HomeMy WebLinkAboutContract 61420-CO2CSC No. 61420-CO2
FORT WORTH City of Fort Worth
`11� Change Order Request
Project Namel Trinity Boulevard Phase 2 -Salado Trail to Thames Trail City Sec # l 61420
Client Project #(s)l 103280
Project) Trinity Boulevard Phase 2 - Salado Trail to Thames Trail
Description
Contractorl Jackson Construction, LTD. Change Order#I 2 1
City Project Mgr. Mitch Aiton f City Inspector
Dept. TPW-Unit I, III, IV
Original Contract Amount
$7,117,637.00
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
$7,117,637.00
`mount of PrgRosed Change Order
$0.00
Revised Contract Amount
$7,117,637.00
Original Funds Available for Change Orders
$550,000.00
Remaining Funds Available for this CO
$550,000.00
Additional Funding (if necessary)
Water - Unit II
$4,981,705.00
$37,870.79
129.21
Datel 3/27/2025
Mark Kitts
Contract Time
Totals (CD
$12,099,342.00 �80
$37,870.79
$12,137,212.79 730
$12,137,212.79 730
$800,000.00
$762.129.21
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.31 %
MAXALLOWABLECONTRACTAMOUNT (ORIGINAL CONTRACT COST +25%) $15,124,177.50
JUSTIFICATION (REASONS) FOR CHANGE ORDER
This Change Order allows the contractor and their sub to get paid for material on hand for Pedestrian Illumination Poles. It will result in a $0.00 change order in accordance
with the new Material on Hand policy. Item III45 Furnish/Install 10'-14' Washington Standard Light Pole & Fixture LED at a unit price of $6,200.00/EA is being deleted and
replaced with 2 line items: Item 45A Furnish 10'-14' Washington Standard Light Pole & Fixture LED at $3,103.20/EA to pay for the materials and Item 45B Install 10'-14'
Washington Standard Light Pole & Fixture LED $3,096.80/EA to pay for the installation. The invoice for the cost of the materials is attached for reference.
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. The Project/Program Manager signing below
acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and
reporting requirements.
Contractor's Company Name
Contractor Name
Contract Signature
Date
Jackson Construction, LTD.
Ail Jones
-(y7oHGf . o,
Apr 3, 2025
Inspector/Inspection Supervisor
Date
Project and Contract Compliance Manager
Date
441b
Apr 3, 2025
WtL 44
Apr 3, 2025
Program Manager
Date
Senior Capital Project Officer
Date
Apr 3, 2025
:_ "-J,
Apr 3, 2025
Assistant Director De
Date
Director, Contracting Department(Dept),Date
�icra L. WadracR
Apr 7, 2025
Apr 7, 2025
Assistant City Attorney
Date
I Assistant City Manager
Date
Apr 9, 2025
"A' ;'
Apr 16, 2025
Council Action if required)
M&C Number I N/A M&C Date Approved IN/A
ATTEST: nnu
a p>s l° oRT 46
Jannette Goodall, City Secretary °moo =c
°4e4 ..... 44
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FORTWORTH City of Fort Worth
V'1_— Change Order Additions
Project Name I Trinity Boulevard Phase 2 -Salado Trail to Thames Trail
Client Project # 1 103280
Contractorl Jackson Construction, LTD. I PMI Mitch Alton
Change Order Submittal # 0
ADDITIONS
IItM UFbUKIF'I IUN UFF'I uty
III-45A 3a41.3113/ FUmish 'IU'-14' Washington 5tanaard Light F'ole & FIXtUre LEL I F'W-Unit I, III, IV Ub.UU
III-45B 3441.3037 Install 1 V-14' Washington Standard Light Pole & Fixture LEE TPW-Unit I, III, IV 85.00
City Sec # I 61420 I
1
Inspectorl Mark Kitts I
Date 1 3/2712025 1
unit Unit Uost
EA $3,1U3.zU'
EA $3,096.80'
TPW-Una I, III, IV
Water- Unit II
Sub Total Additions
I otal I
$2b3,/12.UU1
$263,228.001
1
1
1
1
1
I
I
I
I
I
I
I
I
I
I
I
I
1
1
1
1
1
1
1
1
1
1
1
1
I
I
I
I
I
I
I
I
I
I
I
I
1
1
1
1
1
1
1
1
1
1
1
1
I
I
I
I
I
I
I
I
I
I
I
I
1
$527,000.001
$0.001
$527,000.001
Change Order Additions Page 2 of 4
FORTWORTH City of Fort Worth
IV---- Change Order Deletions
Project Name I Trinity Boulevard Phase 2 - Salado Trail to Thames Trail
Client Project # 1 103280
Contractor Jackson Construction, LTD. I
UtLt I IUN5
IItivt UtbUNIPIIUN
III-4b M41.6W/ Furnisn/Install 1 U'-14' wastrington Standard Light Pole 6 rlxture LLU
I City Sec # 1 61420 1
1
PMI Mitch Alton I Inspectorl Mark Kitts
Change Order Submittal # 0 Date 1 3/27/2025 1
ULPI uty
I Pvv-unit I, III, iv t5b.UU
unit unit Lost Iota) I
LA $15AU.UU s52l,uuu.W1
1
I
1
I
1
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1
1
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1
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1
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1
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1
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1
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1
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1
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1
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1
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1
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1
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1
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1
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1
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1
1
I
1
I
1
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1
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1
I
1
I
TPW-Un i I, III, IV $627,000.001
Water - Unit II $0.001
Sub I otal Deletions $527,000.001
Change Order Deletions Page 3 of 4
M/SBE for this Change Order
M/SBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
1 3/10/2025 $37,870.79
Total I $37,870.79 1
SOLD TO:
CED/MILLER- FORT WORTH
3209 ALTA MERE DRIVE
FORT WORTH, TX 76116
T:817 923-1983 F:817 735-8821
BEAN ELECTRICAL INC
ACCOUNTNO. K8-64941
SALESPERSON
0634 JW
QUANTITY
ORDERED PRODUCTCODE
T 85 HOLD WFCL3 P40 30K
IAVOLT FC3 BK NF
FRGL PR7 AO
RFD338699
***ORIGINAL***
3170-24 TRINITY BLVD
SHIP TO:
***EMAILED***
JOB NAME AND ADDRESS
Trinity Blvd. PH 2
SHIPPING INFORMATION I SHIP VIA
PREPAID BEST -WAY
QUANTITY a
DESCRIPTION SHIPPED PRICE
85 3,103.20 E
TITLE TO MERCHANDISE AND RISK OF LOSS OR DAMAGE PASSES AT POINT
OF SHIPMENT. CLAIMS FOR SHORT OR DAMAGED MERCHANDISE SHOULD BE
MADE TO CARRIER.
MERCHANDISE RETURNED WITHOUT OUR CONSENT WILL NOT BE ACCEPTED.
A RESTOCKING CHARGE WILL BE MADE ON RETURNED GOODS UNLESS
DEFECTIVE OR THROUGH ERROR ON OUR PART.
A SERVICE CHARGE OF 1 " PER MONTH, BUT NOT TO EXCEED THE
HIGHEST AMOUNT LAWFULLY ALLOWED BY APPLICABLE STATE LAW, WILL
BE MADE ON ALL PAST DUE ACCOUNTS.
THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT
SALES.OUR—TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME
WITHOUT PRIOR NOTICE.
INVOICE NO. I INVOICE DATE
2532-1154349 12/17/24
PLEASE SHOW INVOICE NO. AND REMIT TO:
P.O. BOX 206562
DALLAS, TX 75320-6562
BEAN ELECTRICAL INC
10198 FOREST HILL EVERMAN ROAD
FORT WORTH, TX 76140
CODE: TO ADVISE YOU PROMPTLY CONCERNING YOUR ORDER, THIS CODE IS USED ON
OUR INVOICES.
B — BACK ORDERED. WILL SHIP AS SOON AS RECEIVED UNLESS INSTRUCTED TO
NET PAYMENT IS DUE BY THE 15TH OF
THE MONTH FOLLOWING PURCHASE
DISC
CUSTOMER ORDER NO.
12472
MERCHANDISE
SALES TAX
SHIPPING CHARGE
TOTAL
SHIP DATE
12/16/24
EXTENSION
263,772.00
263,772.00
C/D
103280-CNCO-Trinity Blvd Ph 2 CO #2
Interim Agreement Report 2025-04-03
Created: 2025-04-03
By: Andrea Munoz (Andrea. M unoz@fortworthtexas.gov)
Status: Out for Signature
Transaction ID: CBJCHBCAABAAVo0Th4Tn1QgOIIQ6P8KcglGwLFzPkpQS
Agreement History
Agreement history is the list of the events that have impacted the status of the agreement prior to the final signature. A final audit report will
be generated when the agreement is complete.
"103280-CNCO-Trinity Blvd Ph 2 CO #2" History
Document created by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov)
2025-04-03 - 6:06:58 PM GMT- IP address: 204.10.90.100
Document emailed to Jessica Ramos (Jessica.Ramos@fortworthtexas.gov) for filling
2025-04-03 - 6:22:06 PM GMT
Document emailed to Mitchell Aiton (mitchell.aiton@fortworthtexas.gov) for signature
2025-04-03 - 6:22:07 PM GMT
Document emailed to alij@jacksontx.net for signature
2025-04-03 - 6:22:07 PM GMT
Document emailed to mark.kitts@fortworthtexas.gov for signature
2025-04-03 - 6:22:07 PM GMT
Document e-signed by Mitchell Aiton (mitchell.aiton@fortworthtexas.gov)
Signature Date: 2025-04-03 - 6:24:43 PM GMT - Time Source: server- IP address: 204.10.90.100
Email viewed by Jessica Ramos (Jessica.Ramos@fortworthtexas.gov)
2025-04-03 - 6:39:37 PM GMT- IP address: 204.10.90.100
Email viewed by mark.kitts@fortworthtexas.gov
2025-04-03 - 6:50:51 PM GMT- IP address: 172.4.233.62
-- Signer mark.kitts@fortworthtexas.gov entered name at signing as Mark Kitts
2025-04-03 - 6:52:20 PM GMT- IP address: 172.4.233.62
FORTW❑RTHg I P°He1� Y
Adobe
Acrobat Sign
Document e-signed by Mark Kitts (mark.kitts@fortworthtexas.gov)
Signature Date: 2025-04-03 - 6:52:22 PM GMT - Time Source: server- IP address: 172.4.233.62
Email viewed by alij@jacksontx.net
2025-04-03 - 6:53:53 PM GMT- IP address: 107.208.205.17
Signer alij@jacksontx.net entered name at signing as Ali Jones
2025-04-03 - 6:54:23 PM GMT- IP address: 107.208.205.17
Document e-signed by Ali Jones (alij@jacksontx.net)
Signature Date: 2025-04-03 - 6:54:25 PM GMT - Time Source: server- IP address: 107.208.205.17
&o Form filled by Jessica Ramos (Jessica.Ramos@fortworthtexas.gov)
Form filling Date: 2025-04-03 - 7:17:30 PM GMT - Time Source: server- IP address: 204.10.90.100
Document emailed to Raul Lopez Roura (Raul.LopezRoura@fortworthtexas.gov) for signature
2025-04-03 - 7:17:32 PM GMT
Email viewed by Raul Lopez Roura (Raul.LopezRoura@fortworthtexas.gov)
2025-04-03 - 8:16:30 PM GMT- IP address: 204.10.90.100
FORTW❑RTHg I Paw m"Y
Adobe
Acrobat Sign
FORTWORTH.
Routing and Transmittal Slip
Transportation & Public Works
Department
DOCUMENT TITLE: Trinity Blvd Ph 2 CO #2
M&C: N/A CPN:
103280 CSO:
61420
DOC#: N/A
Date:
3/27/2025
To:
Name
Department
Initials
Date Out
1.
Jessica Rodriguez
TPW - Review
R TR
Apr 3, 2025
2.
Mitch Aiton
TPW - Signature
Apr 3, 2025
3.
Ali Jones
Jackson - Signature
,7
Apr 3, 2025
4.
Mark Kitts (Inspector)
TPW — Signature
*=-
Apr 3, 2025
5.
Raul Lopez
TPW - Signature
c-z
Apr 3, 2025
6.
Lissette Acevedo
TPW — Signature
o(v
Apr 3, 2025
7.
Patricia Wadsack
TPW — Signature
PLVY
Apr 7, 2025
8.
Lauren Prieur
TPW — Signature
VO4�
Apr 7, 2025
9.
Doug Black
Legal — Signature
Apr 9, 2025
oiigl.s Hlark
10.
Jesica McEachern
CMO — Signature
Apr 16, 2025
11.
Jannette Goodall
CSO - Signature
Apr 16, 2025
12.
TPW Contracts
CC: Program Manager, Sr. CPO, TPW BSPAP Recon Team, TPW Records Room, TPW
Contracts
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