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Contract 45817-FP1
FORTWORTH CITY SECRETARY CONTRACT WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES C NOTICE OF PROJECT COMPLETION S I DOE.Ns: 6809 Regarding contract 45817 for Clearfork Drainage Basin M-210 Sewer Improvements Replacements Part 4 as required by the Water Department as approved by City Council on 7/15/14 through M&C C-26858 the Director of the Water Department,upon the recommendation of the Sr.Capital Projects Officer,Capital Projects Delivery,Water Department,has accepted the project as complete. Original Contract Prices: $4,145,081.00 Amount of Approved Change Orders: $1,035,663.00 Ns 5 Revised Contract Amount: $5,180,744.00 Total Cost Work Completed: $5,180,744.20 Less Deductions: Liquidated Damages: Days @$630.00/Day Other Deductions(see comments): Total Deduction Amount: $0.00 Total Cost Work Completed: $5,180,744.20 Less Previous Payments: $4,901,026.19 Final Payment Due $275,542.18 forRecommended for Acceptance Date SR. Capital Projects Officer Capital Projects Delivery /q ep / Accepted Date Director, Water Department CU Ma er Date �G OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX Project Name: DOE. Ns: 6809 Clearfork Drainage Basin M-210 Sewer Improvements Replacements Part 4 Comments: L& V IF= 14 2019 - - sc,c�a - ccdM''�/o� City Project Numbers 01022 DOE Number 6809 GS 58 Contract Name CLEARFORK DRAIN BASIN-M-210 SEWER IMP/REP PH 4 Estimate Number 18 Contract Limits Units IA,1 B&II:Colonial Parkway Water&Sewer Improvs Payment Number 18 Project Type Sanitary Sewer For Period Ending 6/15/2018 Project Funding Project Manager Sauceda City Secretary Contract Number 45817 Inspectors Johnson / Die Contract Date 7/15/2014 Contractor CIRCLE C CONSTRUCTION COMPANY Contract Time 818 CD PO BOX 40328 Days Charged to Date 818 CD FORT WORTH, TX 76140 Contract is .000000 Complete CITY OF FORT WORTH F0 if SUMMARY OF CHARGES INVOICE Line Fund Account Center Amount Gross Retainage Net Funded Total Cost of Work Completed $5,180,744.20 WATER DEPARTMENT Less 0 %Retained $0.00 NGINEERING AND FISCAL SERVICES Net Earned $5,180,744.20 Contsct Person• Heather Oakes-Ext.8252 De pproval g cure or: Earned This Period $280,313.49 Retainage This Period $0.00 DEPARTtviENTCHECK PICK-UP YES Q Less Liquidated Damages 0 Days @ S0.00 /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $4,901,026.19 Plus Material on Hand Less 15% S0.00 Balance Due This Payment $275,542.18 Thursday,January 24,2019 Page 8 of 8 Pa6y 0 16 aa- - FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name CLEARFORK DRAIN BASIN-M-210 SEWER IMP/REP PH 4 Contract Limits Units 1A,I&H:Colonial Parkway Water&Sewer Improvs Project Type Water City Project Numbers 01022 DOE Number 6809 Estimate Number 18 Payment Number 18 For Period Ending 6/15/2018 CD City Secretary Contract Number 45817 Contract Time 81ED Contract Date 7/15/2014 Days Charged to Date 818 Project Manager Sauceda Contract is 100.00 Complete Contractor CIRCLE C CONSTRUCTION COMPANY PO BOX 40328 FORT WORTH, TX 76140 Inspectors Johnson / Die Thursday,January 24,2019 Page 1 of 8 City Project Numbers 01022 DOE Number 6809 Contract Name CLEARFORK DRAIN BASIN-M-210 SEWER IMP/REP PH 4 Estimate Number 18 Contract Limits Units IA,I&II:Colonial Parkway Water&Sewer Improvs Payment Number 18 Project Type Water For Period Ending 6/15/2018 Project Funding Clear Fork Drainage Basin M-210 Sewer Imp Part 4 Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 10 Brick Pvmt Repair(CO#2) 20 SY $150.00 $3,000.00 20 $3,000.00 11 6"Cone Curb and Gutter(CO#2) 160 LF $30.00 $4,800.00 160 $4,800.00 12 Temporary Water Services 1 LS $5,000.00 $5,000.00 1 $5,000.00 13 Exploratory Excavation of Existing U 6 EA $1,500.00 $9,000.00 10 $15,000.00 14 Trench Safety 405 LF $3.00 $1,215.00 405 $1,215.00 15 Ductile Iron Water Fittings w/Restr 12 TO $8,500.00 $102,000.00 12 $102,000.00 16 Fire Hydrant 1 EA $4,000.00 $4,000.00 1 $4,000.00 17 Connection to Existing 16"Water Mai 2 EA $12,000.00 $24,000.00 2 $24,000.00 18 Connection to Existing 24"Water Mai 1 EA $15,000.00 $15,000.00 1 $15,000.00 19 Connection to Existing 36"Water Mai 1 EA $28,500.00 $28,500.00 1 $28,500.00 20 3"Combination Air Valve Assembly to 1 EA $10,500.00 $10,500.00 1 $10,500.00 21 2"Water Service,Meter Reconnection I EA $1,500.00 $1,500.00 1 $1,500.00 22 2"Water Service 1 EA $2,000.00 $2,000.00 1 $2,000.00 23 6"Gate Valve 1 EA $1,000.00 $1,000.00 1 $1,000.00 24 16"Gate Valve w/Vault 4 EA $8,500.00 $34,000.00 3 $25,500.00 25 24"Gate Valve w/Vault 2 EA $30,000.00 $60,000.00 2 $60,000.00 26 Traffic Control 3 MO $5,000.00 $15,000.00 4 $20,000.00 27 16"and Larger Abandonment Plug 4 EA $1,500.00 $6,000.00 4 $6,000.00 28 16"and Larger Pressure Plug(CO#2) 0 EA $1,000.00 $0.00 29 Salvage Water Valve 16"and Larger 3 EA $1,500.00 $4,500.00 3 $4,500.00 30 Concrete Staircase Repair(CO#2) 0 LS $6,500.00 $0.00 31 Remove and Replace Bollards(CO#2) 0 EA $1,200.00 $0.00 32 Remove and Replace Metal Beam Guardr(CO#2) 0 LF $200.00 $0.00 33 Tree Drain Line Repair(CO#2) 0 LS $3,000.00 $0.00 2 6"Water Pipe 100 LF $40.00 $4,000.00 31 $1,240.00 3 8"Water Carrier Pipe 55 LF $50.00 $2,750.00 55 $2,750.00 4 8"PVC Water Pipe 6710 LF $40.00 $268,400.00 6667 $266,680.00 5 12"Water Pipe 80 LF $120.00 $9,600.00 80 $9,600.00 6 16"Water Pipe 13 LF $140.00 $1,820.00 13 $1,820.00 7 24"DIP Water 2205 LF $144.00 $317,520.00 2200 $316,800.00 8 24"Water Carrier Pipe 50 LF $140.00 $7,000.00 50 $7,000.00 Thursday,January 24,2019 Page 2 of 8 City Project Numbers 01022 DOE Number 6809 Contract Name CLEARFORK DRAIN BASIN-M-210 SEWER IMP/REP PH 4 Estimate Number 18 Contract Limits Units IA,I&II:Colonial Parkway Water&Sewer Improvs Payment Number 18 Project Type Water For Period Ending 6/15/2018 Project Funding 9 24"Casing By Other Than Open Cut 55 LF $800.00 $44,000.00 55 $44,000.00 10 42"Casing By Other Than Open Cut 50 LF $800.00 $40,000.00 50 $40,000.00 11 6"Gate Valve 8 EA $800.00 $6,400.00 6 $4,800.00 12 8"Gate Valve 18 EA $1,000.00 $18,000.00 18 $18,000.00 13 12"Gate Valve 3 EA $1,800.00 $5,400.00 3 $5,400.00 14 8"Cut-in Gate Valve 1 EA $2,500.00 $2,500.00 15 16"Cut-in Gate Valve w/Vault 2 EA $12,000.00 $24,000.00 2 $24,000.00 16 Salvage 16"Water Valve 1 EA $1,500.00 $1,500.00 1 $1,500.00 17 24"Gate Valve w/Vault(concrete va 3 EA $28,000.00 $84,000.00 3 $84,000.00 18 Salvage 24"Water Valve 1 EA $1,500.00 $1,500.00 1 $1,500.00 19 Ductile Iron Water Fittings w/Restr 18 TO $8,500.00 $153,000.00 18 $153,000.00 20 Fire Hydrant 8 EA $2,600.00 $20,800.00 8 $20,800.00 21 Fire Hydrant Stem Exension 1 EA $300.00 $300.00 1 $300.00 22 Salvage Fire Hydrant(CO#3) 9 EA $600.00 $5,400.00 9 $5,400.00 23 6"Blow Off Valve 2 EA $8,000.00 $16,000.00 2 $16,000.00 24 2"Combination Air Valve Assembly fo 1 EA $8,000.00 $8,000.00 1 $8,000.00 25 1"Water Service 110 EA $600.00 $66,000.00 108 $64,800.00 26 1"Water Serive,Meter Reconnection 110 EA $300.00 $33,000.00 105 $31,500.00 27 1 1/2"Water Service 2 EA $800.00 $1,600.00 9 $7,200.00 28 1 1/2"Water Service,Meter Reconnec 2 EA $300.00 $600.00 4 $1,200.00 29 2"Water Service 2 EA $1,800.00 $3,600.00 2 $3,600.00 30 2"Water Service,Meter Reconnection 2 EA $300.00 $600.00 2 $600.00 31 Trench Safety 6510 LF $1.00 $6,510.00 8991 $8,991.00 32 Block Sod Placement 300 SY $5.00 $1,500.00 300 $1,500.00 33 6"Cone Curb and Gutter 100 LF $25.00 $2,500.00 195 $4,875.00 34 Remove Cone Pvmt 200 SY $8.00 $1,600.00 426 $3,408.00 35 Remove Cone Drive 250 SF $3.00 $750.00 742 $2,226.00 36 Remove 12"Water Line 80 LF $25.00 $2,000.00 80 $2,000.00 37 Remove 6"Water Valve(CO#3) 7 EA $300.00 $2,100.00 7 $2,100.00 38 6"Cone Pvmt 200 SY $65.00 $13,000.00 308 $20,020.00 39 6"Concrete Driveway 250 SF $7.00 $1,750.00 882 $6,174.00 40 6"Concrete Pvmt Repair 20 SY $65.00 $1,300.00 41 Cone Pvmt Repair,Residential 125 SY $65.00 $8,125.00 125 $8,125.00 43 5'Wide Asphalt Pvmt Repair,Residen 10000 LF $38.00 $380,000.00 6701 $254,638.00 Thursday,January 24,2019 Page 3 of 8 City Project Numbers 01022 DOE Number 6809 Contract Name CLEARFORK DRAIN BASIN-M-210 SEWER IMP/REP PH 4 Estimate Number 18 Contract Limits Units IA,I&II:Colonial Park-way Water&Sewer Improvs Payment Number 18 Project Type Water For Period Ending 6/15/2018 Project Funding 44 Asphalt Pvmt Repair,Water Service 1045 LF $30.00 $31,350.00 1195 $35,850.00 45 Concrete Riprap 15 SY $150.00 $2,250.00 15 $2,250.00 46 Large Stone Riprap,Dry 70 SY $150.00 $10,500.00 70 $10,500.00 47 Traffic Control;Contractor shall Fu 1 MO $2,500.00 $2,500.00 6.5 $16,250.00 48 SWPP(SW3P)>1 acre;Contractor sha 1 LS $10,000.00 $10,000.00 1 $10,000.00 1 36"Concrete AWWA C303 Water Pipe,C 25 LF $550.00 $13,750.00 25 $13,750.00 2 24"DIP Water,CSS Backfill(Restrai 365 LF $430.00 $156,950.00 365 $156,950.00 3 16"Water Pipe,CSS Backfill(Restra(CO#2),(CO#5) 146 LF $390.00 $56,940.00 390 $152,100.00 4 8"PVC Water Pipe 15 LF $150.00 $2,250.00 15 $2,250.00 5 Water Line Grouting(CO#3) 44 CY $160.00 $7,040.00 44 $7,040.00 6 Remove Concrete Water Vault 3 EA $1,500.00 $4,500.00 3 $4,500.00 7 10'Wide Asphalt Pvmt Repair,Arteri(CO#2) 490 LF $55.00 $26,950.00 520 $28,600.00 8 4"Concrete Sidewalk(CO#2) 155 SF $8.00 $1,240.00 9 6"Concrete Driveway 450 SF $8.00 $3,600.00 A 34 6"PVC Pipe on TXDOT ROW(CO#1) 10 LF $40.00 $400.00 10 $400.00 A 35 12"PVC Pipe on TXDOT ROW(CO#1) 46 LF $45.00 $2,070.00 46 $2,070.00 A 36 16"PVC on TXDOT ROW(CO#1) 2951 LF $66.50 $196,241.50 2951 $196,241.50 A 37 30"Steel casing BOTOC on TXDOT ROW(CO#1) 380 LF $550.00 $209,000.00 380 $209,000.00 A 38 6"Gate Valve on TXDOT ROW(CO#1) 2 EA $800.00 $1,600.00 2 $1,600.00 A 39 12"Gate Valve on TXDOT ROW(CO#1) 1 EA $1,800.00 $1,800.00 1 $1,800.00 A 40 16"Gate Vale/Vault on TXDOT ROW(CO#1) 2 EA $8,500.00 $17,000.00 2 $17,000.00 A 41 Fire Hydrant on TXDOT ROW(CO#1) 2 EA $3,400.00 $6,800.00 2 $6,800.00 A 42 Cast Iron fittings on TXDOT ROW(CO#1) 3 TN $7,500.00 $22,500.00 3 $22,500.00 A 43 3"Combnation Air Release vavle on TXDOT ROW 1 EA $8,500.00 $8,500.00 1 $8,500.00 (CO#1) A 44 6"Blow off valve on TXDOT ROW(CO#1) 1 EA $7,500.00 $7,500.00 1 $7,500.00 A 45 Connect to existing 16"DIP TXDOT ROW(CO41) 1 EA $3,500.00 $3,500.00 1 $3,500.00 A 46 Connect to existion 12"Water TXDOT ROW(CO#1) 1 EA $2,500.00 $2,500.00 1 $2,500.00 A 47 Trench Saftey TXDOT ROW(CO#1) 3007 LF $0.50 $1,503.50 3007 $1,503.50 A48 16"DI Pipe BOTC Heritage Plaza(CO#2) 245 LF $800.00 $196,000.00 245 $196,000.00 A49 12-inch Pressure Plug(CO#3) 1 EA $1,000.00 $1,000.00 1 $1,000.00 A50 Temporary aphalt paving repair(CO#3) 50 LF $25.00 $1,250.00 50 $1,250.00 A51 Rmove 6-inch wate line(CO#3) 225 LF $35.00 $7,875.00 225 $7,875.00 Sub-Total of Previous Unit $2,916,300.00 $2,916,142.00 -------------------------------------- Thursday,January 24,2019 Page 4 of 8 City Project Numbers 01022 DOE Number 6809 Contract Name CLEARFORK DRAIN BASIN-M-210 SEWER IMP/REP PH 4 Estimate Number 18 Contract Limits Units IA,I&II:Colonial Parkway Water&Sewer Improvs Payment Number 18 Project Type Sanitary Sewer For Period Ending 6/15/2018 Project Funding Clear Fork Drainage Basin M-210 Sewer Imp Part 4 Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 0 Unit IB 0 0 $0.00 $0.00 1 8"DIP Sewer Pipe 100 LF $80.00 $8,000.00 100 $8,000.00 2 8"Sewer Pipe(CO#3) 647 LF $40.00 $25,880.00 647 $25,880.00 3 8"Pipe Enlargement 325 LF $52.00 $16,900.00 325 $16,900.00 4 Service Reinstatement,Pipe Enlargem 4 EA $600.00 $2,400.00 4 $2,400.00 5 Sag Adjustment 5 EA $52.00 $260.00 5 $260.00 6 15"Sewer Pipe 25 LF $150.00 $3,750.00 25 $3,750.00 7 Pre-CCTV Inspection 1125 LF $5.00 $5,625.00 1125 $5,625.00 8 Post-CCTV Inspection(CO#3) 2466 LF $3.00 $7,398.00 2466 $7,398.00 9 4'Shallow Manhole 2 EA $3,500.00 $7,000.00 2 $7,000.00 10 4'Manhole(CO#3) 7 EA $4,000.00 $28,000.00 7 $28,000.00 11 4'Extra Depth Manhole(CO#3) 18.5 VF $250.00 $4,625.00 18.5 $4,625.00 12 4'Drop Manhole(CO#3) 3 EA $4,500.00 $13,500.00 3 $13,500.00 13 4'Fiberglass Manhole I EA $4,000.00 $4,000.00 1 $4,000.00 14 Manhole Vacuum Testing 10 EA $200.00 $2,000.00 6 $1,200.00 15 Concrete Collar(CO#3) 15 EA $300.00 $4,500.00 15 $4,500.00 16 4"Sewer Service 12 EA $600.00 $7,200.00 12 $7,200.00 17 4"2-Way Cleanout(CO#3) 13 EA $300.00 $3,900.00 13 $3,900.00 18 Block Sod Placement 350 SY $10.00 $3,500.00 350 $3,500.00 19 6"Concrete Driveway 1350 SF $7.00 $9,450.00 1350 $9,450.00 20 6"Cone Curb and Gutter 150 LF $25.00 $3,750.00 150 $3,750.00 21 5'Wide Asphalt Pvmt Repair,Residen 1000 LF $38.00 $38,000.00 1000 $38,000.00 22 Traffic Control;Contractor shall Fu 1 MO $2,500.00 $2,500.00 1 $2,500.00 23 SWPP(SW3P)>1 acre;Contractor sha 1 LS $3,000.00 $3,000.00 1 $3,000.00 0 Unit 11 0 0 $0.00 $0.00 1 54-in Tunnel Liner Plate-Installed 1312 LF $775.00 016,800.00 1312 1,016,800.00 2 36-in Sewer Carrier Pipe-Installed 1126 LF $200.00 $225,200.00 1126 $225,200.00 3 30-in Sewer Carrier Pipe--Installed 186 LF $180.00 $33,480.00 186 $33,480.00 4 3305.3010 24"Sewer Carrier Pipe-1 43 LF $600.00 $25,800.00 43 $25,800.00 5 Pre-CCTV Inspection 275 LF $5.00 $1,375.00 255 $1,275.00 6 Post-CCTV Inspection 440 LF $3.00 $1,320.00 420 $1,260.00 Thursday,January 24,2019 Page 5 of 8 City Project Numbers 01022 DOE Number 6809 Contract Name CLEARFORK DRAIN BASIN-M-210 SEWER IMP/REP PH 4 Estimate Number 18 Contract Limits Units IA,I &II:Colonial Parkway Water&Sewer Improvs Payment Number 18 Project Type Sanitary Sewer For Period Ending 6/15/2018 Project Funding 7 Trench Safety(CO#2) 1091 LF $10.00 $10,910.00 100 $1,000.00 8 Concrete Collar 3 EA $300.00 $900.00 3 $900.00 9 5-ft Dia.Manhole(Includes Conshiel 2 EA $8,000.00 $16,000.00 2 $16,000.00 10 5-ft Dia.Extra Depth Manhole(Inclu 55 VF $300.00 $16,500.00 55.66 $16,698.00 11 5-ft Dia.Polymer Manhole,Main A St 1 EA $35,000.00 $35,000.00 1 $35,000.00 12 7-11 Dia.Large Base Polymer Drop Ma 1 EA $80,000.00 $80,000.00 1 $80,000.00 13 Manhole Vacuum Testing 4 EA $300.00 $1,200.00 4 $1,200.00 14 Sanitary Line Grouting(CO43) 40 CY $150.00 $6,000.00 40 $6,000.00 15 27"Sewer Abandonment Plug 2 EA $1,500.00 $3,000.00 2 $3,000.00 16 SWPPP >1 acre I LS $15,000.00 $15,000.00 1 $15,000.00 17 Traffic Control 1 LS $15,000.00 $15,000.00 0.9 $13,500.00 18 2"Surface Milling(CO45) 11638 SY $4.00 $46,552.00 11060.92 $44,243.68 19 2"Asphalt Pavement Type D,per squa(C045) 8729.25 SY $14.50 S126,574.13 11168 $161,936.00 20 6"Conc Curb and Gutter 125 LF $25.00 $3,125.00 21 6"Concrete Driveway,per square too 900 SF $7.00 $6,300.00 22 6"Concrete Driveway,Exposed Aggreg 100 SF $15.00 $1,500.00 23 Curb Address Painting 20 EA $150.00 $3,000.00 24 Asphalt Pvmt Repair Beyond Defined W 200 SY $15.00 $3,000.00 25 7-ft Wide Asphalt Pvmt Repair,Arter 30 LF $65.00 $1,950.00 26 Butt Milling 207 LF $30.00 $6,210.00 207 $6,210.00 IB-2 4"PVC Sewer Service(CO#2) 62 LF $30.00 $1,860.00 IB-2 15"PVC Sewer Pipe(CO#2)(CO#3) 944 LF $70.00 $66,080.00 944 $66,080.00 IB-2 30"Casing Pipe BOTOC(CO#2)(CO#3) 235 LF $700.00 $164,500.00 235 $164,500.00 IB-2 12"Sewer Carrier Pipe BOTOC(CO#2)(CO#3) 153 LF $550.00 $84,150.00 153 $84,150.00 IB-2 Remove Existing Manhole(CO#3) 4 EA $800.00 $3,200.00 4 $3,200.00 IB-2 Interior coating of MH(CO#3) 40 VF $200.00 $8,000.00 40 $8,000.00 I13-3 Asphalt pavement repair(CO#3) 250 LF $45.00 $11,250.00 250 $11,250.00 IB-3 Hydro Mulch Seeding(CO#3) 1114 SY $3.00 $3,342.00 1114 $3,342.00 IB-3 21-inch Class III RCP(CO43) 21 LF $85.00 $1,785.00 21 $1,785.00 I13-3 10'curb inlet(CO#3) I LS $2,500.00 $2,500.00 1 $2,500.00 IIB2 Remove 2-inch Sewer Line(CO#3) 70 LF $25.00 $1,750.00 70 $1,750.00 IIB2 Remove 8-10 inch Sewer Line(CO#3) 280 LF $35.00 $9,800.00 280 $9,800.00 Sub-Total of Previous Unit $2,265,051.13 $2,265,197.68 Thursday,January 24,2019 Page 6 of 8 City Project Numbers 01022 DOE Number 6309 Contract Name CLEARFORK DRAIN BASIN-M-210 SEWER IMP/REP PH 4 Estimate Number 13 Contract Limits Units IA,tB&11:Colonial Parkway Water&Sewer Improvs Payment Number 13 Project Type Sanitary Sewer For Period Ending 6/I5/2018 Project Funding Contract Information Summary Original Contract Amount $4,145,081.00 Change Orders Change Order Number 1 $480,915.00 Change Order Number 2 $51,660.00 Change Order Number 2 $47,401.00 Change Order Number 3 $11,865.00 Change Order Number 3 $352,235.00 Change Order Number 4 $0.00 Change Order Number 4 $0.00 Change Order Number 5 $12,090.00 Change Order Number 5 $79,497.00 Total Contract Price $5,180,744.20 —sLui Date y--lG 19 Total Cost of Work Completed 55,180,744.20 ctor Less 0 %Retained S0.00 Contt Date / Net Earned $5,180,744.20 Earned This Period $280,313.49 Inspection Su rvicor L/oq� u�„��, / 3/ I RetainageThis Period $0.00 ti✓y� r�A I0 Date Less Liquidated Damages Proiect Manaeer Days @ /Day S0.00 Date LessPavement Deficiency S0.00 Assstt..DDirector/TPPW/ Less Penalty $0.00 11 _l ` �+ ( Date ' Less Previous Payment $4,901,026.19 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $275,542.18 Thursday,January 24,2019 Page 7 of 8 FORTWORTH rev 03/05/07 WATER ENGINEERING & FISCAL SERVICES FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:18 -FINAL NAME OF PROJECT: CLEAR FORK DRAINAGE BASIN-M210 SEWER IMPROVEMENTS PROJECT NO.: Water P265-603170102289 CONTRACTOR: CIRCLE C CONSTRUCTIO] Sewer P275-703170102289 CITY PROJECT 1022 PERIOD FROM:08/16/16 TO: 12/31/16 FINAL INSPECTION DATE: 4/28/2016 WORK ORDER EFFECTIVE:7/15/2014 CONTRACT TIME: 534 O WD 0 CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. August 16 16. 2. Sept 30 17. 3. Oct 31 18, 4. Nov 30 19. S. Dec 31 20. 6. 21. 7. 22. S. 23. 9. 24. 10. 25. 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. SAT, SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL & HOLIDAYS &TOO COLD RELOCATIONS OTHERS CHARGED DAYS THIS PERIOD 138 PREVIOUS PERIOD 680 TOTALS -7 TO DATE 818 *REMARKS: Sir 1101L 18 Moivlps W*11"I lv e_ v N r2,;w c4;,rN d+= Al9wi..X C-MCOL#01*3 /�:/+✓S 1-iN1,z a A4-A j Wkst H1313 %NR.orml-H ON/L N6w Hhr+ i dj/VN,s6 1)Nh id i-Zje.. ♦e pit er-miss r-koln h r MrS Wiz 046- 1W id G4NGiy�- Later S/ice?�iV CONTRACTOR DATE INS 01 CT DA E WATER ENGINEERING&FISCAL SERVICES The City of Fort Worth- 1000 Throckmorton Street-Fort Worth,TX 76012-6311 (817) 392-4477 -Fax: (817) 392- 8460 CRY SECRETARY S$( , 4, ORT WORTH City of Fort Worth CONTRACTNO. RECEIVE Change Order Request r EOFlI��ect Name: Clear Fork Drainage Basin M-210 Sewer Improvements,Part 4 Pity Sec No 45817 CI1YOr � Cr[YSEC $Qject No.(s): 59601159607 060043010700430-5740010001783/87 DOE 6809 iii/Proj.N 01022 Project Description: Water and Sanitary Sewer Improvments,Part 4 on Colonial Parkway,Simondale Drive,Wilshire Boulevard,Glenco Terrace, Ward Parkway,Lynncrest Drive,and Heritage Park Plaza Contractorl Circle C Consrtuction,Co. Change Order# F4 Date: 6/612018 City Project Mgr.1 Roberto C.Sauceda City Inspector. I Judy Die Phone Number: 817-392-2387 Phone Number. 817-392-8452 Dept. Unit IA Water Unit IB Water Unit IB Unit II Sewer Totals Contract Time Sewer (Cafender days) Original Contract Amount $731.641.00 $1,623,825.00 $166,660.00 $1,622,955.00 $4,145,081.00 354 Extras to Date $533,215.00 $11,225.00 $385,145.00 $14,491.00 $944,076.00 0270 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $1,264,856.00 $1,635,050.00 $551,805.00 $1,637,446.00 $5,089,157.00 624 Amount of Proposed Change Order $0.00 $0.00 $0.00 $0.00 $0.00 194 Revised Contract Amount $1,264,856.00 $1,635,050.00 $551,805.00 $1,637,446.00 $5.089,157.00 818 Original Funds Available for Change Orders $70,664.00 $53,688.00 $124,35200 Remaining Funds Available for this CO Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT ?Z,70 MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+2551.) $% 1 Change Order No.4 will provide an additional 194 Calendar days on the project for delays resulting from confliction gas main,the PGA tournament at Colonial Country Club and numerous construction projects at Colonial Country Club.The contractor had to suspend operations to accommodate these various activities. �oF .Of? •0 / z Mary J. , CIS Se �XAS It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full(both time and money)for all costs arising out of,or incidental to,the above Change Order. Contractor's 1ftkm Name= Contractor Name Contractor S&ft Date Circle C Consrtuction,Co. ieri-3keitg F - 8 _Pro e a - arm is r Waiffftup gate— Iq ff Required) —J— Colin M&C Number N/A ARY I r FT.WORTH,TX r FORT Z�V'ORTH City of Fort Worth 1W Change Order Additions Project Name Clear Fork Drainage Basin M-210 Sewer Improvements,Part 4 City Sec No.: 45817 Project No.(s): 59601159607 0600430/0700430-5740010-001783/87 DOE No. 6809 City Proj.No.: 01022 Project Water and Sanitary Sewer Improvments,Part 4 on Colonial Parkway,Simondale Drive,Wilshire Boulevard,Glenco Description Terrace,Ward Parkway,Lynncrest Drive,and Heritage Park Plaza Contractor Circle C Consrtuction,Co. Change Order:® Date: 6/6I2018 City Project Mgr. Roberto C.Sauceda City Inspector r Judy Die ADDITIONS Unit IA Water Unit IB Water Unit li Sewer Page 2 of 4 Additions Sub Total Fc�wr WC>a-r_ 1 City of Fort Worth Change Order Deletions Project Name Clear Fork Drainage Basin M-210 Sewer Improvements,Part 4 City Sec No.: 45817 Project No.(s): 59601/59607 0600430/0700430-5740010-001783/87 DOE No. 6809 City Proj.No.: 01022 Project Description Water and Sanitary Sewer Improvments,Part 4 on Colonial Parkway,Simondale Drive,Wilshire Boulevard, Glenco Terrace,Ward Parkway,Lynncrest Drive,and Heritage Park Plaza Contractor Circle C Consrtuction,Co. Change Order: ® Date 6/6/2018 City Project Mgr. LRoberto C.Sauceda City Inspector. Judy Die 1 DELETIONS 3322 3� s� �b����tkkt-. t 4`1t £t\t?`it At 2 1:ilY Y£ ,__ V t F. • •..•.,: t"Sm- ' e.,-; v.,.. ...t tt.i k t 1 k ,tt a J ,E ,. .... xb .:. ,fly ,,:.. ti..,..�'c�lt .\lt c .., ,• ,Y � 4st,�..:�. �...,. t\�.., 1 - t,.,�l,.,.1 ... }Y} ti ,9,,. t Unit IA Water Unit IB Water Unit II Sewer Page 3 of 4 IDeletions Sub Total MMBE Breakdown for this Change Order f t�w u,hc Y sY rooa�,.��ii+l'4t ME, Total ; Previous Change Orders �: �1tsF f17 ..{t rt�t"•rff�,`it�,t�ixtrS ll,},`�ttt;;{7 Yt xs tttYst� s: l`�sfil,�{�'?�.vYUs �FS t1t�F# 4tYsY z�ii;. YtU{�i " u,t,. n.et s4tti'_., „ Total ,tx;az"•t ';„U,, nts ,tti,.z �tuuUt ,,.�k3L.YRx ,✓XJa u,wa s Page 4 of 4 Contract Compliance Manager By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract,including ensuring all performance and reporting requirements. ignature rS's4<<� Name of Employee Title t ICIAL.RECORDX SECRETARY.WORTH TX i ?TY SECRC I.l1P.Y FORT Wo RT H City of Fort Worth C0,1 aT:ACT NO IECENED Change Order Request r10V 1 7 2019 Project Name:I Clear Fork Drainage Basin M-210 Sewer Improvements,Part 4 City sec No.: 45817 VOFFORTWOM ProjectNo.(s): 59601/596070600430/0700430-5740010-001783/87 DOE 6809 CityPrcj.No. 01022 C►IySECREfARY Project Description: Water and Sanitary Sewer Improvments,Part 4 on Colonial Parkway,Simondale Drive,Wilshire Boulevard,Glenco Terrace, Ward Parkway,Lynncrest Drive,and Heritage Park Plaza Contractor: William J.Schultz,Inc.dba Circle C Consrtuction,Co. Change Order# Date: 10/30/2018 City Project Mgr. Liam Conlon City Inspector: I Judy Die Phone Number: 817-392-6824 Phone Number: 817-392-8452 Dept. Unit IA Water Unit IB Water Unit IB Unit II Sewer Totals Contract Time Sewer (Calender days) Original Contract Amount $731,641.00 $1,623,825.00 $166,660.00 $1,622,955.00 $4,145,081.00 354 Extras to Date $533,215.00 $11,225.00 $385,145.00 $14,491.00 $944,076.00 0464 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $1,264,856.00 $1,635,050.00 $551,805.00 $1,637,446.00 $5,089,157.00 818 Amount of Proposed Change Order $0.00 $12,090.00 $0.00 $79,497.00 $91,587.00 Revised Contract Amount $1,264,856.00 $1,647,140.00 $551,805.00 $1,716,943.00 $5,180,744.00 818 Original Funds Available for Change Orders $70,664.00 $53,688.00 $124,352.00 Remaining Funds Available for this CO Additional Funding(if necessary) $12,090.00 $79,497.00 $91,587.00 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 24.99% MAXALLOWABLE CONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%) $5,181,351.25 JUSTIFICATION(REASONS)FOR CHANGE ORDER This change order will provide for the following: 0 The installation of a 31 foot segment of a project 16-inch water main with cement stabilized subgrade due to its closeness to other utilities. • Mill and overlay of some projects streets as required by the Transportation and Public Works Department subsequent to permanent pavement repair for water and sanitary sewer installation. y i ec .ry 4 t is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full(both time and money)for all costs arising out of,or incidental to,the above Change Order. Contractor s Company Name I Contractor Name Contractor Signature Date William J.Schultz,Inc.dba Circle C Consduction,Co. Teri Skelly D 3//g Inspe_GtQr Date Project Ma ager Date Direct WO De et) Date Construction p rvisor Water Dept Da e_ Assistant CU Attorney Date Assistant City Manager Date Council Action If Required M&C Number N/A N/A FORT WORTH City of Fort Worth Change Order Additions Project Name Clear Fork Drainage Basin M-210 Sewer Improvements,Part 4 City Sec No.: 45817 Project No.(s): 59601/59607 6600430/0700430-5740010-001783/87 DOE No. 6809 City Proj.No.: 01022 Project Water and Sanitary Sewer Improvments,Part 4 on Colonial Parkway,Simondale Drive,Wilshire Boulevard,Glenco Description Terrace,Ward Parkway, Lynncrest Drive,and Heritage Park Plaza Contractor William J.Schultz, Inc.dba Circle C Consrtuction,Co. Change Order:= Date: 10/30/2018 City Project Mgr. Liam Conlon I City Inspector Judy Die ADDITIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total 3 16"Water Pipe,CSS Backfill Unit IB Water 31.00 LF $390.00 $12,090.00 18 2"Surface Milling Unit II Sewer 5918.00 SY $4.00 $23,672.00 19 2"Asphalt Pavement Type D Unit II Sewer 3,850.00 Sy $14.50 $55,825.00 Unit IA Water Unit IB Water $12,090.00 Unit II Sewer $79,497.00 Page 2 of 4 Additions Sub Total $91,587.00 ®R-F wcoR-Fki City of Fort Worth Change Order Deletions Project Name Clear Fork Drainage Basin M-210 Sewer Improvements, Part 4 City Sec No.: 45817 Project No.(s): 59601/59607 0600430/0700430-5740010-001783/87 DOE No. 6809 City Proj. No.: 01022 Project Description Water and Sanitary Sewer Improvments, Part 4 on Colonial Parkway, Simondale Drive,Wilshire Boulevard, Glenco Terrace,Ward Parkway,Lynncrest Drive,and Heritage Park Plaza Contractor William J.Schultz, Inc.dba Circle C Cons rtuction,Co. Change Order: F5 Date 10/30/2018 City Project Mgr. Liam Conlon City Inspector: F Judy Die DELETIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total Unit IA Water Unit IB Water Unit II Sewer Page 3 of 4 Deletions Sub Total MIWBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO I Total s0.0'D Previous Change Orders CO# DATE AMOUNT Total $0.00 Page 4 of 4 Contract Compliance Manager By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Signature COAl1,©nl Name of Employee Pro 40,54 iR (,*4 A Title 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 Teresa S Skelly, President Of Circle C Construction,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; Unit IA Heritage Park Plaza Water Improvements; Unit IB Colonial Parkway Water and Sewer Improvements; and Unit II Clear Fork Drainage Basin M-210 Sewer Improvements-Part 4 BY / 0 Teresa S Skelly Subscribed and sworn before me on this date 28 of July, 2017. 1 Notary Public °PaY°ae,,,MICHELE S.L Tarrant, Texas �_ � �-; aNxFORD o Notary Public STATE OF TEXAS tih'�1Cort n ID 1e 117594,6 `�•0_,.r 7,2o19 CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT AIA Document G707 CONTRACTOR [] SURETY � Bond No.TXC605708 OTHER TO OWNER: ARCHITECT'S PROJECT NO.:City Project No.01022; DOE#6809;Sewer#P275-703170102289;Water#P265- City of Fort Worth 603170102289 1000 Throckmorton Street CONTRACT FOR: Utilities Fort Worth,TX CONTRACT DATED: July 15,2014 PROJECT: (name, address) Unit 1A Heritage Park Plaza Water Improvements;Unit IB Colonial Parkway Water and Sewer Improvements; and Unit H Clear Fork Drainage-Basin M-210 Sewer Improvements-Part 4 in-the-City af-Fort-Worth,Texas In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Merchants Bonding Company(Mutual) 6700 Westown Parkway West Des Moines,IA 50266 ,SURETY on bond of (Insert name and address of Contractor) William J.Schultz,Inc.,dba Circle C Construction Company P.O.Box 40328 Fort Worth,TX 76140 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 1000 Throckmorton Street Fort Worth,TX 76102 ,OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand this date: July 25,2017 (Insert in writing the month followed by the numeric date and year.) Merchants B ino Company(Mutual) (Surety) i (Signature of authorized -presentative) Attest: itness as to Surety- Sheryl A.Klutts,Attorney-in-Fact (Seal): (Printed name and title) John A.Miller 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 AIA DOCUMENT G707*P CONSENT OF SURETY COMPANY TO FINAL PAYMENT 0 April 1970 Edition 0 AIA@ One Page ©1970•THE AMERICAN INSTITUTE OF ARCHITECTS,1735 New York Ave.,NW,Washington,D.C.20006 MERCHANTS �- k BONDING COMPANY, POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC., both being corporations ofthe State of Iowa(herein collectively called the"Companies')do hereby make,constitute and appoint,individually, John A Miller;John R Stockton;Sheryl A Klutts their true and lawful Attomey(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attomey is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company(Mutual)on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President, Secretary,Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attomeys-in-Fact,and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto,bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." 'The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the-same-force and effect as though manually fixed:' In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attomey-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attomey4n-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 6th day of April 2017 ,•�P��Ppq[Qo,� � CQit�o •'f7:'pEt R9•:-O .�0,.�1�t4O9 y . MERCHANTS BONDING COMPANY(MUTUAL) MERCHANTS NATIONAL BONDING,INC. ji- 2003 �y; 1933 c'c: By .,�; .,. •Jb� dam:• ••*. ....yr}... �, ,••h/ wt1.• President STATE OFIOWA ��'`•■••■•"''`� �'••*••�• COUNTY OF DALLAS ss. On this this 6th day of April 2017 before me appeared Larry Taylor,to me personally known;who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. �. ta£s AUCIA K.GRAM z° . Commission Number767430 My Commission Expires .20wil- April T,2020 Notary Public (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof,I have hereunto set my hand and affixed the seal of the Companies on this 25th day cf July 2017 . 10N i*G C'?V* ........... ,LP04*-.�p' �O���PlJq p9'. '�.`'•6 J► y. . m'GO 'gamy Ale 2003 "L 1933 :c: Secretary a, : .s cam. POA 0018 (3/17) "` FORTWORTH WATER ENGINEERING & FISCAL SERVICES PIPE REPORT FOR: PROJECT NAME: Clearfork Drain Basin-M-210 Sewer Imp/Rep,Phase 4 &Clearfork IA, 1B &II W/WW PROJECT NUMBER: 1022 DOE NUMBER: 6809 WATER PIPE LAID SIZE TYPE OF PIPE LF 6" PVC 41 8" PVC 6737 12" PVC 126 16" PVC 2964 16" DI 2835 24" DI 415 36" C303 25 FIRE HYDRANTS: 11 VALVES (16" OR LARGER) 12 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF 8' PVC 465 8' DI 100 8' HDPE 325 12" PVC 153 15" PVC 969 24" PVC 43 30" PVC 186 36" PVC 1126 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: 4" PVC 62 WATER ENGINEERING&FISCAL SERVICES The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817) 392-4477•Fax: (817)392-8460 FORTWORTHREV:02/22/07 WATER ENGINEERING AND FISCAL SERVICES CONTRACTOR'S EVALUATION OF CITY n PROJECT INFORMATION Date: Name of Contractor Project Name Circle C Construction Clear Fork Drainage Basin M-210 Sewer Improv,Part 4 Water Engineering Inspector Project Manager Judy Die Robert Sauceda,P.E. DOE Number Project Difficulty Type of Contract 6809 rSimple O Routine ® Complex o Water o Waste Water o Storm Drainage o Pavement Initial Contract Amount Final Contract Amount $4,145,081.00 $5,181,351.25 11)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of Inspector 4 1 Accuracy of Plans to Existing Conditions 4 2 Knowledge of Inspector 4 2 Clarity&Sufficiency of Details 4 3 Accuracy of Measured Quantities 4 3 Applicability of Specifications 4 4 Display Of Professionalism 4 4 Accuracy of Plan Quantities 4 5 Citizen Complaint Resolution 4 PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 4 1 Knowledge And/Or Problem Resolution 4 ADMINISTRATION 2 Availability of Project Manager 4 1 Change Order Processing Time 3 3 Communication 4 2 Timliness of Contractor Payments 3 4 Resolution of Utility Conflicts 4 3 Bid Opening to Pre-Con Meeting Timeframe 4 III)COMMENTS& SIGNATURES COMMENTS Signature Contractor ���0', � Signature Inspector e Signature Inspector's Supervisor INSPECTOR'S COMMENTS Water Engneering and Fiscal Services The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-4477•Fax: (817) 392-8460 FORTWORTHREV:02/20/07 WATER ENGINEERING & FISCAL SERVICES PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Circle C Construction Co. Clear Fork Drainage Basin M-210 Sewer Im rov.,Part 4 Water Engineering Inspector DOE Number Judy Die 6809 Water Engineering Inspector Project Manager Q Water Q Waste Water ❑✓ Storm Drainage Pavement Robert Sauceda,P.E. Initial Contract Amount Project Difficulty $4,145,081.00 QQ Simple O Routine O Complex Final Contract Amount Date $5,181,351.25 6/6/2018 In PERFORMANCE EVALUATION 0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE 1 Submission of Documents 2 Y 4 8 8 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 4 60 60 5 Work Performed 15 Y 4 60 60 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance 15 Y 3 60 45 9 Daily Clean Up 5 Y 4 20 20 10 Citizen's Complaint Resolution 5 Y 4 20 20 11 Property Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 433 BONUS POINTS(25 Maximum)(B) 15 TOTAL SCORE(TS) 448 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS] *100%) 448 / 448 = 100% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >_80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) This Contractor always goes above and beyond to get the job done. Signature Inspector Qjau, Signature Contractor li Signature Inspector's Supervisor CONTRACTOR'S COMMENTS WATER ENGINEERING&FISCAL SERVICES The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-4477•Fax: (817)392-8460 FORT WORTH December 18,2018 Circle C Construction Company P.O.Box 40328 Fort Worth,Texas 76140 Re:Acceptance Letter Project Name: Clearfork Drain Basin M-210 Sewer Improvements Replacement Part 4 Project Type: Sewer Project N2: Water P265-603170102289,Sewer P275-703170102289 DOE. Ns: 6809 Contract Ns: 45817 Dated: 7/15/2014 Gentleman: On April 28,2016 a final inspection was made on the subject project. There were punch list items identified at the time. The punch list items were completed on May 02,2016. 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 June 20,2017,which is the date of punch list completion and will extend for(2) years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance,please feel free to contact me at (817) 392-6054 Yours Truly, Tony Sholola,P.E.,SR. Capital Projects Officer, Capital Projects Delivery TS / cc: Chris Harder,P.E.,Director,Water Department Captain Michael Strains,Fire Department Bill Lundval,Sanitary Sewer Systems Superintendent,Water Department Roger Hauser, Water Systems Superintendent,Water Department Robert Sauceda,P.E.,Project Manager David R Johnson,Supervisor, Capital Projects Delivery,Water Department Judy Die,Inspector, Capital Projects Delivery,Water Department Chris E.Brooks,P.E.RJN Group, Consultant Teri Skelly,Circle C Construction Company, Contractor File WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES THE CITY OF FORT WORTH * 1000 THROCKMORTON STREET * FORT WORTH, TEXAS 76102 817-392-8240 * FAX 817-392-8195 cj Printed on recycled paper