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Home My WebLink AboutContract 56638-FP1FORT WORTH, TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COM ON -FP1 City Secretary No: 56638 Date Received: 12/11/2023 City Project N!?: 101452-2 Regarding contract 56638 2018 Bond Year 3 Contract 6 for as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTM as approved by City Council on 9/28/2021 through M&C 21-0754 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTM upon the recommendation of the Assistant Director of the Transportation & Public Works Department has accepted the project as complete. Original Contract Amount: 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: Less Previous Payments: $ 7,192,666.51 Days 450 $ 1,395,532.48No 0 Days Added by CO_120 $ 8,588,198.99 Total Days 570 $ 7,132 ,379.01 Days Charged 567 0 Days @ $ $ 0.00 $ 7,226,379.01 $ 6,865,060.06 Final Payment Due $ 361,318.95 Pa--f icier L. wadsac)( Dec 11, 2023 Patricia L. Wadsack (Dec 11, 202310:04 CST) Recommended for Acceptance Date Asst. Director, TPW - Capital Delivery '-'a.- Dec 11, 2023 Lauren Prieur (Dec 11, 202310:07 CST) Accepted Date Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT William Johnson lD c 11, 2.0)311:42 CST) Asst. City Manager Comm nts: Dec 11, 2023 Date / Day OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX C-620 Signature Page Contractor's Application for Payment To (Owner): City of Fort Worth Invoicing Period (From - To): 11/01/2023 to 11/30/2023 P. o. FW020-0000006894 From (Contractor): Number: Texas Materials Group, Inc Project: 1 O 1452-2 Contractors CFW Vendor No.: 0000000257 City Secretary Contract 56638 Contract Number: Name: Application For Payment Change Order Summary (Approved Change Orders Number Additions Deletions 1 $851,816.79 2 $424,788.51 $424,999.60 3 $570,564.07 $26,637.29 4 I $21,409.67 $21,409.67 5 I $25,055.78 $25,055.78 6 7 8 TOTALSI $1,893,634.82 $498,102.34 NET CHANGE BY $1,395,532.48 CHANGE ORDERS Contractor's Certification The Contractor certifies with the submittal ofthis 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. Liquidated Damages $650.00 x day Invoice No. 23 Invoice Date: 11/30/2023 Remit to ( If Not Automatic Deposit): 2018 Bond Year 3 - Contract 6 11. ORIGINAL CONTRACT PRICE.......................................................... $ 12. Net change by Change Orders................................................................ S 13. Current Contract Price (Line 1 t 2)....................................................... $ 14. TOTAL COMPLETED AND STORED TO DATE I(Progress Estimate, Construction Allowance and Change Orders)....... S 5. RETAINAGE: a. X $7,226,379.01 Work Completed.......... $ b. X Not Used $ c. Total Retainage (Line 5a + Line Sb)................................ $ 6. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c)............................. $ 7. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)........ $ 8. AMOUNT DUE THIS APPLICATION................................................I $ 9. BALANCE TO FINISH, PLUS RETAINAGE (Column G on Progress Estimate+ CA + Cos + Line 5 above) .............. S 10. CONTRACT TIME: a, Days Awarded b, Days Added by CO C. Total Days d, Days Charged e, Days Remaining Consent of Surety Affidavit of Bills Paid $7,192,666.51 $1,395,532.48 S8,588,198.99 $7,226,379.01 $7,226,379.01 $6,865,060.06 $361,318.95 $1,361,819.99 450 120 570 567 3 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. C-620 Unit Prim Progress Estimate Progress Estimate For(wn=t): 2018 Bond Year 3 - Contract 6 APp6ratios Period: 11/01/2023 to 11/30/2023 It= Bid Itam No. D-nptisn City Saemmry 56638 Contract Num: A B C Specification Bid Quantity Unit Pries Bid Md.. Estimated Quantity No. Udt ofMemuro Imtdled Contractor's Application AFplicatisn N=ml .. 23 APplicaeon Dotc 11/30/2023 D E F -r To tal Completed % Balance to Finish V41us Previously lnsmlkJ Volvo Vdue This Pmiod Materials l'revndY dSmrel m Date Stared (not in C) (-- (D+E) B 17 PVC Water Pipe _-..- LF3795000000 $13693 $450.854.85 _... 3207.00000000 $438 M 8181 -.- --.-. $438,813.81 543t1,613.81 97.3% 51204194 LF 100.000000 $14,449.00 81_00000000 $11,703.69 $11,703.69 81.0% $2.745,31 _17DIPW.Wr, - - -_ Ir PVCWater Pli_ - LI 2314.000000 __$14L49 $93.01 $215,79458 2289.00000000 S212y88S6 __$11,703_69 t212958.55 _ $21IZ968_56 _9B9% -522=00 ON PVC WaIM pipe-- LF _ 88.000000 57991 $7,03208 74.00000000 $5,97334 $5,913.34 -.. $5,973.34 84.1% $1.118.74 12Gale VahT EA 13.000000 534064_91 5 84383 1200DOOMO 336.77892 S23% 53,064.97 _ B'Gete V.N. - - - - ------ -- EA - 11.000000 $1$7030 $21,671M 11.00000000 _ _. SY7.67330 _.-$W.77892 _ 521,673.30 -._ --$36.778.92 $21,6TJ.30 100.0% Gate Valve FA 9.000000 S+z270.6 7.00000000 39,%093 778% $2,845.98 - _ _ _ _-- _ 8' Waterline Lgwednq - _fr _ EA 3.000000 58,756.88 a16,270.64 $8.756.88 _ 200000000 517,513.76 . 17,56093 _ _ _ $17,513.76 17.513.76 _ $17.513.76 66.7% E8,756.811, _ Flre Hydrant and E>Qenslan _ 8_000000 $4,925_75 E39406.00 _ 7.00000000 $34,48025 $34,480.25- $34,48025 87S16 54,925.75 _ -_ Connection to Existing 4'-12'Waler Main _ _EA __. EA _ 11.000000 $4,925.75 $54.18325 11.00000000 554,18325 - $54,18325 $54,18325 100.0% - 1'Water Service, Motor Reeonneellon EA 62.000000 E35575 522,056.50 66.00000000 52347950 $23,479,50 E23,479_50 706.5% 314q.00 1'Waror Service $7,970.30 $722158.60 66.00000000 5130,03990 $130,039.80 $130,039.80 106 37,BB720 _ V Private Water Service Reloeabon -EA - LF --_62000000 50.000000 $4926 SZ463.00 -_ _....- 111.00000000 ;j ,dV.86 S5,467.86 -- _5% $5,467.86 2226% 43,00496 - --- - 112'Waror Service, Meter Reconnadion -_. EA - - 2000000 _..-_ 578823 $7,53246 ---_. ..- -_ 1 12" Water Serviw EA 2.000000 $2,900.72 SW."$5,801.44 _ _ _-_ - _$153245 2_Wrter Service, Meter Remnnadion _ EA 14.000000 S875.69 572,259.66 9.00000000 _ _ 21_ S7,e8121 643% $4,378.45 7 Water Service EA _ 14_000000 5339399 547,506.05 _ 9.011040000 _- _-$7,881_ -SWMA Al _ ._ _$30,539.61 _57,88121 $30.539.61 643% 576,%6.45 Ductile Iron Water Fntinas w/Restraint - ---- _ TON 6.0000010 59,B51S0 $59,109.00 __- 5.70000000 E56,15355 $W.153.55 S%,15355 95.D% $2955.45 Water Une Grouting CV 76.000000 532838 524,956.B8 $74,956.B6 d'-1YWater Abandonment Pluq_------ EA 3.000000 $764.19_ $49257 3.00000000 $49257__-- $492.57 $49257 100.0%_ Remove and SaMae 6'Wrtar VeNe 10_000000 E109.48 31094.60 70.00000000 $1.60_ $1,094.60 $1,094_60100.0% ___ _ _ Removeand Salva..WWrter VSNe ___EA _. EA 6.000000 3109.46 $656.76 6.00000000 $656.76 E656.76 $656.76 100.0% Remove Fire 17 WrterVelve_ EA $109.46 $995.14 9.00000000_ 5995.14 E995.14 $298.66 100.0% Hydrant- Selvage Fire HWmn[_- _ _ _ _ _EA - ._9.000.000 $328.73 $3M.66 _ _ _ _ -. 7.00000000 _ 52,721 64 - ._.. _--._ - _.. - $2,298.64 t00.0% SeMao 3/d'WaterMder EA 8.000000 BB:000OOD 554_73 33721.64_ 68.00000000_ _ 53,721.60 $3.721.66 33.721.64 53.721_64 100.0% _ SaNecel'Water Maier _ 200DOW 554.73 $-109.46--__ 1.000000_D_ 4..73 $5_4..73- -- -.-_ $54.7-3 50_.0.% $54.73 SaMae2WrterMrte - -_FA_ EA 10.000000 $54_73 $Q. 0 9.00000000 $49757 $4927 149257 - 0.0% - 513 -Remove.Selvage, and Ransil Brlelu(AM Mary's Croak) - _SV__ 50.000000 $216.73 S1083SA0._.. _$_5 13.77000000 S2,98437 ..._-.__. 32,984.37 _. _52,984.37 275% S7=113 T,*ad Gob!- - - CY 100.000000 51,23CE $120.407A0 4837000000 S58,240.87 $59.240.97 55B,24097 48.4% $62,166.13 - Concrete Flu.. with Steel Past, Sy - -- - -_ - 25.000000 $34490 S8.620,00 _ 15.33000000 -_ S5,285.78 $5,285.78 S5,2t15.70 613% $3,33422 Concrete Rlprao_ Sy - 120.000000 536i41 60920 _ 6208C00000 _ 522,560.49 -- _522,580.49 522560.19 51.7% 521,048.71 6' Wide Asphalt Pvmt Roper. Realtlentlal _-_ LF 50.000000 56020 53,0543,10.00 - _ _ _ _ _ _$3,07090 Asphalt Pvmt Repolr B y nd DeMed Wldlh, Rmidentlal Sy 100.000000 $6020 $6,020.00 air (7 HMAC on 6' Fledble Bose LF _ 7505.000D00 521.89 5164,284.45 _ 6626.00000000 _ __$145,043.14 _ -__ $145,043.14 SF 120.000000 $1.90 $=.SO 1049.92000000 S2089.34 520B934 _- - - ___.. -... _--_.-__ sr _ 120.0000a0 s17e.ez azl,alo.eo 579i000000 _ s1o.33aa9 _ $10.33ao9 - --- - . AaareaatP SF 120.000000 $15.43 $1,851.60 5909000000D 59,117.59 39,11759 9Y _- _ 50.000000 $179.42 __. $8,921.00 . - 3305.0202_lmoaned Embedment/Backfill. CSS 3305.0203 Impeded Embed ment/Back011, CLSM 3305.0207 Impeded Emlwdment/Backfll, Select Fill 0261.1300 Remove Cone Curb E Guitar 0241.140D_Ramwe Cont, Valley Guner 0261.1700 11* Pavement Pulver®Bon 61 3471.0001 T.Mo Conirol(Water) 62 0171.0001 Construction Swldm (Wotan 63 01719001 Construction Survw (GPS Red Line Survey) 64 9999.0004 Water Construction Alb -race UNn 2-San6ary Sewer Improvements 1 3331.4WB 47 Flberoloaa Sewer PIPe (SN 72) 2 3331_4317 24' Sewer Pipe (PS.115) 3 3331.432124'DIPSewarw/Protective401 Coatlno _ 4 3305.1007 47 Ceaing By Open Cut 5 3337.4175B' Sewer Pi. (PVC SDR 261 --_ -.- 6 3331.41198'DIP Sewer Pipe w/ Prowedw 401 Casing 7 3339.1001 4'Manhob _-. 8 3339.1_003 4' Etlra Dedh Manhole -- 9 -- 3339.1101 S Manhole 10 . 3339.1103 5' Extra Deoth Manhole 11 3339.1201 T Manhole 12 3339.1203 G Fstre DePN Manhole_ 13 3303.0001_Bvoass Pumol_no 14 -- - - ..1. Uner-4'Sawar MH -- 15 3339.0004_Une 5_S--r MH 16 _3339.ODD5 Uner-GSewer MH-_-- LS 1.000000 SMAS $273.65 LF 3871.000000 $0,05 $183.55 3671.00000000 _ S183S5 _ _ _ E783.55 _ -- -EA- --- _ - 8.000000 311 A13M $105C8.24 8.00000000 E105U824 $10.50824 CY 50.000000 $109.45 - $5.473.00 _ CY _ 50.000000 E15325 S7,662.50 cv 50.000000 E3294 _ LF __ 1192000000 $5.75 _E7.642.00 $6.854.00 570.32000000 S327934 $3,27934 Sy 75.000000 S51.74 S3,B80.50 1C8.89000000 _ E5,63397 _ $5,633.97 Sy 2165.0000DO _ SBS6 _ $18.703.60 _ 2075.46000000 _ --- $17,76594 $17,76594 CY 26.000000 S2S.49 $740.74 3200000000 $911.60 $911.68 -TN __-36000000 $221.11 _ _ $7,9%96 44.000WWO $9,728.84 $9,72B.84 sv 2f85.000000 528.05 - _ 567,28925 _ 1984.46000000 555,664.t0 - - $55.664.10 LF 1197000000 _ _ E5001 $59,731.12 _ 432.32000000 $21,663.56 $21,66356 Sy 715.000000 $72423 E7,951.75 10425000000 $72950.98 E1295098 EA 7.000000 $3722 $3722 CV ---104.000000 - -_-E50,36 - $5236.40 Sy _ 630.000000 __. _- $420 _ _ $2,64800 EA 3.000000 S75.08 $22524 EA - -- - 9.000000 - - - - - $479.65 $4,316.85 9.00000000 $4,316.85 $4.316.85 sF 9_20.000000 $42.26 s3B,87920 945.00000000 S39,935.70 SW.935.70 _ LS _ 1.00DD00 $3.831.13 $3,831.13 - - _ - 1.00000000 $3.831.13 $3,831.13 -- -LS- - - 1.000000 $131,353.25 $131AS326 --- 140000000 $131,35326 $131,35325 MG .000000 $1,.8 $8,209.80 5.00000DW LS--__--1.000000 _ $B.7575 6.89 _.- _ $8.75889 -. _S8,2(_I9.80 $8,756.89 $8.756.89 LS_ 1.1100000 $4,370.44 54,378.44 _1.00000000 1.00000000 54,378.14 LS 1.000000 SBQ000.00 $BO,COC.CO _ _$4,378.44 _ _ LF--1030.000000 LF- 549257 5507,347.10 1030.000OOOCO - 5507,347.10 .._ .. $507,347.10 LF 1872.000000 575723 5494,396.06 1804.00000000 _-_ E464,01292 $464,04292 LF 325.000000 $333.86 E108,504.50 - _ LF 60.000000 $547.31 532838.60 60.00000000 $32838.60 532,838.60 ------1293.000000 LF $125.88 $16Z7S284 -- -- 1333.00000009 5167,798.04 $167,798.04 -- - - _- _ LF 65.000000 S164.19 $10,67235 - FA 71.000000 56,567.66 _ 572,24426 _ __-- 11.00000000 572,24426 VF 9.000000 521345 $1,921.05 797000000 _. 57,70120 -57224426 $7,70120 - ---------- 000000 31$32221 _ $170759.68 11.000OOOW 5$12,4BB.43 5744,258.63 -- VF 48.000000 532455 _-_- .__ 37.%000000 _ 512,254_43 _ - _-- FA _ .. 9.000000 $15.3_$474.55 137=,6B _ $$14.76096 __ - 9.00000000 ___?12,254.43 $$14.17095 _ $$14.17095 _ --- VF 3_1.000000 5476.78 514,760% 79.76000000 514,17052 574,t70.52 LS 1.000000 _ 5295,546.84 $295544.84 ... -. _- Vle 10.000000 $344.80 $3,448.00 Vle -..._-126.000000 $492.57 $52409.70 13B.00WW00 $57,401$39.110.06 _._ VF 75.000000 $492.57 - _E36,94275 _ 79.10000000 - 539,110.06 _ $39,11.10 539,110.06 06 E145,043.14 88.3% 519,24131 - ---- - --- - S2,089.34 _674.9% _ _ _ 41,850.54 -- S70,334.09 48.3% $11,078.31 S9,117.59 492.4% -.-.--- 47265.99 .___. - _. 36,921.00 _3273.65 SiB3.55 100.0% $10,60824 100.0% --------S51473A0 E7,662.W $1,94200 53,279.34 47.8% $3.574.65 55,63397 7452% 31,753.47 S17,76594 95.0% $937.66 $911.68 123.1% 417094 _ $9,728.84 _1222% 355,664.16 908% _41,7688t1 55675.15 - 521.663.56 363% $38,06796 E7295098 46.3% - $15000.77 $3722 52,646.00 522524 -- E4,316.85 100.0% $39,935.70 1027% LLL41,05650 i3,831.13 100.0% $131,35326 100.0% -- - $8209.60 100.0% _SB.756.89 100.0% -- $4,378.44 100.0% SBQ000.00 $507,347.10------ $464,04292 93.9% $30,353.14 $108 504.50 _ S3283S.60 100.0% 5167.798.04 103.1% 45,03520 - _ $10.07235 _- -- - - -. - - -- S72.24426 100.0% _ $1.70120 BOB% -$46% S219.65 _ $144,488.63 $2QY70-65 $12,254:43 79.1% $3.245.25 $137,920.95 100.0% $14.170.52 95.0% $590.44 $3,448.00 _ 557,401.10 1095% 44,991.40 SW,110.06 105.9% 32,167.31 This d-oa, It. been modified f ip oil f m on E)CDC doenment and the use did rot highlight the modi6rati- You ens prcoumgsd tP reed the document -11.11y and comult Legal Com I Prior to to -pion. C-620 UM P6en Pr"g,— E dimaf Progress Estimate 2018 Bond Year 3 - Contract 6 IA�gcotion Pciod: 1VOW023 to W30l2023 A Itw 111 Bid I— N. I — 1)eettipfion I Speci -- lhdt oCMwure Section No. City seeremty 56638 Contractor's Application Conhnct Num: Applim6an Number. 23 l AFPlimfion Dote: I1l302023 1 H C D F. F C — T"W Completed % B"lonce to Finieh Qum b EsfunotM QunntlN M_iols p_Uy Bid li Unit Face Bid Vnloc W. P—ioucly fsmlled Value Vnlue 7Nslsaiod and Slmdm Dnte (F) (B -F) ]totalled Stmcd (oot m C7 (D I B _ 27.000000 53,283.83_ _ SB8663.41 _ _ 25.00000000 582r0%75 582,09.5.75 112 �.75 926% 36567.66 34.000. $229.87 $7,815.58 29.00000000 36,66623 _ 56,66623 _ S_6,66623 55.3% 57,149.35 This documrnt hen been modified Qom iN "riciul farm ® m FJC➢C document and the usm did not highlight the modifiafions. You me rneoutoged W rend the docummt mreflly and —It Le W Counsel pdar m i6 —fian. C-620 Unit Price Progress Estimate Progress Estimate Far (OnhvC)' 2018 Bond Year 3 - Contract 6 Applioatien Paind: 11/OM023 to 11l30l1023 A City Seentacy 56638 Co.-, Num: C Contractor's Application Applimtion Number 23 Application Daa: 11/3012023 lam SpeciDcatian Bid Quantity Unit Not, Bid Value Esame8led Questiy Value Pmwaudy Wattled Vnluc V"lue Thin Paiad Bid lass No. Dassdptipe Unit ofMawro Sattios No. led 19 3305.0116 Concrete Enemement far U9lty Pipn CY 3.000000 $65fi.77 51,970.31 10.00000000 56567.70 _- - - $6,567.70 20 9999.0D01 30" Dhgad Peir, Complete and In Plena __ CV 36.OWWO $1.034.41 S37,238.78 4.500W000 $4.654.85 _ _ Sg654.85 21 Pier Head for 47 Casmo Pioe. Canplete end In Place EA - $4,376el $8.756.90 200000000 $9,75690 _§8,756.91 22 3305.0112 Concrete Collar 3305.0112 _ _ ---- EA 7.OWWZ000000 37.000000 N,099.61 _ 540,500.57 _ 31.00000000 f33,93291 _ _ _ $33,93291 -23 0241TW7 Sanaery Une Gnutln_q CY 198.000000 $197.W $39,01194 61.0000001110 E12,016.63 _ _ 572018.83 24 3135.0103 Twisted Gabions - --_ - _-_ CY -- --- 30.000000 ---75.000000 $71150 - - - 527,345.00 - 37.33000DOO $26,580.30 _ --- _ -- $26,550.30 - - - - - 75 3736Af00 Twisted Gabion Mattresaas - -- - CY St ,$602D 37.19000000 � -- � 25 3201.0113 V Wide Permanent Asphaft Pvmt Receir, Residential - - - --- - LF - 1SO.O0m00 E8020 59,030.00 - - _ - _ 27 _ _ 3207A201 Aiphett Pvrrit Repair Beyond Defl� Wkth, Residential - BY 150.00000.0_ $60,20 19,030,00 3201.0400 Temporary Asphalt Paving Repair (r HMAC an 6" Fletlble Base 28 Course) --_.- LF 4665.000000 - $40.50 S188,93250 - 4384.00000000 5177,55200 E177,55200 29 - 3201.0614_Conc Pvmt Repair, Residential - BY _ 50.000000 §178.42 _ $3,921.00 _._ _ 78.38000000 $13,984.56 - E13,984.56 _- --' 30 3211.0112 6' Marble Be.. Type A GR-1 - SY _ _ _ 150.000000 E25.67 33,850.50 - -- -- --- _ 31 3213.0301 4" Cem Sidewalk - - SF 685.00WW $8.99 36,158.15 782.200W000 S7,03198 $7,031.98 32 3231.0121 4' Chain Unk Aluminum LF 150_000000 $29.17 54,375.50 50.00000000 $7,45850 _ _ $1,45850 33 3231A212 Smooth Wes Fence, Metal Posts_ _---- LF 40.000000 $29.01 _ $1.160.40 170.00000000 34,937.70 _ _ $4.931.70 34 3231.0472 6 Fences. Wood - LF 160_000000 $45_70 57,31200 - - 6200000000 52851.40 - -- - - S2B33.40 35 9999.000-4,r Fence. Wood Past Rall(SeNaw S Reuse) - LF 75.000000 $17.19 ..._._ $128925 BOA0000000 $1.37520 _ $1,37520 36 02412207 Remove 4' S-1 Manhole- _ EA 15.000000 $49257 S7,388.55 15A000DDOD _ S7,3BB.55 - - -- --$7,380.55 -- - 37 02412202 Remove SSewer Manhole FA 1.000000 E858.78 $656.78 7.00000000 $656.76 §656.76 02412301 Remove Sawm Junction Structure (Uno `A"Ste. 10*83.50, Sh.26) 38 _ LS 1,000000 $2,079.76 $2,079.76.______-, 1.00000000 _- §2079.76 $2,079.76 39 -_ 02412301 Remove Sower JunClonSWcture(Une"B"Ste. 10+30, Sh.29) LS 1.000000 $4,925.74 _ $4,925.74 _ 0241.Z101 Remove Sewer JuncllanSWeturo (Etna"E"Ste. 70*66.60, 40 LS 7.000000 54,9$1.59 3 - -- 41 _ 0241.0 0261.0700 Remove Sidewalk SF 250.000000 _ _ E7_59 . _ $39774 539750 78220000000 51243.70 _ 42 0241.0500 Remove Fence 360.000300 576.42 55,97120 _ 11200000000 51,839_04 $1,839.04 E1,839.04 _ 43 0241.1300 Remove Cons Curb S Gunar _LF LF 150.00WW $5.75 seam _ _ M 3110,0102 6'-17Tm"R"mova1 - --- EA 7.000000 SM23 S5,363,61 5,00000000 53,831.15 $3.831.15 - 45 _ 3110.01012'-18"Tree Removal FA 5.000000 $1,313.53 6,567.65 1.00000000 $1,313.53 $1,313.53 4 6_ 3110.0104 18'-26"Troe Removal _ _ FA 3.000000 52,798.fiB $6,896.04 _ _ 47 3110.0105 24' and Lesser Tree Removal FA _ 1.000000 53.283.8.4_ $3,283.84 - - - - _ _ _ 48 _ 3305.0202_ Imported Embed-ra/6 1,50. CSS CY 50,000000 $109.46 E5,473.00 - - - 49 3305.0203 Imported EmbedmeneBackfll, CLSM CY 50.000000 _ -50.000000 3153.25 E7,66250 50 -_ 3305.0207_ Imported Embedment/Backfill. Select FIII CY _ $32.6. $1,642.00 --- ----- -- - - 51 3301.OD01 P,.CCNlnsoactlan LF - 500.00D000 _ $7.66 $3,83BDO 52 -- 330.1.0002_Paet-CCN Impeetlan - - LF 4600.000000 $1095 ESD,370.00 4523.00000000 $49,526.85 $49,526.85 --53-- 9999.0005_Flriel-CCN lrupectbn. Manhole EA 32000000 $109_46- 54 3305.0103 Evio Mory Etas vatlon of Exhtine 1. ch ies 4.000D00 S1.313.53 55,254.12 4.00000000 3$,2,.1.12 _ $5254.12 55 3305.0109 Trench Safety -EA - LF - _ _ _ _ _ 4680.000000 $1_09 55,10720 _ 3438.00000000 E3,747A2 _ _ _-_ - S3,747.42 _ 56 9999.0006 Temporary Construction Fare, Cheln Unk LF _. -__13BO 000000 $3.83 55,285.40- 742000WDOO S2,B4196 S2541.86- 57 3291.0100 Topsail CY 74.000000 $513.35 5372S_90 _ 30.000WO00 51,51OS0 _ _ 51,51050 -- - 58 _ _ -- - - 32920100 Block Sad Plecemem -- SY _ 1900.000000 $7,990.00 716.670D0000 _53.070A1 _ $3.010.01 59 _ 329ZD400 Seeding. Hvdromulch SV_-_ 1040.000000 _$420 St.75 51,820.00 2950.0000000) 55,JSVM - $5,16250 GO _ _ 0241.1700 11" Pavement PulvarfaBan _ SY 1980.000000 $925 $18,315.00 1446.91000000 E13,3B3.92 $13,383.92 61 3211.999 Unclaasl0ed ErqqwIssISYtlon by Plan CY _ - $633.3t 62 3211.9999 Cem-Ume 301ba/SY TN 30 ODOWO 30.000000 221-11 §221,11 $6,633.30 - 24.00000000 _--- $5,306.64 ----_-_ E5,306.64 _. 63 321203033"AspMlt Pvmt Tvo_eD _-____-. - 1900.000000 _-- $2B.T7 554,663.00 14469100000D $41627.60_ $41,627.60 64 3216.0101 S" Conc Curb and Gutter _ -Sy LF 150.DWD M $50.11 S7,516.50 65 3125.0101 SWPPP 21 sere LS 1_000000 =2.736.53 E2,736.53 100000000 52,736.53 52736.53 65 _ 3471.W01 Traffic Conwl(Sevmm)_• MO_ S.ODOO60 $1,64192 SBXk.60 _5110000000 ___ $8,209.60 67 0171.0001 Ocomaraction SurveY_(GPS Red Lm Slaayl_ LS 1A00000 _ 57,6512E 57.66228 1.00000000 _$6.209.60 S7.66= Be 0171.0001 Cemtructen LS 000000 $4,378W $4,378_44 1.00000000 E4,378.44 _..$7.66228 E4,378A4 --BB uction lloyam-__ 9999.0OW Sewer Comwction Allowance -- --- - --LS 1.000000 5700,OODAO 510D,OOD.00 _- - 33392WI SenitarySower Junction Bes,Shnderd Comm wkh Conshield 70A Admbdure(11Lx9Wk8&D-Llne"E"Sta.10+66.60.Sh.34R) -_.-_ _ LS 1.000000 S60,203.58 S60,20148 UNITS-Pl. Improves ment _ 1a 07A7.1700_1J"Pavement Pulvedmtan SV 14920.000000 $6.98 5104,141.60 1103ii6.80000000 E97,976.86 $97,976.86 3 _ 3123.0107 UnclassEad Esevatlon by Plan CY 654.000000 $34.85 322,791.90 $8,434.75 S8,434.75 - _ 3 3217999 Cem-Ume 30bs5Y _ TN - 242000W0 E221.11 _ 58.62 _24203000000 184.000000 S40,fi8424 - 540,fi8424 M 32120303 3'Asphalt PwntTYpe D - SY 14820.000000 $28.04 $388,576.80 13963.30000000 $363,604.33 _$363,604.33 A 3216.0101 6- Conc Curb and G1mer LF _ 10210.000000 _ _ 550.11 ._._ S511 623.10 -.._ 9954.50000000 5498,820.00 -....___ - E498,B20.00 Be 32769999_lav Down Care Curb endGwar_ LF 25.00000U $1,10150 25.00000000 $1,101.50 7. 3216.0301 rCam V&WG" Realdamial SY 150.000000 _544.06 f12423 S18,63450 9278000000 -57,101.50 8• 33D5.0111 Valve Bot,AdiushremL lndudim Concrete Collar - FA 26.000000 S537_41 $13,472.66 22000ODOOD _51�526.06 $11,623A2 __$11,526.06 E71,823.C2 ----9. _ 3305.0112 Concrete Cedar _ _ 1.000000 _E1930.44 _ - - _ 57230.44 - - -- - - 10e _ 9999.DD07 TXDOT Item 422 - Bpwo ridae Aech Slab MAS-Al _EA SF 92f1.000000 $4226 §3B,87920 945.00000000 539,935.70 $39,935.70 8 0177.0001 Construction Stekinq (Paving) LS 1.000000 810,946.10 $10,946.10 1.00000000 $70,946.t0 $70,946.10 10 0241.0100 Remove Sidewalk SF 2412.000000 E1.59 E3,035.08 2387.44000000 $3,764.23 11 0261.0200 Rempv-e Step SF 50.000000 - $5.60 - $280.00 _53,764.23 12 0241.0300 Remove ADA Ramp _ EA 1.000000 5345.65 5345.65 13 0247.0401 Remove Camrete Drive SF 10300.000000 E7.14 E71 74200. 7901.7B000000. _-- $9,008.03 $9,008.03 14 0241.0402_Remove Asphak Ddve_ _. -_ SF 820.00WOO 51.42 _- _ -- 15 0241.0500 Remove Fame LF 50.000000 $1642 - _ $821.00 5821_00 _- _ 16 0241.10DO Remove Cam Pvm --- ---- SY _ 4760.000000 59.07 $43,17320 - 23482200DWO $21,29836 321,29636 17 0241.13DO Remove Cane Curb S GLOW LF 8796.000000 $3.37 $29 64252 10394.10000000 $35,028.12 $35,028.12 18 0247.7400 Remove Cane Valley GWW SY 150.000000 E71.44 57,716.00 9278000600 $1,061.40 $1,061.40 19 .0Remo" Speed Goshen 3.000000 5W.43 S6B229 .00000000 5. 2 - 3110.0101 SaeCl nnq --- --- ------B- BY - 200.000000 -- =99 §4,598.00 - _$68229 200.00000000 54,598.00 -54,598.00 - 21 _ -- _.--_ 3110.0102 6"-12' Tree Removal _ _ EA 2000000 $766.23 $1.532.46 22 3170.0703 17-18 Tna Removal EA 4.000000 $1,313.53 §5,254.12 1.00000000 E7,313.53 E1,313,53 _ 23 _ 3110.0104_18"-24'Troe Removal _ _ EA _ 5.000000 52,298.68 $17,493.40 _ 200000000 S4S97.36 $4,597.36 E IF G Ca rpletod , Bolen to Finish foal dS st m Dme (F) g,on,dsmin Ci Stored (net lu C) (D - E) B - - -- $6,567.70 333.3% 34,597.39 $4,654.85 125% 532,M.92 SB,75690 700.0% $33.93291 _83.8% S6,567.66 $12018.63 30.8%-__--526,993_71 $26,560.30 124.4% 35,215.30 544,77936 49.6% 589 $9,,30030..00 59,030.00 _E17755200 94.0% E11,3BO.W ___ $73,98456 156.8% .35,053.56 S3.850.50 -- S7,031.98 11142% 5873-83 E_7,45650 -333% 32,91700 -------$4,931.70 425.a% _.. S2.833.40 38A% ._33,771.30 54,478.60 $1,37520 105715_ 485.95 $7,388.55 100.0% _ 3656.76 100.0% S2079.76 100.0% $4,925.74 $4,925.74 _- __S1L243_70 312.9% 384620 31AM.04 31.1% -54,07216 $86250 $3.831.15 71.4% SI,SM416 $1.313.53 23.0% 55,754.12 _ $6,6%.04 53283.84 $5.47.3.00 57,66250 _ §1164200 53,830.00 549,5WM 98.3% _-_ S843.i5 .. 53,50772 $5.254.12 100.0% _- -_ $3.747.42 73.5% $1.353.78 S2841.86 53.816_ -__ S2,443.54 -- $1,51010 40,5% --$3.010.01 52,2f 5.40 _37.7% $4,969.99 _ 55.162SO 283.7% S3.34250 -- $13.383.92 73.1% 56,931.0E - $5,306.64 80.0% _ $1,326.66 S41,E27.60 762% __ $13,035.40 $7,516.50 szPew 100.0% se,x .60 100.0% _ -- 57,85229 100.0% $437E.44 100.0% - --_ _ -- -S100,000.00 $60,203_58 $97.976.86 94.1% $6,164.74 - _ $0.434.75 37.0% $14,357.15 - - - - -- - $40,68421 76.0% E72,824.38 $363.604.33 916% _ _ $24.912-47 S498,820.00 97.5% S72,BO:d.10 $7,701M 100.0% -- - 311526_06 61.9% 37,708.44 _ $11.8M.02 84.6% S2149.64 _-- 5I $1 1116 $39,935.70 1027% _ _31,056.50 - - - $10.946.10 1910% $3.76423 982% Raw __.. S280A0 $345.65 - _$9,608.03 mm $2,733.97 $B90.40 SBY7.00 _- $21.298.36 493% $21,874.B4 _ $35,02B.12 1182% s5=.6060 $1,051.40 619% $654.60 $68229 100.0% S4,596.00 100.0%_ 51,532A6 E1,313.53 25.0% $3,940.59 $4,597.36 40.0% $6,896.04 This ducmnmt has Iem modi6cd fmm iu ori6insl fort man E1CDC document and 11 user did not highlight the modifimtima. You are eocaumged a reed the dowmm[ wcfuily and eortmlt Legal Counsel prior to its arcutian. CS= Unit Prim Pragnns Estimate Progress Estimate city S—y Coaeaa Num: 56638 Contractor's Application Fa (mnaaa): 2018 Bond Year 3 -Contract 6 - Application Number. 23 Apphmhm Prnod. 1 VOW023 to 1 WO/2023 Application Date: 11/30/2023 JJ A B C C D I E F Ran IitG IWn No. D-shine Speeifiwfion Umt ofMeoaae Sation No. Bid Qumtiry Unit Ri¢ Esamated Q.. V Bid Value h.WW ou Balance to FinI Malaiols)' y Vnlu Prep ly 1n 11ed Value Value This Period and Stored to➢etc (F) (B� Stored (aotw C) (D - E) 0 24 3110.0105 24' and L,erAerTree Removal 25 3,23.0,05 Barrow by_Delivery_ ..— — - — EA CY 1_000000 E3,283.84 810.000000 $33.31 E26,gB1.10 _ _.. _ _._ _ _ - $25.981.10 This daa—t has been modi5cd fmm iv o igiwl farm as m FJCDC dommmt and the ma did not highlight the madi5wtiom. You me rncoumgcd to read the dommrnt cmefully and —11, Lego[ Counsel prior to its aaccuea. C-6M Unit Pdce Progress Estimate Progress Estimate For (Contra°)` 2018 Bond Year 3 - Contract 6 Applimn. Paio L 11/01/2023 to 11/30/2023 A City S-Y Conhvct Nam: I- Bid Ikon No. I)miptim specitiimdon Unit of Mmme Bid Quantity Unit Pd. Sation No. 26 3125.0101 9WPPP a7 sae LS_- _ 1.000000 - _ SZ73 27 3217.0172 8' R.N. Be.. Tvee A GR-1 _ __. - - - SV _ 312000000 --25.000D00 E2 28 32I20401 HMAC TranalUo_n - -- TN 29 _ _ 3213.0101 6' Cone Pvmt - Sy 26.000000 $17 30 3213.0301 4" Cone Sidewalk.SF --_ _.- - _750.000000 S 31 321&0311 4" Cone Sldewalk, Adraced to Curb S F 000000 $ 32 3273.0321 Con Sldewalk. Adlacem to Rot Wall _ SF _am SWOOD00D $ 33 3213.0322 Conc Curb at Back or Skla lk- - -----LF--- 12CEOD0000 $2 34 3 & W01 6"Conte Drivwmy _ SF _ 1277a000000 S 35 321&0403 B" Concrete Dri-V - -- - SF 250AGODDO $1i 36 3213.0451 6• Concrete Drivavay. Elmoeed lwareoate _ SF 15OD. OMM St' 37 3213.0322 Cone Curbat BaakdSiW-k _ _ - LF WOOD 00 Sy 38 3213.0505 Bonier Free Ramp.Type M4 EA _ 2000000 5273 39 3213.0506 Border Free Ramp. Tvpe P-1 - _ -- - EA 2000WO SZ71'. 40 3213.0507 8aMer Free Rama. Tvee P-2 _ EA 3.OD0000 52ef 47 3214.0300 Brick Sidewalk Reeelr Sy _ _125.000OW $21_i 42 3217.0002 4' SLD Pvmt Markin HAS (Y) _ LF 750.000000 $ 43 3217.0501 24" SLD Pvml Markin HAE (W) LF 15.000000 v. 44 3217,21 n3 REFL Rabed Marker TY II -A -A _ _ 38.000000 S 45 3217.5001 Curb Address Paintino _ _ _ _ _ ____EA___ - EA 80.00000D $3 46 3231.0111 4' Chain Unk Steel _ _ _ _ LF _ 50.000000 9 47 32370100 Conc Re Wall Adlaeonito_Sklewalk _ _ SF 200.000000 SIR 48 329t.0100 Toonal 1825.000000 S51 49 3292.0100 8lack Sad Plpcamo d _ _ _CV SV 107W.000000 S W 3305,0107 Manhde Adlustment Mhuu_ EA 32000000 S58 51 3305.0108 Mlscelleneeuo Adiustmera(Idaation) _. _. LS 1.000000 SW ,OG 52 3305.0108MIseallannous Swpturo Adiustment(WM). S' or Hlaher --- EA 73.000000 Sa 53 3346.0008 4 Piee Underdain, Tyro 8 � - - - LF _ _ 100.000000 _ S4 54 3441.1301 Loop Detector Cable Sawcut _ LF 175.000000 52 55 3441.130214 AWG Loop Detect Cable _ LF 190.000000 S -_ 56 - 3447.4003 Fum&Mnslall Alum Spn Ground Mount City Std.. EA_ _ 2000000 _ $471 - 57 34414004 FumishAnstall Alum Sion Ex Pole Mount _ _ EA _ 2.000000 $131 se 3441.4006 Ineall Alum Sion Ground Mount _ EA 1.000000 $411 59 _ 3"1.4110 Remove end Reinstall Sion Panel and Pod _ EA - 10.000000 SSe W 3471.0001 Tmfnc Control _. MO _ 5.000000 _ _§7,34 61 9999.0001 Concrete Steps SF 50.000000 __" 62 9999.0002 Remove and Replace Etc Mail Bax. (Bdckl_ EA _ 1.000000 4za 63 9999.0003 Remove and Relocale Mail Box (Post) _ EA 1.D00000 - SBT. 64 9999.0004 ScourStopp1 Mat Cover(Graen) Sy 25.D00000 $12 65 9999.0005 Stone Sidewalk Reeair Sy _ _ W.000000 614 66 lovm 9999.000E Paving Construction Awa _ LS 1.000000 __ SIOD OIX Totals 56638 Contractor's Application APplicatioe Nambm: 23 ... APPliwtian Dak: 11/302023 B C D E F G E+lmatd QuaetilY MmmiAaP ay TaI!CompltW •• Balance to FWeh _ Bid Vdue IaWkd VA. Prevkedyfewlkd Velae Velee 7ltia Period Stored(.or in C) and S(-d to Dote (F) _ (0 D -E) B q 57,736.53 0.75000000 3205240 32,05240 42 052.40 75.0% _-$684.13 7 $8,OD9.04 9.0000000D 5231.03 $231.03 E231.03 29% $7,778.01 b 53,750.00 5200000W _ _- - 3780.00 E780.00 _ _ - _ E780_00 52,97n.DO 12 $4,638.92 _20_8% S4,6W.92 p 2845.6_40._00._0-00 $35, 52,53Z3o S7&839.W ,74250 B $769177.W 5044.47000000 ..2W _$46.308Z _,3OB23 546,30823 Is S3.00 - _ - _58,5%_ __-_.532B927 . $338.00 1 $277320 _ 144.5000000D $3,339.40 --- $3,339.40 _ 53.339.40 _ 2-D. %_ 456620 13 $125,607.74 11707.93000000 $115,OB8.95 $115,08825 _ $115.08895 91.6% $10,$18.79 q E23,145A0 117.00000000 $1,80531 $7,80531 31.805.31 79% $21,339.69 q 51A16.50. 51,016.50 N 55,168.68 _-_2000001100 $5,468.68 ___55,468.68 _ _ _ _. 35,468.68 100.0% 5 S5,42490 _._ 200000000 35,42490 55,424.90 $5,424.90 100.0% _ W 7,9 _ _ 3.1700000W - 37,___7.838___ ._ _ __- _552 $7008.52 100.0% 3 E_Z_7,0912525 .__. $27,09125 5 3945.00 750.OD0 00OOD 59d5.W _- $945.00 _ _.. _ $945.00 100.0% _ _.. i0 5234.W 14.00000000 E278.40 _.. _ $218.40 . $218.40 $15.60 _ '6 $180.88 _ 21.00D0000D _ 599.96 ----_-$99.96 _- _93,3% $99.96 55.3% $8D_92 _ 2 $2,977,60 63.D0000D00 _ $2,344.86 __. _ S2,344.86 _ $2.344.86 _ 78.8%_ _ q $1,094,50 - _ _$63274 51,094.W 7_ -- -- $12.314.00 _$4,788.29 54,768.29 ._ $4,168.29 339% S8,145.77 5 391,888.75 8SODO00000 185.00000000 59,314.75 E9,314.75 $9,374.75 10.1% E82,574.00 D SA.5,371LW 5508.33000000 523,13199 _$73,734.99 57.1% 57L183A1 8 $18.661.76 __ _ 9.00000000 56248_82 -t23,13199 $5,24&B2 .. _ _ - _ $5248.62 2B.1% $13,41&14 0 360.000110 _ 0.03227755 51,936.65 _ 51,936.65 - - 51,836.85 32% $58,063.35 '1 54,SO4.B3 _ _._ _ _ ._ -._. _ -___-_-- $4,504.83 B 54,926.W 30.00000000 $1,47790 51,47790 _ 31,477.80 30.0% $3,44820 0 54_,214.W _ S4x4-W 7 $1,03930 $7,039.30 8 582096 17,00000000 56,978.16 116,378.16 56978.18 BW.O% _ - 46,15720 3 1. 00000 2000 5273.68 __ $273.E_6 __.._ .__ � __ 5273.8E 100.0%$4 8 5410.4848 $410.48 3 35,478.30 _ 35,=96 2 SB,209.W _ 450000000 SJ3B8_64 $7,388.64 E7�38B64 W.0% $820.8E 3 3273653 _--_ 52736.53 B SB75.69 6 53,OW.00 _ _._ _ 3022000000 53,70991 53,70991 _-_ $3,709.8181 1209% 4610.81 $7,224.50 31WA MOD $7,192,666.51 SS4oe,667,65 SS466,667.65 SBAOS,687.65 752% $1,793.998.36 Thmdacam-t barnmdif.W it oigiWI uen FJCDC d-arcm ad the a am did not highlight We mdi8wtiam. Ym, ma-mogd to rend Nc document c 19,11y and eomalt Legal C-1 Prim is iv a<acation. C-620 Change Order Progress Estimate Construction Allowance Usage Contractor's Application ADDITIONS For (contract): 2018 Bond Year 3 - Contmct 6 101452-2 City Secretory 56638 Application Number 23 Contmct Nam: Apphmtion Period'. 11/01/2023 to 11/30/2023 Apphwnan Dme. 11/30/2023 A B C D E F Item Balanm to Finish Toml Completed Specification Quannry to Add Unit Prim Addition ValueInsmlled &timuted Quantity Previously Volvo Value This Materials Presently and Stored to Date (F) (D -F) Item Number Description Unit of Measure Section No. imntled Venue Period Stored(not m C) (DIE) B 11148 j217.1016 Preformed Thermoplastic Contrast MndUnes-Leand Yi Paving-UNfF3 EA 30.00000000 S47.25 _ SI.417.50 12.00000000 $567.00 S567.00 _ _ S567.00 40.0% S850.50 M-89 3217.0502Prcformcd Thermoplastic Contmct Madrings-24-CmssWaving-UNFF3 LF _ 7200000000 S23.89 __ $1,720.08 70.00000000 _ S1.672.30 _ S1.672.30 _ ____ 31,672.30 97.2% S47.78 This document bas bran modified from its original form as an EICDC dusancnt and the user did not highlight the modirentions. You me encoumgod to read the document —fully and consult Legal Counsel prior to its esecutioa C-620 Change Order Totals I I I I I 53,137.591 I 52.239.301 52,239.301 I I 52.239.301 71.4% 1 S698.281 This dwumrnt een has bmodificd from its original form as an E1CDC document and the — did not highlight the modi6wtions. You me cnwumgcd to read the document cmefully and conadl Legal Counsel prior to its e.N=ution. C-620 Change Order Progress Estimate Construction Allowance Usage Contractor's Application CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED For (contract): 101452-2 2018 Bond Year 3 - Contract 6 Applieunon Number. 23 Application Period: 11/01/2023 to 11/30/2023 Application Date: 11/30/2023 1 A B C I D E F Item i Sp,,,ion Quantity to Delete Unit Prim Rduction Value Not Used Not Used Not UsedNot Used Not Uacd Not Und Not Uxd Na Used Hid Item Number Description I Section No. Unit of Mmsure M-66 Paving Construction All- Pavia¢-UNIr3 IS 0.03137590 $100,000.00 S3,137.58 Torah I I S3,137M This document he, been modified from its originol form as an EICDC document and the user did not highlight the modi5rntions. You are, encouraged to read the document carefully and consult D.cgnl Counsel prior to its cvecutioo. C-620 Change Order Progress Estimate Change Order Number 1 1 1 Contractor's Application ADDITIONS For (contract): 101452-2 2018 Bond Year 3 - Contract 6 City Secretary 56638 Application Number: 23 Contract Num: Application Period: 11/01/2023 t0 11/30/2023 Application Date: 11/30/2023 A B C D E F Itvn Addition Total Complaed % Balance to Finish Change Orden Rent Specification CO Quality to Add Unit Price Changc Order Estitnnted Quantity Installed Value Perviously Installed Value Value This Materials at in C)y Period Stored (vat in C) ad Storal to Date (F) (B - F) No. Description Section No. Unit ofMeacure Value (D+E) B 3201.0400 Temporary Asphalt Paving Repair (2" 1114AC on 6" LF I1-28 Fle, iblc Base Course) 1200.00000000 S40.50 S48,600.00 1177.00000000 S47,668.50 $47,66930 S47,668.% 98.1% $93130 II-52 3301.0001 Pm CCTVImpmfion _ _ _ _ IF 1197.00000000 $10.95 $13.107.15 _ - S13.107.IS 0.55 3305.0109 Trench Salhry _ LF 1200A0000000 $1.09 $1,308.00 1085.00000000_ $1,182+65 51.182.65 $1,182.65 90.4% S125.35 IIS6 3471.0001 Tragic Control (Sewn) MO _2.00000000 $1.641.92 S3=.94 _ _ S3.283.84 0-71 exy 3331.440430- SForce Main(SDR121) LF _1197.00000000 S607.40 S727,057.80 _ _1193.00000000 $724,62920 5724,628.20 SM.62510 99.7% S2.429.60 B-72 Sewa Fittings P401 Lived 1S 1.000.00000 S54,600.00 554.600.00 _ 1.00000000 S54,600.00 354,600.00 _ 354,60D.W 100.0% _ B-73 3305.0114 Manhole Adjustment, Major ww/Co von EA 1.00000000 $3,860.00 33,860.00 1.00000000 $3,860.00 $3,860.00 53.860.00 100.0% This document has been modified from its original Corm as an EJCDC document and the user did not highlight the modifications. You are enceumgcd to read the document carefully and consult Legal Counsel prior to its execution. Totals ......79 563...135 5831,939.35 This doeramm' has been malifi d from its original farm as an FJCDC document and the user did not highlight the modificntions. You arc encouraged to read the doeranrnt carefully and eousult Legal Counsel prior to its execution. 5831,939.35I 97.7% 1 519,677.411 C-620 Change Order C-620 Change Order Progress Estimate Change Order Number I 1 I Contractor's Application DELETIONS IFor (contract)_ 101452-2 2018 Bond Year 3 - Contract 6 Application Number. 23 Application Period 11/01/2023 to 11/30/2023 Application Datc: 11/30/2023 A B C D E F Item CO Quantity to Dcletion Change Orda Itan Spccifieation Dexnpmn Unit ofMeosme Dddc Uni[ IRia Change Order Not Used Not Used Not Used Net Used Not Used Not Used Not Used Net UsedNo. I Section No. I I I I I I I I I Value I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Totals This doam eat has been modified from its original form as an FJCDC dm:mnmt and the user did not ltighlighl the modifications. You we mmartgcd to read the docmmem arefully and consult Legal Counsel prim to its ermution. C-620 Change Order Progress Estimate Change Order Number 1 2 Contractor's Application ADDITIONS For (convect): 101452-2 2018 Bond Year 3 - Contract 6 City Secretary 56638 Application Number. 23 Contract Nu re Application Period: 11/01/2023 to 11/30/2023 Applien6an Dote: 11/30/2023 A B C D E F Item Balance to Finish Change Ober Item Sp ioUnit of Addition Change CO Quantity to Add Unit Price F tireated Quantity V.1.e Previously Value This Materials Presently Total Completed and Stored to Date (F) (B - F) No. 1l ription SectLionon NNo.. Mrnvure Order Value Insmlled Lutalled Vnluc Period Stored (not in C) (D � E) B I1-74 24' C-900 DR-25-Green _ LF _ _325.00000000_ $328.90 _S106,11_92.50 _ 325.00000000_ S106,892.50 S106,892S4 _ S106,892.5%, 100.0% _ 11-75 Connect to Junmion Box _ EA 1.00000000 $10292.50 $1029250 1.000DWO $10.292.50 _ _S70}92.50 S10.29250 100.0% 11-76 30' Hole & Cover in Junction Box _ EA 1.00000000 53,105.00 S3,105.OD 1.00000000 _ 33,105.00 53,105.00 $3,105.00 100.0% ❑-77 Rehab and coat e<istingjunction structure EA 1.00000000 $26,063.60 S26,063.60 1.00000000 $26,963.60 _ _526,063.60 S226063.60 100.0X 11778 �yposs Pumping LS 1.00000000 $263,034.91 _5263,034.91 1.00000000 S263.034.91 _S263,034.91 _ _ _ _ $263,034.91 100.0% Q-79 4-Drop Mnnholc EA 1.00000000 $15,400.00 515,400.00 2.00000000_ _ _ S30,800.00 _530800.00 _ S30,800.00 200.0% 415400.00 Tm.h 8424.78&51 S440,18&51 S440.18851 S440.188.51 103.6% SIS.400.00 This docomrnt has been modified from its original form or an FJCDC dacmnent and the user did not highlight the modifications. You are encouraged to read the document carefully and wnsult Legal Counsel prior to its execation. Progress Estimate Change Order Number 1 2 DELETIONS For (contract): 101452-2 2018 Bond Year-3 -Contract 6 Application Period: 11/01/2023 to 11/30/2023 A B C Change Item Item Description CO Quantity to o. I Unit of Delete Sectiion Unit Price Deletion Change Not Used Order Value Noo . 3 24' MASS 0011 LinarLF No. Mmwtre Sect No. 173.00000000 $333A _S57.757.78 7 139.1001 V Manhole EA 1.00000000 $6,567.66 _ S6.567.66 13 Bypass PadtP_w _ _ _ LS 1.00000000 $295,544.84 S295.344.84 40 Remove Sexy Jtmction swo t se LS 1.00000000 54 9, 25.74 54y25.74 _ ___ 70A ni Sewn Jwtion Box Standard Condole with Conshield_ LS LOW00000 $60.203.58 $60,203.58 Totals S424.999.60 Contractor's Application Application Number. 23 Application Date. 11/30/2023 1 D E F Not Used Not Used Not Used Not Used Not Used Not Used Not Used This docunent has barn modified from its original form as an EJCDC doeumont and the user did not higMight the modircations. You are encouraged to rend the document carefully and consult Legal Counsel prior to its esmutioa C-620 Change Order C-620 Change Order Progress Estimate Change Order Number ADDITIONS For (contact): 101452-2 2018 Bond Year 3 - Contract 6 Application Period: uera Chonge order Item Description Na. 11/012023 to 11/30/2023 City Secretary 56638 Contact Now Contractor's Application Application Number: 13 Application Date: 11/30/2023 Balance to Finish Addition Estimated Quantity Previously Value This Matedals Presently Total Completed % (B - F) Specifiati.n Unit of CO Quantity to Add Unit Price Change Order Value and Stated to Dole (F) Section No. Measure Vale Installed Installed Value Period Stored(not in C) (DIE) B 165 1TPVCWmcr(DR-18) A8313 _ LF 7W-00000000 S136.93 $107,001.06 797.00000000 $109453.51 3109.053.51 $109.053.51 101.9% 42.052.45 1-66 IT HOPE Water LF 75.00000000 S169.05 $12A78.75 60.00000000 $10,143.00 $10,143.00 S10143.00 90.0% $2,535.75 I-3 3311.02618"PVC Water Pipe _LF moo000000 S93.G4 �4.72 _18A0000000 SI.674.72 $1,674.72 31% ,674.72 100.0_ 1-43311.0161 6" PVC Water Pipe _ LF 10.00000000_ _ $79.91 S799_10 10.00M0000 $799.10 _ 5799.10 _ $799.10 100.0% _ 1-5 3312.3005 12" Got. Volvo EA 6.00000000 S3,064_91 319}99.46 _ 6.00000000 $18,389_46 _518,389.46 S18,389A6 100.0% 16 3312.30038" Got. Valve EA 1.00000000 _ $1,970_30 $1,970.30 1.00000000 $1 MOO $197030 _ $1.970.30 100.0% 1-7 3312.3002 6" Gate Valve FA 1.00000000 51,422.99 $1,422.99 1.00000000 _ _S1.422.99_ S1,422.99 51,422.99 100.0% _ 1-9 3312.0001 Fire Hydrant and Extension EA 1.00000000 _ 54. 25,75 54,925.75 _ 1.00000000 $4,925.75 _ 54.925.75 _ $4,925.75 100.0% I-10 3312.0117 Connection to Existing 4%12"Water Main _ EA 5000000000 _ 54,925.75 $24,628.75 5.00000000 S24.628.75_ S24,628.75 _ S24,628.75 100.0% I-11 3312.20011" Won. Service, Meter Reconnection PA 1.0000000_0 $355.75 $355.75_ 1.00000000 S355.75 $355_75 $355.75 100.0% I-11 3312.20031"Water S.rvi« EA 1.0000000_0 _S1.970_30 $I,970.30 _ 1_00000000 $1,97030 -- S1,970.30 _ $1,9M.30 100.0% 1-18 3311.0001 Ductile Ian Water Fittings w/Rcstrnint _ TN 1.50000000 _ $9,851_50 $14.777.25 1.50000000 _ $14,77725 $14,77715 $14,7I7]5 100.0% I-21 0241.1302 Remove and Salvage 6" Water Value _ EA 1.00000000 _ $109.46 $109.46_ 1_00000000 _ _ $109.46 S)09A $109.46 100.0% _ 1-22 0241.1303 Remove and Salvage 8" Water Value _ EA _1.00000000 _ $109A6 $109.46 _1.00000000 _ $109A6 $109.46 $109.46 100.0% 1.23 0241.1305 Remove and Salvage 12" Water Value EA _ 4.00000000 $109A6 S437.84 _ 4.00000000 $437.94 5437.84 $437.84 100.0% I-24 M41.1510 Salvage Fne Hydrant PA _1.00000000 _ _ _ _ 3328.39 $328.38 1.00000000 _ _ 532838 - _5326.38 _ $329.39 100.0% I-26 0241.1512 Salvage 1" Water Meta FA 1.00000000 _ - _ SUM $54.73 __1A0000000 $54.73 $54.73 S54.73 100,0% I-34 3201.0400 Temporary Asphalt Paving Repair (2" FM1AC on 6" Fle. LF 830.00000_0_00_ $21.89 S18,168.70 _830.000.00000 $18.169.70 518,166.70 _ S18168.70 100.0% _ I-36 3201.0614 Caner Pvmt Repair, Residential SY 30.00000000 $178.42 $5.352.60 _ _ _ S5352.60 I-00 3305.0109 Trench Safety _ _ LF 865.00000000 $0.05 $4425 _885.00000000 _ $4425_UC S442S 100.0% 143 3305.0203 Imported EmbodmenVBaekliill, CLSM CY 50.00000000 $1$325 S7,662.50 _ _ _ $7,662.50 145 0241.1300 Remove Cone Carl, &Gana LF _ 10.0000000 $5.75 W.50 _ S57_50 146 0241.1400 Remove Cone, Valley Gutter SY 65.00000000 $51.74 53,363.10 65.00000000 S3,363.10 S3,363.10 S3363.10 100.05E 147 0241.17001 V Pavement Pulvcimlim _ SY 55.011000000 S&56 S470.80 _ _ ___ S470_80 I-50 3212.03033" Asphalt Pvmt Type D SY 55.00DWOW S2&OS $IS42.75_ .__ $IS42.7$ 1-51 3216.01016-Cow Cmb and Gucr LF 10.00000000 $50.11 $501.I0 _ _ $501.10 1.52 3216.0301 7" Cone Valley Gutter, Residential SY 65.00 WWO $124.23 $$074.95 _ 65.0000000o _ $9,074.95 _ $8074.95 _ _ $8,074.95 100.0% 1.55 3292.0100 Black Sod Placement SY 100.00000000 S420 _ S420_00 1.57 3305.0111 Valve Box Adjustment, Including Concrete Collor _ FA 1.00000000 $479.65 S479AS _ _ _ _ - $479.65 167 Remove &Reset Guardrail _ _ LS 1.00000000 $13,900.00 $13,800.00 _ 1.00000000 _ $13,900.00 SI3,900.00 $13800.00 100.014 _ 11-5 3331.4115 8" Sewer Piper (PVC SDR 26) LF 326.00000000 $125.88 541,036.88 _326.00000000 _ 341,036_88 S41036_88 S41,036.88 100.0% 11-7 3339.1001 4"Manhole _ EA 3.0000W00 56,567.66 S19,7M.98 _3.00000000 S19,702.98 _ 519,702.98 _ $19,702.98 100.0% II-8 3339.10034" Ewa Depth Manhole VF _ I.WwwW $213.45 S213.451.00000000_ __ _ $213.45 _S213AS S213.45 100.0% II-14 3339.0003 Later -4"Sews MH VF 7.00000000 $344.80 S2,413.60 _ $2,413.60 _ 11-17 333131014" Sewer Service _ EA 1.00000000 W83.83 $3.293.93 _110000000_ S3283.83 _3338i83 _ $3.283.93 100.0% 11-I8 1301.0101 Manhole Vacuum Testing FA 3.00000000 S229S7 $689.6l _ 3A0000000 _ S689.61 $689.61 S689 61 100.0% _ 31-28 3201.0400 Temporary Asphalt Paving Repair (2" HMAC an 6" FIB LF 345.000001)00 $4050 S ,13 97250 _345.00000000 _ V13,97250 $11,972.50 $13,972.50 100.0% 11-36 02412201 Remove 4" Sewer Manhole EA 1.00000000 $492_57 S492.57 1.00000000 _ $49257 $49257 _ S49257 100.0% 11.52 3301.0002 Post CCTV inspection LF 326.00000000 S10.95 33369.70 126.00009000_S3,569.70 53,569.70 $3,569.70 100.0% II-53 9999.0005 Final CCTV Inspection. Manhole EA 2_00000000 $109.46 $2t8.92 _ _ _ - _ $219.92 1144 3305.0103 Exploratory Ecavation of Existing Utilities _ EA 1.00000000 S1,31333 $1,313.53 _1.00000000 $1,313.53 _5j,31353 _ $1,313.53 100.0% 11-55 3305.0109 Trench Safety _ _ LF 326,00000000 $1.09 _ $355.34 326.0W00000 $355.34 _$35534 $355_34 100.0% II-73 3305.0114 Mwdad. Adjushent, Major w/Cava FA 5.00000000 $19300.00_ 500000000__ $19,300.00_ S1�.00 $19300.00 100.0% II-76 30"Hel.& Cover in Junction on Box 1.00000000 _53,860.00 S3,105_00 $3,105.00 1.00000000 53,105.00_S3,105_00 _ - S3,105.00 100.0% 11-80 Conueet 42" SS to Junction Box FA 1.00000000 __ _ 59.020.00 59,020.00 _ 1.00000000_ $9,020.00 02 _ S9,0.00 _ $9,020.00 100.09E MI Rework invert to Junction IS 1_00000000 S5280.00 $5,280.00 1.00000000 $5.280.00_ S5,280.00 _ $__00 100.0% 1142 Junction Box Coating _ _ _ IS _ 576.00000000 _ S33.30 319,180.80 _ 597.00000000 519.880.10 219,880.10 _ $19,880.10 103.6% 4699.30 M-9 0171.0001 Comwctiam Staking (Paving) _ IS _ _ 020000000 _ $10,946.10 52.19922 020000000_ $2.18922 _ S2.13922 _ $2,18922 100.09E III-13 0241.0401 Removc Concrete Drive SF S1.14 $536.94 47L00000000 _ _ $536_94 __ $536.94 _ _ _ _ S536.94 100.0% M-I6 0241.1000 Remove Co. Pvmt SY _471.00000000 10.00000000 ___---_ 19.07 $90.70 _- _ _ _ _ _ S90 70 M-17 0241.1300 Remove Cone, Curb & Gutter LF 70.00000000 _ $3.37 $235.90 70.00 WWO $235.90 _ _ $235.90 _ _ _ $235.90 100.0% This document has been modified from its original f es an EICDC document and the user did not highlight the modifications. You me encouraged to rend the document emefuliv and consult Legal Counsel prior to its cveeution. M-26 3125.0101 SWPPP 1 Acre IS 0.02000000 _52�.736.51 554.73 _ 020000000 5547.31 _$547.31 _ ID-27 3211.01126•Flcxible Base, Type A,GR-1 SY 132.00000000 325_67 53,78&44_____ M-28 3212.0401 HMAC Transition TN 2.00000000_ 5150.00 $300.00__ M-34 3213.04016-Concrete Dria-ay SF 471.00000000 59_33 $4629.93 471_00000W0 54,629.93 Ili-38 3213.0505 Bonier Free Ramp, Type M-3 _ BA 1.00000000 $2 734.34 $2 734.34 1.00000000 52,734.34 _$2 734.34 _ M45 3217.5001 Curb Address Painting _ _ EA 3.00000000 33722 $11166 M48 3291.0100 Topsoil CY 200.00000000 550.35 SI0,070.00 M49 3292.0100 BIok Sod Plaoemeot SY 594.00000000 $420 32,494_80__.___ M-50 3305.0107 Manhole Adjustment, Minor _ FA SA0000000 5583.18 _ 915.90 M-58 3441AO06 losall Alum Sign Ground Mount _ FA 1.00000000 $410.43 $410.48 M-59 WIA110 Removeand Rch.Wl Sign Panel and Post FA 6.00000000__ 5541.83 $3,25098 M60 3471.0001 Traffic Control MO 020000000_ SI,641.92 $328.38 __ 020000000_ _ $328.38 _ 332839 __ III -la 0241.170011• Pavement Pulverimtion _ SY 1640.00000000 $698 $II1 7.20 _1154.98000000 _ _58,061_76 _$8061.76 _ ID-3a 3211.9999 Can -Lime 30 lbs/SY _ _ 7N 42.00000000 3221.11 $9,286.62 _ 20.00000000 _ _ 54,42220 _ 54,42220 _ ID4a 3212.0303 3^Asphalt Pvmt Type D SY _ 1640.00000000_ $26.04 �705.60 _ _1154.98000000 _ $30,TS.68 530,075.68 M.S. 3216.01016• Cone Curb and Guncr LF _300.00000000 550.11 SI50, 33.00 _300.00000000 _ $1503300 $15013.00 _ M6n 3216,9999 Lay Down Conc Curb and Goner _ _ LF 1309.00000000 $44 06 $57 67454 _ 991.50000000_ _ 543,685.49 S13 685.49 _ 3305.0111 Valve Box AdjuslmraL Including Concrete Collar _ _ FA 5.00000000 _ _ 5537AI P 687A5 _ 5.00000000 _ 52,687A5 _ _ $2,687_05 _ _ID-84, M-9a 9999.9999 Vines Maier Periwin le%%Groundcovcr) f4-PoN Plant 0 SF 450.00000000 37.26 53267.00 450.00000000 53267.00 $3267.00 Turn l5 5570.564.07 5494251.44 549425I.44. This daatmrnt h. be v modified from its original form os an FJCDC document and the uscr did not highlight the modifications. You me encouraged to read the decumrnt carefully and consult Legal Counsel prior to its ococution. 5547.31 1000.0% -$492.58 $3.389.44 5300.00 34,9%93 100.0% 52,734.34 100.0% $111.66 _ 310,070.00 $Z494.80 --_ 52,915.90 - $410.48 -- 53250.98 5328.38 100.0% 58,061.76 70.4% $3,385.44 _ 54,42220 _47.6% 54,864.42 $30,075.68 70A% S12_,6_29.92 515,033.00 100.0% _ $43,685.49 75.7%_ $13.999.05 _ 52.687.05 _ 100.0%_ $3267.00 100.0% 5494.251.44 86.6% $76,31Z64 C620 Change Order C-620 Change Order Progress Estimate Change Order Number 3 Contractor's Application DELETIONS For(wntract): 101452-2 2018 Bond Year 3 - Contract 6 Application Number: 23 Application Period 11/01/2023 to 11r30n023 Application Date: 11/30/2023 A B C D E F dram CO Quantity to Dciclion Change Ord m Item D— Specifi-u- Unit of Delete Uoit Priw Change Ord,T Not U.ed Not Uscd Not Used Not Used Not Used Not U. d Not Uscd Not Uscd No. II-5 6-Mm1ole Swtion No. Measure FA 1.00000000_ _ S15,324.55 Value SI5,324.Sir II! 6' Extra DryW Man6de _ VF 1.00000000 $476616 _ _ 5476.16 II-7 I.inc-6 Sauer MH w 1200000000 $492.57 55,910.84 II-8 Remove Sewer JuntiouSwctme (Lirm.B-St. 10,30) IS 1.0000a000 _ S4,M74 _$4,925.74 Totnls S26,637.29 This document has b— modified from its original form as an EJCDC domnwt and die user did net higWight the modifications. You one weomaged to read the document w fully and consult Ixgal Counsel prior to its evewtion. C-620 Change Order Progress Estimate Change Order Number 1 4 Contractor's Application ADDITIONS For (cantmct): 101452-2 2018 Bond Year 3 - Contract 6 City Secretary 56638 Application Number. 13 Confct Nam: Application Period 11/01/2023 to 11/30/2023 Application Date: 11/30/2013 A D C D E F item I .1- to Finish Addition Estimated Quantity Previously Value This Materials Presently Total Completed % (B_F) Chow Order It® DescriptionSection Specification Unit of CO Quantity to Add Unit Price Chang. Order installed Value Value Value Period Stored (not in C) and Stored to Dote (F) No. No. Measure V.I.. (D+ E) B 1 168 Lay Down Curb Correction(25%) Water IF 12.90000000 $44.06 $1,409.92 _ 32.00000000 _ SIA09.92 $1.409.92 _ $1,409.92 100.0% 169 Construction Staking for Lay Down Curb(25%) Water _ _ _ LS 1.00000000_ $561.00 $561.00 _ 1.00000000 $56100 S56100 _ _ $561.00 100.0% I.70 Rcrravc Curb &Gutter for Lay Do -Curb Correction.(25%)__ Water _ LF 32.00000000 _ $3.37 3107.84 32.00000000_ _ _._ _ S107.94 S107.84 _ _ _ _ $107.84 100.0% 1-71 HMAC Level Up for lay Do- Curb (25%) Wotcr_ _ IN 15.00000000_ S150.00 5240.00_20.50000000__ S3.075A0 $30M.00 53,075.00 136.7% 4825.00 I--72 R®obilimtion-Flnhvmk Crew(25%) Water LS 1A0000000 S1,000.00 SI,000.00 _100000000 _ _ _$1,000.00 $1,000.00 _ _ _ _ $1,000,00 100.04: 11-93 Lay Down Curb Correction (25%) _ _ Sena LF 33.00000000 _ $44.06 S1,451" 33.00000000 $1,433.98 _51,453Aq _ _ _ S1,453.99 100.0%_ 11-84 Conswction Staking for Lay Down Curb (25%) _ Sewer LS 1.00000000 S561.00 S561.00 __ 1.00000000 _ S561.00 _ S561A0 _ _ _ $561.00 100.0% 11-85 Ranove Cur ,@ bGana for Lay Down Cmb Correction (25%)Sewer LF _ _ 33.00000000 S3.37 $111.21 33_00000000 $11121 _311121 _ SIM21 100.0% 11-87 IIMAC Level Up fa lay Down Curb (25%) Sewer TN 15.00000000 $150.00 52,250.00 _20.50000000 $3,075.00 _ 53,07500 _ _ _ _ _ _ S3,075.00 136.7% 4825.00 1.86 Rcmobilwation-Flnt%wrk Crew(25%) Sewer LS 1.00000000 _ _ $1,000.00 51,000_00 _ 1.00000000 _ 51,000.00 SI,000.00 _ _ _ _ $1,000.00 100.0% M-ft Lay Down Carl, Paving_ LF p.00000000 _ $44.06 52,863.90 50.00000000_ S2,203.00 $2,203_00 _ _ _ _ _ _ _ _ _ S2,203.00 76.9% S660.90 M67 Construction Staking fa lay Down Curb(50%) _ _ Paving_ LS 1.U00000 _ $1,121.77 5,1121.77 I.00000000_ $1,121.77 SI,121_77 _. _ _ _ _ _ _ S1,121.77 100.0% M-17 Rwovc Curb & Gutter Paving_ LF 65.00000000 $3.37 $219.05 61.50000000 S20726 5207.26 S20726 94.6% $11.90 M-28 HMAC Level Up _ Paving__ 7N 30_00000000 _ S150.00 $4500.00_41.00000000 _ S6,150.00 $6,150.00 ._ _ _ _ S6,150.00 136.7% 41,650.00 M-97 Rcmobilntion-Flatvork Crew(50%) Paving LS 1.00000000 S2000.W 52,W0.00 __ 1.00000000 52,000.00_ S2,000.00 S2,000.00 100.0% This docmnent has been modified from its original loran as an EUCDC docmnent and the user did not highlight the modifications. You arc eneoumged to read the doe urx at earefully and consult legal Counsel prior to its aseeution. C-620 Change Order Tomb I I I I I S21.409.671 I S24.036.98I $24.036.981 1 I S24.Q36.98I 112.3% I-52.627.31I Thu doaumemt has been modified from its original form os an EJCDC document and the user did not highlight the modifneations. You arc encouraged to read the document carefully and consult Legal Counsel prior to its -tion. C-620 Change Order Progress Estimate Change Order Number 1 5 Contractor's Application ADDITIONS For (mnbmt): 101452-2 2018 Bond Year 3 - Contract 6 City Semetmy 56638 Appllention Number: 23 Contract Num: Application period: 11/01/2023 to 11/30/2023 Application Dote: 11/30/2023 A B C D E F Item Mon. to Finish Addition Estimoted Previously Value This Materials Presently Total Completed (B _ p) Change t hem Speeim Unit of CO Quantity to Add Description Unit Price Change Order led Iusm11M Value Insmlled Vnlm Pmiod Stored (not in C) and Stored to Dote (F) No. o. Section No. Meosnc No. Value (p+E) B ➢-87 Shor-Flex Slope Protection Sewer LF 39.00000000 S500.90 $19,535.10 39.00000000 _ $19.535.10 $19,535.10 $19,535.10 100.0% II-S8 12"Coovctc Curb _ Scwcr iF 24.00000000 $74.60 $1,790.40 24.00000000 $1,790.40 51,790,40 _ _ 51,790.40 100.0% ➢-89 Cl mmut Debris at Sewer & Creek Crossing Sewer LS _U00009MCL $3,73018 53,73028 1.00000000 53,73028 53,73025 _ _ _ $3,730.28 100.0X This document has been modified from its original form as an FJCDC document and the u r did not highlight the modifications. You ore enwumged to read the document carefully and consult Legal Counsel prior to its —utioa Cfi20 Change Order Tamer I I I I I 525,055.781 I 525,055.781 525.055.781 I I 525,055.781 100.0% 1 This document has hcrn modified from its original form as an FJCDC document and the user did not highlight the modifications. You we encourugcd to read the document carefully and consult Legal Counsel prior to its —cation. C-620 Change Order Progress Estimate Change Order Number 5 Contractor's Application DELETIONS For (contract): 101452-2 2018 Bond Year 3 -Contract 6 Applieution Numbcr: 23 AppliwtionPeriod. 11/01/2023 to 11/30/2023 Application Date: 11/30/2023 1 A B I C D E F hem Change Order Item Speaifiation Unit of CO Quantity to Deletipn Unit Prig Change Order I Not Used Not Used Not Used Not Used Not Used Not Used Not Used Not Used Description No. Delete Section No. Measure Value 69 9999.0007 Sewnr Cooswction Allowma Sewer__ IS 025055780 5100,000.0 $25,055.78 S25.055.781 This document has been modified from its original form as an, EtCDC doeument and the user did not highlight the madifiations. You are encouraged to read the document carefully and consult Legal Counsel prior to its execution. City of Fort Worth Summary of Charges City Secretary Contract Num: I 56638 I 2018 Bond Year 3 - Contract 6 I P. 0.: FW020-0000006894 Project Number. 101452-2 Application Period: I 11/01/2023 to 11/30/2023 I Application I Number: 23 Application Date: 11/30/2023 Funding Identification (FID) Total Completed Amt Remaining 1 Gross Retainag-e---7 Net Original Contract � I 56002-0600430-5740010-101452-001780-9999 $1,702,075.74 $377,421.45 56002-0700430-5740010-101452-001780-9999 $2,259,228.73 $856,378.49 34018-0200431-5740010-101452-002480-9999-18010199 $1,449,602.48 $547,959.62 10 _ .. to 10 �'� _ "'D o - - -U _6 i O .- V.JG I --. -'.. .•G. JI. 0 o I Change Order 156002-0600430-5740010-101452-001780-9999 156002-0700430-5740010-101452-001780-9999 $831,939.35 $19,877.44 134018-0200431-5740010-101452-002480-9999-18010199 ? I I 7'I o Jo io o�� 10 U I I u. i0 10 10 jo - J I I C I 1 Change Order 2 _ 1 56002-0600430-5740010-101452-001780-9999 ;,.,.n- ,. "•, ;J }L 56002-0700430-5740010-101452-001780-9999 $440,188.51 ($440,399.60) 34018-0200431-5740010-101452-002480-9999-18010199 o o 0 UPI I I 1 0 J. 0 ;r0.00 I i ;( I C. IC I 0 U. J I 0 City of Fort Worth Summary of Charges City Secretary Contract Num: I 56638 2018 Bond Year 3 - Contract 6 I P. 0.: FW020-0000006894 Application Period: I 11/01/2023 to 11/30/2023 I Application I 23 Number. Funding Identification (FID) I I Total Completed I Change Order I 156002-0600430-5740010-101452-001780-9999 I $234,601.75 156002-0700430-5740010-101452-001780-9999 ! $141,215.49 134018-0200431-5740010-101452-002480-9999-18010199 $118,434.20 10 10 10 I 00 1 10 g;J,JO 10 10 I 1 10 I 10 156002-0700430-5740010-101452-001780-9999 134018-0200431-5740010-101452-002480-9999-18010199 10 10 '0 10 10 10 10 0 $6,201.19 $11,682.03 Amt Remaining I $16,970.20 ($24,704.07) $57,409.22 t$6,201.19 j ($11,682.03)1 Project Number: 101452-2 Application Date: 11/30/2023 Gross Retainage Net 1 � J ! J-, II 1 I I I I I i 156002-0600430-5740010-101452-001780-9999 156002-0700430-5740010-101452-001780-9999 $25,055.78 . I ($25,055.78)1 134018-0200431-5740010-101452-002480-9999-18010199 j.j ! 10 o.o0 1 I I 10 1 to 1 1 10 1s. J1 I :oJol 1 s_ao1 !o Io to j0 1 1 •o.o� I I �� J=' I 10 I I I J 1 i J. City of Fort Worth Summary of Charges City Secretary Contract Num: 1 56638 2018 Bond Year 3 - Contract 6 P. 0.: FW020-0000006894 Project Number: 101452-2 Application Period: I 11/01/2023 to 11/30/2023 1 ApplicatI (on 23 Application Date: 11/30/2023 Number. 1 7 1 i Gross RetainaFe--', Net Funding Identification (FID) I Total Completed I Amt Remaining I Change Order 6 156002-0600430-5740010-101452-001780-9999 156002-0700430-5740010-101452-001780-9999 134018-0200431-5740010-101452-002480-9999-18010199 10 10 10 10 10 10 1 i 0 156002-0600430-5740010-101452-001780-9999 156002-0700430-5740010-101452-001780-9999 I I Tc. 1�0 I "j 34018-0200431-5740010-101452-002480-9999-18010199 1 D 0 I J . I 10 f- 0 0 T to ju 0 J, 10 Change Order 8 156002-0600430-5740010-101452-001780-9999 3 156002-0700430-5740010-101452-001780-9999 134018-0200431-5740010-101452-002480-9999-18010199 10 10 10 10 10 10 Ili CC 10 'J 10 kj I ao l City of Fort Worth Summary of Charges City Secretary Contract Num: I 56638 I 2018 Bond Year 3 - Contract 6 I P. 0.: FW020-0000006894 Project Number: 101452-2 Application Period: I 11/01/2023 to 11/30/2023 Application I 23 Number: Application Date: 11/30/2023 Funding Identification (FID) 1 Total Completed Amt Remaining Gross Retainage Net Totals - 56002-0600430-5740010-101452-001780-9999 $1,942,831.25 $388,237.89 56002-0700430-5740010-101452-001780-9999 $3,703,829.05 $379,895.29 34018-0200431-5740010-101452-002480-9999-18010199 1 $1,579,718.70 1 $593,686.81 0 p i0 10 10 10 10 - 10 Grand Total j $7,226,379.01 1 1 $1,361,819.99 1 1 $0.00 1 1 ($361,318.95)1 1 $361,318.95 PROJECT NAME: PROJECT NUMBER: DOE NUMBER: PIPE LAID PVC PVC DIP PVC FIRE HYDRANTS: 7 PIPE ABANDONED DENSITIES: NEW SERVICES: PIPE LAID FIBERGLASS PVC PVC PIPE ABANDONED DENSITIES: NEW SERVICES: (D FORTWORTH -- %k � s TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: 2018 Bond Year 3 Contract 6 101452-2 WATER SIZE TYPE OF PIPE LF 12" C-900 3,207 8" C-900 2,289 12" DUCTILE IRON 81 6" C-900 74 VALVES (16" OR LARGER) SIZE TYPE OF PIPE LF YES SEWER SIZE TYPE OF PIPE LF 42" SN-72 1,030 24" PS-115 1,804 8" SDR-26 1,333 SIZE TYPE OF PIPE YES TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 LF FORTWORTH. TRANSPORTATION AND PUBLIC WORKS December 5, 2023 Texas Materials 420 Decker Dr. Suite 200 Irving, Texas 75062 RE: Acceptance Letter Project Name: 2018 Bond Year 3 Contract 6 Project Type: Water, Sanitary Sewer, Paving City Project No.: 101452-2 To Whom It May Concern: On July 27, 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 December 5, 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 December 5, 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- 392-8785. Sincerely, Jose Orozco, Project Manager Cc: Steve Cisneros, Inspector Mike Glover, Inspection Supervisor Randy Horton, Senior Inspector Greg Robbins, Program Manager Stream Water Group, Consultant Texas Materials, Contractor N/A, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 CONSENT OF SURETY TO FINAL PAYMENT AIA Document G707 (Instructions on reverse side) Bond No. TO OWNER: (Name and address) City of Fort Worth 200 Texas Street Forth Worth, TX 76102 PROJECT: (Name and address) 2018 Bond Year 3 - Contract 6 City project # 101452-2 OWNER ARCHITECT CONTRACTOR SURETY 014225406 OTHER ARCHITECT'S PROJECT NO: CONTRACT FOR: 2018 Bond Year 3 - Contract 6 City project # 101452-2 CONTRACT DATED: In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (Insert name and address of Surety) Liberty Mutual Insurance Company 175 Berkeley Street Boston, MA 02116 on bond of (Insert name and address of Contractor) Texas Materials Group, Inc. dba TexasBit, A CRH Company ,SURETY, 420 Decker Drive #200 Irving, TX 75062 CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (Insert name and address of Owner) City of Fort Worth 200 Texas Street Forth Worth, TX 76102 OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: December 6, 2023 (Insert in writing the month followed by the numeric date and year.) Liberty Mutual Insurance Company (Surety) (Signature ofauthorized representative) Attest/Witness: (Seal): `(� Stephanie Gross, Attorney -in -Fact Jessica Richmond, Witness (Printed name and title) 1NSUR �JPGOPOR,yT�20 AIA DOCUMENT G707 w CONSENT OF SURETY TO FINAL PAYMENT w 1994 EDITION w AIA 1912 01994 HE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, NW, WASH- Y y 0 INGTON, D.C. 20006-5292 w WARNING: Unlicensed photocopying violates U.S. copy- right laws and will subject the violator to legal prosecution. ssI CHUS� -aa 0/7 * Ala G707-1994 Seal No. 4440 10� This Power of Attorney limits the acts of those named herein, and they have no authority to Liberty bind the Company except in the manner and to the extent herein stated. Mutual. Liberty Mutual Insurance Company SURETY The Ohio Casualty Insurance Company Certificate No: 8204866 West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies', pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Stephanie Gross all of the city of Houston state of Texas each individually if there be more than one named, its true and lawful attomey-in-fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 15th day of February, 2021. Liberty Mutual Insurance Company The Ohio Casualty Insurance Company P� \NSU� P�IY INS& � \NSURq West American Insurance Company ?`DµPD/j9T�'QyyC, 2Irn oaPOR,yTo�J•� g$1912g0 0 1919 a 1991 o By: � Yd�13SgCMU`'� as y�Z�HAMP`'�\eaaO '�S+ �NDIANP' ,aa C6 �� * 1a -yl David M. Carey, Assistant Secretary N STATE OF PENNSYLVANIA ss COUNTY OF MONTGOMERY NCD p� On this 15th day of February, 2021, before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance Company, U The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein o 2 contained by signing on behalf of the corporations by himself as a duly authorized officer. L > U IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. 7 9P PAST 'y �Q NWe9<�<< Commonwealth of Pennsylvania - Notary Seal 0O ° = v Teresa Pastella• Notary Public L of Montgomery County Qj O �,.Q My commission expires March 28, 2025 By " N �Ns��P �G Commission number 1126044 c+, orgRy �e� Teresa Pastella, Notary Public N Member, Pennsylvania Association of Notaries a� This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual rnCQ jv Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: y ARTICLE IV — OFFICERS: Section 12. Power of Attorney. O C: Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the E - President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety o CU any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, _0 >, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such M c instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under the > ;v provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. Z=3 ARTICLE XIII - Execution of Contracts: Section 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation —The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys- infact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, of Liberty Mutual Insurance Company, The Ohio Casualty Insurance Company, and West American Insurance Company do hereby certify that this power of attorney executed by said Companies is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 6th day of December 2023 P�11( INS& a \NSUQq °01' o 4. " y VQ' °pP 0/2,aT 2 J 3 Fo t� a• 3 Fo C, g 1912 oy19190 a 41991 0 B +~ Y: !1�9SSACHUS��.da SO �hNAMP9��? a '! �NDIANP a3 *�a Renee C. Llewellyn, Assistant Secretary vi E 00 'L U m c o� m� U � Q D Cl) �O Q) @ E O Q) Q o oCD � N ON �cy.) L 00 0— CO c co — O U O L O N LL Q Marsh MSurety POA LMIC OCIC WAIC Multi Co 022021 Liberty Mutual® SURETY As part of its business continuity efforts during the pendency of the COVID-19 pandemic, Liberty Mutual Insurance Company ("LMIC") on behalf of itself and the companies listed below has authorized its Attorneys -in -Fact to affix its corporate seal for surety obligations in a digital format in lieu of its traditional raised seal to any bond issued on its behalf by any such Attorney -in -Fact: Liberty Mutual Insurance Company Liberty Mutual Fire Insurance Company The Ohio Casualty Insurance Company West American Insurance Company Safeco Insurance Company of America American States Insurance Company LMIC agrees and affirms on behalf of itself and the other companies listed herein, that the digital corporate seal referenced above has the same binding effect when affixed to a bond or a Power of Attorney document as if it were a raised corporate seal. Effective this 23Id day of March, 2020. By: 5��- le-�� Renee C. Llewellyn, Assistant Secretary 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 Donnie Blackburn, Vice President of Texas Materials Group, Inc., known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; That all persons, firms, associations, corporations, or other organizations furnishing labor and/or materials have been paid in full; That the wage scale established by the City Council in the City of Fort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; 2018 CIP Year 3, Contract 6 CPN # 101452-2 Donald Blackburn" BY,..,.,,. Donnie Blackburn GM/Vice President Texas Materials Group, Inc. Subscribed and sworn before me on this U' day of , 2023. JAMIE GREENWAY _Notary Public, State of Texas +� Comm. Expires 08 26-2024 NOT RY PUBLIC AND R Notary ID 12115454 T RA COUNTY, TEXAS r My commission expires er>1�r of . I--