Loading...
HomeMy WebLinkAboutContract 46312-FP1 Departmen�TP Const.Seryices CPN# Date Project Ma � It �3 ��1 T W R Risk Management Cana v — O T o CITY SECRETARY, D.O.E. Brotherton `t CFA Morales/Scanned k CONTRACT N0. Gutzler/Scanned ''� Li 3 The Proceeding people have been Contacted concerning the request for final payment& have ATION AND PUBLIC WORKS released this project for such payment. F PROJECT COMPLETION G 5 '44(p City Project NO: 02037 Clearance Conducted By "LM66 Regarding contract 46312 for WATER MAIN REPLACEMENT CONTRACT 2013A as required by the WATER DEPARTMENT as approved by City Council on 12/9/2014 through M&C C-27134 the director of the WATER DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as cot _ Original Contract Prices: J= �f $1,000,000.00 ttl�i° NOV 14 2018 Amount of Approved Change Orders: 3 Ns j f Revised Contract Amount: Total Cost Work Completed: $989,37832 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: $989,37832 Less Previous Payments: $989,37832 Final Pay ent Due $0.00 lea, Recomm de for Acceptance Date Asst. Dir or, PW - Infrastructure Design and Construction L6�1 6 Accepted Date Asst. Dir ctor, WATER D A TMENT Asst. I ty Manager Date Comments: OFFICIAL RECORD DECEIVED CITY SECRETARY DEC 17 2018 FT. WORTH,TX My Y OF FORT WORTH CIN SECRETARY p NOV 14 2018 CbaO-1 1. ��t Coal `7 City Project Numbers 02037 - DOE Number 7326 Contract Name WATER MAIN REPLACEMENT CONTRACT 2013A Estimate Number 12 Contract Limits Payment Number 12 Project Type WATER For Period Ending 10/22/2018 Project Funding Project Manager LopezA City Secretary Contract Number 46312 Inspectors DICKINSON / WATSON Contract Date 12/9/2014 Contractor CIRCLE C CONSTRUCTION COMPANY Contract Time 365 CD PO BOX 40328 Days Charged to Date 867 CD FORT WORTH, TX 76140 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded Total Cost of Work Completed $989,378.32 Less %Retained $0.00 Net Earned $989,37832 Earned This Period $0.00 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $989,37832 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $0.00 Friday,October 19,2018 Page 10 of 10 FORT ORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name WATER MAIN REPLACEMENT CONTRACT 2013A Contract Limits Project Type WATER City Project Numbers 02037 DOE Number 7326 Estimate Number 12 Payment Number 12 For Period Ending 10/22/2018 CD City Secretary Contract Number 46312 Contract Time 366D Contract Date 12/9/2014 Days Charged to Date 867 Project Manager LopezA Contract is 38.000 Complete Contractor CIRCLE C CONSTRUCTION COMPANY PO BOX 40328 FORT WORTH, TX 76140 Inspectors DICKINSON / WATSON A Friday,October 19,2018 Page 1 of 10 City Project Numbers 02037 DOE Number 7326 Contract Name WATER MAIN REPLACEMENT CONTRACT 2013A Estimate Number 12 Contract Limits Payment Number 12 Project Type WATER For Period Ending 10/22/2018 Project Funding Water Main Replacement Contract 2013A Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 21 8"Water Carrier Pipe(DI w/SS Casi 50 Lf $55.00 $2,750.00 22 10"Water Carrier Pipe(DI w/SS Cas 50 Lf $60.00 $3,000.00 23 12"Water Carrier Pipe(DI w/SS Cas 50 Lf $70.00 $3,500.00 28 $1,960.00 24 16"Water Carrier Pipe(DI w/SS Cas 50 Lf $85.00 $4,250.00 25 24"Water Carrier Pipe(DI w/SS Cas 50 Lf $100.00 $5,000.00 26 16"Casing By Open Cut(Welded Steel 50 Lf $70.00 $3,500.00 27 20"Casing By Open Cut(Welded Steel 50 Lf $80.00 $4,000.00 28 24"Casing By Open Cut(Welded Steel 50 Lf $90.00 $4,500.00 29 30"Casing By Open Cut(Welded Steel 50 Lf $130.00 $6,500.00 30 36"Casing By Open Cut(Welded Steel 50 Lf $180.00 $9,000.00 31 16"Casing By Other Than Open Cut(W 50 Lf $500.00 $25,000.00 32 20"Casing By Other Than Open Cut(W 50 Lf $600.00 $30,000.00 33 24"Casing By Other Than Open Cut(W 50 Lf $600.00 $30,000.00 34 30"Casing By Other Than Open Cut(W 50 Lf $700.00 $35,000.00 28 $19,600.00 35 36"Casing By Other Than Open Cut(W 50 Lf $700.00 $35,000.00 36 4"Gate Valve 20 Ea $550.00 $11,000.00 37 6"Gate Valve 25 Ea $750.00 $18,750.00 15 $11,250.00 38 8"Gate Valve 25 Ea $1,200.00 $30,000.00 6 $7,200.00 39 10"Gate Valve 10 Ea $1,600.00 $16,000.00 40 12"Gate Valve 10 Ea $1,800.00 $18,000.00 3 $5,400.00 41 16"Gate Valve w/Vault 5 Ea $9,000.00 $45,000.00 42 24"Gate Valve w/Vault 5 Ea $12,000.00 $60,000.00 43 4"Cut-in Gate Valve 5 Ea $1,500.00 $7,500.00 44 6"Cut-in Gate Valve 5 Ea $1,800.00 $9,000.00 45 8"Cut-in Gate Valve 5 Ea $2,500.00 $12,500.00 46 10"Cut-in Gate Valve 5 Ea $2,600.00 $13,000.00 47 12"Cut-in Gate Valve 5 Ea $2,800.00 $14,000.00 48 16"Cut-in Gate Valve w/Vault 1 Ea $14,000.00 $14,000.00 49 24"Cut-in Gate Valve w/Vault I Ea $18,000.00 $18,000.00 50 Remove 4"Water Valve 5 Ea $300.00 $1,500.00 51 Remove 6"Water Valve 5 Ea $400.00 $2,000.00 2 $800.00 Friday,October 19,2018 Page 2 of 10 City Project Numbers 02037 DOE Number 7326 Contract Name WATER MAIN REPLACEMENT CONTRACT 2013A Estimate Number 12 Contract Limits Payment Number 12 Project Type WATER For Period Ending 10/22/2018 Project Funding 52 Remove 8"Water Valve 5 Ea $500.00 $2,500.00 1 $500.00 53 Remove 10"Water Valve 5 Ea $500.00 $2,500.00 54 Remove 12"Water Valve 5 Ea $600.00 $3,000.00 55 Remove&Salvage 16"Water Valve 2 Ea $1,000.00 $2,000.00 56 Remove&Salvage 24"Water Valve 2 Ea $1,500.00 $3,000.00 57 Ductile Iron Water Fittings<16"Di 10 Tn $5,500.00 $55,000.00 7.9075 $43,491.25 58 Ductile Iron Water Fittings 16"Dia. 10 Tn $6,500.00 $65,000.00 59 16"Conc.Cylinder Pipe Fittings(Pe 1 Ls $35,000.00 $35,000.00 60 24"Cone.Cylinder Pipe Fittings(Pe 1 Ls $45,000.00 $45,000.00 61 Fire Hydrant 20 Ea $4,200.00 $84,000.00 20 $84,000.00 62 Fire Hydrant Stem Extension 20 Ea $300.00 $6,000.00 32 $9,600.00 63 Salvage Fire Hydrant 5 Ea $800.00 $4,000.00 6 $4,800.00 64 1"Combination Air Valve Assembly fo 1 Ea $2,800.00 $2,800.00 65 2"Combination Air Valve Assembly to 1 Ea $3,200.00 $3,200.00 66 3"Combination Air Valve Assembly to 1 Ea $3,800.00 $3,800.00 67 4"Blow Off Valve 1 Ea $4,000.00 $4,000.00 68 6"Blow Off Valve 1 Ea $5,000.00 $5,000.00 69 8"Blow Off Valve 1 Ea $6,000.00 $6,000.00 70 6"x 4"Tapping Sleeve&Valve 1 Ea $1,500.00 $1,500.00 2 $3,000.00 71 6"x 6"Tapping Sleeve&Valve 1 Ea $1,700.00 $1,700.00 2 $3,400.00 72 8"x 4"Tapping Sleeve&Valve 1 Ea $1,700.00 $1,700.00 4 $6,800.00 73 8"x 6"Tapping Sleeve&Valve 1 Ea $2,200.00 $2,200.00 13 $28,600.00 74 8"x 8"Tapping Sleeve&Valve 1 Ea $2,400.00 $2,400.00 1 $2,400.00 75 10"x 4"Tapping Sleeve&Valve 1 Ea $2,600.00 $2,600.00 76 10"x 6"Tapping Sleeve&Valve 1 Ea $2,800.00 $2,800.00 5 $14,000.00 77 10"x 8"Tapping Sleeve&Valve 1 Ea $3,000.00 $3,000.00 78 10"x 10"Tapping Sleeve&Valve 1 Ea $3,500.00 $3,500.00 79 12"x 4"Tapping Sleeve&Valve 1 Ea $2,700.00 $2,700.00 1 $2,700.00 80 12"x 6"Tapping Sleeve&Valve 1 Ea $2,900.00 $2,900.00 10 $29,000.00 81 12"x 8"Tapping Sleeve&Valve 1 Ea $3,200.00 $3,200.00 3 $9,600.00 82 12"x 10"Tapping Sleeve&Valve I Ea $3,400.00 $3,400.00 1 $3,400.00 83 12"x 12"Tapping Sleeve&Valve 1 Ea $3,600.00 $3,600.00 84 16"x 4"Tapping Sleeve&Valve 1 Ea $3,200.00 $3,200.00 1 $3,200.00 85 16"x 6"Tapping Sleeve&Valve 1 Ea $3,500.00 $3,500.00 3 $10,500.00 Friday,October 19,2018 Page 3 of 10 City Project Numbers 02037 DOE Number 7326 Contract Name WATER MAIN REPLACEMENT CONTRACT 2013A Estimate Number 12 Contract Limits Payment Number 12 Project Type WATER For Period Ending 10/22/2018 Project Funding 86 16"x 8"Tapping Sleeve&Valve 1 Ea $3,600.00 $3,600.00 4 $14,400.00 87 16"x 10"Tapping Sleeve&Valve 1 Ea $3,800.00 $3,800.00 88 16"x 12"Tapping Sleeve&Valve 1 Ea $4,200.00 $4,200.00 3 $12,600.00 89 16"x 16"Tapping Sleeve&Valve 1 Ea $9,500.00 $9,500.00 90 20"x 8"Tapping Sleeve&Valve 1 Ea $3,600.00 $3,600.00 91 21"x 8"Tapping Sleeve&Valve 1 Ea $3,800.00 $3,800.00 92 24"x 6"Tapping Sleeve&Valve 1 Ea $4,200.00 $4,200.00 93 24"x 8"Tapping Sleeve&Valve 1 Ea $4,500.00 $4,500.00 2 $9,000.00 94 24"x 10"Tapping Sleeve&Valve 1 Ea $4,500.00 $4,500.00 95 24"x 12"Tapping Sleeve&Valve 1 Ea $4,500.00 $4,500.00 96 24"x 16"Tapping Sleeve&Valve 1 Ea $9,000.00 $9,000.00 97 24"x 24"Tapping Sleeve&Valve 1 Ea $15,000.00 $15,000.00 98 3/4"Water Tap to Main 50 Ea $300.00 $15,000.00 99 3/4"Copper Service Line 100 Lf $18.00 $1,800.00 100 1"Water Tap to Main 50 Ea $700.00 $35,000.00 23 $16,100.00 101 1"Copper Service Line 100 Lf $22.00 $2,200.00 136.7 $3,007.40 102 1"Private Water Service 100 Lf $55.00 $5,500.00 103 1"Bored Water Service 50 Lf $75.00 $3,750.00 104 1 1/2"Water Tap to Main 50 Ea $800.00 $40,000.00 15 $12,000.00 105 1 1/2"Copper Service Line 100 Lf $25.00 $2,500.00 151.4 $3,785.00 106 1 1/2"Private Water Service 100 Lf $60.00 $6,000.00 107 1 1/2"Bored Water Service 50 Lf $80.00 $4,000.00 108 2"Water Tap to Main 50 Ea $900.00 $45,000.00 20 $18,000.00 109 2"Copper Service Line 100 Lf $28.00 $2,800.00 297.3 $8,324.40 110 2"Private Water Service 100 Lf $65.00 $6,500.00 111 2"Bored Water Service 50 Lf $85.00 $4,250.00 112 Class A PVC Meter Box(Furnish&Set 25 Ea $200.00 $5,000.00 17 $3,400.00 113 Class B PVC Meter Box(Furnish&Set 25 Ea $300.00 $7,500.00 39 $11,700.00 114 Class C PVC Meter Box(Furnish&Set 10 Ea $250.00 $2,500.00 115 1"Multiple Service Branch 2 Ea $600.00 $1,200.00 116 1 1/2"Multiple Service Branch 2 Ea $700.00 $1,400.00 117 2"Multiple Service Branch 2 Ea $800.00 $1,600.00 118 Relocate 3/4"Water Meter 5 Ea $300.00 $1,500.00 119 Relocate V Water Meter 5 Ea $350.00 $1,750.00 Friday,October 19,2018 Page 4 of 10 City Project Numbers 02037 DOE Number 7326 Contract Name WATER MAIN REPLACEMENT CONTRACT 2013A Estimate Number 12 Contract Limits Payment Number 12 Project Type WATER For Period Ending 10/22/2018 Project Funding 120 Relocate 1 1/2"Water Meter 5 Ea $400.00 $2,000.00 121 Relocate 2"Water Meter 5 Ea $500.00 $2,500.00 122 2"Temporary Water Services 1500 Lf $8.00 $12,000.00 45 $360.00 123 3"Water Meter and Vault 10 Ea $8,500.00 $85,000.00 4 $34,000.00 124 4"Water Meter and Vault 10 Ea $9,000.00 $90,000.00 2 $18,000.00 125 6"Water Meter and Vault 10 Ea $10,000.00 $100,000.00 126 8"Water Meter and Vault 5 Ea $12,000.00 $60,000.00 127 10"Water Meter and Vault 5 Ea $15,000.00 $75,000.00 128 Water Sampling Station 5 Ea $800.00 $4,000.00 7 $5,600.00 129 Remove Concrete Water Vault 5 Ea $1,500.00 $7,500.00 1 $1,500.00 130 Sprinkler System Backflow Preventer 5 Ea $500.00 $2,500.00 131 3/4"-12"Water Pressure Plug 10 Ea $1,000.00 $10,000.00 11 $11,000.00 132 16"-24"Water Pressure Plug 5 Ea $2,000.00 $10,000.00 133 Trench Safety 1000 Lf $1.00 $1,000.00 525.68 $525.68 134 Water Main Extra Depth(>than 1') 50 Lf $15.00 $750.00 525.68 $7,885.20 135 Exploratory Excavation of Existing U 5 Ea $1,000.00 $5,000.00 136 Exploratory Excavation of Existing U 5 Ea $1,500.00 $7,500.00 137 Exploratory Excavation of Existing U 5 Ea $2,500.00 $12,500.00 138 Concrete Encasement for Utility Pipe 25 Cy $150.00 $3,750.00 139 Block Sod Placement 20 Sy $10.00 $200.00 71.9 $719.00 140 Seedin-Broadcast 20 Sy $8.00 $160.00 34.8 $278.40 141 Seeding,Hydromulch 20 Sy $8.00 $160.00 269.6 $2,156.80 142 Seeding,Soil Retention Blanket 20 Sy $12.00 $240.00 143 Concrete Riprap 20 Cy $150.00 $3,000.00 7 $1,050.00 144 Large Stone Riprap,dry 20 Cy $150.00 $3,000.00 145 Large Stone Riprap,grouted 20 Cy $175.00 $3,500.00 146 Imported Embedment/Backfill,CLSM(F 100 Cy $150.00 $15,000.00 59 $8,850.00 147 Imported Embedment/Backfill,Crushed 50 Cy $25.00 $1,250.00 148 Type B Concrete(42500) 50 Cy $150.00 $7,500.00 149 Type E Concrete(#1500) 50 Cy $150.00 $7,500.00 150 4"Cone Sidewalk 40 Sy $75.00 $3,000.00 99.5 $7,462.50 151 4"Cone Sidewalk,Exposed Aggregate 20 Sy $85.00 $1,700.00 4.4 $374.00 152 6"Concrete Driveway 50 Sy $85.00 $4,250.00 2 $170.00 153 6"Concrete Driveway,Exposed Aggreg 20 Sy $95.00 $1,900.00 Friday,October 19,2018 Page 5 of 10 City Project Numbers 02037 DOE Number 7326 Contract Name WATER MAIN REPLACEMENT CONTRACT 2013A Estimate Number 12 Contract Limits Payment Number 12 Project Type WATER For Period Ending 10/22/2018 Project Funding 154 6"Cone Curb and Gutter(Replaced) 100 Lf $30.00 $3,000.00 163 $4,890.00 155 6"Cone Curb and Gutter Attached to 100 Lf $30.00 $3,000.00 51 $1,530.00 156 9"Cone Valley Gutter,Residential 20 Sy $75.00 $1,500.00 157 11"Cone Valley Gutter,Arterial/Ind 20 Sy $85.00 $1,700.00 2.8 $238.00 158 Asphalt Pvmt Repair,Water Service 100 Lf $40.00 $4,000.00 85.1 $3,404.00 159 4'Wide Asphalt Pvmt Repair,Residen 100 Lf $45.00 $4,500.00 32 $1,440.00 160 5'Wide Asphalt Pvmt Repair,Residen 300 Lf $50.00 $15,000.00 138.5 $6,925.00 161 6'Wide Asphalt Pvmt Repair,Residen 300 Lf $55.00 $16,500.00 162 4'Wide Asphalt Pvmt Repair,Arteria 300 Lf $55.00 $16,500.00 35.75 $1,966.25 163 5'Wide Asphalt Pvmt Repair,Arteria 300 Lf $65.00 $19,500.00 263 $17,095.00 164 6'Wide Asphalt Pvmt Repair,Arteria 300 Lf $75.00 $22,500.00 25 $1,875.00 165 4'Wide Asphalt Pvmt Repair,Industr 300 Lf $65.00 $19,500.00 166 5'Wide Asphalt Pvmt Repair,Industr 300 Lf $65.00 $19,500.00 191 $12,415.00 167 6'Wide Asphalt Pvmt Repair,Industr 300 Lf $75.00 $22,500.00 168 Asphalt Pvmt Repair Beyond Defined W 300 Sy $20.00 $6,000.00 169 Asphalt Pvmt Repair Beyond Defined W 300 Sy $25.00 $7,500.00 170 Asphalt Pvmt Repair Beyond Defined W 300 Sy $30.00 $9,000.00 171 2"Thick Extra Width Asphalt Pavment 100 Sy $20.00 $2,000.00 172 3"Thick Extra Width Asphalt Pavment 100 Sy $22.00 $2,200.00 173 4"Thick Extra Width Asphalt Pavment 100 Sy $25.00 $2,500.00 174 Temporary Asphalt Paving Repair 75 Lf $15.00 $1,125.00 175 6"Flexible Base,Type B,GR-1 40 Sy $25.00 $1,000.00 88 $2,200.00 176 6"Flexible Base,Type B,GR-2 40 Sy $25.00 $1,000.00 177 Cone Pvmt Repair,Residential 300 Sy $65.00 $19,500.00 39.5 $2,567.50 178 Cone Pvmt Repair,Arterial/Industria 300 Sy $75.00 $22,500.00 281.03 $21,077.25 179 Cone.Pavmt Repair Beyond Defined Wi 300 Sy $50.00 $15,000.00 180 Cone.Pavmt Repair Beyond Defined Wi 100 Sy $70.00 $7,000.00 181 Brick Pvmt Repair 100 Sy $70.00 $7,000.00 182 Brick Pvmt Repair(City Supplied) 100 Sy $50.00 $5,000.00 183 6"DIP Sewer Pipe(Replc.At Variabl 50 Lf $85.00 $4,250.00 184 6"PVC Sewer Pipe(Replc.At Variabl 50 Lf $60.00 $3,000.00 185 8"DIP Sewer Pipe(Replc.At Variabl 50 Lf $95.00 $4,750.00 186 8"PVC Sewer Pipe(Replc.At Variabl 50 Lf $70.00 $3,500.00 20 $1,400.00 187 10"DIP Sewer(Reple.At Variable De 50 Lf $105.00 $5,250.00 Friday,October 19,2018 Page 6 of 10 City Project Numbers 02037 DOE Number 7326 Contract Name WATER MAIN REPLACEMENT CONTRACT 2013A Estimate Number 12 Contract Limits Payment Number 12 Project Type WATER For Period Ending 10/22/2018 Project Funding 188 10"PVC Sewer Pipe(Replc.At Variab 50 Lf $80.00 $4,000.00 189 12"DIP Sewer(Replc.At Variable De 50 Lf $115.00 $5,750.00 190 12"PVC Sewer Pipe(Replc.At Variab 50 Lf $85.00 $4,250.00 191 16"DIP Sewer(Replc.At Variable De 50 Lf $125.00 $6,250.00 192 15"PVC Sewer Pipe(Replc.At Variab 50 Lf $90.00 $4,500.00 193 4"SDR for San.Sewer Service Replc. 25 Lf $40.00 $1,000.00 194 6"SDR for San.Sewer Service Replc. 25 Lf $45.00 $1,125.00 195 8"SDR for San.Sewer Service Replc. 25 Lf $50.00 $1,250.00 196 Street Use Permit 50 Ea $75.00 $3,750.00 30 $2,250.00 197 Traffic Control 50 Ea $750.00 $37,500.00 31 $23,250.00 1 Work Order Mobilization 30 Ea $1,500.00 $45,000.00 55 $82,500.00 2 Work Order Emergency Mobilization 5 Ea $2,000.00 $10,000.00 3 4"PVC Water Pipe 200 Lf $32.00 $6,400.00 136.1 $4,355.20 4 6"PVC Water Pipe 800 Lf $38.00 $30,400.00 1013 $38,494.00 5 8"PVC Water Pipe 1600 Lf $45.00 $72,000.00 1369.1 $61,609.50 6 10"PVC Water Pipe 400 Lf $52.00 $20,800.00 26 $1,352.00 7 12"PVC Water Pipe 400 Lf $68.00 $27,200.00 721.63 $49,070.84 8 15"PVC Water Pipe 500 Lf $76.00 $38,000.00 9 24"PVC Water Pipe 500 Lf $85.00 $42,500.00 10 4"DIP Water 100 Lf $35.00 $3,500.00 11 6"DIP Water 100 Lf $45.00 $4,500.00 3 $135.00 12 8"DIP Water 100 Lf $48.00 $4,800.00 94.3 $4,526.40 13 10"DIP Water 100 Lf $50.00 $5,000.00 14 12"DIP Water 100 Lf $55.00 $5,500.00 192.05 $10,562.75 15 16"DIP Water 100 Lf $85.00 $8,500.00 16 24"DIP Water 100 Lf $95.00 $9,500.00 17 16"Pretensioned Conc.Cylinder Pipe 500 Lf $110.00 $55,000.00 18 24"Pretensioned Conc.Cylinder Pipe 500 Lf $120.00 $60,000.00 19 4"Water Carrier Pipe(DI w/SS Casi 50 Lf $40.00 $2,000.00 20 6"Water Carrier Pipe(DI w/SS Casi 50 Lf $45.00 $2,250.00 198 MH ADJUSTMENT 0-3 1 EA $3,000.00 $3,000.00 1 $3,000.00 199 WATER VAULT ADJUSTMENT 3 EA $3,000.00 $9,000.00 3 $9,000.00 200 CONCRETE COLLARS&PADS 10 EA $350.00 $3,500.00 10 $3,500.00 201 CATHODIC PROTECTION STA 6 EA $1,500.00 $9,000.00 6 $9,000.00 Friday,October 19,2018 Page 7 of 10 City Project Numbers 02037 DOE Number 7326 Contract Name WATER MAIN REPLACEMENT CONTRACT 2013A Estimate Number 12 Contract Limits Payment Number 12 Project Type WATER For Period Ending 10/22/2018 Project Funding 202 3"WATER METER/MODIFIED 1 EA $9,750.00 $9,750.00 1 $9,750.00 203 REMOVE EXIST VAULT,METER 1 EA $1,000.00 $1,000.00 1 $1,000.00 204 WATER VAULT ADJUST I EA $2,000.00 $2,000.00 1 $2,000.00 205 42"BUTTERFLY VALVE TIMBERLAND 1 EA $67,500.00 $67,500.00 1 $67,500.00 206 36"x 12"TAPPING SLEEVE&VALVE 1 EA $7,500.00 $7,500.00 1 $7,500.00 207 BOLLAIDS 2 EA $400.00 $800.00 2 $800.00 208 REPAIR 1"WATER SERVICE 1 EA $250.00 $250.00 1 $250.00 209 REPAIR 1"WATER SERVICE 1 LS $1,500.00 $1,500.00 1 $1,500.00 Sub-Total of Previous Unit $2,612,560.00 $989,378.32 Friday,October 19,2018 Page 8 of 10 City Project Numbers 02037 DOE Number 7326 Contract Name WATER MAIN REPLACEMENT CONTRACT 2013A Estimate Number 12 Contract Limits Payment Number 12 Project Type WATER For Period Ending 10/22/2018 Project Funding Contract Information Summary Original Contract Amount $1,000,000.00 Change Orders Total Contract Price $2,612,560.00 Go y Date f10 -26 /$ Total Cost of Work Completed $989,378.32 Contractor Less %Retained $0.00 ��E���(!LC'/�"1�'� ate/�G'.7�•.�� Net Earned $989,378.32 tInspectivisorEarned This Period $0.00 Retainage This Period $0.00 Date l Less Liquidated Damages Days @ /Day $0.00 Date LessPavement Deficiency $0.00 AXdL P Less Penalty $0.00 DateV/(/ (J Less Previous Payment $989,378.32 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $0.00 Friday,October 19,2018 Page 9 of 10 tORTWORTH 4' TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Water Main Replacements Contract 2013A PROJECT NUMBER: 2037 DOE NUMBER: NA WATER PIPE LAID SIZE TYPE OF PIPE LF 12" DI/W-SS 28 30" Casing 28 1" Copper 136.7 1-1/2" Copper 151.4 2" Copper 297.3 4" PVC 136.1 6" PVC 1013 8" PVC 1369.1 FIRE HYDRANTS: VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF 8" PVC 20.00 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 FORTWORTH rev 03/05/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:12 NAME OF PROJECT: Water Main Replacement Contract 2013-A PROJECT NO.: 2037 CONTRACTOR: Ciecle C DOE NO.; NA PERIOD FROM:01/01/15 TO: 05/17/17 FINAL INSPECTION DATE: 22-Oct WORK ORDER EFFECTIVE:1/1/2015 CONTRACT TIME: 365 O WE CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL & HOLIDAYS &TOO COLD RELOCATIONS OTHERS CHARGED DAYS THIS 0 0 0 22 0 22 PERIOD PREVIOUS 0 0 0 501 867 11368 PERIOD TOTALS 10 0 0 523 867 1,390 TO DATE *REMARKS: zz CONTRACTOR DATE INSPECTOR DATE ENGINEERING DEPARTIvtENT (a The City of Fort Worth• 1000 Throclmorton Street•Fort Worth,TX 76012-6311 (817) 392-7941 •Fal: (817) 392-7845 CIRCLE C CONSTRUCTION PO BOX 40328 FORT WORTH,TEXAS 30-Jun-17 Mr. Adolfo Lopez City of Fort Worth 1000 Throckmorton Street Fort Worth,Texas 76140 RE: Water Main Replacements 2013A Adolfo, Please add an additional 505 calendar days to this contract. This will close out this contract Sincerely, Teri Skelly CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT ❑ AIA Document G707 CONTRACTOR ❑ SURETY ❑ OTHER ❑ Bond No.TXC605717 TO OWNER: ARCHITECT'S PROJECT NO.: City Project No.2037,TPW/DOE#7326 City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76111 CONTRACT FOR: Utility Improvements CONTRACT DATED: PROJECT: (name, address) Water Main Replacements Contract 2013A in the City of Fort Worth,TX In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Merchants Bonding Company(Mutual) 2100 Fleur Drive Des Moines,IA 50321-1158 SURETY on bond of (Insert name and address of Contractor) William J.Schultz,Inc.dba Circle C Construction Company P.O.Box 40328 Fort Worth,TX 76140 CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (Insert name and address of Owner) City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76111 OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand this date: October 20,2016 (Insert in writing the month followed by the numeric date and year.) Merchants Bo g Company(Mutual) (Surety) _ -_— (Signature of authorized presentative) Attest: Witness as to Surety: Sheryl A.IGutts,Attorney-in-Fact (Seal): _ t~ (Printed name and title) John A.Miller,Witness Note: This form is to be used as a companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition AIA DOCUMENT G707•CONSENT OF SURETY COMPANY TO FINAL PAYMENT•April 1970 Edition•AIA® One Page ©1970•THE AMERICAN INSTITUTE OF ARCHITECTS,1735 New York Ave.,NW,Washington,D.C.20006 M.ERCHANT�7� k BONDING COMPANY,. POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC.,both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint, individually, John A Miller; John R Stockton; Sheryl A Klutts their true and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver on behalf of the Companies,as Surety,bonds,undertakings and other written obligations in the nature thereof,subject to the limitation that any such instrument shall not exceed the amount of: TWENTY-FIVE MILLION($25,000,000.00)DOLLARS This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company(Mutual)on April 23,2011 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 24,2011. "The President,Secretary,Treasurer,or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact,and to authorize them to execute on behalf of the Company,and attach the seal of the Company thereto,bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond,undertaking,recogrizs— –_:other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and authority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation.It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee,shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 11th day of October 2016 .,' G MERCHANTS BONDING COMPANY(MUTUAL) . •0 a<��=� O�O��PO�!llp•• MERCHANTS NATIONAL BONDING,INC. 9 . 0= ;4Q$ 1933BY c: STATE OF IOWAR''•"nirrrr++'"`�t� •••• COUNTY OF Dallas ss. President On this 11th day of October 2016 ,before me appeared Larry Taylor,to me personally known,who being by me sworn did say that he is President of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC.;and that the seals affixed to the foregoing instrument are the Corporate seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. ,V-W4 S+ WENDY WOODY Commission Number 784654 7 My Commission Expires �owP June 20 2017 Notary Publi , County,Iowa (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr.,Secretary of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof,I have hereunto set my hand and affixed the seal of the Companies on this 20th day of October,2016 ,...user"" .•••..... 1104-44 0-,1E= •�.'2 -o- p Secretary 1933 c: POA 0014 (6/15) AFFIDAVIT STATE OF Texas COUNTY OF Tarrant Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Teresa S Skelly, Vice President Of William J Schultz Inc., dba Circle C Construction Company known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; That all persons, firms, associations, corporations, or other organizations furnishing labor and/or materials have been paid in full; That the Davis Bacon prevailing rate determined by the Administrator of the wage and hour division of the United States Department of Labor included as a requirement in this Texas Water Development Board, as State Recipient, and United States Environmental Protection Agency's loan funded contract in the City of Fort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; Water :Main Replacements Contract 2013A, DOE 7326 CPN 2037 BY IYI L24111 den JL Michele Lankford Vice resident Subscribed and sworn before me on this date 17 of May, 2017. =aROSE DIAZ Notary Public . =: My NOW ID#126883238 Expires Apn127 2021 ' Tarrant, Texas CIRCLE C CONSTRUCTION PO BOX 40328 FORT WORTH,TEXAS 30-Jun-17 Mr. Adolfo Lopez City of Fort Worth 1000 Throckmorton Street Fort Worth,Texas 76140 RE: Sewer Main Replacements 20138 DOE 02047 Adolfo, Please add an additional 445 calendar days to this contract. This will close out this contract Sincerely, /rte ,��✓�/ Teri Skelly (�/J CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT ❑ AIA Docitinent G707 CONTRACTOR ❑ SURETY ❑ OTHER ❑ Bond No.TXC605717 TO OWNER: ARCHITECT'S PROJECT NO.: City Project No.2037,TPW/DOE#7326 City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76111 CONTRACT FOR: Utility Improvements CONTRACT DATED: PROJECT: (name,address) Water Main Replacements Contract 2013A in the City of Fort Worth,TX In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address ofSmrcry) Merchants Bonding Company(Mutual) 2100 Fleur Drive Des Moines,IA 50321-1158 SURETY on bond of (Insert name and address of Contractor) William J.Schultz,Inc.dba Circle C Construction Company P.O.Bos 40328 Fort Worth,TX 76140 CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payinent to the Contractor shall not relieve the Surety of any of its obligations to (Insert name and address of Owner) City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76111 OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand this date: October 20,2016 (Insert in writing the month followed by the numeric date and vear.) Merchants Boy4na,Company(Mutual) (Surety) (Signature ofauthorised •presentative) Attest Witness as to Surety: Sheryl A.Klutts,Attorney-in-Fact (sea]) (Printed name and title) John A.Miller,Witness Note: This form is to be used as a companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYWNT OF DEBTS AND CLAIMS, Current Edition AIA DOCUMENT G707®CONSENT OF SURETY COMPANY TO FINAL PAYMENT®April 1970 Edition s AIA a One Page ©1970 e THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave.,NW,Washington,D.C.20006 MERCHANTS BONDING COMPANY POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC.,both being corporations of the State of Iowa(herein collectively called the"Companies')do hereby make,constitute and appoint, individually, John A Miller; John R Stockton; Sheryl A Klutts their true and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver on behalf of the Companies,as Surety,bonds,undertakings and other written obligations in the nature thereof,subject to the limitation that any such instrument shall not exceed the amount of: TWENTY-FIVE MILLION($25,000,000.00)DOLLARS This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company(Mutual)on April 23,2011 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 24,2011. "The President,Secretary,Treasurer,or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact,and to authorize them to execute on behalf of the Company,and attach the seal of the Company thereto,bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond,undertaking,recognize. other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and authority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation.It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee,shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 11th day of October 2016 ° ����"""• `• MERCHANTS BONDING COMPANY(MUTUAL) �•`��* k... . .'�O�.G.... • MERCHANTS NATIONAL BONDING,INC. ` 03 `a Q jt •O O El P 0/�' `s :C0 _�_ :G n •0- -0- o: ° 2C�3 :.n 6. 1933 =C: v yj. �•sw By .•;tet- STATEOFIOWA ....,t.u00�,,,,` °••°• •••• COUNTY OF Dallas ss. President On this 11th day of October 2016 ,before me appeared Larry Taylor,to me personally known,who being by me sworn did say that he is President of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.;and that the seals affixed to the foregoing instrument are the Corporate seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. 4p. d, WENDY WOODY o " Commission Number 784654 ? °'°°° " My Commission Expires owP June 20 2017 Notary Publr , County,Iowa (Expiration of notary's commission does not invalidate this instrument) 1,William Warner,Jr.,Secretary of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 20th day of October,2016 04 •.Oma' 4�?O�l?0'qq' -t: •z: 3; Secretary 1933 -__v •' ,vd. -ate:° All POA 0014 (6/15) AFFIDAVIT STATE OF Texas COUNTY OF Tarrant Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Teresa S Skelly, Vice President Of William .[ Schultz Inc., dba Circle C Construction Company known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; That all persons, firms, associations, corporations, or other organizations furnishing labor and/or materials have been paid in full; That the Davis Bacon prevailing rate determined by the Administrator of the wage and hour division of the United States Department of Labor included as a requirement in this Texas Water Development Board, as State Recipient, and United States Environmental Protection Agency's loan funded contract in the City of Fort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; Water :Main Replacements Contract 2013A, DOE 7326 CPN 2037 t BY ► 1 l�,c Q��2� Michele Lankford Vice resident Subscribed and sworn before me on this date 17 of May, 2017. OSE D My Notary ID#126883238 Tarrant, Texas as Notary Public =;l• �= of EV es Apr#27,2021