HomeMy WebLinkAboutContract 56583-FP1AC Coded 02.21.23
Vendor Name: S J Louis Construction
of Texas LTD
VendorID# 0000007647
Release retainage-$196,497.97
FID 56020-206000-103505-RETAIN
FORTWORTH
CSC No. 56583-FP1
-ww"r-
WATER DEPARTMENT
ENGINEERING AND FISCAL SERVICES
NOTICE OF PROJECT COMPLETION 56002-103505
CS 56583
Regarding contract 56583 for Northpoint 24-inch Water Transmission main (N4-1A) as required by the Water
Department as approved by City Council on 1-14-2003 through M&C C-19420 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
b Al J /h
Recommended for Acceptance
Assistant Director, Water Department
l �/�tdi,G7LQiL ,�
Christopher Hard (Feb 21, 202368:04 CST)
Accepted
Director, Water Department
�'bIq [�Gl�GIGIG�O�
Dana Burghdoff (Fe1521, 20231 :43 CST)
City Manager
$3,940,000.43
$79,124.49 Ns 4
$4,019,124.92
$4,004,152.52
0 Days @ $630.00/ Day
$3,709.64
$3,709.64
$4,000,442.88
$3,803,944.91
$196,497.97
2 /-
Date
Date
Date
Project Name: Northpoint 24-inch Water Transmission main (N4-1A) DOE. Ns:
Comments: Work Order Number 22-71306 for the amount of $3,709.64, Fort Worth Water Department Special Billing.
Contractor cut 24" water main causing break. this billing for water loss was calculated using SCADA.
City Project Numbers 103505
Contract Name Northpoint 24-Inch Water Transmission Main (N4-IA)
Contract Limits Council Dristrict
Project Type Water
Project Funding
Project Manager Argomaniz
Inspectors Johnson / Drake
Contractor S.J. LOUIS CONSTRUCTION OF TEXAS, LTD
P.O. BOX 834
MANSFIELD, TX 76063-0834
56002-103505
CS 56583
DOE Number
0011
Estimate Number
14
Payment Number
14
For Period Ending
1/15/2023
City Secretary Contract Number 56583
Contract Date
10/19/2021
Contract Time
345 CD
Days Charged to Date
289 CD
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 $4,004,152.52
Less 0 % Retained
$0.00
Net Earned
$4,004,152.52
Earned This Period $200,207.63
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
$3,803,944.89
Plus Material on Hand Less 15%
$0.00
Balance Due This Payment
$200,207.63
Friday, February 17, 2023 Page 5 of 5
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name
Northpoint 24-Inch Water Transmission Main (N4-IA)
Contract Limits
Council Dristrict
Project Type
Water
City Project Numbers 103505
DOE Number
0011
Estimate Number 14 Payment Number 14 For Period Ending
City Secretary Contract Number 56583
Contract Date 10/19/2021
Project Manager Argomaniz
Contractor S.J. LOUIS CONSTRUCTION OF TEXAS, LTD
P.O. BOX 834
MANSFIELD, TX 76063-0834
Inspectors Johnson / Drake
1/15/2023
CD
Contract Time 346D
Days Charged to Date 289
Contract is 100.00 Complete
Friday, February 17, 2023 Page 1 of 5
City Project Numbers 103505
Contract Name Northpoint 24-Inch Water Transmission Main (N4-IA)
Contract Limits Council Dristrict
Project Type Water
Project Funding
Water
Item Description of Items
No.
-----------------
IA* 3311.0651 24" DIP Water
1B* 3311.0671 24" Steel AWWA C200 Water
1C* 3311.0681 24" Concrete AWWA C303 Wa (CO#2)
2A* 3311.0652 24" DIP Water, CSS Backfr
2B* 3311.0672 24" Steel AWWA C200 Water
2C* 3311.0682 24" Concrete AWWA C303 Wa (CO#2)
3A* 3311.0654 24" DIP Water (Restrained
3B* 3311.0674 24" Steel AWWA C200 Water
3C* 3311.0684 24" Concrete AWWA C3 03 Wa (CO#2)
4A* 3311.0655 24" DIP Water, CSS Backfi
4B* 3311.0675 24" Steel AWWA C200 Water
4C* 3311.0685 24" Concrete AWWA C303 Wa (CO#2)
5A* 3311.0001 Ductile Iron Water Fittin
5B* 3311.0011 Steel Fittings
5C* 3311.0021 C303 Fittings
6 3305.2007 24" Water Carrier Pipe (CO#2)
7 3305.1202 42" Casing/Tunnel Liner P (CO#2)
8 3311.0241 8" Water Pipe
9 3311.0001 Ductile Iron Water Fittin
10 3312.3008 24" Gate Valve w/ Vault (CO#2)
11 3312.3003 8" Gate Valve
12 3312.6003 8" Blow Off Valve
13 3312.1004 4" Combination Air Valve
14 3312.0108 Connection to Existing 24
15 3312.0117 Connection to Existing 4"
16 3304.0002 Cathodic Protection
17 9999.0001 Soil Corrosivity Investig
18 0171.0101 Construction Staking
19 0171.0102 As -Built Survey
20 0241.1019 Remove 24" Water Line
21 3125.0101 SWPPP > 1 acre
DOE Number
0011
Estimate Number
14
Payment Number
14
For Period Ending
1/15/2023
Estimated Unit
Unit Cost
Estimated
Completed Completed
Quanity
Total
Quanity
Total
- - - -
3424 LF
- - -
- - - -
- - -
- - - - -
3424 LF
3367 LF
$268.00
$902,356.00
3367
$902,356.00
1223 LF
1223 LF
1219 LF
$447.00
$544,893.00
1219
$544,893.00
2032 LF
2032 LF
2029 LF
$296.00
$600,584.00
2029
$600,584.00
1901 LF
1901 LF
2013 LF
$474.00
$954,162.00
2013
$954,162.00
23 TO
1 LS
1 LS
$1.00
$1.00
1
$1.00
132 LF
$324.00
$42,768.00
132
$42,768.00
132 LF
$1,133.00
$149,556.00
132
$149,556.00
163 LF
$142.00
$23,146.00
163
$23,146.00
1 TO
$1.00
$1.00
1
$1.00
9 EA
$35,200.00
$316,800.00
9
$316,800.00
5 EA
$1,400.00
$7,000.00
5
$7,000.00
6 EA
$16,300.00
$97,800.00
6
$97,800.00
5 EA
$22,100.00
$110,500.00
5
$110,500.00
1 EA
$7,300.00
$7,300.00
1
$7,300.00
2 EA
$2,800.00
$5,600.00
2
$5,600.00
1 LS
$44,000.00
$44,000.00
1
$44,000.00
1 LS
$10,000.00
$10,000.00
1
$10,000.00
1 LS
$27,000.00
$27,000.00
1
$27,000.00
1 LS
$3,000.00
$3,000.00
1
$3,000.00
29 LF
$10.00
$290.00
29
$290.00
1 LS
$21,000.00
$21,000.00
1
$21,000.00
Friday, February 17, 2023 Page 2 of 5
City Project Numbers 103505 DOE Number 0011
Contract Name Northpoint 24-Inch Water Transmission Main (N4-lA) Estimate Number 14
Contract Limits Council Dristrict Payment Number 14
Project Type Water For Period Ending 1/15/2023
Project Funding
22
3201.0614 Conc Pvmt Repair, Residen (CO#2)
248 SY
$120.00
$29,760.00
142.93
$17,151.60
23
3201.0616 Conc Pvmt Repair, Arteria
289 SY
$130.00
$37,570.00
289
$37,570.00
24
3291.0100 Topsoil
29 CY
$30.00
$870.00
25
3292.0400 Seeding, Hydromulch
508 SY
$2.00
$1,016.00
26
3305.0103 Exploratory Excavation of
14 EA
$700.00
$9,800.00
14
$9,800.00
27
3305.0109 Trench Safety (CO#2)
8791 LF
$0.01
$87.91
8791
$87.91
28
3305.0110 Utility Markers
I LS
$1,000.00
$1,000.00
0.522
$522.00
29
9999.0001 Contingency (CO#2)
0 LS
$100,000.00
$0.00
30
Tree Removal (CO#4)
1 LS
$14,432.50
$14,432.50
1
$14,432.50
1
Labor and Equipment (CO#1)
1 LS
$3,689.78
$3,689.78
1
$3,689.78
2
Equipment (CO#1)
1 LS
$8,079.21
$8,079.21
1
$8,079.21
3
Additional Pipe for Conflict 0+00 (CO#1)
1 LS
$42,187.29
$42,187.29
1
$42,187.29
4
Concrete Blocking for Additional Bends 0+00
1 LS
$967.15
$967.15
1
$967.15
(CO# 1)
5
Manhole Demolition and Salvage STA 0+00 (CO#1)
1 LS
$575.00
$575.00
1
$575.00
6
--------------------------------------
Re -Work Charge for Conflict 8+64 (CO#1)
1 LS
$1,333.08
$1,333.08
1
$1,333.08
--------------------------------------
Sub-Total of Previous Unit
$4,019,124.92
$4,004,152.52
Friday, February 17, 2023 Page 3 of 5
City Project Numbers 103505.
Contract Name Norihpoint 24-Inch Water Transmission Main (N4-IA)
Contract Limits Council Drislrict
Project Type Water
Project Funding
Contract Information Summary
Original Contract Amount
ChanLe Orders
Change Order Number 1
Cliange Order Number 2
ChangeOrdcrNumber 3
Change Order Number 4
Date yJ
Contractor
%� �—
Inspection Supervisor
. _.._A�Date
Project Mana er
�� <
��- o G) Date Z f /?/Z3
Asst. Direclor[PIW- W N tr
a„ke �444,� Date
Director / Contracting Department
. DOE Number 0011
Estimate Number 14
Payment Number 14
For Period Ending 1/15/2023
$3,940,000.43
$56,831.51
$7,860.48
$0.00
$14,432.50
Total Contract Price $4,019,124.92
Total Cost of Work Completed $4,004,152.52
Less 0 % Retained
$0.00
Net Earned
$4,004,152.52
Earned This Period $200,207.63
Retainage This Period $0.00
Less Liquidated Damages
Days @ / Day
$0.00
LessPavement Deficiency
$0.00
Less Penalty
$0.00
Less Previous Payment
$3,803,944.89
Plus Material on Hand Less 15%
$0.00
Balance Due This Payment
$200,207.63
Friday, February 17, 2023 Page 4 of 5
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FORTWORTH rev 03/05/07
WATER ENGINEERING & FISCAL SERVICES
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO. 14
NAME OF PROJECT: Northpointe 24-inchWater Transmission Main (N4-IA)
PROJECT NO.:
103505
CONTRACTOR: S.J . Louis
CITY PROJECT CO1468
PERIOD FROM 11/01/22
TO: 01/15/23
FINAL INSPECTION DATE: 11/29/2022
WORK ORDER EFFECTIVE 12/612021
CONTRACT TIME 270 O WD O CD
DAY OF DAYS
CHARGED
REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH
DURING
CREDITED
MONTH CHARGED CREDITED
DURING
1. 1
16. 1
2. 1
17. 1
3. 1
18. 1
4• 1
19. 1
5. 1
20. 1
6. 1
21. 1
7. 1
22. 1
8. 1
23. 1
9. 1
24. 1
10. 1
25. 1
11. 1
26. 1
12. 1
27. 1
13. 1
28. 1
14. 1
29. 1
15. 1
30. 1
31. 1
SAT, SUN,
RAIN, TOO WET,
UTILITIES
DAYS
TOTAL
& HOLIDAYS
& TOO COLD
RELOCATIONS
OTHERS*
CHARGED
DAYS
THIS
PERIOD
19
19
PREVIOUS
PERIOD
270
270
TOTALS
TO DATE
.4T TlR I T1/tom
289
289
Substanial work has been completed Stop Time la�t-dav removal of street Barricades as of 9/20/21.
t ()KY DATE INSI?) e`TOi " / , , DATE
Capital Projects Delivery, Water Department
The Cfi7� of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 4477 • Fax: (817) 392 - 8460
FORT WORTH
WATER ENGINEERING & FISCAL SERVICES
PIPE REPORT FOR:
PROJECT NAME:
Northpointe 24- inch Water Transmission Main
PROJECT NUMBER:
CPN 103505
DOE NUMBER:
11
WATER
PIPE LAID
SIZE TYPE OF PIPE
LF
Concrete
24 Water
5393
PVC
8 Water
163
FIRE HYDRANTS:
VALVES (16" OR LARGER)
9
PIPE ABANDONED
SIZE TYPE OF PIPE
LF
PVC
24
29
DENSITIES:
Passed for the entire project
NEW SERVICES:
yes
SEWER
PIPE LAID
SIZE TYPE OF PIPE
LF
PIPE ABANDONED
SIZE TYPE OF PIPE
LF
DENSITIES:
PASSED
NEW SERVICES:
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
Capital Projects Delivery, Water Department
CONTRACTOR'S EVALUATION OF CITY
1) PROJECT INFORMATION Date: 17-Feb-23
Name ojContractor
Project Maine
SJ Louis
Northpoint 24-inch Water Transmission Main
Water Engineering Inspector
Project Manager
Carmen Drake -
Suzanne Abbe
DOE Number
Project Difficulty
Type ojContract
56583
Q Simple QQ Routine Q Complex
❑✓ Water ❑ Waste Water ❑ Storm Drainage ❑ Pavement
Initial Contract Amount
Final Contact Aurount
$3,940,000.43
$4,019,124.92
II) PERFORMANCE EVALUATION
0 - Inadequate 1 -Deficient 2 - Standard 3 - Good 4 - Excellent
ELEMENT
RATING
(0 - 4)
ELEMENT
RATING
(0 - 4)
INSPECTION EVALUATION
PLANS & SPECIFICATIONS
I Availability of Inspector
3
1 Accuracy of Plans to Existing Conditions
2-
2 Knowledge of Inspector
3
2 Clarity & Sufficiency of Details
3 Accuracy of Measured Quantities
3
3 Applicability of Specifications
3
4 Display Of Professionalism
3
4 Accuracy of Plan Quantities
3
5 Citizen Complaint Resolution
PROJECT MANAGER EVALUATION
6 Performance -Setting up Valve Crews, Labs
1 Knowled e And/Or Problem Resolution
3
ADMINISTRATION 12
Availability of Project Manager
3
1 Change Order Processing Time
13
Communication
3
2 Timliness of Contractor Payments
3
4 Resolution of Utility Conflicts
3
3 Bid Opening to Pre -Con Meeting Timeframe
3
III) COMMENTS & SIGNATURES
COMMENTS
Signature Contractor
Signature Inspector
Signature Inspector's Supervisor
INSPECTOR'S COMMENTS
Capital Projects Delivery, )`(cater Department
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 4477 • Fax-. (817) 392 - 8460
FORT WORTH
Capital Projects Delivery, Water Department
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR & PROJECT DATA
REV: 02/20/07
Nance of Contractor
Project Name
S.J . Louis
North ointe
Water Engineering Inspectpr
DOG Number
Carmen Drake
CPN 103505
Neater Engineering Inspector
Project Xfonager
O Water ❑ Waste Water ❑ Storm Drainage ❑ Pavement
Suzanne Abbe
Initial Contract Amount
Project Difficulty
$3,940,000.43
OO Simple O Routine O Complex
Final Contract Amount
Date
$4,019,124.92
10/ 19/2021
11) PERFORMANCE EVALUATION
10 - Inadequate 1 - Deficient 2 - Standard 3 - Gond 4 - FXrellent
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
3
20
15
3 Plans on Site
5
Y
3
20
15
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
3
60
45
8 Traffic Control Maintenance
15
Y
3
60
45
9 Daily Clean Up
5
Y
3
20
15
10 Citizen's Complaint Resolution
5
Y
3
20
15
III Property Restoration
5
Y
3
_
20
15
12 After Hours Response
5
Y
3
20
15
13 Project Completion
5
Y
3
20
15
TOTAL ELEMENT SCORE (A) 336
BONUS POINTS (25 Maximum) (B)
III) CONTRACTOR'S RATING TOTAL SCORE (TS) 336
Maximum Score (MS) = 448 or sum of applicable element score maximums which = 448
Rating (ITS / MSJ ° 100%) 336 / 448 = 75%
Performance Category Good
<20% = Inadequate 20% to < l0% = Deficient 0% to <60% = Standard 60% to <80% = Good >_80% = Excellent
Inspector's Comments (INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
1 J
Signature Inspector I?- Signature Contractor
Signature Inspector's Supervisor!.
CONTRACTOR'S COMMENTS
Capital Projects Delivery, Water Department
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 4477 • Fax: (817) 392 - 8460
City of Fort Worth
Inspector's Estimate Worksheet
City Project Numbers 103505
Contract Name Northpoint 24-Inch Water Transmission Main (N4-1A) DOE Number 0011
Contract Limits: Council Dristrict Estimate Number 14
Project Type Water Payment Number 14
Control Number 00111 For Period Ending
Contract: 56583
Contract Date: 10/19/2021
Inspectors Johnson / Drake
Date Prepared by Inspector / / I /a3
----------------------
Construction ID: 14079
Contract Time 270 CD
Days Charged to Date CD
Contract isX—O % Complete
Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost
No. Quanity Quanity for Month Quanity
Water
1A*
3311.0651 24" DIP Water
3424 LF
1 B*
3311.0671 24" Steel AWWA
3424 LF
C200 Water
1 C*
3311.0681 24" Concrete AWWA
3367 LF
$268.00
C303 Wa (CO#2)
2A*
3311.0652 24" DIP Water, CSS
1223 LF
Backfi
213*
3311.0672 24" Steel AWWA
1223 LF
C200 Water
2C*
3311.0682 24" Concrete AWWA
1219 LF
$447.00
C303 Wa (CO#2)
3A*
3311.0654 24" DIP Water
2032 LF
(Restrained
3B*
3311.0674 24" Steel AWWA
2032 LF
C200 Water
3C*
3311.0684 24" Concrete AWWA
2029 LF
$296.00
C303 Wa (CO#2)
4A*
3311.0655 24" DIP Water, CSS
1901 LF
Backfi
4B*
3311.0675 24" Steel AWWA
1901 LF
C200 Water
4C*
3311.0685 24" Concrete AWWA
2013 LF
$474.00
C303 Wa (CO#2)
5A*
3311.0001 Ductile Iron Water Fittin
23 TO
5B*
3311.0011 Steel Fittings
1 LS
KSI-rl
1219
2029
2013
Thursday, November 3, 2022 Page 1
City of Fort Worth
Inspector's Estimate Worksheet
City Project Numbers 103505
Contract Name Northpoint 24-Inch Water Transmission Main (N4-1A)
DOE Number 0011
Contract Limits: Council Dristrict
Estimate Number 14
Project Type Water
Payment Number 14
5C"
3311.0021 C303 Fittings
1 LS
$1.00
1
6
3305.2007 24" Water Carrier Pipe
132 LF
$324.00
132
(CO#2)
7
3305.1202 42" Casing/Tunnel
132 LF
$1,133.00
132
Liner P (CO#2)
8
3311.0241 8" Water Pipe
163 LF
$142.00
163
9
3311.0001 Ductile Iron Water Fittin
1 TO
$1.00
1
10
3312.3008 24" Gate Valve w/
9 EA
$35,200.00
9
Vault (CO#2)
11
3312.3003 8" Gate Valve
5 EA
$1,400.00
5
12
3312.6003 8" Blow Off Valve
6 EA
$16,300.00
6
13
3312.1004 4" Combination Air
5 EA
$22,100.00
5
Valve
14
3312.0108 Connection to Existing
1 EA
$7,300.00
1
24
15
3312.0117 Connection to Existing
2 EA
$2,800.00
2
4"
16
3304.0002 Cathodic Protection
1 LS
$44,000.00
1
17
9999.0001 Soil Corrosivity Investig
1 LS
$10,000.00
1
18
0171.0101 Construction Staking
1 LS
$27,000.00
1
19
0171.0102 As -Built Survey
1 LS
$3,000.00
1
20
0241.1019 Remove 24" Water
29 LF
$10.00
29
Line
21
3125.0101 SWPPP >_ 1 acre
1 LS
$21,000.00
1
22
3201.0614 Conc Pvmt Repair,
248 SY
$120.00
142.93
Residen (CO#2)
23
3201.0616 Conc Pvmt Repair,
289 SY
$130.00
289
Arteria
24
3291.0100 Topsoil
29 CY
$30.00
25
3292.0400 Seeding, Hydromulch
508 SY
$2.00
26
3305.0103 Exploratory Excavation
14 EA
$700.00
14
of
Thursday, November 3, 2022 Page 2
City of Fort Worth
Inspector's Estimate Worksheet
City Project Numbers 103505
Contract Name North point 24-Inch Water Transmission Main (N4-1A) DOE Number 0011
Contract Limits: Council Dristrict Estimate Number 14
Project Type Water Payment Number 14
27
3305.0109 Trench Safety (CO#2)
8791
LF
$0.01
8791
28
3305.0110 Utility Markers
1
LS
$1,000.00
0.522
29
9999.0001 Contingency (CO#2)
0
LS
100,000.00
30
Tree Removal (CO#2)
1
LS
$14,432.50
1
1
Labor and Equipment (CO#1)
1
LS
$3,689.78
1
2
Equipment (CO#1)
1
LS
$8,079.21
1
3
Additional Pipe for Conflict 0+00
1
LS
$42,187.29
1
(CO#1)
4
Concrete Blocking for Additional
1
LS
$967.15
1
Bends 0+00 (CO#1)
5
Manhole Demolition and Salvage
1
LS
$575.00
1
STA 0+00 (CO#1)
6
Re -Work Charge for Conflict 8+64
1
LS
$1,333.08
1
(CO#1)
T,stimated Total This Unit $4,019,124.92 Completed Total This Unit $4,004,152.52
r Total Itemized Amount (Including Change Order $4,019,124.92
DATEI Total Cos of Completed
nspect Less % Retained
Net Earned
L�I Previous Payment $3,803,944.89
GJW Material on Hand 15% i - �/�
Balance Due This Payment /may ' (��C�JJ
Thursday, November 3, 2022 Page 3
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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.
Libel Liberty Mutual Insurance Company
1VIu1uala The Ohio Casualty Insurance Company Certificate No: $208081-190003
SURETY West American Insurance Company
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 Massachusetts, and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana (herein collectively called the °Companies), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Blake S.
Bohlig; Brian D. Carpenter, Craig Olmstead; Erik T. Gunkel; Heather R- Goedtel; Jessica Hoff; Kelly Nicole Enghauser, Laurie Pflug, Megan Scott; Michelle Halter,
Michelle Ward; Nicole Langer
all of the city of _ Bloomington state of MN each individually if there be more than one named, its true and lawful attorney4ri-fact to make,
execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance
of these presents and shall be as binding upon the Companies as if 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 Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 24th day of May 2022
liberty Mutual Insurance Company
P� INSu� P'11 INS& INSUR9 The Ohio Casualty Insurance Company
°o+�OR,, yc, 5� �o�°R,,�y vt' `osw°Ra> ti� West American Insurance Company
� 3 Fo m �Q 3 `°o m � 3 `0o a+
1912c/ n o 21919 o a 1991 0
dVl S'SACHl7`�"HAMP`��� a �kD]AHP L jl N U
_ 67) * ?� �yl * ��a SUM * 1`'a By: co
co
to David M. Carey, Assistant Secretary a
ca State of PENNSYLVANIA
i County of MONTGOMERY ss a a
(D On this 24th day of May 2022 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of liberty Mutual Insurance m
ca 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 corporations by himself as a duly authorized officer. @�
i�
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at 1Gng of Prussia, Pennsylvania, on the day and year first above written.
SN PAS2
Q� `F�pNW F� Commonwealth of Pennsylvania - Notary Seal
Teresa PastMontgomery
Counotaryty
Public �
OF � Montgomery County
My commission expires March 28, 2026 By-
'0� �P Commission number 1126044
41 rNyyL'i G Member. Pwnsylvania Association of Notaries Teresa Pastella, Notary Public
�qRY P�
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual
Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV -OFFICERS: Section 12. Power of Attorney.
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the
President may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys4n-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 attach thereto the seal of the Corporation. When so executed, such
instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE YdII - Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such altomeys4n-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings,
bonds, recognizances and other surety obligations. Such adomeys-in-fact subject to the limitations set forth in their respective powers of attorney, 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 by 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 adomeys-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, recognizances 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 paver of attorney 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 Mutual Insurance Company, and West American Insurance Company do
hereby certify that the original paver of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 1 lth day of January , 2023 .
PI INsu & P11Y INSINSUR9
J O�ro�'m QJr°o�oRpFo3°o�0& '4-n
1912 0 1919 1991,ly`
: Al O Q O
b�.�� gcH�g �aa3 2By
0� HnarS`'Q a rs vnlA>+P as Renee C. Llewellyn, Assistant Secretary
LMS-12873 LMIC OCIC WAIC Multi Co 02121
FORT WORTH
City of Fort Worth, TX
CONSENT OF SURETY COMPANY
TO FINAL PAYMENT
Bond No_ 190048249
PROJECT:
Northpointe 24-Inch Water Transmission Main (N4-IA)
PROJECT NUMBER:
OWNER:-Cityof
Fort Worth Texas
103505
ONTRACTOR:
J. Louis Construction of Texas, Ltd.
22108
ENGINEER:
lKimley Horn
The Surety Company, on bond of the Contractorlisted above for the referenced project, in accordance with the
Contract Documents, hereby approves final payment to the Contractor, and agrees that final payment to the
Contractor shall not relieve the Surety Company of any of its obligations to the Owner under the terns of the
Contract and as set forth in said Surety Company's bond.
In witness whereof, the Surety Company has hereunto set its hand this 11th day of January 20 23. C
,
J
191;
Mutual Insurance Corn
Company
By (:) �,
Authorized Kepresentative
Title Heather R. Goedtel, Attorney -in -Fact
Address:
8400 Normandale Lake Blvd., Suite 1700
Bloomington, MN 55437
Attach Power of Attorney
1
�y a
r-OF
FORT WORTH
City of Fort Worth, TX
CONTRACTOR'S AFFIDAVIT OF
PAYMENT OF DEBTS AND CLAIMS
PROJECT:
Northpointe 24-Inch Water Transmission Main (N4-1A)
PROJECT NUMBER:
OWNER:
City of Fort Worth, Texas
103505
CONTRACTOR:
S.J. Louis Construction of Texas Ltd.
22108
ENGINEER:
Kimley Horn
The Contractor, in accordance with the Contract Documents, hereby certifies that, except as listed below, all
obligations for all materials and equipment furnished, for all work labor, and services performed, and for all known
indebtedness and claims against the Contractorfor damages arising in any mannerin connection with the
performance of the Contract referenced above for which the Owner or his property might in any way be held
responsible have been paid in full or have otherwise been satisfied in full.
EXCEPTIONS:
None
(If none, write "NONE". The Contractorshall furnish a bond, acceptable to the Owner,
for each exception.)
CONTRACTOR S.J Louis Construction of Texas, Ltd.
BY
TITLE 41W p2E51"wr
Subscribed and sworn o before e this 11th day of Janua
Notary Public:
My Commission Expires: Ott/ 5'
2023 .
CSC No. 56583-COI
IFORT%Ri'H City of Fort Worth
Change Order Request
Project Name: 1 Northpointe 24-Inch Water Transmission Main (N4-IA) City Sec No.: 1 56583
Project No.(s): 56020 0700430 5740010103505 001780 DOE No. N/A Cily Proj. No.: 103505
Project Description: 24-Inch water transmission main extends from Park Drive to Business Highway 287 along Heritage Trace Parkway.
Contractor: S.J. Louis Construction of Texas, Ltd. Change Order II Dale: 2I18/2022
City Project Mgr.1 Suzanne Abbe City Inspector: I Carmen Drake
Phone Number: 817-392-8209 Phone Number. 817-948-0081
Dept.
Original Contract Amount
Extras to Date
Credits to Dale
Pending Change Orders (in M&C Process)
Contract Cost to Date
Water
Totals
Contract Time
(Calender days)
$3,940,000.43
$3,940,000.43
270
$3,940,000.43
$3,940,000.43
Amount of Proposd Change Order
$56,831.51
$56,831.51
010
Revised Contract Amount $3,996,831.94
Original Funds Available for Change Orders $157,600.57
Remaining Funds Available for this CO $157,600.57
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
$3,996,831.94
280
$157,600.57
$157,600.57
1.44%
$4,925,000.54
JUSTIFICATION (REASONS) FOR.CHANGE ORDER I
Change Order No.1 provides for the following:
• A change in alignment to avoid a storm drain at the tie In point that was not located as shown on the plans.
• Manhole demolition and valve salvage of a valve at the tie in point that was not located as shown on the plans.
• A change In aligmenl to address a 6-inch gas line crossing that was not shown on the plans.
Staff recommends ten (10) days be added to contract time to cover the additional work.
It is understood and agreed [hat the
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.
ConlractoesCompanyName
ConfractorName
Co ctorS_ig Are
gatF
S.J. Louis Construction of Texas, Ltd.
I Adam Lunsford
j u,
Inspector
Date
ProjectWanager V
Date
Carmen Drake Lfti ,f ? t°
,Z - 2,4-zZ
Suzanne Abbe
2/1812021
Director Water Dept)
Date
Construction superv' or (Water Dept)
Date .
Chris
Mar 3, 2022
David Johnson
AssistanttCltyAttorney
Date
_Asslstant_Cily_Manager _ _
gate
DougBlaclr.
Mar3,2022
Dana Burghdoff,7-- ,.,ia'
Mar 3,2022
_ .'PoAngIl Action (If_Regulred)
M&C Number NIA M&C Date Approved N/A
]FORT'WORTM City of Fort Worth
Change Order Additions
Project Name Northpointe 24-Inch Water Transmission Main (N4-1A) I City Sec No.: 56583
Project No.(s): 56020 0700430 5740010103505 001780 DOE No. N/A City Proj. No.: 103505
Project
Description
[24-inch water transmission main extends from Park Drive to Business Highway 287 along Heritage Trace Parkway.
Contractor S.J. Louis Construction of Texas, Ltd. Change Order:= Date: 211812022
City Project Mgr. Suzanne Abbe City Inspector FcarmenDrake
ADDITIONS
FOR-r WORTH City of Fort Worth .
Change Order Deletions
Project Name Northpoinle 24-Inch Water Transmission Main (N4-1A) City Sec No.: 56583
Project No.(s): 56020 0700430 5740010103505 001780 DOE No. N/A City Proj. No.: 103505
Project Description I 24-inch water transmission main extends from Park Drive to Business Highway 287 along Heritage Trace Parkway
Contractor S.J. Louis Construction of Texas, Ltd. Change Order: FT] Date 2/18/2022
City Project Mgr. Suzanne Abbe City Inspector: FCarmen Drake
DELETIONS
M/WBE Breakdown for this Chance nrdrar
Previous Chanae Orders
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.
4�L
Signature
Suzanne Abbe
Name of Employee
Senior Engineer, Capital Project Delivery
Title
ATTEST:
SC-d,I1«,,,420„0,, s.,
Jannette Goodall
City Secretary
2/18/2022
CPN 103505
Northpointe 24" Water Transmission Main (N4-IA)
Change Request 1 Notes
Contract Modification Request No. 1 is attached. Six additional hours of labor and equipment were
approved forthe installation of additional fittings, manhole demolition, and valve salvage. The
contractor provided a quote from the manufacturer for the cost of additional fittings and lay schedule
rework.
The added time is for the added work involved with the alignment changes with will include additional
tunneling. Time was not added to account for lead time of additional materials. The expectation is that
contractor can work on other areas while waiting for new materials.
Request for Proposal I
Superseded. See Rev. 3
Project Name
C.M.R. -Proposal No.
Date
Northpointe 24- Inch Transmission Main (N4-1A)
North Transmission Main, Phase I
1
February 1, 2022
City of Fort Worth Water Department
Response Required By
Transmitted By
Mrs. Suzanne Abbe
Ronald Etter
200 Texas Street
Project Manager
Fort Worth, Texas 76102
Signature
Via Email
cc: Mr. William Weidman- Kimley Horn, Via Email
Ra",at 1. Eftes-
cc: Mr. Josh Kercho- Kimley Horn, Via Email
Description of Worlr
change proposal is for the pipe revisions near Sta. 0+00 to avoid conflicts with the existing storm drain manhole and associated
,This
piping, removal of existing 24" gate valve and manhole and supplying a new 24" gate valve and manhole near Sta. 0+38. This proposal
covers the additional cost assicated with the material changes, removal of existing 24" gate valve and manhole including all labor,
equipment, fuel, ect to complete thed work in accordance with the plans dated. 12/14/21. This proposal also includes the cost from
Thompson pipe to re -work some pipe that had been fabricated previously near Sta. 8+91 based on conflicts in the field with a gas main
not shown on the plans. Thompson was able to salvage and switch pieces aroudn to minimize the cost impact on gas conflict.
Breakdown of Proposal
North ointe 24- Inch Transmission Main 44A)
Pipe revisions at Sta. 0+00 and manhole removal and additonal cost for price re -work for gas line conflict near Sta.
8+91
Item
Description
Quantity
Unit Price
Extention
New - I
Additional cost associated with pipe revisions and removal of
existing 24" gate valve and vault per plans dated 12/14/21.
Lump
Sum
1
$79,228.56
$79,228.56
10
24" Gate Valve wNault
EA
1
$35,200.00
$35,200.00
$0.00
Net Change:
$114,428.56
Additional Calendar Days:
60
If acceptable, please provide an authorization signature below and return one (1) copy to our office.
.J. Louis Construction Action
XTT J. Louis Project No. 22108
S.J. Louis Constritction of Texas Ltd
520 S. 6th Avenue
Mansfield, Texas 76063
(817) 477-0320 Office (817) 477-0552 Fax
Superseded. See Rev. 3
f A I e I c I n
Resin., Haurs Worked Rarr ilmrc �S—S1.--z�T—za--s—
rw..r �.... u..��.. w...ue.. .,.,.. ...n i otai r
labor Rare 7 2 J q 5 s oral Haurs Total Hours Ram 1 2 q 6 Tow Total Ho I 13 Iitc I Ove head I ABC D
00
54,745.00
0
����� fi�JiaEiLifl�r�xls•rmr7�.
-
E�•zrwr.�iY3�E7�����i16�E�r�r�.
�M
IRE1��������E'iC4Yir1
tE�Yi3�iF3�E�
EUME
lgagn
pgmzmmmmmmi
-
Eilzrsr>•
$19.905.30 I
Overhead I A-8
Total Cost For
75°F, TOLI
OuanOty Materials
1 36,684.EI
Overhead Aa6
S5.502.69 I 542,18 .
1S950.00
I 5142.50 I SI,09ZW
0 3 .
7
Ys-oo
541,793.80 I I
I $6,095.19 I $46,729.79
Grand Total
Cost
579,228.6E
Request for Proposal
Project Name
C.M.R. -Proposal No.
Date
Northpointe 24- Inch Transmission Main (N4-IA)
North Transmission Main, Phase I
1 rev. 3
February 21, 2022
City of Fort Worth Water Department
Response Required By
Transmitted By
Mrs. Suzanne Abbe
Ronald Etter
200 Texas Street
Project Manager
Fort Worth, Texas 76102
Signature
Via Email
cc: Mr. William Weidman- Kimley Horn, Via Email
Effer
cc: Mr. Josh Kercho- Kimley Horn, Via Email
Description of Work
This change proposal is for the pipe revisions near Sta. 0+00 to avoid conflicts with the existing storm drain manhole and associated
piping, removal of existing 24" gate valve and manhole and supplying a new 24" gate valve and manhole near Sta. 0+38. This proposal
covers the additional cost assicated with the material changes, removal of existing 24" gate valve and manhole including all labor,
equipment, fuel, ect to complete thed work in accordance with the plans dated. 12/14/21. This proposal also includes the cost from
Thompson pipe to re -work some pipe that had been fabricated previously near Sta. 8+91 based on conflicts in the field with a gas main
not shown on the plans. Thompson was able to salvage and switch pieces around to minimize the cost impact on gas conflict. The
additional 24" Gate Valve for this change will be billed under bid item 10 of the contract documents.
Breakdown of Proposal
North ointe 24- Inch Transmission Main (N4-1A
Pipe revisions at Sta. 0+00 and manhole removal and additonal cost for price re -work for gas line conflict near Sta.
8+91
Item
Description
Quantity
Unit Price
Extention
New - I
Additional cost associated with pipe revisions and removal of
existing 24" gate valve and vault per plans dated 12/14/21.
Lump
Sum
1
$56,831.51
$56,831.51
$0.00
Net Change:
$56,831.51
Additional Calendar Days:
10
If acceptable, please provide an authorization signature below and return one (1) copy to our office.
.J. Louis Construction Action
xc: S. J. Louis Project No. 22108
S.J. Louis Construction of Texas Ltd
520 S. 6th Avenue
Mansfield, Texas 76063
(817) 477-0320 Office (817) 477-0552 Fax
A B I C D
I RaRegular Hours Worked I Rate Time. _ __ _ _ lures55%I 1 r
Labor te 1 2 3 Totai HoursTotal Hours Rate 1 2 1 3 1 4 15 1 .6 A 7 Total Total Hours I Benefits I Overhead I A+S+C+D I
Su rintendent
$75.00
6.00
6.0
$450.00
ma*0
50,00
5247.50
$104.63
$802.13
Fnrtvnan
$55.00
6.00
600
$330.00
MfkM
a
50.00
5181.50
576.73
$588.23
LcadHoe Operator
SZ9.00
6
6.0
5174.0D
AYl#!p
0
50.00
595.70
$40.46
5310.16
Tall He. O rater
$27.00
6
6.0
$162.0D
#✓1✓pMp'
0
50.00
$89.10
S37.fi7
5288.77
Loader O rater
$26.00
6
6,0
$155.00
#ppYpp-
0
$0600
$85.80
536.27
5278.07
Dozer O valor
525.00
6
6.0
$150.00
inNHfKp'
0
$0.00
$82.50
$34.88
$267.38
PI La er
525.00
1 5
6.0
5150.00
sauaau
0
$DAD
582.50
$34.88
$267.38
TOP Man
$24.00
1 6
6.0
5144.00
0
50.00
579.20
533.48
5256.68
Pl Le arHel r
$21.00
6
6.0
5126.00
#gptprlt'
0
50.00
569.30
529.30
$224.60
Lobarer
1 Lee -
$19.00
eta nn i
6
a
6.1
c 0
$114 00
$114.00
#p71,YKp'
0
50.00
562.70
526.51
$203.21
i
I_. $2,070.00
A
le I Imes -1
qutpmenl atew ue eta ours Total Hours
297.75
1 6.01.
0
1 6.0116.0Do
93tepoZC�=C
9.60
6.
6.0
83 .609.60
6.0
60
$41 .60 i
1 6.0.BD
Icku Truck (Superintendent)
Picku Truck (Foreman
"0
111.78
enerator
6.0
33.3
ewer
3.3
9, 8
a n er awls
4
$7,025.40
I $39,184.80 I
$0.00 I $1,138.50 I $481.28 I $3.689.78
B
YA
ou
Overhead A+B
I $1,053.81
I $8�079.21
B
1-
Total
Overhead
A+B
5,502.69
9
5V3.88
1,333.08
120.15
$967.15
SD.DD
$0.00
$5,877.72
$46,06252
Grand Total
Cost
s6r,,831.61
January 17, 2022
SJ Louis Mansfield
520 S. 6th Ave
Mansfield TX, 76063
Attention: Adam Lunsford
eQi1''Llj tU11 L E�6�..
r I P E G R o U P
Pr�EssUrE-
RE: Thompson Project Number: 210051
NORTHPOINTE 24-INCH WATER TRANSMISSION MAIN (N4-1A)
Fort Worth, TX
Change Order Number 2
Dear: Adam
Due to changes in the project scope, we are sending you this Change Order for immediate action so that
these changes can be released for procurement an/or fabrication as soon as possible. Please return a signed
copy of this Change Order to us promptly to assure that you receive these materials in a timely manner.
ITEMS LISTED BELOW CANNOT BE MANUFACTURED AND/OR SHIPPED UNTIL THIS
FORM IS SIGNED AND RETURNED TO THOMPSON PIPE GROUP
Quantity
UOM
Item Description
Unit Price
Extended Price
0
LF
24" AW WA C303 Bar Wrapped Concrete Cylinder Pipe
4
EA
24" Short
$3,310.06
$3,310.06
1
EA
24" Butt Strap Closure (Pieces AO, BSOA, A2)
$7.633.88
$7,633.88
2
EA
24" CL E Flg Adapter w/ 2" Thrd Outlet
$9,560.57
$9,560.57
3
EA
24" 23*A5° Bend
$13,752.98
$13,752.98
6
EA
24" Snap Ring Restrained Joint
$2,427.10
$2,427.10
Total
$36,684.60
Delivery estimate = Approx. 8-9 weeks
Freight: If special shipments are required or shipment for this project has been completed, any additional
freight charges which are incurred will be added to the above total.
For additional information, please contact:
David Nunez
Thompson Pipe Group - Pressure
Phone: (469) 313-2501
Email: david.nunezOthomosonpip egroup com
ACCEPTANCE: I/We hereby accept the above and all terms and conditions specified on the Purchase
Order and subscribing my/our signature hereto constitutes a contract with Thompson Pipe Group - Pressure.
Firm:
Signature:
Printed Name:
Title:
Date:
Thank you for your prompt action regarding this matter
January 31, 2022
SJ Louis Mansfield �( F i F E G R o Li520 S. 6th Ave \ � F _9 SURE
Mansfield TX, 76063
Attention: Adam Lunsford
RE: Thompson Project Number: 210051
NORTHPOINTE 24-INCH WATER TRANSMISSION MAIN (N4-1A)
Fort Worth, TX
Change Order Number 3
Dear: Adam
Due to changes in the project scope, we are sending you this Change Order for immediate action so that
these changes can be released for procurement an/or fabrication as soon as possible. Please return a signed
copy of this Change Order to us promptly to assure that you receive these materials in a timely manner.
ITEMS LISTED BELOW CANNOT BE MANUFACTURED AND/OR SHIPPED UNTIL THIS
FORM IS SIGNED AND RETURNED TO THOMPSON PIPE GROUP
Quantity UOM Item Description Unit Price Extended Price
1 EA A41: REWORK CHARGE: COMPLETED @ 4.37' LL / REV TO 2.01' LL $1,159.20 $1,159.20
Total $1,159.20
Delivery estimate = No Affect
Freight: If special shipments are required or shipment for this project has been completed, any additional
freight charges which are incurred will be added to the above total.
For additional information, please contact:
David Nunez
Thompson Pipe Group - Pressure
Phone: (469)313-2501
Email: david.nun ez(a)thompsonpipeoroup com
ACCEPTANCE: ][We hereby accept the above and all terms and conditions specified on the Purchase
Order and subscribing my/our signature hereto constitutes a contract with Thompson Pipe Group - Pressure.
Firm:
Signature:
Printed Name:
Title:
Date:
Thank you for your prompt action regarding this matter
CSC No. 56583-CO2
(FORT VETO RTH City of Fort Worth
Change Order Request
Project Name: 1 Northpointe 24-Inch Water Transmission Main (N4-1A) City Sec No.: F56583
Project No.(s):l 56020 0700430 5740010103505 001780 DOE No. N/A CityProj.No.:l 103505
Project Description: 24-inch water transmission main extends from Park Drive to Business Highway 287 along Heritage Trace Parkway.
Contractor: S.J. Louis Construction of Texas, Ltd. Change Order# 0 Date: 1 8/22/2022
City Project Mgr.1 Suzanne Abbe City Inspector: I Carmen Drake
Phone Number: 1 817-392-8209 Phone Number: 817-948-0081
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Water
Totals
Contract Time
(Calender days)
$3,940,000.43
$3,940,000.43
270
$56,831.51
$56,831.51
010
$3,996,831.94
$3,996,831.94
280
Amount of Proposed Change Order
$7,860.48
$7,860.48
Revised Contract Amount $4,004,692.42
Original Funds Available for Change Orders $157,600.57
Remaining Funds Available for this CO $100,769.06
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%)
$4,004,692.42
280
$157;600.57
$100,769.06
1.64%
$4,925,000.54
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Change Order No. 2 provides for the following:
• Additional quantity of 24-inch concrete pipe with CSS backfill that is necessary for the project
• The extension of a casing and carrier pipe to clear a gas main conflict.
• The installation of a 24-inch gate valve to facilitate testing of the water main.
• Additional concrete paving repair.
• Pay item for tree removal that was not included at the time of bid opening.
• Deletion of pay item quantities that are no longer needed on the project.
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
CcAtraelor Sigaure
Dat
. ouis Construction of Texas, Ltd.
Adam Lunsford
Kir'
$ 2.3 ZZ
Ins Wtor
Date,
Project Mana er
Date
irector to ept)
Date
Con truction Supervisor(Water Dept)
Date
�h`ircorGrev h`a��cv T s,
Aug 25, 2022
Senioe Assistant City Attorney''
Date
Assistant City Manager
Date
Aug 26, 2022
gna Bur�Adof
Aug 26, 2022
Council Action (If Required)
M&C Number N/A M&C Date Approved A
FC>y?,-r A2%740a-rM City of Fort Worth
Change Order Additions
Project Name Northpointe 24-Inch Water Transmission Main (N4-1A) I City Sec No.: 1 56583
ProjectNo.(s): 56020 0700430 5740010103505 001780 .�� DOE No. N/A City Proj. No.: 103505
Project
Description
24-inch water transmission main extends from Park Drive to Business Highway 287 along Heritage Trace Parkway.
Contractor S.J. Louis Construction of Texas, Ltd. --------JChange Order:= Date:
City Project Mgr. Suzanne Abbe City Inspector CarmenDrake
ADDITIONS
MET
E �4T
QUQCdt`t
Total
4C
3311.0685 24" Concrete AWWA C303 Water Pipe, CSS Backfill
(Restrained Joints)
Water
112.00
LF
$474.00
$53.088.00
-
6
3305.2007 24" Water Carrier Pipe
Water
12.00
LF
$324.00
$3,888.00
7
3305.1202 42" CasingrFunnel Liner Plate By Other Than Open Cut
Water
12.00
LF
$1,133.00
$13,596.00
10
13312.3008 24" Gate Valve wl Vault
Water
1-00JEA
$35,200.00
$35,200.00
22
3201,0614 Conc Pvmt Repair, Residential
Water
167.00
SY
$120.00
$20,040.00
27
3305.0109 Trench Safety
Water
48.00
LF
$0.01
$0.48
30
Tree Removal
Water
1.00
LS
$14,432.50
$14,432.50
Page 2 of 4
Water
$125,812.48
JAdditions Sub Total
$125,812.481
FORT WORTH City of Fort Worth
Change Order Deletions
Project Name Northpointe 24-Inch Water Transmission Main (N4-1A) City Sec No.: 56583
Project No.(s): 56020 0700430 5740010103505 001780 DOE No. N/A City Proj. No.: 103505
Project Description 24-inch water transmission main extends from Park Drive to Business Highway 287 along Heritage Trace
Parkway.
Contractor S.J. Louis Construction of Texas, Ltd. Change Order: F2 ] Date 1 8122/2022
City Project Mgr. Suzanne Abbe City Inspector: Earmen Drake
DELETIONS
(?ITEM
DESCRIFTIONy�.c...
DEPfT
Qty;"Unit
Unit,Cost (,Total,
_W..::::;
1C
3311.0681 24" Concrete AWWA C303 Water Pipe
Water
57.00
LF
$268.00
$15,276.00
2C
3311.0682 24" Concrete AWWA C303 Water Pipe, CSS Backfill
Water
4.00
LF
$447.00
$1,788.00
3C
3311.0684 24" Concrete AWWA C303 Water Pipe (Restrained
Joints)
Water
3.00
LF
$296.00
$888.00
29
9999.0001 Contingency
Water
1.00
LS
$100,000.00
$100,000.00
Water
$117,952.00
FSub
Total 1$117,952.00
rage n or 4
MMBE Breakdown for this Chanae Order
�
WSTypec
Total
Previous Change Orders
Total
Page 4 of 4
8/22/2022
CPN 103505
Northpointe 24" Water Transmission Main (N4-IA)
Change Request 2 Notes
Change Order No. 2 covers the following quantity changes:
1. Adjustment in pipe quantities by backfill and restraint type to reflect design intent.
2. A 12-foot extension of tunnel liner plate and carrier pipe (see attached sheet 9B). The extension the
tunnel was necessary because a gas line that was not shown in the bid documents was located in
the proposed bore pit.
2. An extra 24" butterfly valve and vault at the beginning of the project. The valve was added to
avoid having to test existing water pipe.
3. Additional paving that was not included in the original bid documents.
4. An adjustment in trench safety based on the total length of the project.
5. A tree removal item was not included in the bid proposal. The contractor cleared
approximately 1.09 acres of trees based on aerial photos of the project area. The contractor
submitted a request of $23,666.91 based on 3.4 acres cleared. A reduced price of $14,432.50
was agreed upon based on the cost of mulching and hauling the trees with a 15% mark-up. The
negotiated price is in line with TxDOT 3-month average low bid prices published in July
($14,000/acre statewide and $18,000 for Forth Worth).
.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
Suzanne Abbe
Name of Employee
Senior Engineer, Capital Project Delivery
Title
ATTEST:
Jannette S. Goodall (Aug 26, 2022 16:33 CDT)
Jannette Goodall
City Secretary
CSC No. 56583-0O3
Fc-> P,- ' VV" FZT H City of Fort worth
Change
Order Request
Project Name: I Northpointe 24-Inch Water Transmission Main (N4-1A) City Sec No.: F56583
Project No.(s):l 56020 0700430 5740010 103505 001780
DOE No. N/A CityProj.No.:l 103505
Project Description: 24-inch water transmission main extends from
Park Drive to Business Highway 287 along Heritage Trace Parkway,
Contractor: S.J. Louis Construction of Texas, Ltd.
Change Order # Date: 1 1/19/2022
City Project Mgr.1 Suzanne Abbe
City Inspector: I Carmen Drake
Phone Number: 817-392-8209
Phone Number: 817-948-0081
Dept. Water
Totals Contract Time
(Calender days)
Original Contract Amount $3,940,000.43
$3,940,000.43 270
Extras to Date $56,831.51
$56,831.51 010
Credits to Date $7,860.00
$7,860.00
Pending Change Orders (in M&C Process)
Contract Cost to Date $3,988,971.94
$3,988,971.94 280
Amount of Proposed Change Order
$0.00
$0.00
065
Revised Contract Amount $3,988,971.94
$3,988,971.94
345
Original Funds Available for Change Orders $157,600.57
$157,600.57
$108,629.06
Remaining Funds Available for this CO $108,629.06
Additional Funding (if necessary)
1.24%
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAXALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST+ 25%)
$4,925,000.54
JUSTIFICATION
Change Order No. 3 provides for 65 additional calendar days. Staff recommends the additional contract time to cover:
• Clearing 1.1 acres of trees that the developer was supposed to have cleared;
• Paving three street crossings;
• Additional tunneling to avoid conflict with an existing gas line;
• Unanticipated conflicts with sewer stub -out, gas line, water line, and other utilities that took time to clear; and
• Delays resulting from not being able to flush on certain days during the summer due to high water demands.
It is understood and aoreed that the accentance of this Channe Order by the nnntractnr cnnstitutes an acmrd and satisfactinn and ranresants
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
_yContract9Y signature
Date
-S.J. Louis Construction of Texas, Ltd.
Adam Lunsford
/ Z3
I ector
Dat6
Project Manager
Date
�
tl23/z3
Director W t t
DaEe
Co struction Supervisor(Water Dept)
Date
Jan 26, 2023
;" 3
Senior Assistant . City Attorney
Date
Assistant CiY Manager
Date
Jan 27, 2023
Jan 27 2023
Council Action If Required)
M&C Number N/A M&C Date Approved NIA
��RT�RT 1E City of Fort Worth
- —4 --- Change Order Additions
Project Name I Northpointe 24-Inch Water Transmission Main (N4-1A) City Sec No.: 56583
Project No.(s): 1 56020 0700430 5740010103505 001780 DOE No. N/A City Proj. No.: 103505
Project
Description
24-inch water transmission main extends from Park Drive to Business Highway 287 along Heritage Trace Parkway.
Contractor S.J. Louis Construction of Texas, Ltd. Change Order:=3 Date: 1119/2022
City Project Mgr. Suzanne Abbe CityInspector Carmen Drake
ADDITIONS� p D�CRTPTf(Oi DEPT Qty Unit Unit Cost Total
Water
Page 2 of 4 Additions Sub Total
FQ RT Wo RT H City of Fort Worth
Change Order Deletions
Project Name Northpointe 24-Inch Water Transmission Main (N4-1A) City Sec No.: 1 56583
Project No.(s): 56020 0700430 5740010103505 001780 DOE No. N/A City Proj. No.: 103505
Project Description 24-inch water transmission main extends from Park Drive to Business Highway 287 along Heritage Trace
Parkway.
Contractor S.J. Louis Construction of Texas, Ltd. Change Order: F3 I Date 1 1/19/2022
City Project Mgr. Suzanne Abbe City Inspector: Carmen Drake
DELETIONS
rage 6 Or 4
Previous Change Orders
Page 4 of 4
1/19/2023
CPN 103505
Northpointe 24-Inch Water Transmission Main (N4-IA)
Change Order 3 Notes
Staff considers the additional calendar days to be fair and reasonable for the identified
items.
.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
Suzanne Abbe
Name of Employee
Senior Engineer, Capital Project Delivery
Title
ATTEST:
Jannette Goodall
City Secretary
CSC No. 56583-CO4
FORT «O RT kj City of Fort worth
Change Order Request
Project Name: Northpointe 24-Inch Water Transmission Main (N4-IA) CitySec No.: 1 56583
Project No.(s):l 56020 0700430 5740010103505 001780 DOE No. N/A CityProj.No.:1 103505
Project Description:) 24-inch water transmission main extends from Park Drive to Business Highway 287 along Heritage Trace Parkway.
Contractor: S.J. Louis Construction of Texas, Ltd.
City Project Mgr.1 Suzanne Abbe
Phone Number: 817-392-8209
Change Order # ® Date: 2/9/2023
City Inspector: I Carmen Drake
Phone Number: 817 948-0081
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Water
Totals
Contract Time
(Calender days)
$3,940,000.43
$3,940,000.43
270
$64,691.99
$64,691.99
075
$4,004,692.42
$4,004,692.42
280
Amount of Proposed Change Order
$14,432.50
$14,432.50
Revised Contract Amount $4,019,124.92
Original Funds Available for Change Orders $157,600.57
Remaining Funds Available for this CO $92,908.58
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAXALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST+ 25%)
$4,019,124.92
345
$157,600.57
$92,908.58
2.01 %
$4,925,000.54
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Change Order No. 4 provides funding for pay item no. 30 (Tree Removal). The pay item for tree removal was included in Change Order No. 2
but the cost was not reflected in the total amount of the proposed change order. This change order provides the necessary funding.
_—C, aFlu agieeu a idt ale du:ePidnce w inis mange Order by the contractor constitutes an accord and satisfaction and represents payment
in full (both time and money) for all costs arising out of, or incidental to. the above Change Order
Contractors company Name
Contractor Name
22ritractoLkignature
Da Le
S.J. Louis Construction of Texas, Ltd.
Adam Lunsford
y t
I pector
Date
Project Manager
' Date
fL—=i�L G/$/L/gl�2r �lLoil��i—/U
a3
`� — •:."t��� _ \ .
l `i �i; �L�'
Director Eater Dept)
Date
Cons ction Su ervisor(Water Dept
Date
-
eb 10, 2023
-3
Senior Assistant City Attorney
Date
Assi ant CityManager
Date
-
Feb 13, 2023
, n:61_Y _17f _ _
Feb 14, 2023
Council Action If Required
M&C Number N/A M&C Date Approved
FORT WC3RTH City of Fort Worth
Change Order Additions
Project Name Northpointe 24-Inch Water Transmission Main (N4-1A) I City Sec No.: 56583
Project No.(s): 56020 0700430 5740010103505 001780 DOE No. N/A City Proj. No.: 103505
Project
Description
24-inch water transmission main extends from Park Drive to Business Highway 287 along Heritage Trace Parkway.
Contractor S.J. Louis Construction of Texas, Ltd. Change Order:= Date: 2/9/2023
CityProject Mgr. Suzanne Abbe City Inspector FCarmen Drake
ADDITIONS
Fc3 P T WORTH City of Fort Worth
Change Order Deletions
Project Name Northpointe 24-Inch Water Transmission Main (N4-1A) City Sec No.: F56583
Project No.(s): 56020 0700430 5740010103505 001780 DOE No. =1 City Proj. No.: 103505
Project Descri tion 24-inch water transmission main extends from Park Drive to Business Highway 287 along Heritage Trace
1 p _..
Contractor S.J. Louis Construction of Texas, Ltd. Change Order: ED Date 2/9/2023
City Project Mgr. Suzanne Abbe City Inspector: I Carmen Drake
DELETIONS
f aSC 1 UI 1
Page 1 of 1
2/10/2023
Northpointe 24-Inch Water Transmission Main (N4-IA)
CSC: 53066
CPN:103505
Change Order 4 Notes
Staff has reviewed the requested prices and considers them to be fair and reasonable.
.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
Suzanne Abbe
Name of Employee
Senior Engineer, Capital Project Delivery
Title
ATTEST:
Jannette Goodall
City Secretary
FORTWORTH,
February 17, 2023
SJ Louis Construction of Texas
P.O. Box 834
Mansfield, TX 76063
Re: Acceptance Letter
Project Name: Northpoint 24-inch Water Transmission Main (N4-1A)
Project Type: Water
Project Ns: 103505
DOE. Ns: N/A
Contract Ns: 56583
Gentleman:
Dated: 2/17/2023
On November 29, 2022 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 November 29, 2022. 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 November 29, 2024, 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,
70 �� s� 0 /,., /',
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 Skains, Fire Department
Luke Coffman, Sanitary Sewer Systems Superintendent, Water Department
Cesar Zavala, Water Systems Superintendent, Water Department
Suzanne Abbe, Project Manager, Water Department Capital Projects Delivery
David R Johnson, Inspection Supervisor, Water Department Capital Projects Delivery
Carmen Drake, Inspector, Water Department Capital Projects Delivery
William Weidman PE, Consultant
Adam Lunsford, Contractor
File
Fort Worth
NI-AmedcaChy WATER DEPARTMENT
1 I I I I THE CITY OF FORT WORTH * 200 TEXAS STREET * FORT WORTH, TEXAS 76102
817-392-8240 * FAX 817-392-8195
1964. 1993 •2011
C. Printed on recycled paper