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HomeMy WebLinkAboutContract 42079-CO1 aoPy 1 FORT WORTH. City of Fort Worth CITY SECRETARY Change Order Request CONTRACT NO. ProjectNamel HMAC Surface Overlay(2011-12)At Various Locations City Sec# 1 42079 Client Project#(s)l C293-541200-209620173083 City Project No:01730 DOE:6675 Project Description[ escription HMAC Surface Overlay Throughout the City Contractorl JLB Contracting, LLC Change Order# Date 1 5/30/2012 City Project Mgr.1 Kristian Sugrim (817)392-8902 City Inspector Anthony Host (817)223-2281 Enter Department(s)to the Right and TPW Totals Contract Time Contract Day Type CD Original Contract Amount $918,529.50 $918,529.50 120 Extras to Date Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $918,529.50 $918,529.50 120 Amount of Proposed Change Order $0.00 147 Revised Contract Amount $918,529.50 $918,529.50 267 Original Funds Available for Change Orders $0.00 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+25916) $1,148,161.88 JUSTIFICATION(REASONS)FOR CHANGE ORDER This change order is to request that an additional 147 Calendar Days(CD)be added to this contract due to ATMOS Energy having to relocate or upgrade supply lines on Foch St, Granger St, Peach St&Washington Ave. p p�° 0�r `�� A by: �� oxo OFFICIAL RECORD *00 ° CITY SECRETARY --011? a FT. WORTH TX Maty J. Ka ity ecreas EX S _- 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. ContracWs CoMmy Name Contracler Name Contract We JLB Contracting, LLC �s� !--� 4,11 4 In /n Manager Date AssislDMvtmwt(Dept) Dalefirlietir" tit Die Dar � M&C Number M&C Date Approved C� 0�-14-12 A09 : 23 IN O FORT WORTH., City of Fort Worth � l�'�t ,1;,r Change Order Request Project Namel HMAC Surface Overlay(2011-12)At Various Locations City Sec# 42079 Client Project#(s)l C293-541200-209620173083 City Project No:01730 DOE:6675 Project Description HMAC Surface Overlay Throughout the City Contractorl JLB Contracting,LLC Change Order# Date 1 5/30/2012 City Project Mgr.1 Kristian Sugrim (817)392-8902 City Inspector Anthony Host (817)223-2281 Enter Department(s)to the Right and Contract Time Contract Day Type TPW Tqtals CD Original Contract Amount $918,529.50 $918,529.50 120 Extras to Date Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $918,529.50 $918,529.50 120 Amount of Proposed Change Order $0.00 147 Revised Contract Amount $918,529.50 $918,529.50 267 Original Funds Available for Change Orders $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% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,148,161.88 JUSTIFICATION(REASONS)FOR CHANGE ORDER This change order is to request that an additional 147 Calendar Days(CD)be added to this contract due to ATMOS Energy having to relocate or upgrade supply lines on Foch St,Granger St,Peach St&Washington Ave. 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. Contractor's Company Name Contractor Name Contract Signabire Date JLB Contracting, LLCM In or/n on sor DaieManpW/Progfpm Manager Date j Assis t Date np De artment Det Date ti, s Date ;ssistant Man Date l Council Acbon if M&C Number t , Lr M&C Date Approved FORT WORTH,,, City of Fort Worth Change Order Request Project Namel HMAC Surface Overlay(2011-12)At Various Locations City Sec# 1 42079 Client Project#(s)l C293-541200-209620173083 City Project No:01730 DOE:6675 Project Description HMAC Surface Overlay Throughout the City Contractorl JLB Contracting,LLC Change Order# L Date 1 5/30/2012 City Project Mgr.1 Kristian Sugrim (817)392-8902 City Inspector Anthonyost y (817)223-2281 Enter Department(s)to the Right and TPWContract Time Contract Day Type Totals (CD) Original Contract Amount $918,529.50 $918,529.50 120 Extras to Date Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $918,529.50 $918,529.50 120 Amount of Proposed Change Order 0.00 147 Revised Contract Amount $918,529.50 $918,529.50 267 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT0.00 0 MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,148,161.88 JUSTIFICATION(REASONS)FOR CHANGE ORDER This change order is to request that an additional 147 Calendar Days(CD)be added to this contract due to ATMOS Energy having to relocate or upgrade supply lines on Foch St, Granger St, Peach St&Washington Ave. 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. Contractor's company Name Contractor Name Contract Signature Date JLB Contracting, LLC ,y7 Ins for/Ins rvisor DaW Pr ' Man er/Pr m Manager Date Assis oc t d" Date Dir",CoAtracting Department Det Date A65is Date Assistant City Manager Dai l: Council Action d required) M&C Number _ M&C Date Approved FORT WORTH,,, City of Fort Worth Change Order Request Project Namel HMAC Surface Overlay(2011-12)At Various Locations City Sec# 42079 Client Project#(s)l C293-541200-209620173083 City Project No:01730 DOE:6675 Project Description HMAC Surface Overlay Throughout the City Contractorl JLB Contracting, LLC Change Order# Date 1 5/30/2012 City Project Mgr.1 Kristian Sugrim (817)392-8902 City Inspector Anthonyost y (817)223-2281 Enter Department(s)to the Right and TPW Contract Time Contract Day Type Totals CD Original Contract Amount $918,529.50 $918,529.50 120 Extras to Date Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $918,529.50 $918,529.50 120 Amount of Proposed Change Order 0.00 147 Revised Contract Amount $918,529.50 $918,529.50 267 Original Funds Available for Change Orders $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% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25916) $1,148,161.88 JUSTIFICATION(REASONS)FOR CHANGE ORDER This change order is to request that an additional 147 Calendar Days(CD)be added to this contract due to ATMOS Energy having to relocate or upgrade supply lines on Foch St, Granger St, Peach St&Washington Ave. 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. Contractor's Company Name Con Name Contract Signature pate JLB Contracting, LLC - In or/ln sor Project Manager/ProgFam Manager Date Assistant Director Det Date Dir ,,Contracting Department(Dept) Dai Assis Eibf&"y Date Assistant City ManagerDate Council Action 17 ured M&C Number M&C Date Approved C� v .OA-. cD v ((D O C7 C .-. N ^� nA .A. _ _. O t A (D N O (D .A. p C- r- 2 C7 2 rj W D w D c7 c7 co A_ a O (N 3 _ CD o A N O r (CD M CD � � � N a1 O N v C:) N O W O OD cc O N .�. w CD c 0 (o �v = co No opo O c O �Q z O n O O P. -, I Da o y 0o N w =r o O d n orQ 0 m N v n�i o � o N p (D O Q N D o � = O 2 m O o> v, m r CYI a� c7 V Uj = N0 N A W # C- 0 N O op N N 25 A O r co O O r) d oa m O CL m D CL CL O O 010-v d m N O N cn C O N --I O 7 N fH O S rr 0 � C)0. 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