HomeMy WebLinkAboutContract 51144-FP1�'��T�����
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WATER DEPARTMENT
ENGINEERING AND FISCAL SERVICES
NOTICE OF PROJECT COMPLETION
$2,883,880.00
DOE. Ns: N/A
Regarding contract 51144 for Sycamore Creek Relief Interceptor Phase I as required by the `�later Department as
approved by City Council on 6/26/18 through M&C G28754 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:
Amount of Approved Change Orders:
Revised Contract Amount:
Total Cost Work Completed:
Less Deductions:
Liquidated Damages:
Other Deductions(see comments):
Total Deduction Amount:
Total Cost Work Completed:
Less Previous Payments:
Final Payment Due
� _�
��, �� r � � �.J � �� . i �
Recommended for Acceptance
Assistant Director, Water Department
cHrista�Her Na�der
Christopher Harder (i�iay P,202113:57 CDTI
Accepted
Director, Water Department
r � � ��
� � /
Date
May 18, 2021
Date
��� �G������� May 18, 2021
Dana 6urghdoff (May P, 20 P:09 CDT��
City Manager Date ���
OFFICIAL REC�RD I
����-�-�x�:a�r=�:�-i
$0.00 Ns 1
CSC No. 51144-FP1
.���� � -- � o�a c�a
C s S 11 Ll�%
$2,883,880.00
$2,654,164.00
�0.00
$2,654,164.00
$2,521,455.80
$132,708.20
FT.1111DRTH, TX
Days @ $630.00/ Day
�.T,- --,...,_.-.�..._.�._.- , �. ._�..-.--.T.,_„-.,�,� o��,— , — -_ ��,. . ._ �. � _� _ _-..�. ,—n
Project Name: Sycamore Creek Relief Interceptor Phase I DOE. Ns: N/A
Cornments:
I�c,�.—�v V�h�e �
City Project Numbers 02200
Contract Name SycamoreCreel: Relief Interceptor Phase I
Contract Limits Gateway Park south to Union Pacific Railroad ROW
Project Type Sewer
5-6 n ��-- c� aaoa
c.s ,5 � � �� �
DOE Number 0901
Estimate Number 16
Payment Number 16
For Period Ending +/3Ur20� I
Project Funding
Project Manager Bierman
Inspectors Johnson / Die
Contractor Mountain Cascadc of Texas
11739 E FM 917
Alvarado, TX 76009
City Secretary Contract Number � 114�4
Contract Date 6/26/2013
Contract Time 990 CD
Days Charged to Date 792 CD
Contract is .000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
sl���lp- cGZ2ao -- Z,�s�S�,�$0 0.�o a-I��ZV�.sZ ___I_�2��(��2l�
�I�CzLI�ZaIzGUoo-- �G2Zv_C,-C-�'7��hJ --
Total Cost of Work Completed
Less 0 % Retained
Net Earned
Earned This Period $132,703.20
Retainage This Period $0.00
Less Liquidated Damages
� Days @ $0.00 / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$2,654,164.00
$0.00
$2,654, l 64.00
$0.00
$0.00
$0.00
$2,521,455.80
$0.00
$1 �2,705?0
Friday, May 14, 2021 PaQe 6 of 6
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CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name SycamoreCreek Relief Interceptor Phase I
Contract Limits Gateway Park south to Union Pacific Railroad ROW
Project Type Sewer
City Project Numbers 02200
DOE Number 0901
Estimate Number 16 Payment Number 16 For Period Ending
City Secretary Contract Number 51144
Contract Date 6/26/2015
Project Manager Bierman
Contractor Mountain Cascade ofTe�as
11729 E FM 917
Alvarado, TX 76009
Inspectors Johnson / Die
4/30/2021
CD
Contract Time 99�D
Days Charged to Date 792
Contract is 92.000 Complete
Friday, May 14, 2021 Page I of 6
City Project Numbers 02200
Contract Name SycamoreCreek Relief Interceptor Phase I
Contract Limits Gateway Park south to Union Pacific Railroad ROW
Project Type Sewer
Project Funding
Unit I Sanitary Sewer
DOE Number 0901
Estimate Number 16
Payment Number 16
For Period Ending 4/30/2021
Item Description of Items Gstimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
26 Imported Embedment/Backfill, CLSM 200 CY $120.00 $24,000.00 200 $24,000.00
27 3" Pavement Pulverization 2800 SY $9.00 $25,200.00 2761 $24,849.00
23 3" Asphalt Pavement, Type D 2300 SY $19.00 $53,200.00 2761 $52,459.00
29 Cement Modification, 26 Ibs/sy 36 TN $150.00 $�,400.00 3�.5 $�,32�.00
30 T�DOT and City of Fort Worth Traffic 1 LS $15,000.00 $15,000.00 1 $15,000.00
31 Construction Survey (Redline As-buil 1 LS $1,000.00 $1,000.00 I $1,000.00
32 Construction Stal:ing 1 LS $4,000.00 $4,000.00 1 $4,000.00
33 E�ploratory Excavation of Existing U 2 EA $1,300.00 $2,600.00 2 $2,600.00
34 SWPPP 1 LS $12,000.00 $12,000.00 1 $12,000.00
35 Construction Allowance (Sewer) 1 LS $150,000.00 $1�0,000.00
1 66" FRP SN46 Sanitary Sewer Pipe 1144 LF $520.00 $�94,880.00 1 l44 $�94,330.00
2 66" FRP SN72 Sanitary Sewer Pipe 36 LF $525.00 $18,900.00 36 $18,900.00
3 33" Tunnel Liner Plate & 66" Carrier 221 LF $1,900.00 $419,900.00 221 $419,900.00
4 34" Tunnel Liner Plate & 66" Carrier 373 LF $1,700.00 $634,100.00 373 $634,100.00
5 Reinforced ] 44" Diameter Polymer Man 1 LS $115,000.00 $11 �,000.00 1$115,000.00
6 3" SDR-26 PVC Sewer Pipe 20 LF $74.00 $1,430.00 20 $1,480.00
7 6" SDR-26 PVC Sewer Pipe 20 LF $70.00 $1,400.00 20 $1,400.00
8 Remove Sanitary Sewer Manhole 1 EA $2,500.00 $2,�00.00 1 $2,�00.00
9 Utility Marker Pole 3 EA $150.00 $4�0.00 3 $450.00
10 Concrete Curb & Gutter Replacement »0 LF $10.00 $5,�00.00 �36 $5,860.00
ll Concrete Valley Gutter Replacement 94 SY $70.00 $6,�30.00 199 $13,930.00
12 Concrete Driveway Replacement 270 SF $14.00 $3,730.00 1009 $14,126.00
13 Seeding, Hydromulch with Bindin� AQe 12500 SY $1.00 $12,500.00 12500 $12,500.00
14 Seeding, Hydromulch with Bindin� Age 7600 SY $1.00 $7,600.00 7600 $7,600.00
15 Junction Structure at Sta. 5+33.86 ( 1 LS $212,300.00 $212,500.00 1$212,800.00
16 Fontaine Series 95 Stop Lo�s - 70" O 10 EA $3,000.00 $30,000.00 10 $30,000.00
17 Fontaine Series 9� Stop Lo�s - 101.5 ] 0 EA $4,000.00 $40,000.00 10 $40,000.00
18 Warren Epoxy Protective Coatina for 1700 SF $20.00 $34,000.00 1700 $34,000.00
19 BypassPumping 1 LS $1�7,100.00 $1�7,100.00 1$1�7,100.00
20 Manhole Vacimm Testina 7 EA $140.00 $930.00 7 $930.00
21 Pre - CCTV Inspection ] 00 LF $1.00 $100.00
Friday, May 14, 2021 Pa�e 2 of 6
City Project Numbers 02200
Contract Name SycamoreCreek Relief Interceptor Phase I
Contract Limits Gateway Park south to Union Pacific Railroad ROW
Project Type Sewer
Project Funding
DOE Number 0901
Estimate Number 16
Payment Number 16
For Period Ending 4/30/2021
22 Post-CCTVInspection 1800 LF $1.00 $1,300.00 1730 $1,780.00
23 Temporary Chain Link Fencin� and Gat 7�00 LF $2.00 $15,000.00 7�00 $I�,000.00
24 Preparation and Implementation ofa 1254 LF $1.00 $1,284.00 1254 $1,234.00
2� Temporary AspUalt Pavin� Repair (2" 710 LF $50.00 $35,500.00
Sub-Total of Previous Unit �2,64>,534.00 $2,476,803.00
Unit II Water
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 8" PVC Water Pipe 338 LF $70.00 $23,660.00 363 $25,760.00
2 S" PVC Water Pipe (Sy Other Than Ope �0 LF $340.00 $17,000.00 50 $17,000.00
3 6" PVC Water Pipe 55 LF $55.00 $3,025.00 55 $3,02�.00
4 Ductile Iron Water Fittin�s w/ Restr 1 TO $2,000.00 $2,000.00 ] $2,000.00
� Removal of Water Valve I EA $300.00 $300.00 1 $300.00
6 8" Gate Valve 2 EA $1,600.00 $3,200.00 2 $3,200.00
7 6" Gate Valve 3 EA $1,000.00 $3,000.00 3 $3,000.00
8 Connection to Etistin� 4-12" Water M 3 EA $3,200.00 $9,600.00 3 $9,600.00
9 Cut & Cap Ex. Water Main to Abandon I EA $1,000.00 $1,000.00 1 $1,000.00
10 Concrete Sidewalk, Adjacent to Curb 9�0 SF $�.00 $4,7�0.00 2�3 $1,26�.00
11 Temporary Water Services 1 LS $2,400.00 $2,400.00 1 $2,400.00
12 Construction Survey (Redline As-buil 1 LS $2�0.00 $250.00 1 $250.00
13 Constniction Stal:in� 1 LS $1,000.00 $1,000.00 I $1,000.00
14 Imported EmbedmenUBackfill, CLSM ]00 CY $120.00 $12,000.00 20 $2,400.00
l� Salvage Fire Hydrant 2 EA $�00.00 $1,000.00 2 $1,000.00
16 Fire Hydrant Assembly 2 EA $3,400.00 $6,300.00 2 $6,300.00
17 Construction Allowance (Water) 1 LS $�0,000.00 $50,000.00
Sub-Total of Previous Unit �140,95>.00 �80,000.00
Alternative B
Item Description of Items Estimated Unit Unit Cost Estimated Completed Complefed
No. Quanity Total Quanity Total
Bl Reinforced 60" Dia. Type A Polymer M 6 EA $11,300.00 $70,300.00 6 $70,800.00
B2 Additional Vertical Depth on Reinfor 34 VF $443.00 $15,062.00 34 $15,062.00
B3 Reinforced 43" Dia. Polymer Manhole 1 EA $9,000.00 $9,000.00 1 $9,000.00
Friday, May 14, 2021 Pa�e 3 of 6
City Project Numbers 02200
Contract Name SycamoreCreek Relief Interceptor Phase I
Contract Limits Gateway Parl: south to Union Pacific Railroad ROW
Project Type Sewer
Project Funding
DOE Number 0901
Estimate Number 16
Payment Number 16
For Period Ending 4/30/2021
B4 Additional Vertical Depth on Reinfor 7 VF $3�7.00 $2,499.00 7 $2,499.00
Sub-Total of Previous Unit $97,361.00 $97,361.00
Friday, May 14, 2021 Pa�e 4 of 6
Cify Project NumUers 02200
ConfrnctNnme SyeamoreCreekRelieflnterceptorPliasel
Confract Limits Galewny P�rk south to Uninn Pucific Railroad ROtiV
Project Ty�e Se��-er
Project T'unding
ll0� Nurober 0901
Cstimntc Number 1�
Pnyment Number 16
P'or Period �nding 4l30/2021
Couti•1ct Infoi�mafion Summ�ry
Original Cm�fr�icf rlmoimf
$2,SS3,880.00
Chau�e Orders
Cliangc Ordcr Numbcr
Chnnge Order NumUer I
ClinngcOrdcrNumbcr 1
�/� �'�./�`� Date � I�l y1
conlr tor �
DnteS— / � —�/
Inspection Su erviso�
��.�,� ����� i+
�: � 9 �a n,� ,��. �9 �� �� Dafe �� �� ' �� �
Project Manager
N /R Dnt�
Asst. Directorfl�PW
Ch✓istooher Narder
,n .��w � �,�aE� �o; �, �, c D�te
Director! Contracting Department
�O.UO
$0.00
$0.00
Tofnl Contrlcf Price �2,8S3,SS0.00
Total Cost of�Yorlc Completed
Less 0 % Retained
Net Lnrned
�arned Tl�is Period $132,705.20
Retninage Tliis Period $0.00
Less Liquidated Damages
DRys �J ! A1y
LessPnvement Deficiency
Less Penalty
Less Previous Payment
Plus Nl�teri:tl on Hnnd Less 15%
Balance Duc This Payment
$2,654,16d.00
�0.00
$2,654,164.00
$0.00
$o.00
$0.00
$2,52 (,�455.80
$0.00
$132,703.20
Priday, biuy l4, 2021 Pn�e 5 of G
F��� � �� � rev 03/OS/07
WATER ENGINEERING & FISCAL SERVICES
FINAL STATEMENT OF CONTRACT TIME
FINAL STAT�M�NT N0.:16
NAME OF PROJECT: Sycamore Ci•eek Relief Interceptoi• - Phase 1
PROJCCT NO.: 2200 CONTRACTOR: Mountain Cascade
CITY PROJ�CT
PCRIOD FROM:10/15/18 TO: 03/Ol/20 FWAL INSPECTION DAT�:
WORI{ ORD�R �rF�CTIV�: 10/15/2018 CONTRACT TIM�: 270 Q wD QQ CD
DAY OP' DAYS R�ASON FOR DAYS DAY OI+ DAYS RCASON rOR DAYS
MONTH CHARG�D CIt�DIT�D MONTH CHARG�D CR�DIT�D
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 W�T, UTILITI�S DAYS TOTAL
& HOLIDAYS & TOO COLD R�LOCATIONS OTHERS * CHARG�D DAYS
THIS �
P�RIOD
PREVIOUS
P�RIOD
TOTALS
502
TO DATE
"HLMAKKS:
:� .
CONTRACTOR DATE IN�'PECrT'OR DATE
Capital Projects Deliveiy, Water Department
The Cit�� of Foxt �ti'ord� • 1000 Throckmorton Strcet • Fort �Uoith, 'I176012-6311
(817) 392 - =4�477 • Fax: (817) 392 - 84G0
���.������
Capital Projects Deliveiy, Water Department
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR & PROJ�CT DATA
Nnnie ojConh•ncror
Mountain Cascade of Tesas
(Yaler Engineering Lrspeclor
Judy Die
iNaler Engineeri��g /nspeclor
� Water ❑� Waste Water ❑ Storm Drainage 0✓ Pavement
lnilia! Conlrac! dmotnN
$2,883,880.00
Finn! Conlracl Amotml
�2,883,880.00
II) PERFORMANC� �VALUATION
Projecl Nnme
Sycamore Creek Relief InterceUtor Phase 1
DOE Nmnber
N/A
P�•ojec! Alnnnger
Liam Conlon
Projecl D�ctd1��
Q Simple QQ Routine
Dale
S/14/2021
2EV: �2,20,��
Q Compiex
0-]nadequate I- Deficient 2- Standard 3- Good 4- Lscellent
ELE[v1ENT GVEIGHT ( x) APPLICABLE (Y / N) RATIi IG (0 - 4) MAX SCORE SCORE
1 Submission of Documents 2 Y 3 8 6
2 PublicNotifications 5 Y 3 20 1�
3 Plans on Site 5 Y 3 20 15
4 Field Supervision IS Y 4 60 60
5 WorkPerformed IS Y 2 60 30
6 Finished Product 15 Y 3 60 45
7 Job Site Safety 15 Y 4 60 60
8 TraLfic Control Maintenance 15 Y 4 GO 60
9 Daily Clean Up 5 Y 3 20 I�
10 Citizen's Complaint Resolution 5 Y 3 20 15
11 Properry Restoration 5 Y 3 20 15
l2 Af3er Hours Response � Y 4 20 20
13 Project Completion 5 Y 4 20 20
TOTAL ELEMGNT SCORE (A) 376
BONUS POINTS (25 Maximum) (B)
TOTAL SCORC ("tS) 37C,
IIn CONTRACTOR'S RATING
Ma�imum Score (MS) = 443 or sum of applicaUle elemenc score maximums which = 448
R�fing ([TS / D'ISJ � 100%) 37G / 44S = 8�1%
Performance Category Escellent
<20% = L7adequate 20% to <40% = Defrcient 40% 10 <60% = Stnndm•d 60% lo <80% = Good >_80% = Excelleii�
[nspector's Commenfs (1NCLUDING CSPLANATION OT 130NUS POINTS A�VARD�D)
Signattu�e Inspector ���� � � � % � � �%- Signature Con[ractor (� ` `
Signature Inspector's Supervisor
CONTRACTOR'S COMMENTS
Capital Projects Deli��ei}�, \\/atei Depactment
The Cit}� of Fort Word� • 1000 Tluockmorton Street • Foit \Voidi,'TZ 7G012-6311
(817) 392 - �4477 • Fa�: (817) 392 - 8460
Fo�T VU��T�
r '
Capital Projects Deliveiy, Watei Departinent
CONTRACTOR'S EVALUATION OF CITY
I) PROJ�CT INFORMATION Date:
A�nme oJConlraclor
Mountain Cascade of Texas
IPaler Ciigineering btspeclor
Judy Die
DOE NrrmGe�• Projecl Difficalq�
N/A � Simple QQ Routine
Inilral Conh•acl ilmotrnl
$2,883,880.00
II) PERFORNiANC� �VALUATION
0- Inadequate 1- Deficient 2- Standard
ELEMENT
Q Camplex
�
ItEV: �2,22,��
Projecl iVmne
Sycamore Creek Relief lnterceptor Phase I
Prajecf ,binnnger
Liam Conlon
Tjpe oJCoiuracl
�✓ Water Q Waste Water ❑ Storm Drainage ❑� Pavement
Finnl Conlrnc� �Imounl
$2,883,880.00
3 - Good 4 - Excellent
RATING ELEMENT
(� - 4)
INSPECTION EVALUATION
1 Availability ofInspector y
2 I{nowledge of Inspector `i
3 Accuracy of Measured Quantities Ti
4 Display Of Professionalism
5 Citizen Complaint Resolution
6 Perfonnance - Settin� up Valve Crews, Labs y
ADMINISTRATION
1 Change Order Processing Time 3
2 Timliness of Conh�actor Payments
3 Bid Opening to Pre-Con Meeting Tim �ame `
IIn COMNL�NTS & SIGPIATURES
CObI1VI ENTS
Si;nat�u�e Conh�actor
Si�nature Inspector
Signariire Inspector's Supervisor
INSP�CTOR'S CONINI�NTS
PLANS & SP�CIFICATIONS
1 Accui•acy of Plans to Existing Conditions
2 Clarity & Sufficiency of Details
3 Applicability of Specifications
4 Accuracy of Plau Quantities
PROJ�CT MANAG�R �VALUATION
1 IUiorvledae AncUOr Problem Resolution
Availability of Project Manas�
Communication
Resolution of Utility Conflicts
��
� I"/"- J cs/1 � I%i
,
RATRVG
rn _ a�
�
Capital Pcojects Delivei}�, �Vater Department
The Ciq� of Fort �\/ordi • 1000 Tlirockmorton Street • For[ �\'oidi,'I'Z 76012-6311
(817) 392 - 4477 • Fa�: (S17) 392 - 84G0
CSC No. 51144-CO1
F�-��w�� City of Fort Worfh
Change Order Request
Project Name: Sycamore Creek Relief Interceptor Phase I
City Sec No.: 51144
Project No.(s): 56016-07ooaao-Con83 DOE No. N/A City Proj. No.: 02200
Project Description: This project will provide additional wastewater capaciry to the Sycamore Creek Drainage Basin.
Contractor. Mountain Cascade of Texas, LLC Change Order #��
Date: 5/7/2021
City Project Mgr. Liam Conlon Ciry Inspector: David Johnson
Phone Number: 817-392-6824
Phone Number: 817-392-8455
r-------�
Dept. � Unit I Sewer
Original Contract Amount S2
Extras to Date
Credits to Dafe
Pending Change Orders (in M8C Process)
Contract Cost to Date �2
Amount of Proposed Change Order
Revised Contract Amount $2,
Original Funds Availabie for Change Orders $1
Remaining Funds Available for this CO $1
Additional Funding (if necessary}
Unit II Water � Aiternative B
0
Totals � Contract Time
CNANGF ORDERS to DATE (INCLUD/NG TH/S ONE) AS % OF ORIGINAL CONTRACT O.OQ% �
MAXALLOWABLE CONTRACT AMOUNT (OR/GINAL CONTRACT COST+ 25%J S3,604,85Q.00
- ,,us� �r�canoNIREASONSj FQR CHANGE OROER
The change order will provide an additional 720 Calendar days on the project for the following:
• Negotiations with a property owner who demanded that all their parking spaces be repaved in areas
that were not impcted by construction. The City ended up not paving these areas.
• Negations with a gas company for access through their gas pad site to construct a porton of the project
sewer main on the property.
• Having to shut down construction numerous times to accomodate events at a church located at
LancasterAvenue/Windham Drive intersection
• The time period it took for TRWD to accept the restoration that was conducted on its propety after
sewer installation.
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord
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 �ontryetor
Mountain Cascade of Texas, LLC Andrew McCulloch ,�,,_ _ .
i
Daie Projact Man�r
-,. r,
� — � � ,�: �, ���;;, �.�✓"':•
- - �:..: Date Conshvction Supervisor (WatE
�'� . ';, , May 10, 2021
� , : _ Date Assistsnf Gity Manager
Mavio._ozi u�,.�.' �
Council Ac6on Of Re.auiredl
represents
Date
S^%—�
Date
i�� io. zozi
M&C Number N/A M8C Date Approved N/A
FORT ��VC�RTH c�ty o� �ort worth
Change Order Additions
Project Name Sycamore Creek Relief Interceptor Phase I
City Sec No.: 51144
Project No.(s): 56016-0700430-001783 DOE No. N/A City Proj. No.: 02200
Project
Description This project will provide additional wastewater capacity to the Sycamore Creek Drainage Basin.
Contractor Mountain Cascade of Texas, LLC Change Order: �1� Date: 5/7/2021
City Project Mgr. Liam Conlon
City Inspector David Johnson
AI'1111TIA�In
FORT VVORTI-� Cify of Fort Wot-�h
Change Order Deletions
Project Name Sycamore Creek Relief Interceptor Phase I City Sec No.: 51144
Project No.(s): 56016-0700430-001783 DOE No. N/A City Proj. No.: 02200
Project Description This project will provide additional wastewater capacity to the Sycamore Creek Drainage Basin.
Contractor Mountain Cascade of Texas, LLC Change Order: � Date 5/7/2021
City Project Mgr. Liam Conlon City Ins'ector: David Johns�n
nGl CTinn�c
Page 4 of 4
Coniract Compliance Mana�er
By signing I acicnowledge ihaE I am the person responsible
for the monitoring and administration of this contr•act, including
ensuring all perfozmance and reporiing requirements.
I/ _ f9
�i
� , �(�:�'-�-, ��'`� ,
Signature
�'✓ � � ��� �, V �- f) fl'�.�
� y
Name of Employee
1 �
ti^o�-2L( %i%����- ,.P./�'
�
Title
�
� . �• !� � �%,�i,
Mary J. Kayser
City Secretary
PROJECT NAME:
PROJECT NUMBER:
DOE NUMBER:
PIPE LAID
WATER
WATER
FIRE HYDRANTS: 2
PIPE ABANDONED
WATER
DENSITIES:
NEW SERVICES:
PIPE LAID
SEWER
SEWER
SEWER
PIPE ABANDONED
SEWER
DENSITIES:
NEW SERVICES:
FORTWORTH
�'_—='�_ ��� i'-�
�,,,,:�: `_ ��;:. ; � .�-
U
WATER ENGINEERING & FISCAL SERVICES
PIPE REPORT FOR:
Sycamor Creek Relief Interceptor Phase I
2200
N/A
WATER
SIZE TYPE OF PIPE
8-Inch PVC
6-Inch PVC
SIZE
6-Inch
VALVES (16" OR LARGER)
TYPE OF PIPE
CI
?
SIZE
66-Inch
8-Inch
6-Inch
SIZE
6-Inch
SEWER
TYPE OF PIPE
FRP
PVC
PVC
TYPE OF PIPE
CCP
0
LF
388
55
LF
443
LF
1774
20
20
I,F
40
`�ATER ENGINEEP.ING & FISC_%�L SERVICES
The City of Fort Worth • 1000 Throcl�morton Stxeet • Fort Worth,'TZ 76012-6311
(S17) 392 - 4477 • Fati: (S17) 392 - S460
Bond No. 070207299
CONSENT OF
SURETY GOMPANY
TO F{NAL PAYMENT
OWNER ❑
ARCHITECT �
CONTRACTOR �
SURETY �
OTHER ❑
PROJECT:
Svcamore Creek Relief Interceptor- Phase 1, Prolect No. 02200
TO: City of Fort Worth
1000 Throckmorton Street
Fort Worth, CA 76102
CONTRACTOR:
Mountain Cascade of Texas, LLC
ARCHITECT'S PROJECT NO.:
CONTRACT FOR:Sycamore Creek Relief
Interceptor- Phase 1, Project No. 02200
CONTRACT DATE
In accordance with the provisions of the Subcontract between McCarthy and the Subcontractor as indicated above, the
Liberty Mutual Insurance Company , SURE7Y COMPANY
175 Berkeley Street , Boston, MA 02116
on bond of
Mountain Cascade of Texas, LLC , SUBCONTRACTOR,
11729 East FM 917, Alvarado, TX 76009
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety
Company of any of its obiigations to City of Fort Worth
1000 Throckmorton Street OWNER,
Fort Worth, CA 76102
as set forth in the said Surety Company'
IN WITNESS WHEREOF,
the Surety has hereunto set its hand this 24th day of April 2020
Attest:
{Seal):
Libertv Mutual Insurance Companv
Surety"� ; �` ` .�
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BY. �, I � f��� ' i ,: -�_!._„� __— _
Signature of Authorize'd Representative � �r�—
Bradley N. Wright, At4orney-in-Fact
Title
NOTE: This forms is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND
CLAIMS, Current Edition.
surety.doc-12/1194
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ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validit of that document.
State of California
County of San Francisco
�� APRIL 24, 2020 before me, S. Nicole Evans, Notary Public
(insert name and title of the officer)
personal►y appeared BRADLEY N. WRIGHT ---------------------------------------------------
who proved to me on the basis of satisfactory evidence to be the person(� whose name(�) is�
subscribed to the within instrument and acknowledged to me that he/��executed the same in
his/Ix�tl��authorized capacity�ies�, and that by his/���1�� signature(�) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
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WITNESS my hand and official seal. �_ ����;; ` n:�"a��� P�'�� ����'io��'�
Q;j_�:'f�.%�.;;,� `.;an Franc�.;.c C'vunt;'
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Signature
(Seal)
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SURETY
This Power of Attorney limits the acts of those named herein, and they have no authority to
bind the Company except in the manner and to the extent herein stated.
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
West American Insurance Company
POWER OF ATTORNEY
Certificate No: 8196953 - 395022
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 6y authoriry herein set forth, does hereby name, constitute and appoint, Carolync
Emery, S. N1C0j2 E4'3pg, Frances M. Murph , Bradley N. Wright
all of the city of San Francisco state of California each individually if there be more than one named, its true and lawful attomey-in-`act to mzke,
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 6e 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 Attomey has been subscribed by an authorized officer or offidal of the Companies and the corporate seals of the Companies have been affixed
thereto this Sth day of October 2018 .
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Wsu Liberty Mutuai Insurance Company
JP oaPOR �2 JP�oaPor�G'eq P� gppR R,Qy The Ohio Casualry Insurance Company
� o rF o � o rF y � �o 4>F � West American Insurance Company
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David M. Carey, Assistant Secretary
State of PENNSYLVANIA ss
County of MONTGOMERY
On this Sth day of October 2018 before me personally appeared David M. Carey, who acknowledged himse(i to be the Assistant Secretary of Liberty Mutual Insurance
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 ihe corporations by himself as a duly authorized offcer.
IN WITNESS WHEREOF, I have hereunto subscribed my name and zffxed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written.
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
, - Teresa Pastella, Notary Public
UpPer rotenonTwp.. Montpamery Counry B�/:
', My Cornmission Expires March 28, 2021
� �- MemDer. Pennsylvania Assoaation of Notanes
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Pastella, Notary Public
This Power of Attorney is made and execu[ed pursuant to and by au[hority of the foliowing By-iaws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual Insurance
Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV — OFFICERS: Section 12. Power of Attorney.
Any offcer or other offidal of the Corporation authorized for that purpose in writing by the Chairman or the President, and subjectto such limitation as the Chairman or the President
may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of lhe Corporation to make, execute, seai, acknowledge and deliver as surety any and all
undertakings, bonds, recognizances and other surety obligations. Such attorneys-in-fact, subject to the limitations set forth in their respective powers of attomey, shall 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 exeated, such instruments shall
be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under the 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.
ARTICLE XIII — Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in wnting by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
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 surery any and all undeRakings,
bonds, recognizances and other surety obligations. Such attomeys-in-fact subject to the limitations set forth in their respective powers of attomey, shall have full power to bind [he
Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such insWments shall 6e as binding as if
signed by the president and attested by the secretary.
Certificate of Designation — The President of the Company, acting pursuant ro the Bylaws of the Company, authonzes 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 mechanicaliy 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 connecGon 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 Casualiy Insurance Company, Liberty Mutual Insurance Company, znd 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 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 [he seals of said Companies this 24 day of APRIL , 2020 .
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�e�� * �� �yl * *aa s�M * �aa Renee C. Llewellyn, Assistant Secretary
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LMSM12873 LMIC OGC WAIC Multi Co 062018
arrivnvl i
STATE OF T�?:AS
COUNTY OF JOHNSON
Before me, the undersigned atithority, a notaiy public in the state
and county aforesaid, on this da}� personally appeared Andrew L.
McCullocl�, Vice President Of 1Vloti�ltain Cascade of Texas, LLC, lcnown
to me to be a credible �erson, who being by me dLily sworn, upon his oath
deposed and said;
That all persons, firms; associations, coiporations, or other
organizations fiu•nisliing !abor and/or materials h�ve beeil paid in Ptill;
That the wabe scale established by the City Council in the City of
Fort Worth has been l�aid in fi�ll;
That there are no claims pending for personal injury and/or
}�roperty damages;
On Contract described as;
Sycanlore Creek Relief Interceptor - Phase 1
>
BY
Andre L. McCulloch, Vice President
SubscriUed and s�vorn before me on this date 24th of'April, 2020.
Notary Public
Joluzson Count}�, Telas
,��������,, vJANDA SUC JARRELL
�r*µvvu°��-Notary Public, State of Texas
�N:.�.+P; Comm. txpires 06-29-2020
�%�q�e'ov���.�`' Nutary ID 11952407
'-��,�,r�_„____...__.-----..�-
._ �, .
�ORTWORTH
May 14, 2021
Mountain Cascade of Tezas
11729 E FM 917
rllvarado, T`X 76009
Re: Acceptance Letter
Project Name: Sycamore Creek Relief Interceptor Phase I
Project Type: Sewer, Water and Paving
Project Ns: 02200
D.O.E. No: N/A
Conttact Ns: 51144 Dated: 6/26/2018
Gentleman:
On February ZS, 2020 a final inspection ��as made on the subject project. There were no punch list items
idenrified at the time. The final inspection indicates that the �vork meets the Ciry of Fort Worth specifications and
is therefore accepted by the City. The warranty period wi]1 start on Pebruary 28, 2020, which is the date of final
inspection and will estend for (2) years in accordance �vid� the Contract Documents.
If you have any questions concernin� tl-iis letter of acceptance, please feel free to contact me at (�17) 392-6054
Yours Truly,
;
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Tony Sholola, P.E., Assistant Director Water Department
MP /
cc: Chris Harder, P.E., Director, ��ater Department
Laura Wilson, P.E., Deputy Director, Water Department
Captain Michael Skains, Fire Department
Cesar Zavala, Field Operations Superintendent, Water Department
Bill Lund�Tall, Field Operations Superintendent, Waste `�Iater Department
Liam Conlon, Project Manager
Greg Vauglzn, P.F.., LAN , Consultant
Mountain Cascade of Tezas , Contractor
David Johnson, Inspection Supervisor, �Xjater En` ineering and Fiscal Services
Judy Die, Inspector, Water Engineerin� and Fiscal Services
File
WATER DEPARTMENT
ENGINEERING AND FISCAL SERVICES
THE CITY OF FORT WORTH * lOOO THROCKMORTON STREET * FORT WORTH, TEXAS %6YOZ
817-392-8240 * F.vc 817-392-8195
`� Printed on recycled paper