 1:12:31 PM GMT ^I Email viewed by Zelalem Arega (Zelalem.Arega@fortworthtexas.gov) 2025-06-24 - 1:12:40 PM GMT- IP address: 52.244.179.71 Document e-signed by Zelalem Arega(Zelalem.Arega@fortworthtexas.gov) Signature Date: 2025-06-24 - 6:14:18 PM GMT - Time Source: server- IP address: 208.184.124.181 Document emailed to Mary Hanna (Mary.Han na@fortworthtexas.gov) for signature 2025-06-24 - 6:14:21 PM GMT Email viewed by Mary Hanna (Mary.Han na@fortworthtexas.gov) 2025-06-24 - 6:15:12 PM GMT- IP address: 20.159.64.138 C-�,o Document e-signed by Mary Hanna (Mary.Han na@fortworthtexas.gov) Signature Date: 2025-06-24 - 7:12:27 PM GMT - Time Source: server- IP address: 204.10.90.100 Document emailed to Patricia Wadsack (patricia.wadsack@fortworthtexas.gov) for signature 2025-06-24 - 7:12:29 PM GMT Email viewed by Patricia Wadsack (patricia.wadsack@fortworthtexas.gov) 2025-06-24 - 7:13:19 PM GMT- IP address: 20.159.64.152 FoRTWQRTH. P-1-dbv -- Adobe ■ Acrobat Sign Signer Patricia Wadsack (patricia.wadsack@fortworthtexas.gov) entered name at signing as Patricia L. Wadsack 2025-06-25 - 7:40:37 PM GMT- IP address: 208.184.124.181 0 Document e-signed by Patricia L. Wadsack (patricia.wadsack@fortworthtexas.gov) Signature Date: 2025-06-25 - 7:40:39 PM GMT - Time Source: server- IP address: 208.184.124.181 Document emailed to Lauren Prieur (Lauren.Prieur@fortworthtexas.gov) for signature 2025-06-25 - 7:40:41 PM GMT Email viewed by Lauren Prieur (Lauren.Prieur@fortworthtexas.gov) 2025-06-25 - 7:40:47 PM GMT- IP address: 20.159.64.152 �-j Document e-signed by Lauren Prieur(Lauren.Prieur@fortworthtexas.gov) Signature Date: 2025-06-27 - 3:20:09 PM GMT - Time Source: server- IP address: 76.227.105.128 Document emailed to Lorita Lyles (Lorita.Lyles@fortworthtexas.gov) for approval 2025-06-27 - 3:20:12 PM GMT i Email viewed by Lorita Lyles (Lorita.Lyles@fortworthtexas.gov) 2025-06-27 - 3:20:20 PM GMT- IP address: 20.159.64.138 C O Document approved by Lorita Lyles(Lorita.Lyles@fortworthtexas.gov) Approval Date: 2025-06-27 - 4:21:31 PM GMT - Time Source: server- IP address: 208.184.124.181 - Document emailed to Douglas Black (Douglas. Black@fortworthtexas.gov) for signature 2025-06-27 - 4:21:33 PM GMT _i Email viewed by Douglas Black(Douglas.Black@fortworthtexas.gov) 2025-06-27 - 4:22:22 PM GMT- IP address: 20.159.64.152 Document e-signed by Douglas Black (Douglas.Black@fortworthtexas.gov) Signature Date: 2025-07-02 - 3:54:00 PM GMT - Time Source: server- IP address: 204.10.90.100 Document emailed to Jesica McEachern Oesica.mceachern@fortworthtexas.gov) for signature 2025-07-02 - 3:54:03 PM GMT Email viewed by Jesica McEachern Qesica.mceachern@fortworthtexas.gov) 2025-07-02 - 3:54:10 PM GMT- IP address: 20.159.64.138 FoRTWQRTH. P-1-d6y -- Adobe ■ Acrobat Sign FORT WORTH© Routing and Transmittal Slip Transportation & Public Works. Department DOCUMENT TITLE' BRICK PAVEMENT REHAB UNIT PRICE CONTRACT CO# 1 M&C: 24- 0116 CPN: CSO: 61213 DOC#: Date: To: Name Department Initials Date Out 1. Crystal Greene Bus-Sppt 06/20/25 2. C. Greenscaping LP Vendor � 06/19/25 3. Roderick Baker TPW - Inspector RB AIF 06/20/25 4. Randall Horton TPW-Senior inspector 06/24/25 5. Tariqul Islam TPW T1 ri 06/20/25 6. Zelalem Arega TPW 7-4—g. F Zelalem rega 06/24/25 7. Mary Hanna TPW 06/24/25 8. Patricia Wadsack TPW AD p(. 06/25/25 9. Lauren Prieur TPW Director dYf� 06/27/25 10. Doug Black Legal oou 07/02/25 11. Jesica McEachern CMO CA 07/11 /25 12. Jannette Goodall CSO 07/11/25 13. TPW Contracts TPW CC: Program Manager, Sr. CPO, TPW BSPAP Recon Team, TPW Records Room, TPW Contracts ALSO List: - Bus Sppt: Crustal Greene; Prg Mgr.: Zelalem Arega; Sr CPO —Mary Hanna DOCUMENTS FOR CITY MANAGER'S SIGNATURE: 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 will review and take the next steps. NEEDS TO BE NOTARIZED: DYES ®No RUSH: DYES ®No SAME DAY: DYES ❑No NEXT DAY: DYES ❑No ROUTING TO CSO: ®YES ❑No Action Required: ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return To: Please notify TPWContracts(&fortworthtexas.gov for pickup when complete. Call ext. 7233 or ext. 8363 with questions. Thank you!