HomeMy WebLinkAboutContract 55385-FP1FORTWORTH®
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
55385-FP1
City Secretary No:55385
Date Received: 04/22/24
City Project N9: 101019
Regarding contract 55385 Westport Parkway from Keller Haslet Rd to Alta Vista Rd for as required by the
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 12/15/2020 through
M&C 20-0960 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the
recommendation of the Assistant Director of the Transportation & Public Works Department has accepted the project as
complete.
Original Contract Amount:
Amount of Approved Change Orders:
Revised Contract Amount:
Total Cost Work Completed:
Less Deductions:
Liquidated Damages:
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed:
Less Previous Payments:
Final Payment Due
Pafric Ic L._wadsac
Patricia L. Wadsack (Apr 17, 202410:00 CDT)
$ 3,378,635.75 Days 240
$ 67,999.54 Ns 2 Days Added by CO84
$ 3,446,635.29 Total Days 324
$ 3,440,357.91 Days Charged 430
106 Days @ $ 1300.09 Day
$-137,800.00
$ 3,440,357.91
$ 3,268,340.01
$ 34,217.90
Apr 17, 2024
Recommended for Acceptance Date
Asst. Director, TPW - Capital Delivery
Lauren Prieur (Apr 17, 202410:39 CDT)
Apr 17, 2024
Accepted Date
Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
Apr 22, 2024
Asst. City Manager Date
Comments:
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
C-620 Signature Page
Application For Payment
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$3,378,635.75
$3,446,635.29
69 69 69
2. Net change by Change Order
3. Current Contract Price (Line 1 f 2)
4. TOTAL COMPLETED
$3,440,357.91
$3,302,557.91
$3,268,340.01
69 65 60 00 00 00 60
(Progress Estimate, Construction Allowance and Change Orders)
Work Completed
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($137,800.00) LTDs
b. Less Deductions 106 Days @ $1,300.00 g
c. Total Deduction (Line 5a + Line 5b)
6. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c)
7. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)
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9. BALANCE TO FINISH, PLUS RETAINAGE & DEDUCTIONS
Approved Change Orders
Deletions
$2,618,227.75
$2,618,227.75
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$2,686,227.29
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$27,669.00I
$39,648.00
-$675.00
$1,800.00
$53,350.00I
$32,895.00I
$733,274.00
$18,280.00I
$239,622.00
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$26,500.00
$5,300.00
$4,000.00
$16,000.00
$4,500.00
$2,625.00
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$4,129.00
$306.00
$1,089.00
$144.00
$42,170.00
$2,310.00
$260.00
$1,092.00
$216.00
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$14,180.00
$18,309.00
$50,876.00
$480.00
$2,268.00
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$27,669.00
$39,648.00
$70,848.00I
$100.00
$450.00
$39,600.00
$7,800.00
$26,500.00
$16,000.00I
$1,500.00
$1,950.00I
$1,800.00
$425.00
$6,800.00
$5,000.00I
$4,293.00
$4,771.00I
$306.00
$1,089.00I
$144.00
$42,170.00I
$2,310.00
$260.00
$1,092.00
$216.00
$53,350.00
$32,895.00I
$733,274.00
$5,334.00
$31,188.00
$480.00
$2,268.00
$18,280.00
$239,622.00
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0171.0102 As -Bum Survey
3311.0461 12" PVC Water Pipe
3311.0554 16. DIP Water (Restraint Joints)
3311.0561 16" PVC C900 Water Pipe
0241.1302 Reprove 6" Water Valve
0241.1510 Salvage Fire Hydrant
9999XXXX Salvage 6" Water Valve
3305.0103 Exploratory Excavation of Existing Utilities
3305.0108 Misc Structure Adjustment - Vault - Westport Station 13+04.14
3305.0108 Misc Structure Adjustment -ARV - Westport Station 21+78.91
3305.0109 Trench Safety
3305.0110 Utility Markers
3305.0111 Adjust 8" Water Valve
3305.0111 Adjust 12" Water Valve
3311.0001 Ductile Iron Water Fittings w/ Restraint
3312.0001 Fire Hydrant
3312.0106 Connection to Existing 16" Water Main
3312.0107 Connection to Existing to 20" Water Main
3312.0117 Connection to Existing 4" to 12" Water Main
3312.1002 2" Combination Air Valve Assembly for Water
3312.2003 1" Water Service
3321.2004 1" Private Water Service
3312.3002 61nch Gate Valve
3312.3006 16 Inch Gate Valve w/ Vault
3312.6002 6" Blow Off Valve
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3213.0506 Barter Free Ramp, Type P-1
3217.0001 4" SLD Pvmt Marking HAS (W)
3217.0002 4" SLD Pvn1 Marking HAS (Y)
3217.0003 4" BRK Pvmt Marking HAS (W)
3217.0005 4" DOT Pvmt Marking HAS (W)
3217.0201 8" SLD Pvmt Marking HAS (W)
3217.0301 12" SLD Pvmt Marking HAE (W)
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Application Number: 23-FINAL
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$387.00
$430.00
$4,225.00
$500.00
$1,375.00
$1,260.00
$5,538.001
$25,872.00
$63,910.00
$536.00
$99,588.00
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$6,000.00
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$1,200.00
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$85.50
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$430.00
$4,225.001
$500.00
$1,375.001
$1,260.00
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$1,900.00
$93,670.00
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$4,604.00
$1,200.001
$1,887.00
$25,872.001
$63,910.00
$536.00
$99,588.00
$81,696.001
$36,663.00
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$4,830.00
$2,300.001
$7,590.00
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3217.2103 REFL Raised Marker TY II -A -A
3217.2104 REFL Raised Marker TY II-C-R
3217.1002 Lane Legend Arrow
3217.1003 Lane Legend DBL Arrow
3217.1004 Lane Legend Only
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3441.1771 FumieMnstall 120-240 Volt Single Phase Metered Pedestal
3441.3003 Rdwy Ilium Assmbly TY 18,18A,19, and D-40
3441.3110 Install Lighting Fixture
3441.3201 LED Lighting Fixture
3441.3302 Rdwy Ilium Foundation TY 3,5,6, and 8
3441.4003 Fumish4nstall Alum Sign Ground Mount City Std.
3441.4108 Remove Sign Panel and Post
3441.4110 Remove and Reinstall Sign Panel and Post
9999X)00( Reprove Sign Post and Salvage and Reinstall Sign Panel
3471.0001 Traffic Control
9999X)00( Remove and Cap Besting Water Well
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Westport Parkway from Keller Haslet Road to Alta Vista Road
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Application Number: 23-FINAL
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Balance to Finish
(B - F)
$2,628,471.75
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Bid Value
$3,378,635.75
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Progress Estimate
ADDITIONS
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Total Completed
and Stored to Date
(D+E)
Materials Presently
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For (contact): 101019 Westport Parkway from Keller Haslet Road to Alta Vista Road City Secretary 55385
Contract Num:
Application Period: 12/14/23-12/14/23
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Estimated Quantity
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Addition Value
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Quantity to Add
Specification Unit of Measure
Section No.
Item
Description
Item Number
Contractor's Application
Progress Estimate
Application Number 23-FINAL
Application Date: 1/11/2024
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Application Period:12/14/23-12/14/23
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Change Order Number
Progress Estimate
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Application Number: 23-FINAL
Application Date: 1/11/2024
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Balance to Finish
(B - F)
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Total Completed
and Stored to Date
(D + E)
$33,283.00
$44,073.00
$84,132.00
$42,900.00
-
$67,046.22
_ $21,970.00
_ $42,250.00
$797,329.48
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05'065`652$
00'ZZO`IZ$
$183.75
$3,400.00
$220.00
$495.00
$100,122.00
$47,571.00
$31,557.00
Materials Presently
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Previously
Installed Value
$33,283.00
$44,073.00
_ $84,132.00
$42,900.00
_ $259,590.50
_ $8,000.00
_ $2,730.00
$1,935.00
00'0591$
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00'089`b$
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$2,183.00
$29,568.00
$73,040.00
$636.00
For (contract): 101019 Westport Parkway from Keller Haslet Road to Alta Vista Road City Secretary 55385
Contract Num:
Application Period: 12/14/23-12/14/23
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$5,715.00
$35,093.50
$183.75
$3,400.00
$220.00
$495.00
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$636.00
$119,853.00
$100,122.00
$47,571.00
$31,557.00
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1290.00000000
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21.00000000
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2066.00000000
462.00000000 _
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4' Storm Junction Box
5' Storm Junction Box
6' Storm Junction Box
Station 2+83.69 Storm Junction Box
Station 5+13.95 Storm Junction Box
18" SET-PD (4:1)
10' Curb Inlet
5' Drop Inlet w/Apron
3' Drop Inlet w/Apron
No 10 Insulated Elec Condr
No 10 Bare Elec Condr
Ground Box Type B w/Apron
Furnish/Install Type 33A Arm
Furnish/Install 120-240 Volt Single Phase Metered Pedestal
Rdwy Bum Assembly TY 18, 18A, 19 and D-40
LED Lighting Fixture
Rdwy Bum Foundation TY 3,5,6 and 8
Furnish/Install Alum Sign Ground Mount City Std.
Temp Asphalt Widening
Barrier Wall, Tree Protection
4' Chain Link Tree Protection Fence
Totals
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Change Order Number
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Application Number: 23-FINAL
Application Date: 1/11/2024
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Application Period: 12/14/23-12/14/23
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12" PVC Water Pipe
16" DIP Water (Restraint Joints)
16" PVC C900 Water Pipe
Ductile Iron Water fittings with Restraint
Fire Hydrant
6" Gate Valve
16 Inch Gate Valve wNault
6" Blow -off Valve
2" Condt PVC Soh 80 (T)
8" Flex Base, Type A, GR-1
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10" Conc Pavement
6" Concrete Driveway
Pattemed Concrete median
4" Concrete Sidewalk
5" Cone Sidewalk
Barrier Free Ramp, Type P-1
4" SLD Pvmnt Marking HAS (W)
4" SLD Pvmnt Marking HAS (Y)
8" SLD Pvmnt Marking HAS (W)
12" SLD Pvnmt Marking HAE (W)
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Lane Legend Arrow _
Lane Legend DBL Arrow
Lane Legend Only
Lane Legend Bike
Lane Legend Pedestrian
Type C Barbed Wire Fence, Metal Posts
Install 18. Type 1 Gate
Topsoil
Block Sod Placement
Seeding, Hydomulch
Seeding, Soil Retention Blanket
18" RCP, Class III
21" RCP, Class III
24" RCP, Class III
36" RCP, Class III
42" RCP, Class III
66" RCP, Class III
6'x3' Box Culvert
6'x3' Beveled Box Culvert
4' Storm Junction Box
5' Storm Junction Box
6' Storm Junction Box
Station 2+83.69 Storm Junction Box
Station 5+13.95 Storm Junction Box
18" SET-PD (4:1)
10' Curb Inlet
5' Drop Inlet w/Apron
3' Drop Inlet w/Apron
No 10 Insulated Elec Condr
No 10 Bare Elec Condr
Ground Box Type B w/Apron
Fumish/Install Type 33A Arm
Fumish/Install 120-240 Volt Single Phase Metered Pedestal
Rdwy llum Assembly TY 18, 18A, 19 and D-40
LED Lighting Fixture
Rdwy Ilum Foundation TY 3,5,6 and 8
Fumish/Install Alum Sign Ground Mount City Std.
Construction Allowance (Water)
Construction Allowance (Paving and Drainage)
Totals
....................................
C-620 Change Order
Contractor's Application
Change Order Number
Progress Estimate
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Application Number: 23-FINAL
Application Date: 1/11/2024
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Contract Num:
Application Period: 12/14/23-12/14/23
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1.00000000
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1.00000000
3.00000000
Specification Unit of Measure
Section No.
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Application Number: 23-FINAL
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For (contract): 101019 Westport Parkway from Keller Haslet Road to Alta Vista Road
Application Period: 12/14/23-12/14/23
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Project Number:
Application Date:
FW020-0000005438
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12/14/23-12/14/23
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ity Secretary Contract Num:
Application Period:
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$2,337,281.75
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Total Completed
$653,598.00
$88,691.00
$7,875.00
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Funding Identification (FID)
Original Contract
56002-0600430-5740010-101019-001780-9999
56002-0700430-5740010-101019-001780-9999
00000000
Change Order 1 1
39008-0200431-5740010-101019-002380
56002-0600430-5740010-101019-001780-9999
56002-0700430-5740010-101019-001780-9999
O
O
O
O
0
0
0
0
Change Order 2
39008-0200431-5740010-101019-002380
56002-0600430-5740010-101019-001780-9999
156002-0700430-5740010-101019-001780-9999
00000000
1
39008-0200431-5740010-101019-002380
Project Number:
Application Date:
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12/14/23-12/14/23
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Application Period:
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Amt Remaining 1
Total Completed
JO
Funding Identification (FID) 1
56002-0600430-5740010-101019-001780-9999
56002-0700430-5740010-101019-001780-9999
00000000
Change Order 4
39008-0200431-5740010-101019-002380
56002-0600430-5740010-101019-001780-9999
156002-0700430-5740010-101019-001780-9999
00000000
Change Order 5
39008-0200431-5740010-101019-002380
56002-0600430-5740010-101019-001780-9999
56002-0700430-5740010-101019-001780-9999
0
0
0
0
0
0
0
0
Change Order 6
39008-0200431-5740010-101019-002380
156002-0600430-5740010-101019-001780-9999
56002-0700430-5740010-101019-001780-9999
0
46
Project Number:
Application Date:
FW020-0000005438
a
4,4
N
12/14/23-12/14/23
00
00
ity Secretary Contract Num:
Application Period:
d
Z
d
0)
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C
71
rt
F
Gross
1
0
0
N
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Amt Remaining 1
($3,324.62)
0
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(O
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Total Completed
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O
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O
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O
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EA
O
O
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O
O
CO
EA
Totals
39008-0200431-5740010-101019-002380
Funding Identification (FID) 1
O
0
O
0
O
0
0
O
Change Order 7
39008-0200431-5740010-101019-002380
56002-0600430-5740010-101019-001780-9999
156002-0700430-5740010-101019-001780-9999
00000000
Change Order 8
39008-0200431-5740010-101019-002380
56002-0600430-5740010-101019-001780-9999
56002-0700430-5740010-101019-001780-9999
O
O
O
O
O
O
O
O
56002-0600430-5740010-101019-001780-9999
156002-0700430-5740010-101019-001780-9999
0
0
Project Number:
Application Date:
CT
U
46
FW020-0000005438
z
NI
12/14/23-12/14/23
ity Secretary Contract Num:
Application Period:
N
z
O
0
Amt Remaining
Total Completed
Funding Identification (FID)
0
0
O
fA
Grand Total
O
O
O
O
0
FORT WORTH
Routing and Transmittal Slip
TPW-Capital Delivery
Department
DOCUMENT TITLE: Westport Parkway Change Order#1
M&C CPN 101019 CSO # DOC#
DATE: 01-27-2022
TO: Zeeshan Khan
Department
INITIALS24
DATE OUT
Troy Jackson, Jackson
Contracting, Ltd.
troyj@jacksontex.netZZ
Jan 28, 2022
TJ
Kevin Jackson
CFW-Inspector
AZ—
Jan 28,2022
Bradley Radovich
TPW - PM
rats_
Jan 28, 2022
Raul Lopez
TPW Prog Mngr
gu
Jan 28, 2022
Martin Phillips
Snr Cap Proj Officer
3,41P
Jan 28,2022
Lauren Prieur
Assistant Dir. TPW
LL.-
Jan28,2022
Tony Sholola
Assistant Dir. Water
Feb3,2022
William Johnson
Director, TPW
6-
Feb 4, 2022
Doug Black
Legal
Feb 9,2022
Dana Burghdoff
ACM
'-
Feb 11,2022
Jannette Goodall
CSO
SSa
Feb 14,2022
DOCUMENTS FOR CITY MANAGER'S SIGNTURE: 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: El Yes XX No
RUSH: ❑ Yes ❑ No
SAME DAY: ❑ Yes El No NEXT DAY: El Yes ❑ No
ROUTING TO CSO: XX Yes ❑ No
Action Required:
❑ As Requested
❑ For Your Information
❑ Signature/Routing and or Recording
❑ Comment
❑ File
❑ Attach Signature, Initial and Notary Tabs
Return to: Please call Bradley Radovich at 682-432-4525 for pick up when completed. Thank you.
CSC No. 55385-CO1
FORT TWoRTH„
Project Name
Client Project 0(s)
Project Description
Contractor
City Project Mgr.
City of Fort Worth
Change Order Request
Westport Parkway - Altavista to Keller Haslet
City Sec #
55385
FIDs: 56002-0600430-5740010-101019-001780 / 56002-0700430-5740010-101019-001780 / 30108-0200431-5740010-101019-002380
New 4-lane arterial roadway including shared use paths, lighting and storm drainage between roundabouts at Keller Haslet Rd and Altavista Blvd.
Jackson Construction, Ltd.
Bradley Radovich
Dept,
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
(Amount of Proposed Change Order
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
Change Order #
1
City Inspector
Date
1 /26/2022
Kevin Jackson
Water I 0600430
$377,881.00
Sewer10700430
$9,875.00
TPW / 0200431
$2,990,879.75
Totals
$3,378,635.75
Contract Time
(CD)
240
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$377,881.00
$0.00
$377,881.00
$9,875.00
$0.00
$9,875.00
$2,990,879.75
$51,602,05
$3,042,481.80
$3,378,635.75
$51,602.05
$3,430,237.80
240
240
$18,894.00
$988.00
$464,317.00
$484,199.00
$18,894.00
$988.00
$464,317.00
$484,199.00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
1.53%
$4,223,294.69
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Material, labor and equipment unit prices have risen at a rate beyond normal expectations between the time of bid opening and the time that the
ROW was obtained enabling full access to the construction. Bids were opened in October of 2020 anticipating closing on ROW by the end of
2020. ROW access was not obtained until October 2021, delaying construction. Rebidding the project would delay the project even further and
not result in project savings as the increased prices herein compare favorably to recent bids received on other projects. Also included in this
change order are revisions to Tree Protection Fencing as a result of the SWPPP review process and the requirements of the land purchase
negotiations. Additionally, a redesign of the Traffic Control Plan was undertaken which included a new temporary roadway that will allow citizen
access to the subdivision North of the site for as long as possible during construction.lt also includes additional protective barrier required by
Oncor as we encroach on their transmission tower with the temporary road. Contingency funds are available to cover the change order. No
additional Contract Time is requested.
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 is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements.
Contractor's Company Name
Contractor (Name)
Contract Signature
Date
Jackson Construction, Ltd.
Troy Jackson
y,7, ,d„.
Jan 28, 2022
Inspector/Inspection Supervisor
Date
Project and Contract Compliance Manager
Date
Jan 28, 2022
sn.dlg,,u xnd >A
Jan 28, 2022
Program Manager
Date
Senior Capital Project Officer
Date
%►t.L.
Jan 28, 2022
3,<...F"r
Jan 28, 2022
Assistant Director Water Dept. / Assistant Director TPW
Date
Director, Contracting Department (Dept)
Date
rav shv/eln, lagreh -ieur
Jan 28, 2022
--
Feb 4, 2022
,,.
Assistant City Attomey
Date
Assistant City Manager
Date
Feb 9, 2022
471i� giu.17%16
Feb 11, 2022
„ .
Council Action (if required)
M&C Number
ATTEST:
TannHf4 S Goodall
Jannette Goodall, City Secretary
NIA
M&C Date Approved
N/A
FORTWORTH
Project Name
Cllent Project #
Contractor
City of Fort Worth
Change Order Additions
I Westport Parkway - Altavista to Keller Haslet
City Sec #
55385
I FIDs:56002-0600430-5740010-101019-001780156002-0700430-5740010-101019-001780/30108-0200431-5740010.101019-002380
Jackson Construction, Ltd.
PM
Bradley Radovich
Change Order Submittal #
ADDITIONS
I11
Inspector
Date
Kevin Jackson
f 1/2612022 I
ITEM
DESCRIPTION
DEPT
Qty
Unit
Unit Cost
Total
14
12" PVC Water Pipe
Water 1 0600430
401.00000000
LF
$83.00
$33,283.00
1-5
16' DIP Water (Restraint Joints)
Water/0600430
177.60000000
LF
$249.00
$44,073.00
1-6
16' PVC C900 Water Pipe
Water / 0600430
738.00000000
LF
$114.00
$84,132.00
1-17
Ductile Iron Water fittings with Restraint
Water / 0600430
3.30000000
I N
$13,000.00
$42,900.00
1-18
Fire Hydrant
Water10600430
2.00000000
EA
$4,100.00
$8,200.00
1.25
6' Gate Valve
Water / 0600430
2.00000000
EA
$1,000.00
$2,000.00
1-26
16 inch Gate Valve wNault
Water/ 0600430
160000000
EA
$25,000.00
$25,000.00
1-27
6" Blow -off Valve
Water I 0600430
2.00000000
EA
$21,000.00
$42,000.00
111-15
2' Condt PVC Sch 80 (T)
TPW / 0200431
4,268.00000000
IF
$13.00
$55,484.00
III-24
8' Flex Base, Type A, GR-1
TPW / 0200431
789.00000000
SY
$29.00
$22,881.00
111-25
Hydrated Lime
TPW / 0200431
305.00000000
TN
$222.00
$67,710.00
111-27
4" Asphalt Pvmt
TPW / 0206431
731.00000000
SY
$26.00
$19,006.00
III-28
8" Asphalt Base Type B
TPW / 0200431
731.00000000
SY
$50.00
$36,550.00
111-29
10' Conc Pavement
TPW / 0200431
11,827.00000000
SY
$67.00
$792,409.00
111-30
6" Concrete Driveway
TPW / 0200431
381.00000000
SF
$15.00
$5,715.00
111-31
Pattemed Concrete median
TPW / 0200431
2,599.00000000
SF
$13.00
$33,787.00
III-34
4' Concrete Sidewalk
TPW / 0200431
3,656.00000000
SF
$5.75
$21,022.00
111-35
5' Conc Sidewalk
TPW / 0200431
39,937.00000000
SF
$6.50
$259,590.50
III-36
Barrier Free Ramp, Type P-1
TPW / 0200431
4.00000000
EA
$1,600.00
$6,400.00
111-37
4' SLD Pvmnt Marking HAS (W)
TPW / 0200431
941.00000000
LF
$1.50
$1,411.50
111-38
4' SLD Pvmnt Marking HAS (Y)
TPW / 0200431
1,284.00000000
LF
$1.50
$1,926.00
III.39
4' BRK Pvmnt Marking HAS (W)
TPW / 0200431
873.00000000
LF
$1.50
$1,309.50
111-40
4' DOT Pvmnt Marking HAS (W)
TPW 10200431
11.00000000
LF
$1.50
$16.50
111-41
8' SLD Pvmnt Marking HAS (W
TPW 10200431
352.00000000
LF
$2.90
- $1,020.80
111-42
12" SLD Pvmnt Marking HAE (W)
TPW / 0200431
21.00000000
LF
$8.75
$183.75
111-43
24' SLD Pvmnt Marking HAE (W)
TPW / 0200431
212.00000000
LF
$17.00
$3,604.00
III-44
REFL Raised MarkerTY II -A -A
TPW / 0200431
19.00000000
EA
$5.50
$104.50
111-45
REEL Raised Marker TY II-C-R
TPW
0000
EA
$5.50
54/3.00
111-46
Lane Legend Arrow
TPW / 0200431
2.00000000
EA
$260.00
$520.00
III-47
Lane Legend DBL Arrow
TPW / 0200431
13.00000000
EA
$390.00
$5,070.00
111-48
Lane Legend Only
TPW / 0200431
2.00000000
EA
$300.00
$600.00
III-49
Lane Legend Bike
TPW 10200431
5.00000000
EA
$330.00
$1,650.00
111-50
Lane Legend Pedestrian
TPW / 0200431
4.00000000
EA
$380.00
$1,520.00
111-51
Type C Barbed Wire Fence, Metal Posts
TPW / 0200431
2,769.00000000
LF
$7.00
$19,383.00
111-53
Insta1118' Type 1 Gate
TPW / 0200431
2.00000000
EA
$1,088.00
$2,176.00
III-54
{Topsoil
TPW / 0200431
2,755.00000000
CY
-- $42.00
$115,710.00
III-55
Block Sod Placement
TPW / 0200431
10,151.00000000
SY
$6.00
$60,906.00
11156
Seeding, Hydomulch
TPW / 0200431
2,687.00000000
SY
$1.50
$4,030.50
III-57
Seeding, Soil Retention Blanket
TPW / 0200431
3,692.00000000
SY
$1.95
S/,199.40
111-60
18' RCP, Class III
TPW / 0200431
37.00000000
LF
$59.00
$2,183.00
111-61
21' RCP, Class III
TPW / 0200431
462.00000000
LF
$64.00
$29,568.00
111-62
24' RCP, Class III
TPW / 0200431
830.00000000
LF
$88.00
$73,040.00
III-63
36' RCP, Class III
TPW / 0200431
4.00000000
LF
$159.00
$636.00
111-64
42' RCP, Class III
TPW / 0200431
579.00000000
LF
$207.00
$119,853.00
111-65
66' RCP, Class III
TPW / 0200431
222.00000000
LF
$451.00
5100,122.00
111-66
6'x3' Box Culvert
TPW / 0200431
101.00000000
LF
$471.00
$47,571.00
111-67
6'x3'Beveled Box Culvert
TPW / 0200431
67.00000000
LF
$471.00
$31,557.00
111-68
4' Storm Junction Box
TPW / 0200431
2.00000000
EA
$6,200.00
$12,400.00
111-69
5' Stonn Junction Box
TPW / 0200431
1.00000000
EA
$6,800.00
$6,800.00
III-70
6' Storrs Junction Box
TPW / 0200431
1.00000000
EA
$8,800.00
$8,800.00
III-71
Station 2+83.69 Storm Junction Box
TPW / 0200431
1.00000000
EA
$23,000.00
$23,000.00
111-72
Station 5+13.95 Storm Junction Box
TPW / 0200431
1.00000000
EA
$23,000.00
$23,000.00
III-73
18' SET-PD (4:1)
TPW / 0200431
2.00000000
EA
$2,700.00
$5,400.00
III-74
10' Curb Inlet
TPW / 0200431
13.00000000
EA
$4,500.00
$58,500.00
III-75
5' Drop Inlet w/Apron
TPW / 0200431
2.00000000
EA
$8,300.00
$16,600.00
111-76
3' Drop Inlet wlApron
TPW / 0200431
1.00000000
EA
$5,200.00
$5,200.00
111-77
No 10 Insulated Elec Condr
TPW / 0200431
8,794.00000000
LF
$1.35
$11,871.90
III-78
No 10 Bare Elec Condr
TPW / 0200431
4,397.00000000
LF
$1.35
$5,935.95
111-79
Ground Box Type BwlApron
TPW / 0200431
5.00000000
EA
$1,130.00
$5,650.00
111-80
Fumish/Install Type 33A Ann
TPW / 0200431
23.00000000
EA
$230.00
$5,290.00
111-81
"Furnish/Install 120-240 Volt Single Phase Metered Pedestal
TPW / 0200431
1.00000000
EA
$6,565.00
$6,565.00
111-82
Rdwy Ilum Assembly TY 18, 18A, 19 and D-40
TPW / 0200431
23.00000000
EA
$3,220.00
$74,060.00
111-84
LED Lighting Fixture
TPW / 0200431
23.00000000
EA
$366.00
$8,418.00
111-85
Rdwy Ilum Foundation 1 Y 3,5,6 and 8
I PW / 0200431
23.00000000
EA
$1,665.00
$38,29560
111-86
Fumishllnstall Alum Sign Ground Mount City Std.
TPW / 0200431
15.00000000
EA
$443.00
$6,645.00
COI
Temp Asphalt Widening
TPW / 0200431
972.00000000
SY
$91.50
$88,938.00
CO2
Barrier Wall, Tree Protection
TPW / 0200431
150.00000000
LF
$65.00
$9,750.00
CO3
4' Chain Link Tree Protection Fence
TPW / 0200431
696.00000000
LF
$19.00
$13,224.00
Water/
600430
$281,588.00
Sewer / 0700430
$0.00
TPW / 0200431
$2,388,241.80
Sub Total Additions
$2,669,829.80
Change Order Additions Page 2 of 4
Fot____EL42.5jit
Project Name
Client Project #
Contractor
City of Fort Worth
Change Order Deletions
I Westport Parway-Altavista to Keller Haslet
City Sect/
55385 I
I FIDs: 56002-0600430-5740010-101019-001780 156002-07004305740010-101019-001780 130108-0200431-5740010-101019-002380 I
Jackson Construction, Ltd.
PM
Bradley Radovich
Change Order Submittal #
DELETIONS
I 1 1
Inspector
Date
Kevin Jackson
1/26/2022 I
ITEM
DESCRIPTION
DEP!
Qty
Uml
Unit Cost
Total
I-4
12" PVC Water Pipe
Water/0600430
401.00000000
LF
$69.00
$2/,669.00
1-5
16' DIP Water (Restraint Joints)
Water / 0600430
177.00000000
LF
$224.00
$39,648.00
1-6
16' PVC C900 Water Pipe
Water / 0600430
738.00000000
LF
$96.00
$70,848.00
1.17
Ductile Iron Water fittings with Restraint
Water/0600430
3.30000000
TN
$12,000.00
$39,600.00
I-I8
Fire Hydrant
Water/ 0600430
2.00000000
EA
$3,900.00
$7,800.00
1-25
6' Gate Valve
Water / 0600430
2.00000000
EA
$900.00
$1,800.00
I.26
16 inch Gate Valve wNauft
Water / 0600430
1.00000000
EA
524,000.00
$24,000.00
I-2/
6' Blow -off Valve
Water / 0600430
2,00000000
EA
$20,000,00
$40,000.00
111-15
2' Condt PVC Sch 80 (1)
TPW / 0200431
4,268.00000000
LF
512.50
$53,350.00
III-24
8' Flex Base, Type A, GR-1
TPW / 0200431
789.00000000
SY
$27.00
$21,303.00
III-25
Hydrated Lime
TPW / 0200431
305.00000000
TN
$188.00
$57,340.00
III-27
4' Asphalt Pvmt
TPW / 0200431
731.00000000
SY
$24.00
$17,544.00
III-28
8" Asphalt Base Type B
TPW / 0200431
731.00000000
SY
$45.00
532,895.00
III-29
10' Conc Pavement
TPW / 0200431
11,827.00000000
SY
$62.00
$733,274.00
III-30
6' Concrete Driveway
TPW / 0200431
381.00000000
SF
$14.00
$5,334.00
111-31
Patterned Concrete median
TPW / 0200431
2,599.00000000
SF
$12.00
$31,188,00
111.34
4' Concrete Sidewalk
TPW / 0200431
3,656.00000000
SF
$5.00
$18,280.00
111-35
5' Cone Sidewalk
TPW / 0200431
39,93/.00000000
SF
$6.00
$239,622.00
111-36
Bamer Free Ramp, Type P-1
TPW / 0200431
4.00000000
EA
$1,500.00
$6,000.00
111-37
4' SLD Pvmnt Marking HAS (W)
TRW / 0200431
941.00000000
LF
$1.20
$1,129.20
III-38
4° SLD Pvmnt Marking HAS (Y)
TPW / 0200431
1,284.00000000
LF
$1.20
$1,540.80
III-39
4° BRK Pvmnt Marking HAS (W)
TPW / 0200431
873.00000000
LF
$1.20
$1,047.60
111-40
4° DOT Pvmnt Marking HAS (W)
TPW / 0200431
11.00000000
LF
$1.20
$13.20
III-41
8" SLD Pvmnt Marking HAS (W)
TPW / 0200431
352.00000000
LF
$2.30
$809.60
111-42
12' SLD Pvmnt Marking HAE (W)
TPW / 0200431
21.00000000
LF
$7.25
$152.25
III-43
24" SLD Pvmnt Marking HAE (W)
TPW / 0200431
212.00000000
LF
$14.25
53,021,00
III-44
REFL Raised Marker TY 11-A-A
TPW / 0200431
19.00000000
EA
$4.50
$85.50
111-45
REEL Raised MarkerTY II-C-R
TPW / 0200431
86.00000000
EA
$4.50
$38/.00
111-46
Lane Legend Arrow
TPW / 0200431
2.00000000
EA
$215.00
$430,00
111-47
Lane Legend DBL Avow
TPW / 0200431
13.00000000
EA
$325.00
$4,225.00
111-48
lane Legend Only
1 PW / 0200431
2.00000000
EA
$250.00
5500.00
III-49
Lane Legend Bike
TPW / 0200431
5.00000000
EA
5275.00
$1,375.00
111-50
Lane Legend Pedestrian
TPW / 0200431
4.00000000
EA
$315.00
$1,260.00
III-51
type C Barbed Wire Fence, Metal Posts
TRW / 0200431
2,769.00000000
LF
$6.00
$16,614.00
111-53
Insta1118' Type 1 Gate
TPW / 0200431
2.00000000
EA
$950,00
$1,900.00
III-54
Topsoil
TPW / 0200431
2,755.00000000
CY
$34,00
$93,670.00
111-55
Black Sod Placement
TPW / 0200431
10,151.00000000
SY
$5.00
$50,755.00
III-56
Seeding, Hydomulch
TPW / 0200431
2,687.00000000
SY
$1.20
$3,224.40
III-57
$eeding7Soil Retention Blanket
TPW / 0200431
3,692.00000000
SY
$1.50-
$5,538.00
111-60
18' RCP, Class III
fPW / 0200431
37.00000000
LF
$51.00
$1,88/.00
111.61
21' RCP, Class III
TPW / 020043f
462.00000000
LI-
$56.00
$25,8/2,00
III-62
24' RCP, Class III
TPW / 020043i
830.00000000
LF
$77.00
$63,910.00
111-63
36' RCP, Class III
TPW 10200431
4.00000000
LF
5134.00
$536.00
111-64
42° RCP, Class III
t PW 10200431
579.00000000
LF
$172.00
599,588.00
111-65
66" RCP, Class III
TPW / 0200431
222.00000000
LF
$368.00
$81,696.00
III-66
6k3' Box Culvert
'TRW / 0200431
101.00000000
LF
$363.00
$36,663.00
111-67
6'x3' Beveled Box Culvert -
TPW / 0200431
67.00000000
LF
$363.00
$24,321.00
111-68
4' Storm Junction Box
TPW / 0200431
2.00000000
EA
$5,900.00
$11,800.00
III-69
5' Storm Junction Box
TPW / 0200431
1.00000000
EA
$6,400.00
$6,400.00
III-70
is omr Junction Box
TRW / 0200431
1.00000000
EA
$8,000.00
$8,000.00
III-71
Station 2+83.69 Stove Junction Box
TPW 10200431
1.00000000
EA
$22,000.00
$22,000.00
III-/2
Station 5+13.95 Storm Junction Box
TPW / 0200431
1.00000000
EA
$22,000,00
$22,000.00
II I.73
18' SET-PD (4:1)
1PW / 0200431
2.00000000
LA
$2,600.00
$5,200.00
111-74
10' Curb Inlet
I PW / 0200431
13.00000000
EA
$4,300.00
$55,900.00
111-75
5' Drop Inlet w/Apron
TPW / 0200431
2.00000000
EA
$7,800.00
515,600.00
111-76
3' Drop Inlet w/Apron
TPW / 0200431
1.00000000
EA
$5,000.00
$5,000.00
III-77
No10Insulated Sec Condr
TRW / 0200431
8,794.00000000
LF
$1.20
510,552.80
111-78
No 10 Bare Elect Condr
TRW / 0200431
4,397.00000000
LF
$1.20
55,2/6.40
III-79
Ground Box Type Bw/Apron
TRW / 0200431
5.00000000
EA
$1,020.00
$5,100.00
111-80
Furnish/Install Iype33AArm
TPW / 0200431
23.00000000
EA
5210.00
$4,830.00
111-81
Fumish0nsta11120-240 Volt Single Phase Metered Pedestal
TPW 10200431
1.00000000
EA
$5,910.00
$5,910.00
III-82
Rdwy Hum Assembty1 Y 18, 18A, 19 and D-40
TRW 10200431
23.00000000
EA
$2,900.00
$66, /00.00
111-84
LED Lighting Fixture
TPW / 0200431
23.00000000
EA
$330.00
5/,590.00
III-85
ltowy Ilum t-ouneation 1 Y 3,5,b anid 6
I PW / 1121104J1
23.000000W
EA
51,5011.00
534,50U.U0
III-86
Furnish/Install Alum Sign Ground Mount City Std.
TPW / 0200431
15.00000000
EA
$400.00
$6,000.00
1-1
Construction Allowance (Water)
Water/0600430
30,223.00000000
EA
$1.00
$30,223.00
111-1
Construction Allowance (Paving and Drainage)
TPW / 0200431
300,000.00000000
EA
$1.00
$300,000.00
Water / 0600430
$281,588.00
Sewer /0700430
$0.00
TPW / 0200431
$2,336,639.75
Sub Total Deletions
$2,618,227.75
Change Order Deletions Page 3 of 4
MISBE for this Change Order
M/SBE Sub
Type of Service Amount for this CO
Total
Previous Change Orders
$0.00
co # DATE AMOUNT
Total
$0.00
FORT WORTH,,
Routing and Transmittal Slip
Transportation & Public Works
Department
DOCUMENT TITLE: Westport Parkway CO #2
M&C: N/A
CPN: 101019
CSO: 55385
DOC#: N/A
Date: 11/22/2023
To:
Name
Department
Initials
Date Out
1.
Ann Estes
TPW - Review
NovqE4• 29, 2023
2.
Bereket Birhane
TPW - Signature
66
Nov 29, 2023
BB
3.
Troy Jackson troyj@jacksontx.net
Jackson Constr - Signature
Nov 29, 2023
,„zz,
4.
Kevin Jackson
TPW - Signature
Nov 29, 2023
KK'-
5.
Raul Lopez
TPW - Signature
'e
Dec 1, 2023
6.
Lissette Acevedo
TPW — Signature
96qDec
1, 2023
7.
Patricia Wadsack
TPW — Signature
Dec 4, 2023
PLW/lIN
8.
Lauren Prieur
TPW — Signatures
Dec 4, 2023
9.
Doug Black
Legal — Signature
Dec 4, 2023
,WG%/b
10.
William Johnson
CMO — Signature
W,
Dec 5, 2023
11.
Jannette Goodall
CSO - Signature
Dec 5, 2023
sGs5a
12.
TPW Contracts
CC: Program Manager, Sr. CPO, TPW BSPAP Recon Team, TPW Records Room, TPW
Contracts
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: DYES No
RUSH: OYES
X
No SAME DAY: OYES No NEXT DAY: OYES No
ROUTING TO CSO: ®YES ❑No
Action Required: ❑ Attach Signature, Initial and Notary Tabs
❑ As Requested
❑ For Your Information
® Signature/Routing and or Recording
❑ Comment
❑ File
Return To: Please notify TPWContractsWortworthtexas.gov for pickup when complete. Ca11 ext.
7233 or ext. 8363 with questions. Thank you!
CSC No. 56385-0O2
FORT WORTH.
Project Name
Client Project #(s)
Project Description
Contractor
City Project Mgr.
City of Fort Worth
Change Order Request
Westport Parkway - Altavista to Keller Haslet
City Sec #
55385
101019
New 4-lane arterial roadway including shared use paths, lighting and storm drainage between roundabouts at Keller Haslet Rd and Altavista Blvd
Jackson Construction, Ltd.
Bereket Birhane
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
!Amount of Proposed Change Order
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
Change Order #
2
City Inspector
Date
11/22/2023
J
r
Kevin Jackson
Water 1060043
Sewer10700430
TPW 10200431
Totals
Contract Time
(CD)
$377,881.00
$9,875.00
$2,990,879.75
$3,378,635.75
240
$0.00
$0.00
$51,602.05
$51,602.05
$0.00
$0.00
$0.00
$0.00
$377,881.00
$0.00
$377,881.00
$18,894.00
I$18,894.00
$0.00
$9,875.00
$0.00
$9,875.00
$988.00
$988.00
$0.00
$3,042,481.80
$16,397.49
$3,058,879.29
$464,317.00
$412,714.95
CHANGE ORDERS to DATE (INCLUDING TH S ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
$3,430,237.80
$16,397.49
$3,446,635.29
$484,199.00
$432,596.95
2.01%
$4,223,294.69
240
84
324
s JUSTIFICATION (REASONS) FOR CHANGE ORDER
This change order includes the following Items of work:
A- Additional excavation and backfill needed to expose and adjust water valve discovered during construction (Item 111-96). Requesting 15 days.
B- Additional portable changeable message board used during temporary closure of Ponderosa Ranch Road and Keller Haslet Road (Item 111-97).
C- Reimbursement for connection fee paid to Tri-County Electric for street light electrical service (Item 111-98).
D- Re -mobilize to adjust fencing location on Jameson property (Item 111-99). Requesting 10 days.
E - Object markers installed on new street light poles (Item 111-100). Requesting 5 days.
E - Additional contract time due to tree protection and cattle removal (9 days), cement shortage (24 days), 66" storm drain pipe delivery (12 days), water department coordination for
extra valve (10 days), water valve adjustment (5 days), extra fence installation (10 days), extra sign procurement and installation (5 days), adjusting last chargeable construction day
from 5/17/23 to 5/12/23 (5 days), deducting days charged between 4/7/23 water valve final and 4/11/23 (4 days). 84 days total.
Staff and consultant team evaluated proposed unit prices using recent City, TxDOT and other unit price sources and found them to be reasonable
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 is
the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements.
ontractor's Company Nam: Contractor (Name) Contract Signature
Jackson Construction, Ltd. Troy Jackson .'
Date
Nov 29, 2023
Inspector/Inspection Supervisor
Date
Project and Contract Compliance Manager
Date
-^„
Nov 29, 2023
55
Nov 29, 2023
Program Manager
Date
pital Project Officer
Date
,.
Dec 1, 2023
Dec 1, 2023
,o,,
Assistant Director (Dept)
Date
'rector, Contracting Department (Dept)
Date
Pafnoa L WadsaoK
Dec 4, 2023
F
Dec 4, 2023
Date
Date
Dec 4, 2023
Dec 5, 2023
oe o,.<.,a„13
,a,so, 000,�n
11111 Council Action (if required)
M&C Number
N/A M&C Date Approved N/A
ATTEST:
Jannette Goodall, City Secretary
FORT
Project Name
Client Project #
Contractor
City of Fort Worth
Change Order Additions
Westport Parkway- Altavista to Keller Haslet
City Sec #
55385
101019
Jackson Construction, Ltd.
PM
Bereket Birhane
ADDITIONS
Change Order Submittal #
2
Inspector
Date
Kevin Jackson
11/22/2023
ITEM
DESCRIPTION
DEPT
Qty
Unit
Unit Cost Total
111-96
Expose, backfill & recompact water valve trench per COFTW directive
TPW / 0200431
1.00000000
EA
$8,480.61 $8,480.61
111-97
Special Signage per COFTW (PCMB for Residential Notification)
TPW / 0200431
1.00000000
EA
$914.25 $914.25
111-98
Independent Utility Construction (Tri-County Electric) - reimbursement
TPW / 0200431
1.00000000
EA
$4,017.63 $4,017.63
111-99
Re -mobilization (fencing requested by COFTW)
TPW / 0200431
1.00000000
EA
$1,200.00 $1,200.00
111-100
Object Markers for Light Poles
TPW / 0200431
3.00000000
EA
$595.00 $1,785.00
Water / 060043 $0.00
Sewer / 0700430 $0.00
TPW / 0200431 $16,397.49
Sub Total Additions $16,397.49
Change Order Additions Page 2 of 4
FORT WO
Project Name
Client Project #
City of Fort Worth
Change Order Deletions
Westport Parkway -Altavista to Keller Haslet
City Sec #
I 101019
Contractor
Jackson Construction, Ltd.
PM
Bereket Birhane
DELETIONS
Change Order Submittal #
2
Inspector
Date
55385 I
Kevin Jackson
11/22/2023
ITEM
DESCRIPTION
DEPT
Qty
Unit
Unit Cost
Total
Water / 060043
Sewer / 0700430
TPW / 0200431
$0.00
$0.00
$0.00
Sub Total Deletions
$0 00
Change Order Deletions Page 3 of 4
Jackson Construction, Ltd.
Change Order Request
Project: Westport Parkway
City: Fort Worth
County: Tarrant
Project #: 101019
Item
Description
Add Expose, backfill & recompact trench per COFTW directive
Add Special Signage Per COFTW (Residential Notification)
Add Independent Utility Construction (Tri-County Electric)
Add Re -mobilization (fencing requested by COFTW)
Add OM -Marker Installed on Existing Light Post
Quantity UM Bid Price Amount
1.000 EA $ 8,480.61 $ 8,480.61
1.000 EA $ 914.25 $ 914.25
1.000 EA $ 4,017.63 $ 4,017.63
1.000 EA $ 1,200.00 $ 1,200.00
3.000 EA $ 595.00 $ 1,785.00
Total
$ 16,397.49
Page 1 of 1 7/14/2023 10:01 AM
County Tarrant
Description of Work:
JACKSON CONSTRUCTION LTD.
Force Account Daily Time and Material
Project Westport Parkway. City Fort Worth Location
Westport Parkway New Location
!Expose, backfill & recompact the excavated trench atter locating the existing water valve per the COFTW directive.
EQUIPMENT
Description Hrs , Rate Amount
Caterpillar322 Trackhoe 6.00! $ 121.41 $ 728,46
Caterpillar 938 Loader 6.00 $ - 80.20 $ 481.20
Pickup -_. 10.00i $ 49.12 : $ 491,20
Description
Class C Concrete
Reinforcing Steel
Straight Tie Bars_
Drill Bit
Two Part Epoxy
Paving Chairs
2 x 12 Form Lumber
Approved:
UPCHARGE FOR
REDI-MIX CONCRTE
$ -
Sub -Total $ 1,700.86
15%I $ 255.13
Total Equipment: $ 1,955.99
(1) Foreman
(1) Trackhoe Operator
(1) Loader Operator
(3) Concrete Finisher
(5) Concrete Finisher Helper
Material
Quantity: UOM Rate Amount
3.50 CY $ 38,00 ! $ 133.00 Breakout Sawcut (Minimum Charge)
$ ._. - Trailer Trucking (Minimum Charge)
- Silicone Sealer (Minimum Charge)
$
$
$
Sub -Total: $
15%i $
Total Material: $
Steve 34-aberstroh
133.00
19.95
152.95
JACKSON CONSTRUCTION LTD.
Date 05/25/23
Date
Labor
Hours
Reg. O.T.
10.00
6.00. .. .
6.00:
30.00
50 00
Rate
Reg. . O.T.
$ 45.00 $
I$
$
$
Amount
$ 450.00
24,00 .$ - $ 144.00
22.00 $ $ 132.00
26.00 $ - $ 780.00
21.00 ! $ - $ 1,050.00
$ - $
$ $
$. $
$ _ $
$ $.
$ $
$ $
$ - $ -
Sub -Total $ 2,556.00
55% $ 1,405.80
15% $ 383,40
Total Labor:. $ 4,345.20
Subcontract
Quantity: UOM Rate Amount
1.00 Ea $500.000 $ 500.00
4.00 Hr $ 150.000 $ 600.00
1.00 Ea 8..75.0:000 $ 750.00
.$
$.
$
Sub -Total' $ 1,850.00
5% $ 92.50
Total Subcontract: $ 1,942.50
MINIMUM CHARGES
THAT WILL BE
INCCURED
JACKSON CONSTRUCTION JOB // 3274
Labor
Equipment
Material
Subcontract
Bond
Total This Sheet
Summary
$
1% $
4,345.20
1,955.99
152.95
1,942.50
83.97
8,480.61
612/2023 10:25 AM
101019 Westport Parkway Change Order #2 — Fence and Object Markers on Jameson Property
.ap for entry requested by 'dents
STA 9+72.90, 35.75' RT
WESTPORT PARKWAY
INSTALL TYPE B PULL BOX
WITH APRON
N=7039766.60
E.7039664.70
25 FOOT CLEARZONE AROUND
TRANSMISISON TOWER (ALL DIRECTIONS)
IICAUTIONII
OVERHEAD
ELECTRIC
STA 9+14.26, 35.75' LT—
WESTPORT PARKWAY
INSTALL LIGHT POLE AND
FOUNDATION
N=7039689.35
E=2340495.72
toff
€zw€
STA 10+14.26, 35.75' LP
WESTPORT PARKWAY
INSTALL LIGHT POLE AN
FOUNDATION €Of
N=7039745.92
E=2340570.00
12. X 36. 0M3-R OBJECT
MARKER MOUNTED TO
LIGHT POLE USING A
SINGLE SIGN
CONNECTION (SEE DETAIL
IN BOTTOM RIGHT HAND
OF THIS SHEET) FACING
NB TRAFFIC WITH A
BOTTOM OF SIGN
ELEVATION OF 4-FEET
ABOVE THE ADJACENT
ROADWAY GRADE.
D
—STA 12+17.83, 35.75' LT:
WESTPORT PARKWAY /
INSTALL TYPE B PULL BOX
WITH APRON /
N=7039766.60 /
E=7039890.95/
==STA 12+14.26, 35.75' LT=
WESTPORT PARKWAY
INSTALL LIGHT POLE AND
FOUNDATION=
N=7039888.36
E=2340706.75
/
12" X 36" 0M3-R OBJECT
MARKER MOUNTED TO
LIGHT POLE USING A
BACK TO BACK SIGN
CONNECTION (SEE DETAIL
IN BOTTOM RIGHT HAND
OF THIS SHEET) FACING
NB TRAFFIC WITH A
BOTTOM OF SIGN
ELEVATION OF 4-FEET
ABOVE THE ADJACENT
ROADWAY GRADE
12+00
R23
+14.26, 35.75' RT
DRT PARKWAY
L LIGHT POLE AND
)ATION
1766.60
\> 689.86
STA 10+63.97, 35.75' RT
12" X 36" OM3-L OBJECT
MARKER MOUNTED TO
LIGHT POLE USING A
SINGLE SIGN
CONNECTION (SEE DETAIL
IN BOTTOM RIGHT HAND
OF THIS SHEET) FACING
NB TRAFFIC WITH A
BOTTOM OF SIGN
ELEVATION OF 4-FEET
ABOVE THE ADJACENT
ROADWAY GRADE.
LL BOX
T-10
R10'i
i I
NIOW
Of
/
013+0E
-
/ - :.WES
Single Signs
Sign Pone
WOS'
nut
Bolts used to mount sign panels to the c
5/16-18 UNC galvanized square head with
nylon washer, flat washer and lock washe
bolt length is 1 inch for alueinun.
FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Westport Parkway from Keller Haslet Road to Alta Vista Road
CITY PROJECT NUMBER: 101019
WATER
PIPE LAID
12" C-900
16" C-900
16" DIP
FIRE HYDRANTS: 2
PIPE ABANDONED
NONE
DENSITIES:
SIZE
12"
16"
16"
SIZE
TYPE OF PIPE
PVC
PVC
DIP
LF
401
738
177
VALVES (16" OR LARGER) 1
TYPE OF PIPE LF
NEW SERVICES:
1" PRIVATE COPPER
1"
COPPER
76
l EA
SEWER
PIPE LAID
SIZE
TYPE OF PIPE
LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
FORT WORTH®
TRANSPORTATION AND PUBLIC WORKS
December 15, 2023
Jackson Construction, Ltd.
5112 Sun Valley Drive
Fort Worth, TX 76119
RE: Acceptance Letter
Project Name: Westport Parkway From Keller Haslet Rd. to Alta Vista Rd.
Project Type: Water/Storm/Paving/Street lights
City Project No.: 101019
To Whom It May Concern:
On May 17, 2023 a final inspection was made on the subject project. There were punch list items
identified at that time. The punch list items were completed on May 31, 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 May 31, 2023, which is the date of the
punch list completion and will extend of two (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
Bereket Birhane, P.E. Sr. Project Manager Office: 817.392.7862
Bereket.Birhane@fortworthtexas.gov
Sincerely,
6'eYeket 'i"hame
Bereket Birhane (Apr 16, 202411:10 CDT)
Bereket Birhane, Project Manager
Cc: Kevin Jackson, Inspector
Gary Deyon, Inspection Supervisor
Troy Gardner, Senior Inspector
Raul Lopez, Program Manager
Halff Associates,lnc, Consultant
Jackson Construction, Ltd, Contractor
City of Ft. Worth, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
CONSENT OF SURETY OWNER
TO FINAL PAYMENT ARCHITECT a
CONTRACTOR
ALA Document G707 SURETY
Bond No. 1083137 OTHER 0
TO OWNER: ARCHITECT'S PROJECT NO.:
(Masse and addreA)
City of Fort Worth
200 Texas St. CONTRACT FOR:
Fort Worth, TX 76102
PROJECT: CONTRACT DATED:
(Name and &ddn )
Project No. 101019; Westport Parkway from Keller Haslet Rd. to Alta Vista Rd.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
flaw' address of Surety)
The Hanover Insurance Company
440 Lincoln Street
Worcester, MA 01653
, SURETY,
on bond of
amen, name and addrras [Contractor)
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 Surety of
any of its obligations to
(Irrarrr name and adebessnfOrrnerJ
City of Fort Worth
200 Texas St.
Fort Worth, TX 76102
as set forth in said Surety's bond.
IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: February 13, 2024
Meer, in WINS * Me month jallawethat numeric date and ear.)
$J9i9t
Attest:
(Sear:
The Hanover Insurance Company
(Sure?t7
By:
(Sigaatunr ofautborize r eprrxra,
Holly Clevenger Attorney -in -Fact
(Pan:ec(narne and tiio)
G707-1994
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWER OF ATTORNEY
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 MASSACH USETTS 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 oorporabon organized and existing under the laws of the Stale of
Michigan, (hereinafter individuaty 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 attomey(s)-in-tad to sign. execute. seal. acknowledge and
deliver for. and on its behalf. and as Its act and deed any place within the United States. any and all surety bonds. recognizances. undertakings. or other surety
obligations. The execution of such surety bonds. recognizanoes• undertakings or surety obligations. in pursuance of these presents. shall biz as binding upon the
Company as if they had been duty signed by the 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 No1100 ($40,000,000) in any single instance
That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said Company, and said Resolutions
remain is full force and effect
Surety Bond Number: 1083137
Principal: Jackson Construction, Ltd.
Obligee: City of Fort Worth
RESOLVED: That the President or any Vice President in conjunction with any Vice President be and they hereby are authorized and empowered to
appoint Attorneys -in -fact of the Company. in its name and as it acts, to execute and acknowledge for and on its behalf as surety, any and al bonds.
reoognizanoes, contracts of indemnity. waivers of n to lion and all other writings obligatory in the nature thereof, with power to aeach thereto the scal of the
Company. Any such writings so executed by such Attorneys -in -fact shall be binding upon the Company as d they had been duty executed and
acknowledged by the regularly elected officers of the Company n their own proper persons.
RESOLVED: That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto. granted and
executed by the President or Vice President in conjunction with any Vroe President of the Company. shall be bird ng oath* Company to the same extent
as doll signatures therein were manualy of eked. even though one or more of any such signatures thereon may be facsimile. (Adopted October 7.1081 -
The Hanover insurance Company: Adopted April 14,1082- Massachusetts Bay Insurance Company; Adopted September 7. 2001-Citizen Insurance
Company of America and sf rued 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 ther respective corporate seals, duly attested by two Vice Presidents. this 68i day of April, 2023
7 kc t tare = festinate Cewyaay
1LriKiaatlb Say Iaasraan C..psay
Citbras lesrrenee employ -et Amain
N. Kawteckl, Vice President
STATE OF CONNECTICUT )
COUNTY OF HARTFORD
s s.
w..., (....,•.,
The Itaarner lawmen. Cowmpaa)
Irr1A4 Day I>rera.ce Cewpany
lesa Compeer ofAntrka
lien M. Mendota. Vice President
On this tier day of April 2023 before me carve the above named Executive Vice Presde nt and Vice President of The Hanover Insurance Company, Massachusetts
Bay Insurance Company and Citizens Insurance Company of America. to use personally known to be the individuals and officer described herein, and
acknowledged that the seals affixed to the preceding instrument are the oarporate seals of The Hanover Insurance Company. Massachusetts Bay Insurance
Company and Citizens Insurance Company of Amen. respectively, and that the said corporate seals and their signatures as officers were duty affixed and
subscribed tq n auth and direction of said Corporations.
Wendy Lstoumes
Notary Palk. State of Cornaciicut
My Ca/mission Boos July 31. 2025
wenay Lstou
My commits l n esdliriks dine 31, 2026
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 Attorney 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 13th day o1
CERTIFIED COPY
February 2024
ohm R,.addrr. V'ke Preskkai
IMPORTANT NOTICE
To obtain information or make a complaint:
You may call The Hanover Insurance Company/
Citizens Insurance Company of America's toll -free
telephone number for information or to make a
complaint at:
1-800-343-6044
You may also write to The Hanover Insurance Company/
Citizens Insurance Company of America at:
440 Lincoln Street
Worcester, MA 01653
You may contact the Texas Department of Insurance
to obtain information on companies, coverages,
rights or complaints at:
1-800-252-3439
You may write the Texas Department of Insurance:
P. O. Box 149104
Austin, TX 78714-9104
Fax: (512) 475-1771
Web: http://www.tdi.texas.gov
E-mail: ConsumerProtection@tdi.texas.gov
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your premium
or about a claim you should contact the agent or the
company first. If the dispute is not resolved, you may
contact the Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR POLICY: This
notice is for information only and does not become
a part or condition of the attached document.
Texas Complaint Notice
Commercial Lines
AVISO IMPORTANTE
Para obtener informacion o para someter una queja:
Usted puede Ilamar al numero de telefono gratis de
The Hanover Insurance Company/Citizens Insurance
Company of America's para informacion o para
someter una queja al:
1-800-343-6044
Usted tambien puede escribir a The Hanover Insurance
Company/Citizens Insurance Company of America al:
440 Lincoln Street
Worcester, MA 01653
Puede comunicarse con el Departamento de Seguros
de Texas para obtener informacion acerca de
companias, coberturas, derechos o quejas al:
1-800-252-3439
Puede escribir al Departamento de Seguros de Texas:
P. O. Box 149104
Austin, TX 78714-9104
Fax: (512) 475-1771
Web: http://www.tdi.texas.gov
E-mail: ConsumerProtection@tdi.texas.gov
DISPUTAS SOBRE PRIMAS 0 RECLAMOS:
Si tiene una disputa concerniente a su prima o a un
reclamo, debe comunicarse con el agente o la com-
pania primero. Si no se resuelve la disputa, puede
entonces comunicarse con el departamento (TDI).
UNA ESTE AVISO A SU POLIZA: Este aviso es solo
para proposito de informacion y no se convierte en
parte o condicion del documento adjunto.
181-1457(12/13) Page 1 of 1
The Hanover Insurance Company 1440 Lincoln Street, Worcester, MA 01653
Citizens Insurance Company of America 1808 North Highlander Way, Howell, MI 48843 hanover.com
0
CONSTRUCTION LTD.
5112 SUN VALLEY DRIVE
FORT WORTH, TX 76119
TEL: 817-572-3303
FAX: 817-478-0443
JACKSON
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;
Westport Parkway from Keller Haslet Rd to Alta Vista Rd
BY
l"!y!
Troy L.4'ackson,President
Subscribed and sworn before me on this date 13th of March, 2024.
Notary `Public
Tarrant, Texas
OV..''.. CARMEN L. ESTEP
Notary Public, State of Texas
'f-? Comm. Expires 04-06-2024
,,,,,,;%. Notary ID 2910611