HomeMy WebLinkAboutContract 54517-CO5CSC No. 54517-005
FORT WORTH City of Fort Worth
Change Order Request
Project Name: Water & Sanitary Sewer Replacement Contract 2019, WSM-C City Sec No.: 54517
Project No.(s): 59601-0600430-001780, 59607-0700430-001780 1 NTP I N/A City Proj. No.: 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 # 5 I Date: 12/19/2023
City Project Mgr. Pratima Poudyal City Inspector: Jesse Reed
Phone Number: 817-392-6149 Phone Number: 817-392-8362
Dept. Unit I Water Unit II Sewer Unit III Totals Contract Time
Pavement (Calendar days)
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
lAmount of Proposed Change Order
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
$4,366,241.50 $144,414.50 $0.00
$4,510,656.00
500
$98,663.19
$614,230.00
$264,943.62
$977,836.81
175
$0.20
$0.20
$4,464,904.69
$758,644.30
$264,943.62
$5,488,492.61
675
$90,732.50
$0.00
$0.00
$90,732.50
0
$4,555,637.19
$758,644.30
$264,943.62
$5,579,225.11
675
$130,987.50
$14,441.00
$0.00
$145,428.50
$32,324.31
$0.00
$0.00
$32,324.31
$58,408.19
$58,408.19
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1 23.69%
MAXALLOWABLECONTRACTAMOUNT(ORIGINAL CONTRACT COST+ 25% $5,638,320.00
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Change Order No. 5 provides for the followings in order to close out the project
• 2-inch Asphalt Pavement Type'D"
• Unclassified Excavation
• 24" Gate Valve w/ Vault
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in
full (both time and money) for all costs arising out of, or incidental to, the above Change Order.
Contractor's Company Name Contractor Name 60e
Jackson Construction, Ltd, Carmen Estep t 01/09/2024
Inspector
Date
Project Mana''er _
Date
Director Water Dept)
Date
construe t ion' S isor
I D to
y ker ffa )er
Jan 11, 2024
Senior Assistant City Attorney
Date
Assistant City Manager
Date
Jan 12, 2024 1 Jan 13, 2024
Council Action If Required)
KA9(' AL—k— I r.un I AAQ.r' rh+n A---rl I M/A
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FORT WORTH City of Fort Worth
s Change Order Additions
Project Name Water & Sanitary Sewer Replacement Contract 2019, WSM-C City Sec No.: 1 54517
Project No.(s): 59601-0600430-001780, 59607-0700430-001780 DOE No.1 N/A City Proj. No.: 1 102170
Project Water/Sewer replacements and pavement rehabilitation on NW 27th St., Azle Ave., Columbus Ave., Westwood Ave., Sunset
Description Ln., and Loving Ave.
Contractor Jackson Construction, Ltd. Change Order: 5 Date: 1 12/19/2023
City Project Mgr. Pratima Poudyal City Inspector Jesse Reed
1I tM UtSl:KIP I IUN
31 2-inch Asphalt Pavement Type "D"
38 Unclassified Excavation
66 24" Gate Valve w/ Vault
ADDITIONS
DEPT
Unit I Water
Unit I Water
Unit I Water
Qty
Unit Unit Cost
Total
2,540.00
SY $12.50
$31,750.00
233.10
CY $75.00
$17,482.50
1.00
EA $41,500.00
$41,500.00
jUnit I Water $90,732.50
jUnit II Sewer
jUnit III Pavement
(Additions Sub Total $90,732.50
Page 1 of 3
F_ ORT WORTH City of Fort Worth
a . Change Order Deletions
Project Name I Water & Sanitary Sewer Replacement Contract 2019, WSM-C City Sec No.: I 54517
Project No.(s): I 59601-0600430-001780, 59607-0700430-001780 kOE No. I N/A City Proj. No.: 102170
Project Description I Water/Sewer replacements and pavement rehabilitation on NW 27th St., Azle Ave., Columbus Ave., Westwood Ave.,
Sunset Ln., and Loving Ave.
Contractor I Jackson Construction, Ltd. Change Order: I 5 I Date I 12/19/2023
City Project Mgr. I Pratima Poudyal City Inspector: I Jesse Reed
DELETIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
(Unit I Water
(Unit II Sewer
(Unit III Pavement
Deletions Sub Total
Page 2 of 3
MWWBE Breakdown for this Change Order
MWBE Sub I Type of Service I Amount for this CO
Total $0.00 1
Previous Change Orders
CO # DATE I AMOUNT
Total $0.00 I
Page 3 of 3
1/11/2024
CSC: 54517
CPN:102170
Water & Sanitary Sewer Replacement Contract 2019, WSM-C
Change Order 5 Notes
Staff has reviewed the requested prices and considers them to be fair and reasonable.
Contract Compliance Manager
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and reporting requirements.
i
`l
Signature
Pratima Poudyal, P.E.
Name of Employee
Project Manager
Title
�O�ongq
pORT��d
ATTEST: a°o c9°od
C`�" OaIlIl nEXA5a4p
Jannette Goodall
City Secretary
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX