HomeMy WebLinkAboutContract 54517-FP1AC Coded 02.29.23
Vendor Name: JACKSON CONSTRUCTION LTD
Invoice No. 54517 - FP
Invoice Date: 02.27.24
FW060-26879
FORTWORTH
Earned $296,703.87
Release Retainage
FID 34014-2060000-102170-RETAIN $12,347.18
FID 59601-2060000-102170-RETAIN $225,102.94
FID 59607-2060000-102170-RETAIN $24,925.22
WATER DEPARTMENT
ENGINEERING AND FISCAL SERVICES
NOTICE OF PROJECT COMPLETION
CSC No. 54517-FP1
Regarding contract 54517 for Water and Sanitary Sewer Replacement Contract 2019, WSM-C as required by
the Water Department as approved by City Council on 8/11/2020 through M&C 20-0542 the Director of the Water
Department, upon the recommendation of the Sr. Capital Projects Officer, Capital Projects Delivery, Water Department,
has accepted the project as complete.
Original Contract Prices:
Amount of Approved Change Orders:
Revised Contract Amount:
Total Cost Work Completed:
Less Deductions:
Liquidated Damages:
Other Deductions(see comments):
Total Deduction Amount:
Total Cost Work Completed:
Less Previous Payments:
Final Payment Due
Qll D h
Rec mmen ed for Acceptance
Assistant Director, Water Department
Christopher Hz der(M a r21, 202407:03 CDT)
Accepted
Director, Water Department
��4cj_--
Asst. City Manager
$4,510,656.00
$977,836.61 Ns 5
$5,488,492.61
$5,544,211.60
0 Days @ $630.00/ Day
$0.00
$5,544,211.60
$4,985,132.39
$559,079.21
2. 2% Z�
Date
Mar 21, 2024
Date
Mar 21, 2024
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FORTWORTH.
February 26, 2024
Jackson Construction, Ltd.
5112 Sun Valley Dr.
Fort Worth, TX 76119
Re: Acceptance Letter
Project Name: Water and Sanitary Sewer Replacement Contract 2019, WSMC
Project Type: Water/ Sewer/Paving
Project No: 102170
DOE. Ns: 0027
Contract Ns: 54517
Gentleman:
Dated: 2/26/2024
On April 05, 2023 a final inspection was made on the subject project. There were punch list items identified at
the time. The punch list items were completed on April 07, 2023. The final inspection and the corrected punch
list items indicate that the work meets the City of Fort Worth specifications and is therefore accepted by the
City. The warranty period will start on April 07, 2025, which is the date of punch list completion and will extend
for (2) years in accordance with the Contract Documents.
If you have any questions concerning this letter of acceptance, please feel free to contact me at (817) 392-6054
Yours Truly,
S J o 16
Tony Sholola, P.E., Assistant Director, Water Department
TS /
cc: Chris Harder, P.E., Director, Water Department
Laura Wilson, P.E., Deputy Director, Water Department
Captain Michael Skains, Fire Department
Luke Coffman, Sanitary Sewer Systems Superintendent, Water Department
Cesar Zavala, Water Systems Superintendent, Water Department
Pratima Poudyal PE, Project Manager, Water Department Capital Projects Delivery
David R Johnson, Inspection Supervisor, Water Department Capital Projects Delivery
Jesse Reed, Inspector, Water Department Capital Projects Delivery
, Consultant
Jackson Comstruction, Ltd, Contractor
File
Fort Worth
AII•AmedcaCity WATER DEPARTMENT
THE CITY OF FORT WORTH * 200 TEXAS STREET * FORT WORTH, TEXAS 76102
817-392-8240 * FAX 817-392-8195
1964.1993. 2011
„'�, Printed on recycled paper
CONSENT OF SURETY
TO FINAL PAYMENT
.AIA. Document G707
Bond No. 1068095
TO OWNER:
(Name andaddrev)
City of Fort Worth
200 Texas St.
Fort Worth, TX 76102
PROJECT:
(A4aae awl adel etJ
OWNER
ARCHITECT
CONTRACTOR
SURLT Y
OTHIiR
ARCMTFCT'S PROJECT NO.:
CONTRACT FOR:
CONTRACTDATFD:August 12, 2020
Water and Sanitary Sewer Replacement Contract 2019, WSM-C, City Project No. 102170
In accordance with the provisions of the Contract between the Owner and the Contractor as Indicated above, the
(Insednantrand atldi ovgfVw h
The Hanover Insurance Company
440 Lincoln Street
Worcester, MA 01653
, SURF,TY,
on bond of
(lnst;n aamaaral adrbe,�sQ/'Cau�urtw)
Jackson Construction, Ltd.
5112 Sun Valley Drive
Fort Worth, TX 76119
, CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surery of
any of its obligations to
(lawnnal)reand addm o(Owner)
City of Fort Worth
200 Texas St.
Fort Worth, TX 76102
as set fort) in said Surety's bond.
, OWNER,
IN WITNESS WIIERROT', the Surety has hereunto set its hand on this date: May 11, 2023
(bowl In to iting dX won0 jollourd hr Ilx worTeric dare and mar.)
Attest:]
(Sea)):
The Hanover Insurance Company
(SurN¢)
By: Q�
I. Xgnahn N Of arl/lJO)YXNd J NfNYSY�1l7lfli
Holly Clevenger Attorney -in -Fact
(minted Manic and Bile)
G707-1994
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWER OF A TTORNEY
THIS Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except In the manner and to the
extent herein stated.
KNOW ALL PERSONS BY THESE PRESENTS:
That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations organized and existing under the
laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA. a corporation organized and existing under the taws of the State of
Michigan. (hereinafter Individually and collectively the'Company') does hereby constitute and appoint.
Holly Clevenger
Of Dallas, TX individually, if there be more than one named, as its true and lawful attorneys}in-fact to sign, execute, seal, acknowledge and
dNiver. for, and on its behalf, and as Its act and deed anyplace within the United States, any and all surety bonds, recognizances, undertakings, or other surety
obligations. The execution of wch surety, bonds, recognizanoos, undertakings or surety obligations, in pursuance of those presents, shall be as binding upon the
Company as if they had been duly signed by fie president and attested by the secretary of the Company, in their own proper persons. Provided however, that this
power of attorney limits the acts of those named herein: and they have no authority to bind the Company except in the manner stated and to the extent of any
limitation stated below:
Any such obligations in the United States, not to exceed Forty Million and No/100 ($40,000,000) in any single instance
That this power is made and executed pursuant to the authorityof the following Resofutions passed by the Board of Directors of said Company. and said Resolutions
remain in full force and effect
Suroty Bond Number. 1068095
Principal: Jackson Construction, Ltd.
Obiigoo: City of Fort Worth
RESOLVED: That the Presidentor any Vice President in conjunction with any Vice President be and they hereby are authorized and empowered to
appoint Attomeys-In-fact of the Company. In its name and as k acts, to execute and acknowledge for and on its behalf as surety, any and all bonds,
recogn'o:anoes, contracts of indemnity, waivers of citation and all other writings obligatory in the nature thereof, with power to attach thereto the seal of the
Company. Any such writings so executed by such Attomeyz-in-fact shall be binding upon the Company as if they had been duty ex"ed and
acknowledged by the regularly elected officers of the Company in their own proper persons.
RESOLVED: That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification In rospect thereto, granted and
executed by the President or Vice President in conjunction with any Vice President of the Company, shall be binding on the Company to the same exienl
as it all signatures therein were manually affixed. even though one or more of any such signatures thereon may be facsimile. (Adopted October 7.1081 —
The Hanover Insurance Company: Adopted April 14. 1982—Massachusetts Bay Insurance Company: Adopted September 7.2001—C6zens Insuranoe
Company of America and offirmed by each Company on March 24, 2014)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY
OF AMERICA have caused these presents to be sealed with their respective corporate seals, duty attested by two Vice P(esidents, this 6s day of April, 2023
The I taaoser tasursoce Cenpa s)
1-lagw1hoset4 Bay leseraa(e Cowpsay
Ckiacas hssuraace C*wp#*yA'f AArr%trrka
J04 H. Kawkeckf, We Presideni
STATE OF CONNECTICUT )
COUNTY OF HARTFORD
) s s.
The Ilawser lasersacc Compasy
kwelu Bay ["onsetC4.spaeY
s lose Compoey of Aretika
le;
then lit. Mendoza, Vice Pros]dent
On this tie' day ofAprll 2023 before me came the above named Executive Vke President and Vice Presldentof The Hanover Insurance Company, Massachusetts
Bay Insurance Company and Citizens Insurance Company of America, to me personally known to be the individuals and officers described herein, and
acknowledged that the seats affixed to the preceding instrument are the corporate seats of The Hanover Insurance Company, Massachusetts Bay Insurance
Company and Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duty affixed and
subsaibod to said instrument by the authority and direction of sold Corporations.
&Wendy Latoumes
tPutic, State of comodkut �Ytyj CGIIYIlj53W Elegies July 31. 2M5 lily oommitssl n ex Ires July 31r 2025
I, the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America,
hereby certify that the above and foregoing is a full, true and correct copy of the Original Power of Attomay issued by said Companies, and do hereby further certify
that the said Powers of Attorney are still in force and effect
GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, this 11th day of May 2023
The a larrnace on"
�l ue rJ Bas lies ay
CERTIFIED COPY ` " cc A"
ohs Rrwrd/cr,'Vkv Preskkal
CONSTRUCTION LTD.
5112 SUN VALLEY DRIVE
FORT WORTH, TX 76119
TEL: 817-572-3303
FAX: 817-4 78-0443
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Troy L. Jackson,
President Of Jackson Construction, Ltd, known to me to be a credible
person, who being by me duly sworn, upon his oath deposed and said;
That all persons, firms, associations, corporations, or other
organizations furnishing labor and/or materials have been paid in full;
That the wage scale established by the City Council in the City of
Fort Worth has been paid in full;
That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
Water and Sanitary Sewer Replacement Contract 2019, WSM-C
BY
Tro . Jackson, President
Subscribed and sworn before me on this date I Ith of May, 2023..
5 CaV,
".I--
Noiwf Tpdbiie V
Tarrant, Texas
CARMEN L. ESTEP
s=c,��Notary Public, State of Texas
Comm. Expires 04-06-2024
i�i�Fp.t( .""'
n,,,�„\\\ Notary ID 2910611
FORTWORTH rev 0305/07
WATER ENGINEERING & FISCAL SERVICES
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:24
NAME OF PROJECT: Water and Sanitatry Sewer Replacement Contract 2019 WSM-C
PROJECT NO.:
102170 CONTRACTOR: Jackson Construction
CITY PROJECT 54517
PERIOD FROM 04/30/23
TO: 02/15/24 FINAL INSPECTION DATE: 4/7/2023
WORK ORDER EFFECTIVE:
1 1/30/2020 CONTRACT TIME: 700 O WDQ CD
DAY OF DAYS
CHARGED
DAYS
REASON FOR DAYS DAY OF REASON FOR DAYS
MONTH DURING
CREDITED MONTH CHARGED CREDITED
DURING
1.
16.
2.
17.
3.
18.
4.
19.
5.
20.
6.
21.
7.
22.
8.
23.
9.
24.
10.
25.
It.
26.
12.
27.
13.
28.
14.
29.
I5.
30.
31.
SAT, SUN, RAIN, TOO WET, UTILITIES DAYS TOTAL
OTHERS*
& HOLIDAYS & TOO COLD RELOCATIONS CHARGED DAYS
THIS
PERIOD
PREVIOUS
PERIOD
TOTALS
TO DATE
*REMARKS:
No LD's are charged on this project
ONI'RACTOR
Q4 TE' INSPECTOR DATE
Capital Projects Delivery, Water Department
The City of Fort Worth • 200'1'exas Street • Fort \\lorth,'I:t 76012-6311
(817) 392 - 4477 • Fax: (817) 392 - 8460
FoRTWORTHREV:02/20/07
Capital Projects Delivery, Water Department
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR & PROJECT DATA
Nanne of Contactor
Project Name
jackson Construction
Water & SS Replacement Contract
2019 WSM-C
IValer• Engineering Inspector
DOE Number
Jesse Reed
27
Mister Engineering Inspector
Project Alanager
❑✓ Water [2] Waste Water ❑ Storm Drainage Q Pavement
Pratima Poudyal
Initial Contract dmouni
Project Difficidly
$4,510,656.00
p Simple
QQ Routine
p Complex
Filial Contract amount
Date
$5,488,492.61
2/26/2024
II) PERFORMANCE EVALUATION
10 - Inadequate I - Deficient 2 - Standard 3 - Good 4 - Excellent
ELEMENT '
WEIGHT(x) APPLICABLE (Y / N) RATING
(0 - 4)
MAX SCORE SCORE
1 Submission of Documents
2
Y
3
8
6
12 Public Notifications
5
Y
4
20
20
3 Plans on Site
5
Y
4
20
20
4 Field Supervision
15
Y
3
60
45
5 Work Performed
15
Y
3
60
45
16 Finished Product
15
Y
4
60
60
17 Job Site Safety
15
Y j
3 j
60
j 45
8 Traffic Control Maintenance
15 j
Y j
4
60
60
19 Daily Clean Up
5 j
Y
4 '
20
20
10 Citizen's Complaint Resolution
5 j
Y j
4 j
20
20
11 Property Restoration
5
Y
4
20
20
12 Afier Hours Response
5
Y
4
20
20
13 Project Completion
5
Y
4
20
20
TOTAL ELEMENT SCORE (A) 401
BONUS POINTS (25 Maximum) (B)
TOTAL SCORE (TS) 401
III) CONTRACTOR'S RATING
Maximum Score (MS) = 448 or sum of applicable element score maximums which = 448
Rating ( ITS / MSI * 100%) 401 / 448 = 90%
Performance Category Excellent
<20% = Inadequate 20% to <40% = Deficlenl 40% to <60% = Standard 60% to <80% = Good >80% = Dtcellem
Inspector's Comments (INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Signature Inspector 1-
Signature Inspector's Supervisor -
CONTRACTOR'S COMMENTS
Signature Contractor
Capital Projects Delivery, Water Department
T7te City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TK 76012-6311
(817) 392 - 4477 • Fax: (817) 392 - 8460
I) PROJECT INFORMATION
Nance ojContractor
Jackson Construction
Water Engineering blspeelor
Jesse Reed
FORTWORTH
Capital Projects Delivery, Water Department
CONTRACTOR'S EVALUATION OF CITY
Date:
DOE Number Project Di�culfy
27 p Simple QQ Routine p Complex
1nllial Conbaci Amount
$4,510,656.00
II) PERFORMANCE EVALUATION
0 - Inadequate 1 - Deficient 2 - Standard
(ELEMENT
[INSPECTION EVALUATION
1 Availability of Inspector
2 Knowledge of Inspector
3 Accuracy of Measured Quantities
4 Display Of Professionalism
15 Citizen Complaint Resolution
6 Performance - Setting up Valve Crews, Labs
ADMINISTRATION
1 Change Order Processing rTyne
2 Timliness of Contractors m�s
3 Bid Opening to Pre -Con Iv�eting'higlefi-ame
III) COMMENTS & SIGNA'
COMMENTS
Signature Contractor
Signature Inspector
Signature Inspector's
INSPECTOR'S COMMENTS
Project Nance
Water & Sanitary Sewer I
Project A4anager
Pratima Poudyal
7j,pe of Contract
Q Water ❑� Waste Water
final Contract Aniount /
$5,488,492.61
REV:
Contract 2019 WSMC
Storm Drainage R Pavement
3 - Good 4 - Excellent
RA ELEMENT
(0 - 4)
ANS &,SPECIFICATIONS
I
Accu/acy of Plans to Existing Conditions
2
l ity & Sufficiency of Details
3
licability of Specifications
4
ccuracy of Plan Quantities
P
OJECT MANAGER EVALUATION
Knowledge And/Or Problem Resolution
Availability of Project Manager
/�2
13
Communication
14
Resolution of Utility Conflicts
Capital Projects Delivery, NVater Department
The Cit}, of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 4477 • Fax: (817) 392 - 8460
RATING
(0 - 4)
FORT WORTH
WATER ENGINEERING & FISCAL SERVICES
PIPE REPORT FOR:
PROJECT NAME: Water & Sanitary Sewwer Replacement Contract 2019 WSM-C
PROJECT NUMBER: 102170
DOE NUMBER:
WATER
PIPE LAID
SIZE
TYPE OF PIPE LF
Water
24"
DI
WATER
12"
PVC
WATER
8"
PVC
WATER
6:00
PVE
FIRE HYDRANTS: 8 VALVES (16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
SEWER 8:00 PVC
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
WATER ENGINEERING & FISCAL SERVICES
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 4477 • Fax: (817) 392 - 8460
3
2257
2555
5554
118
2526
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name Water and Sanitary Sewer Replacement Contract 2019, WSM-C
Contract Limits Council Districts 2 & 7
Project Type Water
City Project Numbers 102170
DOE Number 0027
Estimate Number 23 Payment Number 23 For Period Ending
City Secretary Contract Number 54517
Contract Date 8/11/2020
Project Manager Bierman
Contractor JACKSON CONSTRUCTION LTD
5112 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors Johnson / Reed
2/15/2024
CD
Contract Time 70(YD
Days Charged to Date 1055
Contract is 100.00 Complete
Monday, February 26, 2024 Page 1 of 8
City Project Numbers 102170 DOE Number 0027
Contract Name Water and Sanitary Sewer Replacement Contract 2019, WSM-C Estimate Number 23
Contract Limits Council Districts 2 & 7 Payment Number 23
Project Type Water For Period Ending 2/15/2024
Project Funding
Unit I Water Improvements
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
48
Trench Safety (Water)
5400 LF
$1.00
$5,400.00
5320
$5,320.00
49
Fire Hydrant
8 EA
$4,800.00
$38,400.00
8
$38,400.00
50
Connection to Existing 24" Water Mai
4 EA
$15,000.00
$60,000.00
4
$60,000.00
51
Connection to Existing 4"-12" Water
19 EA
$3,500.00
$66,500.00
19
$66,500.00
52
Salvage V Water Meter
4 EA
$150.00
$600.00
4
$600.00
53
1" Water Service, Meter Reconnection
220 EA
$325.00
$71,500.00
237
$77,025.00
54
1" Water Service
230 EA
$1,600.00
$368,000.00
244
$390,400.00
55
1" Private Water Service
110 LF
$40.00
$4,400.00
56
Salvage 1 1/2" Water Meter
1 EA
$250.00
$250.00
3
$750.00
57
1 1/2" Water Service, Meter Reconnec
1 EA
$425.00
$425.00
3
$1,275.00
58
1 1/2" Water Service
1 EA
$3,900.00
$3,900.00
3
$11,700.00
59
1 1/2" Private Water Service
5 LF
$90.00
$450.00
60
Salvage 2" Water Meter
2 EA
$300.00
$600.00
2
$600.00
61
2" Water Service, Meter Reconnection
2 EA
$525.00
$1,050.00
2
$1,050.00
62
2" Water Service
2 EA
$4,400.00
$8,800.00
2
$8,800.00
63
6" Gate Valve
7 EA
$950.00
$6,650.00
9
$8,550.00
64
8" Gate Valve
18 EA
$1,500.00
$27,000.00
18
$27,000.00
65
12" Gate Valve
3 EA
$2,900.00
$8,400.00
5
$14,000.00
66
24" Gate Valve w/ Vault (CO#1) (CO#5)
4 EA
$41,500.00
$166,000.00
3
$124,500.00
67
Remove Speed Cushion
64 SY
$34.00
$2,176.00
64
$2,176.00
68
Miscellaneous Adjustments - Sprinkle
1 LS
$7,000.00
$7,000.00
0.0228
$159.60
69
Remove and Replace 15-Ft. Curb Inlet
1 EA
$7,500.00
$7,500.00
70
Pavement Markings, Stop Bar
70 LF
$17.00
$1,190.00
71
4-inch SLD Pavement Marking, HAS (Ye
1320 LF
$1.25
$1,650.00
2640
$3,300.00
72
12-inch Solid Pavement Marking (Cros
80 LF
$8.00
$640.00
73
Traffic Control (Water)
6 MO
$13,000.00
$78,000.00
6
$78,000.00
74
SWPPP > I acre (Water)
I LS
$6,500.00
$6,500.00
1
$6,500.00
75
Exploratory Excavation of Existing U
4 EA
$4,500.00
$18,000.00
4
$18,000.00
76
Construction Surveying (Water)
1 LS
$4,500.00
$4,500.00
1
$4,500.00
77
Construction Staking (Water)
1 LS
$20,000.00
$20,000.00
1
$20,000.00
78
Water Construction Allowance (CO#1)
0.36 LS
$100,000.00
$36,000.00
Monday, February 26, 2024 Page 2 of 8
City Project Numbers 102170
DOE Number 0027
Contract Name Water and Sanitary Sewer Replacement Contract 2019, WSM-C
Estimate Number
23
Contract Limits Council Districts 2 & 7
Payment
Number
23
Project Type Water
For Period Ending 2/15/2024
Project Funding
*IA
24" Water Pipe - Ductile Iron Pipe (CO#1)
2257 LF
$212.00
$478,484.00
2259
$478,908.00
2A
24" Water Pipe - Ductile Iron Pipe,(CSS) (CO#1)
62 LF
$585.00
$36,270.00
0
$0.00
*3A
Ductile Iron Water Fittings w/ Restr
2 TO
$11,500.00
$23,000.00
2
$23,000.00
4
Cathodic Protection
1 LS
$95,000.00
$95,000.00
1
$95,000.00
5
12" Water Pipe
2555 LF
$90.00
$229,950.00
2600
$234,000.00
6
12" Water Pipe, CSS Backfill
155 LF
$350.00
$54,250.00
48
$16,800.00
7
8" Water Pipe
5554 LF
$56.00
$311,024.00
5708
$319,648.00
8
8" Water Carrier Pipe
82 LF
$165.00
$13,530.00
40
$6,600.00
9
6" Water Pipe
118 LF
$100.00
$11,800.00
124
$12,400.00
10
24" Casing By Other Than Open Cut
82 LF
$555.00
$45,510.00
11
8" Ring Connection
1 EA
$12,500.00
$12,500.00
1
$12,500.00
12
Ductile Iron Water Fittings w/ Restr
2 TO
$9,500.00
$19,000.00
2
$19,000.00
13
8" Blow Off Valve
1 EA
$27,000.00
$27,000.00
1
$27,000.00
14
3" Combination Air Valve Assembly to
1 EA
$28,000.00
$28,000.00
1
$28,000.00
15
2" Combination Air Valve Assembly fo
1 EA
$16,500.00
$16,500.00
1
$16,500.00
16
Remove 6" Water Valve
7 EA
$150.00
$1,050.00
8
$1,200.00
17
Remove 8" Water Valve
6 EA
$175.00
$1,050.00
18
$3,150.00
18
Salvage Fire Hydrant
8 EA
$475.00
$3,800.00
8
$3,800.00
19
Salvage Water Sampling Station
1 EA
$300.00
$300.00
20
Water Sampling Station
1 EA
$6,000.00
$6,000.00
21
Imported EmbedmentBackfill
200 CY
$35.00
$7,000.00
22
Temporary Asphalt Paving Repair (2"
12797 LF
$28.00
$358,316.00
8543
$239,204.00
23
Cone Pvmt Repair, Residential w/3" H
370 SY
$220.00
$81,400.00
293.82
$64,640.40
24
Asphalt Pvmt Repair Beyond Defined W
150 SY
$35.00
$5,250.00
45
$1,575.00
25
Cone Pvmt Repair, Residential
50 SY
$195.00
$9,750.00
225.3
$43,933.50
26
Remove Concrete Curb & Gutter
500 LF
$10.00
$5,000.00
5790.39
$57,903.90
27
7-inch Concrete Curb and 18-inch Gut
1500 LF
$140.00
$210,000.00
2342
$327,880.00
28
Remove Concrete Driveway
5000 SF
$2.00
$10,000.00
9443.42
$18,886.84
29
6-inch Concrete Driveway
5000 SF
$14.00
$70,000.00
9443.43
$132,208.02
30
7-inch Concrete Valley Gutter
160 SY
$195.00
$31,200.00
278.8
$54,366.00
31
2-inch Asphalt Pavement Type "D" (CO#5)
33619 SY
$12.50
$420,237.50
26127
$326,587.50
32
Water Valve Box Adjust w/ Collar
18 EA
$600.00
$10,800.00
20
$12,000.00
33
Miscellaneous Adjustments - Water Me
24 EA
$575.00
$13,800.00
24
$13,800.00
34
Manhole Adjust, Minor w/ Collar
8 EA
$1,050.00
$8,400.00
8
$8,400.00
Monday, February 26, 2024
Page 3 of 8
City Project Numbers 102170
DOE Number 0027
Contract
Name Water and Sanitary Sewer Replacement Contract 2019,
WSM-C
Estimate Number
23
Contract
Limits Council Districts 2 & 7
Payment Number
23
Project Type Water
For Period Ending 2/15/2024
Project Funding
35
Curb Address Painting
49 EA
$85.00
$4,165.00
36
Topsoil
100 CY
$120.00
$12,000.00
169.4
$20,328.00
37
Block Sod Replacement
2889 SY
$9.00
$26,001.00
980.1
$8,820.90
38
Unclassified Excavation (CO45)
273.1 CY
$75.00
$20,482.50
510
$38,250.00
39
2-inch Surface Milling
2940 SY
$4.00
$11,760.00
2540
$10,160.00
40
10-inch Pavement Pulverization
28139 SY
$8.00
$225,112.00
23587
$188,696.00
41
Cement Modification,26lbs./sy.
366 TN
$180.00
$65,880.00
295.22
$53,139.60
42
Remove Sidewalk
500 SF
$3.00
$1,500.00
614
$1,842.00
43
4-inch Concrete Sidewalk
1000 SF
$16.50
$16,500.00
1248
$20,592.00
44
4-inch Concrete Sidewalk with Retain
500 SF
$25.00
$12,500.00
271.7
$6,792.50
45
Remove ADA Ramp
2 EA
$300.00
$600.00
2
$600.00
46
ADA Ramp
2 EA
$2,900.00
$5,800.00
2
$5,800.00
47
Temporary Water Services
1 LS
$105,000.00
$105,000.00
1
$105,000.00
79
24" Water Pipe -DI Pipe Restrained Joint (CO#1)
308 LF
$280.24
$86,313.92
308
$86,313.92
80
24" Pipe -DI Restrained Joint w/CSS (CO#1)
153 LF
$653.23
$99,944.19
153
$99,944.19
81
24" Water Pipe -DI Restrained Joint Lowering NW
95 LF
$403.00
$38,285.00
103
$41,509.00
27th
82
Custom Blocking for 24" DI w/High Early conc.
2 EA
$19,832.00
$39,664.00
2
$39,664.00
(CO# 1)
83
Additional Tempirary Water NW 27th/ Loving
1 LS
$9,050.00
$9,050.00
1
$9,050.00
(CO# 1)
84
7-inch Curb and Gutter Sunset Ave. (CO#4)
649.03 LF
$77.75
$50,462.08
649.03
$50,462.08
85
Import EmbedmengtBackfiull CLSM (CO#4)
357 CY
$135.00
$48,195.00
357
$48,195.00
Sub -Total of Previous Unit $4,555,867.19 $4,403,155.95
Unit H Sanitary Sewer Improvements
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
----------------------------------------
1
8" Sewer Pipe CO#2
2526 LF
$90.00
$227,340.00
2511
$225,990.00
2
8" CIPP (CO#4)
0 LF
$100.00
$0.00
3
8" DIP Sewer Pipe w/ Protecto 401 Li
20 LF
$190.00
$3,800.00
20
$3,800.00
4
Trench Safety (Sanitary Sewer) CO#2
2546 LF
$1.00
$2,546.00
2531
$2,531.00
5
Pre -CCTV Inspection CO#2
2735 LF
$6.00
$16,410.00
2725
$16,350.00
6
Post -CCTV Inspection CO#2 (CO#4)
2511 LF
$14.00
$35,154.00
2500
$35,000.00
7
Service Reconnection, CIPP
1 EA
$350.00
$350.00
8
4" Sewer Service, Reconnection )CO#2) (CO#4)
65 EA
$2,200.00
$143,000.00
65
$143,000.00
Monday, February 26, 2024 Page 4 of 8
City Project Numbers 102170 DOE Number 0027
Contract Name Water and Sanitary Sewer Replacement Contract 2019, WSM-C Estimate Number 23
Contract Limits Council Districts 2 & 7 Payment Number 23
Project Type Sewer For Period Ending 2/15/2024
Project Funding
9
4' Manhole CO#2 (CO#4)
17 EA
$4,500.00
$76,500.00
17
$76,500.00
10
Concrete Collar CO#2
18 EA
$1,050.00
$18,900.00
17
$17,850.00
11
Trench Water Stops
1 EA
$1,800.00
$1,800.00
12
Manhole Vacuum Testing CO#2
18 EA
$325.00
$5,850.00
14
$4,550.00
13
8" Sewer Abandonment Plug
2 EA
$550.00
$1,100.00
2
$1,100.00
14
Remove 4' Sewer Manhole CO#2
12 EA
$1,100.00
$13,200.00
10
$11,000.00
15
Remove Storm Junction Structure
1 LS
$4,200.00
$4,200.00
1
$4,200.00
16
Temporary Asphalt Paving Repair (2") CO#2 (CO#4)
1230 LF
$36.00
$44,280.00
1230
$44,280.00
17
Remove Concrete Curb & Gutter
10 LF
$10.00
$100.00
20
$200.00
18
7-inch Concrete Curb and 18-inch Gut
116 LF
$140.00
$16,240.00
116
$16,240.00
19
Remove Concrete Driveway
50 SF
$2.00
$100.00
0
$0.00
20
6-inch Concrete Driveway
50 SF
$14.00
$700.00
0
$0.00
21
2-inch Asphalt Pavement Type "D" (CO#4)
0 SY
$12.50
$0.00
0
$0.00
22
Topsoil
1 CY
$120.00
$120.00
0
$0.00
23
Block Sod Replacement
67 SY
$9.00
$603.00
0
$0.00
24
10-inch Pavement Pulverization
III SY
$8.00
$888.00
0
$0.00
25
Cement Modification, 26lbs./sy.
1 TN
$180.00
$180.00
0
$0.00
26
6' Storm Junction Box
1 EA
$13,000.00
$13,000.00
1
$13,000.00
27
SWPPP > I acre (Sanitary Sewer)
1 LS
$1,500.00
$1,500.00
1
$1,500.00
28
Construction Surveying (Sanitary Sew)
1 LS
$1,800.00
$1,800.00
1
$1,800.00
29
Construction Staking (Sanitary Sewer)
I LS
$2,000.00
$2,000.00
1
$2,000.00
30
Sanitary Sewer Construction Allowanc
0 LS
$10,000.00
$0.00
31
Additonal SWPPP CO#2
I LS
$1,350.00
$1,350.00
1
$1,350.00
32
Additional Construction Survey CO#2
I LS
$900.00
$900.00
1
$900.00
33
Additional Constriction Staking CO#2
1 LS
$3,815.00
$3,815.00
1
$3,815.00
34
Concrete Encasement CO#2 (CO#4)
0 LF
$127.00
$0.00
0
$0.00
35
Re -lay M-161 with DIP (w/protecto 401) from
1 LS
$24,415.00
$24,415.00
1
$24,415.00
3+00to 4+20 Incl.services
86
---------------------------------------
7-inch Concrete Cub & Gutter Sunset Ave, (CO#4)
1241 LF
$77.75
$96,487.75
1241.2
$96,503.30
Sub-Total of Previous Unit
$758,628.75
$747,874.30
Unit III Paving Improvements
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
I Remove Sidewalk 1200 SF $3.00 $3,600.00 912 $2,736.00
Monday, February 26, 2024 Page 5 of 8
City Project Numbers 102170 DOE Number 0027
Contract Name Water and Sanitary Sewer Replacement Contract 2019, WSM-C Estimate Number 24
Contract Limits Council Districts 2 & 7 Payment Number 24
Project Type Paving For Period Ending 1/15/2024
Project Funding
2 4-Inch Concrete Sidewalk (CO#4)
4999 SF
$16.50
$82,483.50
4998.5
$82,475.25
3 4-Inch Concrete Sidewalk with Retain
1860 SF
$25.00
$46,500.00
1860
$46,500.00
4 Remove ADA Ramp
3 EA
$300.00
$900.00
3
$900.00
5 Install ADA Ramp (CO#4)
13 EA
$2,900.00
$37,700.00
13
$37,700.00
6 Remove Concrete Driveway
1300 SF
$2.00
$2,600.00
1170
$2,340.00
7 6-Inch Concrete Driveway
2112 SF
$14.00
$29,568.00
3231.58
$45,242.12
8 Topsoil
10 CY
$120.00
$1,200.00
10
$1,200.00
9 Block Sod Replacement (CO#4)
1700 SY
$9.00
$15,300.00
10 Miscellaneous Adjustments -Sprinkler
1 LS
$10,000.00
$10,000.00
1
$10,000.00
11 Remove Concrete Curb and Gutter
100 LF
$10.00
$1,000.00
100
$1,000.00
12 Additional Staking Sidewalk, Ramps
I LS
$3,321.00
$3,321.00
1
$3,321.00
13 7-inch Concrete Curb & Gutter Sunset Ave. (CO#4)
----------------------------------------
395.77 LF
$77.75
$30,771.12
395.77
$30,771.12
Sub-Total of Previous Unit
--------------------------------------
$264,943.62
$264,185.49
Monday, February 26, 2024 Page 6 of 8
City Project Numbers 102170
Contract Name Walcr and Sanitary Scrver Replacement Contract 2019, WSM-C
Contract Limits Council Districts 2 & 7
Project Type Paving
Project Funding
Contract Information Summary
Original Contract Amount
Chance Orders
Change Order Number 1
Change Order Number 2
Change Order Number 3
Change Order Number 2
Change Order Number 4
Change Order Number 4
Change Order Number 4
Change Order Number 5
Total Contract Price
DOES Number 0027
Estimate Number 24
Payment Number 24
For Period Ending 1/15/2024
$4,775,599.50
$6.11
$599,815.00
S14,415.00
$264,943.50
$98,657.08
(30.20)
S0.12
$90,732.50
$5,579,439.50�
etc �' Total Cost of Work Completed
�Gftractor Less 0 % Retained
.
Date I �C>%
Inspection Supervisor
Date
Pr J"L g
T n� s��l�lti
Date2�z',I1
Ass Directo
N
Date
Director / Contracting Department
Net Earned
Earned This Period $559,079.21
Retainage This Period $0.00
$5,415,215.74>k-
$0.00
$5,592,228.91
Less Liquidated Damages
Days @ / Day
$0.00
LessPavement Deficiency
$0.00
Less Penalty
$0.00
Less Previous Payment
S5,033,149.70+;f
Plus Material on hand Less 15%
00
Balance Due This Payment
S559,079.21
Monday, February 26, 2024 Page 7 of 8
City Project Numbers 102170
Contract Name Water and Sanitary Sewer Replacement Contract 2019, WSM-C
Contract Limits Council Districts 2 & 7
Project Type Paving
Project Funding
Project Manager Bierman
Inspectors Johnson / Reed
Contractor JACKSON CONSTRUCTION LTD
5112 SUN VALLEY DRIVE
FORT WORTH, TX 76119
DOE Number
0027
Estimate Number
24
Payment Number
24
For Period Ending
1/15/2024
City Secretary Contract Number 54517
Contract Date
8/11/2020
Contract Time
700 CD
Days Charged to Date
1055 CD
Contract is .000000
Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
----------------------------------------
Total Cost of Work Completed $5,415,215.74
Less 0 % Retained
$0.00
Net Earned
$5,592,228.91
Earned This Period $559,079.21
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 / Day
$0.00
LessPavement Deficiency
$0.00
Less Penalty
$0.00
Less Previous Payment
$5,033,149.70
Plus Material on Hand Less 15%
$0.00
Balance Due This Payment
$559,079.21
Monday, February 26, 2024 Page 8 of 8
City of Fort Worth
Inspector's Estimate Workshest
City Project Numbers 102170
Contract Name Water and Sanitary Sewer
Replacement Contract 201
DOE Number 0027
Contract Limits: Council Districts 2 & 7
Estimate Number 23
Project Type Water
Pavment Number 23
Control Number 002701
For Period Ending _ / _ / ____
Contract: 54517
Contract Date: 8111/2020
Contract Time 700 CD
Inspectors Johnson / Reed
Days
Charged to Data CD
Date Prepared by Inspector /
/
Contract is _ % Complete
--------------------------------------
Construction ID: 13642
Item Descriptlon of Items
Estimated Uni
Unit Cost
Previous
Quanity Completed Total Cost
No.
-----------------------------------------
Quanity
Quanity
for Month Quanity
Unit I Water Improvements
48 Trench Safety (Water)
5400 LF
$1.00
5320
5 ao
49 Fire Hydrant
8 EA
$4,800.00
8
50 Connection to Existing 24" Water
4 EA
$16,000.00
4
Mai
51 Connection to Existing 4"-12"
19 EA
$3,500.00
19
Water
' A
"1
52 Salvage 1" Water Meter
4 EA
$160.00
4
53 1" Water Service, Meter
220 EA
$325.00
237
Reconnection
l
54 1" Water Service
230 EA
$1,600.00
244
—w�—�
55 1" Private Water Service
110 LF
$40.00
56 Savage 1 112" Water Meter
1 EA
$260.00
3
—_
57 1 1/2" Water Service, Meter
1 EA
$425.00
3
Reconnec
58 1 1/2" Water Service
1 EA
$3,900.00
3
-
59 1 1/2" Private Water Service
5 LF
$90.00
60 Salvage 2" Water Meter
2 EA
$300.00
2
61 2" Water Service, Meter
Reconnection
2 EA
$525,00
2
62 2" Water Service
2 EA
$4,400.00
2
--_
63 6" Gale Valve
7 EA
$950.00
9
—
64 8" Gate Valve
18 EA
$1,500.00
18
Wednesday, February 21, 2024 Page 1
City of Fort Worth
Inspector's Estimate Worksheet
City Project Numbers 102170
Contract Name Water and Sanitary Sewer Replacement Contract 201 DOE Number 0027
Contract Limits: Council Districts 2 & 7 Estimate Number 23
Project Type Water i Payment Number 23
65
12" Gate Valve
3 EA
$2,800.00
5
66
24" Gate Valve w/ Vault (CO#1)
(CO#5)
4 EA
$41,600.00
2
67
Remove Speed Cushion
64 SY
$34.00
64
68
Miscellaneous Adjustments -
Sprinkle
1 LS
$7,000.00
0.9772
o
a
69
Remove and Replace 15-Ft. Curb
Inlet
1 EA
$7,500.00
70
Pavement Markings, Stop Bar
70 L.F
$17.00
71
4-inch SLD Pavement Marking,
HAS
1320 LF
$1.25
2640
(Ye
72
124nch Solid Pavement Marking
80 LF
$8.00
(Gros
73
Traffic Control (Water)
6 MO
$13,000.00
6
74
SWPPP z 1 acre (Water)
1 LS
$6,500.00
1
75
Exploratory Excavation of Existing
4 EA
$4,500.00
4
U
76
Construction Surveying (Water)
1 LS
$4,500.00
�^ -
77
Construction Staking (Water)
1 LS
$20,000.00
1
78
Water Construction Allowance
0.36 LS
100,000.00
(CO#1)
`1A
24" Water Pipe - Ductile Iron Pipe
2257 LF
$212.00
2259
(CO#1)
2A
24" Water Pipe - Ductile Iron
62 LF
$585.00
0
Pipe,(CSS) (CO#1)
'3A
Ductile Iron Water FIRIngs w/ Restr
2 TO
$11,500.00
2
4
Cathodic Protection
1 LS
$95,000.00
1
L
6
12" Water Pipe
2555 LF
$90.00
2600�
6
12" Water Pipe, CSS Backfill
155 LF
$350.00
48
7
8" Water Pipe
5554 LF
$56.00
5708
15706
8
8" Water Carrier Pipe
82 LF
$165.00
40
40
9
6" Water Pipe
118 LF
$100.00
124
tR
Wednesday, February 21, 2024 Page 2
City of Fort Worth
Inspector's Estimate Worksheet
City Project Numbers 102170
Contract Name Water and Sanitary Sewer Replacement Contract 201
DOE
Number 0027
Contract Limits: Council Districts 2 & 7
Estimate
Number 23
Project Type Water
Payment Number 23
10
24" Casing By Other Than Open
82 LF
$555.00
Cut
11
8" Ring Connection
1 EA
$12,500.00
1
12
Ductile Iron Water Fillings w/ Restr
2 TO
$9,600.00
2
a
13
8" Blow Off Valve
1 EA
$27,000.00
1
14
3" Combination Air Valve
1 EA
$28,000.00
1
Assembly fo
15
2" Combination Air Valve
1 EA
$16,500.00
1
Assembly fo
16
Remove 6" Water Valve
7 EA
$160.00
8
17
Remove 8" Water Valve
6 EA
$175.00
7
18
Salvage Fire Hydrant
8 EA
$476,00
8
19
Salvage Water Sampling Station
1 EA
$300.00
20
Water Sampling Station
1 EA
$6,000.00,,,,,,(((
21
Imported Embedment/Backfill
200 CY
$35.00
22
Temporary Asphalt Paving Repair
12797 LF
$28.00
8543
2'
��
�
23
Conc Pvmt Repair, Residential
H
370 SY
$220.00
293.82
�,„, __
w/3"
24
Asphalt Pvmt Repair Beyond
Defined W
150 SY
$35.00
45
15
25
Conc Pvmt Repair, Residential
50 SY
$195.00
225.3
26
Remove Concrete Curb & Gutter
500 LF
$10.00
5790.39
5 79C ?r
27
7-inch Concrete Curb and 18-inch
1500 LF
$140.00
3358
r,�g
Gut
J
28
Remove Concrete Driveway
5000 SF
$2.00
9443.42
q"3,4a
29
6-Inch Concrete Driveway
5000 SF
$14.00
9646.42
gyp"
30
7-Inch Concrete Valley Gutter
160 SY
$195.00
278.8
31
2-Inch Asphalt Pavement Type "D"
33619 SY
$12.50
26127
1�
(plc%
(CO#5)
32
Water Valve Box Adjust w/ Collar
18 EA
$600.00
20
Wednesday, February 21, 2024 Page 3
City of Fort Worth
Inspector's Estimate Worksheet
City Project Numbers 102170
Contract Name Water and Sanitary Sewer
Replacement Contract 201
DOE Number 0027
Contract Limits: Council Districts 2 & 7
Estimate
Number 23
Project Type Water
Payment
Number 23
33
Miscellaneous Adjustments -
Water Me
24 EA
$575.00
24
34
Manhole Adjust, Minor w/ Collar
8 EA
$1,050.00
8
35
Curb Address Painting
49 EA
$85.00
36
Topsoil
100 CY
$120,00
169.4
37
Block Sod Replacement
2889 SY
$9.00
980.1
38
Unclassified Excavation (CO#5)
273.1 CY
$75.00
410
S �n
39
2-inch Surface Milling
2940 SY
$4.00
2540
a o
40
10-Inch Pavement Pulverization
28139 SY
$8.00
23587
41
Cement Modification, 26lbs,/sy.
366 TN
$180.00
295.22
�
42
Remove Sidewalk
500 SF
$3.00
614
& JA4
43
4-Inch Concrete Sidewalk
1000 SF
$16.50
1248
,a4$
44
4-inch Concrete Sidewalk with
500 SF
$25.00
271.7
nZ f
Retain
.7
(9 I
45
Remove ADA Ramp
2 EA
$300.00
2
e
46
ADA Ramp
2 EA
$2,900.00
2
47
Temporary Water Services
1 LS
105,000.00
1
_ L
79
24" Water Pipe -DI Pipe Restrained
308 LF
$280.24
308
Joint (CO#1)
D�
s�
80
24" Pipe -DI Restrained Joint
153 LF
$653.23
163
, _r,
w/CSS (CO#1)
' 53
81
24" Water Pipe -DI Restrained
95 LF
$403.00
103
Joint Lowering NW 27th
I
82
Custom Blocking for 24" DI w/High
Early
2 EA
$19,832.00
2
2.
conc. (CO#1)
83
Additional Tempirary Water NW
1 LS
$9,050.00
1
27th/ Loving (CO#1)
84
7-inch Curb and Gutter Sunset
Ave.
649.03 LF
$77.75
I�n
03
(CO#4)
5F�' l
85
Import EmbadmengUBackfiull
367 CY
$135.00
CLSM (CO#4)
�C
Wednesday, February 21, 2024 Page 4
City of Fort Worth
Inspector's Estimate Workshoet
City Project Numbers 102170
Contract Name Water and Sanitary Sewer Replacement Contract 201 DOE Number 0027
Contract Limits; Council Districts 2 & 7 Estimate Number 23
Project Type Water Payment Number 23
— —
— — — — — — — — — — —
!stimated Total This Unit
— — — — —
$4,555,867.19
— — —
— — — — — — — — — — — — — — — — —
Completed Total This Unit $4,400,836.53
— — — — — — — — — — — — —
Construction ID: 13643
— — — — —
— — —
— — — —
— — — — — — — — — — — — —
Item
Description of Items
Estimated Uni
Unit Cost
Previous
Quanity Completed Total Cost
No.
--------------------------------------
Quanity
Quanity
for Month Quanity
Unit
II Sanitary Sewer Improvements
1
8" Sewer Pipe CO#2
2526 LF
$90.00
2511
2
8" CIPP (00#4)
0 LF
$100.00
3
8I DIP Sewer Pipe w/ Protecto 401
20 LF
$190.00
20
n D
4
Trench Safely (Sanitary Sewer)
CO#2
2546 LF
$1.00
2531
5
Pre -CCTV Inspection CO#2
2735 LF
$6.00
2726
LIZ
6
Post -CCTV Inspection CO#2
(CO#4)
2511 LF
$14.00
2511L
cvn
7
Service Reconnection, CIPP
1 EA
$350.00
8
4" Sewer Service, Reconnection
65 EA
$2,200.00
65
)CO#2) (CO#4)
9
4' Manhole CO#2 (CO#4)
17 EA
$4,500.00
17
1 ti
— —i-
10
Concrete Collar COW
18 EA
$1,050.00
17
--- 1 7
11
Trench Water Stops
1 FA
$1,800.00
/—'—f -
12
Manhole Vacuum Testing CO#2
18 EA
$325,00
14"�
13
8" Sewer Abandonment Plug
2 EA
$660.00
2
14
Remove 4' Sewer Manhole CO#2
12 EA
$1,100.00
10
15
Remove Storm Junction Structure
1 LS
$4,200.00
1
16
Temporary Asphalt Paving Repair
(2") CO#2 (CO#4)
1230 LF
$36.00
1230
17
Remove Concrete Curb & Gutter
W LF
$10.00
20
Wednesday, February 21, 2024 Page 6
City of Fort Worth
Inspector's Estimate Worksheet
City Project Numbers 102170
Contract Name Water and Sanitary Sewer Replacement Contract 201 DOE Number 0027
Contract Limits: Council Districts 2 & 7 Estimate Number 24
Project Type Sewer Payment Number 24
18 7-Inch Curb and 18-inch 116 LF $140.00 116
Gut
I
19 Remove Concrete Driveway 50 SF $2.00 0
20 6-inch Concrete Driveway 50 SF $14.00 0
21 2-inch Asphalt Pavement Type "D" 0 SY $12.50 0
(CO#4)
22 Topsoil 1 CY $120.00 0
23 Block Sod Replacement 67 SY $9.00 0
24 104nch Pavement Pulverization 111 SY $8.00 0
25 Cement Modification, 26lbs,/sy. 1 TN $180.00 0
26 6' Storm Junction Box 1 EA $13,000.00 1 I
27 SWPPP z 1 acre (Sanitary Sewer) 1 LS $1,500.00 1 I+
28 Construction Surveying (Sanitary 1 LS $1,800.00 1 --�1--
Sew)
29 Construction Staking (Sanitary 1 LS $2,000.00 1
Sewer)
30 Sanitary Sewer Construction 0 LS $10,000.00 h(
Allowanc �!J
31 Addilonal SWPPP CO#2 1 LS $1,350.00 1
32 Additional Construction Survey 1 LS $900.00 1
CO#2
33 Additional Construction Staking 1 LS $3,815.00 1
CO#2
34 Concrete Encasement CO#2 0 LF $127.00 0
(CO#4)
35 Re -lay M-161 with DIP (wlprotecto 1 LS $24,415.00 1
401) from 3+0010 4+20 f
Incl.services
88 inch Concrete Cub & Gutter 1241 LF $77.75
Sunset Ave, (CO#4)
Wednesday, February 21, 2024 Page 6
City of Fort Worth
Inspector's Estimate Worksheet
City Project Numbers 102170
Contract Name Water and Sanitary Sewer Replacement Contract 201 DOE Number 0027
Contract Limits: Council Districts 2 & 7 Estimate Number 24
Project Type Sewer Payment Number 24
--------------------------------------
;stimated Total This Unit
$758,628.75
Completed Total This Unit $651,525.00
----------------------------
Construclion ID: 13941
Item
Description of Items
Estimated Lint
Unit Cost
Previous
Quanity Completed Total Cost
No.
--------------------------------------
Quanity
Quanity
for Month Quanity
Unit
III Paving Improvements
1
Remove Sidewalk
1200 SF
$3.00
912
gIa_
2
4-Inch Concrete Sidewalk (CO#4)
4999 SF
$16.50
4998.5
3
4-Inch Concrete Sidewalk with
1860 SF
$25.00
1860
Retain
4
Remove ADA Ramp
3 EA
$300.00
3
16
5
Install ADA Ramp (CO#4)
13 EA
$2,900.00
13
—�
6
Remove Concrete Driveway
1300 SF
$2.00
1170
7
6-Inch Concrete Driveway
2112 SF
$14.00
3231
323[
8
Topsoil
10 CY
$120.00
10
40
9
Block Sod Replacement (CO#4)
1700 SY
$9.00
10
Miscellaneous Adjustments-
Sprinkler
1 LS
$10,000.00
1
11
Remove Concrete Curb and Gutter
100 LF
$10.00
100
12
Additional Staking Sidewalk,
1 LS
$3,321.00
1
I
Ramps
13
7-Inch Concrete Curb & Gutter
395.77 LF
$77.76
Sunset Ave, (CO#4)
345,77
--------------------------------------
!;stimated Total This Unit
$264,943.62
Completed Total This Unit $233,406.25
Wednesday, February 21, 202fl Page 7
City of Fort worth
Inspector's Estimate Worksheet
City Project Numbers 102170
Contract Name Water and Sanitary Sewer Replacement Contract 201 DOE Number 0027
Contract Limits: Council Districts 2 & 7 Estimate Number 24
Project Type Paving Payment Number 24
Total itemized Amount (Including Change Order $6,679,439.56
DATE Total Cost of Work Completed a i
Inspector Less -.PV'O % Retained
Net Earned
Previous Payment
Material on Hand 15%
Balance Due This Payment
Wednesday, February 21, 2024 Page 8
Jackson Construction, Inc.
Pay Estimate Summary Report
Invoice # 22 Owner
Invoice Date: 05/09/2023 CITY OF FORT WORTH
Dates Submitted: 11/01/2022 - 01/31/2023 200 TEXAS ST
Contract # FORT WORTH, TX 76102
CONTRACT 2019 WSM-C WATER & SS REPLACEMENT USA
Job: 3264
Contractor
JACKSON CONSTRUCTION, LTD.
5112 SUN VALLEY DRIVE
FORT WORTH, TX 76119
USA
Pay
Contract
Contract
Previous
Current
Quantities
Current
Amount
%
Item
Description
Quantities
Unit
Unit Price
Amount
Quantities
Quantities
to Date
Amount
to Date
Cmplt
10
24" Water Pipe - Ductile Iron Pipe
2,625.00
LF
212.00
556,500.00
2,259.0000
0.0000
2,259.0000
0.00
478,908.00
86.1
20
24" Water Pipe - DIP, CSS Backfill
215.00
LF
585.00
125,775.00
62.0000
-62.0000
0.0000
-36,270.00
0.00
0.0
30
Ductile Iron Water Fittings w/ Restraint (24-inch 2.00
TON
11,500.00
23,000.00
2.0000
0.0000
2.0000
0.00
23,000.00
100.0
40
Cathodic Protection
1.00
LS
95,000.00
95,000.00
1.0000
0.0000
1.0000
0.00
95,000.00
100.0
50
12" Water Pipe
2,555.00
LF
90.00
229,950.00
2,600.0000
0.0000
2,600.0000
0.00
234,000.00
101.8
60
12" Water Pipe, CSS Backfill
155.00
LF
350.00
54,250.00
48.0000
0.0000
48.0000
0.00
16,800.00
31.0
70
8" Water Pipe
5,554.00
LF
56.00
311,024.00
5,708.0000
0.0000
5,708.0000
0.00
319,648.00
102.8
80
8" Water Carrier Pipe
82.00
LF
165.00
13,530.00
40.0000
0.0000
40.0000
0.00
6,600.00
48.8
90
6" Water Pipe
118.00
LF
100.00
11,800.00
124.0000
0.0000
124.0000
0.00
12,400.00
105.1
100
24" Casing By Other Than Open Cut
82.00
LF
555.00
45,510.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
110
8" Ring Connection
1.00
EA
12,500.00
12,500.00
1.0000
0.0000
1.0000
0.00
12,500.00
100.0
120
Ductile Iron Water Fittings w/ Restraint (6-inch t 2.00
TON
9,500.00
19,000.00
2.0000
0.0000
2.0000
0.00
19,000.00
100.0
130
8" Blow Off Valve
1.00
EA
27,000.00
27,000.00
1.0000
0.0000
1.0000
0.00
27,000.00
100.0
140
3" Combination Air Valve Assembly for Water 1.00
EA
28,000.00
28,000.00
1.0000
0.0000
1.0000
0.00
28,000.00
100.0
150
2" Combination Air Valve Assembly for Water 1.00
EA
16,500.00
16,500.00
1.0000
0.0000
1.0000
0.00
16,500.00
100.0
160
Remove 6" Water Valve
7.00
EA
150.00
1,050.00
8.0000
0.0000
8.0000
0.00
1,200.00
114.3
170
Remove 8" Water Valve
6.00
EA
175.00
1,050.00
7.0000
11.0000
18.0000
1,925.00
3,150.00
300.0
180
Salvage Fire Hydrant
8.00
EA
475.00
3,800.00
8.0000
0.0000
8.0000
0.00
3,800.00
100.0
190
Salvage Water Sampling Station
1.00
EA
300.00
300.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
200
Water Sampling Station
1.00
EA
6,000.00
6,000.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
210
Imported Embedment/Backfill
200.00
CY
35.00
7,000.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
220
Temp Asph Paving Repair (2" HMAC, 6" Flexible Base 12,797.00
LF
28.00
358,316.00
8,543.0000
0.0000
8,543.0000
0.00
239,204.00
66.8
230
Conc Pvmt Repiar with 3" HMAC Overlay
370.00
SY
220.00
81,400.00
293.8200
0.0000
293.8200
0.00
64,640.40
79.4
240
Asphalt Pvmt Repair Beyond Width, Residential 150.00
SY
35.00
5,250.00
45.0000
0.0000
45.0000
0.00
1,575.00
30.0
250
Conc Pvmt Repair, Residential
50.00
SY
195.00
9,750.00
155.7800
69.5200
225.3000
13,556.40
43,933.50
450.6
260
Remove Concrete Curb & Gutter
500.00
LF
10.00
5,000.00
5,790.3900
0.0000
5,790.3900
0.00
57,903.90
1,158.1
270
7" Concr Curb & 18-inch Gutter (Match Existing) 1.500.00
LF
140.00
210,000.00
3,358.0000
-116.0000
3,242.0000
-16,240.00
453,880.00
216.1
280
Remove Concrete Driveway
5,000.00
SF
2.00
10,000.00
9,443.4200
0.0000
9,443.4200
0.00
18,886.84
188.9
290
6-inch Concrete Driveway
5,000.00
SF
14.00
70,000.00
9,646.4200
0.0000
9,646.4200
0.00
135,049.88
192.9
300
7-inch Concrete Valley Gutter
160.00
SY
195.00
31,200.00
278.8000
0.0000
278.8000
0.00
54,366.00
174.3
310
2-inch Asphalt Pavement Type "D"
31, 079.00
SY
12.50
388,487.50
23,587.0000
2,540.0000
26,127.0000
31,750.00
326,587.50
84.1
320
Water Valve Box Adjust w/ Collar
18.00
EA
600.00
10,800.00
20.0000
0.0000
20.0000
0.00
12,000.00
111.1
Pay Items which begin with an " include quantities from Change Orders Printed on: 0212612024 09:36:52 Page 1
Jackson Construction, Inc. Pay Estimate Summary Report
Invoice # 22
Owner
Contractor
Invoice Date: 05/09/2023
CITY OF FORT WORTH
JACKSON CONSTRUCTION,
LTD.
Dates Submitted: 11/01/2022 - 01/31/2023
200 TEXAS ST
5112 SUN VALLEY DRIVE
Contract #
FORT WORTH, TX 76102
FORT WORTH, TX 76119
CONTRACT 2019 WSM-C WATER & SS REPLACEMENT
USA
USA
Job: 3264
Pay
Contract
Contract
Previous
Current
Quantities
Current
Amount
%
Item
Description
Quantities
Unit Unit Price
Amount
Quantities
Quantities
to Date
Amount
to Date
Cmplt
330
Misc Adj - Water Meter Box
24.00
EA
575.00
13,800.00
24.0000
0.0000
24.0000
0.00
13,800.00
100.0
340
Manhole Adjust, Minor w/Collar
8.00
EA
1,050.00
8,400.00
8.0000
0.0000
8.0000
0.00
8,400.00
100.0
350
Curb Address Painting
49.00
EA
85.00
4,165.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
360
Topsoil
100.00
CY
120.00
12,000.00
169.4000
0.0000
169.4000
0.00
20,328.00
169.4
370
Block Sod Replacement
2,889.00
SY
9.00
26,001.00
980.1000
0.0000
980.1000
0.00
8,820.90
33.9
380
Unclassified Excavation
40.00
CY
75.00
3,000.00
40.0000
470.0000
510.0000
35,250.00
38,250.00
1,275.0
390
2-inch Surface Milling
2,940.00
SY
4.00
11,760.00
0.0000
2,540.0000
2,540.0000
10,160.00
10,160.00
86.4
400
10-inch Pavement Pulverization
28,139.00
SY
8.00
225,112.00
23,507.0000
80.0000
23,587.0000
640.00
188,696.00
83.8
410
Cement Modification, 26lbs./sy. (50/50)
366.00
TN
180.00
65, 880.00
295.2200
0.0000
295.2200
0.00
53,139.60
80.7
420
Remove Sidewalk
500.00
SF
3.00
1,500.00
614.0000
0.0000
614.0000
0.00
1,842.00
122.8
430
4" Concrete Sidewalk
1,000.00
SF
16.50
16,500.00
1,248.0000
0.0000
1,248.0000
0.00
20,592.00
124.8
440
4" Conc Sidewalk w/ Ret/Curb Wall
500.00
SF
25.00
12,500.00
271.7000
0.0000
271.7000
0.00
6,792.50
54.3
450
Remove ADA Ramp
2.00
EA
300.00
600.00
2.0000
0.0000
2.0000
0.00
600.00
100.0
460
ADA Ramp
2.00
EA
2,900.00
5,800.00
2.0000
0.0000
2.0000
0.00
5,800.00
100.0
470
Temporary Water Services
1.00
LS
105,000.00
105,000.00
1.0000
0.0000
1.0000
0.00
105,000.00
100.0
480
Trench Safety (Water)
5,400.00
LF
1.00
5,400.00
5,320.0000
0.0000
5,320.0000
0.00
5,320.00
98.5
490
Fire Hydrant
8.00
EA
4,800.00
38,400.00
8.0000
0.0000
8.0000
0.00
38,400.00
100.0
500
Conn to Existing 24" Water Main
4.00
EA
15,000.00
60,000.00
4.0000
0.0000
4.0000
0.00
60,000.00
100.0
510
Conn to Existing 4"-12" Water Main
19.00
EA
3,500.00
66,500.00
19.0000
0.0000
19.0000
0.00
66,500.00
100.0
520
Salvage 1" Water Meter
4.00
EA
150.00
600.00
4.0000
0.0000
4.0000
0.00
600.00
100.0
530
1" Water Service, Meter Reconnection
220.00
EA
325.00
71,500.00
237.0000
0.0000
237.0000
0.00
77,025.00
107.7
540
1" Water Service
230.00
EA
1,600.00
368,000.00
244.0000
0.0000
244.0000
0.00
390,400.00
106.1
550
1" Private Water Service
110.00
LF
40.00
4,400.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
560
Salvage 1 1/2" Water Meter
1.00
EA
250.00
250.00
1.0000
2.0000
3.0000
500.00
750.00
300.0
570
1 1/2" Water Service, Meter Reconnection
1.00
EA
425.00
425.00
1.0000
2.0000
3.0000
850.00
1,275.00
300.0
580
1 1/2" Water Service
1.00
EA
3,900.00
3,900.00
1.0000
2.0000
3.0000
7,800.00
11,700.00
300.0
590
1 1/2" Private Water Service
5.00
LF
90.00
450.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
600
Salvage 2" Water Meter
2.00
EA
300.00
600.00
2.0000
0.0000
2.0000
0.00
600.00
100.0
610
2" Water Service, Meter Reconnection
2.00
EA
525.00
1,050.00
2.0000
0.0000
2.0000
0.00
1,050.00
100.0
620
2" Water Service
2.00
EA
4,400.00
8,800.00
2.0000
0.0000
2.0000
0.00
8,800.00
100.0
630
6" Gate Valve
7.00
EA
950.00
6,650.00
9.0000
0.0000
9.0000
0.00
8,550.00
128.6
640
8" Gate Valve
18.00
EA
1,500.00
27,000.00
18.0000
0.0000
18.0000
0.00
27,000.00
100.0
650
12" Gate Valve
3.00
EA
2,800.00
8,400.00
5.0000
0.0000
5.0000
0.00
14,000.00
166.7
Pay Items which begin with an * include quantities from Change Orders Printed on: 02/26/2024 09.36.52 Page 2
Jackson Construction, Inc. Pay Estimate Summary Report
Invoice # 22
Owner
Contractor
Invoice Date: 05/09/2023
CITY OF FORT WORTH
JACKSON CONSTRUCTION, LTD.
Dates Submitted: 11/01/2022 - 01/31/2023
200 TEXAS ST
5112 SUN VALLEY DRIVE
Contract #
FORT WORTH, TX 76102
FORT
WORTH, TX 76119
CONTRACT 2019 WSM-C WATER & SS REPLACEMENT
USA
USA
Job: 3264
Pay
Contract
Contract
Previous
Current
Quantities
Current
Amount
%
Item
Description
Quantities
Unit Unit Price
Amount
Quantities
Quantities
to Date
Amount
to Date
Cmplt
660
24" Gate Valve w/ Vault
4.00
EA
41,500.00
166,000.00
2.0000
1.0000
3.0000
41,500.00
124,500.00
75.0
670
Remove Speed Cushion
64.00
SY
34.00
2,176.00
64.0000
0.0000
64.0000
0.00
2,176.00
100.0
680
Misc Adj (Irr)($7,000)
1.00
LS
7,000.00
7,000.00
1.0000
-0.9772
0.0228
-6,840.40
159.60
2.3
690
Remv & Repl 15' Curb Inlet Top
1.00
EA
7,500.00
7,500.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
700
Pavement Markings, Stop Bar
70.00
LF
17.00
1,190.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
710
4" SLD Pavement Marking, HAS (Yellow)
1,320.00
LF
1.25
1,650.00
1,320.0000
1,320.0000
2,640.0000
1,650.00
3,300.00
200.0
720
12" Solid Pavement Marking (Cross -walk, White) 80.00
LF
8.00
640.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
730
Traffic Control (Water)
6.00
MO
13,000.00
78,000.00
6.0000
0.0000
6.0000
0.00
78,000.00
100.0
740
SWPPP d 1 acre (Water)
1.00
LS
6,500.00
6,500.00
1.0000
0.0000
1.0000
0.00
6,500.00
100.0
750
Exploratory Excavation of Existing Utilities
4.00
EA
4,500.00
18,000.00
4.0000
0.0000
4.0000
0.00
18,000.00
100.0
760
Construction Surveying (Water)
1.00
LS
4,500.00
4,500.00
0.0000
1.0000
1.0000
4,500.00
4,500.00
100.0
770
Construction Staking (Water)
1.00
LS
20,000.00
20,000.00
1.0000
0.0000
1.0000
0.00
20,000.00
100.0
*780
Water Allow($100,000)
0.00
LS
100,000.00
0.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
*781
WATER ALLOWANCE
35,770.00
EA
1.00
35,770.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
WATER SUBTOTAL
4,302,011.50
90,731.00
4,156,859.62
96.6
800
8" Sewer Pipe
211.00
LF
90.00
18,990.00
211.0000
2,300.0000
2,511.0000
207,000.00
225,990.00
1,190.0
810
8" CIPP
189.00
LF
100.00
18,900.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
820
8" DIP Sewer Pipe w/ Protecto 401 Lining
20.00
LF
190.00
3,800.00
20.0000
0.0000
20.0000
0.00
3,800.00
100.0
830
Trench Safety (Sanitary Sewer)
231.00
LF
1.00
231.00
231.0000
2,300.0000
2,531.0000
2,300.00
2,531.00
1,095.7
840
Pre -CCTV Inspection
420.00
LF
6.00
2,520.00
425.0000
2,300.0000
2,725.0000
13,800.00
16,350.00
648.8
850
Post -CCTV Inspection
420.00
LF
14.00
5,880.00
0.0000
2,511.0000
2,511.0000
35,154.00
35,154.00
597.9
860
Service Reconnection, CIPP
1.00
EA
350.00
350.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
870
4" Sewer Service, Reconnection
5.00
EA
2,200.00
11,000.00
5.0000
60.0000
65.0000
132,000.00
143,000.00
1,300.0
880
4' Manhole
3.00
EA
4,500.00
13,500.00
3.0000
14.0000
17.0000
63,000.00
76,500.00
566.7
890
Concrete Collar
3.00
EA
1,050.00
3,150.00
3.0000
14.0000
17.0000
14,700.00
17,850.00
566.7
900
Trench Water Stops
1.00
EA
1,800.00
1,800.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
910
Manhole Vacuum Testing
3.00
EA
325.00
975.00
0.0000
14.0000
14.0000
4,550.00
4,550.00
466.7
920
8" Sewer Abandonment Plug
2.00
EA
550.00
1,100.00
2.0000
0.0000
2.0000
0.00
1,100.00
100.0
930
Remove 4'Sewer Manhole
2.00
EA
1,100.00
2,200.00
2.0000
8.0000
10.0000
8,800.00
11,000.00
500.0
940
Remove Storm ,function Structure
1.00
LS
4,200.00
4,200.00
1.0000
0.0000
1.0000
0.00
4,200.00
100.0
950
Temporary Asphalt Paving Repair
200.00
LF
36.00
7,200.00
200.0000
1,030.0000
1,230.0000
37,080.00
44,280.00
615.0
960
Remove Concrete Curb & Gutter
10.00
LF
10.00
100.00
20.0000
0.0000
20.0000
0.00
200.00
200.0
Pay Items which begin with an * include quantities from Change Orders Printed on. 0212612024 09.36.52 Page 3
Jackson Construction, Inc. Pay Estimate Summary Report
Invoice # 22
Owner
Contractor
Invoice Date: 05/09/2023
CITY OF FORT WORTH
JACKSON CONSTRUCTION, LTD.
Dates Submitted: 11/01/2022 - 01/31/2023
200 TEXAS ST
5112 SUN
VALLEY DRIVE
Contract #
FORT WORTH, TX 76102
FORT WORTH, TX 76119
CONTRACT 2019 WSM-C WATER & SS REPLACEMENT
USA
USA
Job: 3264
Pay
Contract
Contract
Previous
Current
Quantities
Current
Amount
%
Item
Description Quantities
Unit Unit Price
Amount
Quantities
Quantities
to Date
Amount
to Date
Cmplt
970
7-inch Concrete Curb and 18-inch Gutter
116.00
LF
140.00
16,240.00
116.0000
0.0000
116.0000
0.00
16,240.00
100.0
980
Remove Concrete Driveway
50.00
SF
2.00
100.00
50.0000
-50.0000
0.0000
-100.00
0.00
0.0
990
6-inch Concrete Driveway
50.00
SF
14.00
700.00
50.0000
-50.0000
0.0000
-700.00
0.00
0.0
1000
2-inch Asphalt Pavement Type "D"
111.00
SY
12.50
1,387.50
111.0000
-111.0000
0.0000
-1,387.50
0.00
0.0
1010
Topsoil
1.00
CY
120.00
120.00
1.0000
-1.0000
0.0000
-120.00
0.00
0.0
1020
Block Sod Replacement
67.00
SY
9.00
603.00
67.0000
-67.0000
0.0000
-603.00
0.00
0.0
1030
10-inch Pavement Pulverization
111.00
SY
8.00
888.00
111.0000
-111.0000
0.0000
-888.00
0.00
0.0
1040
Cement Modification, 26lbs./sy.
1.00
TN
180.00
180.00
1.0000
-1.0000
0.0000
-180.00
0.00
0.0
1050
6' Storm Junction Box
1.00
EA
13,000.00
13,000.00
1.0000
0.0000
1.0000
0.00
13,000.00
100.0
1060
SWPPP b 1 acre (Sanitary Sewer)
1.00
LS
1,500.00
1,500.00
1.0000
0.0000
1.0000
0.00
1,500.00
100.0
1070
Construction Surveying (Sanitary Sewer)
1.00
LS
1,800.00
1,800.00
1.0000
0.0000
1.0000
0.00
1,800.00
100.0
1080
Construction Staking (Sanitary Sewer)
1.00
LS
2,000.00
2,000.00
1.0000
0.0000
1.0000
0.00
2,000.00
100.0
*1090
SS Allow ($10,000)
0.00
LS
10,000.00
0.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
SEWER SUBTOTAL
134,414.50
514,405.50
621,045.00
462.0
*1100
24" WATER PIPE -DI PIPE (RESTRAINED JOINT)
308.00
LF
280.24
86,313.92
308.0000
0.0000
308.0000
0.00
86,313.92
100.0
*1110
24° PIPE -DI PIPE (RESTRAINED JOINT)
153.00
LF
653.23
99,944.19
153.0000
0.0000
153.0000
0.00
99,944.19
100.0
*1120
24" WATER PIPE -DI PIPE (RESTRAINED JOINT)-OWERING Nw277H/1_0V`
LF
403.00
38,285.00
103.0000
0.0000
103.0000
0.00
41,509.00
108.4
*1130
CUSTOM BLOCKING 24" DI-HES
2.00
EA
19,832.00
39,664.00
2.0000
0.0000
2.0000
0.00
39,664.00
100.0
*1140
ADDITIONAL TEMP WATER (NW27TH/LOVING)
1.00
LS
9,050.00
9,050.00
1.0000
0.0000
1.0000
0.00
9,050.00
100.0
*1150
24" WATER PIPE-DIP
-368.00
LF
212.00
-78,016.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
*1160
24" WATER PIPE -DIP, CSS BACKFILL
-153.00
LF
585.00
-89,505.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
*1170
24" GATE VALVE AND VAULT
-1.00
EA
41,500.00
-41,500.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
CO #9
64,236.11
0.00
276,481.11
430.4
*1180
8" SEWER PIPE
2,315.00
LF
90.00
208,350.00
2,300.0000
-2,300.0000
0.0000
-207,000.00
0.00
0.0
*1190
TRENCH SAFETY (SANITARY SEWER)
2,315.00
LF
1.00
2,315.00
2,300.0000
-2,300.0000
0.0000
-2,300.00
0.00
0.0
*1200
PRE -CCTV INSPECTION
2,315.00
LF
6.00
13,890.00
2,300.0000
-2,300.0000
0,0000
-13,800.00
0.00
0.0
*1210
POST -CCTV INSPECTION
2,315.00
LF
14.00
32,410.00
2,300.0000
-2,300.0000
0.0000
-32,200.00
0.00
0.0
*1220
4" SEWER SERVICE, RECONNECTION
68.00
EA
2,200.00
149,600.00
60.0000
-60.0000
0.0000
-132,000.00
0.00
0.0
*1230
4' MANHOLE
15.00
EA
4,500.00
67,500.00
14.0000
-14.0000
0.0000
-63,000.00
0.00
0.0
*1240
CONCRETE COLLAR
15.00
EA
1,050.00
15,750.00
14.0000
-14.0000
0.0000
-14,700.00
0.00
0.0
*1250
MANHOLE VACUUM TESTING
15.00
EA
325.00
4,875.00
15.0000
-15.0000
0.0000
-4,875.00
0.00
0.0
Pay Items which begin with an * include quantities from Change Orders Printed on: 0212612024 09:36:52 Page 4
Jackson Construction, Inc. Pay Estimate Summary Report
Invoice # 22
Owner
Contractor
Invoice Date: 05/09/2023
CITY OF FORT WORTH
JACKSON CONSTRUCTION, LTD.
Dates Submitted: 11/01/2022 - 01/31/2023
200 TEXAS ST
5112 SUN VALLEY DRIVE
Contract #
FORT WORTH, TX 76102
FORT
WORTH, TX 76119
CONTRACT 2019 WSM-C WATER & SS REPLACEMENT
USA
USA
Job: 3264
Pay
Contract
Contract
Previous
Current
Quantities
Current
Amount
%
Item
Description
Quantities
Unit Unit Price
Amount
Quantities
Quantities
to Date
Amount
to Date
Cmplt
*1260
REMOVE 4'SEWER MANHOLE
10.00
EA
1,100.00
11,000.00
8.0000
-8.0000
0.0000
-8,800.00
0.00
0.0
*1270
TEMP ASPHLT PAVING REPAIR
2,305.00
LF
36.00
82,980.00
1,030.0000
-1,030.0000
0.0000
-37,080.00
0.00
0.0
*1280
ADDITION SWPPP (SEWER)
1.00
LS
1,350.00
1,350.00
1.0000
0.0000
1.0000
0.00
1,350.00
100.0
*1290
ADDITIONAL CONSTRUCTION SURVEYING(SEWER)
1.00
LS
900.00
900.00
1.0000
0.0000
1.0000
0.00
900.00
100.0
*1300
ADDITIONAL CONSTRUCTION STAKING(SEWER) 1.00
LS
3,815.00
3,815.00
1.0000
0.0000
1.0000
0.00
3,815.00
100.0
*1310
CONC ENCASEMENT
40.00
LF
127.00
5,080.00
40.0000
-40.0000
0.0000
-5,080.00
0.00
0.0
*1320
REMOVE SIDEWALK
1,200.00
SF
3.00
3,600.00
1,200.0000
-288.0000
912.0000
-864.00
2,736.00
76.0
*1330
4" CONC SIDEWALK
6,173.00
SF
16.50
101,854.50
6,173.0000
-1,174.5000
4,998.5000
-19,379.25
82,475.25
81.0
*1340
4"CONC SIDEWALK W/RETAIN/CURB WALL
1,860.00
SF
25.00
46,500.00
1,860.0000
0.0000
1,860.0000
0.00
46,500.00
100.0
*1350
REMOVE ADA RAMP
3.00
EA
300.00
900.00
3.0000
0.0000
3.0000
0.00
900.00
100.0
*1355
ADA RAMP
16.00
EA
2,900.00
46,400.00
16.0000
-3.0000
13.0000
-8,700.00
37,700.00
81.3
*1360
REMOVE CONC DRIVEWAY
1,300.00
SF
2.00
2,600.00
1,300.0000
-130.0000
1,170.0000
-260.00
2,340.00
90.0
*1370
6" CONC DRIVEWAY
2,112.00
SF
14.00
29,568.00
2,112.0000
1,119.5800
3,231.5800
15,674.12
45,242.12
153.0
*1380
TOPSOIL
10.00
CY
120.00
1,200.00
10.0000
0.0000
10.0000
0.00
1,200.00
100.0
*1390
BLOCK SOD REPLACEMENT
2,000.00
SY
9.00
18,000.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
*1400
MISC ADJ SPRINKLER SYSTEMS
1.00
LS
10,000.00
10,000.00
1.0000
0.0000
1.0000
0.00
10,000.00
100.0
*1410
REMV CONC CURB & GUTTER
100.00
LF
10.00
1,000.00
100.0000
0.0000
100.0000
0.00
1,000.00
100.0
*1420
ADDITIONAL STAKING: SIDEWALK, RAMPS
1.00
LS
3,321.00
3,321.00
1.0000
0.0000
1.0000
0.00
3,321.00
100.0
CO #2
864,758.50
-534,364.13
239,479.37
27.7
*1430
RELAY M-161 W/ DIP
1.00
LS
24,415.00
24,415.00
1.0000
0.0000
1.0000
0.00
24,415.00
100.0
CO #3
24,415.00
0.00
24,415.00
100.0
*1450
IMPORT EMBEDMENT/BACKFILLCLSM
357.00
CY
135.00
48,195.00
0.0000
357.0000
357.0000
48,195.00
48,195.00
100.0
1475
7" CONC CURB & 18" GUTTER (SUNSET FULL
REPL) 0.00
LF
77.75
0.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
*1480
7" C&G SUNSET AVE (W)
649.03
LF
77.75
50,462.08
0.0000
649.0300
649.0300
50,462.08
50,462.08
100.0
*1490
7" C&G SUNSET AVE (S)
1,241.20
LF
77.75
96,503.30
0.0000
1,241.2000
1,241.2000
96,503.30
96,503.30
100.0
*1495
7" C&G SUNSET AVE (P)
395.77
LF
77.75
30,771.12
0.0000
395.7700
395.7700
30,771.12
30,771.12
100.0
*1500
8" CIPP
-189.00
LF
100.00
-18,900.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
*1510
POST -CCTV INSPECTION
-224.00
LF
14.00
-3,136.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
*1520
4" SEWER SERVICE, RECONNECTION
-8.00
EA
2,200.00
-17,600.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
*1530
4' MANHOLE
-1.00
EA
4,500.00
-4,500.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
*1540
TEMP ASPHALT PAVING REPAIR
-1,275.00
LF
36.00
-45,900.00
0.0000
0.0000
0.0000
0.00
0.00
0.0
Pay Items which begin with an * include quantities from Change Orders Printed on: 0212612024 09:36:52 Page 5
Jackson Construction, Inc. Pay Estimate Summary Report
Invoice # 22
Owner
Contractor
Invoice Date: 05/09/2023
CITY OF FORT
WORTH
JACKSON CONSTRUCTION, LTD.
Dates Submitted: 11/01/2022 - 01/31/2023
200 TEXAS ST
5112 SUN VALLEY DRIVE
Contract #
FORT WORTH,
TX 76102
FORT WORTH, TX 76119
CONTRACT 2019 WSM-C WATER & SS REPLACEMENT
USA
USA
Job: 3264
Pay
Contract
Contract
Previous Current Quantities Current
Amount %
Item Description
Quantities
Unit Unit Price
Amount
Quantities Quantities to Date Amount
to Date Cmplt
*1550 2" ASPHALT PVMT TY D
-111.00
SY 12.50
-1,387.50
0.0000 0.0000 0.0000 0.00
0.00 0.0
*1560 CONC ENCASEMENT
-40.00
LF 127.00
-5,080.00
0.0000 0.0000 0.0000 0.00
0.00 0.0
*1570 4" CONC SIDEWALK
-1,174.00
SF 16.50
-19,371.00
0.0000 0.0000 0.0000 0.00
0.00 0.0
*1580 INSTALL ADA RAMP
-3.00
EA 2,900.00
-8,700.00
0.0000 0.0000 0.0000 0.00
0.00 0.0
*1590 BLOCK SOD REPLACEMENT
-300.00
SY 9.00
-2,700.00
0.0000 0.0000 0.0000 0.00
0.00 0.0
CO #4
98,657.00
225,931.50
225,931.50 229.0
Totals:
5,488,492.61
296,703.87
5,544,211.60 101.0
Original Contract Amount
4,510,656.00
Change Order Amount
977,836.61
Total Contract ($)
5,488,492.61
Work Completed to Date
5,544,211.60
Approved By:
Stored Material
0.00
Owner
Total Complete/Stored/Pending ($)
5,544,211.60
Less Retainage
0.00
Approved By:
Total [Less Retainage] ($)
5,544,211.60
contractor
Adjustments
0.00
Less Previously Paid
4,985,132.39
Approved By:
Amount Due This Request ($)
559,079.21
Pay Items which begin with an " include quantities from Change Orders
Printed on:
0212612024 09:36:52
Page 6
CSC No. 54517-005
FORT WORTH City of Fort Worth
Change Order Request
Project Name:1 Water & Sanitary Sewer Replacement Contract 2019, WSM-C City Sec No.: 1 54517
Project No.(s): 1 59601-0600430-001780, 59607-0700430-001700 I NTP I N/A City Proj. No.: l 102170
Project Description:
Water/Sewer replacements and pavement rehabilitation on NW 27th St., Azle Ave., Columbus Ave., Westwood Ave., Sunset
Ln., and Loving Ave.
Contractor:I Jackson Construction, Ltd. Change Order # 5 Date: 12/19/2023
City Project Mgr.1 Pratima Poudyal City Inspector: Jesse Reed
Phone Number:1 817-392-6149 Phone Number: 817-392-8362
Dept. Unit I Water Unit II Sewer Unit III Totals Contract Time
Pavement (Calendar days)
Original Contract Amount $4,366,241.50 $144,414.50 $0.00 $4,510,656.00 500
Extras to Date $98,663.19 $614,230.00 $264,943.62 $977,836.81 175
Credits to Date $0.20 $0.20
Pending Change Orders (in M&C Process)
Contract Cost to Date $4,464,904.69 $758,64-4.30 $264,943.62
$5,488,492.61 675
Amount of Proposed Change Order $90,732.50 $0.00 $0.00
$90,732.50 0
Revised Contract Amount $4,555,637.19 $758,644.30 $264,943.62
$5,579,225.11 675
Original Funds Available for Change Orders $130,987.50 $14,441.00 $0.00
$145,428.50
Remaining Funds Available for this CO $32,324.31 $0.00 $0.00
$32,324.31
Additional Funding (if necessary) $58,408.19
$58,408.19
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
23.69%
MAXALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST + 25%)
1$5,638,320.00
iINAM& JUSTIFICATION (REASONS) FOR CHANGE ORDER
Change Order No. 5 provides for the followings in order to close out the project:
• 2-inch Asphalt Pavement Type'D"
• Unclassified Excavation
• 24" Gate Valve wl Vault
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.
-is Company Name on rac or Na �.onlract Signature mM
Construction, Ltd, Carmentstep 0
ni■I s�Irit+ 1
_—r
6roiy�UVaf�ki9'dp►� Ayi.
blur Hover_ Tr y , tan 11, 2024
�(ssistant City At "• °++, "ate Assistant019wanager MWafe
Jan 12, 2024 Jan Jan 13, 2024
Council Action (If Required)
M&C Number j NIA M&C Dale Approved NIA j
FORT WORTH City of Fort Worth
Change Order Additions
Project Name Water & Sanitary Sewer Replacement Contract 2019, WSM-C City Sec No.: 1 54517
Project No.(s): 59601-0600430-001780, 59607-0700430-001780 DOE No.1 N/A I City Proj. No.: 1 102170
Project Water/Sewer replacements and pavement rehabilitation on NW 27th St., Azle Ave., Columbus Ave., Westwood Ave., Sunset
Description Ln., and Loving Ave.
Contractor Jackson Construction, Ltd. Change Order: 5 Date: j 12/19/2023
City Project Mgr. I Pratima Poudyal City Inspector Jesse Reed
ADDITIONS
I I tm
UE5URIP I IUN
31 -" 2-inch Asphalt Pavement Type "D"
38 / Unclassified Excavation
66 24" Gate Valve w/ Vault
DEPT
City
Unit
'Unit Cost '11LMotal
Unit I Water
2,540.00
SY
$12.50
$31,750.00
Unit 1 Water
233.10
CY
$75.00
$17,482.50
Unit I Water
1.00
EA
$41,500.00
$41,500.00
JUnit I Water $90,732.50
(Unit II Sewer
JUnit III Pavement
(Additions Sub Total $90,732.50
Page 1 of 3
FORT WORTH City of Fort Worth
Change Order Deletions
Project Name Water & Sanitary Sewer Replacement Contract 2019, WSM-C City Sec No.: 54517
Project No.(s): 59601-0600430-001780, 59607-0700430-001780 'OE No. I N/A City Proj. No.: 102170
Project Description I Water/Sewer replacements and pavement rehabilitation on NW 27th St., Azle Ave., Columbus Ave., Westwood Ave.,
Sunset Ln., and Loving Ave.
Contractor I Jackson Construction, Ltd. Change Order: L 5 Date 12/19/2023
City Project Mgr. Pratima Poudyal City Inspector: I Jesse Reed
DELETIONS
ITEM DESCRIPTION DEPT City Unit Unit Cost Total
9
jUnit I Water
(Unit II Sewer
Unit III Pavement
Deletions Sub Total
Page 2 of 3
MIWBE Breakdown for this Change Order
MWBE Sub Type of Service I Amount for this CO
Total $0.00
Previous Change Orders
C0 # DATE I AMOUNT
Total $0.00
Page 3 of 3
1/11/2024
CSC: 54517
CPN: 102170
Water & Sanitary Sewer Replacement Contract 2019, WSM-C
Change Order 5 Notes
Staff has reviewed the requested prices and considers them to be fair and reasonable.
Contract Compliance Manager
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and reporting requirements.
1
Signature
Pratima Poudyal, P.E.
Name of Employee
Project Manager
Title
ATTEST:
ro- .- A .
Jannette Goodall
City Secretary