The URL can be used to link to this page

Home My WebLink AboutContract 49737-FP1 FORTWORTH CSC No. 49737-FP1 WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES 5G o f _ / NOTICE OF PROJECT COMPLETION 7 `7 DOE. Ne: N/A Regarding contract 49737 for Sanitary Sewer Main 257 Upper and Middle Village Creek Parallel Relief Main as required by the Water Department as approved by City Council on 9/26/17 through M&C C-28412 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: $8,125,899.00 Amount of Approved Change Orders: $35,613.33 N2 4 Revised Contract Amount: $8,161,512.33 Total Cost Work Completed: $8,112,526.94 Less Deductions: Liquidated Damages: Days @$650.00/Day Other Deductions(see comments): Total Deduction Amount: $0.00 Total Cost Work Completed: $8,112,526.94 Less Previous Payments: $7,931,540.57 Final Payment Due $180,986.37 Recommended for Acceptance Date Assistant Director, Water Department Christopherct13,202017:04CDT� Oct 14, 2020 Accepted Date Director, Water Department Oct 147 2020 (0 13,20201 :OS CDT) City Manager Date OFFICIAL RECORD CITY SECRETARY FT.WORTH, TX Project Name: DOE. Ne:N/A Sanitary Sewer Main 257 Upper and Middle Village Creek Parallel Relief Main Comments: 5-G o 1 u- CC)IQ CS -�47 -73'7 City Project Numbers 01226 DOE Number 0001 Contract Name Sanitary Sewer Main 257 Upper and Middle Village Creek Parallel Relief Ma Estimate Number 29 Contract Limits Council District 8 Payment Number 29 Project Type Sewer For Period Ending 6/30/2020 Project Funding Project Manager Fu City Secretary Contract Number 49737 Inspectors Johnson / Die Contract Date 9/26/2017 Contractor S.J.LOUIS CONSTRUCTION OF TEXAS,LTD Contract Time 950 CD P.O.BOX 834 Days Charged to Date 861 CD MANSFIELD, TX 76063-0834 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 $8 1 12,526.94 Less 0 %Retained $0.00 Net Earned $8,112,526.94 Earned This Period $180,986.37 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 $7,931,540.57 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $180,986.37 Friday,September 25,2020 Page 6 of 6 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name Sanitary Sewer Main 257 Upper and Middle Village Creek Parallel Relief Main Contract Limits Council District 8 Project Type Sewer City Project Numbers 01226 DOE Number 0001 Estimate Number 29 Payment Number 29 For Period Ending 6/30/2020 CD City Secretary Contract Number 49737 Contract Time 95CD Contract Date 9/26/2017 Days Charged to Date 861 Project Manager Fu Contract is 99.600 Complete Contractor S.J.LOUIS CONSTRUCTION OF TEXAS,LTD P.O.BOX 834 MANSFIELD, TX 76063-0834 Inspectors Johnson/ Die Friday,September 25,2020 Page 1 of 6 City Project Numbers 01226 DOE Number 0001 Contract Name Sanitary Sewer Main 257 Upper and Middle Village Creek Parallel Relief Ma Estimate Number 29 Contract Limits Council District 8 Payment Number 29 Project Type Sewer For Period Ending 6/30/2020 Project Funding Sewer Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 9999.0001 78"Fiberglass Sewer Pipe 20 LF $456.00 $9,120.00 10 $4,5%00 2 3331.4708 60"Fiberglass Sewer Pipe(CO#1,2) 5687 LF $353.00 1,007,511.00 5880.69 .2,075,883.57 3 3331.4709 60"Fiberglass Sewer Pipe CSS Backfill 878 LF $392.00 $344,176.00 698.43 $273,784.56 4 3331.4421 36"Fiberglass Sewer Pipe 20 LF $249.00 $4,980.00 5 9999.0002 33"Fiberglass Sewer Pipe 268 LF $233.00 $62,444.00 268 $62,444.00 6 9999.0003 33"Fiberglass Sewer Pipe CSS Backfill 144 LF $289.00 $41,616.00 144 $41,616.00 7 3331.4115 8"Sewer Pipe 38 LF $60.00 $2,280.00 38 $2,280.00 *7A 9999.0004 86"Casing By Other Than 1359 LF $0.00 $0.00 *7B 9999.0005 86"Tunnel Liner Plate By 1359 LF $1,285.00 .,746,315.00 1359 .1,746,315.00 *8A 3305.1205 60"Casing By Other Than 511 LF $0.00 $0.00 *8B 3305.1205 60"Tunnel Liner Plate By 511 LF $833.00 $425,663.00 511 $425,663.00 9 3305.3017 60"Sewer Carrier Pipe(F 1359 LF $436.00 $592,524.00 1359 $592,524.00 10 9999.0006 33"Sewer Carrier Pipe(F 511 LF $296.00 $151,256.00 511 $151,256.00 11 3339.1001 4'Manhole(including Oat 2 EA $4,800.00 $9,600.00 2 $9,600.00 12 3339.1101 5'Manhole 3 EA $6,700.00 $20,100.00 3 $20,100.00 13 3339.1105 5'Type A Manhole 4 EA $9,800.00 $39,200.00 4 $39,200.00 14 9999.0007 84"Dia.Manhole 12 EA $13,600.00 $163,200.00 12 $163,200.00 15 3339.2001 Sanitary Sewer Junction Sta 10+21.68 1 LS $208,000.00 $208,000.00 1 $208,000.00 16 3339.2001 Sanitary Sewer Junction Sta 0 LS $156,000.00 $0.00 0 $0.00 114+52.76(CO#1) 17 3339.1003 4'Extra Depth Manhole 16 VF $100.00 $1,600.00 16 $1,600.00 18 3339.1103 5'Extra Depth Manhole 87 VF $158.00 $13,746.00 87 $13,746.00 19 9999.0008 84"'Extra Depth Manhole 162 VF $489.00 $79,218.00 162 $79,218.00 20 9999.0009 33"Sewer Abandonment Plu 2 EA $1,000.00 $2,000.00 2 $2,000.00 21 0241.0500 Remove Fence 3180 LF $1.00 $3,180.00 1485 $1,485.00 22 0241.2001 Sanitary Line Grouting 54 CY $160.00 $8,640.00 115 $18,400.00 23 0241.2202 Remove 5'Sewer Manhole 2 EA $2,000.00 $4,000.00 2 $4,000.00 24 0330.0001 Concrete Encase Sewer Pip 24 CY $160.00 $3,840.00 24 $3,840.00 25 3110.0102 6"-12"Diameter Tree Remo 382 EA $90.00 $34,380.00 382 $34,380.00 26 3110.0103 12"-18"Diameter Tree Rem 51 EA $130.00 $6,630.00 51 $6,630.00 27 3110.0104 18"-24" Diameter Tree Re 18 EA $180.00 $3,240.00 18 $3,240.00 Friday,September 25,2020 Page 2 of 6 City Project Numbers 01226 DOE Number 0001 Contract Name Sanitary Sewer Main 257 Upper and Middle Village Creek Parallel Relief Ma Estimate Number 29 Contract Limits Council District 8 Payment Number 29 Project Type Sewer For Period Ending 6/30/2020 Project Funding 28 3110.0105 24"and Larger Tree Remov 16 EA $430.00 $6,880.00 16 $6,880.00 29 9999.0010 Tree Protection Temporary(CO#1) 0 EA $300.00 $0.00 30 3125.0101 SWPPP >_1 acre 1 LS $21,000.00 $21,000.00 1 $21,000.00 31 3137.0103 Large Stone Riprap,grout 300 SY $90.00 $27,000.00 267 $24,030.00 32 3231.0123 6'Chain Link,Aluminum 1250 LF $3.00 $3,750.00 1452 $4,356.00 33 3231.0141 4'Steel Tube Fence 1480 LF $13.00 $19,240.00 1480 $19,240.00 34 3231.0211 Barbed Wire Fence,Metal 450 LF $4.00 $1,800.00 450 $1,800.00 35 9999.0011 Property Metal Gate 15 EA $1,600.00 $24,000.00 16 $25,600.00 36 3292.0400 Seeding,Hydromulch(Berm 94908 SY $0.50 $47,454.00 94908 $47,454.00 37 3301.0001 Pre-CCTV Inspection(CO#1) 0 LF $2.00 $0.00 9559.1 $19,118.20 38 3301.0002 Post-CCTV Inspection(CO#2) 11472 LF $1.00 $11,472.00 10816.78 $10,816.78 39 3301.0101 Manhole Vacuum Testing 23 EA $100.00 $2,300.00 23 $2,300.00 41 3305.0104 Ground Water Control 1 LS $1.00 $1.00 1 $1.00 42 3305.0109 Trench Safety 9582 LF $0.50 $4,791.00 9582 $4,791.00 43 3305.0110 Utility Markers 1 LS $2,000.00 $2,000.00 1 $2,000.00 44 3305.0112 Concrete Collar(4'Dia.) 2 EA $500.00 $1,000.00 2 $1,000.00 45 3305.0112 Concrete Collar(5'Dia.) 7 EA $600.00 $4,200.00 7 $4,200.00 46 3305.0112 Concrete Collar(84"Dia. 12 EA $700.00 $8,400.00 12 $8,400.00 47 3305.0115 Vacuum Excavation 4 EA $1,000.00 $4,000.00 4 $4,000.00 48 3339.0001 Manhole Liner(5'Dia.MH 129 VF $220.00 $28,380.00 129 $28,380.00 49 3339.0001 Manhole Liner(84"Dia.M 234 VF $310.00 $72,540.00 234 $72,540.00 50 3339.0002 Structure Liner(Warren E(CO#1) 5056 SF $14.00 $70,784.00 5056 $70,784.00 51 9999.0012 Novikoff,Sewell,Pickard 1 LS $1.00 $1.00 1 $1.00 52 9999.0013 Sanders Property site req 1 LS $1.00 $1.00 1 $1.00 53 9999.0014 Construction Staking 1 LS $20,000.00 $20,000.00 1 $20,000.00 54 9999.0015 Construction Survey 1 LS $5,000.00 $5,000.00 1 $5,000.00 55 9999.0016 Construction Allowance(CO#2),(CO#3) 0.42127 LS $150,000.00 $63,190.50 56 3331.3311 4"Sewer Service,Reconne 2 EA $2,500.00 $5,000.00 2 $5,000.00 57 3331.4709 60"Fiberglass Sewer Pipe 2581 LF $558.00 .,440,198.00 2581 .1,440,198.00 A58 Junction Box Stru.Sta. 114+66(CO#1) 1 LS $198,927.93 $198,927.93 1 $198,927.93 A59 Remove 21"Clay and Install 21"PVC(CO#2) 98 LF $361.00 $35,378.00 98 $35,378.00 A60 Additional clearing and Bypass Req.(CO#2) 1 LS $37,500.00 $37,500.00 1 $37,500.00 A61 Resurvey Junction Box Sta.10+21(CO#2) 1 LS $800.00 $800.00 1 $800.00 A62 Changing of Junction Box to FRP hatches(CO#3) 1 LS $6,064.90 $6,064.90 1 $6,064.90 Friday,September 25,2020 Page 3 of 6 City Project Numbers 01226 DOE Number 0001 Contract Name Sanitary Sewer Main 257 Upper and Middle Village Creek Parallel Relief Ma Estimate Number 29 Contract Limits Council District 8 Payment Number 29 Project Type Sewer For Period Ending 6/30/2020 Project Funding -------------------------------------- Sub-Total of Previous Unit $8,161,512.33 $8,112,526.94 -------------------------------------- Friday,September 25,2020 Page 4 of 6 City Project Numbers 01226 DOE Number 0001 Contract Name Sanitary Sewer Main 257 Upper and Middle Village Creek Parallel Relief Ma Estimate Number 29 Contract Limits Council District 8 Payment Number 29 Project Type Sewer For Period Ending 6/30/2020 Project Funding Contract Information Summary Original Contract Amount $8,125,899.00 Change Orders Change Order Number 1 $35,599.93 Change Order Number 2 $13.00 Change Order Number 3 $0.40 Total Contract Price $8,161,512.33 Date Total Cost of Work Completed $g 112,526.94 Con ctor Less 0 %Retained $0.00 QJ""��_ Net Earned $8,112,526.94 Date a a� Ins ection S or Earned This Period $180,986.37 �V�y s ,U Retainage This Period $0.00 e ✓j C( Date 03 Z� Less Liquidated Damages Project Manager / /� Days @ /Day $0.00 NIA`t / A Date LessPavement Deficiency $0.00 Asst.Director/TPW // Less Penalty $0.00 Oct 14, Less 2020 L Pi Payment $7,931,540.57 Christopher Hard (Oct 13,202017:04 CDT) Date y Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $180,986.37 Monday,September 21,2020 Page 5 of 6 FORTWORTH rev 03/05/07 WATER ENGINEERING&FISCAL SERVICES FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:29 NAME OF PROJECT: M-257 Sanitary Sewer Parallel Relief Main Part I PROJECT NO.: 1226 CONTRACTOR: S.J. Louis of Texas CITY PROJECT 1226 PERIOD FROM:09/26/17 TO: 07/29/20 FINAL INSPECTION DATE: 1/14/2020 WORK ORDER EFFECTIVE:9/26/2017 CONTRACT TIME: -1998 of SO O WD O CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 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 0 PERIOD PREVIOUS 861 PERIOD TOTALS 861 TO DATE 'REMARKS: Had to go back and make repairs on the existing 33"RCP after new 60"FRP was installed and testin.- -7 k c / J - 20 CONTRA R DATE VSP OR DAT Capital Projects Delivery,Water Department The City of Fort Worth•1000 Throckmorton Street•Fort Worth,=76012-6311 (817)392-4477•Fax:(817)392-8460 FORTWORTHREV:02/20/07 Capital Projects Delivery,Water Department PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Name of Contractor Project Name S.J.Louis Contracting M-257 Sanitary Sewer Parallel Relief Main-Part 1 Water Engineering Inspector DOE Number Judy Die 6753 Water Engineering Inspector Project Manager 0 Water 0 Waste Water ❑ Storm Drainage ❑ Pavement John Kasavich Initial Contract Amount Project Difficulty $8,125,899.00 * Simple Q Routine 0 Complex Final Contract Amount Date $8,112,526.94 7/24/2020 II)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 2 8 4 2 Public Notifications 5 Y 3 20 15 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 2 60 30 5 Work Performed 15 Y 2 60 30 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 3 60 45 8 Traffic Control Maintenance 15 Y 4 60 60 9 Daily Clean Up 5 Y 2 20 10 10 Citizen's Complaint Resolution 5 Y 2 20 10 11 Property Restoration 5 Y 2 20 10 12 After Hours Response 5 Y 3 20 15 13 Project Completion 5 Y 3 20 15 TOTAL ELEMENT SCORE(A) 324 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 324 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS] x 100%) 324 / 448 = 72% Performance Category Good <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) Signature Inspector Signature Contractor Signature Inspector's Supervisor U CONTRACTOR'S COMMENTS Capital Projects Delivery,Water Department The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-4477 •Fax: (817)392-8460 FORTWORTH REV:02/22/07 Capital Projects Delivery,Water Department CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORMATION Date: 23-Jul-20 Name of Contractor Project Name S.J.Louis Construction of Texas,Ltd. SS Main 257 Upper/Middle Village Creek Part 1 ff"ater Engineering Inspector Project Manager Judy Die John Kasavich,P.E. DOENuinher Project D cully Type of Contract 1 O Simple O Routine O Complex ❑Water O Waste Water ❑Storm Drainage ❑ Pavement Initial Contract Amount Final Contract Amount $8,125,899.00 $8,112,526.94 II)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 I I Accuracy of Plans to Existing Conditions 3 2 Knowledge of Inspector 3 2 Clarity&Sufficiency of Details 3 3 Accuracy of Measured Quantities 4 3 Applicability of Specifications 3 4 Display Of Professionalism 3 4 Accuracy of Plan Quantities 3 5 Citizen Complaint Resolution 13 PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 13 1 Knowledge And/Or Problem Resolution 3 ADMINISTRATION 2 Availability of Project Manager 3 1 Change Order Processing Time 3 3 Communication 3 2 Timliness of Contractor Payments 1 14 Resolution of Utility Conflicts 3 3 Bid Opening to Pre-Con Meeting Timeframe 4 III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature Inspector Signature Inspector's Supervisor INSPECTOR'S COMMENTS Capital Projects Delivery,Water Department The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-4477•Fax:(817)392-8460 CSC No.49737-004 Fo F:'T W®a-'» City of Fort Worth Change Order Request Project Name:1 Sanitary Sewer M-257 Village Creek Parallel Relief City Sec No.: 1 49737 Project No.(s): 56014.0700430-001780 DOE No. N/A City Proj.No.: 01226 Installation of 66-Inch sewer main from north of Everman-Kennedale-Burleson Rd.and east of Anslin Dr.and end south Project Description: of Shelby Rd. Contractor: S.J.Louis Construction of Texas,LTD Change Order# ® Date: 9/15/2020 City Project Mgr.I John Kasavich City inspector: I Judy Die Phone Number: 817-392-8480 Phone Number: 817-392-8452 Dept, Sewer Totals Contract Time (Calender days) Original Contract Amount $8,125,899.00 $8125 899:00 450 Extras to Date $3561333 $3561333 0130 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $8-161512.33 $81615'12 33 : 580 Amouol�Proposed_Chaage9ider it1D --- — 9$8,161,512.33 `� 370 Revised Contract Amount $8,161,512.33 950 Original Funds Available for Change Orders $162,518.00 $162 51 .00 Remaining Funds Available for this CO $126,-904`67 $126;904 67 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT MAXALLOWABLECONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%) $10,157,373.75 JUSTIFLCAT(t7N�(RF�4SON. _,ORCHA_�EORD.ER .-. - Change Order No.4 will provide an additional 370 days on the project for the following: • The time period it took to negotiate and restore several large tracts of land(across which the project sewer main was installed)to the propety owners satisfaction.In some cases it took a couple of attempts before the property owenrs were satisfied with restoration. • Delay in delivery of fontain stop logs for the project junction structures which took longer than anticipted. 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. Contractar'sCompany.Name Conffactofine�• - orl(ao rSfg CCre�_ Date S.J.Louis Construction of Texas,LTD Pete Stahl •'/ Ins P .tor. Date ecajl?9ai,_. Date _Date _l3o slnl ionLSupeivio�,(Water,l),ept),, gate d 7•S• Sep 17,2020 AssisfaritCltyyAfto�. __ Date ,, AsslsFahfOify�tV�flager_ !Date: Sep 18,2020 b Sep 22,2020 Dana BurgM.ff p22,20 CT:0 CDT) Council-Actto �.tegli M&C Number N/A M&C Date Approved N/A RT w6RTI City of Fort Worth Change Order Additions Project Name Sanitary Sewer M-257 Village Creek Parallel Relief City Sec No.: 49737 Project No.(s): 56014-0700430-001780 DOE No. N/A City Proj.No.: 01226 Project Installation of 66-Inch sewer main from north of Everman-Kennedale-Burleson Rd.and east of Anslin Dr.and end south Description of Shelby Rd. Contractor S.J.Louis Construction of Texas,LTD Change Order:® Date: 9115/2020 City Project Mgr. John Kasavich City Inspector Judy Die ADDITIONS I ITEM - r='-'T .. .....-.�s�.�,.;,i; Sewer Page 2 of 4 Additions Sub Total -F .V o P,-FM City of Fort Worth Change Order Deletions Project Name Sanitary Sewer M-257 Village Creek Parallel Relief City Sec No.: 49737 Project No.(s): 56014-0700430-001780 DOE No. N/A City Proj.No.: 01226 Project Description Installation of 66-Inch sewer main from north of Everman-Kennedale-Burleson Rd.and east of Ansfin Dr.and end south of Shelby Rd. Contractor S.J.Louis Construction of Texas,LTD Change Order: ® Date 1 9/15l2020 City Project Mgr. John Kasavich City Inspector: I Judy Die DELETIONS DE$CRIRTION ITEM r �t h ==r �� tiQfyi , Unif Cost' atal, DEPTH- Sewer Page 3 of 4 Deletions Sub Total MMBE Breakdown for this Change Order MWBE Sib ,.ffilAmounf for_th�s GO Total Previous Change Orders 71 -eta 4 ��i rr r�-+.i. S-,a.. ..u. sca ✓.+a'c i..w"'%: ' =-°.v...1 ,2'?:ice Totalj-'vAZ h�t Page 4 of 4 Contract Compliance Manager By signing I aclmowledge that am the person responsible for the monitoring and administration of this contract,including ensuring all performance and reporting requirements. Signature Name of Employee Title ATTEST: Mary . Kayser City Secretary FORT WORT CONSENT OF SURETY COMPANY TO FINAL PAYMENT City of Fort Worth,TX Bond No. 190034897 PROJECT: Upper and Middle Village Creek Parallel Relief Main-Part 1 PROJECT NUMBER: Sanitary Sewer M257 OWNER: CitV of Fort Worth Texas 01226 CONTRACTOR: S.J. Louis Construction of Texas, Ltd. 121720 ENGINEER: ames DeOtte Engineering, Inc. The Surety Company, on bond of the Contractorlisted above for the referenced project, in accordance with the Contract Documents,hereby approves 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 the Owner under the terms of the Contract and as set forth in said Surety Company's bond. In witness whereof,the Surety Company has hereunto set its hand this 17th day of July 2020 Liberty Mutual Insurance Company Surety Company By CiLA�uath�onzed Representative Title Heather R. Goedtel,Attorney-in-Fact Address: Liberty Mutual Insurance Company 175 Berkeley Street Boston, MA 02116 Attach Power of Attorney 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. Labe Liberty Mutual Insurance Company mutuil. The Ohio Casualty Insurance Company Certificate No:8202635-190003 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 underthe laws of the State of Massachusetts,and WestAmerican 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, Blake S. Bohlig,Brian D.Carpenter,Kelly Nicole Enghauser,Heather R.Goedtel,Michelle Halter,Jessica Hod Nicole Langer,Craig Olmstead,Laurie Pflug all of the city of Bloomington state of Minnesota 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 21st day of November , 2019 Liberty Mutual Insurance Company P�INSU� P�Z1 INS& tNSU� The Ohio Casualty Insurance Company �J �oRP01?' n yJ�0"-"!;.�y �GP�o�0R4r tin West American Insurance Company > 3 Fo rR Q le Fo C-' ¢ 3 FO R`LU ca 1912 0 o 1919 0 1991 0 Cn Z) Al p G fn ��S3g CHU`�b�aa y0`";M.p ,da PCs, �yDIANP as r 8i7 * 1 �Nl * A� 3.yr * r� By: cn David M.Carey,Assistant Secretary s - State of PENNSYLVANIA County of MONTGOMERY ss Co L 0 N On this 21 st day of November 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o o 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=Fa� at > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. LU (a 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. c CL N N PAS $cM O N Q �ronlw �Ft COMMONWEALTH OF PENNSYLVANIA Q Notarial Seal 60 OF Teresa Pastella,Notary Public Co 60 a f Upper MerionTwp.,Montgomery County By: N �'�nv rLJP��Q'G My Commission Expires March 28,2021 Teresa Pastella,Notary Public p W Member,Pennsylvania Association of Notaries IP� Oq CO CD ca ;v aD 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-5—02 o.S� Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o a)a) 6ARTICLE IV—OFFICERS:Section 12.Power of Attorney. w o is 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 -0 >, President may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety >o Co C: any and all undertakings,bonds,recognizances and other surety obligations.Such attomeys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall N _ 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 "+CO 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 attomey-in-fact under the C00 l)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. o 0 ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings. o m 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, l— shall appoint such attomeys-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 attomeys-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 attomeys-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 17th day of July 2020 P�1NSU� P�11 INS& a\NSUR �- 0 C m IT __ D�TF , 3D J r°O�D �ToyF 1912 0 " 1919 0 2 1991 0 o p1. O B - b�SSgcHUS�da yOyTyq�pS��aDO �YDfill aD3 y Renee C.Llewellyn,Assistant Secretary * LMS-12873 LMIC OCIC WAIC Multi Co_062018 FORT WORTH CONTRACTOR'S AFFIDAVIT OF 'Ir PAYMENT OF DEBTS AND CLAIMS City of Fort Worth,TX PROJECT: Upper and Middle Village Creek Parallel Relief Main—Part 1 PROJECT NUMBER: Sanitary Sewer M257 OWNER: City of Fort Worth,Texas 01226 CONTRACTOR: S.J. Louis Construction of Texas, Ltd. 21720 ENGINEER: James DeOtte Engineering, Inc. The Contractor, in accordance with the Contract Documents, hereby certifies that, except as listed below, all obligations for all materials and equipment furnished, for all work labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or his property might in any way be held responsible have been paid in full or have otherwise been satisfied in full. EXCEPTIONS: (If none, write"NONE". The Contractor shall furnish a bond, acceptable to the Owner, for each exception.) None CONTRACTOR S.J. 6ouis Construction of Texas Ltd. TINA M. ROARK Notary Public,State of Texas Comm.Expires 08-26-2023 BY Peter J. Stahl Notary ID 124104300 „ TITLE Vice President Subscribed and sw n to before me this 17th day of July 72020 Notary Public: My Commission Expires: 08/26/2023 FORT NORTH CONTRACTOR'S AFFIDAVIT OF RELEASE OF LIENS The City of Fort Worth PROJECT: Upper and Middle Village Creek Parallel Relief Main Part 1 — PROJECT NUMBER: Sanitary Sewer M257 OWNER: City of Fort Worth,Texas 01226 CONTRACTOR: S.J. Louis Construction of Texas, Ltd. 21720 ENGINEER: James DeOtte Engineering, Inc. The Contractor, in accordance with the Contract Documents, and in consideration for the full and final payment to the Contractor for all services in connection with the project, does hereby waive and release any and all liens, or any and all claims to liens which the Contractor may have on or affecting the project as a result of its contract(s) for the Project or for performing labor and/or furnishing materials in any way connected with the construction of any aspect of the project. The Contractor further certifies and warrants that all subcontractors of labor and/or materials for the Project, except as listed below, have been paid in full for all labor and/or materials supplied to, for, through or at the direct or indirect request of the Contractor prior to, through and including the date of this affidavit. EXCEPTIONS: (If none, write"NONE". The Contractor shall furnish a bond, acceptable to the Owner, for each exception.) None TINA M. ROARK Notary Public,State of Texas =�`• e= Comm.Expires 08-26-2023 'ii rF OF CONTRACTOR S.J. Louis Construction of Texas Ltd. Notary ID 124104300 By Peter J. Stahl Title Vice President Subscribed and orn to before me this 17th day of July 2020 Notary Public: k n My Commission xpires: 08/26/2023 FORT WORTH September 25,2020 S.J.Louis Construction of Texas,LTD P.O.Box 834 Mansfield,TX 76063-0834 Re:Acceptance Letter Project Name: Sanitary Sewer Main 257 Upper and Middle Village Creek Parallel relief Main Project Type: Sewer Project Ns: 01226 D.O.E.Ns: N/A Contract Ns: 49737 Dated: 9/26/2017 Gentleman: On January 14,2020 a final inspection was made on the subject project. There were no punch list items identified at the 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 January 14,2020,which is the date of final inspection 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.,Assistant Director Water Department MP / cc: Chris Harder,P.E.,Director,Water Department Laura Wilson,P.E.,Deputy Director,Water Department Captain Michael Skains,Fire Department Roger Hauser,Field Operations Superintendent,Water Department Bill Lundvall,Field Operations Superintendent,Waste Water Department John Kasavich,P.E.,Project Manager George Farah,P.E.,Allan Plummer and Associates, Consultant S.J.Louis Construction of Texas,LTD, Contractor David Johnson,Inspection Supervisor,Water Engineering and Fiscal Services Judy Die,Inspector,Water Engineering and Fiscal Services File WAFER DEPARTMENT ENGINEERING AND FISCAL SERVICES THE CITY OF FORT WORTH * 1000 THROCKMORTON STREET * FORT WORTH, TExAs 76102 817-392-8240 * FAx 817-392-8195 `y Printed on recycled paper FORTWORTH MEMORANDUM Date: October 6, 2020 To: Chris Harder, P. E., Director, Water Department !0/t 9/10 Dana Burghdoff, Assistant City Manager From: Heather Oakes Subject: Non-PO Voucher This is to inform you that HACH Company invoice 12031169 and 12137939 must be paid as a Non-PO voucher. The invoice was not and cannot be processed through a PO for the following reasons: l. The PO created 04/23/2019 was for $326,000.00 the amount of the original contract. There were not enough funds remaining to process payment for the invoice. 2. There was not a PO created for amendment 1 which added $114,000.00. At the time of the execution of the amendment the Capital Delivery projects had been converted to ERP and I was working on creating PO's for the contracts, while trying to find a good system to ensure new contracts and amendments were being submitted to Purchasing and PO's were being created. This particular amendment the request to add funds to the PSK was submitted 09/23/2019 and completed by Purchasing 09/27/2019 however I forgot to create the PO. 3. The Contract expired 06/04/2020. 4. HACH did not invoice for work done in April until 07/14/2020. This was after the contract had expired and a new PO could not be created. To ensure the creation of PO's are not over looked, I now print the first page of the contract and leave it on my desk until the PO is created. To double check myself in the event I failed to print the page, I also have a folder for e-mailed contracts to go into for me to follow up and make sure PO's are created. If you have any questions, please let me know. Thank you, Heather Oakes ro��ro �_ - � s i RL R. � �c� O O aym nib fD N C N P W N W O • A ? m C! C rT �II N •• � �LO.ro � O C O ID ti (JI 0 c s a CD � o n y A n w CD CNI O 0 c 11 .=i Q I �i O D .71.. fD N a 2 a 0 m o 6 O CD 000�-TWA 'O N Nm N G M � � :000 mtmDAe�. � mAwlo."IIA �• CL > fD fD (C v -n �J N 0 C L o � z '�••'Io� w v a la ID f7A yy W O I w so a 3 r 3 c v m ? 3 S $ '.> ; omrn so v IQ D D .O�• �• n m c fA & Oo m I oo An 03 gem �OCD " g to Cif $ on c"w B m w � 3 s o m ,2 ft Z o � m c�° s ' A Ev m o N c m n _ w o 42 c 0 3 � m M $ D cOi 0 W 3 c d T m o c N `D re o x xxx� °o�c00m � 003 eQz c , o `c O O N m m v j O o O a ,m m •• y a m' ww> wN �• �a7jlb lb Qnn a� OC O o m C z o n N u O K 1 IF, 1 � � (D 1 o n 7.En N C o _ a-'nm C) o rn O CD V Acn N O oN �o��m ° m 77 o o o m m�m a u 0 2 8 N*I n o p fDA K N N N W O E W W pOi � O OOfD tDAi•e � W 0.-S7A CD CD v -o N O Q z f1 O 0 K O rp fA ;u -n-I O m ID v a 0 c � T p• m O. CD 3 w w m w w C.) c0 CD m D V V Obi o. O ° y > N a w O A '• O G g o .0 a.i mCD = .w. D n O X 0 0 3 3 'a° -m CD S .O°. o m m to E u TTI 5 to D D O a c CD 3 9 -40 O c m g � T S ° ° c W o 3 3 D m Cl) w N $ o $v ° F ° m _ $ m d y a � n m W y A X A W W (7 O n w O _ Z c C � $ o v I w o W n N O W u O IA 0 o A ? �$ g D n O m m = 3 m Z o S c w w � a 3 0