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Home My WebLink AboutContract 51703-FP1F��RT��R�H �...� a e - WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES NOTICE OF PROJECT COMPLETION CSC No. 51703-FP1 .�� I(�—loU�`7� C.� .�' 1 �0 3 DOE. Ns: N/A Regarding contract 51703 for Crowley Relief Interceptor M-325 For Village Creek Basin Part 2 as required by the Water Department as approved by City Council on 12/4/18 through M&C G28949 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: Amount of Approved Change Orders: Revised Contract Amount: Total Cost Work Completed: Less Deductions: Liquidated Damages: Other Deductions(see comments): Total Deduction Amount: Total Cost Work Completed: Less Previous Payments: Final Payment Due � �� :� --� Recommended for Acceptance Assistant Director, Water Department cG�ristopher l�arder Christopher Harder (Apr 12, 2021 L':03 CDT) Accepted Director, Water Department $4,518,099.30 $10,924.20 Ns 2 $4,529,023.50 $4,400,236.40 $0.00 $4,400,236.40 $4,301,637.87 �98,598.53 Days @ $630.00/ Day ��l�i Date Apr 13, 2021 Date �� ``�4y�� Apr 13, 2021 Dana 6urghdoff (Apr 12, 20 6:59 CDT' City Manager Date �� s� aFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Project Name: Crowley Relief Interceptor M-325 For Villa�e Creek Basin Part 2 DOE. Ns: N/A Comments: RPc�, �r�,l �f/�i/zl �U I�� z��E- �.I��R�- �ll�/zs � City Project Numbers 10027G Contract Name Crowley Rclief Interceptor M-32� For Village Creck 13asin Part 2 Contract Limits Project Type Scwer Project Funding �Coo 1(� -- l o a ��1 � CS 5�1 �l 0 3 DOE Number 0005 Estimate Number �7 Payment Number 37 For Period Ending 2/17/202] Project Manager Fu City Secretary Contract Number � I7o � Inspectors Johnson / Brice Contract Date 12/4/2013 Coutractor S.J. LOiiIS CONS'I�RUCf1UN OF TGXAS, LTD Contract Time 740 CD Days Charged to Date 740 CD , Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded � .__�cal l� -_�U�-] �' $�f�Sl�lC�rtq.3C� _ 1 u� B1(J. vo �- �5i, Z��.�� " ��S �`�. � 3 -- - S(.pUllD--2�,lodc�Ur� — �..o'�7La ° ��I�, Total Cost of Work Completed Less 0 % Retained Net Earned Earned This Period $93,593.53 Retainage This Period $0.00 Less Liquidated Damages � Days @ $0.00 / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Material on Hand Less 15% Bal�nce Due This Payment $4,400,236.40 $0.00 $4,400,236.40 $0.00 $0.00 $0.00 $4,301,637.87 $0.00 ��s,s�s.s� Friday, April 09, 2021 PaQe 5 of � �Q�RT �(�RTH CITY OF FORT WORTH F1NAL PAYMENT REQUEST Contract Name Crowley Relief Interceptor M-325 For Village Creek Basin Part 2 Contract Limits ProjectType Sewer City Project Numbers 100276 DOE Number 000� Estimate Number 37 Payment Number 37 For Period Ending 2/17/2021 CD City Secretary Contract Number � 1703 Contract Time 74�D Contract Date 12/4/2013 Days Charged to Date 740 Project Manager Fu Contract is 97.000 Complete Contractor 5.7. LOUIS CONSTRUCTION OF TEXAS, LTD � Inspectors Johnson / Brice Friday, April 09, 2021 PaQe 1 of � City Project Numbers 100276 Contract Name Crowley Relief Interceptor M-32� For Vi]la�e Creek Basin Part 2 Contract Limits Project Type Sewer Project Funding Sewer DOE Number 0005 Estimate Number 37 Payment Number 37 For Period Ending 2/17/2021 Item Descri tion of Items �stimated Estimated Com leted Com leted No. P l�nit Unit Cost P P _ Quanity Total Quanity Total 40 3110.010� 24" and Lar�er Tree Remov 6 EA $700.00 $4,200.00 6 $4,200.00 41 3311.0261 8" PVC WaterPipe 30 LF $150.00 $4,500.00 30 $4,500.00 42 3312.3003 3" Gate Valve 1 EA $1,000.00 $1,000.00 1 $1,000.00 43 3312.0117 Connection to Existina 4" 1 EA $700.00 $700.00 1 $700.00 44 0241.1218 4"-12" Water Abandonment 2 EA $300.00 $600.00 2 $600.00 4� 0241.1001 Water Line Grouting 1 CY $500.00 $500.00 1 $�00.00 46 0241.1303 Remove & Salva,�e 8" Water 1 EA $200.00 $200.00 1 $200.00 47 3311.0001 Ductile Iron Water Fittin 1 TO $1.00 $1.00 1 $1.00 43 0171.0101 Construction Stal:ing 1 LS $1�,000.00 $15,000.00 1 $15,000.00 49 0171.0102 As-Built Survey 1 LS $3,000.00 $3,000.00 I $3,000.00 50 9999.0001 Metering Station (Includin 1 EA $497,000.00 $497,000.00 1$497,000.00 � 1 9999.0002 Sanitary Sewer Manhole Ven S EA $5,000.00 $40,000.00 3 $40.000.00 53 9999.0003 Construction Allowance (CO#1) 0.635 LS $1�0,000.00 $9�?50.00 1.A 3331.4�05 42" DIP Sewer 330� LF $0.00 $0.00 I.B 3331.4508 42° Fiberglass Sewer Pipe 380� LF $337.00 ,232,235.00 330� 1,282.23�.00 1.0 3331.4�01 42" PVC ASTM F679 Sewer P 3305 LF $0.00 $0.00 2.A 3331.4413 36" DIP Sewer 2336 LF $0.00 $0.00 2.B 3331.4421 36" Fiber�lass Sewer Pipe 2336 LF $303.00 $707,303.00 2336 $707,803.00 2.0 3331.4414 36" PVC ASTM F679 Sewer P 2336 LF $0.00 $0.00 3 330�.1111 66" Casin� By Other Than 297 LF $1,� 16.00 $450,252.00 297 $4�0,2�2.00 4 3305.1109 �4" Casing Sy Other Than 230 LF $1,3�6.00 $311,380.00 2�0 $311,330.00 � 3305.3014 42" Sewer Carrier Pipe 297 LF $265.00 $78,70�.00 297 $78,70�.00 6 330�.3013 36" Sewer Carrier Pipe 230 LF $24�.00 $56,350.00 230 $56,3�0.00 7 3331.440� 30" DIP Sewer 156 LF $463.00 $73,003.00 1�6 $73,003.00 8 3331.4321 24" DIP Sewer 140 LF $344.00 $48,160.00 140 $43,160.00 9 3331.4ll� 8"SewerPipe 7� LF $70.00 $�,250.00 7� $5,250.00 10 3331.4203 12" Sewer Pipe 20 LF $90.00 $1,800.00 20 $1,500.00 11 3331.4303 21" Sewer Pipe 20 LF $120.00 $2,400.00 20 $2,400.00 12 3339.1101 S Manhole 7 EA $13,100.00 $91,700.00 7 $91,700.00 13 3339.1103 5' Extra Depth Manhole 157 VF $151.00 $28,417.00 157 $28,417.00 14 3339.110� 5' Type A Manhole 3 EA $18,�00.00 $55,500.00 3 $55,500.00 Friday, April 09, 2021 PaQe 2 of 5 City Project Numbers 100276 Contract Name Crowley Relief Interceptor M-325 For VillaQe Creek Basin Part 2 Contract Limits Project Type Sewer Project Funding DOE Number 000� Estimate Number 37 Payment Number .i7 For Period Ending 2/17/2021 15 3339.1201 6' Manho]e 6 EA $14,400.00 $36,400.00 6 $86,400.00 16 3339.1203 6' Extra Depth Manhole 34 VF $263.00 $22,512.00 34A� $22,525.40 17 3339.2001 Sanitary Sewer Junetion St 1 EA $70,500.00 $70,�00.00 I $70,500.00 13 3339.2001 Sanitary Sewer Junction St 1 EA $53,500.00 $53,500.00 1 $�3,�00.00 19 3303.0001 Bypass Pumpin� 1 LS $1.00 $1.00 I $1.00 20 3305A109 Trench Safety 6532 LF $0.�0 $3,291.00 6�32 $3,291.00 21 3305.0110 Utility Marhers(Buried Ma 1 LS $2,000.00 $2,000.00 1 $Z,000.00 22 3305.0110 Utility Mazkers (Surface 13 EA $100.00 $1,300.00 13 $1,300.00 23 330�.0116 Conerete Encasement for U 200 CY $140.00 $28,000.00 24 3305A112 Concrete Collar 16 EA $600.00 $9,600.00 16 $9,600.00 25 330�All3 TrenchWaterStops 10 EA $1,400.00 $14,000.00 10 $14,000.00 26 3339.0001 Epoxy Manhole Liner 319 VF $25�.00 $31,345.00 319 $31,345.00 27 3301.0002 Post-CCTV Inspection 7109 LF $L�0 $10,66350 6891 $10,336.�0 23 3301.0101 Manhole Vacuum Testin� 1S EA $I50.00 $2,700.00 1S $2,700.00 29 3339.0002 Epoxy Structure Liner (War 4430 SF $29.20 $129,3�6.00 44�0 $129,3�6.00 30 3213.0401 6" Concrete Driveway 1722 SF $9.00 $15,498.00 150� $16,245.00 31 3201.0614 Conc Pvmt Repair, Residen 65 SY $90.00 $5,8�0.00 32 3292.0100 Block Sod Placement 17� SY $5.00 $875.00 150 $7�0.00 33 3292.0400 Seeding, Hydromulch 36236 SY $030 $10,870.30 36236 $10,370.80 34 3231.0301 4' Gate, Steel (16' Wide) 5 EA $2,000.00 $10,000.00 5 $10,000.00 35 3471.0001 TrafticControl 11 MO $1.00 $11.00 1�.� $1>.�0 36 312�.0101 SWPPP > 1 acre 1 LS $23,000.00 $28,000.00 1 $25,000.00 37 3110.0102 6"-12" Tree Removal 213 EA $70.00 $14,910.00 213 $14,910.00 33 3110.0103 12"-1S° Tree Removal 32 EA $100.00 $3,200.00 .i2 $3,200.00 39 3110A104 13"-24° Tree Removal 7 EA $�00.00 $3,500.00 7 $3.500.00 �3 Relocation ofElectrical Poles (CO#1) 1 LS $13,206.07 $13,206.07 1 $13,206.07 54 Upsize of MHs due to ipe dia restrictions (CO#1) 1 LS $41,658.13 $41,6�8.13 1 $41.6�313 55 Replace 10' gates w H-brace and fencin� (CO#2) 1 LS $10,310.00 $10,810.00 1 $10,810.00 Sub-Total of Previo�s Unit $4,529,023.50 �4,400,236.40 Friday, April 09, 2021 Page 3 of 5 City Project Numbers 100276 Contract Name Contract Limits Project Type Project Funding Crowley Relief Interceptor M-325 For VillaQe Creek Basin Part 2 Sewer Contract Information Summary Original Contract Amount Chanae Orders Change Order Number 1 Change Order Number 2 � Date � Z Contractor �C� Date i� 1�—,%` i Inspection Sµpervgi r / �� ', �, `� y; 8 -�`, �'�� ` ,� P , r� � i �J � �� ' �. � � ., _ � �-a v Date Project Mana�er �l.o��y ��1 u[��`' Date .'�•-�'�' _�..6 Asst. Director/�W ' �' - e ; Christo�her Harder A r 12 2021 �n��ro�r„��-a�-;Fp��z.�oz��3:�3�� Date p ' Director / Contractin� Department Total Contract Price DOE Number 0005 Estimate Number 37 Payment Number 37 For Period Ending 2/17/2021 $4,513,099.30 $114.20 $10,810.00 $4,�29,023.50 Total Cost of Work Completed g4,400,236.40 Less 0 % Retained $0.00 Net Earned $4.400,236.40 Earned This Period $98,593.53 Retainage This Period $0.00 Less Liquidated Damages Days @ / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Material on Hand Less 15°/a Salance Due This Payment $0.00 $0.00 $0.00 $4.301,6��.s� $0.00 $93,�93.53 Friday, April 09, 2021 PaQe 4 of � FO RT WO RT H r�� °�'°',°' ,, WATER ENGINEERING & FISCAL SERVICES FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT N0.:37 NAME OF PROJECT: Crowley Relief lnterceptor M-325 for Villa�ee Creek Basin Part 2 PROJECT NO.: 100276 CONTRACTOR: SJ Louis CITY PROJECT 100276 PERIOD FROM:09/O1/21 TO: 02/17/21 FINAL INSPECTTON DATE: 2/17/2021 WORK ORDER EFFECTIVE: 12/4/2018 CONTRACT TIME; 370/740 � WD � 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 OTHERS x DAYS TOTAL & HOLIDAYS & TOO COLD RELOCATIONS CHARGED DAYS THIS PERIOD 740 740 PREVIOUS PERIOD TOTALS 740 740 TO DATE *REMARKS; ��i'�',� yd9�a, � �2 �s �; CONTRACTO� DATE INSPECTOR DATE Capital Projects Delivery, Water Department The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, T� 7G012-6311 (817) 392 - 4477 • Fax: (817) 392 - 8460 FORTWORTH �� Capital Projects Delivery, Water Department PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR & PROJECT DATA Name of Contractor SJ LOU1S Water Engineering Inspector Jesse Reed Water Engineering Inspector ❑ Water ❑� Waste Water ❑ Storm Drainage ❑ Pavement Initial Contract Amount $4,518,099.30 Final Contract Amount $4,529,023.50 II) PERFORMANCE EVALUATION Project Name Crowley Relief DOE Number Project Manager Scott Taylor Project Difficulty 0 Simple Date 4/9/2021 IuQc��l Q Routine ��: o�,�o,o� Creek Basin Part2 Q Complex 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 2 8 4 2 Public Notifications 5 Y 3 20 1� 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 3 60 4� 5 Work Performed 15 Y 3 60 45 6 Finished Product 1� Y 3 60 45 7 Job Site Safety 15 Y 3 60 45 8 Traffic Control Maintenance 15 Y 3 60 4� 9 Daily Clean Up 5 Y 3 20 15 10 Citizen's Complaint Resolution 5 Y 3 20 1 � 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 II� CONTRACTOR'S RATING Maximum Score (MS) = 448 or sum of applicable element score ma�imums which = TOTAL ELEMENT SCORE (A) BONUS POINTS (25 Maximum) (B) TOTAL SCORE (TS) 448 Rating ([TS / MS] " 100%) 344 / 448 = 77% Performance Category Good <20% = Inadequate 20% to <40% = Deficient 40% to <60% — Standard 60% to <80% = Good >80% = Excellent Inspector's Comments (INCLUDING EXPLANATION OF SONCiS POINTS AWARDED) Signature Inspector ,� ��^,� Signature Contractor � Signature Inspector's Supervisar � CONTRACTOR'S COMMENTS 344 344 � � l J i / Capital Projects Deliveiy, Water Department The City of Fort �orth • 1000 Thxocl�morton Street • Foxt Worth, T'� 76012-6311 (817) 392 - 4477 • Fas: (817) 392 - 8460 FORTWORTH ..,r � Capital Projects Delivery, Water Department CONTRACTOR'S EVALUATION OF CITY ��: o�,zz,o� I) PROJECT INFORMATION Date: � Name of Contractor Project Name Water Engineering Inspector Project Manager DOE Nt�mber Project Difficulty Type of Contract 0 Simple Q Routine � Complex ❑ Water ❑ Waste Water ❑ Storm Drainage ❑ Pavement Initial Contract Amount Final Contract Amount In PERFORMANCE EVALUATION 0- Inadequate 1- Deficient 2- Standard INSPECTION EVALUATION 1 Availability of Inspector 2 Knowled;e of Inspector 3 Accuracy of Measured Quantities 4 Display Of Professionalism 5 Citizen Complaint Resolution 6 Performance - Setting up Valve Crews Labs ADMINISTRATION 1 Chan�e Order Processing Time 2 Timliness of Contractor Payments 3 Bid Opening to Pre-Con Meeting Timeframe IIn COMMENTS & SIGNATURES COMMENTS Si�nature Contractor Signature Inspector Signature Inspector's Supervisor INSPECTOR'S COMMENTS 0 3 - Good 4 - Excellent RATING ELEMENT (0 - 4) y 3 3 3 PLANS & SPECIFICATIONS 1 Accuracy of Plans to Existin� Conditions 2 Clarity & Sufficiency of Details 3 Applicability of Specifications 4 Accuracy of Plan Quantities PROJECT MANAGER EVALUATION 1 Knowled�e And/Or Problem Resolution 2 Availability of Project Manager 3 Communication 4 Resolution of Utilitv Conflicts RATING (0 - 4) 3 3 Capital Projects Delivery, `�latei Depaxtment The Ciry of Fort Worth • 1000 Throckmorton Street • Fort �Ylorth, TX 76012-6311 (817) 392 - 4477 • Fax: (817) 392 - 8460 FORTWORTH ,a -, � WATER ENGINEERING & FISCAL SERVICES PIPE REPORT FOR: PROJECT NAME: PROJECT NUMSER: DOE NUMBER: PIPE LAID FIRE HYDRANTS: PIPE ABANDONED DENSITIES: NEW SERVICES: PIPE LAID SEWER SEWER SEWER SEWER SEWER PIPE ABANDONED SJ Louis Construction 100276 N/A SIZE SIZE SIZE 42" 36" g�� 12" 21" SIZE WATER TYPE OF PIPE VALVES (16" OR LARGER) TYPE OF PIPE SEWER TYPE OF PIPE FRP FRP PVC PVC PVC TYPE OF PIPE LF LF LF LF 3805 2336 75 20 20 DENSITIES: NEW SERVICES: WATER ENGINEERING & FISCAL SERVICES The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, T'Z 76012-6311 (817) 392 - 4477 • Fa�: (817) 392 - 8460 FURT ��c`,, i E��` _ _:.T_ city of Fort worth, TX CONSENT OF SUf2EiY COMPANY TO FINAL PAYMENT Bond No.190039530 PROJECT: rowley Relief Interceptor M-325 for Village Creek Basin, PROJECT NUMBER: Part 2 OWNER: it of Fort Worth Texas 100276 CONTRACTOR: .J. Louis Construction ofTexas, Ltd. EiVGINEER: The Surety Company, on bond of the Contractorlisted above for the referenced project, in accordance with the Contract Documents, hereby approves frnal payment to the Contractor, and agrees that frnal payment to the Contractor shall not relieve the Surety Company of any of its obligations to the Owner under the terms of the Contract and as sef forth in said Surety Company's bond. In witness whereof, the Surety Company has hereunto set its hand this 22�d day of February 20 21 Liberty Mutual Insurance Company Surety Company By ( �� .� �r� ��Authorized Representative Title Heather R. Goedtel, Attorney-in-Fact Address: Liberty Mutual Insurance Company 175 Berkeley Street Boston, MA 02116 Attach Power of Attorney � �..9 ��1��.v��-� , � ~ M � :'� °'.''1 ''! t,..'v�:. � l^ o ��iRcsy This Power of Attomey limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the e�Rent herein sta4ed. Liberty Mutual Insurance Company The Ohio Casualty Insurance Company WestAmerican Insurance Company Certifiqte No: 8202635-190003 POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetls, and West Ameriqn Insurance Company is a corporafion duly organized under the Iaws of the State of Indana (herein collectively qiled the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Blake S. Bolilig, Brian D. Carpenter, Kelly Nicole Enghauser, Heather R Goedtel, Michelle Halter, Jessica Hoff, Nicole Langer, Craig Olmstead, Laurie Pflug all of the aty of Bloomin�ton state of Minnesota each individually rf there be more than one named, its Uue and Iawful attorney-in-fact to make, execute, seal, adcnowledge and deliver, for and on its behalf as surery and as its act and deed, any and all undertakings, bonds, recogn¢ances and other surety obligations, in pursuance of these presents and shall be as binding upon t�e Companies as rf they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attomey has 6een subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 21st day of November , 2019 . Liberty Mutual Insuranc.e Company JP o�o U,qqy JP�t�ous�� pa �oURqy The Ohio Casualty insurance Company � � 'tar � 5 �o R*r y � o� �r o West American Insurance Company 2 ? F � 2 F`o l'p � 1912� � 0 1919� � � 1991 � ��j� y m o a G7// dJl SSACHU`��,da yo `�`HqMvs� da� �s �NOIANP' ,aD � r Ciui� 9i� * �� 'Hl * �P �M * �,�a By- �! �lavirl M 1'.arav Accistant Secratanr � ai c .� � � � N N C � StateofPENNSYLVANIA � Caunry of MONT�OMERY ss .� i� i> i� _� _-a 'sN ) � j O )�% _� `�-' - � o oM ;��4 �:��.�v .,'.��.'� COMMONWEALTH OF PENNSYLVANIA /I � � ,'.. ��:.� "y�?., ;-, �„ Notarial Seal � /q',�2�-c�-Ai O � � . �_ i Teresa Pasteila, Notary Public � Upper Merion Twp., Montgomery County B�/: N � c, ��' My Commission Expires March 28, 2021 �� ,\��,�,5,,��P��;,. ;' �eresa Pastella, Notary Public o � ..c: �`�.•.--- M be P i ' Ass ' � ( N la " - em , ennsyvama ocia ono o nes ' � r.:F�:�.m.a-C'L`^�I � __ ' a� This Power of Attomey is made and executed pursuant to and by authority of the foilowing By-laws and Author¢a6ons of The Ohio Casualty Insurance Company, Liberty Mutual .� Insurance Company, and WestAmerican insurance Company which resolutions are now in iull force and effect reading as foilows: � ARTICLE IV-OFFICERS: Section 12. PowerofAttomey. � Any officer or other offiaal of the Corporation authorized for that purpose in writing by the Chairtnan or the President, and subject to such limitation as the Chairman or the v President may prescribe, shall appoint such attomeys-in-fack as may be necessary to ad in behalf of ihe Corporation to make, execute, seal, acknowledge and deliver as surety � any and all undertakings, bonds, recognizances and other surety obliga5ons. Such attomeys-in-fact, subject to the limitations set forth in their respective powers of attomey, shall � have full power to bind the Corporation by their signature and execution of any such instruments and to aflach thereto the seal of the Corporation. When so executed, such � insWments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representaUve or attomey-in-fact under the provisions of this arGde may be revoked at any bme by the Board, the Chairtnan, the President or by the officer or officers gran6ng such power or aufhority. ARTICLE XIII - E�cecution of Cor�tracts: Section 5. Surety Bonds and Underfakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairtnan or the president may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seai, adcnowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys-in-fact subject to the limitations set forth in their respective powers of attomey, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested 6y the secretary. Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attomeys-in- fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recogn¢ances and other surety obligations. Authorization - By unanimous consent of the Company�s Board of Directors, The Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attomey issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Muh�al Insurance Company, and West Ameriqn Insurance Company do hereby certify that the original power of attomey of which the foregoing is a fuil, true and correct copy of the Power of Attomey executed by said Companies, is in full force and effect and has notbeenrevoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seais of said Companies this 22nd day of February . 2021 . On this 21 st day of November , 2019 before me personally appeared David M. Carey, who acknowiedged himself to be the Assistant Secretary of Liberty Mutual Insurance o Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes —� therein contained by signing on behalf of the corporaUons by himself as a dufy authorized officer. � w IN WITNESS WHEREOF, I have her�eunto subscribed my name and a�ixed my notarial seal at IGng of Prussia, Pennsylvania, on the day and year first above written. P� tNSUR9 P�'jY WSpp � \NSp� J otuoa�r '!�� yJ GoxroR-0T qy \Q'GpnvoRqf L� J:'� Fo c� Q 3 Fo O � a `Oo c� /'� � 1912 � 0 1919 � � 1991 a ',i'��L� 2 �, o a g t d� ssqcxus�da Z� �`'Hq,„e5� ya �s 'ND1peP aa y, Renee C. Lleuvell Assistant Secreta ejT * l�� H1 * t-� . �61 * 1�� Yn� rY 0- O N � � � .� c o� �� =a � '� � >o � N w� � N � °° 00 U �— o� F- � LM�12873 LMIC OCIC WAIC Multi Co 062018 CSC No. 51703-0O2 FORT «TORTI� City of Fort W�rth Change Order Request Project Name: Crowley Relief Interceptor M-325 for Village Creek Basin Part 2 City Sec No.: 51703 Project No.(s): 56016•o7ao43o-o017s7 DOE No. N/A City Proj. No.: 100276 Project Basins Relief Interceptor, Part 2 to provide additional capacily in the Upper �Ilage Creek and Contractor: S. J. Louis Conslruclion of Texas, LTD Change Order# � Daie 3/9/2021 City Project Mgr. Scott Taylor City Inspector: David R. Johnson Phone Number: 817-392-8480 Pfione Number: 817-392-8455 Dept. Original Coniract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date Amount of Proposed Change Order Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) Totais I Contraci Time $1 790.80 CHANGE ORDERS to DATE (INCLUDING THIS ONEJ AS % OF ORIGINAL CONTRACT 024% MAXALLOWABLE CONTR,QCT AMOUNT (OR1GlNAL CONTRACT COST+ 25%J $5,647,624.13 JUSTIFICATION (REASONS) FOR CHANGE ORDER The change order will provide for lhe installalion of two -10 feet double cattle gates to satisfy easement conditions of a property owner. An addiiional 380. days is needed on lhe project for the contractor not being able to commission lhe meter station until another contractor completed its construction, the relocation of conilicling power poles, and protracted negotiations with some adjacent properly owners to resolve post construction issues on lheir proper6es. Sewer 023.50 It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in tull (both time and money) for all costs arising out of, or incidental to, the above Change Order. � F`o � �e `V'�� x� � �--i City of Fort Worth Change Order Additions Project Name Crowley Relief Interceptor M-325 for Village Creek Basin Part 2 City Sec No.: 51703 Project No.(s): 56016-0700430-001787 DOE No. N/A City Proj. No.: 100276 Projecl Description Installation of Crowley Relief Interceptor, Part 2 to provide adtlitiona! capacity in the Upper Village Creek and Clear Fork Drainage Basins Contractor S. J. Louis Construction of Texas, LTD Change Order: �2 Date: 3/9/2021 City Project Mgr. Scott Taylor City Inspector David R. Johnson ADDITIONS `=' : . _. : DEPT QiY _- Unif �Jnit Cost To�al 55 Replace Gates with 10 ft. Double Cattle Gates wifh Fencing and H-Brace Re Sewer 1.00 LS $10,810.00 �10,810.00 Sewer $10,810.00 Page 2 of 4 Additions Sub Total $10,810.00 FOIEz�' ti�Y�i-�T�-I City of Fort Worth Change Order Deletions Project Name Crowley Refief Interceptor M-325 for Village Creek Basin Parf 2 City Sec No.: 51703 Project No.(s): 56016-0700430-001787 DOE No. N/A City Proj. No.: 100276 Project Description Installation of Crowley Relief Interceptor, Part 2 to provide additional capacify in the Upper Village Creek and Clear Fork Drainaae Basins Contractor S. J. Louis Construction of Texas, LTD Change Order: �2 Date 3/9/2021 City Project Mgr. Scott Taylor City Inspector: David R. Johnson DELETIONS Page 4 of 4 nnnnro� o..--'--'----�- �---,�_�_ �,�_ ,. . Con�iracfi Compliance Mana�er By signing I acicnowledge that I azn the person responsible for the monitoring and adminisiration of this contract, including ensuring all performanca and reporting requirements. _ �'��t-i��2, ��' Signature _ ��—�' S c`�`f E �3�- . Name of Employee � � �� .�C.'� l�C��r��_ J S Title ATTEST: ` ✓ 0 0 ''�71 ~ MaryJ. Kayser City Secretary City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 100276 Contract Name Crowley Relief Interceptor M-325 For Village Creek B DOE Number 0005 Contract Limits: Estimate Number 37 Project Type Sewer Payment Number 37 Control Number 000502 For Period Ending o� l/%l v' i Contract: 51703 Contract Date: 12/4/2018 Contract Time 740 CD Inspectors Johnson / Brice Days Charged to Date !�l% CD Date Prepared by Inspector �/_� /�j' Contract is % Complete Construction ID: 12448 Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost No. Quanity Quanity for Month Quanity Sewer - — - 40 3110.0105 24" and Larger Tree 6 EA $700.00 6 Remov 41 3311.0261 8" PVC Water Pipe 30 LF $150.00 30 42 3312.3003 8" Gate Valve 1 EA $1,000.00 1 43 3312.0117 Connection to Existing 1 EA $700.00 1 4�� 44 0241.1218 4"-12" Water 2 EA $300.00 2 Abandonment 45 0241.1001 Water Line Grouting 1 CY $500.00 1 46 0241.1303 Remove & Salvage 8" 1 EA $200.00 1 Water 47 3311.0001 Ductile Iron Water Fittin 1 TO $1.00 1 48 0171.0101 Construction Staking 1 LS $15,000.00 1 49 0171.0102 As-Built Survey 1 LS $3,000.00 1 50 9999.0001 Metering Station 1 EA 497,000.00 1 (Includin 51 9999.0002 Sanitary Sewer 8 EA $5,000.00 8 Manhole Ven 52 9999.0003 Construction Allowance 0.635 LS 150,000.00 (CO#1) 1.A 3331.4505 42" DIP Sewer 3805 LF $0.00 1.B 3331.4508 42" Fiberglass Sewer 3805 LF $337.00 3805 Pipe Friday, Apri19, 2021 Page 1 c�ty of Fort wo�tn Inspector's Estimate Worksheet City Project Numbers 100276 Contract Name Crowley Relief Interceptor M-325 For Village Creek B DOE Number 0005 Contract Limits: Estimate Number 37 Project Type Sewer Payment Number 37 1.0 3331.4501 42" PVC ASTM F679 3805 LF $0.00 Sewer P 2.A 3331.4418 36" DIP Sewer 2336 LF $0.00 2.B 3331.4421 36" Fiberglass Sewer 2336 LF $303.00 2336 Pipe 2.0 3331.4414 36" PVC ASTM F679 2336 LF $0.00 Sewer P 3 3305.1111 66" Casing By Other 297 LF $1,516.00 297 Than 4 3305.1109 54" Casing By Other 230 LF $1,356.00 230 Than 5 3305.3014 42" Sewer Carrier Pipe 297 LF $265.00 297 6 3305.3013 36" Sewer Carrier Pipe 230 LF $245.00 230 7 3331.4405 30" DIP Sewer 156 LF $468.00 156 8 3331.4321 24" DIP Sewer 140 LF $344.00 140 9 3331.4115 8" Sewer Pipe 75 LF $70.00 75 10 3331.4208 12" Sewer Pipe 20 LF $90.00 20 11 3331.4308 21" Sewer Pipe 20 LF $120.00 20 12 3339.1101 5' Manhole 7 EA $13,100.00 7 13 3339.1103 5' Extra Depth Manhole 157 VF $181.00 157 14 3339.1105 5' Type A Manhole 3 EA $18,500.00 3 15 3339.1201 6' Manhole 6 EA $14,400.00 6 16 3339.1203 6' Extra Depth Manhole 84 VF $268.00 84.05 17 3339.2001 Sanitary Sewer 1 EA $70,500.00 1 Junction St 18 3339.2001 Sanitary Sewer 1 EA $53,500.00 1 Junction St 19 3303.0001 Bypass Pumping 1 LS $1.00 1 20 3305.0109 Trench Safety 6582 LF $0.50 6582 21 3305.0110 Utility Markers(Buried 1 LS $2,000.00 1 Ma Friday, April 9, 2021 Page 2 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 100276 Contract Name Crowley Relief Interceptor M-325 For Village Creek B DOE Number 0005 Contract Limits: Estimate Number 37 Project Type Sewer Payment Number 37 22 3305.0110 Utility Markers 13 EA $100.00 13 (Surface 23 3305.0116 Concrete Encasement 200 CY $140.00 for U 24 3305.0112 Concrete Collar 16 EA $600.00 16 25 3305.0113 TrenchWaterStops 10 EA $1,400.00 10 26 3339.0001 Epoxy Manhole Liner 319 VF $255.00 319 27 3301.0002 Post-CCTV Inspection 7109 LF $1.50 6891 28 3301.0101 Manhole Vacuum 18 EA $150.00 18 Testing 29 3339.0002 Epoxy Structure Liner 4430 SF $29.20 4430 (War 30 3213.0401 6" Concrete Driveway 1722 SF $9.00 1805 31 3201.0614 Conc Pvmt Repair, 65 SY $90.00 Residen 32 3292.0100 Block Sod Placement 175 SY $5.00 150 33 3292.0400 Seeding, Hydromulch 36236 SY $0.30 36236 34 3231.0301 4' Gate, Steel (16' 5 EA $2,000.00 5 Wide) 35 3471.0001 Traffic Control 11 MO $1.00 15.5 36 3125.0101 SWPPP >_ 1 acre 1 LS $28,000.00 1 37 3110.0102 6"-12" Tree Removal 213 EA $70.00 213 38 3110.0103 12"-18" Tree Removal 32 EA $100.00 32 39 3110.0104 18"-24" Tree Removal 7 EA $500.00 7 53 Relocation of Electrical Poles 1 LS $13,206.07 1 (CO#1) 54 Upsize of MHs due to ipe dia 1 LS $41,658.13 1 restrictions (CO#1) 55 Replace 10' gates w H-brace and 1 LS $10,810.00 fencing (CO#2) � � � �_ �',�� Friday, April 9, 2021 Page 3 c�ty ot Fort wortn Inspector's Estimate Worksheet City Project Numbers 100276 Contract Name Crowley Relief Interceptor M-325 For Village Creek B DOE Number 0005 Contract Limits: Estimate Number 37 Project Type Sewer Payment Number 37 S' S'oo, a3�. %� :stimated Total This Unit $4,529,023.�0 Completed Total This Unit �4,389,426.40 / � �io a� Total ltemized Amount (Including Change Order $4,529,023.50 �,�''�--- DATE ✓�- �'� Total Cost of Work Completed � , � �� y �� d .' :�� Inspector Less �% Retained O� UG Net Earned %y%'' � %� �� _�— � — Previous Payment $4,301,637.87 Material on Hand 15% �� Balance Due This Payment %� S%�; 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N O N � � Q � w FORTWORTH Apri109, 2021 S.J. Louis Construction of Tesas, LTD 520 South 6th Avenue Mansfield,l� 76063 Re: Acceptance Letter Project Name: Crowley Relief Interceptor M-325 For Village Creek Basin Part 2 Project Type: Sewer Project No: 100276 DOE. Ns: N/A Contract Ns: 51703 Dated: 12/4/201 � Gendeman: On November 12, 2020 a final inspecuon �vas made on the subject project. There �vere punch list items identified at the time. The punch list items were completed on November 19, 2020 . 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. T'he warranty period will start on November 19, 2020 , which is the date of punch list completion and will eztend for (2) years in accordance �vith the Contract Documents. If you have any questions concernin� this letter of acceptance, please feel free to contact me at (817) 392-6054 Yours Truly, ..� 1, � � r ��v ��, "� - �� , `' g Tony Slzolola, P.E., Assistant Director, Water Department TS / cc. Chris Harder, P.E., Director, `�ater Department Laura Wilson, P.E., Deputy Director, Water Department Captain Michael Skains, Fire Department Bill Lundval, Sanitaiy Se��er Systems Superintendent, ��1ate� Department Cesar Zavala, Watex Systems Superintendent, Water Department Rakesh Chaubey, Scott Taylor, P.E. , Project Manager David R Johnson, Inspection Supervisor, Capital Projects Delivery, Water Department Raymond Brice, Jesse Reed, Inspector, Capital Projects Delivery, Water Department Brenda Eustasio, P.E. TNP, Consultant S.J. Louis Construction of Tezas, LTD. , Contractor File WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES THE CITY OF FORT WORTH * lOOO THROCKMORTON STREET * FORT WORTH, TEXAS %6102 817-392-8240 * Fax 817-392-8195 �� Printed on recycled paper