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Home My WebLink About062257-R1CO1 - Construction-Related - Contract - Nortex Concrete Lift and Stabilization, Inc.CSC No. 62257-R1 CO1 FORT WORTH,, City of Fort Worth V Change Order Request Project Name Pavement Leveling Service Unit Price Contract City Sec # 62257-R1 Client Project #(s)l Project Description Leveling uneven concrete pavement slab, soil densificaiton and joint grinding Contractor Nortex Concrete Lift and Stabilization, Inc. Change Order #1 1 Date 8/28/2026 City Project Mgr. I Tariqul Islam City Inspector Eddie Walker Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date TPW Totals CD $1,000,000.00 $1,000,000.00 $1,000,000.00 $1,000,000.00 Amount of Proposed Change Order $0.00 Revised Contract Amount $1,000,000.00 $1,000,000.00 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 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%) $1,250,000.00 JUSTIFICATION (REASONS) FOR CHANGE ORDER IN ACCORDANCE WITH THIS CHANGE ORDER, THE CONTRACTOR SHALL furnish all labor, materials, equipment, and incidentals necessary to complete the work described in Change Order No. 1. Change Order No. 1 increases the unit prices of the following bid items by $0.30 per pound: •Bid Item No.5— — Pavement Leveling with Foam Injection •Bid Item No.7— — Soil Dens cation with Foam Injection (4-8 feet) •Bid Item No.8— — Soil Densification with Foam Injection (9-15 feet) The price adjustment is necessary due to significant increases in the cost of the raw materials used to manufacture high -density polyurethane foam (HDPF), the primary material required for the foam -injection work. The contractor provided price -increase notices from its material suppliers to support the requested adjustment. Staff reviewed the supporting documentation and evaluated the proposed adjustment against recent bid tabulations and pricing for comparable work. Based on this review, staff determined that the proposed increase of $0.30 per pound is fair and reasonable. 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. ntract Si e Nortex Concrete Lift and Stabilization, Inc. I Casey DeRosa 09/04/2026 Ins p ector/tns ection Supervisor ervisor Date Project and Contract Compliance Manager Date 09/04/2026 :c-rzr..�.,._..,1< un 08/31 /2026 'Mrr Program Manager Date Senior Capital Project Officer Date e+- 09/04/2026 09/08/2026 Assistant Director (Dept) Date Director, Contracting Department (Dept) Date -- . �•. - 09/08/2026 -e' 09/08/2026 Assistant City Attorney Date Assistant City Manager Date 4dfs� 09/09/2026 09/14/2026 Council Action (if required) aIlIl oaf Four °% ATTEST: �� ..,•-''A- Ogg° /�\j,X10 Jannette Goodall, City Secretary M&C Number N/A M&C Date Approved N/A OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FORT WORTH City of Fort Worth Change Order Additions Project Name Pavement Leveling Service Unit Price Contract City Sec # 62257-R1 Client Project# Contractorl Nortex Concrete Lift and Stabilization, Inc. PM Tariqul Islam Inspector Eddie Walker Change Order Submittal # O1 Date 8/28/2026 ADDITIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total - Pavement eve ing with oam Injection 5000) IPW 0.00000000 LB $4.10 $0.00 5 Pavement Leveling with oam Injection TPW 0.00000000 LB $4.10 5Pavement Leveling with oam Injechon TPW 0.00000000 LB 5 Pavement Leveling with oam Injection (50001+) TPW 0.00000000 LB S3.90 7 Soil Densification with Foam njection(ft- ft) (1-1000) TPW 0.00000000 LB $4.80 7 Soil Densification with Foam Injection(4ft- 8 ft) (1001-5000) TPW 0.00000000 LB 54.80 7 Soil Densification with Foam njection(ft- ft) (5001-10000) TPW 0.00000000 LB 7 Soil Densification with Foam Injection(4ft- 8 ft) (100001+) TPW 0.00000000 LB S4.80 Soil Densification with Foam njection(ft- 5ft)( - ) TPW 0.00000000 LB 8 Soil Densification with Foam lnjection(9ft-15ft)(1001-5000) TPW 0.00000000 LB 54.30 30i1 Densification with Foam njection(ft- 15ft)(5001-10000) ) TPW 0.00000000 LB 8 Soil Densification with Foam Injection(9ft-15ft)( 0001+) TPW 0.00000000 LB S4.30 TPW $0.00 Sub Total Additions $0.00 Change Order Additions Page 2 of 3 FORT City of Fort Worth Change Order Deletions Project Name Pavement Leveling Service Unit Price Contract City Sec # 62257-R1 Client Project # Contractor Nortex Concrete Lift and Stabilization, Inc. PM Tariqul Islam Inspector Eddie Walker Change Order Submittal # I Date I 8/28/2026 DELETIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total TPW $0.00 Sub Total Deletions $0.00 Change Order Deletions Page 3 of 3 FORT WORTH® Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Pavement Leveling Service Unit Price Contract, CO#1 M&C: CPN: CSO: 62257 -RI DOC#: Date: To: Name Department Initials Date Out I. Seidi Tovar — Business Support TPW - Review Lr 09/01/2026 2. Casey DeRosa - Vendor Vendor — Signer . 09/04/2026 3. Eddie Walker - Inspector TPW — Signer 0W Eddie Walker 08/31/2026 4. Cristobal Fuentes — Sr. Inspector TPW - Signer - 09/04/2026 5. Tariqul Islam - PM TPW - Signer ?�I sam 09/04/2026 6. Zelalem Arega - PGM TPW - Signer Z 09/04/2026 7. Mary Hanna- SCPO TPW - Signer m� 09/08/2026 8. Patricia Wadsack - AD TPW - Signer 09/08/2026 9. Lauren Prieur - Director TPW - Signer _.� 09/08/2026 10. Doug Black - ACA Legal - Signer ooIzs alack 09/09/2026 11. Jesica McEachern - ACM Signer 09/14/2026 12. Jannette Goodall - CSCO Signer ene��dall 09/15/2026 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 ROUTING TO CSO SAME DAY: ❑YES ❑No ®YES ❑No Action Required: ❑ As Requested ❑ For Your Information ❑ Signature/Routing and or Recording ❑ Comment ❑ File NEXT DAY: ❑YES ❑No ❑ Attach Signature, Initial and Notary Tabs Return to: Please notify TPWContractkfortworthtexas.gov. Thank you! FORT WORTH® City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: Nortex Concrete Lift and Stabilization, Inc. Subject of the Agreement: Change Order No. 1 to CSC No. 62257-R1, a Unit Price Contract for Task Order Construction Services Related to Pavement Leveling Service Projects at Various Locations M&C Approved by the Council? * Yes ❑ No If so, the M&C must be attached to the contract. Is this an Amendment to an Existing contract? Yes ❑ No 8 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. 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. *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.