HomeMy WebLinkAbout059250-CO1 - Construction-Related - Contract - Stripe-A-Zone, LLCCSC No. 59250-CO1
FORT WORTH City of Fort Worth
Change Order Request
Project Namel 2O22 On -Call Pavement Markings City Sac N 59250
Client Project #(s)I 1O29O6
Project Description This contract will provide for construction services on an as -needed (task order) basis for construction of pavement markings projects including long
lines, short lines, intersections, and school zones to improve overall traffic and pedestrian safety with the City limits of Fort Worth.
Contractor Stripe -A -Zone, LLC Change Order # 1 Date 8/28/2O26
City Project Mgr. Quenell Johnson City Inspector Dalrick Marzett
Enter Department(s) to the Right and Contract Time
Contract Day Type Totals (CD)
Original Contract Amount $5,000,000.00 $5,000,000.00 365
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process) $0.00
Contract Cost to Date $5,000,000.00 $5,000,000.00 365
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.00%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+ 25%) $5,000,000.00
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Change Order #1 will add additional pay items for pavement markings. City staff reviewed the proposed unit prices for these items and determined
they are fair, reasonable, and consistent with current contract pricing.
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 lathe person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements.
Contractor's Company Name
Contractor (4ame) _
Contract Signatur
Date
Stripe -A -Zone, LLC
Tina Collins -Grubbs
fi
9/2/2O26
Inspector/Inspection Supervisor _
Dale
Project and Contract Compliance Manager
Date
Dairick Marzett
Quenell Johnson
09/04/2026
Program Manager
Dale
Senior Capital Project Officer
Date
Quench l Johnson __.
Rajnish Gupta
Assistant Director (Dept)
Date
Director, Contracting Department (Dept)
Date
Martin Phillips
Lauren Prleur -�
Assistant City Attorney
Date
Assistant City Manager
Dale
Doug Black er
09/10/2026
Jesica McEachern
09/16/2026
Council Action (if required)
X77 CT �FOAT Cp
U PAS 4_d
Jannette Goodall, City Secretary
non x ood
MEG Number I I M&C Dale Approved I 1
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FORT WORTH
City of Fort Worth
Change Order Additions
Project Name I 2022 On -Call Pavement Markings I City Sec .# I 59250
Client Project # I 102906
Contractor Stripe -A -Zone, LLC PM Quenell Johnson Inspector Detrick Marzett
Change Order Submittal )ate I 812812026
ADDITIONS
—i'!!r
DESCRIPTION
DEPT
Qty
nit
nd ost•
Total
1
Furnish/Install 4' Solid White, Spray Thermoplastic (90 mil.)
15,000.00000000
LF
1T7n
11,250.00
2
Furnish/Install 4" Solid Yellow, Spray Thermoplastic (90 mil.)
15,000.00000000
LF
1775
3
Furish/install 4' Dash White, Spray Thermoplastic (90 mil.)
TPW
15,000.00000000
LF
0.75
11,250.00
4
Fumish/Install 4" Dash Yellow, Spray Thermoplastic (90 mil.)
W
15,000:00000000
LF
199. 5 .
5
Fumish/Install 4" DOT White, Spray Thermoplastic (90 mil.)
TPW
5,000.00000000
LF
0.80
4,000.00
6
Fumishllnstall 4' DOT Yellow, Spray Thermoplastic (90 mu.)
5,000.00000000
LF
7
Furish/install 6' Solid White, Spray Thermoplastic (90 mil.)
TPW
7,500.00000000
LF
$0.88
6,600.00
8
Fumish/Install 6" Solid Yellow, Spray Thermoplastic (90 mil.)
7,500.00000000
LF
0.88
9
Furishllnstall 6" Dash White, Spray Thermoplastic (90 mil.)
TP
7,500.00000000
LF
$0.89
6,675.00
10
Fumish/Install 6" Dash Yellow, Spray Thermoplastic (90 mil.)
7,500.00000000
LF
0.89
11
Fumish/Install 6" DOT White, Spray Thermoplastic (90 mil.)
TPW
15,000.00000000
LF
S15,000.00
12
Furnish/Install8" Solid White, Spray Thermoplastic 90 mil.)
15,555,65566555
LF
1.40
13
Fumishllnstall B" Dotted White, Spray Thermoplastic (90 mil.)
TPW
5,000.00000000
LF
$1.75
8,750.00
14
Furnish/Install 18" Dotted White, Spray Thermoplastic (90 mil.
2,500.00000000
LF
21
FurnishlInstall 4" Preformed Thermoplastic (125 mil.) White, Solid or Skip Line
TPW
1,000.00000000
LF
3.95
3,950.00
22
Fumish/Install 6" Preformed Thermoplastic (125 mil.) White or Yellow, Solid or Skip Line
1,00 A0 00000
LF
4.95
23
Fumishllnstall 8" Preformed Thermoplastic (125 mil.) White or Yellow, Solid or Skip Line
TPW
1,000.00000000
LF
6.50
6,500.00
24
Furnish/Install 12" Preformed Thermoplastic (125 mil.) White, Solid Line
1,000.00000000
LF
9.00
25
FurnishlInstall 16" Preformed Thermoplastic (125 mil.) White or Yellow, Solid, or Skip Line
TPW
1,000.00000000
LF
$12.50
912,500.00
26
Furnishllnatall 24" Preformed Thermoplastic (125 mil.) White or Yellow, Solid Line
W
1,000:00000000
LF
$15.25
.
2_000
27
Fumishllnstall 24" Preformed Thermoplastic -CONTRAST
TP
1,000.00000000
LF
20.25
S20,250.00
28
Furishlinstall Thermoplastic Preformed (125 mil.) (Single Head Curve Arrows, BIKE, BUS or ONLY's
1,000.00000000
EA
305.00
29
Furnish/Install Thermoplastic Preformed (125 mil.) (Single Head Straight Arrows)
TPW
50.00000000
EA
275.00
13,750.00
30
Furnish/install Thermoplastic Preformed (125 mil.) (Lane Reduction Arrows, 12' Long)
50.00000000
EA
00
450,—
52250000
31
Fumishllnstall Thermoplastic Preformed (125 mil.) (Double Head Combo Avows)
TP
50.00000000
EA
$450.00
22,500.00
32
Furnish/Install Thermoplastic Preformed (125 mil.) (Triple Head Combo Arrows)
50.00000000
EA
585.—
00
52925000
33
Fumishllnstall Themoplastic Preformed (125 mil.) (Railroad Legend Including: X and RR)
TPW
50.00000000
LANE
$475.00
23,750.00
34
Fumishllnstall Thermoplastic Preformed (125 mil.) (36 x 24, Yield Symbol)
50.00000000
EA
50.00
,50000
35
Fumishllnstall Thermoplastic Preformed (90 mil.) (Bike, Shared, Includes Bike Symbol and 2 Sharrow Markings)
TPW
50.00000000
EA
$295.00
14,750.00
36
Furnish/Install Thermoplastic Preformed (90 mil.) (Bike, Includes Bike Symbol Only)
50.00000000
EA
265.—
00
$1320000
37
Fumishllnstall Thermoplastic Preformed (125 mil.) (Bike, Arrow, Includes 1 Straight Avow only, 6')
TPW
50.00000000
EA
$325.06
S16,250.00
43
Furishllnstall Thermoplastic Preformed -CONTRAST (125 mil.)(Single ead Curve Arrows, BIKE, BUS or ONLY's)
50.00000000
EA
745.00
— 53725000
44
Fumishllnstall Thermoplastic Preformed - CONTRAST (125 mil.) (Single Head Straight Arrows)
TPW
50.00000000
EA
745.00
S37,250.00
45
Furnish/Install Thermoplastic Preformed -CONTRAST (125 mil.) (Lane Reduction Arrow 12' long)
50.00000000
EA
$975.00
,75000
46
Furishiinstall Thermoplastic Preformed - CONTRAST (125 mil.) (Double Head Combo Arrows)
TPW
50.00000000
EA
$1,025.00
51,250.00
47
Furnish/Install Thermoplastic Preformed - CONTRAST (125 mil.) (Triple Head Combo Arrows)
W
50.00000000
EA
1,125.00
5_62_00.
48
Fumishllnstall Thermoplastic Preformed - CONTRAST (125 mil.) (Railroad Legend Including: X and RR)
TP
50.00000000
LANE
$1,050.00
S52,500.00
49
Fumishllnstall Thermoplastic Preformed - CONTRAST (125 mil.)(36 x24, Yield Symbol)
50.00000000
EA
00
100.—
5500000
50
Fumishllnstall Thermoplastic Preformed - CONTRAST (90 mil.) (Bike, Shared, Includes Bike symbol and 2 Sharrow Markings)
TPW
50.00000000
EA
475
9523,750.00
51
Furnish/Install Thermoplastic Preformed -CONTRAST (90 mil) (Bike, Includes Bike Symbol Only)
50.00000000
EA
47U,
95
53
Furishllnstall Thermoplastic Preformed -CONTRAST (90 mil.) (Bike, Arrow, Includes 1 Straight Arrows Only)
TP
50.00000000
EA
$595.00
I29,750.00
54
Fumish/Install 4" Extrude Thermoplastic (125 mil.) While or Yellow, Solid or Dash Line
1,500.00000000
LF
2.50
,7
55
Fumishllnstall 6" Extrude Thermoplastic (125 mil.) White or Yellow, Solid or Dash Line
TPW
1,500.00000000
LF
$3.50
5,250.00
56
Furish/install 8" Extrude Thermoplastic(125 mil.) White of Yellow, Solid or Dash Line
100.00000000
LF
4.25
57
Fumishllnstall 12" Extmde Thermoplastic (125 mil.) White or Yellow, Solid Line
TPW
500.00000000
LF
$5.50
2,750.00
58
Furnishlinstall 18" Extrude Thermoplastic(125 mil.) White or Yellow, Solid or Dash Line
1,000.00000000
LF
6.95
59
Furnish/Install 24' Extrude Thermoplastic (125 mil.) White Solid Line
TPW
100.00000000
LF
8.05
805.00
60
Furnish/Install4' Reflective Marker, Type I -A
140 5,50555050 00050
EA
6.20
1a ,5
61
Furnish/Install 4" Reflective Marker, Type I - C
TPW
2,500.00000000
"TtT"
6.20
9515.500.00
62
Furnish/Install 4' Reflective Marker, Type II- A/A
2,500.00000000
EA
6.20
63
Furishllnstall 4' Reflective Marker, Type II -C-R
TPW
2,500.00000000
EA
6.20
9515.500.00
64
Fumishllnstall 4" Type II White C/C or Yellow A/A Round Ceramic Button
W
250.00000000
EA
9.25
11 .5
65
Fumishllnstall 6' Type II White C/C orYellowA/A Round Ceramic Button
TP
50.00000000
"TtT"
$34.00
1,700.00
66
Fumishllnstall B" Type II White C/C or Yellow NA Ceramic Button
50.00000000
EA
$59.00
55 .
67
Furnish/Install 8" Type II White C/C or Yellow NA Ceramic Button
TPW
50.00000000
"TtT"
$49.00
2,450.00
68
Fumish/Install Button Type Flex Stake
50.00000000
EA
195,00
69
Fumishllnstall Temporary TAB
TP
50.00000000
EA
$200
100.00
71
Furnish/Install FG 300 Interstate Grade Curb Sections/FG 336 EFX POST with 2-3' Yellow or White Wraps/FG 300
250.00000000
LF
9550.00
Ti99,
72
Furnish/Install Yellow 36" Delineators
TPW
100.00000000
EA
$245.06
51,500.00
73
Furish/install White 36" Delineators
100.00000000
EA
x245.00
524,500.00
74
Fumishllnstall Bike Lane Separators - Zebra 13 (Option I)
TPW
50.00000000
EA
$375.00
$18,750.00
75
Furnish/Install Bike Lane Separators - Zebra 9(Option 2)
50.00000000
EA
a370.00
$19,550.00
115
Fumishllnstall 4" White, 3M, A3801 ES, Stamark brand tape
TPW
5,000.00000000
LF
6.00
$30,000.00
116
FurnisNlnstall 4' Yellow, 3M, A3801 ES, Stamark brand tape
5,000.00 000000
LF
6.00
— 530,090.00
117
FurnishlInstall 6" White, 3M, A3801 ES, Stamark brand tape
TPW
2,500.00000000
""Er""
8.95
22,375.00
118
Fumishllnstall 6" Yellow, 3M, A3801 ES, Stamark brand tape
2,500.00000000
LF
8.95522,375.00
119
Furnish/Install 8" White, 3M, A3801 ES, Stamark brand tape
TPW
2,500.00000000
LF
$10.50
.6,250.00
120
Furnish/install8" Yellow, 3M, A3601 ES, Stamark brand tape
W
2,500.00000000
LF
$10.50526,250.00
121
Fumish/Install 12" White, 3M, A3801 ES, Stamark brand tape
TP
2,500.00000000
LF
15.25
$38,125.00
122
Furishiinstall 12' Yellow, 3M, A3801 ES, Stamark brand tape
7,500.00000000
LF
15.25
$114,375.00
123
Fumishllnstall 18"White, 3M, A3801 ES, Stamark brand tape
TPW
2,500.00000000
LF
19.75
49,3 55.00
124
Furnish/Install 18' Yellow, 3M, A3601 ES, Stamark brand tape
2,500.00000000
LF
19.75549,375.00
125
Furnish/install 12" White or Yellow, 3M, A3801 ES, Stamark brand tape - CONTRAST
TP
100.00000000
LF
$20.25
$2,025.00
127
Prep and Seal Pavement Surface for 4' Markings
=1,000.00000000
LF
0.70
7 .
128
Prep and Seal Pavement Surface for 6' Markings
TPW
1,000.00000000
LF
$0.73
730.00
129
Prep and Seal Pavement Surface for 8' Markings
=1,000.00000000
LF
0.85
130
Prep and Seal Pavement Surface for 12' Markings
TPW
1,000.00000000
LF
2.00
2,000.00
131
Prep and Seal Pavement Surface for 18" Markings
1,000.00000000
LF
2.50
,5
132
Prep and Seal Pavement Surface for 24' Markings
TPW
1,000.00000000
""Er""
$3.06
3,000.00
133
Prep and Seal Pavement Surface for: Arrows, Words, Bike Symbol or Other Pavement Legend
10 .00 00000
EA
$65.00
134
Prep and Seal Pavement Surface for 36 x 24 Yield Symbol
TPW
100.00000000
EA
$15.00
1,500.00
135
Prep and Seal Pavement Surface for Railroad Markings Including: X and RR
100.00000000
LANE
$175.00
,5 .
137
Prep and Seal Pavement Surface for Bike Lane Separators
TPW
100.00000000
EA
$100.00
9510.000.00
139
Remove 4" White or Yellow Spray, Extrude, Preform, or Contrast Thermoplastic
W
1,000.00000000
LF
0.83
140
Remove 6" White or Yellow Spray, Extmde, Preform, or Contrast Thermoplastic
TPW
1,000.00000000
LF
0.83
830.00
141
Remove 8' White or Yellow Spray, Extrude, Preform, or Contrast Thermoplastic
1,000.00000000
LF
0.95
5 .
142
Remove 12' White or Yellow Spray, Extrude, Preform, or Contrast Thermoplastic
TPW
2,500.00000000
""Er""
2.05
5,125.00
143
Remove 18" White or Yellow Spray, Extrude, Preform, or Contrast Thermoplastic
2,500.00000000
LF
2.85
7,1 5.
144
Remove 24' White or Yellow Spray, Extrude, Preform, or Contrast Thermoplastic
TPW
2,500.00000000
LF
$3.55
8,875.00
145
Remove Thermoplastic Legend: Arrows, Words, Bike Symbol or Other Pavement Legend
150.00000000
EA
$80.00
146
Remove Thermoplastic 36 x 24 Yield Symbol Triangle
TPW
250.00000000
EA
5,000.00
147
Remove Thermoplastic Railroad Legend Including: X and RR
PiN
100.00000000
EA
148
Remove Thermoplastic Lane Legend- Preformed, Contrast, Spray
TPW
250.00000000
EA
S20,000.00
153
Remove TemporaryTAB
50.00000000
EA
7 .
154
Remove 4' Refl. Traffic Button
TPW
50.00000000
EA
5150.00
155
Remove 6' Refl. Traffic Button
50.00000000
EA
5 .
156
Remove 8" Ref. Traffic Button
TPW
50.00000000
EA
5300.00
157
Remove Yellow, White 36" Delineators
100.00000000
EA
999,
unange urger Aavmons rage u or n
158
Remove FG 300 Interstate Grade Curb Sections/PG 336 EFX POST with 2-3" Yellow or White Wraps/PG 300 Interstate Grade Curb and End Capsl
Asphalt or Concrete Anchors (4 Per Curb & Base)
TPW
100.00000000
EA
$225.00
$22,500.00
159
Remove Bike Lane Separators
50.00000000
EA
150.00
179
Portable Message Sign
TPW
50.00000000
EA
$200.00
$10,000.00
181
Traffic Control
3.00000000
MO
80010
182
Furnish Street Permit
TPW
1.00000000
EA
$70000
$700.00
183
Railroad Flagman
10.00000000
WO
1,000.00
184
Work Order Mobilization (50-525,000)
TPW
1.00000000
EA
5,000.00
$5,000.00
185
Work Order Mobilization (525,000-550,000)
1.00000
1555510
186
Work Order Mobilization )550,000-5150,000)
TPW
1.00000000
EA
$7,000.00
7,000.00
187
Work Order Mobilization (150,000- 300,000)
1.00000000
1$555.00
90,000.00
188
Work Order Mobilization ($300,000-$500,000)
TPW
1.00000000
EA
$9,000.00
$9,000.00
189
Work Order Mobilization (5500.000-51 000,000)
TPW
1.00000000
EA
10,000.00
$10,000.00
Sub Total Additions
$0.00
Change Order Additions Page 2 of 2
FORT WORTH City of Fort Worth
Change Order Deletions
Project Name I City Sec # 0
Client Project #
Contractor I PM Inspector
Change Order Submittal # Date I
DELETIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
Sub Total Deletions $0.00
Change Order Deletions Page 1 of 1
FORT WORTH.
Routing and Transmittal Slip
Transportation & Public Works Department
DOCUMENT TITLE: Stripe -A -Zone, LLC
For: Change Order #1
M&C: CPN: CSO: 59250
DOC#:
Date:
To:
Name
Department
Initials
Date Out
1.
Datrick Marzett
TPW-Signature
it
2.
Quenell Johnson
TPW- Signature
3.
Raj Gupta
TPW-Signature
4.
Anna Benavides
TPW — Initials
5.
Martin Phillips
TPW- Initials
MAP
6.
Lauren Prieur
TPW- Signature
V14L
7.
Douglas Black
Legal- Signature
8.
Jesica McEachern
ACM- Signature
9.
Katherine Cenicola
CSO - Initial
10.
Jannette Goodall
CSO-Signature
„—,
11.
Allison Tidwell
CSO-Assign CSC
rlt-
10.
Tabitha Giddings
TPW-Admin
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, David will review
and take the next steps.
NEEDS TO BE NOTARIZED: ❑YES lNo
RUSH: ❑YES No SAME DAY: DYES No NEXT DAY: ❑YES 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
FORT WORTH®
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: Stripe -A -Zone, LLC
Subject of the Agreement: Change Order #1
M&C Approved by the Council? * Yes ❑ No II
If so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes 0 No 0 CO -1
If so, provide the original contract number and the amendment number.
Is the Contract "Permanent"? *Yes ❑ No 0
If unsure, see back page for permanent contract listing.
Is this entire contract Confidential? *Yes ❑ No 0 If only specific information is
Confidential, please list what information is Confidential and the page it is located.
Effective Date:
If different from the approval date.
Expiration Date:
If applicable.
Is a 1295 Form required? * Yes ❑ No 21
*If so, please ensure it is attached to the approving M&C or attached to the contract.
Project Number: If applicable.
*Did you include a Text field on the contract to add the City Secretary Contract (CSC)
number? Yes 0 No 0
Contracts need to be routed for CSO processing in the following order:
1. Katherine Cenicola (Approver)
2. Jannette S. Goodall (Signer)
3. Allison Tidwell (Form Filler)
*Indicates the information is required and if the information is not provided, the contract will be
returned to the department.