HomeMy WebLinkAboutContract 57577-FP1-FP1
City Secretary
Contract No. 57677
FORT WORTH..
Date Received 09/04/2024
AT
NOTICE OF PROJECT COMPLETION
(Developer Projects)
The Transportation and Public Works Department upon the recommendation of the Project
Manager has accepted the following project as complete:
Project Name: North City Addition Ph. 2 Water & Sewer
City Project No.: 103490
Improvement Type(s): Water ❑x Sewer ❑x
Original Contract Price:
$2,279,043.00
Amount of Approved Change Order(s): $487,371.00
Revised Contract Amount: $2,766,414.00
Total Cost of Work Complete: $2,766,414.00
Aug 27, 2024
Carmen EsteD (Aug 27. 20 4 15:27 CDT)
Contractor Date
Office Manager
Title
Jackson Construction
Company Name
Aug 28, 2024
y erLi(<....� . i r_ 28, 2024 07:56 CDT)
Project Inspector
Date
Rawv r ,�
Sep 4, 2024
Ram T-an (SeD 4, 202411:42 CDT)
Project Manager
Date
Se 4 2024
Sep
Rebecca Owen (SeD 4. 202411:51 CDT)
CFA Manager
Date
Sep 4, 2024
Lauren Prieur (SeD 4, 202416:33 CDT)
TPW Director
Date
cv� Sep 10, 2024
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: North City Addition Ph. 2 Water & Sewer
City Project No.: 103490
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑x Yes ❑ N/A
Pipe Report: ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid'
Consent of Surety 0
Statement of Contract Time
Contract Time: 120 WD Days Charged: 388
Work Start Date: 6/27/2022 Work Complete Date: 4/26/2024
Completed number of Soil Lab Test: 582
Completed number of Water Test: 45
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name NORTH CITY ADDITION, PHASE 2
Contract Limits
Project Type WATER & SEWER IMPROVEMENTS
City Project Numbers 103490
DOE Number 4900
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date 6/14/2022
For Period Ending 4/26/2024
WD
Contract Time 12WD
Days Charged to Date 388
Project Manager NA
Contractor JACKSON CONSTRUCTION LTD
5112 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors WATSON / RODGERS
Contract is 100.00 Complete
Tuesday, August 13, 2024 Page 1 of 5
City Project Numbers 103490 DOE Number 4900
Contract Name NORTH CITY ADDITION, PHASE 2 Estimate Number 1
Contract Limits Payment Number I
Project Type WATER & SEWER IMPROVEMENTS For Period Ending 4/26/2024
Project Funding
UNIT I WATER IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
PRESURE PLUG (CO #1) (CO #2)
33 EA
$500.00
$16,500.00
33
$16,500.00
2
TRENCH SAFETY
6634 LF
$2.00
$13,268.00
6634
$13,268.00
3
20" CASING BY OPEN CUT
158 LF
$170.00
$26,860.00
158
$26,860.00
4
24" CASING BY OPEN CUT (CO #1)
194 LF
$176.00
$34,144.00
194
$34,144.00
5
30" CASING BY OPEN CUT
160 LF
$213.00
$34,080.00
160
$34,080.00
6
DUCTILE IRON WATER FITTING W/RESTRAINT
4.65 TN
$15,000.00
$69,750.00
4.65
$69,750.00
(CO #2 & 3)
7
6" PVC WATER PIPE (CO # 1 & 3)
480 LF
$64.00
$30,720.00
480
$30,720.00
8
8" PVC WATER PIPE (CO #1) (CO #2)
2913 LF
$55.00
$160,215.00
2913
$160,215.00
9
8" PVC WATER PIPE,CSS BACKFILL
20 LF
$110.00
$2,200.00
20
$2,200.00
10
12" PVC WATER PIPE (CO #1 & 3)
3693 LF
$102.00
$376,686.00
3693
$376,686.00
11
12" WATER PIPE, CSS BACKFILL
100 LF
$154.00
$15,400.00
100
$15,400.00
12
16" WATER PIPE (CO #1)
773 LF
$159.00
$122,907.00
773
$122,907.00
13
16" WATERPIPE, CSS BACKFILL
20 LF
$185.00
$3,700.00
20
$3,700.00
14
STD. FIRE HYDRANT ASSEMBLY W/6" GATE
7 EA
$6,000.00
$42,000.00
7
$42,000.00
VALVE & VALVE BOX (CO #2 & 3)
15
CONNECT TO EXISTING 8" W.L. STUB -OUT
1 EA
$1,200.00
$1,200.00
1
$1,200.00
16
CONN. TO EXISTING 4"-12" WATER MAIN (CO
4 EA
$1,200.00
$4,800.00
4
$4,800.00
#3)
17
2" WATER SERVICE (CO #1) (CO #2)
10 EA
$2,900.00
$29,000.00
10
$29,000.00
18
4" WATER METER & VAULT
2 EA
$28,500.00
$57,000.00
2
$57,000.00
19
6" GATE VALVE & VALVE BOX (CO #1 & #3)
10 EA
$1,300.00
$13,000.00
10
$13,000.00
20
8" GATE VALVE & VALVE BOX (CO #2)
15 EA
$1,900.00
$28,500.00
15
$28,500.00
21
12" GATE VALVE & VALVE BOX (CO #3)
22 EA
$3,300.00
$72,600.00
22
$72,600.00
22
16" GATE VALVE & VAULT
6 EA
$25,000.00
$150,000.00
6
$150,000.00
23
6" BLOW OFF ASSEMBLY
1 EA
$24,500.00
$24,500.00
1
$24,500.00
24
2" COMB. AIR RELEASE VALVE AND VAULT
1 EA
$18,000.00
$18,000.00
1
$18,000.00
25
3" SERVICE CONNECTION (CO #1)
0 EA
$400.00
$0.00
0
$0.00
26
4" SERVICE CONNECTION
1 EA
$500.00
$500.00
1
$500.00
27
2" PRESSURE PLUG (CO #1)
10 EA
$250.00
$2,500.00
10
$2,500.00
28
3" PRESSURE PLUG (CO #1)
0 EA
$125.00
$0.00
0
$0.00
29
8" DIP WATER (CO #1)
20 LF
$210.00
$4,200.00
20
$4,200.00
Tuesday, August 13, 2024 Page 2 of 5
City Project Numbers 103490
Contract Name NORTH CITY ADDITION, PHASE 2
Contract Limits
Project Type WATER & SEWER IMPROVEMENTS
Project Funding
DOE Number 4900
Estimate Number 1
Payment Number I
For Period Ending 4/26/2024
30
12" DIP WATER (CO #1)
117 LF
$255.00
$29,835.00
117
$29,835.00
31
12" DIP WATER, CSS BACKFILL (CO #1)
10 LF
$388.00
$3,880.00
10
$3,880.00
32
16" DIP WATER (CO #1)
90 LF
$348.00
$31,320.00
90
$31,320.00
33
16" DIP WATER, CSS BACKFILL (CO #1)
20 LF
$529.00
$10,580.00
20
$10,580.00
34
1" WATER SERVICE (CO #1) (CO #2) (CO #3)
25 EA
$1,970.00
$49,250.00
25
$49,250.00
Sub -Total of Previous Unit
$1,479,095.00
$1,479,095.00
UNIT H SANITARY SEWER IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed Completed
No.
Quanity
Total
Quanity
Total
---------------------------------------
1
POST -CCTV INSPECTION (CO #1 & 3)
5282 LF
$5.00
$26,410.00
5282
$26,410.00
2
VACUUM TEST MANHOLES (CO #1 & 3)
43 EA
$450.00
$19,350.00
43
$19,350.00
3
TRENCH SAFETY (CO #1 & 3)
5282 LF
$2.00
$10,564.00
5282
$10,564.00
4
CONCRETE COLLAR (CO #1 & 3)
23 EA
$650.00
$14,950.00
23
$14,950.00
5
TRENCH WATER STOPS (CO #1)
26 EA
$500.00
$13,000.00
26
$13,000.00
6
20" CASING BY OPEN CUT (CO #1)
526 LF
$170.00
$89,420.00
526
$89,420.00
7
8" SDR-26 PVC SEWER PIPE (CO #1 & 3)
2292 LF
$46.00
$105,432.00
2292
$105,432.00
8
8" PVC SCAN.SEW. PIPE W/CSS BACKFILL (CO
340 LF
$86.00
$29,240.00
340
$29,240.00
#1)
9
8" DIP SEWER PIPE (CO #1)
1174 LF
$147.00
$172,578.00
1174
$172,578.00
10
8" DIP SEWER PIPE, CSS BACKFILL (CO #1)
60 LF
$153.00
$9,180.00
60
$9,180.00
11
EPDXY MANHOLE LINER (CO #1 & 3)
197 VF
$385.00
$75,845.00
197
$75,845.00
12
T STD.DIA MANHOLE (CO # 1 & 3)
37 EA
$5,900.00
$218,300.00
37
$218,300.00
13
T DROP MANHOLE (CO # 1)
6 EA
$11,000.00
$66,000.00
6
$66,000.00
14
T EXTRA DEPTH MANHOLE (CO # 1 & 3)
343 VF
$100.00
$34,300.00
343
$34,300.00
15
DEEP TRENCH BACKFILL (CO #1)
1503 LF
$182.00
$273,546.00
1503
$273,546.00
16
CONNECT TO EXISTING MANHOLE AND
2 EA
$10,000.00
$20,000.00
2
$20,000.00
INSTALL INTERNAL DROP
17
10" SEWER PIPE (CO #1)
1156 LF
$59.00
$68,204.00
1156
$68,204.00
18
10" SEWER PIPE, CSS BACKFILL (CO #1)
100 LF
$107.00
$10,700.00
100
$10,700.00
19
10" DIP SEWER (CO #1)
140 LF
$172.00
$24,080.00
140
$24,080.00
20
10" DIP SEWER, CSS BACKFILL (CO #1)
20 LF
$261.00
$5,220.00
20
$5,220.00
21
--------------------------------------
CONNECT TO EXISTING MANHOLE (CO #3)
1 EA
$1,000.00
$1,000.00
1
$1,000.00
--------------------------------------
Sub-Total of Previous Unit
$1,287,319.00
$1,287,319.00
Tuesday, August 13, 2024 Page 3 of 5
City Project Numbers 103490
Contract Name NORTH CITY ADDITION, PHASE 2
Contract Limits
Project Type WATER & SEWER IMPROVEMENTS
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number 1
Change Order Number 1
Change Order Number 2
Change Order Number 3
Change Order Number 3
DOE Number 4900
Estimate Number 1
Payment Number 1
For Period Ending 4/26/2024
$2,279,043.00
$62,751.00
$232,001.00
($385.00)
$175,754.00
$17,250.00
Total Contract Price $2,766,414.00
Total Cost of Work Completed $2,766,414.00
Less % Retained $0.00
Net Earned $2,766,414.00
Earned This Period $2,766,414.00
Retainage This Period $0.00
Less Liquidated Damages
Days @ / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$0.00
$0.00
$0.00
$0.00
$0.00
$2,766,414.00
Tuesday, August 13, 2024 Page 4 of 5
City Project Numbers 103490
Contract Name NORTH CITY ADDITION, PHASE 2
Contract Limits
Project Type WATER & SEWER IMPROVEMENTS
Project Funding
Project Manager NA
Inspectors WATSON / RODGERS
Contractor JACKSON CONSTRUCTION LTD
5112 SUN VALLEY DRIVE
FORT WORTH, TX 76119
DOE Number 4900
Estimate Number 1
Payment Number 1
For Period Ending 4/26/2024
City Secretary Contract Number
Contract Date
6/14/2022
Contract Time
120 WD
Days Charged to Date
388 WD
Contract is .000000
Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
Total Cost of Work Completed $2,766,414.00
Less % Retained
$0.00
Net Earned
$2,766,414.00
Earned This Period $2,766,414.00
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 / Day
$0.00
LessPavement Deficiency
$0.00
Less Penalty
$0.00
Less Previous Payment
$0.00
Plus Material on Hand Less 15%
$0.00
Balance Due This Payment
$2,766,414.00
Tuesday, August 13, 2024 Page 5 of 5
DEVELOPER CHANGE ORDER
APPROVED
-AWARDED -PROJECT
PROJECT NAME:
North City Addition, Phase 2
I CHANGE
CONTRACT:
(A) Water, Sewer
ORDER No:
ICFA#
CFA22-0050 I CITY PARTICIPATION:
No
I CITY PROJECT#
103490
IFID #
30114-0200431-103490-EO7685
IX #
X-27010
IIPRC #
IPRC21-0081
I File #
W-2788
INSPECTOR:
Dennis Rodgers Phone No:
817-471-9351
PROJECT MANAGER:
Kiran Konduru, P.E. Phone No:
817-392-2237
CONTRACT UNIT
I
WATER
SEWER
DRAINAGE
PAVING
STREETLIGHTS
I CONTRACT
Developer
Developer
Developer
DAYS
Cost
City Cost
Developer Cost
City Cost
Developer Cost
City Cost
Cost
City Cost
Cost
City Cost
ORIGINAL CONTRACT
$1,240,975.00
$0.00
$1,038,068.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
120
EXTRAS TO DATE
$0.00
$0.00
CREDITS TO DATE
CONTRACT TO DATE
$1,240,975.00
$0.00
$1,038,068.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
120
AMOUNT OF PROP. CHANGE ORDER
$62,751.00
$0.00
$232,001.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0
REVISED CONTRACT AMOUNT
$1,303,726.00
$0.00
$1,270,069.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
120
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$1,303,726.00
$1,270,069.00
$0.00
$0.00
$0.00
REVISED COST SHARE
Dev. Cost: $2,573,795.00
City Cost:
$0.00
TOTAL REVISED CONTRACT
$2,573,795.00
Revised: 10-12-2011 Page 1
APPROVED
You are directed to make the following
Fhanges in contract documents :
CITY BID ITEM
I
I
PAY ITEM #
I #
UNIT
ITEM DESCRIPTION
UNIT PRICE
TOTAL
UNIT I: WATER IMPROVEMENTS
1
0241.1118
(1)
EA
4"-12" Pressure Plug
$500.00
($500.00)I
4
3305.1004
74
LF
24" CasinQ by O en Cut
$176.00
$13,024.001
7
3311.0161
(42)
LF
6" PVC Watere
$64.00
($2,688.00)1
8
3311.0241
1
LF
8" PVC Water Pipe
$55.00
$2,255.001
10
3311.0461
20)
LF
12" PVC Water Pipe
$102.00
$2,040.00 I
12
3311.0541
20))
LF
16" Water Pige
$159.00
$3,180.00 I
17
3312.2203
25}
EA
2" Water Service
$2,900.00
$72,500.0 I
19
3312.3002
2
EA
6" Gate Valve & Valve Box
$1,300.00
($2,600.00�1
25
9999.0002
1
16�
EA
3" Service Connection
$400.00
($400.000
27
9999.0004
EA
2" Pressure Plug
$250.00
($1,500.0 )I
28
9999.0005
(1)
EA
3" Pressure Plug
$125.00
($125.00)I
29*
3311.0251
20
LF
8" DIP Water
$210.00
$4,200.001
30*
3311.0451
117
LF
12" DIP Water
$255.00
$29,835.001
31*
3311.0452
10
LF
12" DIP Water, CSS Backfill
$388.00
$3,880.001
32*
3311.0551
90
LF
16" DIP Water
$348.00
$31,320.001
33*
3311.0552
20
LF
16" DIP Water, CSS Backfill
$529.00
$10,580.001
34*
3312.2003
27
EA
1" Water Service
$1,970.00
$53,190.001
SUBTOTAL UNIT I: WATER IMPROVEMENTS
$62,751.001
Revised: 10-12-2011 Page 2
APPR
UNIT II: SANITARY SEWER IMPROVE111?
LF Pos - TV Inspection $5.00 $375.00))
EA Vacuum Test Manholes $450.00 �$450.00)
LF Trench Safe' $2.00 $150.00)
EA Concrete Collar $650.00 ($ ,250.00)
EA Trench Water Sto s $500.00 $5,500.00
LF 20" Casing by Open $170.00 $14,450.00
LF 8" SDR-26 PVC Sewer Pipe $46.00 ($89,516.00)
LF 8" PVC San. Sew. Pipe w/ CSS Backfill $86.00 {$3,440.00)
LF 8" DIP Sewer PiJg�e $147.00 66,885.00
LF 8" DIP Sewer Pipe, CS Backfill $153.00 $6,120.00
VF Epoxy Manhole Liner $385.00 $20,405.00
EA 4' Std. Dia. Manhole $5,900.00 ($11,800.00)
EA 4' Drop Manhole $11,000.00 $11,000.00
VF 4' Extra Depth Manhole $100.00 ($600.00)
LF Deep Trench Backfill $182.00 $109,018.00
LF 10'' Sewer Pigge $59.00 $68,204.00
LF 10" Sewer Pipe, CS5 Backfill $107.00 $10,700.00
LF 10" DIP Sewer $172.00 $24,080.00
LF 10" DIP Sewer, CSS Backfill $261.00 $5,220.00
EA Connect to Existing Manhole and Install Internal Drop $10,000.00 ($20,000.00)
EA Connect to Existing Manhole and Install Internal Drop $10,000.00 $20,000.00
SUBTOTAL UNITJIy{I)):1SpA`N`I)TnAJRY ySyE�jW�rEjR{ IryM��PJR�{O�VXrE�1M(�EryNTS $232,001.00
IUTAL UNI f V S'ANI MA SEWER �MFJF R M>=N 1 S I $232,001.00
IUTAL UNANUt UtcueK $294.752.00
1
3301.0002
(75)
1
2
3301.0101
J1
I
3
3305.0109
(5
1
4
3305.0112
(5)
1
5
3305.0113
11
1
6
3305.1003
85
1
7
3331.4115
(1946)
1
8
3331.4116
(40)
1
9
3331.4119
455
1
10
3331.4120
40
1
11
3339.0001
53
1
12
3339.1001
(2)
1
13
3339.1002
1
1
14
3339.1003
(6)
1
15
9999.0006
599
1
17*
3331.4201
1156
1
18*
3331.4202
100
1
19*
3331.4205
140
1
20*
3331.4206
20
1
15
9999.0007
(2)
16*
9999.0007
REASONS FOR CHANGE ORDER
1 Changes for revising proposed streets from public to private and reviews associated with reapproval of plans.
2 To correct the discrepancy in the original bid proposal (pay item #15 was used twice instead of #16)
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BESOUGHT BY THE DEVELOPER.
RECOMMENDED:
APPROVED:
APPROVED:
GMcivil n
�
McKeever Compam�
Jackson onstruchon LTD
BY:
,
BY,
By: J�
Name: Ryan Spears
Name: Steve McKeever
Name: C rmpn Fsten
Title: Project Engineer
Tide: Manager
Title: Office Manager
Revised: 10-12-2011 Page 3
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
North City Addition, Phase 2 CHANGE
CONTRACT:
(A) Water, Sewer ORDER No:
ICFA#
CFA22-0050 I CITY PARTICIPATION:( No
ICITY PROJECT #
103490
IFID #
2
30114-0200431-103490-EO7685
IX #
X-27010
IIPRC #
IPRC21-0081
I File #
W-2788
INSPECTOR:
Dennis Rodgers Phone No: 817-471-9351
PROJECT MANAGER:
Kiran Konduru, P.E. Phone No: 817-392-2237
WATER
SEWER
Developer
Developer
Cost
City Cost
Cost
City Cost
IORIGINAL CONTRACT
$1,240,975.00
$0.00
$1,038,068.00
$0.00
I EXTRAS TO DATE
$62,751.00
$0.00
$232,001.00
ICREDITS TO DATE
I CONTRACT TO DATE
$1,303,726.00
$0.00
$1,270,069.00
$0.00
(AMOUNT OF PROP. CHANGE ORDER
($385.00)
$0.00
$0.00
$0.00
REVISED CONTRACT AMOUNT
$1,303,341.00
$0.00
$1,270,069.00
$0.00
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$1,303,341.00
$1,270,069.00
REVISED COST SHARE
Dev. Cost:
$2,673,410.00
TOTAL REVISED CONTRACT
CONTRACT
UNIT
DRAINAGE
PAVING
Developer
Developer
Cost
City Cost
Cost
City Cost
$0.00
$0.00
$0.00
_ $0.00
1
$0.00
$0.00
$0.00
-
$0.00
$0.00
$0.00
-
$0.00
$0.00
$0.00
$0.00
$0.00
City Cost:
$2,573,410.00
REVIEWED 1
l By Kiran Konduru at 8:54 am, Apr 12, 2023 J
I
STREET LIGHTS I CONTRACT
Developer DAYS
Cost City Cost
$0.00 $0,00 120 I
I
I
$0.00 120 I
$0.00 0
$0.00 i 120 I
$0.00
$0.00 -
Revised: 10-12-2011 Page 1
REVIEWED
1
l By Kiran Konduru at 8:54 am,
Apr 12, 2023 J
You are directed to make the followinq chanqes in the contract documents:
I CITY B#D ITEM I
I
I I I
PAY ITEM #
QUANTITY UNIT
ITEM DESCRIPTION UNIT PRICE
TOTAL
UNIT I: WATER IMPROVEMENTS
1
0241.1118 �1� EA
1"-12" Pressure plu, $500.00
$500.00)1
6
3311.0001 ( 5) TON
Ductile Iron Water Fittin s w estraint $15,000.00
$750.00 1
8
3311.0241 (21) LF
8" PVC Water �e $55.00
(1,155.00 1
14
3312.0001 1 EA
Std. Fire Hydrant Assembly w/ 6"a}e Valve & Valve Box $6,000.00
$6,000.0 1
17
3312.2203 2 EA
2"Wafer Service $2,900.00
$5,800.001
20
3312.3003 ((1) EA
8" Gate Valve & Valve Box $1,900.00
$1,900.00 1
34
3312.2003 i4) EA
1"Water Service $1,970.00
j$7,880.001
SUBTOTAL UNIT I: WATER IMPROVEMENTS
($385.00 1
1
I U I AL UNI I I: WA I LK IMPKUVEMEN I S 1
($385.00)�
TOTAL CHANGE ORDERI
($385.00)
REASONS FOR CHANGE ORDER
1 Address building permit comments for Lot 3, Block 3.
Removed 2 - 2" water services and switched 2 - 1" water services to 2" services. Added 1 fire hydrant
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL
BE SOUGHT BY THE DEVELOPER.
RECOMMENDED:
APPROVED: APPROVED:
GMcivlln/
By
McKeever Companies Jackso onstruchonLTD
By.
Name: Ryan Spears
Name: Steve McKeever Name: Carmen Esters
Title: Project Engineer
Title: Manager Title: Office Office Man —
Revised: 10-12-2011 Page 2
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
North City Addition, Phase 2 CHANGE
CONTRACT:
(A) Water, Sewer ORDER No:
ICFA#
CFA22-0050 I CITY PARTICIPATION:( No
ICITY PROJECT #
103490
IFID #
3
30114-0200431-103490-EO7685
IX #
X-27010
IIPRC #
IPRC21-0081
I File #
W-2788
INSPECTOR:
Dennis Rodgers Phone No: 817-471-9351
PROJECT MANAGER:
Ram Tiwari, P.E. Phone No: 817-392-2237
WATER
SEWER
Developer
Developer
Cost
City Cost
Cost
City Cost
IORIGINAL CONTRACT
$1,240,975.00
$0.00
$1,038,068.00
$0.00
I EXTRAS TO DATE
$62,751.00
$0.00
$232,001.00
ICREDITS TO DATE
($385.00)
I CONTRACT TO DATE
$1,303,341.00
$0.00
$1,270,069.00
$0.00
(AMOUNT OF PROP. CHANGE ORDER
$175,754.00
$0.00
$17,250.00
$0.00
REVISED CONTRACT AMOUNT
$1,479,095.00
$0.00
$1,287,319.00
$0.00
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$1,479,095.00
$1,287,319.00
REVISED COST SHARE
Dev. Cost:
$2,766,414.00
TOTAL REVISED CONTRACT
CONTRACT
UNIT
DRAINAGE
PAVING
Developer
Developer
Cost
City Cost
Cost
City Cost
$0.00
$0.00
$0.00
_ $0.00
1
$0.00
$0.00
$0.00
-
$0.00
$0.00
$0.00
-
$0.00
$0.00
$0.00
$0.00
$0.00
City Cost:
$2,766,414.00
REVIEWED
By T/WAR/R at 9:53 am, Aug 09, 2024
I
STREET LIGHTS I CONTRACT
Developer DAYS
Cost City Cost
$0.00 $0,00 120 I
I
I
$0.00 120 I
$0.00 0
$0.00 i 120 I
$0.00
$0.00 -
Revised: 10-12-2011 Page 1
You are directed to make the followinq chanqes in the contract documents:
I CITY B#D ITEM I
I
I I
I
PAY ITEM #
QUANTITY
UNIT
ITEM DESCRIPTION
UNIT PRICE
TOTAL
UNIT I: WATER IMPROVEMENTS
6
3311.0001
0.6
TON
Ductile Iron Water Fittings w/ Restraint
$15,000.00
$9,000.001
7
3311.0161
30
LF
6" PVC Water Pipe
$64.00
$1,920.001
10
3311.0461
1397
LF
12" PVC Water Pllepa
$102.00
$142 494.001
14
3312.0001
1
EA
Std. Fire Hydrant Assembly w/ 6" Ga{e Valve & Valve Box
$6,000.00
$6,&.001
16
3312.0117
1
EA
Conn. To Existing� 4"-12" Water Main
$1,200.00
$1,200.001
19
3312.3002
1
EA
6" Gate Valve &Valve Box
$1,300.00
$1 300.001
21
3312.3005
3
EA
12' Gate Valve & Valve Box
$3,300.00
$9�J00.001
34
3312.2003
2
EA
1"Water Service
$1,970.00
$3,940.001
SUBTOTAL UNIT I: WATER IMPROVEMENTS
$175,754.001
REVIEWED
By TIWARIR at 10:20 am, Aug 09, 2024
Revised: 10-12-2011 Page 2
UNIT II: SANITARY SEWER IMPROVEME��
3301.0002 30 LF Post- Inspection
3301.0101 1 EA Vacuum Test Manholes
3305.0109 30 LF Trench Safety
3305.0112 1 EA Concrete Collar
3331.4115 30 LF 8" SDR-26 PVC Sewer
3339.0001 16 VF E�oxY Manhole Liner
3339.1001 1 EA � Std. Dia. Manhole
3339.1003 15 VF 4' Extra D�y�h Manhole
9999.0008 1 EA Connect to Existing
SUBTOTAL UNIT II:
TOTAL UNIT
TOTAL UNIT II:
1 Provide services in support of a replat of Lot 2, Block 5
$5.00
$150.001
2
$450.00
$450.001
3
$2.00
$60.001
4
$650.00
$650.001
7
Pipe
$46.00
$1,380.001
11
$385.00
$6,160.001
12
$5,900.00
$5,900.001
14
$100.00
$1
21'
Manhole
$1,000.00
\\500.001
$1,000.001
Y SEWER IMPROVEMENTS
$17,250.001
I: WATER IMPPOVEMENTSI
$175,754.00
Y SEWER MPROVEMENTS
$17,250.00
TOTAL CHANGE ORDER
$193,004.00
REASONS FOR CHANGE ORDER
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED:
APPROVED:
APPROVED:
GMcivil C/
By: r
McKeever Companies
By: `// J,
Jackson gnnstruchon LTD
By: l Amw�
Name Ryan Spears/
Name Steve McKeever
Name: Carmen Ester)
Title: Project Engineer
Title: Manager
Title: Office Manaaer
REVIEWED
By TIWARIR at 9:53 am, Aug 09, 2024
Revised: 10-12-2011 Page 3
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME:
North Cith Addition Ph. 2
PROJECT NUMBER:
103490
DOE NUMBER:
3490
WATER
PIPE LAID
SIZE
TYPE OF PIPE
LF
Yes
6"
PVC
480 LF
Yes
8"
PVC
2923 LF
Yes
12"
PVC
3793 LF
Yes
16"
PVC
793 LF
Yes
8"
DIP
20 LF
Yes
12"
DIP
127 LF
Yes
16"
DIP
110 LF
FIRE HYDRANTS: 7
VALVES (16" OR LARGER)
6
PIPE ABANDONED
SIZE
TYPE OF PIPE
LF
NA
DENSITIES:
Yes
NEW SERVICES:
1"
Copper
250
2"
Copper
100
4"
DIP
60
SEWER
PIPE LAID
SIZE
TYPE OF PIPE
LF
Yes
8"
PVC
2632 LF
8"
DIP
1234 LF
10"
PVC
1256 LF
loft
DIP
160 LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
NA NA NA NA
DENSITIES: Yes
NEW SERVICES: 8" PVC 40 LF
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
FORT WORTH..,
TRANSPORTATION AND PUBLIC WORKS
August 9, 2024
Jackson Construction, LTD
5112 Sun Valley Dr.
Fort Worth, TX 76119
RE: Acceptance Letter
Project Name: North City Addition Ph. 2
Project Type: Water & Sewer City
Project No.: 103490
To Whom It May Concern:
On July 1, 2024 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 August 6, 2024. 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 August 6, 2024, 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 817392-
2237.
Sincerely,
Ram Tiwan (Sep 4, 202411:42 CDT)
Andrew Goodman, Project Manager
Cc: Dennis Rodgers, Inspector
Donald Watson, Inspection Supervisor
Oscar Aguillon, Senior Inspector
Andrew Goodman, Program Manager
Goodwin & Marshall, Inc, Consultant
Jackson Construction, LTD, Contractor
McKeever Companies, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
8JACKSON
CONSTRUCTI N LTD.
5112 SUN VALLEY D IVE
FORT WORTH, TX 761 19
TEL: 81 T572-3303
FAX: 817-478-0443
STATE OF TEXAS
COUNTY OF TARRANT
AFFIDAVIT
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Ali Jackson,
Secretary. Of Jackson Construction, Ltd, 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;
North City Addition Phase 2
BY C/w \ 0 V ►�V �'
Ali Jackson, Secretary
Subscribed and sworn before me on this date 14th of August, 2024.
:r
Tarrant, Texas
CARMEN L. ESTEP
Notary Public, State of Texas
. ' Comm. Expires 04-06-2028
��,°;1�`,`�� Notary ID 2910811
CONSENT OF SURETY
TO FINAL PAYMENT
AIA Doc=ennt G707
Bond No. 1086244
TO OWNEL
rName surd addresr•1
City of Fort Worth
200 Texas Street
Fort Worth, TX 76102
PROJECT`:
(n -IF and ad&-.1}
North City Addition, Phase 2
07JNFR
CONTRACTOR
SURLTY
OTHER
ARCHITECT'S PROJECT NO.:
CONTRACC FOR:
CONTRACT DATEDz August 31, 2022
In accordance with the provisican5 of the Contract bemn--en the Owner and the Contractor as indicated above, the
flnsr�! ria+nr aird r�+t� of.S7�+-evr J
The Hanover Insurance Company
440 Lincoln Street
Worcester, MA 01653
SURETY,
on bcod of
flnwrl na+ne ant! addrva [(Cmztraa,,r)
Jackson Construction, Ltd.
5112 Sun Valley Drive
Fort Worth, TX 76119
, CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Sure of
any of irs obligations to
Crnwn nan+eanduddmga,fOuver!
City of Fort Worth
200 Texas Street
Fort Worth, TX 76102
as set forth in said Surety's bona.
+''' ` g
IN WITNESS WRl3RROR, the Surety Iw hereunto set its hand on this elate: August 14, 2024
(fnsttrl hi o lting (be nwntb followed kt The nwrrerk ctrr+rural rear r
.Fattest: r
�,lrury,
'' The Hanover Insurance Company
� 1 By:
fS�gna+urr oJurr/bor�zrrl +�rJ�r ii
Holly Clevenger Attorney -in -Fact
(Aiolled r+a+r+e awl +&&)
G707---1994
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWER OF ATTORNEY
THIS Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the
extent herein stated.
KNOW ALL PERSONS BY THESE PRESENTS:
That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations organized and existing underthe
laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a corporation organized and existing under the laws of the State of
Michigan, (hereinafter individually and collectively the "Company') does hereby constitute and appoint,
Jack M. Crowley, Laurie Pflug, Holly Clevenger and/or Christine Clinger
Of Willis Towers Watson Insurance Services West, Inc of Dallas, TX each individually, ifthere be more than one named, as its true and lawful attorneys) -in -fact
to sign, execute, seal, acknowledge and deliver for, and on its behalf, and as its act and deed any place within the United States, any and all surety bonds,
recognizances, undertakings, or other surety obligations. The execution of such surety bonds, recognizances, undertakings or surety obligations, in pursuance of
these presents, shall be as binding upon the Company as if they had been duly signed by the president and attested by the secretary of the Company, in their own
proper persons. Provided however, that this power of attorney limits the acts of those named herein; and they have no authority to bind the Company except in the
manner stated and to the extent of any limitation stated below:
Any such obligations in the United States, not to exceed Fifty Million and No/100 ($50,000,000) in any single instance
That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said Company, and said Resolutions
remain in full force and effect:
RESOLVED: That the President or any Vice President, in conjunction with any Vice President, be and they hereby are authorized and empowered to
appoint Attorneys -in -fact of the Company, in its name and as it acts, to execute and acknowledge for and on its behalf as surety, any and all bonds,
recognizances, contracts of indemnity, waivers of citation and all other writings obligatory in the nature thereof, with powerto attach thereto the seal ofthe
Company. Any such writings so executed by such Attorneys -in -fact shall be binding upon the Company as if they had been duly executed and
acknowledged by the regularly elected officers of the Company in their own proper persons.
RESOLVED: That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto, granted and
executed by the President or Vice President in conjunction with any Vice President of the Company, shall be binding on the Company to the same extent
as if all signatures therein were manually affixed, even though one or more of any such signatures thereon may be facsimile. (Adopted October 7,1981—
The Hanover Insurance Company; Adopted April 14, 1982 — Massachusetts Bay Insurance Company; Adopted September 7, 2001— Citizens Insurance
Company of America and affirmed by each Company on March 24, 2014)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY
OF AMERICA have caused these presents to be sealed with their respective corporate seals, duly attested by two Vice Presidents, this 28' day of June, 2024
C.:.
O(Z)
,�,,,
I he Ilaauver IUNUMICe l:umpaay
Massachusetts Bay Insurance Company
Citizens Insurance Company -of America
Vs H. Kawiecki. Vice President
STATE OF CONNECTICUT )
COUNTY OF HARTFORD ) ss.
The Ilanoter Insurdnce Cumpany
achusetta Bay Insurance Company
G li ss Insurance CompanN of America
Ilan M. Mendoza, Vice President
On this 2811 day of June, 2024 before me came the above named Executive Vice President and Vice President of The Hanover Insurance Company, Massachusetts
Bay Insurance Company and Citizens Insurance Company of America, to me personally known to be the individuals and officers described herein, and
acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company, Massachusetts Bay Insurance
Company and Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and
subscribed to said instrument by the authority and direction of said Corporations.
Wendy Latoumes
Notary Fabric, State of conreclicut
ir+ty Coirmissim Expires July 31. 2025
I
t wx 6
Mndr atouWies, otstjublillc
My eommissor expires July 31, 2025
I, the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America,
hereby certify that the above and foregoing is a full, true and correct copy of the Original Power of Attorney issued by said Companies, and do hereby further certify
that the said Powers of Attorney are still in force and effect.
GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, this 14th day of August 2024.
CERTIFIED COPY
Thalesurance .omezey
>i c u Bar Ins
Ci n sursace
he Rowedder, Vice Presides