HomeMy WebLinkAboutContract 57472-FP5FORT WORTHa
City Secretary
-FP5
Contract No. 57472
Date Received 03/01/2024
AT
NOTICE OF PROJECT COMPLETION
(Developer Projects)
The Transportation and Public Works Department upon the recommendation of the Project
Manager has accepted the following project as complete:
Project Name: Cohix Phase 1
City Project No.: 103287
Improvement Type(s): x❑ Paving ❑ Drainage
Original Contract Price:
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
❑ Street Lights ❑ Traffic Signals
$1,393,061.40
$375,128.24
$1,768,189.64
$1,768,189.64
Rob Tkoz"ra'V 02407:35 CST1 Feb 29, 2024
Contractor Date
Accounts Receivable
Title
Gilco Contractors INC
Company Name
Feb 29 2024
Donald Watson (Feb 29. 202414:19 CST)
Project Inspector
Date
Feb 29, 2024
Khal Jaafari P . (Fe21:31 CSTI
Project Manager
Date
Mar 1, 2024
77b Owe n(Mar 1. 202408:39 CST)
CFA Manager
Date
A.
Mar 1, 2024
Lauren 202408:55 CST)
TPW Director
Date
C-S��
Mar 4, 2024
Asst. City Manager
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Page 1 of 2
Notice of Project Completion
Project Name: Cohix Phase 1
City Project No.: 103287
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time 280 WD Days Charged: 369
Work Start Date: 6/13/2022 Work Complete Date: 1/31/2024
Completed number of Soil Lab Test: 750
Completed number of Water Test: 18
Page 2of2
FoRTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name COHIX PHASE 1
Contract Limits
Project Type PAVING
City Project Numbers 103287
DOE Number 3287
Estimate Number 1 Payment Number 1
City Secretary Contract Number
Contract Date 12/21/2021
For Period Ending 1/31/2024
WD
Contract Time 5WD
Days Charged to Date 369
Project Manager NA
Contractor GILCO CONTRACTING, INC.
6331 SOUTHWEST BLVD.
BENBROOK, TX 76132-1063
Inspectors E. DAVILA / W. FAUVER
Contract is 100.00 Complete
Thursday, February 15, 2024 Page 1 of 5
City Project Numbers 103287 DOE Number 3287
Contract Name COHIX PHASE 1 Estimate Number 1
Contract Limits Payment Number 1
Project Type PAVING For Period Ending 1/31/2024
Project Funding
UNIT IV: PAVING IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
6" CONC PVMT (CO #2)
0 SY
$35.50
$0.00
0
$0.00
2
7" CONC PVMT (CO #2)
0 SY
$39.95
$0.00
0
$0.00
3
6" LIME TREATMENT (CO #1)
20211 SY
$3.10
$62,654.10
20211
$62,654.10
4
8" LIME TREATMENT (CO #1)
5232 SY
$3.65
$19,096.80
5232
$19,096.80
5
HYDRATED LIME (CO #1 & 2)
0 TN
$180.00
$0.00
0
$0.00
6
4" CONC SIDEWALK (CO #1 &2)
0 SF
$5.75
$0.00
0
$0.00
7
BARRIER FREE RAMP TYPE R-1 (CO #2)
0 EA
$2,000.00
$0.00
0
$0.00
8
BARRIER FREE RAMP TYPE P-1 (CO #2)
0 EA
$2,000.00
$0.00
0
$0.00
9
FURNISH/INSTALL ALUM SIGN GROUND
15 EA
$500.00
$7,500.00
15
$7,500.00
10
TRAFFIC CONTROL
1 MO
$1,650.00
$1,650.00
1
$1,650.00
11
INSTALL FOR BARRICADE
3 EA
$1,500.00
$4,500.00
3
$4,500.00
12
BLOCK SOD PLACEMENT
449 SY
$16.38
$7,354.62
449
$7,354.62
13
TOP SOIL
75 CY
$86.83
$6,512.25
75
$6,512.25
14
6" CONC PVMT (CO #2)
18374 SY
$42.64
$783,467.36
18374
$783,467.36
15
7" CONC PVMT (CO 92)
4756 SY
$47.09
$223,960.04
4756
$223,960.04
16
HYDRATED LIME (CO #2)
509 TN
$280.93
$142,993.37
509
$142,993.37
17
4" CONC SIDEWALK (CO #2)
3686 SF
$6.53
$24,069.58
3686
$24,069.58
18
BARRIER FREE RAMP, TYPE R-1 (CO #2)
12 EA
$2,095.29
$25,143.48
12
$25,143.48
19
BARRIER FREE RAMP, TYPE P-1 (CO #2 &3)
14 EA
$2,095.29
$29,334.06
14
$29,334.06
20
--------------------------------------
BARRIER FREE RAMP, TYPE M-2
2 EA
$2,095.29
$4,190.58
2
$4,190.58
Sub-Total of Previous Unit
$1,342,426.24
$1,342,426.24
UNIT
V: OFFSITE PAVING IMPROVEMENTS
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
10" CONC PVMT (CO #2)
0 SY
$52.80
$0.00
0
$0.00
2
8" LIME TREATMENT (CO #1)
3532 SY
$3.25
$11,479.00
3532
$11,479.00
3
HYDRATED LIME (CO #1 &2)
0 TN
$180.00
$0.00
0
$0.00
4
4" CONC SIDEWALK (10' SIDEWALK) (CO #2)
0 SF
$5.75
$0.00
0
$0.00
5
BARRIER FREE RAMP,TYPE R-1 (CO #2)
0 EA
$2,000.00
$0.00
0
$0.00
6
BARRIER FREE RAMP, TYPE P-1 (CO #2)
0 EA
$2,000.00
$0.00
0
$0.00
Thursday, February 15, 2024
Page 2 of 5
City Project Numbers 103287 DOE Number 3287
Contract Name COHIX PHASE 1 Estimate Number 1
Contract Limits Payment Number 1
Project Type PAVING For Period Ending 1/31/2024
Project Funding
7 FURNIS/INSTALL ALUM SIGN GROUND
3
EA
$500.00
$1,500.00
3
$1,500.00
8 TRAFFIC CONTROL
1
MO
$2,500.00
$2,500.00
1
$2,500.00
9 INSTALL EOR BARRICADE
1
EA
$1,500.00
$1,500.00
1
$1,500.00
10 6" DOT PVMT MARKING HAS 9W)
272
LF
$2.50
$680.00
272
$680.00
11 24" SLD PVMT MARKING HAE (W)
27
LF
$25.00
$675.00
27
$675.00
12 4" SLD PVMT MARKING HASE (Y)
584
LF
$2.50
$1,460.00
584
$1,460.00
13 REFL RAISED MARKER TY 11-C-R
15
EA
$6.50
$97.50
15
$97.50
14 BLOCK SOD PLACEMENT (CO #1)
3695
SY
$16.38
$60,524.10
3695
$60,524.10
15 TOPSOIL (CO #1)
616
CY
$86.83
$53,487.28
616
$53,487.28
16 10" CONC PVMT (CO #2)
3211
SY
$59.94
$192,467.34
3211
$192,467.34
17 HYDRATED LIME (CO #2)
71
TN
$280.93
$19,946.03
71
$19,946.03
18 4" CONC SIDEWALK (CO #2)
10883
SF
$6.53
$71,065.99
10883
$71,065.99
19 BARRIER FREE RAMP, TYPE R-1 (CO #2)
2
EA
$2,095.29
$4,190.58
2
$4,190.58
20 BARRIER FREE RAMP, TYPE P-1 (CO #2)
2
EA
$2,095.29
$4,190.58
2
$4,190.58
Sub -Total
of Previous Unit
$425,763.40
$425,763.40
Thursday, February 15, 2024 Page 3 of 5
City Project Numbers 103287
Contract Name COHIX PHASE 1
Contract Limits
Project Type PAVING
Project Funding
Contract Information Summary
Original Contract Amount
Chanhe Orders
Change Order Number 1
Change Order Number 2
Change Order Number 3
Change Order Number 1
Change Order Number 2
DOE Number 3287
Estimate Number 1
Payment Number 1
For Period Ending 1/31/2024
$1,393,061.40
$25.51
$222,064.77
$0.00
$114,075.50
$38,962.47
Total Contract Price $1,768,189.64
Total Cost of Work Completed $1,768,189.64
Less % Retained $0.00
Net Earned $1,768,189.64
Earned This Period $1,768,189.64
Retainage This Period $0.00
Less Liquidated Damages
Days @ / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$0.00
$0.00
$0.00
$0.00
$0.00
$1,768,189.64
Thursday, February 15, 2024 Page 4 of 5
City Project Numbers 103287
Contract Name COHIX PHASE 1
Contract Limits
Project Type PAVING
Project Funding
Project Manager NA
Inspectors E. DAVILA / W. FAUVER
Contractor GILCO CONTRACTING, INC.
6331 SOUTHWEST BLVD.
BENBROOK, TX 76132-1063
DOE Number 3287
Estimate Number 1
Payment Number 1
For Period Ending 1/31/2024
City Secretary Contract Number
Contract Date
12/21/2021
Contract Time
50 WD
Days Charged to Date
369 WD
Contract is .000000
Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
Total Cost of Work Completed $1,768,189.64
Less % Retained $0.00
Net Earned $1,768,189.64
Earned This Period $1,768,189.64
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 / Day
$0.00
LessPavement Deficiency
$0.00
Less Penalty
$0.00
Less Previous Payment
$0.00
Plus Material on Hand Less 15%
$0.00
Balance Due This Payment
$1,768,189.64
Thursday, February 15, 2024 Page 5 of 5
PROJECT NAME:
CONTRACT:
CFA #
CITY PROJECT #
DOE #
FID #
FILE #
INSPECTOR:
PROJECT MANAGER:
ORIGINAL CONTRACT
EXTRAS TO DATE
CREDITS TO DATE
CONTRACT TO DATE
AMOUNT OF PROP. CHANGE ORDER
REVISED CONTRACT AMOUNT
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
REVISED COST SHARE
TOTAL REVISED CONTRACT
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
Cohix Ph 1
A - Water, Sewer, Drainage
B - Paving
C - Street Lights
21-0144
103287
30114-0200431-103287-EO7685
X-26892
Troy Gardner
Khal Jaafari
CITY PARTICIPATION: Yes
Phone No: 682-215-8720
Phone No: 817-392-7872
CHANGE
ORDER No:
Al, 131, C1
RECEIVED
By Khal Jaafari at 12:11 am, Aug 23, 2022
CONTRACT UNIT
WATER
I SEWER
I PAVING
I DRAINAGE
�evelo STREET LIGHTS
CONTRACT
er
DAYS
Developer Cost City Cost
Developer Cost I City Cost
(Developer Cost City Cost
(Developer Cost I City Cost
Cost City Cost
$1,076,386.89 $60,234.31
$1,165,072.00 I
I $1,393,061.40
I $1,216,275.00 I
$116,848.80
I 225 WD
$1,076,386.89 $60,234.31
$1,165,072.00 I $0.00
$1,393,061.40 $0.00
I $1,216,275.00 I $0.00
$116,848.80 $0.00
I 225 WD
$2,000.00
$1,490.00 I
$114,101.00
I I
$160.20
$1,078,386.89 $60,234.31
$1,166,562.00 I $0.00
$1,507,162.40 $0.00
I $1,216,275.00 I $0.00
$117,009.00 $0.00
I 225 WD
$1,138,621.20
$1,166,562.00
I $1,507,162.40
I $1,216,275.00
$117,009.00
Dev. Cost:
$5,085,395.29
City Cost:
$5,145,629.60
Revised: 10-12-2011 Page 1
You are directed to make the following changes in the contract doe. um nts
CITY BID ITEM
PAY ITEM #
#
QUANTITY
UNIT
12
9999.0000
1
EA
You are directed to make the following changes in the contract docum nts
CITY BID ITEM
PAY ITEM #
#
QUANTITY
UNIT
5
3331.3101
1
EA
You are directed to make the following changes in the contract docur"gnts
CITY BID ITEM
PAY ITEM #
#
QUANTITY
UNIT
3
3211.0501
-0.40
SY
4
3211.0502
0.40
SY
5
32 11 .0400
0.14
TON
6
3213.0301
0.015
SF
You are directed to make the following changes in the contract documents
CITY BID ITEM
PAY ITEM #
#
QUANTITY
UNIT
2
3211.0502
-0.1
SY
3
3211.0400
0.358
TON
14
3292.0100
3695
SY
15
3291.0100
616
CY
You are directed to make the following changes in the contract docum nts
CITY BID ITEM
PAY ITEM #
#
QUANTITY
UNIT
1
2605.3015
1
9
LF
2
3441.1410
9
LF
RECEIVED
By Khal Jaafari
at 12:11 am, Aug 23, 2022
UNIT IA: WATER IMPROVEMENTS
ITEM DESCRIPTION
UNIT PRICE
TOTAL
1 1/2" Irrigation Service
$2,000.00
$2,000.00 I
TOTAL
$2,000.00 I
UNIT /I: SANITARY SEWER IMPROVEMENTS
ITEM DESCRIPTION
UNIT PRICE
TOTAL
4" Sewer Service
$1,490.00
$1,490.00 I
TOTAL
$1,490.00 I
UNIT IV., PAVING IMPROVEMENTS
ITEM DESCRIPTION
UNIT PRICE
TOTAL
6" Lime Treatment
$3.10
-$1.24
8" Lime Treatment
$3.65
$1.46 I
Hydrated Lime
$180.00
$25.20 I
4" Conc Sidewalk
$5.75
$0.09 I
TOTAL
$25.51
UNIT V. OFFSITE PAVING IMPROVEMENTS
ITEM DESCRIPTION
UNIT PRICE
TOTAL
8" Lime Treatment
$3.25
-$0.33 I
Hydrated Lime
$180.00
$64.44
Block Sod Placement
$16.38
$60,524.10 I
Topsoil
$86.83
$53,487.28 I
TOTAL
$114,075.50 I
UNIT VI., STREET LIGHTING IMPROVEMENTS
ITEM DESCRIPTION
UNIT PRICE
TOTAL
2" CONDT PVC SCH 80(T)
$13.68
$123.12
NO 10 Insulated Elec Condr
$4.12
$37.08 I
TOTAL
$160.20
REASONS FOR CHANGE ORDER
Added missing bid items, adjusted rounding error in paving quantities, shifted streetlight to avoid driveway.
Revised: 10-12-2011 Page 2
DocuSign Envelope ID: FF7E3867-E92B-491 E-9856-8D797C361 F42
N
RECOMMENDED:
By: Shield Engg�inee�ehnq Grow. PLLC
Namee*34 ,L.
Title: IlAC.IF PAR1351916)VT
RECEIVED
By Khal Jaafari at 12:12 am, Aug 23, 2022
APPROVED:
DocuSigned by:
By: Fo ee t��,rt��IUSA Real Estete Group, Inc.
Name: _' '' Ams
�OCBFA60CF51 4F0...
Tale: Vice President
APPROVED:
By: Bu/ )sCo-Coonnnstriction, Inc
Neme: 1L1 41
u
Title:
Vice President
By:
Gilco Contracting, Inc
Name:.
✓✓'^��-
Title:
V IC - MKS lCjn-w
By:
Independent UWlty Construction, Inc
Name:
i'- ft>.k
Title:
President
Revised: 10-12-2011 Page 3
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
Cohix Ph 1
CONTRACT:
B - Paving
CFA #
21-0144
CITY PROJECT #
103287
DOE #
WATER PROJECT #
30114-0200431-103287-EO7685
SEWER PROJECT #
30114-0200431-103287-EO7685
FILE #
X-26892
INSPECTOR: Bill Fauver
PROJECT MANAGER: Khal Jaafari
WATER
Developer Deve
Cost Citv Cost Cost
ORIGINAL CONTRACT
EXTRAS TO DATE
CREDITS TO DATE
CONTRACT TO DATE
$0.00
AMOUNT OF PROP. CHANGE ORDER
REVISED CONTRACT AMOUNT
$0.00
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$0.00
REVISED COST SHARE
Dev. Cost:
TOTAL REVISED CONTRACT
CITY PARTICIPATION:1 No
Phone No:
Phone No:
SEWER
817-897-3698
817-392-7872
CONTRACT UNIT
PAVING
City Cost
Developer Cost
$1,393,061.40
$114,101.00
City Cost
CHANGE
ORDER No:
2113
RECEIVED
By Khal Jaafari at 1:36 pm, Jul 12, 2023
DRAINAGE STREET LIGHTS CONTRACT
r Developer DAYS
City Cost Cost City Cost
1 225
$0.00
$0.00
$1,507,162.40
$0.00
$0.00
$261,027.24
$0.00
$0.00
$1,768,189.64
$0.00
$0.00
$0.00
$1,768,189.64
$0.00
$1,768,189.64
City Cost:
$1,768,189.64
$0.00
$0.00 $0.00 1 225
$0.00 $0.00 I 225
$0.00
Revised: 10-12-2011 Page 1
RECEIVED
By Khal Jaafari
at 1:36 pm, Jul 12, 2023
You are directed to make the following
^hanges in the contract documents
CITY BID ITEM
PAY ITEM #
#
QUANTITY
UNIT
ITEM DESCRIPTION
UNIT PRICE
TOTAL
Unit IV: Paving
1
3213.0101
-18,374
SY
6" Conc Pvmt
$35.50
-$652,277.00
1
3213.0101
18,374
SY
6" Conc Pvmt
$42.64
$783,467.36
2
3213.0102
-4,756
SY
7" Conc Pvmt
$39.95
-$190,002.20
2
3213.0102
4,756
SY
7" Conc Pvmt
$47.09
$223,960.04
5
3211.0400
-509
TN
Hydrated Lime
$180.00
-$91,620.00
5
3211.0400
509
TN
Hydrated Lime
$280.93
$142,993.37
6
3213.0301
-3,686
SF
4" Conc Sidewalk
$5.75
-$21,194.50
6
3213.0301
3,686
SF
4" Conc Sidewalk
$6.53
$24,069.58
7
3213.0506
-12
EA
Barrier Free Ramp, Type R-1
$2,000.00
-$24,000.00
7
3213.0506
12
EA
Barrier Free Ramp, Type R-1
$2,095.29
$25,143.48
8
3213.0501
-16
EA
Barrier Free Ramp, Type P-1
$2,000.00
-$32,000.00
8
3213.0501
16
EA
Barrier Free Ramp, Type P-1
$2,095.29
$33,524.64
TOTAL
$222,064.77
Unit V: Offsite Paving
1
3213.0105
-3,211
SY
10" Conc Pvmt
$52.80
-$169,540.80
1
3213.0105
3,211
SY
10" Conc Pvmt
$59.94
$192,467.34
3
3211.0400
-71
TN
Hydrated Lime
$180.00
-$12,780.00
3
3211.0400
71
TN
Hydrated Lime
$280.93
$19,946.03
4
3213.0301
-10,883
SF
4" Conc Sidewalk
$5.75
-$62,577.25
4
3213.0301
10,883
SF
4" Conc Sidewalk
$6.53
$71,065.99
5
3213.0506
-2
EA
Barrier Free Ramp, Type R-1
$2,000.00
-$4,000.00
5
3213.0506
2
EA
Barrier Free Ramp, Type R-1
$2,095.29
$4,190.58
6
3213.0501
-2
EA
Barrier Free Ramp, Type P-1
$2,000.00
-$4,000.00
6
3213.0501
2
EA
Barrier Free Ramp, Type P-1
$2,095.29
$4,190.58
TOTAL
$38,962.47
GRAND TOTAL
$261,027.24
Asterisk (') indicates New Pay Item
REASONS FOR CHANGE ORDER
Unit price increase from contractor. No quantity changes.
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
Revised: 10-12-2011 Page 2
RECOMMENDED:
Consultant
By: Shield Enqineerinq Group
Name:
Title: Vice President
APPROVED:
Developer
By: 5r6DHE,I 13R,r�
Name: )--;;
Title: P � %/• L>
APPROVED:
Contractor
By:
Leia McQuien
�/ Ic
Name:
Title: Vice President, Operations
Page 3
Revised, 10-12-2011
PROJECT NAME:
CONTRACT:
CFA #
CITY PROJECT #
DOE#
WATER PROJECT #
SEWER PROJECT #
FILE #
INSPECTOR:
PROJECT MANAGER:
ORIGINAL CONTRACT
EXTRAS TO DATE
ICREDITS TO DATE
(CONTRACT TO DATE
(AMOUNT OF PROP. CHANGE ORDER
IREVISED CONTRACT AMOUNT
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
REVISED COST SHARE
TOTAL REVISED CONTRACT
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
Cohix Ph 1 CHANGE
B - Paving ORDER No:
21-0144 CITY PARTICIPATION:( No
103287
3B
30114-0200431-103287-EO7685
30114-0200431-103287-EO7685
X-26892
Bill Fauver Phone No: 817-897-3698
Khal Jaafari Phone No: 817-392-7872
RECEIVED
By Khal Jaafari at 2:06 pm, Nov 14, 2023
CONTRACT UNIT
WATER SEWER I PAVING DRAINAGE STREET LIGHTS
Developer Developer Developer Developer - -- Developer
Cost City Cost Cost City Cost Cost Cost City Cost Cost City Cost
t
$1,393,061.40 ;. S
$375128.24
$0.00 $0.00 $0.00 .$0.00 $1,768,189.64 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00
$0.00 $0.00 $0.00 $0.0 ;1 768189.64 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $1,768,189.64 $0.00 $0.00
Dev. Cost: $1,768,189.64 City Cost: $0.00
$1,768,189.64
I
(CONTRACT
DAYS
225
225
225
You are directed to make the following changes in the contract documents
CITY BID ITEM
PAY ITEM #
# QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE
TOTAL
Unit IV: Paving
I 8
3213.0501 -2 EA Barrier Free Ramp, Type P-1 $2,095.29
-$4,190.58
14*
3213.0504 2 EA Barrier Free Ramp, Type M-2 $2,095.29
$4,190.58
TOTAL
$0.00
Asterisk (*) indicates New Pay Item
REASONS FOR CHANGE ORDER
Sidewalk ramps adjusted due to constructability constraints in field. This change order pertains to Revision 2 of construction plans.
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100 % OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
Revised: 10-12-2011 Page 1
RECOMMENDED:
ConsulEr,...
U—
By: Shield
Name: RVof^ IiIII I PE
Title: Vice President
APPROVED:
Developer
By: d5
Name: SIFAHE"� gQIN
Title: J7aJELo�ME� DtREGa►Z
APPROVED:
Contractor�
By:
Name: Lela McQuien
Title: Vice President, Ooarations
Revised: 10-12-2011 Page 2
IPROJECT NAME:
CONTRACT:
ICFA #
CITY PROJECT #
IDOE #
WATER PROJECT #
SEWER PROJECT #
I FI LE #
INSPECTOR:
PROJECT MANAGER:
IORIGINAL CONTRACT
(EXTRAS TO DATE
(CREDITS TO DATE
(CONTRACT TO DATE
(AMOUNT OF PROP. CHANGE ORDER
IREVISED CONTRACT AMOUNT
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
REVISED COST SHARE
TOTAL REVISED CONTRACT
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
Cohix Ph 1
C - Street Lights
21-0144
103287
30114-0200431-103287-EO7685
30114-0200431-103287-EO7685
X-26892
CITY PARTICIPATION: No
CHANGE
ORDER No:
3C
Bill Fauver Phone No: 817-897-3698 RECEIVED
Khal Jaafari Phone No: 817392-7B72
By Khal Jaafari at 12:32 pm, Oct 25, 2023
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREETLIGHTS I CONTRACT
Developer Developer Developer Developerj
DAYS
Developer Cost Cost Cost Cost Cost
$116,848.8225 I
$160.20
I
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $117,009�0225
$47,279.36
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 1 $16 288.3225
$0.00 $0.00 $0.00 $0.00 $164,288.36 I
Dev. Cost: $164,288.36 City Cost:
$164,288.36
You are directed to make the following changes in the contract docum mis
CITY BID ITEM
PAY ITEM #
#
QUANTITY
UNIT
Unit VI: Street Lights
1
2605.3015
1,152
LF
7*
3441.1405
1,152
LF
8*
3441.3051
4
EA
9*
3441.1632
4
EA
10*
3441.3302
4
EA
11*
3441.3342
4
EA
12*
3441.1501
3
EA
13*
3441.1772
1
EA
Asterisk (*) indicates New Pay Item
REASONS FOR CHANGE ORDER
ITEM DESCRIPTION
2" CONDT PVC SCH 80(T)
NO 2 Insulated Elec Condr
FurnishAnstall LED Lighting Fixture (137 watt ATB2 Cobra Head)
Furnish/Install Type 33A Arm
Rdwy Ilium Foundation TY 3,5,6, and 8
Rdwv Illum TY 18 Pole
Ground Box Type B
Furnishlnstall 240-480 Volt Metered Pedestal
GRAND TOTAL
UNIT PRICE TOTAL
1 $13.68 $15,759.36 I
$4.50 $5,184.00
$450.00 $1.800.00 I
1 $250.00 $1,000.00
1 $1,384.00 $5,536.00
1 $2,100.00 I $8,400.00
1 $800.00 $2,400.00
1 $7,200.00 I $7,200.00
TOTALI I $47,279.36
1 $47,279.36
Added street lights on median along McPherson Boulevard. This Change Order pertains to Revision 2 of construction plans.
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100 % OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
Revised: 10-12-2011 Page 1
RECOMMENDED:
By:
Name: 1�VAKJ Ik Iw , PIE
Title: V Q
APPROVED:
(Developer)
By:
v!_
Name: F✓E� gRW
Title: D6�bL�AM�t+r 171iti6L7DR
APPROVED:
(Contractor%//y,
Name: Richard Wolfe
Title: President
r
RECEIVED
By Khal Jaafari at 12:32 pm, Oct 25, 2023
Revised: 10-12-2011 Page 2
FORTWORTH.
M,
TRANSPORTATION AND PUBLIC WORKS
February 8, 2024
Gilco Contractors INC.
6331 Southwest BLVD
Benbrook TX 76132
RE: Acceptance Letter
Project Name: Cohix Phase 1
Project Type: paving
City Project No.: 103287
To Whom It May Concern:
On February 8, 2024 a final inspection was made on the subject project. There were no punch list items
identified at that time. The final inspection indicates that the work meets the City of Fort Worth
specifications and is therefore accepted by the City. The warranty period will start on February 8, 2024,
which is the date of the final inspection and will extend of two (2) years in accordance with the Contract
Documents.
If you have any questions concerning this letter of acceptance, please feel free to contact me at Khal
Jaafari. 817-392-7872.
Sincerely,
�l � ��
Khal Jaafari P. . (Fe 20242131 CST)
Khal Jaafari, Project Manager
Cc: William Favour, Inspector
Donald Watson, Inspection Supervisor
Aaron Ybarra, Senior Inspector
Andrew Goodman, Program Manager
Shield Engeering, Consultant
Burnsco Construction INC., Contractor
Forestar, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 08/20/19
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, a notary public in the state
and courity aforesaid, on this day personally appeared Rob Taylor,
Accounts Receivable of Gilco Contracting, 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, Texas has been paid in full;
'That there are no claims pending for personal injury and/or
property damages;
On Contract described as Paving Improvements to serve:
Cohix Phase 1
BY: Rob Taylor
Subscribed and sworn before me on this 20th of February , 2024.
KASSANDRA CANALES
�2 Pa1Y�PGe�: Notary Public, State of Texas
N;GV. Q Comm. Expires 01-23-2027
Notary ID 134158873
//1111 r
„Z2'_.
Notary Public
Tarrant County, TX
CONSENT OF
OWNER
❑
ARCHITECT
❑
SURETY COMPANY
❑
CONTRACTOR
TO FINAL PAYMENT
SURETY
❑
Conforms with the American Institute of
OTHER
Architects, AIA Document G707
Bond No 022232592
PROJECT:
(name, address)Cohix Ph 1 - Paving Improvements
TO (Owner)
Fort Worth
TX
FORESTAR (USA)) REAL ESTATE GROUP INC. AND ARCHITECT'S PROJECT NO:
THE CITY OF FOF2T WORTH CONTRACT FOR:
6300 Bee Cave Road Cohix Ph 1 - Paving Improvements
Austin TX 78746 -J CONTRACT DATE:
CONTRACTOR: GILCO CONTRACTING, INC.
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)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
GILCO CONTRACTING, INC.
6331 Southwest Boulevard
Benbrook TX 76132 , CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve
the Surety Company of any of its obligations to (here insert name and address of Owner)
FORESTAR (USA) REAL ESTATE GROUP INC. AND THE CITY OF FORT WORTH
6300 Bee Cave Road
Austin TX 78746 OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this
Attest:
(Seal),
20th day of February, 2024
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
Signatur6 of Authorized Representative
Soohinie Hunter
Title
Attorney -in -Fact
NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
This Power of Attorney limits the acts of those named herein, and they have no authority to
bind the Company except in the manner and to the extent herein stated,
Liberty Liberty Mutual Insurance Company
Mutual. The Ohio Casualty Insurance Company Certificate No: 8205467-022020
West American Insurance Company
SURETY
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, Don E.
Cornell; Joshua Saunders; Kelly A. Westbrook; Mikaela Peppers; Ricardo J. Reyna; Robbi Morales; Sophinie Hunter; Tina McEwan; Tonic Petranek
all of the city of Dallas state of TX each individually if there be more than one named, its true and lawful attorney -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 23rd day of April 2021
Liberty Mutual Insurance Company
1NSlI,p �(V INSvq� a tNSUq The Ohio Casualty Insurance Company
J=GDaPORgr�Qy0 Q 2GDpPORgT�'gy� P� DpPORgTO'1/Cm West American Insurance Company
vi;1912y0 oU 1919 n 1991 0
~d�9sS4CHU5�c .dD y� F'y,NA MPS�,aL `(s �NDIANP' .da� I ,..�f' �_ U
e77 * ti� ''H1 * t �M * 1� By:
m David M. Carey, Assistant Secretary Cr
m State of PENNSYLVANIA ss
go)County of MONTGOMERY 0
cu a3 On this 23rd da of April 2021 before me personally appeared David M. Care who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance D
y-- � Y P Y PP Yr 9 Y Y
o m Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes =
( therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
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. Q N
to PA,� a =
_ `d'r.,t5�y�y,v<� Commonwealth of Pennsylvania - Notary Seal
Etr x> .� Teresa Pastella, Notary Public N 'M
0` Montgomery County , w -' .{/� -%� O 4)
CP My commission expires March 28, 2025 By;7'r,"S'A'
.C�a•a� / �( y,r N
n number
'�' YiV Ce Member, Pennsylvania a Association of NotariesNotary y— `
Pastella, Public 044 Q o
0
MIN
O` N
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 3 ao
E •S; o
Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: t
CO
00
" a3 ARTICLE IV— OFFICERS: Section 12. Power of Attorney. o 0
0-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 a
-0 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 m C°
> 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 c
o 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 0 N
Z 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 - m
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. ti a
ARTICLE All — 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 -in -
fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety
obligations.
Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certified copy of any 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, The Ohio Casualty Insurance Company, Liberty Mutual Insurance. Company, and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of.the Power of Attorney executed by said Companies, is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 20th day of February 2024 .
P� 1NSURq P��Y IN,96 %NS(j
J GDRPORgr 4o- Q GDaPORgT `5y� GP` D{IPORgTo �m
6 ? F 4 F
1912 0 o y 1919 o s 1991 0
cHug Ada y�� NAMPSa as Nr "NDIANP' aa3 By. Renee C. Llewellyn, Assistant Secretary
LMS-12873 LMIC OCIC WAIC Multi Co 02/21
TEXAS
IMPORTANT NOTICE
To obtain information or make a complaint:
You may call toll -free for information or to
make a complaint at
1-877-751-2640
You may also write to:
2200 Renaissance Blvd., Ste. 400
King of Prussia, PA 19406-2755
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
Consumer Protection (1 I 1-IA)
P. O. Box 149091
Austin, TX 78714-9091
FAX: (512) 490-1007
Web: httn://www.tdi.texas.izov
E-mail: ConsumerProtection4,tdi.texas.aov
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your
premium or about a claim you should first
contact the agent or call 1-800-843-6446.
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.
NP 70 68 09 01
LMS-1529210115
TEXAS
AVISO IMPORTANTE
Para obtener informacion o para someter una
queja:
Usted puede llamar al numero de telefono gratis
para informacion o para someter una queja al
1-877-751-2640
Usted tambien puede escribir a:
2200 Renaissance Blvd., Ste. 400
King of Prussia, PA 19406-2755
Puede comunicarse con el Departamento de
Seguros de Texas para obtener informacion
acerca de companias, coberturas, derechos o
quejas al
1-800-252-3439
Puede escribir al Departamento de Seguros
de Texas Consumer Protection (111-1 A)
P. O. Box 149091
Austin, TX 78714-9091
FAX # (512) 490-1007
Web: htta://www.tdi.texas.aov
E-mail: ConsumerProtectionntdi.texas.aov
DISPUTAS SOBRE PRIMAS O RECLAMOS:
Si tiena una disputa concerniente a su prima o a
un reclamo, debe comunicarse con el agente o
primero. Si no se resuelve la disputa, puede
entonces comunicarse con el departamento (TDI)
UNA ESTE AVISO A SU POLIZA:
Este aviso es solo para proposito de informacion
y no se convierte en parte o condicion del
documento adjunto.