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Home My WebLink About064043-CO1 - Construction-Related - Contract - Acadia Services, LLCCSC No. 64043-COl FORT WORTH City of Fort Worth Change Order Request Project Name: Silver Creek Lift Station Cily Sec No.: 1 64043 Project No.(s): 56026/0700430157400101104489/00178019999 DOE No. N/A City Proj. No.: 104489-3 Project Description: Construction of Silver Creek Lift Station Contractor: Acadia Services, LLC Change Order # 0 Date: 7/20/2026 City Project Mgr.1 Bijay Upreli City Inspector: I Ronnie Cardenas Phone Number: 8173928909 Phone Number: 8173925928 Dept. I Water I Sewer Totals I Contract Time Original Contract Amount Extras to Date Credits to Dale Pending Change Orders (in M&C Process) Contract Cost to Date $10,992,057.00 $10,992,057.00 550 $10,992,057.00 $10,992,057.00 550 Amount of Proposed Change Order $0.00 $0.00 00 Revised Contract Amount $10,992,057.00 Original Funds Available for Change Orders $274,246.00 Remaining Funds Available for [his CO $274,246.00 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $10,992,057.00 550 $274,246.00 $274,246.00 0.00% $13,740,071.25 JUSTIFICATION (REASONS) FOR CHANGE ORDER Change Order No. I will allow the Water Department to make Material on Hand (M011) payment for 20" Ductile Iron Pipe and 20" Gale Valve to be utilized on the project and establishes unit prices that will facilitate IvI0F1 payments. The contractor has met all the requirements for i\4011 paynunts. OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX It is understood and agreed [hat 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 Contra c Sig ure Date Acadia Services, LLC - t /G 2 2•0 2 Inspector Date Projec na a Date Director Water Dept) Dale Conslr ctie y ervis ` Date A eY Christopher Harder M 28, 2026 15.16:23 CDT 07/28/2026 - Assistant City Attorney Date Assistant City Manager Date Amme- Do 08/03/2026 a 08/11/2026 Council Action (If Required) M&C Number N/A M&C Date Approved N/A b SORT WORTH City of Fort Worth Change Order Additions Project Name Silver Creek Lift Station City Sec No.: 64043 Project No.(s): 5602610700430/5740010/1044891001780/9999 DOE Nol::W= City Proj. No.: 104489 3 Project Description Construction of Silver Creek Lift Station Contractor Acadia Services, LLC Change Order:[= Date: 7/20/2026 City Project Mgr. Bijay Upreti City Inspector FRonniecardenas ADDITIONS ITEM DESCRIPTION DEPT Qt Unit Unit Cost Total 1.003 3331,4306 20" DIP Sewer, CSS Backfill Sewer -190.00 LF $650.00 -$123,500.00 1.005 3312.3008 20" Gate Valve w/ Vault Sewer -2.00 EA $45,760.00 -$91,520.00 1.003A 3331.4306 20" DIP Sewer, CSS Backfill - INSTALL ONLY Sewer 190.00 LF $470.00 $89,300.00 1.003B 3331.4306 20" DIP Sewer, CSS Backfill - MATERIAL ONLY Sewer 190.00 ILF $180.00 $34,200.00 1.005A 3312.3008 20" Gate Valve w/ Vault - INSTALL ONLY Sewer 2.00 EA $26,360.00 $52,720.00 1.005B 3312.3008 20" Gate Valve wl Vault - MATERIAL ONLY Sewer 2.00 EA $19,400.00 $38,800.00 =r- — - Page 2 of 4 Water Sewer $0.00 JAdditions Sub Total ?FORT WOR-FM City of Fort Worth Change Order Deletions Project Name Silver Creek Lift Station Project No.(s): 5602610700430157400101104489100178019999 DOE No. N/A Project Description Construction of Silver Creek Lift Station City Sec No.: City Proj. No Contractor Acadia Services, LLC Change Order: � Date 1 7/20/2026 City Project Mgr. Bijay Upreli City Inspector: Dmnie6rdenas DELETIONS 64043 104489-3 Page 3 of 4 Contract Compliance Manager By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Bijay Upreti �a�©T-"; ;'. 842-0=ao. ale: 2025.00.it 1418'.42-05'00' Signature Bijay Upreti, P.E. Name of Employee Sr. Professional Engineer Title poFFOA>,° s=' pd0 p!`e A.10 ATTEST: C cenn¢�6psQa Jannette S. Goodall City Secretary OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FORT WORTH. City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: Acadia Services, LLC Subject of the Agreement: Silver Creek Lift Station M&C Approved by the Council? * Yes ❑ No M If so, the M&C must be attached to the contract. Is this an Amendment to an Existing contract? Yes ❑ No 0 64043-COl If so, provide the original contract number and the amendment number. Is the Contract "Permanent"? *Yes 0 No ❑ If unsure, see backpage for permanent contract listing. Is this entire contract Confidential? *Yes ❑ No ❑ If only specific information is Confidential, please list what information is Confidential and the page it is located. Effective Date: N/A If different from the approval date. Expiration Date: N/A If applicable. Is a 1295 Form required? * Yes ❑ No ED *If so, please ensure it is attached to the approving M&C or attached to the contract. Project Number: If applicable. 104498-3 *Did you include a Text field on the contract to add the City Secretary Contract (CSC) number? Yes 0 No ❑ Contracts need to be routed for CSO processing in the followingorder: rder: 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.