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Home My WebLink AboutContract 53362-FP1 FORTWORTH CSC No. 53362-FP1 S� Oo �_ 1 bl 003 U WATER DEPARTMENT C S 5-3 3 6 a ENGINEERING AND FISCAL SERVICES NOTICE OF PROJECT COMPLETION DOE. Ns: N/A Regarding contract 53362 for Sanitary Sewer Replacement M-402B Part I as required by the Nater Department as approved by City Council on 12/10/19 through M&C 19-0380 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: $2,600,364.20 Amount of Approved Change Orders: $2,000.00 Ns 1 Revised Contract Amount: $2,602,364.20 Total Cost Work Completed: $2,587,603.32 Less Deductions: Liquidated Damages: 0 Days @$630.00/Day Other Deductions(see comments): Total Deduction Amount: $0.00 Total Cost Work Completed: $2,587,603.32 Less Previous Payments: $2,532,099.81 Final Payment Due $55,503.51 U � V� � � o � 2 1 � 2 � Recommended for Acceptance Date Assistant Director, Water Department amniE6� ref' Jan 7 2021 Chris*--tier Harder(Jan 6,202110:23CST) Accepted Date Director, Water Department Dana Bu Gghdoff T) Jan 7, 2021 City Manager Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX . ................... .. ......... . Project Name: Sanitary Sewer Replacement IVI-402B Part I DOE. Ns:N/A Comments: FORTWORTH December 09,2020 S.J.Louis Construction of Texas,LTD 520 S. 6 Ave Mansfield,TY 76063 Re:Acceptance Letter Project Name: Sanitary Sewer Replacement IVI-402b Part I Project Type: Sewer Project Ns: 101003 DOE. Ns: N/A Contract Ns: 53362 Dated: 12/10/2019 Gentleman: On October 06,2020 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 October 09,2020. 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 October 09,2020,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.,Assistant Director,Water Department TS / cc: Chris Harder,P.E.,Director,Water Department Laura Wilson,P.E.,Deputy Director,Water Department Captain Michael Skains,Fire Department Bill Lundval,Sanitary Sewer Systems Superintendent,Water Department Cesar Zavala, Water Systems Superintendent,Water Department Walter Norwood,P.E.,Project Manager David R Johnson,Inspection Supervisor,Capital Projects Delivery,Water Department Jesse Reed,Inspector,Capital Projects Delivery,Water Department Amy R.Robinson,P.E., CDM Smith,Consultant S.J.Louis Construction of Texas,LTD,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 C. Printed on recycled paper PO 7203 Receipt 35075 12/10/2020 () 0 '2- /0) 003 C5 �5-33� � City Project Numbers 101003 DOE Number 0104 Contract Name Sanitary Sewer Replacement M-402B Part I Estimate Number 12 Contract Limits Adjacent to Concil District 4 in North Richland Hills Payment Number 12 Project Type Sewer For Period Ending 11/20/2020 Project Funding Project Manager UNKNOWN City Secretary Contract Number 53362 Inspectors Johnson / Reed Contract Date 12/10/2019 Contractor S.J.LOUIS CONSTRUCTION OF TEXAS,LTD Contract Time 120 CD Days Charged to Date 259 CD Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded ——---—————————————————————————————————— 1 56002-101003 $2,600,364.20 $3,828.05 $ +51,675.46 $55,503.51 56002--2060000--101003-RETAIN-- Total Cost of Work Completed $2,587,603.32 Less 0 %Retained $0.00 Net Earned $2,587,603.32 Earned This Period $55,503.51 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 $2,532,099.81 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $55,503.51 Tuesday,December 1,2020 Page 5 of 5 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name Sanitary Sewer Replacement M-402B Part I Contract Limits Adjacent to Concil District 4 in North Richland Hills Project Type Sewer City Project Numbers 101003 DOE Number 0104 Estimate Number 12 Payment Number 12 For Period Ending 11/20/2020 CD City Secretary Contract Number 53362 Contract Time 31ED Contract Date 12/10/2019 Days Charged to Date 259 Project Manager UNKNOWN Contract is 99.000 Complete Contractor S.J.LOUIS CONSTRUCTION OF TEXAS,LTD Inspectors Johnson / Reed Thursday,December 10,2020 Page 1 of 5 City Project Numbers 101003 DOE Number 0104 Contract Name Sanitary Sewer Replacement M402B Part I Estimate Number 12 Contract Limits Adjacent to Concil District 4 in North Richland Hills Payment Number 12 Project Type Sewer For Period Ending 11/20/2020 Project Funding Sewer Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 30 9999.0008 Temporary Irrigation,incl 1 LS $26,000.00 $26,000.00 1 $26,000.00 31 0171.0001 Construction Staking 1 LS $6,000.00 $6,000.00 1 $6,000.00 32 9999.0009 Tifruf Bermuda Sod Placeme 12000 SY $5.50 $66,000.00 13200 $72,600.00 33 0171.0009 Post Construction Grade Ve 1 LS $2,000.00 $2,000.00 1 $2,000.00 34 0171.0010 Redline(as-built utility 1 LS $2,000.00 $2,000.00 1 $2,000.00 35 9999.0010 6'Chain Link Fence and 5' 115 LF $66.00 $7,590.00 115 $7,590.00 36 3305.0103 Exploratory Excavation of 4 LF $700.00 $2,800.00 4 $2,800.00 37 9999.0011 Relocation of Oncor Power 1 EA $8,000.00 $8,000.00 1 $8,000.00 38 9999.0008 S.S.Construction Allowance(CO#1) 0.971428 LS $70,000.00 $67,999.96 IA* 3331.4514 48"Sewer Pipe(PVC,ASTM 1040 LF 1B* 3331.4514 48"Sewer Pipe(FRP,D326 1040 LF $1,019.00 .,059,760.00 1040 .1,059,760.00 2 3305.3015 48"Sewer Carrier Pipe(s 240 LF $1,013.00 $243,120.00 240 $243,120.00 3 3305.1206 68"Casing funnel Liner P 240 LF $2,161.00 $518,640.00 240 $518,640.00 4 3339.1205 6'Type A Manhole 3 EA $16,200.00 $48,600.00 3 $48,600.00 5 3339.1211 6'Tee Base Manhole 1 EA $18,000.00 $18,000.00 1 $18,000.00 6 9999.0001 6'Vented Tee Base MH w/ I EA $25,600.00 $25,600.00 1 $25,600.00 7 9999.0002 Wager-Odor Control Valve- 1 EA $9,600.00 $9,600.00 1 $9,600.00 8 3339.1203 6'Extra Depth Manhole 54.421 VF $276.00 $15,020.20 54.42 $15,019.92 9 3339.0001 Epoxy Manhole Liner 84 VF $381.00 $32,004.00 84 $32,004.00 10 3305.0112 Concrete Collar 4 EA $700.00 $2,800.00 4 $2,800.00 11 0241.2116 48"Sewer Abandonment Plu 2 EA $1,200.00 $2,400.00 2 $2,400.00 12 3301.0101 Manhole Vacuum Testing 5 EA $200.00 $1,000.00 5 $1,000.00 13 3305.0203 Imported Embedment/Backfi 190 CY $150.00 $28,500.00 190 $28,500.00 14 0241.2001 Sanitary Line Grouting 491 CY $100.00 $49,100.00 491 $49,100.00 15 9999.0004 Concrete Pad for Wager Odo 2 EA $1,000.00 $2,000.00 2 $2,000.00 16 3213.0301 4"Cone Sidewalk 500 SF $8.00 $4,000.00 5562 $44,496.00 17 3232.0100 Cone Ret Wall with Sidewa 90 SF $34.00 $3,060.00 90 $3,060.00 18 3110.0104 18"-24" Tree Removal(wi 2 EA $1,500.00 $3,000.00 4 $6,000.00 19 3110.0105 24"and Larger Tree Remov 6 EA $2,000.00 $12,000.00 7 $14,000.00 20 9999.0005 Repair/Replace Exist Irri 1 LS $48,000.00 $48,000.00 1 $48,000.00 21 9999.0006 Orange Construction Fencin 1 LS $3,000.00 $3,000.00 1 $3,000.00 Tuesday,December 1,2020 Page 2 of 5 City Project Numbers 101003 DOE Number 0104 Contract Name Sanitary Sewer Replacement M-402B Part I Estimate Number 12 Contract Limits Adjacent to Concil District 4 in North Richland Hills Payment Number 12 Project Type Sewer For Period Ending 11/20/2020 Project Funding 22 9999.0007 Under Canopy Tree Protecti 700 LF $95.00 $66,500.00 700 $66,500.00 23 3301.0001 Pre-CCTV Inspection 1055 LF $3.00 $3,165.00 1021 $3,063.00 24 3301.0002 Post-CCTV Inspection 2650 LF $3.00 $7,950.00 2455.8 $7,367.40 25 3125.0101 SWPPP >_1 acre I LS $8,000.00 $8,000.00 1 $8,000.00 26 3291.0100 Topsoil 850 CY $38.00 $32,300.00 850 $32,300.00 27 3305.0109 Trench Safety 1427 LF $2.00 $2,854.00 1427 $2,854.00 28 3303.0001 Bypass Pumping(North) 1 LS $1.00 $1.00 1 $1.00 29 3303.0001 Bypass Pumping(South) I LS $160,000.00 $160,000.00 1 $160,000.00 39 Preconstruction grade Verification(CO#1) 1 LS $2,000.00 $2,000.00 1 $2,000.00 46 6'Chain Limk Fence(CO#2) 40 LF $29.00 $1,160.00 40 $1,160.00 41 Seeding w/Curlex Erosion Protection(CO#2) 1334 SY $2.00 $2,668.00 1334 $2,668.00 -------------------------------------- Sub-Total of Previous Unit $2,604,192.16 $2,587,603.32 -------------------------------------- Tuesday,December 1,2020 Page 3 of 5 City Project Numbers 101003 DOE Number 0104 Contract Name Sanitary Sewer Replacement M-402B Part I Estimate Number 12 Contract Limits Adjacent to Concil District 4 in North Richland Hills Payment Number 12 Project Type Sewer For Period Ending 1 1/2 012 02 0 Project Funding Contract Information Summary Original ContractAmount $2,600,364.20 Change Orders Change Order Number 1 $2,000.00 Total Contract Price $2,604,19116 47 IZ to Zo Total Cost of Work Completed Date C I $2,587,603.32 Contractor Less 0 %Retained $0.00 Net Earned $2,587,603.32 Date 1.7—/— I�ection Qe i or Earned This Period $55,503.51 A �II� �G h Retains a This Period $0.00 �( �G �� p( +u� Date �2110/� g Less Liquidated Damages Project Manager f y� Days rJ /Day $0.00 N / N" Date LessPavement Deficiency $0.00 Asst.Director/TPW Less Penalty $0.00 �' �� Less Previous Payment $2,532,099.81 Christopher rder(Jan6,202110:23CST) Date Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $55,503.51 Tuesday,December 1,2020 Page 4 of 5 POT O T H rev 03/05/07 WATER ENGINEERING& FISCAL SERVICES FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:12 NAME OF PROJECT: Sanitary Sewer Replacement M-4702B Partl PROJECT NO.: 101003 CONTRACTOR: SJ Louis CITY PROJECT PERIOD FROM 09/01/20 TO: 11/20/20 FINAL INSPECTION DATE: 10/6/2020 WORK ORDER EFFECTIVE:12/4/2019 CONTRACT TIME: 120 O WD eQ 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 PERIOD PREVIOUS PERIOD 178 178 TOTALS TO DATE *REMARKS: CONTRACTOR DATE INSPECTOR DATE Capital Projects Deliveq,Water Department The Cin,of Fort Worth•1000 Throchnnorton Street•Fort Wordi,TX 76012-6311 (817)392-4477•Fax:(817)392-8460 CSC No. 53362-CO2 1FC_R-r W®m"'M City of Fort Worth r--.— Change Order Request Project Name:I Sanitary Sewer Replacement M-4026, Part 1 City Sec No.: 53362 Project No.(s):[ 66002 0700430 101003 DOE No. F N/A City Proj.No.: 101003 Project Description: Replace 48"Sanitary Sewer M-402B in Iron Horse Golf Course Contractor: S.J. Louis Construction of Texas,Ltd. Change Order 11 0 Date: 10/28/2020 City Project Mgr.I Walter Norwood City Inspector: Jesse Reed Phone Number: (817)392-5026 Phone Number: (817)392-8362 Dept. Water I Sewer I c o,_a0s Contract Time j� (Calender days) Original Contract Amount _ _ $2,600,364.20 $2,600,364.20 120 Extras to Date 05 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $2,600,364.20 $2,600,364.20 L12posed Change Order $0.00 $0,00 RevisedContract Amount $2,600,364.20 $2,600,364.20 315 Original Funds Available for Change Orders $78,011.00 $78,011.00 !I Remaining Funds Available for this CO $78,011.00 $78,011.00 IJ Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $3,250,455.25 JUSTIFICATION (REASONS)FOR CHANGE ORDER This Change Order Number 2 provides for Fence and Grass Replacement in Work Areas on the Golf Course.Staff recommends the addition of 190 calendar days for the Change Order for the time it look to reach an agreement with the golf course for the areas where grass would be installed and for the grass to grow. 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 incidenlal to,the above Change Order. Contraclor's Com an Name Contractor Name A Contractorgignature Date S.J.Louis Construction of Texas,Ltd. Adam Lundsford In eclor Date projpctManager _ Date r-14— ` —3 2d 2 z Director Water Del Date Construction Su ervlsor Water Dept) / Date Nov3,2020 Assistant City Attorney Date Assistant City Manager _ Date Nov 4,2020 zia —,#V-0 Nov S,2020 Council Action If Required) F7&C Number N/A M&C Date Approved I��— City of Fort Worth �- �— Change Order Additions Project Name Sanitary Sewer Replacement M-40213,Part 1 City Sec No.: 53362 Project No.(s): 56002 0700430 101003 DOE No. N/A City Proj.No.: 101003 Project Replace 48"Sanitary Sewer M-402B in Iron Horse Golf Course Description Contractor S.J.Louis Construction of Texas,Ltd. Change Order:= Date: 10/2812020 City Project Mgr. Walter Norwood City Inspector FJesse Reed _ ADDITIONS Il"EM bEC111�'fl� DCPT Q ty uniL �uni Co T ofaf 40 6'Chain Link Fence Sewer 40.00 LF $29.00 1$1,160.00 41 Grass Seeding with Curlex Erosion Protection Sewer 1334.00 SY $2.00 $2,668.00 I i I Water Sewer $3,828.00 Page 2 of 4 Additions Sub Total $3,828.00 -F 1 \�,70p FM City of Foil Worth Change Order Deletions Project Name Sanitary Sewer Replacement M-40213,Part 1 City Sec No.: 53362 i Project No.(s): 56002 0700430 101003 7 DOE No. N/A City Proj.No.: 101003 Project Description Replace 48"Sanitary Sewer M-402B in Iron Horse Golf Course Contractor S.J. Louis Construction of Texas,Ltd. Change Order: F-2—] Date 10/28/2020 City Project Mgr. Walter Norwood City Inspector: Jesse Reed _ DELETIONS ITEM DESCRIPTION ; ;I pEPT ` _ ,:02ty UniE Unit Cast—�Total 38 Sanitary Sewer Construction Allowance Sewer 0.05 LS $70,000.00 $3,828.00 I I Water Sewer $3,828.00 Page 3 of 4 Deletions Sub Total $3,828.00 MMBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total Previous Change Orders co# PATE AMOUNT 1 2/24/2020 $0.00 Total 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. Gl� 2� Signature Name of Employee Title ATTEST:( t OUTU I Mary I Kayser City Secretary FORTWORTH WATER ENGINEERING& FISCAL SERVICES PIPE REPORT FOR: PROJECT NAME: Sanitary Sewer Replacement M-402B Partl PROJECT NUMBER: 101003 DOE NUMBER: 104 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 Sewer 48" FRP 1040 PIPE ABANDONED SIZE TYPE OF PIPE LF Sewer 48" RCP 1040 DENSITIES: YES, & 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 FORT FORTHRH CONTRACTOR'S AFFIDAVIT OF RELEASE OF LIENS The City of Fort Worth PROJECT: Sanitary Sewer Replacement M-40213, Part 1 PROJECT NUMBER: OWNER: City of Fort Worth,Texas 101003 CONTRACTOR: S.J. Louis Construction of Texas, Ltd. 21910 ENGINEER: Shield Engineering Group, PLLC 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 contracts) 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 ``,�t1Ylp1��'' r1;,ja eol. ROARK ?_°� e4�Notary Puol;.-, State of Texas Comm.Expires 08-26-2023 Notaiy 10 -124104300 CONTRACTOR S.J. Louis Construction of Texas Ltd. BY �s . ,, Les Whitman Title President Subscribed and s orn to before me this 20th day of November , 20 20 Notary Public: My Commission xpires: tble172) Z? IL FORT WORTH CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS City of Fort Worth,TX PROJECT: Sanitary Sewer Replacement M-402B, Part 1 PROJECT NUMBER: OWNER: City of Fort Worth,Texas 101003 CONTRACTOR: S.J. Louis Construction of Texas Ltd. 21910 ENGINEER: Ishield Engineering Group,PLLC 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 Contractorfor damages arising in any mannerin 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 TINA M. ROARK Notary Public,State of Texas CONTRACTOR S.J. Louis Construction of Texas, Ltd. SV. Comm.Expires 08-26-2023 :,�yrF.. `�. ,/ /.� o,,°;,r� Notary ID 124104300 BY l� ,<Y�-Glhc�r—T Les Whitman TITLE President Subscribed and orn t(o�Ibefore me this 20th day of November , 2020 Notary Public: -Y►�l KU My Commission Expires: 5124/?)Z3 FORT WORTH CONSENT OF SURETY COMPANY TO FINAL PAYMENT City of Fort Worth,TX Bond No. 190042536 PROJECT: Sanitary Sewer Replacement M-402B,Part 1 PROJECT NUMBER: OWNER: City of Fort Worth Texas 1101003 CONTRACTOR: S.J. Louis Construction of Texas,Ltd. 121910 ENGINEER: IShield Engineering Group, PLLC 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 Contractorshall not relieve the Surety Company of any of its obligations to the Owner under the terns 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 20th day of November 2020 Liberty Mutual Insurance Company Surety Company By Authorized Representative Title Heather R. Goedtel,Attorney-in-Fact Address: 8400 Normandale Lake Blvd., Suite 1700 Bloomington, MN 55437 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. Libertx Liberty Mutual Insurance Company 11/I1 Utug° The Ohio Casualty Insurance Company Certificate No:3202635-190003 SURETY West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the'Companies'),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Blake S. Bohlig,Brian D.Carpenter,Kelly Nicole Enghauser,Heather R.Goedtel,Michelle Halter,Jessica Hoff,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 ifs 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�INSJJ P�IY INS& INSUgq The Ohio Casualty Insurance Company �`� ooaPOnar 2� 5J°off°Rqr"�y °kar?'p West American Insurance Company J 3 Fo fi VQ Fo m a 2 Fo fi ro 1912 0 1919 1991 /� ) (� U) dJ}�`rAc11u`�".aa 0�eAM25` a �s �NDIAHr' .da B r C r� * Y David M.Carey,Assistant Secretary State of PENNSYLVANIA County of MONTGOMERY ss (> On this 21st 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— `) > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. u a w Ca IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at ling of Prussia,Pennsylvania,on the day and year first above written. W n v> P PAS o 0 O QFi�'�\orrly rcc� COMMONWEALTH OF PENNSYLVANIA Q O O e0�� Notarial Seal � n2f� o OF � 9 Teresa Paslella,Notary Public ` C p Upper Merion rvrp.,Montgomery County By: ro C "` �3' My Commission Expires March 28,2021 E y ASyIVP Teresa Pastella,Notary Public 0 W N SARI'PU0\\ Member,Pennsylvania Association of Notaries CD N O 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 w°� o.E- Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o (D ARTICLE IV-OFFICERS:Section 12.Power ofAttomey. 3 o c` Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or the 2 a >. President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety >o roc 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 0?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 CO 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 All-Execution of Contracts:Section 5.Surety Bonds and Undertakings. r'- 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, F shall appoint such altomeys-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 anomeys-fn-fact subject to the limitations set forth in their respective powers of attomey,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 attomey 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 attomey of which the foregoing is a full,true and correct copy of the Power ofAttomey executed by said Companies,is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 20th day of November 2020 P�INSU� P�11 INS& �INSU� j4°aror�ro�fi �J`4onaorzgr'Pgy� �4P�ofi'ORaro fi COF r 1912 on o 1919 2 1991 0 � 'Ss � 3 6 �?y ��"a� s 3 By: d , +CHus da 0 HArarsa �NO1p1'P La Renee C.Llewellyn,Assistant Secretary LMS-12873 LMIC OCIC WAIC Multi Co 062018 FORT WORTH CONTRACTOR'S AFFIDAVIT OF y PAYMENT OF DEBTS AND CLAIMS City of Fort Worth,TX PROJECT: Sanitary Sewer Replacement M-40213, Part 1 PROJECT NUMBER: OWNER: City of Fort Worth,Texas 101003 CONTRACTOR: S.J. Louis Construction of Texas Ltd. 21910 ENGINEER: IShield Engineering Group, PLLC 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 Contractorfor damages arising in any mannerin 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 pY"�� TINA M. ROARK PV6�: I--Notary Public,State of Texas CONTRACTOR S.J. Louis Construction of Texas, Ltd. Comm.Expires 08-26-2023 Notary ID 124104300 BY !� �h-Gy�c�� Les Whitman TITLE President Subscribed ands orn to before me this 20th day of November , 20 20 Notary Public: -rvl My Commission Expires: FORT WORTH CONTRACTOR'S AFFIDAVIT OF RELEASE OF LIENS The City of Fort Worth PROJECT: Sanitary Sewer Replacement M-40213, Part 1 PROJECT NUMBER: OWNER: City of Fort Worth,Texas 101003 CONTRACTOR: S.J. Louis Construction of Texas, Ltd. 21910 ENGINEER: IShield En2ineering Group, PLLC The Contractor, in accordance with the Contract Documents,and in consideration for the full and final payment to the Contractorfor 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 andlor materials for the Project, except as listed below, have been paid in full for all labor andlor materials supplied to, for, through or at the direct or indirect request of the Contractorprior 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 ��YP�i,� r!N/ rvt. ROARK ,o1P�:..UB 4 2° ��:Notary Puo';c;, State of Texas Comm.Expires 08-26-2023 ',,F,or Notaiy tU 124104300 CONTRACTOR S.J. Louis Construction of Texas Ltd. By Les Whitman Title President i Subscribed and orn to before me this 20th day of November , 20 20 Notary Public: My Commission xpires: 021P(7,v Z? I FORTWORTHREV:02/22/07 Capital Projects Delivery,Water Department CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: I- l0 o Name of Canracior Projecl Nante S.J, LouN 5 Co,is'f- of Tv—)CAA, L+J 5A>J1A►R ! eIEOI 2 REPIACert ,Jr !Pater Engineering Inspector Project ifanager �TtSSE Rcec> �QRl-vct- tJoes-�Cf DOEAlumber Project Difficult), Tape of Contract 0104 QQ Simple Q Routine Q Complex ❑Water [Waste Water ❑Storm Drainage ❑Pavement Lifrial Contract Amormt Final Contract Amount $ Z(,ob 3t•y,L= 2 (.c`I l9z i4 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 H 1 Accuracy of Plans to Existing Conditions 3 2 Knowledge of Inspector• t{ 2 Clarity&Sufficiency of Details 3 3 Accuracy of Measured Quantities 4 3 Applicability of Specifications N 4 Display Of Professionalism H 4 Accuracy of Plan Quantities 3 5 Citizen Complaint Resolution 4 PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs y I Knowledge And/Or Problem Resolution y ADMINISTRATION 12 Availability of Project Manager N 1 Change Order Processing Time 3 3 Communication y 2 Tim]iness of Contractor Payments 1 4 Resolution of Utility Conflicts y 3 Sid Opening to Pre-Con Meeting Timeframe 2 III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature Inspector -- Signature Inspector's Supervisor INSPECTOR'S COMMENTS Capital Projects Delivery,Water Department Tlie City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-4477•Fqx:(817)392-8460 FORTWORTHREV:02/20/07 Capital Projects Delivery,Water Department PERFORMANCE EVALUATION OF CONTRACTOR n CONTRACTOR&PROJECT DATA Mane ojContraclw' Project Mane SJ Louis Sanitaiy Sewer Replacement M-402B Part lhater Engineering hnspector DOE Number Jesse Reed 104 Hater Engineering Inspector Project dlmnager ❑Water ❑✓ Waste Water ❑Storm Drainage ❑Pavement Walter Norwood Initial Contract Annount Project Dlffncultp $2,600,364.20 *Simple 0 Routine 0 Complex Final Contract Annomt Date $2,604,192.16 12/9/2020 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 2 8 4 2 Public Notifications 5 Y 2 20 10 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 15 Y 4 60 60 7 Job Site Safety 15 Y 3 60 45 8 Traffic Control lvlaintenance 15 Y 3 60 45 9 Daily Clean Up 5 Y 2 20 10 10 Citizen's Complaint Resolution 5 Y 1 3 1 20 1 15 11 Property Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 3 20 15 TOTAL ELEMENT SCORE(A) 354 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 354 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating(ITS/MS]'100%) 354 / 448 = 79% 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) i Signature Inspector Signature Contractor Signature Inspectot•'s Supervisor 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 CSC No. 53362-CO2 l°c31,"I- `Wo-o_,'>Hi City of Fork Worth �— Change Order Request Project Name:I Sanitary Sewer Replacement M•40213, Part 1 City See No.: 53362 Project No.(s):[ 56002 0700430 101003 DOE No. N/A CityPrcj.No.:J 101003 Project Description: Replace 48"Sanitary Sewer M-402B in Iron Horse Golf Course Contractor] S.J.Louis Construction of Texas,Ltd. Change Order it Date: 10/28/2020 City Project Mgr.[ Waller Norwood City Inspector: I Jesse Reed Phone Number: (817)392-5026 Phone Number:[ (817)392-8362 Dept. Water ! Sewer Totals Contract Time I (Calender days) Original Contract Amount _ _ $2,600,364.20 $2,600,364.20 120 Extras to Date 05 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date � $2,600,364.20 $2,600,364.20 125 Amount of Proposed Change Order $0.00 $0.00 190 Revised Contract Amount $2,600,364.20 $2,600,364.20 2,'3 Original Funds Available for Change Orders $78,011.00 $78,011.00 Remaining Funds Available for this CO $78,011.00 $78,011.00 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT I 0.00% MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) 1$3,250 455,25 JUSTIFICATION(REASONS)FOR CHANGE ORDER This Change Order Number 2 provides for Fence and Grass Replacement in Work Areas on the Golf Course.Staff recommends the addition of 190 calendar days for the Change Order for the time it took to reach an agreement with the golf course for the areas where grass would be installed and for the grass to grow. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full(both time and money)for all costs arising out of,or incidental to,the above Change Order. Contractor's Company Name Contractor Name J A gontractorsignature Dale S.J.Louis Construction of Texas,Ltd. Adam Lundsfordyj, In ector Date Proj ct Mana er Date f=�- d iySsrr jL�nfJ 6 -3 2d �� 2� Director Water Dept) Date Con$liucllon Supervisor Water Dept) Dale Nov3,2020 Assistant City Attorney Dale Assistant Clt Mana er Date Nov 4,2020 A8�� ._..,: Nov 5,2020 Council Action If Required) M&C Number N/A M&C Date Approved [—NIA—� FC--)P,-T '\'ATaZ 3r--F IHl City of Fort Worth �-� --- Change Order Additions Project Name Sanitary Sewer Replacement M-40213,Part 1 City Sec No.: 53362 Project No.(s): 56002 0700430 101003 DOE No. N/A Cily Prcj.No.: 101003 Project Replace 48"Sanitary Sewer M-402B in Iron Horse Golf Course Description Contractor S.J.Louis Construction of Texas,Ltd. Change Order:= Date: 10/28/2020 City Project Mgr. Walter Norwood City Inspector Jesse Reed ADDITIONS —11'EI :tSESCRIP IJO — — DEFT City Unit Unic Cost .ora2 40 6'Chain Link Fence Sewer 40.00 LF $29.00 J$1,160.00 41 Grass Seeding with Curlex Erosion Protection Sewer 1334.00 SY $2.00 $2,668.00 Water Sewer $3,828.00 Page 2 of 4 Additions Sub Total J$3,828.00 City of Foil Worth Change Order Deletions Project Name Sanitary Sewer Replacement M-402B,Part 1 City Sec No.: 1 53362 Project No.(s): 56002 0700430 101003 DOE No. = City Proj.No.: 101003 Project Description Replace 48"Sanitary Sewer M-402B in Iron Horse Golf Course Contractor S.J.Louis Construction of Texas,Ltd. Change Order: F2-] Dale 10/28/2020 City Project Mgr. Walter Norwood City Inspector: FJesse Reed DELETIONS ITEM DESCRIPTION °pEPTty ; Unit' Unit Cosi ToiaO 38 Sanitary Sewer Conslruction Allowance Sewer 0.05 LS a7C,000.00$3,828.00 Water Sewer $3,828.00 Page 3 of 4 Deletions Sub Total $3,828.00 MMBE Breakdown For this Change Order MWBE Sub Type of Service .. Amount For this CO U Total LE--$0.00 Previous Change Orders co# DATE AM_Q;UNT 2/24/2020 $0.00 I Total 10.00 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. GCS Signature Name of Employee Title ATTEST: ( �i� Mary J. Kayser City Secretary