HomeMy WebLinkAboutContract 44708-CO4 FORT WORTH_ City of Fort Worth BRACT Y LI (7��'Q
Change Order Request
Project Name I Clear Fork Drainage Basin M-210 Sewer Improvements, Part 3 City Sec No. 1 44708
Project No.(s) P265-603170102288 and P275-703170102288 DOE No. 6808 City Proj.No. 1 1022
Project Description: Installation of 1,400 feet of 36-inch sanitary sewer line on Colonial Parkway and 2,110 feet of eight-inch water main on
Country Club Circle.
Contractor:I William J. Schultx, Inc.dba Circle C Const. Co. Change Order: ® Date: 12/2/2014
City Project Mgr.1 Roberto C. Sauceda City Inspector: I Raymond Brice
Phone Number: 817-392-2387 Phone Number: 817-223-2269
Dept. Water Sewer Totals Contract Time
(Calender days)
Original Contract Amount $428,536.20 $1,522,665.75 $1,951,201.95 210
Extras to Date $276,104.00 $276,104.00 90
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $428,536.20 $1,798,769.75 $2,227,305.95 300
Amount of Proposed Change Order $97,713.00 $97,713.00 030
Revised Contract Amount $526,249.20 $1,798,769.75 $2,325,018.95 330
Original Funds Available for Change Orders $22,000.001 $46,000.00 $68,000.00
Remaining Funds Available for this CO $22,000.001 $22,000.00
Additional Funding(if necessary) $75,713.001 $75,713.00
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 19.16%
MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $2,439,002.44
JUSTIFICATION (REASONS)FOR CHANGE ORDER
The change order will provide for the following:
• Replacement of the deteriorated water main on Colonial Parkway from Park Hill Drive northerly
700 feet,prior to pavement rehabilitation by the Transportation and Public Works Department.
• The deletion of pay item quantities that are no longer needed on the project.
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Staff concurs with the contractors request for 30 ad o al . n the change order.
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Ronald P. Gonzales,Asst.MY SMOtM F61. M70)Qw,9—0,
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It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment
M in full(both time and money)for all costs arising out of,or incidental to,the above Change Order.
o Contractor's Company Name Contractor Name Contractor Signature Date
C' cle C Cons uction, Co. Roy Davis
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—kisp or Date Project D to
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ss t ct ater Dept) Date Co truction Supervisor Water Dept Date
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As istant gly A D to Assistant City Manager Date
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M&C Number N/A M&C Date Approved - N/A
FORT WORTH City of Fort Worth
Change Order Additions
Project Name I Clear Fork Drainage Basin M-210 Sewer Improvements,Part 3 City Sec No. 44708
Project No.(s) P265-603170102288 and P275-703170102288 DOE No. 6808 City Proj. No. 1022
Project Installation of 1,400 feet of 36-inch sanitary sewer line on Colonial Parkway and 2,110 feet of eight-inch water main on
Description Country Club Circle.
Contractor William J. Schultx, Inc.dba Circle C Const.Co.Company Change Order: ® Date: 12/2/2014
City Project Mgr. Roberto C.Sauceda City Inspector Raymond Brice
ADDITIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
1 8"DIP Water, CSLM Backfill Water 862.00 LF $64.00 $55,168.00
3 8"DIP in Casing Water 72.00 LF $60.00 $4,320.00
4 16"Casing by Bore Water 72.00 LF $300.00 $21,600.00
8 1"Water Service Water 3.00 EA $500.00 $1,500.00
9 1"Water Service, Meter Reconnection Water 3.00 EA $250.00 $750.00
16 Fire Hydrant Water 2.00 EA $2,600.00 $5,200.00
17 Ductile Iron Water Fittings w/Restraint Water 1.20 TN $6,500.00 $7,800.00
18 8"Gate Valve Water 1.00 EA $1,000.00 $1,000.00
19 6"Gate Valve Water 1.00 EA $750.00 $750.00
21 Temporary Water Service Water 0.44 SF J$8,000.00 $3,500.00
31 4'Wide Asphalt Pvmt Repair,Arterial Water 970.00 LS J$45.00 $43,650.00
34 Salvage Fire Hydrant Water 1.00 EA $600.00 $600.00
35 lConnection to Existing 8"Water Main Water 2.00 EA $1,500.00 $3,000.00
36 Traffic Control Water 2.00 LS $2,500.00 $5,000.00
38 Trench Safety Water 1122.00 LF $1.00 $1,122.00
39 12"Water Line Water 21.00 LF $68.00 $1,428.00
40 8"PVC Water Line Water 295.00 LF $45.00 $13,275.00
41 12"Gate Valve&Box Water 1.00 EA J$1,800.00 $1,800.00
42 jAbandon 2"Existing Water Line Water 1.00 LS $500.00 $500.00
Water $171,963.00
Sewer
Additions Sub Total 1$171,963.00
Page 2 of 4
FO RT WO RT H City of Fort Worth
Change Order Deletions
Project Name F Clear Fork Drainage Basin M-210 Sewer Improvements, Part 3 City Sec No. 44708
Project No.(s) P265-603170102288 and P275-703170102288 DOE No. EiKl City Proj. No. 1022
Project Description Installation of 1,400 feet of 36-inch sanitary sewer line on Colonial Parkway and 2,110 feet of eight-inch water main
on Country Club Circle.
Contractor Change Order: [:�] Date 12/2/2014
City Project Mgr. Roberto C. Sauceda City Inspector Raymond Brice
DELETIONS
ITEM IDESCRIPTION DEPT Qty Unit Unit Cost Total
2 8"DIP Water Pipe- Install in Short Tunnel(Bore)with Grout Water 305.00 LF $150.00 $45,750.00
3 8"DIP Water Pipe-Install in Casing Pipe with Grout Water 50.00 LF $60.00 $3,000.00
4 16"Casing By Other Than Open Cut Water 50.00 LF $300.00 $15,000.00
5 6"DIP Water, CSLM Backfill Water 142.00 LF $60.00 $8,520.00
6 4"DIP Water, CSLM Backfill Water 36.00 LF $55.00 $1,980.00
Water $74,250.00
Sewer
Page 3 of 4 Deletions Sub Total $74,250.00
MMBE Breakdown for this Change Order
M1NBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
Ct?# DATE AMOUNT
Total $0.00
Page 4 of 4
City of Fort Worth
Departmental Request for Waiver
Of MBE/SBE Subcontracting/Supplier Goal
Water Department 97,713.00 11/10/14 i r:
DEPARTMENT NAME: ESTIMATED COST / PROPOSAL DATE
Clear Fork Drainage Basin M-210 Sewer Improvements,Part 3 DOE 6808,CPN:01022 e
NAME OF PROJECT/BID: DOE/PROJECT NO.
f t�
Roberto C.Sauceda -� 2387 1/24114
SIGNATURE OF /PROJECT MANAGER EXTENSION DATE NIGP CODE
Prior to advertisement, the contracting/managing department shall determine whether the bid/proposal is one which MBE/SBE
requirements should not be applied. MBE/SBE requirements may be waived upon written approval of the M/WBE Manager. If one
of the conditions listed below exists,the contracting/managing department shall notify the Manager via this form,stating the specific
reason(s)for requesting a waiver.
If the contracting/managing department and the Manager are in conflict over the granting of a waiver, either
may appeal to the City Manager, or designee, and his/her decision is final.
Please Check Applicable Reason:
A. MWBE Office: A waiver of the goal for MBE/SBE subcontracting requirements was requested
by the Department and approved by the MWBE Office, in accordance with the M/WBE or BDE
Ordinance, because the public or administrative emergency exists which requires the goods or
services to be provided with unusual immediacy; or
X B. MWBE Office: A waiver of the goal for MBE/SBE subcontracting requirements was requested
by the Department and approved by the MWBE Office, in accordance with the M/WBE or BIDE
Ordinance, because the purchase of goods or services from source(s) where subcontracting or
supplier opportunities are negligible; or
C. MWBE Office: A waiver of the goal for MBE/SBE subcontracting requirements was requested
by the Department and approved by the MWBE Office,in accordance with the M/WBE or BIDE
Ordinance, because the application of the provisions of this ordinance will impose an economic
risk on the City or unduly delay acquisition of the goods or services; or
D. MWBE Office: A waiver of the goal for MBE/SBE subcontracting requirements was requested
by the Department and approved by the MWBE Office, in accordance with the M/WBE or BIDE
Ordinance, because the MWBE Waiver is solicited based on the sole source information
provided to the MWBE Office by the managing department's project manager,
Justify Commodity or Service Waiver Request:
Water Line extension on change order No.4
Please use additional sheets,if needed
M/WBTP USE ONLY: '
�t Ile IN
Approved Signature of W E Authorized Personnel Date
Not Approved Signature of M/WBE Authorized Personnel Date
Rev.2-20-13