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Contract 58528-FP1
FORT WORTH, WATER DEPARTMENT NOTICE OF PROJECT COMPLETION -FP1 City Secretary No: 58528 Date Received: 10/08/2024 City Project N!?: CO2719 Regarding contract 58528 Sanitary Sewer Rehabilitation, Contract 98for as required by the WATER DEPARTMENT as approved by City Council on 11/8/2022 through M&C 23-0888 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: $ 7,255,423.25 $-4,318.95 JV.-a9 _ $ 7,251,104.30 $ 6,689,717.43 Days @ $650.00/ Day Deduction for a thickness deficiency penalty; average thickness of asphalt -1,571 .27 Total Deduction Amount: $ pavement did not meet minimum specified thickness. Total Cost Work Completed: $ 6,688,146.16 Less Previous Payments: Final Payment Due Recommended for Acceptance Asst. Director, WATER DEPARTMENT CGIYIftD,�G�G�Y 1faYG%Y Christopher H a rd r(Oct 7, 202411:30 CDT) Accepted Director, WATER DEPARTMENT b� 8rr�gGu7u� Dana Burghdoff (Oct(, 2024 2:40 CDT) Asst. City Manager $ 6,355,231.56 $ 332,914.60 Oct 7, 2024 Date Oct 7, 2024 Date Oct 7, 2024 Date OFFICIAL RECORD Comments: CITY SECRETARY FT. WORTH, TX C-620 Signature Page Contractor's Application for Payment Invoice No. 17 - Final Retainage To (Owner) City of Fort Worth Invoicing Period (From - To): Invoice Date: 7-1-2024 to 8-2-2024 8/2/2024 P. O FW�60-000�020711 From ((11 Remit to( If Not Automatic Deposit): Number: Woody Contractors Inc. Project: CO2719 Contractor's CFW Vendor No.: 0000035314 City secretary contract 58528 Contract Sanitary Sewer Rehabilitation, Contract 98 Number: Namme:: Application For Payment Change Order Summary (Approved Change Orders 11. ORIGINAL CONTRACT PRICE.......................................................... $ $7,2559423.25 Number Additions Deletions 12. Net change by Change Orders................................................................. $-$4,318.95 1 $238,448.00 $225,195.00 13. Current Contract Price (Line 1 f 2)........................................................ $ $7,251,104.30 2 $5,694.00 $4,316.00 14. TOTAL COMPLETED AND STORED TO DATE 3 $11,791.00 $11,791.00 I (Progress Estimate, Construction Allowance and Change Orders)....... $ $6,689,717.43 4 $9,600.00 $9,600.00 15. RETAINAGE: 5 $58,550.00 $77,500.00 I a. X $6,689,717.43 Work Completed.......... $ 6 $115,853.00 $115,852.95 I Less Deductions X ($1,571.27) $ 7 W,081.40 W,081.40 I c. Total Retainage (Line 5a + Line 5b)................................ $ 8 $296,691.40 $296,691.40 16. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c)............................. $ $6,688,146.16 9 $37,230.00 $37,230.00 17. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)........ $ $6,355,231.56 TOTALS $817,938.80 $822,257.75 18. AMOUNT DUE THIS APPLICATION ................................................. $ $332,914.60 NET CHANGE BY-$4,318.95 9. BALANCE TO FINISH, PLUS RETAINAGE CHANGE ORDERS (Column G on Progress Estimate+ CA + Cos + Line 5 above) .............. $ $561,386.87 10. CONTRACT TIME: Contractor's Certification a. Days Awarded 550 The Contractor certifies with the submittal of this document and associated Payment Request Submittal b. Days Added by CO 30 on the City of Fort Worth Buzzsaw system that to the best of their knowledge: (1) all previous progress C. Total Days 580 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 d, Days Charged 516 Work or otherwise listed in or covered by this Application for Payment will pass to Owner at time of Days Remaining 64 payment free and clear of all Liens, security interests and encumbrances (except such as are covered by e. a Bond acceptable to Owner indemnifying Owner against any such Liens, security interest or encumbrances); and (3) all Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective. Liquidated Damages $650.00 x day Affidavit of Bills Paid Tray1NO&Jp�0ct 4, 202414:31 CDT) Consent of Surety 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 Pnce Progress Eshmale Progress Estimate IF.,(CO1d184") Sanitary Sewer Rehabilitation, Contract 98 Applmwon Penoa. 7-1-2024 to 8-2-2024 A Item Brd Item No Descnpnon Specdicwon Umt of Measure Section No ads' S"b Unk I: Weer@System ImproVemerrts 561P�!SU"": Acceptable Backfill LF I B. 3311.0551 jf�P r��,J (�bleBackfill LF 3311.0564 16" PVC C905 DR-11 Water Pipe, Acceptable Backfill, Restrained 2A' 2, Joints Joint LF 1 2B- 3311 0554 16" DIP Water, Acceptable Backfill, Restrained Joints 1 LF 1 3 3305.200516DIP Water Camer Pipe, Restramed Joint 1 LF 4A' 3311 0454 12" DIP Water, Acceptable Backfill, Restrained Joints LF 3311.0464 12" PVC DR-14 Water Pipe, Acceptable Backfill, Restrained 413' _ Joints LF 3311.0455 12"DIP Water, CSS Backfill, CSS Embedment, Restramed Joints 5A' LF 3311.0465 12' PVC DR-14 Water Pipe, CSS Backfill, CSS Embedment, 5B' Restrained Joint LF 3311.0464 12" PVC DR-14 Water Plpe, Acceptable Backfill, Restrained 6 Joints LF 3311.0468 17PVC DR-14 Water Plpe, CLSM Backfill, CLSM Embedment, 7 Restrained Jolnla LF 3311.0465 12" PVC DR-14 Water Pipe, CSS Backfill, CSS Embedment, 8 Restrained Jolla _ LF 9 3311.0462 12" PVC DR-14 Water Pipe, CSS Backfill, CSS Embedment LF 3305.2004 12' PVC DR-14 Water Camer Pipe, CSS Backfill, CSS 10 Embedment LF 11A' 33110251 8"DIP Water, Acceptable Backfill, Restrained Joints LF 3311 0261 8" PVC DR-14 Water Pipe, Acceptable Backfill, Restrained Joints 11B' LF 12 3311.02618-PVC DR-14 Water Pipe, Acceptable Backfill LF 3311 0261 8" PVC DR-14 Water Pipe, Acceptable Backfill, Restrained Joints 13 LF 3311.0264 8-PVC DR-14 Water Pipe, CLSM Backfill, CLSM Embedment, 14 Restrained Joints LF 3311.0262 8' PVC DR-14 Water Pipe, CSS Backfill, CSS Embedment, 15 Restrained Joints LF 16 3311.016' 6* PVC DR-14 Water Pipe, Acceptable Backfill LF 17 3301.1105 30" Casing By Other Than Open Cut LF 18 3305.1004 24 Casing By Open Cut LF 19 3305.0005 12 Waterline Lowering (Not Shown on Plans) EA 20 3305.0003 8' Watt t ne Lowering (Not Shown on Plans) EA 21 33Q0`�5.0QQ�00jQ02 9(NtlBQIAShown on Plans) EA 22 `6�'n�WQate�din[enLLowef Flll 31 CY 23 312.370� 2U">;uet-in Gale Valve w�Vaul,BSelecl 1 EA 1 24 3312.3006 16" Gate Valve W Vault 1 EA 1 25 3312.3001 12" Gate Valve 1 EA 1 26 3312.3003 8' Gate Valve 1 EA 1 26 3312.3002 6' Gate Valve 1 EA 27 0241.1510 Salvage Fire Hydrant EA 28 3312.0001 Fire Hydrant EA 29 3311.0001 Ductile Iron Water Fdtings V Restraint TN 30 3312.2003 1' Water Service EA 31 3312.2001 1- Water Service, Meter Reconnection EA 32 3312 2004 1" Pnvale Wier �j rvl Ioc�,l LF 1 33 33304 0101 Temporaryfar Se ces iprolecis Requiring 2" service) 1 LS 34 �W Sheet TReLS 1 35 0�41 1353 mo a a"rynd salvage 20" Water Vale 1 EA 1 36 0241 1305 Remove and salvage 12" Water Valve 1 EA 37 0241 1303 Remove and salvage 8" Water Valve EA 38 0241 1302 Remove and salvage 6" Water Valve EA 39 0241.120820"Water Abandonment Plug EA 40 0241.120718"Water Abandonment Plug EA 41 0241.1218 4'-1 2" Water Abandonment Plug EA 42 3312.0107 Connection to Existing 20- Water Main EA 43 9999.0001 Connection to Existing 18" Water Main EA 44 3312.0117 Connection to Existing 4"-12' Water Main EA 45 0241.1001 Water Line Grouting CY 46 0241.1018 Remove 20" Water Line, Separate Trench LF 47 0241 1012 Remove 6" Water Line, Separate Trench LF 48 3305.0109 Trench Safety LF 49 3305 0103 Exploratory Excavation of Existing Utilities EA 50 .305.0110 Utility Markers LS 51 3201 0201 Asphalt Pvml Repair Beyond Defined Width, Residential SY 52 3201.0301 2' Extra Width Asphalt Payment Repair SY 53 32010111 4'Wide Asphalt Pvml Re pair, Residential LF 54 320101125. Wide Asphalt Pvmt Repair, Residential LF 55 1201.0117 10' W Ide Asphalt Pvmt Repair, Residential LF 56 3201 0400 Temporary Asphalt Paving Repair LF 57 3201.0614 Cone Pvmt Repair, Residential SY 1 58 3214.0200 Brick Pvmt Repair 1 SY 1 59 3213.03014"Concrete Sidewalk 1 SF 1 60 3213.0401 6" Concrete Driveway (100% Water) 1 SF City Se.., 58528 Contractor's Application Cowan Num Apphewon Number' 17 - Final Retainage Apphcahon Date. 8/2/2024 B C D E F G Total Completed / Balance to Fimsb Esnnmted Quantity Mazenels Pn,-fl, Bid Quantity Lint Price Bid Value Value Prer,ousry Installed Value Value Thu Period and Stored to Daze (P) (B-P) Iretalled Stored (not m C) (D +B) B 459.000OO 1 $245.06_ $112,455.00 469.00000000 $114,90500 $114,905.00 $114,905.06 102.2% $2,450.001 459.00000 � 109.000OOOf $263.00 $28,66700 109.00000000 $28,66700 $28,667.00 $28,667.00 100.0% 109.00000 63.000OOUJ $271.0 _ $17,01000 63.00000000 $17,01000 $17,010.00 $17,010.0 100.0% 11.000OO�i 11.000000 $305.00 $3,355.00 $3,355.00I 22.000000 22.000000 $482.00 $10,604.00 22.00000000 $10,604.00 $10,604.00 $10,604.00 100.0% 245.000000 $305.00 $74,725.00 288.00000000 $87,840.00 $87,840.00 $87,840.00 117.6%-$13,115.00I 69.000000 $545.00 $37,605.00 73.00000000 $39,785.00 $39,785.00 $39,785.00 105.8%-$2,180.00I 33.000000 $482.00 $15,906.00 26.00000000 $12,53200 $12,532.00 $12,532.00 78.8% $3,374.00I 48.000006� $356.06 $17,08800 44.00000000 $15,664.00 $15,664.00 $15,6Im 6 91.7% $1,424.001 20.000O0Of $514.00 $10,280.00 18.00000000 $9,252.00 $9,252.00 $9,252.00 90.0% $1,028.00I 25.00000 1 25.000000 $124.00 $3,100.00 25.00000000 $3,10000 $3, 100.00 $3, 100.00 100.0% 2247.00000 $116.0 $260,65200 2261.00000000 $262,27600 $262,276.00 $262:276.0 100.6% $1,624.001 885.000000 $124.00 $109,740.00 880.00000000 $109,12000 $109,120.00 $109,120.00 99A% $620.00I 73.000000 $340.00 $24,820.00 72.00000000 $24,480.00 $24,480.00 $24,480.00 98.6 % $340.00I 88.000OOf $268.00 $23,584.00 88.00000000 $23,58400 $23,584.00 $23,584.00 100.0% 85.00000� $101.0 $8,58500 48.00000000 $4,84800 $4,848.00 $4,848.0 56.5% $3,737.001 58.00000� $1,005.0JJ $58,29000 58.00000000 $58,290.00 $58,290.00 $58,290.0J 100.0% 18.00000/ $320.00J $5,76000 18.00000000 $5,760.00 $5,760.00 $5,760.00 100.0% 2.00000/ $11,000.00J $22,00000 $22,000.001 5.000O0, $9,500.00) $47,50000 $4],500.00 2.00OOOi $8,800.06f $17,60000 $1],600.001 1800.000OOiI $35.06J $63,00000 $63,000.00 10000011 $77,500.00J $77:50000 $77,500.001 2000001 $34,000.0 $68,00000 200000000 $68,00000 $68,000.00 $68,000.0 100.0% 1 4.00000 $4,600.0 $18,40000 400000000 $18,40000 $18,400.00 $18,400.0 100.0% 1 15.00000 $2,600.0 $39,00000 16.00000000 $41:60000 $41,600.00 $41,600.0 106.7% $2,600.001 900000 $2,100.0 $18,90000 900000000 $18,90000 $18,900.00 $18,900.0 100.0% 1 8.00000 $300.0 J) $2,40000 600000000 $1,800.00 $1,800.00 $1,800.0JJ 75.0% $600.001 9.000OOOI $5,500:OJ $49:50000 900000000 $49,500.00 $49,500.00 $49,500:0J 100.0% 1 11.00000 $12,000.00 $132,00000 10.93000000 $131,160.00 $131,160.00 $131,160.06 99.4% $840.001 115.00000 $2,500.0 $287:500.00 115.00000000 $287,500.00 $287,500.00 $287,500.0 100.0% 1 113.00000 $550.0J) $62,150.00 107.00000000 $58,850:00 $58,850.00 $58,850.0J) 94.7% $3,300.001 380.000OOUJ $40:0J $15:20000 499.00000000 $19,96000 $19,960.00 $19,960:0J 131.3% 44,760.001 1.000OOQJ $160,000.00 $160,00000 100000000 $160,000.00 $160,000.00 $160,000.0 100.0% 1 Ito 000(i $41,800.0 $41,80000 $41,800.001 1.000006 $1,000.0 $1,00000 1.00000000 $1,000.00 $1,000.00 $1,909.9 100.0% 3.000OO, $100.0 $30000 3.00000000 $300.00 $300.00 $300.0 100.0% 1 6.000OOi $100.0 $60000 6.00000000 $60000 $600.00 $600.0 100.0% 3.000OOi $100.0 $30000 3.00000000 $300:00 $300.00 $300.0 100.0% 1 2.000OOi $400.0 $80000 2.00000000 $80000 $800.00 $800.0 100.0% 1 2.000OOi $400.0 $80000 2.00000000 $800:00 $800.00 $800.0 100.0% 1 10.000OOi I $200.0 $2,00000 4.00000000 $800.00 $800.00 $800.0 40.0% $1,200.001 1.00OOOi $13,000.0 $13,00000 1 00000000 $13,000.00 $13,000.00 $13,000.0 100.0% 1.000OOi I $13,000.0 $13,00000 1 00000000 $13,000.00 $13,000.00 $13,000.0 100.0% 1 18.000OOi I $7,800.0 Jj $140,40000 17.00000000 $132:600:00 $132'600.00 $132,600.0JJ 94.4% $7,800.001 21.0000 0 i I $660.00J $13:86000 6.00000000 $3,960.00 $3,960.00 $3,960.00J 28.6% $9,900.001 38.000OOi I $14.OQQ $532.00 38.00000000 $532.00 $532.00 $532.0 100.0% 1 5.000OOi I $14.0JJ $70.00 $70.001 4489.00000M $0.10J $44890 4486.00000000 $448.60 $448.60 $448.6 f 99.9% $0.301 5.00000%I $1,000.0 $5,00000 5.00000000 $5,000.00 $5,000.00 $5,000.00 100.0% 1 100000%I $100.0 $10000 $100.001 400.00000%I $117.0 $46,80000 191.80000000 $22,44060 $22,440.60 $22:440.6 48.0% $24,359A 51.00000+11 $69.0 $3,519.00 236.20000000 $16,297.80 $16,297.80 $16,297.8 463.1%-$12,778.80 211.00000%I $10].0 $22,57700 508.00000000 $54,35600 $54,356.00 $54,356.0 240.8%-$31,779.00 73.00000`I $115.0 $8,39500 67.00000000 $7,70500 $7,705.00 $7,705.0 91.8% $690.00 10.00OOOPI $177.0 $1,770.00 36.00000000 $6,372.00 $6,372.00 $6,372.0 360.0% $4,602.00 5668.00000M $31.0J $175,70800 5988.00000000 $185,62800 $185,628.00 $185,628.0 j 105.6% $9,920.00 78.00OOOPI $230.00J $17,940.00 55.87000000 $12,850.10 $12,850.10 $12,850.10J 71.6% $5,089.90 99.00OOOM $490.OQJ $48,510.00 113.60000000 $55,664.00 $55,664.00 $55,664.0 114.7%-$7,154.001 54.00000"I 17.00J $37800 $378.001 1149.00000-1 $13.]OI $15,74130 $15,741.30 Thrs document has been modifed from its mural form as seEJCDC document and tM1e user did not highhght fle modrfi-ex. You am encouraged to read the document carefully and! coreult Legal Coureel prior to tS execahom C-620 Unit Price Progress Estimate Progress Estimate IF.,(CO1d184")Sanitary Sewer Rehabilitation, Contract 98 Apphcaucm Pmroa. 7-1-2024 to 8-2-2024 A Item a. Item No Desuipnon _ 61 3213.0401 6" Concrete Driveway (50/50) 62 `3216.0101 6" Conc Curb and Gutter (100% Water) 63 �3216.0101 6" Conc Curb and Gutter (50/50) 9999 0002 Install New 4" ADA Wheelchair Ramp (w/ detectable waming d- 64 the surface)(50150) 65 'J241.1400 Remove Exmbng Concrete Valley Gutter (50/50) 66 `3216.03027" Concrete Valley Gutter (50/50) 67 J241.1300 Remove Exasbng Concrete Curb and GUaer (100 % Water) 68 `)241.1300 Remove Ewsting Concrete Curb and Guaer (50/50) 69 `J241.1602 Remove Concrete Water Vault 70 `J241.0100 Remove Sidewalk 71 `)241.040'I Remove Exmbng 6" Concrete Driveway (100% Water) 72 -)241.0401 Remove Exmbng 6" Concrete Driveway (50/50) 73 �0241.0300 RemE-brig Wheelchair Ramp (50/50) 74 `3291.0ove 100 Topsoil (50/50) 75 '3292.0100 Block Sotl Replacement (100%Water) 76 '3292.0,00 Block Sad Replacement (50/50) 77 `3110.010312" -18" Tree Removal (50/50) 78 'J241.170011" PaIrre�i��y YQfiFIOe 50/50) 79 '3211.33008"Cem ime blino (t132Lbs/SY(50/50/) 80 �3123.0101 Unclani Street Excavabon(50/50) 81 `32'2.03033" Surface Course Asphalt, Type" D" (50/50) 82 `3212.0401 HMAC Transition (50/50) 83 9999.0003 Tree Pl,on 84 _3217.0305 Stop Bars Pavement Markings (50/50) I 95 96 1A' 3 L 4 r SA" 5B' 6A.1" 6A2' 68.1" 6B2' 68.3" 7A" 78.1" 78 8 9 10 11 12 13 4 15 18 17 18 19 20 21 22 23 24 �d3I0711 Wa Waive Boox Adjustmentt w th Concrete Collar (50/50) `3305.0108 Water Meter Box Adjustment (50/50) `3305.0107 Manhole Adjustment With Concrete Collar (50/50) 9999.0004 Remove and Replace Inlet Top (50/50) 9999.0005 Dead End Bar= (Type III) (50/50) `3305.0108 Utility Adjustment "0171.0101 Construction Staking `3471.0001 Traffic Conbnl _ `3125.0101 SWPPP 21 acre 0171.0102 As-Bu it Red Line Survey 9999.0006 Construction Allowance Unit II: Sanitary Sewer Improvements 3331 A223 Z' DIP $ever, CSS Backfill, CSS Embed-rit 1331.4215 15" PVC SDR-26 Sewer, CSS Backfill, CSS Embedment 3331 A208 12" PVC SDR-26 Sewer, Acceptable Backfill "9331.2104 12"CIPP 3331.0105 12" Sever Pipe, Pant Repair `3331 A 19 8" DIP Sewer, Acceplable Backfill 3331 A115 8" HDPE DR-17 $ewer Pipe, Acceptable Backfill `3331.4120 8" DIP Sawer, CSS Backfill, CSS Embedment 3305.3002 8" DIP Sewer Carrier Pipe '3331.4116 8" PVC SDR-26 Sewer, CSS Backfill, CSS Embedment 3331 A116 8" HDPE DR-17 Saner Pipe, C$$ Backfill, C$$ Embedment `3305.3002 8" HDPE DR-17 Sewer Carver Pipe, CSS Backfill, CSS 3331.5748 8" DIP Sewer, CLSM Backfill, CLSM Embedment `3331.5747 8" HDPE DR-17 Sewer Pipe, CLSM Backfill 3305.3002 8" HDPE DR-17 Sewer Carrier Pipe `3331.4115 8"PVC SDR-26 Sewer, Acceptable Backfill 3331 A 6 8" PVC SDR-26 Saner, CSS Backfill, CSS Embetlmenl `3331.5747 8" PVC SDR-26 Sewer, CLSM Backfill, CLSM Embedment 3305.1002 16" Casing By Open Cut "3305 0207 Imported Embedment/Backfill, Select Fill 3339.1001 4 Manhole "3339.1002 4' Drop Manhole 3339.1004 4' $hallow Manhole `3339.1101 5' Manhole 3339.1003 4' Extra Depth Manhole "3339.1103 5' Extra Depth Manhole 3339.0003 Epoxy Manhole Liner W.-rdCheslerton-4'$ener MH �3339.0004 Epoxy Manhole Lmer Warre/Cheeterton-5'Sewar MH 3305.0112 Concrete Collar '3305.0106 Manhole Adjustment, Major with Frame and Cover 3331.3101 4' S-r Servi ce '3331.2201 Service Reconnection, CIPP City S..., 58528 Contractor's Application Cowan N. Apphcahcm Namber. 17 - Final Retainage Ap,hcanori Date. 8/2/2024 B C D E F G Toni Completed % Balance to Fimsb Bid Quantity Umt ft. Value Esnn1-Quantity Valoe Previously hvsnil0d Value Mazenals Presendy Value This Panod and 6(red (P) (B -P) Sp aton No Umt of Measure Iruniled grored(o-C) )Daze D+E B SF 3341.000006 $13.76 $45,77170 3159.90000000 $43,290.63 $43,290.63 $43,290.63 94.6% $2,481.07 LF 501.000006 $56.7(r $28,40670 201.00000000 $11,396.70 $11,396.70 $11,396.7(� 40.1% $17,010.00 LF 1634.0000< $56.7(� $92,64780 1398.57250000 $79,299.06 $79,299.06 $79,299.Obr 85.6% $13,348.74 EA 5.000000 $3,125.00 $15,62500 425000000 $13,281.25 $13,281.25 $13,281.25 85.0% $2,343.75 SY 10.000OOU $60.0(r $60000 95.38000000 $5,722.80 $5,722.80 $5,722.8� 953.8% $5,122.80 SY 10.000OO6" $172.0r $1,72000 9.60750000 $1,652.49 $1,652A9 $1,652AIr 96.1% $67.51 LF 501.000OOU $10.6(r $5,31060 201.00000000 $2,130.60 $2,130.60 $2,130.6g 40.1% $3,180.00 LF 1634.000006 $10.6r $17,32040 1226.72300000 $13,003.26 $13,003.26 $13,003.26 75.1% $4,317.14 EA 1.00000(f $500.0r $500.00 1.00000000 $500.00 $500.00 $500.0g 100.0% SF 14.00000(f $3.2r $17280 $172.80 SF 1149.000006 $5.0f $5,8024 $510027A.S SF 3341.000OOU $5.0f $16,8720 2872.12250000 $145042 $14,50.022 $14,50.22 86.0% $2,367.83 S000006' $346.0� $1,7300 400000000 $1384.00 $13840 84 $1380.0% $346.00EA CY 18.000OOU $70.0r $1,26000 33.25000000 $2,327.50 $2,327.50 $2,32705�rq 18 $ ,2675.5000 SY 85.000OOU . $15.0(r $127500 SY 413000OO6' $15.0(r $6,19500 651.37000000 $8,270.5 $8,270 $8,270.6< 133.5% $2,075.55 EA 1.000OO6' $650.0(r $65000 $650.00 SY 3286.000006' $12.3r $40,41780 2873A7000000 $35,343.68 $35,343.68 $35,343.68 87A% $5,074.12 TN 54.000OOU $270.0r $14,58000 46.00000000 $12,420.00 $12,420.00 $12,420.0(r 85.2% $2,160.00 CY 17.000006' $82.0(r $1,39400 58.75000000 $4,817.50 $4,817.50 $4,817.5(� 345.6% $3,423.50 SY 3285.000OO6, $24.5(r $80,48250 2873A7000000 $70,400.02 $70,400.02 $70,400.02 87.5% $10,082A9 TN 3.000OO6' $154.0(r $46200 $462.00 EA 55.000OOU $160.0(r $8,80000 $8,800.00 LF 23.000OOU $16.0r $36800 $368.00 EA 24.000OO6' $50.0(r $1,20000 $1,200.00 EA 5.000OO6, $950.0(r $4,75000 600000000 $5,700.00 $5,700.00 $5,700.0(r 120.0% -$950.00 EA 2.000OO6 $60.0� $12000 375000000 $225.00 $225.00 $225.0(r 187.5% -$105.00 EA 3.000OOU $1,100.0( $3130000 7.00000000 $7,700.00 $7,700.00 $7,700.0r 233.3% -$4,400.00 EA 2.000OO6' $6,300.0(r $12,60000 260000000 $15,750.00 $15,750.00 $15,750.0q 125.0% $3,150.00 EA 1.000OO6" $1,000.0(r $1,00000 $1,000.00 LS 1.00000(f $10,000.0(r $10,00000 $10,000.00 LS 1.000OO6" $12,000.0(r $12,00000 1 00000000 $12,000.00 $12,000.00 $12,000.0if 100.0% MTH 4.0000< $5,500.0(� $22,00000 400000000 $22,00000 $22,000.00 $22,000.0q 100.0% LS 1000000 $3,000.00 $3,000.00 1.00000000 $3,000.00 $3,000.00 $3,000.00 100.0% LS 1.000000 $7,000.00 $7,00000 1.00000000 $7,00000 $7,000.00 $7,000.00 100.0% LS 1000000 $100,000.00 $100,000.00 $100,000.00I I I LF 180.000000 I LF 180.000000 $233.00 $41,940.00 $41,940.00 LF 16.000000 $214.00 $3,42400 16.00000000 $3,42400 $3,424.00 $3,424.00 100.0% I LF 816000000 $135.00 $110,160.00 359.00000000 $48,465.00 $48,465.00 $48,465.00 44.0% $61,695.00I LF 40.000000 $290.00 111' 00003.00 20.00000000 $5,80000 $5,800.00 $5,800.00 50.0% $5,800.00I LF 457.000000 $219.00 $100,08 170.00000000 $37,230.00 $37,230.00 $37,230.00 37.2% $62,853.00 LF 4.000000 I LF 40808.000000 $269.00 $109,752.00 200.00000000 $53,800.00 $53,800.00 $53,800.00 49.0% $55,952.00 LF 20.000000 $269.00 $5,380.00 $5,380.00I LF 370.000000 I LF 000000 I LF 10 10.000000 LF 30.000000 $412.00 $12,360.00 $12,360.00 LF 30.000000 LF 10.000000 I LF 4285000000 $166.00 $711,310.00 4597.00000000 $763,102.00 $783,102.00 $763,102.00 107.3% -$51,792.00 LF 75.000000 $288.00 $21,60000 66.00000000 $19,00800 $19,008.00 $19,008.00 88.0% $2,592.00I LF 100.000000 $344,00 $34,400.00 60.00000000 $20,640.00 $20,640.00 $20,640.00 60.0% $13,760.00I LF 20.000000 $283.00 $5,66000 31-00000000 $8,49000 $8,490.00 $8,490.00 150.0% -$2,830.00I CY 30.0000000 $35.00 $105,000.00 160.00000000 $5,600.00 $5,600.00 $5,600.00 5.3% $99,400.00I EA 36.000000 $7,600.00 $273,60000 33.00000000 $250,80000 $250,800.00 $250,800.00 91.7% $22,800.00I EA 4000000 $16,000.00 $64,000.00 3.00000000 $48,000.00 $48,000.00 $48,000.00 75.0% $16,000.00I EA 3000000 $4,600.00 $13,80000 2.00000000 $9,20000 $9,200.00 $9,200.00 66.7% $4,600.00I EA 1000000 $13,000.00 $13,000.00 $13,000.00I VF 44.000000 $220.00 $9,68000 38.71000000 $8,51620 $8,516.20 $8,516.20 88.0% $1,163.80I VF 8000000 $320.00 $2,560.00 $2,560.00I VF 125.000000 $380.00 $47,500.00 157.00000000 $59,660.00 $59,660.00 $59,660.00 125.6% -$12,160.00I VF 8000000 $570.00 $4,560.00 $4,560.00I EA 36.000000 $1,000.00 $36,00000 800000000 $8,00000 $8,000.00 $8,000.00 22.2% $28,000.00I EA 1000000 $5,500.00 $5,500.00 6.00000000 $33,000.00 $33,000.00 $33,000.00 600.0% -$27,500.00I EA 165.000000 $2,200.00 $363,00000 152.00000000 $334,40000 $334,400.00 $334,400.00 92.1% $28,600.00I EA 1000000 $600.00 $600.00 2.00000000 $1,200.00 $1,200.00 $1,200.00 200.0% $600.00I Thrs document ties been modifed from its orita-1 form as soEICDC document and the user did not highhght the modnirshi s. You are encouraged to read the document carefully sed coreult Legal Coureel prior to tS execunon. C-620 Unit Pnce Progress Estimate Progress Estimate F.,(COitl184")' Sanitary Sewer Rehabilitation, Contract 98 Applmahoa Penoa. 7-1-2024 to 8-2-2024 � Item Spemaaon fic Bid Quaamy a. Item No De ,peon Umt of Measure So -No 25 0241.210615" Sewer Abandonment Plug EA 2000000 26 0241.2102 6" Sewer Abandonment Plug EA 3.000000 27 0241.2001 Sanitary Line Grouting CY 9.000000 28 3303.0001 Bypass Pumping LS 1 000000 29 0241.2201 Remove 4' Sewer Manhole EA 30.000000 30 0241.2202 Remove 5' Sewer Manhole EA 1000000 31 9999.0007 Remove Sanitary Sewer Vault EA 1000000 32 0241.2012 Remove 6" Sewer Line LF 278.000000 33 3305 0103 Exploratory Excavation of Exsting Ubhbes EA 13.000000 34 3301.0001 PrebCT(7lnspachmn LF 1713.000000 35 3301.0002 Post -CCTV Inspection LF 6387.000000 36 3305.0109 Trench Safety LF 5571.000000 37 3305.0116 Concrete Encasement for Utility Pipes CY 81000.00. 38 320101125'Wide Asphalt Pvmt Repair, Residential LF 556.000000 39 32010400 Temporary Asphalt Paving Repair LF 2155.000000 40 3201.0110 Asphalt Pvmt Repair, Sewer Service LF 58.000000 41 3201 0201 Asphalt Pvmt pai Rer Beyond Defined Width, Residential SY 20.000000 42 3201.0614 Con, Pvml Repair, Rceitlential SY 288.000000 43 3216.0101 6" Conc Curb and Gutter (100 % Water) LF 232 000000 44 3216.0101 6" Con, Curb anti GuOer (50150) LF 1634.000000 45 3213.04016" Concrete Dnveway(100%Water) SF 1532000000 46 3213.0401 6" Concrete Driveway (50/50) SF 3341.000000 47 3213.03014" Concrete Sidewalk SF 385000000 4g 3213.0311 4" Conc Sidewalk, Adjacent to Curb (50/50) SF 43.000000 49 9.9.0002 Install Nev 4" ADA Wheelchair Ramp(w/ detectable waming done, EA 5000000 50 3216.03027" Concrete Valley Gulter(100%Water) SY 13.000000 51 3216.03027" Concrete Valley Gutter (50/50) SY 10000000 52 3217.0101 6" SLID Pvmt Marking HAS (W) LF 60.000000 53 3217.,1001 Painting Curb Addresses (50/50) EA 24.000000 54 1291.0100 Tops I (50/50) CY 18.000000 55 3292.0100 Block Solt Replacement (100 % Water) SY 2746 000000 56 3292.0100 Block Solt Replacement (50/50) SY 413.000000 57 3110.0102 6"-12" Tree Removal EA 47 000000 58 3110.010312" -18" Tree Removal EA 38.000000 59 3110.0104 18"-24" Tree Removal EA 1000000 60 9999.0001 Tree Protection EA 65.000000 61 0241.0401 Remove Existing 6" Concrete Dr=y (100 % Water) SF 1383.000000 62 0241.0401 Remove Existing 6" Concrete Driveway (50/50) SF 3341.000000 63 0241.1300 Remove Exsting Concrete Curb and Gutter (100% Water) LF 232 000000 64 0241.1300 Remove Ewsting Concrete Curb and ruder (50150) LF 1634.000000 65 0241.0100 Remove Sidewalk SF 428000000 66 0241.0500 Remove Fence LF 40.000000 67 0241.0550 Reprove Guardrail LF 20.000000 68 0241.0600 Remove Wall N' LF 17.000000 69 0241.0300 Remove Ewst ng W hcelchair Ramp (50/50) EA 5.0000of 70 0241.1400 Remove Ewsting Concrete Valley Gutter (100% Water) SY 13.000000 71 0241.1400 Remove Elating Concrete Valley Gutter (50/50) SY 10.000000 72 0241.170011"Pavement Pulveruation(50/50) SY 3286.000000 73 3211.3300 W CemLlme Stab1h bon @ 32Lbs/SY (50/50) TN 54 000000 74 1123.0101 Unclassifiel S. E-ahcn (50/50) CY 17.000000 75 3212.0303 3" Surface Course Asphalt, Type" D" (50/50) SY 3285.000000 76 91)% 008 Remove Speed Cushmn w/ Stnpmg (50/50) EA 1000000 77 3212.0401 HMAC Transition (50/50) TN 3.000000 78 3231.01136' Chain Link, Steel LF 20.000000 79 .2.1.0412 6' Fen-, Wood LF 20000000 80 3232.01 Concrete Retaining Wall SF 51.000000 81 9999.0009 Guardreit LF 20.000000 g2 3217.0305 Sbp Bars Pavement Maekmgs (50/50) LF 23.000000 83 33010111 Water Valve Box Adjustment veth Concrete Collar (50/50) EA 5000000 84 3305.0108Water Meter Box Adjustment(50/50) EA 2000000 85 3305.0107 Manhole Adjustment With Concrete Collar (50/50) EA 3000000 86 9999.0004 Remove and Replace Inlet Top (50/50) EA 2.000000 87 9999.0005 Dead End Barricade (Type III) (50/50) EA 1000000 88 3305.0108 UtdAy Adjustment LS 1.000000 89 0171.0,01 Construction Staking LS 1000000 90 3471.0001 Tic Control MTH 4.000000 g1 3125.0101 SWPPP 21 acre LS 1000000 City Secretary 58528 Conned Num B C Ihflak7TiBh IMPM1 $500.00 $1,000.00 $250.00 $750.00 $660.00 $5,940.00 $35,600.00 $35.60000 $600.00 $18,000.00 $800.00 $80000 $1,600.00 $1,600.00 $15.00 $4,170.00 $1,400.00 $18,200.00 $8.00 $13,704.00 $7.00 $44,709.00 $1.00 $5,57100 $600.00 $48,600.00 $115.00 $63,94000 $35.00 $75,425.00 $115.00 $6,670.00 $117.00 $2,340.00 $230.00 $66,24000 $56.70 $13,154.40 $56.70 $92.6,1780 $13.70 $20,988.40 $13.70 $45,77170 $7.00 $2,695.00 $53.00 $2,279.00 $3,125.00 $15,625.00 $172.00 $2,236.00 $172.00 $1,720.00 $2.00 $120.00 $50.00 $1,200.00 $70.00 $1,26000 $15.00 $41,190.00 $15.00 $6,195.00 $325.00 $15,275.00 $650.00 $24,70000 $1,310.00 $1,310.00 $160.00 $10,40000 $5.05 $6,984.15 $5.05 $16.872.05 $10.60 $2,459.20 $10.60 $17.32040 $3.20 $1,369.60 $25.00 $1.000.00 $25.00 $500.00 $45.00 $76500 $346.00 $1,730.00 $60.00 $780.00 $60.00 $600.00 $12.30 $40,417.80 $270.00 $14,580.00 $82.00 $1,39400 $24.50 $80,482.50 $100.00 $10000 $154.00 $462.00 $75.00 $1.50000 $90.00 $1,800.00 $130.00 $6.630.00 $80.00 $1,600.00 $16.00 $368.00 $950.00 $4,750.00 $60.00 $120.00 $1,100.00 $3,300.00 $6,300.00 $12,60000 $1,000.00 $1,000.00 $10,000.00 $10,000.00 $19,000.00 $19,000.00 $5,500.00 $22,00000 $5,000.00 $5,000.00 Esamazed Quantity Installed Contractor's Application Apphcaaon Nomber. 17 - Final Retainage Apphcshon Dare. 8/2/2024 D E F Mazenels P _dy Total Completed % Value Previously hu1a11 i Value Value This Penod Btored (nil m C) and Smred to Daze (F) (D+E) B 1000000001 $35,60000 28.000000001 $16,800.00 1000000001 $80000 1 278.000000001 $4,170.00 _13.000000001 $18,200.00 1011.000000001 $8,088.00 5488.000000001 $38,416.00 5488.000000001 $5,48800 49.000000001 $29,400.00 616.500000001 $70,89750 2532.000000001 $88,620.00 _ 1 362.280000001 $42,386.76 302.740000001 $69.63020 r "�rrrr� 3159.900000001 1 $43.29063 1 4250000001 $13,281.25 15.163000001 $2,608.04 k r�rr rrr��i' i51.370000001 $8.270.55 16.000000001 $5,200.00 6 00000000 1 $3,900 00 4000000001 $5,240.00 1 1 172.122500001 $14.504.22 1 !26.722500001 $13.00326 4000000001 $1,384.00 99.931000001 $5,995.86 .73A70000001 $35,343.68 46.000000001 $12,420.00 58.75000000 $4.817 50 173.470000001 $70,400.02 1 1 6000000001 $5,700.00 3750000001 $225.00 7.000000001 $7,700.00 2.600000001 $15,75000 1 1 1000000001 $19,000.00 3.830000001 $21,06500 1.00000000 $5,000.00 $4,170.00 100.0% $18,200.00 100.0% $8,088.00 59.0% $38,416.00 85.9% $5,488.00 98.5% $29,400.00 60.5% $70,897.50 110.9% $88,620.00 117.5% NOW $79,299.06 85.6% $43,290.63 94.6% $2,327.50 184.7% $8,270.55 133.5% $5,200.00 34.0% $3,900.00 15.8 % $5,240.00 400.0% $14,504.22 86.0% $13,003.26 75.1 % $1,384.00 80.0% $5,995.86 999.3% $35,343.68 87A% $12,420.00 85.2% $4,817.50 345.6% $70,400.02 87.5% $5,700.00 120.0% $225.00 187.5% $7,700.00 233.3% $15,750.00 125.0% G Balance to Finish CB-P) $1,000.001 $750.00 1 $5,940.001 N $5,616.001 $6,293.001 $83.00 1 $19,200.001 $6,957.501 -$13,195.001 $6,670.001 -$40,046.761 .3,390.20 $13,154.401 $13,348.741 $20,988.40I $2,481.07 1 $2,695.001 $2,279.001 $2,343.751 $2,236.00� $888.04 1 $120.001 $1,200.001 $1,067.501 $41,190.001 -$2,075.551 $10,075.001 $20,800.001 $3,930.001 $10,400.001 $6,984.15 $2,367.83J $2,459.20 1 $4,317.141 $1,3N9 0101 $1,000.00� $500.00 1 $765.00 $346.00 1 $780.00 1 $5,395.86� $5,074.121 $2,160.001 $3,423.501 $10,082A91 $100.001 $462.00 $1,500.001 $1,800.001 $6,630.001 $1,600.001 $368.00 1 $950.00 1 -$105.001 $4,400.00 1 $3,150.001 $1,000.001 $10,000.001 $935.00 1 1 This document ties been modified from its o ideal form as en EICDC document and We -did not highhght dw mode i-es. You are emouraged to read the document carefully snd coreult Legal Coureel poor to eS execuaon C-620 Unit Price Progress Estimate Progress Estimate IF.,(CO1d184") Sanitary Sewer Rehabilitation, Contract 98 Applmahon Period. 7-1-2024 to 8-2-2024 A Item a. Item No Do-poon 92 0171.0102 As -Built Red Line Survey 93 I 9999.0006 Construct-Allovance UnO III: Pavement/Exterior Improvemerrts 1 .05.0'. UOlily Adjustment 2 0241.1300 Remove Ewshng Concrete Curb and Gulley (50/50) 1 3 321/0101 6' Conc Curb and Gu., (50/50) 4 0241.0401 Remove Ewsbng 6" Concrete Driveway (50/50) 1 5 3213.0401 6" Concrete Dnveway (50/50) 6 0241.0100 Remove Sidewalk 7 3213.0322 Concrete Curb, Back of Sidewalk 8 3213.0301 4" Concrete Sidewalk 9 0241.0300 Remove Emst? Wheelchair Ramp (50/50) 0 w 9999 Install New 4" ADA Wheelchair Ramp (w/ detectable rig dome, 1 1 1002 0241.1400 Remove Emsting Concrete Valley Gutter (50/50) 12 3216.0302 Install New 7" Concrete Valley Gutter (50/50) 1 13 0241.170011* Pavement Pulven7ahon(50/50) 14 3211.3300 8" CemLime StabArzation @ 321_ba/SY (50/50) 1 15 1123.0101 Unclasslhed Street Exoavahon (50/7 6 3212.0303 3" Surface Course Asphalt, Type" D (50/50) 1 17 1217.0101 Stop Bars Pavement Markings (50/50) 18 3305.0111 Water Valve Box Adjustment wtlh Concrete Collar (50/50) 1 19 3305.0108 Water Meter Box Adjustment (50/50) 20 3305.0107 Manhole Adjustment With Concrete Collar (50/50) 1 21 3217.5001 Pamtiny� Curb Addresses (50/50) 22 32:1.0100 Topsoil (50/50) 1 23 322.0100 Block Sod Replacement (50/50) 24 91999.0004 Remove and Replace Inlet Top (50/50) 25 3471.0001 Traffic Control 26 3125.0101 SWPPP a 1 acre (50150) 27 3212.0401 HIM Transition(50150) 28 I I I 9999.0006 Constmction Allowance (50/50) I Totals City Secretary 58528 Coramc[ N. B SpemScaoon Bid Qaanhty Umt Price Btd Value Umt of Measure So -No LS 1000000 $8,000.00 $8,000.00 LS 1.000000 $150,000.00 $150.00000 LS 1.000000 $10,000.00 $10,000.00 LF 3262.000000 $10.60 $34,577.20 LF 3262000000 $56.70 $184,955.40 SF 6679.000000 $5.05 $33,72895 SF 6679.000000 $13.70 $91,502.30 SF 8500.000000 $3.20 $27,200.00 LF 200.000000 $59.00 $11,800.00 SF 11000.000000 $7.00 $77.00000 EA 9000000 $346.00 $3,114.00 EA 11.000000 $3,125.00 $34,37500 BY 20.000000 $60.00 $1,200.00 BY 20.000000 $172.00 $3,44000 BY 6568000000 $12.30 $80,786.40 TN 102.000000 $270.00 $27,540.00 CY 31.000000 $82.00 $2,542.00 BY 6570.000000 $24.50 $160,96500 LF 42000000 $16.00 $672.00 EA 9.000000 $950.00 $8.55000 EA 3.000000 $60.00 $180.00 EA 6.000000 $1,100.00 $6,600.00 EA 46.000000 $50.00 $2,300.00 CY 34.000000 $70.00 $2,380.00 BY 824.000000 $15.00 $12,360.00 EA 5.000000 $6,300.00 $31,500.00 MTH 10000000 $5,500.00 $55,000.00 LS 1000000 $3,000.00 $3,00000 TN 4000000 $154.00 $616.00 LS 1.000000 $50,000.00 $50,000.00 $7,255,423.25 C Esomated Qaanhty Iretalled I 2453A45000001 2797.145000001 5744.25001001001 6319.800000001 4468.860000001 _61.500000001 5069.110000001 8000000001 Contractor's Application Apphcahon Number' 17 - Final Retainage Apphcahon Date. 8/2/2024 D E F Mazeriels Presently Total Completed °/n Value Previously hu1a11 i Value Value This Period Stored (not m C) mtd Smt d to Date (F) (D+E) B $8,000.001 $8,000.001 $8,000.00 100.0% $26,006.52 $158,598.12 $29,008 46 $86,581.26 $14.300.35 $3,628.50 $35.483 77 $2,768.00 $26.562.50 $13,901.10 $4,260 44 $70,674.94 $24,300.00 $9,635.00 $140.77529 $4,655.00 $16,541.10 $31,500.00 $44,000.00 $3,000 00 $5,934,947.93 $26,006.52 75.2% $158,598.12 85.7% $29,00BA6 86.0% $86,581.26 94.6% $14,300.35 52.6% $3,628.50 30.8% $35,483.77 46.1 % $2,768.00 88.9% $26,562.50 77.3% $13,901.10 1158.4% $4,260.44 123.9% $70,674.94 87.5% $24,300.00 88.2% $9,635.00 379.0% $140,775.29 87.5% $11,400.00 133.3% .50.00 250.0 % $15,400.00 233.3% $4,655.00 195.6% $16,541.10 133.8% $31,500.00 100.0% $44,000.00 80.0% $3,000.00 100.0% $5,934,947.93 81 8% G Balance to Fimsb CB-P) I $150,000.001 $10,000.001 $8,570.681 $26,357.281 $4,720.491 $4,921.041 $12,899.651 $8,171.501 $41,516.231 $346.001 $7,812.501 412,701.101 -$820A41 $10,111 A61 $3,240.001 $7,093.001 $20,189.721 $672.001 $2,850.001 $270.00 $8,800.001 $2,300.001 -$2,275.001 $4,181.101 $616.001 $50,000.001 I I I $1,320,475.32 Thrs document has been modifed from its original form as an EICDC document and tM1e user did not highhght the mods i-ec. You are encouraged to read the document carefully sad coreult Legal Coureel poor to a execaoom C-620 Change Order Progress Estimate Construction Allowance Usage ADDITIONS por (wntiact} CO2719 Sanitary Sewer Rehabilitation, Contract 98 IApplication Period: 7-1-2024 to 8-2-2024 Coy secretary 58528 Contract Num: A B Item Item Number Descnption Specification UM of Measure Quantity to Add Unit Price Addition Value Section No. C D Estimated Quantity Value Installed P'Zously Value Then Installed Value Period This document has been modified from its original form as an E]CDC document and the user did not highlight the mrshfications. You are encouraged to read the document carefully and consult Legal Counsel prior to Rs execution. Contractor's Application Application Number: 17 - Final Retainage Application Date: 8/2/2024 E F Total Completed / Balance to Foush Materials Presently and Stored to Date (F) (B - F) Stared (not in C) (D I» B C-620 Change Order Tor Is Progress Estimate Construction Allowance Usage CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED IF.,(.. -et): CO2719 Sanitary Sewer Rehabilitation, Contract 98 Application Number. Application Penod, Application Date: 7-1-2024 to 8-2-2024 A B C D E Item Bid Item Number Description Spatmn ec�ficUnit of Measure Quantityto Delete Unit Price Reduction Value Not Used Not Used Not Used Not Used Not Used Section No. Totals This document has been modified from its original form as an EJCDC document and the user did not highlight the modificatmns. You are encouraged to read the document carefully and consult Legal Counsel prior to its execution. Contractor's Application 17 - Final Retainage 8/2/2024 F Not Used Not Used Not Used C-620 Change Order Progress Estimate Change Order Number 1 1 ADDITIONS For (contract): CO2719 Sanitary Sewer Rehabilitation, Contract 98 (Application Period: A Item Change Order Item Description S No. 26 8" Gate Valve 34 Temporary Water Service (4" Service) 49 Exploratory Excavation ofExustrng Utilities 1B 16" DIP Sewer 17 4' Extra Depth Manhole 19 Epoxy Manhole Liner Warren Chesterton - 4' Sewer MN 29 8" C900 DR 18, Green PVC Acceptable Backfill 30 8" C900 DR 18, Green PVC CSS Backfill 31 8" C900 DR 18, Green PVC CLSM Backfill 32 8" C900 DR 18, Green PVC Carrier Pipe 34 Gravel Alley Contractor's Application City secretary 58528 Application Number' 17 -Final Retainage Contract Nam: 7-1-2024 to 8-2-2024 Application Date: 8/2/2024 Section B C D E F Addition Estimated QuannTy Previously Total Completed Value This Materials Presently % pacification Unit ofMeasme CO Quantity to Add Unit Price Change Order Installed Value Installed Value Period Stored (not in C) and Stored to Date (P) No. Value (D+E) B EA 1.00000000 $2,600.00 $2,600.00 1.00000000 $2,600.00 $2,600.00 $2,600.00 100.0% LS 1.00000000 $44,400.00 $44,400.00 100000000 $44,400.00 $44,400.00 $44,400.00 100.0% EA 1.00000000 $1,000.00 $1,000.00 1.00000000 $1,000.00 $1,000.00 _ $1,000.00 100.0% LF 180.00000000 $294.00 $52,920.00 180.00000000 $52,920.00 $52,920.00 $52,920.00 100.0% VF 1.00000000 $220.00 $220.00 VF 9.00000000 $380.00 $3,420.00 9.00000000 $3,420.00 $3,420.00 $3,420.00 100.0% LF 477.00000000 $200.00 $95,400.00 503.00000000 $100,600.00 $100,600.00 $100,600.00 105.5% LF 38.00000000 $250.00 $9,50000 LF 30.00000000 $3903:0000 $$151,070900.00 40.0000000000000000 $15,57200.0000 752000:00 $15,720.00 133.3% 20.00000000 25 0010 20 $2000 $2,500.00 500%LF LF 1140.00000000 $10.70 $12,198.00 919.00000000 $9,833.30 $9,833.30 $9,833.30 80.6% This document has been modified from its original f as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefidly and consult Legal Counsel prior to its execution. Balance to Finish (B - F) I I I I $220.001 -$5,200.00I $9,500.00 I -$3,930.00I $2,500.00 I $2,364.701 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I C-620 Change Order Totals $238,448.00 $232,993.30 $232,993.301 1 1 $232,993.30 97.7% $5,454.701 Progress Estimate Change Order Number 1 1 Contractor's Application DELETIONS For (contract): CO2719 Sanitary Sewer Rehabilitation, Contract 98 Applicaeonxwnbec 17 - Final Retainage (Application Period: 7-1-2024 to 8-2-2024 Application Date: 8/2/2024 A B C D E F Item CO ti to Deletion Change Order Item Descripfion Specification Unit of Measure Delete Unit Price Change Order Not Used Not Used Not Used Not Used Not Used Not Used Not Used Not Used No. I 34 r►� W=r Service (4" Service) Section No. ES 1.00000000 $41,800.06 Value $41,800.00 I 1B r b" Sewer S�R 26 CSS Backfill LF 180,00000000 $233.06 $41,940.00 I 5A 8" DIP Sewer, Acc table Back611 LF 457.00000000 $219.06 $100,083.00 I 6A1 8" DIP Sewer, CL� Embedment, CSS Backtll LF 38.00000000 $269.06 $10,222.00 I 6A2 8"DIP Sewer Carrier Pie LF 20.00000000 $269.06 $5,380.00 I 7A 8"DIP Sewer, CLSM E �edment, CLSM Back611 LF 30.00000000 $412.06 $12,360.00 I 8 8"PVD SDR-26 Sewer, Acceptable Backfill LF 35.00000000 $166.06 $5,810.00 I 13 4'Manhole EA 1.00000000 $7,600.06 $7,600.00 This document has been modified from its original Rum 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 Change Order Totals $225,195.001 This document has been modified from its original Roma as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefidly and consult Legal Counsel prior to its execution. C-620 Change Order Progress Estimate Change Order Number I 2 ADDITIONS For (contract). C�27I9 Sanitary Sewer Rehabilitation, Contract 98 City Secretary Contract Num IApplieatlon Period. 7-1-2024 to 8-2-2024 A B Item Change Order Item n Specrfoation ure CO Quantity to Add Unit Price Addition Chang No. e DescnptioSection No. Unit of MeasOrder Value 35 8" HDPE Sewer, Acceptable Bacldill LF _ 26.00000000 $219400 $5,694.00 58528 C D Estimated Quantity Previ—ly Value This Installed Value Inswled Value Period 26.00000000 1 $5,694.001 $5,694.001 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 —fully and consult Legal Counsel prior 0 its execution. Contractor's Application Applie,dim Number. 17 - Final Retainage Application Date: 8/2/2024 E F Balance to Finish Materials Prescott Told Completed Stored (not in C)y and Stored to Date (F) (B - F) (D+E) B $5,694.00 100 0 % C-620 Change Order Totals $5,694.00 $5,694.00 $5.694.00 Progress Estimate Change Order Number 1 2 DELETIONS IFor (connact) CO2719 Sanitary Sewer Rehabilitation, Contract 98 Application Namber IApplication Period 7-1-2024 to 8-2-2024 Application Date: A B C D E Item CO Quantity to Deletion Change Change Order Item Description Specification Unit of Measure Delete Unit Price Order Value Not Used Not Used Not Used Not Used Not Used No. Section No. 8 8" PVC SDR-26 Sewer, Acceptable Backfill LF 26.00000000 $166.00 $4,316.00 Totals $4,316.4 This document has been modified fi-on, 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 Coansel prior 0 its execution. S5,694.00 100.0% Contractor's Application 17 - Final Retainage 8/2/2024 F Not Used Not Used Not Used C-620 Change Order Progress Estimate Change Order Number 1 3 ADDITIONS For (contract): CO2719 Sanitary Sewer Rehabilitation, Contract 98 City Secretary 58528 Contract Nam: (Application Period: 7-1-2024 t0 8-2-2024 A B C D Item Addition Estimated Quantity Change Order Item Description Specification Unit of Measure CO Quantityto Add Unit Price Change Order Installed Value No. Section No. Value 97 18" RCP CL IE Storm Dram Water LF 31.00000000 $197.00 $6,107.00 29,00000000 $5,713.00 98 24" RCP CL Ill Storm Drain Water LF 28.00000000 $203.00 $5,684.00 40.00000000 $8,120.00 Contractor's Application 17- Final Retainage Application Date: 8/2/2024 E F Balance to Finish Previously Value This Materials Presently Total Completed % (B F) Installed Value Period Stored (not in C) and Stored to Date (F) (D+E) B $5,713.00 $5,713.00 93.5% $394.001 $8,120.00 $8,120.00 142.9%-$2,436.001 This document has been modified from its original f 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 Change Order Totals $11,791.00 $13,833.00 $13,833.00 $13,833.00 117.3%-$2,042.001 Progress Estimate Change Order Number 1 3 Contractor's Application DELETIONS For (contract): CO2719 Sanitary Sewer Rehabilitation, Contract 98 Application Number Application Period: 7-1-2024 t0 8-2-2024 Application Date: A B C D E I Item Deletion CO Quantityto Change Order Item Description Specification Unit of Measure Delete Unit Price Change Order Not Used Not Used Not Used Not Used Not Used No. Section No. Value I 96 Construction Allowance Water IS 0.11791000 $100,000.06 $11,791.00 This document has been modified from its original f 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. 17 - Final Retainage 8/2/2024 F Not Used Not Used Not Used C-620 Change Order Totals This document has been modified from its original Roma as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefidly and consult Legal Counsel prior to its execution. C-620 Change Order Progress Estimate Change Order Number 1 4 ADDITIONS For (contract): CO2719 Sanitary Sewer Rehabilitation, Contract 98 City Secretary 58528 Contract Nam: (Application Period: 7-1-2024 t0 8-2-2024 A B C D Item Addition Estimated Quantity Change Order Item Description Specification Unit oFMeasme CO Quantity to Add Unit Price Change Order Installed Value No. Section No. Value 99 1 1/2" Water Service Water EA 1.00000000 $4,200.00 $4,200.00 1.00000000 $4,200.00 100 11/2" Water Service Meter Reconnect (Water EA 1.00000000 $900.00 $900.00 1.00000000 $900.00 lot 124"-30"Tree Removal Water EA 2.00000000 $2,250.00 $4,500.00 1,00000000 $2,250.00 Contractor's Application Application Number: 17-Final Retainage Application Date: 8/2/2024 E F Balance to Finish Previously Value This Materials Present'Total Completed % ly and Stored to Date (F) B - Installed Value Period Stored (not in C) (D + E) B $4,200.00 $4,200.00 100.0 $900.00 $900.00 100.0% $2,250.00 $2,250.00 50.0% $2,250.00 1 This document has been modified from its original f as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefidly and consult Legal Counsel prior to its execution. C-620 Change Order Totals $9,600.00 $7,350.00 $7,350.00 $7,350.00 76.6% $2,250.00 1 Progress Estimate Change Order Number 1 4 Contractor's Application DELETIONS For (contract): CO2719 Sanitary Sewer Rehabilitation, Contract 98 Application Number Application Period: 7-1-2024 t0 8-2-2024 Application Date: A B C D E I Item Deletion CO Qrtantityto Change Order Item Description Specification Unit of Measure Delete Unit Price Change Order Not Used Not Used Not Used Not Used Not Used No. Section No. Value I 96 Construction Allowance Water IS 0.09600000 $100,000.0(i $9,600.00 This document has been modified from its original f 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. 17 - Final Retainage 8/2/2024 F Not Used Not Used Not Used C-620 Change Order Totals $9,600.0)1 This document has been modified from its original Roma as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefidly and consult Legal Counsel prior to its execution. C-620 Change Order Progress Estimate Change Order Number 1 5 ADDITIONS For (contract): CO2719 Sanitary Sewer Rehabilitation, Contract 98 City Secretary 58528 Contract Num: (Application Period: 7-1-2024 to 8-2-2024 A B C D Item Change Order Item Specification CO Quantity to Add Addition Unit Price Change Order Estimated Quantity Installed Value Description No. Unit oFMeaswe Section No. Value 102 Additional Temporary Water Service (1986 IF) Water is 1.00000000 $31,300_00 $31,300.00 1.00000000 $31,300.00 103 20" Gate Valve Water EA 1.00000000 $27,250.00 $27,250.00 1.00000000 $27,250.00 Contractor's Application 17- Final Retainage Application Date: 8/2/2024 E F Balance to Finish Previously Value This Materials Presently said'Total Completed Stored to Date (F) B - Installed Value Period Stored (not in C) (D + E) B $31,300.00 $31,300.00 100.0% $27,250.00 $27,250.00 100.0% This document has been modified from its original f 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 Change Order � I � I � I � I � I Totals $58550.00 $58,550.00 $58,550.00 $58,550.00 100.0% Progress Estimate Change Order Number 1 5 DELETIONS For (contract): CO2719 Sanitary Sewer Rehabilitation, Contract 98 Application Number Application Period: 7-1-2024 t0 8-2-2024 Application Date: A B C D E I Item Deletion CO Qrtantityto Change Order Item Description Specification Unit of Measure Delete Unit Price Change Order Not Used Not Used Not Used Not Used Not Used No. Section No. Value I 23 20" Cut -In Cate Valve with Vault Water IS 1.00000000 $77,500.06 $77,500.00 This document has been modified from its original f 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. Contractor's Application 17 - Final Retainage 8/2/2024 F Not Used Not Used Not Used C-620 Change Order Totals $77,500.0) This document has been modified from its original Roma as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefidly and consult Legal Counsel prior to its execution. C-620 Change Order Progress Estimate Change Order Number 1 6 ADDITIONS For (contract): CO2719 Sanitary Sewer Rehabilitation, Contract 98 City Secretary 58528 Contract Num: (Application Period: 7-1-2024 t0 8-2-2024 A B C D Item Addition Estimated Quaty ntihange Change Order Item Description Specification Unit oFMeasure CO Quantity to Add Unit Price COrder Installed Value No. Section No. Value 94 Mechanical Cleaning ofG631 Sewer LS 1.00000000 $7,400.00 $7,400.00 1,00000000 $7,400.00 95 CIPP 8" ISewer LF 48.00000000 $345.00 $16,560.00 48.00000000 $16,560.00 96 Service reconnect CIPP ISewer EA 1.00000000 $600.00 $600.00 97 (Brick Paving ISewer SY 15.00000000 $490.00 $7,350.00 12.80000000 $6,272.00 Imported EmbedmentBackfill CLSM ISewer CY 25.00000000 $250.00 $6,250.00 26,00000000 $6,500.00 f98 99 (Mobilization Isever LS 1.00000000 $8,000.00 $8,000.00 1.00000000 $8,000.00 100 I Point Repair with 10" SDR 26 Pressure Pipe Is- LF 12.00000000 $289.00 $3,468.00 12.00000000 $3,468.00 101 ICIPP 10° ISewer LF 457.00000000 $129.00 $58,953.00 457.00000000 $58,953.00 102 Additional Traffic Control ISewer EA 1.00000000 $5,500.00 $5,500.00 1.00000000 $5,500.00 103 I I Replace and extend existing handrail I I ISewer I I EA 1.00000000 $1,772.00 $1,772.00 100000000 $1,772.00 Contractor's Application 17- Final Retainage Application Date: 8/2/2024 E F Balance to Finish Previously Value This Materials Presently Total Completed B - Installed Value Period Stored (not in C) and Stored to Date (F) (D + E) B $7,400.00 $7,400.00 100.0% $16,560.00 $16,560.00 100.0 $600.001 $6,272.00 _ $6,272.00 85.3% $1,078.001 $6,500.00 $6,500.00 104.0% -$250.001 $8,000.00 $8,000.00 100.0% $3,468.00 $3,468.00 100.0% $58,953.00 $58,953.00 100.0% $5,500.00 $5,500.00 100.0% $1,772.00 $1,772.00 100.0% I I This document has been modified from its original f as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefidly and consult Legal Counsel prior to its execution. C-620 Change Order Totals $115,853.00 $114,425.00 $114,425.00 $114,425.00 98.8% $1,428.001 Progress Estimate Change Order Number 1 6 Contractor's Application DELETIONS For (contract): CO2719 Sanitary Sewer Rehabilitation, Contract 98 Application Number Application Period: 7-1-2024 t0 8-2-2024 Application Date: A B C D E I Item CO Quantityto Deletion Change Order Item No. Description Specification Section No. Unit of Measure Delete Unit Price Change Order Not Used Not Used Not Used Not Used Not Used Value I 3 C PP 12" Sewer LF 457,00000000 $135.06 $61,695.00 I 30 8" C900 DR18 Green CSS Sewer LF 38.00000000 $250.06 $9,500.00 I 32 8" C900 DR18 Green Carrier Pipe Sewer LF 10.00000000 $250A(i $2,500.00 I 93 Construction Allowance Sewer IS 0.281053 $150,000A(i $42,157.95 This document has been modified from its original f 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. 17 - Final Retainage 8/2/2024 F Not Used Not Used Not Used C-620 Change Order Totals This document has been modified from its original Roma as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefidly and consult Legal Counsel prior to its execution. C-620 Change Order Progress Estimate Change Order Number I 7 ADDITIONS IFor (contract). CO2719 Sanitary Sewer Rehabilitation, Contract 98 City Secretary 58528 Contract Nam IApplicatio,Period. 7-1-2024 to 8-2-2024 A B C D Item Addition Estimated Quantity Change Order Item Description Specrfoanon Unit Measure C. Quannty to Add Unit Price Change Order Installed Vuc No. Section No. of Value 104 7" Milling Water SY 91.50000000 $21.35 $1,953.53 88.50000000 $1,889.48 105 7" lB4AC Pavement lWater SY 91.50000000 $49.05 $4,488.08 88.50000000 $4,340.93 104 7" Milling Sewer SY 91.50000000 $21.35 $1,953.53 88.50000000 $1,889.48 105 7" lB4AC Pavement Sewer SY 91.50000000 $49.05 $4,488.08 88.50000000 $4,340.93 Remove & Replace Exrsting Epoxy Liner on Manhole Sewer VF 1 L00000000 $765.00 $8,415.00 20.00000000 $15,300.00 _106 t07 Concrete Rlprap Sewer SY 45.00000000 $220.00 $9,900.00 30.00000000 $6,600.00 7" Milling IFavrng SY 183.00000000 $21.35 $3,907.05 177.00000000 $3,778.95 _29 30 7" lB4AC Pavement IPaving SY 183.00000000 $49.05 $8,976.15 177.00000000 $8,681.85 Contractor's Application 17 - Final Retainage Application Date. 8/2/2024 E F Balance to Finish Previ-ly Value This Materials Present) Total Completed (B - F) hrstalled Value Period Stored (not in C)y end Stored to Date (F) (D+B) g $1,889.48 $1,889.48 96.7% $64.05 $4,340.93 $4,340.93 96.7% $147.15 $1,889.48 $1,889.48 96.7% $64.05 $4,340.93 $4,340.93 96.7% $147.15 $15,300.00 S15,300.00 18148%-$6,885.00 $6,600.00 S6,600.00 66.7% $3,300.00 $3,778.95 $3,778.95 96.7% $128.10 $8,681.85 $8,681.85 96.7% $294.30 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 Coansel prior 0 its execution. C-620 Change Order 544,081.40 JTotals $46,821.60 546,82L $46,821.60 Wo.21 52,740.20 Progress Estimate Change Order Number 7 Contractor's Application DELETIONS IFor (contract) CO2719 Sanitary Sewer Rehabilitation, Contract 98 Apphcatton Nnmbcr_ 17 - Final Retainage lAppltcatten Period 7-1-2024 to 8-2-2024 Applmahon Date 8/2/2024 A B C D E F Item Deletion Change Order Item Specification CO n to Q Ty Unit Price Change Order Not Used Not Used Not Used Not Used Not Used Not Used Not Used Not Used No. Desrnphon it f M Section No. Unoeasure Delete Value 78 11"Pavement P."erizatioi(50150) Water SY 91.50000000 $12.30 $1,125.45 79 8" Cem-Lime Stabilization ((d 32lbs (50150) Water TN 1.46000000 $270.00 $394.20 81 3" Surface Course Asphalt T}}� D (50/50) Water SY 91,50000000 $24.50 $2,241.75 72 11" Pavement Pulverization ($0/50) Sewer SY 91,50000000 $12.30 $1,125.45 73 8" Cem-Lime Stabilization ((d 32lbs (50150) Sewer TN 1.46000000 $270.00 $394.20 75 3" Surface Course Asphalt T}}�� D (50150) Sewer SY 91.50000000 S24.50 $2,241.75 13 11"Pavement Pulverization (50/50) Paving SY 183.00000000 S12.30 $2,250.90 14 8" Cem-Lime Stabilization (p� 32lbs (50150) Paving TN 2.93000000 S270.00 $791.10 16 3" Surface Course Asphalt yye D (50150) Paving SY 183.00000000 $24.50 $4,483.50 96 Construction Allowance Water LS 0.02680200 $100,000.00 $2,680.20 93 Construction Allowance Sewer LS 0.13996800 $150,000.00 $20,995.20 28 Construction Allowance Paving LS 0.10715400 $50,000.00 $5,357.70 Tends $44,081.40 This document has been modified firm 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 Coansel prior 0 its execution. C-620 Change Order Progress Estimate Change Order Number 1 8 ADDITIONS Far (contract): CO2719 Sanitary Sewer Rehabilitation, Contract 98 Application Period: 7-1-2024 to 8-2-2024 A Item Change Order Item Description No. 31st Street & Weber Water Line 12 8" PVC DR-14 Acceptable Backfill 16 16" PVC DR-14 Acceptable Baekfill 20 18" Waterline Lowering 22 1mmported Embedment/Backfill Select Fill 26 18" Gate Valve 26" 16" Gate Valve 27 1 Salvage Fire Hydrant 28 1 Fire Hydrant 29 1 Ductile Iron Finings with Restraint 30 11" Water Service 38 1_Remove & Salvage 6" Gate Valve 44 Connection to Existing 4"-12" Water Main 48 1 Trench Safety 49 1 Exploratory Excavation of Existing Utilities 56 1 Temporary Asphalt Paving Repair 57 1 Como Pvmt Repair, Residential 76 1 Block Sod Replacement (50/50) 77 112" - 18" Tree Removal 78 1 Pavement Pulverization (50/50) 79 18" Cem-Lime Stabilization @ 321bs/sy (50150) 80 1 Unclassified Street Excavation (50/50) 81 13" Surface Course Asphalt, Type D (50150) 86 1 Water Valve Box Adjustment with Concrete Collar (50/50) 93 1 Traffic Control 106 1Mobilization Weber, Water 107 1 Mobilization Weber, Paving (50150) 108 1 Additional Utility Markers 109 1 Additional Construction Staking Weber 110 Additional As -Built Red Line Survey, Weber 72 Pavement Pulverization (50150) 73 8" Cem-Lime Stabilization @ 321bs/sy (50/50) 74 Unclassified Street Excavation (50150) 75 13" Surf e Course Asphalt, Type D (50/50) 108 Mobilization Weber, Paving (50150) 13 Pavement Pulverization (50/50) 14 8" Cem-Lime Stabilization @ 321bs/sy (50150) 15 Unclassified Street Excavation (50/50) 16 3" Surface Course Asphalt, Type D (50150) 18 Water Valve Box Adjustment with Concrete Collar (50/50) 31 Mobilization Weber, Paving (50150) Ross Avenue Area Improvements 70 Remove Sidewalk 74 ITopsoil 76 (Sod ill I Concrete Retaining Wall Adjacent to Sidewalk City Secretary 58528 Contract Nam: B I C D Addition Estimated Quantity Specification Unit CO Quantity to Add Unit Price Change Order Installed Value Section No. oFMeasure Value UnitI Water LF 440.00000000 $116.00 $51,040.00 438.00000000 $50,808.00 Unit I Water LF 15.00000000 $101.00 $1,515.00 13,00000000 $1,313.00 1unit Iwater EA 1.00000000 $9,500.00 $9,500.00 1.00000000 $9,500.00 1Unit IWater CY 100.00000000 $35.00 $3,500.00 78.00000000 $2,730.10 1unit IWater EA _ 2.00000000 $2,600.00 $5,200.00 200000000 $5,200.00 1Unit IWater EA IW00000000 $2,100.00 $2,100.00 1.00000000 $2,100.00 1unit IWitter EA 1.00000000 $300.00 $300.00 1Unit IWater EA IW00000000 $5,500.00 $5,500.00 1.00000000 $5,500.00 1Unit IWater TN 1.50000000 $12,000.00 $18,00000 078000000 $9,360.00 1unit Iwater EA 1.00000000 $2,500.00 $2,500.00 1.00000000 $2,500.00 1Unit IWater EA 1.00000000 $100.00 $100.00 1Unit Iwater EA 2.00000000 $7,800.00 $15,600.00 2.00000000 $15,600.00 1 Unit I Water LF 455 00000000 $0.10 $45 50 451.00000000 $45 10 1Unit Iwater EA 2.00000000 $1,000.00 $2,000.00 2,00000000 $2,000.00 1unit I Water LF 150.00000000 $31.00 $4,650.00 150.00000000 $4,650.00 1Unit IWater SY 50.00000000 $230.00 $11,500.00 59.00000000 $13,570.00 1Unit IWater SY 225.00000000 $15.00 $3,375.00 1unit IWater EA 3.00000000 $650.00 $1,950.00 3.00000000 $1,950.00 1Unit IWater SY 200.00000000 $12.30 $2,460.00 133.50000000 $1,642.05 1Unit IWater TN 3.25000000 $270.00 $877.50 2.25000000 $607.50 1Unit IWater CY 2.50000000 $82.00 $205.00 1Unit IWater SY 200.00000000 $24.50 $4,900.00 133.50000000 $3,270.75 1Unit IWater EA 1.00000000 $950.00 $950.00 100000000 $950.00 1Unit IWater MO 2.00000000 $5,500.00 $11,000.00 1.25000000 $6,875.00 1Unit IWater LS 1.00000000 $18,500.00 $18,50000 100000000 $18,50000 1Unit Iwater LS IW00000000 $2,567.25 $2,567.25 1.00000000 $2,567.25 1unit Iwater EA 2.00000000 $100.00 $200.00 1Unit IWater LS 1.00000000 $1,800.00 $1,800.00 1,00000000 $1,800.00 Unitl Water IS 1.00000000 $1,300.00 $1,300.00 100000000 $1,300.00 Unit lI Sewer SY 200.00000000 $12.30 $2,460.00 133.50000000 $1,642.05 1unit itSewer TN 3.25000000 $270.00 $877.50 2.25000000 $607.50 1Unit IISewer CY 2.50000000 $82.00 $205.00 1 Unit II Sewer SY 200.00000000 $24.50 $4,900.00 133.50000000 _ $3,270 75 Unit II Sewer LS 1.00000000 $2,567.25 $2,567.25 L00000000 $2,567.25 Unit Hl Pavemq SY 1200.00000000 $12.30 $14,760.00 1200.00000000 $14,760.00 1Unit III Paveme TN 19.50000000 $270.00 $5,265.00 19,50000000 $5,265.00 1Unit III Paveme CY 5.00000000 $82.00 $410.00 1Unit III Pavemel SY 1200,00000000 $24.50 $29,400.00 1200.00000000 $29,400.00 1Unit III Pavem, EA 1.00000000 $950.00 $950.00 2.00000000 $1,900.00 UmtlH Pavemel IS 1.00000000 $15,403.50 $15,403.50 1.00000000 $15,403.50 Unit I Water SF 70.00000000 $3.20 $224.00 70.00000000 $224.00 1Unit IWater CY 1.25000000 $70.00 $87.50 1.25000000 $87.50 1Unit IWater SY 3.89000000 $15.00 $58.35 3.89000000 $58.35 1Unit I Water SF 50.00000000 $57.50 $2,875.00 50.00000000 $2,875.00 Contractor's Application 17- Final Retainage Application Date: 8/2/2024 E F Balance to Finish Previously Value This Materials Presently Total Completed B - histalled Value Period Stored (not in C) and Stored to Date (F) (D + E) B $50,808.00 1 $50,808.00 99.5% $232.001 $1,313.00 $1,313_00 86.7% $202.001 $9,500.00 $9,500.00 100.0% 1 $2,730.00 $2,730.00 78.0% $770.001 $5,200.00 $5,200.00 100.0% 1 $2,100.00 $2,100.00 100.0% 1 $300.001 $5,500.00 $5,500.00 100.0% 1 $9,360.00 $9,360.00 52.0% $8.,640.001 $2,500.00 $2,500.00 100.0% 1 $100.001 $15,600.00 $15,600.00 100.0% 1 $45.10 $45.10 99 1 % $0.401 $2,000.00 $2,000.00 100.0% 1 $4,650.00 $4,650.00 100.0% 1 $13,570.00 $13,570.00 118.0%-$2,070.001 $3,375.001 $1,950.00 $1,950.00 100.0% 1 $1,642.05 $1,642.05 66.8% $817.951 $607.50 $607.50 69.2% $270.001 $205.001 $3,270.75 $3,270.75 66.8% $1,629.251 $950.00 $950.00 1000% 1 $6,875.00 $6,875.00 62.5% $4,125.001 $18,500.00 $18,500.00 1000% 1 $2,567.25 $2,567.25 100.0% 1 $200.001 $1,800.00 $1,800.00 100.0% 1 $1,300.00 $1,300.00 100.0% 1 $1,642.05 $1,642.05 66.8% $817.951 $607.50 $607.50 69.2% $270.001 $205.001 $3,270.75 _ $3,270.75 668% $1,629.251 $2,567.25 $2,567.25 100.0% 1 $14,760.00 $14,760.00 100.0% 1 $5,265.00 $5,265.00 100.0% 1 $410.001 $29,400.00 $29,400.00 100.0% 1 $1,900.00 $1,900.00 200.0%-$950.001 $15,403.50 $15,403.50 100.0% 1 I $224.00 $224.00 100.0% 1 $87.50 $87.50 100.0% 1 $58.35 $58.35 100.0% 1 $2,875.00 $2,875.00 100.0% 1 This document has been modified from its original f as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefidly and consult Legal Counsel prior to its execution. C-620 Change Order 112 Concrete Sidewalk Adjacent to Retaining Wall Unit Water SF 87.50000000 $16.40 $1,435.00 81.25000000 $1,332.50 $1,332.50 $1,332.50 92.9% $102.501 53 Topsoil Unit 11 Sewer CY 1.25000000 $70.00 $87.50 1.25000000 $87.50 $87.50 $87.50 100.0% 1 53 Sod Unit 11 Sewer SY 3.89000000 $15.00 $58.35 3.89000000 $58.35 $58.35 $58.35 100.0% 1 65 Remove Sidewalk Unit 11 Sewer SF 70.00000000 $3.20 $224.00 70.00000000 $224.00 $224.00 $224.00 100.0% 1 109 Concrete Retaining Wall Adjacent to Sidewalk Unit 11 Sewer SF 50.00000000 $57.50 $2,875.00 50.00000000 $2,875.00 $2,875.00 $2,875.00 100.0% 1 I10 Concrete Sidewalk Adjacent to Retaining Wall Unit 11 Sewer SF 87.50000000 $16.40 $1,435.00 81.25000000 $1,332.50 $1,332.50 $1,332.50 92.9% $102.501 ill Historical Address Markers Unit H Sewer EA 1.00000000 $2,500.00 $2,500.00 1.00000000 $2,500.00 $2,500.00 $2,500.00 100.0% 1 6 Remove Sidewalk Unit III Pa - SF 140,00000000 $3.20 $448.00 140.00000000 $448.00 $448.00 $448.00 100.0% 1 22 Topsoil Unit1H Paverne Cy 2.50000000 $70.00 $175.00 2.50000000 $175.00 $175.00 $175.00 100.0% 1 23 Sod Unit III Pavem SY 7.78000000 $15.00 $116.70 7,78000000 $116.70 $116.70 $116.70 100.0% 1 32 Concrete Retaining Wall Adjacent to Sidewalk Unit IPaverne SF 100.00000000 $57.50 $5,750.00 100.00000000 $5,750.00 $5,750.00 $5,750.00 100.0% 1 33 Concrete Sidewalk Adjacent to Retaining Wall Unit lH Pavem SF 175,00000000 $16.40 $2,870.00 162.50000000 $2,665.00 $2,665.00 $2,665.00 92.9% $205.001 34 Detectable Warning Surface Unit lH Paverne EA 2.00000000 $1,100.00 $2,200.00 2.00000000 $2,200.00 $2,200.00 $2,200.00 100.0% 1 35 Historical Address Markers Unit III Paveme EA 2.00000000 $2,500.00 $5,000.00 2.00000000 $5,000.00 $5,000.00 $5,000.00 100.0% 1 Miscellaneous Service Lines 112 Watt Road Sewer Service Reconnection Unit 11 Sewer IS 1.00000000 $4,188.50 $4,188.50 1.00000000 $4,188.50 $4,188.50 $4,188.50 100.0% 1 ill Wallace Street Water Service Reinstatement Unit I Water LS 1.00000000 $3,750.00 $3,750.00 100000000 S3,750.00 $3,750.00 $3,750.00 100.0% 1 Totals $296,691.401 $275,102.601 $275,102.60 $275,102.60 92.7% $21,588.801 Progress Estimate Change Order Number 8 Contractor's Application DELETIONS For (contract): CO2719 Sanitary Sewer Rehabilitation, Contract 98 Application Number. 17 - Final Retainage Application Period: 7-1-2024 to 8-2-2024 Application Date: 8/2/2024 A B C D E F � Item Deletion Change Order Item Specification CO Quantity [o Uni[ Price Change Order Not Used No[ Used Not Used Not Used No[ Used Not Used Not Used Not Used No. Description Section No Unit oFMeasiue I Dele[e Value This document has been modified from its original f as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefidly and consult Legal Counsel prior to its execution. C-620 Change Order 12" PVC DR-14 Water Pipe, Ac99 !able Backfill, Restrained Joints Umt I Water LF 11.00000000 $305A0 $3,355.00 12" PVC DR-14 Water Pipe, C$niackfill, CSS Embedment, Restr� Unit I Water LF 7.00000000 $482A $3,374.00 12" PVC DR-14 Water Pipe, CSS Backfill, CSS Embedment Unit I Water LF 4.00000000 $356A J $1,424.00 12" PVC DR-14 Water Carrier Pipe, CSS Backfill, CSS Embedment Unit I Water LF 2.00000000 $514.00) $1,028.00 12" Waterline Lowenng not shown on pans) Unit I Water EA 2.00000000 $11,000.0 $22,000.00 6" Waterline Loweri (not shown on plans) Unit I Water EA 2.00000000 $8,800.0 J $17,600.00 Water Sernce,MMer Reconnection Umtl Water EA 6.00000000 $3,300.OUJJJJJJ $19,800.00 4"-12" Water Abandonment Plug Unit Water EA 6.00000000 $200A� $1,200.00 Water Line GromiIF Unit Water CY 15.00000000 $660.0 $9,900.00 Asphalt Pvmt Repair Beyond Defined Width, Residential Unit I Water SY 208,00000000 $117.0 $24,336.00 Tree Protection Unit Water EA 55.00000000 $160.0 $8,800.00 Utility Adjustment Unit Water IS 1.00000000 $10,000 1 $10,000.00 Allowance Unit Water LS 0.68748100 $100,000A J $68,748.10 Tree Protection Unit ll Sewer EA 65.00000000 $160.01I $10,400.00 Uhl" Ar�iistment Unit ll Sewer IS 1.00000000 $10,000.0 $10,000.00 Cons�c/ion Allowance Unit ll Sewer LS 0.01318733 $150,000.0 $1,978.10 Utility AdjIustment K Unit 111 Pavem5j IS 1.00000000 $10,000.0U j $10,000.06 Concrete b, Back oFSidewalk Unit 111 Pavem5j LF 138.50000000 $59.01 $8,171.50 Concrete Sidewalk Unit III Pavem5j LF 4428,00000000 $7.00) $30,996.00 Install New 4" ADA Wheelchair Ramp (w/detectable warning dome) Unit lB Pavemq EA 2.50000000 $3,125.00 $7,812.50 Construction Allowance Unit III Pavem5j IS 0.51536400 $50,000.0 $25,768.20 Totals $296,691.40 This document has been modified from its original f as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefidly and consult Legal Counsel prior to its execution. C-620 Change Order Progress Estimate Change Order Number 1 9 ADDITIONS Contractor's Application For (contract): CO2719 Sanitary Sewer Rehabilitation, Contract 98 City Secretary 58528 Application Number. 17 - Final Retainage Contract Non: (Application Period: 7-1-2024 to 8-2-2024 Application Date: 8/2/2024 A B C D E F Item Addition Total Completed % Estimated QuannTy Previously Value This Materials Presently Change Order Item Descri non Specification Unit of Measure CO Quantity Add Unrt Price Change Order Installed Value Installed Value Period Stored (not in C) said Stored to Date (F) on No. p SectiNo. Value (D+E) B 5A" 8" DIP Sewer Acceptable Backfill Sewer LF 170.00000000 $219.00 $37,230,001 1 1 1 1 1 This document has been modified from its original f as an EJCDC document and the user did not highlight the modifications. You me encouraged to read the document carefidly and consult Legal Counsel prior to its execution. Balance to Finish (B - F) $37,230.00 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 C-620 Change Order Totals $37,230.001 $37,230.001 Progress Estimate Change Order Number 1 9 Contractor's Application DELETIONS For (contract): CO2719 Sanitary Sewer Rehabilitation, Contract 98 Application Number: 17 - Final Retainage (Application Period: 7-1-2024 to 8-2-2024 Application Date: 8/2/2024 A B C D E F Item CO Quantity Deletion Change Order Item Descripfion Spec,Ocation Unit of Measme Delete [o Unit Price Change Order Not Used Not Used Not Used Not Used Net Used Not Used Not Used Not Used No. Section No. Value 12 Imported Embedment/Backhll, Select Fill Sewer CY 1063,71430000 $35.06 $37,230.00 This document has been modified from its original f 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 Change Order Totals $37,230.0) This document has been modified from its original Roma as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefidly and consult Legal Counsel prior to its execution. City Secretary Contract Num: 58528 Application Period: Funding Identification (FID) Original Contract 156002-0600430-5740010-0O2719-001780-9999 (Water) 156002-0700430-574001O-0O2719-001780-9999(Sewer) 130100-0200431-574001O-0O2719-0O2480-9999 I0 I0 I0 I0 I0 I0 I0 I0 Change Order 1 156002-0600430-5740010-0O2719-001780-9999 (Water) 156002-0700430-574001O-0O2719-001780-9999(Sewer) 130100-0200431-574001O-0O2719-0O2480-9999 I0 I0 I0 I0 I0 I0 I0 I0 Change Order 2 156002-0600430-5740010-0O2719-001780-9999 (Water) 156002-0700430-574001O-0O2719-001780-9999(Sewer) 130100-0200431-574001O-0O2719-0O2480-9999 I0 I0 I0 I0 I0 I0 I0 I0 Change Order 3 156002-0600430-5740010-0O2719-001780-9999 (Water) 156002-0700430-574001O-0O2719-001780-9999(Sewer) City of Fort Worth Summary of Charges Sanitary Sewer Rehabilitation, Contract 98 �P. 0.: FW060-0000020911 7-1-2024 to 8-2-2024 Application I Number: 17 - Final Retainage Total Completed Amt Remaining Gross $2,610,960.36 $432,598.64 $2,550,557.22 $703,422.78 $773,430.35 $184,453.90 $48,000.00 s$41,800.00) $184,993.30 ($177,940.30) $5,694.00 ($4,316.00) $13,833.00 ($13,833.00) Project Number: CO2719 Application Date: 8/2/2024 Retainage Net City Secretary Contract Num: 58528 Application Period: Funding Identification (FID) 130100-0200431-574001O-0O2719-0O2480-9999 I0 I0 I0 I0 I0 I0 I0 I0 Change Order 4 156002-0600430-5740010-0O2719-001780-9999 (Water) 156002-0700430-574001O-0O2719-001780-9999(Sewer) 130100-0200431-574001O-0O2719-0O2480-9999 I0 I0 I0 I0 I0 I0 I0 I0 Change Order 5 156002-0600430-5740010-0O2719-001780-9999 (Water) 156002-0700430-574001O-0O2719-001780-9999(Sewer) 130100-0200431-574001O-0O2719-0O2480-9999 I0 I0 I0 I0 I0 I0 I0 I0 Change Order 6 156002-0600430-5740010-0O2719-001780-9999 (Water) 156002-0700430-574001O-0O2719-001780-9999(Sewer) 130100-0200431-574001O-0O2719-0O2480-9999 I0 I0 City of Fort Worth Summary of Charges Sanitary Sewer Rehabilitation, Contract 98 l 0.: FW060-0000020911 Number:7-1-2024 to 8-2-2024 A u: I 17 - Final Retainage Number: Total Completed Amt Remaining Gross $7,350.00 ($7,350.00) $58,550.00 ($77,500.00) $114,425.00 ($114,424.95) Project Number: CO2719 Application Date: 8/2/2024 Retainage Net City Secretary Contract Num: 58528 Application Period: Funding Identification (FID) Change Order 7 156002-0600430-5740010-0O2719-001780-9999 (Water) 156002-0700430-574001O-0O2719-001780-9999(Sewer) 130100-0200431-574001O-0O2719-0O2480-9999 10 10 10 10 10 10 10 10 Change Order 8 156002-0600430-5740010-0O2719-001780-9999 (Water) 156002-0700430-574001O-0O2719-001780-9999(Sewer) 130100-0200431-574001O-0O2719-0O2480-9999 10 10 10 10 10 10 10 10 Change Order 9 156002-0600430-5740010-0O2719-001780-9999 (Water) 156002-0700430-574001O-0O2719-001780-9999(Sewer) 130100-0200431-574001O-0O2719-0O2480-9999 10 10 10 10 10 10 10 City of Fort Worth Summary of Charges Sanitary Sewer Rehabilitation, Contract 98 l 0.: FW060-0000020911 Number:7-1-2024 to 8-2-2024 A u: I 17 - Final Retainage Number: Total Completed Amt Remaining Gross $6,230.40 f1 $6,230.40)) $28,130.40 ($28,130.40) $12,460.80 t$12,460.80) $172,666.00 ($172,666.00) $19,353.40 ($19,353.40) $83,083.20 $83,083.20 ($0.00) Project Number: CO2719 Application Date: 8/2/2024 Retainage Net City of Fort Worth Summary of Charges City Secretary Contract Num: 58528 Sanitary Sewer Rehabilitation, Contract 98 �p. 0.: FW060-0000020911 Project Number: CO2719 Application Period: 7-1-2024 to 8-2-2024 Application I 17 - Final Retainage Application Date: 8/2/2024 Number: Funding Identification (FID) 10 Totals 156002-0600430-5740010-0O2719-001780-9999 (Water) 156002-0700430-574001 O-CO2719-CO 1780-9999 (Sewer) 130100-0200431-574001O-CO2719-CO2480-9999 10 10 10 10 10 10 10 10 Total Completed $2,917,589.76 $2,903,153.32 $868,974.35 Amt Remaining $113,219.24 $359,257.73 $88,909.90 Gross Retainage Net Grand Total 1 1 $6,689,717.43 1 1 $561,386.87 1 1 $0.00 1 1 ($332,914.60)1 1 $332,914.60 CSC No. 58528-COI FO RT Wo RT m City of Fort Worth Change Order Request Project Name: Sanitary Sewer Rehabilitation Contract 98 1 City Sec No.: 1 58528 Project No.(s):I 56002.0600430.0700430.0200430.5740010 M&C: 1 22-0888 1 City Proj. No.: 1 CO2719 Project Description:I Water, sanitary sewer, and paving Improvements in the Northside Neighborhood. Contractod Woody Contractors Change Order fl 1 Dale: 3/27/2023 City Project Mgr.1 Suzy Abbe I Cily Inspector: Charles Hayes Phone Number: 817-392-8209 1 Phone Number: 682-213-0240 Dept Original Contract Amount Extras to Dale Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date Amount of Proposed Change Order Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary') Water Sewer Paving $3,043,559.00 $3,263,980.00 I $957,884.25 $6,200.00 $7,053.00 $0.00 $6,200.00 $7,053.00 $0.00 $121,742.00 $130,159.00 $57,473.00 $121,742.00 $130,159.00 $57,473.00 Totals Contract Time (Calendar days) $7,255,423.25 550 550 $13,253.00 $13,253.00 550 $309,374.00 $309,374.00 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1 0.18% MAX ALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST+ 25%$9,069 ) ,279.06 JUSTIFICATION (REASONS) FOR CHANGE ORDER Change order No. 1 provides for the following: New 8" water gate valve at the corner of NE 21 sl Street and Grove Street to allow for testing. One additional exploratory excavation to locate a main and size an insert -a -valve for the 4-inch temporary water service. Pay Item for gravel in alleys. Substitution of green C900, SDR 18 pipe for ductile iron pipe. Substitution of 16" DIIP sewer pipe for 15" SDR 26 in shallow installation. Removal of manhole at STA 4+96.76 on L-638 and resulting adjustments in total linear feet of pipe, and extra depth manhole, and coaling. Additional epoxy coating and/or hydraulic slide to meet City design policy. 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 ConJ222LnAFe-' Date Woody Contractors Troy Woody InspecloL��—Z_ Date Project Ma r Date 3/30/23 3/31/2021 Director (Water Dept) �� Date Construction Supervisor (TPW Dept) Date 124odke4441- �� y . Mar 31,2023 Joe Rogers 3/31/23 Senior Assistant City Attorney Dale Assistant City Manager Date Apr 12, 2023 Dana Sur�rhdoFF � Apr 13, 2023 Council Action (If Required) M&C Number N/A M&C Date Approved NIA FC)oR"C' WO"RT_H City of Fort Worth Change Order Additions Project Name j Sanitary Sewer Rehabilitation Contract 98 City Sec No.: 1 58528 Project No.(s): j 56002-0600430.0700430-0200430-5740010 DOE No.1 22-088q City Proj, No,: I CO2719 Project I Water, sanitary sewer, and paving Improvements in the Northside Neighborhood. Description Contractor I Woody Contractors Change Order: 0 Date: 1 3127/2023 City Project Mgr. j Suzy Abbe City Inspector j Charles Hayes ADDITIONS I tm ULbURIN I IUN DEPT Qty -Unit -Unit Cost Total 26 8" Gate Valve Water 1.00 EA $2,600.00 $2,600.00 34 Temporary Water Service (4" Service) Water 1.00 LS $44,400.00 $44,400.00 49 Exploratory Excavation of Existing Utilities Water 1.00 EA $1,000.00 $1,000.00 1B 16" DIP Sewer Sewer 180.00 LF $294.00 $52,920.00 17 4' Extra Depth Manhole Sewer 1.00 VF $220.00 $220.00 19 Epoxy Manhole Liner Warren Chesterton - 4' Sewer MH Sewer 9.00 VF $380.00 $3,420.00 29 8" C900 DR 18, Green PVC Acceptable Backfill Sewer 477.00 LF $200.00 $95,400.00 30 8" C900 DR 18, Green PVC CSS Backfill Sewer 38.00 LF $260.00 $9,600.00 31 8" C900 DR 18, Green PVC CLSM Backfill Sewer 30,00 LF $393.00 $11,790.00 32 8" C900 DR 18, Green PVC Carrier Pipe Sewer 20.00 LF $250.00 $5,000.00 34 Gravel Alley Sewer 1,140.00 LF $10.70 $12,198.00 Water $48,000.00 (Sewer $190,448.00 (Paving Page 1 of 1 (Additions Sub Total $238,448.00 FC3RT W"n-F14 City of Fort Worth Change Order Deletions Project Name Sanitary Sewer Rehabilitation Contract 98 City Sec No.: 58528 Project No.(s): 56002-0600430-0700430-0200430-5740010 DOE No, I 22-08d City Proj. No.: CO2719 Project Description I Water, sanitary sewer, and paving Improvements In the Norlhside Neighborhood. 1 Contractor Woody Contractors Change Order: F-1 � Date 3/270023 City Project Mgr. Suzy Abbe City Inspector: I Charles Hayes DELETIONS ITEM DESCRIPTION DEPT I Qty Unit Unit Cost Total 34 Temporary Water Service (4" Service) Water 1.00 LS $41,800.00 $41,800.00 18 16" Sewer SDR 26 CSS Backfill Sewer 180.00 LF $233.00 $41,940.00 5A 8" DIP Sewer, Acceptable Backfill Sewer 457.00 LF $219.00 $100,083.00 6A1 8" DIP Sewer, CLSM Embedment, CSS Backfill Sewer 38.00 LF $269.00 $10,222.00 6A2 8" DIP Sewer Carrier Pipe Sewer 20.00 LF $269,00 $5,380.00 7A 8" DIP Sewer, CLSM Embedment, CLSM Backfill Sewer 30.00 LF $412.00 $12,360.00 8 8" PVC SDR-26 Sewer, Acceptable Backfill Sewer 35.00 LF $166.00 $5,810.00 13 4' Manhole Sewer 1.00 EA $7,600.00 $7,600.00 lWater ISewer (Paving Page 1 of 1 IDelelions Sub Total $41,800.00 $183,395.00 $225,195.00 MMBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders co It DATE AMOUNT Total $0.00 Page 1 of 1 3/31/2023 Sanitary Sewer Rehabilitation Contract 98 CSC: 58528 CPN: CO2719 Change Order 1 Notes Staff has reviewed the requested prices and considers them to be fair and reasonable. .Contract Compliance Manager By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. ::'� �" 44-,- Signature Suzanne Abbe Name of Employee Senior Engineer, Capital Project Delivery Title ATTEST: A Jannette Goodall City Secretary CSC No. 58528-0O2 FoR-C Wbwri4 City of Fort Worth Change Order Request Project Name:1 Sanitary Sewer Rehabilitation Contract 98 City Sec No.: 1 58528 Project No.(s):l 56002-0600430.0700430.0200430.5740010 M&C: 1 22-0888 City Prof . No.: l CO2719 �I Project Description:) Water, sanitary sewer, and paving Improvements In the Northside Neighborhood, I Contractor: Woody Contractors, Inc. Change Order # 2 Date: 6116/2023 City Project Mgr.1 Suzy Abbe City Inspector: Charles Hayes Phone Number:1 817-392.8209 Phone Number;) 682-213-0240 Dept. Water Sewer Paving Totals Contract Time (Calendar days) Original Contract Amount $3,043,559.00 $3,253,980.00 $957,884.25 $7,255,423.25 550 Extras to Date $6,200.00 $7,053.00 $13,253.00 Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $3,049,759.00 $3,261,033.00 $957,884.25 $7,268,676.25 550 Amount of Proposed Change Order $0,00 $1,378.00 $0.00 $1,378.00 Revised Contract Amount $3,049,759.00 $3,262,411.00 $957,884.25 $7,270,054.25 550 Original Funds Available for Change Orders $121,742.00 $130,169.00 $57,473.00 $309,374.00 Remaining Funds Available for this CO $115,542.00 $123,106.00 $57,473.00 $296,121,00 Additional Funding (if necessary) CHANGE ORDERS io DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0,20% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) 1$9,069,279.06 JUSTIFICATION (REASONS) FAR CHANGE ORDER Change Order No. 2 provides for the substitution of HDPE sewer pipe for PVC SDR-26 on sheet 57of the project plans, where connection to an existing HDPE pipe is necessary. It is understood and agreed that the acceptance of [his 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 Contractoral nature Date Woody Contractors, Inc. I Troy Woody I / 14,/. j ---- ^/ 6 - ? 3 1 Inspector j Date Project Manager" i Date_ 5/17/23 jj Director. ales Dept) Date C ctio . Su sor (T f3 j Date �� r other Hc�rcJer TS May 26, 2023 - _ ' S �7— Senior Assistant City Attorney Date_ Assistant Cl anager Date May 26, 202 q„H May 28, 2023 Council Action (If Required) M&C Number NIA I M&C Dale Approved j NIA FORT WORTH City of Fort Worth Change Order Additions Project Name Sanitary Sewer Rehabilitation Contract 98 City Sec No.: 58528 Project No.(s): 56002-0600430-0700430-0200430-5740010 DOE No.1 22-08881 City Proj. No.: CO2719 Project I Water, sanitary sewer, and paving Improvements in the Northside Neighborhood. Description Contractor Woody Contractors, Inc. Change Order: 2 Date: 1 5/16/2023 City Project Mgr. Suzy Abbe City Inspector I Charles Hayes ADDITIONS - I I EM DESCftIN I ION DEPT Qty Unit Unit Cost Total 35 8" HDPE Sewer, Acceptable Backfill Sewer 26.00 LF $219.00 $5,694.00 lWater Sewer $5,694.00 Paving Page i of 1 lAdditions Sub Total $5,694.00 FORT WO RT H City of Fort Worth -1 W ' 0- Change Order Deletions Project Name I Sanitary Sewer Rehabilitation Contract 98 1 City Sec No.: I 58528 Project No.(s): I 56002-0600430-0700430-0200430-5740010 DOE No. I 22-084 City Proj. No.: I CO2719 Project Description Water, sanitary sewer, and paving Improvements in the Northside Neighborhood. I Contractor I Woody Contractors, Inc. , Change Order: ff] Date I 5/16/2023 City Project Mgr. Suzy Abbe City Inspector: I Charles Hayes DELETIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total 8 8" PVC SDR-26 Sewer, Acceptable Backfill Sewer 26.00 LF $166.00 $4,316.00 (Water (Sewer $4,316.00 (Paving Page 1 of 1 IDeletions Sub Total $4,316.00 MWWBE Breakdown for this Change Order MWBE Sub I Type of Service I Amount for this CO Total $0.00 Previous Change Orders CO # DATE I AMOUNT Total $0.00 Page 1 of 1 5/17/2023 Sanitary Sewer Rehabilitation Contract 98 CSC: 58528 CPN:CO2719 Change Order 2 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 Suzanne Abbe Name of Employee Senior Engineer, Capital Project Delivery Title ATTEST: Jannette Goodall City Secretary CSC No. 58528-CO3 FORT WORTH City of Fort Worth Change Order Request Project Name: Sanitary Sewer Rehabilitation Contract 98 1 City Sec No.: 1 58528 Project No,(s):l 56002-0600430.0700430.0200430.5740010 M&C: 1 22-0888 1 City Proj. No,: 1 CO2719 Project Descriplion:1 Water, sanitary sewer, and paving Improvements In the Northside Neighborhood, Contractor: Woody Contractors, Inc. City Project Mgr.1 Suzy Abbe Phone Number: 817-392.8209 Dept. Original Contract Amount Extras to Dale Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date Amount of Proposed Change Order Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) Water $3,043,559.00 $6,200.00 Change Order # 3 1 Dale: 6/20/2023 City Inspector: Charles Hayes Phone Number: 682-213.0240 Sewer Paving Totals Contract Time (Calender days) $3,253,980.00 $957,884.25 $7,255,423.26 550 $8,431.00 $0.00 $14,631.00 $3,049,769,00 $3,262,411.00 $957,884.25 $0.00 $0.00 $0.00 $3,049,759.00 $3,262,411.00 $957,884.25 $121,742.00 $130,159.00 $57,473.00 $115.542.00 $121,728.00 $57,473.00 $7,270,064.25 550 $0.00 $7,270,054.25 550 $309,374.00 $294,743.00 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.20% MAX ALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST+ 25%) 1$9,069,279.06 JUSTIFICATION ,(REASONS) FOR CHANGE'�ORDER Change Order No. 3 provides for the replacement of severly deteriorated segments of 18 and 24-inch storm drain laterals that were encountered in close proximity (and broke apart) during water main installation at the Prairie Avenue I NW 22nd Street Intersection. 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. contradtors.CompanyName ,Contract&Name. `Ialurey 1�,Oohjractor Wood Contractors, Troy Woody l �,/� �`ot InSPec / i Date Pro'ect,Ma a erg r - Date ., =atprDe 06/28123 Direclor�(/ Date Qnstruotion'Supervisor.(TPWbept) . Date S. 4 I ' �.. Jun 30, 2023 UdCQA, /v 06-27-23 Senior Assistant CIty:Attorney Date, Assistant lCityIMana er Date �PAW, I Jul 3, 2023 Dana Bur h� dOA' Jul 5, 2023 Council Action (If Required) . r ,'y M&C Number NIA M&C Date Approved NIA OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FORT WORTH City of Fort Worth ►" Change Order Additions Project Name I Sanitary Sewer Rehabilitation Contract 98 f City Sec No.: 1 58528 Project No.(s): 1 56002.0600430-0700430.0200430-5740010 DOE No,1 22-0888� City Proj. No.: I CO2719 Project I Water, sanitary sewer, and paving Improvements in the Northside Neighborhood, 1 Description J Contractor I Woody Contractors, Inc. Change Order:Date:1 6/2012023 City Project Mgr. I Suzy Abbe City Inspector I Charles Hayes ADDITIONS I I EM UBGRIN i IUN 97 18" RCP CL III Storm Drain 98 24" RCP CL III Storm Drain DEPT Qty Unit Unit Cost Total Water 31.00 LF $197.00 $6,107.00 (Water 1 28,00 LF $203.00 $5,684.00 I I Water $11,791.00 Sewer Paving Page ] of 1 Additions Sub Total 1$11,791.00 FpRT WORTH City of Fort Worth Change Order Deletions Project Name Sanitary Sewer Rehabilitation Contract 98 City Sec No,: 58528 Project No.(s): 56002.0600430.0700430.0200430-5740010 I DOE No. 1 22-08 City Proj. No.: CO2719 Project Description I Water, sanitary sewer, and paving Improvements in the Northside Neighborhood. Contractor I Woody Contractors, Inc, I Change Order: F-3-1 Date6/2012023 City Project Mgr. Suzy Abbe City Inspector: I Charles Hayes DELETIONS ITEM DESCRIPTION DEPT Qty Unit , Unit Cost Total 96 Construction Allowance Water 0.11791 LS $100,000.00 $11,791.00 Page 1 of 1 (Water Sewer Paving Deletions Sub Total $11,791.00 $11,791.00 MIWBB Breakdown for this Change Order i� � �,. .. ,t-..:9.•,:�,1�k �:� ,.v. -ev .xuti,i •1: •T q... '� is T1•� 5 +, ` �,+ �� bb 1 � iT y� =,�Yi� L ' r { �)�� �r V7 a� 1 � �s1 rIII � 0 ,, 1�( }r, + �f} ,y, �S ff n (�1IS(�' [uY `511isi1.ill lli,00i ilhl-f��f.i��.,r5:i117•. �$��4,YikiS<:;!(1 la•�+1��� �;Kt!'x,,.. �i�.1ih.�(4 Y..3. ISM ,n a �..t.3 ,. [t r Total� r r. Previous Change Orders ��l ,�,a j P't fi �t Q ,�Kv ��r��yr rtr {� gh'� ;sT�'rJ � J`•�',�o,'tu,•ti N ,���`A � F� �; •'aX.r�:�� '� x�cA�;�kz3�Z ���,bi'-���tY`�Xsi�ii.,`���:�i�l�k�'�t,%����isttti���� e�::���1�>t,sk`t.�'t`�•m�fo`:b`lbdl;]NT��`:���'�3.:�s;�r.�l��•.l�l • Total Page 1 of 1 6/15/2023 CPN CO2719 Sanitary Sewer Rehabilitation Contract 98 Change Request 3 Notes Conflicts with existing storm drain were encountered during the Installation of the water line at Prairie Avenue and NW 2211d Street, The storm drain pipe that was uncovered was unreinforced concrete pipe with segments of PVC pipe, The condition of the pipe was poor and the contractor determined that tunneling underneath without damaging the pipe was not possible. A sketch of the replaced segments, photos, and the contractor's proposal are attached. The work included removal and haul of existing pipe, 3 connections to an existing manhole, 5 connections to existing pipe, 8 concrete collars, and wiping inside manhole and pipe, The contractor's proposed unit price is comparable to recent average bid prices which are summarized In Table 1. Note that the bid prices below do not Include removal of existing storm drain which would add approximately $30/1.F to the average unit price. Table 1: Unit Price Comparison Size Woody (Class III) 2022 Bond Year 1(Class IV) Contract 1 Contract 2 18" $197/1-F --- - 21" Low Bidder Price $203/1-F $250/1-F $105 Average Bid Price $223.30/1.F $194.20 Range of Bids $105 - $350/1-F $105 - $312 WOODY CONT-RAC'I'ORS INC Job: S.S. CONTRACT 98 Date June 15, 2023 CHANGE ORDER 3 WOODY CONTRACTORS G50 TOWER Rl) KENNEDAI.E. TX 76060 III IONS- 111 7-411:3-4 7117 FAX 817-413:1.204t1 Item Description Quantity Unit Price Total Price '1 18 " RCP CL III 31 LF $ '197.00 $ 6,107.00 2 21" RCP CL III 28 LF $ 203.00 $ 5,684.00 Total for Sheet $ 11,791.00 Total for Job $ 11,791.00 INCLUDED IN PIPE PRICE: REMOVAL & HAUL OFF EXISTING PIPE 3 EA, CONNECTIONS TO EXISTING MANHOLE 5 EA. CONNECTIONS TO EXISTING PIPE 8 EA, CONCRETE COLLARS 8 EA. WIPE INSIDE MANHOLE & PIPE 0 c � � O a c �t c. 0)� ti ' OV l•.., ''� ... .. _ ` J I•�'ta ' I �• 1 I. ii il:Ji ei.Onl .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 Suzanne Abbe Name of Employee Senior Engineer, Capital Project Delivery Title ATTEST: r-111� '� . Annette Goodall City Secretary OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX CSC No. 58528-004 FORT WORTH_ City of Fort Worth Change Order Request Project Name:1 Sanitary Sewer Rehabilitation Contract 98 1 City Sec No.: 1 58528 Project No.(s)] 56002-0600430-0700430-0200430-5740010 M&C: 1 22-0888 1 City Proj. No.: i CO2719 Project Description:) Water, sanitary sewer, and paving Improvements in the Northside Neighborhood. Contractor: Woody Contractors, Inc. Change Order# 4 Date: 8/25/2023 City Project Mgr.1 Suzy Abbe CityInspector: Charles Hayes Phone Number: 817-392-8209 Phone Number: 682-213-0240 Dept. Water Sewer Paving Totals Contract Time (Calender days) Original Contract Amount $3,043,559.00 $3,253,980.00 $957,884,25 $7,255,423.25 Z50 Extras to Date $6,200.00 $8,431.00 $0.00 $14,631.00 Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $3,049,759.00 $3,262,411.00 $957,884.25 $7,270,054.25 550 )Amount of Proposed Change Order $0.00 $0.00 $0.00 $0.00 Revised Contract Amount $3,049,759.00 $3,262,411.00 $957,884.25 $7,270,054.25 f550 Original Funds Available for Change Orders $121,742.00 $130,159.00 $57,473.00 $309,374.00 Remaining Funds Available for this CO $115,542.00 $121,728.00 $57,473.00 $294,743.00 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.20% MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25% 1$9,069,279.06) JUSTIFICATION (REASONS) FOR CHANGE ORDER Change Order No. 4 provides for a 1 112-inch water service and meter reconnect that were inadvertently omitted at the time the project was advertised for bid and for the removal of two 24 and 30-inch trees as required by the City Forester after the tree roots were cut to replace sidewalk on Prairie Avenue. 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 Date Woody Contractors, Inc. I Troy Woody I ---- I 1, - of ff -, a Inspector Director ( er Dept) Senior Assistant City Attorney 19� l M&C Number j N/A TS Date Project Man e� ` Aug 29, 2023 Date Construction Supervisor (TPW Dept) Sep 5, 2023 04-01 h 14 Date Assistant City Ma ger Sep 5, 2023 D4& &cow Council Action (If Required) M&C Date Approved N/A Date 8/29/2023 Date 08-29-23 Date Sep 5, 2023 FORT WOE nxii City of Fort Worth Change Order Additions Project Name Sanitary Sewer Rehabilitation Contract 98 City Sec No.: 1 58528 Project No.(s): 56002-0600430-0700430-0200430-5740010 1 DOE No.1 22-0881 City Proj, No.: I CO2719 Project Water, sanitary sewer, and paving Improvements in the Northside Neighborhood. Description I Contractor Woody Contractors, Inc. Change Order: ® Date:1 8/25/2023 City Project Mgr, Suzy Abbe City Inspector I Charles Hayes ADDITIONS I I tM , ULSI;KIP I IUN DEPT Qty 'Unit 'Unit Cost Total 99 1 112" Water Service Water 1.00 EA $4,200.00 $4,200.00 100 1 112" Water Service Meter Reconnect Water 1.00 EA $900.00 $900.00 101 24" - 30" Tree Removal Water 2.00 EA $2,250.00 $4,500.00 lWater $9,600.00 Sewer Paving Page 1 of 1 lAdditions Sub Total $9,600.00 FORT WORTH City of Fort Worth -�� W Change Order Deletions Project Name ' Sanitary Sewer Rehabilitation Contract 98 City Sec No.: 58528 Project No.(s): 56002-0600430-0700430-0200430-5740010 1 DOE No. 1 22-081 City Proj. No,: CO2719 Project Description I Water, sanitary sewer, and paving Improvements in the Northside Neighborhood, I Contractor I Woody Contractors, Inc. I Change Order: ® Date 8/25/2023 City Project Mgr. Suzy Abbe City Inspector: I Charles Hayes DELETIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total 96 Construction Allowance Water 0.096 LS $100,000.00 $9,600.00 (Water $9,600.00 Sewer (Paving Page 1 of 1 IDeletions Sub Total $9,600.00 M1WBE 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 1 of 1 8/24/2023 CPN CO2719 Sanitary Sewer Rehabilitation Contract 98 Chance Request 4 Notes The contractor encountered a 1 %" meter at 1901 Grand Ave. The contract does not include a price for 1 %" water service or meter reconnect. Change Oder No. 4 provides the price for a 1 %' water service and 1 %" meter reconnection. . The contractor cut into the roots of two large trees when saw -cutting sidewalk that had been marked for replacement at 2013 Prairie Ave and 2119 Prairie Ave. The City Forester advised that the trees be removed. The contract does not include a price for removal of trees 24" and larger. Change Oder No. 4 provides the price for removal of 24"-30" trees. The contractors proposed unit prices are in line with average bid prices from 2022 Bond Year 1 Contracts 1 and 2. Table 1: Unit Price Comparison Size Water Service + Meter Reconnect (combined) 1" Woody 2022 Bond Year 1 Contracts 1 and 2 Average $3,050 $3,551 21) --- $7,363 I $5,100 $5,457* Tree Removal 24" — 30" $2,250/EA $2,749/EA * Based on average combined prices for 1" and 2" water services and meter reconnects. WOODY CONTRACTORS INC Job: CONTRACT 98 CHANGE ORDER 4 Date Item Description 1 1 1/2" inch service 2 RECONN 1 1/2" SERVICE 3 24"-30" TREE REMOVAL A OODY CRACTORS 650 TOWER RD KENNEDALE, TX 76060 PHONE- 817-483-4787 FAX 817-483-2048 Quantity Unit Price Total Price 1 EA $ 4,200.00 $ 4,200.00 1 EA $ 900.00 $ 900.00 1 EA $ 2,250.00 $ 2,250.00 Total for Sheet $ 7,350.00 Total For Job $ 7,350.00 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. - 4i� Signature Suzanne Abbe Name of Employee Senior Engineer, Capital Project Delivery Title ATTEST: Jannette Goodall City Secretary CSC No. 58528-CO5 FORT WO R-r i4 City of Fort Worth Change Order Request Project Name: Sanitary Sewer Rehabilitation Contract 98 City Sec No,: 1 58528 Project No,(s):l 66002.0600430.0700430.0200430-6740010 M&C: 1 22-0888 CityProj. No.: J CO2719 Project Description:) Water, sanitary sewer, and paving Improvements In the Northside Neighborhood, I Conlractod Woody Contractors, Inc, Change Order fI 6 Dale: 11/13/2023 Clly Project Mgr.I Suzy Abbe City Inspector: Charles Hayes Phone Number: 617-392.8209 Phone Number: 682-213.0240 Dept, Water Sewer Paving Totals Contract Time Calendar days) Original Contract Amount $3,043,559.00 $3,253,980.00 $957,884.25 $7,266,423.26 50 Extras to Date $6,200.00 $8,431.00 $0.00 $14,631,00 Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Dale $3,049,759.00 $3,262,411.00 $967,884.25 $7,270,054.25 550 JAmount of Proposed Change Order $181950,00 40,00 $0.00-$18+950.00 Revised Contract Amount $3,030,809.00 $3,2 2,411.00 $957,884,25 $7,261,104.26 550 Original Funds Available for Change Orders $121,742,00 $130,159.00 $57,473.00 $309,374.00 Remaining Funds Available for this CO $115,542A0 $121,728.00 $67,473.00 $294,743.00 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT -0.06% MAX ALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST + 25%) $9,069,279.06 JUSTIFICATION (REASONS) FOR CHANGE ORDER Change Order No, 5 provides for the following: Deletion of the installation of proposed 20-Inch isolation valve at NE 201h and Commerce Street because of insufficient space for the Installation; Installation of additional temporary water service in order to maintain service to customers who would be affected by a shut -out to make a project connection at NE 20th and Commerce Street; and A pay item quantity to buy the 20-Inch valve and deliver it to field operations. 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 Com�any, Name Contractor Name Conlractor,Signature Date Wood Inc. Contrac ors, I TroyWoody I I Igpealor / Date Project M� Date 11/16/2023 11/16/2023 Director Water tv rell, f , y Nov1Daoe3 C9n�j�O -11 rvjs�r� apt) / Date Senior Assistant City Attorney Dale Asslslant.Chy, Manager Date G - Nov 17, 2023 Dnira. Burn/u� , ,� Nov 17, 2023 Council Action (If Required) M&C Number N/A M&C Dale Approved N/A Fc3R-I- WORTki • City of Fort Worth Change Order Additions Project Name Sanitary Sewer Rehabilitation Contract 98 , City Sec No.: j 58528 Project No.(s): 56002-0600430.0700430-0200430-5740010 1 DOE No.1 22-088q City Pro]. No.: CO2719 Project Water, sanitary sewer, and paving Improvements In the Northside Neighborhood. Description I Contractor j Woody Contractors, Inc. ! Change Order: 05 Dale: j 11/1312023 City Project Mgr. Suzy Abbe City Inspector I Charles Hayes j ADDITIONS I I k141 DEPT City 'Unit - Unit Cost - Total 102 Additional Temporary Water Service (198ti LF) Water 1.00 LS $31,300.00 $31,300.00 103 20" Gale Valve Water 1.00 EA $27,250.00 $27,250.00 Page 1 of 1 Water $58,650.00 Sewer Paving Additions Sub Total $68,650.00 0 F. ��� � City of fort Worth Change Order Deletions Project Name Sanitary Sewer Rehabilitation Contract 98 City Sec No.: 68628 Project No,(s): 56002-0600430-0700430.0200430-5740010 ! DOE No. 22-08 City Proj. No.: CO2719 Project Description I Water, sanitary sewer, and paving Improvements In the Northslde Neighborhood. Contractor Woody Contractors, Inc, Change Order: � Date 1111312023 I City Project Mgr. Suzy Abbe City Inspector: Charles Hayes DELETIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total 23 20" Cut -In Gate Valve with Vault Water 1.00 LS $77,500.00 $77,500.00 Water $77,600,00 Sewer Paving Page 1 of 1 Deletions Sub Total ` $77,500.00 MIWBE Breakdown for this Change Order r4 :,•.. - „� y% �:,.:.� h, : j'.:p _ r`i7,71: Y-c' Ri H• t r • � � �� . � � '� �':77f:.�<) +, r i 4<, •p ..: � ! )... ;_:• dTy� �y � t � e�=1 i i' F v , e <f ;? `�:. ;;MW., s�`<i1 Y:{�G! i3: i;::; ;�i a!S i� �:0 �` � `(/i?1h4�L�`+�i( ('•:; �i>��' ;`''� �' 't? 4. �s; �; �ii'ii:•t't�: Total .� , tI a p fu Previous Change Orders y . i:: •;•: :�iv�. Y i�t`l'"�;1•"l��.r'.r._1 ,. (, .. ,�.Y�,r. -'•t::E1, 1(.ry Y' � .�,`.,y.��•{•.,�,.�T,A. t��6 y'3• i'� 1..,1::�1OPIUM.1��1�t`,�i:�.�.'�_ I I I Total��","t`. Page 1 of 1 11/10/2023 CPN CO2719 Sanitary Sewer Rehabilitation Contract 98 Change Request 5 Notes The contract included installation of a 20" valve at Commerce and NE 20th street to maintain fire protection and water service to businesses and homes south of 20th Street. Installation of the 20" valve at the location needed to maintain water service south of NE 20th street was not possible due to conflicts (bends due to line lowering, blow off valve, sanitary sewer, and storm drain). 1986 LF of additional temporary water service were used to maintain water service to businesses and homes. The City will pay for the valve and turn it over to field operations for future use and will be credited for the valve vault and installation cost (see attached for the cost of the valve). The unit price for 1986 LF additional temporary water service for $31,300 is $15.76/LF, lower than the bid price for temporary water service for the overall project of $20/1-F ($160,000 for approximately 8,000 LF). The lower price for the additional temporary water is due to the lower number of connected services. WOODY CONTRACTORS INC joh: S.S. CONyf RACT 98 Date November 2, 2023 CHANGE ORDER 4 Item Description 23 20" CUT IN G.V. / VALVE 1 20" G.V. 2 EXTRA TEMP. WATER (1986 LF) ccONWOODY TRACTORS 660 TOWER RD KENNEDALE,TX 76060 PHONE- 817-403•4787 FAX 817-463-2046 Quantity Unit Price Total Price -,I EA $ 77,500.00 $ (77,600.00) '1 EA $ 27,260.00 $ 27,250.00 1 LS $ 31,300,00 $ 31,300.00 Total for Sheet $ (18,950.00)1 Total For Job $ (18,950.00) FORTUNE WATERWORKS ORKS � a x0aw.cU company 166 "30 Dallas P(my Dallas, TX 76248 Payment Inclull'les %04,-7G84)800 INVOICE SOLD To 344 3 SP 1,11U F007.6 IU203 D I1076612013 82. PDDD4OD7 0nO21U011 II�Ilfl�llrrrll�ll�Itllll(t�rrll►IIIIIN'IBl(Ift�l�Iultdllll�rt WOODY CONSTRUCTION INC 660 TOWER DR KENNRDALE TX 76060„8012 030 6907001 6180705 100 MATERIAL ,00NT"0..TQ0 W120 1618B 16" C900 DR10 PIPE BLUE BID L(NE# 00800 MHV207671018GSS 20" MJ OV O/R 7671 W/SPUR GEAR BID LINE it 01630 BID LINE # 01' 00 '1618BI..01<21 -10" C900 DR1a DIAMOND LOK 2'I BID LINE # 00510 BPLG 8" FIELD LOK ()SKT LUBE-05 6 GAL LURE LUBk© GALLON LURE BID LINE 0 00400 INVOICL3 NUMAUR:4 0100706 BILL Oil LADING: INVOICE DACE; 10127123 DUR DATE: 11 /26123 planso Rernit pnymont To: Np, Oox 641499 Dallas, Toxas 76284-1409 hotlorai 1'ox IUiF L'7OD1010D Warehouse.., FORTILINE PORT WORTH 1708 CYPRESS ST, HALTOM GITY TX 76-117 BHIPTO TelephUns3:60 •747,0070 WOODY CONSTRUCTION INC NORTH COMMEROE & NE 20TH ST FORT WORTH, TX 76102 taurTruak 214475 NET 30 DAY3 W120 W,I< „ 11/26/28 10/26/23 EA 1 1 0 27260.0000 27,250.00 P. F1' 60 66 0 EA 1 1 0 122,0600 122.96 EA 1 1 0 138.1800 138.18 EA 2 2 0 2?16000 46,00 -- T VO)RTI RIND! offers online yayments and acejo ss to J.nvolae a0plea t'ox your annv onienoo at fay' or i ine.Bi(rttnsl,aom, It1"OXOM-a %10 ACOCBB Your Obrxa rJ ACCOUNT AA' ,@ILLT USR j;CbM i �qfj ti'1@Pomenrs Razand1)evmioudljiMimandS'tuh»»mL. NO RLTUriNs AGCEP'rED WITHOUI' PRIOR AUTI.10R17.AI'ION, AUI'IIORIZED RO.TURNS AR6 SUB.IEQT I'O RLSTQCI<ING FEL-'S. 0.00 SKMAL ORDER MMS ARE NOT I<LTURNABI.E, ALL OLAIMS MUB1' DC FILCD WITH THE CARRIER. o $0,00 Par1'f:RMS rots CONDI1'IUNS of ntao, plaoso vloll jjllp9rrnvw rotuw,".M Q $0,00 N DOD2;U011 [ TOVIaW AND PAY ONLINU: I FOID11AG.:0n1 I USRTHIS I NR011MUNT OMN: I HHZ PKLTQB Pap 'I of 1 .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 Suzanne Abbe Name of Employee Senior Engineer, Capital Project Delivery Title ATTEST: Jannette Goodall City Secretary FoPT WORTH City of Fort Worth CSC No. 58528-006 . s . Change Order Request Project Name:1 Sanitary Sewer Rehabilitation Contract 98 City Sec No.: 1 58528 Project No.(s):[ 56002-0600430-0700430-0200430-5740010 M&C: f 22-0888 City Proj. No.: l CO2719 Project Description:) Water, sanitary sewer, and paving Improvements in the Northside Neighborhood. Contractor: Woody Contractors, Inc. Change Order # 6 Date: 3/26/2024 City Project Mgr.J Suzy Abbe City Inspector: Charles Hayes Phone Number: 817-392-8209 Phone Number) 682-213-0240 Dept. Water Sewer Paving Totals Contract Time (Calender days) Original Contract Amount $3,043,559.00 $3,253,980.00 $957,884.25 $7,255,423.25 550 Extras to Date $6,200.00 $8,431.00 $0.00 $14,631.00 Credits to Date $18,950.00 $18,950.00 Pending Change Orders (in M&C Process) Contract Cost to Date $3,030,809.00 $3,262,411.00 $957,884.25 $7,251,104.25 550 RAmount of Proposed Change Order $0.00 0.05 $0.00 $0.05 030 evised Contract Amount $3,030,809.00 $3,12,411.05 $957,884.25 $7,251,104.30 580 Original Funds Available for Change Orders $121,742.00 $130,159,00 $57,473.00 $309,374.00 Remaining Funds Available for this CO $134,492.00 $121,728.00 $57,473.00 $313,693.00 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.06% I MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) 1$9,069,279.06 Ij JUSTIFICATION (REASONS) FOR CHANGE ORDER Change Order No.6 provides for: Mechanical cleaning and cured in place pipe (CIPP) for the rehab of L-631 as a lower cost, less destructive alternative to open cut because open cut would involve the reconstruction of two 10-foot by 5-foot box culverts. Point repair in 10" pipe at the intersection of NE 20th and Main Street including additional mobilization, traffic control, CLSM embedment and backfill, and brick repair due to field conditions that were encountered during construction. 10-inch CIPP of an 10-inch line instead of a 12-inch line as encountered during construction. Replace and extend an existing handrail to separate a new access ramp from the landing in front business at the intersection of N. Commerce and NE 21st street and avoid a trip hazard. 30 days will be added to the contract time for the additional work to be performed. 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 Qg tractor Signature Date Woody Contractors, Inc. Troy Woody jI InpeMr / Date ProjectMa er Date 03/27/24 3/28/2024 Director (Water ) Date Construction Supervisor (TPW Dept) Date f t 15 r T.S. Mar 29, 2024 7YDLy OGMim 03/28/2024 Senior Assistant City Attorney Date Assistant City Manager Date MOW— Apr3,2024 Apr4,2024 I Council Action (If Required) M&C Number N/A M&C Date Approved j NIA FORT Woa-rm City of Fort Worth s - Change Order Additions Project Name j Sanitary Sewer Rehabilitation Contract 98 City Sec No.: 1 58528 Project No.(s): 56002-0600430-0700430-0200430-5740010 ! DOE No.1 22-088q City Proj. No.: I CO2719 Project Water, sanitary sewer, and paving Improvements in the Northside Neighborhood. Description Contractor Woody Contractors, Inc. Change Order: 6 Date: 1 3/26/2024 City Project Mgr. Suzy Abbe I City Inspector Charles Hayes j ADDITIONS I I tM MSUKIV 11Ury DEPT Qty 'Unit 'Unit Cost Total 94 Mechanical Cleaning of L-631 Sewer 1.00 LS $7,400.00 $7,400.00 95 CIPP 8" Sewer 48.00 LF $345.00 $16,560.00 96 Service reconnect CIPP Sewer 1.00 EA $600.00 $600.00 97 Brick Paving Sewer 15.00 SY $490.00 $7,350.00 98 Imported EmbedmentlBackfill CLSM Sewer 25.00 CY $250.00 $6,250.00 99 Mobilization Sewer 1.00 LS $8,000.00 $8,000.00 100 Point Repair with 10" SDR 26 Pressure Pipe Sewer 12.00 LF $289.00 $3,468.00 101 CIPP 10" Sewer 457.00 LF $129.00 $58,953.00 102 Additional Traffic Control Sewer 1.00 EA $5,500.00 $5,500.00 103 Replace and extend existing handrail Sewer 1.00 EA $1,772.00 $1,772.00 Water iSewer $115,853.00 ,Paving Page 1 of 1 Additions Sub Total $115,853.00 FORT WORTH City of Fort Worth Change Order Deletions Project Name I Sanitary Sewer Rehabilitation Contract 98 ! City Sec No.: 58528 Project No.(s): 56002-0600430-0700430-0200430-5740010 DOE No. 1 22-084 City Proj. No.: CO2719 Project Description Water, sanitary sewer, and paving Improvements in the Northside Neighborhood, II !� I Contractor Woody Contractors, Inc. Change Order: © Date I 3/26/2024 City Project Mgr. Suzy Abbe City Inspector: I Charles Hayes DELETIONS ITEM DESCRIPTION DEPT Qty Unit "OhM osf. Total 3 CIPP 12" Sewer 457.00 LF $135.00 $61,695.00 30 8" C900 DR18 Green CSS Sewer 38.00 LF $250.00 $9,500.00 32 8" C900 DR18 Green Carrier Pipe Sewer 10.00 LF $250.00 $2,500.00 93 Construction Allowance Sewer 0,281053 LS $150,000.00 $42,157.95 Water !Sewer $115,852,95 ,Paving Page 1 of 1 Deletions Sub Total $115,852,95 Fl IVIMBE Breakdown for this Change Order ,:'F.�i,7�:�i'T e:,,: •z hr .. ?Tjipe.of�� .ice.. Total'p"�`v'p�3',i$ f,:c•' .:Y ` {!�y,,�QQ!� !i{t�El�,lRrJ.�+u;`.;;�... +,.fic�l3;W�{L�l'•rr`l\3��i Previous Change Orders y"i ��s �,� �.r`- , Y j •.�,�a;>• ;h,.:,.' �a tr°iRI ,IIiJ/19': y _ ill': .. tti51' r:. �'•'," y::,u.er was..w�tra�tp ,r fC �, i• r.r. Total s3,a t 4,y F Page 1ofI WOODY CONTRACTORS WOODY CONTRACTOR a INS, • 680 TOWER F2D KENNEDALE,.:TX 760(30 PHONE 817.488.4707 FAX 897-483-2048 Jolt: S.S. CONTRACT 90 Date Malrch 20, 2024 S.S. M-B 20 TH STREET Item Description Q14antity Unit Price Total Price 3 12" CIPP -467 I,F $ 136.00 $ (61,695.00) 90 TRAFFIC CONTROL_ 1 MTH $ 6,600.00 $ 6,600.00 1 BRICK PAV, 15 SY $ 490.00 $ 7,350.00 2 IMPORT EM13RD/ BACKFILL CLSM 26 Cy $ 250.00 $ 6,260.00 3 MOB, l LS $ 8,000.00 $ 8,000.00 4 10" SIOR26 PRESSURE PIPE (POINT) 12 LF $ 289.00 $ 3,468-00 6 loll CIPP 467 I F $ 129.00 $ 68,959,00 f TotRI for Sheet $ 27,826.00 ACED 30 CALI~NIDAR DAYS 0 r ti WOODY CONTRACTORS INC Job; CONTRACT 98 CHANGE ORDER 9 Date March 6, 2024 L-631 WOODY CONTRACTORS 650 TOWER RD KENNEDALE, TX 76060 PHONE- 817-483-4787 FAX 817-483-2048 Item Description Quantity Unit Price Total Price 1 Descaling 8" line segment 10 HR $ 740.00 $ 7,400.00 2 CIPP 8" 48 LF $ 345,00 $ 16,560.00 3 SERVICE RECONN CIPP 1 EA $ 600.00 $ 600.00 4 8" C900 DR18 GREEN CSS -38 LF $ 250.00 $ (9,500.00) 5 8" C900 DR18 GREEN CARRIER PIPE -10 LF $ 250.00 $ (2,500.00) 1 Total for Sheet $ 12,560.00 4 HR minimum Total For Job $ 12,560.00 Price goes up or down depending on how many HRs of work takes place Estimated work hours is 6 - 8 but payment willl be based off of hours performed WOODY CONTRACTORS INC Job: CONTRACT 98 Date March 21, 2024 WOODY CONTRACTORS 650 TOWER RD KENNEDALE, TX 76060 PHONE- 817-483-4787 FAX 817483-2048 2021 NORTH COMMERCE STREET Item Description Quantity Unit Price Total Price 1 REMOVE $ REPLACE HANDRAIL 1 LS $ 1,772.00 $ 1,772.00 Total for Sheet $ Total For Job $ 1,772.001 1,772.00 3/25/2024 CPN CO2719 Sanitary Sewer Rehabilitation Contract 98 Change Reauest 6 Notes Change Order No. 6 provides for a change in the rehab method for L-631, an additional point repair for MB on 201h and Main Street, and a credit for 10" CIPP instead of 12" CIPP for a portion of MB on 20t" street, The planned open cut replacement L-631 with hand tunneling under a storm junction box is not possible because the sewer main passes under two, parallel 10'x5' box culverts instead of the junction structure, leaving insufficient space for tunneling underneath the both box culverts. Options to complete the rehab of the line in this project are to open cut and rebuild the storm drains or CIPP the line. Pipe bursting is not an option because of the sewer main is too close to the box culverts. Rerouting the line would require delaying the rehab because additional easements are needed to do the work. Lining the pipe will be the least invasive and most cost- effective rehab option. However, the existing 8" line is heavily encrusted. Field operations cleared most of the encrustation with a 7" saw. This change order provides for additional mechanical cleaning to smooth the pipe profile and to restore the capacity of the line and prepare the pipe for lining. The change order also includes the cost of CIPP lining and a credit for the original pipe installation. The additional point repair for MB addresses a 6' section of pipe above a water line that has settled and would result in a sag once the pipe is lined. The point repair will be at the center of the intersection of 201h and Main Street. The price of the point repair includes mobilization, additional traffic control, 12' of pressure pipe, CLSM embedment and backfill, and brick repair. Two sections of MB along 20111 street were found to be 10" in diameter instead of 12" based on record drawings. This change order reduces the price of approximately 457 feet of CIPP based on the smaller liner size. The addition of an access ramp at the intersection of N. Commerce and NE 215t St placed the sloped portion of the ramp next to the landing in front a business. To prevent a trip hazard between the landing and the ramp, the existing handrail at the stairs up to the business was replaced and extended to separate the ramp and the landing. The business owner approved the proposed modification. 30 days will be added to the contract time for the additional work to be performed. 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 Suzanne Abbe Name of Employee Senior Engineer, Capital Project Delivery Title ATTEST: n 'i Ax" a Jannette Goodall City Secretary CSC No. 58528-007 FORT WORTH City of Fort Worth s Change Order Request Project Name: Sanitary Sewer Rehabilitation Contract 98 City Sec No.: 1 58528 I, Project No.(s):I 56002.0600430-0700430.0200430-5740010 M&C: 1 22-08138 City Pfcj. No.:1 CO271 D / Project Description:) Water, sanitary sewer, and paving Improvements in the Northside Neighborhood. Contractor: Woody Contractors, Inc. I Change Order# I Dale: 5/24/2024 City Project Mgr, Suzy Abbe I City Inspector: Charles Hayes Phone Number. 817-392-8209 Phone Number: 682-213.0240 Dept. Water Sewer Paving Totals Contract Time jCalender days) Original Contract Amount $3,043,559.00 $3,253,9B0.00 $957,884.25 $7,255,423.25 550 Extras to Date $6,200.00 $8.431.05 $0.00 $14,631.05 030 Credits to Date $18,950.00 $18,950.00 Pending Change Orders (in M&C Process) Contract Cost to Date $3,030,809.00 $3,262,411.05 $957,884.25 $7,251,104.30 580 of Proposed Change Order $0.00 $0.00 $0.00 $0.00 �Amount evised Contract Amount $3,030,809.00 $3.262,411.05 $957,884.25 $7,251,104.30 580 Original Funds Available for Change Orders $121,742.00 $130,159.00 $57,473.00 $309.374.00 Remaining Funds Available for this CO $121,742.00 $121,727.95 $57.473.00 $300,942.95 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1 .0.06% 1 MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) 1$9,069,279.06 JUSTIFICATION (REASONS) FOR CHANGE ORDER Change Order No. 7 provides for: • 7-inch surface milling and 7-inch asphalt to match existing paving at the intersection of 25th Street and Ross Avenue and a credit for the 11-inch pulverization, 8-inch lime stabilization, and 3-inches of asphalt that were originally planned for the intersection. Removal of the existing liner which is in poor condition and re -lining two manholes at the intersection of 25th Street and Ross Avenue that included a major manhole adjustment. • Reinforced concrete riprap for slope stabilization around two manholes that were replaced near a drainage structure at the dead end of NE 20th Street. 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 __Qo9traclor Signature Dale Woody Contractors, Inc. I Troy Woody I InBpeclor ,r Director Kater Dept) I �• Senior Assistant City Attorney i I M&C Number N/A I Date Project Ma 11 r Dale 5/28/24 5/30/2024 Dale Construction Supervisor (TPW Dept) Dale Jun 7, 2024 7PY Gallile!' 5-30-24 Dale Assistant City Manager Dale Jun 10, 2024 17' Jun 10, 2024 Council Action (If Required) M&C Date Approved I N/A FORT WORTH City of Fort Worth -�l-- Change Order Additions Project Name ( Sanitary Sewer Rehabilitation Contract 98 City Sec No.: 58528 Project No.(s): 56002-0600430-0700430-0200430-5740010 DOE No.1 22-0881 City Proj. No.: CO2719 Project Water, sanitary sewer, and paving Improvements in the Northside Neighborhood. Description Contractor Woody Contractors, Inc. Change Order: 7 Date: j 5/24/2024 I City Project Mgr. Suzy Abbe I City Inspector I Charles Hayes ADDITIONS ITEM uE:8GK1Ni1UN DEPT Qty Unit -Unit Cost - Total 104 7" Milling Water 91.50 SY $21.35 $1,953.53 105 7" HMAC Pavement Water 91.50 SY $49.05 $4,488.08 104 7" Milling Sewer 91.50 SY $21.35 $1,953.53 105 7" HMAC Pavement Sewer 91.50 SY $49.05 $4,488.08 106 Remove and Replace Existing Epoxy Liner on Manhole Sewer 11.00 VF $765.00 $8,415.00 107 Concrete Riprap Sewer 45.00 SY $220.00 $9,900.00 29 7" Milling Paving 183.00 SY $21.35 $3,907.05 30 7" HMAC Pavement Paving 183.00 SY $49.05 $8,976.15 Water $6,441.60 Sewer $24,756.60 (Paving $12,883.20 'Additions Sub Total $44,081.40 Page 1 of 1 FORT WORTH City of Fort Worth 1F- Change Order Deletions Project Name I Sani toy S ever R elabilitati a Contract 98 City Sec No.: 58528 Project No.(s): 56002-0600430-0700430-0200430-5740010 DOE No. 1 22-08 City Proj. No.: CO2719 Project Description I Water, sanitary sewer, and paving Improvements in the Northside Neighborhood. Contractor Woody Contractors, Inc. I Change Order: F 7 ] Date I 5/2412024 City Project Mgr. Suzy Abbe City Inspector: f Charles Hayes DELETIONS ITEM DESCRIPTION DEPT Qtv Unit Unit Cost 78 11" Pavement Pulverization (50/50) 79 8" Cem-Lime Stabilization @ 32 Ibs (50/50) 81 3" Surface Course Asphalt Type D (50/50) 72 11" Pavement Pulverization (50/50) 73 8" Cem-Lime Stabilization @ 32 Ibs (50/50) 75 3" Surface Course Asphalt Type D (50/50) 13 11" Pavement Pulverization (50/50) 14 8" Cem-Lime Stabilization @ 32 Ibs (50/50) 16 3" Surface Course Asphalt Type D (50/50) 96 Construction Allowance 93 Construction Allowance 28 Construction Allowance Water Water Water Sewer Sewer Sewer Paving Paving Paving Water Sewer Paving Page 1 of 1 91.50 SY 1.46 TN 91.50 SY 91.50 SY 1.46 TN 91.50 SY 183.00 SY 2.93 TN 183.00 SY 0.026802 LS 0,139968 LS 0.107154 LS $12.30 $270.00 $24.50 $12.30 $270.00 $24.50 $12.30 $270.00 $24.50 $100,000,00 $150,000.00 $50,000.00 Water Sewer Paving Deletions Sub Total Total $1,125.45 $394.20 $2,241.75 $1,125.45 $394.20 $2,241.75 $2,250,90 $791.10 $4,483.50 $2,680.20 $20,995.20 $5,357.70 $6,441.60 $24,756.60 $12,883.20 $44,081.40 0 MIWBE Breakdown for this Change Order 55j � t 1' fy��C� (tl��lc. .� [� _+ VnVr`''•n�y�F{`��?��}{�S'i1�/� •4 t t �t "'fi7 .1 'Yl t.'..r.lhd'I k�r' jit'" Vi'"Sx �AlA,2¢1P�?; Gt •.,:4, IMII�k�.t §111YdsYi'it�:t,!���?S-".�� Total Previous Change Orders rA le-•%o: SF4J � i�i �i�.Ylk�. iCl�'7f�E� ti';5��d�.f.�iTY���ri���IX,�IhTf91�...��?%��15?fi+lu rc�'if��r �_cEJ'N£-!; Total I i a�ai n p Page 1 of 1 5/6/2024 CPN CO2719 Sanitary Sewer Rehabilitation Contract 98 Chance Request 7 Notes The intersection at 25th and Ross Avenue had 7" of asphalt over a concrete base. The contractor proposed removingthe existing asphalt and replacing with 7" of asphalt, and the TPW inspector agreed with the recommendation, Change Order No. 7 provides a credit for the 11" pulverization, 8" of cem- lime stabilization, and 3" of asphalt that was originally planned for the intersection and adds the cost of 7" surface milling and 7" of asphalt. Recent bid prices for 2"-3" surface milling vary from $8 to $10/SY.1 The proposed price for milling a 7" depth $21.35/SY is comparable to recent bid prices when adjusted for the additional 4"-5" of depth. The proposed price for the 7" asphalt is comparable to the project bid price of$24.50/SYfor3" asphalt when adjusted forthe additional 4" depth. Two major manhole adjustments were made at the intersection of 25th and Ross Avenue. The manholes are lined, the existing liner is in poor condition, and the new cones were unlined. Change Order No. 7 Includes removal of the existing liner and lining the manhole for a combined cost of $765/VF. The project bid price for liner installation manhole is $450/VF. Recent bid prices for liner removal ranged from $467.80-$500/VF.Z The proposed price is reasonable. Concrete placed for slope stabilization was removed during the replacement of the pipe and a manhole at the drainage area at the dead end of 20th Street. A second manhole was in a sloped area near the drainage channel. Change Order No. 7 provides for approximately 45 SY of 6" reinforced concrete riprap with a tow around the perimeter for slope stabilization for two manholes on MB at the dead end of NE 20th Street. The proposed price of $220/SY is in line with the bid price for concrete pavement repair $230/SY. 1 Bid tabulations for Historlc Southslde Paving, Water, Sewer, and Storm Improvements, CPN 102932 and TAMU FW Law & Education Building Utility Improvements, CPN 104855. 1 Bid Tabulations for 2024 Miscellaneous Sanitary Sewer Manhole Repair Contract, CPN 105359, .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. .�_4�L Signature Suzanne Abbe Name of Employee Senior Engineer, Capital Project Delivery Title ATTEST: A,,, P 6 ;' - Jannette Goodall City Secretary CSC No. 58528-008 FORT WORTH City of Fort Worth J0411r"` Change Order Request Project Name: Sanitary Sewer Rehabilitation Contract 98 1 City Sec No.: 1 58528 Project No.(s):1 56002-0600430-0700430.0200430-5740010 M&C 1 22-0888 1 City Proj. No.: l CO2719 Project Description:) Water, sanitary sewer, and paving improvements in the Norlhside neighborhood. Contractor: Woody Contractors Change Order# 8 Date: 6/25/2024 City Project Mgr. Suzy Abbe City Inspector: Charles Hayes Phone Number: j 817-392-8209 Phone Number: 682-213-0240 Dept. Unit I Water Unit II Sewer Unit III Pavement Totals Contract Time (Calendar days) Original Contract Amount $3,043,559.00 $3,253,980.00 $957,884.25 $7,255,423.25 550 Extras to Date $6,200.00 $8,431.05 $0.00 $14,631.05 30 Credits to Date $18.950.00 $18,950.00 Pending Change Orders (in M&C Process) Contract Cost to Date $3,030//809.00 $3,262,411.05 $957,884.25 $7,251,104.30 580 JAmount of Proposed Change Order $0.00 $0.00 $0.00 $0.00 60 Revised ContractAmount $3,030,809.00 $3,262,411.05 $957,884.25 $7,251,104.30 640 Original Funds Available for Change Orders $121,742.00 $130,159.00 $57,473.00 $309,374.00 Remaining Funds Available for this CO $134,492.00 $121,727.95 $57,473.00 $313,692.95 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT -0.06% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) 1$9,069,279.06 JUSTIFICATION (REASONS) FOR CHANGE ORDER Change Order No. 8 provides for: Extending an 8" water main along 31st Street from Lulu Street to Weber Street, and along the Weber Street right-of-way north to the third lotto allow construction of a new home at the intersection of NE 31st Street and Weber Street as requested by the City. The work will include repaving 31st Street from Lulu Street to Schadt Street. Ross Avenue and 251h Street Area improvements including: o Installation a concrete retaining wall to address a failing wall following the installation of a ramp the intersection of 251h and Ross Ave. o Installation of three historic markers removed during the installation of three ramps at the intersection of 25th and Ross. o Installation of detectable warning tape on each side of the drive into Finney Ave to address a comment during TDLR review. Repair of a sewer service line on Watt Road (Watt project) that was inadvertently dislodged by the resident's plumber. To avoid infiltration into the sewer system, the City agreed to pay for half the price of the repair with the property owner paying the other half directly to the contractor, • Reinstatement of water service at the vacant lot at 1400 Wallace Street (CIP contract 15) that was not connected during the installation of the water main because it was not shown on the project plans. Due to proposed development on the lot, the service needed to be reinstalled. The City and the contractor agreed to split the cost of reinstating the service. Staff concurs with the contractor's request for 60 additional calendar days for the additional water line on 31 st Street. 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 CCa�stfact''or Signature Date Woody Contractors I Troy Woody I I Inspector /� W_ Date - - —Project Ma —Date ( 7/02/24 Is_er 7/2/2024 Director (Water Dept) V" Date Construction Supervisor (TPW_ Dept) Date ChrlstooherM rdar 7.5 Jul 8, 2024 7f'o� C761k-a1W- 7/02/2024 Assistant City Attorney Date Assistant City Manager Date Jul 11, 2024 `. Jul 11, 2024 _ Council Action (If Required) M&C Number ( N/A M&C Date Approved N/A OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FORT WO`R'TH City of Fort Worth s Change Order Additions Project Name I Sanitary Sewer Rehabilitation Contract 98 Project No.(s): 1 56002-0600430-0700430-0200430-5740010 I City Sec No,: I 58528 M&C:j 22-08881 City Proj. No.: CO2719 Project I Water, sanitary sewer, and paving improvements in the Northside neighborhood. Description Contractor I Woody Contractors Change Order: ® Date: 1 6/25/2024 City Project Mgr. I Suzy Abbe City Inspector I Charles Hayes IItM I ULSUKINIIUN 31st Street and Weber Water Line 12 8" PVC DR-14 Acceptable Backfill 16 6" PVC DR-14 Acceptable Backfill 20 8" Waterline Lowering 22 Imported Embedment/Backfill Select Fill 26 8" Gate Valve 26* 6" Gate Valve 27 Salvage Fire Hydrant 28 Fire Hydrant 29 Ductile Iron Fittings with Restraint 30 1" Water Service 38 Remove and Salvage 6" Gate Valve 44 Connection to Existing 4"-12" Water Main 48 Trench Safety 49 Exploratory Excavation of Existing Utilities 56 Temporary Asphalt Paving Repair 57 Conc Pvmt Repair, Residential 76 Block Sod Replacement (50/50) 77 12" -18" Tree Removal 78 Pavement Pulverization (50/50) 79 8" Cem-Lime Stabilization @ 32Lbs/SY (50/50/) 80 Unclassified Street Excavation (50/50) 81 3" Surface Course Asphalt, Type" D" (50/50) 86 Water Valve Box Adjustment with Concrete Collar (50/50) 93 Traffic Control 106 Mobilization Weber, Water 107 Mobilization Weber, Paving (50/50) 108 Additional Utility Markers 109 Additional Construction Staking Weber 110 Additional As -Built Red Line Survey, Weber 72 Pavement Pulverization (50/50) 73 8" Cem-Lime Stabilization @ 32Lbs/SY (50/50/) 74 Unclassified Street Excavation (50/50) 75 3" Surface Course Asphalt, Type" D" (50/50) 108 Mobilization Weber, Paving (50/50) 13 Pavement Pulverization (50/50) 14 8" Cem-Lime Stabilization @ 32Lbs/SY (50/50) 15 Unclassified Street Excavation (50/50) 16 3" Surface Course Asphalt, Type" D" (50/50) 18 Water Valve Box Adjustment with Concrete Collar (50/50) 31 Mobilization Weber, Paving (50/50) Ross Avenue Area Improvements 70 Remove Sidewalk 74 Topsoil 76 Sod 111 Concrete Retaining Wall Adjacent to Sidewalk ADDITIONS DEPT I Qtv IUnit IUnit Cost I Total Unit I Water 440.00 LF $116.00 $51,040.00 Unit I Water 15.00 LF $101.00 $1,515.00 Unit I Water 1.00 EA $9,500.00 $9,500,00 Unit I Water 100.00 CY $35.00 $3,500.00 Unit I Water 2.00 EA $2,600.00 $5,200.00 Unit I Water 1.00 EA $2,100.00 $2,100.00 Unit I Water 1.00 EA $300.00 $300.00 Unit I Water 1.00 EA $5,500.00 $5,500.00 Unit I Water 1.50 TN $12,000.00 $18,000.00 Unit I Water 1.00 EA $2,500.00 $2,500.00 Unit I Water 1.00 EA $100.00 $100.00 Unit I Water 2.00 EA $7,800.00 $15,600.00 Unit I Water 455.00 LF $0.10 $45.50 Unit I Water 2.00 EA $1,000.00 $2,000.00 Unit I Water 150.00 LF $31.00 $4,650.00 Unit I Water 50.00 SY $230.00 $11,500.00 Unit I Water 225.00 SY $15.00 $3,375.00 Unit I Water 3.00 EA $650.00 $1,950.00 Unit I Water 200.00 SY $12.30 $2,460.00 Unit I Water 3.25 TN $270.00 $877.50 Unit I Water 2.50 CY $82.00 $205.00 Unit I Water 200.00 SY $24.50 $4,900.00 Unit I Water 1.00 EA $950.00 $950.00 Unit I Water 2.00 $5,500.00 $11,000.00 Unit I Water 1.00 LS $18,500.00 $18,500.00 Unit I Water 1.00 LS $2,567.25 $2,567.25 Unit I Water 2.00 EA $100.00 $200.00 Unit I Water 1.00 LS $1,800.00 $1,800.00 Unit I Water 1.00 LS $1,300.00 $1,300.00 Unit II Sewer 200.00 SY $12.30 $2,460.00 Unit 11 Sewer 3.25 TN $270.00 $877.50 Unit 11 Sewer 2.50 CY $82.00 $205.00 Unit II Sewer 200.00 SY $24.50 $4,900.00 Unit II Sewer 1.00 LS $2,567.25 $2,567.25 Unit III Pavement 1,200.00 SY $12.30 $14,760.00 Unit III Pavement 19.50 TN $270.00 $5,265.00 Unit III Pavement 5.00 CY $82.00 $410.00 Unit III Pavement 1,200.00 SY $24.50 $29,400.00 Unit III Pavement 1.00 EA $950.00 $950.00 Unit III Pavement 1.00 LS $15,403.50 j$15,403,50 Unit I Water 70.00 SF $3.20 $224.00 Unit I Water 1.25 CY $70.00 $87.50 Unit I Water 3.89 SY $15.00 $58.35 Unit I Water 50.00 SF `$57.50 $2,875.00 Page 1 of 4 AbIDITIONS CONTINUED ON NEXT PAGE FORT WORTH City of Fort Worth - ;A Change Order Additions Project Name j Sanitary Sewer Rehabilitation Contract 98 ( City Sec No.: 1 58528 j 56002-0600430-0700430-0200430-5740010 M&C:J 22-0888 City Proj. No.: j CO2719 Project I Water, sanitary sewer, and paving Description improvements in the Northside neighborhood. Contractor j Woody Contractors Change Order: ® Date: 1 6/25/2024 City Project Mgr. j Suzy Abbe City Inspector j Charles Hayes ADDITIONS (CONT.) 11 hm UI_SGKIP I IUN DEPT Q Unit Unit Cost Total 112 Concrete Sidewalk Adjacent to Retaining Wall Unit I Water 81.50 SF $16.40 $1,435.00 53 Topsoil Unit II Sewer 1.25 CY $70.00 $87.50 53 Sod Unit II Sewer 3.89 SY $15.00 $58.35 65 Remove Sidewalk Unit II Sewer 70.00 SF $3.20 $224.00 109 Concrete Retaining Wall Adjacent to Sidewalk Unit II Sewer 50.00 SF $57.50 $2,875.00 110 Concrete Sidewalk Adjacent to Retaining Wall Unit II Sewer 87.50 SF $16.40 $1,435.00 111 Historical Address Markers Unit II Sewer 1.00 EA $2,500.00 $2,500.00 6 Remove Sidewalk Unit III Pavement 140.00 SF $3.20 $448.00 22 Topsoil Unit III Pavement 2.50 CY $70.00 $175.00 23 Sod Unit III Pavement 7.78 SY $15.00 $116.70 32 Concrete Retaining Wall Adjacent to Sidewalk Unit III Pavement 100.00 SF $57.50 $5,750.00 33 Concrete Sidewalk Adjacent to Retaining Wall Unit III Pavement 175.00 SF $16.40 $2,870.00 34 Detectable Warning Surface Unit III Pavement 2.00 EA $1,100.00 $2,200.00 35 Historical Address Markers Unit III Pavement 2.00 EA $2,500.00 $5,000.00 Uscellaneous Service Lines 112 Watt Road Sewer Service Reconnection Unit II Sewer 1.00 LS $4,188.50 $4,188.50 111 Wallace Street Water Service Reinstatement Unit I Water 1.00 LS $3,750.00 $3,750.00 lUnit I Wa er $191,565.10 Unit II Sewer $22,378.10 Unit III Pavement $82,748.20 Page 2 of 4 Additions Sub Total $296,691.40 FORT WORTH City of Fort Worth Change Order Deletions Project Name Sanitary Sewer Rehabilitation Contract 98 Project No.(s): 56002-0600430-0700430-0200430-5740010 M&C: 1 22-0888 Project Description I Water, sanitary sewer, and paving improvements in the Northside neighborhood. Contractor Woody Contractors CityProject Mgr, Suzy Abbe Change Order: City Inspector: I Charles Hayes City Sec No.: 58528 City Proj. No.: CO2719 I to I 6/25/2024 I DELETIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total 4B 12" PVC DR-14 Water Pipe, Acceptable Backfill, Restrained Joints Unit I Water 11.00 LF $305.00 $3,355.00 8 12" PVC DR-14 Water Pipe, CSS Backfill, CSS Embedment, Restrr, Unit I Water 7.00 LF $482.00 $3,374.00 9 12" PVC DR-14 Water Pipe, CSS Backfill, CSS Embedment Unit I Water 4.00 LF $356.00 $1,424.00 10 12" PVC DR-14 Water Carrier Pipe, CSS Backfill, CSS Embedment Unit I Water 2.00 LF $514.00 $1,028.00 19 12" Waterline Lowering (Not Shown on Plans) Unit I Water 2.00 EA $11,000.00 $22,000.00 21 6" Waterline Lowering (Not Shown on Plans) Unit I Water 2,00 EA $8,800.00 $17,600.00 31 Water Service, Meter Reconnection Unit I Water 6.00 EA $3,300.00 $19,800.00 41 4"-12" Water Abandonment Plug Unit I Water 6.00 EA $200.00 $1,200.00 45 Water Line Grouting Unit I Water 15,00 CY $660.00 $9,900.00 51 Asphalt Pvmt Repair Beyond Defined Width, Residential Unit I Water 208.00 SY $117.00 $24,336.00 83 Tree Protection Unit I Water 55.00 EA $160.00 $8,800.00 91 Utility Adjustment Unit I Water 1.00 LS $10,000.00 $10,000.00 96 Allowance Unit I Water 0.687481 LS $100,000.00 $68,748.10 60 Tree Protection Unit II Sewer 65.00 EA $160.00 $10,400.00 88 Utility Adjustment Unit II Sewer 1.00 LS $10,000.00 $10,000.00 93 Construction Allowance Unit II Sewer 0.01318733 LS $150,000.00 $1,978.10 1 Utility Adjustment Unit III Pavement 1.00 LS $10,000.00 $10,000.00 7 Concrete Curb, Back of Sidewalk Unit III Pavement 138.50 LF $59.00 $8,171.50 8 Concrete Sidewalk Unit III Pavement 4428.00 LF $7.00 $30,996.00 10 Install New 4" ADA Wheelchair Ramp (w/ detectable warning dom( Unit III Pavement 2.50 EA $3,125.00 $7,812.50 28 Construction Allowance Unit III Pavement 0.52 LS $50,000.00 $25,768.20 Unit I Water $191,565.10 Unit II Sewer $22.378.10 Unit III Pavement $82,748.20 Deletions Sub Total $296,691.40 Page 3 of 4 �,(��(ypC MIWBE Breakdown for this Change Order I�t t"MIV(W •Tp::,BE Sub...,- ;ice; ylifF,t;t%.i •,,y+ M1 a t} nr.;•,x•�:. ��-' : t•3x +,�;::o set!i�u�:t Total tz� :, �_ Previous Change Orders r. �q4 +�?1I':' .t, 't:; I r�� ' r 6. A• ' a I'�}j�2�r�4.:ek .'., 1 , 'i� �. t���.:��-�. • AMOaUIV I r�'.,' �v,' .h �-�!i�.: .irtl',�'��f��L r�•�:.: r... ._. zfe,in��..: 5�."•:�. :n r•rat:�•t;:i7 ,=:ir. : ;..1� aw,ww. L i'� 9t j�''I'ii:: 5 •,.�`� i?,Tiii'r ti!�,UVs: 5 Total F; rt: t F.!Ht�tt.ttl 9 Page 4 of 4 6/25/2024 CPN CO2719 Sanitary Sewer Rehabilitation Contract 98 Change Request 8 Notes Change Order No. 8 provides for: Extending an 8" water main along 3151 Street from Lulu Street to Weber Street, and along the Weber Street right-of-way north to the third lot to allow construction of a new home at the intersection of NE 31't Street and .Weber Street as requested by the City. The work will include repaving 315t Street from Lulu Street to Schadt Street. The contractor's proposal is attached. The cost of paving from Lulu to Weber will be shared 50/50. TPW offered to pay the full cost of extending paving from Weber to Schadt. The contractor's proposal is attached. Ross Avenue and 25th Street Area improvements including (contractor's proposal Is attached): o Installation a concrete retaining wall to address a failing wall and sloughing of earth following the installation of a ramp at the north west corner of the intersection of 25th and Ross Ave. The new retaining wall and sidewalk were extended beyond the project area to address the conditions. o Installation of three new historic markers removed during the Installation of three ramps at the intersection of 251h and Ross. o Installation of detectable warning tape on each side of the drive Into Finney Ave to address a comment during TDLR review. Repair of a sewer service line on Watt Road (Watt project) that was inadvertently dislodged by the resident's plumber. To avoid infiltration into the sewer system, the City agreed to pay for half the price of the repair with the property owner paying the other half directly to the contractor. See attached forthe contractor's full invoice. Reinstatement of water service at the vacant lot at 1400 Wallace Street (CIP contract 15) that was not connected during the Installation of the water main because It was not shown on the project plans. Due to proposed development on the lot, the service needed to be reinstalled. The City and the contractor agreed to split the cost of reinstating the service. See attached for the contractor's Invoice. Staff concurs with the contractor's request for 60 additional calendar days for the additional water line on 315t Street. WOODY CONTRACTORS WOODY CONTRACTORS INC 650 TOWER RD KENNEDALE, TX 76060 PHONE- 817-483-4787 FAX 817-483-2048 31st Street and Weber Water Line Job: CONTRACT 98- NE 31ST WATERLINE Date June 21, 2024 Item Description Quantity Unit Price Total Price 1 MOBILIZATION 1 LS $ 17,500.00 $ 17,500.00 12 8" PVC DR-14 440 LF $ 116.00 $ 51,040.00 16 6" PVC DR-14 15 LF $ 101.00 $ 1,515.00 20 8" WATER LOWERING (NSOP) 1 EA $ 9,500.00 $ 9,500.00 22 SELECT FILL 100 CY $ 35.00 $ 3,500.00 26 8" G.V. 2 EA $ 2,600.00 $ 5.200.00 26 6" G.V. 1 EA $ 2,100.00 $ 2,100.00 27 REM. F.H. 1 EA $ 300.00 $ 300.00 28 F.H. 1 EA $ 5,500.00 $ 5,500.00 29 D.I. FITT. 2 TON $ 12,000.00 $ 18,000.00 30 1" WATER SERVICE 1 EA $ 2,500.00 $ 2,500.00 38 REM. 6" G.V. 1 EA $ 100.00 $ 100.00 44 CONNECT 4"-12" WATER 2 EA $ 7,800.00 $ 15,600.00 48 TRENCH SAFETY 455 LF $ 0.10 $ 45.50 49 D-HOLE 2 EA $ 1,000.00 $ 2,000.00 50 UTILITY MARKERS 2 EA $ 100.00 $ 200.00 57 CONC. PAV. 50 SY $ 250.00 $ 12,500.00 75 SOD 225 SY $ 15.00 $ 3,375.00 77 REM. TREE 12"-18" 3 EA $ 650.00 $ 1,950.00 92 STAKING 1 LS $ 1,800.00 $ 1,800.00 93 TRAFFIC CONTROL 2 MTH $ 5,500.00 $ 11,000.00 95 AS -BUILT SURVEY 1 LS $ 1,300.00 $ 1,300.00 PAVING 56 TEMP. ASP. 150 LF $ 31.00 $ 4,650.00 78 11" PULVERIZATION 1,600 SY $ 17.20 $ 27,520.00 79 8" CEM-LIME 32# 26 TON $ 313.00 $ 8.138.00 80 EXCAVATION 10 CY $ 88.00 $ 880.00 81 3" ASP. TYPED 1,600 SY $ 31.70 $ 50,720.00 86 WATER VALVE ADJ. 2 EA $ 950.00 $ 1,900.00 Total for Sheet $ 260,333.50 Total For Job $ 260,333.50 WOODY CONTRACTORS INC Job: S.S. CONTRACT 98 Date June 21, 2024 COWNTRACTOROODY S 650 TOWER RD KENNEDALE, TX 76060 PHONE- B17-483-4787 FAX 817-483-2048 Ross Avenue Area Improvements Item Description Quantity Unit Price Total Price 6 REM. WALK 280 SF $ 3.20 $ 896.00 9 REM. RAMP 0 EA $ 346.00 $ - 10 ADA RAMP 0 EA $ 3,125.00 $ - 22 TOPSOIL 5 CY $ 70.00 $ 350.00 23 SOD 15.56 SY $ 15.00 $ 233.40 C01 MOBILIZATION 0 LS $ 3.850.00 $ - 0O2 CONC RET. WALL, ADJ. TO SW 200 SF $ 57.50 $ 11,500.00 CO3 CONC. SW, ADJ. TO RET. WALL 350 SF $ 16.40 $ 5,740.00 C04 DETECTABLE WARNING SURFACE 2 EA $ 1,100.00 $ 2,200.00 C05 HISTORICAL ADDRESS MARKERS 3 EA $ 2,500.00 $ 7,500.00 Total for Sheet $ 28,419.401 Total For Job $ 28,419.40 WOODY CONTRACTORS INC JOB: BUDDAHARATARUIM SEWER REPAIR INVOICE: #1 DATE: 6/4/2024 COWOO C3 Y NTRACTORS 650 TOWER RD KENNEDALE. TX 78050 PHONE- 817-483-A787 FAX 817-483-2048 Watt Road Sewer Service Reconnection INVOICE TO DATE THIS MO. - ITEM DESCRIPTION IQUANTITY UNIT QUANTITY AMOUNT UNIT PRICE QUANTITY MOBILIZE, REP. SS SERV., HMAC REPAY 1 LS 1.00 8,377.00 8,377.00 1.00 I - I - I - I - I - I - I - I I - I I - I I - I - I - I - I I - 1 � I - I I - I I - I I - I I - 1 - TOTAL DUE i AMOUNT 8,377.00 _ 1 _ 1 ODYRS WOODY CONTRACTORS INC (Cec-m- RACTO 650 TOWER RD KENNEDALE, TX 76060 PHONE- 817-483-4787 FAX 817-483-2048 Wallace Street Water Service Reinstatement Job: ADDITIONAL SERVICE- CONTRACT 15 Date April 25, 2024 Tn VD 1 G e Item Description Quantity Unit Price Total Price 1 MOBILIZATION 1 LS $ 2,500.00 $ 2,500.00 2 1" SERVICE 1 EA $ 4,000.00 $ 4,000.00 3 PERM ASP, RES. (3" ASP / 8" 227) 5 SY $ 200.00 $ 1,000.00 50% REDUCTION -1 LS $ 3,750.00 $ (3,750.00) TOTAL $ 7,500.00 REDUCTION $ (3,750.00)I Total For Job $ 3,750.00 .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 Suzanne Abbe Name of Employee Senior Engineer, Capital Project Delivery Title pORTQQ aoF,,,ove,,a�i-Qa 00 ATTEST: V Jannette Goodall City Secretary OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Fd >P,Y Wow i City of Fort Worth Change Order Request CSC No. 58528-009 Project Name: Sanitary Sewer Rehabilitation Contract 98 1 City Sec No.: 1 58528 Project No.(s):l 56002-0600430.0700430.0200430-5740010 M&C: 1 22-0888 1 City Proj. No.: J CO2719 Project Descriplion] Water, sanitary sewer, and paving Improvements in the Norlhside Neighborhood, Contractoral Woody Contractors, Inc. Change Order If 9 City Project Mgr.1 Suzy Abbe City Inspector: Charles Hayes Phone Number: 817-392-8209 Phone Number: 682-213-0240 Dept, Water Sewer Paving Original Contract Amount $3,043,559.00 $3,253,980.00 $957,884.25 Extras to Date $6,200.00 $8,431.00 $0.00 Credits to Dale $18,950.00 Pending Change Orders (in M&C Process) Contract Cost to Date $3,030,809.00 $3,262,411.00 $957,884.25 Amount of Proposed Change Order $0,00 $0.00 $0.00 Revised Contract Amount $3,030,809.00 $3,262,411.00 $957,884.25 Original Funds Available for Change Orders $121,742.00 $130,159.00 $57,473.00 Remaining Funds Available for this CO $134,492.00 $121,728.00 $57,473.00 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT MAXALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST+ 25%) JUSTIFICATION (REASONS) FOR CHANGE ORDER Date: 1 81512024 Totals $7,255,423.25 $14,631.00 $18,950.00 $7,261,104.25 $0.00 $7,251,104.25 $309,374.00 $313,693.00 -0.06% $9,069,279.06 I Contract Time (Calender days) 550 550 030 580 Change Order No.9 provides for: • The addition of 170 LF of 8" DIP sewer with acceptable backfill for rehabilitation of the sewer line on Grand Avenue. The bid item was inadvertently removed in Change Order No.1 to allow the contractror to use alternate materials due to difficulty in obtaining ductile iron pipe. However, because of the shallow sewer main and heavy traffic on Grand Avenue, it is necessary to install ductile iron pipe. This change order re-establishes the ductile iron pipe pay item quantity. 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. Con(rac(or's Company Name Contractor Name Co ractor Sigfla(ure Date Woody Contractors, Inc. Troy Woody inspect o�j� Date Project Manager � Date 8/07/24 ei8i2024 Director (Water Ded/ Date Construction Supervisor (TPW Dept) Date s, Aug 9, 2024 Troy GaWn r 08/07/24 Senior Assistant City Attorney Date Assistant City Manager Dale Aug 13, 2024 - Aug 13, 2024 Council Action (If Required) M&C Number ) N/A I M&C Date Approved I NIA I ]FORT' WOR-FH City of Fort Worth Change Order Additions Project Name I Sanitary Sewer Rehabilitation Contract 98 City Sec No.: 1 58528 Project No.(s): 1 56002-0600430-0700430-0200430-5740010 3;07;24 1 DOE No.1 22-088q City Proj. No.: I CO2719 Project I Water, sanitary sewer, and paving Improvements in the Norlhside Neighborhood. Description Contractor I Woody Contractors, Inc. I Change Order: 0 Date:1 8/512024 City Project Mgr. Suzy Abbe 1 City Inspector I Charles Hayes 1 ADDITIONS HEM ' ULSORINI IUN DEPT QtYY -Unit -Unit Cost Total 5A' 8" DIP Sewer Acceptable Backfill Sewer 30.00 LF $219.00 $37,230.00 Water Sewer $37,230.00 Paving Page 2 of 4 Additions Sub Total $37,230.00 Fc)aT WC�RTH City of Fort Worth Change Order Deletions Project Name Sanitary Sewer Rehabilitation Contract 98 I City Sec No.: 58528 Project No.(s): I 56002-0600430-0700430-0200430-5740010 I DOE No. 1 22-08 City Proj. No.: CO2719 Project Description I Water, sanitary sewer, and paving Improvements in the Northside Neighborhood. I Contractor I Woody Contractors, Inc. I Change Order: a Date 81512024 City Project Mgr. Suzy Abbe City Inspector: I Charles Hayes DELETIONS ITEM DESCRIPTION DEPT City Unit Unit Cost Total 12 Imported Embed menlleackfill, Select Fill Sewer 063.7143 CY $35.00 $37,230.00 lWater Sewer $37,230.00 Paving Page 3 of 4 `Deletions Sub Total $37,230.00 M1WBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO co # Previous Change Orders DATE Total Total AMOUNT $0.00 $0.00 Page 4 of 4 8/9/2024 Sanitary Sewer Rehabilitation Contract 98 CSC: 58528 CPN:CO2719 Change Order 9 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. .. �_44..- Signature Suzanne Abbe Name of Employee Senior Engineer, Capital Project Delivery Title ATTEST: Jannette Goodall City Secretary FORT WoRT'I—i City of Fort Worth Change Order Request CSC No. 58528-009 Project Name: Sanitary Sewer Rehabilitation Conlracl 98 I City Sec No,: 1 58528 Project No.(s):1 56002-0600430.0700430-0200430-5740010 M&C: 1 22-0888 1 City Proj. No.: l CO2719 Project Descriplion:I Water, sanitary sewer, and paving Improvements in the Norlhside Neighborhood. Contractor] Woody Contractors, Inc. ( Change Order fI 9 Date: City Project Mgr,1 Suzy Abbe City Inspector: Charles Hayes Phone Number: 817-392-8209 Phone Number: 682-213-0240 Dept. Water Sewer Paving Totals Original Contract Amount $3,043,559.00 $3,253,980.00 $957,884.25 $7,255,423.25 Extras to Dale $6,200.00 $8,431.00 $0.00 $14,631.00 Credits to Dale $18,950.00 $18,950.00 Pending Change Orders (in M&C Process) Contract Cost to Date $3,030,809.00 $3,262,411.00 $957,884,25 $7,251,104.25 Amount of Proposed Change Order $0.00 $0.00 $0.00 $0.00 Revised Contract Amount $3,030,809.00 $3,262,411.00 $957,884.25 $7,251,104.25 Original Funds Available for Change Orders $121,742.00 $130,159.00 $57,473.00 $309,374.00 Remaining Funds Available for this CO $134,492.00 $121,728.00 $57,473.00 $313,693.00 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT -0.06% MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) 1$9,069,279.06 JUSTIFICATION (REASONS) FOR,CHANGE ORDER 8/512024 Contract Time (Calender days) 550 550 030 580 Change Order No.9 provides for: • The addition of 170 LF of 8" DIP sewer with acceptable backfill for rehabilitation of the sewer line on Grand Avenue. The bid item was inadvertently removed in Change Order No, 1 to allow the conlractror to use alternate materials due to difficulty in obtaining ductile iron pipe. However, because of the shallow sewer main and heavy traffic on Grand Avenue, it is necessary to Install ductile iron pipe. This change order re-establishes the ductile iron pipe pay item quantity. 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 Signature Dale Woody Contractors, Inc. I Troy Woody I' ;o�r'actor inspector / / Date Project Manager r Dale 8/07/24 _._'',.I` 9/8R2024 , Director (Water De Date Construction Supervisor;TPW Dept) Date ^ c6u k� rrn�Je11 -ram I ' .. Aug 9, 2024 1 roy (a(({'i ller 08/07/24 Senior Assistant City Attorney Dale Assistant City Manager Dale _ y „ Aug 13, 2024 Aug 13, 2024 Council Action (If Required) M&C Number NIA I M&C Date Approved NIA FORT ` c3a-FH City of Fort Worth Change Order Additions Project Name Sanitary Sewer Rehabilitation Contract 98 City Sec No.: 1 58528 Project No.(s): 56002-0600430-0700430-0200430-5740010 0;01;24 1 DOE No.1 22-088q City Proj. No.: I CO2719 Project I Water, sanitary sewer, and paving Improvements in the Norlhside Neighborhood. Description Contractor Woody Contractors, Inc. Change Order: 09 Date:1 8/5/2024 City Project Mgr. I Suzy Abbe City Inspector I Charles Hayes ADDITIONS I I hNi UESCf IPHUN DEPT Qty Unit Unit Cost Total 5A* 8" DIP Sewer Acceptable Backfill Sewer 170.00 LF $219.00 $37,230.00 - Water . Sewer '$37,230.00 Paving Page 2 of 4 Additions Sub Total $37,230.00 FORT Wo RTH City of Fort Worth -- ° W -1 - Change Order Deletions Project Name Sanitary Sewer Rehabilitation Contract 98 City Sec No.: I 58528 Project No.(s): 56002-0600430-0700430-0200430-5740010 DOE No. 1 22-08 City Proj. No.: CO2719 Project Description I Water, sanitary sewer, and paving Improvements in the Norlhside Neighborhood. I Contractor I Woody Contractors, Inc. Change Order: F-9-1 Date I 8l512024 City Project Mgr. Suzy Abbe City Inspector: Charles Hayes DELETIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total 12 Imported Embedment/Backfill, Select Fill Sewer 063.7143 CY $35.00 $37,230.00 J Water 'Sewer $37,230.00 ;Paving Page 3 of 4 (Deletions Sub Total $37,230.00 MIWBP Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Previous Change Orders DATE Total Total AMOUNT $0.00 $0.00 Page 4 of 4 8/9/2024 Sanitary Sewer Rehabilitation Contract 98 CSC: 58528 CPN:CO2719 Change Order 9 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 Suzanne Abbe Name of Employee Senior Engineer, Capital Project Delivery Title ATTEST: Jannette Goodall City Secretary FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: SS Rehab Contract 98 Part 1 CITY PROJECT NUMBER: CO2719 WATER PIPE LAID SIZE TYPE OF PIPE Main 16" PVC Main 16" DIP Main 12" PVC Main 8" PVC Main 6" PVC LF FIRE HYDRANTS: 9 VALVES (16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF Main 20" Unknown Main 12" Unknown Main 8" Unknown Main 6" Unknown DENSITIES: All Passed NEW SERVICES: 1 1/2" Copper 1 " Copper SEWER PIPE LAID SIZE TYPE OF PIPE LF Main 16" DIP Main 12" PVC Main 12" CIPP Main 10" CIPP Main 8" CIPP Main 8" HDPE Main 8" PVC Main 8" DIP PIPE ABANDONED SIZE TYPE OF PIPE LF Main 15" V.C. Main 6" Unknown DENSITIES: All Passed NEW SERVICES: 4" PVC TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 2 578 63 471 4204 75 44 310 473 59 25 2300 180 36 359 457 48 26 5132 370 113 439 140(Ea.) FORTWORTH. M, TRANSPORTATION AND PUBLIC WORKS August 9, 2024 Woody Contractors Inc 650 Tower Dr Kennedale, TX 76060 RE: Acceptance Letter Project Name: SS Rehab Contract 98 Part 1 Project Type: Water, Sewer, Paving City Project No.: CO2719 To Whom It May Concern: On August 9, 2024 a final inspection was made on the subject project. There were no punch list items identified at that time. The final inspection indicates that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on August 9, 2024, which is the date of the final inspection 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 Suzanne.abbe@fortworthtexas.gov. Sincerely, S— Ak- Suzanne Abbe (Oct 4, 2024 16:26 CDT) Suzanne Abbe P.E., Project Manager Cc: Charles Hayes, Inspector Troy Gardner, Inspection Supervisor Cody Horton, Senior Inspector John Kasavic P.E., Program Manager Pape Dawson Engineers, Consultant Woody Contractors Inc., Contractor N/A, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 08/20/19 AFFIDAVIT STATE OF TEXAS COUNTY OF TAR.RANT BEFORE ME, THE UNDERSIGNED AUTHORITY, A NOTARY PUBLIC IN THE STATE AND COUNTY AFORESAID, ON THIS DAY PERSONALLY APPEARED TROY WOODY PRESIDENT (NAME) WOODY CONTRACTORS, INC (COMPANY NAME) , OF (TITLE) , 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 ESTABLISHED WAGE SCALE HAS BEEN PAID; AND THAT THERE ARE NO CLAIMS PENDING FOR PERSONAL INJURY AND/OR PROPERTY DAMAGES; ON CONTRACT DESCRIBED AS; SS Rehabilitation Contract 98. BY )) SUBSCRIBED AND SWORN BEFORE ME ON THIS I-f DAY OF OL,43eJ 2024 NOTARY P C IN TARRANT CMUNTY, TEXAS 1�.y 0"1, "t°ems' ro LUZ A RAVE-1-0 • Notary Public, State of 7 MYCo m Texas mission Expires April " 29. 2027 NOTANY lD 12860410-0 CONSENT OF SURETY COMPANY TO FINAL PAYMENT (SIMILAR TO AIA DOCUMENT G707) OWNER ❑ ARCHITECT ❑ CONTRACTOR ❑ SURETY ❑ OTHER PROJECT: Sanitary Sewer Rehabilitation, Contract 98, City Project No. CO2719 (name, address) Fort Worth, TX TO (Owner) City of Fort Worth 200 Texas Street Fort Worth, TX 76102 L- CONTRACTOR: Woody Contractors, Inc. Bond No. IC40202006 ARCHITECT'S PROJECT NO: CONTRACT FOR: CONTRACT DATE: In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Company) Vigilant Insurance Company 2001 Bryan Street, Suite 3600 , SURETY COMPANY, Dallas, TX 75201 on bond of (here insert name and address of Contractor) Woody Contractors, Inc. 650 Tower Drive Kennedale, TX 76060 , CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that the final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (here insert name and address of Owner) City of Fort Worth 200 Texas Street Fort Worth, TX 76102 OAR' as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, The Surety Company has hereunto set its hand this Attest: (Seal): 12th day of August 2024 VIGILANT INSURANCE COMPANY Surety Company By vthorizRpeenSignatureof us Kyle W. Sweeney Attorney —in --Fact Title Note: This form, is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims, Current Edition Power of Attorney Federal Insurance Company J Vigilant Insurance Company j Pacific Indemnity Company Know Ali by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC MI INDEMNITY Sweeney f Fort corporation, do each hereby constitute and appoint Elizabeth Gray, Charles D. Sweeney, Kyle W, Sweeney and ------------------------------------------------------------------------------------------------------- each as their true and [awful Attorney-ln-Fact to execute under such designation in their names anti to afl3x their corporate seas to and deliver for anti on their behalras surety thereon or otherwise, bonds and undertakings and other writings obligatory In the nature thereof (other than bail bonds) given or executed in the course of buslness, and any Instruments amending or altering the same, and consents to the modification or alteration oFany instrument referred to in said bonds or obligations. In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 1611 day of September, 2019, WWI) �1.1:'hlw'ue�.A.�;wtstant4ctiretary' Stu:plim;V Raney, Vicel're;ideni STATE OF NEW JERSEY County ofHunterdon ss On this 1611 day of September, 2019, before me, a Notary Public of New jcrsey, personally came Dawn M. Chioros, to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Dawn M. Chloros, being by me duly sworn, did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof; that the seals affixed to the Forego€ng Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies; and that she signed said Power- of Attorney as Assistant Secretary of said Companies by like authority; and that she Is acquainted with Stephen M. Haney, and knows him to be Vice Presfdett of said Companies; and that the signature of Stephen M. Haney, subscribed to said Power of Attorney is in the genulne handwriting of Stephen M. Haney, and was thereto subscribed by authority of said Conlpanfes and in deponent's presence. Notarial Seal drIAY ifATl"U80E J. AI7FJ AAR NOTARY PtieLIC pR NEW JJwRSEY No. 23113688 . COMMISaiOn Expirss July 10, 2024 Ymaryi'nbllr. dERg� CERTIFICATION Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY on Au)Iusl30, 2016: RISOLVU),-Ihat the follotAng authorizations relate to the execution, fbr and an llehal rut, the Company, of bonds, underraldngs, recognirwces, con tracts and other written comuritments of the Coulpany enlere4l into in the ordinary amiseol'buslness (each a "Written Cununimienr'}, (r) 9;rrach or the Chairman, the Frestdent and the Vice Presidents of the Cotnpanyishereby authorized to execute any wrinencoutniltment forandonbeha)fui'LheConipaoy.undertile seal ofthe Company or otherwise. (2) Bach duty appointed uttorney-In-fact or the Company Is hereby au[horfced to execute any Written Conimitnient for and on behalf of the Company, under the seal of the Company or otherwise, to the extent thm such action is authorized by the gni nt of powers providLd Lorin such persons• wrirtmi appointment as such attorneydn-tact. (3) mch or the Chairman, the President and the Vice Presidents of the Company Is hereby authorized, for and on belialrofthe Company, to appoint in wrlanl; any person the attoraey- in-htct of the Company with full power and authority to execute, thr and on behalrof the Company, under the seal oftheCuntpanyorotherwise, such Written Commitments of the Company as may be specified In such written appointment, which specllicalfon may be by general type or class or written Commitments or by specification 01' one ur more particular Written Commitments. (4) Each of the Chairman, the president and the Vice Presidents of the Company is hereby authorized, for and on behalf of the Company, o detente [n writing to ally other olticer of the Company the authority to execute, for and On behalf of the Company. under the Company's seal or otherwise, such Written Commitments of the Company as are specified in such written deleg,,uion,which spuciiicatlon Play be by general rypeor class of Written Cunuiiltments ar byspecfiicarionofoneormore pltfeularWritten Commitments. (5)'llie silinature ofany officer or other person executing any Written Commitment orappointaiient or delegation pursualit to this xesoltiaota, a n(I rite seal of tile Company, alay be affixed by I'acslaille on such Written Commitment or written appointment or deleLmtion. FURTFIL'RRRSOLV9D. that (Ile turegoing liasoluunn shalt Out bedeenledtobeallexduslvestatementofthepowarsnndauthorityofon'loois,employeesandotherpersonstoactforandonbehalfof [he cmripany, anti such Resohlaon sha]I nor liarkOr otherwise affect the exercise oFany such power oraudiority otherwise validly granted or vesied." 1, Dawn M. Chioros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "Companies") do hereby certify that (1) the foregoing Resolutionsadopted by the Board of Dlrectors of the Companies are true, correct and In Full force and effect, (H) the foregoing Power of Attorney is true, correct and In full force and elfect. Given under my hand and seals ofsaid Companies at Whitehouse Station, NJ. this 1 2th day of August 2024. H `� �C��.�s�-'mil • �..�i� r _ Dawn I�, i;hhx'tx;. AKy15[zltil titK71's'ltllyr IN TH Id BVHN'I' YOU WISH 9TI VERIFY THE A111'HBNTICITY OF THIS BOND Olt NOTIFY US OV ANY CYRIER NINITHR, PLLrASH CONTACT US A'I'o { Telephone(908)903-3493 Nx(908)9Q1-3656 cnlail:smretyrLaclrubb.com i FED- VIG-PI (rev. 08-18)