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HomeMy WebLinkAboutContract 52227-FP1 123 S », 4 E CSC No.52227-FP1 R�cF�vEaCP FORTWORTH, FEB 17 2020 O' CITY OF FORT WORTH a, CP CITY SECRETARY TRANSPORTATION AND PUBLIC WORKS 1r7' �9 NOTICE OF PROJECT COMPLETION S P e Z 4 � City Project Ne: 100896 Regarding contract 52227 for PLAYGROUND IMPROVEMENTS AT HARMON FIELD,DELGA,FOREST (TILLERY) as required by the PARKS AND RECREATION DEPARTMENT as approved by City Council on 03/19/2019 through M&C C-29073 the director of the PARKS AND RECREATION DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: $631,050.04 ✓ Amount of Approved Change Orders: $17,196.07 Ne 1 Revised Contract Amount: $648,246.11 Total Cost Work Completed: $631,737.51 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $631,737.51`/ Less Previous Payments: $600,150.61� Final Payment Due $31,586.90 za -e# Feb 17,2020 Lauren Prieur(Feb 17,2020) Recommended for Acceptance Date Asst. Director, TPW - Capital Delivery 'Z?— Acce ed Date Direct r, PARKS AND RECREATION DEPARTMENT Client Department 'C Feb 17,2020 Fernando Costa(Feb 17,2020) Asst. City Manager Date Comments: OFFICIAL RECORD CITY SECRETARY y FT WORTH,TX Department f IPW Const.Services CPl Date Project?dlan4ge - r Z Risk Management S. Gatewood D.O.E. Srotherton � Water V. Gutzier CFA Janie,Morales/Scanned i The Proceeding people have been Contacted.concerning the request for final payment&have released this project for such payment. 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' �, -D l:- No o o � a o w 0 0 � o U r � , O o E E A a C N N rn uN7 CI!�n ,i ,_� r r.a i;: r N M<� .�cr3 r; ,n 1 ;fl m O LLD N r N Oi M O "\V E N N N N r co 0 u m L. d 1011 O p M T M M 8 — _— ---- U ° e a 0 r LL O O) O N rn rn rn N o O O` rn o @ v m �.o N O CO CC) P, U 0 00 'CO 8 00 N co F O r V O 0 m 0 'a c 0 do 0o c w �- - ZZZLa a C V FFa-F .c�<1 QQQ vl-I- f- V FHI- U z O 0ui LU LUULU LU w w w 0- c oUUU oUUU oUUU L (oo� o�o� o�o� ti orn ocovv oco v <ty o v co o IT o U �Ooo L0000 L9000 0000 0000 0000 (Oo0o Wnoo0 (OOoO It 0 O o V O o 0 v o 0 0 U O O O O O O O O 0 0 0 0 U O (OOO O(O(O(o OCO(O(O M c D O O O c D O O O 0 0 O O O O N N N O N N N O N N N CD CD O CDO O O O O O O O U o 0 0 0 0 O o 0 0 0 0 0 0000 0000 0000 AFFIDAVIT STATE OF JeY-ag COUNTY OF 3) ,�La.S Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Cynthia Henneberger,President, Henneberger Construction, Inc. 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 wage scale established by the City Council 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; Harmon, Delga, Forest Park Tillery Playground Improvements BY ptek Name o itle Subscribed and sworn before me on this date Year. �� .� QIR�SOH i P �V" Notary Public : y •. '• • — County, State _C z c 8: CV (`3 :• SAT'-0 AV ��nnnm� BOND#- 1019790 CONSENT OF SURETY OWNER 19 TO FINAL PAYMENT ARCHITECT ❑ CONTRACTOR ❑ AIA Document G707 SURETY ❑ (Instructions on reverse side) OTHER ❑ TO OWNER: ARCHITECT'S PROJECT NO.: (Name and address} City of Fort Worth 1000 Throckmorton St. CONTRACT FOR: Fort Worth,TX 76102 PROJECT: CONTRACT DATED: March 19,2019 (Nmne and address) Playground Improvements,City Project No. 100896, 101410& 101411 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Oklahoma Surety Company 1437 South Boulder,Suite 200 Tulsa,OK 74119 SURETY, on bond of (Insert nave and address of(ontractor) Henneberger Construction,Inc. 8928 Fairglen Drive Dallas,TX 75231 ,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 Qnsert name and address of0u-ner) City of Fort Worth 1000 Throckmorton St. Fort Worth,TX 76102 OWNER, as set forth in said Surety's bond, IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: January 13, 2020 (Insert in writing the month followed by the numeric dale and year) Oklahoma Surety Company (Surety) (ignan re o urn razed represenluttve) Atte (Seal. ngie ran Brent M.Blonigan, Attorney-in-fact _ (Printed name and title) CAUTION:You should sign an original AIA document that has this caution printed in red.An original assures that changes will not be obscured as may occur when documents are reproduced. See Instruction Sheet for Limited License for Reproduction of this document. AIA DOCUMENT G707-CONSENT OF SURETY TO FINAL PAYTIENT-1994 EDITION-AIA Page I of 2 1994-THE AWRICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,NW,WASH- INGTON,D.C.20006-5292-WARNING:Unlicensed photocopying violates U.S.copy- G707_1994 right laws and will subject the violator to legal prosecution. INSTRUCTION SHEET FOR AIA DOCUMENT G707,CONSENT OF SURETY TO FINAL PAYMENT A.GENERAL INFORMATION 1. Purpose This document is intended for use as a companion to AIA Document G706,Contractor's Affidavit of Payment of Debts and Claims,on construction projects where the Contractor is required to furnish a bond. By obtaining the Surety's approval of final payment to the Contractor and its agreement that final payment will not relieve the Surety of any of its obligations,the Owner may preserve its rights under the bond. 2.Related Documents This document may be used with most of the AIA's Owner-Contractor agreements and general conditions,such as A201 and its related family of documents.As noted above,this is a companion document to AIA Document G706. 3. Use of Current Documents Prior to using any AIA document,the user should consult the AIA,an AIA component chapter or a current AIA Documents List to determine the current edition of each document. 4.Limited License for Reproduction AIA Document G707 is a copyrighted work and may not be reproduced or excerpted from in substantial part without the express written permission of the AIA. The G707 document is intended to be used as a consumable-that is,the original document pur- chased by the user is intended to be consumed in the course of being used. There is no implied permission to reproduce this document,nor does membership in The American Institute of Architects confer any further rights to reproduce G707. A cautionary notice is printed in red on the original of this document. This notice distinguishes an original AIA document from copies and counterfeits. To ensure accuracy and uniformity of language,purchasers should use only an original AIA document or one that has been reproduced from an original under a special limited license from the AIA. A limited license is hereby granted to retail purchasers to reproduce a maximum often copies of a completed or executed G707,but only for use in connection with a particular project. Further reproductions are prohibited without the express permission of the AIA. B.CHANGES FROM THE PREVIOUS EDITION Changes in the location of various items of information were made,without revision to the substance of the document. C. COMPLETING THE G707 FORM GENERAL: The bond form is the usual source of required information such as the contract date and the names and addresses of the Surety,Owner,Contractor and Project. ARCHITECT'S PROJECT NO.: this information is typically supplied by the Architect and entered on the form by the Contractor. CONTRACT FOR: This refers to the scope of the contract,such as"General Construction"or"Mechanical Work". D. EXECUTION OF THE DOCUMENT The G707 form requires both the Surety's seal and the signature of the Surety's authorized representative. 4/94 INSTRUCTION SHEET FOR AIA DOCUMENT G707❑CONSENT OF SURETY TO FINAL PAYMENT❑1994 Page 2 of 2 EDITION[]AIA®[]THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE,N.W., WASHINGTON,D.C.20006-5292 G707-1994 n it o OKLAHOMA SURETY COMPANY 1437 SOUTH BOULDER,SUITE 200•TULSA,OKLAHOMA 74115• 918487-7221 FAX`918488-1253 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the OKLAHOMA SURETY COMPANY .,a corporation organized and existing under and by virtue of the laws of the State of Ohio,does hereby nominate,constitute and appolnt the person or.persons named below,each Individually If more than one Is namedi its true and lawful attorney-in-fact,for it and in its name,place and stead to execute on behalf of the said Company,as surety;' any and all bonds,undertakings and contracts of suretyship,or other written obligations In the nature thereof. Brent M. Blonlgan,Rob Dreiling, Debbie Palmer and Kara Pierce,all of RICHARDSON,TX IN WITNESS WHEREOF,the OKLAHOMA SURETY COMPANY has caused these presents to be signed and attested by its appropriate officers and iiy gaorate seal hereunto affixed this 12 day;of November 2019 ,,�yti�,UpftrCZr _ SFAL .Xy ' ,•` OKLAHOMA SURETY COMPANY ATTEST. ""'++► `l�f'�""� HAR N H L' Secretary T D TA VICE PRESIDENT On this 12day of November 2019 before me personally appeared TODD BAZATA to me known,being duly swom,deposes and says that s/he resides in Broken Arrow,Oklahoma,that s/he is a Vice President of Oklahoma Surety Company,the company described in and which executedthe above instrument;that s/he knows the seal of the said Company;that the seal affixed to the said instrument is such corporate seal;that it was so affixed by authority of her/his office under the By-Laws of said Company,and that s/he signed his name thereto by like authority. trr►rl►rr•� Commission# 11008253 STATE OF OKLAHOMA n$x iSAh1y' SS VZ + 7� ? My Co" n expi e 0 —08-23 COUNTY OF TULSA JULIEDALILAHAN Notary Public This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Oklahoma Surety Company by unanimous written consent dated September 25,2009. RESOLVED: That the President;the Executive Vice President,the several Senior Vice Presidents and Vice Presfdents or any one of them, be and hereby is authorized,from time to time,to appoint one or more Attorneys-in-Fact to execute on behalf of the Company,as surety;any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature thereof;to prescribe their respective duties and the respective limits of their authority;and to revoke any such appointment at any time. RESOLVED FURTHER: That the Company seal and the signature of any of,the aforesaid officers and any Secretary or Assistant Secretary of the Company maybe affixed by facsimile to any power of attorney or certificate of elthergiven forithe executlon of any bond,undertaking,contract of suretyship,or other written obligation in the nature thereof,such signature and seal when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION I, SHARON HACKL Secretary of Oklahoma Surety Comp y,do h reby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of September 25,2009 have not been r nd a n full force an effect. rrrl,: Signed and seated this day of *:�0. 6cretary VOID IF BOX IS EMPTY` MID-CONTINENT CASUALTY COMPANY OKLAHOMA SURETY COMPANY STATE OF TEXAS CLAIM NOTICE ENDORSEMENT In accordance with Section 2253.021 (f) of the Texas Government Code and Section 53.202(6) of the Texas Property Code, any notice of claim to the named surety under this bond(s)should be sent to: Mailing: MID-CONTINENT CASUALTY COMPANY OKLAHOMA SURETY COMPANY P.O. BOX 1409 TULSA, OK 74101 TELEPHONE NO. 1-800-722-4994 FAX NO. 1-918-586-0840 E-MAIL: CLAIMS@MCG-INS.COM Physical: 1437 S. BOULDER SUITE 200 TULSA, OKLAHOMA 74119 ATTACH THIS NOTICE TO YOUR BOND UPON EXECUTION OF THE BOND TXclmendsmt07 c FORTWORTH® TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME STATEMENT# FINAL STATEMENT# CPN y" 10Q$26,r:, NAME OF PROJECT: P I Goveine '�at$Harmon Field°Park;�el' " a�18Fofes Contractor "�:#_Henneber erg`:` PROJECT NO.: FINAL INSPECTION DATE11/1�(219`� Y .96 '' Y`."d'rr"-+' : '" -`� + -_,S k�= ar�'t• ,`"� `t',a `r«!e ' ` WD CD 10� ��c v , t �._ _ t �-rx . CONTRACT TIME � 1 max, PERIOD FROM: 1'%612Q2d:� TO: '1/3�(2020 MID - Month DEVELOPMEN Y/N ' " lY WORK ORDER EFFECTIVE: 5/18/209£,,,. ` BEG /n ''` .r MID /n 100.0% DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR CHARGED DAYS CREDITED CHARGED DAYS CREDITED 1 '` 16 Thu 0 aM 2 - 17 Fri 0 rC 3 �� �� 18 Sat 0 4 4 g � 19 Sun 0 Mewl AOIf�# , , 5 20 Mon 0I 6 'm- 21 Tue 0 ®Ifs 7 . ` 22 Wed 0 , aid � 8 23 Thu 0 ;"-; ' . 9 24 Fri 0 10 25 Sat 0 T Oi7i�" 11 26 Sun 0 �'" . 12 27 Mon 0 ®� 13 28 Tue 0 ZZME) � x 14 , u 29 Wed 0 � 15 30 Thu 0 31 Fri 0 Not Applicable SAT,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS HOLIDAYS RELOCATE CHARGED THIS PERIOD 0 0 0 0 0 PREVIOUS PERIOD ..,$. p _0 '4 120 TOTAL TO DATE 1 0 0 0 0 120 120 REMARKS: .' x,. r: Y�{ �✓. �� 1 1I I f �, ` 711 \ '' �PP r F £.$ 4�.' x is bra � i 7d'���, 5..i4� �,��ve�at�,�n-• .:� �- y* 2-�+� � i NTS AT HARMON ATHLETIC PARK a -BEFORE CONSTRUCTION 2019 s y _ u .r FORTWOPTH.PLAYGROUND LAYGROU S71CT NO BEME T S T HARMON CONSTRUCTION IC PARK SE t' 1 ;J � i�Y# } �3 F a �r x ag FORT WORTH, PLAYGROUND IMPROVEMEN3 TbRE T�TILLERYP, RK; COUNCIL DIST(OT.-,NOS1TfON ar' w L � FOtCpRTH..pLAYGRbUND IMPRdVMLNTS AT FOREST(TILLERY)PARK 1 (SO�3 CII DIS�IT'�9 AFTER dONSTRUCTION 2 19 �• City of Fort Worth, Texas Mayor and Council Communication COUNCIL ACTION: Approved on 3/19/2019 DATE: Tuesday, March 19, 2019 REFERENCE NO.: **C-29073 LOG NAME: 80PLAYGROUND REN AT 3 SITES-HC. SUBJECT: Authorize Execution of a Construction Contract with Henneberger Construction, Inc., in the Amount of $631,050.77 for the Construction of Playground Improvements at Harmon Field Park, Delga Park and Forest Park and Provide for Additional Project Cost and Contingencies in the Amount of$59,200.00 for a Total Construction Cost of$690,250.77 (COUNCIL DISTRICTS 8 and 9) RECOMMENDATION: It is recommended that the City Council authorize the execution of a construction contract with Henneberger Construction, Inc., in the amount of$631,050.77 for the construction of the playground improvements at Harmon Field Park, Delga Park and Forest Park. DISCUSSION: The purpose of this Mayor and Council Communication is to authorize the award and execution of a construction contract with Henneberger Construction, Inc., in the amount of$631,050.77, for the construction of playground improvements at Harmon Field Park(Council District 8), Delga Park(Council District 8), and Forest Park(Council District 9). Total appropriations are summarized below: Park I Source Current Appropriations Proposed.I Total Harmon 130100 - General Capital Projects $291,500.00 N/A 1$291,500.00 Delga 30100 - General Capital Projects F $258,500.00 F N/A 1$258,500.00 Forest 30100 - General Capital Projects $200,000.00 N/A 1$200,000.00 1 Total F $750,000.00 1 N/A 1$750,000.00 This project was advertised for bids on December 13 and 20, 2018 in the Fort Worth Star-Telegram. On January 17, 2019, the following bids were received and tabulated: BIDDER BASE BID I BID ALT TOTAL Henneberger Construction, Inc. $508,594.11 $122,456.66 $631,050.77 North Rock construction, LLC. $516,894.75 1 $145,318.46 $662,213.21 Fort Worth Civil Constructors LLC. $638,631.00 $149,106.00 $787,737.00 Logname: 80PLAYGROUND REN AT 3 SITES-HC. Page I of 2 Base bid improvements include: demolition of existing playground facilities, installation of new playground facilities, installation of new concrete entry and site grading at all three park sites. Alternate bid improvements include: concrete walk and pads at all three sites, a shelter at Harmon Field Park, a security lighting at Delga Park, benches, picnic tables and trash receptacles at Harmon Field and Delga Park. The annual maintenance cost for those project are $7,038.45. Construction is anticipated to commence in April 2019 and be completed by August 2019. Contract time is 120 calendar days. M/WBE OFFICE: Henneberger Construction, Inc., is in compliance with the City's BDE Ordinance by committing to 6% MBE participation on this project. The City's MBE goal on this project is 5%. These projects are located in COUNCIL DISTRICTS 8 and 9. FISCAL INFORMATION / CERTIFICATION: The Director of Finance certifies that funds are available in the current capital budget, as appropriated, of the General Capital Projects Fund. FUND IDENTIFIERS (FIDs): TO - Fund Department ccoun Project JProgram ctivity Budget Reference # moun ID ID Year (Chartfield 2) FROM Fund Department ccoun Project JProgram ctivity Budget Reference# moun ID ID Year (Chartfield 2) CERTIFICATIONS: Submitted for City Manager's Office by: Fernando Costa (6122) Originating Department Head: Richard Zavala (5704) Additional Information Contact: Carlos Gonzalez (5734) ATTACHMENTS 1. Form 1295 Certificate Henneberger 2019-446506 Redacted.pdf (Public) 2. Map- Playground Improvements at 3 Park Sites.pdf (Public) 3. MC FID ATTACHMENT- Playground Imp. at 3 Sites.pdf (CFW Internal) 4. MWBE- Compliance Memo. Henneberger.pdf (CFW Internal) 5. SAM Henneberger Construction Inc.pdf (CFW Internal) Logname: 80PLAYGROUND REN AT 3 SITES-HC. Page 2 of 2 CITY SECRETARY R ORTH City of Fort Worth CONTRACT NO, tI Change Order Request C 0- a Playground Improvements at Harmon Filed,Delga,and Forest(Tillery)Parks City Sec# 1 52227 -� �5 �( lect#s ( } 1¢0896,101410,8101411 P-0 Playground Improvements at three park sites, Contractor HennebergerConstruction Inc Change Order# Date 8/2812019 City Project Mgr.1 Carlos Gonzalez City Inspector Manuel Torres Dept. PARD Contract Time Totals D Original Contract Amount $631,050.77 $631,050.77 Extras to Date Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $631,050.77 $631,050.77 Amount of Proposed Change Order 11711011.07 $17,196.07 Revised Contract Amount $648,20,84 $648,246.84 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $000 Additional Funding(if necessary) $17, 96,07 1 $17,196.07 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT ' 2.72% MAXALLOWABLE CONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%) $788,M3,46 During construction at Forest(Tillery)Park,the propose playground mow strip had to be relocated due to a survey bust in the construction plans. Also at the same location,due to the poor conditions of an existing sidewalk,it was recommended to remove the damaged concrete and replace it with new 5"concrete. Additionally,four(4)bid line items that were not included in the original contract will be added in to this change order. Lastly,due to the poor conditions surrounding the Delga Park sign,the city requested the contractor for a quote to install 6"of wood mulch and a 6" concrete mow strip to surround the park sign and to r"rade and clean up the parking lot drainage at Harmon Field Parking Lot. Upon review of the proposed scope and pricing,staff found the fee to be fair and r ,Park and Recreation Department will use the available funds in the project to award this change order. (� QR r 'w �. :off nald P. Gonzales, .City It is understood and agreed that the acceptance of this Change Order by the s an accord and satisfaction and represents payment in full(both time and money)for all costs arising out of,or incidental to,the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance and reporting requirements. Henneber er Construction Inc HennebergerConstmetion,Inc. gl5119 ,t yes �2to� M8C Number M8C Date Approved q MnETAR ' FT.WOR FoR I Wuk1;11 City of Fort Worth IT--- Change Change Order Additions Project Name Playground Improvements at Harmon Filed,Delga,and Forest(Tillery)Parks City Sec# 52227 Client Project# 100 996,101410,8101411 Project Description Playground Improvements at three park sites. Contractor Hennebarger Construction Inc Change Order# LJ Date 8/28/2019 City Project Mgr. I Carlos Gonzalez City Inspector Manuel Torres ADDITIONS Unit UnitCost Total UNIT 1 ALTERNATE BID MON FIELD PARK 1-07 Harmon Parking of Grading an can Up RD 1.00 S 600.00 UNIT 2 ALTERNATE BID ITEM-DELGA PARK 2-08 Park Sign Concrete Mow Strip/Fabric:and Mulch aPARD 1. EA $ ,391. 0 NIT ALTERNATE I ITEM-FORESTT L ) A 3-01 Purchase andInstallation o 'Bench 2.00 51,436.40 3-0 290 S 0 oncrete ad W/One 8' aleD LS 8.1 3-0B emove Existing Table 8 nsta One 6'Picnic Table(See Page 8 of 14) 1.00 LS 51,226. 2-0 Purchase 8 nsta ation of Playground Equipment t.0 EA 175 3.10 Pur ase of layground Equipment P D =0 FA 0.00 3-11 ostrip/Retaining Wall Survey Changes PARD 1.00 L 51,693.75 3-12 Demo and Installation of 405 SF of 5"Concrete Walk PARD 1.00 L --$3—,UWM PARD $19,187.47 ub Total Additions $19,187.41 r Change Order Additions Page 2 of 4 FOR i Wom rti City of Fort Worth Change Order Additions Project Name Playground Improvements at Harmon Filed,Delga,and Forest(Tillery)Parks City Sec# 52227 Client Project# r100898,101410,8101411 Project Description Playground Improvements at three park sites. Contractor Henneberger Construction Inc Change Order# Dale 8I28/2019 City Project Mgr. Carts Gonzalez City Inspector Manuel Torres ADDITIONS y unit Units o a UNIT I ALTERNATE BID ITEM-HARMON FIELD PARK Harmon Parking Lot Grading and Clean Up 2-08 Park ign Concrete Mow p a nc and Mulch Purchase and Installation o nc D Concrete Pad W/One Table emove sting Table&InstallOne onic Ta6le a Page 8 o Purchase&Installation of PlaygroundEquipment PARD5. Purchase of Playgrounduipmen MostriplRelairling Wag Survey Changes Demo and Installallon of 405 ZSF of 5 Concretea PAR 19,187.47 Sub TotalAdditions $19,157.47 Change Order Additions Page 2 of 4 FoR r Wo rti City of Fort Worth —�T Change Order Deletions Project Name Playground Improvements at Harmon Filed,Del a,and Forest(Tillery)Parks City Sec# 52227 Client Project# 100896,101410,&101411 Project Description Playground Improvements at three park sites. Contractor Henneberger Construction Inc Change Order# Date 821Y2019 City Project Mgr. I Carlos Gonzalez City Inspector Manuel Torres DELETIONS unit mt L;ost Total arrnon Reld ParkChange Order Allowance(Deduction) ga Park Change Order Allowance(Deduction) PARD 1,991.4 Sub Totalehons Change Order Deletions Page 3 of 4 MMBE Breakdown for this Change Order NIA Total Previous Change Orders None Total ` N V O O 0 0 O O O O O O O 0000 00 W 00 00 000 00 000 00 00 U o 0 0 0 Nr 0 0 0 0 0 0 in o La 0 m ti 2 -4 v 0 0 0 0 0 0 o 0 0 0 0 •a e-1 N N N � � ey a-1 .-1 e-1 � C- O O 0 0 O O 0 0 0 0 0 Cci ci s-t ci li rl c-1 r-4 '-4 '-1 r1 a O O O p Op p 00 oOo o O p O 0 0 u n n n n ^ ^ n ^ ^ n n Q to In In Ln W M Ln Ln vl 1A v1 O O O O O O 0 00 0 0 N Ln Ln 45 Ln Ln Ln Ln Ln Ln Ln Y ie a a v a 0 0 0 v a a aO. co Q 00 00 CIO00is 00 00 00 00 0 0 0 0 00 0 0 0 0 0 0 0 00 co 0 00 0 0 o 0 0 0 0 0 0 0 0 0 0 LLI C-t .ti .-1 .-1 'i li rl 'l rl rl ri J c O O O O 0 0 0 0 0 O O J m m m M m m m M M m m LA W cc O O O O O O N O O M O n O 0 d• O V oo e-1 q O O n 0 O LL O r4 O 11 Nod lD Lf1 O m O 1L1 Q V O M O 01 n n N n In Q1 O tD OI 7 M �O M 00 01 N Ill 00 t0 O ei Z N in ri c-i N cT �-1' .--i .-I .--1' M' 1� Q v 44 N V1 VF L4 N tR to +h dco J W O O O Q O N N N O V1 O _ O V O V V rl V n N n 0 z y o ti C1. .--i t ID m m Ln 00 +� M O N 01 O M b [i n m Z V N to �-- W LV a` +n ri ri H H ti C LL. Y V> to V} z a` W O CG rt c-1 N '-I 'i '1 e-4 .--1 V-1 Z Q .G AA w �A (A �A A �/7 �1 �A W C J J J W J J W W J J 2 ::) 2 W > O1 oc YL C Y a W Ol m Ip u n ,•u 3 Q m m H w o v O ¢ c m a 3 a x w v u a m ac o ° m c Ln Q v V yL u I. C OJ C n C ro w c W 1.1 a C W v t 0 O y 0 Y u. v �ry to 0 _ a v LL a U. Q a w ° F io M m .° w a N G. m a c O O . 3 O w w c O 3 ¢ c w cao71 `� u o w o = ro v ° c ° Q u O . v v ° c m c _ 8 � � uO u. :_o w � 03LL 0 ° ' N M �e Ol ,m, u F �° Lb N N LLI� m w w a M w c o ni c G t c t a t t v u 'r_ c a :4 o c Y m `n A ob o i s c w ocu m w c co m O v o v01 vd 0. +'� m d E a Ie C € ao z u o E 01 u H m E 1`0 m K m N 7 Cil 01 m 7 7 ° C d W x d W Y D W D_ N w d a a _ o E J J z 14 N 4 N p a 4 p M 0 0 O CO 0 ii 1N v t 1 t N T V t tit m Hf m en In In LE z"� j cu W (U Z z z Z a v a s a a v v v a a °a a a Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract,including ensuring all performance and reporting requirements. Carlos Gonzalez Name of Employee Park Planner Title ❑ This form is N/A as No City Funds are associated with this Contract Printed Name Signature OFFICIAL RECORD CITY SECRETARY FT. WORTH,TX