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Home My WebLink AboutContract 54517-FP1AC Coded 04.15.24 Vendor Name: JACKSON CONSTRUCTION LTD Invoice No. 54517 - FP1 Invoice Date: ##.##.24 FW060-26879 Line 1 - Water: $189,388.08 Line 2 - Sewer: $90,073.80 Line 3 - Paving: $17,241.99 Release Retainage FID 34014-2060000-102170-RETAIN $12,347.18 FID 59601-2060000-102170-RETAIN $225,102.94 FID 59607-2060000-102170-RETAIN $24,925.22 FORTWORTH fi WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES NOTICE OF PROJECT COMPLETION CSC No. 54517-FP1 revised Regarding contract 54517 for Water & Sanitary Sewer Replacement Contract 2019, WSM-C as required by the Water Department as approved by City Council on 08/11/2020 through M&C-20-0542 the Assistant Director of the Water Department, upon the recommendation of the Engineering Manager, Water Engineering and Fiscal Services Division, has accepted the project as complete. Original Contract Prices: $ 4,510,656.00 Amount of Approved Change Orders: $ 1,068,569.11 Revised Contract Amount: $ 5,579,225.11 Total Cost Work Completed: $ 5,544,211.60 Less Deductions: Liquidated Damages: 0 Days @ $ 630.00 / Day Other Deductions (see comments): Total Deduction Amount: Total Cost of Work Completed: $ 5,544,211.60 Less Previous Payments: $ 4,985,132.39 Final Payment Due: / /$ 559,079.21 f . e� Recomm ded for Acceptance Date Aaoi,LoiiL D;i�--..tor, Water Department C&ik� ffard&r Apr 24, 2024 Christopher Harber (Apr 24, 202410:36 CDT) Accepted Date Director, Water Department � C: Apr 24, 2024 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name Water and Sanitary Sewer Replacement Contract 2019, WSM-C Contract Limits Council Districts 2 & 7 Project Type Water City Project Numbers 102170 DOE Number 0027 Estimate Number 22 Payment Number 22 For Period Ending 2/15t2024 CD City Secretary Contract Number 54517 Contract Time 675 CD Contract Date 8/11/2020 Days Charged to Date 675 Project Manager Bierman Contract is 100.00 Complete Contractor JACKSON CONSTRUCTION LTD 5112 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspector's Johnson / Reed Wednesday, March 27, 2024 Page I of 8 City Project Numbers 102170 DOE Number 0027 Contract Name Water and Sanitary Sewer Replacement Contract 2019, WSM-C Estimate Number 22 Contract Limits Council Districts 2 & 7 Payment Number 22 ProjectType Water For Period Ending 2/15/2024 Project Funding Unit I Water Improvements Item Description of Items Estimated Unit Unit Cost Estimated Comple(ed Completed No. Quauity row Quanity Total 48 --------------------- Trench Safety (Water) 5400 LF $1.00 -------- $5,400.00 ---------- 5320 $5,320.00 49 Fire Hydrant 8 EA $4,800.00 $38,400.00 8 $38,400.00 50 Connection to Existing 24" Water Mai 4 EA $15,000.00 $60,000.00 4 $60,000.00 51 Connection to Existing 4"-12" Water 19 EA $3,500.00 $66,500.00 19 $66,500.00 52 Salvage I" Water Meter 4 EA $150.00 $600.00 4 $600.00 53 1" Water Service, Meter Reconnection 220 EA $325.00 $71,500.00 237 $77,025.00 54 1" Water Service 230 EA $1,600.00 $368,000.00 244 $390,400.00 55 1" Private Water Service 110 LF $40.00 $4,400.00 56 Salvage 1 1/2" Water Meter 1 EA $250.00 $250.00 3 $750.00 57 1 1/2" Water Service, Meter Reconnec I EA $425.00 $425.00 3 $1,275.00 58 1 1/2" Water Service I EA $3,900.00 $3,900.00 3 $11,700.00 59 1 1/2" Private Water Service 5 LF $90.00 $450.00 60 Salvage 2" Water Meter 2 EA $300.00 $600.00 2 $600.00 61 2" Water Service, Meier Reconnection 2 EA $525.00 $1,050.00 2 $1,050.00 62 2" Water Service 2 EA $4,400.00 $8,800.00 2 $8,800.00 63 6" Gale Valve 7 EA $950.00 $6,650.00 9 $8,550.00 64 8" Gale Valve 18 EA $1,500.00 $27,000.00 18 $27,000.00 65 12" Gate Valve 3 EA $2,800.00 $8,400.00 5 $14,000.00 66 24" Gate Valve a/ Vault (CO111) (CO115) 4 EA $41,500.00 $166,000.00 3 $124,500.00 67 Remove Speed Cushion 64 SY $34.00 $2,176.00 64 $2,176.00 68 Miscellaneous Adjustments - Sprinkle I LS $7,000.00 $7,000.00 0.0228 $159.60 69 Remove and Replace 15-F1. Curb Inlet I EA $7,500.00 $7,500.00 70 Pavement Markings, Stop Bar 70 LF $17.00 $1,190.00 71 4-inch SLD Pavement Marking, HAS (Ye 1320 LF $1.25 $1,650.00 2640 $3,300.00 72 12-inch Solid Pavement Marking (Gros 80 LF $8.00 $640.00 73 Traffic Control (Water) 6 MO $13,000.00 $78,000.00 6 $78,000.00 74 SWPPP >_ I acre (Water) I LS $6,500.00 $6,500.00 1 $6,500.00 75 Exploratory Excavation of Existing 4 EA $4,500.00 $18,000.00 4 $18,000.00 76 Construction Surveying (Water) I LS $4,500.00 $4,500.00 1 $4,500.00 77 Construction Staking (Water) I LS $20,000.00 $20,000.00 1 $20,000.00 78 Water Construction Allowance (COO 1) 0.36 LS $100,000.00 $36,000.00 Wednesday, March 27, 2024 Page 2 of 8 City Project Numbers 102170 DOE Number 0027 Contract Name Water and Sanilary Sewer Replacement Contract 2019, WSM-C Estimate Number 22 Conh•act Limits Council Districts 2 & 7 Payment Number 22 Project Type Water For Pedod Ending 2/15/2024 Project Funding * I A 24" Water Pipe - Ductile Iron Pipe (CON 1) 2257 LF $212.00 $478,484.00 2259 $478,908.00 2A 24" Water Pipe - Ductile Iron Pipe,(CSS) (COI! 1) 62 LF $585.00 $36,270.00 0 $0.00 *3A Ductile Iron Water Fittings w/ Restr 2 TO $11,500.00 $23,000.00 2 $23,000.00 4 Cathodic Protection I LS $95,000.00 $95,000.00 1 $95,000.00 5 12" Water Pipe 2555 LF $90.00 $229,950.00 2600 $234,000.00 6 12" Water Pipe, CSS Backfill 155 LF $350.00 $54,250.00 48 $16,800.00 7 8" Water Pipe 5554 LF $56.00 $311,024.00 5708 $319,648.00 8 8" Water Carrier Pipe 82 LF $165.00 $13,530.00 40 $6,600.00 9 6" Water Pipe 118 LF $100.00 $11,800.00 124 $12,400.00 10 24" Casing ByOtherThanOpen Cut 82 LF $555,00 $45,510.00 11 8" Ring Connection 1 EA $12,500.00 $12,500.00 1 $12,500.00 12 Ductile Iron Water Fittings w/ Restr 2 TO $9,500.00 $19,000.00 2 $19,000.00 13 8" Bio%v Off Valve I EA $27,000.00 $27,000.00 I $27,000.00 14 3" Combination Air Valve Assembly fo 1 EA $28,000.00 $28,000.00 1 $28,000.00 15 2" Combination Air Valve Assembly to I EA $16,500.00 $16,500.00 1 $16,500.00 16 Remove 6" Water Valve 7 EA $150.00 $1,050.00 8 $1,200.00 17 Remove 8" Water Valve 6 EA $175.00 $1,050.00 19 $3,150.00 18 Salvage Fire Hydrant 8 EA $475.00 $3,800.00 8 $3,800.00 19 Salvage Water Sampling Station I EA $300.00 $300.00 20 Water Sampling Station I EA $6,000.00 $6,000.00 21 Imported Embedment/Backfill 200 CY $35.00 $7,000.00 22 Temporary Asphalt Paving Repair (2" 12797 LF $28.00 $358,316.00 8543 $239,204.00 23 Conc Pvmt Repair, Residential w/3" H 370 SY $220.00 $81,400.00 293.82 $64,640.40 24 Asphalt Pvml Repair Beyond Defined W 150 SY $35.00 $5,250.00 45 $1,575.00 25 Cone Pvnit Repair, Residential 50 SY $195.00 $9,750.00 225.3 $43,933.50 26 Remove Concrete Curb & Gutter 500 LF $10.00 $5,000.00 5790.39 $57,903.90 27 7-inch Concrete Curb and I8-inch Gut 1500 LF $140.00 $210,000.00 3242 $453,880.00 28 Remove Concrete Driveway 5000 SF $2.00 $10,000.00 9443.42 $18,886.84 29 6-inch Concrete Driveway 5000 SF $14.00 $70,000.00 9646.42 $135,049.88 30 7-inch Concrete Valley Gutter 160 SY $195.00 $31,200.00 278.8 $54,366.00 31 2-inch Asphalt Pavement Type "D" (C0115) 33619 SY $12.50 $420,237.50 26127 $326,587.50 32 Water Valve Boa Adjust w/Collar 18 EA $600.00 $10,800.00 20 $12,000.00 33 Miscellaneous Adjustments - Water Me 24 EA $575.00 $13,800.00 24 $13,800.00 34 Manhole Adjust, Minor w/ Collar 8 EA $1,050.00 $8,400.00 8 $8,400.00 Wednesday, March 27, 2024 Page 3 of 8 City Project Numbers 102170 DOE Number 0027 Contract Name Water and Sanitary Sewer Replacement Contract 2019, WSM-C Estimate Number 22 Contract Limits Council Districts 2 & 7 Payment Number 22 Project Type Water For Period Ending 2/15/2024 Project Funding 35 Curb Address Painting 49 EA $85.00 $4,16S.00 36 Topsoil 100 CY $120.00 $12,000.00 169.4 $20,328.00 37 Block Sod Replacement 2889 SY $9.00 $26,001.00 980.1 $8,820.90 38 Unclassified Excavation (C0115) 273.1 CY $75.00 $20,482.50 510 $38,250.00 39 2-inch Surface Milling 2940 SY $4.00 $11,760.00 2540 $10,160.00 40 10-inch Pavement pulverization 28139 SY $8.00 $225,112.00 23587 $188,696.00 41 Cement Modification,26lbs./sy. 366 TN $180.00 $65,880.00 295.22 $53,139.60 42 Remove Sidewalk 500 SF $3.00 $1,500.00 614 $1,842.00 43 4-inch Concrete Sidewalk 1000 SF $16.50 $16,500.00 1248 $20,592.00 44 4-inch Concrete Sidewalk with Retain 500 SF $25,00 $12,500.00 271.7 $6,792.50 45 Remove ADA Ramp 2 EA $300.00 $600.00 2 $600.00 46 ADA Ramp 2 EA $2,900.00 $5,800.00 2 $5,800,00 47 Temporary Water Services I LS $105,000.00 $105,000.00 1 $105,000.00 79 24" Water Pipe -DI Pipe Restrained Joint (CON I) 308 LF $280.24 $86,313.92 308 $86,313.92 80 24" Pipe -DI Restrained Joint w/CSS (CO#1) 153 LF $653.23 $99,944.19 153 $99,944.19 81 24" Water Pipe -DI Restrained Joint Lowering NW 95 LF $403.00 $38,285.00 103 $4 1,509.00 271h 82 Custom Blocking for 24" Dl w/High Early cone. 2 EA $19,832.00 $39,664.00 2 $39,664.00 (Coll l ) 83 Additional Tempirary Water NW 27th/ Loving I LS $9,050.00 $9,050.00 1 $9,050.00 (CON 1) 84 7-inch Curb and Ginter Sunset Ave. (C0114) 649.03 LF $77.75 $50,462.08 649.03 $50,462.08 85 Import Embedmengt/Backriull CLSM (C0114) 357 CY $135.00 $48,195.00 357 $48,195.00 Sub -Total of Previous Unit $4,555,867.19 $4,531,997.81 Unit II Sanitary Sewer Improvements Item Description of ltcros Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 8" Sewer Pipe C0112 2526 LF $90.00 $227,340.00 2511 $225,990.00 2 8" Cl PP (CO114) 0 LF $100.00 $0.00 3 8" DIP Sewer Pipe w/ Protecto 401 Li 20 LF $190.00 $3,800.00 20 $3,800.00 4 Trench Safely (Sanitary Sewer) C0112 2546 LF $1.00 $2,546.00 2531 $2,531.00 5 Pre -CCTV InspectionCON2 2735 LF $6.00 $16,410.00 2725 $16,350.00 6 Post -CCTV hispectionC0112(CON4) 2511 LF $14.00 $35,154.00 2511 $35,154.00 7 Service Reconnection, CIPP I EA $350.00 $3S0.00 8 4" Sewer Service, Reconnection )CO/12) (C0114) 65 EA $2,200.00 $143,000.00 65 $143,000.00 Wednesday, March 27, 2024 Page 4 of 8 City Project Numbers 102170 DOG Number 0027 Contract Name Water and Sanitary Sewer Replacement Contract 2019, WSM-C Estimate Number 22 Contract Limits Council Districts 2 & 7 Payment Number 22 ProjectType Sewer For Period Ending 2/15/2024 Project Funding 9 4' Manhole C0112 (C0114) 17 EA $4,500.00 $76,500.00 17 $76,500.00 10 i Concrete Collar C0112 18 EA $1,050.00 $18,900.00 17 $17,850.00 II Trench Water Stops I EA $1,800.00 $1,800.00 12 Manhole Vacuum Testing C0112 18 EA $325.00 $5,850.00 14 $4,550.00 13 8" Sewer Abandonment Plug 2 EA $550.00 $1,100.00 2 $1,100.00 14 Remove 4' Sewer Manhole C01/2 12 EA $1,100.00 $13,200.00 10 $11,000.00 15 Remove Storm Junclion Slruclure I LS $4,200.00 $4,200.00 1 $4,200.00 16 Temporary Asphalt Paving Repair (2") C0112 (C0114) 1230 LF $36.00 $44,280.00 1230 $44,280.00 17 Remove Concrele Curb & Cutter 10 LF $10.00 $100.00 20 $200.00 18 7-inch Concrele Curb and 18-inch Gul 116 LF $140.00 $16,240.00 116 $16,240.00 19 Remove Concrete Driveway 50 SF $2.00 $100.00 0 $0.00 20 6-inch Concrete Driveway 50 SF $14.00 $700.00 0 $0.00 21 2-inch Asphalt Pavement Type "D" (CO/14) 0 SY $12.50 $0.00 0 $0.00 22 Topsoil I CY $120.00 $120.00 0 $0.00 23 Block Sod Replacement 67 SY $9.00 $603.00 0 $0.00 24 10-inch Pavement Pulverization I 1 I SY $8.00 $888.00 0 $0.00 25 CentenlModification,261bs./sy. 1 TN $180.00 $180.00 0 $0.00 26 6' Storm Junction Box I EA $13,000.00 $13,000.00 1 $13,000.00 27 SWPPP ? I acre (Sanitary Sewer) I LS $1,500.00 $1,500.00 1 $1,500.00 28 Construction Surveying(Sanitary Sew) I LS $1,800.00 $1,800.00 1 $1,800.00 29 Construction Staking (Sanitary Sewer) I LS $2,000.00 $2,000.00 1 $2,000.00 30 Sanilmy Sewer Construction Allowanc 0 LS $10,000.00 $0.00 31 Additonal SWPPP C0112 I LS $1,350.00 $1,350.00 1 $1,350.00 32 Additional Construction Survey C0112 I LS $900.00 $900.00 1 $900.00 33 Additional Construction Slaking C01l2 I LS $3,815.00 $3,815.00 1 $3,815.00 34 Concrete Encasement C092 (C044) 0 LF $127.00 $0.00 0 $0.00 35 Re -lay M-161 with DIP (w/proleclo 401) from I LS $24,415.00 $24,415.00 1 $24,415.00 3+00to 4+20 hrcl.services 86 7-inch Concrete Cub & Gutter Sunset Ave, (C0114) 1241 LF $77,75 $96,487.75 1241.2 $96,503.30 Sub -Total of Previous Unit $758,628.75 $748,028.30 Unit III Paving Improvements Item Description of Items Estimated Unit Unit Cast Estimated Completed Completed No. Quanity Total Quanity Total I Remove Sidewalk 1200 SF $3.00 $3,600.00 912 $2,736.00 Wednesday, March 27, 2024 Page 5 of 8 City Project Numbers 102170 DOE Number 0027 Contract Name Water and Sanitary Sewer Replacement Contract 2019, WSM-C Estimate Number 22 Contmet Limits Council Districls 2 & 7 Payment Number 22 Project Tyne Paving For Period Ending 1/15/2024 Project Funding 2 4-Inch Concrete Sidewalk (C0114) 4999 SF $16.50 $82,483.50 4998.5 $82,475.25 3 4-Inch Concrete Sidewalk with Retain 1860 SF $25.00 $46,500.00 1860 $46,500.00 4 Remove ADA Ramp 3 EA $300.00 $900.00 3 $900.00 5 Install ADA Ramp (C0114) 13 EA $2,900,00 $37,700.00 13 $37,700.00 G Remove Concrete Driveway 1300 SF $2.00 $2,600.00 1170 $2,340.00 7 6-Inch Concrete Driveway 2112 SF $14.00 $29,568.00 3231.58 $45,242.12 8 Topsoil 10 CY $120.00 $1,200.00 10 $1,200.00 9 Block Sod Replacement (CO44) 1700 SY $9.00 $15,300.00 10 Miscellaneous Adjustments -Sprinkler I LS $10,000.00 $10,000.00 1 $10,000.00 I I Remove Concrete Curb and Guller 100 LF $10.00 $1,000.00 100 $1,000.00 12 Additional Staking Sidewalk, Ramps I LS $3,321.00 $3,321.00 1 $3,321.00 13 7-inch Concrete Curb & Gutter Sunset Ave. (COH4) 395.77 LF $97.75 $30,771.12 395.77 $30,771.12 Sub -Total of Previous Unit $264,943.62 $264,185.49 Wednesday, March 27, 2024 Page 6 of 8 City Project Numbers 102170 Contract Narne Water and Sanitary Sealer Replacement Contract 2019, WSM-C Contract Limits Council Districts 2 & 7 Project Type Paving Project Funding Project Manager Bierman Inspectors Johnson / Reed Contractor JACKSON CONSTRUCTION I.l'D 5112 SUN VALLEY DRIVE PORT WORTH, 'rx 76119 Line Fund Account Center DOE Number 0027 Estimate Number 22 Payment Number 22 For Period Ending 1/15/2024 City SecretaryCont•act Number 54517 Contract Date 8/11/2020 Contract Time 675 CD Days Charged to Date 675 CD Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Amount Gross Retainage Funded Net Total Cost of Work Completed $5,544,211.60 Less 0 % Retained $0.00 Net Earned $5,544,211.60 Earned This Period $296,703.87 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 / Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $4,985,132.34 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $559,079.26 Wednesday, March 27, 2024 Page 8 of 8 ----- This Pay Estimate Period has not been finalized Jackson Construction, Inc. Pay Estimate Summary Report - Revision: 1 Invoice # RETAINAGE Owner Contractor Invoice Date: 05/09/2023 CITY OF FORT WORTH JACKSON CONSTRUCTION, LTD. Dates Submitted: 02/01/2023 - 02/01/2023 2b0 TEXAS ST 5112 SUN VALLEY DRIVE Contract # FORT WORTH, TX 76102 FORT WORTH, TX 76119 CONTRACT 2019 WSM-C WATER & SS REPLACEMENT USA USA Job: 3264 Pay Contract Contract Previous Current Quantities Current Amount % Item Description Quantities Unit Unit Price Amount Quantities Quantities to Date Amount to Date Cmplt 10 24" Water Pipe - Ductile Iron Pipe 2,625.00 LF 212.00 556,500.00 2,259.0000 0.0000 2,259.0000 0.00 478,908.00 86.1 20 24" Water Pipe - DIP, CSS Backfill 215.00 LF 585.00 125,775.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 30 Ductile Iron Water Fittings wl Restraint (24-inch 2.00 TON 11,500.00 23,000.00 2.0000 0.0000 2.0000 0.00 23,000.00 100.0 40 Cathodic Protection 1.00 LS 95,000.00 95,000.00 1.0000 0.0000 1.0000 0.00 95,000.00 100.0 50 12" Water Pipe 2,555.00 LF 90.00 229,950.00 2,600.0000 0.0000 2,600.0000 0.00 234,000.00 101.8 60 12" Water Pipe, CSS Backfill 155.00 LF 350.00 54,250.00 48.0000 0.0000 48.0000 0.00 16,800.00 31.0 70 8" Water Pipe 5,554.00 LF 56.00 311,024.00 5,708.0000 0.0000 5,708.0000 0.00 319,648.00 102.8 80 8" Water Carrier Pipe 82.00 LF 165.00 13,530.00 40.0000 0.0000 40.0000 0.00 6,600.00 48.8 90 6" Water Pipe 118.00 LF 100.00 11,800.00 124.0000 0.0000 124.0000 0.00 12,400.00 105.1 100 24" Casing By Other Than Open Cut 82.00 LF 555.00 45,510.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 110 8" Ring Connection 1.00 EA 12,500.00 12,500.00 1.0000 0.0000 1.0000 0.00 12,500.00 100.0 120 Ductile Iron Water Fittings wl Restraint (64nch t 2.00 TON 9,500.00 19,000.00 2.0000 0.0000 2.0000 0.00 19,000.00 100.0 130 8" Blow Off Valve 1.00 EA 27,000.00 27,000.00 1.0000 0.0000 1.0000 0.00 27,000.00 100.0 140 3" Combination Air Valve Assembly for Water 1.00 EA 28,000.00 28,000.00 1.0000 0.0000 1.0000 0.00 28,000.00 100.0 150 2" Combination Air Valve Assembly for Water 1.00 EA 16,500.00 16,500.00 1.0000 0.0000 1.0000 0.00 16,500.00 100.0 160 Remove 6" Water Valve 7.00 EA 150.00 1,050.00 8.0000 0.0000 8.0000 0.00 1,200.00 114.3 170 Remove B" Water Valve 6.00 EA 175.00 1,050.00 18.0000 0.0000 18.0000 0.00 3,150.00 300.0 180 Salvage Fire Hydrant 8.00 EA 475.00 3,800.00 8.0000 0.0000 8.0000 0.00 3,800.00 100.0 190 Salvage Water Sampling Station 1.00 EA 300.00 300.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 200 Water Sampling Station 1.00 EA 6,000.00 6,000.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 210 Imported Embedment/Backfill 200.00 CY 35.00 7,000.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 990 Temp Asph Paving Repair (2" HMAC, 6" Flexible Base 12.797.00 LF 28.00 358,316.00 8,543.0000 0.0000 8,543.0000 0.00 239,204.00 66.8 230 Conc Pvmt Repiar with 3" HMAC Overlay 370.00 SY 220.00 81,400.00 293.8200 0.0000 293.8200 0.00 64,640.40 79.4 240 Asphalt Pvmt Repair Beyond Width, Residential 150.00 SY 35.00 5,250.00 45.0000 0.0000 45.0000 0.00 1,575.00 30.0 250 Conc Pvmt Repair, Residential 50.00 SY 195.00 9,750.00 225.3000 0.0000 225.3000 0.00 43,933.50 450.6 260 Remove Concrete Curb & Gutter 500.00 LF 10.00 5,000.00 5,790.3900 0.0000 5,790.3900 0.00 57,903.90 1,158.1 270 7" Concr Curb & 184nch Gutter (Match Existing) t.soo.00 LF 140.00 210,000.00 3,242.0000 0.0000 3,242.0000 0.00 453,880.00 216.1 280 Remove Concrete Driveway 5,000.00 SF 2.00 10,000.00 9,443.4200 0.0000 9,443.4200 0.00 18,886.94 188.9 290 6-inch Concrete Driveway 5,000.00 SF 14.00 70,000.00 9,646.4200 0.0000 9,646.4200 0.00 135,049.88 192.9 300 7-inch Concrete Valley Gutter 160.00 SY 195.00 31,200.00 278.8000 0.0000 278.8000 0.00 54,366.00 174.3 Pay Items which begin with an " include quantities from Change Orders Printed on: 03/26/2024 14:31:31 Page 1 This Pay Estimate Period has not been finalized Jackson Construction, Inc. Pay Estimate Summary Report - Revision: 1 Invoice # RETAINAGE Owner Contractor Invoice Date: 05/09/2023 CITY OF FORT WORTH JACKSON CONSTRUCTION, LTD. Dates Submitted: 02/01/2023 - 02/01/2023 200 TEXAS ST 5112 SUN VALLEY DRIVE Contract # FORT WORTH, TX 76102 FORT WORTH, TX 76119 CONTRACT 2019 WSM-C WATER & SS REPLACEMENT USA USA Job: 3264 Pay Contract Contract Previous Current Quantities Current Amount % Item Description Quantities Unit Unit Price Amount Quantities Quantities to Date Amount to Date Cmplt 310 2-inch Asphalt Pavement Type "D" 31,079.00 SY 12.50 388,487.50 26,127.0000 0.0000 26,127.0000 0.00 326,587.50 84.1 320 Water Valve Box Adjust w/ Collar 18.00 EA 600.00 10,800.00 20.0000 0.0000 20.0000 0.00 12,000.00 111.1 330 Misc Adj - Water Meter Box 24.00 EA 575.00 13,800.00 24.0000 0.0000 24.0000 0.00 13,800.00 100.0 340 Manhole Adjust, Minor w/ Collar 8.00 EA 1,050.00 8,400.00 8.0000 0.0000 8.0000 0.00 8,400.00 100.0 350 Curb Address Painting 49.00 EA 85.00 4,165.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 360 Topsoil 100.00 CY 120.00 12,000.00 169.4000 0.0000 169.4000 0.00 20,328.00 169.4 370 Block Sod Replacement 2,889.00 SY 9.00 26,001.00 980.1000 0.0000 980.1000 0.00 8,820.90 33.9 380 Unclassified Excavation 40.00 CY 75.00 3,000.00 510.0000 0.0000 510.0000 0.00 38,250.00 1,275.0 390 2-inch Surface Milling 2,940.00 SY 4.00 11,760.00 2,540.0000 0.0000 2,540.0000 0.00 10,160.00 86.4 400 10-inch Pavement Pulverization 28,139.00 SY 8.00 225,112.00 23,587.0000 0.0000 23,587.D000 0.00 188,696.00 83.8 410 Cement Modification, 26lbsJsy. (50/50) 366.00 TN 180.00 65,880.00 295.2200 0.0000 295.2200 0.00 53,139.60 80.7 420 Remove Sidewalk 500.00 SF 3.00 1,500.00 614.0000 0.0000 614.0000 0.00 1,842.00 122.8 430 4" Concrete Sidewalk 1,000.00 SF 16.50 16,500.00 1,248.0000 0.0000 1,248.0000 0.00 20,592.00 124.8 440 4" Conc Sidewalk w/ Ret/Curb Wall 500.00 SF 25.00 12,500.00 271.7000 0.0000 271.7000 0.00 6,792.50 54.3 450 Remove ADA Ramp 2.00 EA 300.00 600.00 2.0000 0.0000 2.0000 0.00 600.00 100.0 460 ADA Ramp 2.00 EA 2,900.00 5,800.00 2.0000 0.0000 2.0000 0.00 5,800.00 100.0 470 Temporary Water Services 1.00 LS 105,000.00 105,000.00 1.0000 0.0000 1.0000 0.00 105,000.00 100.0 480 Trench Safety (Water) 5,400.00 LF 1.00 5,400.00 5,320.0000 0.0000 5,320.0000 0.00 5,320.00 98.5 490 Fire Hydrant 8.00 EA 4,800.00 38,400.00 8.0000 0.0000 8.0000 0.00 38,400.00 100.0 500 Conn to Existing 24" Water Main 4.00 EA 15,000.00 60,000.00 4.0000 0.0000 4.0000 0.00 60,000.00 100.0 510 Conn to Existing 4"-12" Water Main 19.00 EA 3,500.00 66,500.00 19.0000 0.0000 19.0000 0.00 66,500.00 100.0 520 Salvage 1" Water Meter 4.00 EA 150.00 600.00 4.0000 0.0000 4.0000 0.00 600.00 100.0 530 1" Water Service, Meter Reconnection 220.00 EA 325.00 71,500.00 237.0000 0.0000 237.0000 0.00 77,025.00 107.7 540 1" Water Service 230.00 EA 1,600.00 368,000.00 244.0000 0.0000 244.0000 0.00 390,400.00 106.1 550 1" Private Water Service 110.00 LF 40.00 4,400.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 560 Salvage 1 1/2" Water Meter 1.00 EA 250.00 250.00 3.0000 0.0000 3.0000 0.00 750.00 300.0 570 1 1/2" Water Service, Meter Reconnection 1.00 EA 425.00 425.00 3.0000 0.0000 3.0000 0.00 1,275.00 300.0 580 11/2"Water Service 1.00 EA 3,900.00 3,900.00 3.0000 0.0000 3.0000 0.00 11,700.00 300.0 590 1 1/2" Private Water Service 5.00 LF 90.00 450.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 600 Salvage 2" Water Meter 2.00 EA 300.00 600.00 2.0000 0.0000 2.0000 0.00 600.00 100.0 610 2" Water service, Meter Reconnection 2.00 EA 525.00 1,050.00 2.0000 0.0000 2.0000 0.00 1,050.00 100.0 Pay Items which begin with an ' include quantities from Change Orders Printed on: 03/26/2024 14:31:31 Page 2 This Pay Estimate Period has not been finalized Jackson Construction, Inc. Pay Estimate Summary Report - Revision: 1 Invoice # RETAINAGE Owner Contractor Invoice Date: 05/09/2023 CITY OF FORT WORTH JACKSON CONSTRUCTION, LTD. Dates Submitted: 02/01/2023 - 02/01/2023 200 TEXAS ST 5112 SUN VALLEY DRIVE Contract # FORT WORTH, TX 76102 FORT WORTH, TX 76119 CONTRACT 2019 WSM-C WATER & SS REPLACEMENT USA USA Job: 3264 Pay Contract Contract Previous Current Quantities Current Amount % Item Description Quantities Unit Unit Price Amount Quantities Quantities to Date Amount to Date Cmplt 620 2" Water Service 2.00 EA 4,400.00 8,800.00 2.0000 0.0000 2.0000 0.00 8,800.00 100.0 630 6" Gate Valve 7.00 EA 950.00 6,650.00 9.0000 0.0000 9.0000 0.00 8,550.00 128.6 640 8" Gate Valve 18.00 EA 1,500.00 27,000.00 18.0000 0.0000 18.0000 0.00 27,000.00 100.0 650 12" Gate Valve 3.00 EA 2,800.00 8,400.00 5.0000 0.0000 5.0000 0.00 14,000.00 166.7 660 24" Gate Valve w/ Vault 4.00 EA 41,500.00 166,000.00 3.0000 0.0000 3.0000 0.00 124,500.00 75.0 670 Remove Speed Cushion 64.00 SY 34.00 2,176.00 64.0000 0.0000 64.0000 0.00 2,176.00 100.0 680 Misc Adj (Irr)($7,000) 1.00 LS 7,000.00 7,000.00 0.0228 0.0000 0.0228 0.00 159.60 2.3 690 Remv & Rep[ 15' Curb Inlet Top 1.00 EA 7,500.00 7,500.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 700 Pavement Markings, Stop Bar 70.00 LF 17.00 1,190.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 710 4" SLD Pavement Marking, HAS (Yellow) 1,320.00 LF 1.25 1,650.00 2,640.0000 0.0000 2,640.0000 0.00 3,300.00 200.0 720 12" Solid Pavement Marking (Cross -walk, White) 80.00 LF 8.00 640.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 730 Traffic Control (Water) 6.00 MO 13,000.00 78,000.00 6.0000 0.0000 6.0000 0.00 78,000.00 100.0 740 SWPPP b 1 acre (Water) 1.00 LS 6,500.00 6,500.00 1.0000 0.0000 1.0000 0.00 6,500.00 100.0 750 Exploratory Excavation of Existing Utilities 4.00 EA 4,500.00 18,000.00 4.0000 0.0000 4.0000 0.00 18,000.00 100.0 760 Construction Surveying (Water) 1.00 LS 4,500.00 4,500.00 1.0000 0.0000 1.0000 0.00 4,500.00 100.0 770 Construction Staking (Water) 1.00 LS 20,000.00 20,000.00 1.0000 0.0000 1.0000 0.00 20,000.00 100.0 *780 Water Allow($100,000) 0.00 LS 100,000.00 0.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *781 WATER ALLOWANCE 35,770.00 EA 1.00 35,770.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 WATER SUBTOTAL 4,302,011.50 0.00 4,156,859.62 96.6 800 8" Sewer Pipe 211.00 LF 90.00 18,990.00 2,511.0000 0.0000 2,511.0000 0.00 225,990.00 1,190.0 810 8" CIPP 189.00 LF 100.00 18,900.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 820 8" DIP Sewer Pipe w/ Protecto 401 Lining 20.00 LF 190.00 3,800.00 20.0000 0.0000 20.0000 0.00 3,800.00 100.0 830 Trench Safety (Sanitary Sewer) 231.00 LF 1.00 231.00 2,531.0000 0.0000 2,531.0000 0.00 2,531.00 1,095.7 840 Pre -CCTV Inspection 420.00 LF 6.00 2,520.00 2,725.0000 0.0000 2,725.0000 0.00 16,350.00 648.8 850 Post -CCTV Inspection 420.00 LF 14.00 5,880.00 2,511.0000 0.0000 2,511.0000 0.00 35,154.00 597.9 860 Service Reconnection, CIPP 1.00 EA 350.00 350.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 870 4" Sewer Service, Reconnection 5.00 EA 2,200.00 11,000.00 65.0000 0.0000 65.0000 0.00 143,000.00 1,300.0 880 4' Manhole 3.00 EA 4,500.00 13,500.00 17.0000 0.0000 17.0000 0.00 76,500.00 566.7 890 Concrete Collar 3.00 EA 1,050.00 3,150.00 17.0000 0.0000 17.0000 0.00 17,850.00 566.7 900 Trench Water Stops 1.00 EA 1,800.00 1,800.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 Pay Items which begin with an * include quantities from Change Orders Printed on: 0312612024 14:31:31 Page 3 ----- This Pay Estimate Period has not been finalized ----- Jackson Construction, Inc. Pay Estimate Summary Report - Revision: 1 Invoice # RETAINAGE Owner Contractor Invoice Date: 05/09/2023 CITY OF FORT WORTH JACKSON CONSTRUCTION, LTD. Dates Submitted: 02/01/2023 - 02/01/2023 200 TEXAS ST 5112 SUN VALLEY DRIVE Contract # FORT WORTH, TX 76102 FORT WORTH, TX 76119 CONTRACT 2019 WSM-C WATER & SS REPLACEMENT USA USA Job: 3264 Pay Contract Contract Previous Current Quantities Current Amount % Item Description Quantities Unit Unit Price Amount Quantities Quantities to Date Amount to Date Cmpit 910 Manhole Vacuum Testing 3.00 EA 325.00 975.00 14.0000 0.0000 14.0000 0.00 4,550.00 466.7 920 8" Sewer Abandonment Plug 2.00 EA 550.00 1,100.00 2.0000 0.0000 2.0000 0.00 1,100.00 100.0 930 Remove 4' Sewer Manhole 2.00 EA 1,100.00 2,200.00 10.0000 0.0000 10.0000 0.00 11,000.00 500.0 940 Remove Storm Junction Structure 1.00 LS 4,200.00 4,200.00 1.0000 0.0000 1.0000 0.00 4,200.00 100.0 950 Temporary Asphalt Paving Repair 200.00 LF 36.00 7,200.00 1,230.0000 0.0000 1,230.0000 0.00 44,280.00 615.0 960 Remove Concrete Curb & Gutter 10.00 LF 10.00 100.00 20.0000 0.0000 20.0000 0.00 200.00 200.0 970 7-inch Concrete Curb and 18-inch Gutter 116.00 LF 140.00 16,240.00 116.0000 0.0000 116.0000 0.00 16,240.00 100.0 980 Remove Concrete Driveway 50.00 SF 2.00 100.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 990 6-inch Concrete Driveway 50.00 SF 14.00 700.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 1000 2-inch Asphalt Pavement Type "D" 111.00 SY 12.50 1,387.50 0.0000 0.0000 0.0000 0.00 0.00 0.0 1010 Topsoil 1.00 CY 120.00 120.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 1020 Block Sod Replacement 67.00 SY 9.00 603.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 1030 10-inch Pavement Pulverization 111.00 SY 8.00 888.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 1040 Cement Modification, 261bsJsy. 1.00 TN 180.00 180.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 1050 6' Storm Junction Box 1.00 EA 13,000.00 13,000.00 1.0000 0.0000 1.0000 0.00 13,000.00 100.0 1060 SWPPP b 1 acre (Sanitary Sewer) 1.00 LS 1,500.00 1,500.00 1.0000 0.0000 1.0000 0.00 1,500.00 100.0 1070 Construction Surveying (Sanitary Sewer) 1.00 LS 1,800.00 1,800.00 1.0000 0.0000 1.0000 0.00 1,800.00 100.0 1080 Construction Staking (Sanitary Sewer) 1.00 LS 2,000.00 2,000.00 1.0000 0.0000 1.0000 0.00 2,000.00 100.0 *1090 SS Allow ($10.000) 0.00 LS 10,000.00 0.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 SEWER SUBTOTAL 134,414.50 0.00 621,045.00 462.0 *1100 24- WATER PIPE -DI PIPE (RESTRAINED JOINT) 308.00 LF 280.24 86,313.92 308.0000 0.0000 308.0000 0.00 86,313.92 100.0 *1110 24" PIPE -DI PIPE (RESTRAINED JOINT) 153.00 LF 653.23 99,944.19 153.0000 0.0000 153.0000 0.00 99,944.19 100.0 *1120 24-WATERPIPE-0( PIPE (RESTRAINED JOINi)-OWERINGNW2rrWLOV` LF 403.00 38,285.00 103.0000 0.0000 103.0000 0.00 41,509.00 108.4 *1130 CUSTOM BLOCKING 24" DI-HES 2.00 EA 19,832.00 39,664.00 2.0000 0.0000 2.0000 0.00 39,664.00 100.0 *1140 ADDITIONAL TEMP WATER (NW 27TWLOVING) 1.00 LS 9,050.00 9,050.00 1.0000 0.0000 1.0000 0.00 9,050.00 100.0 *1150 24" WATER PIPE-DIP -368.00 LF 212.00 -78,016.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1160 24" WATER PIPE -DIP, CSS BACKFILL -153.00 LF 585.00 -89,505.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1170 24" GATE VALVE AND VAULT -1.00 EA 41,500.00 -41,500.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 Pay Items which begin with an * include quantities from Change Orders Printed on: 0312612024 14:31:31 Page 4 This Pay Estimate Period has not been finalized - Jackson Construction, Inc. Pay Estimate Summary Report - Revision: 1 Invoice # RETAINAGE Owner Contractor Invoice Date: 05/09/2023 CITY OF FORT WORTH JACKSON CONSTRUCTION, LTD. Dates Submitted: 02/01/2023 - 02/01/2023 200 TEXAS ST 5112 SUN VALLEY DRIVE Contract # FORT WORTH, TX 76102 FORT WORTH, TX 76119 CONTRACT 2019 WSM-C WATER & SS REPLACEMENT USA USA Job: 3264 CO #1 64,236.11 0.00 276,481.11 430.4 *1180 8" SEWER PIPE 2,315.00 LF 90.00 208,350.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1190 TRENCH SAFETY(SANITARY SEWER) 2,315.00 LF 1.00 2,315.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1200 PRE -CCTV INSPECTION 2,315.00 LF 6.00 13,890.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1210 POST -CCTV INSPECTION 2,315.00 LF 14.00 32,410.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1990 4' SEWER SERVICE, RECONNECTION 68.00 EA 2,200.00 149,600.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1230 4' MANHOLE 15.00 EA 4,500.00 67,500.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1240 CONCRETE COLLAR 15.00 EA 1,050.00 15,750.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1250 MANHOLE VACUUM TESTING 15.00 EA 325.00 4,875.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1260 REMOVE 4'SEWER MANHOLE 10.00 EA 1,100.00 11,000.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1270 TEMP ASPHLT PAVING REPAIR 2,305.00 LF 36.00 82,980.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1280 ADDITION SWPPP (SEWER) 1.00 LS 1,350.00 1,350.00 1.0000 0.0000 1.0000 0.00 1,350.00 100.0 *1290 ADDITIONAL CONSTRUCTION SURVEYING (SEWER) 1.00 LS 900.00 900.00 1.0000 0.0000 1.0000 0.00 900.00 100.0 *1300 ADDITIONAL CONSTRUCTION STAKING (SEWER) 1.00 LS 3,815.00 3,815.00 1.0000 0.0000 1.0000 0.00 3,815.00 100.0 *1310 CONC ENCASEMENT 40.00 LF 127.00 5,080.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1320 REMOVE SIDEWALK 1,200.00 SF 3.00 3,600.00 912.0000 0.0000 912.0000 0.00 2,736.00 76.0 *1330 4" CONC SIDEWALK 6,173.00 SF 16.50 101,854.50 4,998.5000 0.0000 4,998.5000 0.00 82,475.25 81.0 *1340 4'CONCSIDEWALK W/RETAIWCURBWALL 1,860.00 SF 25.00 46,500.00 1,860.0000 0.0000 1,860.0000 0.00 46,500.00 100.0 *1350 REMOVE ADA RAMP 3.00 EA 300.00 900.00 3.0000 0.0000 3.0000 0.00 900.00 100.0 *1355 ADA RAMP 16.00 EA 2,900.00 46,400.00 13.0000 0.0000 13.0000 0.00 37,700.00 81.3 *1360 REMOVE CONC DRIVEWAY 1,300.00 SF 2.00 2,600.00 1,170.0000 0.0000 1,170.0000 0.00 2,340.00 90.0 *1370 6" CONC DRIVEWAY 2,112.00 SF 14.00 29,568.00 3,231.5800 0.0000 3,231.5800 0.00 45,242.12 153.0 *1380 TOPSOIL 10.00 CY 120.00 1,200.00 10.0000 0.0000 10.0000 0.00 1,200.00 100.0 *1390 BLOCK SOD REPLACEMENT 2,000.00 SY 9.00 18,000.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1400 MISC ADJ SPRINKLER SYSTEMS 1.00 LS 10,000.00 10,000.00 1.0000 0.0000 1.0000 0.00 10,000.00 100.0 *1410 REMV CONC CURB & GUTTER 100.00 LF 10.00 1,000.00 100.0000 0.0000 100.0000 0.00 1,000.00 100.0 *1420 ADDITIONAL STAKING: SIDEWALK, RAMPS 1.00 LS 3,321.00 3,321.00 1.0000 0.0000 1.0000 0.00 3,321.00 100.0 CO #2 864,758.50 0.00 239,479.37 27.7 *1430 RELAY M-161 W/ DIP 1.00 LS 24,415.00 24,415.00 1.0000 0.0000 1.0000 0.00 24,415.00 100.0 Pay Items which begin with an * include quantities from Change Orders Printed on: 03/26/2024 14:31:32 Page 5 ----- This Pay Estimate Period has not been finalized ----- Jackson Construction, Inc. Pay Estimate Summary Report - Revision: 1 Invoice # RETAINAGE Owner Contractor Invoice Date: 05/09/2023 CITY OF FORT WORTH JACKSON CONSTRUCTION, LTD. Dates Submitted: 02/01/2023 - 02/01/2023 200 TEXAS ST 5112 SUN VALLEY DRIVE Contract # FORT WORTH, TX 76102 FORT WORTH, TX 76119 CONTRACT 2019 WSM-C WATER & SS REPLACEMENT USA USA Job: 3264 CO #3 24,415.00 0.00 24,415.00 100.0 *1450 IMPORT EMBEDMENT/BACKFILLCWM 357.00 CY 135.00 48,195.00 357.0000 0.0000 357.0000 0.00 48,195.00 100.0 1475 7' CONC CURB & 18' GUTTER (SUNSET FULL REPL) 0.00 LF 77.75 0.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1480 7" C&G SUNSET AVE (W) 649.03 LF 77.75 50,462.08 649.0300 0.0000 649.0300 0.00 50,462.08 100.0 *1490 7" C&G SUNSET AVE (S) 1,241.20 LF 77.75 96,503.30 1,241.2000 0.0000 1,241.2000 0.00 96,503.30 100.0 *1495 7- C&G SUNSET AVE (P) 395.77 LF 77.75 30,771.12 395.7700 0.0000 395.7700 0.00 30,771.12 100.0 *1500 8" CIPP -189.00 LF 100.00 -18,900.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1510 POST -CCTV INSPECTION -224.00 LF 14.00 -3,136.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1520 a' SEWER SERVICE, RECONNECTION -8.00 EA 2,200.00 -17,600.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1530 4' MANHOLE -1.00 EA 4,500.00 -4,500.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1540 TEMP ASPHALT PAVING REPAIR -1,275.00 LF 36.00 -45,900.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1550 2" ASPHALT PVMT TY D -111.00 SY 12.50 -1,387.50 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1560 CONC ENCASEMENT -40.00 LF 127.00 -5,080.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1570 4" CONIC SIDEWALK -1,174.00 SF 16.50 -19,371.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1580 INSTALL ADA RAMP -3.00 EA 2,900.00 -8,700.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 *1590 BLOCK SOD REPLACEMENT -300.00 SY 9.00 -2,700.00 0.0000 0.0000 0.0000 0.00 0.00 0.0 CO #4 98,657.00 0.00 225,931.50 229.0 Totals: Approved By: Owner Approved By: Contractor Approved By: 5,488,492.61 Original Contract Amount Change Order Amount Total Contract ($) Work Completed to Date Stored Material Total Complete/Stored/Pending ($) Less Retainage Total [Less Retainage] ($) Adjustments Less Previously Paid Amount Due This Request ($) 0.00 5,544,211.60 101.0 4,510,656.00 977,836.61 5,488,492.61 5,544,211.60 0.00 5,544,211.60 0.00 5,544,211.60 0.00 4,985,132.39 559,079.21 Pay Items which begin with an * include quantities from Change Orders Printed on: 03/26/2024 14:31:32 Page 6 FORTWORTH ry 0J05/07 WATER ENGINEERING & FISCAL SERVICES FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:24 NAME Of PROJECT: Water and San itatry Sewer Replacement Contrttcl 2019 WSM-C PROJECT NO.: 102170 CONTRACTOR: Jackson Construction CITY PROJECT 54517 PERIOD FROM:04/30/23 TO: 02/15/24 FINAL INSPECTION DATE: 4/7/2023 WORK ORDER EFFECTIVE: 11/30/2020 CONTRACT TIME: 700 Q WDQQ CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10, 25. 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. SAT, SUN, RAIN, TOO WET, UTILITIES OTHERS* DAYS TOTAL & HOLIDAYS & TOO COLD RELOCATIONS CHARGED DAYS THIS`j PERIOD PREVIOUS PERIOD TOTALS TO DATE *REMARI(S: No LD's are charged on this project ONTRACTOR QA TE --71`NSPBCTOR DATE Capital Projects Delivery, Water Departtnent The City of Fort \Vorth • 2001'exas Street • Fort \\north, Tl 76012-6311 (817) 392 - 4477 • Fax: (817) 392 - 8,160 �� y City of Fort Worth Inspector's Estimate Worksheat City Project Numbers 102170 Contract Name Water and Sanitary Sewer Replacement Contract 201 DOE Number 0027 Contract Limits: Council Districts 2. & 7 Estimate Number 23 Project Type Water Payment Number 23 Control Number 002701 For Period Ending _ Contract: 64517 Contract Time 700 CD Contract Dale: 8/11/2020 Days Charged to Date CD Inspectors Johnson / Reed Contract is % Complete Dale Prepared by Inspector / / . -------------------------------------- Construction ID: 13642 Item Description of Items Estimated Lint Unit Cost Previous Quanity Completed Total Cost No, Qunnity Quanity for Month Quanlly --------------------------------------- Unit I Water Improvements 48 Trench Safety (Water) 5400 LF $1.00 6320 �C 5 a0' 49 Fire Hydrant 8 EA $4,800.00 8 50 Connection to Existing 24" Water 4 EA $16,000.00 4 Mal 51 Connection to Existing 4"-12" 19 EA $3,500.00 19 Water 62 Salvage 1" Water Meter 4 EA $150.00 4 53 1" Water Service, Meter 220 EA $325.00 237 /�3 Reconnection 54 1" Water Service 230 EA $1.600.00 244 O jA /Aqq 55 1" Private Water Service 110 LF $4o.o0 66 Salvage 1 1/2" Water Meter 1 EA $260.00 3 57 1 1 /2" Water Service, Meter 1 EA $426.00 3 2 3 Reconnec < 58 1 1/2" Water Service 1 EA $3,900.00 3 —3 ✓ F 59 1 1/2" Private Water Service 6 LF $90.00 _ _ c 60 Salvage 2" Water Motor 2 EA $300.00 2 61 2" Water Service, Meter 2 EA $626.00 2 Reconnectlon 62 2" Water Service 2 EA $4,400.00 2 � 63 6" Gale Valve 7 EA $950.00 9 64 8" Gate Valve 16 EA $1,500.00 18 Wednesday, Fobruary 21, 2024 Page 1 City of Fort Worth Inspector's Estimate Worksheet City Project Nugibers 102170 Contract Name Water and Sanitary Sewer Replacement Contract 201 DOE Number 0027 Contract Limits: Council Dlptricts 2 & 7 Estimate Number 23 Project Type Water Payment Number 23 65 12" Gate Valve 3 EA $2,800.00 5 66 24" Gate Valve w/ Vault (CON1) 4 FA $41,600.00 2 67 Remove Speed Cushion 64 SY $34.00 64 _ 1 68 Miscellaneous Adjustments - 1 LS $7,000.00 0.9772 0 Sprinkle 69 Remove and Replete 15-Ft. Curb 1 EA $7,600.00 Inlet 70 Pavement Markings, Stop Bar 70 LF $17.00 j� 71 4-Inch SLID Pavement Marking, 1320 LF $1.25 2640HAS (Ye 72 12-Inch Solid Pavement Marking 80 LF $8.00 / (Cros y/ 73 Traffic Control (Water) 6 MO $13,000.00 6 74 SWPPP Z 1 acre (Water) 1 LS $6,500.00 1 �- 75 Exploratory Excavation of Existing 4 EA $4,600.00 4 U 76 Construction Surveying (Water) 1 LS $4,500.00 77 Construction Staking (Water) 1 LS $20,000.00 1 78 Water Construction Allowance 0.36 LS 100,000.00 / (CON1) '1A 24" Water Pipe - Ductile Iron Pipe 2257 LF $212.00 2259 h�� (CON1) aa6 t 2A 24" Water Pipe - Dudlle Iron 62 LF $685.00 0 � Plpe,(CSS) (CON1) '3A Ductile Iron Water Fittings w/ Restr 2 TO $11,500.00 2 Z �'' 4 Cathodic Protection 1 LS $95,000.00 1 /✓_ 6 12" Water Pipe 2555 LF $90.00 2600 ✓/,�G� 6 12" Water Pipe, CSS Backfill 155 LF $350.00 48 7 8" Water Plpe 6554 LF $66.00 5708 5 706 6 8" Water Carrier Pipe 82 LF $165.00 40 40 J, 4,ln 9 6" Water Pipe 118 LF $100.00 124 1 a v ,awl Wednesday, Fobruary 21, 2024 page 2 City of Fort Worth Inspector's Estimate Workshoot City Project Nuenbers 102170 Contract Name Water and Sanitary Sewer Replacement Contract 201 DOE Number 0027 Contract Umlts; Council D15tricls 2 & 7 Estimate Number 23 Project Type Water Payment Number 23 10 24" Casing By Other Than Open Cut 02 LF $556.00 11 8" Ring Connection 1 EA $12,600.00 1 12 Ductile Iron Water Fittings w/ Reslr 2 TO $9,500,00 2'✓ 13 8" Blow Off Valve 1 EA $27,000.00 1 14 3" Combination Air Valve 1 EA $28,000.00 1 I Assembly fo f 16 2" Combination Air Valve 1 EA $16,600.00 1 ✓ Assembly fo ` I 16 Remove 6" Water Valve 7 EA $160.00 8 17 Remove 8" Water Valve 6 EA $175.00 7 �$ 18 Salvage Fire Hydrant 8 EA $476,00 8 g_ 19 Salvage Water Sampling Station 1 EA $300.00.,,// / 20 Water Sampling Station 1 EA $6,000.00 /71 21 Imported Embedment/Backflll 200 CY $35.00j�//` 22 Temporary Asphalt Paving Repair 12797 LF $28.00 8543 �� (2" 23 Conc Pvmt Repair, Residential 370 SY $220.00 293.82 hQ�en d w/3" H 24 Asphalt Pvml Repair Beyond 160 SY $35.00 45 Defined W 26 Conc Pvmt Repair, fbesldential 50 SY $195.00 225.333 26 Remove Concrete Curb & Gutter 500 LF $10.00 5790.39 d /q�57 27 7-Inch Concrete Curb and 18-inch 1500 LF $140.00 3358a Gut 28 Remove Concrete Driveway 5000 SF $2.00 9443.42 q�,� �� 29 6-Inch Concrete Driveway 6000 SF $14.00 9846.42 y2 y q2 30 7-Inch Concrete Valley Gutter 160 SY $195.00 278.8 p]Q.g � 31 Asphalt Pavement Type "D" 33619 SY $12.50 28127 7 �. (CO#5) (COM 32 Water Valve Box Adjust w/Collar 18 EA $600,00 20 Wednesday, Febmary 21, 2021 Page 3 City of Fort Worth Inspector's Estimate Workshoet oily Project Numbers 102170 Contract Name Water and Sanitary Sewer Replacement Contract 201 DOE Number 0027 Contract Limits: Council Districts 2 & 7 Estimate Number 23 Project Type Water Payment Number 23 33 Miscellaneous Adjustments - 24 EA $576.00 24 Water Me 04 34 Manhole Adjust, Minor w/ Collar 8 EA $1,050.00 8 35 Curb Address Painting 49 EA $85.00 _ 36 Topsoil 100 CY $120,00 169.4 37 Block Sod Replacement 2889 SY $9.00 980.1Q,1 38 Unclassified Excavation (CO415) 273.1 CY $75.00 410 orb 39 2-Inch Surface Milling 2940 SY $4.00 2540 a5� 40 10-Inch Pavement Pulverization 28139 SY $6.00 23587 41 Cement Modilicallon, 26ibs,/sy. 366 TN $180.00 295.22 �1B 42 Remove Sidewalk 500 SF $3,00 614 43 4-Inch Concrete Sidewalk 1000 SF $16.50 1248 ,a$ 44 4-Inch Concrete Sidewalk with 500 SF $26.00 271.7 Retain C971 1V� �J 45 Remove ADA Ramp 2 EA $300.00 2 �J a 46 ADA Ramp 2 EA $2,900.00 2 47 Temporary Water Services 1 LS 105,000.00 1 L �_ 79 24" Water Plpo-DI Pipe Restrained 308 LF $260.24 308 Jolnt(COff1) s 6e 80 24" Plpe-DI Restrained Joint 153 LF $653.23 153 w/CSS (Cool) 53 /.S3 81 24" Water Pipe -DI Restrained Joint Lowering NW 27th' 95 LF $403,00 103 82 Custom Blocking for 24" DI w/High 2 FA $19,832.00 2 Early cone, (CO#1) 83 Additional Templmry Water NW Loving 1 LS $9,050.00 1 271h/ (CO#1) 84 7-Inch Curb and Gutter Sunset 649.03 LF $77.75 Ave. (CO#4) 86 Import Embedmengt/Backliuli CLSM (COff4) 357 CY $135.00 �1 Wednesday, February 21, 2024 Page 4 City of Fort Worth Inspector's Estimate Workshoot City Project Numbers 102170 Contract Name Water and Sanitary Sewer Replacement Contract 201 DOE Number 0027 Contract Limits: Council Districts 2 & 7 Estimate Number 23 Project Type Water Payment Number 23 — — — — — — — — — — — — — �stimnted Total This Unit — — — — — $4,555,867.19 — — — — — — — — — — — — — — — — — — — — Completed Total This Unit $4,400,836.53 Construction ID 13643 — — Item Description of Items Estimated Unl Unit Cost Previous Quanity Completed Total Cost No. Quanity Quanlly for Month Quanity Unit II Sanitary Sewer Improvements — — 1 8" Sewer Pipe CO#2 2526 LF $90.00 2511 5 1 J 2 8" CIPP (00#4) 0 LF $100.00 (✓� 3 DIP Sewer Pipe wl Prolecto 401 20 LF $190.00 20 LI oG U 4 Trench Safety (Sanitary Sewer) 2546 LF $1.00 2631 CO#2 I� 5 Pro -CCTV Inspectlon CO#2 2735 LF $6.00 2725 12 %�,5 6 Post -CCTV Inspection CO#2 2511 LF $14.00 2511✓ (CO#4) 7 Service Reconnection, CIPP 1 EA $350.00 /� ✓_ 8 4" Sewer Service, Reconnection 65 EA $2,200.00 65 ✓ )CO#2) (CO#4) �,� % 9 4' Manhole C092 (C01M) 17 FA $4,500.00 17 10 Concrete Collar COW 18 EA $1,050.00 17 I % 'V 1%7-- 11 Trench Water Stops 1 FA $1,800.00—t-- 12 Manhole Vacuum Tesling CO#2 18 EA $325.00 14 �"_ ✓ �% 13 8" Sewer Abandonment Plug 2 EA $550.00 2 14 Remove 4' Sewer Manhole CO#2 12 FA $1,100.00 10 I jf 15 Remove Storm Junction Structure 1 LS $4,200.00 1 16 Temporary Asphalt Paving Repair (2") CO#2 (CO#4) 1230 LF $36.00 1230 17 Remove Concrete Curb & Gutter 10 LF $10.00 20 Wednesday, February 21, 2024 Page 6 City of Fort Worth Inspector's Estimate Workshoot City Project Numbers 102170 Contract Name Water and Sanitary Sewer Replacement Contract 201 DOE Number 0027 Contract Limits: Council Districts 2 & 7 Estimate Number 24 Project Type Sewer Payment Number 24 18 7--utnoh Concrete Curb and 18-Inch 116 LF $140.00 116 G //�/ 19 Remove Concrete Driveway 60 SF $2.00 0� 20 6-inch Concrete Driveway 60 SF $14.00 0✓ 21 2-Inch Asphalt Pavement Type "D" 0 SY $12.60 0 (CO#4) 22 Topsoil 1 CY $120.00 01:Z 23 Block Sod Replacement 67 SY $9.00 0 24 104nch Pavement Pulverization 111 SY $8.00 0 —J//)�`—✓ �� 25 Cement Modification, 26lbs.tsy. 1 TN $180.00 0 — i�- 26 6' Storm Junction Box 1 EA $13,000.00 1 27 SWPPP z 1 acre (Sanitary Sewer) 1 LS $1,600.00 1 — 28 Conetructlon Surveyh q (Sanitary 1 LS $1,800.00 1 T Sew) 29 Construction Staking (Sanitary 1 LS $2,000.00 1 Sewer) 30 Sanitary Sewer Construction 0 LS $10,000.00 A( ^ Allowanc 31 Addltonal SWPPP C0112 1 LS $1,360.00 1 32 Additional Construction Survey 1 LS $900.00 1 CO#2 _�I �- 33 Additional Construction Staking 1 LS $3,815.00 1 CO#2 �•/ V 34 Concrete Encasement CO#2 0 LF $127,00 0/ (CO#4) V 35 Re -lay M-161 with DIP (w/protecto 1 LS $24,415.00 1 401) from 3+0010 4+20 f Incl.services 86 7-inch Concrete Cub & Gutter 1241 LF $77.75 Sunset Ave, (GO114) Wednesday, februnry2l, 2024 page 6 City of Fort Worth Inspector's Estimate Workshoet City Project Numbers 102170 Contract Name Water and Sanitary Sewer Replacement Contract 201 DOE Number 0027 Contract Limits: Council Districts 2 & 7 Estimate Number 24 Project Type Sewer Payment Number 24 -------------------------------------- �,stimated Total This Unit $758,628.75 Completed Total This Unit $651,525.00 -----------------------------.--------- Conslrucllon ID: 13941 Item Description of Items Estimated Unl Unit Cost Previous Quanlly Completed Total Cost No. Quanily Quanity for Month Quanity -------------------------------------- Unit III Paving Improvements 1 Remove Sidewalk 1200 SF $3.00 912 2 4-Inch Concrete Sidewalk (COtt4) 4999 SF $16.50 4990.5 Q 3 4-Inch Concrete Sidawalk wllh 1860 SF $26.00 1860 ray, i Retain Jijw 4 Remove ADA Ramp 3 EA $300.00 3 '6 l� 2 6 Install ADA Ramp (CO14) 13 EA $2,900.00 13 6 Remove Concrete Driveway 1300 SF $2.00 1170 —I t �(�►—� /! i�6 7 6-Inch Concrete Driveway 2112 SF $14.00 3231 3L�3ff ,zl-;1,sl 6 Topsoil 10 CY $120.00 10 - I 10 9 Block Sod Replacement (CO/4) 1700 SY $9.00 r f i 10 Miscellaneous Adjustments- 1 LS $10,000.00 1 / Sprinkler 11 Remove Concrete Curb and Gutter 100 LF $10.00 100 12 Additional Staking Sidewalk, 1 LS $3.321.00 1 Ramps t 13 7-Inch Concrete Curb & Gutter 395.77 LF $77.76 Sunset Ave, (CO#4) — — — — — — — — — — — — — 7stimnted Total This Unit — — — — — $264,943.62 — — — — — — — — — — — — — — — --- — — — Completed Total This Unit $233,406.25 Wednesday, February 21, 202P Page 7 My of Fort Worth Inspector's Estimate Worksheat City Project Numbers 102170 Contract Name Water And Sanllary Sewer Replacement Contract 201 DOE Number 0027 Contract Limits: Council Dbtdcts 2 & 7 Estimate Number 24 ProjeclType Paving payment Number 24 —� Total Itemized Amount (Including Change Order DATE ./ %t!'' Total Cost of Work Completed Inspector Less! Retained ...�—. NotEamBd.; Gd Previous Payment �,'��J.��•�� Material on Hand 16% Balance Due This Paymen' Wednesday, Febru5ry21, 2024 Pape 8 City Project Numbers 102170 DOE Number 0027 Contract Nome Mier and Snnllory Sower RopinccmcnlConlrac12019,WSM-C EstinlnloNumba' 24 Conti -net Limits Council Dislrlcls 2 & 7 Poymarl Number 24 ProjectType Paving For Period Ending 1/15/2024 Project Funding Contract Information Sununary Original Contract Amount Chauee Orders ChnngeOrder Number 1 $6.11 ChnugeOrder Number 2 3599,815.00 ChnigeOrder Number 3 .$14,415.00 Chnnge Order Number 2 $264,943.50 Chnnge Order Number 4 $98,657,08 ChnngeOrder Number 4 ($0,20) Chnnge Order Number 4 $0.12 Charge Order Number 5 $90,732.50 TolnlConirrictPrice $5,579,225.87 4 d*0WV Total Cost of Work Completed $5,544,211.60 actor Less 0 % Rclnlned $0.00 �� Date o2'"PC%y No( Enrned $5,544,211.60 Irrspcclton Supervisor Enmed'1'dis Period S296,703.87 RelnlnngeThlsPorlod $0.00 Dgj, Q Zy Less Uriuldnted Damages Pr ��ulylh DnysQ /Dyy $0.00 $0.00 LessPovement Defrclenc As . DlteclorgfVt Less Penally $0.00 Dole Less Previous Payment $4,985,132.34 Director/ Contracting Depedmonl Plus Mnterinl on Hnnd Less 15% $0.00 DnlmueDue This Pnymont $559,079.26' Monday, pcbnmry26, 2024 Pogo 7 of CSC No. 54517-005 F0_ R_ n City ofFort Worth Change Order Request Project Name: I Water & Sanitary Sewer Replacement Contract 2019, WSM-C Cily Sec No.: 1 54517 Project No.(s):1 58601.06M430001700, 59607-0700430-001780 NTP I N/A City Proj, No.:l 102170 Water/Sewer replacements and pavement rehabilitation on NW 271h St., Azle Ave., Columbus Ave., Westwood Ave., Sunset Project Description: I Ln„ and Loving Ave. Contractor: Jackson Construction, Ltd. Change Orderfl 5 Date: 1211912023 City Project Mgr.1 Pratima Poudyal City Inspector: I Jesse Reed Phone Number:l 817-392.6149 Phone Number: 817-392.8362 Dept. Unit III Contract Time Unit I Water Unit II Sewer Pavement Totals (Calendar days) Original Contract Amount I $4,366,241.50 $144,414.50 $0.00 $4,510,656.00 500 Extras to Date $98,603.19 $614,230.00 $264,943.62 $977,836.81 175 { Credits to Date $0.20 $0.20 1 Pending Change Orders (in M&C Process) Contract Cost to Date $4 464,904.69 $7581644.30 $264,943.62 $5 408,492.61 675 40,732.50 0 Amount of Proposed Change Order $90,732.50 $0.00 $0.00 Revised Contract Amount $4,555,637.19 $758,644.30 $264,943.62 $5,579,225.11 675 Original Funds Available for Change Orders $130,987.50 $14,441.00 $0.00 $145,428.50 Remaining Funds Available for this CO $32,324.31 $0.00 $0.00 $32,324.31 Additional Funding (if necessary) I $58,408.19 $58,408.19 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1 23.69% MAXALLOWADLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST+ 2596) 1$6,638,320.00 '�► JUSTIFICATION (REASONS);FOR.CHANGE ORDER Change Order No. 6 provides for the followings In order to close out Ilse project: • 2-Inch Asphalt Pavement Type'D" Unclassified Excavation 24' Gate Valve wl Vault It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment In full (both time and money) for all costs arising out of, or incidental to, the above Change Order. Cohiraeloils,:Co' I�� 11MI,"o�n1ract ;SI nature il: •Date ,Jackson6onslruc on, armen s Iriapecjg � - �— 0'7 }. iJildurul,tV,V�lilull�lidl T, S , Jan 11, 2024 — API Jan 12,2024 Jan 13, 2024 wll�,lilr LCif..iriiJu�rll ililY�■i■4 jJLi�,.Yddi i &uf1c1lrA011an (If'Required)'. I M&C Number NIA I M&C Date Approved NIA 1 FORT WORTH City of Fort Worth Change Order Additions Project Name ' Water & Sanitary Sewer Replacement Contract 2019, WSM-C i City Sec No.: ' 64517 Project No.(s): ' 69601-0600430-001780, 69607-0700430-001780 DOE No.1 N/A City Pro]. No.: 102170 Project Water/Sewer replacements and pavement rehabilitation on NW 27ih St., Azle Ave., Columbus Ave., Westwood Ave., Sunset j Description Ln„ and Loving Ave. J Contractor Jackson Construction, Ltd, Change Order: 6 Date: 1 12/19/2023 City Project Mgr. Pralima Poudyal City inspector I Jesse Reed ADDITIONS REM uksutttNl tutu DEPT Qty Unit Unit 0ost ! Total 1 31 2-inch Asphalt Pavement Type "D" Unit I Water 2,540.00 SY $12.50 I i $31,750.00 38 / Unclassified Excavation JUnIt I Water 233.10 CY $75.00 $17,482.50 66 24" Gate Valve w/ Vault (Unit I Water 1.00 EA $41,600.00 $41,500.00 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 II I I I I I I I Unit I Water _$90,732,50 Unit II Sewer Unit III Pavement Additions Sub Total $90,732,50 Page 1 of 9 FORT WORTH City of Fort Worth Change Order Deletions Project Name I Water & Sanitary Sewer Replacement Contract 2019, WSM-C I City Sec No.: 54517 Project No.(s): 59601-0600430-001780, 59607-0700430-001780 JOE No. I N/A I City Proj. No.: 102170 Project Description I Water/Sewer replacements and pavement rehabilitation on NW 27th St., Azle Ave., Columbus Ave., Westwood Ave., Sunset Ln„ and Loving Ave, Contractor I Jackson Construction, Ltd. Change Order: Dale I 12/19/2023 City Project Mgr. Pralima Poudyal City Inspector: I Jesse Reed DELETIONS ITEM 'DESCRIPTION DEPT Qty Unit Unit Cost Total 11 Unit I Water Unit II Sewer Unit III Pavement Deletions Sub Total Page 2 of 3 WIMBE 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 3 of 3 1/11/2024 CSC:54517 CPN:102170 Water & Sanitary Sewer Replacement Contract 2019, WSM-C Change Order 5 Notes Staff has reviewed the requested prices and considers them to be fair and reasonable. .Contract Compliance Manager By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Signature Pratima Poudyal, P.E. Name of Employee Project Manager Title ATTEST: �p `� �� rlll-� % .�Stexs� Jannette Goodall City Secretary FORTWORTH. February 26, 2024 Jackson Construction, Ltd. 5112 Sun Valley Dr. Fort Worth, `IX 76119 Re: Acceptance Letter Project- Name: Water and Sanitary Sewer Replacement Contract 2019, WSMC Project Type: Water/ Sewer/Paving Project Ns: 102170 DOE. Ns: 0027 Contract Ns: 54517 Gentleman: Dated: 2/26/2024 On April 05, 2023 a final inspection was made on the subject project. There were punch list items identified at the time. The punch list items were completed on April 07, 2023. The final inspection and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on April 07, 2025, -,vluch is the date of punch list completion and will extend for (2) years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance, please feel free to contact me at (817) 392-6054 Yours Truly, S J 0 16 Tony Sholola, P.E., Assistant Director, Water Department TS / cc: Chris Harder, P.E., Director, Water Department Laura Wilson, P.E., Deputy Director, Water Department Captain Michael Skains, Fire Department Luke Coffman, Sanitary Sewer Systems Superintendent, Water Department Cesar Zavala, Water Systems Superintendent, Water Department Pratima Poudyal PE, Project Manager, Water Department Capital Projects Delivery David R Johnson, Inspection Supervisor, Water Department Capital Projects Delivery Jesse Reed, Inspector, Water Department Capital Projects Delivery , Consultant Jackson Comstruction, Ltd, Contractor File Fort Worth wi-amcacia WATER DEPARTMENT 1�e' THE Q-ry oP FORT WORTH * 200 TEXAS STREET * FoRT WORTH, TEXAS 76102 1J 817-392-8240 * FAx 817-392-8195 1964 • 1993 •2011 _r Prbiled on recycled paper FoRTWORTH Capital Projects; Delivery, Water Department PERFORMANCE EVALUATION OF CONTRACTOR REV: 02/20/07 1) CONTRACTOR & PROJECT DATA Nome ojCadroctor Project Name jackson Construction Water & SS Replacement Contract 2019 WSM-C Mazer Gngtneertng /aspeclor DOG Number Jesse Reed 27 Water Engineering Inspector Project Manager 0 Water ❑J Waste Water ❑ Storm Drainage Q Pavement Pratitlla Poudyal lnitlat Contract Amootl Project D((/Icully $4,510,656.00 O Simple QQ Routine p Complex Final Conattcl drnounl Dale $5,488,492.61 2/26/2024 II) PERFORMANCE EVALUATION 10 - Inadequalc I - Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT (x) APPLICABLE (Y/ N) RATING (0 - 4) MAX SCORE SCORE Submission of Documents 2 Y 3 8 6 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 �4 Field Supervision 15 Y 3 60 45 5 Work Pcrfomted 15 Y 3 60 45 16 Finished Product 15 Y 4 60 60 17 Job Site Safety 15 Y 3 60 45 18 Traffic Control Maintenance 15 Y 4 60 60 9 Daily Clean Up 5 Y 4 20 20 10 Citizen's Complaint Resolution 5 Y 4 20 20 11 Properly Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE (A) 401 BONUS POINT'S (25 Maximum) (B) -LOYAL SCORE (1'S) 401 III) CONTRACTOR'S RATING Maximum Score (MS) = 448 or sum of applicable element score maximums which = 448 Rating ( ITS / MSj * 100%) 401 1448 90% Performance Category Excellent <20% = La deguate 20% to <40% = Denclent 40% to <60% = Standard 60% to <80% = Good 2!80% = G-•cellew Inspector's Comments (INCLUDING EXPLANATION OF BONUS POINTS AWARDED) A, Signature Inspector_ Signature Contractor Signature Inspector's Supervisor CONTRACTOR'S COMMENTS Capital Projects Delivery, Wetcr Department The City of Fort Worth - 1000 Throckmorton Street • Fort \Y/ortlt, ,1,K 76012-6311 (817) 392 - 4477 • Fax: (817) 392 - 8460 PROJECT NAME: PROJECT NUMBER: DOE NUMBER: PIPE LAID Water WATER WATER WATER FIRE HYDRANTS: 8 PIPE ABANDONED DENSITIES: NEW SERVICES: PIPE LAID SEWER PIPE ABANDONED DENSITIES: NEW SERVICES: FORTWORTH WATER ENGINEERING & FISCAL SERVICES PIPE REPORT FOR: Water & Sanitary Sewwer Replacement Contract 2019 WSM-C 102170 WATER SIZE TYPE OF PIPE LF 24" DI 12" PVC 8" PVC 6:00 PVE VALVES (16" OR LARGER) 3 SIZE TYPE OF PIPE LF SEWER SIZE TYPE OF PIPE LF 8:00 PVC SIZE TYPE OF PIPE LF WATER ENGINEERING & FISCAL SERVICES The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 4477 • Fax: (817) 392 - 8460 2257 2555 5554 118 2526 CONSENT OF SURETY TO FINAL PAYMENT ALADocunaent G707 Bond No. 1068095 TO OWNER: (A'ame and addrov) City of Fort Worth 200 Texas St. Fort Worth, TX 76102 PROJECT: (Hanleand rldrbtnV OWNRR ARCHITIRCT CONTRACTOR SUREW OT'HrR ARCHITECT'S PROJECT NO.: CONTTtAGf FOR: CONTRACT DATED: August 12, 2020 Water and Sanitary Sewer Replacement Contract 2019, WSM-C, City Project No. 102170 In accordance with the provisions of the Contract between die Owner and the Contractor as Indicated above, the Onsea nanwand acldmn oJSinvi ) The Hanover Insurance Company 440 Lincoln Street Worcester, MA 01653 on bond of pnarnnnulrand adrbresgfConlraau ) , SURF,TX, Jackson Construction, Ltd. 5112 Sun Valley Drive Fort Worth, TX 76119 CON'I'RA,CTOR, hereby approves of the final payment to the Connictor, and agrees that final payment to the Contractor shall not relieve the Surety of any of Its obligations to puw+t uaolomuludrbx.aojolener) City of Fort Worth 200 Texas St. Fort Worth, TX 76102 as set forth In said Surety's bond. , OWNER, IN WITNESS WHI30017, the Surety has hereunto set Its hand on this date: May 11, 2023 (l+uWrl 0+ J+4fr11g /)x nrauL jollourtl hp rtx Inurturlc dart• rn7rJ te•nr,) Attest:Lj (sea)): ---`, The Hanover Insurance Company By. JJXgjralulY'OJatrflJOly !!Jt'fnY#'!7/l/title) Holly Clevenger Attorney -in -Fact (rdweel Nana and ritty) G707••--1994 THE HANOVER INSURANCE COMPANY MASSACHUSETTS DAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWER OF A TTORNE Y THIS Power of Attornoy limits the acts of those named heroln, and they have no authority to bind the Company except In the manner and to the extent herein stated. KNOW ALL PERSONS BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANYand MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations organized and existing under the laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a corporation organized and existing under the laws of the Stale of Michigan. (heroin3hor Individually and collectively tho'Comp3ny') does hereby constitute, and appoint, Holly Clevenger Of Dallas, TX Individually. Ifthere be more than one named. as Its true and lawful attorney(syln-factta sign,execule. sent, acknowledge and deliver for, and on Its behalf, and as Its act and deed any place within the United States, any and all surety bonds, recognizanees, undertakings, or other surety obligations. The execution of such surely bonds, recognizance%, undertakings or surety obligations. In pursuance of these presents, shall be as bkxiing upon the Company as ifthey had been duty signed by Ule president and attested by the secretary of the Company, in their own proper persons. Provided however, that this power of attorney limits the acts of those named herein: and they have no authority to bind the Company except In the manner stated and to the extent of any limitation stated below: Any such obligations In the United States, not to exceed Forty Million and Noh100 ($40,000,000) In any single Instance That this power is mode end executed pursuant to the authority of the following Resolutions passed by the Board of Directors of saki Company, and said Resolutions remain In full force and effect Surety Bond Number. 1068095 PdWpai: Jackson Construction, Ltd. Obligoo: City of Fort Worth RESOLVED: That the President or any Vice President. in conjunction with any Vice President, be and they hereby are authorized and empowered to appoint Atiomeys-la-fact of the Company. In its name and as it acts, to execute and acknowledge for and on its behalf as surety, any and all bonds, recognizonoos, contracts of indemnity. waivers of citation and oil otherwritings obligatory In the nature thereof, with power to attach thereto the seal of the Company. Any such writings so executed by such Attorneys -In -fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company In their own proper persons. RESOLVED: That any and all Powers of Attorney and Cer"od Copies of such Powers of Attorney and certification In respect thorolo, granted and executed by the President or Vice President in conjunction with any Vice President of the Company, shall be binding on the Comparrytothe same extent as it all signatures therein were manually offered, even though one or more of any such signatures thereon maybe fa cslmile. (Adopted October 7,1001— Th The Hanover Insurance Company: Adopted April 14.1002 — Massachusetts Bay Insurance Company; Adopted September 7, 2001—Citizens Insurance Company of America and affirmed by each Company on March 24, 2014) IN WiTNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS DAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective oorporale seats, duly attested by two Vice Presidents, this Ss day of April, 2023 Ike Hanover IasuraateCompaay Maatatknttts Day Iwrssq Company Cklreas lasura a ve Gap& ay.*f Anntrlt& " 94o-�t4A J H, Kawieckl, Vks PtoOdeni STATE OF CONNECTICUT ) COUNTY OF HARTFORD OUL 0(al-DI ) ss. The Ilaawtr losur%acc Company A atkuattu eay Iwrwaa co Cosspy I Iasa ate Company of Arnerks II4n M. hlondou, Vice, Pnsldent On this Sir day olAprll 2023 before me came the above named Executive Vice President and Vice Presldenl of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America, to me, personally known to be the individuals and of600rs described horein, and acknowledged that the seals affixed to the preceding Instrument are the corporate seats of The Hanover Insurance Company, Massachusetts Day Insurance Company and Citizens Insurance Company. of America, respectively, and that the said corporate seals and their signatures as officers were duty afnxed and su0sc6bgd jo saki InstrumSa by the authority and direction of sold Corporations. Wendy latoumes N"PullAr SuteolevMcocut Mn y Letoure 8 IVA rY tie �Y �ssbn B00 July 31. M5 My taolnmisal n 8-1les July 31, 2025 I, the undarslgned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of Amerces, heraby certify that the above and foregoing is a full, true and correct copy of the Original Power of Attomay issued by sold Companies, and do heroby further certify that the said Powers of Attorney are still In force and effect GIVEN under my hand and the seals of saki Companies, at Womoster, Massachusetts, this 11 th day of May 2023 , 20hNRqVC?ddCr.VkC e on" rqCERTIFIED COPY "PmWal &�,arozw Y CONSTRUCTION LTD. 5112 SUN VALLEY DRIVE FORT WORTH, TX 76119 TEL: 817-572-3303 FAX: 817-478-0443 AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Troy L. Jackson, President Of Jackson Construction, Ltd, known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; That all persons, firms, associations, corporations, or other organizations furnishing labor and/or materials have been paid in full; That the wage scale established by the City Council in the City of Fort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; Water and Sanitary Sewer Replacement Contract 2019, WSM-C BY 1 / /�G/��-��77 '�JacksonPresident Subscribed and sworn before me on this date 1 Ith of May, 2023. r- Tarrant, Texas ��PYP CARMEN L. ESTEP 4 6 Notary Public, State of Texas Comm. Expires 04-06-2024 ��i�OFJ• Notary ID 2910611