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CITY SECRETARY r t
Routing CONTRACT N0._ $�o�-C- 04
Assigned To: Due Date:
Assigned By: Due Time:
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fortworthgov/Infrastructure Proiects/02506 - Marine Creek Parkway/Contractor/Change Orders/CHANGE ORDER
#4/CHANGE ORDER #4 Revised 11.14.18.xls
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CFW Change Order Approval St-COApp03 Page 2 of 3
FORT WORTH(,, city of Fort Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: F4
Change Order No.: St-COApp03 Date Started: 2018-11-16
City Sec. No.:148125 Date Due: 2019-01-05
Project Name:Imarine Creek Parkway
Project Numbers: 02506 DOE Numbers:
Project Marine Creek (Old Decatur to Grayson) Construct 4-lane divided
Description: roadway
Project Manager:JWilma Smith City Inspector: JEdwin Rodriguez
Contractor:1jackson Construction
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number:I `� M&C Date: �-
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW T �54,321.47�134014-0200431-5740010-CO2506-G 124
Water $ -72,943�6�X56005-0600430-5740010-CO2304 r���
Total Cost:l$ `18,622.22' Total Requested Days: 124
Approval Status:
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CFW Change Order Approval St-COApp03 Page 3 of 3
Approved: Yes
Comments:
:User: Carmen Estep
.Date: 2018-11-16 2:04 PM
Approved: Yes
.Comments:
:User: Wilma Smith
Date: 2018-11-16 3:42 PM
Approved: Yes
Comments:
User: Lissette Acevedo
Date: 2018-11-28 9:45 AM
:Approved: Yes
Comments:
User: Signing for TPW Director Role Approvals
Date: 2018-11-28 11:11 AM
Approved: Yes
Comments:
User: Doug Black FQR.
;Date: 2018-12-10 3:25 PM
Attested by- J.-.:
_
Approved: Yes
.Comments: ,
User: Susan Alanis
Date: 2018-12-12 5:30 PM Mary J. a (ser./Cit- Secre .•5
1L)CA
Action Required:
fOFFICIAL RECORD
TY SECRETARY
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FORT WORTH® City of Fort Worth
Change Order Request Breakdown
Project Namel Old Decatur Road and Marine Creek Pkwy&Northside 11 48"Water City Sec# 1 48125—�
Client Project#(s)l 02506
Contractor Jackson Construction,Ltd PM Wilma Smith Inspectorl Edwin Rodriguez
Change Order Submittal# ® Date 11/13/2018
Dept. TPW WATER SEWER Contract Time
Totals CD
Original Contract Amount $8,393,504.00 $3,032,795.00 $11,426,299.00 480
Extras to Date $82,490.90 $294,801.92 $377,292.82
Credits to Date $60,602.47 $38,952.90 $99,555.37
Pending Change Orders(in M&C Process)
Contract Cost to Date $8,415,392.43 $3,288,644.02 $11,704,036.45 480
Amount of Proposed Change Order $54,321.47 -$72,943.69 $0.00 -$18,622.22 124
Revised Contract Amount $8,469,713.90 $3,215,700.33 $11,685,414.23 604
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00 $0.00
Additional Funding(if necessary) $54,321.47 $54,321.47
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 2.27%
MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $14,282,873.75
JU tTlFICATION(REASONS) FOR CHANGE ORDER
Change Order#4
Includes:
-All Over/Unders for 02506 MCP except for deletions for 137, 138, 140 and 1115.
-Additional Striping Quantities,received from Jackson on 08/08/2018
-Correction amount($1,542.00)from Change Order#2(which billed 514 SY of item 1-37 at$56.60 instead of$53.60 as bid)
FOR_ Tr, City of Fort Worth
Change Order Additions
Project Name Old Decatur Road and Marine Creek Pkwy&Northside 11 48"Water Transmission Main,PH 2 City Sec# 48125
Client Project# 02506
Contractor Jackson Construction,Ltd PM Wilma Smith InspectorlF Edwin Rodnguez
Change Order Submittal# ® Date 11/13/2018
ADDITIONS
lll:M DESCRIPTION DEPT Qty Unit Unit Cost Total
17--MI.0401 emove oncrete rive
117 9999.0000 Remove and Relocate 8'Metal Tube Gate STA 41+00 TPW 2.00000000 EA $990.00
133 3211.0400 Hydrated Lime TPW 1.53000000 TN 1 80. 0
134 3211.0502 8"Lime Treatment TPW 73.00000000 SY 3.50
15 3212. 03 3"Asphalt Pvmt Type D TPW 215.60000000 SY 22.00
136 3212.0503 6"Asphalt Base Type B TPW 227.70000000 SY $36.00
159 3217.0001 4"SLD Pvmt Marking HAS(W) TPW 10,452.00000000 LF $1.26
163 321 ,0201 8"SLD Pvmt Marking HAE(W) TPW 711.00000000 LF 2.50
164 3217.0201 8"SLD Pvmt Marking HAE(W)WIContrast(3'Stripe,T Spacing)TPW 145.00000000 LF 2.50
19 321 .1003 Lane Legend DBL Arrow TPW 4.00000000 EA 550.00
170 9999.0000 Lane Legend Word TPW 14.00000000 EA 350.00
173 321 .2103 REFL Raised Marker TY II-A-A TPW 34.00000000 EA 7.00
175 9999.0000 2'Diameter SLD White Circle Pvmt Marking TPW 9.00000000 EA 90.00
178 3217.4301 Remove-4"Pvmt Marking TPW 25.000 0000 LF $1.0D
126 3441.4 0 Remove and Reinstall Sign Panel and Post TPW 1.0 000000 EA 500.00
1129 9999.0000 Detour Route TPW 1.00000000 EA 1,500. 0
113 3291.01 0 Topsoil TPW 16.00000000 Y 3 .00
V18 999.0000 Allowance-Irrigation Restoration TPW 16, 49.3800 000 EA $1.00
VI1 2605. 015 2"CON T PVC SCH 80(T) TPW 1,765.00000000 LF 10.00
10"Concrete Pavement for Cromwell Marine RAB TPW 934.00000000 SY $66.76
NEW 2"Outline Around Word(Yield) TPW 13.0000 000 EA $183.75
NEW 2"Outline Around DBL Arrow TPW 13.00000000 EA 105.0
NEW 2"Outline Around Arrow TPW f2.0000007OU EA 57.75
NEW Striping Re-Mobilization Charge TPW 1.000 000 LS 17890.
TPW $144,010.95
WATER $0.00
SEWER $0.00
Sub Total Additions 144,010.95
Change Order Additions Page 2 of 4
FORTWORTH City of Fort Worth
Change Order Deletions
Project Name Old Decatur Road and Marine Creek Pkwy&Northside 11 46*Water Transmission Main,PH 2 CitySec# 48125
Client Project# 02506
Contractor Jackson Construction,Ltd PMj Wilma Smith Inspectorl Edwin Rodriguez
Change Order Submittal# ® Date 11/13/2016
DELETIONS
ITEM DESCRIPTION I DEHI ty Unit UnitCost Total
ernovean apace Existing Woog7ence WIN 1bU.UUUUUUUU LF $50.007.5
155 9999.00119 Integral Colored/Textured Concrete Pedestrian Buffer TPW 2.0 000 00 SY 165.00
158 9999.0 00 Permanent Type III Barricades TPW 1. 00000 EA 700.00 7
160 3217.0003 4'BRK Pvmt Marking HAS(W) TPW 65. 000000 LF
161 3217.0005 4"DOT Pvmt Marking HAS(W) TPW 488.00000000 LF 1.25
162 3217.0002 4"SLD Pvmt Marking HAS ) TPW 2-74 0TO-00-MU LF $1.25 .5
165 3217.0501 24"SLD Pvmt Marking HAE(W)(10'Stripe,4'Spacing) TPW 436.00000000 LF $13.00 5,
167 3217. 0 01 18' LD Pvmt Marking HAE(W) TPW 64.0 0 00 LF 16.00
17T-3217,2102 REFL Raised Maker TY I-C TPW 11. 000000 EA $7.00 77.
174 3217.2194 REFL Raised Marker TY 11-C-R TPW 4.00000000 EA 7.00
177 9 99.00 0 Lane Legend Bike Lane ymbol and Arrow TPW 5. 0 000 EA 20.00
182 3231.04 2 6'Fences,Wood TPW 125.0000 0 LF48.0
197 3305.01 9 Trench Safety TPW 253. 0000 0 LF $1.00 $253.00
1101 3341.0201 21'RCP,Class III TPW 64.0000 00 LF 92.0 5,
1102 3341.0295- 24'R P,Class III TPW 1 o.00 o 000 0 LF 100.00
1105 3341.0309 36"RCP,Class III TPW 54.00000000 LF 60.00
11 72-3292.0100 Block Sod Placement TPW 240.00-013000 000 SY 5.00
1134 9999.0000 Paving Construction Allowance TPW 1.0000000 LS $12,964.480
111 3311.0141 6'Water Pipe WATER 9.0000 0 0 LF $67.00
115 3305.0109 Trench Safety WATER 00000000 LF $1.00
1114 3201.0 6'Wide Asphalt Pvmt Repair,Arterial WATER 32.00000000 LF 10.00 ,5
1116 3301. 1 Pre Tv Inspection WATER 350.00000000 LF 3.50 5.
1117 3301.000 Post-CCN Inspection WATER 1 138.0000000011 LF 1.50 7.
11117 3297.-0-10-0--B-lock od Placement WATER 20.00 0000 SY $10.06
1112T-9999.0000 Construction Contingency Allowance to cover costs of Improveme WA ER 1. 0000 0 L 5,00.00 5,
IV15 3305.0110 Utility Markers WATER 1.00000000 LS 95 VE
--IVT7 9999.0000 Construction Contingency Allowance to cover costs of Improveme WATER -------1.0-000-0-09---L9-- $41,229.69
V12 2605.3016 2'CONDT PVC SCH 80(B) TPW 1,590.00000000 LF $20.00
NEW CORRECTION AM UNT FOR CO#2-1 'Conc Pvmt Price TPW- 1.00000000 L 1,5 2.0 5
TPW $89,689.48
WATER $72,943.69
SEWER $0.00
Sub Total Deletions 162,633.17
Change Order Deletions Page 3 of 4
M/SBE Breakdown for this Change Order
M/SBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
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.
1AVff
Name of Employee
Title
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX