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Home My WebLink About061420-CO4 - Construction-Related - Contract - Jackson Construction, Ltd.CSC No. 61420-CO4 F o p,- ` o R-F H City of Fort Worth Change Order Request Project Name: Trinity Boulevard Phase 2 -Salado Trail to Thames Trail City Sec No.: 61420 Project No.(s): 103280 DOE No. N/A CityProj.No.:l 103280 Project Description: Trinity Boulevard Phase 2 Salado Trail to Thames Trail - Roadway, Drainage, Waterline, Landscape and Illumination Imorovements Contractor: I Jackson Construction, Ltd. Change Order # Date: 6/10/2026 City Project Mgr.1 Mitch Aiton/Preeti KC City Inspector: I Mark Kitts Phone Number: 1 682-715-9424 Phone Number: (214) 746-5004 Dept. I Water I Sewer Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date 981,705.00 37,870.79 019.575.79 TPW Totals Contract Time (Calender days) 117,637.00 $12,099,342.00 730 $37,870.79 117,637.00 1 $12,137,212.79 Amount of Proposed Change Order $0.00 $0.00 $0.00 3 Revised Contract Amount $5,019,575.79 $7,117,637.00 Original Funds Available for Change Orders $250,000.00 $550,000.00 Remaining Funds Available for this CO $212,129.21 $550,000.00 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) $12,137,212.79 733 $800,000.00 $762,129.21 0.31 % $15,124,177.50 JUSTIFICATION (REASONS) FOR CHANGE ORDER Change Order No. 4 will provide for the adjustment to the height of an above -ground air release valve in the median. Due to the height of an existing waterline, an above -ground air release valve was needed, initially designed to be 4.5' above ground. The height adjustment to the design will reduce the height by 3' to help not distract from the additional landscaping and trees added by the TPW Trinity Boulevard project. The contractor has requested 3 additional days to the contract. OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. Contractor's Company Name Contractor Name Contractor Signature Date Jackson Construction, Ltd. All Jones I Ali Jones (Jun 16, 2026 07:02.03 CDT) 06/18/2026 Inspector Date Project Manager Date Marx Kitts Mark Kitts (Jun 17, 2026 12:53:41 CDT) 06/17/2026 - 06/22/2026 Director (Water Dept) Date Construction Supervisor (Water) Date rto her-earde� Christopher Harder (Jun 26. 2026 14:44:37 CDT) 06/26/2026d>-<E�«a-ua�- 06/18/2026 Senio stant City Attorney Date Assistant City Manager Date &*e :, zozs v:azw cono 06/26/2026 o-\ t%!. au 07/06/2026 _a. FORTq>7 Council Action (If Required); M&C Number N/A ATTEST: M&C�°oa°� I N/A Jannette Goodall, City Secretary aaanrezAs4`� F[}YZ-r W"P,T-Y4 City of Fort Worth Change Order Additions Project Name I Trinity Boulevard Phase 2 - Salado Trail to Thames Trail City Sec No.: 1 61420 Project No.(s): F103280 DOE No. N/A City Proj. No.: 103280 Project Description Trinity Boulevard Phase 2 Salado Trail to Thames Trail - Roadway, Drainage, Waterline, Landscape and Illumination Improvements Contractor Jackson Construction, Ltd. I Change Order:® Date: 6/10/2026 City Project Mgr. Mitch Aiton/Preeti KC City Inspector FMark Kitts ADDITIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total II-45 Air Release Valve Adjustment Water 1.00 LS $14,362.21 $14,362.21 Water $14,362.21 Sewer TPW Page 1 of 1 Additions Sub Total Fc)n-r W"H-u City of Fort Worth Change Order Deletions Project Name Trinity Boulevard Phase 2 - Salado Trail to Thames Trail Project No.(s): 1 103280 DOE No. N/A Project Description City Sec No.: 61420 City Proj. No.: 103280 Trinity Boulevard Phase 2 Salado Trail to Thames Trail - Roadway, Drainage, Waterline, Landscape and Illumination Improvements Contractor Jackson Construction, Ltd. Change Order: ® Date 6/10/2026 City Project Mgr. Mitch Aiton/Preeti KC City Inspector: Mark Kitts DELETIONS ITEM IDESCRIPTION DEPT I Qty JUnit I Unit Cost ITotal II-41 lWater Construction Allowance Water I 0.10 LS 1$150,000.00 1$14,362.21 Page 1 of 1 Water $14,362.21 Sewer TPW Deletions Sub Total $14,362.21 NIMBE Breakdown for this Change Order Previous Change Orders co# DATE AMOUNT 1 3/10/2025 $37,870.79 2 3/27/2025 $0.00 3 8/7/2025 $0.00 Total $37,870.79 Page 1 of 1 103280-CNCO-Trinity Blvd Ph 2 CO #4 Interim Agreement Report 2026-06-17 Created: 2026-06-16 By: Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) Status: Draft Transaction ID: CBJCHBCAABAAyEt7X3Xs4DJ_5klOG3di5DTEV08g52fX 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 #4" History Li Document created by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) 2026-06-16 - 10:07:57 PM GMT- IP address: 204.10.90.100 FoRTWORTH. I P"""edisy Adobe Acrobat Sign FORT WORM, Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Trinity Blvd Ph 2 CO #4 M&C: N/A CPN: 103280 CSO: 61420 DOC#: N/A Date: 6/10/2026 To: Name Department Initials Date Out 1. Mitch Aiton TPW - Approval M 06/17/2026 2. Ali Jones Jackson - Signature ,!, 06/18/2026 3. Mark Kitts (Inspector) TPW - Signature MMK 06/17/2026 4. Cristobal Fuentes (Const Super) TPW - Signature 4S 06/18/2026 5. Preeti KC (PM Sign) Water - Signature preetiKC 06/22/2026 6. Tony Sholola Water - Approval 06/26/2026 7. Chris Harder (Director) Water — Signature H� 06/26/2026 8. Doug Black Legal — Signature AsBiack 06/26/2026 8. Jesica McEachern (ACM) Water — Signature 07/06/2026 10. Jannette Goodall CSO - Signature eneGooda„ 07/06/2026 11. TPW Contracts CC: Program Manager, Sr. CPO, TPW BSPAP Recon Team, TPW Records Room, TPW Contracts 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, Jay 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: Please notify TPWContracts(a)fortworthtexas.i!ov for pickup when complete. Call ext. 7233 or ext. 8363 with questions. Thank you! F0 RT WO RT H City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: Jackson Construction, Ltd. Subject of the Agreement: Air Release Valve on Line C. This Change Order Request is to add the pay item for the adjustment of M&C Approved by the Council? * Yes ❑ No 8 If so, the M&C must be attached to the contract. Is this an Amendment to an Existing contract? Yes 8 No ❑ If so, provide the original contract number and the amendment number. Is the Contract "Permanent"? *Yes 8 No ❑ If unsure, see back page for permanent contract listing. 61420 Is this entire contract Confidential? *Yes ❑ No 8 If only specific information is Confidential, please list what information is Confidential and the page it is located. Effective Date: If different from the approval date. Expiration Date: If applicable. Is a 1295 Form required? * Yes ❑ No 8 *If so, please ensure it is attached to the approving M&C or attached to the contract. Project Number: If applicable. 103280 *Did you include a Text field on the contract to add the City Secretary Contract (CSC) number? Yes 8 No ❑ Contracts need to be routed for CSO processing in the following order: 1. Katherine Cenicola (Approver) 2. Jannette S. Goodall (Signer) 3. Allison Tidwell (Form Filler) *Indicates the information is required and if the information is not provided, the contract will be returned to the department.