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Home My WebLink AboutContract 59165-FP1.FORT WORTH, TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION -FP1 City Secretary No. 59165 Date Received: 8/18/2025 City Project N!?: 102975 Regarding contract 59165 Greenfield Acres Ph 4 Drainage Improvements for as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 4/3/2024 through M&C 23-0109 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation & Public Works Department has accepted the project as complete. Original Contract Amount: Amount of Approved Change Orders: Revised Contract Amount: Total Cost Work Completed: Less Deductions: Liquidated Damages: Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: Less Previous Payments: Final Payment Due TM-I'Cla L. ww(sack Patric a I _-d—k;A,,� =3.. 2C2'. 14'.32 43 CDT' Recommended for Acceptance Asst. Director, TPW - Capital Delivery $ 5,051,919.63 Days 365 $ 391,935.43 Ne 8 Days Added by CO 189 $ 5,443,855.06 Total Days 554 $ 5,389,555.34 Days Charged540 Days @ S / Day $812.80 $ 812.80 $ 5,389,555.34 $ 5,120,077.57 $ 268, 664.97 08/13/2025 Date 08/13/2025 Accepted Date Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT U- - - -- --- -- - - Asst. City Manager 08/14/2025 Date Comments: OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX C-620 Signature Page Contractor's Application for Payment Invoice No. Final To (Owner) City of Fort Worth Invoicing Period (From - To): Invoice Date: P. O. FW020-0000009632 From (Contractor): Remit to ( If Not Automatic Deposit): Number: Fort Worth Civil Constructors, LLC Project: 102975 Contractor's CFW Vendor No.: 7000000372 City secretary contract 59165 Contract Greenfield Acres Phase 4 Drainage Improvements Nam Number: Name: Application For Payment Change Order Summary Approved Change Orders 1. ORIGINAL CONTRACT PRICE.......................................................... $ $5,051,919.63 Number Additions Deletions 2. Net change by Change Orders................................................................ $ $391,935.43 1 $222,109.14 $222,109.14 3. Current Contract Price (Line 1 f 2)....................................................... $ $5,443,855.06 2 $779,871.12 $779,871.12 4. TOTAL COMPLETED AND STORED TO DATE 3 $391,935.43 $0.00 (Progress Estimate, Construction Allowance and Change Orders)....... $ $5,389,555.34 4 $0.00 $0.00 5. RETAINAGE: 5 $0.00 $0.00 a. X $5,389,555.34 Work Completed......... $ $0.00 6 $0.00 $0.00 b. X Not Used $ 7 $0.00 $0.00 c. Total Retainage (Line 5a + Line 5b) ............................... $ $0.00 8 $0.00 $0.00 6. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c)............................. $ $5,389,555.34 TOTALS $1,393,915.69 $1,001,980.26 7. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)........ $ $5,120,077.57 NET CHANGE BY $391,935.43 8. AMOUNT DUE THIS APPLICATION ................................................. $ $269,477.77 CHANGE ORDERS 9. BALANCE TO FINISH, PLUS RETAINAGE (Column G on Progress Estimate+ CA + Cos + Line 5 above) .............. $ $54,299.72 Contractor's Certification 10. CONTRACT TIME: The Contractor certifies with the submittal of this document and associated Payment Request Submittal a. Days Awarded 365 on the City of Fort Worth Buzzsaw system that to the best of their knowledge: (1) all previous progress b, Days Added by CO 189 payments received from Owner on account of Work done under the Contract have been applied on Total Days 554 account to discharge Contractor's legitimate obligations incurred in connection with Work covered by C. prior Applications for Payment; (2) title of all Work, materials and equipment incorporated in said Work or otherwise listed in or covered by this Application for Payment will pass to Owner at time of d. Days Charged 540 payment free and clear of all Liens, security interests and encumbrances (except such as are covered by a Bond acceptable to Owner indemnifying Owner against any such Liens, security interest or e, Days Remaining 14 encumbrances); and (3) all Work covered by this Application for Payment is in accordance with the Liquidated Damages $650.00 x day Paving Deduction: ($812.80) 311/-0l Cg4&eU Brad Caldwell (Aug 7, 2025 08:46:41 CDT) 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 Estimate Progress Estimate IF.,(eonhad) Greenfield Acres Phase 4 Drainage Improvements Applicahon Peiiod o A It m Bid Item No Description Spmdicahon Dart of Measua Section No I UnRi-Sewer I 1 0241.2012 Remove 6' Sewer Line 0241 14 LF I 2 0241.2201 Remove 4' Sewer Manhole 0241 14 EA I 3 3125.0101 SWPPP 21 acre 312500 LS 3201.D400 Temporary Asphalt Repair, Residential 5 itle),(2' HMAC on 5" FllLF TWse � (D`i�Dj I 6 NPiPe(Frol(, le o 33 O] 30 ELF A I 7 305.0109 Trench Safelyy 33 OS' LF I 8 3305.0112 Concrete CoOar 33 OS 17 EA I 9 3331.3102 4" 2-Wa`,�Cleanout 33 31 50 EA I 10 3331.3311 a"Sewer Service Reconnection 333150 EA 3331.4101 4" Sewer pipe (ASTM D3034 SDR-26) 33 it 10, 333f 11 1 LF 3331.4101 4" Sewer pipe (ASTM D2241 SDR-26) 33 it 10, 333f 12 JA LF 3331.4115 8" Sewer Pipe 33 I110, 333E 12,3331 20 13 LF I 14 3339.001 E/ . Man1,d. Liner 333960 VF 3339.1001 4'Ma tide 33 3910, 33 39 15 2n EA 3339.1002 4' Drop Manhole 33 3910, 33 39 6 2n EA 3339.103 4' Exlre Depth Manhole 33 3910, 33 39 17 n VF I 18 3305.0207 Imm��ppdad EmbedmenVBackfll Select Fill 31010 CY I 19 3471.001 TaHic Control 3471 13 Mo I Eck 2 - Storm I 1 0241.1510 $r�y� pa v� 124 I 2 AaSbrm Abandonment Plan 0241.3104 2A" [ b24114 EA I 3 0241.4201 Re move4'Drgglnlet 124114 EA I 4 0241.4401 Remove Hea wa SET n24114 EA I 5 3123.0101 Undassfied Excavation by Plan 31 23 16 CY I 6 3124.0101 Embankment by Plan 3126 bb CY I 7 3125.0101 SWPPP 21 acre 3125 b0 LS I 8 3292D100 Block Sod Placement 329213 SY I 9 3291D100 T000l 329119 CY 3301.0002 Post CN Inspection 33 01 31(5669) 10 LF I 11 305.03 B" WaterlAmde 3014 2 E AA 2 II 35.0107 Manhole Min 05 E30 13 At 35.013 Miscellaneous Structure A�Nsiments Water Meter Boz i3 05 14 EA I 14 3305.0108 Miscellaneous Structure A Sonnkler Systems 110514 LS 3305.0109 Trench Safety 33 05 10 (5669) 15 LF I i6 3305.0111 Water Valve Boz Adlyst w/Collar 1,10514 EA I 17 3311.001 Ductile Iron Water F inosw/Restamt 3I111 TN I 18 3311.0161 6" PVC Water Pyyr�ee 33 I1 12 LF I 19 3311.0261 8" PVC Water Ff�/� 33 11 12 LF I 20 3311.0461 12" PVC Water Pme i3 I1 12 LF I 21 3312.001 Fne Hydrent 3312M EA I 22 3312.2001 1"Wafer Service Meter Reconnection 331210 EA I 23 3312.2031"Water Service 311210 EA I 24 3331.3102 4" 2-W�yy Cleanou[ 33 31 50 EA I 25 3312.0117 Conne.kanto Ensimo4"-1T'Water Main 331221 EA I 26 3331.3311 4" Sewer Service Reconnection 33 31 50 EA 3331.4101 4" Sewar pipe 33 11 10, 33 31 27 2n LF I 28 9999.0023'Droglnlet 33 49 20 EA I 29 3349.70'1 4'Dro�,Inlet 334920 EA I 30 3471.0001 Taff. Control 149719103 MID I 31 9999LOU Construdion Absence 99ti LS I 32 0171.0101 Construdion Stakmo b17123 LS I 33 0171.0102 As -Built Surveif n17123 LS I 34 9999.0000 TzDOT Area-11, Inlet 13 49 2A EA I 35 3349DO01 4'SO SDMH 33491n EA I 36 3349DOO2 5,.05DMH 334910 EA Remove/Replace Mailbox 024114,3305 37 14 EA Remove 5' SQ SDMH 02 41 14, 33 05 38 14 EA I 39 Concrete Pme Wier 33 05 17 EA Re move Abandoned Manhole 024114,3305 40 14 EA I 41 0241.3011 Remove 15" Storm Line b2 41 14 LF I 42 0241.3015 Remove 24"Storm Line n24114 LF I 43 Abandonment of Storm Line by Grouhry� 1241 14 CY I 44 EmbedmenVBack Il Select Fd i30510 CY ir, Residential 3201 18 (3305.0207 rlmooded YHMAC mpoary Asph.ft Pvm Reppaair, Residential DI 320118 LF 46 (37601.0400 YHMAC 81.0 LF 3, I empo ary Asphalt Pvmt Repair, Residential 1W,d0 3201 15 47 f8'+Widel (3" HMAC on 8" Flexbase) l' LF ed,Se ctmy 59165 Contractor's Application Covhect Num Apphcahov Nvaber Final Apphcahov Data V0/1900 B D E F G eted % Belmcc m Fwsh Total Compl Estimated Quenlit}' M4lenals PasevUy Bid Quantity []m1 Pnce Bid Value Installed Value Previously ]nstalled Value Value 11va Penod Stored (not re C) and Stored N Date (F) (DIE) g $0.00 $0.00 $0.00 $0.00 $0.00 $0.001 2461000d $24.00 $59.064.00 2461.0000000 $59.064.00 $59.064.00 $0.0 $59,064.00 100.0% $0.01 8.0001i $1,715.0 $13,720.00 S.D000000 $13,720.00 $13,720.0 $0.0 $13,720.00 100.0% $0.01 1.0001i $8,200.0 $8,200.0 1.D000000 $8.200.D $8.200.D $0.0 $8,200.0 100.0% $0.01 37740000 $44.25 $166.999.50 2657.0000000 $117.572.25 $117.572.25 $0.0 $117,572.25 70.4% $49,427.251 2461000001i $2.15 $5.291.15 2461.0000000 $5.291.15 $5.291.15 $0.0 $5,291.15 100.0% $0.01 10.00000d $306.0 $3.060.00 10.0000000 $3.060.00 $3.060.00 $0.0 $3.060.00 100.0% $0.01 377400000d $1.D $3.774.00 3774.0000000 $3.774.00 $3.774.00 $0.0 $3.774.00 100.0% $0.001 10.00000d $1.860.00 $18.600.00 10.0000000 $18.600.00 $18.600.00 $0.00 $1 B.600.00 100.0% $0.001 40.00000d $1.445.00 $57.800.00 38.0000000 $54.910:00 $54.910.00 $0.00 $54.910.00 95.0% $2."0:001 40.00000d $1.450.00 $58.000.00 38.D000000 $55.100.00 $55.100.00 $0.00 $55.100.00 95.0% $2.900.001 5790000 $68.20 $39,487.80 579.DOOD $39,487.80 $39,487.80 $0.00 $39,487.80 100.0% $0.01 7340000 $77.0 $56,958.40 734.0000 $56,958.40 $56,958.40 $0.0 $56,958.40 100.0% $0.01 2461000000 S9a.D S23256a.D 2461.00000000 $232564.50 S23z56aSO SOLD S23256a.D 100.0% SO.0I I kO000 S325.0(1 S43875. 121.000 $39325. S39325. S0. $39325.IXi 896% $4550.001 8.OD00 $99150 $79320.D 80000 $79320.00 S79320.0 SOLD S79320.0 100.0% SOLO 2.00000 S140250 S2805O.D so. 0 SOLO SOLD SO.00 $28050.0I 71.00000 S47O.0 $33370. 49.80000000 $23406. S23406. so a- $23406.0 701% $9964.001 1000.0000 $19.6(1/ $1900.19 D00000 f $O.IJ S02 $0.09 .19 $37 SNOS, 100.0% $1960 ..001 001 5.OD0U $7 DO W $37 5SOO 9 5 0000(f $37 D0.09 $37 D0.2j $119 SUN S 001 2.ODDU S1016 DfJf $23209 $O.09 $0.2fi $D `0 SUN $2 32.001 1.000000 3.000000 $$2650f)f $3795b 3000 V// $379519 S37950(J $O. "f1 S3795.Or 100.0% $2$0.001 0.09 20.001 33 OUS 740.001 200.000OOU $1330.000000 24000((D�� $1340.b p100000Uff $13240.IJ $13240.00%i(�t�ff $0. 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V04900 A B C D E F G I Rm Toe Completed % Belmce m Fwsh Spmrfrcahon Brd Q.-my []mt Pnce DO Valve Estimated Quenhry Value Previously hvstalled Value Value 11va Penod Meteoels Presevdy and Stored N DaR (F) Brd Item No Descrrphou 6echov No Umt of Measure hutalled Stored I— is C) (D+E) B Permanent Asphalt Pvmt Repair 2" mill and overlay 32 01 17 48 (8'+Widel f3"HMAC on 8"Flexbase SY 325000000 $55.15 $17,923.75 325.00000000 $17.923.75 $17,923.75 $0.00 $17.923.75 100.0% $0.00 I Unit 3-�DI$D Paving I so.od $O.Od $O.Od so old so.od $0.001 I 1 0241.0401 Remove Concrete Drive 102,1111 I is 182200000U $4.Od $7.288.0d 1813.3000000d $7.2$3.2d $7.253.2d $O.Od $7.253.2d 99.5% $34.801 I 2 0241.0402 Remove As[yall Dnve 1124113 I SF 16730.000OOU $2.15 $35.969.5d 16730.000OOOOd $35.969.5d $35.969.5d $0.0� $35.969.5d 100.0% $0.001 I 3 0241.170011Pavement PUNenzation 1024115 I SY 16500.00000U $12.Od $198.000.Od 15798.000OOOOd $189.576.Od $189.576.Od $0.0` $189.576.Od 95.7% $8.424.001 I 4 I 5 3211.0600 Cement Flexible Base Course as directed 132 I133 132 t123 I TN 1 CY 240000000 300000000 $245.Od $87.Od $SB.BOO.Od $26.100.0d 205.7500000d $50.408.75 so.od $50.408.75 so.od $0.0` $0.0` $50.408.75 85.7% so.od $8.391.251 $26,100.001 I 6 3212.03033" Asohal Pvml Tvce D 1321216 1 SY 15000.000000 $28.5d $427.500.Od 14712.00000006 $419.292.0d $419.292.0d $0.N $419.292.0d 98.1% $8.208.00 I 7 3213.D401 6" Concrete Dnvevnyy 132 l3 20 I SF 16730.000000 $16.75 $280.227.5d 17052.0000000d $285.621.Od $285.621.Od $0.0` $285.621.0d 101.9% 50 I 8 I 9 I 3123.0101 Unclassified Exeavatmn by Plan 9999.0002 Construction Alo oa AMernet. B 1321216 No 99 On 1 1 CY I LS I 300000000 1.000000 $51.Od $75.000.Od $15.300.Od $75.000.Od $O.Od so.od so.od $O.Od so.od so.od so.od $0.01 $0.01 $o.5 $O.Od so.od so.od $15.300.00 $75.000.00 $0.001 I Bia 3341.350124" PPP Materials.nlyl 1334111 I LF 2265000000 $33.19 $75.1$7.4d 2265.0000000d $75.1$7.4d $75.107.4d $O.OI $75.107.4d 100.0% $0.001 I B2a 3341.3501 30' PPP Fvlaterials Only1 133 4111 I LF 1066000000 $46.22 $49.270.51 1066.0000OOOd $49.270.51 $49.270.51 $0.00 $49.270.51 100.0% $0.001 I Bia 3341.3501 36' PPP Fvlaterials Onlyyl 133 4111 1 LF 1660000000 $56.05 $93.043.Od 1660.0000000d $93.043.Od $93.043.Od $O.Od $93.043.Od 100.0% $0.001 I Boa I I Bib 3341.3501 42' PP Pace 3341.3501 24" PP P7.Installation Fvlaterials Onlvl Only 133 4111 133 1111 I LF I 1 LF 66200000U 2265000000 $80.28 $119.84 $53.145.38 $O.Od $271.437.fid fi62.o000000d 2265.0000000d $53.145.38 $O.Od $271.437.fid $53.145.38 $O.Od $271.437.fid so old $0.0` $0.0` $53.145.38 100.0% $O.Od $271.437.fid 100.0% $0.001 $0.001 $0.001 I B26 I Bab 3341.3501 30' PP Pi 3341.350136' PPP `nstallation Onf y `nstallation Onfy 133 4111 1334111 I LF I LF 10:6000000 166000000U $100.78 $110.95 $107.431.48 $184.177.O1 1066.00000001f ifi60.0000000d $107.431.48 $184.177.O1 $107.431.42! $184.177.Od $o.11 $0. $107.431.48 100.0% $$s4.177.Od 100.0% $0.001 $0.001 I B46 33344 3500 46Z PP Pace `nstallation Only 1334111 I LF 662000000 $124.71 $82.564.6+ 662.0000000d $82.564.6+ $82,564.64 $0.05 $82,564.64 100.0% $0.001 I I $0.� $0.� so.od $0.0` $O.Od $0.001 I I $0.� $0.0` so.od $0.N $O.Od $0.001 I I I I $0.� $0.0� $0.N $0.S so.od so.od $O.OL $000 $O.Od $O.Od $0.001 $0.001 1 1 1 1 1 1 so.o\ so.o\ $o.m` $0.0` so.od so.od so.old $0.od $o.Od $0.od $0.001 $0.001 1 1 1 so.N so.o so.od $O.Od so.od $0.001 1 1 so.N $o.O6 $o.Od so.od so.od $0.001 1 1 so.N $o.Od $O.e $0.od $0.od $0.001 1 1 so.NN $o.Od $o.Od $O.Od $O.Od $0.001 1 1 so.a, so.od so.e $O.od $o.od $0.001 I so.00 $0.00 $0.00 $0.00 $0.00 $0.001 I $o.00 $0.00 $0.00 $0.00 $0.00 $0.001 I so.00 $0.00 $0.00 $0.00 $0.00 $0.001 I so.00 $0.00 $0.00 $0.00 $0.001 I so.00 $0.00 $0.00 $0.00 $0.001 I $o.00 $0.00 $0.00 $0.00 $0.001 I so.00 $0.00 $0.00 $0.00 $0.001 I so.00 $0.00 $0.00 $0.00 $0.001 I so.00 $0.00 $0.00 $0.00 $0.001 I so.00 $0.00 $0.00 $0.00 $0.001 I so.00 $0.00 $0.00 $0.00 $0.001 I so.00 $0.00 $0.00 $0.00 $0.001 I so.00 $0.00 $0.00 $0.00 $0.001 I so.00 $0.00 $0.00 $0.00 $0.001 I so.00 $0.00 $0.00 $0.00 $0.001 I so.00 $0.00 $0.00 $0.00 $0.001 I so.00 $0.00 $0.00 $0.00 $0.001 I so.00 $0.00 $0.00 $0.00 $0.001 I ao.00 $0.00 ao.00 $0.00 $0.001 I $o.oa $0.00 $o.00 $0.00 $0.001 I $0.o0 $0.00 ao.00 $0.00 $0.001 I $0.o0 $0.00 $o.00 $0.00 $0.001 I $0.oa $0.00 ao.00 $0.00 $0.001 I $0.o0 $0.00 $o.00 $0.00 $0.001 I $0.o0 $0.00 ao.00 $0.00 $0.001 I $0.o0 $0.00 $o.00 $0.00 $0.001 I I $0.00 $0.00 $0.00 $0.00 $0.001 I I $0.00 $0.00 $0.00 $0.00 $0.001 I $0.00 $0.00 $0.00 $0.00 $0.001 I $0.00 $0.00 $0.00 $0.00 $0.001 I $0.00 $0.00 $0.00 $0.00 $0.001 I $0.00 $0.00 $0.00 $0.00 $0.001 I $0.00 $0.00 $0.00 $0.00 $0.001 I $0.00 $0.00 $0.00 $0.00 $0.001 I $0.00 $0.00 $0.00 $0.00 $0.001 I $0.00 $0.00 $0.00 $0.00 $0.001 I $0.00 $0.00 $0.00 $0.00 $0.001 I $0.00 $0.00 $0.00 $0.00 $0.001 I $0.00 $0.00 $0.00 $0.00 $0.001 I $0.00 $0.00 $0.00 $0.00 $0.001 I $0.00 $0.00 $0.00 $0.00 $0.001 I $0.00 $0.00 $0.00 $0.00 $0.001 I I $0.00 $0.00 $0.00 $0.00 $0.001 I I $0.00 $0.00 $0.00 $0.00 $0.001 Thrs documevt ties been modified from It, on®nsl foon M on EJCDC documevt sod the user did not highlight the modifirahovs You me evcowaged to read the documsl carefu0y avd covsWl Legal Couvsel poor N rh execnhon C-620 UM Pnce Progress Estimate Progress Estimate IFnr(c°""a°t) Greenfield Acres Phase 4 Drainage Improvements Apphcahon Penod o A It m Btd Item No De Iplt. 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 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 I I I I CIty Secretary 59165 Conhect Num B C D Estimated Quantity Spmdic_N Umt of Measure Bsd Quavhty []m1 Pnce Bsd Value Installed 4alue Section No Contractor's Application Apphcehou Nmuber Final Apphcahou Date V04900 E F G Totel Completed % Belmce m Fwsh Pre nouely ]nstalled Value Value Tlus Penod Mfl1e"e's PmsevdY and Stored to Da. (F) Stored (mtm C) (p+E) B $o.00 $0.00 s0.001 $0.0o $0.00 so.0o1 $0.00 $0.00 $0.0o1 $0.00 $0.00 $o.00 $0.00 $0.00 $0.0o1 $0.00 $0.00 so.0o1 $0.00 $0.00 $0.0o1 $0.00 $0.00 $o.0ol $o.00 $o.00 $0.0o1 $0.0o $0.00 so.0o1 $0.00 $0.00 $0.0o1 $0.00 $0.00 $o.00 $0.00 $0.00 $0.0o1 $0.00 $0.00 so.0o1 $0.00 $0.00 $0.0o1 1 $0.00 $0.00 $0.001 1 $0.00 $0.00 $o.0ol $o.00 ao.00 $o.00 1 $0.00 ao.00 s0.001 1 $0.00 ao.o0 $o.00l $0.00 $0.00 $o.00l 1 $0.00 $0.00 $o.00l $0.00 $0.00 $o.00l 1 $0.00 $0.00 s0.001 1 $0.00 $0.00 s0.001 1 $0.00 $0.00 s0.001 ao.o0 $0.00 s0.001 1 s0.000 ao.00 s0.001 $0.00 $0.00 so.0o1 1 $0.00 $0.00 $0.0o1 $0.00 $0.00 $o.0o1 1 $0.00 $0.00 $0.0o1 $0.00 $0.00 so.0o1 1 $0.00 $0.00 $0.0o1 $0.00 $0.00 $o.0o1 1 $0.00 $0.00 $0.0o1 $0.00 $o.00 s0.001 1 $0.00 $0.00 so.0o1 $0.00 $0.00 $0.0o1 1 $0.00 $0.00 $o.0o1 $0.00 $0.00 $0.0o1 1 $0.00 $0.00 s0.001 $0.001 $0.00 $0.00 s0.001 $0.001 $0.00 $0.00 s0.001 $0.001 $0.00 $0.00 s0.001 $o.o01 $0.00 ao.00 s0.001 s0.001 $0.00 ao.00 s0.001 a0.001 $0.00 a0.00 $o.00l a0.001 $0.00 $0.00 $o.00l a0.001 $0.00 $0.00 $o.00l a0.001 $0.00 $0.00 $o.o01 a0.001 $0.00 $0.00 $o.00l $0.001 $o.00 $0.00 $0.0o1 $0.001 $0.00 $0.00 $o.00 $0.001 $0.00 $0.00 $0.0o1 $0.001 $0.00 $0.00 so.0o1 $0.001 $0.00 $0.00 $0.0o1 $0.001 $0.00 $0.00 $o.0o1 $0.001 $0.00 $0.00 $0.0o1 $0.001 $0.00 $0.00 s0.001 $0.001 $0.00 $0.00 s0.001 $0.001 s0.00 $0.00 s0.001 a0.0o1 $0.00 $0.00 s0.001 $0.001 $0.00 $o.00 s0.001 $0.001 $0.00 $0.00 s0.001 $0.001 $0.00 $0.00 s0.001 $0.001 $0.00 $0.00 s0.001 $0.001 $0.00 $0.00 s0.001 $0.001 $0.00 $0.00 s0.001 $0.001 $o.00 $0.00 s0.001 $0.001 $o.00 $0.00 s0.001 $0.001 $0.00 $0.00 s0.001 This documevt ties been modified from It, on®nal form M M EJCDC document end the user did not Wghhght the modsficah You me eucomaged to read the documst carefully avd consult Legal Counsel poor N Its execution C-620 UM Pnce Progress Estimate Progress Estimate CItySe° tmy Covhact Num Greenfield Acres Phase 4 Drainage Improvements Apphcahon Penod o A It m Btd Item No Descnphov Spmdicahon Dmt of Measure Bsd Quavhty []mt Pnce 6echon No Totals 59165 Contractor's Application Apphcahov Nmvbe Final Apphcahov Data 10/1900 B C D E F a Total Completed % Bvlmce m Fwsh Eshmvted Quantity Matenals PreseQ Bid Valve ]nstalled Value Pre nouely ]nstalled Value Value Tlua Penod Stored (vot m C) a"d Stored to DaR (B (B- F) (DIE) $5.051.919.63 S4.022.910.79 $4.022.910.79 $0.00 $0A0 $4.022.910.79 79.6% $1.029.008.841 This documevt has been modified from It, on®val form M M EJCDC documevt and the user did not Wghlsght the modsficahove You me evcomaged N read the documst carefu0y avd covsult Legal Couvsel M. N Its execution C-620 Change Order Progress Estimate Construction Allowance Usage ADDITIONS For (oontraat) 102975 Greenfield Acres Phase 4 Drainage Improvements IApphcation P—ad U city secretary 59165 Contract Num A B Item Item Number Descnphou sw. fcatmn Umt of Quantity to Add Umt Pnce Ad hhon Value Section No Measure I $0 0( I SON I $0 0( I $0 0( I $0 0( I SON I $0 0( I SON I $0 0( I SON I $0 0( I SON I $0 O( I $0 0( I $0 00( I $0 0( $0 01 I $0 01 I $0 01 I $0 01 I $0 01 I $0 01 I $0 01 I $0 01 I $0 01 I 100 $0 01 I SON I ON I SON I $0 00( I $0 0( I $0 0( I SON I $0 O( I $0 0( I $0 0( I $0 0( I $0 0( I $0 0( I $0 O( I $0 0( $0 01 I $0 01 I $0 01 I $0 01 I $0 01 I $0 01 I $0 01 I $0 01 SON Totals $0.01 Appl—bon Number Appl—hon Date 1 11 I 111— 1 11 '111— 111— I I- —�— '111- 11— '111— '111- 0 00 so 00 100 so 00 100 so 00 111— '111— 11— '111— o 00 100 1 I I sIII— —�— 11 — 1 I I —�— sIII— 1 I I sIII— 1 00 11 — —�— 11 — —�— sIII— 1 00 sIII— 1 I I 11 — —�— 11 — —�— o 00 111 so 00 111— so 00 —�— 11— 111— '111— 111— '111— 11— '111- 11— '111- 111— 11— '111— 111— o 00 111 '111- 11— —�— o 00 1 I I sIII— 1 00 —�— 11 — —�— sIII— 11 — 1 I I sIII— 1 I I sIII— 1 I I —�— 11 — —�— 11 — —�— This document has been modified from its ongmal form as an EXEC document and the user did not highlight the roodifcahous You are encouraged to read the document cazefully and consult Legal Counsel prmr torts execution Contractor's Application Final 1/0/1900 F Total Completed / Balance to F—sb and Stored to Date (F) (B -F) (DIE) B $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0.00 $0.00 C-620 Change Order Progress Estimate Construction Allowance Usage CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED IF. (contract) 102975 Greenfield Acres Phase 4 Drainage Improvements IApphcahon Penod 0 A B C I Item Bid Item Nwnber Desmptmn sw. fcatmn Umt of Quantity to Delete Umt Puce Reductmn Value Not Used Sectton No Measure I $0 0 1 I I I I I Totals Contractor's Application Apphcahon Number Final Application Date 1/0/1900 D E Not Used Not Used Not Used Not Used Not Used Nat Used Not Used This document has been modSed from its ongmal form as an EJCDC document and the user did not highlight the modrfcahons You are encouraged to read the document c efu0y and consult Legal Counsel prmr torts execuhon so.o6 C-620 Change Order Progress Estimate Change Order Number 1 1 Contractor's Application ADDITIONS For (contract) 102975 Greenfield Acres Phase 4 Drainage Improvements city Secretary Contract N>ms 59165 Apphcatmn Namber Final IApphcabon Period O Apphcatmn Date 1/0/1900 A B C D E F Item Total Completed Balame to Foust, Change Order Item Specihcahon Umt of CO Qoanhty to Add Umt Price Estunated Quanhty Addition Change Order Value Value Previously Value Thus Matermis Presently and Stored to Date (F) (B - F) No Desonphon Section No Measure 1-tatted Installed Value Period Stored (not m C) (DIE) B CO]-01 Add f. —s to clear exishne water tine at heat of a In —EA 300000000 $602 98 $1.808 94 300000000 SL808 94 $1.808 94 $000 $1,808 94 100 0% $0 001 CO]-02 Additional14—a for Lateral C2 to -,IF— Hydrant relocation EA 200000000 $650 00 $1300 00 200000000 SL300 00 $1300 00 S0 00 SL300 00 100 0% $0 00I COI-03 Additional fittuies for Lateral C6 to avoid Fore Hvdmnt relocation EA 300000000 $650 00 $1950 00 300000000 S1,950 00 $1.950 00 $000 $1,950 00 100 0% $0 OOI COI-04 Core and hostat]duo,m oconnection Emstme Manhole EA 1 00000000 $4.110 00 $4.110 00 1 00000000 S4,110 00 SU 10 00 S0 00 S4,110 00 100 0% $0 0o CO] -OS Add 3x3x1 Rider Section to Storm Inlets EA 200000000 $375 00 $750 00 1 200000000 $750 00 S750 00 $000 $750 00 100 0% $0 00I CO]-06 Add 4x4x1 Rider Section to It.— Inlets EA 200000000 $450 00 $900 00 1 200000000 $900 00 $900 00 S0 00 $900 00 100 0% $0 00I COI-07 Add 5x5xl Riser Section to Storm Inlets EA 200000000 $575 00 S1.150 00 200000000 S1.150 00 $1.150 00 $000 S1.150 00 100 0% $0 001 COI-08 Remove 18" Storm Dram Lme LF 40 00000000 $30 00 $1200 00 40 00000000 SL200 00 S1.200 00 $0 00 $L200 00 100 0% $0 001 CO]-09 Install 15" RCP LF 40 00000000 $198 00 $7.920 00 40 00000000 57.920 00 $7.920 00 $000 $7,920 00 100 0% $0 OOI CO]-10 hatatlams, ofHvdrauhe Shde (L7758, STA 12+94,63) LS 1 00000000 $2319 69 $2319 69 1 00000000 $2319 69 $2319 69 $000 S2319 69 100 0% $0 00 CO]-11 Water Late Ret, m North Ridee LS 100000000 $6.858 95 $6.858 95 100000000 S6.858 95 $6.858 95 $000 S6.858 95 100 0% $0 00I COI-12 Traffic Contro1 MO 050000000 $7500 00 $1750 00 050000000 $3350 00 $1750 00 $000 S3350 00 100 0% $0 00I COI-13 Sawcut & Remove Emstum Asohalt SY 469 50000000 $23 00 $10.798 50 469 50000000 $10,799 50 $10.798 50 $000 $10,798 50 100 0% $0 001 COl-14 U elassrtied Excavation CY 157 00000000 $51 00 $8,007 00 157 00000000 58,007 00 $8,007 00 $0 00 58,007 00 100 0% $0 00I COI-15 Scanfb and recomnact —sure, ditchtine SY 469 50000000 $10 00 $4.695 00 469 50000000 SL695 00 $4.695 00 $000 SL695 00 100 0% $0 OOI COl-16 CLSM Backfdt CY 118 00000000 $250 00 $29,500 00 119 00000000 $29,500 00 $29,500 00 $0 00 $29,500 00 100 0% $0 Oo COI-17 Cut &Restore Pavme SY 469 50000000 $155 00 $72.772 50 469 50000000 $72,772 50 $72.772 50 $000 $72,772 50 100 0% $0 001 C.. 1_1/2" Overlay on Cmdv Lane from Gu, field to North fill SY 1900 00000000 S27 15 $51585 00 1753 00000000 S47593 95 $47593 95 $0 00 $47593 95 92 3% $1991 051 COI-19 Asohalt Drive Aonmach on C—Lane SY 60 00000000 $60 85 $3.651 00 60 00000000 S3.651 00 $3.651 00 $000 $3,651 00 100 0% $0 00I COl-20 Add'l Cost for Comuosrte at Lieu of Concrete Grade Rmes LS 1 00000000 $7,082 56 $7,082 56 1 00000000 57,082 56 S7,o82 56 $000 S7,082 56 100 0% $0 00I I $000 $000 $000 $000 $O OOI I $o 00 1 $o 00 $o 00 $o 00 $o oa I $0 00 1 so 00 so 00 so 00 S0 001 I $o oo $000 S0 00 $000 S0 001 I $o 00 $000 $000 $000 $0 001 I $o oo $000 S0 00 $000 S0 001 I $o00 $000 $000 $000 $000 I $o 00 $0 00 S0 00 $0 00 $0 00 l I $o 00 $000 $000 $000 $0 001 I $o 00 1 $0 00 $0 00 $0 00 $0 0o I I $o 00 1 $o 00 $o 00 $o 00 $o 0o I I $o oo l $000 S0 00 $000 S0 001 I $o00 $000 $000 $000 $000 I $o 00 $0 00 S0 00 $0 00 $0 00 l I $o 00 $000 $000 $000 $0 001 I $o oo $000 S0 00 $000 S0 001 I $o 00 $000 $000 $000 $0 001 I $o oo $000 S0 00 $000 S0 001 I $o00 $000 $000 $000 $000 I $o 00 $0 00 S0 00 $0 00 $0 00 l I $o 00 $000 $000 $000 $0 001 I $0 00 $000 $000 $000 $0 00I I $0 00 So 00 $o 00 $o 00 $o ool I $o 00 $o 00 $o 00 $o 00 $o ool I $o 0o So 00 $o 00 $o 00 $o ool I $o 00 $o 00 $o 00 $o 00 $o ool I Soo S0 0o $000 � $000 $0 001 I $000 $000 $000 $000 $0001 I $000 S000 $001. $000 $0001 I $000 $o 00 $0 00 00 $00 001 I $000 So 00 $o 00 � $o 00 $o ool Totals S222.109.14 S218.118.09 5218,118.09 S0.00 S0.o0 S218,118.09 982% S3,991.05I This document has been modified from its ongmal form as an E7CDC document and the user did not highhght the m alffl ahons You are encouraged to read the document carefully and consult Legal Counsel prur torts execuhon C-620 Change Order Progress Estimate Change Order Number 1 1 1 DELETIONS For (contract) 102975 Greenfield Acres Phase 4 Drainage Improvements Apphcatron Number IApphesh-Penod O Appbcatmn Date A B C D E I Ttem CO Ty to Change Order item Descnptmn No sw. fcatmn Una of Section No Measure Delete Umt Puce Deter- Change Order Value Not Used Not Used Not Used Not Used Not Used I 2-18 3311 0161 6" PVC Water Pme LF 15 50000000 $143 06 $2 %J{16 56 $0 06 $0 04 I 2-21 11123 1011 Fue Hydrant EA 2 00000000 $7,300 00 $14,600 00 $0 O0 $0 00 I 1-16 1 02 4' Droo ole EA 1 00000000 $14A25 00 $K025 00 $0 0 $0 0 C139 I 2-31 Conshvctron LS $175,00000 $1750000 $000 $000 nAlowe ConshuchAllce II LS 000000000 0000000 $6167 4 $16176 $00 $0 03-0 0 00 $0 00 $0 00 I $o 00 $o o $o 0 I $0 00 $0 00 $0 00 I $0 00 $o o $o 0 I $0 00 $0 00 $0 00 I $0 00 $0 o I $0 I $0 00 $o o $o J I $o 00 $0 0� $0 I I $0 00 $o 00 $o oy $0 0� $o $o oil I I $0 00 $o 00 $o oy` $0 0� $o o� $o oil I I $0 00 $0 00 $o 00 $o $o o� $o oil I I $0 00 $o 00 00 $o y $0 0� $o o� $o oil I I $0 00 $o0 $o's $0 01 $o o� $ III $0 $o oo $ $oo oi $0 0 $oo oof� $$oo o(I I $o 00 $0 0* $0 0� I $0 00 $o o 1010 I $000 $00, $000 I $0 00 $o oy $o 00 I $o 00 $o o� $0 01 I $0 00 $0 oy $o 00 I $o 00 $0 0', $0 01 I $0 00 $o oy $o 00 I $o 00 $o o� $0 01 I $0 00 $o ot, $o 00 I $o 00 $0 06 $o 0 I $0 00 1000 $0 00 I $0 00 $0 0 $o 0 I $0 00 $o 00 $0 00 I $o 00 $o o $0 0 I $000 $000 $000 I $o 00 $o o $0 0 I $0 00 $o 00 $o 00 I $o 00 $o o $0 0 I $0 00 $o 00 $o 00 I $o 00 $0 0 $o 0 I $0 00 $o 00 $o 00 I $0 00 $o o� $o o� I $o $o 00 $o 00 I Soo $o 00 $0 0 $o 0 I Totala $222,109.14 $0. I $D.OD $0. I This document has been modSed from its ongmal form as an E7CDC document and the user did not htghhght the modrfcahens You are encouraged to read the document c efully and consult Legal Counsel prmr torts execuhon Contractor's Application Final II0I1900 F Not Used Not Used Not Usai C-620 Change Order Progress Estimate Change Order Number 1 2 ADDITIONS For (contract) 102975 Greenfield Acres Phase 4 Drainage Improvements Apphcam m Penrod U A Item Change Order Item I Description No I CO2-01 IRemobrhzation COM2 ITmilo, Control CO2-03 I MSy & Ls om CO2-04 ISWPPP CO2-05 124" Ape CO2-06 I5'Stom Dram Manhole C-07 I4' Drop Inlet CO2-08 I3' Drop hdet CO2-09 I Water Lme Lowering (As Needed) CO2-10 I I Water Semce Lowermg (As Needed) I I IReernedmhon Items 1-01 I0241 2012 Remove 6" Sewer Line I 1-07 13305 0109 Trench Safety 1-08 I33050112 Concrete Collar I 1-12 I3331 4101 4" Sewer pipe (ASTM D2241 SDR-26) 1-15 13339 1001 4' Manhole _ I 1-19 I3471 0001 Traffic Control 2-03 I0241 4201 Remove 4' Drop Inlet I 2-06 I3124 0101 Embav Zit by Plan I 2-08 I3292 0100 Block Sod Placement I 2-09 I3291 0100 Topsoil 2-10 I33010002 Post -CCTV Inspechon I 2-15 I3305 0109 Trench Safety I 2-28 I9999 0002 3' Drop Inlet I 2-30 134710001 Tratfe Cont-I I 2-40 (Remove Abandoned Manhole I 2-41 I0241 3011 Remove 15" Storm Lme I 2-46 I3201 0400 Temporary Asphalt Pvmt Repair, Residential I 2-49 (Penn menr Asphalt Pvmt Report 2" mill and overlay 3-07 13213 0401 6" Concrete Driveway Bla 13341 3501 24" PP Ape (Mmonols Only) Blb I3341 3501 24" PP Ape (Installation Only) Total, City Seeretaiy 59165 Cormier Nora B C Ad4mhon Change Estimated Quanhty Specif tion Unit of CO Quantity to Add Unit Price Order Value Installed Section No Measure LS 100000000 $25,000 00 $25,000 00 100000000 MO 200000000 $7300 00 $15,000 00 200000000 LS 100000000 $5,00000 $5,00000 100000000 LS 100000000 $330000 $350000 100000000 LF 61000000000 $33850 $206,48500 61000000000 EA 100000000 $1250000 $1250000 100000000 EA 100000000 $1 L75000 $1 L75000 100000000 EA 400000000 $1 L000 00 $44,000 00 500000000 EA 100000000 $950000 $950000 EA 100000000 $1500 00 $350000 $000 $000 LF 1345 00000000 $24 00 $32290 00 1345 00000000 LF 40 00000000 $1 00 $40 00 40 00000000 EA 200000000 $1,860 00 $3320 00 1 200000000 LF 3100000000 $7760 $2At560 3100000000 EA 100000000 $9,91500 $9,91500 100000000 MO 1 00000000 $7300 00 $7500 00 1 00000000 EA 300000000 $1265 00 $3395 00 300000000 CY 910 00000000 $51 25 $46,637 50 910 00000000 SY 3921 97000000 $9 60 $36,690 91 3&21 97000000 CY 437 82000000 $71 35 $31238 46 437 82000000 LF 14000000000 $2 15 $30100 14000000000 LF 42' 00000000 $1 00 $428 00 428 00000000 EA 200000000 $5242 00 $10,484 00 200000000 MO 500000000 $7.500 00 $37.500 00 500000000 EA 200000000 $2000 00 $4,000 00 200000000 LF 112 00000000 $30 00 $3360 00 112 00000000 LF 2325 00000000 $67 90 $157,867 50 2325 00000000 SY 100 00000000 $55 15 $5515 00 100 00000000 SF 1703 77000000 $16 75 $28538 15 1492 00000000 LF 140 00000000 $33 16 $4,642 40 140 00000000 LF 140 00000000 $119 84 $16377 60 140 00000000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 100 $000 $000 $0 00 $000 $779.871.12 Apphcahon Number Appl-ton Date Contractor's Application Final 1/0/1900 D E F Previously Value ThisMaterials Presently Total Completed % Value Installed Value Period Stored (not in C) and Stored to Date (F) (D+E) B $25,000 00 $25,000 00 $000 $25,000 00 1000% $15,000 00 $15,000 00 $000 $15,000 00 1000% $5,000 00 $5,000 00 $000 - $5,000 00 1000% $3500 00 $1500 00 $0 00 $1500 00 1000% $206,485 00 $206,485 00 $0 00 $206,485 00 1000% $12500 00 $12500 00 $0 00 $12500 00 1000% $1 L750 00 $11,750 00 $0 00 $11,750 00 1000% $55,000 00 $55,000 00 $0 00 $55,000 00 125 0% $000 $000 $000 $000 $000 $000 $000 $000 - $000 $000 $000 - $000 $32280 00 $32,280 00 $0 00 - $32,280 00 1000% $40 00 $40 00 $0 00 $40 00 1000% $3320 00 $3,720 00 $0 00 $3,720 00 1000% $2405 60 $2405 60 $0 00 $2405 60 1000% $9,915 00 $9,915 00 $0 00 - $9,915 00 1000% $7500 00 $7500 00 $0 00 $7500 00 1000% $3395 00 $3,795 00 $0 00 - $3,795 00 1000% $461637 50 $46,637 50 $0 00 $46,637 50 1000% $36,690 91 $36,690 91 $0 00 or $36,690 91 1000% $3123846 $3123846 $000 0 $3123846 1000% $30100 $30100 $000 0 $30100 1000% $428 00 $428 00 $0 00 IL $428 00 1000% $10,484 00 $10,484 00 $0 00 M $10,484 00 1000% $37.500 00 $37500 00 $0 00 NO- $37500 00 1000% $4,000 00 $4,000 00 $0 00 $4,000 00 1000% $3360 00 $3360 00 $0 00 or $3360 00 1000% $157,86750 $157,96750 $000 0 $157,96750 1000% $5515 00 $5515 00 $0 00 0 $5515 00 1000% $24,99100 $24,99100 $000 i $24,99100 876% $4,642 40 $4,642 40 $0 00' UA42 40 1000% $16,77760 $16,77760 $000 $16,77760 1000% $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 - $000 $000 $000 - $000 $000 $000 - $000 $000 $000 - $000 $000 $000 - $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $774.323.97 S774,323.97 $0.00 $0.00 $774,323.97 99 3% This document has been modified trom its original tom as an ESCDC document and the user did not highlight the modifications You are encouraged to read the document cmefuBy and consult Legal Counsel prior m its execuhm Bolame to Finish (B -F) $000 $000 $000 $000 $000 $000 $000 -$1 L000 00 $9,500 00 $3,500 00 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $3,547 15 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 100 $0 00 $000 $000 $5.547.15 C-620 Change Order Progress Estimate Change Order Number 1 2 Contractor's Application DELETIONS IFor (contract) 102975 Greenfield Acres Phase 4 Drainage Improvements Apphcahon Number Final IApphcahon Penod D Appl—hon Date 1/0/1900 A B C D E F I Item CO (Q,—tty to Detehon bge Change Order Item No Descnptron Spemfcahon St— No Umt of Measure Delete Umt Pnce Order VCalur Not Used Not Used Not Used Not Used Not Used Not Used Not Used Nse ot Ud I 1-04 3201 0400 TemJ�r ' halt P—t R--, Re.d-flat LF 1117 00000000 $44 2i s49,427 25 s0 00 s0 00 I 1-09 , 3331 3102 4" 2 Wa C� snout EA 2 00000000 $1,445 00 $2,990 00 $000 $000 I 1-10 3331 3311 4" Sewe ernce, Reconnechon EA 2 00000000 $ A50 00 $2,900 00 $000 $000 I 1-14 3339 0001 rD Manhole Lmer VF 14 00000000 $325 00 $4,550 00 $000 $000 I 1-16 3339 1002 4� Dro Ma hole EA 1 00000000 $14,025 00 $14,025 00 $000 $000 I 1-17 3339 ]003 4' ExtrManhole VF 21 20000000 $470 00 $9,964 00 $000 $000 I 1-18 3305 0207 Im1�mt Em dmenhB.&H, Select Fdt CY 1000 00000000 $19 60 $19,600 00 $000 $000 I 2-01 I 2-02 0241 1510 Salvaee Fue H dram 0241 3104 24" Stour Ab nt Pt- EA EA 200000000 1 00000000 $L016 00 $247 00 $2,032 00 $247 00 $000 $000 $000 $000 I 2-04 0241 4401 Remove Head—dt/SET EA 300000000 $940 00 $2,820 00 $000 $000 I 2-05 3123 0101 Unclassnied Excavation by Plan CY 700 00000000 $48 20 $31740 00 $000 $000 I 2-11 3305 0003 8" Waterline L.—EA 500000000 $8,348 00 S4L740 00 $000 $000 I 2-12 3305 0107 Manhole Adjustment, Mmor EA 14 00000000 $521 00 $F%%3\4 00 $000 $000 I 2-13 3305 0109 Xfi—Baneous Sh r—Adjustments, Water Meter Bo EA 35 00000000 $607 00 $21�.`45 00 $000 $000 I 2-16 33050111 Water Vat -Box Adpt w/Cofm EA 500000000 $L01500 $5,%00 $000 $000 I 2-17 33110 0001 Dmctde Iron Water Fnhnes w/ Restramt TN 1 00000000 $17,190 00 $17,190 00 $000 $000 I 2-18 3311 0161 6" PVC Water PIP LF 34 50000000 $143 00 $4.933 50 $000 $000 I 2-19 3311 0261 8" PVC Water Pr LF 95 00000000 $156 00 $14,820 00 $000 $000 I 2-20 I 2-22 3311 0461 12" PVC Water Pi 3312 2001 1" Water Sernce, Meter Reconnechon LF EA 20 00000000 37 0.0.0.0. $250 00 SIM5 00 $5,000 00 $39A05 00 $000 $000 $000 $000 I 2-23 3312 2103 1" Water S— EA 37 00000000 SIA70 00 $54390 00 $000 $000 I 2-24 3331 3102 4" 2-Way Clenmm EA 12 00000000 $1,530 00 $18,360 00 $000 $000 I 2-25 33120 117 Convectionle Exrstme 4"-12" Water Maur EA 400000000 $4%%//\\2 00 $16,848 00 $000 $000 I 2-26 3331 3311 4" Sewer S—m Reconnechon EA 12 00000000 5749 00 $8,988 00 $000 $000 I 2-27 3331 4101 4" Sewerprce LF 462 00000000 $81 59 $37.676 10 $000 $000 I 2-37 Remove/R Volute Mm'tbox EA 200000000 $1,700 00 $3,400 00 $000 $000 I 2-39 Concrete Pi Cofm EA 10 00000000 $625 00 $6%%. 0 00 $0 00 $0 00 I 2-02 0241 3015 Remove 24" Stour Lme LF 163 00000000 $32 00 $K 6 00 $0 00 10000 I 2-43 Abandonment of Stour Lme by Grouhne CY 200 0.0.0.0. $275 00 $5 ,0 000 $000 $000 I 2-44 3305 0207 Imported EmbedmenhB.&W Select Fdt CY 3105 00000000 $19 60 $60.959 00 $000 $000 I 2-45 3201 0400 Tem—As�pal� Pvmt Reu'�u. Resrdentml LF 825 00000000 $59 10 $48.757 50 $000 $000 I 2-47 3201 0400 Temmre Asphalt P-n Repam Resr imnat LF 1216 00000000 $59 59 MA61 44 $000 $000 I 3-01 0241 0401 Remove concrete Dnve SF 330 70000000 $4 00 $1322 80 $000 $000 I 3-03 0241 1700 11" Pavement Pulvervahon SY 702 00000000 $12 00 $8A24 00 $000 $000 I 3-04 3211 0601 Cement TN 34 25000000 $245 00 $8391 2i $000 $000 I 3-05 Ftexrble Base Course as duetted CY 300 00000000 $87 00 $26.100 00 $000 $000 I 3 06 I 3-OB 3212 0303 3"A/sphalt Pvmt Tvt� D 3123 0101 Unclassrfed Excavation by Plan SY CY 288 00000000 300 00000000 $28 50 $51 00 $8%%//O8 00 $15.300 00 $000 $000 $000 $000 I 3-09 C-ms turn Allowance LS 1 00000000 $21.031 23 $21,031 23 $0 00 $0 00 I CO]-18 1-1/2" Overlav on Cmdv Lane from Greenfietd to North H,1t SY 147 00000000 $27 19 $3.991 0i $0 00 $0 00 I so 00 0 I $000 110$000 00 110$0000 I 110 00 100000 I $000 1100 $000 $000 I $000 $000 $000 I $000 $000 $000 I $000 $000 $000 I $000 $000 $000 I $000 $000 $000 I $000 $000 $000 I $0 00 so 00 $000 I ot Tals S779.871.12 s0.00 s0.00 s0.00 T7us document has been madded four ns ongmat form as an EICDC document and the user drd not hrghhght tie modrfcahons You are encouraged to read the document cmef tly and cm mf Legal Cou 1 pnor to it, execuhon C-620 Change Order Progress Estimate Change Order Number 1 3 ADDITIONS IFor (contract) 102975 Greenfield Acres Phase 4 Drainage Improvements Appltcahon Penad A Item Change Order Item No Descnptun Stonnwater Share CO3-01 11" Pulver m— 0O3-02 Cem-Lome Treatment or 32 lbs /SY CO3-03 3"Am1mlt TY D CO3-04 Unclassified Excavatton CO3-05 Remove Dnvewav CO3-06 Dnvewav (Asphalt) - 3" CO3-07 Duvewav Ron—(C—,cte) CO3-08 Stamm Sewer Manhole Admstment and Collar CO3-09 Water Valve Adneboom and Collar CO3-10 Soddme (12" alone disturbed edees) CO3-11 T—d Sheets Share CO3-12 I V Pulvenzation CO3-13 Corn -Love Treatment 0132 lbs /SY CO3-14 3"Asphalt TYD CO3-15 Uncl—,ied Exemmun CO3-16 Remove Dnveway CO3-17 Dv— (Amhalt)-3" CO3-18 Dnvewav Renar(Concrete) CO3-19 Samtary Sewer Manhole Admsmscm and Collar CO3-20 Water Valve Adiushnent and Collar CO3-21 Soddme (12" alone dosturbed edees) CO3-22 Tonsod Stonmwater Only CO3-23 Inlet and Junehon Box Rosins to Avmd Water L— Relocahors CO3-24 4' Drop Manhole CO3-25 Flowable Fotl around Drou Connectors CO3-26 3"Asphalt Pavement Renar CO3-27 I I" Pavement Rdveuzahon CO3-28 Sod CO3-29 Manhole Wall and Coatne Rena, CO3-30 Subsurface Uhhty htvesheatton CO3-31 Asphalt Pavement Rena. (6'-7' Wode) CO3-32 TV InspectionmStorm Dram CO3-33 Toosml CO3-34 Sod Placement m Disturbed Areas CO3-35 Concrete C.U. Total, 0 Ctty secretary 59165 Contract Num B I C D Spemfocato m Urn of CO Qaanttty to Add Umt Puce Addmor Change Order Estimated Quantity Value Section No Measure Value Installed $000 $0 SY 72000000000 $1650 $11,88000 72000000000 $1L880 TON 12 00000000 $460 00 $5,520 00 12 00000000 S5.520 SY 720 00000000 $32 50 $21400 00 720 00000000 $21400 CY 20 00000000 $70 00 $1,400 00 $0 SF 725 00000000 $3 00 S2.175 00 495 63000000 SLAM SF 722 00000000 S5 50 $3,971 00 495 63000000 S2.725 SF 400000000 $150 00 $600 00 400000000 $600 EA 100000000 $135000 S1,35000 100000000 SL350 EA 1 00000000 $600 00 $600 00 100000000 $600 SY 85 00000000 $10 50 $992 50 85 00000000 $992 CY 900000000 $75 00 $675 00 $0 $000 $000 SY 2980 00000000 $16 50 $47,520 00 3130 56000000 TON 46 00000000 $460 00 $21160 00 51 00000000 SY 2980 00000000 $32 50 $93,600 00 2890 00000000 CY 80 00000000 $70 00 $5,600 00 SF 2899 00000000 $3 00 $8,697 00 2174 00000000 SF 2884 00000000 $5 50 $15,862 00 2174 00000000 SF 14 00000000 $150 00 $2,100 00 14 00000000 EA 200000000 $1.350 00 S2300 00 200000000 EA 300000000 S600 00 S1,800 00 300000000 SY 338 00000000 $10 50 S1549 00 338 00000000 CY 36 00000000 $75 00 $2,700 00 LS 1 00000000 $4.929 00 34,928 00 100000000 EA 200000000 $14.025 00 $28,050 00 200000000 CY 54 00000000 $275 00 $14,850 00 54 00000000 SY 69 44000000 $28 50 $1,979 04 50 00000000 SY 6944000000 $1200 $83328 6944000000 SY 66 67000000 $9 60 $640 03 66 67000000 LS 1 00000000 $2.789 05 S2389 05 100000000 LS 100000000 $10.19203 $10,18203 100000000 LF 560 00000000 $75 00 $42A00 00 560 00000000 LF 610 00000000 S2 50 SL525 00 CY 122 00000000 $75 00 $9,150 00 122 00000000 SY 1115 00000000 $10 50 $1 L707 50 1115 00000000 EA 600000000 $925 00 $5,550 00 200000000 $000 $000 $000 $000 $000 $000 $000 $000 $0 00 $0 00 $391.935.43 SL425 00 $833 28 $640 03 $2789 05 $10,182 03 Contractor's Application Final Appbcmm,,Dmc 1/0/1900 E F Total Completed % Prevmusly Installed Value Value T1us Ponod Matenals Presently Stored (not no C) a� Stored to Date (F) (D+E) B $000 $000 $11,880 00 $000 $11,880 00 1000% $5.520 00 $000 $5.520 00 1000% S23A00 00 $000 $23,400 00 1000% $000 S0 00 SIA8689 $000 SIA8689 684% $2.725 97 $000 $2.725 97 68 6% $600 00 $000 $600 00 1000% $135000 $000 $135000 1000% $600 00 $000 $600 00 1000% S892 50 $000 S892 50 1000% $000 $000 $000 $000 $000 $000 $51.654 24 $000 $51.654 24 108 7% $23A60 00 $000 $23A60 00 110 9% $93.600 00 $000 $93.600 00 1000% $000 $000 $6.522 00 $000 $6.522 00 75 0% $1 L95700 $000 $1 L95700 754% $2100 00 $000 $2.100 00 1000% $2700 00 $000 $2.700 00 1000% $1.80000 $000 $1.80000 1000% $3549 00 $000 $3549 00 1000% $000 S0 00 $000 $000 $000 $000 $4,928 00 $0 00 $4.928 00 1000% 528.050 00 $0 00 M 050 00 1000% $14,850 00 $000 $14,850 00 1000% $1A2500 $000 $1A2500 720% $833 28 $000 $833 28 1000% $640 03 $000 $640 03 1000% $2789 05 $000 $2.789 05 1000% SI0.19203 $000 $10.19203 1000% $42000 00 $000 $42,000 00 1000% $000 S0 00 $9,15000 $000 $9.15000 1000% $1 L70750 $11.70750 $000 $11.70750 1000% $L85000 $L85000 $000 $1.85000 333% $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $0 00 $100 $000 $000 $000 $000 $000 $000 $000 $374.202.49 S374.202.49 S0.00 so.001 $374,202.49 95 5% T1us document has been mado5ed moon. o,,g—t four as an EJCDC document and the user dud not lughhght the moduficahons You are encouraged to read the document cmef ttly and consult Legal Counsel poor to its execution Balance to Fomsb (B - F) $000 $000 $000 $000 $1,400 00 $688 11 $1,245 04 $000 $000 $000 $000 $675 00 $000 $000 -54.134 24 -$2300 00 $000 $5,600 00 $2,175 00 S3,905 00 $000 $000 $000 $000 $2,700 00 $000 $000 $000 $000 $000 $554 04 $000 $000 $000 $000 $000 $1,525 00 $000 $000 $3300 00 $000 $000 $000 $000 $000 $000 $000 $000 $000 :00 $0 00 S17,732.95 C-620 Change Order Progress Estimate Change Order Number 1 3 DELETIONS IFor (contract) 102975 Greenfield Acres Phase 4 Drainage Improvements IApphcahon Penod 0 A E C I Item CO h to Delehon Change Order Item Descnptron Specnc�ahon Umt of D l tteTy Umt Pnce Change Order Not Used No Smtmn No Measure Value I so od I Soo I I So 21 I So 06) I So 21 I So 06) I Soo I So o� I So I So oddod I So o� I So odd I So o� I So odd I So o� I So odd I So o� I So odd I So o� I So odd I So o� I So odd I So I So o-dod I So o� I So o. I 10 ou I Soo S0 061 I I I S0 061 I So 2 I S0 061 I So 2 I S0 06) I So 2, I So 06) 0 061 I S I S0 06) I S0 06 I 00 06 I Soo) I So o� I So o� I So o. I So o� I So odd I So o� I So odd I So o� I So o. I So od 1 Totals S0.0/ 1 Apphcatmn Number Apphcatmn Date D E Not Used Not Used Not Used Not Used S00d S00ld .0d .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 S00d S00ld .old .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 So od So old So od .04 So od $0 0.1 S0.0f1 S0.06 S0.0f1 Th. document has been m.dr5ed from tts ong—t form as an ESCDC document and the user drd not hrghhght the moM—hons You are encouraged to read the document —fully and consult Legal Cou 1 pnor to its execuhon Contractor's Application Final 1/0/1900 F Not Used Not Used Not Used City of Fort Worth Summary of Charges City Secretary Contract Num: 59165 Greenfield Acres Phase 4 Drainage Improvements PFW020-0000009632 . O.: Project Number: 102975 Application Period: I 0 I Applica iNumber:on I Final Application Date: 1/0/1900 Funding Identification (FID) OriQMal Contract 30100-0200431-5740010-102 75-002880-9999 52002-0200431-5740010-102975-002880-9999 52007-0200431-5740010-102975-002880-9999 0 0 0 0 0 0 0 0 Change Order 1 30100-0200431-5740010-102975-002880-9999 52002-0200431-5740010-102975-002880-9999 52007-0200431-5740010-102975-002880-9999 0 0 0 0 0 0 0 0 Change Order 2 30100-0200431-5740010-102975-002880-9999 52002-0200431-5740010-102975-002880-9999 52007-0200431-5740010-102975-002880-9999 0 0 0 0 0 0 0 0 Total Completed Amt Remaining Gross I Retainage Net $490,185.12 $9,814.88 4)U.UU $329,827.13 $372,092.50 $0.00 $3,202,898.54 $647,101.47 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $218,118.09 ($218,118.09) $113.55 f$12,495.51 $92,090.93 {$139,504.78) $682,119.49 $622,323.68) City Secretary Contract Num: I 59165 Application Period: Funding Identification (FID) Chan_ a Order 3 30100-0200431-5740010-102975%02880-9999 52002-0200431-5740010-102975-002880-9999 52007-0200431-5740010-102975-002880-9999 0 0 0 0 0 0 0 0 Chance Order 4 30100-0200431-5740010-102975-002880-9999 52002-0200431-5740010-102975-002880-9999 52007-0200431-5740010-102975-002880-9999 0 0 0 0 0 0 0 0 Chan gqe Order 5 30100-0200431-5740010-102975-002880-9999 52002-0200431-5740010-102975-002880-9999 52007-0200431-5740010-102975-002880-9999 0 0 0 0 0 0 0 0 City of Fort Worth Summary of Charges Greenfield Acres Phase 4 Drainage Improvements PFW020-0000009632 . O.: Project Number: 102975 0 I Applica iNumber: on I Final Application Date: 1/0/1900 Total Completed Amt Remaining Gross I Retainage Net $197,342.24 $7,945.76 $176,860.25 $9,787.19 ($0.00) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($0.00) City of Fort Worth Summary of Charges City Secretary Contract Num: 59165 Greenfield Acres Phase 4 Drainage Improvements PFW020-0000009632 . O.: Project Number: 102975 Application Period: I 0 I Applica iNumber:on I Final Application Date: 1/0/1900 Funding Identification (FID) Chan_ a Order 6 30100-0200431-5740010-102975%02880-9999 52002-0200431-5740010-102975-002880-9999 52007-0200431-5740010-102975-002880-9999 0 0 0 0 0 0 0 0 Chance Order 7 30100-0200431-5740010-102975-002880-9999 52002-0200431-5740010-102975-002880-9999 52007-0200431-5740010-102975-002880-9999 0 0 0 0 0 0 0 0 Chian _gqe Order 8 30100-0200431-5740010-102976%02880-9999 52002-0200431-5740010-102975-002880-9999 52007-0200431-5740010-102975-002880-9999 0 0 0 0 0 0 0 0 Total Completed Amt Remaining Gross I Retainage $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Net City of Fort Worth Summary of Charges City Secretary Contract Num: 59165 Greenfield Acres Phase 4 Drainage Improvements P. O.: FW020-0000009632 Project Number: 102975 Application Period: I 0 I Applica i I Final Application Date: 1/0/1900 Number:on Funding Identification (FID) Total Completed Amt Remaining Gross I Retainage Net Totals 30100-0200431-5740010-102975-002880-9999 $687,640.92 $5,265.13 $. 52002-0200431-5740010-102975-002880-9999 $816,896.40 $24,256.82 ($0.00) $0.00 ($0.00) 52007-0200431-5740010-102975-002880-9999 $3,885,018.02 $24,777.78 $0.00 0 $0.00 0 $0.00 0 0 0 0 0 0 Grand Total $5,389,555.34 1 1 $54,299.72 1 1 ($0.00)1 1 ($269,477.77)1 1 $269,477.77 FORT WORTH. Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Construction Change Order 1 M&C: N/A CPN: 102975 CSO: 59165 DOC#: Date: _ To: Name Department Initials Date Out 1. Brad Caldwell (BradC@fwcivcon.com) Contractor 4fr-9 J u 110, 2024 2. Charles Hayes TPW Inspector 1 Jul 12, 2024 3. Troy Gardner TPW Inspector Fim- Jul 13, 2024 4. Michael Wellbaum TPW Project Mgr. '° Jul 15, 2024 5. Justin Naylor TPW In -Program Mgr. Jul 15, 2024 6. Lissette Acevedo TPW Sr. CPO TPW Jul 15, 2024 7. Patricia Wadsack Asst. Dir. TPR Dir. 9N Jul 15, 2024 8. Lauren Prieur Legal 9. Doug Black CMO 10. Jesica McEachern CSO 11. Ronald Gonzales CSO 12. Jannette Goodall CSO 13. Allison Tidwell TPW SW 14. TPW—SW—Contracts _ Jul 16, 2024 CC: Program Manager — Linda Young, Sr. CPO — Lissette Acevedo, TPW BSPAP Recon Team — Cindy Sengathith DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: ❑YES ®No RUSH: ❑YES ®No SAME DAY: ❑YES [:]No NEXT DAY: ❑YES [:]No ROUTING TO CSO: ®YES ❑No Action Required: ❑ Attach Signature, Initial and Notary Tabs ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File Return to: tpw sw contractsWortworthtexas.gov Call 817-229-3283 with questions. Thank you! FORT WORTH,, City of Fort Worth Change Order Request Project Namel Greenfield Acres Phase 4 Drainage Improvements I City Sec # I 59165 Client Project #(s)I Project Storm Drain and Paving Improvements to the Greenfield Acres Subdivision (North Ridge Rd, Cindy Ln, Greenfield Rd, and Tee Head Dr.) Description Contractorl Fort Worth Civil Constructors, LLC Change Order #I 1 I Datel 5/29/2024 City Project Mgr.I Michael Wellbaum, PE I City Inspectorl Charles Hayes Dept. TPW • SW Contract Time Totals (CD) Original Contract Amount $5,051,919.63 $5,051,919.63 365 Extras to Date $0.00 Credits to Date $0.00 Pending Change Orders (in M&C Process) $0.00 Contract Cost to Date $5,051,919.63 $5,051,919.63 365 Amount of Proposed Change Order $0.00 24 Revised Contract Amount 5,051,919.63 $5,051,919.63 389 Original Funds Available for Change Orders 1,262,979.91 $1,262,979.91 Remaining Funds Available for this CO $1,262,979.91 $1,262,979.91 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.00% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) $6,314,899.54 JUSTIFICATION (REASONS) FOR CHANGE ORDER This change order does not increase or decrease the contract value. The items added to the contract on the Additions page are offset by reductions to bid items including the construction allowance as reflected on the Deletions page. The line items added to the contract provide for additional storm drain improvements needed to make field adjustments as directed. This change order also provides additional items for the repair of trench failures on Cindy Lane from a prior project that is no longer under warranty. The days included in this change order provide additional time needed to make the Cindy Lane repairs. To check the validity of the change order request, the information provided by the contractor was compared to available bid tabulation data for similar work and the labor and material charges were checked against the contract provisions. The request for additional days was compared to the time required to complete similar work through discussions with inspection. This change order request appears consistent with available information. 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 Fort Worth Civil Constructors LLC Brad Caldwell I iJu[10,2024 I Inspectodins ection Supervisor Date Prokect and Contract Compliance Manager Date �, rnyGWA.v Jut 13, 2024 ��1�/�G%! Jul 15, 2024 I Program anager Date Senior Capital Project Officer Date Jul 15, 2024 �9SL16 , Ju115, 2024 Assistant Director (Dept) Date ,,, �irector, L�ontracting Department (Dept) Date .49,E Jul 15, 2024 %� Jul 15, 2024 Assistant City Attomey Date Assistant City Manager Date Council Action (if required) M&C Number I N/A I M&C Date Approved IN/A ATTEST: Jannette Goodall, City Secretary FoR-r WORTH City of Fort Worth "I-- Change Order Additions Project Name I Greenfield Acres Phase 4 Drainage Improvements I City Sec # j 59165 Client Project # j Contractorl Fort Worth Civil Constructors, LLC I PMI Michael Wellbaum, PE I Inspectorl Charles Hayes l Change Order Submittal # 01 Date 1 5/29/2024 ADDITIONS IIEM UESCKIPIIUN UEPI Uty Unit UmtCost total C01- U1 Add fittings to clear existing water line in lieu of a lowering I PW - SW 3.000UUUUU EA $tiU2.9U $1".94 G01-02 Additional fittings for Lateral C2 to avoid Fire Hydrant relocation TPW - SW 2.000OOOOU EA $650.OU $1:3UU.00 C01-03 Additional Fittings for Lateral C6 to avoid Fire Hydrant relocation TPW - SW 3.00000000 EA $650.OU $1,950.001 COI-04 Core and Install drop connection in Existing Manhole TPW - SW 1.0000000U EA $4,110.00 $4,11U.UUI COI-05 Add 3x3x1 Riser Section to Storm Inlets TPW - SW 2.00000000 EA $375.00 $/bunt COI-06 Add 4x4x1 Riser Section to Storm Inlets TPW - SW 2.00000000 EA $450.00 $900.001 C01-07 Add 5x5x1 Riser Section to Storm Inlets TPW - SW 2.00000000 EA $575.00 $1,150.001 C01-08 Remove 18" Storm Drain Line TPW - SW 40.000OOOOU LF $30.0U $1,'100.00 C01-09 Install 15" RCP TPW - SW 40.00000000 LF $198.00 $7,920.00 C01-10 Installation of Hydraulic Slide (L-7758, STA 12+84.63) TPW - SW 1.00000000 LS $2,319.69 $2,319.69 C01-11 Water Line Repair on North Ridge TPW - SW 1.0000000U LS $6,858,95 $b,bbb.9b C01-12 Traffic Control TPW- SW 0.50000000 MO $7,500.00 $3,750.00 C01-13 Sawcut & Remove Existing Asphalt TPW - SW 469.50000006 SY $23.00 $10,798.50 C01-14 Unclassified Excavation TPW- SW 157.00000000 CY $51.00 -$8,007.00 COI-15 Scarify and re -compact existing ditchline TPW - SW 469.50000000 SY $10.00 $4,695.00 COI-16 CLSMBackfill TPW-SW 118.00000000 CY $250.00 $29,buu.W COI-17 Cut & Restore Paving TPW - SW 469.50000000 SY $155.00 $72,712.51.) COI-18 1-1/2" Overlay on Cindy Lane from Greenfield to North Hill TPW - SW 1,900.00000000 SY $27.16 $51,585.00 C01-19 Asphalt Drive Approach on Cindy Lane TPW - SW 60.00000000 SY $60.85 $3;6W00J C01-20 Add'I Cost for Composite in Lieu of Concrete Grade Rings TPW - SW 1.00000000 LS $7,082.56 $/,U62.55j TPN - SW $222,109.141 1 1 j Sub Total Additions $222,109.141 Change Order Additions Page 2 of 3 FORTWORTH City of Fort Worth .7' Change Order Deletions Project Name j Greenfield Acres Phase 4 Drainage Improvements City Sec # 59165 Client Project # j I Contractorl Fort Worth Civil Constructors, LLC I PMI Michael Wellbaum, PE I Inspectorl Charles Hayes l Change Order Submittal # Date 1 5/29/2024 DELETIONS ITEM UESCKIPIIUN UEPI Uty Unit Unit Gost total 2-1U 3311.U161b"PVGWater Pipe IPW-SW 1b.bu000UUU LF $143.UU $2,216.bU1 2-21 3312.0001 Fire Hydrant TPW - SW 2.000OOOOU EA $7,300.OU $14,600.OUj 1-16 3339.1002 4' Drop Manhole TPW-SW 1.0000000U EA $14,025.OU $14,025.001 2-31 Construction Allowance TPW - SW 1.00000000 LS $175,000.OU — $175,000.001 3-09 Construction Allowance TPW - SW 1.0000000U LS $16,267.64 $16,267.641 j 1 I 1 1 j 1 1 TPW - SW $222,109.141 1 1 1 Sub Total Deletions $222,109.141 Change Order Deletions Page 3 of 3 FORT WORTH Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Greenfield Acres Ph4 Construction Change Order 2 M&C: N/A CPN: 102975 CSO: 59165 DOC#: Date: _ To: Name Department Initials Date Out 1. Brad Caldwell (BradC@fwciveon.com) Contractor Sep 3, 2024 ;� 2. Charles Hayes TPW Inspector t Sep 3, 2024 3. TPW Inspector 4. Michael Wellbaum TPW Project Mgr. t Sep 3, 20241 1 5. Thanaa Maksimos TPW Prog. Mgr. 21 Sep 3, 2024 6. Lissette Acevedo TPW Sr. CPO V Sep 3, 2024 7. Patricia Wadsack TPW Asst. Dir. p(,vi/ Sep 4, 2024 8. Lauren Prieur TPW Director Sep 4, 2024 9. Doug Black Legal 10. Jesica McEachern CMO 1 11. CSO 12. Jannette Goodall CSO 13. Allison Tidwell CSO 14. TPW—SW—Contracts TPW—SW Sep 5, 2024 CC: TPW BSPAP Recon Team — Cindy Sengathith DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: ❑YES ®No RUSH: []YES ®No SAME DAY: []YES ❑No NEXT DAY: ❑YES []No ROUTING TO CSO: ®YES ❑No Action Required: ❑ Attach Signature, Initial and Notary Tabs ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File Return to: Ow sw contracts(ai)forhvorthtexas.i!ov Call 817-229-3283 with questions. Thank you! FoR1 x. City of Fort Worth Change Order Request Project Name Greenfield Acres Phase 4 Drainage Improvements Client Project #(s)l City Sec # 1 59165 Project Storm Drain and Paving Improvements to the Greenfield Acres Subdivision (North Ridge Rd, Cindy Ln, Greenfield Rd, and Tee Head Dr.) Description Contractorl Fort Worth Civil Constructors, LLC I Change Order #1 2 l Datel 7/8/2024 City Project Mgr.l Michael Wellbaum, PE l City Inspectorl Charles Hayes Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date JAmount of Proposed Change Urder Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) TPW - SW Contract Time Totals (CD) $5,051,919.63 $5,01,919.63 389 $222,109.14 $222,109.14 $222,109.14 $222,109.14 $0.00 ,po,ua'r,J`ry.00 $5,051,919.63 389 0.00 45 16k (i3 434 1,W2,W9.51 1,262,979.91 $1,262,979.91 — T r diw _ �11,262,979.91 i arerrrr�r CHANGE ORDERS to DATE (INCLUDING THIS ONEI AS % OF ORIGINAL CONTRACT o J MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) L j'6,314,899.64 JUSTIFICATION (REASONS) FOR CHANGE ORDER This change order does not increase or decrease the contract value. The items added to the contract on the Additions page are offset by reductions to bid items including the construction allowance as reflected on the Deletions page. The additional items on this change order allow for the construction of a small storm drain system to capture property flooding and address resident concerns. Prices received from the contractor were compared to and are generally lower than the current stormwater reactive program construction contract. The balance of the additions and deletions are all bid items that are being reconciled with this change order. The request for additional days was compared to the time required to complete similar work and is consistent with the time spent on the current construction contract. 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, induding ensuring all performance and reporting requirements. Contractor's Company Name Contractor (Name) Contract Signature Date Fort Worth Civil Constructors, LLC Sep 3, 2024 Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date Sep 3, 2024 %:<< '; _ Sep 3, 2024 Program Manager Date Senior Capital Project Officer Date -« Sep 3, 2024 Sep 3, 2024 Assistant Director (Dept) Date Director, Contracting Department (Dept) Date Pub, z-, wa7tack Sep 4, 2024 Sep 4, 2024 Assistant City Attorney I Date lGistant City Manager Date Council Action (if required M&C Number I N/A l M&C Date Approved I N/A ATTEST: Jannette Goodall, City Secretary FORT WORTH -�'*'-- City of Fort Worth Change Order Additions Project Name I Greenfield Acres Phase 4 Drainage Improvements City Sec # 59165 Client Project# I Contractorl Fort Worth Civil Constructors, LLC I PMI Michael Wellbaum, PE I Inspectorl Charles Hayes Change Order Submittal # 0 Date 1 7/8/2024 I ADDITIONS ITEM DESCRIPTION DEPT City Unit Unit Cost Total CO2-01 Remobilization TPW-SW 1.00000000 LS $25,000.00 $25,000.001 CO2-02 Traffic Control TPW - SW 2,00000000 MO $7,500.00 $15,000.00 CO2-03 Survey & Layout TPW - SW 1.00000000 LS $5,000.06 $5,000.00 CO2-04 SWPPP TPW - SW 1.00000000 LS $3,500.00 $3,500.00 CO2-05 24" Pipe TPW - SW 610.00000000 LF $338.50 $206,485.00 CO2-06 5' Storm Drain Manhole TPW - SW 1.00000000 EA $12,500.00 $12,500.001 CO2-07 T Drop Inlet TPW- SW 1.00000000 EA $11,750.00 $11,750.001 CO2-08 3'DropInlet TPW-SW 4.00000000 EA $11,000.0T $44�00-001 CO2-09 Water Line Lowering (As Needed TPW - SW 1.00000000 EA $9,500.00 $9,500.001 CO2-10 Water Service Lower ng (As Nee�ed) TPW - SW 1.00000000 EA $3,500.00 - $3,500.001 I Reconciliation Items I 1 1-01 0241.2012 Remove 6" Sewer Line TPW - SW 1,345.00000006 LF $24.00 $32,280.001 1-07 3305.0109 Trench Safety TPW - SW 40.00000000 LF $1.00 $40.001 1-08 3305.0112 Concrete Coflar TPW-SW 2.00000000 EA $1,860.00 $3,720.001 1-12 3331.41014" Sewer pipe (ASTM D2241 SDR-26) TPW - SW 31.00000000 LF $77.60 $2,405.601 1-15 3339.1001 4' Manhole TPW - SW 1.00000000 EA $9,915.00 $9,915.001 1-19 3471.0001 Traffic Control TPW - SW 1.00000000 MO $7,500.OU $7,500.00 2-03 0241.4201 Remove 4'Drop Inlet TPW-SW 3.00000000 EA $1,265.00 $3,795.00 2-06 3124.0101 Embankment by Plan TPW - SW 910.00000000 CY $51.25 $46,637.50 2-08 3292.0100 Block Sod Placement TPW- SW 3,821.97000000 SY $9.60 $36,690.91 2-09 3291.0100 Topsoil TPW-SW 437.82000000 CY $71.35 $31,238.46 2-10 3301.0002 Post -CCTV Inspection TPW - SW 140.00000000 LF $2.15 $301.00 2-15 3305.0109 Trench Safety TPW - SW 428.00000000 LF $1.00 $428.001 2-28 9999.0002 3' Drop Inlet TPW - SW 2,00000000 EA $5,242.00 $10,484.001 2-30 3471,0001 Traffic Control TPW - SW 5.00000000 MO $7,500.00 $37,500.001 2-40 Remove Abandoned Manhole TPW - SW 2.00000000 EA $2,000.06 - $4,000.001 2-41 0241.3011 Remove 15" Storm Line TPW - SW 112.00000000 LF $30.00 - $3,360.001 2-46 3201.0400 Temporary Asphalt Pvmt Repair, Residential TPW - SW 2,325.00000000 LF $67.96 U57,867.501 248 Permanent Asphalt Pvmt Repair 2" mill and overlay TPW - SW 100.00000000 SY $55.15 $5,515.001 3-07 3213.0401 6" Concrete Driveway TPW-SW 1,703.77000000 SF $16.75 $28,538.151 B1 a 3341.3501 24" PP Pipe (Materials Only) TPW - SW 140.00000000 LF $33.16 $4,642.40� B1b 3341.3501 24" PP Pipe (Installation Only) TPW - SW 140.00000000 LF $119.84 $16,711.8U1 TPW-SW $779,871.121 1 1 1 Sub Total Additions $779,871.121 Change Order Additions Page 2 of 3 FORTWORTH City of Fort Worth Change Order Deletions Project Name Greenfield Acres Phase 4 Drainage Improvements Client Project # City Sec# 1 59165 1 Contractorl Fort Worth Civil Constructors, LLC I PMI Michael Wellbaum, PE I Inspectorl Charles Hayes l Change Order Submittal # 0 Date 1 7/8/2024 DELETIONS IIEM DESCRIPIION DEPI uty Unit Unit Cost total 1 1-04 3201.0400 Temporary Asphalt Pvmt Repair, Residential I PW -SW 1,117.00000000 LF $44.26 $49,427.251 1-09 3331.3102 4" 2-Way Cleanout TPW-SW 2.00000000 EA $1,445.06 $2,890.001 1-10 3331.3311 4' Sewer Service, Reconnection TPW-SW 2.00000000 EA $1,450.00 $2,900.001 1-14 3339.0001 Epoxy Manhole Liner TPW-SW 14.00000000 VF $325.00 $4,550.001 1-16 3339.1002 4' Drop Manhole TPW - SW 1,00000000 EA $14,025.00 $14,025.001 1-17 3339.1003 4' Extra Depth Manhole TPW - SW 21.20000000 VF $470.00 $9,964.001 1-18 3305.0207 Imported EmbedmenUBackfill, Select Fill TPW-SW 1,000.00000000 CY $19.60 $19,600.001 2-01 0241.1510 Salvage Fire Hydrant TPW-SW 2.00000000 EA $1,016.00 $2,032.00 2-02 0241.3104 24" Storm Abandonment Plug TPW - SW 1.00000000 EA $247.00 $247.00 2-04 0241.4401 Remove Headwall/SET TPW - SW 3.00000000 EA $940.00 $2,820.00 2-05 3123.0101 Unclassified Excavation by Plan TPW - SW 700.00000000 CY $48.20 $33,740.00 2-11 3305.0003 8" Waterline Lowering TPW-SW 5.00000000 EA $8,348.00 $41,740.001 2-12 3305.0107 Manhole Adjustment, Minor TPW-SW 14.00000000 EA $521.00 $7,294.001 2-13 3305.0108 Miscellaneous Structure Adjustments, Water Meter Box TPW - SW 35.00000000 EA $607.00 $21,245.001 2-16 3305,0111 Water Valve Box Adjust w/ Collar TPW - SW 5.00000000 EA $1,015.00 $5,075.00 2-17 3311,0001 Ductile Iron Water Fittings w/ Restraint TPW- SW 1.00000000 TN $17,190.00 $17,19U.UU11 2-18 3311.0161 6' PVC Water Pipe TPW - SW 34.50000000 LF $143.00 $4,933.501 2-19 3311.0261 8' PVC Water Pipe TPW - SW 95.00000000 LF $156.00 $14,820.001 2-20 3311.0461 1 T PVC Water Pipe TPW - SW 20.00000000 LF $250.00 $5,000,001 2-22 3312.2001 1' Water Service, Meter Reconnection TPW - SW 37.00000000 EA $1,065.06 $39,405.001 2-23 3312.20031'Water Service TPW-SW 37.00000000 EA $1,470.0(T001 2-24 3331.3102 4" 2-Way Cleanout TPW-SW 12.00000000 EA $1,530.00 $18,360.001 2-25 3312.0117 Connection to Existing 4%12" Water Main TPW - SW 4.00000000 EA $4,212.00 $16,848.001 2-26 3331.3311 4' Sewer Service, Reconnection TPW - SW 12,00000000 EA $749.00 $8,988.001 2-27 3331.4101 4'Sewer pipe TPW-SW 462.00000000 LF $81.55 $37,676.101 2-37 Remove/Replace Mailbox TPW-SW 2.00000000 EA $1,700.00 $3,40U.001 2-39 Concrete Pipe Collar TPW - SW 10.00000000 EA $625.00 $6,260.001 2-42 0241.3015 Remove 24" Storm Line TPW - SW 163.00000000 LF $32.00 $5,216.001 2-43 Abandonment of Storm Line by Grouting TPW - SW 200.00000000 CY $275.00 $55,000,001 2-44 3305.0207 Imported Embedment/Backfill, Select Fill TPW-SW 3,105.00000000 CY $19.60 $60,858.001 2-45 3201,0400 Temporary Asphalt Pvmt Repair, Residential TPW- SW 825.00000000 LF $59.10 $48,757.501 2-47 3201.0400 Temporary Asphalt Pvmt Repair, Residential TPW-SW 1,216.0000000U LF $59.59 $72,461.441 3.01 0241.0401 Remove Concrete Drive TPW-SW 330.70000000 SF $4,00 $1,322,801 3.03 0241.1700 11" Pavement Pulverization TPW - SW 702.00000000 SY $12.00 -----$"2d.001 3-04 3211.0600 Cement TPW-SW 34.25000000 TN $245.00 $8,391.251 3-05 Flexible Base Course as directed TPW - SW 300.00000000 CY $87.00 $26,10U.Uu1 3.06 3212.0303 3' Asphalt Pvmt Type D TPW - SW 288.00000000 SY $28.50 $8,'LU8.00 3-08 3123.0101 Unclassified Excavation by Plan TPW - SW 300.00000000 CY $51.00 $15,300.00 3-09 Construction Allowance TPW-SW 1.00000000 LS $21,031.23 $21,031.23 C01-18 1-1/2" Overlay on Cindy Lane from Greenfield to North Hill TPW - SW 147.00000000 SY $27.15 $3,991.05 TPA - SW $779,871.12 Sub Total Deletions $779,871.12 Change Order Deletions Page 3 of 3 FORTWORTH© Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Construction Change Order 3 M&C: 24-1093 CPN: 102975 CSO: 59165 DOC#: Date: To: Name Department Initials Date Out 1. Brad Caldwell (BradC@fwcivcon.com) Contractor �G Jan 7, 2025 sc 2. Charles Hayes TPW Inspector Jan 7, 2025 3. Troy Gardner TPW Inspector Jan 7, 2025 4. Michael Wellbaum TPW Project Mgr. Jan 7, 2025 5. Thanaa Maksimos TPW Prog. Mgr. TM Jan 8, 2025 6. Lissette Acevedo TPW Sr. CPO ZW Jan 8, 2025 7. Patricia Wadsack TPW Asst. Dir. PLW Jan 9, 2025 S. Lauren Prieur TPR Dir. xxv Jan 9, 2025 9. Doug Black Legal Jan 9, 2025 10. Jesica McEachern CMO CW` Jan 10 2025 11. Ronald Gonzales CSO Jan 10, 2025 12. Jannette Goodall CSO Jan 10, 2025 13. Allison Tidwell CSO Jan 16, 2025 14. TPW—SW—Contracts TPW SW CC: TPW BSPAP Recon Team — Cindy Sengathith DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: ❑YES ®No RUSH: ❑YES ®No SAME DAY: ❑YES []No NEXT DAY: ❑YES [:]No ROUTING TO CSO: ®YES ❑No Action Required: ❑ Attach Signature, Initial and Notary Tabs ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File Return to: tmv sw con tracts(i fortworthtexas.gov Call 817-229-3283 with questions. Thank you! CSC No. 59165-CO3 FORT WORTH1111� City of Fort Worth Change Order Request Project Name Greenfield Acres Phase 4 Drainage Improvements City Sec # l 59165 Client Project #(s)l Project Storm Drain and Paving Improvements to the Greenfield Acres Subdivision (North Ridge Rd, Cindy Ln, Greenfield Rd, and Tee Head Dr.) Description Contractorl Fort Worth Civil Constructors, LLC l Change Order #' I 3 I Datel 12/10/2024 City Project Mgr.l Michael Wdlbaum, PE l City Inspectorl Charles Hayes Dept. TPW - SW TPW-Streets Contract Time Totals (CD) Original Contract Amount $4,551,919.63 $500,000.00 $5,051,919.63 365 Extras to Date $1,001,980.26 $0.00 $1,001,980.26 69 Credits to Date $1,001,980.26 $0.00 $1,001,980.26 Pending Change Orders (in M&C Process) $0.00 $0.00 Contract Cost to Date $4,551,919.63 $500,000.00 $5,051,919.63 434 Amount of Proposed Change Order 186,841.43 205,288.U0 $391,935.43 120 evised Contract Amount $ ,738,567,0(i '705,288.00 $5,443,855.06 554 Original Funds Available for Change Orders $1,262,979.91 $0.00 $1,262,979.91 Remalning Funds Available for this CO $1,262,979.91 $0.00 $1,262,979.91 Additional Funding (if necessary) $205,288.00 $205,288.00 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 7.76% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $6,314,899.54 JUSTIFICATION (REASONS) FOR CHANGE ORDE The additional items on this change order allow for a complete reconstruction of the paving and drive approaches on North Hill Lane between Boat Club Road and Lea Crest Lane. The reconstruction is needed due to the low PCI score and the installation of a new storm drain system to capture property flooding and address resident concerns. Funding will be provided as a 50/50 match between the streets and stormwater divisions for the portion of the roadway affected by the storm drain work (Approximately 500 linear feet), To complete the block, the streets division is fully funding the remainder (Approximately 1600 linear feet). To simplify the pay items, the result is an 80120 split between divisions for the complete repaving project as reflected in the additional pay items page of this change order. Unit prices received from the contractor represent an increase over the unit prices bid for the original contract in November 2022. The resulting total cost is an increase of approximately 30%. The City Attorneys office has confirmed that for change order work the contractor may ask for an increase in pricing and the City may accept the increase. The change order request includes additional days to complete the change order work. 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. F Contractor's Company Name Contractor (Name) i Contract Signature Date Fort Worth Civil Constructors I Brad Caldwell linspector/Inspection Supervisor lWaSM Project and Contract Compliance Manager Jan 7, 2025 I Program anager Date W Senior Capital Project Officer Jan 8, 2025 lAssistant Director (Dept) Date ! Director, Contracting Department (Dept) Jan 9, 2025 dam% lAssistant ityAttorney W Date Assistant Manager 77W7 7,,, ,,, �City Jan 9, 2025 l Council Action (K requiredw, M&C Number I M&C 24-1093 ATTEST: y a A— Jannette Goodall, City Secretary M&C Date Approved Jan 7, 2025 Date Jan 7, 2025 Date Jan 8, 2025 Date Jan 9, 2025 Date Jan 10, 2025 12/10/2024 FORTWORTH City of Fort Worth -1r-- Change Order Additions Project Name Greenfield Acres Phase 4 Drainage Improvements City Sec # 59A5 Client Project # j Conbactorl Fort Worth Civil Constructors, LLC I PMI Michael Wellbaum, PE I Inspectorl Charles Hayes Change Order Submittal # 0 Date j 12/10/2024 j ADDITIONS ITEM DESCRIPTION DEPT city Unit Unit Cost Stormwater Share: 20% CO3-01 11" Pulverization TPW - SW 720.00000000 SY $16.50 CO3-02 Cem-Lime Treatment @ 32 lbs./SY TPW - SW 12,00000006 TON $460.00 CO3-03 3" Asphalt TY D TPW - SW 720.00000000 SY $32.50 CO3-04 Unclassified Excavation TPW-SW 20.00000000 CY $70.00 CO3-05 Remove Driveway TPW - SW 725.00000000 SF $3.00 CO3-06 Driveway (Asphalt) - 3" TPW - SW 722.00000000 SF $5.50 CO3-07 Driveway Repair (Concrete) TPW - SW 4.00000000 SF $150.00 CO3-08 Sanitary Sewer Manhole Adjustment and Collar TPW - SW 1.00000000 EA $1,350.00 CO3-09 Water Valve Adjustment and Collar TPW - SW 1.00000000 EA $600.00 CO3-10 Sodding (12" along disturbed edges) TPW - SW 85.00000OOO SY $10.50 CO3-11 Topsoil TPW-SW 9.00000000 CY $75.00 Streets Share: 80% CO3-12 I Pulverization TPW-Streets 2,880.00000006 SY $16.50 CO3-13 Cem-Lime Treatment @ 32lbs./SY TPW-Streets 46.00000000 TON $460.00 CO3-14 3" Asphalt TY D TPW-Streets 2,880.00000000 SY $32.50 CO3-15 Unclassified Excavation TPW-Streets 80.00000006 CY $70.00 CO3-16 Remove Driveway TPW-Streets 2,899.00000000 SF $3.00 CO3-17 Driveway (Asphalt) - 3" TPW-Streels 2,884.00000000 SF $5.50 CO3-18 Driveway Repair (Concrete) TPW-Streets 14.00000000 SF $150.00 CO3-19 Sanitary Sewer Manhole Adjustment and Collar TPW-Streets 2.00000000 EA $1,350.00 CO3-20 Water Valve Adjustment and Collar TPW-Streets 3.00000000 EA $600.06 CO3-21 Sodding (12" along disturbed edges) TPW-Streets 338.00000000 SY $10.50 CO3-22 Topsoil TPW-Streets 36.00000006 CY $75.00 Stonnwater Only 003-23 Inlet and Junction Box Risers to Avoid Water Line Relocations TPW - SW 1.00000000 LS $4,928.00 CO3-24 4' Drop Manhole TPW - SW 2.00000000 EA $14,025.00 CO3-25 Flowable Fill around Drop Connections TPW - SW 54.00000000 CY $275.00 CO3-26 3" Aspphalt Pavement Repair TPW - SW 69.44000000 SY $28.50 CO3-27 11" pavement Pulverization TPW - SW 69.44000000 SY $12.00 CO3-28 Sod TPW - SW 66.67000000 SY $9.60 CO3-29 Manhole Wall and Coaling Repair TPW - SW 1.00000000 LS $2,789.05 CO3-30 Subsurface Utility investigation TPW-SW 1.00000000 LS $10,182.03 CO3-31 Asphalt Pavement Repair (6'-7' Wide) TPW - SW 560.00000000 LF $75.00 CO3-32 TV Inspection of Storm Drain TPW- SW 610.00000006 LF $2.50 CO3-33 Topsoil TPW - SW 122.00000000 CY $75.00 CO3-34 Sod Placement in Disturbed Areas TPW - SW 1.115.00000000 SY $10.50 CO3-35 Concrete Collar TPW - SW 6.00000000 EA $925.00 TPW - SW TPW-Streets Sub Total Additions I otal $11,880.001 $5,520.00 $23,400.00 $1,400.00 $2,175.00 $3,971.00 $600.00 $1,350.00 $600.00 $892.501 $675.001 $47,520.001 $21,160.00 $93,600.00 $5,600.001 $8,697,001 $15,862.001 $2,100.001 $2,700.001 $1,800.001 $3,549.00 $2,700.001 $4,928.00 $28,050.00 $14,850.00 $1,979.04 $833.28 $640.03 $2,789.05 $10,182,031 $42,000.001 $1,525.00 $9,150.00 $11,707.501 $5,550.001 $186,647.431 $205,288.001 $391,935.43 Change Order Additions Page 2 of 3 HEM EM FORTWORTH City of Fort Worth Change Order Deletions Project Name Greenfield Acres Phase 4 Drainage Improvements I City Sec # 59165 Client Project # I I Contractorl Fort Worth Civil Constructors, LLC I PMI Michael Wellbaum, PE Inspectorl Charles Hayes l Change Order Submittal # 0 Date 1 12/10/2024 1 DELETIONS UESCKIPHON UEPI City Unit Unit Cost total TPW - SW I 1 I I $0.001 TPW-Streets $0.001 Sub Total Deletions $0.00 Change Order Deletions Page 3 of 3 City of Fort Worth, Texas Mayor and Council Communication DATE: 12/10/24 M&C FILE NUMBER: M&C 24-1093 LOG NAME: 20WM GREENFIELD ACRES PH 4 CHANGE ORDER 3 SUBJECT (CD 2) Authorize Execution of Change Order No. 3 to a Contract with Fort Worth Civil Constructors, LLC, in the Amount of $391,935.43 for the Construction of the Greenfield Acres Drainage Improvements Phase 4 Project, for a Revised Contract Amount of $5,443,855.06, Adopt Appropriation Ordinance and Amend the Fiscal Years 2025-2029 Capital Improvement Program RECOMMENDATION: It is recommended that the City Council: 1. Authorize execution of Change Order No. 3 in the amount of $391,935.43 to City Secretary Contract No. 59165 with Fort Worth Civil Constructors, LLC for the construction of the Greenfield Acres Drainage Improvements Phase 4 project (City Project No. 102975), for a revised contract amount of $5,443,855.06; and 2. Adopt the attached appropriation ordinance adjusting estimated receipts and appropriations in the General Capital Projects Fund in the amount of $205,288.00 by increasing estimated receipts and appropriations in the Greenfield Acres Drainage Improvements Phase 4 project (City Project No. 102975) and decreasing estimated receipts and appropriations in the Contract Street Maintenance programmable project (City Project No. P00020) by the same amount; and 3. Amend the Fiscal Years 2025-2029 Capital Improvement Program DISCUSSION: On Tuesday, February 14, 2023, by Mayor and Council Communication (M&C) 23-0109, the City Council authorized a contract with Fort Worth Civil Constructors, LLC in the amount of $5,051,919.63 for the construction of the Greenfield Acres Drainage Improvements Phase 4 project (City Project No. 102975). The project is the last phase of stormwater improvements being constructed to mitigate flooding to roughly 68 homes in the Greenfield Acres neighborhood. This M&C will authorize the execution of and appropriate funding for Change Order No. 3. The following table summarizes previous contract action and change orders: Construction Contract Date Contract Amount Original Contract (M&C 23- 02/14/2023 $5,051,919.63 0109) Amendment 1 06/03/2023 $0.00 (Administrative) Change Order 1 07/29/2024 $0.00 (Administrative) Change Order 2 09/20/2024 $0.00 (Administrative) Change Order 3 Revised Contract Amount Pending $391,935.43 $5,443,855.06 The previous Amendment 1 and Change Orders 1 and 2 were provided to correct the contract time, provide for field changes to address specific drainage issues reported by residents, and provide additional storm drain construction on North Hill Lane west of Lea Crest Lane. This change order will provide full pavement rehabilitation on the affected block of North Hill Lane using a pulverization and asphalt overlay process similar to the approach used on prior streets in the neighborhood. Staff recommends extending the contract time by 120 calendar days due to the changes in scope discussed above. Contract item additions have been evaluated by City staff as necessary, and the unit prices were determined to be fair and reasonable when compared to City standard prices and recently bid projects. Costs for the paving rehabilitation will be shared between the Stormwater Capital Projects Fund in the amount of $186,647.43 and the General Capital Projects Fund in the amount of $205,288.00. Funding is budgeted in the Stormwater Capital Projects Fund for the Greenfield Acres Drainage Phase 4 project and in the General Capital Projects Fund in the Contract Street Maintenance programmable projects for additional funding in the Greenfiled Acres Drainage Phase 4 project. Funding for this project was not included in the Fiscal Years (FY) 2025-2029 Capital Improvement Program due to additional funding for project management and construction is needed to complete the project. The action in this M&C will amend the FY 2025-2029 Capital Improvement Program as approved in connection with Ordinance 27107-09-2024. Appropriations for this project are shown below: Fund Protect Appropriations 30100 — General Capital $500,000.00 Projects (102975) 52002 — Stormwater Capital $2,750,000.00 Projects (102975) 52007 — Stormwater Rev $3,850,000.00 Bonds 2020 (102975) Table Total $7,100,000.00 Additional Funding $205,288.00 Proiect Total $708,288.00 $0.00 $2,750,000.00 $0.00 $3,850,000.00 $205,288.00 $7,305,288.00 Business Equity Office: Fort Worth Civil Constructors, LLC agrees to maintain its initial M/WBE commitment of 16.00% that it made on the original contract and extend and maintain that same M/WBE commitment of 16.00% to this Change Order No. 3. Therefore, Fort Worth Civil Constructors, LLC remains in compliance with the City's M/WBE Ordinance and attests to its commitment by its signature on the Acceptance of Previous M/WBE Commitment form executed by an authorized representative of its company. This project is located in COUNCIL DISTRICT 2. FISCAL INFORMATION / CERTIFICATION: The Director of Finance certifies that funds are currently available in the Greenfield Acres Drainage Ph4 project within the Stormwater Capital Projects Fund and in the Contract Street Maintenance programmable project within the General Capital Projects Fund and upon approval of the above recommendations and adoption of the attached appropriation ordinance, funds will be available in the Stormwater Capital Projects and General Capital Projects Funds for the Greenfield Acres Drainage Ph4 project to support the approval of the above recommendations and execution of the contract. Prior to any expenditure being incurred, the Transportation & Public Works Department has the responsibility to validate the availability of funds. Submitted for Citv Manaaer's Office bv: Jesica McEachern 5804 Oriainatina Business Unit Head: Lauren Prieur 6035 Additional Information Contact: Thanaa Maksimos 2319 FORTWORTH. M" TRANSPORTATION AND PUBLIC WORKS July 14, 2025 Fort Worth Civil Constructors, LLC 4860 Mark IV Parkway Fort Worth, TX 76106 RE: Acceptance Letter Project Name: Greenfield Acres Ph. 4 Project Type: Sewer, Drainage, Paving City Project No.: 102975 To Whom It May Concern: On April 17, 2025 a final inspection was made on the subject project. There were punch list items identified at that time. The punch list items were completed on June 25, 2025. 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 June 25, 2025, which is the date of the punch list completion and will extend of two (2) years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance, please feel free to contact me at 817- 253-1968. Sincerely, Berton Guidry P.E., Project Manager Thanaa Maksimos, Program Manager, Cc: Charles Hayes, Inspector Troy Gardner, Inspection Supervisor Emanuel Nieto, Senior Inspector Thanaa Maksimos, Program Manager JD Engineering, Consultant Fort Worth Civil Constructors LLC, Contractor N/A, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Signature: Email: jesica.mceachern@fortworthtexas.gov Rev. 8/20/19 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 Austin Alumbaugh, President of Fort Worth Civil Constructors, LLC, 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 material have been paid in full; That the wage scale established by the City Council in the Coty 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; Greenfield Acres Phase IV Drainage Improvements; CPN: 102975 BY Austin Alumbaugh, President Subscribed and sworn before me on this date 14t" of July, 2025. Notary Public MARC DAVID RAMSEY Tarrant County, Texas Notary Public, State of Texas Comm. Expires 08-10-2027 Notary ID 13032580-6 CONSENT OF SURETY COMPANY TO FINAL PAYMENT Bond #SUR0075473 Project: Greenfield Acres Phase 4 Drainage Improvements, City Project No. 102975 To (Owner): City of Fort Worth, TX 200 Texas Street Fort Worth, TX 76102 Contractor: Fort Worth Civil Constructors, LLC Contract For: See Above Contract Date: In accordance with the provision of the Contract between the Owner and the Contractor as defined above, the on bond of Argonaut Insurance Company P O Box 469011 San Antonio, TX 78246 Fort Worth Civil Constructors, LLC 4860 Mark IV Parkway Fort Worth, TX 76106 , Surety Company, , Contractor hereby approves of the final payment to the Contractor and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to the City of Fort Worth, TX 200 Texas Street Fort Worth, TX 76102 , Owner as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 14th day of July, 2025. Argonaut Insurance Company Surety Company Tracy Tucke , omey-in-Fact Argonaut Insurance Company Deliveries Only: 225 W. Washington, 24th Floor Chicago, IL 60606 United States Postal Service: P.O. Box 469011, San Antonio, TX 78246 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the Argonaut Insurance Company, a Corporation duly organized and existing under the laws of the State of Illinois and having its principal office in the County of Cook, Illinois does hereby nominate, constitute and appoint: Bennett Brown_ W. Lawrence Brown. Kevin J. Dunn. Tanner Laneston. Steven Tucker. Tracy Tucker Their true and lawful agent(s) and attorney(s)-in-fact, each in their separate capacity if more than one is named above, to make, execute, seal and deliver for and on its behalf as surety, and as its act and deed any and all bonds, contracts, agreements of indemnity and other undertakings in suretyship provided, however, that the penal sum of any one such instrument executed hereunder shall not exceed the sum of: $97,550.000.00 This Power of Attorney is granted and is signed and sealed under and by the authority of the following Resolution adopted by the Board of Directors of Argonaut Insurance Company: "RESOLVED, That the President, Senior Vice President, Vice President, Assistant Vice President, Secretary, Treasurer and each of them hereby is authorized to execute powers of attorney, and such authority can be executed by use of facsimile signature, which may be attested or acknowledged by any officer or attorney, of the Company, qualifying the attorney or attorneys named in the given power of attorney, to execute in behalf of, and acknowledge as the act and deed of the Argonaut Insurance Company, all bond undertakings and contracts of suretyship, and to affix the corporate seal thereto." IN WITNESS WHEREOF, Argonaut Insurance Company has caused its official seal to be hereunto affixed and these presents to be signed by its duly authorized officer on the 19th day of November 2021 Areonaut Insurance COmoanv STATE OF TEXAS COUNTY OF HARRIS SS: .Uunp. PA €SEALa b z; dam,• teas ; � ? Y' •..... tool, Z-V, t Z,-, Gary E. Grose, President On this 19,th day of November, 2021 A.D., before me, a Notary Public of the State of Texas, in and for the County of Harris, duly commissioned and qualified, came THE ABOVE OFFICER OF THE COMPANY, to me personally known to be the individual and officer described in, and who executed the preceding instrument, and he acknowledged the execution of same, and being by me duly sworn, deposed and said that he is the officer of the said Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and the said Corporate Seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said corporation, and that Resolution adopted by the Board of Directors of said Company, referred to in the preceding instrument is now in force. IN TESTIMONY WHEREOF, I have hereunto set my hand, and affixed my Official Seal at the County of Harris, the day and year first above written. �� iUAn F(s KA�HLEEN M MEFKSNOTARY PUBLIC STATE OF TEXASMY COMM. EXP. 07/15/25 NOTARY FtY iD 557902-8 _ (Notary Public) I, the undersigned Officer of the Argonaut Insurance Company, Illinois Corporation, do hereby certify that the original POWER OF ATTORNEY of which the foregoing is a full, true and correct copy is still in full force and effect and has not been revoked. IN WITNESS WHEREOF, I have hereunto set my hand, and affixed the Seal of said Company, on the 14th day of July 2025 . °' SEAL' 'C7: :DZ 2<INOS: ' • Austin W. King Secretary 1F YOU HAVE QUESTIONS ON AUTHENTICITY OF THIS DOCUMENT CALL (833) 820 - 9137.