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Home My WebLink About065411-CO1 - Construction-Related - Contract - GRBK Edgewood LLCDowsign Envelope ID'. 9BF34084A611-8601-BOCC-46633A914A4D r 0 FORT WORTH,,, Developer -Awarded -Project Change order CSC NO. 65411-CO 1 Change Order Number: 1 Project Name: CIBOLO HILLS WEST 16-INCH WATERLINE IPRC Record: IPRC26-0035 City Secretary Number: 65411 X Number: X-28911 City Participated Project: O Yes No Inspector Name: Leticia Flores Project Manager Name: Ahmed Musa Date: 8/4/2026 CPN: 106849 CFA Number: CFA26-0043 FID: FID # 30114-0200431-106849-EO7685 File Number: N/A Email: Leticia. Flores(afortworthtem—ov Email: Ahmed, Mus Afortworthtexas.aov Phone: 682-454-2732 Phone: 817-392-2084 CONTRACT UNIT WATER Working Days Credits/Extras Developer Cost City Cost Original Contract $188,327.40 $184,130.60 30 Extras to Date $0.00 $0.00 0 Credits to Date $0.00 $0.00 0 Contract to Date $188,327.40 $184,130.60 30 Amount of Proposed CO $15,187.50 $0.00 0 Revised Contract Amount $203,514.90 $184,130.60 30 Total Revised Contract Per Unit $387,645.50 Revised Cost Share Dev. Cost: $203,514.90 City Cost: $184,130.60 Total Revised Contract $387,645.50 Reason for Change Order Additional water line and appurtenances added to facilitate chlorine and pressure testing of 16" WL. Changes correspond to Revision No. 1 as shown on sheets 6R7. 7R1, & SR1 of the construction plans. OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX CITY OF FORT WORTH STANDARD CONSTRUCTION DOCUMENT — DEVELOPER AWARDED PROJECTS REVISED DATE: March 10.2026 1 Of 3 D—,ign Envelope ID: 98F3408 611-8601-80CC46n3A914A4D FORT WORTH Change Order Number: Project Name: CIBOLO HILLS WEST 16-INCH WATERLINE You are directed to make the following changes in the contract documents: Asterisk (*) indicates New Pay Item Developer-Awar ed roject Change Order Date: 8/4/2026 CPN: 106849 UNIT I: WATER IMPROVEMENTS PAY ITEM # CITY BID ITEM # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE Developer Cost City Cost TOTAL 3 3311.0001 0.275 TON Ductile Iron Water Fittings w/ Restraint $12500.00 $3 437.50 $0.00 $3 437.50 12* 3312.0117 1 EA Connection to Existing 4"-12" Water Main $1200.00 $1,200.00 $0.00 $1,200.00 13* 3312.3003 1 EA 8" Gate Valve $1550.00 $1,550.00 $0.00 $1 550.00 14* 9999.0001 2 EA 2" Flushing Valve $4,500.00 $9,000.00 $0,00 $9,000.00 TOTAL UNIT I: WATER IMPROVEMENTS $15,187.50 $0.00 1 $15,187.50 CITY OF FORT WORTH STANDARD CONSTRUCTION DOCUMENT — DEVELOPER AWARDED PROJECTS REVISED DATE: March 10.2026 PXiiil:3 Dowsign Envelope ID'. 9BF340M4 611-8601-BOCC-46633A914A4D FORT WORTH Developer-Awar ed Change Order Number: 1 Project Name: CIBOLO HILLS WEST 16-INCH WATERLINE Name: Adam Burns Contractor Requested: Sign ture: Name: Natanael Gonzalez, P.E. Engineer Recommended: Signature: � (� Name: A—d Guthrie Developer Approved: wed by. I/q'� C,{,{/, t. Si nature: U.mw �`^� 668053045F8543D... Name: Mosadage Mohammdeen AG Project Manager: Andrew Goodman Signature: Motas(age Mohaer'Hdeen,E t MI"fi'�� CoFW Participating DepartmenIIL Name: Suby Varu hese Si nature: Sub l�2ucysrwcad P` !!// CoFW Assistant City Attorney: Name: Richard McCracken �¢eei�¢ UJe�w.¢au Signature: 0 Name: Dana Dur hdoff CoFW Assistant City Manager:4 �Imw&,— Si nature: Dianna Giordano (Aug 14. 2026 11:24:52 CDT) Name: Jannette S. Goodall /�c roject Change Order Date: 8/4/2026 CPN: 106849 Title: Manager Date: 8/5/26 CoFW City Secretary: h Signature: > anb @4pOgr �Ca °°e °°°° o?'p9�10 I.e M&C Number: M&C 26-0357 pv^ o =P&C Date Approved: 5/12/2026 aa4IlbnEooS�4.o Title: Sr. Project Engineer 8/4/2026 AuMon,ed Signer Date: e/5/2026 i 2:35 PM CDT Title: Sr. Professional Engineer 08/07/2026 Title: Engineering Manager Date: 08/11 /2026 Title: Senior Assistant City Attorney Date: 08/12/2026 Title: Assistant City Manager 08/14/2026 Date: 08/17/2026 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX CITY OF FORT WORTH STANDARD CONSTRUCTION DOCUMENT — DEVELOPER AWARDED PROJECTS REVISED DATE: March 10.2026 3 of 3 FORT WORTH. I City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: GRBK Edgewood LLC Subject of the Agreement: Additional water line and appurtenances added to facilitate chlorine and pressure testing of 16" WL. Changes correspond to Revision No. 1 as shown on sheets 6R1, 7R1, & 8R1 of the construction plans. This will be for Change order 1. 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 0 No ❑ CFA26-0043 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 0 If only specific information is Confidential, please list what information is Confidential and the page it is located. Effective Date: 06/22/2026 If different from the approval date. Expiration Date: 06/22/2028 If applicable. Is a 1295 Form required? * Yes ❑ No 21 *If so, please ensure it is attached to the approving M&C or attached to the contract. Project Number: If applicable. 106849 *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. 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