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Home My WebLink AboutContract 58499-FP1FORT WORTH, WATER DEPARTMENT NOTICE OF PROJECT COMPLETION -FP1 City Secretary No: 58499 Date Receivedl2/11/2023 City Project No: 100421-2 Regarding contract 58499 Sanitary Sewer Rehab Contract 94 Part 2 for as required by the WATER DEPARTMENT as approved by City Council on 9/27/2022 through M&C 22-0736 the director of the WATER DEPARTMENT upon the recommendation of the Assistant Director of the 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: Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: Less Previous Payments: Final Payment Due Recommended for Acceptance Asst. Director, WATER DEPARTMENT Christopher Har6er (Dec 11, 202310:16 CST) Accepted Director, WATER DEPARTMENT Dana But;ghdoff Dana Burghdcff (Dec 1 , 202317:33 CST) Asst. City Manager 2.070.384.00 $ (7,600.00) N.a 2 $ 2,062,784.00 $1,704,077.50 Days @ $650.00/ Day $1,704,077.50 $1,618,873.62 $ 85,203.88 Dec 11, 2023 Date Dec 11, 2023 Date Dec 11, 2023 Date Comments: OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Contractor's Application for Payment 1To (Owner): City of Fort Worth Invoicing Period (From -To): 12/01/2023 - 12/06/2023 P.O. FW060-0000021312 From (Contractor): Number. R & D Bums Brothers, Inc Project: 100421-2 Contractor's CFW Vendor No.: 0000015719 City Secretary Contract Number. Approved Change Orders Number 1 2 3 4 5 6 7 8 S8499 Application For Payment Change Order Summary Additions $58,520.00 $15,580.00 Invoice No. 9 - FINAL Invoice Date: 12/6/2023 Remit to ( If Not Automatic Deposit): ContractName: Naam: Sanitary ta Sewer Rehabilitation Contract 94, Part 2 TOTALS $74,100.00 NET CHANGE BY-$7,600.00 CHANGE ORDERS Contractor's Certification 1. ORIGINAL CONTRACT PRICE.......................................................... $ Deletions 2. Net change by Change Orders................................................................. $ $66,120.00 3. Current Contract Price (Line 1 t 2)........................................................ $ $15,580.00 4. TOTAL COMPLETED AND STORED TO DATE (Progress Estimate, Construction Allowance and Change Orders)....... $ S. RETAINAGE: a. X $1,704,077.50 Work Completed.......... $ b. X Not Used $ c. Total Retainage (Line 5a + Line 5b)................................ $ 6. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c)............................. $ $81,700.00 7. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)........, $ 8. AMOUNT DUE THIS APPLICATION ................................................. $ 9. BALANCE TO FINISH, PLUS RETAINAGE (Column G on Progress Estimate+ CA+ Cos + Line 5 above) ............... $ The Contractor certifies with the submittal of this document and associated Payment Request Submittal on the City of Fort Worth Buvzsaw system that to the best of their knowledge: (1) all previous progress payments received from Owner on account of Work done under the Contract have been applied on account to discharge Contractor's legitimate obligations incurred in connection with Work covered by prior Applications for Payment; (2) title of all Work, materials and equipment incorporated in said Work or otherwise listed in or covered by this Application for Payment will pass to Owner at time of payment free and clear of all Liens, security interests and encumbrances (except such as are covered by a Bond acceptable to Owner indemnifying Owner against any such Liens, security interest or encumbrances); and (3) all Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective. Liquidated Damages $650.00 x day Donald Burns Donald Burns (Dec 11, 2023 07:20 CST) 10. CONTRACT TIME: a, Days Awarded b, Days Added by CO C. Total Days $2,070,394.00 -$7,600.00 $2,062,784.00 $1,704,077.50 $1,704,077.50 $1,618,873.62 $85,203.88 $358,706.50 320 320 d. Days Charged 217 e, Days Remaining 103 Affidavit of Bills Paid Consent of Surety pb� Thic A,— —+ K— tenon —qif—A f,-- 4+ f— — — G irnrr, rinr--+ 4 +h. -- air✓ —f hin hlinh+fho Progress Estimate For(.pnvau>: Sanitary Sewer Rehabilitation Contract 94, Part 2 Application Pedod: 12/01/2023 - 12/00023 A Item Bid Item No. Description 1 3331.4115 8" Sewer Plpe PVC SDR-26, Acceptable Madill2 3331.4119 8' DIP Sewer Pipe with Preteclo 401 Coating 3 3331.420110M Sewer Pipe PVC SDR-26, Acceptable Backfill 1 4 3331.420510"DIP Sewer Fipe vAth Protect. 401 Coating 1 5 M05.100216- Steel Casing by Open Cut 6 3339.00D1 Yr Manhole Liner (Warren Environmental or Chesterton) 1 7 3339'100 Manhole 8 3339.1002 Drop 4' Manhole 1 9 3339.1W3 4' Extra Depth Manhole 1 30 3331.31024" Sewer Service with 2-way Cleanouts 11 3331.31054" PVC Prlvate Service Relocation 1 12 0171.0101 Construction Staking 1 13 0171.0102 Red Une As -Built Survey 14 0241.2001 Abandon Existing 5- Line with Flowable Fill I 15 0241.210512- Sewer Abandonment Plug 1 16 1241.2101 R 1-41'Sewer Manhole 1 17 0241.SWIAW don Manhole 18 3110.0102 V--I2"Tree Removal 19 3110.010312"-18"Tree Removal 20 3110.01041 B"-24"Tree Removal 21 ,, 0.010524" and lamer Tree Removal 22 3125.01015WPPP> 1"' 23 3136.0104Twlsted Gab lot Mattresses 24 3201..1136"Mole Asphalt Pvmt Repair, Residential 25 3201,03023" Extra Width Asphalt Pavement Repair 26 3201.0614 Cone Pvmt Repair, Residential 27 213.0102 T' Concrete pavement 28 213.0401 G Concrete Orlveway 29 i216A3016"Coot Curb and Gutter 30 3231.01214' Chain Unk Fence, Aluminium 31 3231.01225' Chain Unk fence, Aluminium 32 3131.01210 Chain Unk Fence, Aluminium 33 3231.01248'[ha1 Unk Fence, Aluminium 34 3231.01314' Wrought Iron Fence 35 3231.02135' Wire Mesh Fence, Metal Posts 36 3231.04126' Fences, Wood 37 '91.OiW Topsoil 38 3292.0100 B1.ck Sod Placement 39 3292.0400 Seedi . Hydrolaulch 40 3302.TV DW1 Pre-CCInspection 41 3301.OW! Post -CCTV Inspection 42 3101,0101 Manhole Vacuum Testing 43 3305.0303 Exploratory Excavation of Exlstim Utilities 44 3305.OIW Trench Safety 45 3305.0112 Concrete Collar 46 3.5.0110 Uti1Ry Markers 47 3305.0201 I'Ported Ell edmenl/BackRIh CSS I 48 3W5.02031mPorled Embedment/Backfll, CUM I 49 W5.0207 Imported Embedment/Backflk Select Fill 1 50 71.000S Tram. Control St. 9B."I Sewer Construction Allowance I 52 res Mitigation 53 Tree Ret-flon Specifi-ion Senlon No 333120 331110 333120 331110 330510 33 39 60 33 39 20.33 39 20 33 39 20.33 39 20 33 39 20, 33 39 20 333150 333150 017123 017123 0241 14 0241 14 024114 0241 14 31 10 00 31 10 W 31 IBM 31 10 00 312500 313600 320117 32011] 320129 321313 321320 323613 323113 121113 323113 323113 323113 323126 323129 129111 329213 329213 330131 330131 330130 33 05 30 330510 330517 330526 330510 330510 330510 347113 0000 OD Unit of a-. Bid Quantity 2178 645 1465 so 200 172 50 118 22 WO I 1 120 2 15 3 8 6 1 1 1 154 1W 10 226 222 80 190 30 180 30 100 100 50 50 W 250 7000 3357 4857 24 9 4857 24 1 350 SW 200 I 80 City seeretary 58499 Contract N- a Unit 16" Bid Value $129.00 $2W $7,000.0 $8,500.00 $300.00 $2,000.W _ $65.00 _ $12,500.00 $6,500.00 $380.00 $500.00 $750.00 $750.0) - - $750.00 $1,000.00 $1.500.00 - _ _- $2,000.00 $15,000.00 _ $1,300.00 $155.W $5000) $2W.06 $190.00 $25.00 $90.00 $60.00 _ $70.00 SIDO W $120.00 $11500.00 _ $13,500C $1.00 $4,857.0 $1,000.00 $24,000.0 $2,'00.00 $2,S0' .0 $125.W $43,750.0 $230.01) $115,000.0 $80.00 $16,000.0 $3,500.00 _ $14,000.0 $801000.00 _ $80,000.0 $10,000.W $10,000.0 $3W.W $24,000.0 C D Ennead Qwntity Veluc Pravioudy lnsrallel Value Value This Period Innallcd 2194,00000000 $2.3.026.06 $283,026.00 23000000000 S40020.00 $40,020.00 1465.00000000 $203,635.00 _ $203,635.00 569.00000DOD $110,366.0$ $110,386.00 1500000000D $37,500.W $37,500.W 177.400000W $75,395.00 S75,395.00 - - - 19000OOOW _ $133,000.00 $133,000.00 5.00000000 $42,500.00 $42.500.00 111.]500.... $33,525.00 $33,525_00 22.W000000 $44,000.00 $44,001100 1.00W000O $1250D.W $1250D.00 1.OD000000 _ $6,W0.00 $6,50D.00 72.OD000000 - -- $27,360.00 --- - $27,36DW 2.00000000 _ _.. $1200o.00 $1,OW.W 14.OD000WD $10ADD.W _- $10,5W 00 300000000 $2,260.W _ $2.250.00 11.000OWW $8,250.0) $8.250.00 200000000 $2,000.01) $2.000.00 1.00000000 $15.000.W $15MOIXOD 11000DW000 $1430W.W $143,000.00 173.00000000 $26,615.00 _ $26,815.00 91.50WOW0 $4.575.00 $4,576,00 238,0)ODWW $47.600.00 $47,600.00 219.8000000 $41,76FOO _ $41,762.00 513.90000000 $12,847_W50 $12.847.50 W.00000000 _ $4,5.00 $4,5000O 28.000WOOD $1,6111) W $1680.00 150.00000000 $10,500.00 $10,500.00 25.00WOWO $2,500.00 $2500.00 25XOOWOW $3,000.W $300.W 3DODD000OO $3.000.00 $1000.N 600D000OOO $4,50DW $4.500,00 25.OD000000 $2125.W _ $2,125.00 60.OD000000 $6,000.00 $6.000.00 211.D0000000 $8.730.00 $8."0.0' 6559.00DWWO $39,359.W $39,314.00 3096.00000000 $18,576.00 $18,576.DO 4035000D0000 $29,028.00 $29.028.00 _ 24.000000W $7,200.00 S7,200.00 9.000000W $13,50000 $13,500.W 43BB.W000OW - - $4,368.00 $4.388.00 22.00000000 $22.000.00 $22.000-00 1.00000000 $2.500.00 $2,500.00 117.00000000 $14,625.W $14,625.00 70.000000OO $16,100.00 $16.100.00 -- 200.00000000 $16.000m $16,0W.00 4.00000000 $14,000.OD $14.000.00 60.00000000 $2A,000.00 $24.000.00 This docum ut has been modified fmm itsodgi.,l foam as an MCDC document and the user did oat highlight the nsodificmions. You ere encouraged to reed tlm dac-.1 o rafully and consult I-[ Counsel prim to its execution. G620 Unit Pd. Not- Eslimale Contractor's Application Appfi,,I n Nvmbt, 9 - FINAL Applkafon Dat.: 12/6/2023 E F G Told C-plOol % Besets, to Finish Materiels Presemly and Stored to Dare (F) (B-E) Srored (not in C) (D♦E) B $283,026.W 100.7% 42,054.01) $40,020.60 35.7% $72,210.00 $203.635.00 100.0% $110.386.00 IOO.D% $37,5W.00 75.0% $12,5WOO $75,395.00 103.1% _ -$2.295.00 $133.065.09 95.0% $7,000.00 _ $42,500.01) 1000% $33,525.00 94.]% $1,875.W $44,OW.00 10.0% $32,500.00 $12,500.00 1 W.0% $6,50D.00 10110% $27,350.00 60.0% $18.245.W - $1.000.00 100.0% $10,500.00 93.3% $750.00 $2.250.00 100.O% $6,250.00 137.5% -$2.25D.W $2,000.00 33.3% $4,OWOO _ $1.500.00 $2.ODD.00 $15,0W.01) 100.0% $143,000.00 71.4% $57,2W.00 $26,815.W 108.1% -$2,015.00 $4.575,00 915.0% 44.075.00 $47,600.00 1053% $2.4W.00 $41,762.00 99.0% 41418.00 $12.847.50 6424% -$10,847.50 $4,50000 27.8% $11,70D.00 $1,68D.W 93.3% $12MOD $10,600.00 83.3% $2,100.00 $2,500.0) 250.0% 41,500.00 $3,000.00 25.0% $9,00D.00 $3,000.00 30.0% 57,00100 54,500.00 120.0% 4750.00 $2,125.00 50.0% $2.125.00 $6,000.00 1 W.0% $B,7W.00 1164% -$1,230W $39,354.00 93.7% $2646W $16,576.00 92.2% $1,566.W $29.028.00 1.6% _ $114.00 _ $7.200.00 1000% $Ia5OD.0D 1000% $4,385.00 90.3% $469.00 =,0W.00 91.7% $2,ODD.00 $2,500.00 1000% $14,625.OD 3a4% $29.125.06 $16100.01) 14.0% $98,900.00 $16,000.00 100.0% $14,000.00 10D.0% SBO,OW.W $10.000.00 $24,000.00 100.0% 0111lily Inaralled This Period Progress Estimate IF0'(eOmra"): Sanitary Sewer Rehabilitation Contract 94, Part 2 IApplieation Period: 12/01/2023 - 12/06/2023 A Item Bid Item No, Dmcription Cb Unit Price Progress Estimate City Secretary 58499 Contractor's Application C..—Num: Application Nnmber: 9 - FINAL Application Date: 12/6/2023 B C D e F G Estimated Quemity Matenals Presently Tmel ComPleled % Bnlnn to Fimh Unit or Bid Quamity UnitPrice Bid Value Value Previously Installed Value Value This Period end Stored to Dale (F) (B-F) Qnanlitylnstnlled This Measure l Installed Stored ( Specification Session M. _in C) (D+e) B Periad This document has been nwdified fiom its original form as en eICOC dacumem and she user did rim higNighl the modidcatwns You ere emnuragM so read Ihedaumem wmrully and consult Legal Coumel poor to its exwutbn. C-620 Unit Price Progress Estimate Progress Estimate Citysecre 58499 Contractor's Application cmllrea xnm: Sanitary Sewer Rehabilitation Contract 94, Part 2 Appik..i0n Numb.,: 9 - I INAL Applicafon Perina: 12/0112023. 12/06/2023 Application Dmc: 121612023 A B C D E F G Item Tmal Completed % B,I n to Finish Estimated Quantity Materials Prexntly Bidllem No. Description Igpecifiemion Section No. UNI of Bid Quantity Unit Psice Bid Value Value Previously lnstalkd Value Value This Pedod end S(1)+to Oate (F) (B-F) Qnantitylnstnlled This Installed Stortd (not in C) (p+E) B Period Messum This d°cumcnl has been modified from its osiginel form es an EICDC dawmem and the user did om highlight the nmdif im . You are encouraged la read the d—w carefully end comult Legal Counsel prim W its -,flu n. Progress Estimate citysecretary 58499 Carina Num: IFor(Cerd—t)Sanitary Sewer Rehabilitation Contract 94, Part 2 IAppl"aeon Penod: 12/01/2023-12/0612023 A B C � Item Unit or Bid Quantity Unit Price Bid Value Emint-d Quantity Bid Item No. Deudption Specifsoub, Swim No. Measure Installed Totals $2.070.384.00 C-620 Unit Price Progress Eslimale Contractor's Application AppBcaftoa Namber: 9 - FINAL Appliation Data: 12/6/2023 l D E F G 1 Total Completed % Bats —to Finish Materials Presently Value PreKously Instilled Value Value This Period Storcd(notin C) end Stored tDate (F) (B -F) Qnantitylnsnlled This (D+E)B Perlod This dacumem has been modified fmm ds original form es an BICDC document end It—, did.. highlight the modigcaaans. You an, encouraged to reed the document carefully end consult Legal Counsel prior 11 its "Mtion $1.632,752.60 78.9 0 $437.631.50 Progress Estimate Change Order Number 1 1 ADDITIONS C-620 Change Order Contractor's Application For (contract): 100421-2 Sanitary Sewer Rehabilitation Contract 94, Part 2 City Secretary 58499 Applia6on Number. 9 - FINAL Contract Num: Application Period: 12/01/2023-12/06/2023 AppliadortDate: 12/6/2023 A B C D E F Imm Change Order Item Description No. 54 8" SDR 26 CL 160 PSI Pipe Addition Estimated Quantity Previously Value This Tom) Completed Minced Specification Unit of CO Quantity to Add UtdtPriec Change Order Insmlled Value Installed Value Period Stored (not in C) and Stored to Date (not in C) � Section No. Measure Value (D+E) B LF 390.00000000 S154.00 $59.520.00 380.00000000 S58.520.00 $58320.00 S5M20.00 100.E This document has been modified from its original form as an E)CDC document and the met did not highlight the modifications. You arc encouraged to read the document carefully and consult Legal Counsel prior to its execution. Balance to Finish (B - F) C-620 Change Order Totals 558520.00 SS8S20.00 558.820.00 SSBS20.00 100.0% This document has been modified from its original form as an FJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefully and consult legal Counsel prior to its execution. C-620 Change Order Progress Estimate Change Order Number I 1 I Contractor's Application DELETIONS For (contract): Sanitary 100421-2 Sewer Rehabilitation Contract 94, Part 2 Application Number. 9 -FINAL Application Period: 12/01/2023-12/06/2023 Application Data: 12/6/2023 A B C D E F Change Order loan Itcn' CO tito Specification Unit of Q°0° ry Deletion Unit Price Change Order Not Used Not Used Not Used Not Used Not Uwd Not Used Not Used Not Uscd No. Dcscripiion Section No. Mpsurc Delete Value I 8"DIPS—Pipewith Pmteeto401Caating LF 380.00000000 S174.06 S66.120.00 Totals _ S66.120.00 This document has been modified from its original form as an FJCDC document and the user did not highlight the modifications. You we encouraged to read the document mmfully and consult Legal Counsel prior to its execution. C-620 Change Order Progress Estimate Change Order Number 1 2 ADDITIONS Contractor's Application For (contract): 100421-2 Sanitary Sewer Rehabilitation Contract 94, Part 2 City Secretary 58499 APP6cationNumber: 9 - FINAL Contract Num: Application Period: 12/01/2023 —12/06/2023 Application Date: 12/6/2023 A B C D E F Item Balance to Finish Specification Unit of CO Quantity to Add Unit Price Addition Change Estimated Quantity Value Previously Value This Materials Presently Total Completed and Stored to Date % (F) �-F ) Change Order Item Description Order Value, imsmlled Installed Value Period Stored (not in C) (D+E) B No. Section No. Measure 55 Carleam _ Sewer SY 200.00000000 S35.00 115.00000000 54,025.00 _54,025.00 S4.025.00 57.5% $2,975.00 56 Major Manhole Adjustment _ _._ Sewer EA 1.00000000 S4,800.00 S4,800.00 1.00000000 S4,800.00 54,80000 S4,800.00 100.01/6 57 6"Smotr SDR-26Pipe _ Sewer LF 20.00000000 S125.00 S2,500.00 20.00000000 S2,500.00 S2,500.00 $2,500.00 100.0% 58 Sidewalk Romave/Replaee _ Saver SF 64.00000000 S20.00 S1,280.00 74.00000000 $1,480.00 $1,480.00 S1.480.00 115.6%-$200.00 This document has been modified from its original form n an FJCDC document and the user did not highlight the modification. You an, encouraged to read the document entefully and consult Legal Counsel prior to its cvccution. C-620 Change Order Totals $15,80.00 S12,805.00 $12,805.00 $12$05.00 82.2% $2.775.00 This document has been modified from its original form as an FJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefully and consult Legal Counsel prior to its execution. Progress Estimate Change Order Number 2 DELETIONS For (contract): 100421-2 Sanitary Scwor Rehabilitation Contract 94, Part 2 Application Period: 12/01/2023-12/06/2023 A s C Item CO Quantity to Deletion Change Changc Order hem Description specification Unit of Delete Unit Prim Order Value Not Used No. Section No, Measure 51 Sneer Constnesion Allow.mce Sneer 1S 0.19475000 s80000.06 s15S80.00 Totals $15580.00 C-620 Change Order Contractor's Application Application Number. 9 - FINAL Application Date. 12/6/2023 D E F Not Used Not Used Not Used Not Used Not Used Not Used Not Used This donunrnt has been modified from its original form as an FJCDC document and the user did not highlight the modifications. You are, encouraged to read the document carePolly and consult Legal Counsel prior to its execution. City of Fort Worth Summary of Charges City Secretary FW060-0000021312 ty tary Contract Num: 58499 Sanitary Sewer Rehabilitation Contract 94, Part 2 to.: Project Number: 100421-2 Application Period: 12/01/2023 - 12/06/2023 Applica9 - FINAL Application Date: 12/6/2023 Number: Funding Identification (FID) Total Compieted7 I Amt Remaining Gross 1 Retainage----7 Net Original Contract 56002-0700430-5740010-100421-001780-9999 $1,632,752.50 $437,631.50I !o to I I o I I I I I 10 I I I o I I I I io I I I I o I I I o I I I 0 Change Order 1 56002-0700430-5740010-100421-001780-9999 0 0 0 0 0 0 0 0 0 0 Change Order 2 56002-0700430-5740010-100421-001780-9999 0 0 0 0 0 0 0 0 0 0 I I I I I I I I i I I I I I I I I I $58,520! City of Fort Worth Summary of Charqes CitySecretary FW060-0000021312 Stary Contract Num: 58499 Sanitary Sewer Rehabilitation Contract 94, Part 2 P. Project Number: 100421-2 Application Period: I 12/01/2023 - 12/06/2023 ApplicaNumber: tionO.: I 9 - FINAL Application Date: 12/6/2023 Funding Identification (FID) Total Completed Amt Remaining Gross Retainage-Net I Change Order 3 j 156002-0700430-5740010-100421-001780-9999 I to I I I I 10 I I I I I 10 I I I I I 10 I I I I I I I 10 I I I I I I 10 10 I I I to I I 1 I I to I I I I Change Order 4 I 156002-0700430-5740010-100421-001780-9999 I to I I I I I I I to I I I I I to to to-- 10-- 10 I I I I I I to to Io 156002-0700430-5740010-100421-a01780-9999 to I I I I I I I to I I I I I I I to I I I to to-- 10 I I I I I I to I I I I I I t 10 I I I I I I I I to 10 I I I I I City of Fort Worth Summary of Charges City Secretary Contract Num: I 58499 Sanitary Sewer Rehabilitation Contract 94, Part 2 L 0": FW060-0000021312 Project Number: 100421-2 Application Period: I12/01/2023-12/06/2023 IAPPliNumberb9 - FINAL Application Date: 12/6/2023 er. Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net Chan a Order 6 156002-0700430-5740010-100421%01780-9999 to I I I I ! I to ! I I I to to I- I to I I to to to I I I I to 10 I 156002-0700430-5740010-100421-001780-9999 I I I to 10 I I I = 1 10 10 1I I I I I - 10 1I I i 10 I I I 1 to I I ! I I to 10 I 10 1 I i I I i I I I I � Change Order 8 56002-0700430-5740010-100421-001780-9999 o I i 0 10 l - 10 I I 10 10 I I 10 1 to 10 I t 10 - 1 City of Fort Worth Summary of Charges City Secretary Contract Num: 58499 Sanitary Sewer Rehabilitation Contract 94, Part 2 P. 0.: FW060-0000021312 ProjectNumber: 100421-2 Application Period: 12/01/2023-12/06/2023 I Application 9 - FINAL Application Date: 12/6/2023 Niunber: Funding IdentificationIFID) Total Completed i Amt Remaining I Gross Retainage Net I I � Totals — 156002-0700430-5740010-100421-001780-9999 10 10 10 i0 10 '0 0 0 0 0 Grand Total I $1,704,077.50 i I I i $1,704,077.50 1 1 $358,706.50 i I I I I ' i I -1 I I I ! - i I _I I I I i $358,706.501 1 $0.001 1 ($85,203.88)1 1 $85,203.88 1 --Z- �� CSC No. 58499-CO1 FORT WOR-r -i City of Fort Worth Change Order Request Project Name:1 Sanitary Sewer Rehabilitation, Contract 94 Project No.(s):l 560021070043015740010 Project Description:l Sanitary Sewer replacement in In CD's 8 and 9. Conlraclod R&D Burns Brothers, Inc, City Project Mgr.1 Brenda Oropeza Phone Number: 017-392.0271 I City Sec No.: 1 58499 M&C: 1 22-0736 1 City Pro). No.: l 100421-2 Change Order fl 1 Date: 1 6/26/2023 City Inspector. Steve Wester Phone Number, 817-392-8306 Dept. Water Sewer Paving Totals Contract Time (Wender (lays) Original Contract Amount $2,070,384.00 $2,070,384.00 320 Extras to Dale $0.00 00 Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $0.00 $2,070,384.00 $0.00 $2,070,384.00 320 Amount of Proposed Change Order $0.00 •$7,600.00 $0.00 47,600,00 0 Revised Contract Amount $0.00 $2,062,784.00 $0.00 $2,062,784.00 320 Original Funds Available for Change Orders $103,619.00 $103,519.00 Remaining Funds Available for this CO Additional Funding (If necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT -0.37% MAXALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST4• 25%) 1$2,687,980.00 ;1IJSTIFICATIOW(RE'ASONS)IFOR CHANGE ORDER This change order will provide compensation for the Installation of 0" SDR-26 CL 160 PSI pipe In lelu of 6" ductile Iron pipe with prolecto•401 coaling due to the non -availability of DIP at the lime the sewer main was replaced three weeks ago. It Is understood and agreed that Ilie 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. Conlraclor's.Com any Name ! Burns BrolI Inc. I Conlraclor'Name Donald Bruns �,�.� Contractor Signature Dale j,Z:S R&D ars, jA%�1 y' :I sp9clor W! 'Dale I Pro eotimgnager !Date !Director .(Water bept) �r i.rto��kav Ifat dar Date ! I ' S. Jun 1, 2023 'C riplruoiJ n.Stl arvisorl(TPW!Dept) Date Assistant Clly Attorney 1 Date , Asslslt nt< VM`Q9er Date I Jun 2, 2023 1 lag ga*,d'ea Jun 2, 2023 Council Aellon:(II,Required) M&C Number NIA M&C Dale Approved NIA lF_%RT WOE 1 City of Fort Worth = Change Order Additions Project Name I Sanitary Sewer Rehabilitation, Contract 94 City Sec No.: 1 50499 1 Project No.(s): 1 560021070043015740010 1 DOE No.J 22-073 q City Proj. No.: 1 100421-2 Project I Sanitary Sewer replacement In in CD's 0 and 9. Description Contractor I R&D Burns Brothers, Inc. Change Order:01 Date: 1 612612023 City Project Mgr. Brenda Oropeza Cily Inspector 1 Steve Wester 1 ADDITIONS IIEM ' DESCRIPIION DEPT Qt ,Unit 'UnftCost Tofal -' 54 6" SDR-26 CL 160 PSI Pipe Sewer 2.00 LF $154.00 $58,620.00 Page 2 of 4 Water `Sewer �$58,520.00 Paving 'Additions Sub Total $50,620.00 FOR'7C -VfQ)R-Fn City of Fort Worth Change Order Deletions Project Name Sanitary Sewer Rehabilitation, Contract 94 City Sec No.: 1 56499 Project No.(s): 560021070043015740010 DOE No. 22 07 City Proj, No.: J 100421-2 1 Project Description I Sanitary Sewer replacement in In CD's 6 and 9. Contractor I R&D Burns Brothers, Inc. I Change Order: F-1-1 Date I 5/26/2023 City Project Mgr, Brenda Oropeza City Inspector: I Steve Wester DELETIONS ITEM DESCRIPTION DEPT City Unit Unit Cost Total 1 0" DIP Sewer Pipe with Protecto 401 Coaling Sewer 300.00 LF $174.00 66,120.00 lWater (Sewer $66,120.00 Paving IDeletions Sub Total $66,120.00 Page 3 of 4 Total $0 00 Previous Change Orders `,co �R _- - ;DATE ANIQUNT� "•. � ; _ ;: Page 4 of 4 5/26/2023 Sanitary Sewer Rehabilitation, Contract 94 CSC: 58499 CPN: 100421-2 Change Order 1 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. S4.g,° ote"ga' Signature Brenda Oropeza Name of Employee Graduate Engineer Title ATTEST: A Jannette Goodall City Secretary CSC No. 58499-0O2 r®P,'r ` OP'Tx4 City of Fortworth —"� Change Order Request Project Nante;l Sanitary Sewer Rehabllllalion, Contract 94 Cily Sec No.; 160499 Project No.(s);I 660021070013016740010 1 MM ! 22-0736 1 Clly Pro). No.; J 100421-2 I� Project Doscdplionl Sanitary Sower replacement In CD's 0 and 9. I Contraclod R&D Burns Brothers, Inc, Chonge Order 11 Dale: I 7/10/2023 IIIII City Project Mgr.I Brenda Oropeza City Inspector I Steve Wester Phono Number.1 017-392.0271 Phone Number1 017-392.0306 Dept. Water Sewer Paving Totals ContractThne `Calondor clays) Original Contract Amount $2,070,304.00 $2,070,304.00 320 Extras to Data $0.00 $0.00 Credlts to Dale $7,600.00 $7,600.00 Pending Change Orders (in M&C Process) Contract Cost to Date $2,062,784.00 $2,062,784.00 320 f Amount of Proposer- Change Order $0.00 _ $0.00 Revised Contract Amount $2,062,784.00 $2 00211784,00 320 Original Funds Available for Change Orders $103,519.00 $103,619.00 Remaining Funds Available for this CO Additional Finding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT -0.37% MAXALLOWABLECONTRACTAMOUNT (ORIGINAL CONTRACTCOST+25%) k,07,900.00 �OUSTIpICATION t(REASONS),FOR(CHANOE�ORDSR Change Order No. 2 provides for Ilia following; Installation of curlex material for stream bank restoration In Ileu of controlled low slrenglh material (CLSM) due to Ilse construclablldly Issues of Ilia existing bank A major manhole adjustment 6" SDR 26 pipe for reconnection to a manhole Sidewalk replacement In an area where removal and replacement was necessary It Is understood and agreed that the acceptance of this Change Order by the contractor constitutes on 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. I, 'ConlraotoewoompanylName, II lConlraoloriName . it Oontraolor�skgnature it !Dale I� R&D Burns Brollters, Inc. Donald Burns -�Cf 6,J< . 73 Ih)s�edlor I l0rile I , lPro)eohMnn00or ! :Dale r� y/L, �✓a T /r-z'3 r�� U2e,,a�� 7/10/2023 IDiredlon(Wateraeht) IDdle ('cC0 sl�lollQn,Shpetvlsor+'(TIVIDept).' l :Dale .au✓a k wi/son S. Jul 13, 2023j� 1 �✓ I I % �� Asslslanl0ty+Allorney ' ;Data L AOfs and Mnnager I . Dale 9BrJ� I J u l 19, 2023 _ , Jul 20, 2023 OounollAalloni(IfReglllreiA + M&C Number NIA I M&C Dale Approved ! NIA I IF47RT WORTH City of Fort Worth Change Ol'dev Additions Project Name I Sanitary Sewer Rehabilitation, Contract 04 Project No,(s): ) 6600210700430/5740010 Project Sanllary Sewer replacement In CD's 0 and -9. Descrlptlon I City Sec No,: 1 60499 D0E No,) 22-073q City Pro), No,:) 100421-2 Contractor I R&D Burns Brothers, Inc, I Clranoe Order: Dale:1 7/1012023 Clly ProJecl Mgr. Brenda Oropeza Cily Inspector) Steve Wester ADDITIONS I'EM — — _— DESCRIPTION DEPT dl Unit_ Unit Cost Total 65 Curlex III Sewer 2 0.00 SY $36.00 $7,000.00 66 Major Manhole Adjustment Sewer 1.00 EA $4,800.00 $4,000.00 67 0" Sewer SDR-26 Pipe Sewer 20.00 LF $125.00 $2,600.00 60 Sidewalk Remove/Replace Sewer 64.00 SF $20.00 $1,280.00 Page 2 of h �Waler 'Sewer $16,600,00 Paving Addlllons Sub Total $16,600.00 FORT WORT1_x City of Fort Worth Change Order Deletions Project Namo Sanitary Sewer Rehabllilallon, Contract 94 1 City Sec No,: 60499 Project No.(s): 660021070043015740010 1 DOE No, 77707: Clly Pro). No.: 100421.2 Project Doscripllon I Sanitary Sewer replacement In CUs 0 and 9. Contractor R&D Burns Brothers, Inc. Change Order: F2 ] Dale 1 7/101202.3 City Project Mgr, Brenda Oropezo City Inspector: I Steve Waster DELETIONS ITEM 'DESCRIPTION DEPT City Unit Unit Cost Total 51 9999.0001 SewerConshuctionAllowanco Sewer 0.19475 LS $80,000.00 15,660,00 Water Sewer $15,600.00 Paving Deletions Sub Total $15,600.00 Page 3 of 4 MIWBB Breakdown for this Cha_ nge Order_ MWBE Sub Type of Service -'Amount for this CO Total $0.00 Previous Change Orders CO# DATE AMOUNT Total $0.00 Page 4 of 4 7/10/2023 Sanitary Sewer Rehabilitation, Contract 94 CSC: 58499 CPN: 100421-2 Change Order 2 Notes Staff has reviewed the requested prices and considers them to be fair and reasonable. .Contract Compliance Manaeer 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. U'2e4c4, O�e� Signature Brenda Oropeza Name of Employee Graduate Engineer Title ATTEST: lannette Goodall City Secretary FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Sanitary Sewer Rehab Contract 94 Part 2 CITY PROJECT NUMBER: 100421 WATER PIPE LAID SIZE TYPE OF PIPE LF FIRE HYDRANTS: VALVES (16" OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: NEW SERVICES: I SEWER PIPE LAID SIZE TYPE OF PIPE LF PVC 8" SDR 26 2574 Ductile iron Pipe 8" Ductile iron pipe 230 PVC 6" SDR 26 20 PVC loot SDR 26 1465 Ductile iron pipe 10" Ductile iron pipe 569 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: 4" SDR 26 220 TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS December 4, 2023 R&D Burns Brothers Inc. P.O. Box 786 Burleson, TX 76097 RE: Acceptance Letter Project Name: Sanitary Sewer Rehab Contarct 94 Part 2 Project Type: Sewer Rehab City Project No.: 100421 To Whom It May Concern: On December 4, 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 December 5, 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 December 5, 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 817- 392-8271. Sincerely, Brenda Oropeza , Project Manager Cc: Steven Wester, Inspector Gary Deyon , Inspection Supervisor Troy Gardner, Senior Inspector Andrew Goodman, P.E. , Program Manager LIM & Associates, Inc , Consultant R&D Burns Brothers Inc. , Contractor City of Fort Worth , Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19