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Home My WebLink AboutContract 54517-CO3 CSC No.54517-CO3 Fc)x^r W"R'Y City of Fort Worth Change Order Request Project Name: Contract 2019 WSM-C City Sec No.: 1 54517 Project No.(s): 59601-0600430-001780,59607-0700430-001780 DOE No. N/A City Proj.No.: 102170 Water/Sewer replacements and pavement rehabilitation on NW 27th St.,Azle Ave.,Columbus Ave.,Westwood Ave., Project Description: Sunset Ln.,and Loving Ave. Contractor: Jackson Construction,Ltd. Change Order# Date: 1 8/19/2021 City Project Mgr. Leon Wilson-- City Inspector: I Jesse Reed Phone Number: 817-392-2387 Phone Number: 817-392-8362 Contract Time Dept. Water Sewer Paving Totals (Calender days) Original Contract Amount $4,366,241.50 $144,414.50 $4,510,656.00 500 Extras to Date $6.11 $599,815.00 $264,943.50 $864,764.61 175 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $4,366,247.61 $744,229.50 $264,943.50 $5,375,420.61 675 Amount of Proposed Change Order $0.00 $14,415.00 $0.00 $14,415.00 Revised Contract Amount $4,366,247.61 $758,644.50 $264,943.50 $5,389,835.61 675 Original Funds Available for Change Orders $130,987.50 $14,441.00 $0.00 $145,428.50 Remaining Funds Available for this CO $130,981.39 $14,441.00 $145,422.39 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 19.49% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $5,638,320.00 JUSTIFICATION(REASONS)FOR CHANGE ORDER Change Order No.3 will provide for the following items that are necessary on the project: •Re-lay M-161 wih DIP(w/Protecto 401)from 3+00 to 4+20 including 4 services to allow for a segment of project sewer main to run manhole to manhole. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full(both time and money)for all costs arising out of,or incidental to,the above Change Order. Contractor's company Name Contractor Name Contractor Si na re Date Jackson Construction,Ltd. Carmen Estep 08/19/2021 Inspector Date l Project Mana er Date -2/ �Zj Director Water pet Date Construction Supervisor Water Dept Date T . Aug 24,2021 �� a+1-- rr�ri�-T a,rsmpn.,a,d.,(Ag 24,zon oam CDT) Assistant City Attorne Date Assistant Ci Manager Date ug 27,2021 Oil Aug 26,2021 Borghd.ff(Aog27,2o ,. vela 1 Au 2 Council Action If Required) OFFICIAL RECORD M&C Number F_ N/A M&C Date Approved CITY SECRETARY FT. WORTH, TX F(oRT City of Fort Worth Change Order Additions Project Name Contract 20191NSM-C City Sec No.: 54517 Project No.(s): 59601-0600430-001780 59607-0700430-001780 DOE No. N/A City Proj.No.: 102170 Project Water/Sewer replacements and pavement rehabilitation on NW 27th St.,Azle Ave.,Columbus Ave.,Westwood Ave., Description Sunset Ln.,and Loving Ave. Contractor Jackson Construction Ltd. Change Order:= Date: 8/19/2021 City Project Mgr. Leon Wilson City Inspector Fiesse Reed ADDITIONS ITEM =7170 DEPT Qty Unit Unit Cost Total 35 Re-lay M-161 with DIP(w/protecto 401)from 3+00 to 4+20 incl.services Sewer 1.00 LS $24,415.00 $24,415.00 Water Sewer $24,415.00 Paving rage i of 1 Additions Sub Total $24,415.00 FCC RT WC3 RT H City of Fort Worth Change Order Deletions Project Name I Contract 2019 WSM-C City Sec No.: 54517 Project No.(s): F 59601-0600430-001780,59607-0700430-001780 DOE No. N/A City Proj. No.: 1 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 Jackson Construction, Ltd. Change Order: EE Date 8/19/2021 City Project Mgr. I Leon Wilson City Inspector: Jesse Reed DELETIONS ITEM DESCRIPTION DEPT Qty JUnit Unit Cost Total 30 Sewer Allowance Sewer 1.00 LS $10,000.00 $10,000.00 Water Sewer $10,000.00 Paving Page 1 of 1 Deletions Sub Total 1$10,000.00 NIMBE Breakdown for this Change Order MWBE Sub Type.of Service Amount for this CO Total $0.00 --j Previous Change Orders CO# DATE AMOUNT Total $0.00 Page 1 of 1 i I i Contract Compliance Manager By signing Z acknowledge that t am the person responsible ) for the monitoring and administration of this contract,including enstuing all performance and reporting requirements. j Signature i I _Leon Wilson, Jr. Name of Employee I Project Manager Title �� P. CiUf7zGLCES LO�,o oo nn�.� OATTEST: 10000 4 9,►0 Ronald P.Gonzales( ug 27,202112:19 CDT) ^O O �1 000 Ronald Gonzales *o o.*�d ,) ' o ° Acting City Secretary �� °°O °°0000 `� I • I OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX i • I