HomeMy WebLinkAboutContract 48616 ((0-'6'9
CITY SECRETARY CONTRACT NO.Developer and Project Information Cover Sheet:
Developer Company Name: Hillwood Alliance Services,LLC
Address, State,Zip Code: 13600 Heritage Pkwy, Suite 200,Fort Worth,TX 76117
Phone&Email: 817-224-6000, Joe.Schneider@hillwood.com
Authorized Signatory,Title: Russell Laughlin, Senior Vice President-Properties Division
Project Name and Brief Westport 18
Description:
Project Location: Intersection of FM 156 and Intermodal Parkway
Plat Case Number: None Plat Name: None
Mapsco: 6M Council District: 07 City Project Number: 100060
CFA Number: 2016-015 DOE Number: None
To be completed by taff.-
Received by: Date: v
OFFICIAL RECORD
Cityof Fort Worth,Texas CITY SECRETARY
Standard Community Facilities Agreement FT' WoRTIi, TX
CFA Official Release Date:07.30.2015
Page 1 of 11
STANDARD COMMUNITY FACILITIES AGREEMENT
THE STATE OF TEXAS § City Secretary
COUNTY OF TARRANT § Contract No.
WHEREAS, Hillwood Alliance Services LLC ("Developer"), desires to make certain
specific improvements as described below and on the exhibits attached hereto ("Improvements")
related to a project generally described as Westport 18 ("Project") within the City or the
extraterritorial jurisdiction of Fort Worth, Texas ("City"); and
WHEREAS, the City has no obligation to participate in the cost of the Improvements or
Project; and
WHEREAS, any future City participation in this CFA is subject to the availability of
City funds and approval by the Fort Worth City Council and shall be memorialized as an
amendment to this Agreement; and
WHEREAS, the Developer and the City desire to enter into this Community Facilities
Agreement ("CFA" or "Agreement") in connection with the collective Improvements for the
Project.
NOW, THEREFORE, for and in consideration of the covenants and conditions
contained herein, the City and the Developer do hereby agree as follows:
General Requirements
A. The Policy for the Installation of Community Facilities ("Policy") dated March 2001,
approved by the City Council of the City of Fort Worth, as amended, is hereby
incorporated into this Agreement as if copied herein verbatim. Developer agrees to comply
with all provisions of said Policy in the perfonnance of its duties and obligations hereunder
and to cause all contractors hired by Developer to comply with the Policy in connection
with the work performed by said contractors.
B. Developer shall provide financial security in conformance with paragraph 6, Section II, of
the Policy and recognizes that there shall be no reduction in the collateral until the Project
has been completed and the City has officially accepted the Improvements. Developer
further acknowledges that said acceptance process requires the Developer's contractor(s)
City of Fort Worth,Texas
Standard Community Facilities Agreement
CFA Official Release Date: 07.30.2015
Page 2 of 11
to submit a signed affidavit of bills paid and consent of Surety signed by its surety to
ensure the contractor has paid any sub-contractor(s) and suppliers in full. Additionally,
the contractor will provide in writing that the contractor has been paid in full by
Developer for all the services provided under this contract.
C. Developer agrees to cause the construction of the Improvements contemplated by this
Agreement and that said construction shall be completed in a good and workmanlike
manner and in accordance with all City standards and the City-approved construction
plans, specifications and cost estimates provided for the Project and the exhibits attached
hereto.
D. The following checked exhibits describe the Improvements and are incorporated herein:
Water (A) 1,0�, Sewer (A-1) f( 1;, Paving (B) r[], Storm Drain (B-1) �, Street Lights &
Signs (C) CP-
E. The Developer shall award all contracts for the construction of the Improvements in
accordance with Section II, paragraph 7 of the Policy and the contracts shall be
administered in conformance with paragraph 8, Section II, of the Policy. Developer shall
ensure its contractor(s)pays the then-current City-established wage rates.
F. For all Improvements included in this Agreement for which the Developer awards
construction contract(s), Developer agrees to the following:
i. To employ a construction contractor who is approved by the director of the
department having jurisdiction over the infrastructure to be constructed, said
contractor to meet City's requirements for being prequalified, insured, licensed
and bonded to do work in public ways and/or prequalified to perform
water/wastewater construction as the case may be.
ii. To require its contractor to furnish to the City a payment and performance bond in
the names of the City and the Developer for one hundred percent (100%) of the
contract price of the infrastructure, and a maintenance bond in the naive of the
City for one hundred percent (100%) of the contract price of the infrastructure for
a period of two (2) years from the date of final acceptance insuring the
maintenance and repair of the constructed infrastructure during the term of the
City of Fort Worth,Texas
Standard Community Facilities Agreement
CFA Official Release Date: 07.30.2015
Page 3 of 11
maintenance bond. All bonds to be furnished before work is commenced and to
meet the requirements of Chapter 2253, Texas Government Code.
iii. To require its contractor to furnish to the City a payment and performance bond in
the names of the City and the Developer for one hundred percent (100%) of the
contract price of the infrastructure, and a maintenance bond in the name of the
City for one hundred percent (100%) of the contract price of the infrastructure for
a period of two (2) years from the date of final acceptance insuring the
maintenance and repair of the constructed infrastructure during the term of the
maintenance bond. All bonds to be furnished before work is commenced and to
meet the requirements of Chapter 2253, Texas Government Code.
iv. To require its contractor to give 48 hours advance notice of intent to commence
construction to the City's Construction Services Division so that City inspection
personnel will be available; to require the contractor to allow the construction to
be subject to inspection at any and all times by City inspection forces, to not
install or relocate any sanitary sewer, storm drain, or water pipe unless a
responsible City inspector is present and gives his consent to proceed, and to
make such laboratory tests of materials being used as may be required by the City.
V. To require its contractor to have fully executed contract documents submitted to
the City in order to schedule a Pre-Construction Meeting. The submittal should
occur no less than 10 working days prior to the desired date of the meeting. No
construction will commence without a City-issued Notice to Proceed to the
Developer's contractor.
vi. To delay connections of buildings to service lines of sewer and water mains
constructed under this Agreement, if any, until said sewer and water mains and
service lines have been completed to the satisfaction of the Water Department.
G. Developer shall provide at its expense, unless otherwise agreed to by City, all engineering
drawings and documents necessary to construct the improvements under this Agreement.
H. Developer shall cause the installation or adjustment of the required utilities to serve the
development or to construct the Improvements required herein.
City of Fort Worth,Texas
Standard Community Facilities Agreement
CFA Official Release Date: 07.30.2015
Page 4 of 11
I. City shall not be responsible for payment of any costs that may be incurred by Developer in
the relocation of any utilities that are or may be in conflict with any of the community
facilities to be installed hereunder.
J. Developer hereby releases and agrees to indemnify, defend and hold the City harmless
for any inadequacies in the preliminary plans, specifications and cost estimates
supplied by the Developer for this Agreement.
K. Developer agrees to provide, at its expense, all necessary rights of way and easements
across property owned by Developer and required for the construction of the current and
future improvements provided for by this Agreement.
L. The Developer further covenants and agrees to, and by these presents does hereby,
fully indemnify, hold harmless and defend the City, its officers, agents and employees
from all suits, actions or claims of any character, whether real or asserted, brought
for or on account of any injuries or damages sustained by any persons (including
death) or to any property, resulting from or in connection with the construction,
design, performance or completion of any work to be performed by said Developer,
its contractors, subcontractors, officers, agents or employees, or in consequence of
any failure to properly safeguard the work, or on account of any act, intentional or
otherwise, neglect or misconduct of said Developer, its contractors, sub-contractors,
officers, agents or employees, whether or not such injuries, death or dafnages are
caused, in whole or in part, by the alleged nezlikence of the City of Fort Worth, its
officers, servants, or employees.
M. Developer will further require its contractors to indemnify, defend and hold harmless
the City, its officers, agents and employees from and against any and all claims, suits or
causes of action of any nature whatsoever, whether real or asserted, brought for or on
account of any injuries or damages to persons or property, including death, resulting
from, or in any way connected with, the construction of the infrastructure
contemplated herein, whether or not such injuries, death or damazes are caused, in
whole or in part, by the alleged neali-ence of the City of Fort Worth, its officers,
servants, or employees Further, Developer will require its contractors to indemnify,
and hold harmless the City for any losses, damages, costs or expenses suffered by the
City or caused as a result of said contractor's failure to complete the work and
City of Fort Worth,Texas
Standard Community Facilities Agreement
CFA Official Release Date: 07.30.2015
Page 5 of 11
construct the improvements in a good and workmanlike manner, free from defects, in
conformance with the Policy, and in accordance with all plans and specifications.
N. Upon completion of all work associated with the construction of the Improvements,
Developer will assign to the City a non-exclusive right to enforce the contracts entered into
by the Developer with its contractor along with an assignment of all warranties given by the
contractor, whether express or implied. Further, Developer agrees that all contracts with
any contractor shall include provisions granting to the City the right to enforce such
contracts as an express intended third party beneficiary of such contracts.
O. Inspection and material testing fees are required as follows:
i. Developer shall pay in cash water and wastewater inspection fees and material
testing fees equal to two percent (2%) for a total of 4% of the developer's share of
the total construction cost as stated in the construction contract.
ii. Developer shall pay in cash paving and storm drain inspection fees equal to four
percent (4%) and material testing fees equal to two percent (2%) for a total of 6%
of the developer's share of the total construction cost as stated in the construction
contract.
iii. Developer shall pay in cash the total cost of streetlights or if the city is not
installing the streetlights, inspection fees equal to four percent (4%) of the
developer's share of the streetlight construction cost as stated in the construction
contract.
iv. Developer shall pay in cash the total cost of street signs.
P. COMPLETION WITHIN 2 YEARS
i. Developer shall complete the Improvements within two (2) years, provided,
however, if construction of the Improvements has started within the two year
period, the developer may request that the CFA be extended for one additional
year.
ii. Nothing contained herein is intended to limit the Developer's obligations
under the Policy, this Agreement, its financial guarantee, its agreement with
its contractor or other related agreements.
iii. The City may utilize the Developer's financial guarantee submitted for this
Agreement to cause the completion of the construction of the Improvements if at
City of Fort Worth,Texas
Standard Community Facilities Agreement
CFA Official Release Date: 07.30.2015
Page 6 of 11
the end of two (2) years from the date of this Agreement (and any extension
period)the Improvements have not been completed and accepted.
iv. The City may utilize the Developer's financial guarantee to cause the completion
of the construction of the Improvements or to cause the payment of costs for
construction of same before the expiration of two (2) years if the Developer
breaches this Agreement, becomes insolvent or fails to pay costs of construction
and the financial guarantee is not a Completion Agreement. If the financial
guarantee is a Completion Agreement and the Developer's contractors and/or
suppliers are not paid for the costs of supplies and/or construction, the contractors
and/or suppliers may put a lien upon the property which is the subject of the
Completion Agreement.
(REMAINDER OF PAGE INTENTIONALLY LEFT BLANK)
City of Fort Worth,Texas
Standard Community Facilities Agreement
CFA Official Release Date: 07.30.2015
Page 7 of 11
Cost Summary Sheet
Project Name: 100060
CFA No.: 2016-015 DOE No.: NA
An Engineer's Estimate of Probable Cost is acceptable. However, the construction contract price
will ultimately detennine the amount of CFA fees and financial guarantee. The bid price and
any additional CFA payments will be required prior to scheduling a pre-construction meeting.
An itemized estimate corresponding to each project-specific exhibit is required to support the
following information.
Items Developer's Cost
A. Water and Sewer Construction
1. Water Construction $ 21,180.00
2.Sewer Construction $ 13,050.00
Water and Sewer Construction Total $ 34,230.00
B. TPW Construction
1.Street $ -
2.Storm Drain $ 984,853.00
3.Street Lights Installed by Developer $ -
4. Signals $ -
TPW Construction Cost Total $ 984,853.00
Total Construction Cost(excluding the fees): $ 1,019,083.00
Construction Fees:
C. Water/Sewer Inspection Fee(2%) $ 684.60
D. Water/Sewer Material Testing Fee(2%) $ 684.60
Sub-Total for Water Construction Fees $ 1,369.20
E. TPW Inspection Fee(4%) $ 39,394.12
F. TPW Material Testing(2%) $ 19,697.06
G. Street Light Inspsection Cost $ -
H. Signals Inspection Cost $
H. Street Signs Installation Cost $ -
Sub-Total for TPW Construction Fees $ 59,091.18
Total Construction Fees: $ 60,460.38
Choice
Financial Guarantee Options,choose one Amount Mark one
Bond=100% $ 1,019,083.00
Completion Agreement=100%/Holds Plat $ 1,019,083.00
Cash Escrow Water/Sanitary Sewer=125% $ 42,787.50
Cash Escrow Paving/Storm Drain=125% $ 1,231,066.25
Letter of Credit= 125%w/2yr expiration period 1 $ 1,273,853.75 1 x
City of Fort Worth,Texas
Standard Community Facilities Agreement
CFA Official Release Date: 07.30.2015
Page 8 of 11
ACCORDINGLY,the City of Fort Worth and Developer have each caused this instrument to be
executed in quadruplicate in each entity's respective name by its duly authorized signatories effective as
of the date executed by the City's City Manager or his/her designee.
CITY OF FORT WORTH DEVELOPER
Hillwood Alliance Services,LLC
1
Jesus J. Chapa
Assistant City Manager Name: L. 'Laughlin
�' a Title: Senior Vice President-Properties Division
Date: J
Date:
Reconnnended by:
ATTEST: (Only if required by Developer)
endy Chi- ulal, EMBA, P.E.
e lopment Engineering Manager Signature
Water Department Name:
Do as . Wiersig, P.E.
Director
Transportation &Public Works Department
Approved as to Form &Legality:
by:
Ronald P. Gonzales,Ass 'ty SecretaT
D . Blac SW--44 Q. µ� �
Assistant City Attorney
M&C No. ►viii- OF FO
Date:
=.O
OFFICIAL RECORD
City of Fort Worth,Texas CITY SECRETARY
Standard Community Facilities Agreement
CFA Official Release Date: 07.30.2015 FT.WOMY TX
Page 9 of 11
Check items associated with the project being undertaken; checked items must be
included as Attachments to this Agreement
Included Attachment
Attachment 1 -Changes to Standard Community Facilities Agreement
(� Location Map
Exhibit A: Water Improvments
Water Cost Estimate
Exhibit A-1: Sewer Improvements
[h31 Sewer Cost Estimate
Exhibit B: Paving Improvements
Paving Cost Estimate
Exhibit 13-1: Storm Drain Improvements
Storm Drain Cost Estimate
Exhibit C: Street Lights and Signs Improvements
Street Lights and Signs Cost Estimate
(Remainder of Page Intentionally Left Blank)
City of Fort Worth,Texas
Standard Community Facilities Agreement
CFA Official Release Date: 07.30.2015
Page 10 of 11
ATTACIEWENT"1"
Changes to Standard Agreement
Community Facilities Agreement
City Project No. 100060
None.
City of Fort Worth, Texas
Standard Community Facilities Agreement
CFA Official Release Date: 10.07.2015
Page 11 of 11
114
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= --------------------- ---------------------------- ---------------------------------..----------------------...---------- --- -------
OWNER/ DEVELOPER:
ENGINEER:
WESTPORT 18 HILLWOOD ALLIANCE 11111 I' N. SOTON
NORTH SERVICES, L.P.
NOT TO SCALE 13600 HERITAGE PARKWAY,SUITE 200 5751 SUOEE DRIVE
8
FORT WORTH,TEXAS 76177 KELLER,TX 76244
DATE:FEBRUARY 2016 PHONE: (817) 224-6000 PHONE:817-562-3350
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PROPOSED FIRE HYDRANT
NOTE:ALL PROPOSED WATER LINES ARE 8"
UNLESS OTHERWISE NOTED
EXHIBIT A - WATER
= ------------- - ------------- ----------------- -------------------------- -----------------ENGINEER:
-----------------
OWNER/ DEVELOPER: i
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SERVICES, L.P. 5751 KROGER DRIVE
13600 HERITAGE PARKWAY,SUITE 200 SUITE 185
FORT WORTH,TEXAS 76177 KELLER,TX 76244
GRAPHIC SCALE DATE:FEBRUARY 2016 PHONE: (817) 224-6000 PHONE:817-562-3350
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NOTE:ALL PROPOSED SANITARY SEWER
LINES ARE 8"UNLESS OTHERWISE NOTED
EXHIBIT A1 - WASTEWATER
------------- --------- ------------------ .................... ------- --------------------- -- ------ ----_--------
OWNER/DEVELOPER- ENGINEER:
WESTPORT 18 HILLWOOD ALL ANCE1j^I'ELOTON
Q NORTH 300' I'I1I LAND 6o LUTIONE
SERVICES, L.P. 5751 KROGER DRIVE
13600 HERITAGE PARKWAY,SUITE 200 SUITE 185
FORT WORTH,TEXAS 76177 KELLER,TX 76244
GRAPHIC SCALE DATE:FEBRUARY 2016 PHONE: (817) 224-6000 PHONE:817-562-3350Ij
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-- l-- EXIST STORM DRAIN INLET
PROPOSED STORM DRAIN MANHOLE
PROPOSED STORM DRAIN HEADWALL
EXHIBIT B1 - STORM DRAINAGE
---------- ----------------- --------
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OWNER/DEVELOPER: ,
0 NORTH 300' WESTPORT 18 HILLWOOD ALLIANCE LAND SOLu-rioms
PELOTONINEER:
SERVICES, L.P. 5751 KROGER DRIVE
13600 HERITAGE PARKWAY,SUITE 200 SUITE 185
FORT WORTH,TEXAS 76177 KELLER,TX 76244
GRAPHIC SCALE DATE:FEBRUARY 2016 PHONE: (817) 224-6000 PHONE:817-562-3350
SECTION 00 41 00—PROPOSAL
DEVELOPER AWARDED CONTRACTS
This proposal must not be removed from this book of Contract Documents.
TO: Hillwood Alliance Services, LLC
PROPOSAL FOR: WATER, SEWER,&DRAINAGE IMPROVEMENTS
PROJECT NAME: WESTPORT 18
FELE NO. SD-0420
CITY PROJECT NO. 100060
WATER NO. 59601-5310350-0600430-100060-001580
SEWER NO. 59607-5310350-0700430-100060-001380
X-23439
Includes the famishing of all materials, equipment and labor for the installation water and
sanitary sewer improvements and all necessary appurtenances and incidental work to provide a
complete and serviceable project designated as:
Water, Sewer, &Drainage Improvements to serve
Westport 18
Pursuant to the foregoing Notice to Bidders',the undersigned Bidder,having thoroughly
examined the Contract Documents,including plans, special contract documents,the City of Fort
Worth current Technical Specifications,the site of the project and understanding the amount of
work to be done, and the prevailing conditions,hereby proposes to do all the work, furnish all
labor, equipment and material except as specified to be famished by the City,which is necessary
to fully complete the work as provided in the Plans and Contract Documents and subject to the
inspection and approval of the Director of the Department of Transportation&Public Works of
the City of Fort Worth,Texas; and binds himself upon acceptance of this Proposal to execute a
contract and furnish an approved Performance Bond,Payment Bond,Maintenance Bond, and
such other bonds, if any, as may be required by the Contract Documents for the performing and
completing of the said work. Contractor proposes to do the work within the time stated and for
the following sums:
Furnish and install, including all appurtenant work, complete in place,the items in the Proposal
Form (Section 00 42 43).
Page 1 of 5
SECTION 00 42 43
PROPOSAL FORM
UhTET PRICE BED Bidder's Application
WESIPORT 18
Project Item lnformazion Bidders Proposal
Bidlist Item Specification Unit of
Description Section No. Measure Bid Quantity UPrice Bid PriBid Valve
No.
1 3125.0101 SWPPP Z 1 acre 31 25 00 LS 1 $2,500.00 $2,500.00
Total Yard-H.Lnpro.ements $2,500.00
Project Item Information Bidders Proposal
Bidlist Item Specification Unit of
Description Section No. Measure Bid Quantity Unit Price Bid Value
No.
2 3341.0205 24"RCP,Class III 3341 10 LF 44 $50.OD $2,200.00
3 3341.0409 48"RCP,Class 111 33 41 10 LF 50 $120.00 $6,00.7.00
4 3341.1103 4x4 Box Culvert 33 41 10 lF 136 $180.00 $24,840.00
5 3341.1202 5x4 Box Culvert 3341 10 LF 188 $240.00 $45,120.D0
6 3341.1501 8x4 Box Culvert 3341 10 LF 107 $310.00 $33,170.00
7 3341.2203 12x6 Box Culvert 3341 10 LF 69 $650.00 $44,850.00
8 3341.2205 12x8 Box Culvert 3341 10 LF 276 $700.00 $193,200.00
9 9999.0001 TxDOT Std Headwall(PW-1) 00 00 OD EA 8 $67,500.00 $540,000.00
10 3137.0102 Large Stone Riprap,dry 31 37 00 SY 779 $75.00 $58,425.00
11 9999.0002 Remove and Replace Concrete Apron 00 OD 00 SY 235 $95.00 $22,325.00
12 0241.0800 Remove Rip Rap 0241 13 SF 311 $5.00 $1,555.00
13 9999.0003 Spun Coir Mat,Seeded Erosion Control Blanket 00 00 00 SY 601 $8.00 $4,808.00
14 0241.0900 Remove Misc Conc Structure 0241 13 LS 1 $1,50D.OD $1,500.00
15 3305.0109 Trench Safety 33 QS 10 LF 872 $5.00 $4,360.00
Total Storm Drain Imprmements $982,353.00
Page 2 of 5
Proiect Item information Bidder's Proposal
Bidlitt item Specification Unit of
No.
Description Section No. Measure Bid Quantity Uoit Price Bid Value
16 3311.0241 8"Water Pipe 3311 10 LF 15 $50.0D $750.00
17 3311.0341 10"Water Pipe 3311 10 LF 35 $60.00 $2,1DO.DD
18 3312.0117 Connection to Existing 4"-12`Water Main 33 12 25 EA 2 $1,ODO.OD $2,000.00
19 3312-2203 2"Water Service 33 12 10 EA 5 $2,200.00 $11,000.00
20 3305.0107 Manhole Adjustment,Minor 33 D5 14 EA 1 $800.00 $800,00
21 3311.0001 Ductile Iron Water Fittings w/Restraint 3311 11 TN 0.94 $4,500.00 $4,230.00
22 9.099.DOD4 Concrete Blocking,Type B 00 00 00 CY 0.50 $20D.00 $100.00
23 3305.0109 Trench Safety 33 05 10 LF 50 $4.OD $200.00
Total Water lmpr�meots $21,180.00
SEWER ROFROVII.1IIi'1'S ..-. ...- ..
Project Item Information Bidder's Proposal
Bidlist Item Specification Unit of
Description Bid Quantity Unit Price Bid Value
No. Section No. Measure
24 3331.3301 8"Sewer Service 33 31 5D EA 2 $3,000.00 $6,000.00
25 3339.1001 4'Manhole 33 39 10 EA 1 $4,ODO.00 $4,0DO.DD
26 3339.1003 4'Extra Depth Manhole 33 39 10 VF 10 $175.00 $1,750.DD
27 3301.0101 Manhole Vacuum Testing 3301 30 EA 2 $150.00 $300.00
28 3471.0001 Traffic Control 3471 13 MO 1 $1,ODO.00 $1,000.00
Total Sewer Improements $13,050.00
Earthwork Improvements $2_500.00
Storm Drain Improvements $982,353.00
Water Improvements $21 180.00
Sewer lmprovements $13,050.00
Total Ridl $1,019,083.00
Page 3 of 5
PART B -PROPOSAL(Cont.)
Amer acceptance of this Proposal,the undersigned will execute the formal contract and will
deliver an approved Surety Bond and such other bonds as required by the Contract Documents,
for the faithful performance of the Contract. The attached bid security, if required, is to become
the property of the Developer.
The undersigned bidder certified that he has examined the current City of Fort Worth Technical
Specifications and that he has read and thoroughly understands all the requirements and
conditions of those Specifications and the specific Contract Documents and appurtenant plans.
The successful bidder shall be required to perform the work in accord the City of Fort Worth
Technical Specifications, which are incorporated herein and made a part hereof for all purposes,
and which may be accessed at:
haps://proiectpoint buzzsaw coni/ bz rest/Web/Home/Index?folder=47663#/ bz rest/Web/Item/
Items?folder—I 80863&count=50&start-0&ownership=Home
The undersigned assures that its employees and applicants for employment and those of any
Iabor organization, subcontractors, or employment agency in either furnishing or referring
employee applicants to the undersigned are not discriminated against as prohibited by the terms
of City Ordinance No. 7278 as amended by City Ordinance No. 7400.
Page 4 of 5
The Bidder agrees to begin construction within calendar days after issue of
the work order, and to complete the contract within calendar days after
beginning construction as set forth in the written work order to be furnished by the Owner.
I(we) acknowledge receipt of the following addenda to the plans and specifications, all of the
provisions and requirements of which have been taken into consideration on preparation of the
foregoing bid:
Addendum No. 1 (Initials) Addendum No. 3 (Initials)
Addendum No. 2 (Initials) Addendum No. 4 (Initials)
Respectfully submitted,
Name of Contractor
By:
(Signature)
(Printed Name)
Title:
Company Name:
Address:
Email:
Telephone:
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