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Home My WebLink AboutContract 55108-FP1FORT WORTH, WATER DEPARTMENT NOTICE OF PROJECT COMPLETION FP1 City Secretary No: 55108 Date Received: 4/4/2024 City Project N!?: 102169 Regarding contract 55108 Sanitary Sewer Replacement Contract 2019 WSM-B for as required by the WATER DEPARTMENT as approved by City Council on 10/27/2020 through M&C 20-0803 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 Har er(Apr3,20240915 CDT) Accepted Director, WATER DEPARTMENT Dana a r�hdojsc Dana Burghd off (Apr 4 02412:40 CDT) Asst. City Manager $ 4,933,473.30 255,393.75 $ NS? $ 5,188,867.05 $ 5,188,819.66 Days @ $650.00/ Day $ 5,188,819.66 $ 4,929,378.68 $ 259,440.98 Apr 3, 2024 Date Apr 3, 2024 Date Apr 4, 2024 Date Comments: OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX C-620 Signature Page Contractor's Application for Payment To (Owner) City of Fort Worth Invoicing Period (From - To): P. O. FW060-0000011384 From (Contractor): Number: GRA-TEX Utilities, Inc. Project: 102169 Contractor's CFW Vendor No.: City Secretary Contract Number: Approved Change Orders Number 1 2 3 4 5 6 7 8 TOTALS NET CHANGE BY CHANGE ORDERS Contractor's Certification 55108 Application For Payment Change Order Summary Additions $11,875.00 $3,000.00 $53,522.75 $166,808.77 $98,857.00 $11,913.00 $345,976.52 Invoice No. 16 FINAL Invoice Date: Remit to ( If Not Automatic Deposit): Contract Nam e: : Water & Sewer Rehab Contract 2019 WSM-B Lead Services Replacement Nam $255,393.75 1. ORIGINAL CONTRACT PRICE.........................................................1 $ Deletions 2. Net change by Change Orders................................................................ $ $11,875.00 3. Current Contract Price (Line 1 t 2)....................................................... $ $3,000.03 4. TOTAL COMPLETED AND STORED TO DATE $53,522.74 (Progress Estimate, Construction Allowance and Change Orders)....... $ $10,200.00 5. RETAINAGE: $11,985.00 a. X $5,188,819.66 Work Completed......... $ b. X Not Used $ c. Total Retainage (Line 5a + Line 5b) ............................... $ 6. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c)............................. $ $90,582.77 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 Buzzsaw 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. Tohn Crowley John Crowley (Mar 26, 202406:53 CDT) 10. CONTRACT TIME: a, Days Awarded b. Days Added by CO C. Total Days it. Days Charged e, Days Remaining Consent of Surety Affidavit of Bills Paid $4,9339473.30 $255,393.75 $5,188,867.05 $5,1889819.66 $5,188,819.66 $4,929,378.68 $259,440.98 $47.39 430 100 530 486 44 This document has been modified from its original form as an EJCDC 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 Unit Price Progress Estimate Progress Estimate crySemetmy 55108 Contractor's Application Contract Num: Fpr(com tr Water & Sewer Rehab Contract 2019 WSM-B Lead Services Replacement `pphean N�: 16 FINAL Application Period: Application Date A B C D E F G Item Total Completed Balance. Fra h Spemflpnon Bid Quantity ❑nrt Price BM Value EstunI. Qumrtny Veluc Previously Installed Valve Pres VaWe Tlus Pmod and 9torcd to Daze (P) (B-P) Quaotny Installed'13ne Bb ltrnt No Descripho° Sec[wn No Umt ofMeeame Installed 'te'adls S.1M (norm C) Ct (D-E) B Period PVC Water Pipe( DR-14) 331112 90.0 20,160.0 224 20,160. 20,1600 20,1600 10' 112" 8"PVC Water Pipe 1331112 LF 9775000000 $69.00 $674,475.001 9775 1 $674,475 GO $674,475001 1 $674,475 OD 100.0% !6"DIP Wafer Pip. 1330524 LF 40.000000 $250.00 $10,000.001 20 1 $5,000.0O E5,o0000! 1 $5000 D0 50.0% $51000.00 I6"PVC Water Pipe 133 11 12 LF 201000000 $55.00 $11,05500! 201 1 $111055.o0 $11,05500! 1 $11,Moo 100.0% 16"Gale Valve 1331320 EA 17000000 $925.00 $15.725.001 17 1 $15,725 GO $15,725001 1 $15,72500 100.0% 18"Gate Valve 1331220 EA 34.000000 $1,300.00 $44,200001 34 1 $44,200 GO $44,200001 1 $44,20000 1000% 12"Gate Valve 1331220 EA 6000000 $2,350.00 $14,100.001 6 1 $14, 100.00 $14,100.001 1 $14,100.00 100.0% !Ductile Iron Water Fillings w/Restraint 13311 It TON 11000000 $100.00 $1,10OM 9 1 $90000 $900001 1 $90000 818% $20000 I4"AT Pressure Rind 1024114 _ EA 1.000000 $4,200.00 $4,2D0.001 1 1 $4,20000 $4,200001 1 $4,200 DO 1D0.0% 4"-12" Water Abantlonment Pluq 1024114 FA 1000000 $1,o00.00 $11000.00! 1 1 $1,000.o0 $11000.00! 1 $1,000.00 700.0% IFae Hvdrent 13312. EA 17000000 $3.750.00 $63.750.001 17 1 $63,75000 $63,750 DO 1 $63,75000 100.0% Saly .Fa. Hydrant 1024114 EA 17.000000 swo.00 $6,120.001 17 $6,120 o0 $6,120 DOI 1 $6,120 D0 1D0.0% 1v Wafer Sem Meter Reconnection 133 12 10 FA 296000000 $280.00 $82,880.001 296 1 $82,880.00 $82,880.DO1 1 $82,880.00 100.0% 11"Water Service 133 12 10 EA 320000000 $1,450.00 $464,000001 320 1 $464,00000 $464,000 DO 1 $464,00000 100.0% !1"Private Water Service Relocation 133 12 10 LF 760.000000 $1D.00 $7,8D0001 7BD 1 $7,800 GO $7,800001 1 $7,800 D0 1DD.0% !Connection to Existing 4"-12"Water Man, 1331225 EA 22000000 $3,550.00 $78,100.001 22 1 $78,100.00 $78,100.001 1 $78,100.00 100.0% ICo...d1bn to Exis6nq 16"Water Main 1331225 EA 1000000 $18,500.00 $18,500001 1 1 $18,500.00 $18,500 DO 1 $18,50000 100.0% 116"Ring$ Connection 1331225 EA I000000 $7,75D.00 $7.750 DOI 1 $7,750 GO $7,750001 1 $7,750 D0 1DD.0% I Imported EmbedmentBackfill, CSS 133 05 10 CV 10 000000 $80.00 $800.00! ! ! 1 $800.00 !Imported EmbedmentB.&MI, CLSM 1330510 CV 10000000 $115.00 $1,150.001 10 $1,150.00 $1,150001 1 $1,15000 100.0% lmzoed E.bedm.nlBOCkfiII, Select F11 1330510 CV 10 000000 $24.00 $240.001 ! 1 $240 D0 Remove and Replace Dead End Barricade lFIV St) I EA 1 000000 $3,500.00 $3,500.001 1 1 $3,500.00 $3,500 001 1 $3,500 00 100.0% 15'Md. As a It Pvmt Repaa. Residential 1320117 LF 5958000000 S61.00 $363,438.001 5958 1 $363,438.00 $363438001 1 $363,438 DO 100.0% Asphalt Pv Rerrae Beyond Defined Width,Residential 1320117 SV 400000000 $94.00 $37,600.001 538 $50,572 GO $50,572001 1 $50,57200 134.5% -$12,97200 ! 5' Wide Asphalt Pvmt Raper,Arterial 1320117 LF 385000000 $100.00 $38,500001 385 1 $38,500.DO $38,500001 1 $38500 DO 1000% IAs�ralt N. Repaa Beyond Defi--!Width. Artenal 1320117 SV SO 000000 $187.00 $9,350001 64.25 $12,014.75 $12,014751 I $12,01475 128.5% -$2,664.75 !Asphalt Wmt R.71,. Water Service 1320117 LF 2790000000 $31.50 $87.885001 2670 $84,10500 $84,105001 1 $84,10500 957% $3,78000 IT..p.., Asphalt Pawnq R.Pda(2"HMAC on 6"Flex Base) 1320118 LF 5907.000000 S22.50 $132,907.501 5907 1 $132.907.50 $132,907501 1 $132,90750 100.0% 14"SLD Pvml Marking HAS (W) 1321723 LF 170 000000 $3.50 $595.00! ! 1 $595.00 d" SLID Pvmt Mar!, HAS Vl �ial 1321723 LF 170 000000 $3.50 $595.00l 1 $595 00 !Conc Pvml Repaa, Resitle 1320129 SV 101.000000 $155.00 $15,655.00 I $15,655.00 19" Conc Valley Gutter, Residential(50/501 1321613 SV 10000000 $154.00 $1,540.00! 136.515 1 $21,023.31 $21,023.311 1 $21,023.31 1365.2% 419,483.31 IWatedine Gouinq 102 41 14 CV 1000000 $2.300.00 $2,300.Oo1 1 1 1 $2,30000 !Trench Safety 1330510 LF 1000.000000 $5.00 $5,000.00l 1000 $5,000w $5,000001 1 $5,00000 100.0% !e" Waterline Lowering 1330512 EA 5000000 $10,500.00 $52,500.001 5 1 $52,500.00 $52,500.001 1 $52,500.00 100.0% Boloretory Excavation of EAaDrq Utilities 1330530 EA 5000000 $2.880.00 $14,400.0o1 7 1 $20,16000 $20,160001 1 $20,16000 140.0% d5,76000 !Remove Concrete Curb B GuBer(50150) 1024115 LF 3785.000000 $3.85 $14,572.251 7011.1 1 $26.99274 $26992741 1 $26,99274 185.2% -$12,42049 17-inch Concrete Curb and 18-inch Gutter finetch. afinq)I50/50) 1321613 LF 3860000000 $33.00 $127,380.001 69450 1 $229,204.80 $229,2D4.801 1 $229,204.80 179.9% $101,824.80 Remove Concrete Dnvewa 50/501 024 11.3 SF 19715000000 $3.30 $65,059.501 114315 $37,72395 $37,723951 1 $37,72395 580% $27,33555 6--inch Concrete Driveway ISO) 132 13 20 SF 19715.000000 $9.10 $179,4D6.501 14433.66 1 $131,34631 $131,Us 311 1 $131,34631 732% $48,06019 17-inch Concrete Valley Gufier(501501 1321613 SV 156000000 $137.50 $21,450.001 74,105 1 $10,189.44 $10,189.441 1 $10,189.44 47.5% $11,260.56 12-inch Surface Mdlo.(50/501 1024115 SV 9545000000 $2.65 $25.294.251 4006.5 1 $10,61723 $10,617231 1 $10,61723 420% $14,67703 l B.0 Millinq(50150) 1024115 LF 110.000000 $28.35 $3,118.wl 55 1 $1.55925 $1,559251 1 $1,55925 500% $1,55925 !Asphalt Pavement Base Ra�jn(pir(50/501 131 MDO CV 30000000 $362.00 $10,860.00! I $10,860.00 IA�S�halt Pavement Level-U, W1501 1321216 TN 58000000 $135.00 $7,830.001 666.69 $90,00315 $90,003151 1 $90,00315 11495% $82,17315 ! --inch A99�haa Pavement yp� Ddd//50I501 !Water Valve sox AOlust w/Collar (50/50) 1321216 1330514 SV 15966.000000 Slim $183,839.001 14640955 1 23 1 $168,37098 $168,370981 $16,330.001 1 $168,37098 916% 1 $16,330.00 328.6% $15,46802 EA 7000000 $710.00 $4,970.001 $16,330.00 $11,360.00 Miscellaneous Adrtmente - Water Meter Box (501501 13305 14 EA 13 000000 $55.00 $715.001 8 1 $440.00 $440 001 1 $440 00 61.5% $275.00 Manhole Adivat, Minor wl Collar lSOI501 1330514 EA I000000 $1,32D.00 $1.320.DOI a 1 $10,560 GO $10,560001 1 $10,560 D0 8DD.0% -$9,240 D0 Curb Address Pnnn.d(50150) 1321725 EA 92000000 $80.00 $7,360.001 86 $6,880.00 $6,880.001 1 $6,880.00 93.5% $480.00 Curb Address. Ceramic Tde/50/501 1321725 EA 6000000 S850.00 $51100.001 1 1 1 S5,100.00 IT$gSS�� i1150/50 132It 11 CV 143000000 $27.50 $3.932.SO1 121 $3,32750 $3,327501 1 $3,3275D 846% $605 D0 IBM. Sod Rep nnant(50/50) 1329213 SV 1313000000 Moo $7,a79.00! 134821 1 $8,089.26 $8,089261 1 $8,08926 102.7% 4211.26 Unclasmfietl Excavation(7101 1322316 CV 1226000000 $25.00 $30,650.001 100.79 $2,519.75 $2,519751 1 $2,51975 8.2% $28,130.25 10-inch Flex Base. Tv//��ee A. GR-2�/50/50) 1321123 SY 114000000 $26.40 $3,009.6o! 6957 $1,83665 $1,836651 1 $1,83665 610% $1,17295 10-inch Pavement Pulve-bon l50/501 1024115 SV 8273000000 $8.20 $51,438.60! 10634 ]05 ! $87,204.58 $8],20458! 1 E87,20458 169.5% $35,765.98 ISWPPP=>1 acre 13125 DO LS 1000000 $6,500.00 $6,500.001 1 1 $6,500.00 $61500001 1 $6,50000 100.0% Temnr�ore(fyy Water Services 1330430 LS 1000000 $248,o0D.00 $248,0D0.0o1 1 $248,000 GO $248,000001 1 $248,000 OD 100.0% lConskruclion Staking 1017123 LS 1.000000 $8,250.00 $8,250001 1 1 $8,250.00 $8,250001 1 $8,25000 100.0% !As-B01It Survey(Red Loe Survey) 1017123 LS 1000000 $3,850.00 $3,850001 I $3,850.00 !Traffic Conhol 1347113 MO 8000000 $800.00 $6.4D0001 675 1 $5,40000 $5,400001 1 $5,40000 844% $1,00000 !Water Construction Allowance I LS 1.000000 $100,wo.00 $100,000.0o! 1 1 1 $100,000 D0 I I fr II: SEI� 8'Sewer Pipe 3330 - LF - 20000000 - $00 $20000001 200 1 $,0.00 $,0.00 - - E,0.00 00.0% !-'Manhole 1333910 EA /000000 $5,750.00 $5,750001 1 I $5,75000 $5,750001 I $5,75000 100.0% ld' at. Depth Manhole 133 39 10 VF 5.000000 $390.00 $1,95D 001 5 1 $1,95ow $1,95000! 1 $1,95000 100.0% 4'Drop Manhole IZ303910, 3339EA 1000000 $14,500.00 $14,500001 1 $14,500.00 $14,500001 I $14,50000 100.0% Concrete Collar 1 33 05 17 EA I000000 $1,mo.00 $1.m000! 1 1 $1,220 GO $1,220 DOI 1 $1,220 DO 100.0% This document has been modified On. Its.1n.l k.. en E1CDC document mM the - d,d cot highlight the modr0cations. You are -aged to read the doca.ent carefidty aed consult Legal Cwunsel prwr to 0a a erfiaa C-620 Unit Prica Progress Estimate Progress Estimate CdySectetmy 55108 Contractor's Application Contmc[Nutm Fqr (eOMrdcn) Water & Sewer Rehab Contract 2019 WSM-B Lead Services Replacement Apphcet- Number. 16 FINAL Appficatioa Perwd: Apphcauon Dare: A Item B C D E F G Total Congrleted ^Balmce to Fausb 1 6pemfipnoo Bid Qnann7 Cad Prue Bd Vame E91m Quantity Value Previouety lrm[alled Vame VaWe 3Lis Period Materwls Presemly crud 9(D-E)Daze (F) (B-P) Q.unty Installed This Bd Item No Descnpnon Sec[wn No Umt ofMeesme I- Insmlled S-od(Wt uC) (D+E) B Period 4"Sewer Service 1333150 EA 4000000 $2,000.00 $8.000.00 d $8,00000 $8,00000 $8,00000 100.0% Explgmtory Ezcavation of Enstinq Utilities 133011, EA 1.000000 $3,750.00 $3,750.001 1 $3.75000 $3,750001 1 $3,75000 100.0% Im rtetl EmbedmenfBackfill CLSM 340510 CV 3000000 $115.00 $345.00 3 $345.00 $341.111 I $345.00 100.0% Post -CCTV Inspection 339131 LF 200000000 $3.00 $60000 200 $B0000 $80000 $80000 100.0% Trench Safety 1330510 LF 200000000 $10.00 $2.000.001 200 1 $2,00000 $2,000001 1 $2,00000 100.0% Epoxy Manhole Liner (Warren or Chesterton) 113 39 W VF 10 000000 $400.00 $4,000.001 1 1 1 $4,000.00 (Traffic Control 134 71 13 MO 1000000 $250.00 $250.001 1 1 $25000 $250001 1 $25000 100.0% Temporary Asphalt Pavinq Repair IT HMAC on 6-Flex Base 132011k LF 260.000000 $26.00 $6.760001 260 1 $6,76000 $6,760001 1 $6,76000 100.0% 17-inch Concrete Curbandl8-inch Gutter(matchexisting)(50/50) 1321613 LF 312.000000 $33.00 $10.296.001 540 1 $17,82000 $17,820001 1 $17,82000 173.1% $7,52400 1Remove Concrete Dnveway (50150) 10241 13 SF 63.000000 $3.30 $207 %1 1 $207 90 16-mch Concrete Dnveway(50/50) 1321320 SF 63.000000 $9.10 $573301 111.5 1 $1,01465 $1,014651 1 $1,01465 177.0% -$44135 2-mch Asphalt Pavement Type-D"(50150) 1321216 SV 520.000000 $1 im $5,9B0001 412.5 1 $4,74375 $4,743751 1 $4,74375 793% $1,23625 Miscellaneous Adjustments - Wa1er Meter Box (50I5(l) 13305 14 EA 11000000 $55.00 $55.001 1 1 1 $55 00 1Menhole Adjust, M,aor,/CoII,r(M/50) 1330514 EA 2,000000 $1,320.00 $2,640001 1 1 $1,320.00 $1,320001 1 $1,32000 50.0% $1,320.00 Curb Address Paintmg(50150) 1321725 EA 1.000000 S80.00 $80.001 1 1 1 $80.00 ITopsoil(50150) 1329119 CV 3.000000 $27,50 $82.50I 9 1 $247.50 $247501 1 $24750 300.0% -$165.00 Block Sao Repl-nt (50150) 13292 13 SV 50 000000 $6.00 $300.001 41.5 $249.00 $249 001 1 $249 00 83.0% $51.00 1Und-ifled Excavation(50150) 1322316 CV 3000000 $25.00 $75.001 6.71 1 $167.75 $167.751 1 $167.75 223.7% -$92.75 110-inch Pavement Pulverization (50150) 10241 15 SV 520 000000 $8.201 $4,264.001 412.5 1 $3,382.50 $3,382.501 1 $3,382.50 79.3% $881.50 SWPPP - � 1 1312500 LS 166666 $275.00 $27500 1 $275W $2]500 I $257500 100.0% Construction Stekinq 017123 LS 1.000000L$15,ODO.00 50.00 $55000 1 $SSOW $55000 $55000 1000% As- Bull Survey(Red I --Survey) 1017123 LS 100000000.00 $400.001 1 $400.00 15ewer Construction Allowance I LS 1000000 $15,000.001 1 1 I $15,000.00 i 3: PAVINkG Run Sitlewal Rve 024113 SF 1.9 � 22,076.0 24442.d3 4],662.7 47,882 ] 47,882 ] 215.9% 25,588.74 4-inch Concrete Sdewalk 321320 SF 29160.000000 $6.85 $199,746.00 36480.16 $249,88910 $249,88910 $249,88910 125.1% -W,14310 4-mch Concrete Sdewalk wdh Retmmng Wall 1322313 SF 1320000000 $27.50 $36,300.001 195.28 $5,370.20 $5,370.201 1 $5,370.20 14.8% $30,929.80 IRemove ADA Ramp 1124113 EA 16000000 $275.00 $4,400001 AI $1115.11 14,121101 1 $4,12100 93.8% $275.00 ADA Ramp 321320 EA 57.000000 $2,250.00 $128,250.00 53 $119,2tioo $119,25000 $119,25000 930% $9,00000 RempveConcreteCur68Gutter (50150) 1024115 LF 3785000000 $3.85 $14.572.251 70111 1 $26,99274 $26,992741 I $26,99274 185.2% $12,42049 17-mch Concrete Curb and 18-mch Gutter(match ex.sding) (50/50) I321613 LF 4172.000000 $33.00 $137.676.001 7060.6 1 $232,99980 $232,999 BO1 I $232,999 BO 169.2% $95,32380 JR.-ConcreteDnveway(W/50) 10241 13 SF 19778.000000 $3.30 $65.267401 11431.5 1 $37.72395 $37,723951 I $37,72395 578% $27,54345 16-mch Concrete Dnveway(50/50) 1321320 SF 19778.000000 $9.10 $179,979.801 14544.84 1 $132,358.04 $132,358041 I $132,358M 73.5% $47,621.76 7-inch Concrete Valley Gu6er(50150) 1321613 SV 156000000 $137.50 $21,450.001 74.105 $10,189.44 $10,189.441 I $10,189.44 47.5% $11,260.56 9"Conc Valle Gu9er, Residential 50/50 321613 SV 10000000 $154.001 $1,540.001 136.515 $21,023.31 $21,023.311 1 $21,023.31 1365,2% $19A83.31 2-Inch Surface Millin(so/so 024115 SV 9545000000 12.65 $25,294.251 4006.5 $10,617.23 $10,617,23 $'it 17.23 42.0% 114,677.03 IIBud Milling(50150) 024115 LF 110000000 $28.35 $3,11850� 55 $1,559.25 $1,55925 $1,55925 50.0% $1,559.25 Asphalt Pavement Base Repau(50/50) 312400 CV 30000000 $362.00 $10,86000 $10,86000 Asphalt Pavement L-1-Up(50150) 1321216 TN 58000000 $135.00 $7,830001 66669 1 $90,00315 $90,003151 I $90,00315 11495% 482,17315 12-mch Asphalt Pavement Type"D"(50150) 1321216 SV 16506000000 $1Im $189,819.00 11013141 $173,11577 $173,115771 I $173,11577 912% $16,70323 IWaterValveB.Adjust .1Calls, (50/50) 1330514 EA 8000000 $710.00 $5.680001 23 $16,33000 $16,330001 I $16,33000 2B7.5% $10,65000 Miscellaneous Adjustments - Water Meter Box (50I50) 13305 14 EA 14.000000 $55.00 $770 001 7 $385 00 $385 001 I $385 00 50 0% $385 00 Manhole Adjust, Minor wl Collar(50/50) I330514 EA 3.000000 $1,320.00 $3.960001 9 1 $11,88ow $11,880001 I $11,88000 300.0% -$7,92000 Curb Address P-brig(50/50) 1321725 EA 93.000000 $a(.00 $7,440001 87 1 $6,96000 $6,960001 I $6,96000 93.5% $480.00 Curb Address, Care -Tile (50/50) I321725 EA 6000000 $850.00 $5,100.001 I S5,100.00 ITopsoil(50150) 1329119 CV 146000000 $27.501 $4,015.001 130 $3,575.00 $3,575.001 I $3,575.00 89.0% $440.00 Block Sod Re laoement 50150 321213 SV 1363000000 $6.o0 $8,178.001 1389.29 $8,335.74 $8,335.74 $8,335.74 101.9% -$157.74 Unclasataid Ezcavation 50150 322316 CV 1229000000 $25.00 $30,72500 10]5 ' $2,687.50 $2,68750 $2,68750 8.7% $28,037.50 10-mch Flez Base, T A. OR-2 (so/so)321123 SV 114 000000 $28.40 $3,009 60 ]9 51 $2,1)911.. $2,099 D6 $2,099 06 69.7% $910.54 10-mch Pavement%(-nzation(50/50) 1.4115 SV 6793000000 $8.20 $55.7D2 601 11047205 1 $90,58708 $90587081 1 $90,58708 162.6% 438,88448 CamLimeStabil-tion/ Cement Modification, 261bs/sy 1321133 TN 191000000 $220.00 $42.020.001 8003 1 $17,60660 $17,606601 I $17,60660 419% $24,41340 Miscellaneous Adjustments, spnnklersyetems I323213 LS I D00000 $1o.wo.00 $10,000.001 0451 $4,51000 $4,510001 I $4,51000 451% $5,49000 124-inch and larger, Tree Removal 131 t000 EA 4.000000 $2.750.00 $11,000.001 a $22.00000 $22,000001 I $22,00000 200.0% $11,00000 Pavement Markings, Stop Bar 1321723 LF 299,000000 $12.00 $3,5B8001 1 I $3,58800 Traffic Control I347113 MO U00000 $B00.00 $6,400.001 925 1 $7,40000 $7,400001 I $7,40000 115.6% $1,000.00 ISWPPP=�lacre I3125W LS IMoot) $1,750.00 $1,750.001 1 1 $1,750.00 $1,750.001 I $1,750.00 100.0% I Pavement Construction Allowance I LS 1Moo() $155.00m $155monol I s1mmo.00 This document has been modified fiom Its origmal form as an E1CDC document and the user did cut highlight the mod-tions. You are -no,ad to reed the doenmeat -try and coreult Legal Counsel prwr to it, exeoutba Progress Estimate IF., (aootlact) Water & Sewer Rehab Contract 2019 WSM-B Lead Services Replacement Apphcat.n Period: A Item BM IIem No Description 8p..bc, U.l vlMeasme Bid Quentdy s-. No Total. Cny 8—n, 55108 Cavtmct Nvm: B C Una Price BM Vale. Estnnated Quantity stalled $4.933,473.30 D Vale. Pr. Ay lnazalled Vam. $4,869.811.97 $4,869.811.911 VMu.] Period TN document has been modiOM brim Its orlgu.l k. as an It— document aM (ha — dM not highbght the .—do— You are ancomaged to reed the donnmant ee fty aM corenit Legal —I I — to tr --tba Appknt—Number Apphcehon Del. C-620 Unit Price Progress Estimate Contractor's Application 16 FINAL E F D dtD Matorlals Presently Total Cor 1.kD d aze Btored (not. C) ( and S(P) +E) B $4.869.811.97 98.7% D Balance to Fmish (B -IT) Qaavbty lvatalled 7L. P.rmd $63.661.33 C-620 Change Order Progress Estimate Change Order Number I 1 ADDITIONS For (contract): 102169 Water & Sewer Rehab Contract 2019 WSM-B Lead Services Replacement City Secretary 55108 Contract Nona: (Application Period: A B C D Item Addition Estimated Quantity Change Order Item Description Specification Unit of Measure CO Quantity to Add Unit Price Change Order Installed Value No. p Section No. Value 34 Sidewalk with Curb LF 250.00000000 $20.00 $5,000.00 864.29000000 I $17,285.81 35 Retaining Wall SF 250.00000000 $27.50 $6,875 00 Contractor's Application Application Number: 16 FINAL Application Date: E F Previously Value This Materials Presently Total Completed / Balance to Finish Installed Value Period SC) tored (not in and Stored to Date (F) (B - F) (DIE) B $17,285.80 $17,285.80 345.7%-$12,285.8( $6,875.00 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 This document has been modified from its original form as an E1CDC document and the user did not highlight the modifications. You are enwuraged to read the document carefully and consult Legal Counsel prior to its execution. C-620 Change Order Totals $11,875.00�1 $17,285.80 $17,285.801 $17,285.80 145.6%-$5,410.801 Progress Estimate Change Order Number 1 Contractor's Application DELETIONS For (contract). 102169 Water & Sewer Rehab Contract 2019 WSM-B Lead Services Replacement Application Number: 16 FINAL Application Period: Application Date: A B C D E F Item CO Quantity to Deletion Change Order Item Specification Desmiption Unit of Measure Delete Unit Price Change Order Not Used Not Used Not Used Not Used Not Used Not Used Not Used Not I Ned No. Section No. Value 33 Pavement Construction Allowance LS 0.07661290 $155,000.00 $11,875.00 This document has been modified from its original form as an E1CDC 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 Totals This document has been modified from its mginal form as an E1CDC 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 2 ADDITIONS For (contract): 102169 Water & Sewer Rehab Contract 2019 W SM-B Lead Services Replacement City Secmtmy 55105 Contract Num IAppheanon Period: A B C D Item Addition Change Estimated Quantity Change Order Item Deseriphon Specification CO Unn of Measure Quantity to Add Unit Price Order Value Installed Value No. Section No. 36 Major Manhole Ad ... lasnt EA 1.00000000 $3,000.00 $3,000.00 1.00000000 1 $3,000.00 Contractor's Application 16 FINAL E F Total Completed Palled slyVal Value This Stored Presently and Stored to Date (F) Installed Value Period Stored(not m C) (D+E) B $3,000.001 1 $3,000.00 100.0% Balance to Finish (B -F) This document has been modified fiom its original form as an E1CDC document and the user did not highlight the modi5cations. You are encouraged to read the document carefully and consult Legal Counsel prior to its execution C-620 Change Order Totals $3,000.00 $3,000.00 $3,000.00 Progress Estimate Change Order Number 1 2 DELETIONS For (...inset) 102169 Water & Sewer Rehab Contract 2019 W SM-B Lead Services Replacement Application Number Application Period Application Date: A B C D E Item CO Quantity to Delctio. Change Change Order Item Description Specification Una of Measure Delete Una Price Order Value Not Used Not Used Not Used Not Used Not Used No. Section No. 33 Pavement Construction Allowance LS 0.01935500 $155,000.06 $3,000.03 Totals $3.000.03 S3,000.00 100.0% Contractor's Application 16 FINAL F Not Used Not Used Not Used This document has been modified fi.m its original form m sn E1CDC document and the user did not highlight the modi5cations. 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 1 3 ADDITIONS For (contract): 102169 Water & Sewer Rehab Contract 2019 WSM-B Lead Services Replacement City Secretary 55108 Contract Num: Application Period: A Item Change Order Item Description No. 37 CRAKSEALASHPALT 38 CONCRETE SUB-GRAGE REPAIR 24 UNCLASSIFIED EXCAVATION B C D Addition Estimated Quantity Previously Value This Specification Unit of Measure CO Quantity to Add Unit Price Change Order Installed Value Installed Value Period Section No. Value GA 135.00000000 $34.65 $4,677.75 135.00000000 $4,677.75 $4,677.75 CY 120.00000000 $381.00 $45,72000 24700000000 $94,to 00 $14,107.00 CY 125.00000000 $25.00 $3,125.00 247.00000000 $6,175.00 $6,175.00 Contractor's Application 16 FINAL E F Balance to Finish Materials Presently Total Completed % (B F and Stored to Date (F) Stored (not in C) (D+E) B $4,677.75 100.0% $94,107.00 205.8%-$48,387.00 $6,175.00 197.6%-$3,050.00 This document has been modified from its original form as an E1CDC 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 Totals $53,522.751 $104,959.75 $104,959.75 $104,959.75 196.1% Progress Estimate Change Order Number 1 3 DELETIONS IFor tconnactr 102169 Water & Sewer Rehab Contract 2019 WSM-B Lead Services Replacement Application Number: Application Period: Application Date: A B C D E Item _ to Deletion Change Order hem Description Specification Unit of Measure CO DeleteTy Unit Price Change Order Not Used Not Used Not Used Not Used Not Used No. Section No. Value 33 PAVMENT CONSTRUCTION ALLOWANCE LS 0.345308 $155,000.00 $53,522.74 Contractor's Application 16 FINAL F Not Used Not Used Not Used This document has been modified from its original form as an E1CDC 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 Totals This document has been modified from its mginal form as an E1CDC 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 Far(contrset) Application Period Change Order Item No. 1-38 1-63 6E! 1-65 1-66 1-67 1-58 1-69 1-70 1-71 2-29 2-30 3-7 3-34 1-35 4 Contractor's Application ADDITIONS 102169 Water & Sewer Rehab Contract 2019 WSM-B Lead Services Replacement City Secretary 55108 Application Nnmber: 16 FI Contract Num: Application Data A B C D E F Item Addition Esfimated Quantity Previously Value This Materials Presently Total Completed % Description Specification Section No. Unit of Measure CO Qamfityf Add Unit Price Change� der Installed Valm Installed Value Period Stored (net m C) and Stated Date (g) Eto 7-inch Concrete Oarb and 18-inch Gutter (match existing) 50/50 Unit I Water IS 935.00000000 $33.00 $30,855.00 Remobiliratwn Pees for Pavement Repair & Stripping Crews for Hemphill/Malta, Hfterse emphill/Flint & Hemphill/Drew ct ms Unit I Water US 1.00000000 $3 650 00 $3,650 00 Traffic Control & Lane Phasing for Paving Repairs and Stripping Crew on Hemphill/Malta, Hemphill/Flint & Hemphill/Drew ftorsectione Unit I Water IS 1.00000000 $6,850.00 $8,850.00 Water Valve Box Adjustments with Concrete Collar Unit I Water EA 6.00000000 $750 00 $4,50000 4" White Solid for Bike lane Stripping Unit I Water LP 275.00000000 S4.15 SUt4L251 White Sniping repairs st the Drew Intersection Unit I Water LF 125 00000000 $4 15 $518 75I HMAC Pavement Repairs 5 ft wide, on East aide of Hemphill at the Drew Unit I Water US 40.00000000 $142.00 $5,680.00 h tersection (location identified as near 2 water valves) Concrete Valley Gotten Repairs at Drew& Malta Intersections Unit l Water SF 82.00000000 $1611 $1,32102� Order and Purchase New Historic Tiles Unit I Water EA 2.00000000 $1,825.30 $3,650.60 1 histall New Historical Tile's into the Oarb at locations designated by the City Unit I Water EA $500.00 $2,000.001 4.00000000 Remove existing SS MH and Replace by Cast-,n-place, in the ROW of W Thew including Remobilty ion and Traffic Control Unit II Sewer LS 1.00000000 $12,000 00 $12,000 00 10-inch Flex Base, Type A, GR-2 (50150) Unit ➢ Sewer SY 9.94000000 $26 40 $262 421 7-inch Concrete Cub & 18-inch Gutter (match existing) 50150 Unit Ill Pavement LF 2618 29800000 $33 00 $86,403 831 Order & Purchase New Historic Tiles Unit I➢ Pavement EA 3.00000000 $1,825.30 $5,475.90 1 hastell New Historical Tile's into the Cub at locations designated by the City Unit Ill Pavement EA 1.00000000 $500 00 $500 00 935.00000000 $30,855.00 $30,855.00 1.00000000 $3,650.00 $3,650.00 $8,850.00 $4,50000 $Ut41.25 $518 75 $5,680.00 $1,321 02 $3,650.60 $2,000.00 1.00000000 $8,850.00 6.00000000 $4,50000 275.00000000 $1,141.25 125 00000000 $518 75 40.00000000 $5,680.00 82.00000000 $1,321 02 2.00000000 4.00000000 $3,650.60 $2,000.00 1.00000000 $12,00000 $12,00000 9.94000000 $26242 $26242 865 00000000 $28,545.00 $28,545 00 $5,475.90 3.00000000 $5,475.90 1.00000000 $500 00 $500 00 $30,855.00 100.0% $3,650.00 100.0% $8,850.00 100.0% $4,500.00 100.0% $1,141.25 100.0% $518.75 100.0% 1 $5,680.00 100.0% $1,321.02 100.0% $3,650.60 100.0% $2,000.00 100.0% $12,000.00 100.0% $262.42 100.0% $28,545.00 33 0% $5,475.90 100.0% $500.00 100.0% Balance to Finish (B - F) $57,858.831 1 This document has been mad,fied fi an its original form as an EJCDC document and he user did not highlight the modifications. You are encouraged m read the document cm,fi lly and consuh Legal Counsel prior to its execmim C-620 Change Order Totals $166,808.77 $108,949.94 $108,949.94 $108,949.94 653% E'�'rA:Li:0:R1 Progress Estimate Change Order Number 1 4 Contractor's Application DELETIONS For (contract) 102169 Water & Sewer Rehab Contract 2019 WSM-B Lead Services Replacement Application Number: 16 FINAL Application Penad Apphcafion Dale: A B C D E F Item to Delehon Change Order Item Description Specficahon Section No. Unit of Measure DeleteQwntity Unrt Price Change Order Not Used N. Used N. Used N. Used Not Used Not Used N. Used N. Used No. 1-51 Curb Address, Ceramic Tde (50/50) Unrt I Water EA 6.00000000 $850 06 Value $5,100 0 3-21 Club Address, Ceramic Tile (50150) Unrt 11 Pavement EA 6.00000000 $850.00 $5, t00.00 _ This document has been modified fiom rts original form as an EJCDC document and the user did not highlight the modifications. You are encouraged m read the document carefully and commh Legal Counsel prior to its execution C-620 Change Order Totals This document has been m.drfi.d dom its ongi-I form as an FJCDC document and he -did.. highlight the modifications. You are encouraged In read the document carefully and consult Legal Counsel poor to its execution C-620 Change Order Progress Estimate Change Order Number 1 5 ADDITIONS For (contract): 102169 Water & Sewer Rehab Contract 2019 WSM-B Lead Services Replacement Application Period: Change Order Item No. 38 I1 8 31 10 City Seeretary 55108 Contract Nam: A B C D Item Addition Estimated Quantity Previously Value This Description Specification Unit of Measure CO Quantity to Add Unit Price Change Order Installed Value Installed Value Period Section No. Value 7-inch Concrete Curb & 18-inch Gutter (match existing) 50/50 Unit 1 Water LF 1846.40000000 $33.00 $60,931.20 1846.40000000 $6Q931.20 $6Q93 L20 Epoxy Manhole Liner (Warren & Chesterton) Unit B Sewer VF 7 59000000 $400.00 $3,036 00 7.59000000 $3,036 00 $3,036.00 Imported EmbedmentBackfill, CLSM Unit B Sewer CY 18.00000000 $I15.00 $2,070.00 18.00000000 $2,070.00 Asphalt Pvmt Repairs beyond defined width, Residential Unit II Sewer SY 73 00000000 194.00 $6,862 00 73.00000000 :2,070.00 $6,862 00 $6,862.00 7-inch Concrete Curb & 18-inch Gutter (match existing) 50/50 Unit III Pavemc, IF 786.60000000 $33.00 $25,957.80 Contractor's Application 16 FINAL E F Materials Presently Total Completed % Stored (not in C) and Stored to Date (F) (DIE) B $60,931.20 100.0% $3,036.00 100.0% $2,070.00 100.0% $6,862.00 100.0% Balance to Finish (B - F) This document has been modified from its original form as an E1CDC 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 Totals $98,857.001 $72,899.20 $72,899.20 1 $72,899.20 73.7% Progress Estimate Change Order Number 1 5 DELETIONS For (connact): 102169 Water & Sewer Rehab Contract 2019 WSM-B Lead Services Replacement Application Number: Application Period: Application Date: A B C D E 11en' CO uari to Deletion Change Order hem Description Specification Unit of Measure DeleteTy Unit Price Change Order Not Used Not Used Not Used Not Used Not Used No. Section No. Value 28 Sewer Construction Allowance Unit B Sewer LS 0.79900000 $15,000.00 $11,985.00 Contractor's Application 16 FINAL F Nor Used Not Used Not Used This document has been modified from its original form as an E1CDC document and the user did not highlight the modifications. You are encomaged to read the document carefully and consult Legal Counsel prior to its execution. C-620 Change Order Totals This document has been modified from its mginal form as an E1CDC 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 1 6 Contractor's Application ADDITIONS For (contract) 102169 Water & Sewer Rehab Contract 2019 WSM-13 Lead Services Replacement City Secretary 55108 Applieatmv Neither 16 FINAL Contract Nam: Applo a6on Period Appliesima Date A B C D E F Item Addition Total Completed % Estimated Qmantity Previously Valueod Materials Presently Change Order Item Specification Uvrt of CO Quantity to Add Unit Price Change Order Velure and Stored to Date (P) No. �crrpnO° Seen -No Measure Value Installed Metalled Value Period Stored (notm C) (D+E) B 38 7-ivch Concrete Corti & 18-ivch (tatter (match existing) 50150 Water UP 361.00000000 $33.00 $11,913.001 361.00000000 1 $11,913.001 $11,913.001 I $11,913.00 100.0% Balance to Finish (B-F) Quavnty Installed This Period This document has been madrfied fine, its original form as an EJCDC document and the user did not highlight the modifications. You are encouraged m read the document careMlly and consult Legal Counsel prior m its execution C-620 Change Order Totals I I I 1 1 $11.913.001 1 $11.913.001 $11.913.001 1 1 $11.913.001 100.0% 1 Progress Estimate Change Order Number I 6 Contractor's Application DELETIONS For (contract). 102169 Water & Sewer Rehab Contract 2019 WSM-B Lead Services Replacement Application Mother. 16 FINAL Application Period. Application Date. A B C D E F Item CO fi to Deletion Change Order Item No. Description Specification Unit of Deleta Section No. Measure Unit Price Change Order Not Used Value Not Used Not Used Not Used Not Used Not Used Not Used Not Used Totals This document has been madified fi in its original form as an EJCDC document and he user did not highlight the modifications. You are encouraged 1n read the document carefully and consul) Legal Counsel prior to its execution City of Fort Worth Summary of Charqes City Secretary Contract Num: I 55108 I Water & Sewer Rehab Contract 2019 WSM-B Lead SeM P C : FW060-0000011384 Replacement on Application Period: 0 Number: 16 FINAL Funding Identification (FID) Original Contract 156002-0600430-5740010-102169-001780-9999 (water 156002-0700430-5740010-102169-001780-9999 sewer 10200431-5740010-102169-002480-9999 (paving) 10 10 10 10 10 10 10 10 Change Order 1 156002-0600430-5740010-102169-001780-9999 (waterl 156002-0700430-5740010-102169-001780-9999 (sewer) 10200431-5740010-102169-002480-9999 (paving) 10 10 10 10 10 10 10 10 Change Order 2 156002-0600430-5740010-102169-001780-9999 (water 156002-0700430-5740010-102169-001780-9999 sewer 10200431-5740010-102169-002480-9999 (paving) 10 10 10 10 10 10 10 10 Change Order 3 1 56002-0600430-5740010-102169-001780-9999 (water 1 56002-0700430-5740010-102169-001780-9999 (sewer) Total Completed $3,415,931.14 $94,895.15 $1,358,985.69 $17,285.80 $3,000.00 Amt Remaining $5,123.07 $15,008.55 $43,529.71 ($17,285.80) ($3,000.03) Gross Project Number: 102169 Application Date: 1/0/1900 Retainage Net City of Fort Worth Summary of Charqes City Secretary Contract Num: I 55108 I Water & Sewer Rehab Contract 2019 WSM-B Lead SeM P C : FW060-0000011384 Replacement on Application Period: 0 Number: 16 FINAL Funding Identification (FID) 10200431-5740010-102169-002480-9999 (paving) 10 10 10 10 10 10 10 10 Change Order 4 156002-0600430-5740010-102169-001780-9999 (waterl 156002-0700430-5740010-102169-001780-9999 j(sewer 10200431-5740010-102169-002480-9999 (paving) 10 10 10 10 10 10 10 10 Change Order 5 156002-0600430-5740010-102169-001780-9999 (waterl 156002-0700430-5740010-102169-001780-9999 sewer 10200431-5740010-102169-002480-9999 (paving) 10 10 10 10 10 10 10 10 Total Completed $104,959.75 $62,166.62 $12,262.42 $34,520.90 $60,931.20 $11,968.00 Change Order 6 156002-0600430-5740010-102169-001780-9999 (waterl $11,913.00 156002-0700430-5740010-102169-001780-9999 j(sewer 10200431-5740010-102169-002480-9999 (paving) 10 10 Amt Remaining ($104,959.74) ($5,100.00) $52,758.83 ($11,985.00) 25,957.80 Gross Project Number: 102169 Application Date: 1/0/1900 Retainage Net City of Fort Worth Summary of Charqes City Secretary Contract Num: I 55108 I Water & Sewer Rehab Contract 2019 WSM-B Lead SeM P C : FW060-0000011384 Replacement on Application Period: 0 Number: 16 FINAL Funding Identification (FID) Total Completed Amt Remaining Gross 10 10 10 10 10 10 Change Order 7 156002-0600430-5740010-102169-001780-9999 water) 156002-0700430-5740010-102169-001780-9999 sewer 10200431-5740010-102169-002480-9999 (paving) 10 10 10 10 10 10 10 10 Change Order 8 156002-0600430-5740010-102169-001780-9999 (waterl 156002-0700430-5740010-102169-001780-9999 j(sewer 10200431-5740010-102169-002480-9999 (paving) 10 10 10 10 10 10 10 10 Totals 156002-0600430-5740010-102169-001780-9999 (waterl $3,550,941.96 $23.07 156002-0700430-5740010-102169-001780-9999 sewer $122,125.57 $23.52 10200431-5740010-102169-002480-9999 (paving) $1,515,752.14 $0.81 10 10 10 10 10 Project Number: 102169 Application Date: 1/0/1900 Retainage Net City of Fort Worth Summary of Charqes City Secretary Contract Num: I 55108 I Water & Sewer Rehab Contract 2019 WSM-B Lead Services I P. C : FWO60-0000011384 Project Number: 102169 Replacement Application Application Period: 0 Number: 16 FINAL Application Date: 1/0/1900 Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net 10 I 1 $0.00 $o.00 $0.00 $0.00 10 I I o.00 I I $0.00 1 1 $0.00 1 1 $0.00 1 1 10 I I o.o0 1 1 $0.00 1 1 $0.00 1 1 1 1 Grand Total 1 1 $5,188,819.66 1 1 $47.39 1 1 $0.00 1 1 ($259,440.98)1 1 $259,440.98 1 CSC No. 55108-COI FcPRT WOR-Fm City of Fort Worth r-- Change Order Request Project Name:1 Water & Sanitary Sewer Replacement Contract 2019, WSM-B City Sec No.: 55108 Project No,(s):l 56002-0600430/0700430-001780; 30100.020043/002480 1 NTP I N/A City Proj. No.: 102169 Project Description:I Water and Sewer Lines Replacement and Pavement Improvements Contractor.1 Gra-Tex Utilities, Inc. Change Order# I 1 1 Date: I 7/27/2021 City Project Mgr.I Pratima Poudyal City Inspector: I John Crowley Phone Number:1 817-392-6149 Phone Number: 617-871-8306 Dept. Unit I Water Unit II Sewer Unit III Pavement Totals Contract Time (Calendar days) Original Contract Amount $3,421,054.20 $109,903.70 $1,402,515.40 $4;9331473,30, %430 Extras to Date Credits to Dale Pending Change Orders (in M&C Process) Contract Cost to Date $3,421,054.20 $1,M993,j,0 $1,402 51.5A.0 $4;933;473.30 430 - Amount of Proposed Change Order $0's00 t0! 0000 ) �0.00 0 Revised Contract Amount $3;421.,064 20, $1'09;903.70 $1.40 ;515;40 $4)933;473;30 430 Original Funds Available for Change Orders $102,632.80 $10,990.30 $70,126.60 $$1 3,749.70 Remaining Funds Available for this CO $102,632,80 $10;990.30 $70,126,;60 $12,749.70 Additional Funding (if necessary) _ CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0,00% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) k1661841.,63 JUSTIFICATIQN'( I Change Order No.1 provides for the following: •The installation of sidewalk curb to match existing parkway grading of project streets. .The installation of retaining wall to support elevation difference between sidewalk and front yards of project streets. 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. ENEW Neme CoriiraofotFleme / Contractor Signature Ra Gra-Tex Utilities, Inc. I -- Jim Brent I 'D e Project M in DiredlOr atet'De0t): .w °Gons6dtiori8S ipelvit ug 11, 2021 �SSISIant.�i�l �2t1.�9,E ------- ug 13, 201 021 bay B Na/�i7aFG Councll.Aellon (If Required) M&C Number N/A M&C Date Approved 6 Aug 13.2021 FC3RT W00RTF11 City of Fort Worth Change Order Additions Project Name Water & Sanitary Sewer Replacement Contract 2019, WSM-B City Sec No.: 55108 Project No.(s): 66002-0600430/0700430-001780; 30100-020043/002480 DOE No.1 N/A City Proj, No.: 102169 Project I Water and Sewer Lines Replacement and Pavement Improvements Description Contractor Gra-Tex Utilities, Inc. Change Order: 0 Date: 1 7/2612021 City Project Mgr, I Pratima Poudyal City Inspector John Crowley ADDITIONS 1-1 tm ULbUKIr i wry, _ DEPT _ Q !Unit Unit Cost Total 34 Sidewalk with Curb Unit III Pavement 25iLO LF $20.00 $5,000.00 35 Retaining Wall Unit III Pavement 250.00 SF $27.50 $6,875.00 ,Unit I Water Unit II Sewer Page 1 of 3 'Unit III Pavement I$11,875.00 Additions Sub Total I$11,875.00 FORT WORTH City of Fort Worth Change Order Deletions Project Name I Water & Sanitary Sewer Replacement Contract 2019, WSM-B City Sec No.; 55108 Project No.(s): 56002-0600430/0700430-001780; 30100-020043/002480 1 DOE No. I N/A City Proj. No.: 102169 Project Description I Water and Sewer Lines Replacement and Pavement Improvements I Contractor I Gra-Tex Utilities, Inc. Change Order: Date I 7/2712021 City Project Mgr. Pratima Poudyal City Inspector: I John Crowley DELETIONS [TEM ! DESCRIPTION DEPT Qty ; Unit Uhlt.Cost Total 33 Pavement Construction Allowance Unit III Pavement 0.0766129 LS $155,000.00 $11,875.00 Page 2 of 3 Unit I Water Unit II Sewer Unit III Pavement $11,875.00 Deletions Sub Total $11,875.00 MMBE Breakdown for this Change Order MUVB� sub 'Tj pe of Serjvice _ AmQunt,for.ti is CQ` v Total w`4 OQ Previous Change Orders Total Page 3 of 3 Contract Compliance Manager By signing I acluiowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring allperformance and reporting requirements. Signature 1 Pratima Poudyal, P.E. Name of Employee Project Manager Title ATTEST: g' . P Ronald Gonzales Acting City Secretary CSC No. 55108-CO2 -r Wc),P, -F H City of Fort Worth �—(- Change Order Request Project Name: 1 Water & Sanitary Sewer Replacement Contract 2019, WSM-B f City Sec No.: 55108 Project No.(s)] 56002-0600430/0700430-001780; 30100-0200431002480 1 NTP 11 N/A I City Proj. No.: 102169 Project Description:I Water and Sewer Lines Replacement and Pavement Improvements Contractor. Gra-Tex Utilities, Inc. Change Order# 2 Date: 9/2212021 City Project Mgr.1 Pratima Poudyal CityInspector: John Crowley Phone Number: 817-392.6149 Phone Number: 817-871-8306 Dept. Unit 1 Water Unit II Sewer Unit III Pavement Totals Contract Time Calendar (lays) Original Contract Amount $3,421,054.20 109,903.70 $1,402,515.40 $4,933,473.30 30 Extras to Date $0.00 0.00 $0.00 $0.00 0 Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $3,421,054.20 $109,903.70 $1,402,515.40 $4,933,473.30 430 Amount of Proposed Change Order $0.00 -$0.03 $0.00 -$0.03 0 Revised Contract Amount $3,421,054.20 $109,903.68 $1,402,515.40 $4,933,473.28 430 Original Funds Available for Change Orders $102,632.80 $10,990.30 $70,126.60 $183,749.70 Remaining Funds Available for this CO $102,632.80 $10,990.30 $70,126.60 $183,749.70 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.00% MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) 1$6,166,841.63 JUSTIFICATION (REASONS) FOR CHANGE ORDER Change Order No. 2 provides for major manhole adjustment to meet current City sanitary sewer manhole standards. 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 /f Ontractor Signature Date Gra-Tex Utilities, Inc. I Jim Brent I /,� , 0% I �i /Ttij 1 Ins ctor erector Water Assistant City Attorney M&C Number I NIA � r Date Project Manager , Date 1012212021 Date Construction Supervisorl)fPW DeDt) Date T. t, Oct 25, 2021 Date Assistant City Manager Date Oct28,2021 — -4Lti Oct 28.2021 Council Action (If Required) M&C Date Approved NIA FORT WORTH City of Fort Worth �— Change Order Additions Project Name I Water & Sanitary Sewer Replacement Contract 2019, WSM-B Project No.(s): 56002-0600430/0700430-001780; 30100-020043/002480 Project I Water and Sewer Lines Replacement and Pavement Improvements Description I City Sec No.: 55108 DOE No.1 N/A I City Proj. No.: 102169 Contractor Gra-Tex Utilities, Inc. I Change Order: 0 Date: 1 7/26/2021 City Project Mgr. Pratima Poudyal City Inspector John Crowley ADDITIONS I I tM ULSUKIN I IUN DEPT Q Unit Unit Cost Total 36 Major Manhole Adjustment Unit II Sewer 1.00 EA $3,000.00 $3,000.00 jUnit I Water jUnit II Sewer $3,000.00 Unit III Pavement Page 1 of 3 Additions Sub Total $3,000.00 FORT WORTH City of Fort Worth Change Order Deletions Project Name I Water & Sanitary Sewer Replacement Contract 2019, WSM-B City Sec No.: I 55108 Project No.(s): I 56002-0600430/0700430-001780; 30100-020043/002480 DOE No. I N/A City Proj. No.: I 102169 Project Description I Water and Sewer Lines Replacement and Pavement Improvements Contractor I Gra-Tex Utilities, Inc. I Change Order: Date I 9/22/2021 City Project Mgr. I Pratima Poudyal City Inspector: I John Crowley DELETIONS ITEM DESCRIPTION DEPT City Unit Unit Cost Total 33 Pavement Construction Allowance Unit II Sewer 0.0193550 LS $155,000.00 $3,000.03 (Unit I Water (Unit II Sewer $3,000.03 (Unit III Pavement Page 2 of 3 IDeletions Sub Total $3,000.03 WWBE Breakdown for this Change Order MWBE Sub I Type of Service I Amount for this CO Total $0.00 Previous Change Orders co# I DATE I AMOUNT Total $0.00 1 Page 3 of 3 Contract Compliance Manager By signing I acknowledge that I am the person responsible for the monitoring and administration ofthis contract, including ensuring allperformance andreporting requirements. s Signature Pratima Poudyal, P.E. Name of Employee Project Manager Title ATTEST: Ronald Gonzales Acting City Secretary CSC No. 55108-CO3 FCC RT W" RT H City of Fort worth Change Order Request Project Name:1 Water & Sanitary Sewer Replacement Contract 2019, WSM-13 City Sec No.: 1 55108 Project No.(s):l 56002-0600430/0700430-001780; 30100-020043/002480 I NTP I N/A City Proj. No.: l 102169 Project Description:) Water and Sewer Lines Replacement and Pavement Improvements Contractor.) Gra-Tex Utilities, Inc. Change Order # 3 Date: 2/17/2022 City Project Mgr.J Pratima Poudyal City Inspector: Ryan Miller Phone Number: 817-392-6149 Phone Number:) 817-871-8306 Dept. Unit 1 Water Unit li Sewer Unit III Pavement Totals Contract Time (Calendar days) Original Contract Amount $3,421,054.20 $109,903.70 $1,402,515.40 $4,933,4731.30 430 Extras to Date $0.00 $0.00 $0.00 $0.00 0 Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $3,42111054.20 '$109,903.70 '" 11,402,515.40 $4,933,473.30 430 !Amount of Proposed Change Order $0,00 1 $0.00 $0.01 0.01 30 Revised Contract Amount $3,421,05420 $109,903.70 $1,402,515.41 $41933,473.31 460 Original Funds Available for Change Orders $102,632.80 $10,990.30 $70,126.60 $183,749.70 Remaining Funds Available for this CO $102,632.80 $10,990.30 $701-126.60 $183,749.70 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.00% MAXALLOWABLECONTRACTAMOUNT (ORIGINAL CONTRACTCOST+25%) 1$6,166,841.63 1 ;JUSTIFICATION (REAS NS)f0 CHANGE ORDER Change Order No. 3 provides for the replacement of unstable 7-inch thick non -reinforced concrete sub -base that was encountered during water main replacement on W Drew Street. It is necessary to repair the subgrade to facilitate pavement rehabilitation. Staff concurs with the contractor's request for additional 30 calendar days on the project for the time it took to excavate and replace/rehabilitate the subgrade. 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. Goglractor•s Compony Name ; _ ._... Ggntractot Name /o o . contrractor Si, ryoture . Gra-Tex Utilities, Inc. I John Crowley v Insjfectoe'`�J�d IDate . Project Manager - ' y 02 Darec(Or, (Water Dept) Tate = Gon§truchon 5 perviaor.:(TPW 1ptl� Date n�he� dev Feb 21, 2022 ff .AssstantCitVAttomey; _ Date AssislanE:GilSn aitager' ;¢r��Aate = j Feb 23, 2022 qn9 8 Y ..,_ Feb 23, 2022 .'.. _ Council Action;(f�F�e:QOired) M&C Number N/A M&C Date Approved NIA FO RT Wo RT H City of Fort Worth Change Order Additions Project Name I Water & Sanitary Sewer Replacement Contract 2019, WSM-B City Sec No.: 1 55108 Project No.(s): 56002-0600430/0700430-001780; 30100-020043/002480 DOE No.1 N/A I City Proj. No.: 1 102169 Project Water and Sewer Lines Replacement and Pavement Improvements Description Contractor Gra-Tex Utilities, Inc. Change Order: F-3-1 Date:1 2/17/2022 City Project Mgr. I Pratima Poudyal City Inspector I Ryan Miller 11 tM 37 Crack Seal Asphalt 38 Concrete Sub-Grage Repair 24 Unclassified Excavation ADDITIONS UtSCKIPIIUN DEPT Qtv Unit Unit Cost 1 Total Unit III Pavement 1A00 GA $34.65 $4,677.75 Unit III Pavement 120.00 CY $381.00 $45,720.00 Unit III Pavement 125.00 CY $25.00 $3,125.00 Unit I Wa er Unit II Sewer Unit III Pavement $53,522.75 Page 1 of 3 Additions Sub Total $53,522.75 FORT WORTH City of Fort Worth Change Order Deletions Project Name Water & Sanitary Sewer Replacement Contract 2019, WSM-13 City Sec No.: 55108 Project No.(s): 56002-0600430/0700430-001780; 30100-020043/002480 1 DOE No. I N/A City Proj. No.: 102169 Project Description I Water and Sewer Lines Replacement and Pavement Improvements Contractor I Gra-Tex Utilities, Inc. I Change Order: Date 2/17/2022 City Project Mgr. Pralima Poudyal City Inspector: I Ryan Miller DELETIONS ITEM DESCRIPTION DEPT Qty Unit . Unit Cost Total 33 Pavement Construction Allowance Unit III Pavement 0.345308 LS $155,000.00 $53,522.74 'Unit I Water Unit II Sewer Unit III Pavement $53,522.74 Page 2 of 3 Deletions Sub Total $53,522.74 MIWBE Breakdown for this Change Order MWBE-SubType`of Service Amount for this;GO Total $0.00 Previous Change Orders Pat, DATE AMOUNT Total $0.00 Page 3 of 3 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. �l Signature Pratima Poudyal, P.E. Name of Employee Project Manager Title ATTEST: , 7almM,,Q c � r7on daa Jannette S. Goodall (Feb 24, 202210:03 CST) Jannette Goodall City Secretary CSC No. 55108-004 FORT WORTH City of Fort Worth "' -`_,_ Change Order Request Project Name:I Water & Sanitary Sewer Replacement Contract 2019, WSM-B I City Sec No.: 1 55108 Project No,(s):I 56002-060043010700430-001780; 30100.0200431002480 1 NTP I N/A City Proj. No.: I 102169 Project Description:) Water and Sewer Lines Replacement and Pavement Improvements I Contractor] Gra-Tex Utilities, Inc. Change Order # I 4 Dale: I 912712023 City Project Mgr,I Pratima Poudyal I City Inspector: I Troy Gardner Phone Numbed 817-392-6149 I Phone Number: I 817-871-8306 Dept, Unit I Water Unit II Sewer Unit III Pavement Totals Contract Time (Calendar days) Original Contract Amount $3,421,054.20 $109,903.70 $1,402,515.40 $4.933,473.30 430 Extras to Dale $0.00 $0.00 $0.01 $0.01 30 Credits to Date $0.03 $0.03 Pending Change Orders (in M&C Process) Contract Cost to Date $3,421,054.20 $109,903.67 $1,402,515.41 $4.933,473.28 460 Amount of Proposed Change Order $57,066.62 $12,262.42 87,279.73 $156,608.77 60 Revised Contract Amount $3,478,120.82 $122,166.09 $ ,489,795.14 $5,090,082.05 520 Original Funds Available for Change Orders $102,632.80 $10,990.30 $70,126.60 $183,749.70 Remaining Funds Available for this CO $102,632.80 $10,990.33 $70,126.59 $183,749.72 Additional Funding (if necessary) $1,272.09 $17,153.14 $18,425.23 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 3,17% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $6,166,841.63 JUSTIFICATION (REASONS) FOR CHANGE ORDER Change Order No. 4 provides for the following: increased and additional pay item quantities that are necessary to complete the project; Additional concrete curb and gutter, valve box adjustments and removal and replacement of a sanitary sewer manhole along with traffic control and lane phasing for paving repairs across the Hemphill/Malta, Hemphill/Flint and Hemphill/Drew intersections. Staff concurs with the contractor's request for an addional 60 calendar days on this project. 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 Signature I Date Gra-Tex Utilities, Inc. John Crowley gotta 6*4*4 q/ Inspector Date Project Manager 1/ Date I Th C76milev 9/27/2023 09/28/2021 Dlreotorffla—ter Dept) Date Cor�jt uctio upervisor (TPW Dept) Date - C ooh., Hard&-1a 1. a11-T1 1 ' Oct 9, 2023 �• 9 /a 1a3 Senior Assistant City Attorney Date Assis aGe y nager Date Oct 11, 2023 Oct ii, zo23 Council Action (if Required) M&C Number I 23-0824 I M&C Dale Approved 9/2612023 I FORT WORTH City of Fort Worth Change Order Additions Project Name I Water & Sanitary Sewer Replacement Contract 2019, WSM-B Cily Sec No.: j 55108 Project No,(s): 56002-060043010700430.001780; 30100.020043/002480 DOE No.j N/A City Pro], No,: I 102169 Project I Water and Sewer Lines Replacement and Pavement Improvements Description I Contractor I Gra-Tex Utilities, Inc. Change Order: I 4 Date:1 9/2712023 j City Project Mgr. Pratima Poudyal City Inspector I Troy Gardner ADDITIONS - HEM UtSCRIP I IUN DEPT I Inil I Water 1-38 7-inch Concrete Curb and 18-Inch Gutter (match existing) 50150 Remobilization Fees for Pavement Repairs & Stripping Crews for Unit I Water 1-63 HemphillMalta, HemphllllFllnt and Hemphill/Drew Intersections Traffic Control & Lane Phasing for Paving Repairs and Stripping Crew on 1.64 HemphillMalla, Hemphill lint and Hemphill/Drew Intersections Unit I Water 1.65 Water Valve Box Adjustments with Concrete Collar Unit I Water 1-66 4" White Solid for Bike Lane Stripping Unit I Water 1-67 White Striping repairs at the Drew Intersection Unit I Water HMAC Pavement Repairs 5 It wide, on East side of Hemphill at the Drew Unit I Water 1-58 Intersection (location Identified as near Water Valves) 1-69 Concrete Valley Gutter Repairs at Drew and Malta Intersections Unit I Water 1-70 Order and Purchase New Historic Tiles Unit I Water Unit I Water 1-71 Install New Hislorcial Tile's into the Curb at locations designated By the City Remove exsisling SS MH and Replace by Cast -In -place, In the ROW of 2-29 W. Drew Including Remobilazalion and Traffic Control Unit II Sewer 2-30 10-inch Flex Base, Type A, GR-2 (50150) Unit II Sewer 3-7 7-Inch Concrete Curb and 1 B-Inch Gutter (match existing) 50150 Unit III Pavement 3-34 Order and Purchase New Historic Tiles Unit III Pavement Unit III Pavement 1-35 Install New Historclal Tile's into the Curb at locations designated By the City Qty Unit Unit Cost Total 935.00 LS $33.00 $30,855.00 1.00 LS $3,650.00 $3,650.00 1.00 LS $8,850.00 $8,850.00 6.00 EA $750.00 $4,500.00 275.00 LF $4.15 $1,141.25 125.00 LF $4.15 $518.75 40.00 LS $142.00 $5,680.00 82.00 SF $16.11 $1,321.02 2.00 EA $1,825.30 $3,650.60 4.00 EA $500.00 $2,000.00 1.00 LS $12,000.00 $12,000.00 9.94 SY $26.40 $262.42 2618.298 LF $33.00 $86,403.83 3.000 EA $1,825.30 $5,475.90 1.00 EA $500.00 $500.00 Unit I We er $62,166.62 Unit II Sewer $12,262.42 Unit III Pavement $92,379.73 Page 1 of 3 Additions Sub Total $166,808.77 FORT WORTH City of Fort Worth Change Order Deletions Project Name Water & Sanitary Sewer Replacement Contract 2019, WSM-B City Sec No.: 55108 Project No.(s): I 56002-0600430/0700430-001780; 30100.020043/002480 I DOE No. I N/A City Proj. No.: 102169 Project Description I Water and Sewer Lines Replacement and Pavement Improvements Contractor I Gra-Tex Utilities, Inc. I Change Order: ® Date I 9/27/2023 City Project Mgr. Pratima Poudyal I City Inspector: I Troy Gardner DELETIONS ITEM DESCRIPTION DEPT City Unit Unit Cost Total 1-51 Curb Address, Ceramic Tile (50/50) Unit I Water 6.00 EA $850.00 $5,100.00 3-21 Curb Address, Ceramic Tile (50/50) Unit III Pavement 6.00 EA $850.00 $5,100.00 Page 2 of 3 Unit I Water $5,100.00 Unit II Sewer IUnil III Pavement $5,100.00 Deletions Sub Total $10,200.00 MMBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders cO # DATE AMOUNT Total $0.00 Page 3 of 3 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. Signature Pratima Poudyal, P.E. Name of Employee Project Manager Title ATTEST: Jannette Goodall City Secretary City of Fort Worth, Texas Mayor and Council Communication DATE: Tuesday, September 26, 2023 LOG NAME: 602019WSMBC04-GRATEX REFERENCE NO.: **M&C 23-0824 SUBJECT. (CD 9) Authorize Execution of Change Order No. 4 in the Amount of $156,608.77 and the Addition of 60 Calendar Days to a Contract with Gra-Tex Utilities, Inc., for 2019 Water Line and Sanitary Sewer Replacement, Water and Sewer Maintenance-B Project for a Revised Contract Amount of $5,090,082.05 RECOMMENDATION: It is recommended that the City Council authorize execution of Change Order No. 4 in the amount of $156,608.77 and the addition of 60 calendar days to City Secretary Contract No. 55108 with Gra-Tex Utilities, Inc., for 2019 Water Line and Sanitary Sewer Replacement, Water and Sewer Maintenance-B project (CPN 102169) for a revised contract amount of $5,090,082.05. DISCUSSION: On October 27, 2020, Mayor and Council Communication (M&C 20-0803), the City Council authorized a contract with Gra-Tex Utilities, Inc., (City Secretary Contract No. 55108) in the amount of $4,933,473.30 for construction of 2019 Water Line and Sanitary Sewer Replacement, Water and Sewer Maintenance-B project. The contract was subsequently revised by Change Order No. 1 with a net total amount of $0.00 after deducts, authorized administratively on August 13, 2021, that primarily provided for installation of sidewalk curb to match existing parkway grading and the installation of a retaining wall to support the elevation difference between sidewalk and front yards on project streets, Change Order No. 2 with a net total amount of $0.03 after deducts, authorized administratively on October 28, 2021, that provided compensation for major manhole adjustment to meet current City sanitary sewer manhole standards and Change Order No. 3 with net total amount of $0.01 after deducts administratively authorized on February 23, 2022, that provided for the replacement of unstable 7-inch thick non -reinforced concrete sub -base that was encountered during water main replacement. No appropriation is necessary for Change Order No. 4 as there are sufficient funds in the project to pay for the additional work. Change Order No. 4 provides for the following: increased and additional pay item quantities that are necessary to complete the project; Additional concrete curb and gutter, valve box adjustments and removal and replacement of a sanitary sewer manhole along with traffic control and lane phasing for paving repairs across the Hemphill/Malta, Hemphill/Flint and Hemphill/Drew intersections. Capital Project FY2023 CIP Budget Revised Fund Name Appropriations Authority Adjustment FY2023 Name Budget 30100 - P00020 - General Contract Capital Street $4,099,673.00 This M&C $0.00 $4,099,673.00 Projects Maintenance Fund Appropriations for 2019 Water Line and Sanitary Sewer Replacement, Water and Sewer Maintenance-B project are as depicted below: Fund f Existing II Additional IlIProject Total* II Appropriations Appropriations 1N&S Capital Projects — Fund 56002 _ General Capital Projects Fund 30100 _ Project Total $4,484,248.00 $0.00 $4,484,248.00 $1,675,131.00 $6,159,379.00 *Numbers rounded for presentation purposes. $0.00 $1,675,131.00 $0.00 $6,159,379.00 Business Equity: Gra-Tex Utilites Inc. is in compliance with the City's Business Equity Ordinance by committing to 10 percent MWBE participation on this project. The City's MWBE goal on this project is 10 percent. This project is located in COUNCIL DISTRICT 9. FISCAL INFORMATION / CERTIFICATION: The Director of Finance certifies that funds are currently available in the W&S Capital Projects Fund and the General Capital Projects Fund for the 2019 WSM-B project. Prior to any expenditure being incurred, the Water Department has the responsibility to validate the availability of funds. FUND IDENTIFIERS (FIDs).: TO LFund Department ccoun Project ctivity Budget Reference # mount I ID ID _ JProgram 1 I Year I (Chartfield 2) 1 FROM Fund Department ccoun Project JProgram ctivity Budget Reference # mount ID ID I Year I (Chartfield 2) CERTIFICATIONS: Submitted for City Manager's Office by: Dana Burghdoff (8018) Originating Department Head: Chris Harder (5020) Additional Information Contact: Pratima Poudyal (6149) ATTACHMENTS 1. 602019WSMBC04-GRATEX 1295.pdf (CFW Internal) 2. 602019WSMBC04-GRATEX Compliance Memo.pdf (CFW Internal) 3. 602019WSMBC04-GRATEX FID Table (WCF 06.26.23).xlsx (CFW Internal) 4. 602019WSMBC04-GRATEX Map.pdf (Public) 5. 602019WSMBC04-GRATEX SAM.ndf (CFW Internal) 6. PBS CPN 102169.pdf (CFW Internal) 602019WSM RCO4-GRATEX FED Table 1 30100 I 0200431 1 5740010 I 102169 002480 9999 1 $87,279.73 JPay to Engineer CSC No. 55108-CO5 FO RT' WO RT H City of Fort Worth Change Order Request Project Name: I Water & Sanitary Sewer Replacement Contract 2019, WSM-8 I City Sec No.: 1 55108 Project No.(s):l 56002-0600430/0700430-001780; 30100-020043/002480 1 NTP I N/A CityProj. No.:l 102169 Project Description:I Water and Sewer Lines Replacement and Pavement Improvements Contractor: Gra-Tex Utilities, Inc. I Change Order# 5 Date: 11/10/2023 City Project Mgr.l Pratima Poudyal City Inspector: Troy Gardner Phone Number: 817-392-6149 Phone Number: 817-871-8306 Dept. Unit I Water Unit II Sewer Unit III Pavement Totals Contract Time (Calendar days) Original Contract Amount $3,421,054.20 $109,903.70 $1,402,515.40 $4,933,473.30 430 Extras to Date $57,066.22 $12,262.42 $87.279.74 $156,608.38 130 Credits to Date $0.03 $0.03 Pending Change Orders (in M&C Process) I Contract Cost to Date $3,478,120.42 $122,166.09 $1,489,795.14 $5,090,081,65 520 Amount of Proposed Change Order $60,931.20-$17.00 $25,957.80 $86,872.00 10 Revised Contract Amount $3,539,051.62 $122,149.09 $1,515.752.94 $5,176,953.65 .530 Original Funds Available for Change Orders $102,632.80 $10,990.30 $70,126.60 $183,749,70 Remaining Funds Available for this CO $45,566.58 $0.00 $0.00 $45,566.58 Additional Funding (if necessary) $15,364.62 $25.957.80 $41,322.42 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 4.94% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+25%) $6,166,841.63 JUSTIFICATION (REASONS) FOR CHANGE ORDER Change Order No. 5 provides for the follc„ving: • Increased pay item quantities for concrete curb and gutter • Epoxy coating of sanitary sewer manho e • Trench repair with CLSM • Pavement repairs There are suffic ent funds available in the project to pay for this change order. Staff concurs with the contractor's request for an additional 10 calendar days on this project. 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. Contractors CompaName Contractor Name gnature Date Si Gra-Tex Utilities, Inc. John Crowley I',(,;<�L_G' Inss ctor Director (Water Dept) vl%l fI."00- fi(4;- Senior Assistant City Attorney M&C Number I N/A Date Project Mama Date )_` "-)3 %e , for Pratima Poudyal 11/13/23 Date'sbr (TPW Dept) Date. Nov 29, 2023 % — uper 1 �S 1 A Date Assi�tant CityVanager Date Nov 29, 2023 n°""; x y Nov 29, 2023 Council Action (if Required) M&C Date Approved NIA FU RT WORTH City of Fort Worth Change Order Additions Project Name Water & Sanitary Sewer Replacement Contract 2019, WSM-B City Sec No.: 1 55108 Project No.(s): 56002-0600430/0700430-001780; 30100-020043/002480 DOE No.1 N/A City Proj. No.: j 102169 Project I Description Water and Sewer Lines Replacement and Pavement Improvements I Contractor Gra-Tex Utilities, Inc. j Change Order: 5 ( Date:1 11/10/2023 City Project Mgr. Pratima Poudyal City Inspector I Troy Gardner ADDITIONS ITEM DESCbUPTION DEPT QW Unit Unit Cost Total 38 7-inch Concrete Curb & 18-inch Gutter (match existing) 50/50 Unit (Water 1,846.40 LF $33.00 $60,931.20 Unit II Sewer 11 Epoxy Manhole Liner (Warren or Chesterton) 7.59 VF $400.00 $3,036.00 8 Imported Embedment/Backfill, CLSM Unit II Sewer 18.00 CY $115.00 $2,070.00 31 Asphalt Pvmt Repairs beyond defined width, Residential Unit II Sewer 73.00 SY $94.00 $6,862.00 10 7-inch Concrete Curb & 18-inch Gutter (match existing) 50160 Unit III Pavement 786.60 LF $33.00 $25,957.80 'Unit I Wa er !$60.931.20 Unit II Sewer S11.968.00 'Unit III Pavement $25,957.80 Page 1 of 3 Additions Sub Total $98,857.00 FO RT' WO RT H City of Fort Worth Change Order Deletions Project Name Water & Sanitary Sewer Replacement Contract 2019, WSM-B City Sec No.: I 55108 Project No.(s): I 56002-0600430/0700430-001780; 30100-020043/002480 1 DOE No. I N/A I City Proj. No.: I 102169 Project Description I Water and Sewer Lines Replacement and Pavement Improvements Contractor I Gra-Tex Utilities, Inc. Change Order: Date I 11/10/2023 City Project Mgr. I Pratima Poudyal City Inspector: I Troy Gardner DELETIONS REM DESCRIPTION DEPT Qty Unit Unit Cost Total 28 Sewer Construction Allowance Unit II Sewer 0.799000 LS $15,000.00 S11,985.00 Unit I Water Unit II Sewer $11,985.00 Unit III Pavement Page 2 of 3 Deletions Sub Total $11,985.00 MWWBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders Co # DATE AMOUNT Total $0.00 Page 3 of 3 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. Signature Pratima Poudyal, P.E. Name of Employee Project Manager Title ATTEST: Jannette Goodall City Secretary 11/13/2023 CPN 102169 Water and Sanitary Sewer Replacement Contract 2019, WSM-B Change Order 5 Notes Staff has reviewed the requested prices and considers them to be fair and reasonable. CSC No. 55108-006 FORT' W"R-r" City of Fort Worth -. _ r---- Change Order Request Project Name: 1 Water & Sanitary Sewer Replacement Contract 2019, WSM-B City Sec No.: 55108 Project No,(s):l 56002-060043010700430-001780; 30100.0200431002480 1 NTP I N/A City Proj, No.: 102169 Project Description] Water and Sewer Lines Replacement and Pavement Improvements Conlractod Gra-Tex Utilities, Inc. Change Order it 6 Date: 12/6/2023 City Project Mgr.1 Pratima Poudyal ( City Inspector: Troy Gardner Unit III Contract Time Dept. Unit I Water Unit II Sewer pavement Totals (Calendar days) Original Contract Amount $3,421,054.20 $109,903.70 $1,402,515.40 $4,933,473.30 430 Extras to Date $117,997.42 $12,262.42 $113,237.54 $243.497.38 100 Credits to Date $17.03 $17.03 Pending Change Orders (in M&C Process) Contract Cost to Date $3,539,051.62 $122,149.09 $1,515.752.94 $5,176,953.65 530 JAmount of Proposed Change Order $11913.00 $0.00 $0.00 $11,913.00 0 Revised Contract Amount $3,55� ,964.62 $122,149.09 $1,515,752.94 $5,188,866.65 530 Original Funds Available for Change Orders , $102,632.80 $10,990.30 $70,126.60 $183,749.70 Remaining Funds Aveilable for this CO $3.00 $0.00 $0.00 Additional Funding (if necessary) $11,913.00 $11,913,00 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 5.18% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST +25%) $6,166,841.63 JUSTIFICATION (REASONS) FOR CHANGE ORDER Change Order No. 6 provides for increased pay item quantities for concrete curb and gutter that are necessary to complete the project. There are sufficient funds available in the project to pay for this change order. 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 I Contractor Name e I Contractor Signature 112/7/ Gra-Tex Utilities, Inc. John Crowle ` o<ics 6zoaap, Ins eclor Date Project Ma ager Date Cr ccUl'2�d�l 12/11 /2023 'Director(pater Dept) Date ,FRinsje�elley°�pervisor (TPW Dept) Date chris-YonhPr FfardPr '�> Dec 19, 2023 Senior Assistant City Attorney Date Date !!1 Dec 19, 2023 Dec 20, 2023 r Council Action (If Required) M&C Number NIA M&C Dale Approved NIA Fo R"C WO RT H City of Fort Worth Change Order Additions Project Name I Water & Sanitary Sewer Replacement Contract 2019, WSM-B City Sec No.: 1 55108 Project No.(s): 56002.0600430/0700430.001780; 30100-020043/002480 DOE No, N/A City Proj. No.: 1 102169 Project I Water and Sewer Lines Replacement and Pavement Improvements Description Contractor Gra-Tex Utilities, Inc. Change Order: 6 Date: 1 12/6/2023 City Project Mgr. j Pratima Poudyal I City Inspector j Troy Gardner ADDITIONS - I I EM UESCRIP I ION 38 7-inch Concrete Curb & 18-inch Gutter (match existing) 50/50 DEPT Qty Unit Unit Cost Total Unit I Water 361.00 LF $33.00 $11,913.00 (Unit I Water I$11,913.00 Unit II Sewer Unit III Pavement Page 1 of 3 (Additions Sub Total 1$11,913.00 FCo wr WORTH City of Fort Worth Change Order Deletions Project Name Water & Sanitary Sewer Replacement Contract 2019, WSM-B City Sec No.: 55108 Project No.(s): I 56002-060043010700430-001780; 30100-020043/002480 ! DOE No. I N/A City Proj, No.: 102169 Project Description I Water and Sewer Lines Replacement and Pavement Improvements Contractor I Gra-Tex Utilities, Inc. I Change Order: Dale City Project Mgr, I Pratima Poudyal I City Inspector: I Troy Gardner DELETIONS 121612023 - ITEM DESCRIPTION DEPT Qty Unit 'Unit Cost jUnit I Water Unit II Sewer lUnil III Pavement Page 2 of 3 Deletions Sub Total Total MMIBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders co# DATE AMOUNT Total $0.00 Page 3 of 3 12/6/2023 W&SS Replacement Contract 2019, WSM-B CSC: 55108 CPN:102169 Change Order 6 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. Signature Pratima Poudyal, P.E. Name of Employee Project Manager Title ATTEST: ()A�A Ax'u-� Jannette Goodall City Secretary PROJECT NAME: PROJECT NUMBER: DOE NUMBER: PIPE LAID PVC Water Pipe (DR-14) PVC Water Pipe DIP Water Pipe PVC Water Pipe FIRE HYDRANTS: 17 PIPE ABANDONED N/A DENSITIES: NEW SERVICES: PIPE LAID SDR-26 PVC Sewer Pipe PIPE ABANDONED N/A DENSITIES: NEW SERVICES: FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: Sanitary Sewer Replacement Contract 2019 WSM-B 102169 N/A WATER SIZE TYPE OF PIPE 12" PVC Water Pipe (DR-14) 8" PVC Water Pipe 8" DIP Water Pipe 6" PVC Water Pipe VALVES (16" OR LARGER) SIZE TYPE OF PIPE N/A N/A Densities Taken And Uploaded to BIM 320 1" Water Services (Copper) LF 224 9,775 40 201 LF N/A 4,800 SEWER SIZE TYPE OF PIPE LF 8" SDR-26 PVC Sewer Pipe 200 SIZE TYPE OF PIPE LF N/A N/A N/A Densities Taken And Uploaded to BIM 4" SDR-26 PVC Sewer Pipe 60 .TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 .t (817) 392 - 7941 • Fax: (817) 392 - 7845 FORT WORTH. TRANSPORTATION AND PUBLIC WORKS February 21, 2024 Gra-Tex Utilities P.O. Box 1038 Kennedale, Texas 76060 RE: Acceptance Letter Project Name: Water & Sanitary Sewer Replacement Contract 2019 WSM-B Project Type: Water & Sanitary Sewer City Project No.: 102169 To Whom It May Concern: On October 25, 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 6, 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 6, 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- 392-6149. Sincerely, Pratima Poudyal, Project Manager Cc: Troy Gardner, Inspector Gary Deyon, Inspection Supervisor Edward D'avila, Senior Inspector John Kasavich, Program Manager Garver, Consultant Gra-Tex Utilities, Contractor City of Fort Worth, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 CONSENT OF SURETY COMPANY TO FINAL PAYMENT Owner EN Architect ❑ Contractor ❑ Surety ❑ Other ❑ Project: Water and Sanitary Sewer Replacement Contract WSM-B, (Lead Services Replacement, D2, City Project No. 102169 TO (Owner) City of Fort Worth 1000 Throckmorton Fort Worth, TX 76102 L Contractor: Gra-Tex Utilities, Inc. Applicable Bond Number: 46BCSHP4387 Contract For: $5,188,819.66 J Effective: 11-18-2020 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the Hartford Fire Insurance Company, Surety Company On bond of Gra-Tex Utilities, Inc. , Contractor, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the surety company of any of its obligations to the City of Fort Worth, Texas , Owner as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, The Surety Company has hereunto set its hand this 30th day of January, 2024 Hartford Fire Insurance Company Surety Company Signature of Autho ized Representative Attest- Daniel F. Dacy, III, Attorney -in -Fact (Seal). Title IMPORTANT NOTICE To obtain information or make a complaint: You may contact your Agent. You may call The Hartford's Consumer Affairs toll -free telephone number for information or to make a complaint at: 1-800-451-6944 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) 490-1007 Web: www. tdi. texas.Qov E-mail: ConsumerProtection@tdi. texas. Qov PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim, you should contact the (agent) (company) (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. ./TX4275-1 Direct Inquiries/Claims to: THE HARTFORD POWER OF ATTORNEY tcut06155 Hartford,One onne Bond. Claims0thehartford.com call: 888-266-3488 or fax: 860-757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: INSURICA DFB INSURANCE SVCS LLC Agency Code: 46 - 5124 82 Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana 0 Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois, a corporation duty organized under the laws of the State of Illinois OHartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint, up to the amount of Unlimited : Jim H. Barr, Daniel F. Dacy III, Tracie Garner, Chris Holt, Paula C. Jones of FORT WORTH, Texas their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 23, 2016 the Companies have caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. ID01117.11."M Shelby Wiggins, Assistant Secretary Joelle L. LaPierre. Assistant Vice President STATE OF FLORIDA ss. Lake Mary COUNTY OF SEMINOLE On this 20th day of May, 2021, before me personally came Joelle LaPierre, to me known, who being by me duly sworn, did depose and say: that (s)he resides in Seminole County, State of Florida; that (s)he is the Assistant Vice President of the Companies, the corporations described in and which executed the above instrument; that (s)he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that (s)he signed his/her name thereto by like authority. • a ; Jessica Ciccone MvCornmissionHH 122280 Expires June 20, 2025 I, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force effective as of 3 0th day of January, 2 024 Signed and sealed in Lake Mary, Florida. +� •t++! r_ti �r /tea a Pv�, :: �n.rr ; t9 i T �9�� '�0�'��6'• �+++K°r°a �� "� i•`� c. nc,�fy w �lMM• t Sy7o c \1070 t i 1979 V4A • �� `�CP'/ �.a+ �� ri : s•`tir • ��''eetie+ti'r'f 51,6�b� Keith D. Dozois, Assistant Vice President 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 John Crowley, The Project Manager, Of Gra-Tex Utilities, Inc., 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; 2019 WSM-B CPN 102169 BY `�� eAdw" Name or Title Subscribed and sworn before me on this 30th Day of January, 2024 n*ar �u8 GREG STEVEN HUGDAHL Notary ID #128160988 +� My Commission Expires Notary Pu iC 't ur April 5, 2026 County, State -