HomeMy WebLinkAbout062387-CO1 - Construction-Related - Contract - Landmark Structures I, LPDocusign Envelope ID: 258A1D9B-3F2A-872E-82F5-B36C97AEC4DA
FORT WORTH City of Fort Worth
Change Order Request
Project Name: Northside IV Elevated Storage Tank
Project No.(s): DOE No. N/A
Project Description:
Construcction of 1 Million Gallon (MG) Elevated Storage Tank
CSC No. 62387-CO1
City Sec No.: 62387
CityProj.No.:I 104291
Contractor: Landmark Structures I, LP Change Order # 1 I Date: 9/3/2026
City Project Mgr. Bijay Upreti I City Inspector: Nicoden Momo
Phone Number: 817-392-8909 I Phone Number: 682-309-3743
Dept.
Water
Sewer
Totals
Contract Time
(Calender days)
Original Contract Amount
$ 5,371,000.00
$5,371,000.00
480
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
$5,371,000.00
$5,371,000.00
480
Contract Cost to Date
Amount of Proposed Change Order
$0.00
$0.00
030
Revised Contract Amount
$5,371,000.00
$5,371,000.00
510
Original Funds Available for Change Orders
$214,840.00
$214,840.00
Remaining Funds Available for this CO
$214,840.00
$214,840.00
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%)
$6,713,750.00
JUSTIFtGAT4QNREASONS) FOR CHANGE ORDER
Change Order No. 1 includes the cost incurred due to changes in power supply method. The original contract was designed for
underground electric but the power company installed overhead electric and set pad mounted transformer and conduit stub outs
for Landmark to connect.
Staff concurs with contractor's request for an additional 30 calendar days on the project for delays resulting due to above
described issue.
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.
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Contractor's Company Name
Contractor Name 1
1Cotr r Signature
Date
Landmark Structures1,LP
Michael Wise
9/17/2026
Inspector
Date
Project Manager
Date
Director Water Dept)
Date
C pstruction Supor
Date
ChHsto lhev ttar�le-
09/23/2026
Assistant CitjAttorney
Date
Assistant City Manager
Date
09/23/2026
..
09/24/2026
Council Action (If Required)
M&C Number I N/A I M&C Date Approved A
G
Docusign Envelope ID: 258A1D9B-3F2A-872E-82F5-B36C97AEC4DA
FORT WORTH
City of Fort Worth
Change Order Additions
Project Name Northside IV Elevated Storage Tank City Sec No.: 62387
Project No.(s): I DOE No. N/A City Proj. No.: 104291
Project Description
Construcction of 1 Million Gallon (MG) Elevated Storage Tank
Contractor Landmark Structures I, LP Change Order: 0 Date: 9/3/2026
City Project Mgr. Bijay Upreti City Inspector Nicoden Momo
ADDITIONS
ITEM DESCRIPTION DEPT Oty Unit Unit Cost Total
$6,632.00
9 Connect to Electric Pad Mounted Transformer Water 1.00 LS $6,632.00
Water $6,632.00
Sewer
Additions Sub Total $6,632.00
Page 2 of 4
Docusign Envelope ID: 258A1D9B-3F2A-872E-82F5-B36C97AEC4DA
FO P T' WORTH City of Fort Worth
Change Order Deletions
Project Name Northside IV Elevated Storage Tank
Project No.(s): DOE No. N/A
Project Description Construcction of I Million Gallon (MG) Elevated Storage Tank
City Sec No.: 62387
City Proj. No.: 104291
Contractor Landmark Structures I, LP Change Order: I Date 9/3/2026
City Project Mgr. Bijay Upreti City Inspector: Nicoden Momo
DELETIONS
I ITEM DESCRIPTION I DEPT Qty Unit Unit Cost ITota1
7 (Construction Allowance
0.066321 LS 1 $100,000.00
00
$6,632.00
I
Page 3 of 4 IDeletions Sub Total x$6,632.00 1
Docusign Envelope ID: 258A1D9B-3F2A-872E-82F5-B36C97AEC4DA
MIWBE Breakdown for this Change Order
Previous Change Orders
Page 4 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.
Uigllelly elgned Ey 89ey Uprell
US.
Bijay Upreti
Signature
Bijay Upreti, P.E.
Name of Employee
Sr. Professional Engineer
Title
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P�F°Rr;rroa�
ATTEST: 1
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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: Landmark Structures I, LP
Subject of the Agreement: Northside IV Elevated Storage Tank
M&C Approved by the Council? * Yes ❑ No II
If so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes 0 No O 62387-CO1
If so, provide the original contract number and the amendment number.
Is the Contract "Permanent"? *Yes 0 No ❑
If unsure, see back page 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: N/A
If different from the approval date.
Expiration Date: N/A
If applicable.
Is a 1295 Form required? * Yes ❑ No
*If so, please ensure it is attached to the approving M&C or attached to the contract.
Project Number: If applicable. 104291
*Did you include a Text field on the contract to add the City Secretary Contract (CSC)
number? Yes 0 No O
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.