HomeMy WebLinkAboutContract 47874 CIN SECRETARY V
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D.O.E. FILE C1ry SECRETA
CONTRACTOR'S BONDING CO. CONTPACT ISO.
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CONSTRUCTION'S COPY FoRTWORTH
CLIENT DEPARTMENT
PROJECT MANUAL
FOR
2014 CIP Year 2 - Contract 4
STREET REHABILITATION
At Various Locations
City Project No. 100181
Betsy Price David Cooke
Mayor City Manager
Douglas W. Wiersig, P.E.
Director, Transportation and Public Works Departi rient
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Prepared by
The City of Fort Worth
TRANSPORTATION AND PUBLIC WORKS
2016
t JAN 4 X16 4 �!�c' `6(, `., i
00 00 00-1
TABLE OF CONTENTS
Pagel of 2
1 SECTION 00 00 00
2 TABLE OF CONTENTS
3
4 Division 00-General Conditions
5 0005 10 Mayor and Council Communication
6 0005 15 Addenda
7 00 11 13 Invitation to Bidders
8 0021 13 Instructions to Bidders
9 0035 13 Conflict of Interest Affidavit
10 0041 00 Bid Form
11 00 42 43 Proposal Form Unit Price
12 0043 13 Bid Bond
13 0043 37 Vendor Compliance to State Law Nonresident Bidder
14 0045 11 Bidders Pre-qualifications
15 0045 12 Prequalification Statement
16 0045 13 Bidder Prequalification Application
17 00 45 26 Contractor Compliance with Workers'Compensation Law
18 00 45 40 Minority Business Enterprise Goal
19 00 52 43 Agreement
20 0061 13 Performance Bond
21 0061 14 Payment Bond
22 0061 19 Maintenance Bond
23 0061 25 Certificate of Insurance
24 00 72 00 General Conditions
25 00 73 00 Supplementary Conditions
26
27 Division 01 - General Requirements
28 01 00 00 General Notes
29 01 11 00 Summary of Work
30 01 31 19 Preconstruction Meeting
31 01 31 20 Project Meetings
32 01 32 16 Construction Progress Schedule
33 01 3233 Preconstruction Video
34 01 35 13 Special Project Procedures
35 01 4523 Testing and Inspection Services
36 01 5000 Temporary Facilities and Controls
37 01 5526 Street Use Permit and Modifications to Traffic Control
38 01 58 13 Temporary Project Signage
39 01 7000 Mobilization and Remobilization
40 01 71 23 Construction Staking
41 01 7423 Cleaning
42 01 77 19 Closeout Requirements
43 01 7839 Project Record Documents
44
45 Division 02-Existing Conditions
46 0241 15 Paving Removal
47
48 Division 03—Concrete
49 03 30 00 Cast-in-Place Concrete
CITY OF FORT WORTH 2014 CIP Year 2—Contract 4Street Rehabilitation
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised November 9,2011
000000-2
TABLE OF CONTENTS
Page 2 of 2
1 Division 31 -Earthwork
2 31 23 16 Unclassified Excavation
3
4 Division 32-Exterior Improvements
5
6 32 11 33 Cement Treated Base Courses
7 32 11 23 Flexible Base Courses
8 32 12 16 Asphalt Paving
9 32 1273 Asphalt Paving Crack Sealants
10 32 1320 Concrete Sidewalks, Driveways and Barrier Free Ramps
11 32 16 13 Concrete Curb and Gutters and Valley Gutters
12 32 1723 Pavement Markings
13 32 1725 Curb Address Painting
14 3232 13 Cast-In-Place Concrete Retaining Walls
15 3291 19 Topsoil Placement and Finishing of Parkways
16 3292 13 Hydro-Mulching, Seeding, and Sodding
17
18 Division 33—Utilities
19 33 05 13 Frame, Cover,and Grade Rings
20 33 05 14 Adjusting Manholes, Inlets, Valve Boxes, and Other Structures to Grade
21 33 05 17 Concrete Collars[To be completed in early 2012.]
22
23 Division 34-Transportation
24 3471 13 Traffic Control
25
26 Technical Specifications listed below are included for this Project by reference and can be
27 viewed/downloaded from the City's Buzzsaw site at:
28
29 htps:Hprooectpoint.buzzsaw.com/client/fortworthgov/Resources/02%20-
30 %20Construction%2ODocuments/Specifications
31
32 Division 99—Special Technical Specifications
33 9999.0096 Paving Construction Allowance
34
35 Appendix
36 GC-4.01 Availability of Lands
37 GC-4.02 Subsurface and Physical Conditions
38 GC-4.04 Underground Facilities
39 GC-4.06 Hazardous Environmental Condition at Site
40 GC-6.07 Wage Rates
41 GC-6.09 Permits and Utilities
42 GC-6.24 Nondiscrimination
43 GR-01 60 00 Product Requirements
44 SP-01 Special Provisions
45 END OF SECTION
CITY OF FORT WORTH 2014 CIP Year 2—Contract 4Street Rehabilitation
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised November 9,2011
, A&C Review Page 1 of 2
Official site of the city of Fort Worth,Texas
CITY COUNCIL AGENDA - %T
REFERENCE 20_2014 CIP YEAR 2
DATE: 5/17/2016 NO.: C-27723 LOG NAME: CONTRACT 4 STREET
REHABILITATION
CODE: C TYPE: NOW PUBLIC NO
CONSENT HEARING:
SUBJECT: Authorize Execution of a Contract, as Part of the 2014 Bond Program, with Advanced
Paving Acquisition, Ltd., in the Amount of$3,771,301.80 for Hot Mix Asphaltic Concrete
Street Rehabilitation of Approximately 11 Lane Miles of Various Street Segments
Throughout the City of Fort Worth, and Provide for Contingencies, Construction
Management, Surveying, Inspection, and Material Testing for a Total Project Amount of
$4,425,386.00 (COUNCIL DISTRICTS 5, 7, 8 and 9)
RECOMMENDATION:
It is recommended that the City Council authorize the City Manager to execute a contract, as part of
the 2014 Bond Program with Advanced Paving Acquisition, Ltd., in the amount of$3,771,301.80 for
Hot Mix Asphaltic Concrete Street Rehabilitation, on approximately 11 lane miles at multiple
locations, as listed on the attachments provided.
DISCUSSION:
The 2014 Bond Program provides funding for rehabilitation of 200 individual segments of deteriorated
public streets throughout the City. The recommended construction contract outlined in this M&C will
provide street rehabilitation for 26 street segments under the 2014 Bond Program in conjunction with
a separate utility contract for the replacement of water and sewer sanitary lines. This project includes
approximately 11 lane miles of City streets as identified in the attached project maps (City Project No.
100181).
The City reserves the right to increase or decrease quantities of individual pay items within the
contract, provided that the total contract amount remains within plus or minus 25 percent of the
contract award.
This project was advertised for bid on February 4, 2016 and February 11, 2016, in the Fort Worth
Star-Telegram. On March 3, 2016, the following bids were received:
Bidders 11 Amount
Advanced Paving Acquisition, Ltd _$3,771,301.80
Jackson Construction Ltd. $4,108,420.75
Stabile & Winn, Inc. $4,672,211.25
Project Budget is as follows:
Description Amount
Advanced Paving Acquisition, Ltd. $3,771,301.80
Construction Staking, Project Construction Management, $ 654,084.20
Inspection, Material Testing, and Contingencies
Total Project Budget 11 $4,425,386.00
This project is being funded through the 2014 Bond Program. Available resources within the General
Fund will be used to provide interim financing for these expenses until debt is issued. Once debt
associated with this project is sold, bond proceeds will reimburse the General Fund in accordance
with the statement expressing official Intent to Reimburse that was adopted as part of the ordinance
canvassing the bond election (Ordinance No. 21241-05-2014).
http://apps.cfwnet.org/council_packet/mc review.asp?ID=22290&councildate=5/17/2016 5/17/2016
.1I&C Review Page 2 of 2
Construction is anticipated to commence in May 2016, with a contract time of 310 calendar days, the
construction is estimated to be complete by the end of March 2017.
M/WBE OFFICE: Advanced Paving Acquisition, Ltd., is in compliance with City's BIDE Ordinance by
committing to 13 percent MBE participation. The City' s MBE goal on this project is 13 percent.
These projects are located in COUNCIL DISTRICTS 5, 7, 8 and 9, Mapsco 75F, 75G, 75H, 75J, 75K,
75M, 75P, 76K, 76M, 77B, 77F, 77G, 77J, 77K, 77P, 77V, 77Z and 93A.
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies funds are available in the current capital budget, as appropriated of
the 2014 Bond Program Fund.
Appropriation Encumbrances and Remaining Available
Fund Source Amount Expenditures Appropriation
Amount
2014 Bond
Program $4,425,649.56 $3,771,565.36 $654,084.20
(34014)
TO
Fund Department Account Project Program Activity Budget I Reference# Amount
ID ID Year (Cha old 2
FROM
Fund Department Account Project Program Activity Budget Reference# Amount
ID I I ID I I I Year (Chartfield 2
340141 0200431 1 5740010 1100181 1 1 002480 1 2016 1 14010199 1 $3 771,301.80
Submitted for City Manager's Office by: Jay Chapa (5804)
Originating Department Head: Douglas Wiersig (7801)
Additional Information Contact: Kristian Sugrim (8902)
ATTACHMENTS
2014 CIP Year 2 Contract 4 Project List.pdf
2014 CIP YEAR 2 CONTRACT 4 MAP PAGE 1.pdf
2014 CIP YEAR 2 CONTRACT 4 MAP PAGE 2.pdf
2014 CIP YEAR 2 CONTRACT 4_MAP_PAGE_3.pdf
Advance Paving Acquisitions Form 1295.pdf
http://apps.cfwnet.org/council_packet/mc review.asp?ID=22290&councildate=5/17/2016 5/17/2016
000515-1
ADDENDA
Page 1 of 1
1 SECTION 00 45 12
2 ADDENDA No. 1
3
4 The contract and documents for this project are hereby revised or amended to clarify the
5 following:
6
7 Specification Section 01 71 23—Construction Staking
8
9 Construction staking,if needed,will be performed by the Contractor. Cut sheets are
10 required to be provided to the inspector prior to any excavation.The sheets shall be
11 prepared by utilizing recognized engineering survey practices.
12
13
14 Please acknowledge receipt of this addendum by signing and inserting into your proposal at the
15 time of bidding. Failure to return a signed copy of this addendum may be grounds for rendering
16 the bid as nonresponsive.
17
18 Receipt Acknowledges:
19
20
21 i
22 By: By:
23 CITY OF FORT WORTH
24
25
26
27
28 END OF SECTION
CITY OF FORT WORTH 2014 CII'Year 2—Contract 4 Street Rehabilitation
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised July 1,2011
00 11 13-1
INVITATION TO BIDDERS
Page 1 of 2
1 SECTION 00 11 13
2 INVITATION TO BIDDERS
3
4 RECEIPT OF BIDS
5 Sealed bids for the construction of 2014 CIP YEAR 2—CONTRACT 4 STREET
6 REHABILITATION will be received by the City of Fort Worth Purchasing Office:
7
8 City of Fort Worth
9 Purchasing Division
10 1000 Throckmorton Street
11 Fort Worth, Texas 76102
12 until 1:30 P.M. CST, Thursday, March 3, 2016, and bids will be opened publicly and read aloud
13 at 2:00 PM CST in the Council Chambers.
14
15 GENERAL DESCRIPTION OF WORK
16 The major work will consist of the(approximate)following:
10,430 SY 2" Surface Milling
14,830 SY 2" HMAC Surface Course,Type D
57,770 S.Y. 11" Pavement Pulverization
57,770 S.Y. 3" HMAC Surface Course,Type D
15,100 S.F. Remove and Replace 4"Concrete Sidewalk
36,170 L.F. Remove and Replace Curb&Gutter
63,910 S.F. Remove and Replace 6"Concrete Driveway
17
18 PREQUALIFICATION
19 The improvements included in this project must be performed by a contractor who is pre-
20 qualified by the City at the time of bid opening. The procedures for qualification and pre-
21 qualification are outlined in the Section 00 21 13—INSTRUCTIONS TO BIDDERS.
22
23 DOCUMENT EXAMINATION AND PROCUREMENTS
24 The Bidding and Contract Documents may be examined or obtained on-line by visiting the City
25 of Fort Worth's Purchasing Division website at http://www.fortworthgoy.org/purchasingi and
26 clicking on the Buzzsaw link to the advertised project folders on the City's Buzzsaw site. The
27 Contract Documents may be downloaded, viewed, and printed by interested contractors and/or
28 suppliers. The contractor is required to fill out and notarize the Certificate of Interested
29 Parties Form 1295 and the form must be submitted to the Project Manager before the
30 contract Will be presented to the City Council.The form can be obtained at
31 https:/hvww.cthics.state.tx.us/tec/1295-Info.htm .
32
33 Copies of the Bidding and Contract Documents may be purchased from: Nikki McLeroy, 817-
34 392-8363, City of Fort Worth, Transportation & Public Works, 1000 Throckmorton St., Fort
35 Worth, TX 76102.
36
CITY OF FORT WORTH 2014 CIP Year 2—Contract 4 STREET REHABILITATION
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised December 23,2015
00 11 13-2
INVITATION TO BIDDERS
Page 2 of 2
1 The cost of Bidding and Contract Documents is: $35
2
3 PREBID CONFERENCE
4 A prebid conference may be held as described in Section 00 21 13 - INSTRUCTIONS TO
5 BIDDERS at the following location, date, and time:
6 DATE: Tuesday, February 23, 2016
7 TIME: 9:00 A.M
8 PLACE: Transportation & Public Works, 1000 Throckmorton St., RM#: 270, Fort Worth,
9 TX 76102
10
11 LOCATION: Municipal Building, 2"d. Floor
12
13
14 CITY'S RIGHT TO ACCEPT OR REJECT BIDS
15 City reserves the right to waive irregularities and to accept or reject bids.
16
17 FUNDING
18 Any Contract awarded under this INVITATION TO BIDDERS is expected to be funded from
19 revenues generated from grants and dedicated by Resolution to the work under this
20 INVITATION TO BIDDERS.
21
22 INQUIRIES
23 All inquiries relative to this procurement should be addressed to the following:
24 Attn: Kristian Sugrim, City of Fort Worth
25 Email: Kristian.Sugrim@fortworthtexas.gov
26 Phone: 817-392-8902
27
28 ADVERTISEMENT DATES
29 February 4, 2016
30 February 11, 2016
31
32 END OF SECTION
CITY OF FORT WORTH 2014 CIP Year 2—Contract 4 STREET REHABILITATION
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised December 23,2015
0021 13-1
INSTRUCTIONS TO BIDDERS
Page 1 of 9
1 SECTION 00 21 13
2 INSTRUCTIONS TO BIDDERS
3 1. Defined Terms
4
5 1.1.Terms used in these INSTRUCTIONS TO BIDDERS, which are defined in Section 00 72
6 00 -GENERAL CONDITIONS.
7
8 1.2.Certain additional terms used in these INSTRUCTIONS TO BIDDERS have the
9 meanings indicated below which are applicable to both the singular and plural thereof.
10
11 1.2.1. Bidder: Any person, firm, partnership, company, association, or corporation acting
12 directly through a duly authorized representative, submitting a bid for performing
13 the work contemplated under the Contract Documents.
14
15 1.2.2. Nonresident Bidder: Any person, firm, partnership, company, association, or
16 corporation acting directly through a duly authorized representative, submitting a
17 bid for performing the work contemplated under the Contract Documents whose
18 principal place of business is not in the State of Texas.
19
20 1.2.3. Successful Bidder: The lowest responsible and responsive Bidder to whom City
21 (on the basis of City's evaluation as hereinafter provided)makes an award.
22
23 2. Copies of Bidding Documents
24
25 2.1.Neither City nor Engineer shall assume any responsibility for errors or misinterpretations
26 resulting from the Bidders use of incomplete sets of Bidding Documents.
27
28 2.2.City and Engineer in making copies of Bidding Documents available do so only for the
29 purpose of obtaining Bids for the Work and do not authorize or confer a license or grant
30 for any other use.
31
32 3. Prequalification of Bidders(Prime Contractors and Subcontractors)
33
34 3.1.All Bidders and their subcontractors are required to be prequalified for the work types
35 requiring prequalification at the time of bidding. Bids received from contractors who are
36 not prequalified(even if inadvertently opened)shall not be considered. Prequalification
37 requirement work types and documentation are as follows:
38
39 3.1.1. Paving—Requirements document located at;
40 https://projectpoint.buzzsaw.com/fortworthgov/Resources/02%20-
41 %20Construction%2ODocuments/Contractor%2OPrequalification/TPW%2OPaviniz
42 %20Contractor%2OPrequalification%2OProgram/PREQUALIFICATION%20REQ
43 UIREMENTS%20FOR%20PAVING%2000NTRACTORS.PDF?public
44
45 3.1.2. Roadway and Pedestrian Lighting—Requirements document located at;
46
CITY OF FORT WORTH 2OI4 CIP Year 2—Contract 4 STREET REHABILITATION
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised November 27,20I2
0021 13-2
INSTRUCTIONS TO BIDDERS
Page 2 of 9
1 3.2.Each Bidder unless currently prequalified, must be prepared to submit to City within
2 seven (7)calendar days prior to Bid opening,the documentation identified in Section 00
3 45 11, BIDDERS PREQUALIFICATIONS.
4
5 3.2.1. Submission of and/or questions related to prequalification should be addressed to
6 the City contact as provided in Paragraph 6.1.
7
8
9 3.3.The City reserves the right to require any pre-qualified contractor who is the apparent low
10 bidder(s)for a project to submit such additional information as the City, in its sole
11 discretion may require, including but not limited to manpower and equipment records,
12 information about key personnel to be assigned to the project, and construction schedule,
13 to assist the City in evaluating and assessing the ability of the apparent low bidder(s)to
14 deliver a quality product and successfully complete projects for the amount bid within
15 the stipulated time frame. Based upon the City's assessment of the submitted
16 information, a recommendation regarding the award of a contract will be made to the
17 City Council. Failure to submit the additional information, if requested,may be grounds
18 for rejecting the apparent low bidder as non-responsive. Affected contractors will be
19 notified in writing of a recommendation to the City Council.
20
21 3.4.In addition to prequalification, additional requirements for qualification may be required
22 within various sections of the Contract Documents.
23
24 4. Examination of Bidding and Contract Documents,Other Related Data,and Site
25
26 4.1.Before submitting a Bid, each Bidder shall:
27
28 4.1.1. Examine and carefully study the Contract Documents and other related data
29 identified in the Bidding Documents(including "technical data" referred to in
30 Paragraph 4.2. below).No information given by City or any representative of the
31 City other than that contained in the Contract Documents and officially
32 promulgated addenda thereto, shall be binding upon the City.
33
34 4.1.2. Visit the site to become familiar with and satisfy Bidder as to the general, local and
35 site conditions that may affect cost, progress, performance or furnishing of the
36 Work.
37
38 4.1.3. Consider federal, state and local Laws and Regulations that may affect cost,
39 progress, performance or furnishing of the Work.
40
41 4.1.4.
42 4.1.5. Study all: (i) reports of explorations and tests of subsurface conditions at or
43 contiguous to the Site and all drawings of physical conditions relating to existing
44 surface or subsurface structures at the Site(except Underground Facilities)that
45 have been identified in the Contract Documents as containing reliable "technical
46 data" and(ii) reports and drawings of Hazardous Environmental Conditions, if any,
47 at the Site that have been identified in the Contract Documents as containing
48 reliable "technical data."
49
CITY OF FORT WORTH 2014 CIP Year 2—Contract 4 STREET REHABILITATION
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS I00181
Revised November 27,2012
002113-3
INSTRUCTIONS TO BIDDERS
Page 3 of 9
1 4.1.6. Be advised that the Contract Documents on file with the City shall constitute all of
2 the information which the City will furnish.All additional information and data
3 which the City will supply after promulgation of the formal Contract Documents
4 shall be issued in the form of written addenda and shall become part of the Contract
5 Documents just as though such addenda were actually written into the original
6 Contract Documents. No information given by the City other than that contained in
7 the Contract Documents and officially promulgated addenda thereto, shall be
8 binding upon the City.
9
10 4.1.7. Perform independent research, investigations,tests, borings, and such other means
11 as may be necessary to gain a complete knowledge of the conditions which will be
12 encountered during the construction of the project. On request, City may provide
13 each Bidder access to the site to conduct such examinations, investigations,
14 explorations,tests and studies as each Bidder deems necessary for submission of a
15 Bid. Bidder must fill all holes and clean up and restore the site to its former
16 conditions upon completion of such explorations, investigations,tests and studies.
17
18 4.1.8. Determine the difficulties of the Work and all attending circumstances affecting the
19 cost of doing the Work, time required for its completion, and obtain all information
20 required to make a proposal. Bidders shall rely exclusively and solely upon their
21 own estimates, investigation, research,tests, explorations, and other data which are
22 necessary for full and complete information upon which the proposal is to be based.
23 It is understood that the submission of a proposal is prima-facie evidence that the
24 Bidder has made the investigation, examinations and tests herein required. Claims
25 for additional compensation due to variations between conditions actually
26 encountered in construction and as indicated in the Contract Documents will not be
27 allowed.
28
29 4.1.9. Promptly notify City of all conflicts, errors, ambiguities or discrepancies in or
30 between the Contract Documents and such other related documents. The Contractor
31 shall not take advantage of any gross error or omission in the Contract Documents,
32 and the City shall be permitted to make such corrections or interpretations as may
33 be deemed necessary for fulfillment of the intent of the Contract Documents.
34
35 4.2. Reference is made to Section 00 73 00—Supplementary Conditions for identification of:
36
37 4.2.1. those reports of explorations and tests of subsurface conditions at or contiguous to
38 the site which have been utilized by City in preparation of the Contract Documents.
39 The logs of Soil Borings, if any, on the plans are for general information only.
40 Neither the City nor the Engineer guarantees that the data shown is representative
41 of conditions which actually exist.
42
43 4.2.2. those drawings of physical conditions in or relating to existing surface and
44 subsurface structures(except Underground Facilities)which are at or contiguous to
45 the site that have been utilized by City in preparation of the Contract Documents.
46
CITY OF FORT WORTH 2014 CIP Year 2—Contract 4 STREET REHABILITATION
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised November 27,2012
0021 13-4
INSTRUCTIONS TO BIDDERS
Page 4 of 9
1 4.2.3. copies of such reports and drawings will be made available by City to any Bidder
2 on request. Those reports and drawings may not be part of the Contract
3 Documents, but the "technical data" contained therein upon which Bidder is entitled
4 to rely as provided in Paragraph 4.02. of the General Conditions has been identified
5 and established in Paragraph SC 4.02 of the Supplementary Conditions. Bidder is
6 responsible for any interpretation or conclusion drawn from any "technical data"or
7 any other data, interpretations, opinions or information.
8
9 4.3.The submission of a Bid will constitute an incontrovertible representation by Bidder(i)
10 that Bidder has complied with every requirement of this Paragraph 4, (ii)that without
11 exception the Bid is premised upon performing and furnishing the Work required by the
12 Contract Documents and applying the specific means, methods,techniques, sequences or
13 procedures of construction(if any)that may be shown or indicated or expressly required
14 by the Contract Documents, (iii)that Bidder has given City written notice of all
15 conflicts, errors, ambiguities and discrepancies in the Contract Documents and the
16 written resolutions thereof by City are acceptable to Bidder,and when said conflicts,
17 etc., have not been resolved through the interpretations by City as described in
18 Paragraph 6., and(iv)that the Contract Documents are generally sufficient to indicate
19 and convey understanding of all terms and conditions for performing and furnishing the
20 Work.
21
22 4.4.The provisions of this Paragraph 4, inclusive, do not apply to Asbestos, Polychlorinated
23 biphenyls(PCBs), Petroleum, Hazardous Waste or Radioactive Material covered by
24 Paragraph 4.06. of the General Conditions, unless specifically identified in the Contract
25 Documents.
26
27 5. Availability of Lands for Work,Etc.
28
29 5.1.The lands upon which the Work is to be performed, rights-of-way and easements for
30 access thereto and other lands designated for use by Contractor in performing the Work
31 are identified in the Contract Documents. All additional lands and access thereto
32 required for temporary construction facilities, construction equipment or storage of
33 materials and equipment to be incorporated in the Work are to be obtained and paid for
34 by Contractor. Easements for permanent structures or permanent changes in existing
35 facilities are to be obtained and paid for by City unless otherwise provided in the
36 Contract Documents.
37
38 5.2.Outstanding right-of-way, easements, and/or permits to be acquired by the City are listed
39 in Paragraph SC 4.01 of the Supplementary Conditions. In the event the necessary right-
40 of-way, easements, and/or permits are not obtained, the City reserves the right to cancel
41 the award of contract at any time before the Bidder begins any construction work on the
42 project.
43
44 5.3. The Bidder shall be prepared to commence construction without all executed right-of-
45 way, easements, and/or permits, and shall submit a schedule to the City of how
46 construction will proceed in the other areas of the project that do not require permits
47 and/or easements.
48
49 6. Interpretations and Addenda
50
CITY OF FORT WORTH 2014 CIP Year 2—Contract 4 STREET REHABILITATION
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised November 27,2012
0021 13-5
INSTRUCTIONS TO BIDDERS
Page 5 of 9
1 6.1.All questions about the meaning or intent of the Bidding Documents are to be directed to
2 City in writing on or before 2 p.m., the Monday prior to the Bid opening. Questions
3 received after this day may not be responded to. Interpretations or clarifications
4 considered necessary by City in response to such questions will be issued by Addenda
5 delivered to all parties recorded by City as having received the Bidding Documents.
6 Only questions answered by formal written Addenda will be binding. Oral and other
7 interpretations or clarifications will be without legal effect.
8
9 Address questions to:
10
11 City of Fort Worth
12 1000 Throckmorton Street
13 Fort Worth, TX 76102
14 Attn: Kristian Sugrim,Transportation& Public Works
15 Fax: 817-392-8092
16 Email: Kristian.Sug_rim@Fortworthtexas.gov, Phone: 817-392-8902
17
18 6.2.Addenda may also be issued to modify the Bidding Documents as deemed advisable by
19 City.
20
21 Addenda or clarifications may be posted via Buzzsaw at:
22 https://projectpoint.buzzsaw.com/client/fortworthgov/Infrastructure%20Proiects/100181%20-
23 %202014%2OCIP%2OYear%2O2%20%2OContract%2O4
24
25
26 6.3.A prebid conference may be held at the time and place indicated in the Advertisement or
27 INVITATION TO BIDDERS. Representatives of City will be present to discuss the
28 Project. Bidders are encouraged to attend and participate in the conference. City will
29 transmit to all prospective Bidders of record such Addenda as City considers necessary
30 in response to questions arising at the conference. Oral statements may not be relied
31 upon and will not be binding or legally effective.
32
33 7. Bid Security
34
35 7.1.Each Bid must be accompanied by Bid Bond made payable to City in an amount of five
36 (5)percent of Bidder's maximum Bid price on form attached, issued by a surety meeting
37 the requirements of Paragraphs 5.01 of the General Conditions.
38
39 7.2.The Bid Bond of all Bidders will be retained until the conditions of the Notice of Award
40 have been satisfied. If the Successful Bidder fails to execute and deliver the complete
41 Agreement within 10 days after the Notice of Award,City may consider Bidder to be in
42 default, rescind the Notice of Award, and the Bid Bond of that Bidder will be forfeited.
43 Such forfeiture shall be City's exclusive remedy if Bidder defaults. The Bid Bond of all
44 other Bidders whom City believes to have a reasonable chance of receiving the award
45 will be retained by City until final contract execution.
46
CITY OF FORT WORTH 2014 CIP Year 2—Contract 4 STREET REHABILITATION
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised November 27,2012
0021 13-6
INSTRUCTIONS TO BIDDERS
Page 6 of 9
1 8. Contract Times
2 The number of days within which, or the dates by which, Milestones are to be achieved in
3 accordance with the General Requirements and the Work is to be completed and ready for
4 Final Acceptance is set forth in the Agreement or incorporated therein by reference to the
5 attached Bid Form.
6
7 9. Liquidated Damages
8 Provisions for liquidated damages are set forth in the Agreement.
9
10 10. Substitute and "Or-Equal" Items
11 The Contract, if awarded,will be on the basis of materials and equipment described in the
12 Bidding Documents without consideration of possible substitute or "or-equal" items.
13 Whenever it is indicated or specified in the Bidding Documents that a "substitute" or "or-
14 equal" item of material or equipment may be furnished or used by Contractor if acceptable to
15 City, application for such acceptance will not be considered by City until after the Effective
16 Date of the Agreement. The procedure for submission of any such application by Contractor
17 and consideration by City is set forth in Paragraphs 6.05A., 6.05B. and 6.05C. of the General
18 Conditions and is supplemented in Section 0125 00 of the General Requirements.
19
20 11. Subcontractors, Suppliers and Others
21
22 11.1. In accordance with the City's Business Diversity Enterprise Ordinance No. 20020-
23 12-2011 (as amended),the City has goals for the participation of minority business
24 and/or small business enterprises in City contracts. A copy of the Ordinance can be
25 obtained from the Office of the City Secretary. The Bidder shall submit the MBE and
26 SBE Utilization Form, Subcontractor/Supplier Utilization Form, Prime Contractor
27 Waiver Form and/or Good Faith Effort Form with documentation and/or Joint
28 Venture Form as appropriate. The Forms including documentation must be received
29 by the City no later than 5:00 P.M. CST, five(5)City business days after the bid
30 opening date. The Bidder shall obtain a receipt from the City as evidence the
31 documentation was received. Failure to comply shall render the bid as non-
32 responsive.
33
34 11.2. No Contractor shall be required to employ any Subcontractor, Supplier, other person
35 or organization against whom Contractor has reasonable objection.
36
37 12. Bid Form
38
39 12.1. The Bid Form is included with the Bidding Documents; additional copies may be
40 obtained from the City.
41
42 12.2. All blanks on the Bid Form must be completed by printing in ink and the Bid Form
43 signed in ink. Erasures or alterations shall be initialed in ink by the person signing
44 the Bid Form. A Bid price shall be indicated for each Bid item, alternative, and unit
45 price item listed therein. In the case of optional alternatives,the words "No Bid,"
46 "No Change," or "Not Applicable" may be entered. Bidder shall state the prices,
47 written in ink in both words and numerals, for which the Bidder proposes to do the
48 work contemplated or furnish materials required. All prices shall be written legibly.
49 In case of discrepancy between price in written words and the price in written
50 numerals,the price in written words shall govern.
51
CITY OF FORT WORTH 2014 C1P Year 2—Contract 4 STREET REHABILITATION
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised November 27,2012
0021 13-7
INSTRUCTIONS TO BIDDERS
Page 7 of 9
1 12.3. Bids by corporations shall be executed in the corporate name by the president or a
2 vice-president or other corporate officer accompanied by evidence of authority to
3 sign. The corporate seal shall be affixed. The corporate address and state of
4 incorporation shall be shown below the signature.
5
6 12.4. Bids by partnerships shall be executed in the partnership name and signed by a
7 partner, whose title must appear under the signature accompanied by evidence of
8 authority to sign. The official address of the partnership shall be shown below the
9 signature.
10
11 12.5. Bids by limited liability companies shall be executed in the name of the firm by a
12 member and accompanied by evidence of authority to sign. The state of formation of
13 the firm and the official address of the firm shall be shown.
14
15 12.6. Bids by individuals shall show the Bidder's name and official address.
16
17 12.7. Bids by joint ventures shall be executed by each joint venturer in the manner
18 indicated on the Bid Form. The official address of the joint venture shall be shown.
19
20 12.8. All names shall be typed or printed in ink below the signature.
21
22 12.9. The Bid shall contain an acknowledgement of receipt of all Addenda, the numbers of
23 which shall be filled in on the Bid Form.
24
25 12.10. Postal and e-mail addresses and telephone number for communications regarding the
26 Bid shall be shown.
27
28 12.11. Evidence of authority to conduct business as a Nonresident Bidder in the state of
29 Texas shall be provided in accordance with Section 00 43 37—Vendor Compliance
30 to State Law Non Resident Bidder.
31
32 13. Submission of Bids
33 Bids shall be submitted on the prescribed Bid Form, provided with the Bidding Documents,
34 at the time and place indicated in the Advertisement or INVITATION TO BIDDERS,
35 addressed to City Manager of the City, and shall be enclosed in an opaque sealed envelope,
36 marked with the City Project Number, Project title,the name and address of Bidder, and
37 accompanied by the Bid security and other required documents. If the Bid is sent through the
38 mail or other delivery system,the sealed envelope shall be enclosed in a separate envelope
39 with the notation "BID ENCLOSED" on the face of it.
40
41 14. Modification and Withdrawal of Bids
42
43 14.1. Bids addressed to the City Manager and filed with the Purchasing Office cannot be
44 withdrawn prior to the time set for bid opening. A request for withdrawal must be
45 made in writing by an appropriate document duly executed in the manner that a Bid
46 must be executed and delivered to the place where Bids are to be submitted at any
47 time prior to the opening of Bids. After all Bids not requested for withdrawal are
48 opened and publicly read aloud, the Bids for which a withdrawal request has been
49 properly filed may, at the option of the City, be returned unopened.
50
CITY OF FORT WORTH 2014 CIP Year 2—Contract 4 STREET REHABILITATION
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised November 27,2012
0021 13-8
INSTRUCTIONS TO BIDDERS
Page 8 of 9
1 14.2. Bidders may modify their Bid by electronic communication at any time prior to the
2 time set for the closing of Bid receipt.
3
4 15. Opening of Bids
5 Bids will be opened and read aloud publicly at the place where Bids are to be submitted. An
6 abstract of the amounts of the base Bids and major alternates (if any)will be made available
7 to Bidders after the opening of Bids.
8
9 16. Bids to Remain Subject to Acceptance
10 All Bids will remain subject to acceptance for the time period specified for Notice of Award
11 and execution and delivery of a complete Agreement by Successful Bidder. City may, at
12 City's sole discretion, release any Bid and nullify the Bid security prior to that date.
13
14 17. Evaluation of Bids and Award of Contract
15
16 17.1. City reserves the right to reject any or all Bids, including without limitation the rights
17 to reject any or all nonconforming, nonresponsive, unbalanced or conditional Bids
18 and to reject the Bid of any Bidder if City believes that it would not be in the best
19 interest of the Project to make an award to that Bidder, whether because the Bid is
20 not responsive or the Bidder is unqualified or of doubtful financial ability or fails to
21 meet any other pertinent standard or criteria established by City. City also reserves
22 the right to waive informalities not involving price, contract time or changes in the
23 Work with the Successful Bidder. Discrepancies between the multiplication of units
24 of Work and unit prices will be resolved in favor of the unit prices. Discrepancies
25 between the indicated sum of any column of figures and the correct sum thereof will
26 be resolved in favor of the correct sum. Discrepancies between words and figures
27 will be resolved in favor of the words.
28
29 17.1.1. Any or all bids will be rejected if City has reason to believe that collusion exists
30 among the Bidders, Bidder is an interested party to any litigation against City,
31 City or Bidder may have a claim against the other or be engaged in litigation,
32 Bidder is in arrears on any existing contract or has defaulted on a previous
33 contract, Bidder has performed a prior contract in an unsatisfactory manner, or
34 Bidder has uncompleted work which in the judgment of the City will prevent or
35 hinder the prompt completion of additional work if awarded.
36
37 17.2. City may consider the qualifications and experience of Subcontractors, Suppliers,and
38 other persons and organizations proposed for those portions of the Work as to which
39 the identity of Subcontractors, Suppliers, and other persons and organizations must
40 be submitted as provided in the Contract Documents or upon the request of the City.
41 City also may consider the operating costs, maintenance requirements, performance
42 data and guarantees of major items of materials and equipment proposed for
43 incorporation in the Work when such data is required to be submitted prior to the
44 Notice of Award.
45
46 17.3. City may conduct such investigations as City deems necessary to assist in the
47 evaluation of any Bid and to establish the responsibility, qualifications, and financial
48 ability of Bidders, proposed Subcontractors, Suppliers and other persons and
49 organizations to perform and furnish the Work in accordance with the Contract
50 Documents to City's satisfaction within the prescribed time.
51
CITY OF FORT WORTH 2014 CIP Year 2—Contract 4 STREET REHABILITATION
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised November 27,2012
0021 13-9
INSTRUCTIONS TO BIDDERS
Page 9 of 9
1 17.4. Contractor shall perform with his own organization, work of a value not less than
2 35%of the value embraced on the Contract, unless otherwise approved by the City.
3
4 17.5. If the Contract is to be awarded, it will be awarded to lowest responsible and
5 responsive Bidder whose evaluation by City indicates that the award will be in the
6 best interests of the City.
7
8 17.6. Pursuant to Texas Government Code Chapter 2252.001, the City will not award
9 contract to a Nonresident Bidder unless the Nonresident Bidder's bid is lower than
10 the lowest bid submitted by a responsible Texas Bidder by the same amount that a
11 Texas resident bidder would be required to underbid a Nonresident Bidder to obtain a
12 comparable contract in the state in which the nonresident's principal place of
13 business is located.
14
15 17.7. A contract is not awarded until formal City Council authorization. If the Contract is
16 to be awarded, City will award the Contract within 90 days after the day of the Bid
17 opening unless extended in writing. No other act of City or others will constitute
18 acceptance of a Bid. Upon the contractor award a Notice of Award will be issued by
19 the City.
20
21 17.8. Failure or refusal to comply with the requirements may result in rejection of Bid.
22
23 18. Signing of Agreement
24 When City issues a Notice of Award to the Successful Bidder, it will be accompanied by the
25 required number of unsigned counterparts of the Agreement. Within 14 days thereafter
26 Contractor shall sign and deliver the required number of counterparts of the Agreement to
27 City with the required Bonds, Certificates of Insurance, and all other required documentation.
28 City shall thereafter deliver one fully signed counterpart to Contractor.
29
30
31
32 END OF SECTION
CITY OF FORT WORTH 2014 CIP Year 2—Contract 4 STREET REHABILITATION
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised November 27,2012
00 35 13
BID FORM
Page 6 of 6
SECTION 00 35 13
CONFLICT OF INTEREST AFFIDAVIT
Each bidder, offeror, or respondent (hereinafter also referred to as "you") to a City of Fort Worth (also
referred to as "City") procurement are required to complete Conflict of Interest Questionnaire (the
attached CIQ Form) and Local Government Officer Conflicts Disclosure Statement (the attached CIS
Form) below pursuant to state law. This affidavit will certify that the Bidder has on file with the City
Secretary the required documentation and is eligible to bid on City Work. The referenced forms may also
be downloaded from the website links provided below.
http://www.ethics.state.tx.us/forms/CIQ.pdf
http://www.ethics.state.tx.us/forms/CIS.pdf
D CIQ Form is on file with City Secretary
❑ CIQ Form is being provided to the City Secretary
D CIS Form is on File with City Secretary
❑ CIS Form is being provided to the City Secretary
BIDDER:
Advanced Paving By: Sam Gar
'1414
2311 Joe Field Rd. Signature: 1411
Dallas, TX 75229 Title: President
END OF SECTION
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Form Revised 20120327 Bid Proposal Workbook final
CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ
For vendor or other person doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B. 1481, 80th Leg., Regular Session. OFFICELISEONLY
This questionnaire is being filed in accordance with Chapter 176,Local Government Code Date Received
by a person who has a business relationship as defined by Section 176.001(1-a)with a local
governmental entity and the person meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the local governmental
entity not later than the 7th business day after the date the person becomes aware of facts
that require the statement to be filed. See Section 176.006,Local Government Code.
A person commits an offense if the person knowingly violates Section 176.006, Local
Government Code.An offense under this section is a Class C misdemeanor.
1 Name of person who has a business relationship with local governmental entity.
2 ❑ Check this box if you are filing an update to a previously filed questionnaire.
(The law requires that you file an updated completed questionnaire with the appropriate filing authority not
later than the 7th business day after the date the originally filed questionnaire becomes incomplete or inaccurate.)
3
Name of local government officer with whom filer has employment or business relationship.
Name of Officer
This section (item 3 including subparts A, B, C & D) must be completed for each officer with whom the filer has an
employment or other business relationship as defined by Section 176.001(1-a), Local Government Code. Attach additional
pages to this Form CIQ as necessary.
A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment
income, from the filer of the questionnaire?
1-1 Yes F-1 No
B. Is the filer of the questionnaire receiving or likely to receive taxable income, other than investment income,from or at the
direction of the local government officer named in this section AND the taxable income is not received from the local
governmental entity?
Yes F-1 No
C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local
government officer serves as an officer or director, or holds an ownership of 10 percent or more?
Yes F-1 No
D. Describe each employment or business relationship with the local government officer named in this section.
4
Signature of person doing business with the governmental entity Date
Adopted 06/29/2007
LOCAL GOVERNMENT OFFICER FORM CIS
CONFLICTS DISCLOSURE STATEMENT
(Instructions for completing and filing this form are provided on the next page.)
This questionnaire reflects changes made to the law by H.B. 1491, 80th Leg., Regular Session. OFFICE USE ONLY
This is the notice to the appropriate local governmental entity that the following local
government officer has become aware of facts that require the officer to file this statement Date Received
in accordance with Chapter 176,Local Government Code.
1 Name of Local Government Officer
21 Office Held
31 Name of person described by Sections 176.002(a)and 176.003(a),Local Government Code
a 1 Description of the nature and extent of employment or other business relationship with person named in item 3
5 List gifts accepted by the local government officer and any family member, excluding gifts described by Section
176.003(a-1),if aggregate value of the gifts accepted from person named in item 3 exceed$250 during the 12-month
period described by Section 176.003(a)(2)(B)
Date Gift Accepted Description of Gift
Date Gift Accepted Description of Gift
Date Gift Accepted Description of Gift
(attach additional forms as necessary)
8 AFFIDAVIT
I swear under penalty of perjury that the above statement is true and correct. I acknowiedge
that the disclosure applies to a family member (as defined by Section 176.001(2), Local
Government Code)of this local government officer. I also acknowledge that this statement
covers the 12-month period described by Section 176.003(a), Local Government Code.
Signature of Local Government Officer
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me,by the said this the day
of ,20 ,to certify which,witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
Adopted 06/29/2007
LOCAL GOVERNMENT OFFICER
CONFLICTS DISCLOSURE STATEMENT
Section 176.003 of the Local Government Code requires certain local government officers to file this form. A
"local government officer" is defined as a member of the governing body of a local governmental entity; a
director, superintendent, administrator, president, or other person designated as the executive officer of the
local governmental entity; or an employee of a local governmental entity with respect to whom the local
governmental entity has, in accordance with Section 176.005, extended the requirements of Sections 176.003
and 176.004. This form is required to be filed with the records administrator of the local governmental entity
not later than 5 p.m. on the seventh business day after the date on which the officer becomes aware of the
facts that require the filing of this statement.
A local government officer commits an offense if the officer knowingly violates Section 176.003, Local
Government Code. An offense under this section is a Class C misdemeanor.
Please refer to chapter 176 of the Local Government Code for detailed information regarding the requirement
to file this form.
INSTRUCTIONS FOR COMPLETING THIS FORM
The following numbers correspond to the numbered boxes on the other side.
1. Name of Local Government Officer. Enter the name of the local government officer filing this statement.
2. Office Held. Enter the name of the office held by the local government officer filing this statement.
3. Name of person described by Sections 176.002(a) and 176.003(a), Local Government Code. Enter
the name of the person described by Section 176.002, Local Government Code with whom the officer has an
employment or other business relationship as described by Section 176.003(a), Local Government Code.
4. Description of the nature and extent of employment or business relationship with person named
in item 3. Describe the nature and extent of the employment or other business relationship with the person
in item 3 as described by Section 176.003(a), Local Government Code.
5. List gifts accepted, excluding gifts described by Section 176.003(a-1), if aggregate value of the
gifts accepted from person named in item 3 exceed$250. List gifts accepted during the 12-month period
(described by Section 176.003(a), Local Government Code)by the local government officer or family member
of the officer, excluding gifts described by Section 176.003(a-1), from the person named in item 3 that in the
aggregate exceed$250 in value.
6.Affidavit. Signature of local government officer.
Adopted 06/29/2007
0041 00
BID FORM
Page 1 of 6
SECTION 00 41 00
BID FORM
TO: The Purchasing Manager
c/o: The Purchasing Division
1000 Throckmorton Street
City of Fort Worth, Texas 76102
FOR: 2014 CIP YEAR 2-CONTRACT 4 STREET REHABILITATION
AT VARIOUS LACATIONS
City Project No.: 100181
Units/Sections: PAVEMENT IMPROVEMENT
1. Enter Into Agreement
The undersigned Bidder proposes and agrees, if this Bid is accepted, to enter into an Agreement with City in the form
included in the Bidding Documents to perform and furnish all Work as specified or indicated in the Contract Documents
for the Bid Price and within the Contract Time indicated in this Bid and in accordance with the other terms and conditions
of the Contract Documents.
2. BIDDER Acknowledgements and Certification
2.1. In submitting this Bid, Bidder accepts all of the terms and conditions of the INVITATION TO BIDDERS and
INSTRUCTIONS TO BIDDERS, including without limitation those dealing with the disposition of Bid Bond.
2.2. Bidder is aware of all costs to provide the required insurance, will do so pending contract award, and will
provide a valid insurance certificate meeting all requirements within 14 days of notification of award.
2.3. Bidder certifies that this Bid is genuine and not made in the interest of or on behalf of any undisclosed
individual or entity and is not submitted in conformity with any collusive agreement or rules of any group,
association, organization, or corporation.
2.4. Bidder has not directly or indirectly induced or solicited any other Bidder to submit a false or sham Bid.
2.5. Bidder has not solicited or induced any individual or entity to refrain from bidding.
2.6. Bidder has not engaged in corrupt, fraudulent, collusive, or coercive practices in competing for the Contract.
For the purposes of this Paragraph:
a. "corrupt practice" means the offering, giving, receiving, or soliciting of any thing of value likely to
influence the action of a public official in the bidding process.
b. "fraudulent practice" means an intentional misrepresentation of facts made (a)to influence the
bidding process to the detriment of City(b)to establish Bid prices at artificial non-competitive
levels, or(c) to deprive City of the benefits of free and open competition.
c. "collusive practice" means a scheme or arrangement between two or more Bidders, with or without
the knowledge of City, a purpose of which is to establish Bid prices at artificial, non-competitive
levels.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Form Revised 20150821 Bid Proposal Workbook final
0041 00
BID FORM
Page 2 of 6
d. "coercive practice" means harming or threatening to harm, directly or indirectly, persons or their
property to influence their participation in the bidding process or affect the execution of the
Contract,
3. Prequalification
The Bidder acknowledges that the following work types must be performed only by prequalified contractors and
subcontractors:
a. HMAC Street Rehabilitation Heavy Maintenance and all items directly associated with the paving
b.
C.
d.
4. Time of Completion
4.1. The Work will be complete for Final Acceptance within 310 days days after the date when the
the Contract Time commences to run as provided in Paragraph 2.03 of the General Conditions.
4.2. Bidder accepts the provisions of the Agreement as to liquidated damages in the event of failure to complete
the Work{and/or achievement of Milestones}within the times specified in the Agreement.
S. Attached to this Bid
The following documents are attached to and made a part of this Bid:
a. This Bid Form, Section 00 41 00
b. Required Bid Bond, Section 00 43 13 issued by a surety meeting the requirements of Paragraph
5.01 of the General Conditions.
c. Proposal Form, Section 00 42 43
d. Vendor Compliance to State Law Non Resident Bidder, Section 00 43 37
e. MWBE Forms (optional at time of bid)
f. Prequalification Statement, Section 00 45 12
g. Conflict of Interest Affidavit, Section 00 35 13
*If necessary, CIQ or CIS forms are to be provided directly to City Secretary
h. Any additional documents that may be required by Section 12 of the Instructions to Bidders
6. Total Bid Amount
6.1. Bidder will complete the Work in accordance with the Contract Documents for the following bid amount. In the
space provided below, please enter the total bid amount for this project. Only this figure will be read publicly
by the City at the bid opening.
6.2. It is understood and agreed by the Bidder in signing this proposal that the total bid amount entered below is
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Form Revised 20150821 Bid Proposal Workbook final
0041 00
BID FORM
Page 3 of 6
subject to verification and/or modification by multiplying the unit bid prices for each pay item by the respective
estimated quantities shown in this proposal and then totaling all of the extended amounts.
6.3. Evaluation of Alternate Bid Items <use this if applicable, otherwise delete>
Total Base Bid <use this if applicable, otherwise delete $0.00
Alternate Bid <use this if applicable, otherwise delete> $0.00
Deductive Alternate<use this if applicable, otherwise $0.00
Additive Alternate <use this if applicable, otherwise $0.00
Total Bid $3,771,301.80
7. Bid Submittal
This Bid is submitted on March 3, 2016 by the entity named below.
Respectfully sub 't ' Receipt is acknowledged of the Initial
following Addenda:
By: ✓� Addendum No. 1: SG
(Signature) Addendum No. 2:
Addendum No. 3:
Sam Garrett JAddendum No. 4:
(Printed Name)
Title: President
Company: Advanced Paving Corporate Seal:
Address: 2311 Joe Field Rd.
Dallas, TX 75229
State of Incorporation:
Email: sgarrett(a)advancedpavingco.com
Phone: 972-245-0000
END OF SECTION
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Form Revised 20150821 Bid Proposal Workbook final
BID PROPOSAL:
SECTION 00 42 43
PROPOSALFORM
UNIT PRICE BID Bidder's Application
Project Item Information Bidders Proposal
i I " Description Specification Unit of Bid Unit Price Bid Value
No. Section No. Measure Quantity
Bid Summary
Base Bid
Total Base Bid
Alternate Bid
Total Alternate Bid
Deductive Alternate Bid
Total Deductive Alternate Bid
Additive Alternate Bid
Total Additive Alternate Bld
Total Bidl $3,771,301.
END OF SECTION
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Fofm Revised 20120120 Bid PmpmW Woddw&final
004313
BID BOND
Page 1 of 1
SECTION 00 43 13
BID BOND
KNOW ALL BY THESE PRESENTS:
That we, (Bidder Name) Advanced Paving Co. hereinafter
called the Principal, and (Surety Name) RLI Insurance Company
a corporation or firm duly authorized to transact surety business in the State of Texas, hereinafter called the Surety,
are held and firmly bound unto the City, hereinafter called the Obligee, in the
sum of Five Percent of the Greatest Amount Bid and No/100 Dollars
($ 5%GAB .00), the payment of which sum will be well and truly made and the
said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,jointly
and severally, firm by these presents.
WHEREAS, the Principal has submitted a proposal to perform work for the following project of the Obligee,
identified as 2014 CIP YEAR 2-CONTRACT 4 STREET REHABILITATION
AT VARIOUS LACATIONS
NOW, THEREFORE, if the Obligee shall award the Contract for the foregoing project to
the Principal, and the Principal shall satisfy all requirements and conditions required for the execution of the
Contract and shall enter into the Contract in writing with the Obligee in accordance with the terms of such proposal,
then this bond shall be null and void. If the Principal fails to execute such Contract in accordance with the terms of
such proposal or fails to satisfy all requirements and conditions required for the execution of the Contract in
accordance with the proposal or fails to satisfy all requirements and conditions required for the execution of the
Contract in accordance with the proposal, this bond shall become the property of the Obligee, without recourse of the
Principal and/or Surety, not to exceed the penalty hereof, and shall be used to compensate Obligee for the difference
between Principal's Total Bid Amount and the next selected Bidder's Total Bid Amount.
SIGNED this 3rd day of March 2016.
By: Advanced Pa ng Co.
(Signature and Title 6f Principal)
'By: RLI nsurance COmpa y
Sophlnie Hunter (Signature of Attorney-of-Fact)
'Attach Power of Attorney (Surety)for Attorney-in-Fact Impressed
Surety Seal
Only
END OF SECTION
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Form Revised 20110627 Copy of 00 41 00_00 43 13_00 42 43_00 43 37_00 45 12_00 35 13—Bid Proposal Workbook.xls
00 43 37
VENDOR COMPLIANCE TO STATE LAW
Page 4 of 6
SECTION 00 43 37
VENDOR COMPLIANCE TO STATE LAW NON RESIDENT BIDDER
Texas Government Code Chapter 2252 was adopted for the award of contracts to nonresident bidders. This law
provides that, in order to be awarded a contract as low bidder, nonresident bidders (out-of-state contractors
whose corporate offices or principal place of business are outside the State of Texas) bid projects for
construction, improvements, supplies or services in Texas at an amount lower than the lowest Texas resident
bidder by the same amount that a Texas resident bidder would be required to underbid a nonresident bidder in
order to obtain a comparable contract in the State which the nonresident's principal place of business is located.
The appropriate blanks in Section A must be filled out by all nonresident bidders in order for your bid to meet
specifications. The failure of nonresident bidders to do so will automatically disqualify that bidder. Resident
bidders must check the box in Section B.
A. Nonresident bidders in the State of our principal place of business,
are required to be percent lower than resident bidders by State Law. A copy of the
statute is attached.
Nonresident bidders in the State of our principal place of business,
are not required to underbid resident bidders.
B. The principal place of business of our company or our parent company or majority owner is
in the State of Texas. 0
BIDDER:
Advanced Paving By: Samrett
2311 Joe Field Rd. 5 l
(Signature)
Dallas, TX 75229
Title: President
Date: 3- 3 - 1,(o
END OF SECTION
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Form Revised 20110627 Bid Proposal Workbook final
004511-1
BIDDERS PREQUALIFICATIONS
Page 1 of 3
1 SECTION 00 45 11
2 BIDDERS PREQUALIFICATIONS
3
4 1. Summary. All contractors are required to be prequalified by the City prior to submitting
5 bids. To be eligible to bid the contractor must submit Section 00 45 12, Prequalification
6 Statement for the work type(s) listed with their Bid. Any contractor or subcontractor who is
7 not prequalified for the work type(s) listed must submit Section 00 45 13, Bidder
8 Prequalification Application in accordance with the requirements below.
9
10 The prequalification process will establish a bid limit based on a technical evaluation and
11 financial analysis of the contractor. The information must be submitted seven (7) days prior
12 to the date of the opening of bids. For example, a contractor wishing to submit bids on
13 projects to be opened on the 7th of April must file the information by the 31st day of March
14 in order to bid on these projects. In order to expedite and facilitate the approval of a Bidder's
15 Prequalification Application, the following must accompany the submission.
16 a. A complete set of audited or reviewed financial statements.
17 (1) Classified Balance Sheet
18 (2) Income Statement
19 (3) Statement of Cash Flows
20 (4) Statement of Retained Earnings
21 (5) Notes to the Financial Statements, if any
22 b. A certified copy of the firm's organizational documents (Corporate Charter, Articles
23 of Incorporation, Articles of Organization, Certificate of Formation, LLC
24 Regulations, Certificate of Limited Partnership Agreement).
25 c. A completed Bidder Prequalification Application.
26 (1) The firm's Texas Taxpayer Identification Number as issued by the Texas
27 Comptroller of Public Accounts. To obtain a Texas Taxpayer Identification
28 number visit the Texas Comptroller of Public Accounts online at the
29 following web address www.window.state.tx.us/taxpermit/ and fill out the
30 application to apply for your Texas tax ID.
31 (2) The firm's e-mail address and fax number.
32 (3) The firm's DUNS number as issued by Dun & Bradstreet. This number
33 is used by the City for required reporting on Federal Aid projects. The DUNS
34 number may be obtained at www.dnb.com.
35 d. Resumes reflecting the construction experience of the principles of the firm for firms
36 submitting their initial prequalification. These resumes should include the size and
37 scope of the work performed.
38 e. Other information as requested by the City.
39
40 2. Prequalification Requirements
41 a. Financial Statements. Financial statement submission must be provided in
42 accordance with the following:
43 (1) The City requires that the original Financial Statement or a certified copy
44 be submitted for consideration.
CITY OF FORT WORTH 2014 CIP Year 2-Contract 4 Street Rehabilitation
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised July 1,2011
0045 11 -2
BIDDERS PREQUALIFICATIONS
Page 2 of 3
1 (2) To be satisfactory, the financial statements must be audited or reviewed
2 by an independent, certified public accounting firm registered and in
3 good standing in any state. Current Texas statues also require that
4 accounting firms performing audits or reviews on business entities within
5 the State of Texas be properly licensed or registered with the Texas State
6 Board of Public Accountancy.
7 (3) The accounting firm should state in the audit report or review whether
8 the contractor is an individual, corporation, or limited liability company.
9 (4) Financial Statements must be presented in U.S. dollars at the current rate
10 of exchange of the Balance Sheet date.
11 (5) The City will not recognize any certified public accountant as
12 independent that is not, in fact, independent.
13 (6) The accountant's opinion on the financial statements of the contracting
14 company should state that the audit or review has been conducted in
15 accordance with auditing standards generally accepted in the United
16 States of America. This must be stated in the accounting firm's opinion.
17 It should: (1) express an unqualified opinion, or (2) express a qualified
18 opinion on the statements taken as a whole.
19 (7) The City reserves the right to require a new statement at any time.
20 (8) The financial statement must be prepared as of the last day of any month,
21 not more than one year old and must be on file with the City 16 months
22 thereafter, in accordance with Paragraph 1.
23 (9) The City will determine a contractor's bidding capacity for the purposes
24 of awarding contracts. Bidding capacity is determined by multiplying the
25 positive net working capital (working capital = current assets — current
26 liabilities) by a factor of 10. Only those statements reflecting a positive
27 net working capital position will be considered satisfactory for
28 prequalification purposes.
29 (10) In the case that a bidding date falls within the time a new financial
30 statement is being prepared, the previous statement shall be updated with
31 proper verification.
32 b. Bidder Prequalification Application. A Bidder Prequalification Application must be
33 submitted along with audited or reviewed financial statements by firms wishing to be
34 eligible to bid on all classes of construction and maintenance projects. Incomplete
35 Applications will be rejected.
36 (1) In those schedules where there is nothing to report, the notation of
37 "None"or"N/A" should be inserted.
38 (2) A minimum of five(5)references of related work must be provided.
39 (3) Submission of an equipment schedule which indicates equipment under
40 the control of the Contractor and which is related to the type of work for
41 which the Contactor is seeking prequalification. The schedule must
42 include the manufacturer, model and general common description of
43 each piece of equipment. Abbreviations or means of describing
44 equipment other than provided above will not be accepted.
45
46 3. Eligibility to Bid
47 a. The City shall be the sole judge as to a contractor's prequalification.
48 b. The City may reject, suspend, or modify any prequalification for failure by the
49 contractor to demonstrate acceptable financial ability or performance.
CITY OF FORT WORTH 2014 CIP Year 2-Contract 4 Street Rehabilitation
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised July 1,2011
004511-3
BIDDERS PREQUALIFICATIONS
Page 3 of 3
1 c. The City will issue a letter as to the status of the prequalification approval.
2 d. If a contractor has a valid prequalification letter, the contractor will be eligible to bid
3 the prequalified work types until the expiration date stated in the letter.
4
5
6
7
8
9 END OF SECTION
10
CITY OF FORT WORTH 2014 CIP Year 2-Contract 4 Street Rehabilitation
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised July 1,2011
00 45 12
BID FORM
Page 5 of 6
SECTION 00 45 12
PREQUALIFICATION STATEMENT
Each Bidder for a City procurement is required to complete the information below by identifying the prequalified
contractors and/or subcontractors whom they intend to utilize for the major work type(s) listed.
Major Work Type Contractor/Subcontractor Company Name Prequalification
Expiration Date
HMAC Street Rehabilitation
Heavy Maintenance and all
items directly associated with Advanced Paving
the paving
The undersigned hereby certifies that the contractors and/or subcontractors described in the table above are
currently prequalified for the work types listed.
BIDDER:
Advanced Paving By: Sa tt
2311 Joe Field Rd.
(Signature)
Dallas, TX 75229
Title: President
Date: 3,
END OF SECTION
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Form Revised 20120120 Bid Proposal Workbook final
RLIRLI
Sty POWER OF ATTORNEY
9025 N.Lindbergh Dr.I Peoria,IL 61615
Phone:(800)645-24021 Fax:(309)689-2036 RLI Insurance Company
www.rlicorp.com
Know All Men by These Presents:
That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes executed, but may be detached by the
approving officer if desired.
That RLI Insurance Company,an Illinois corporation,does hereby make,constitute and appoint:
Lisa M.Bonnot.Don E.Cornell,Ricardo J.Reyna.V.DeLene Marshall,Sophinie Hunter,Robbi Morales,Kelly A.Westbrook.jointly
or severally
in the City of Dallas , State of Texas its true and lawful Agent and Attorney in Fact,with full
power and authority hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety, the following described
bond.
Any and all bonds provided the bond penalty does not exceed Twenty Five Million Dollars($25,000,000.00).
The acknowledgment and execution of such bond by the said Attorney in Fact shall be as binding upon this Company as if such bond had been
executed and acknowledged by the regularly elected officers of this Company.
The RLI Insurance Company further certifies that the following is a true and exact copy of the Resolution adopted by the Board of Directors
of RLI Insurance Company,and now in force to-wit:
"All bonds,policies,undertakings,Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of
the Company by the President,Secretary,any Assistant Secretary,Treasurer,or any Vice President,or by such other officers as the Board
of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint
Attorneys in Fact or Agents who shall have authority to issue bonds,policies or undertakings in the name of the Company. The corporate
seal is not necessary for the validity of any bonds,policies,undertakings,Powers of Attorney or other obligations of the corporation. The
signature of any such officer and the corporate seal may be printed by facsimile."
IN WITNESS WHEREOF, the RLI Insurance Company has caused these presents to be executed by its Vice President with its
corporate seal affixed this 3rd day of March 2015
CES"" RLI Insurance Company
..�o'�,
: SEAL : = By:
Roy C.Di Vice President
State of Illinois l "44u,t,N,o�s�,•P�`
} SS
County of Peoria JJJ
CERTIFICATE
On this 3rd day of M &b 2015 ,before me, a Notary Public, I, the undersigned officer of RLI Insurance Company, a stock
personally appeared Roy C. Die , who being by me duly swom, corporation of the State of Illinois,do hereby certify that the attached
acknowledged that he signed the above Power of Attorney as the aforesaid Power of Attorney is in full force and effect and is irrevocable; and
officer of the RLI Insurance Company and acknowledged said instrument to furthermore, that the Resolution of the Company as set forth in the
be the voluntary act and deed of said corporation. Power of Attorney, is now in force. In testimony whereof, I have
here t set my han and a sea:of RLI Insurance Company
this, day of
By: ZF.0.
Jacque' e M.Bockler Notary Public RLI Insurance Company
"OFFICIAL SEAL"
7
NO fA'C B
PUR JACQUELINE M.BOCKLER y
STATE
.�L�mm° COMMISSION EXPIRES 01/14118 Roy C.Di Vice President
4271584020212
A0058514
RLI
RLI
® P.O.Box
396 Company TEXAS COMPLAINT NOTICE
P.O.Box 3967 Pcoria,IL 61612-3967
Phone:309-692-1000 Fax:309-683-1610
IMPORTANT NOTICE
To obtain information or make a complaint:
You may call RLI Insurance Company's toll free telephone number for information or to make a complaint at
800-645-2402.
You may also write to RLI Insurance Company at:
9025 N. Lindbergh Drive
Peoria, IL 61615
FAX# 309-683-1610
You may contact the Texas Department of insurance to obtain information on companies,coverages,rights or complaints at
1-800-252-3439
You may write the Texas Department of Insurance:
P.O. Box 149104
Austin,TX 78714-9104
FAX#(512)475-1771
Web: http://www.tdi.state.tx.us
E-mail: ConsumerProtection(a--)tdi.state.tx.us
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your premium or about a claim,you should contact RLI Insurance Company first. If the
dispute is not resolved,you may contact the Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR POLICY:
This notice is for information only and does not become a part or condition of the attached document.
UW 1042-S(02/10) M4201210
0043 37
VENDOR COMPLIANCE TO STATE LAW
Page 4 of 6
SECTION 00 43 37
VENDOR COMPLIANCE TO STATE LAW NON RESIDENT BIDDER
Texas Government Code Chapter 2252 was adopted for the award of contracts to nonresident bidders. This law
provides that, in order to be awarded a contract as low bidder, nonresident bidders (out-of-state contractors
whose corporate offices or principal place of business are outside the State of Texas) bid projects for
construction, improvements, supplies or services in Texas at an amount lower than the lowest Texas resident
bidder by the same amount that a Texas resident bidder would be required to underbid a nonresident bidder in
order to obtain a comparable contract in the State which the nonresident's principal place of business is located.
The appropriate blanks in Section A must be filled out by all nonresident bidders in order for your bid to meet
specifications. The failure of nonresident bidders to do so will automatically disqualify that bidder. Resident
bidders must check the box in Section B.
A. Nonresident bidders in the State of our principal place of business,
are required to be percent lower than resident bidders by State Law. A copy of the
statute is attached.
Nonresident bidders in the State of our principal place of business,
are not required to underbid resident bidders.
B. The principal place of business of our company or our parent company or majority owner is
in the State of Texas. Q
BIDDER:
Advanced Paving By: Samrett
2311 Joe Field Rd. 5
(Signature)
Dallas, TX 75229
Title: President
Date: 3— 3
END OF SECTION
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Form Revised 20110627 Bid Proposal Workbook final
004511 -1
BIDDERS PREQUALIFICATIONS
Page I of 3
1 SECTION 00 45 11
2 BIDDERS PREQUALIFICATIONS
3
4 1. Summary. All contractors are required to be prequalified by the City prior to submitting
5 bids. To be eligible to bid the contractor must submit Section 00 45 12, Prequalification
6 Statement for the work type(s) listed with their Bid. Any contractor or subcontractor who is
7 not prequalified for the work type(s) listed must submit Section 00 45 13, Bidder
8 Prequalification Application in accordance with the requirements below.
9
10 The prequalification process will establish a bid limit based on a technical evaluation and
11 financial analysis of the contractor. The information must be submitted seven (7) days prior
12 to the date of the opening of bids. For example, a contractor wishing to submit bids on
13 projects to be opened on the 7th of April must file the information by the 31 st day of March
14 in order to bid on these projects. In order to expedite and facilitate the approval of a Bidder's
15 Prequalification Application, the following must accompany the submission.
16 a. A complete set of audited or reviewed financial statements.
17 (1) Classified Balance Sheet
18 (2) Income Statement
19 (3) Statement of Cash Flows
20 (4) Statement of Retained Earnings
21 (5) Notes to the Financial Statements, if any
22 b. A certified copy of the firm's organizational documents (Corporate Charter, Articles
23 of Incorporation, Articles of Organization, Certificate of Formation, LLC
24 Regulations, Certificate of Limited Partnership Agreement).
25 c. A completed Bidder Prequalification Application.
26 (1) The firm's Texas Taxpayer Identification Number as issued by the Texas
27 Comptroller of Public Accounts. To obtain a Texas Taxpayer Identification
28 number visit the Texas Comptroller of Public Accounts online at the
29 following web address www.window.state.tx.us/taxpermit/ and fill out the
30 application to apply for your Texas tax ID.
31 (2) The firm's e-mail address and fax number.
32 (3) The firm's DUNS number as issued by Dun & Bradstreet. This number
33 is used by the City for required reporting on Federal Aid projects. The DUNS
34 number may be obtained at www.dnb.com.
35 d. Resumes reflecting the construction experience of the principles of the firm for firms
36 submitting their initial prequalification. These resumes should include the size and
37 scope of the work performed.
38 e. Other information as requested by the City.
39
40 2. Prequalification Requirements
41 a. Financial Statements. Financial statement submission must be provided in
42 accordance with the following:
43 (1) The City requires that the original Financial Statement or a certified copy
44 be submitted for consideration.
CITY OF FORT WORTH 2014 CIP Year 2-Contract 4 Street Rehabilitation
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS I00181
Revised July 1,2011
0045 11 -2
BIDDERS PREQUALIFICATIONS
Page 2 of 3
1 (2) To be satisfactory, the financial statements must be audited or reviewed
2 by an independent, certified public accounting firm registered and in
3 good standing in any state. Current Texas statues also require that
4 accounting firms performing audits or reviews on business entities within
5 the State of Texas be properly licensed or registered with the Texas State
6 Board of Public Accountancy.
7 (3) The accounting firm should state in the audit report or review whether
8 the contractor is an individual, corporation, or limited liability company.
9 (4) Financial Statements must be presented in U.S. dollars at the current rate
10 of exchange of the Balance Sheet date.
11 (5) The City will not recognize any certified public accountant as
12 independent that is not, in fact, independent.
13 (6) The accountant's opinion on the financial statements of the contracting
14 company should state that the audit or review has been conducted in
15 accordance with auditing standards generally accepted in the United
16 States of America. This must be stated in the accounting firm's opinion.
17 It should: (1) express an unqualified opinion, or (2) express a qualified
18 opinion on the statements taken as a whole.
19 (7) The City reserves the right to require a new statement at any time.
20 (8) The financial statement must be prepared as of the last day of any month,
21 not more than one year old and must be on file with the City 16 months
22 thereafter, in accordance with Paragraph 1.
23 (9) The City will determine a contractor's bidding capacity for the purposes
24 of awarding contracts. Bidding capacity is determined by multiplying the
25 positive net working capital (working capital = current assets — current
26 liabilities) by a factor of 10. Only those statements reflecting a positive
27 net working capital position will be considered satisfactory for
28 prequalification purposes.
29 (10) In the case that a bidding date falls within the time a new financial
30 statement is being prepared, the previous statement shall be updated with
31 proper verification.
32 b. Bidder Prequalification Application. A Bidder Prequalification Application must be
33 submitted along with audited or reviewed financial statements by firms wishing to be
34 eligible to bid on all classes of construction and maintenance projects. Incomplete
35 Applications will be rejected.
36 (1) In those schedules where there is nothing to report, the notation of
37 "None"or"N/A" should be inserted.
38 (2) A minimum of five(5)references of related work must be provided.
39 (3) Submission of an equipment schedule which indicates equipment under
40 the control of the Contractor and which is related to the type of work for
41 which the Contactor is seeking prequalification. The schedule must
42 include the manufacturer, model and general common description of
43 each piece of equipment. Abbreviations or means of describing
44 equipment other than provided above will not be accepted.
45
46 3. Eligibility to Bid
47 a. The City shall be the sole judge as to a contractor's prequalification.
48 b. The City may reject, suspend, or modify any prequalification for failure by the
49 contractor to demonstrate acceptable financial ability or performance.
CITY OF FORT WORTH
2014 CIP Year 2-Contract 4 Street Rehabilitation
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised July 1,2011
0045 11 -3
BIDDERS PREQUALIFICATIONS
Page 3 of 3
1 c. The City will issue a letter as to the status of the prequalification approval.
2 d. If a contractor has a valid prequalification letter, the contractor will be eligible to bid
3 the prequalified work types until the expiration date stated in the letter.
4
5
6
7
8
9 END OF SECTION
10
CITY OF FORT WORTH 2014 CIP Year 2-Contract 4 Street Rehabilitation
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised July 1,2011
0045 12
BID FORM
Page 5 of 6
SECTION 00 45 12
PREQUALIFICATION STATEMENT
Each Bidder for a City procurement is required to complete the information below by identifying the prequalified
contractors and/or subcontractors whom they intend to utilize for the major work type(s) listed.
Major Work Type Contractor/Subcontractor Company Name Prequalification
Expiration Date
HMAC Street Rehabilitation
Heavy Maintenance and all Advanced Paving
items directly associated with
the paving
The undersigned hereby certifies that the contractors and/or subcontractors described in the table above are
currently prequalified for the work types listed.
BIDDER:
Advanced Paving By: Sa tt ,�
2311 Joe Field Rd. ' '
(Signature)
Dallas, TX 75229
Title: President
Date: 3— 3 Ile
END OF SECTION
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Form Revised 20120120 Bid Proposal Workbook final
FORTWORTH
SECTION 00 45 13
BIDDER PREQUALIFICATION APPLICATION
Date of Balance Sheet
Mark only one:
Individual
Limited Partnership
Name under which you wish to qualify General Partnership
Corporation
Limited Liability Company
Post Office Box City State Zip Code
Street Address(required) City State Zip Code
Telephone Fax Email
Texas Taxpayer Identification No.
Federal Employers Identification No.
DUNS No. (if applicable)
MAIL THIS QUESTIONAIRE ALONG WITH FINANCIAL STATEMENTS TO:
CITY OF FORT WORTH TEXAS
1000 THROCKMORTON STREET
FORT WORTH, TEXAS 76102-6311
AND MARK THE ENVELOPE: "BIDDER PREQUALIFICATION APPLICATION"
0045 13-2
BIDDER PREQUALIFICATION APPLICATION
Page 2 of 8
BUSINESS CLASSIFICATION
The following should be completed in order that we may properly classify your firm:
(Check the block(s)which are applicable—Block 3 is to be left blank if Block I and/or Block 2 is
checked)
Has fewer than 100 employees
and/or
Has less than $6,000,000.00 in annual gross receipts
OR
Does not meet the criteria for being designated a small business as provided in Section
2006.001 of the Texas Government Code.
The classification of your firm as a small or large business is not a factor in determining eligibility to
become prequalified.
MAJOR WORK CATEGORIES
Water Department
Augur Boring-24-inch diameter casing and less
Augur Boring-Greater than 24-inch diameter casing and greater
Tunneling—36-Inches—60—inches, and 350 LF or less
Tunneling- 36-Inches—60—inches, and greater than 350 LF
Tunneling—66"and greater, 350 LF and greater
Tunneling—66"and greater, 350 LF or Less
Cathodic Protection
Water Distribution, Development, 8-inch diameter and smaller
Water Distribution, Urban and Renewal, 8-inch diameter and smaller
Water Distribution, Development, 12-inch diameter and smaller
Water Distribution, Urban and Renewal, 12-inch diameter and smaller
Water Transmission, Development, 24-inches and smaller
Water Transmission, Urban/Renewal, 24-inches and smaller
Water Transmission, Development, 42-inches and smaller
Water Transmission, Urban/Renewal, 42-inches and smaller
Water Transmission, Development, All Sizes
Water Transmission, Urban/Renewal, All Sizes
Sewer Bypass Pumping, 18-inches and smaller
Sewer Bypass Pumping, 18-inches—36-inches
Sewer Bypass Pumping 42-inches and larger
CCTV, 8-inches and smaller
CCTV, 12-inches and smaller
CCTV, 18-inches and smaller
CCTV, 24-inches and smaller
CCTV, 42-inches and smaller
CCTV,48-inches and smaller
CITY OF FORT WORTH 2014 CIPn Year 2—Contract 4 STREET REHABILITATION
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised December 20,2012
0045 13-3
BIDDER PREQUALIFICATION APPLICATION
Page 3 of 8
MAJOR WORK CATEGORIES,CONTINUED
Sewer CIPP, 12-inches and smaller
Sewer CIPP, 24-inches and smaller
Sewer CIPP,42-inches and smaller
Sewer CIPP,All Sizes
Sewer Collection System, Development, 8-inches and smaller
Sewer Collection System, Urban/Renewal, 8-inches and smaller
Sewer Collection System, Development, 12-inches and smaller
Sewer Collection System, Urban/Renewal, 12-inches and smaller
Sewer Interceptors, Development, 24-inches and smaller
Sewer Interceptors, Urban/Renewal, 24-inches and smaller
Sewer Interceptors, Development, 42-inches and smaller
Sewer Interceptors, Urban/Renewal,42-inches and smaller
Sewer Interceptors, Development,48-inches and smaller
Sewer Interceptors, Urban/Renewal, 48-inches and smaller
Sewer Pipe Enlargement 12-inches and smaller
Sewer Pipe Enlargement 24-inches and smaller
Sewer Pipe Enlargement,All Sizes
Sewer Cleaning, 24-inches and smaller
Sewer Cleaning,42-inches and smaller
Sewer Cleaning, All Sizes
Sewer Cleaning, 8-inches and smaller
Sewer Cleaning, 12-inches and smaller
Sewer Siphons 12-inches or less
Sewer Siphons 24-inches or less
Sewer Siphons 42-inches or less
Sewer Siphons All Sizes
Transportation Public Works
Asphalt Paving Construction/Reconstruction(LESS THAN 15,000 square yards)
Asphalt Paving Construction/Reconstruction(15,000 square yards and GREATER)
Asphalt Paving Heavy Maintenance(UNDER$1,000,000)
Asphalt Paving Heavy Maintenance($1,000,000 and OVER)
Concrete Paving Construction/Reconstruction(LESS THAN 15,000 square yards)
Concrete Paving Construction/Reconstruction (15,000 square yards and GREATER)
Roadway and Pedestrian Lighting
CITY OF FORT WORTH 2014 CIPn Year 2—Contract 4 STREET REHABILITATION
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised December 20,2012
0045 13-4
BIDDER PREQUALIFICATION APPLICATION
Page 4 of 8
1. List equipment you do not own but which is available by renting
DESCRIPTION OF EQUIPMENT NAME AND DETAILED ADDRESS OF OWNER
2. How many years has your organization been in business as a general contractor under your present
name?
List previous business names:
3. How many years of experience in construction work has your organization
had:
(a) As a General Contractor: (b)As a Sub-Contractor:
4. *What projects has your organization completed in Texas and elsewhere?
CLASS LOCATION NAME AND DETAILED
CONTRACT OF DATE CITY-COUNTY- ADDRESS OF OFFICIAL TO
AMOUNT WORK COMPLETED STATE WHOM YOU REFER
*If requalifying only show work performed since last statement.
5.Have you ever failed to complete any work awarded to you?
If so, where and why?
6.Has any officer or owner of your organization ever been an officer of another organization that failed to
complete a contract?
If so, state the name of the individual, other organization and reason.
7.Has any officer or owner of your organization ever failed to complete a contract executed in his/her
name?
If so, state the name of the individual, name of owner and reason.
CITY OF FORT WORTH 2014 CIPn Year 2—Contract 4 STREET REHABILITATION
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised December 20,2012
0045 13-5
BIDDER PREQUALIFICATION APPLICATION
Page 5 of 8
8. In what other lines of business are you financially interested?
9. Have you ever performed any work for the City?
If so, when and to whom do you refer?
10. State names and detailed addresses of all producers from whom you have purchased principal
materials during the last three years.
NAME OF FIRM OR COMPANY DETAILED ADDRESS
11. Give the names of any affiliates or relatives currently debarred by the City. Indicate your relationship
to this person or firm.
12. What is the construction experience of the principal individuals in your organization?
PRESENT MAGNITUDE
POSITION OR YEARS OF AND TYPE OF IN WHAT
NAME OFFICE EXPERIENCE WORK CAPACITY
13. If any owner, officer, director, or stockholder of your firm is an employee of the City, or shares the
same household with a City employee, please list the name of the City employee and the relationship. In
addition, list any City employee who is the spouse, child, or parent of an owner, officer, stockholder, or
director who does not live in the same household but who receives care and assistance from that person as
a direct result of a documented medical condition. This includes foster children or those related by
adoption or marriage.
CITY OF FORT WORTH 2014 CIPn Year 2—Contract 4 STREET REHABILITATION
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised December 20,2012
0045 13-6
BIDDER PREQUALIFICATION APPLICATION
Page 6 of 8
CORPORATION BLOCK PARTNERSHIP BLOCK
If a corporation: If a partnership:
Date of Incorporation State of Organization
Charter/File No. Date of organization
President Is partnership general, limited, or registered limited
liability partnership?
Vice Presidents
File No. (if Limited
Partnership)
General Partners/Officers
Secretary Limited Partners(if applicable)
Treasurer
LIMITED LIABILITY COMPANY BLOCK
If a corporation:
State of Incorporation
Date of organization
File No. Individuals authorized to sign for Partnership
Officers or Managers(with titles, if any)
Except for limited partners,the individuals listed in the blocks above are presumed to have full
signature authority for your firm unless otherwise advised. Should you wish to grant signature
authority for additional individuals,please attach a certified copy of the corporate resolution,
corporate minutes,partnership agreement,power of attorney or other legal documentation which
grants this authority.
CITY OF FORT WORTH 2014 C1Pn Year 2—Contract 4 STREET REHABILITATION
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised December 20,2012
004513-7
BIDDER PREQUALIFICATION APPLICATION
Page 7 of 8
14. Equipment $
TOTAL
BALANCE SHEET
ITEM QUANTITY ITEM DESCRIPTION VALUE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Various-
TOTAL
Similar types of equipment may be lumped together. If your firm has more than 30 types of equipment,
you may show these 30 types and show the remainder as "various".The City,by allowing you to show
only 30 types of equipment,reserves the right to request a complete,detailed list of all your equipment.
The equipment list is a representation of equipment under the control of the firm and which is related to
the type of work for which the firm is seeking qualification. In the description include,the manufacturer,
model,and general common description of each.
CITY OF FORT WORTH 2014 CIPn Year 2—Contract 4 STREET REHABILITATION
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised December 20,2012
0045 I3-8
BIDDER PREQUALIFICATION APPLICATION
Page 8 of 8
BIDDER PREQUALIFICATION AFFIDAVIT
STATE OF
COUNTY OF
The undersigned hereby declares that the foregoing is a true statement of the financial condition of the
entity herein first named, as of the date herein first given; that this statement is for the express purpose of
inducing the party to whom it is submitted to award the submitter a contract; and that the accountant who
prepared the balance sheet accompanying this report as well as any depository, vendor or any other
agency herein named is hereby authorized to supply each party with any information, while this statement
is in force, necessary to verify said statement.
, being duly sworn, deposes and says that
he/she is the of , the entity
described in and which executed the foregoing statement that he/she is familiar with the books of the said
entity showing its financial condition; that the foregoing financial statement taken from the books of the
said entity as of the date thereof and that the answers to the questions of the foregoing Bidder
Prequalification Application are correct and true as of the date of this affidavit.
Firm Name:
Signature:
Sworn to before me this
day of ,
Notary Public
Notary Public must not be an officer,director,or stockholder or relative thereof.
CITY OF FORT WORTH 2014 CIPn Year 2—Contract 4 STREET REHABILITATION
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100I81
Revised December 20,2012
PREQUALIFICATION REQUIREMENTS FOR PAVING CONTRACTORS
1. A current Financial Statement must be provided. The Transportation and Public
Works Department requires that the original Financial Statement, or a certified copy
be submitted for consideration.
2. For those seeking first time qualification, references of related work (at least 5) must
be provided. Each reference must include the following:
a. Project Name and Location
b. Type of project—Concrete Paving Construction or Reconstruction, Asphalt
Paving Construction Reconstruction, or Asphalt Paving Heavy Maintenance.
c. An indication of whether the Contractor served as the prime or as a subcontractor
on each of the referenced projects
d. Contractor's contact person and telephone number(s)
e. Name of the city where work was performed along with contact name and
telephone number of the assigned City Inspector
f. Amount of construction contract
g. Type of paving performed and general description of work elements (asphalt, base
construction, sub-base treatment, geo-grid fabric, concrete, reinforcing, thickness,
jointing)
h. Date of project—start date for construction and completion date
i. The above requirement for 5 project references may be waived if:
• The contractor can otherwise demonstrate that he/she has the construction
experience to perform the type of work for which he/she is being considered,
and
• The contractor provides sufficient evidence that he/she has the financial
ability to both complete and warranty the work, and
• The contractor acknowledges that under this provision of the requirements for
pre-qualification that the contractor will be limited to 15,000 square yards of
concrete or asphalt pavement construction or$1,000,000 of pavement
rehabilitation.
• The contractor acknowledges that the limitation on this type of work for the
City of Fort Worth will remain in force until such time as the contractor
demonstrates the capability to satisfactorily perform and complete the type of
work covered by the restriction.
3. Include in the submission an equipment schedule which indicates equipment under
the control of the Contractor and which is related to the type of work for which the
Contactor is seeking certification. The schedule must include the manufacturer,
model and general common description of each piece of equipment.
4. The following information must be provided regarding construction experience:
a. Number of years the company has been in business as a General Contractor under
the present business name
b. Other names under which the company has operated including the full name of
the company and where that company performed work
c. An indication of the number of years of concrete/asphalt pavement construction
experience as a general contractor and as a sub-contractor
d. Experience of the principals of the company, including name, present position,
years of experience, type of experience, licenses, and certifications.
e. If the Contractor or any present partners or officers have ever failed to complete a
contract,provide details about those contracts including name of the project,
owner/engineer, contract price, contact person, and the surety that was involved.
f. Provide details of any instances when the Contractor, any present partners or
company officers have filed for bankruptcy or have been part of a company that
has filed for bankruptcy.
5. Any Contractor who becomes qualified under these provisions and remains in good
standing with the City will only be required to submit a newly compiled or reviewed
financial statement before each 2 year anniversary of initial qualification. Should a
Contractor fail to submit the required information before any 2 year anniversary,
he/she will be so advised and will be allowed 6 months to provide the required
financial statement. If a financial statement is then not provided within the specified
6 month period, the Contractor will be removed from the list of qualified Contractors
and he/she will be required to provide all indicated information as would a new
contractor before being considered further for qualification.
July 29, 2014
TYPES AND LEVELS OF QUALIFICATION
MACHINE LAID CONCRETE PAVING CONSTRUCTION/RECONSTRUCTION
Machine Laid Concrete Paving Construction/Reconstruction LESS THAN 15,000 square
yards
A Contractor may be deemed as pre-qualified to perform concrete paving as a Prime
Contractor with the City of Fort Worth if the required pre-qualification information
submitted by the Contractor demonstrates through financial stability, experience and
available resources that the Contractor should be able to perform the indicated level of
work. If the Contractor is pre-qualified for this level, the Contractor will only be
considered qualified to perform concrete paving on projects that include less than 15,000
square yards.
Machine Laid Concrete Paving Construction/Reconstruction 15,000 square yards and
GREATER
A Contractor may be deemed as pre-qualified to perform concrete paving as a Prime
Contractor with the City of Fort Worth if the required pre-qualification information
submitted by the Contractor demonstrates through financial stability,experience and
available resources that the Contractor should be able to perform the indicated level of
work. If the Contractor is pre-qualified for this level,the Contractor will not be limited
on the size of project upon which he or she may bid.
Pre-Qualification is not required for Hand Laid Concrete Pavement or Bridge Deck
Construction/Reconstruction unless specifically called for in the project plans or
specifications.
ASPHALT PAVING CONSTRUCTION/RECONSTRUCTION
Asphalt Paving Construction/Reconstruction LESS THAN 15,000 square yards
A Contractor may be deemed as pre-qualified to perform asphalt paving as a Prime
Contractor with the City of Fort Worth if the required pre-qualification information
submitted by the Contractor demonstrates through financial stability, experience and
available resources that the Contractor should be able to perform the indicated level of
work. If the Contractor is pre-qualified for this level,the Contractor will only be
considered qualified to perform asphalt paving on projects that include less than 15,000
square yards.
Asphalt Paving Construction/Reconstruction 15,000 square yards and GREATER
A Contractor may be deemed as pre-qualified to perform asphalt paving as a Prime
Contractor with the City of Fort Worth if the required pre-qualification information
submitted by the Contractor demonstrates through financial stability, experience and
available resources that the Contractor should be able to perform the indicated level of
work. If the Contractor is pre-qualified for this level,the Contractor will not be limited
on the size of project upon which he or she may bid.
ASPHALT PAVING HEAVY MAINTENANCE
Asphalt Paving Heavy Maintenance UNDER$1,000,000
A Contractor may be deemed as pre-qualified to perform asphalt paving heavy
maintenance as a Prime Contractor with the City of Fort Worth if the required pre-
qualification information submitted by the Contractor demonstrates through financial
stability, experience and available resources that the Contractor should be able to perform
the indicated level of work. If the Contractor is pre-qualified for this level, the total
amount of the bid for asphalt paving heavy maintenance and all items directly associated
with the paving shall be less than$1,000,000.
Asphalt Paving Heavy Maintenance$1,000,000 and OVER
A Contractor may be deemed as pre-qualified to perform asphalt paving heavy
maintenance as a Prime Contractor with the City of Fort Worth if the required pre-
qualification information submitted by the Contractor demonstrates through financial
stability, experience and available resources that the Contractor should be able to perform
the indicated level of work. If the Contractor is pre-qualified for this level,the
Contractor will not be limited on the size of project upon which he or she may bid.
August 6, 2013
00 45 26-1
CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW
Page 1 of 1
1 SECTION 00 45 26
2 CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW
3
4 Pursuant to Texas Labor Code Section 406.096(a),as amended, Contractor certifies that it
5 provides worker's compensation insurance coverage for all of its employees employed on City
6 Project No. 01893. Contractor further certifies that, pursuant to Texas Labor Code, Section
7 406.096(b), as amended, it will provide to City its subcontractor's certificates of compliance with
8 worker's compensation coverage.
9
10 CONTRACTOR:
cc Z-.
12 �, U�. By:
13 Company (Ple e Pint)
14 j/ /'� �l 1,
15 11 -�-/�C g� Signature:
16 Ass
17 —V 18 JC7 Title:
19 City/State/Zip (Please Print)
20
21
22 THE STATE OF TEXAS §
23
24 COUNTY OF TARRANT §
25
26 BEFORE ME�jj th undersi ed authority,on this day personally appeared
27 �L�' ' ,known to me to be the person whose name is
28 subscribed to the fore ing instru e ,and ac owledge�j�h_to a that he/she executed the same as
29 the act and deed ofd'' C/(/i ��T�� for the purposes and
30 consideration therein expressed and in thpacity therein stated.
31
32 G UNDER MY HAND AND SEAL OF OFFICE this I day of
33 20&
34
35 E:Y &1�,, BECKY SEAIE36 otary Public,State of Texas37 My Commission ExpiresNo Publi and or the State of Texas
October 11, 2016
38
39 END OF SECTION
40
CITY OF FORT WORTH 2014 CiP Year 2-Cont,.a 4 Street Rehabilitation
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 100181
Revised July 1,2011
FORT WORTH
City of Fort Worth
Minority Business Enterprise Specifications
SPECIAL INSTRUCTIONS FOR OFFERORS
APPLICATION OF POLICY
If the total dollar value of the contract is$50,000 or more,then a MBE subcontracting goal is applicable.
POLICY STATEMENT
It is the policy of the City of Fort Worth to ensure the full and equitable participation by Minority Business Enterprises
(MBE) in the procurement of all goods and services. All requirements and regulations stated in the City's current
Business Diversity Enterprise Ordinance applies to this bid.
MBE PROJECT GOALS
The City's MBE goal on this project is 13 %of the base bid value of the contract.
Note:If both MBE and SBE subcontracting goals are established for this project,then an Offeror must submit both a
MBE Utilization Form and a SBE Utilization Form to be deemed responsive.
COMPLIANCE TO BID SPECIFICATIONS
On City contracts $50,000 or more where a MBE subcontracting goal is applied, Offerors are required to comply with
the intent of the City's Business Diversity Enterprise Ordinance by one of the following:
1. Meet or exceed the above stated MBE goal through MBE subcontracting participation,or
2. Meet or exceed the above stated MBE goal through MBE Joint Venture participation,or;
3. Good Faith Effort documentation,or:
4. Prime Waiver documentation.
SUBMITTAL OF REQUIRED DOCUMENTATION
The applicable documents must be received by the Purchasing Division, within the following times allocated, in order
for the entire bid to be considered responsive to the specifications. The Offeror shall deliver the MBE documentation in
person to`the appropriate employee of the purchasing division and obtain a date/time receipt. Such,reeeipt shall be
eviddn,tbJhat"the`City'received th'i�documentation in the time allocated. A faxed,and/or emailed"copy will not be
accepted. -
1. Subcontractor Utilization Form,if goal is received no later than 2:00 p.m.,on the second City business day
met or exceeded: after the bid opening date, exclusive of the bid opening date.
2. Good Faith Effort and Subcontractor received no later than 2:00 p.m.,on the second City business day
Utilization Form, if participation is less than after the bid opening date,exclusive of the bid opening date.
statedgoal:
3. Good Faith Effort and Subcontractor received no later than 2:00 p.m., on the second City business day
Utilization Form,if no MBE participation: after the bid opening date,exclusive of the bid opening date.
4. Prime Contractor Waiver Form,if you will received no later than 2:00 p.m., on the second City business day
perform all subcontracting/supplier work: after the bid opening date,exclusive of the bid opening date.
5. Joint Venture Form, if goal is met or received no later than 2:00 p.m.,on the second City business day
exceeded: after the bid opening date,exclusive of the bid opening date.
FAILURE TO COMPLY WITH THE CITY'S BUSINESS DIVERSITY ENTERPRISE ORDINANCE, WILL RESULT IN
THE BID BEING CONSIDERED NON-RESPONSIVE TO SPECIFICATIONS.
FAILURE TO SUBMIT THE REQUIRED MBE DOCUMENTATION WILL RESULT IN THE BID BEING CONSIDERED
NON-RESPONSIVE.A SECOND FAILURE WILL RESULT IN THE OFFEROR BEING DISQUALIFIED FOR A
PERIOD OF ONE YEAR. THREE FAILURES IN A FIVE YEAR PERIOD WILL RESULT IN A DISQUALIFICATION
PERIOD OF THREE YEARS.
Any questions,please contact the M/WBE Office at(817)212-2674.
Rev.2/10/15
005243- 1
Agreement
Page 1 of 4
I SECTION 00 52 43
2 AGREEMENT
3 THIS AGREEMENT, authorized on May 17, 2016 is made by and between the City of Forth
4 Worth, a Texas home rule municipality, acting by and through its duly authorized City Manager,
5 ("City"), and Advanced Paving Acquisition, Ltd, authorized to do business in Texas, acting by
6 and through its duly authorized representative, ("Contractor").
7 City and Contractor, in consideration of the mutual covenants hereinafter set forth, agree as
8 follows:
9 Article 1.WORK
10 Contractor shall complete all Work as specified or indicated in the Contract Documents for the
I 1 Project identified herein.
12 Article 2.PROJECT
13 The project for which the Work under the Contract Documents may be the whole or only a part is
14 generally described as follows:
15 2014 CIP Year 2 Contract 4 Street Rehabilitation
16 City Proiect Number 100181
17 Article 3. CONTRACT TIME
18 3.1 Time is of the essence.
19 All time limits for Milestones, if any, and Final Acceptance as stated in the Contract
20 Documents are of the essence to this Contract.
21 3.2 Final Acceptance.
22 The Work will be complete for Final Acceptance within 310 Calendar days after the date
23 when the Contract Time commences to run as provided in Paragraph 2.03 of the General
24 Conditions.
25 3.3 Liquidated damages
26 Contractor recognizes that time is of the essence of this Agreement and that City will
27 suffer financial loss if the Work is not completed within the times specified in Paragraph
28 3.2 above, plus any extension thereof allowed in accordance with Article 12 of the
29 General Conditions. The Contractor also recognizes the delays, expense and difficulties
30 involved in proving in a legal proceeding, the actual loss suffered by the City if the Work
31 is not completed on time. Accordingly, instead of requiring any such proof, Contractor
32 agrees that as liquidated damages for delay (but not as a penalty), Contractor shall pay
33 City Six Hundred Fifty Dollars ($650.00) for each day that expires after the time
34 specified in Paragraph 3.2 for Final Acceptance until the City issues the Final Letter of
35 Acceptance.
N
L RECORDCRETARYRTH, TX
CITY OF FORT WORTH 2014 CIP Year?Contract 4 Street Rehabilitation
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project Number 100181
Revised August 17,2012
005243-2
Agreement
Page 2 of 4
36 Article 4. CONTRACT PRICE
37 City agrees to pay Contractor for performance of the Work in accordance with the Contract
38 Documents an amount in current funds of three million, seven hundred seventy-one thousand,
39 three hundred one and 80/100 DOLLARS ($3,771,301.80).
40 Article 5. CONTRACT DOCUMENTS
41 5.1 CONTENTS:
42 A. The Contract Documents which comprise the entire agreement between City and
43 Contractor concerning the Work consist of the following:
44 1. This Agreement.
45 2. Attachments to this Agreement:
46 a. Bid Form
47 1) Proposal Form
48 2) Vendor Compliance to State Law Non-Resident Bidder
49 3) Prequalification Statement
50 4) State and Federal documents (project specific)
51 b. Current Prevailing Wage Rate Table
52 c. Insurance ACORD Form(s)
53 d. Payment Bond
54 e. Performance Bond
55 f. Maintenance Bond
56 g. Power of Attorney for the Bonds
57 h. Worker's Compensation Affidavit
58 i. MBE and/or SBE Commitment Form
59 3. General Conditions.
60 4. Supplementary Conditions.
61 5. Specifications specifically made a part of the Contract Documents by attachment
62 or, if not attached, as incorporated by reference and described in the Table of
63 Contents of the Project's Contract Documents.
64 6. Drawings.
65 7. Addenda.
66 8. Documentation submitted by Contractor prior to Notice of Award.
67 9. The following which may be delivered or issued after the Effective Date of the
68 Agreement and, if issued, become an incorporated part of the Contract Documents:
69 a. Notice to Proceed.
70 b. Field Orders.
71 c. Change Orders.
72 d. Letter of Final Acceptance.
73 OFFICIAL RECORD
74 CITY SECRETARY
FT. WORTH, TX
CITY OF FORT WORTI I 2014 CIP Year 2 Contract 1 Street Rehabilitation
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project Number 100181
Revised August 17,2012
00243-3
Agreement
Page 3 of 4
75 Article 6. INDEMNIFICATION
76 6.1 Contractor covenants and agrees to indemnify, hold harmless and defend, at its own
77 expense, the city, its officers, servants and employees, from and against any and all
78 claims arising out of, or alleged to arise out of, the work and services to be performed
79 by the contractor, its officers, agents, employees, subcontractors, licenses or invitees
80 under this contract. This indemnification provision is specifically intended to operate
81 and be effective even if it is alleged or proven that all or some of the damages being
82 sought were caused, in whole or in part, by any act, omission or negligence of the city.
83 This indemnity provision is intended to include, without limitation, indemnity for
84 costs, expenses and legal fees incurred by the city in defending against such claims and
85 causes of actions.
86
87 6.2 Contractor covenants and agrees to indemnify and hold harmless, at its own expense,
88 the city,its officers, servants and employees,from and against any and all loss, damage
89 or destruction of property of the city,arising out of, or alleged to arise out of,the work
90 and services to be performed by the contractor, its officers, agents, employees,
91 subcontractors, licensees or invitees under this contract. This indemnification
92 provision is specifically intended to operate and be effective even if it is alleged or
93 proven that all or some of the damages being sought were caused, in whole or in part,
94 by any act, omission or negligence of the city.
95
96 Article 7. MISCELLANEOUS
97 7.1 Terms.
98 Terms used in this Agreement which are defined in Article 1 of the General Conditions will
99 have the meanings indicated in the General Conditions.
100 7.2 Assignment of Contract.
101 This Agreement, including all of the Contract Documents may not be assigned by the
102 Contractor without the advanced express written consent of the City.
103 7.3 Successors and Assigns.
104 City and Contractor each binds itself, its partners, successors, assigns and legal
105 representatives to the other party hereto, in respect to all covenants, agreements and
106 obligations contained in the Contract Documents.
107 7.4 Severability.
108 Any provision or part of the Contract Documents held to be unconstitutional, void or
109 unenforceable by a court of competent jurisdiction shall be deemed stricken, and all
110 remaining provisions shall continue to be valid and binding upon CITY and
111 CONTRACTOR.
112 7.5 Governing Law and Venue.
113 This Agreement, including all of the Contract Documents is performable in the State of
114 Texas. Venue shall be Tarrant County, Texas, or the L nited States District Cc urt for the
115 Northern District of Texas, Fort Worth Division. OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
CITY OF FORT WORTl1 2014 CIP Year 2 Contract 4 Street Rehabilitation
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project Number 100181
Revised August 17,2012
00243-4
Agreement
Page 4 of 4
116 7.6 Other Provisions.
117 The Contractor agrees to pay at least minimum wage per hour for all labor as the same is
118 classified, promulgated and set out by the City, a copy of which is attached hereto and
119 made a part hereof the same as if it were copied verbatim herein.
120 7.7 Authority to Sign.
121 Contractor shall attach evidence of authority to sign Agreement, if other than duly
122 authorized signatory of the Contractor.
123
124 IN WITNESS WHEREOF, City and Contractor have executed this Agreement in multiple
125 counterparts.
126
127 This Agreement is effective as of the last date signed by the Parties ("Effective Date").
128
AContract r: City of Fort Worth
i LZ
B :
//711 . J Jay Chapa
BY: Assistant City Manager
(Signature) /
Date �o � (P
Attest: , / FF op�
(Printed Name) (/-City Se etary �.
(Seal)
Title: U Na
0
Address: �(' �, �%00000000�'
M&C 7-
Date: ¢
(XIT* 7+►i -3 3T Z
City/State/Zi : �S ��J Approved as to Form and Legality:
L— /— &
Date Douglas W. Black
Assistant City Attorney
129
130
131 APPROVAL RECOMMENDED:
132
133
134
135 oigIas 'iersig, P.E. /
136 DIREC /
137 Transportation & Public Works Department
138 OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
CITY OF FORT WORTH 2014 C1P Year 2 Contract 4 Street Rehabilitation
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project Number 100181
Revised August 17,2012
Bond#SSB408289
006113-1
PERFORMANCE BOND
Page 1 of 2
1 SECTION 00 61 13
2 PERFORMANCE BOND
3
4 THE STATE OF TEXAS §
5 § KNOW ALL BY THESE PRESENTS:
6 COUNTY OF TARRANT §
7 That we,Advanced Paving Acquisition,Ltd., known as"Principal"herein and
8 RLI Insurance Company , a corporate surety(sureties, if more than
9 one)duly authorized to do business in the State of Texas, known as "Surety"herein(whether one
10 or more),are held and firmly bound unto the City of Fort Worth, a municipal corporation created
11 pursuant to the laws of Texas,known as"City"herein, in the penal sum of, T.' DEE:i;LLION,
12 SEVENHUNDRED SEVENTY-ONE THOUSAND, THREEHUNDRED ONEAND 801100
13 Dollars($3,_771,301.80), lawful money of the United States, to be paid in Fort Worth,Tarrant
14 County,Texas for the payment of which sum well and truly to be made,we bind ourselves, our
15 heirs, executors, administrators,successors and assigns,jointly and severally,firmly by these
16 presents.
17 WHEREAS,the Principal has entered into a certain written contract with the City
18 awarded the 17th day of May,2016,which Contract is hereby referred to and made a part hereof
19 for all purposes as if fully set forth herein,to furnish all materials, equipment labor and other
20 accessories defined by law, in the prosecution of the Work, including any Change Orders, as
21 provided for in said Contract designated as 2014 CIP Year 2—Contract 4 Street Rehabilitation,
22 City Project No. 100181
23 NOW,THE, the condition of this obligation is such that if the said Principal
24 shall faithfully perform it obligations under the Contract and shall in all respects duly and
25 faithfully perform the Work, including Change Orders,under the Contract, according to the plans,
26 specifications, and contract documents therein referred to, and as well during any period of
27 extension of the Contract that may be granted on the part of the City,then this obligation shall be
28 and become null and void,otherwise to remain in full force and effect.
29 PROVIDED FURTHER,that if any legal action be filed on this Bond,venue shall lie in
30 Tarrant County,Texas or the United States District Court for the Northern District of Texas, Fort
31 Worth Division.
32 This bond is made and executed in compliance with the provisions of Chapter 2253 of the
33 Texas Government Code, as amended, and all liabilities on this bond shall be determined in
34 accordance with the provisions of said statue.
35 IN WITNESS WHEREOF,the Principal and the Surety have SIGNED and SEALED
36 this instrument by duly authorized agents and officers on this 17th day of May,2016,
CITY OF FORT WORTH 2014 CIP Year 2—Contract 4 Sheet Rehab
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Chy Project Number 100181
Revised hely 1,2011
0061 13-2
PERFORMANCE BOND
Page 2 of 2
1 PRINCIP
2 Advanced avin Accu sition,Ltd.
3
4
5 BY:
6 alinatuYe
7 ATTEST: / n
10 (Principal)Secretary Name and Title
11
12 Address: 2311 Joe Field Road
13 Dallas,TX 75229
14
15
16 Wi ess as Prin ipal
17 SURETY:
18 RLI Insurance Company _
19
20
21 BY: G/Ztn
22 ligriature
23
24 Sophinie Hunter,Attomey-In-Fact
25 Name and Title
26
27 Address: 9025 N.Lindbergh Drive
28 Peoria,IL 61615
29
30
31 Witness as o urety Telephone Number: 800-645-2402
32
33
34
35 *Note: If signed by an officer of the Surety Company, there must be on file a certified extract
36 from the by-laws showing that this person has authority to sign such obligation. 1f
37 Surety's physical address is different from its mailing address, both must be provided.
38 The date of the bond shall not be prior to the date the Contract is awarded.
39
CITY OF FORT WORTH 2014 CIP)ear 2 -Contract 4 Street Rehab
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Cr0,Project Number 100181
Revised July 1,2011
Bond#SSB408289
0061 14-1
PAYMENTBOND
Page 1 of 2
1 SECTION 00 61 14
2 PAYMENT BOND
3
4 THE STATE OF TEXAS §
5 § KNOW ALL BY THESE PRESENTS:
6 COUNTY OF TARRANT §
7 That we, Advancer! Pavin>; Acquisition, Ltd, known as "Principal" herein, and
8 RLI Insurance Company , a corporate surety
9 (sureties), duly authorized to do business in the State of Texas, known as "Surety" herein
10 (whether one or more), are held and firmly bound unto the City of Fort Worth, a municipal
11 corporation created pursuant to the laws of the State of Texas, known as "City" herein, in the
12 penal sum of THREE MILLION, SEVENHUNDRED SEVENTY-ONE THOUSAND, THREE
13 HUNDRED ONE AND 801100 Dollars ($3,771,301.80), lawful money of the United States, to
14 be paid in Fort Worth, Tarrant County, Texas, for the payment of which sum well and truly be
15 made, we bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and
16 severally, firmly by these presents:
17 WHEREAS,Principal has entered into a certain written Contract with City,awarded the
18 17th day of May,2016, which Contract is hereby referred to and made a part hereof for all
19 purposes as if fully set forth herein,to furnish all materials,equipment, labor and other
20 accessories as defined by law, in the prosecution of the Work as provided for in said Contract and
21 designated as 2014 CIP Year 2—Contract 4 Street Rehabilitation, City Project No. 100181
22
23
24 NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that if
25 Principal shall pay all monies owing to any (and all) payment bond beneficiary (as defined in
26 Chapter 2253 of the Texas Government Code, as amended) in the prosecution of the Work under
27 the Contract, then this obligation shall be and become null and void; otherwise to remain in full
28 force and effect.
29 This bond is made and executed in compliance with the provisions of Chapter 2253 of the
30 Texas Government Code, as amended, and all liabilities on this bond shall be determined in
31 accordance with the provisions of said statute.
32
CITY OF FORT WORTH 2014 CIP Year 2 Conrracl 4 Street Rehab
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 01j,Projecl Member 100181
Revised July 1,2011
0061 14-2
PAYMENTDOND
Page 2 of 2
1 IN WITNESS WHEREOF,the Principal and Surety have each SIGNED and SEALED
2 this instrument by duly authorized agents and officers on this the 17th day of May,2016.
3
PRINCIPAL.-
Advanced
RINCIPAL:Advanced Paving Acquisit n,Ltd.
ATTEST: BY:
Sign
(Principal) Secretary Name and Title
Address: 2311 Joe Field Road
Dallas,TX 75229
fitness as t rin pal
SURETY:
RLI Insurance Company
ATTEST: BY: _
Signa Ire
'!a'L Sophinie Hunter,Attorney-In-Fact
(Surety) Secretary Name and Title
Address: 9025 N. Lindbergh Drive
Peoria,IL 61615
fitness as to Sul rety
Telephone Number: 800-645-2402
4
5 Note: If signed by an officer of the Surety, there must be on file a certified extract from the
6 bylaws showing that this person has authority to sign such obligation. If Surety's physical
7 address is different from its mailing address,both must be provided.
8
9 The date of the bond shall not be prior to the date the Contract is awarded.
10 END OF SECTION
11
CITY OP FORT WORTH 2014 C/P Year 2 Contract 4 Sip-eel Rehab
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project Number 100181
Revised July 1,2011
Bond#SSB408289
006119-1
MAINTENANCE BOND
Pagel of3
1 SECTION 00 61 19
2 MAINTENANCE BOND
3
4 THE STATE OF TEXAS §
5 § KNOW ALL BY THESE PRESENTS:
6 COUNTY OF TARRANT §
7
8 That we Advanced Paving Acquisition,Ltd known as"Principal"herein and
9 RLI Insurance Company ,a corporate surety(sureties, if more than
10 one)duly authorized to do business in the State of Texas,known as"Surety"herein(whether one
11 or more), are held and firmly bound unto the City of Fort Worth, a municipal corporation created
12 pursuant to the laws of the State of Texas,known as"City"herein, in the sum of THREE
13 MILLION,SEVENHUNDKED SEVENTY-ONE THOUSAND, THREE HU��D..ED UIN
14 AND 801100 Dollars($3,771,301.80), lawful money of the United States,to be paid in Fort
15 Worth,Tarrant County,Texas,for payment of which sum well and truly be made unto the City
16 and its successors,we bind ourselves, our heirs,executors, administrators, successors and assigns,
17 jointly and severally, firmly by these presents.
18
19 WHEREAS,the Principal has entered into a certain written contract with the City awarded the
20 17th day of May,2016,which Contract is hereby referred to and a made part hereof for all
21 purposes as if fully set forth herein,to furnish all materials,equipment labor and other accessories
22 as defined by law, in the prosecution of the Work, including any Work resulting from a duly
23 authorized Change Order(collectively herein,the"Work")as provided for in said contract and
24 designated as 2014 CIP Year 2—Contract 4 Street Reltabilitation, Cid Project No. 100181; and
25
26 WHEREAS,Principal binds itself to use such materials and to so construct the Work in
27 accordance with the plans,specifications and Contract Documents that the Work is and will
28 remain free from defects in materials or workmanship for and during the period of two(2)years
29 after the date of Final Acceptance of the Work by the City("Maintenance Period"); and
30
31 WHEREAS,Principal binds itself to repair or reconstruct the Work in whole or in part
32 upon receiving notice from the City of the need therefor at any time within the Maintenance
33 Period.
34
CITY OF FORT WORTH 2014 QP Year 2 Coutracl 4 Slreel Rehab
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS 00,Project Number 100181
Revised,July 1,2011
0061 19-2
MAINTENANCE BOND
Page 2 of 3
1 NOW THEREFORE,the condition of this obligation is such that if Principal shall
2 remedy any defective Work, for which timely notice was provided by City, to a completion
3 satisfactory to the City,then this obligation shall become null and void; otherwise to remain in
4 full force and effect.
5
6 PROVIDED,HOWEVER, if Principal shall fail so to repair or reconstl•uct any timely
7 noticed defective Work, it is agreed that the City may cause any and all such defective Work to
8 be repaired and/or reconstructed with all associated costs thereof being borne by the Principal and
9 the Surety under this Maintenance bond;and
10
11 PROVIDED FURTHER, that if any legal action be filed on this Bond, venue shall lie in
12 Tarrant County,Texas or the United States District Court for the Northern District of Texas,Fort
13 Worth Division; and
14
15 PROVIDED FURTHER,that this obligation shall be continuous in nature and
16 successive recoveries may be had hereon for successive breaches.
17
18
19
CrrY OF FORT WORTH 2014 C1P Year 1 Contract 4 Street Rehab
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project Number 100181
Revised July 1,2011
006119-3
MAINTENANCE BOND
Page 3 or 3
1 IN WITNESS WHEREOF,the Principal and the Surety have each SIGNED and SEALED this
2 instrument by duly authorized agents and officers on this the 17th day of May,2016.
3
4 PRINCIPAL:
5 Advanced Pa ng Acquisi ,Ltd.
6
7
8 BY:
9 S'
10 ATTEST:
Il '
12
13 (Principal)Secretary Name and Title
14
15 Address: 2311 Joe Field Road
16 Dallas,TX 75229
17
18 _P4 4/4
19 i ess as to clpa
20 SURETY:
21 RLI Insurance Company
22
23
24 BY:
25 Agnature
26
27 Sophinie Hunter,Attorney-In-Fact
28 ATTEST: Name and Title
29
30 t�e•�•.' 7?iJau���� Address: 9025 N. Lindbergh Drive
31 ety Secretary Peoria,IL 61615
32
33
34 z as to urety Telephone Number: 800-645-2402
35
36 *Note: If signed by an officer of the Surety Company, there must be on file a certified extract
37 from the by-laws showing that this person has authority to sign such obligation. If
38 Surety's physical address is different from its mailing address, both must be provided.
39 The date of the bond shall not be prior to the date the Conti-act is awarded.
40 (1)
CITY OF FORT WORTH 2014 C1P Year 2 Contract 4 Street Rehab
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Cit)tProject Number 100181
Reviscd July 1,2011
® RLI Surety POWER OF ATTORNEY
RLI
9025 N.Lindbergh Dr.I Peoria,IL 61615
Phone:(800)645-2402 1 Fax:(309)689-2036 RLI Insurance Company
www.rlicorp.com
Know All Men by These Presents:
That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes executed, but may be detached by the
approving officer if desired.
That RLI Insurance Company,an Illinois corporation,does hereby make,constitute and appoint:
Lisa M.Bonnot.Don E.Cornell,Ricardo J.Reyna,V.DeLene Marshall.Sophinie Hunter,Robbi Morales.Kelly A.Westbrook.jointly
or werally
in the City of Dallas . State of Texas its true and lawful Agent and Attorney in Fact,with full
power and authority hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety, the following described
bond.
Any and all bonds provided the bond penalty does not exceed Twenty Five Million Dollars($25,000,000.00).
The acknowledgment and execution of such bond by the said Attorney in Fact shall be as binding upon this Company as if such bond had been
executed and acknowledged by the regularly elected officers of this Company.
The RLI Insurance Company further certifies that the following is a true and exact copy of the Resolution adopted by the Board of Directors
of RLI Insurance Company,and now in force to-wit:
"All bonds,policies,undertakings,Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of
the Company by the President,Secretary,any Assistant Secretary,Treasurer,or any Vice President,or by such other officers as the Board
of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint
Attorneys in Fact or Agents who shall have authority to issue bonds,policies or undertakings in the name of the Company. The corporate
seal is not necessary for the validity of any bonds,policies,undertakings,Powers of Attorney or other obligations of the corporation. The
signature of any such officer and the corporate seal may be printed by facsimile."
IN WITNESS WHEREOF, the RLI Insurance Company has caused these presents to be executed by its Vice President with its
corporate seal affixed this 3rd day of March 2015
"1111111118",��.
� RLI Insurance Company
JApNCE Cp
00 lip
SEAL ° By:Roy C.Di x Vice President
State of Illinois l °'6•;'l,I,N,0%$•
} SS
County of Peoria )))
CERTIFICATE
On this 3rd day of March 2015 before me,a Notary Public, I, the undersigned officer of RLI Insurance. Company, a stock
personally appeared Roy C. Die . who being by me duly sworn, corporation of the State of Illinois,do hereby,cortify that the attached
acknowledged that he signed the above Power of Attorney as the aforesaid Power of Attorney is in full force and effect and is irrevecable; and
officer of the RLI Insurance Company and acknowledged said instrument to furthermore, that the Resolution of the Corppany-as serforth in the
be the voluntary act and deed of said corporation. Power of Attorney, is now in force. In testinnnry wbeFzof, I have
hereset my haappo�,and the seal of th RLI Insurance"Company
this day of 01
By: E.�.
Jacque a M.Bockler Notary Public RLI Insurance Company
/NOtAM "OFFICIAL SEAL"
1ACQUELINE M.BCKKLER By:
STATc OF
.i« COMMIMON E%P1RES01/14/ta Roy C.Di Vice President
4271584020212
A0058514
ance
RLI
® RLI
O. Box
Pmpa,I TEXAS COMPLAINT NOTICE
P.O. Box 3967 Pcoria,IL 61612-3967
Phone: 309-692-1 000 Fax:309-683-1610
IMPORTANT NOTICE
To obtain information or make a complaint:
You may call RLI Insurance Company's toll free telephone number for information or to make a complaint at
800-645-2402.
You may also write to RLI Insurance Company at:
9025 N. Lindbergh Drive
Peoria, IL 6 16 15
FAX # 309-683-1610
You may contact the Texas Department of Insurance to obtain information on companies,coverages,rights or complaints at
1-800-252-34 39
You may write the Texas Department of Insurance:
P.O. Box 149104
Austin,TX 78714-9104
FAX # (5 12)475-1771
Web: http://www.tdi.state.tx.us
E-mail. ConsumerProtection iDtdi.state.tx.us
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your premium or about a claim,you should contact RLI Insurance Company first. If the
dispute is not resolved,you may contact the Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR POLICY:
This notice is for information only and does not becorne a part or condition of the attached document.
UW 1042-5(02/10) M4201210
'4CCMEP
CERTIFICATE OF LIABILITY INSURANCE �TE,MM,DD,YYY'�
05280016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS
CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR
PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms
and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder
in lieu of such endorsement(s).
PRODUCER CONTACT
FEDERATED MUTUAL INSURANCE COMPANY PHONAME' CLIENT CONTACT CENTER
HOME OFFICE: P.O.BOX 328 A CNNo Ext):888-333-4949E I (A/CFAXNo):507-446-4664
OWATONNA,MN 55060 AML
DDREss:CLIENTCONTACTCENTER FEDINS.COM
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED 350-069.1 INSURER B:FEDERATED SERVICE INSURANCE COMPANY 28304
ADVANCED PAVING ACQUISITION LTD,ADVANCED PAVING CO INSURER C:
2311 JOE FIELD RD
DALLAS,TX 75229 INSURER D:
II
NSURER E:
NSURERR F:
COVERAGES CERTIFICATE NUMBER:206 REVISION NUMBER:0
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS
AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE DL SUER POLICY NUMBER POLICY EFF POUCY EXP LIMITS
LTR INSR WVD MMIDDIYYYY MMIDD/YYYY
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000
CLAIMS-MADE ❑X OCCUR PR M SEAGES Ea occurrenceurrrence TED $1 OO,000
MED EXP(Any one person) EXCLUDED
A Y Y 9129561 04/262016 04/26/2017 PERSONAL 6 ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
POLICY FK
PRO- ❑LOC PRODUCTS-COMPIOP AGG $2,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
Ea accident
X ANY AUTO BODILY INJURY(Per person)
ALLOWNED SCHEDULED
A AUTOS AUTOS Y Y 9129561 04/262016 04/26/2017 BODILY INJURY(Per accident)
HIRED AUTOS NON-OWNED
AUTOS PROPERTY DAMAGE
Per cciden
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $5,000,000
A EXCESS LIAB CLAIMS-MADE N I N 9129562 04/262016 0426/2017 AGGREGATE $5,000,000
DED I I RETENTION
WORKERS COMPENSATIONOTH-
AND EMPLOYERS'LIABILITY Y/N X PER STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
B OFFICERIMEMBER EXCLUDED? [:]NIA Y 9129563 04/262016 04/26/2017
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,0
It yes,describe under
DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required)
SEE ATTACHED PAGE
CERTIFICATE HOLDER CANCELLATION
350-069-1 2060
CITY OF FORT WORTH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
1000 THROCKMORTON ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
FORT WORTH,TX 76102-6312 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
G-
O 1988-2014 ACORD CORPORATION.All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: 350.669-1
�., LOC At
ACORU®
`� ADDITIONAL REMARKS SCHEDULE Page 1 of 7
AGENCY NAMEDINSURED
FEDERATED MUTUAL INSURANCE COMPANY ADVANCED PAVING ACQUISITION LTD,ADVANCED PAVING CO
POLICY NUMBER 2311 JOE FIELD RD
SEE CERTIFICATE#206.0 DALLAS,TX 75229
CARRIER NAIC CODE
SEE CERTIFICATE #206.0 EFFECTIVE DATE:SEE CERTIFICATE#206.0
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 24 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE
RE: 2014 CIP YEAR 2 - CONTRACT 4, STREET REHABILITATION
CITY PROJECT NO. 100181
THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS,
LESSORS OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU ENDORSEMENT FOR
GENERAL LIABILITY.
THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED BY CONTRACT
ENDORSEMENT FOR BUSINESS AUTO LIABILITY.
GENERAL LIABILITY CONTAINS A WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATE HOLDER SUBJECT TO THE CONDITIONS
OF THE BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY ENDORSEMENT.
BUSINESS AUTO LIABILITY CONTAINS A WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATE HOLDER SUBJECT TO THE
CONDITIONS OF THE BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY ENDORSEMENT.
WORKERS COMPENSATION CONTAINS A WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATE HOLDER.
EACH CONSTRUCTION PROJECT AS REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREEMENT.
ACORD 101 (2008/01) 0 2008 ACORD CORPORATION.All rights reserved.
The ACORD name and logo are registered marks of ACORD
STANDARD GENERAL CONDITIONS
OF THE CONSTRUCTION CONTRACT
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFCATION DOCUMENTS
Revision:AugLa I7,20I2