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Home My WebLink AboutContract 53393-FP1FORTWORTH, TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION -FP1 City Secretary No: 53393 Date Received: 7/10/2023 City Project JV!?: 102098 Regarding contract 53393 HMAC Surface Overlay 2019-6for as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 12/17/2019 through M&C 19-0411 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation & Public Works Department has accepted the project as complete. Original Contract Prices: $ 1,079,975.00 Amount of Approved Change Orders: $ 0.00 No Revised Contract Amount: $ Total Cost Work Completed: $ 984,729.95 Less Deductions: Liquidated Damages: 0 Days @ $ / Day Pavement Deficiencies: Total Deduction Amount: $ 0.00 Total Cost Work Completed: $ 984,729.95 Less Previous Payments: $ 935,493.46 Final Payment Due $ 49,236.49 Patricia L. wadsacK Jul 10, 2023 Patricia L. Wadsack (Jul 10, 202311:31 CDT) Recommended for Acceptance Date Asst. Director, TPW - Capital Delivery "-12 J u 110, 2023 Lauren Prieur(Jul 10, 202311:33 CDT) Accepted Date Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT Jul 10, 2023 William Johnson (Ju 10, 202314:19 CDT) Asst. City Manager Date OFFICIAL RECORD Comments: CITY SECRETARY FT. WORTH, TX C-620 Signature Page Contractor's Application for Payment To (Owner) City of Fort Worth Invoicing Period (From -To): 3/1/23 - 6/29/23 P. O. FW020-0000003282 From (Contractor): Number: Peachtree Construction Ltd Project: 102098 Contractor's CFW Vendor No.: 0000007231 City Secretary Contract 53393 contract HMAC Surface Overlay 2019-6 Number. Name: Application For Payment Change Order Summary Approved Change Orders Number Additions 1 2 3 4 5 6 7 8 TOTALS NET CHANGE BY CHANGE ORDERS Contractor's Certification Invoice No. Invoice Date: 6/29/2023 Remit to ( If Not Automatic Deposit ): 17 Final 1. ORIGINAL CONTRACT PRICE.......................................................... S Deletions 2. Net change by Change Orders................................................................. $ 3. Current Contract Price (Line 1 t 2)........................................................ $ 4. TOTAL COMPLETED AND STORED TO DATE (Progress Estimate, Construction Allowance and Change Orders)....... $ 5. RETAINAGE: a. X $984,729.95 Work Completed.......... $ b. X Not Used $ c. Total Retainage (Line 5a + Line 5b) ............................... $ 6. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c)............................. $ 7. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)........ $ 8. AMOUNT DUE THIS APPLICATION ................................................. $ 9. BALANCE TO FINISH, PLUS RETAINAGE (Column G on Progress Estimate+ CA + Cos + Line 5 above) .............. $ The Contractor certifies with the submittal of this document and associated Payment Request Submittal on the City of Fort Worth Buzzsaw system that to the best of their knowledge: (1) all previous progress payments received from Owner on account of Work done under the Contract have been applied on account to discharge Contractor's legitimate obligations incurred in connection with Work covered by prior Applications for Payment; (2) title of all Work, materials and equipment incorporated in said Work or otherwise listed in or covered by this Application for Payment will pass to Owner at time of payment free and clear of all Liens, security interests and encumbrances (except such as are covered by a Bond acceptable to Owner indemnifying Owner against any such Liens, security interest or encumbrances); and (3) all Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective. B Taylor B Taylor (Jul 7, 2023 08:20 CDT) 10. CONTRACT TIME: Consent of Surety Affidavit of Bills Paid $1,079,975.00 $1,079,975.00 $984,729.95 $984,729.95 $935,493.46 $49,236.49 $95,245.05 a, Days Awarded 175 b, Days Added by CO 310 C. Total Days 485 d. Days Charged 485 e, Days Remaining This document has been modified from its original form as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefully and consult Legal Counsel prior to its execution. G620 Unit Pnce RN.. Eed.e. Progress Estimate 01tySt°m 53393 Contractor's Application Comma Nmn. HMAC Surface Overlay 2019-6 17 Final npph°nti°n Pm;na: 3/1/23-6/29/23 Appli 6. Dmc 619/2023 A B C D E F G h- Toml C°mpincd �: Bdmxto Finish S i-N.. Hid Quontity Unit Pncc Bid Voloc C ct, motcd Quvntity Vnlm Pmvioo.ly lmNlled V.I. VductTisPmod Mmminl. Pnxnay 6tomd(notN C7 and $tmcdtc➢m° (F7 (B•F) Qwntity hmcltcd ]id. Bidem Na Danpaon pi° Uvt SacOm No. ofMcuom Wt°Ilcd NtE) B Pmiod 1 10135.0201 REMOBILIZATION 01 7000 EA 1 s5poA& 5500.00 $500.00 _ 2 10241.1300 REMOVE CONC CURBBGUTTER 024115 LF 8000 $SM 546,000.00 _ 5499.76660000 330.183.35 E30,193.35 S30.193.35 86.6X 573.806.65 EE584370 6gawrSIDEWALK ZS725 0000 --- ��% 5 13213 41.0101 . LWCOVE 1 321320 1 1 SF SF 7200 588W00 1330.900WW0 765�1337c 31444399 .70 7 CONCSIDEA'TBJ')ACK 1321320 18� E7.75 3140275.00. _ 18513.5500000 5743480.01 -5143480.01 514348001102.3% 33205.01 3213.0301 C C OF SIDEWALK � i i 8 f6 to )Cti�t'V/u.LEY $2450 5900A0 _.. 713.77000000 0.62000000 E77 d8737 3301.00 317487.37 E3,01.00 Ei748737 178.4% 53010 40.4% 37_168737 $4.469.0 9 41.1400 REMOVE GUTTER 10�I3216.001 7" CONC VALLEY GUTTER 024115 1 321613 1 SV SV 10 150 SSO.W 590_W 5700.00 513500.00 0.62000000 55.455.B0 35,455.00 _._ 55455_0 40_6% 38,01120 11 12 10241,000 REMOVE ADA RAMP 3T13.0501 q�ljjjq�jjjJJJpyjjjJJf)(fpEfRyjfp' Ej- NMP. 024113 1 EA 40 $165.00 $6,600.0 17A000000 800000000 $2,60500 52800000 ___$2.805.00_ $2800.00 $Z$05,00 42.5% 52800000 40.0% S3.MMO 00 m 13 3213.050 H/}I�jl TYPEMI 321320 1 EA I 32.70.0 5765CR00_ - 3213. �fF ��(jjj��jj''32 tt5330.0 �15990.00 $41.250.00s_=.w 16 I9999.0000T U�ME V�ATE/5 X2'1 000 EA 2 I S_660013,00000000 900 _ SM= 15mm i7 10241:170 8"PAVEMENT QULVERIZA ON 024115 BY 11500 I $7.00 SB0,500.00 11101.35MOM S77,709A5 577,709.45 _ $77.70.9.45 %S% 32,7055 18 3212.0023"ASPHALTP VEMENT.'[YPEO 321276 SV 11W0 I E15.d0 E1771000___ 112d8.00a0000 5173,2'2967 __._ E173229.67 $17322987 W.e% 53070.33 19 3211.0600 CEMENT MODIFICATION. 'ZG Ibs/gv 3211 33 TN 150 I 5205.0 $3075000 _ _ 152.020000 $3116410 E3118d_10 _ _ 53116410 707.3% 3414.10 20 0241.120 WOVE BRICK PAVEMENT 024115 SV 20 $47.8 S9.00 7.3300000 $251-_ 6Z694.51_ 5269451 6,7% -4175451 21 7 BY 52200, 2D.00000000 2,20000 E220000 574516 100.0% 574519 10.E% E4504.82 22 23 1-4 9999. 3110.01026-12'TREE REMOVAL 106 310 311000 SV EA 120 00 4 I 3525 I E7,100,op SS,I50.00 $4.0.00 141.94000000 3,00000000 E74519 33,30000 _ 33300.0.0 53300 75.0% E7,10.00 24�:3123.0101 UNCLASSIFIED EXCAVATION 312316 CV 50 I 527.50 $1.375.00 _ 24.3300000 3669.00 _ E669.08 _ 3669.0 48.7% 3705.93 25 3292.010 BLOCK SOD REPLACEMENT 329213 SV 110 I $1325 $14.575.00 __. 206.00000000 W5.60,10 _ _539,600.10 $35.600MO 2443% 531.025.10 26 13217.0305 STOP BARS PAVEMENT MARKINGS 321723 LF 1 10 1 36_w b990.00 _ __ _ __. _ $990,0 3217.001 4" 8S,01111 331723 LF 110 I gTNHEERMOOPLASTIC 37.�0 $165.00. _--___- 5165.0 -2 3217.00024"SOL1U'1'H'ULLASTIC ( p$ ('�1& (�F 321723 LF 150 I 31.10 $70.00 � 3217.05012�4�yy0��SPFO�Il7(Wj$H,gII�lT�JH(E�Rf[MJOPLASTIC ES 321723 LF 150 I SSg_0 $1,320.00 _ -- E3,70D.00 $3,_700,00 1233% $1,3Z00 3700.00 3-0 31 321 T.1 CUR9 AbRA PAIMIFIG 13211,0122 FLEX BASE. TYPE A_ GR-2 321725 3211 23 EA CY 60 50 .300 $00 I $58_00 5,00. 36400.00 _ 74.0000000 9,11000000 53,700.00 11801.68 SIi0148 $801.88 18:2% 33yWSM ADJUSTMENT 3305.0100 MIJJS��CTT77E{{ LLL�L 330514 LS 1 I 32 33 IAIFFNEEjOUS .010 MISCELLA3bUS STRUCTURE ADJUSTMENT 330514 BY 50 E6000,0 372.00 $B.00.W 33.800.00 a,01nW00 __.. _33.0000.0DO E1t5.50 $2,376.00 S115.50 _52.376.013 $115.50 1.9% $Z376.00 88.0% SS,804J10 51,224.00 WATER VALVE BOX ADJUSTMENT (WRH STEEL�fM.01 F.I., F.@011t 33OSt4 EA 5 E250.00 5720.0` 112 WATER VALVE BOX ADJUSTMENT CONCRETE 330514 EA 5 35 36 (��J'1i�� I- INCH STANDARD PLASTIC METER BOX 331210 1 EA 1 2 $280.00 510.0 SYJ2000 400.00 2700000000 _. 8DW 5,100aoo S1J 0.00 S118200 4350.0% -=.DO 37 BETE METER BOX1a2`'� I.00 SS6000D 2.0000000 $S6a0 _$50.00_ 55600 100.0% 3349t2.01071MIH�}OJLSTAFFOIJ,UgSTMaENT 6 I 36 EA tt0o0 39 13305.0112 M I�}6/�J,E�A�O(JpUSL�TMRIT �@` 330517 EA e _seso.00 a5.loa.ao- 6.00aaoaoo sc,eoo ao E6,69o.ao $5.6_ao.00 133.3% -$1.700.00 40 330.0108 MISCELLANEOUS SYRU UOR ADJUSTMENT ISSTOJjfQ,fjgSS51,(Ly4Fi 330514 EA 1 �•800.00 SZ_500.0 1_00000000 S3.B00.00 52.800.00 32.600_00. 100.0_% 3355010 MJ,I�S{CjEL LAFIEOl1 $i1i11Ci UftEADJUSTMENT 330574 EA 1 41 d2� �y1,[��4f j��,�T (� 6.01016"`PEi ATED S'l�9b IN PIPE 1 33460 LF 30 u52i.00 $660.0 8660.0 43 AM90000 REMOVE CONCT PVMT 0241 15 SV 20 I E16,00 $3200_00 _203._00000000 S_3.24500 $3448.00 53248.0 1015% s46.00 44 9999.0096 PAVING CONSTRUCTION ALLOWANCE EA 1 1 S_45A00.00 526.00000___0.94882300 E2%720.55. $23.720.55 52 055 94.9% 31.279.45 Thu dm W1-bcmmodified fiom is migi.Afmmmm 13JCDC dmummt and the°.cr didnet highlight d,e madilimlicna Yoe me mcourcged to mad the dmvnmt 4 [hIly and con+ult Lcgol to 1 pnm to id accution c-Q0 UM N. ProBrms Es0tn°t° Progress Estimate city —w� Cvnvnct Nmn. HMAC Surface Overlay 2019-6 npp5m6nn Pvivd: 3/l/23 - 6/29/23 A anm Bid 11®Nv. Daviptim , Tatab I Spmmtim Udtd'Mwmv Bid QmntltY Unit Price Section N°. I 53393 Contractor's Application npp5m6m Nomlw 17 Final Applicnti°n Dntc: 6292023 B c D E F C Tvml Cvmpictvd °' Bnlmmty Finish Bitl Vdvv Astim"led Q"mary Vdm Prmamly Lnmll°d Vdm Mvm rnOY Vduv7ldePm°d nm (F) B-F7 Qm titylnw m. and $(Dv MNII� Stvmd(nvtHC) d(..1 E) N+E7 B Pmiad 51.0".975.00 $904.729.951 $994.72995 $984.729.95 91.2% $95.246.05 Thie dvc—hn. hcm m° T,d Gvm in vdgimlIDmmm=DC dmmnmt and Nv— did not highlight thv modilicntivm. Y. me me°urngcd Iv mdthe d.—.—Mly andcvm°It tcg"1 Cvm"vl prior tv its —6— C-620 Change Order Progress Estimate Construction Allowance Usage Contractor's Application ADDITIONS For(contmet): 102098 HMAC Surface Overlay 2019-6 City Secretary 53393 Application Number: 17 Final Contract Ntmu Application Period: 3/1/23 - 6/29/23 Appliention Date: 6/29/2023 A B C D E F Itan Total Completed % Balmcc to Finish Specification Unit of Quantity to Add Unit Price Addition Value Estimated Quantity Previously Value This Materials Presently Value end Stored to Date (F) (B - F) Item Number Ite Description Section No. Measure (DIE) Value Period Stored (not C) (D+E) B 9999.0096 Regarding Work Performed on Sth_Ave due to Water Main Break IS 1.00000000 $11,883.69 $11,883.69 $11,983.69 Tomis SI1.883.69 S11,883.69 This document has been modified 6om its original form as an EJCDC document and the user did not highlight the modifications. You are encouraged to rood the document carefully end consult Legal Couasel prior to its execution. C-620 Change Order Progress Estimate For (centmcp: 102098 HMAC Surface Overlay 2019-6 Application Period: A Item Bid Item Numbor Description Construction Allowance Construction Allowance Usage CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED 3/1/23 - 6/29/23 B C D Specification Unit of Quantity to Delete Unit Prim Reduction Value Not Used Not Used Section No. Masmc L8 1.00000000 �11 883.69 SI1,883.69 Application Number. Application Dote: E Not Used Not Used Not Used Contractor's Application 17 Final 6/29/2023 F Not Used Not Used Not Used Totals S11.883.69 This dmument bens been modified from its original form as an EICDC document end the user did not highlight the modiGations. You me encouraged to read the document artfully and consult Legal Counsel prior to its aceution. CE20 Change Order Progress Estimate Chancre Order Number 1 1 Contractor's Application ADDITIONS Far(eontracp: 102098 HMAC S-fueeOverlay2019-6 city Secretary Contract Num: 53393 Applieation Number. 17Fin81 Application Period: 3/1/23 - 6/29/23 Application Date: 6/29/2023 A B C D E F Change Order Item No, Item Specification Mail or CO Quantity to Add Unit Rice Description SeMion No. Measure Addition Change Order Value Estimated Quantity InslaBed Previously Value This Materials Rnendy Value Installed Value Period Stared (not in C) Total Completed / Balance to Finish and Stored to Date (F) (D - F) (D+E) H Totals This document has ls,� modified from its original Conn m on E1CDC document and the user did not highlight the modifications. You are encouraged to rend the document carefully and consult Lego] Counsel prior to its esecution. C£220 Change Order Progress Estimate Change Order Number 1 1 1 DELETIONS For (contract): 102098 11MAC Surface Overlay 2019-6 Applieotian Period: 3/1/23 - 6/29/23 A B I C Iran CO Quantityto Dcictiou Charge Order flan Dcscri lion Specification Unit of Delete Unit Price Charge Order Not Used No. F Seution No. Measure Value Totals I Application Numb - Application Dmc: D E Not Used Not Used Not Usal Not Us d This document hus been modified from its original form us on EtCDC document end the user did not highlight the modifications. You are encouraged to mod the document carefully end consult Legal Counsel prior to its —lion. Contractor's Application 17 Final 6/29/2023 F Not Used Not Used Not Used C-620 Change Order Proaress Estimate Change Order Number 1 2 Contractor's Application ADDITIONS r°r (canvacp_ 102098 HYIAC Surface Overlay 2019-6 City Secretary 53393 Application Numlxc 17 Final Contact Num: Applieation Penod: 3/1/23 - 6/29/23 Application Dole: 6/29/2023 A B C D E F Item Baloney to Finish Change Order Item SpecificationLUnit of CO Quantity to Add Unit Price Addition Chong. Etimaled Quantity Previously Value This Mnleriols P'r""" Value Total Completed and Stored to Dnlc (F) "F> No. DC�puO° Section,n No..Mcasme Order Value Installed Installed Value Period Stored (not in C) (p+E) B Totals This docummt hm been modified from its original forms an oFJCDC document and the user did not highlight the modifications. You one eneor aged to read the docuraant carefully and consult Legal Counsel prior to its execution. C-620 Change Order Progress Estimate Change Order Number 1 2 DELETIONS For (contract): 102098 HMAC Surface Overlay 2019-6 Apolication Period: 3/1/23 - 6/29/23 Chong, Order It® No. Item Description A B C D CO Quantity to D,lotion Change Spc ioN n oUnit of lete Order V.I. Unit Price Not Used Not Used Not Used Not Used SaLion No.. Measure De 1 Totals This document has born moditicd from its original form os m FJCDC document and the user did not highlight the modifications. You ore rneomagcd to rend the document m fully and consult Legal Counsel prior to its -doo. Contractor's Application Application Numbcr: 17 Final Apolirntion Date: 6/29/2023 E F Not Uscd Not Used Not Used Not 11sed C-620 Change Order Progress Estimate Change Order Number 1 3 ADDITIONS Contractor's Application Far(contracq' 102098 HMAC Surface Overlay 2019-6 City Sarutry 53393 Application Numbr: 17 Final Contract Num: Application Prfad 311/23 - 6/29/23 Application Dote: 6/29/2023 Change Order Item No. A B C D E F itern Addition Total Completed Estimated Quantity Previously Value This Materials P—dy and Stand to Date (F) Spe fl.tian Unit of CO Quantity to Add Unit Price CImage Order Value De.xiption Swtioa No. Mcasme Value ��`d hsmlled Value Period Stored not in C) (D+E) B Tomis This document has been modified from its original Iona as an EJCDC document and the us r did not highlight the modifications. You mo enwumged to read the document oureNuy and consult Legal Counsel prior to its execution. Balance to Finish (B - F) G820 Change Order Progress Estimate Change Order Number 1 3 Contractor's Application DELETIONS For (contract): 102098 11MAC Surface Overlay 2019.6 Application Number. 17 Final Apptienfi. Period: 3/1/23 - 6/29/23 Application note: 6/29/2023 A B C D E F Change U, , Item Item CO Quantity to Specitieation Unit of Unit Price lleletion Change Order Nol Used Not Used Not Used Not Used Not Used Not Used Not Used Net Used No. Description Delete Section No. Measure Value Totols This document has been modified Gom its original form as an EICDC document and the user did not highlight the modifications. You ore cnmumgod to read the document carefully and consult Legal Couesel prior to its esecution. C-620 Change Order Progress Estimate Change Order Number 1 4 Contractor's Application ADDITIONS For(comme0: 102098 HMAC Surface Overlay 2019-6 City Secretary 53393 Application Number: 17 Final ContraclNum: Application Period 3/1/23 — 6/29/23 Application Date: 6/29/2023 A B C D E F It® Balance to Finish Addition Tool Completed % Estimmcd Quantity Value Previously Value This Mmeriols p`—tIy end Stared to Date No. Description Section No. Mcesme Value (F) (B _ F) Change Order Item Specification hvsWInsmll Unit of CO Quantity to Add Unit Fri« Change Order led ed Vnluc Period Stored (not in C) (D+E) B Tomis This document hue been modified from its original form as on E1CDC document and the user did not highlight the modifications. You we encouraged to tend the document carefully end consult Legal Counsel prior to its esecution. C-620 Change Order Progress Estimate Change Order Number 1 4 DELETIONS For (eentmet): 102098 nMAC Surface Overlay 2019-6 Application Number: Application Period: 311/23 - 6/29123 Application Dnlc: A B C D E Change Order Item Item spccificutien Unit of CO Quantity to Deletion Unit Price Change Order Not Used Not Used Not Used Not Used Not Used No. Description section No. Meosum Delete Value Totals This document hos been modified from its original form as ratFJCDC document end the mer did not highlight the mad flMtions. You ore encouraged to read the document carefully and consult Legal Counsel prior to its esecution. Contractor's Application 17 Final 6/29/2023 F Not Used Not Used Not Used C•620 Change Order Progress Estimate Change Order Number 1 5 Contractor's Application ADDITIONS For (contract): 102098 HMAC Surface Overlay 2019-6 City Secretary 53393 Application Number. 17 Final Contract Nam: Appliention period: 3/1/23-6/29/23 Application Dmac 6/29/2023 A B C D E F Item Balance to Finish Change Order Item Specification Unit oC CO Quantity to Add Addition Unit Price Change Order Estimated Quantity previously Value This Materials presently Value Installed Value Period Stored in C) Total Completed Y (B _ and Stared to Date (F) No. D..cnpuon gentian No. Measmc Value Installed (not (D+E) B Totals This document has been modified Lam its original Corm a an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefully and consult Legal Counsel prior to its esecution. C-620 Change Order Progress Estimate Change Order Number 1 5 DELETIONS For (contract): 102098 FIMAC Surface Overlay 2019-6 Application Period: - 3/1/23 - 6/29/23 item Chong.Ordcr Item Description No. Totals A B C D llcletion S c Lion No. Unit of CO Q—tDetetcty to Unit Price Clunk Order Not Used Not Used Not Used Not Used Section No. M.a vre dote Voluc This document has hem modified from its originW form as an FJCDC docomrnt and the user did not highlight the modifications. You me mcoumged to read the dm mmn emefully and consult Legal Counsel prior to its execution. Contractor's Application Application Numbs. 17 Final Application Dot. 6/29/2023 B r• Not Used Not Used Not Uscd Not Used C-620 Change Order Progress Estimate Change Order Number 1 6 Contractor's Application ADDITIONS For (contract): 102098 HMAC Surface Overlay 2019-6 City Secretary 53393 Application Number: 17 Final Contract None Application Period VIM -6/29/23 Application Dntc 6/29/2023 n B C D E F hem Balance to Finish Addition Total Completed Change Order Item Estimated Quantity Previously Value This Moored ( of in C) (B - F7 specification Non Unit of CO Quantity to Add Unit ]'rice Change Order Value and Stored to Date (F) No. Description Section No. Measure Value InsW11M Installed Value Period Stored (not in C) (D-E) B Totals This document has been modified from frontcum its original Caas on E)CDC document and the user did not highlight the modifications. You are, encouraged to read the document carefully and consult Legal Counsel prior to its a tioo. C-620 Change Order Progress Estimate Change Order Number 1 6 DELETIONS For (matmet): 102098 HMAC Surface Overlay 2019-6 Application Period: VIM - 6/29/23 A H C It— CO Qamtity to Deletion Change Or Item Description Specification Unit of Delete Unit Prim Change Order Not Used No. Section No. Measure Value Totals D Not Used Not Used Not Used This do arnent has been modified from its original Conn as an FJCDC doeumcnt and the user did not highlight the modifications. You we enwumged to read the document carefully and consult Legal Counsel prior to its execution. Contractor's Application Application Numbee 17 Final Application Date: 6/29/2023 E F Not Used Not Used Not Used Not Used C-620 Change Order Progress Estimate Change Order Number 1 7 Contractor's Application ADDITIONS Far(—trae)102098 HMAC Surface Overlay 2019-6 City See mry 53393 Applientian Number 17 Final Cramer Num: Appliention Period: 3/1/23 - 6/29/23 Application Date: 6/19/2023 A B C D E F Item Balance to Finish Change Order Item SpeciGwtion Unit of CO Quantity to Add Addition Unit Price Change Order Estimated Quality Previously Va This Mmred(presw0y Value Total Completed Y and Stared to Date CF) (B-p) No. Description Section No. Meosme Value sta Installed stalled Value P¢iod Stared (not in C) Period (D+E) B Totals This document has been modified from its original form as an EICDC document and the user did not highlight the madiLeations. You we encouraged to read the donanent eamfully and consult Legal Counsel prior to its execution. C-620 Change Order Progress Estimate Change Order Number 1 7 Contractor's Application DELETIONS For (contract): 102098 $MAC Surface Overlay 2019-6 Application Number 17 Final Aophmtion Period: 3/1/23 - 6/29/23 Anpfication Date: 6/29/2023 A B C D E F Itcm CO Quantity to Deletion Change Order Item No. Spoe fration Unit of Description Section No. Mwsaro Ddde Unit Prier Change Order Not Used Value Not Used Not Uscd Not Used Not Used Not Used Not Used Not Used Totals This donanent has bean modified from its original Conn = an FJCDC document and the ma did not highlight the modifications. You ma mmomged to rood the dacvtnom moofully and meadt Legal Counsel prior to its amotion. C-620 Change Order Progress Estimate Change Order Number 1 8 Contractor's Application ADDITIONS For(omarmt): 102098 HMAC Surface Overlay 2019.6 City Secretary 53393 Application Number: 17 Final Contract Num: Appliention Period 3/1/23 — 6/2923 Application Datv.. 6/29/2023 A B C D E F Item Balame to Finish Change Ordcrltem SpedUnit of CO Quantity to Add Addition Unit Price Change Order Estimated quantity Previously value This Materials Presently Value Total Completed and Stored to D¢te (F) (B _ F) No. Non Description SectionNo. Measure Value Installed Installed Value Pcri¢d Stored (rat in C) (D+E) B Totals This document has born modified from its original Cann as an E1CDC document and the user did not highlight the modifications. You are eneoumged to read the document cmefully and consult Legal Counsel prior to its mention. CE20 Change Order Progress Estimate Change Order Number 1 8 DELETIONS For (contruct): 102098 HMAC Surface Overlay 2019-6 Application Period: 3/1/23 - 6/29/23 A B C Item CO Changc Order Itern specification Umt of CO DelQuaete to Unit price Change Order Not Uscd No.pti06 Section No. Meosrue Delete Value Totals Contractor's Application Application Number. 17 Final Application Dom: 6/29/2023 D E F Not Used Net Used Not Used Not Uscd Not Used Net Used Not Used This document has be. m.dificd from its original form as on E)CDC d.--t end the user did not highlight the modifications. You arc encouraged to read the document carefully and consult Legal Counsel prior to its ewoutim City of Fort Worth Summary of Charges City Secretary Contract Num: 53393 HMAC Surface Overlay 2019-6 P. 0.: FW020-0000003282 Application Period: 3/1/23 - 6/29/23 Application 17 Final Number: Funding Identification (FID) Original Contract 30100-0200431 *5740010-102098-006280-9999 0 0 0 0 0 0 0 0 0 0 Change Order 1 30100-0200431 *5740010-102098-006280-9999 0 0 0 0 0 0 0 0 0 0 Change Order 2 30100-0200431 *5740010-102098-006280-9999 0 0 0 0 0 0 0 0 0 0 Project Number: 102098 Application Date: 6/29/2023 Total Completed Amt Remaining Gross Retainage I i i I i I I i I $984,729.95 $95,245.05 $0. $0.00 1_0 $0.00 0.0o II1 Jam s0 00 $Mo $o0o $0.00 S0.00 $0.00 $0.00 $0.00 30.00 $0.ao $0 ao IIII $0.00 30.00 $0.00 $O.00 $0.00 SOOo $0.00 $000 I O.Oo SO.00 $0.00 $0.00 I I $o_oo I 3000 I I so.ao I I $0 00 I 1 $o.00 I So.00 I I $o.00 I I $0.00 I I I $0 00 I 30.00 I I $0 00 77 1 I $0.00 50.00 $0.00 so.00 I $0.00 I I 60.00 I $0.00 I $0.00 i I so 0o I I $0.00 I $0 00 I I $0_00 I I 30.00 I I $0.00 s0.00 I I $0.00 I SO oo I I $Mo I I $0 00 I h0.0U I I 50.00 I I $0.00 I I $O oo I I $0 00 I s0.00 I I $0.00 I I $0 00 I I I $0.00 I I SO.00 I I $0.00 I I so.00 I I I $0.00 I I so 0o I I $0 00 I $o 0o I I I $0.00 I I SO.00 I I $0.00 I I $0.00 I I $o.00 I so 0o I I $0.00 I I 3000 I I I I � I I I I $0.00 So 00 $0 00 SO Oo I $U.00 I Sam I 1 $0.00 I I $090 I I I $0.00 I so oo I I so.ao I I S&oo I I I $0.001 So.001 I $0.001 I 30.001 I $0.00 I 3000 I I $0.00 I I $0 00 I I I $0.00I 50.00I I $0.00I I $0.00I I :10-00 1 I SO 00 I I $0.00 I I $0 00 I $0.00I I So.001 I $0.00I ( 50.001 $0.00 I 50.00 I 1 $0.00 I I soon I I I iGG.o0I I So.00I I $0.00I I $0.00I i I $0.00 I SO.00 I I $0 00 I I Woo I I Net $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 1 $0.0o I $o.00 I $0.00 $0.00 I $0.00 $o.00 I $o.o0 1 $0.001 $o.o0 1 $0.001 $0-00 $0.00 Moo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 City of Fort Worth Summary of Charges City Secretary Contract Num: 53393 HMAC Surface Overlay 2019-6 P. 0.: FW020-0000003282 Application Period: 3/1/23 - 6/29/23 Application 17 Final Number: Funding Identification (FID) Change Order 3 30100-0200431 *5740010-102098-006280-9999 0 0 0 0 0 0 0 0 0 0 Change Order 4 30100-0200431 *5740010-102098-006280-9999 0 0 0 0 0 0 0 0 0 0 Change Order 5 30100-0200431 *5740010-102098-006280-9999 0 0 0 0 0 0 0 0 0 0 Project Number: Application Date: Total Completed Amt Remaining 1 7-Gross I Retainage I102098 6/29/2023 $0.001 50.001 I $0.00 1 30.00 I $0.00 1 30.001 I $0.001 I 30.001 I $0.00 I S0.06I I $0.00I I 30.00I I $o 'Do I I so 00 I I $0.00 I I $0 00 I I $0.001 I $0.00I I $0.001 I Sam $o.o0 I I 3000 I I $0 00 I I $0 00 I I I I $0.00 I I S0.00 I I $0.00 $0.00 I I I I $0.00 I I so 0o I I $0.00 I $0.00 I I I I ro.00 I I s0 00 I I w.00 $0.00 I I 1 $0.00 I I 50.00 I $0 00 1 $0 00 1 I I `E6.001 I S0.00I I $0.001 1 $0.00 I I I I I I sl I $0.00 S0.00 $0.00 50.00 $o.o0 I S0 00 I I $o-00 I I $o.00 I $0.00 1 I Sa.00 1 I $0.00 1 I $0.00 1 I I $0.00I I 30.00I $0.00I I $0.00I I I $0.00 I I so oc 1 I $0.00 $0 00 I I $o.00 I I so 0o I I $0.00 I I To 00 I I 1 $0.001 1 S0.001 I $0.001 I $0.001 I $0.00 1 I 30.00 I I $0.00 I 1 $0 00 I I I $0.0o I I s0.00 I I $0.00 I I $0.00 I I I $0.00 I I So.00 I I $0.00 I I $0 00 I I 1 $o.001 I S0.001 I $0.001 $0.001 I I I I I I I I $0.00 S0.00 I $0.00 $0.00 $0.001 I S0.001 $0.001 1 $0.01) I $0.00 I I So.00 I I $0.00 I 30 0c, I $0.00 I so 00 I I Sam I I H 00 I I I $0.001 I 30.001 1 $0.001 1 60.001 1 I $o.00 I 30.00 I I s0.00 I I SOLO I I I $0.00 1 I So.00 1 I $0.00 1 I $0.00 1 I I $0 00 I I s0.00 I I $0.00 I I $0.00 I I I $o.oc I I S0.00 I I $0.00 I I $0.00 I I I $0.00 I s0 00 I I $0 00 I I $0 00 I I $0.00 I I I I S0.00 I 1 I I $0.00 I I I I $0 00 I I I I Net $0.00 1 $o.00 I $0.00 1 $0.00 1 $0.00 I $0.00 1 $o.00 I $0.00 $0.00 $0.00 $0.00 I $o.00 $0.00 I $o.00 I $0.00 I $0.00 I $0.00 i $0.00 $UAO $0.00 1 $o.00 1 $o.001 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $o.oa $0,00 $0.00 City of Fort Worth Summary of Charges City Secretary Contract Num: 53393 HMAC Surface Overlay 2019-6 I P. O.: FW020-0000003282Project Number: 102098 Application Period: I 3/1/23 - 6/29123 Application I 17 Final Application Date: 6/29/2023 Number: Funding Identification (FID) I I Total Completed Amt Remaining I I Gross I I Retainage I I Net Change Order 6 1 n 130100-0200431*5740010-102098-006280-9999 I $0.00 S0.00 $0.00 $0.00 $0.00 10 $o.oc I I so.00 1 1 $0.00 1 1 $0 00 1 1 $0.0) I 10 $o.00 I I SO.00 1 1 $0.00 1 1 $0.00 1 1 $0.00 I 10 ! I $0.00 1 1 so.00 1 1 $0.00 1 1 $o.00 I I so.00 I 10 I $0.00 1 1 so.00 1 1 $0.00 1 1 $0.00 1 1 $0.00 1 10 I I $0.00 1 1 S0.00 1 1 $&GO 1 1 $0 00 1 1 so.Oo 1 10 I i $0.00 1 1 SO.00 1 1 $0.00 1 1 so.00 I I m.00 I 10 I I $0.00 1 1 so 00 1 1 �r0.00 I I SO.00 I I SO.00 1 10 I I so.00 I I s0.00 I 1 $0.00 1 1 10,00 1 1 $0.00 I 10 1 1 $0.00 1 1 so 0o 1 1 $0.00 1 1 $coo 1 1 $0.00 I 10 1 1 i60.00 1 1 So.00 I 1 1i0.00 1 1 I so.00 I I I $o.00 1 I I I I l I I I I I Change Order 7 I 130100-0200431 *5740010-102098-006280-9999 1 $0.00 SO.00 $0.00 so.00 $0.00 10 I I $0.00 1 1 Sam I I so.00 I 1 $0.00 1 1 so.00 10 I $0.00 1 I So.00 I I $o.00 I 1 $0.60 1 1 so.00 I 10 I $0.00 1 1 saoo I I $o.o0 1 1 $0.00 1 1 so.00 IO I I $0.00 1 1 SO.00 1 1 $0.o0 1 1 $0 00 1 1 $0.00 I IO I $o no I I SO o0 1 1 $0.00 1 1 $c 00 1 1 so.00 I 10 I I $o.00 I I so.00 I I $0.00 1 1 $o.Uo I 1 $0.00 1 10 I I $0.00 1 1 so oo 1 1 $0.00 1 1 $0 00 1 1 so.00 10 I I $o.00 I I 50.00 I I $0.00 1 1 $aoo 1 1 $0.00 1 10 I I $0.00 1 1 So 0o 1 1 $0.00 1 1 $0 00 1 1 $o.00 1 10 I I $0.00 1 1 so.00 I I so.00 I I $O.Oo I I $0.00 Change Order 8 130100-0200431 *5740010-102098-006280-9999 I $0.00 so.00 so 00 $0. oo `G0.00 10 I $0.00 1 1 so.00 1 1 $0.00 1 1 So oo 1 1 so.Oo I 1O I $0.00 I 1 so oo I I so.00 1 1 $0 00 I I so.00 I 10 I I $o.oc 1 1 so 0o I I $0.00 1 1 $0.00 1 1 $0.00 IO I I $0.00 I 1 30.00 I 1 $0.00 1 1 som I I $o.00 I IO I I $0.00 1 I Sam 1 1 $0-00 1 1 Woo I I $o.0o 1 10 1 $O.Oo I I 50.00 I 1 $0.00 1 1 $0.00 1 1 1:0.00 I 10 1 $0.00 1 1 s0 00 1 1 $0.00 1 1 $0.00 1 1 so -Go 10 1 $0.00 1 1 Sam 1 1 Moo 1 1 yo.00 I I $0.0o 1 10 I 1 so.00 I I So.00 1 1 $0-00 1 1 $0 00 1 1 $0.00 1 IO I so.00 1 1 SO.00 I I so.00 $o.00 I I $C.oc I City of Fort Worth Summary of Charges City Secretary Contract Num: 53393 HMAC Surface Overlay 2019-6 P. O.: FW020-0000003282 Project Number: 102098 Application Period: 3/1/23 - 6/29/23 Application Number: 17 Final Application Date: 6/29/2023 Funding Identification (FID) Total Completed Amt Remaining Gross 1 Retainage ; I Net 1 L I Totals 30100-0200431*5740010-102098-006280-9999 $984,729.95 i $95,245.05 1 $0.00 $0.00 $0.00 0 I �0I I ;-1I 1 $0.00I I $0.00I I $0.00I 0 I i JC I t =; I $0.00 I I $o.00 I $6.00 I 0 I I $0.0o I I SUC I $0.00 I $0.00 I I $o.00 I 0 I $6.001 I So.001 $0.00 I S0.00 1 $0.001 0 I $o.00 I I 3000 I $0.00 I 1 $0 00 I $0.00 I 0 I $0.00 I I S0 0o I I $0.00 I I $0.00 I $0.00 I 0 I $0.00 I S0.00 I I so.00 I I $0 00 I i $o.00 I 0 I $0.00 I S0.00 I 1 $0.00 I $c.0o I 1 $0.00 0 $0.00 I I S0 00 I I $0.00 I S0 00 I $0.00 I 0 $6.00 I I S0.00 1 I $C.00 I '0 rj o( .7,0.09 I Grand Total I $984,729.95 I 1 $95,245.05 I 1 $0.00 1 1 ($49,236.49)1 1 $49,236.49 FORT WORTH. Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: CO 1, HMAC Surface Overlay 2019-6 M&C: N/A CPN: 102098 CSO: 53393 DOC#: Date: 6-15-2023 To: Name Department Initials Date Out 1. Valentina Riera TPW - initial Iz- J u n 15, 2023 2. Brendan Taylor Vendor - signature Bs J u n 15, 2023 3. Brian McGill TPW - signatures J u n 15, 2023 4. Tariqul Islam TPW - signature T/ Jun 15, 2023 5. Omar Elbagalati TPW - signatures J u n 15, 2023 6. Mary Hanna TPW - initialer Jun 15, 2023 7. Michael Owen TPW - signatures Jun 16, 2023 8. Lauren Prieur TPW - signature Jun 16, 2023 9. Doug Black Legal - signatures Jun 20, 2023 10. William Johnson CMO - signature W Jun 22, 2023 11. Jannette Goodall CSO - signature Jun 22, 2023 12. TPW Contracts TPW DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: ❑YES ®No RUSH: ❑YES ®No SAME DAY: ❑YES ❑No NEXT DAY: ❑YES ❑No ROUTING TO CSO: ®YES ❑No Action Required: ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return To: TPWContractsaFortWorthTexas.2ov at ext. 7233 for pick up when completed. CSC No. 53393-COI Fox_ T� x; Project Namel HMAC Surface Overlay 2019-6 Client Project #(s)I 102098 Project Description) Contractorl City Project Mgr.l Peachtree Construction Ltd Tariqul Islam Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date lGo to ADD & DEL Tabs to Enter CO Backup Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) City of Fort Worth Change Order Request City Sec # I 53393 Pulverization of existing street and 3 inch asphalt overlay at various locations TPW $1,079,975.00 Change Order #I 1 1 Date 6/12/2023 City Inspector Brian McGill Contract Time Totals (CD) $1,079,975.00 175 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.00% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 15%) $1,349,968.75 JUSTIFICATION (REASONS) FOR CHANGE ORDER This change order is to add 310 additional days to the project contract time due to water line conflict, water main break, gas line conflict and rain delays. Here is breakdown of delays: 1. Water main break on 5th Ave (97 days): Due to the shallow depth of the existing water line, the contractor broke it during construction and had to mobilize out of the site until Water Department replaced it under a different contract. Atmos had to work on their gas line relocation work on this street at the same time. The work was stopped on 5th Ave from 06117/2020 until 10/10/2020. The total 97 days of delay deemed reasonable to be granted for the critical path of the work activities on this street. , 2. Waterer main replacement on Lagonda Ave and Denver Ave (91 days): After construction started, the Contractor couldn't perform the 11" pavement pulverization due to the water main being cast iron and too shallow and need to be replaced. The work was stopped from 11/11/2020 until 2/10/2021 for the water department to complete the water main replacement. The total 91 days of delay deemed reasonable to be granted for the critical path of the work activities on this street. , 3.The tying in of Lagonda Ave and Denver Ave (94 days): The tying in of Lagonda Ave and Denver Ave to NE 28th St required a mill and overlay at the intersection instead of pulverization for the existing concrete base. The work was stopped from 3/11/2021 until 6/13/2021 to finalize an alternate work approach, receive a quote from the contractor, and price negotiation. Construction allowance #2 was executed for this work on 06/02/2021. The total 94 days of delay deemed reasonable to be granted for the critical path of the work for this purpose on this street. 4. Rain/Weather delays (28 days): Experienced more than average yearly rain days and couldn't do any work on the following days: 3/412020, 3/13/2020 — 3/16/2020, 3/18/2020 — 3/20/2020, 3/23/2020 — 3/27/2020, 3/31/2020, [March 2020 had 19 days with measurable rainfall and set an all-time record for days with consecutive rainfall] 10/23/2020— 10/27/2020, 12/11/2020, 12/30/2020, 2/11/2021— 2/21/2021, 2/25/2021 [February 2021was the month of the historical winter evenu snow storm in Texas]. 5. The inspector's log, email communications, and weather report pertaining to these delays have been documented. A memo to TPW Director regarding this delay is attached with the change order. it Is understood and agreed that the acceptance of tnls Lnange Urder by the contractor constitutes an accord and satlstaction and represents payment In tun (both time and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. IN Contractor's Com Peachtree Construciton Ltd. Contractor Brendan Taylor Contract 15, 2023 Inspector/Inspection Supervisor F Project and Contract Compliance Manager Date Jun 15, 2023 Jun 15, 2023 Program Manager Date Senior Capital Project Officer Date Jun 15, 2023 Jun 15, 2023 Assistant Director (Dept) Date Director, Contracting Department (Dept) Date ' ��"'�^� �'��•+�► J u n 16, 2023 J u n 16, 2023 Assistant City Attorney Date Assistant City Manager Date ( Jun 20, 2023 Jun 22, 2023 Council Actio M&C Number I ATTEST: �_a " Jannette Goodall, City Secretary M&C Date Approved FORT WORTH City of Fort Worth �'*`--- Change Order Additions Project Name I HMAC Surface Overlay 2019-6 Client Project # 1 102098 Contractorl Pulverization and asphalt overlay at various locations l I I tM DESOHIP I ION City Sec # 1 53393 1 ### I PMl Tariqul Islam Inspectorl Brian McGill l Peachtree Construction Ltd F— Date 1 6/12/2023 1 4/1/2022 ADDITIONS DtPI Oty Unit Umt(:ost total I I I I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I TF W $0.001 I I I I I I Sub Total Additions $0.001 Change Order Additions Page 2 of 4 FORTWORTH City of Fort Worth Change Order Deletions Project Name I HMAC Surface Overlay 2019-6 Client Project # I 102098 Contractorl rurvencauun anu iaspnmL Wendy ai vanuus ,��a. ITEM DESCRIPTION City Sec # 53393 ### PMl Tariqul Islam I Inspeclorl Brian McGill Peachtree Construction Ltd Date 1 6/12/2023 4/1/2022 DELETIONS DEPT Oty Unit Unit Cost Total I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I 1 I TF W $0.001 I I I Sub Total Deletions $0,001 Change Order Deletions Page 3 of 4 M/SBE for this Change Order M/SBE Sub Tvpe of Service Amount for this CO Total $0.00 Previous Change Orders co # DATE I AMOUNT Total I $0.00 1 FORT WORTH:.. Memorandum Date June 12, 2023 To Lauren Prieur Director, Transportation, and Public Works From Tariqul Islam Project Manager, Transportation, and Public Works Subject HMAC Surface Overlay (City Project Number 102098) Excessive delay in project completion This project was advertised to bid on September 12, 2019, after coordination with Water Department, and it was cleared by them to rehabilitate the asphalt pavement. Construction started on March 02, 2020, with a total of 175 calendar days. During construction, the Contractor had to stop working and mobilize out of the project until several conflicts were resolved, as stated below: 1. 5th Ave: A section of 5th Ave was included in the project for pulverization and overlay. Due to the shallow depth of the existing water line, the contractor broke it during construction and had to mobilize out of the site until Water Department replaced it under a different contract. Atmos had to work on their gas line relocation work on this street at the same time. The work was stopped on 5th Ave from 06/17/2020 until 10/10/2020. The total 97 days of delay deemed reasonable to be granted for the critical path of the work activities on this street. Update: A change order will be processed to add 97 days to the contract. 2. Lagonda Ave and Denver Ave: After construction started, the Contractor couldn't perform the 11" pavement pulverization due to the water main being cast iron and too shallow and need to be replaced. The work was stopped from 11/11/2020 until 2/10/2021 for the water department to complete the water main replacement. The total 91 days of delay deemed reasonable to be granted for the critical path of the work activities on this street. Update: A change order will be processed to add 91 days to the contract. 3. Lagonda Ave and Denver Ave: The tying in of Lagonda Ave and Denver Ave to NE 28th St required a mill and overlay at the intersection instead of pulverization for the existing concrete base. The work was stopped from 3/11/2021 until 6/13/2021 to finalize an alternate work approach, receive a quote from the contractor, and price negotiation. Construction allowance #2 was executed for this work on 06/02/2021. The total 94 days of delay deemed reasonable to be granted for the critical path of the work for this purpose on this street. Update: A change order will be processed to add 94 days to the contract. 4. Rain/Weather Delays: Experienced more than average yearly rain days and couldn't do any work on the following days: 3/4/2020, 3/13/2020 — 3/16/2020, 3/18/2020 — 3/20/2020, 3/23/2020 — 3/27/2020, 3/31/2020, [March 2020 had 19 days with measurable rainfall and set an all-time record for days with consecutive rainfall] 10/23/2020 — 10/27/2020, 12/11/2020, 12/30/2020, 2/11/2021 — 2/21/2021, 2/25/2021 [February 2021was the month of the historical winter event/snow storm in Texas]. TRANSPORTATION PUBLIC WORKS DEPARTMENT CAPITAL DELIVERY DIVISION THE CITY OF FORT WORTH * 200 TEXAS STREET * FoRT WORTH, TEXAS 76102 *Tel 817-392-8363* * Fax 817-392-8092* HMAC Surface Overlay (CPN 102098) Excessive delay in project completion Page 2 of 2 Memorandum Update: A change order will be processed to add 28 days to the contract. The inspector's log, email communications, and weather report pertaining to these delays have been documented. This project was completed almost two years ago, but due to the type of contract being calendar days, this necessitated the need to execute a change order for additional time after the project was accepted. The project was managed by multiple PMs, some no longer with the City. Due to the staff turnover and lack of proper documentation of the changes, the change order was not processed timely. Measures are being taken to ensure that similar situations do not occur in the future. The Project Manager will diligently adhere to City policy by promptly initiating change orders following any project delays, and saving all the project documentation on BIM360 or any future document management system. Conclusion: A change order of 310 additional days of contract time will be routed for execution. The final payment to the contractor and project reconciliation will be followed. TRANSPORTATION PUBLIC WORKS DEPARTMENT CAPITAL DELIVERY DIVISION THE CITY OF FORT WORTH * 200 TEXAS STREET * FoRT WORTH, TEXAS 76102 *Tel 817-392-8363* * Fax 817-392-8092* FORTWORTH. M, TRANSPORTATION AND PUBLIC WORKS June 29, 2023 Peachtree construction 5801 Park Vista Circle Keller, TX 76244 RE: Acceptance Letter Project Name: HMAC Surface Overlay (2019-6) Project Type: paving City Project No.: 102098 To Whom It May Concern: On September 22, 2021 a final inspection was made on the subject project. There were no punch list items identified at that time. The final inspection indicates that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on September 22, 2021, which is the date of the final inspection and will extend of two (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- 392-2486. Sincerely, kzr Tariqul Islam (Jul 7, 2023 14:56 CDT) Tariqul Islam, Project Manager Cc: Brian McGill, Inspector Gary Deyon, Inspection Supervisor Gary Deyon, Senior Inspector Mary Hannah, Program Manager Cirt of Ft Worth, Consultant Peachtree Construction, Contractor City of Ft Worth, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 08/20/19 Bond: 106971478 CONSENT OF SURETY COMPANY TO FINAL PAYMENT Conforms with theAmorlean Institute of Architects, AIA Document G707 OWNER M ARCHITECT F] CONTRACTOR El SURrTY 0 OTRER El PROJECT. HMAC Surface, Overlay 2019-6 City Proj No. 102098 TO (Owner) City of Fort Worth 200 Texas St. ARCHITECT'S PROJECTNO, Fort Worth, TX 76102 CONTRACT FOR: Construction CONTRACT DATE: Dec 18, 2019 CONTRACTOR: Peachtree Construction, LTD -TX1.6.244 -1 . ........ . ... . ... . In accordance with the provisions of the Contract between the Owner and the Contractor as above, the_-- Travelers Casualty and Surety Company of America 9601 McAllister Freeway, Suite 9.00; -San Antonio, TX 78216 SURETY COMPANY, on bond of Peachtree Construction, LTD, 5801 Park Vista Cir, Keller, TX 76244 ,CONTRACTOR, hereby approves of the 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 City of Fort Worth 200 Texas St., Fort Worth, TX 76102 OWNER, as set forth in the: said Surety Company's bond, IN WITNESS WHEREOF, the Surety Qonipany has hereunto set its hand this 3rd day of July 2023 Su ty Company Tray qua ers Ca Do erica Witness: ig l, attro oflitherized 4Ro—tatmilsa i Reyes, Sew tat TeresaAyala Name & Title N.017'Nisfonn is to be used as 4 comjAniou Acournont to AIA D(RKIMENT (3700, CONTRACTOWS AFFfl)AVi;R6F—PAymF.NT OV DMIS AND CLANS'. CuffentEdition. D0138 12/00 ONBPAGB Travelers Casualty and Surety Company of America Travelers Casualty and Surety Company St. maul Fire and Marine Insurance Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and St, Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein collectively called the "Companies'), and that the Companies do hereby make, constitute and appoint Teresa Ayala of FT WORTH , Texas , their true and lawful Attorney(s)-in-Fact to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory In the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this Instrument to be signed, and their corporate seals to be hereto affixed, this 21st day of April, 2021. Sol State of Connecticut City of Hartford as. By: ttobert L. Rane , entor Vice President On this the 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer. IN WITNESS WHEREOF, I hereunto set my hand and official seal, My Commission expires the 301th day of June, 2026 tU?'IAAY Y ' c�`1° h nna P. Nowitc, Notary Public This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of the Companies, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognlzances, contracts of Indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation Is in writing and a copy thereof Is filed In the office of the Secretary; and It Is FURTHER RESOLVED, that any bond, recognizance, contract of Indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, If required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed In his or her certif€cafe or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it Is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in - Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seat shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company In the future with respect to any bond or understanding to which it Is attached. 1, Kevin E. Hughes, the undersigned, Assistant Secreta_rryy,,, of each of the Companies, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executeduby''s� .d faom riies, which remains in full force and effect. Dated this 3rd day of JUiv 2023z. 3 µisrza,s� op 1::osta �g _ evin E. Hughes, Assl tank Secretary To verify the authenticity o6hikPower ofAttorney, please callus at .1-800-4,2.1-.3880- P/ease refer to the above -named Attorney(s)-in-Fact and the details ofthe bond to which thiq Power of Attorney is attached 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 Brendan Taylor (name), Proiect Manaaer (title), of Peachtree 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 City of Fort Worth has been paid; and That there are no claims pending for personal injury and/or property damages; On Contract described as; HMAC Surface Overlay 2019-6 Subscribed and sworn before me on this , jObl- day of 520 S Notary PWlic in Tarrant County, Texas P Y "G Janet Lynn Reiter •. } My Commission Expires 9IF0 ID No. 130350G71