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Home My WebLink AboutContract 57193-FP1FORT WORTH, TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION Normandale Street and -FP1 City Secretary No: 57193 Date Received: 10/27/2023 City Project NQ: 101591 57193 Las Vegas Trail Improvements Regarding contract _ _ for as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 11 /9/2021 through M&C 21-0850 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: Amount of Approved Change Orders: Revised Contract Amount: Total Cost Work Completed: Less Deductions: Liquidated Damages: Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: $ 2,322,913.00 $ 61,843.18 N9 4 $ 2,384,756.18 $ 2,329,366.17 Days @ $ 1,250 / Day $ 2,329,366.17 Less Previous Payments: $ 2,212,897.86 Final Payment Due $116,468.31 �at�icia L. wadsack oct 27 2023 Patricia L. Wad sack IDct 27. 2023 14:53 CDTI 7 Recommended for Acceptance Date Asst. Director, TPW - Capital Delivery PZ— Oct 27 2023 Lauren Prieur (Oct 27, 2U2315:26 CDT) Accepted Date Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT Wilh,J hn-n(0 t27,202315:40CDT) _ _ _ _ �OCt 27, 2023 Asst. City Manager Date Comments: C-620 Signature Page Contractor's Application for Payment Invoice No. 17 To (Owner) City of Fort Worth Invoicing Period (Ftour - To) Invoice Date 9/1/2023-9/30/2023 10/12/2023 Retain *e P O Fj W020-007498 From (Contractor) Rcmrl to ( If Not Automatic Deposit ) Number Rebcon Inc Project 101591 Contractor's CFW Vendor No 0000033196 City Secretary Contract 57193 Contract and Las Vegas Intersection Improvements Nun„ber Name-Normandale Application For Payment ( h-- f 1-1— Cnmm— Approved Change Orders Number Additions Deletions 1 $166,947.24 $166,666 00 2 $7,673 00 3 $93,910.66 $39,819.91 4 $82,721 64 $82,923 45 5 6 7 8 TOTALS NET CHANGE BY CHANGE ORDERS $351,25254 $289,409 36 S61,843.18 Contractor's Certification The Contractor certifies with the submittal of thus document and associated Payment Request Submittal on the City ofFort Worth Buzzsaw system that to the best of their knowledge (I ) 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 Pavment, (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 al I Liens, security interests and encumbrances (except such as are covered by a Bond acceptable to Owner indemnifying Owner against any such Liens, secunry interest or encumbrances), and (3) all Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective Liquidated Damages $1,250.00 x day �IGhL �JCO LhtCLKIL 1. ORIGINAL CONTRACT PRICE ........................................................ $ $2,322,913.00 1. Net change by Change Orders............................................................... $ $64,843.18 1. Current Contract Price (Line 1 t 2)...................................................... $ $2,384,756.18 t. TOTAL COMPLETED ,AND STORED TO DATE (Progress Estimate, Construction Allowance and Change Orders)..... $ $2,329,366.17 i. RETAINAGE: a. X $2,329,366 17 'Work Completed......... $ b. X Not Used $ c. Total Retainage (Line 5a + Line 5b).............................. $ S. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c)........................... $ $2,329,366.17 7. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)....... $ $2,212,897.86 3. AMOUNT DUE THIS APPLICATION ............................................... $ $116,468.31 d. BALANCE TO FINISH, PLUS RETAINAGE (Column G on Progress Estimate+ CA + Cos + Line 5 above) ............. $ $55,390.00 10. CONTRACT TIME: a, Days Awarded b, Days Added by CO C. Total Days d, Days Charged C. Days Remaining Affidavit of Bills Paid 300 186 486 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. Progress Esti..te Appli,.ti.. c-ez0 a,an02 order Progress Estimate Construction Allowance Usage Contractor's Application ADDITIONS pm �.,m,ea.�7 Nmmmdaln and Lae Vegas ]ntersectlun lmpru�ewente arya. r.,mry t Ot i91 Convau num i7193 _ygawm�o�r 17 >pp6.an„n e.,n„J 9/1/2023-9/30/2023 ap°I'"au-D- 10/12/2023 Retainage e c D ❑an. (Junn�LyN Aril Ilnirihi� ,{Il1iL„n l'alw l:t�mat..11 anhty Inswll.d �alw Yr.rn,�e.h li�slall.rl Cale. \'alu. TL. P.i iad Atatsials Yi...ntlY �loi.d (ncLin C) T�rlalGwryl{al and CNrvd �. 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HYllA1 WI ICH TP\V 5X 110 5Xl10l10 10 112414i02 kFMU1'F t' AA 4TF IVT.FT TPN EA l 110110110110 $11101111 $1110110 1<4 011 TItllCR 4PI1Ul\P4CInG TPW T11 1X4011011011011 V7110 $3-110 IH 3232'110U CUl\"CRLILRLIAlNINGUALLU1111 i1DLU ALA 11'\V SF 151F'J000OU $31 U0 FSX]4, �' 1]"CU1CRI'.11IRI CI: IPRIIV CARP IP\V Ili $55llfl -- ' J11'J024",TSIkCMTIrLlltEII\GHALIWI TPN LIB mlowu 2411101,1011 $2600 $�41110 r, J24141JI REMOCE 10'CI IRD IVLFT TPW FA $11,,1705 $s 41, 1'A 3% '32413014--L21"T-MLII\l: TPN I.11 $4300 $23b]00 0241 31115 RFMUVF 24" STDRM T,ITF TPN T.F 51111111111011011 §4J 110 §2 2110110 'JlJ00 Trucks ron'�mt ofs L.dwliran e1 b,1nh TPN 61' 1X400000000 IF 11 ,la E-1-CoK-11121,,11 It a 4"d`1, 11 TPN T.F '1411011011011011 $1X W, $11 120 110 2< 011l vrdd.n .,A1ti1 .Ut w.—'a,2 TP\V l:A 5115.01111 $115i0110 1'o�ild gX2,Y23.4+ Citv of Fort Worth Summary of Charaes Ctty Scmctary Contract Num 57193 Normandale and Las Vegas Intersection Improvements P o FR'020-007498 Ptoj-t Numbct 101591 Appbcaoon Penod 9/1/2023-9/30/2023 Application 17 A licatinn Date PP lU/12/2U23 Retaittage Numbci Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net Original Contract $1,985,107.55 $337,805.45 $0.00 $0.00 $0.00 34018-0200431-5740010-101591-003980-9999-18010203 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 D $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 D $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 D $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 Change Order $165,413.33 ($165,132.09) $0.00 $0.00 $0.00 34018-0200431-5740010-101591-003980-9999-18010203 0 $0.00 $0.00 $O.DD $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 1 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 Change Order $7,673.00 $0.00 $0.00 $0.00 $0.00 34018-0200431-5740010-101591-003980-9999-18010203 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 1 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 Citv of Fort Worth Summary of Charaes Ctty Scmctary Contract Num 57193 Normandale and Las Vegas Intersection Improvements P 0 FR'020-007498 Ptoj-t Numbct 101591 Appbcaion Penod 9/1/2023-9/30/2023 Application 17 A lication Date PP lU/12/2U23 Retaittage Numbci Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net Change Order $88,450.66 ($34,359.91) $0.00 $0.00 $0.00 34018-0200431-5740010-101591-003980-9999-18010203 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 1 $0.00 $0.00 0 $0.00 $0.00 $0.00 1 $0.00 $0.00 0 $0.00 $0.00 $0.00 1 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 Change Order $82,721.64 ($82,923.45) $0.00 $0.00 $0.00 34018-0200431-5740010-101591-003930-9999-18010203 0 $0.00 $0.00 $0.00 $0.00 1 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 1 $0.00 $0.00 Change Orders $0.00 $0.00 $0.00 $0.00 $0.00 34018-0200431-5740010-101591-003980-9999-18010203 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 Citv of Fort Worth Summary of Charaes Ctty Scmctary Contract Num 57193 Normandale and Las Vegas Intersection Improvements P 0 FR'020-007498 Ptoj-t Numbct 101591 Appbcaion Penod 9/1/2023-9/30/2023 Application 17 A lication Date PP lU/12/2U23 Retaittage Numbci Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net Change Order $0.00 $0.00 $0.00 $0.00 $0.00 34018-0200431-5740010-101591-003980-9999-18010203 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 1 $0.00 $0.00 0 $0.00 $0.00 $0.00 1 $0.00 $0.00 0 $0.00 $0.00 $0.00 1 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 Change Order $0.00 $0.00 $0.00 $0.00 $0.00 34018-0200431-5740010-101591-003930-9999-18010203 0 $0.00 $0.00 $0.00 $0.00 1 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 1 $0.00 $0.00 Change Order $0.00 $0.00 $0.00 $0.00 $0.00 34018-0200431-5740010-101591-003980-9999-18010203 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 Citv of Fort Worth Summary of Charaes Ctty Scmctary Contract Num 57193 Normandale and Las Vegas Intersection Improvements P 0 FR'020-007498 Ptoj-t Numbct 101591 Appbcaion Penod 9/1/2023-9/30/2023 Application 17 A lication Date PP lU/12/2U23 Retaittage Numbci Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net Totals $2,329,366.17 $55,390.00 $0.00 $0.00 $0.00 34018-0200431-5740010-101591-003980-9999-18010203 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 D $0.00 $0.00 $D.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 Grand Total 1 1 $2,329,366.17 1 1 $55,390.00 1 1 $0.00 1 1 ($116,468.31) $116,468.31 FORTWORTHQ Routing and Transmittal Slip Transportation &Public Works_ Department DOCUMENT TITLE: Normandale Street and Las Vegas Trail -Improvements Change Order Ol M&C: CPN: �105191� CSO: ,57193 DOC#: 1 Date: To: Name Department Initials Date Out 1. Misty Monique -Davila — BSP TPW - initial Dec 14, 2022 2. Danny Krieg -Contractor Rebcon - signature k Dec 14, 2022 3. Habte Taezaz — Inspector TPW - signature Dec 17, 2022 4. Brendan McInnes —Project Manager TPW -signature LM Dec 14, 2022 5. Chad Allen — Interim Program Mngr TPW - signature Dec 19, 2022 6. Lissette Acevedo - Interim Stir CPO TPW - signature Dec 20, 2022 7. Michael Owen — Interim Asst. Director TPW - signature Dec 20, 2022 8. Lauren Prieur — Interim Director TPW - signature P Dec 20, 2022 9. Jeremy Anato— Mensah Legal - signature Jan 6, 2023 10. William Johnson CMO - signature .,1. Jan 9, 2023 11. Jannette Goodall CSO - signature TSG_ Jan 9, 2023 12. TPW Contracts TPW DOCUMENTS FOR CITY MANAUtK'N MUINA 1 uttr.: till uucuiii�u�� l��l�� 1,.,,.. —1.7 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 ROUTING TO CSO: ®YES ❑No Action Required ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File NEXT DAY: ❑YES ®No ❑ Attach Signature, Initial and Notary Tabs Return To: TPWContractsPforlworthtexas.4ov, for pick up when completed; list "Please call Brendan ext # 2817 for questions. Thank you. " Updaled 08-22.2022, indhin 57193-COI F(wi- [i 'rR, City of Fort Worth Change Order Request Project Name Normandale Street and Las Vegas Trail Intersection Improvements City Sec # 57193 Client Project #(s) 101591 Project Description Improvements include a multi -lane roundabout, minor storm drain improvements and pedestrain facilites such as sidewalks and American Disability (ADA) ramps. Contractor Rebcon, Inc. Change Order# 1 Date 1215/2D22 City Project Mgr. Brendan McInnes City Inspector Habte Taezaz, Ariel Durate Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) TPW Contract Time Totals (CD) $2,322,913.00 1 1 1 1 $2.322,913.00 300 3.00 1 1 1 1 $2.322,913.00 1 300 .30 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.01 % MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $2.903,641.25 FOR CHANGE ORDER 302 The existing storm drain was found further north than the design ancipated and the connection of the new storm sewer would leave a patch i n the existing roadway. Recommended extending the pavement an additional 48ft along Normandale to replace the pavement over the limits of the storm drain connection to the existing system. 15' inlet revisions are being made to accomodate the current standrd of having 3 rings for these inlets. Details in the current plans only indicated having 2 rings being required. Additional sidewalk wall is being added to minimize grading behind the sidealk and impacting an existing fence in the ROW. Sewer plans did not account for existing sewer connections being needed, and 2 lines needed to be connected to maintain severices. During the design phase the FOR switched to a flexible base section, but the unclassified excavation was not added to the plans as required to the specification. The Contractor and FOR have both reviewed and agreed to the missing quantites. Additionally, during the design phase a CFW Arts project was being coordingated for art in the middle of the roundabout. With further coordiantion with the art department and thier artist, the landscaping was requested to be removed and a concrete seperator and rock design proposed by the artist. Cost - City of Fort Worth has compared the unit prices which are being proposed by the contractor to other similar items and accepts the unit costs. The difference in pricing can be justified by the current market pricing which is fluctuating on a monthly basis due to price escalation and inflation. The City finds that the prices that are being proposed by the contractor are fair and reasonable. The average pricing was compiled from similar items from CFW Unit Cost Average including IPRC Data, and the Texas Department of Transportation Average Low Bid Unit Prices effective September 2022. Time - Additional contract time has been reviewed and the amount of days being granted is deemed reasonable for the work scope when reviewed in relation to the 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. 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. ontractor's Company NameS ontractor Name ntract Sifin; Rebcon Inc. Danny KriegDK Date Dec 14, 2022 tor/Inspection Supervisor Date Project and Contract Compliance Manager Date _ Dec 17, 2022 ,.a o „ Dec 14, 2022 Manager Date Dec 19, 2022" 8 ital Project Officer Ile_ �n Date Dec 20, 2022 irec or Dept) Date 111111iffDepartment (Dept) Date Dec 20, 2022 Dec 20, 2022 Assistant City Attorney Date Assistant City Manager Date . Jan 6, 2023 Jan 9, 2023 9 Council Action (if required) M&C Number IM&C Date Approved ATTEST: Jannette Goodall, City Secretary City of Fort Worth Change Order Additions Protect Name Normandale Street and Las Vegas Trail Intersection Improvements City Sec # 57193 Client Protect # 101591 Contractor Rebcon, Inc. PM Brendan McInnes Inspector® Change Order Submittal # F-7--� Date 121512022 AUDITIONS ITEM DESCRIPTION UEP I City Unit Unit Cost Total 0241.1300 REMOVE CONL;& 7.00000900 .00 92.00 2 0241.1000 REMOVE ASPHALT PAVEMENT TPW 140.00000000 SY $20.06 12 3123.0101 UNCLASSIFIED ECAVATION TPW 1,102.00000000 CY 60.00 .0 3 3211.00113 8 CRUSHED CONCRETE FLEX BASE o.00000000 5 .00 2, 15 3213.0103 8" CONCRETE PAVEMENT TPW 140.00000000 SY 112.00 0.00 16 3216.0101 6" CONC CURB AND GUTTER TPW 48.00000000 LF $2.06 96.00 18 3232.0100 CONCRETE RETAINING WALL WITH SIDEWALK TPW 140.00000000 SF $31.00 $4,340.00 63 9999.0000 Crushed Limestone (5" depth) with filter fabric TPW 2,400.00000000 SF 2.00 57 9999.0000 Turf in medians solid sod TPW 110.00000000 SF 1.00 0.00 68 9999.0000 Top soil in turf areas TPW 110.00000000 SIF 1.00 0.00 77 3349.6002 15'RECESSED INLET TPW 1.00000000 E 11,518.10 , 8. 0 78 3349.500215' CURB INLET TPW 2.00000000 EA 16,468.10 32,936.20 79 9999.0000 Concrete Seperators TPW 22.00000000 CY 635.32 3,9 .0 80 3331.3311 4"Sewer Service, Reconnection TPW 2.09000000 EA $1,533.911 $3,067.82 81 36" Drilled Shaft Foundation TPW 11.00000000 LF $827.28 9, 00. 88 TPW $166,947.24 Sub Total Additions 166'947.24 Change Order Additions Page 2 of 4 City of Fort Worth Change Order Deletions Project Name Normandale Street and Las Vegas Trail Intersection Improvements CitySec # 57193 Client Project # 101591 Contractor Rebcon, Inc. PM Brendan McInnes Inspector® Change Order Submittal # Date 121512022 DELETIONS DESCRIPTIONITEM Oty Unit Unit Cost Total 77 3349.600215' RECESSED INLET TPW 1.DOOO0000 EA 10,296.00 1D,296.00 78 3349.5002 15'CURB INLET TPW 2.00000000 EA $15,246.0 30, 92.Oo 58 9999.0000 Limestone blocks (1681f X 2'h X1.5w) x 150I 2000 TPW 39.00000000 TN $1,050.05 0,950.O0 59 0099.0000 4-1-imestone verticals at intersections (3' x Tx 6) x 150 12000 TPW 17.00000000 TN 17350.00 22,950.00 60 9999.0000 Structural foundation for Limestone verticals (4) TPW 4.D0000000 EA 2,500.00 0,000.00 61 9999.0000 Concrete Edger -Colored (1260 If X 4"d X 6'W) TPW 560.00000000 EA si8.00 77585.10 65 9999.0000 Ornamental trees (Y cal TPW 10.00000000 EA $450.00 $4,500.00 66 9999.0000 Ornamental grasses I native shrubs TPW 624.00000000 EA $11.05 6,86 .00 69 9999.0000 Planting mix in bed areas TPW 1,424.00000000 SF $1.05 1,424.00 70 9999.0000 Tree much TPW 110.00000000 SF 1.00 71 9999.0000 Landscape Lighting ( 20 Saratoga LEDFights)- TPW 20.00000000 EA $1,450.05 29,000.00 TPW 166,666.00 Sub Total Deletions 1 P66,666.00 Change Order Deletions Page 3 of 4 FORTWORTH, Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Normandale Street and Las Vegas Trail Improvements Change Order 02 M&C: CPN: 105191 CSO: 57193 DOC#: 1 Date: To: Name Department Initials Date Out 1. Misty Monique -Davila — BSP TPW - initial tip Jan 31, 2023 2. Danny Krieg - Contractor Rebcon - signature aK Jan 31, 2023 3. Habte Taezaz — Inspector TPW - signature „r Jan 31, 2023 4. Brendan McInnes — Project Manager TPW - signature eLM Feb 1, 2023 5. Chad Allen — Interim Program Mngr TPW - signature -, Feb 2, 2023 6. Lissette Acevedo - Interim Stir CPO TPW - signature Feb 3, 2023 7. Michael Owen — Interim Asst. Director TPW - signature zo Feb 4, 2023 8. Lauren Prieur — Interim Director TPW - signature LLP Feb 4, 2023 9. Doug Black Legal -signature 16111 d,•,b Feb 6, 2023 10. William Johnson CMO - signature ;,,1. Feb 7, 2023 11. Jannette Goodall CSO - signature ,j Feb 7, 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 ROUTING TO CSO: ®YES ❑No Action Required: ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File NEXT DAY: ❑YES ®No ❑ Attach Signature, Initial and Notary Tabs Return To: TPWContracts0fortworthtexas._i7ov, for pick up when completed; list "Please call Brendan ext # 2817 for questions. Thank you. " Updated 08.22.2022, mdhm CSC No. 57193-CO2 Firwil- ORTI I. City of Fort Worth " "' — Change Order Request Project Name Normandale Street and Las Vegas Trail Intersection Improvements City Sec # 1 57193 Client Protect #(s) 1101591 Project Description Improvements include a multi -lane roundabout, minor storm drain improvements and pedestrian facilities such as sidewalks and American Disability (ADA) ramps. Contractor Rebcon, Inc. Change Order# 2 Date 1/4/2023 City Project Mgr. Brendan McInnes City Inspector Habte Taezaz, Ariel Durate Dept. I TPW Original Contract Amount $2,322,913.00 Extras to Date $166,947.24 Credits to Date $166,666.00 Pending Change Orders (in M&C Process) $0.00 Contract Cost to Date k"$2,323,194.24 Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) FOR CHANGE ORDER Totals Contract Time (CD) $2.322,913.00 300 $166,947.24 2 $166,666.00 $2.323,194.24 302 $7,673.00 0 $2.330,867.24 $232,291.30 $232,010.06 0.34% $2.903,641.25 A sanitary sewer line called out in the plans to be replaced is in conflict with a franchise utility line as well as an existing waterline where a sanitary sewer manhole is proposed to be installed. The engineer has reviewed the conflicts and provided two alternatives to resolve the conflicts. One alternative is to use cast -in -place pipe (CIPP) to line the existing pipe in place to remove the need for the added manhole and the other option is to completely move the proposed sewer line to the other side of the road. Currently 190 LF of the 300 LF of the new line has been installed per plan before the conflict was identified. Use of CIPP is least impactful to the project schedule and budget but requires a CCTV video of the existing pipe conditions to verify adequacy of the existing line that will remain and a point repair to be conducted at the temporary intersection of the existing clay pipe and the new pvc pipe. Contractor has submitted prices for the added work of cleaning the line, performing a permanent point repair and videoing the line for existing conditions. Typical methods for comparing unit costs were not available and were not considered adequate for this work. Instead, the Contractor has submitted invoices and breakdowns of the time and materials for the added work. The breakdown has been reviewed and deemed to be fair and reasonable for the work being conducted. The documentation has been attached to this change order. After the CCTV video is conducted it will be reviewed to determine if CIPP is an option. If it is, CIPP will be change ordered into the contract, otherwise the relocation option will be used. 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. 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. Contractor's Company Narne ontractor Name ntract Sianatur Rebcon Inc. Danny Krieg �K e Date Jan 31, 2023 prTspector/Inspection Supervisor Date Project and Contract Com fiance Manager Date Jan 31, 2023 7717 Feb 1, 2023 ram Manager Date Senior Ca ital Project Officer Date Q Feb 2, 2023 „ , Feb 3, 2023 irec t_ Date Feb 4, 2023 Director, Department (Dept) 1 A Iil'., Date Feb 4, 2023 Assistant Cit Attorney Date Assistant City Manager D Feb 6, 2023 Feb 7, 2023 Council Action if require �p M&C Number M&C Date Approved ATTEST: 'd `�� " Jannette Goodall, City Secretary City of Fort Worth Change Order Additions Protect Name Normandale Street and Las Vegas Trail Intersection Improvements City Sec # 57193 Client Protect # 101591 Contractor Rebcon, Inc. PM Brendan McInnes Inspector® Change Order Submittal # F—T—� Date 11412023 AUDITIONS City of Fort Worth Change Order Deletions Project Name Normandale Street and Las Vegas Trail Intersection Improvements CitySec # 57193 Client Project # 101591 Contractor Rebcon, Inc. PM Brendan McInnes Inspector® Change Order Submittal # Date 11412023 Change Order Deletions Page 3 of 4 FORT WORTHO,. Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Normandale Street and Las Vegas Trail Improvements Change Order 03 M&C: 21-0850 CPN: 101591 CSO: 57193 DOC#: 1 Date: To: Name Department Initials Date Out 1. Alexiz Ramirez — BSP TPW - initial aF May 22, 2023 2. Danny Krieg - Contractor Rebcon - signature May 23, 2023 3. Habte Taezaz — Inspector TPW - signature b May 18, 2023 4. Brendan McInnes — Project Manager TPW - signature M May 18, 2023 5. Chad Allen — Program Manager TPW - signature May 23, 2023 6. Lissette Acevedo - Stir CPO TPW - signature May 24, 2023 7. Michael Owen — Interim Asst. Director TPW - signature o May 24, 2023 8. Lauren Prieur — Director TPW - signature May 24, 2023 9. Doug Black Legal - signature 1�14 May 26, 2023 10. William Johnson CMO - signature k May 27, 2023 11. Jannette Goodall CSO - signature May 30, 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 ROUTING TO CSO: ®YES ❑No Action Required: ❑ As Requested ❑ For Your information ® Signature/Routing and or Recording ❑ Comment ❑ File NEXT DAY: ❑YES ®No ❑ Attach Signature, Initial and Notary Tabs Return To: TPWContractsOfortworthtexas. aov, for pick up when completed; list "Please call Brendan C� ext # 2817 for questions. Thank you. " Updated 08.22.2022, mdhm CSC No. 57193-CO3 Ry'(ili'fhXt City of Fort Worth Change Order Request Project Name Normandale Street and Las Vegas Trail Intersection Improvements City Sec # 57193 Client Project #(s) 1101591 Project Description Improvements include a multi -lane roundabout, minor storm drain improvements and pedestrian facilities such as sidewalks and American Disability (ADA) ramps. Contractor Rebcon, Inc. Change Order# 3 Date 1/4/2023 City Project Mgr. Brendan McInnes City Inspector Habte Taezaz, Ariel Durate Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date Ti $2,322,9' $174,6: $166,61 $2,330,81 Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) Totals .30 1 1 1 1 $232.291.30 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 2.67% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $2,903,641.25 Contract Time 302 When installing the 10' inlet it was realized that it conflicted with the existing storm sewer line. The FOR revised the location and type of the inlet to allow the drain to be installed. The Contractor priced reworking the pavement to allow the new inlet to be installed as well as the new inlet not currently in the plans. 24" Stripe was incorrectly quantified in the plans, and the additional quantity is being added to the project as needed for the striping layout. The Contractor and FOR have both reviewed and agreed to the missing quantities. Oncor and Contractor met to discuss the power supply for the project. During the meeting Oncor noted that 240/480 could not be provided but 120/240 could be. Traffic Management approved the substitution, and the bid items are being switched out for the same cost. With further coordination with the PAR department the remaining landscaping scrubs are being removed and swapped out for limestone rocks. A sanitary sewer line called out in the plans to be replaced conflicts with a franchise utility line as well as an existing waterline where a sanitary sewer manhole is proposed to be installed. The engineer has reviewed the conflicts and provided revised sheets to use cast -in - place pipe (CIPP) to line the existing pipe and relocate the manhole. Contractor has submitted prices for the added work of cleaning the line, connecting a service, and placing the CIPP liner. Cost - Typical methods for comparing unit costs were not available and were not considered adequate for this work. Instead, the Contractor has submitted invoices and breakdowns of the time and materials for the added work. The breakdown has been reviewed and deemed to be fair and reasonable for the work being conducted. The documentation has been attached to this change order. Time - Additional contract time has been reviewed and the amount of days being granted is deemed reasonable for the work scope when reviewed in relation to the critical path of the work activities. 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. 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. OEMontractor's Company Name ontractor Name Contract Si n, Rebcon Inc. Danny KriegK D May z3, zoz3 Su ervisor Date Project and Contract Com fiance Manager Date May 18, 2023 oSenior May 18, 2023 Date Capital Project Officer Date May 23, 2023 , May 24, 2023 tAssist.ntCit Date Director, ContractingDepartment (Dept) Date May 24, 2023—� May 24, 2023 e Date A Manager Date May 27, 2023 May 26, 2023 Council Action if require M&C Number I M&C Date Approved .r, ATTEST: A `-� Jannette Goodall, City Secretary City of Fort Worth Change Order Additions Protect Name Normandale Street and Las Vegas Trail Intersection Improvements City Sec # 57193 Client Protect # 101591 Contractor Rebcon, Inc. PM Brendan McInnes Inspector® Change Order Submittal # O3 Date 1I412023 ADDITIONS ITEM DESCRIPTION DEPT Oty Unit Unit Cost Total 2 0.00000000 26.00 $8,060.00 53 9999.0000 Crushed Limestonedepth) with ter fabric TPW 776.00000000 SF 2.00 2.D0 74 3471.0000 C CONTROL TPW 4.00000000 MO $5,556.65 22,000.00 84 3441.1771 Furnish/install20-2 D Volt Single Phase Metered PedestalTPW 1.O0000000 EA 7770000 TO 85 33 9.8001 10' ype 2 net TPW 1.O0000000 EA $15,448.00 S.DO 76 9999.0000 TEMPORARY 4" ASPHALT PVMT W TH FLEX BASE NSTALLAT TPW 108.00000000 SY 55.00 9 O.DO 84 3331.0101 4" Sewer Pipe, Point Repair TPW 1.ODDDD000 EA 27181.70 2, 8 . 0 85 3331.2102 8" C PP TPW 178.O0000000 Li- 174.32 3 ,028.96 TPW $93,910.66 Sub Total Additions 93,910.66 Change Order Additions Page 2 of 4 r4014 I'Wox i a City of Fort Worth Change Order Deletions Project Name Normandale Street and Las Vegas Trail Intersection Improvements City Sec # 57193 Client Project# 101591 Contractor Redden, Inc. PM Brendan McInnes Inspector® Change Order Submittal # Date 11412023 DELETIONS ITEM I DESCRIPTION DEPT Qty Unit I Unit Cost Total 9 333 . 58 S -26 C PE TPW 134.00000000 .00 $18,894.00 40 3349.5001 10' CURB INLET TPW 1.00000000 EA $8,430.00 8,430.00 52 3441.1772 Furnish/install 240-480 Volt Single Phase Transocket Metered PedE TPW 1.00 EA $7,7DO.00 7,7 00.90 66 9999.0000 Ornaments grasses I native shrubs TPW 226.00 EA 11.00 2, 86. 00 69 9999.0000 Planting mix in bed areas TPW 776.00000000 SF $1.06 776.00 80 3331.3311 Sewer Service, Reconnection .00 ,533.9 ,533.9 TPW $39,819.91 Sub Total Deletions 39,819.91 Change Order Deletions Page 3 of 4 FORTWORTH, Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Normandale Street and Las Vegas Trail Improvements Change Order 04 M&C: 21-0850 CPN: 101591 CSO: 57193 DOC#: 1 Date: To: Name Department Initials Date Out 1. Bus. Support Partner — Amtra TPW - initial Ask Sep 12, 2023 2. Danny Krieg - Contractor Rebcon - signature - Sep 13, 2023 3. Ariel Duarte — Senior Inspector TPW - signature Al40 Sep 12, 2023 4. Brendan McInnes — Project Manager TPW - signature 6L ` Sep 13, 2023 5. Chad Allen — Program Manager TPW - signature - CA Sep 15, 2023 6. Lissette Acevedo — Senior CPO TPW - signature Sep 18, 2023 7. Patricia Wadsack — Asst. Director TPW - signature Sep 20, 2023 8. Lauren Prieur — Director TPW - signature WO4 ( Sep 20, 2023 9. Doug Black Legal - signature d b Sep 21, 2023 10. William Johnson CMO - signature L MO Sep 21, 2023 11. Jannette Goodall CSO - signature RPg Sep 21, 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 ROUTING TO CSO: ®YES ❑No Action Required: ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File NEXT DAY: ❑YES ®No ❑ Attach Signature, Initial and Notary Tabs Return To: TPWContractsOfortworthtexas. aov, for pick up when completed; list "Please call Brendan C� ext # 2817 for questions. Thank you. " Updated 08.22.2022, mdhm CSC No. 57193-CO4 Ry'(ili'fhXt City of Fort Worth Change Order Request Project Name Normandale Street and Las Vegas Trail Intersection Improvements City Sec # 57193 Client Project #(s) 1101591 Project Description Improvements include a multi -lane roundabout, minor storm drain improvements and pedestrian facilities such as sidewalks and American Disability (ADA) ramps. Contractor Rebcon, Inc. Change Order# 4 Date 6/29/2023 City Project Mgr. Brendan McInnes City Inspector Habte Taezaz, Ariel Durate Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date Ti $2,322,9' $174,6; $166,61 $2,330,81 Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) Contract Time Totals (CD) 322,913.00 300 174,620.24 112 166,666.00 330,867.24 412 .30 1 1 1 1 $232.291.30 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS Y. OF ORIGINAL CONTRACT 0.33% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $2,903,641.25 Additional mobilization of sign company was needed to install an additional sign added after all work was completed. Also, additional mobilization of the striping company was needed due to direction provided in the field which did not allow work to be completed until conflicts were resolved. A single new mobilization items is being created to capture the invoice cost of both these mobilizations. Existing sewer manhole was replaced as directed by sewer department due to the current conditions of the asset that would not allow a major adjustment to be made to bring it to proposed elevations. Pavement and sidewalk items are being adjusted to match the installed and measured quantity in the field. Additional sod being added to disturbed areas, along sidewalks, and in utility relocation areas to establish proper vegetation. Items are also being removed that were not used in the project to offset cost of the overrun items. Additional days are being added as the time granted in Change Order 03 was not enough time to finish all the outstanding work after the impact was completed. Time charges were also incurred during the period from when the preliminary punchlist was conducted until the City was able to schedule and get a TDLR inspection conducted (7/19/23) and receive the report (8/28/23). Time was ceased on 8/9/23 which is the last day work was done adding a roundabout speed advisory sign that was not shown in the original contract plans but added due to safety. Final inspection still needs to be performed after sewer department reviews the contractors submitted videos. All line items except remobilization were part of the original contract and will not result in additional cost due to new pricing. Price for remobilization reviewed and determined to be fair and reasonable. 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. 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. ntractor's Company Name -tractor Name Contract Si natur Rebcon Inc. Danny Kriega K 8 D Sep 13, 2023 Inspector/inspection Supervisor Date Project and Contract Compliance Manager Date n„ova Sep 12, 2023 �on Sep 13, 2023 Pro ram Mana er Date Senior Capital Project Officer Date Sep 15, 2023 Sep 18, 2023 t Date Director, Contracting Department (Dept) Date L�� Sep 20, 2023 lv—� Sep 20, 2023 Assi Assistant City Manager Date 9f8/�• S�212023 Sep 21, 2023 11111VC—ouncil Action if required) M&C Number I M&C Date Approved ATTEST: A"`" C", Jannette Goodall, City Secretary City of Fort Worth Change Order Additions Protect Name Normandale Street and Las Vegas Trail Intersection Improvements City Sec # 57193 Client Protect # 101591 Contractor Rebcon, Inc. PM Brendan McInnes Inspector® Change Order Submittal # ® Date 612912023 ADDITIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total 9 3331.4115 8 -26 6.00000000 .00 2,2 6.D0 9B 3339.0001 4" MANHOLE WITH LINER TPW 1.00000000 EA 10,765.00 0, 6 .DO 9G 3213.0401 6" CONCRETE SIDEWALK/ DRIVEWAY TPW 23.00000000 SY 150.00 3, O.DO 14 3211.0101 4" CONCRETE PAVEMENT TPW 148.33300000 SY $95.00 ,09 .6 17 3213.0302 5" CONCRETE SIDEWALK TPW 1,621.00 SF 10.00 6,2 O.DO 36 9999.0000 ALUMINUM SIGN (TYPE A) TPW 1.00 EA 644.00 6 .GO 44 3341.0402 30" RCP, CLASS III TPW 10.00 LF $303.00 $3,030.00 67 9999.0000 TURF IN MEDIANS (SOLID SOD) TPW 7,000.00 SF 1.00 DOOAO 68 9999.0000 TOPSOIL IN TURF AREAS OOD.00 S 00 DOO.DO 76 9999.0000 TEMPORARY 4" ASPHALT PVMT WITH FLEX BASE INSTALLATI TPW 300.00000000 SY 55.00 6, 0D.D0 88 9999.000 REMOB L ZAT ON TPW 1.00000000 EA $1,775.00 TPW $82,721.64 Change Order Additions Page 2 of 6 Sub Total Additions 82,721.64 Change Order Additions Page 3 of 6 r401e riiri;lx i a City of Fort Worth Change Order Deletions Project Name Nonnandale Street and Las Vegas Trail Intersection Improvements City Sec # 57193 Client Project 101591 Contractor Rebcon, Inc. PM Brendan McInnes Inspector® Change Order Submittal # ® Date 6/2912023 DELETIONS ITEM UESCRIPTION DEPT Qty Unit Unit Cost Total 7 3305.0111 ADJUST 8" WATER VALVE BOX TPW 2.00000000 EA 522.00 1,044.00 8 3305.0014 ADJUST2 5.00000000 6.00 2 8 33 2.2003 RELOCATE 1"PRIVAIE VVAIEKSEKVICE3.00000000 3 0.00 9 3331.4117 TRENCH,C 8.00000000 35.00 9H 3292.04 SEEDING, HYDROMULCH TPW 100.00000000 SY $8.00 $800.00 0 0241.4302 REMOVE SGRATE INLET00000000 0.00 3 9999.0000 TRUCK APRONG 8.00000000 7.00 8 3232.0 00 CONCRETE G WALL WITH S 8.95 S 3 .00 20 9999.0000 2 x CONCRETE CK APRON C 9.00000000 6 .00 7 8 .00 29 9999.0000 24"SLD PVMT MARKING HAE (W) TPW 210.00 LF 26.00 570.00 37 0241.4001 REMOVE 10' CURB INLET TPW 4.00000000 EA 1,617.00 6, 68.00 38 0241.3014 REMOVE 21"STORM LINE TPW 69.00000000 LF $43.00 $2,967.00 39 10241.3015 REMOVE 24" STORM LINE TPW 50.00000000 LF $44.00 2,200.00 56 9999.0000 Truck apron (cost of applied color on paving only) TPW T8-T.-O-0 S 5.00 920.00 57 9999.0000 Decorative Paving (colored -stamped concrete) TPW 115.00 SF $6.00 690.00 61 9999.0000 Concrete Edger -Colored (1260 If X 4"d X 6"w) TPW 740.00000000 LF 18.00 3,32D.OD 73 9999.0000 Landscape & Irrigation maintenance budget (2 years) TPW 1.00 EA 11,5 00.00 ,550.00 Change Order Deletions Page 4 of 6 Change Order Deletions Page 5 of 6 Previous Change Orders CO# DATE AMOUNT 1 12/5/2022 $281.24 2 2/7/2023 $7,673.00 3 5/30/2023 $57,278.75 Total $65,232.99 FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Normandale and Las Vegas Trail Intersection Improvements CITY PROJECT NUMBER: 101591 WATER PIPE LAID SIZE TYPE OF PIPE LF FIRE HYDRANTS: VALVES (16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF 8" PVC SDR26 202 8" CIPP 178 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 FORT W0RTH,,.-. TRANSPORTATION AND PUBLIC WORKS October 18, 2023 REBCON LLC 1868 W Northwest Hwy Dallas, TX 75220 RE: Acceptance Letter Project Name: Normandle Street and Las Vegas Trail Improvments Project Type: 02, 03, 04, 06 City Project No.: 101591 To Whom It May Concern: On September 21, 2023 a final inspection was made on the subject project. There were punch list items identified at that time. The punch list items were completed on October 18, 2023. 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 October 18, 2023, which is the date of the punch list completion 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 2817. Sincerely, " 111 sv AkII-1sL 11 Brendan McInnes (Oct 26, 2023 13:33 CDT) Brendan McInnes, Project Manager Cc: Habte Taezaz, Inspector Wade Miller, Inspection Supervisor Ariel Duarte, Senior Inspector Raul Lopez, Program Manager Hayden , Consultant REBCON LLC, Contractor N/A, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.8/20/19 CONSENT OF OWNER ❑ SURETY COMPANY ARCIIITECr ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ AIA DOCUMENT G707 OTHER Bond No. PRF9382598 PROJECT: Normandale Street and Las Vegas Trail Improvements, City Project No. 101591 (name, address) TO (Owner) [ City of Fort Worth 200 Texas Street Fort Worth, TX 76102 CONTRACTOR: Rebcon, LLC 400 109th Street Arlington, TX 76011 ARCHITECT'S PROJECT NO: CONTRACT FOR: CONTRACT DATE: November 9, 2021 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Company) Colonial American Casualty and Surety Company Fidelity and Deposit Company of Maryland , SURETY COMPANY, On bond of (here insert name and address or Contractor) Rebcon, LLC 400 109th Street Arlington, TX 76011 , CONTRACTOR, hereby approves of the final payment to the Contractors, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (here insert name and address of Owner) City of Fort Worth 200 Texas Street Fort Worth, TX 76102 as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 24th Attest: l (Seal): ,OWNER, day of October 2Q23 Colonial American Casualty and Surety Company Eidelity and_Deposit Company of Maryland Surety Company Q03, Lf�j— C/J-')f'A Signature of Authorized Representative Andrea Dose Crawford Attorney -In -Fact Title NOTH. This form is to he used as a companion document to AIA DOCUMEN'r G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS. Curren) Edition AIA DOCUMENT G707 CONSE'N1' OF SURETY COMPANY TO, FINAL PAY,MENE' • APRIL 1970 EDITION • AIAO ONE PAGE eD 1970 •'I'Ill: AMI'.RICAN INS'r]'I'U'1'1: 01' ARCIIITI:C7'S, 1735.Ns %v fork Ave.. NW, WASIIING'I'ON, D.C. 20006 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice PmsWenk in pursuance of authority granted by Article V, Section 9, of the By -Laws of said Companion, which arc set forth on the reverse side hereof and are hereby certified to be in full force and eff;ct on the date hereof, do hemby nominate, constitute, and appoint John William NEWBY, Troy Russell KEY, Debra Lee MOON, Andrea Rose CRAWFORD, Sandra Lee RONEY, Linda Michelle STALDER, Suzanne Elizabeth NIEDZWIEDZ, Sherie Michelle GREENOUGH, Cheri Lynn IRBY and Joshua D. TRITf, all of Addison, Texas, its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalfas surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland, and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland, in their own proper persons, The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 9, of the By -Laws of said Companies and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, ■nd FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 5th day of Mara, A.D. 2020. 04 88AI. ATTEST: ZURIC11 AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By., Robert D. Murray Vice President By: Dawn E Brown Secretory State of Maryland County of Baltimore On this SO, day of Manly A.D. 2020, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, RoberiD. Murray, Vice President and Dawo E. Brown, Secretary of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subseribed to the said instrument by the authority and direction orthe said Corporatiora. IN TESTIMONY WHEREOF, I have hereunto sot my hand and affixed my 0111cial Seal the day and year first above written. Constance A. Dunn, Notary Public My Commission Expires: July 9, 2023 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section $, Attomcys-In-The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, recognixances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorncy-in-fact to affix the corporate seat thereto; and may with or without cause modify of revoke any such appointment or authority at any tmx:." CERTIFICATE 1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By- Laws of the Companies is still in force, This Power of Attorney and Certificate may be sighed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duty called and held on the 15th day of December 1998. RESOLVED: "fhat the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and die Scat of the Company may be affixed by facsimile on any Power of Attorney ... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on theCompany." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1"4, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 1 Oth day o f May,1990, RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this ! day of oc'*- , � c� BXAL 000 +- a By: Brian M. Hodges Vice President -TO RkPO94 A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION r a T-hZ CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND VOURCONTACT If ORM&116N TO - Zurich Surety Claims 12" Zurich Way Schaumburg, IL 60196.1056 www.reoortsfcl ims(a ndchna,com 800-626-4577 Texas Important Notice IMPORTANT NOTICE To obtain information or matte a complaint: You may call Zurich North America's toll -free telephone number for information or to make a complaint at; 1-800-382-2150 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights, or complaints at: 1-800-252-3439 You may write the Texas Department of Insurance: P.O. Box 149104 Austin, TX 78714-9104 Fax (512) 490-1007 Web: www.tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim, you should contact the company first. If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR POLICY: This notice Is for information only and does not become a part or condition of the attached document. ZURICH "ISO IMPORTANTE Para obtener informaci6n o para presentar una queja: Usted puede Ilemar al numero de teldifono gratuito de Zurich North America's Para obtener informaci6n o para presenter una queja al: 1-800-U2-2160 Usted puede comunicarse con el Departamento de Se- guros de Texas pare obtener informaci6n sobre com- pefilas, coberturas, derechos, o quejas al: 1-800-252-3439 Usted puede escribir al Departamento de Seguros de Texas m P.O. Box 149104 Austin, TX 78714-91 D4 Fax: (512) 490-1007 Sitio web: www.tdi.texas.gov E-mail: Consume rProtection@tdi.texas.gov DISPUTAS POR PRIMAS DE SEGUROS O RECLAMACIONES: Si tiene una dispute relacionada con su prima de seguro o con una reclamacion, usted debe comunicarse con la compafila primero. Si la dispute no es resuelta, usted puede comunicarse con el Departamento de Seguros de Texas. ADJUNTE ESTE AVISO A SU PbLIZA: Este aviso es solamente para propdsitos informativos y no se con- vierte an parte a en condicibn del documento adjunto. U-CU 29&E (=16) Page 1 of 1 (Form 22) CONTRACTOR'S AFFIDAVIT OF FINAL PAYMENT AND RELEASE THE STATE OF TEXAS COUNTY OF Tarrant BEFORE ME, the undersigned authority, on this day personally appeared. Jim Schumann ("Affiant"), who, after being by me duly sworn, deposes and says that he is Rebcon. LLC. , a corporation (corporation, partnership, trade name) of Tarrant County, State of Texas (the "Contractor"), which said Contractor was awarded the contract dated the 11`h day of March , 2022, for the construction of Las Vegas Trail at Normandale (the "Work"), for a total consideration of $2,329,366.17 dollars to be paid to the said Contractor (the "Contract"), and that Affiant has full power of authority to make this affidavit. That City of Fort Worth (the "Owner") has approved the final estimate on said Work, and that the said Contractor has fully satisfied and paid any and all claims that may be covered by Chapter 53 of the Texas Property Code, and Article 5160 of the Revised Civil Statutes of the State of Texas, or any other applicable statutes or charter provisions, and that all just bills for labor and materials have been paid and discharged by said Contractor insofar as they pertain to the Work in question. That in addition to any funds which may have been previously paid by the Owner, the Contractor hereby accepts the amount of $116,468.31 Dollars as FULL AND FINAL PAYMENT under the aforementioned Contract, and hereby waives and releases any right Affiant and/or the Contractor may have to pursue claims of any nature against the Owner arising out of or in any manner connected with the performance of the Work and/or the Contract, including but not limited to claims of third parties that supplied material and/or labor for the Work for or through the Contractor ("Subcontractors"), as well as claims for delay, additional compensation orfor recovery of liquidated damages which may have been withheld by the Owner. The Contractor shall defend, hold harmless and indemnify the Owner from any such claims from such Subcontractors. The Contractor further releases the Owner from any claim or liability arising from any act or neglect of the Owner related to or connected with the Contract. This affidavit is given pursuant to the final payment provisions of the Contract, and shall not be deemed to alter or modify the terms and provisions of said Contract. Rebcon, LLC. BY Jim Schumann (Affiant) (Printed Name) SUBSCRIBED AND SWORN TO BEFORE ME, this 20th day of October ,2023 _. p A , RY pie, tiQ (Notary ublic in and for the State of Texas) {Notary Seal} - : 'o ram'•. p f� ` j " U : z � n . r� = run-�'Y►n a �'C ILL ('� IGi 2Z Ln9 +4 ; (Printed Name of Notary) OF M commission expires ON \7zZSs rarri2b%o�\`\`\ Y P