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Home My WebLink AboutContract 50672-FP1 ; GEIVED CSC No. 50672-FP1 MAY 0A 2020 FORTWORTH MAY—5 2020 WATER DEPARTMENT CITYDFFOHT ENGINEERING AND FISCAL SERVICES Cr[ySMW RYTH NOTICE OF PROJECT COMPLETION S S D(o�I DOE.Ne: N/A R contract 50672 for Walsh Ranch Sani Sewer Extension Phase IV A as required b the Water ��S �Y � e9 y Department as approved by City Council on 3/27/18 through M&C C-28648 the Director of the Water Department, upon the recommendation of the Sr.Capital Projects Officer,Capital Projects Delivery,Water Department,has accepted the project as complete. Original Contract Prices: $2,824,611.00 Amount of Approved Change Orders: $154,323.54 Ns 3 Revised Contract Amount: $2,978,934.54 i Total Cost Work Completed: $2,749,904.14 Less Deductions: Liquidated Damages: Days @$630.00/Day Other Deductions(see comments): Total Deduction Amount: $0.00 Total Cost Work Completed: $2,749,904.14 Less Previous Payments: $2,569,942.10 Final Payment Due $179,962.04 �r v Recommended for Acceptance Date Assistant Director, Water Department aYi Grey/51y(e` M a 5 2020 Christopher�r(May 4,2020) Y Accepted Date Director, Water Department � May 5, 2020 Dana City Manager Date r CT •R1Ty1 - . �' Project Name:Walsh Ranch Sanitaty Sewer Extension,Phase IV A DOE.No:NIA Comments: OFFICIAL RECORD C11-Y SECRETARY FT..WORTH,TX HECE IV I✓D 12eCc',p� 2� �I s/ter/2� t�j MAY 0 4 2020 City Project Numbers 100924 S 5--D p-7 2 DOE Number 0007 Contract Name Walsh Ranch Sanitary Sewer Extension,Phase IV A Estimate Number 20 Contract Limits Council District 3 Payment Number 20 Project Type Sewer For Period Ending 3/15/2020 Project Funding Project Manager Decter City Secretary Contract Number 50672 Inspectors Johnson / Brice Contract Date 3/27/2018 Contractor JACKSON CONSTRUCTION LTD Contract Time 270 CD 5112 SUN VALLEY DRIVE Days Charged to Date 270 CD FORT WORTH, TX 76119 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded I SL�oL�—�C�G�t2� 2 Z (o11.00 �Ly�1z1��-� �ZLa'v�b�_ 17�2 .oc Total Cost of Work Completed $2,749,904.14 Less 0 %Retained $0.00 Net Earned $2,749,904.14 Earned This Period $179,962.04 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 $2,569,942.10 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $179,962.04 Tuesday,March 24,2020 Page 5 of 5 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name Walsh Ranch Sanitary Sewer Extension,Phase IV A Contract Limits Council District 3 Project Type Sewer City Project Numbers 100924 DOE Number 0007 Estimate Number 20 Payment Number 20 For Period Ending 3/15/2020 CD City Secretary Contract Number 50672 Contract Time 27GD Contract Date 3/27/2018 Days Charged to Date 270 Project Manager Deeter Contract is 92.000 Complete Contractor JACKSON CONSTRUCTION LTD 5112 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors Johnson / Brice Tuesday,March 24,2020 Pa-e 1 of 5 City Project Numbers 100924 DOE Number 0007 Contract Name Walsh Ranch Sanitary Sewer Extension,Phase IV A Estimate Number 20 Contract Limits Council District 3 Payment Number 20 Project Type Sewer For Period Ending 3/15/2020 Project Funding Sewer Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total LA 3331.4405 30"DIP Sewer 5311 LF LB 3331.4408 30"Fiberglass Sewer Pipe 5311 LF LC 3331.4411 30"PVC ASTM F1803 Sewer 5311 LF LD 9999.0006 30"Solid Wall PVC PS 46 A(CO#1) 0 LF $151.00 $0.00 0 $0.00 2.A 3331.4321 24"DIP Sewer 1583 LF 2.13 3331.4324 24"Fiberglass Sewer Pipe 1583 LF 2.13 3331.4317 24"PVC 1583 LF 3 3305.1108 48"Casing By Other Than(CO#2) 450 LF $574.00 $258,300.00 450 $258,300.00 5 3331.4321 24"DIP Sewer(At Aerial 177 LF $454.00 $80,358.00 177 $80,358.00 6 3331.4225 18"Sewer Pipe 20 LF $256.00 $5,120.00 20 $5,120.00 7 3331.4115 8"Sewer Pipe 20 LF $208.00 $4,160.00 40 $8,320.00 8 3339.1101 5'Manhole 23 EA $11,426.00 $262,798.00 23 $262,798.00 9 3339.1103 5'Extra Depth Manhole 256 VF $219.00 $56,064.00 269.88 $59,103.72 10 3305.0103 Exploratory Excavation of 3 EA $1,500.00 $4,500.00 3 $4,500.00 11 3305.0109 Trench Safety 7111 LF $1.00 $7,111.00 8145 $8,145.00 12 3305.0110 Utility Marker 16 EA $150.00 $2,400.00 13 $1,950.00 13 3305.0112 Concrete Collar 23 EA $695.00 $15,985.00 23 $15,985.00 14 3305.0113 Trench Water Stops 9 EA $205.00 $1,845.00 9 $1,845.00 15 3339.0001 Epoxy Manhole Liner(Warr 394 VF $196.00 $77,224.00 407.88 $79,944.48 16 3301.0001 Pre-CCTV Inspection 321 LF $5.00 $1,605.00 321 $1,605.00 17 3301.0002 Post-CCTV Inspection 7931 LF $2.00 $15,862.00 7931 $15,862.00 18 3301.0101 Manhole Vacuum Testing 23 EA $390.00 $8,970.00 23 $8,970.00 19 0330.0001 Concrete Encase 24"Sewer 90 LF $171.00 $15,390.00 90 $15,390.00 20 0241,2001 Sanitary Line Grouting 5 CY $292.00 $1,460.00 5 $1,460.00 21 0241.2103 8"Sewer Abandonment Plug 6 EA $134.00 $804.00 6 $804.00 22 0241.2201 Remove 4'Sewer Manhole(CO#2) 0 EA $775.00 $0.00 23 0241.5001 Abandon Manhole 2 EA $1,662.00 $3,324.00 2 $3,324.00 24 3137.0102 Large Stone Riprap,dry 400 SY $77.00 $30,800.00 400 $30,800.00 25 3201.0614 Cone Pvmt Repair,Residen 34 SY $149.00 $5,066.00 42 $6,258.00 26 3211.0122 6"Flex Base,Type A,GR- 409 SY $22.00 $8,998.00 409 $8,998.00 27 3212.0302 2"Asphalt Pvmt Type D(CO#3) 1.1 SY $35.00 $38.50 Tuesday,March 24,2020 Page 2 of 5 City Project Numbers 100924 DOE Number 0007 Contract Name Walsh Ranch Sanitary Sewer Extension,Phase IV A Estimate Number 20 Contract Limits Council District 3 Payment Number 20 Project Type Sewer For Period Ending 3/15/2020 Project Funding 28 3212.0501 4"Asphalt Base Type B(CO#3) 0 SY $70.00 $0.00 29 3212.0304 4"Asphalt Pvmt Type D(f(CO#3) 35.9 SY $70.00 $2,513.00 30 3216.0102 7"Cone Curb and Gutter( 15 LF $82.00 $1,230.00 15 $1,230.00 31 3292.0100 Block Sod Placement 7286 SY $5.00 $36,430.00 32 3292.0400 Seeding Hydromulch 41803 SY $2.00 $83,606.00 46644.05 $93,288.10 33 3471.0001 Traffic Control 9 MO $1,200.00 $10,800.00 9 $10,800.00 34 3125.0101 SWPPP >1 acre 1 LS $26,950.00 $26,950.00 1 $26,950.00 35 3110.0102 6"-12"Tree Removal 92 EA $561.00 $51,612.00 92 $51,612.00 36 3110.0103 12"-18"Tree Removal 46 EA $842.00 $38,732.00 46 $38,732.00 37 3110.0104 18"-24" Tree Removal 29 EA $1,122.00 $32,538.00 29 $32,538.00 38 3110.0105 24"and Larger Tree Remov 25 EA $1,684.00 $42,100.00 30 $50,520.00 39 9999.0000 30"Dia.Concrete Piers f 3 EA $16,000.00 $48,000.00 3 $48,000.00 40 9999.0001 Sanitary Sewer Manhole Ve 8 EA $5,800.00 $46,400.00 8 $46,400.00 41 9999.0002 Cramer Building Relocatio 1 LS $4,900.00 $4,900.00 1 $4,900.00 42 9999.0003 Construction Allowance 1 LS $150,000.00 $150,000.00 43 9999.0004 Construction Surveying(R 1 LS $4,000.00 $4,000.00 1 $4,000.00 44 9999.0005 Construction Staking 1 LS $20,000.00 $20,000.00 1 $20,000.00 C45 30"Solid Wall PVC Sewer Pipe(CO#1) 5311 LF $177.97 $945,198.67 5551 $987,911.47 C46 24"Solid Wall PVC Sewer Pipe(CO#1) 1583 LF $137.98 $218,422.34 1583 $218,422.34 C47 30"Solid Wall PVC Carrier Pipe(CO#1) 820 LF $165.00 $135,300.00 820 $135,300.00 C48 48"Casing By Open Cut(CO#2) 370 LF $469.00 $173,530.00 130 $60,970.00 C49 21"Sanitary Sewer Pipe(CO#2) 21 LF $381.00 $8,001.00 21 $8,001.00 C50 Adhesion and Spark Testing of MHs(CO#3) 407.88 VF $74.75 $30,489.03 407.88 $30,489.03 Sub-Total of Previous Unit $2,978,934.54 $2,749,904.14 Tuesday,March 24,2020 Page 3 of 5 City Project Numbers 100924 DOE Number 0007 Contract Name Walsh Ranch Sanitary Sewer Extension,Phase IV A Estimate Number 20 Contract Limits COtmeil District 3 Payment Number 20 Project Type SetVer For Period Ending 3/15/2020 Project Funding Contract Information Summary Original Contract Amount $2,824,611.00 Chanee Orders Change Order Number l $185,947.01 Change Order Number 2 ($31,624.00) Change Order Number 3 $0.53 Total Contract Price $2,978,934.54 Z�k ate Total Cost of Work Completed $2349,904.14 Con ractor Less 0 %Retained $0.00 Net Earned S2,749,904.1 4 Inspection Supervisor Earned This Period $179,962.04 , Retainage This Period $0.00 Date Less Liquidated Damages Project Manager Days @ /Day $0.00 AJIA Date LessPavement Deficiency $0.00 Asst.Director/TPW Less Penalty $0.00 Qbb%kW2- Less Previous Payment $2.569,942.10 e,H rder(May4,i0Z0) Date Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $179,962.04 Tuesday,March 24,2020 Page 4 of 5 FORTWORTH rev 03 WATER ENGINEERING & FISCAL SERVICES FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:20 NAME OF PROJECT: Walsh Ranch Sanitary Sewer Extension.Phase 4A PROJECT NO.: 100924 CONTRACTOR: Jackson DOE NO.: PERIOD FROM 03/01/20 TO: 03/15/20 FINAL INSPECTION DATE: 12/2/2020 WORK ORDER EFFECTIVE:7/23/2018 CONTRACT TIME: 270 O WD 0 CD DAY OF DAYS REASON FOR DAYS DAY OF DAYSREASON FOR DAYS MONTH CHARGED CREDITED MONTH LDURING]ARGE CREDITED 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 OTHERS` DAYS TOTAL & HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS THIS 0 0 PERIOD PREVIOUS 270 ,70 PERIOD TOTALS 270 270 TO DATE 'REMARKS: 1 NT ACTOR ATE INSPECTOR DATE WATER ENGINEERING&FISCAL SERVICES T1ie City of Fort Worth• 1000 Throckmorton Street• ['ort\C'ortlt,-I-_- 6012-637 7 (817')392-4477, •Fqx: (817)3q2-8460 FORT WORTH WATER ENGINEERING & FISCAL SERVICES PIPE REPORT FOR: PROJECT NAME: Walsh Ranch Sanitary Sewer Extension,Phase IV-A PROJECT NUMBER: 100924 DOE NUMBER: WATER PIPE LAID SIZE TYPE OF PIPE LF FIRE HYDRANTS: VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF 30" PVC 6131 24" PVC 1583 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Every 200 LF NEW SERVICES: WATER ENGINEERING&FISCAL SERVICES The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817) 392-4477 •Fat:(817) 392-8460 FORTWORTHREV:02/20/07 WATER ENGINEERING& FISCAL SERVICES PERFORMANCE EVALUATION OF CONTRACTOR n CONTRACTOR&PROJECT DATA Name of Contractor Project Name Jackson Construction Walsh Ranch Sanitary Sewer Extension,Phase 4A Water Engineering Inspector DOE Number Raymond H.Brice CPN#100924 Water Engineering Inspector Project Manager ❑ water 0 Waste water ❑ Storm Drainage ❑ Pavement Liam Conlon Initial Contract Amount Project Difficulty $2,824,611.00 Q Simple O Routine Complex Final Contract Amount Date $3,010,558.01 10/15/2019 II)PERFORMANCE EVALUATION 0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE 1 Submission of Documents 2 Y 3 8 6 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 3 60 45 5 Work Performed 15 Y 3 60 45 6 Finished Product 15 Y 3 60 45 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance 15 Y 3 60 45 9 Daily Clean Up 5 Y 4 20 20 10 Citizen's Complaint Resolution 5 Y 4 20 20 11 Property Restoration 5 Y 3 20 15 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 3 20 15 TOTAL ELEMENT SCORE(A) 376 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 376 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating(ITS/MS] * 100%) 376 / 448 = 84% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature Inspector Signature Contractor Signature Inspector's Supervisor CONTRACTOR'S COMMENTS WATER ENGINEERING&FISCAL SERVICES The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-4477•Fax: (817)392-8460 FORTWORTHREV:02/22/07 WATER ENGINEERING AND FISCAL SERVICES CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: Name of Contractor Project Name Jackson Construction Walsh Ranch Sanitary Sewer Extension,Phase 4A Water Engineering Inspector Project Manager Raymond H.Brice Liam Conlon DOE Number Project Difficulty Type of Contract CPN#100924 0 Simple Q Routine * Complex ❑water 2 waste water ❑Storm Drainage ❑ Pavement Initial Contract Amount Final Contract Amount $2,824,611.00 $3,010,558.01 In PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING JELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities 3 Applicability of Specifications 4 Display Of Professionalism 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timeframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature Inspector o=d` AA r�"r/1 /jarvi: Signature Inspector's Supervisor INSPECTOR'S COMMENTS Water Engneering and Fiscal Services The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-4477 •Fax: (817)392-8460 Y: ..I..: ,. ... C,a, ®id CONSTRUCTfON LTD. 5112 SUN VALLEY DRIVE FORT WORTH,TX 76119 TEL.,817-572-3303 FAX:817-478-0443 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 Troy L. Jackson, President Of Jackson Construction, Ltd, 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; Walsh Ranch Sanitary Sewer Extension,Phase IVA BY Troy . Jackson, President Subscribed and sworn before me on this date 2nd of October,2019. Notary ublic Tarrant, Texas o'""'•,, CARMEN L.ESTEP Notary Public.State of Texas �,; •'�z Comm.Expires 04-06-2020 Notary ID 2910611 jVop, WO 'r>j Citiy ®f Forrt @oath est CITYSECRETARY -= - "'r crrvo. �00 -CGS_ tea' `Protect Name: Walsh Ranch Sanitary Sewer Extension Phase IVA City Sec No.: 50672 Project No.(s): 56002/07004301/100924/001780 DOE No. N/A City Proj.No.: 100924 Project Description: 30-Inch Sanitary Sewer Main beginning at Lost Creek Blvd northwesterly 5350 feet. Contractor: Jackson Construction,Ltd. Change Order# F-73—] Date: 2/10/2020 City Project Mgr. Liam Conlon City Inspector: I Raymond Brice Phone Number: 817-392-6824 Phone Number: 817-392-8452 Dept. Sewer Totals Contract Time (Calender days) Original Contract Amount $2,824,611.00 $2,824,611.00 270 Extras to Date $185,947.01 $185,947.01 Credits to Date $31,624.00 $31,624.00 Pending Change Orders(in M&C Process) Contract Cost to Date $2,978,934.01 $2,978,934.01 270 Amount of Proposed Change Order $0.53 $0.53 Revised Contract Amount $2,978,934.54 $2,978,934.54 270 Original Funds Available for Change Orders $84,738.00 $84,738.00 Remaining Funds Available for this CO Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 5.46% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $3,530,763.75 JUSTIFICATION(REASONS)FOR CHANGE ORDER The change order will provide compensation for adhesion and spark testing for epoxy manhole liner that was required by City staff in accordance with current City specifications that were not in existence at the time this project was advertised for bid. AUe �ea yA Ci Secretary It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full(both time and money)for all costs arising out of,or incidental to,the above Change Order Contractor's Company Name Contractor Name Con ctor§Ignature 4 Ya!eZ JackspAi Construction, Ltd. Steve Haberstroh ',, t,� � 7/ o L Inspector Date Pro"e wager Dat 1- PC r,44.1 0.1-i /1 20 Director(Water t) Date struction Supervisor(Water Dept) Date Assi qt C' Date Assistgpt City PAELnager Date Council Action(If Required) I U M&C Number N/A M&C Date Approved N/A City of Fort Worth -L>`— Change Order Additions Project Name Walsh Ranch Sanitary Sewer Extension Phase IVA City Sec No.: 50672 Project No.(s): 56002/070043011100924/001780 DOE No. N/A City Proj.No.: 100924 Project Description 30 Inch Sanitary Sewer Main beginning at Lost Creek Blvd northwesterly 5350 feet. Contractor Jackson Construction,Ltd. Change Order:= Date: 2/10/2020 City Project Mgr. Liam Conlon City Inspector Raymond Brice ADDITIONS fi 1SCl2 DEPT Qty JUnit I Unit Cost Total C50 JAdhesion and Spark Testing Sewer 407.88 1 VF $74.75 $30,489.03 Sewer $30,489.03 Page 2 of 4 Additions Sub Total $30,489.03 L°Va),E?--F P,'TI-i City of Fort Worth ��--�1�--- Change Order Deletions l y ll_ Project Name Walsh Ranch Sanitary Sewer Extension Phase IVA City Sec No.: 50672 Project No.(s): 56002/07004301/100924/001780 DOE No. N/A City Proj.No.: 100924 Project Description 30 Inch Sanitary Sewer Main beginning at Lost Creek Blvd northwesterly 5350 feet. Contractor Jackson Construction,Ltd. Change Order: F3 I Date 2/10/2020 City Project Mgr. Liam Conlon City Inspector: Raymond Brice DELETIONS ITEM IDESCRIPTION DEPT Qty Unit Unit Cost Total >21R 2"Asphalt PVMT Type D Sewer 274.90 SY $35.00 $9,621.50 YW 4"Asphalt Base Sewer 276.00 SY $70.00 $19,320.00 -TV 4"Asphalt PVMT Type D Sewer 22.10 SY $70.00 $1,547.00 Sewer $30,488.50 Page 3 of 4 Deletions Sub Total 1$30,488.50 MMBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders co# DATE AMOUNT Total $0.00 Page 4 of 4 Contract Compliance Manager By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Signature Name of Employee Qro R-U+ Title CONSENT OF SURETY OWNER , TO FINAL PAYMENT ARMTECT D ALA Document G707 CONTRACTOR D SURETY Bond No. BCD1068029 OTHER D TO OWNER ARC}iITECrS PROJECT NO.: (.Name eard addrm) City of Fort Worth, TX CONTRACT FOR: Sanitary Sewer Extension Fort Worth TX PROJBCT: CON TACT DATEI?: (Naime and addna� Walsh Ranch, Phase IVA, City Project No. 100924 In accordance with the provisions of the Contract between the Owner and the Umtractor as indicated at'Ove,the (lrrsert namea»d address ofSart'rj) The Hanover Insurance Company 440 Lincoln Street Worcester MA 01653 SURETY, on bond of {lrrsen name and add>rss ofCenlraaar) Jackson Construction, Ltd. 5112 Sun Valley Drive Fort Worth TX 76119 COMRACTOR, hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shalt not relieve the Surety of any of its obligations to (t)Wrt Hauteandaddrev oj'or4mer) City of Fort Worth,TX Fort Worth TX OWNER, as Set fbrEb in said Surety S bond- IN VIMNESS WHEREOF,the Surety has hereunto set its hand can this date: October 2, 2019 (hurat rn u4itir�@ for rmauatbfcJlox�T b t the maneric darrand jcar.T The Hanover Insurance Company {$tmty) By: 2 �^ „ f !�Y'raturr arrrLorYzcxt rrprrxrntatira) At[Ctit: !/ � {Sear: Jack M. Crowley Attorney-in-Fact (Pr fi»cx.+r rarr:a atttJ t Yfr) Surety Phone No. 508-853-7200 x-4476 G707--1994 THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWER OF ATTORNEY THIS Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. KNOW ALL PERSONS BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing under the laws of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICA,a corporation organized and existing under the laws of the State of Michigan,(hereinafter individually and collectively the"Company")does hereby constitute and appoint, Steven R.Foster,Jack M.Crowley,Sonia Lara and Teuta Luri Of Willis of Texas,Inc.of Dallas,TX each individually,if there be more than one named,as its true and lawful attomey(s)-in-fact to sign,execute,seal, acknowledge and deliver for,and on its behalf,and as its act and deed any place within the United States,any and all surety bonds, recognizances, undertakings,or other surety obligations.The execution of such surety bonds,recognizances,undertakings or surety obligations,in pursuance of these presents,shall be as binding upon the Company as if they had been duly signed by the president and attested by the secretaryofthe Company,in theirown proper persons.Provided however,that this power of attorney limits the acts of those named herein;and they have no authority to bind the Company except in the manner stated and to the extent of any limitation stated below: Any such obligations in the United States,not to exceed Thirty Five Million and No/100($35,000,000)in any single instance That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said Company,and said Resolutions remain in full force and effect: RESOLVED: That the President or any Vice President, in conjunction with any Vice President, be and they hereby are authorized and empowered to appoint Attorneys-in-fact of the Company,in its name and as it acts,to execute.ar+d-acknow(edge for and on its behalf as surety, any and all bonds,recognizances,contracts of indemnity,waivers of citation and.iU-other Writings obligatory in the nature thereof,with powerto attach thereto the seal of the Company.Any such writing-so executed by such Attorneys-in-fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons. RESOLVED:That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed by the President or Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile. (Adopted October 7,1981—The Hanover Insurance Company;Adopted April 14, 1982—Massachusetts Bay Insurance Company;Adopted September 7,2001—Citizens Insurance Company of America) I IN WITNESS WHEREOF,THE HANOVER INSURANCE COMPANY,MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents,this 10th day of April,2019.- The Hanauer X�urance Company The Ha never Insurance Com n Massachusetts Bay InsQ ance Company Pa y Citiu ns Insurance Company of America 14assachusetts B.ay Insurance Compnvay C"rt¢cns Insurance Company of llrncraca Aa John C_Roche,ENT and President JamesH.Yi wiec1.3, Mice President THE COMMONWEALTH OF MASSACHUSETTS ) COUNTY OF WORCESTER )Ss. On this 101h day of April,2019 before me came the above named Vice Presidents of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,tome personally known to be the individuals and officers described herein,and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,respectively,and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Coporations. o NE J. YAMN0 Nanny PnElfe pow y WAC F� Di—J. a �,N'm—�Pohl;, wV 4.7� 3 M.Ca.mm:ssiun ExPi-- M—ch_,202_ I,the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America,hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further certify that the said Powers of Attorney are still in force and effect. GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 2ndday of October 2019 CERTIFIED COPY t T wdort G.Maam¢z.1,ioc Pra�id.ar I I \ 66 07 Universal 6112e {1 ACE PIPE CLEANING r2'616 c.11-26c E.,�0 A Carylon Company (816)2,505. more;ac=_pipe.com. 8/1/2019 TO: Nicole McCollum Jackson Construction 5112 Sun Valley Drive Fort Worth,TX 76119 Email: nicolem o jacksontx.net SUBJECT: Change Order Request#1 REFERENCE: Walsh Ranch City of Fort Worth Dear Nicole, Ace Pipe Cleaning(APC)respectfully requests a change for adhesion and spark testing if required by City of Fort Worth inspectors. Description Total Adhesion or Sparlc Testing per COFW Requirements $65.00 per VF Thank you for your consideration. 46 5 A.r- + 1s XO br Pt D = 7 4.7 S /V F f S.. zha fi o Plcase contact us with any questions, concerns or comments. Respectfully, Theresa Calvert Vice President 0 Ace Pipe Cleaning, Inc. M l'b �� FORT WORTH April 15,2020 Jackson Construction LTD 5112 Sin Valley Dr. Fort Worth,TX 76119 Re:Acceptance Letter Project Name: Walsh Ranch Sanitary Sewer Extension,Phase IV A Project Type: Sewer Project Ns: 100924 DOE. Ns: N/A Contract Ns: 50672 Dated: 3/27/2018 Gentleman: On December 02,2019 a final inspection was made on the subject project. There were punch list items identified at the time. The punch list items were completed on December 09,2019. The final inspection and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on December 09,2019,which is the date of punch list completion and will extend for (2) years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance,please feel free to contact me at (817) 392-6054 Yours Truly, Tony Sholola,P.E.,Assistant Director,Water Department TS / cc: Chris Harder,P.E.,Director,Water Department Laura Wilson,P.E.,Deputy Director,Water Department Captain Michael Strains,Fire Department Bill Lundval,Sanitary Sewer Systems Superintendent,Water Department Cesar Zavala, Water Systems Superintendent,Water Department Liam Conlon,Project Manager David R Johnson,Supervisor, Capital Projects Delivery,Water Department Raymond Brice,Inspector, Capital Projects Delivery,Water Department Ty Hilton,P.E.,Teauge Nall&Perkins,Consultant Jackson Construction LTD, Contractor File WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES THE CITY OF FORT WORTH * 1000 THROCKMORTON STREET * FORT WORTH, TExAs 76102 817-392-8240 * FAx 817-392-8195 c1 Printed on recycled paper