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HomeMy WebLinkAboutContract 52751-FP1 FORTWORTH�.�._ CSC No. 52751-FP1 WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES 6-10 0 a_ I 0 g,2 NOTICE OF PROJECT COMPLETION C S 5—.?--1 DOE. Ns: N/A Regarding contract 52751 for Sanitary Sewer Emergency Response Contract 2019 as required by the eater Department as approved by City Council on 8/20/19 through IvI&C C-19004 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: $1,250,000.00 Amount of Approved Change Orders: $170,420.00 Ns 1 Revised Contract Amount: $1,420,420.00 Total Cost Work Completed: $1,420,399.85 Less Deductions: Liquidated Damages: 0 Days @$630.00/Day Other Deductions(see comments): Total Deduction Amount: $0.00 Total Cost Work Completed: $1,420,399.85 Less Previous Payments: $1,321,764.84 Final Payment Due $98,635.01 e-- Recommended for Acceptance Date Assistant Director, Water Department Christopher Hard (Dec7,202011:27Cs� Dec 8, 2020 Accepted Date Director, Water Department ,/nma aULde' Dec 8, 2020 Dana Burghdoff(D 7,2020 33 CST) City Manager Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Project Name:Sanitary Sewer Emergency Response Contract 2019 DOE.Ns: N/A Comments: PO 8984 Receipt 33692 11/06/2020 HO sc�ob � �1021? GS ��`-751 City Project Numbers 102082 DOE Number 0132 Contract Name Sanitary Sewer Emergency Response Contract 2019 Estimate Number 23 Contract Limits All Council Districts Payment Number 23 Project Type Sewer For Period Ending 10/15/2020 Project Funding Project Manager UNKNOWN City Secretary Contract Number 52751 Inspectors Johnson / Gieger Contract Date 8/20/2019 Contractor CIRCLE C CONSTRUCTION COMPANY Contract Time 365 CD PO BOX 40328 Days Charged to Date 385 CD FORT WORTH, TX 76140 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded 1 56002-102082 $1,250,000.00 $98,635.00 $0.00 $98,635.00 Total Cost of Work Completed $1,420,399.85 Less 0 %Retained $0.00 Net Earned $1,420,399.84 Earned This Period $98,635.00 Retainage This Period $0.00 Less Liquidated Damages 0 Days a $0.00 /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $1,321,764.84 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $98,635.00 Monday,November 02,2020 Page 9 of 9 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name Sanitary Sewer Emergency Response Contract 2019 Contract Limits All Council Districts Project Type Sewer City Project Numbers 102082 DOE Number 0132 Estimate Number 23 Payment Number 23 For Period Ending 10/15/2020 CD City Secretary Contract Number 52751 Contract Time 36ti1) Contract Date 8/20/2019 Days Charged to Date 385 Project Manager UNKNOWN Contract is 21.000 Complete Contractor CIRCLE C CONSTRUCTION COMPANY PO BOX 40328 FORT WORTH, TX 76140 Inspectors Johnson / Gieger Monday,November 02,2020 Page 1 of 9 City Project Numbers 102082 DOE Number 0132 Contract Name Sanitary Sewer Emergency Response Contract 2019 Estimate Number 23 Contract Limits All Council Districts Payment Number 23 Project Type Sewer For Period Ending 10/15/2020 Project Funding Sewer Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No, Quanity Total Quanity Total 17 42 inch Fiberglass Sewer Pipe(0'-1 100 LF $525.00 $52,500.00 18 48 inch Fiberglass Sewer Pipe(0'-1 100 LF $575.00 $57,500.00 40 $23,000.00 19 54 inch Fiberglass Sewer Pipe(0'-1 100 LF $625.00 $62,500.00 20 18 inch PVC ASTM F1803 Sewer Pipe(0 100 LF $275.00 $27,500.00 21 21 inch PVC ASTM F1803 Sewer Pipe(0 100 LF $325.00 $32,500.00 22 24 inch PVC ASTM F1803 Sewer Pipe(0 100 LF $375.00 $37,500.00 30 $11,250.00 23 27 inch PVC ASTM F1803 Sewer Pipe(0 100 LF $425.00 $42,500.00 24 30 inch PVC ASTM F1803 Sewer Pipe(0 100 LF $450.00 $45,000.00 25 36 inch PVC ASTM F1803 Sewer Pipe(0 100 LF $475.00 $47,500.00 26 42 inch PVC ASTM F1803 Sewer Pipe(0 100 LF $500.00 $50,000.00 27 48 inch PVC ASTM F1803 Sewer Pipe(0 100 LF $600.00 $60,000.00 28 16 inch Sewer Carrier Pipe 100 LF $400.00 $40,000.00 29 18 inch Sewer Carrier Pipe 100 LF $450.00 $45,000.00 30 20 inch Sewer Carrier Pipe 100 LF $500.00 $50,000.00 31 21 inch Sewer Carrier Pipe 100 LF $500.00 $50,000.00 32 24 inch Sewer Carrier Pipe 100 LF $550.00 $55,000.00 33 27 inch Sewer Carrier Pipe 100 LF $600.00 $60,000.00 34 30 inch Sewer Carrier Pipe 100 LF $700.00 $70,000.00 35 36 inch Sewer Carrier Pipe 100 LF $750.00 $75,000.00 36 42 inch Sewer Carrier Pipe 100 LF $800.00 $80,000.00 37 48 inch Sewer Carrier Pipe 100 LF $850.00 $85,000.00 38 54 inch Sewer Carrier Pipe 100 LF $900.00 $90,000.00 39 30 inch Casing by Open Cut 100 LF $500.00 $50,000.00 40 36 inch Casing by Open Cut 100 LF $550.00 $55,000.00 41 42 inch Casing by Open Cut 100 LF $600.00 $60,000.00 42 48 inch Casing by Open Cut 100 LF $650.00 $65,000.00 43 54 inch Casing by Open Cut 100 LF $700.00 $70,000.00 44 60 inch Casing by Open Cut 100 LF $750.00 $75,000.00 45 66 inch Casing by Open Cut 100 LF $850.00 $85,000.00 46 72 inch Casing by Open Cut 100 LF $900.00 $90,000.00 47 30 inch Casing by Other than Open Cu 100 LF $700.00 $70,000.00 Monday,November 02,2020 Page 2 of 9 City Project Numbers 102082 DOE Number 0132 Contract Name Sanitary Sewer Emergency Response Contract 2019 Estimate Number 23 Contract Limits All Council Districts Payment Number 23 Project Type Sewer For Period Ending 10/15/2020 Project Funding 48 36 inch Casing by Other than Open Cu 100 LF $750.00 $75,000.00 49 42 inch Casing by Other than Open Cu 100 LF $800.00 $80,000.00 50 48 inch Casing by Other than Open Cu 100 LF $900.00 $90,000.00 51 54 inch Casing by Other than Open Cu 100 LF $1,000.00 $100,000.00 52 36 inch Tunnel Liner Plate by Other 100 LF $850.00 $85,000.00 53 36 inch Tunnel Liner Plate by Other 100 LF $900.00 $90,000.00 54 36 inch Tunnel Liner Plate by Other 100 LF $1,000.00 $100,000.00 55 36 inch Tunnel Liner Plate by Other 100 LF $1,050.00 $105,000.00 56 36 inch Tunnel Liner Plate by Other 100 LF $1,200.00 $120,000.00 57 36 inch Tunnel Liner Plate by Other 100 LF $1,400.00 $140,000.00 58 36 inch Tunnel Liner Plate by Other 100 LF $1,600.00 $160,000.00 59 16 inch Sewer Pipe,Slip Lining 100 LF $350.00 $35,000.00 60 18 inch Sewer Pipe,Slip Lining 100 LF $400.00 $40,000.00 61 20 inch Sewer Pipe,Slip Lining 100 LF $450.00 $45,000.00 62 21 inch Sewer Pipe,Slip Lining 100 LF $450.00 $45,000.00 63 24 inch Sewer Pipe,Slip Lining 100 LF $500.00 $50,000.00 64 27 inch Sewer Pipe,Slip Lining 100 LF $525.00 $52,500.00 65 30 inch Sewer Pipe,Slip Lining 100 LF $550.00 $55,000.00 66 36 inch Sewer Pipe,Slip Lining 100 LF $600.00 $60,000.00 67 42 inch Sewer Pipe,Slip Lining 100 LF $625.00 $62,500.00 68 48 inch Sewer Pipe,Slip Lining 100 LF $650.00 $65,000.00 69 54 inch Sewer Pipe,Slip Lining I00 LF $700.00 $70,000.00 70 Concrete Encase Sewer Pipe 100 CY $250.00 $25,000.00 71 Pre-Construction CCTV Inspection 1007.4 LF $15.00 $15,111.00 72 Post-Construction CCTV Inspection 1117.4 LF $10.00 $11,174.00 30 $300.00 1 Work Order Mobilization 21 EA $3,000.00 $63,000.00 7 $21,000.00 2 16 inch DIP Sewer(0'-15'Depth) 100 LF $325.00 $32,500.00 3 18 inch DIP Sewer(0'-15'Depth) 100 LF $400.00 $40,000.00 4 20 inch DIP Sewer(0'-15'Depth) 100 LF $425.00 $42,500.00 5 24 inch DIP Sewer(0'-15'Depth) 100 LF $475,00 $47,500.00 6 30 inch DIP Sewer(0'-15'Depth) 100 LF $500.00 $50,000.00 10 $5,000.00 7 36 inch DIP Sewer(0'-15'Depth) 100 LF $550.00 $55,000.00 8 42 inch DIP Sewer(0'-15'Depth) 100 LF $650.00 $65,000.00 9 48 inch DIP Sewer(0'-15'Depth) 100 LF $750,00 $75,000.00 Monday,November 02,2020 Page 3 of 9 City Project Numbers 102082 DOE Number 0132 Contract Name Sanitary Sewer Emergency Response Contract 2019 Estimate Number 23 Contract Limits All Council Districts Payment Number 23 Project Type Sewer For Period Ending 10/15/2020 Project Funding 10 54 inch DIP Sewer(0'-15'Deptli) 100 LF $850.00 $85,000.00 11 18 inch Fiberglass Sewer Pipe(0'-1 100 LF $325.00 $32,500.00 12 21 inch Fiberglass Sewer Pipe(0'-1 100 LF $350.00 $35,000.00 13 24 inch Fiberglass Sewer Pipe(0'-1 100 LF $375.00 $37,500.00 14 27 inch Fiberglass Sewer Pipe(0'-1 100 LF $400.00 $40,000.00 15 30 inch Fiberglass Sewer Pipe(0'-1 100 LF $425.00 $42,500.00 20 $8,500.00 16 36 inch Fiberglass Sewer Pipe(0'-1 100 LF $475.00 $47,500.00 73 Trench Safety 727.4 LF $10.00 $7,274.00 269 $2,690.00 74 4 foot Manhole(0'-6'Depth) 12 EA $6,500.00 $78,000.00 4 $26,000.00 75 4 foot Manhole Extra Depth 17.9 VF $250.00 $4,475.00 12 $3,000.00 76 4 foot Drop Manhole(0'-6'Depth) 3 EA $7,500.00 $22,500.00 77 4 foot Drop Manhole Extra Depth 10 VF $300.00 $3,000.00 78 4 foot Shallow Manhole 10 EA $5,000.00 $50,000.00 79 4 foot Type A Manhole(0'-6'Depth 10 EA $10,500.00 $105,000.00 80 4 foot Type A Manhole Extra Depth 10 VF $350.00 $3,500.00 81 4 foot Fiberglass Manhole(0'-6'D 5 EA $6,500.00 $32,500.00 82 4 foot Fiberglass Manhole Extra Dept 5 VF $250.00 $1,250.00 83 4 foot Fiberglass Drop Manhole(0'- 2 EA $7,500.00 $15,000.00 84 4 foot Fiberglass Drop Manhole Extra 5 VF $350.00 $1,750.00 85 4 foot Fiberglass Shallow Manhole 10 EA $5,000.00 $50,000.00 86 4 foot Fiberglass Type A Manhole(0' 10 EA $10,500.00 $105,000.00 87 4 foot Fiberglass Type A Manhole Ext 10 VF $350.00 $3,500.00 88 5 foot Manhole(0'-6'Depth) 10 EA $8,500.00 $85,000.00 89 5 foot Manhole Extra Depth 10 VF $300.00 $3,000.00 90 5 foot Drop Manhole(0'-6'Depth) 2 EA $9,500.00 $19,000.00 91 5 foot Drop Manhole Extra Depth 5 VF $350.00 $1,750.00 92 5 foot Shallow Manhole 10 EA $7,000.00 $70,000.00 93 5 foot Type A Manhole(0'-6'Depth 10 EA $12,000.00 $120,000.00 94 5 foot Type A Manhole Extra Depth 10 VF $350.00 $3,500.00 95 5 foot Fiberglass Manhole(0'-6'D 5 EA $7,500.00 $37,500.00 96 5 foot Fiberglass Manhole Extra Dept 5 VF $300.00 $1,500.00 97 5 foot Fiberglass Drop Manhole(0'- 2 EA $8,500.00 $17,000.00 98 5 foot Fiberglass Drop Manhole Extra 5 VF $350.00 $1,750.00 99 5 foot Fiberglass Type A Manhole(0' 10 EA $12,000.00 $120,000.00 Monday,November 02,2020 Page 4 of 9 City Project Numbers 102082 DOE Number 0132 Contract Name Sanitary Sewer Emergency Response Contract 2019 Estimate Number 23 Contract Limits All Council Districts Payment Number 23 Project Type Sewer For Period Ending 10/15/2020 Project Funding 100 5 foot Fiberglass Type A Manhole Ext 10 VF $350.00 $3,500.00 101 Concrete Collar 23 EA $500.00 $11,500.00 4 $2,000.00 102 Manhole Vacuum Testing 23 EA $300.00 $6,900.00 4 $1,200.00 103 Manhole Adjustment,Major 5 EA $2,500.00 $12,500.00 104 Manhole Adjustment,Minor 5 EA $1,500.00 $7,500.00 105 Manhole Adjustment,Major w/Cover 5 EA $3,500.00 $17,500.00 106 Epoxy Manhole Liner 50.9 VF $350.00 $17,815.00 107 Abandon Manhole 7 EA $1,000.00 $7,000.00 2 $2,000.00 108 Remove 4 foot Sewer Manhole 5 EA $1,200.00 $6,000.00 109 Remove 5 foot Sewer Manhole 5 EA $1,400.00 $7,000.00 110 Remove Sewer Junction Structure 2 EA $3,500.00 $7,000.00 1 $3,500.00 111 16 inch Sewer Abandonment Plug 2 EA $2,500.00 $5,000.00 112 18 inch Sewer Abandonment Plug 2 EA $3,000.00 $6,000.00 113 20 inch Sewer Abandonment Plug 2 EA $3,500.00 $7,000.00 114 21 inch Sewer Abandonment Plug 2 EA $3,500.00 $7,000.00 . 115 24 inch Sewer Abandonment Plug 2 EA $4,000.00 $8,000.00. 116 27 inch Sewer Abandonment Plug 2 EA $4,500.00 $9,000.00 117 30 inch Sewer Abandonment Plug 2 EA $4,500.00 $9,000.00 118 36 inch Sewer Abandonment Plug 2 EA $5,000.00 $10,000.00 119 42 inch Sewer Abandonment Plug 2 EA $5,500.00 $11,000.00 120 48 inch Sewer Abandonment Plug 2 EA $6,000.00 $12,000.00 1 $6,000.00 121 54 inch Sewer Abandonment Plug 2 EA $6,500.00 $13,000.00 122 Sanitary Sewer Line Grouting 77 CY $250.00 $19,250.00 22 $5,500.00 I23 Concrete Rip-Rap 20 SY $250.00 $5,000.00 65 $16,250.00 124 Large Stone Rip-Rap,Dry 20 SY $250.00 $5,000.00 125 Large Stone Rip-Rap,Grouted 20 SY $350.00 $7,000.00 126 Imported Embedment/Backfill,CSS 50 CY $250.00 $12,500.00 127 Imported Embedment/Backfill,CLSM 25 CY $250.00 $6,250.00 50 $12,500.00 128 Imported Embedment/Backfill,Crush 25 CY $25.00 $625.00 82 $2,050.00 129 Topsoil 50 SY $25.00 $1,250.00 10 $250.00 130 Block Sod Placement 925 SY $15.00 $13,875.00 950 $14,250.00 131 Seeding,Hydromulch 25 SY $15.00 $375.00 132 Seeding,Soil Retention Blanket 25 SY $15.00 $375.00 133 5 foot Wide Asphalt Pavement Repair, 100 LF $63.00 $6,300.00 Monday,November 02,2020 Page 5 of 9 City Project Numbers 102082 DOE Number 0132 Contract Name Sanitary Sewer Emergency Response Contract 2019 Estimate Number 23 Contract Limits All Council Districts Payment Number 23 Project Type Sewer For Period Ending 10/15/2020 Project Funding 134 6 foot Wide Asphalt Pavement Repair, 100 LF $70.00 $7,000.00 135 7 foot Wide Asphalt Pavement Repair, 100 LF $75.00 $7,500.00 136 8 foot Wide Asphalt Pavement Repair, 100 LF $95.00 $9,500.00 137 9 foot Wide Asphalt Pavement Repair, 100 LF $115.00 $11,500.00 138 10 foot Wide Asphalt Pavement Repair I00 LF $130.00 $13,000.00 139 5 foot Wide Asphalt Pavement Repair, 100 LF $70.00 $7,000.00 140 6 foot Wide Asphalt Pavement Repair, 100 LF $78.00 $7,800.00 141 7 foot Wide Asphalt Pavement Repair, 100 LF $82.00 $8,200.00 142 8 foot Wide Asphalt Pavement Repair, 100 LF $100.00 $10,000.00 143 9 foot Wide Asphalt Pavement Repair, 100 LF $125.00 $12,500.00 144 10 foot Wide Asphalt Pavement Repair 100 LF $140.00 $14,000.00 145 5 foot Wide Asphalt Pavement Repair, 100 LF $80.00 $8,000.00 146 6 foot Wide Asphalt Pavement Repair, 100 LF $82.00 $8,200.00 147 7 foot Wide Asphalt Pavement Repair, 100 LF $88.00 $8,800.00 148 8 foot Wide Asphalt Pavement Repair, 100 LF $105.00, $10,500.00 149 9 foot Wide Asphalt Pavement Repair, 100 LF $130.00.,-$13,000.00 150 10 foot Wide Asphalt Pavement Repair 100 LF $150.00 $15,000.00 151 Asphalt Pavement Repair Beyond Defin 100 SY $35.00. $3,500.00 152 Asphalt Pavement Repair Beyond Defin 100 SY $40.00 $4,000.00 153 Asphalt Pavement Repair Beyond Defin 100 SY $45.00 $4,500.00 154 Concrete Pavement Repair,Residentia 100 SY $105.00 $10,500.00 155 Concrete Pavement Repair,Arterial/ 100 SY $115.00 $11,500.00 156 7 inch Concrete Curb and Gutter 50 LF $55.00 $2,750.00 157 9 inch Concrete Valley Gutter,Resid 50 SY $105.00 $5,250.00 158 11 inch Concrete Valley Gutter,Arte 50 SY $115.00 $5,750.00 159 6'Type A MH wi/conshield in shafts(Add#1) 2 EA $28,500.00 $57,000.00 2 $57,000.00 160 Site Preperation and Rock Road(Add#1) 8 DY $4,620.00 $36,960.00 8 $36,960.00 161 Xylem bypass pumping(Add#1) 1 LS $218,844.32 $218,844.32 1.94735 $426,166.49 162 Ace Pipe Cleaning(Add 91) 1 LS $34,859.98 $34,859.98 1.18933 $41,460.02 163 Xylem 15%profit and overhead(Add#1) 1 LS $32,826.65 $32,826.65 1,30934 $42,981.25 164 Ace Pipe 15%provt and overhead(Add#1) 1 LS $5,229.00 $5,229.00 1.18933 $6,219.01 165 Junction Box for Haltom Rd.(Add#1) 1 LS $95,000.00 $95,000.00 1 $95,000.00 166 Bypass Pumping(Add#I) 1 LS $117,126.58 $117,126.58 1 $117,126.58 167 FloNvable Fill(Add#1) 50 CY $250.00 $12,500.00 50 $12,500.00 Monday,November 02,2020 Page 6 of 9 City Project Numbers 102082 DOE Number 0132 Contract Name Sanitary Sewer Emergency Response Contract 2019 Estimate Number 23 Contract Limits All Council Districts Payment Number 23 Project Type Sewer For Period Ending 10/15/2020 Project Funding 168 Final Back-fill and Clean up of Area(Add#1) 5 DY $4,620.00 $23,100.00 5 $23,100.00 169 Bypass Pumping Tear Down+15%(Add 41) 1 EA $16,186.50 $16,186.50 1 $16,186.50 170 Odor Control unit(Add#1) I EA $15,000.00 $15,000.00 1 $15,000.00 171 Joint Repairs(Add#2) 1 EA $6,500.00 $6,500.00 1 $6,500.00 172 10'Dia Shaft 9'Deep(Add#2) 1 EA $9,000.00 $9,000.00 1 $9,000.00 173 Cut hole in Existing Pipe and Insert Plug(Add#2) 1 EA $2,500.00 $2,500.00 1 $2,500.00 174 Remove Liner Plate(Add#2) 1 EA $1,500.00 $1,500.00 1 $1,500.00 175 Concrete Path(Add#2) 38 SY $95.00 $3,610.00 38 $3,610.00 176 Set 30"Cap and Restraint incl Fittings(Add#2) 1 EA $8,500.00 $8,500.00 1 $8,500.00 177 Remove and Replace 6'MH Cone and i EA $7,500.00 $7,500.00 1 $7,500-00 Replace(Add#2) 178 Remove and Replace Merer to Remove I EA $4,500.00 $4,500.00 1 $4,500.00 Obstruction(Add#2) 179 Labor per day(Add#2) 2 DY $5,500.00 $11,000.00 2 $11,000.00 A18 12-inch PVC Sewer Pipe, 10'to 12'Depth(Add#3) 227.4 LF $75.00 $17,055.00 269 $20,175.00 -A18 42-inch Wood Box Tunnel w/12"Sewer Pipe(Add#3) 390 LF -$700.00 $273,000.00 398 $278,600.00 A18 42"Wood Box Tunnel 6 LF $890.00 $4,800.00 6 $4,800.00 A18 12"DI Pipe 20 LF $250.00 $5,000.00 20 $5,000.00 A18 DI Fittings 0.15 TN $8,500.00 $1,275.00 0.15 $1,275-00 --- ----- --------- ----------- - ------- ---- Sub-Total of Previous Unit $6,883,172.03 $1,420,399.84 ------------------------------ --------- Monday,November 02,2020 Page 7 of 9 City Project Numbers 102032 DOE Number 0132 Contract Name Sanitary Sewer Emergency Response Contract 2019 Estimate Number 23 Contract Limits All Council Districts Payment Number 23 Project Type Seiver For Period Ending 10/152020 Project Funding Contract Information Summary Original Contract Amount $1250,000.00 Chanf4e Orders Change Order Number 1 $170,420,00 Total Contract Price $6,883,172.03 Date/%Z-2L) Total Cost of Work Completed $1,420,399.85 Contra Aor tJ Less 0 %Retained $0.00 Date!!--4;1v Net Earned $1,420,399.84 inspection Su ervisor Earned This Period $99,635.00 Retainage This Period $0.00 Date b ��O Less Liquidated Damages ojeet Manager � I �� Days @ I Day $0.00 tjDate LessPavement Deficiency $0,00 Asst.DirectorfrPW Less Penalty $0.00 2efae ti" Date 8,2020 ceastovee,Ha.a (Dee7,20201127CS ate Less Previous Payment $1,321,764.84 Director/Contracting Department Plus Material on Band Less 15% $0.00 Balance Due This Payment $98,635.00 Monday,November 02,2020 Page 8 of 9 Im tO R.T O RT H rev 03/05/07 WATER ENGINEERING&FISCAL SERVICES FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:23 NAME OF PROJECT: Sanitary Sewer Emergency Response Contract 2019 PROJECT NO.: 102082 CONTRACTOR: Circle"C"Construction CITY PROJECT 102082 PERIOD FROM:09/16/20 TO: 10/15/20 FINAL INSPECTION DATE: 10/15/2020 WORK ORDER EFFECTIVE:9/27/2019 CONTRACT TIME: 365 0 WD CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 1 16. 1 2. 1 17. 1 3. 1 18. 1 4. I 19. 1 5. 1 20. 1 6. l 21. l 7. 1 22. 1 8. 1 23. I 9. 1 24. 1 10. 1 25. 1 11. 1 26. 1 12. 1 27. l 13. 1 28. 1 14. 1 29. 1 15. 1 30. 1 31. SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS THIS 30 30 PERIOD PREVIOUS PERIOD 355 355 TOTALS 385 TO DATE 385 *REMARKS: CONTRACTOR DATE INSPECTOR DATE Capital Projects Delivery-,Water Department The City-of Fort Worth•1000 Throcicinorton Street•Fort Worth,TX 76012-6311 (817)392-4477•Fax:(817)392-8460 FORTWORTH WATER ENGINEERING &FISCAL SERVICES PIPE REPORT FOR: PROJECT NAME: Sanitary Sewer Emergency Response Contract 2019 PROJECT NUMBER: 102082 DOE NUMBER: WATER PIPE LAID SIZE TYPE OF PIPE LF FIRE HYDRANTS: VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF Fiberglass Sewer Pipe 48" Fiberglass Sewer Pipe 40' Fiberglass Sewer Pipe 30" Fiberglass Sewer Pipe 20' DIP 30" DIP 10, SDR-26 PVC 24" SDR-26 PVC 30' SDR-26 PVC 1211 SDR-26 PVC 269' DIP 12 " DIP 398 ' PIPE ABANDONED SIZE TYPE OF PIPE LF Concrete 48 " Concrete 30' Concrete 24" Concrete 30' Concrete 12 " Concrete 758' DENSITIES: NEW SERVICES: WATER ENGINEERING&FISCAL SERVICES The City of Fort Worth^ 1000 Throckmorton Street•Fort Worth,TZ 76012-6311 (817)392-4477 •Fax: (817)392-8460 FORTWORTH November 02,2020 William B. Schultz dba Circle C Construction PO BOX 40328 Fort Worth,TX 76140 Re:Acceptance Letter Project Name: Sanitary Sewer Emergency Response Contract 2019 Project Type: Sewer Project Ns: 102082 D.O.E. Ns: N/A Contract Ns: 52751 Dated: 8/20/2019 Gentleman: On October 15,2020 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 October 15,2020,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, ( - � [157 n� Tony Sholola,P.E.,Assistant Director Water Department ivrn / 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 Chris Underwood,Project Manager Chris Underwood,Consultant Teri Skelly Circle C Construction,Contractor David Johnson,Inspection Supervisor,Water Engineering and Fiscal Services Paul Gieger,Inspector,Water Engineering and Fiscal Services 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 Cp Printed on recycled paper FORTWORTH REV:02/20107 Capital Projects Delivery,Water Department PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA EWater&%neeringlnspector ntractor Project Name "Construction Sanitary Sewer Emergency Res onse Contract 2019 DOENmnber ieger 102082 lYaterEngineeringLrspect°r Project Manager ❑Water Q waste water ❑Storm Drainage ❑Pavement Chris Underwood Initial Contract knount Project D! ctrlty $1,250,000.00 p Slmple p Routine QQ Complex Final ContractAnmzmt Date $1,420,399.84 10/15/2020 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 I Submission of Documents 2 Y 3 8 6 2 Public Notifications 5 Y 3 20 15 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 3 60 45 5 Work Performed 15 Y 3 60 45 6 Finished Product IS Y 3 60 45 7 Job Site Safety 15 Y 3 60 45 8 Traffic Control Maintenance 15 Y 3 60 45 9 Daily Clean U 5 Y 3 20 15 10 Citizen's Complaint Resolution 5 Y 3 1 20 15 11 Pro pen),Restoration 5 Y 3 20 15 12 After Hours Response 5 Y 3 20 15 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 346 BONUS POINTS(25 Maximum)(B) III}CONTRACTOR'S RATING TOTAL SCORE(TS) 346 Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS]*100%) 346 / 448 = 77% Performance Category Good <20%=Inadegztate 20%to<40%=Deficient 10%to<60%=Standard 60915 to<80%=Good >_80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature Inspector h Signature Contractor Signature Inspector's Supervisor CONTRACTOR'S COMMENTS Capital Projects Delivery,Water Department The City of Fort Worth•1000 Throckmorton Sheet•Fort Worth,TX 76012-6311 (817)392-4477 o Fax:(817)392-8460 FQRTWORTH REV:o2rz2107 Capital Projects Delivery,Water Department CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORMATION Date: 15-Oct-20 fNanre of Contractor Project Nanre Circle"C"ConstLuction Sanitary Sewer Emergent Response Contract 2019 Wafer Engineering inspector Project Manager Paul L.Gieger Chris Underwood DOENumber Project Dif ic"lq- Type of Contract 102082 ©Simple Q Routine Q Complex__]❑Water 21 Waste Water ❑Storm Drainage ❑Pavement Inflial Contract Amount Final Contract Amount $1,250,000.00 $1,420,399,84 M PERFORMANCE EVALUATION 0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent ELEMENT I RATING ELEMENT RATING (0.4) (0-4) INSPECTION EVALUATION _ PLANS&SPECIFICATIONS 1 Availability of Inspector I 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 12 Clarity&Sufficiency of Details y 3 Accuracy of Measured Quantities 13 Applicability ofSpecifications / 4 Display Of Professionalism 14 Accuracy of Plan Quantities 5 Citizen Complaint Resolution IpRomCT MANAGER EVALUATION f4 6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Time - 3 Communication 2 Timliness of Contractor Pavnients 4 Resolution of Utility Conflicts 3 Bid Opening,to Pre-Con Meeting Timeframe 111)COMMENTS&SIGNATURES - COMMENTS Signature Contractor G.Signature Inspector Signature Inspector's Supervisor INSPECTOR'S COMMENTS i 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.52751-COI F�ECEiVED E:'-�Q ?u`w'PV73I u T i Pon Worth JUN 12 2020 r' r"— Change Order request CRYOFFORT 41'ORRt Project Name: Sanitary Sewer Emergency Response Contract CitySec No,: 52751 -� CR'lSECRETARy ProjectNo.(s): t02e82 DOENo. N/A CilyProJ.No.: 10Z082 Project Description; Emergency Sewer RepaldReplacement in AD Council Districts Conlra*rl Volllam J.SoN114 Inc.dba Grcia C ConstrucUan Co. Change Order# Dale 6/10/2020 CKy Protect Mgr-1 Chris Underwood City Inspector. Paul Gleger Phone Number. 817-392 2629 Phone Number. 817-302-�71 Dept, Sewer C1 01als I Conlract Time Originat Contract Amount $1,250,000.00 I (Calenderda st Extras to Data $1,250,000.00 365 ; Credits to Date Pending Change Orders(In M&C Process) Contract cost to Date $1,250,000.00 1 $1,250,000.00 1365 Amount of Proposed Change Order $170,420.00 170,420.00 Revised Contract Amount 1,420,420.00 $1,420, 20.0D 1365 Original Funds Avallable for Change Orders Remalntag Funds Available for(his CO Additional Funding.of necessary) 1 $170,420.00 L $170,420.00 CHANGE ORDERS to DATE(INCLUDING THiS ONE)AS%OF ORIGINAL CONTRACT MAXALLOWABLECONTRACTAMOUNT(ORIGINAL CONTRACT COST 25Y) $1,562,50D.00 JUST( (CATION REASONS)` OR ONA GE ORDER One of several emergency work orders recently issued Included one t'br the emergency replacement of a i deteriorated public sanitary sewer main located within Shady Oaks Country Club.Change Order No.1.will provide funding to the original contract sufficient to complete this work. I I It is understood and agreed that the acceptance of this Change Order by the contractor c:onsti(utes an accord and satisfaction and represents payment in full(both time and money)Wait costs arising outof,er incidental to,the above Change Order. CanfraPIQr S Company Rams Ca_ntraotorName Con(rac(or Slgnatu_ra Date �ntan,r.sdxn�mo.aaacuctoccou��tturco. Teri Skelly �• �� zz 4EAlstant Oate ry Pro_act onager D_ate ) J erDe t Date onstr otlogSu erYlsor N'aterge I Date -r Jun 11,2020 C, a[fome Data Ass,siant City Manager Dat® Jun11,2010 ,n Ew Jun 11,2020 CuuncllAcfian if.Required �,� M&C Plumber ZO 0376 M&C Date Approved 602020_ • t etags: aoao-c�(o gq F(:>n-r Wo_P,-r m City of Fort Worth Change Order Additions Project Name I Sanitary Sewer Emergency Response Contract City Sec No.: 52751 Project No.(s): 102082 DOE No. N/A City Proj.No.: 102082 Project Emergency Sewer Repair/Replacement in All Council Districts Description Contractor William J.Schultz,Inc.dba Circle C Construction Co. Change Order:= Date: 6l10l2020 City Project Mgr. Chris Underwood City Inspector FPaul Gieger ADDITIONS DEPT Qty Unit Unit Cost Total 1 Work Order Mobilization Sewer 1.00 EA $3,000.00 $3,000.00 71 Pre-CCTV Sewer 757.40 LF $15.00 $11,361.00 72 Post CCTV Inspection Sewer 617.40 LF $10.00 $6,174.00 73 Trench Safety Sewer 227.40 LF $10.00 $2,274.00 74 4-foot MH 0'to 6'depth Sewer 2.00 EA $6,500.00 $13,000.00 75 4400t MH Extra Depth Sewer 7.90 VF $250.00 $1,975.00 76 4-foot Drop MH 0'to 6' Sewer 1.00 EA $7,500.00 $7,500.00 77 4-foot Drop MH Extra Depth Sewer 5.00 VF $300.00 $1,500.00 101 Concrete Collar Sewer 3.00 EA $500.00 $1,500.00 102 MH Vacuum Testing Sewer 3.00 EA $300.00 $900.00 106 Epoxy MH liner Sewer 30.90 VF $350.00 $10,815.00 107 Abandon MH Sewer 2.00 EA $1,000.00 $2,000.00 122 Sanitary Sewer Line Grouting Sewer. _ 22.00 CY $250.00 $5,500.00 130 Block Sod Replacement Sewer - 900.00 SY $15.00 $13,500.00 180 12-inch PVC Sewer Pipe,IYto 12'Depth Sewer- 227.40 LF $75.00 $17,055.00 181 42-inch Wood Box Tunnel w/12-inch Sewer Pipe Sewer- - 103.38 LF $700.00 $72,366.00 Sewer $170,420.00 Page 2 of 4 Additions Sub Total 1$170,426.00 City of Fort Worth —®�� — — Change Order Deletions Project Name Sanitary Sewer Emergency Response Contract City Sec No.: 52751 Project No.(s): 102082 DOE No. N/A City Proj.No.: 102082 Project Description Emergency Sewer Repair/Replacement in All Council Districts Contractor William J.Schultz,Inc.dba Circle C Construction Co. Change Order: F1 I Date 6/10/2020� City Project Mgr. Chris Underwood City Inspector: Paul Gieger DELETIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total Sewer Page 3 of 4 Deletions Sub Total MNUBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders CO# DATE AMOUNT Total $0.00 Page 4 of 4 Contract Compliance Manager By signing I acl mowledge that I am the person responsible for the monitoring and administration of this contract;including ensuring all performance and reporting requirements. 'L S gnature J G�l�fg LLOD i Name of Employee' Title ATTEST: h ' Mary I Kayser a + City Secretary C 19 of Fora Worth, Texas Mayon and CouncH Communp'cafQoln DATE: Tuesday, June 2, 2020 DEFERENCE NO.: **M8,C 20-0376 LOG NAME: 6018EMERCONCOIR1-CIRCLEC SUBJECT: Authorize Execution of a Change Order in the Amount of$170,420.00 to 2018-SS Emergency Response Contract with William J. Schultz, inc. dba Circle C Construction Company to Fund Emergency Work Ordered Under the Contract;Adopt Appropriation Ordinance to Fund Change Order No. 1 and the First Renewal in the Amount of$1,250,000.00 (ALL COUNCIL DISTRICTS) RECOMMENDATION: it is recommended that the City Council: 1.Authorize Change Order No. 1 in the amount of$170,420.00 to 2018-SS Emergency Response Contract with William J. Schultz, inc. dba Circle C Construction Company (CSC No. 52751)to fund emergency work ordered under the contract;and 2.Adopt the attached Appropriation Ordinance increasing receipts and appropriations in the Water& Sewer Capital Projects (W&S Capital Projects) Fund in the amount of$1,670,420.00,transferred from available funds within the Water&Sewer Fund, for the change order and continued funding of 2018-SS Emergency Response contract(City Project No. 102082). DISCUSSION: On August 20,201-9,the City Council authorized a contract in the amount of$1,250,000.00, (City Secretary Contract No. 52751, Mayor&Council 19-0047),for the 2018-SS Emergency Response project and provided for the option of two renewals. One of several emergency work orders recently issued included one for the emergency replacement of a deteriorated public sanitary sewer main located within Shady Oaks Country Club. Change Order No. 1 is necessary to add funding in the amount of$170,420.00 to the original contract sufficient to complete this work. The City and the Contractor desire to exercise the first renewal of the contract in the amount of $1,250,000.00 and with the same terms and conditions at this early date due to the exhaustion of funds. The work to be performed under this contract consists of replacing and/or relocating sewer mains, services, and other pertinent construction required in response to emergency sanitary sewer main break incidents. In addition to the contract renewal amount, $250,000.00 is required for project management, real property acquisitions, material testing, and inspection. Appropriations for 2018-SS Emergency Response project are as depicted below: Fund Existing Additional Project Total* Appropriations Appropriations IN&S Capital Projects - Fund $1,500,000.00 $1,670,420.00 $3,170,420.00 56002 liProject Total II$1,500,000.00 1I$1,670,420.00 I$3 170 420.00I 'Numbers rounded for presentation purposes. This project will have no impact on the Water Department's operating budget when completed. This contract will expire when the contract amount is exhausted or one year after the effective date,whichever occurs later. MWWBE OFFICE-William J. Schultz, Inc. dba Circle C Construction Company is in compliance with the City's BDE Ordinance by documenting good faith effort on the first renewal. The City's goal on this project is four percent. MWWBE OFFICE-A waiver of the goal for MBE/SBE subcontracting requirements was requested by the Department and approved by the OBD, in accordance with the MWBE or BIDE Ordinance, because the public or administrative emergency exists which requires the goods or services to be provided with unusual immediacy. This project is located in ALL COUNCIL DISTRICTS. FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies that funds are available in the current operating budget of the Water& Sewer Fund, and upon approval of the above recommendation and adoption of the attached appropriation ordinance, funds will be available in the current capital budget, as appropriated, in the Water&Sewer Capital Projects (W&S Capital Projects) Fund for 2018-SS Emergency Response project. Prior to any expenditure being incurred, the Water Department has the responsibility of Verifying the availability of funds. FUND IDENTIFIERS (FIDs): TO Fund Department Account. Proms ject Progra m�Activity Budge f Reference# �Amounf� ID ID I --_+ ——I_ Year —�_ (Chartfield 2) FROM Fund _ �IDepartment Account Project �rogramAc4�—�ivifyi Budget Reference# 1 nd mou _` ID I ID "—I _Year (Chartfield 2_—J— CERTIFICATIONS: Submitted for City Manager's Office by: Dana Burghdoff (8018) Originating Department Head: Chris Harder (5020) Additional Information Contact: Chris Underwood (2629) ATTACHMENTS 1. 6018EMERCONC01R1-CIRCLECCompliance.pdf (CFWlnternal) 2. 6018EMERCONCOl Rl-CIRCLEC Form 1295 lof2.pdf (CFW Internal) 3. 6018EMERCONCOI R1-CIRCLEC Funds Avail.docx (CFW Internal) 4, 6018EMERCONC01 R1-CIRCLEC SAM.pdf (CFW Intemal) 5. 6018EMERCONC01 R1-CIRCLEC Waiver.pdf (CFW Internal) 6. 6018EMERCONC01 R1-CIRCLEC 56002 A020.docx (Public) 7. 6019EMERCONCOI Rl-CIRCLEC FID Table(NN 05.04.20).xlsx (CM Internal) CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT ❑ AIA Document G707 CONTRACTOR ❑ SURETY ❑ OTHER ❑ Bond No.TXC612312 TO OWNER: ARCHITECT'S PROJECT NO.: City Project No.102082-First Renewal City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76111 CONTRACT FOR: Utility Improvements CONTRACT DATED: June 2,2020 PROJECT: (nanze,address) First Renewal-Sanitary Sewer Emergency Response Contract 2019 in the City of Fort Worth,TX In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert nante and addt•ess of Surety) Merchants Bonding Company(Mutual) 2100 Fleur Drive Des Moines,IA 50321-1158 ,SURETY on bond of (Insert rranre and address of Contractor) Wiliam 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 76111 OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand this date: October 15,2020 (Insert in writing the month followed by the numeric date and year.) Merchants Bonding Company(Dlutual) (Sarev) . (Signaiare ofawltori_ed representative) Attest: Witness-as to Surety: Sheryl A.Klutts,Attornev-in-Fact (Seel l: (Printed nante and title) John A.Miller,Witness 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•CONSENT OF SURETY COMPANY TO FINAL PAYMENT 0 April 1970 Edition s AIA0 One Page ©1970-THE AMERICAN INSTITUTE OF ARCHITECTS,1735 New York Ave.,NW,Washington,D.C.20006 ERCI ANT7S 7�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 Attorneys)-in-Fact,to sign its name as surety(les) 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-Attorney 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 Attomey 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 Attorney-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 Attomey-in-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 11th day of February 2020 •ssu°°rr° . :°' (ttPO/P' �O' a•Q�O� *.1' Pp•'�'��a MERCHANTS BONDING COMPANY(MUTUAL) 4A '; 0'VQ ��Ji•?,�: MERCHANTS NATIONAL BONDING,INC. -0— O•:a: erg:= —0— fi �=. 2003 ;�; oy, 1933 :c: By •v'•. • .ate.• •.,114j''• •••'. •.` .�� '`.°• President STATE OF IOWA °°''°°rrrs°•t°° °•°°o s°° COUNTY OF DALLAS ss. On this 11th day of February 2020 ,before me appeared Larry Taylor,to me personally known,who being by me duly swom 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. POLLY MASON o Commission Number 750576 My Commission Expires January 07,2023 (Votary 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 15th day of October,2020. �gPOR9.O��Z :�O�ORPOgp�9y� 1933 ;"C' Secretary °•�� rrretii�is•°°��`'• °••6�••�`fjO`��C• POA 0018(1/20) 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 William J Schultz Inc dba Circle C Construction Company, 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; Sanitary Sewer Emergency Response Contract 2019; City Project Nu 102082 First Renewal BY ✓�r�c�a —President Subscribed and sworn before me on this date 15 of October,2020. Notary Public ICHELE S:TMS R Tarrant,Texas =*:• ;* Notary r STATE O Notary ID#MY fin.Exp. 23