Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Contract 53495-FP1
City Sccrctary No:_53495 FP1 Date Received: Aug31,2021 City Yrojcct No:101541 FORT WORTH NOTICE OF PROJECT COMPLETION Developer Project: Southgate Development 16-24 inch Diameter Water Main Regarding contract 53495 City Project Number 101541 for as required by the Water Department as approved by City Council on 12/03/2019 through M&C 19-0359 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. Water Paving Developer City Developer City Total Original Contract Prices: $1,442,313.00 $2,439,597.00 $148,481.00 $6,234.00 $4,036,625.00 Amount of Approved Change $168,092.00 $122,023.50 $64,730.00 $10,126.00 $364,971.50 Orders: Revised Contract Amount: $1,610,405.00 $2,561,620.50 $213,211.00 $16,360.00 $4,401,596.50 Total Cost Work Completed: $1,610,405.00 $2,561,620.50 $213,211.00 $16,360.00 $4,401,596.50 City Portion Total Cost Work Completed: $2,577,980.50 Less Previous Payments: $2,491,615.38 Final Payment Due $86,365.12 Aug 20,2021 Chris Windsor(Aug 20,202112:42 CDT) Contractor Date Project Manager Title Mountain Cascade of Texas LLC � � Aug 20,2021 Company Name Construction Inspector Supervisor Date AIW�hgLlIV17, e Aug0 2oz1 Matthew Wilson(Aug 2U,202112:44 CDT) g Project Inspector �s Date Kl LA'2 Lt"P.&• Vishal Sood Aug 27,2021 Khal Jaafari P.E.(Aug 27,202111:26 CDT) Project Manager Date Dana Bur�hdoff ❑anaBurghdoff ug30,202112:05CDT) Aug 30,2021 Asst. City, onager Date M 4V Aug 27,2021 Lauren Prieur(Aug 27,2021 13:52 CDT) Asst. Director, TPW- Capital Delivery Date 1LI � Hwdd2 Aug0,2021 OFFICIAL RECORD Christopher arder(Aug 30,202107:33 CDT) g Director/Contracting Department (Water Department) Date CITY SECRETARY FT.WORTH,TX Notice of Project Completion Project Name: SOUTHGATE DEVELOPMENT-16-24" DIAMETER WATER MAIN City Project No.: 101541 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑x Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 240 CD Days Charged: 284 Work Start Date: 3/2/2020 Work Complete Date: 12/10/2020 Page 2 of 2 INVOICE To: City of Fort Worth Tel: 2142342567 Fax: Payable to:Ware Vista Southgate#1, LP. Invoice Date 06/23/2021 C/O Vista Property Company Invoice No. 1600005605 2227 Vantage Street Dallas,Tx 75207 Tenant ID fortworthinv Unit Billing Information: Date Description Amount 06/01/2021 Southgate Waterline Procurement CFA19-0049-CSC53495 86,365.12 Grand Total 86,365.12 Notes --------------------------------------------------------------------------- Remittance Advice (please detach and return) Customer Information Invoice Information Company: Tenant ID fortworthinv Name: City of Fort Worth Unit Address: Payment Date Payment Amount City/State/Zip Thank you for your prompt payment PAYMENT REQUEST Southgate Offsite 16"124" Water Line PROJECT: Improvements PROJECT NUMBER OWNER: City of Fort Worth 101541 CONTRACTOR: Mountain Cascade of Texas, LLC 88048 ENGINEER: Pacheco Koch CSC 53495 PAYMENT PERIOD FROM: 10/21/20 TO: 11/20/20 ESTIMATE NO. 9F SUMMARY OF PAYMENT ESTIMATE VALUES FROM ATTACHED TABULATIONS Original Contract Amount 4,036,625.00 Approved Change Orders 364,971.50 Current Contract Amount 4,401,596.50 Total Value of Original Contract Performed 4,401,596.50 (Attachment"A" consisting of 1 pages) Extra Work on Approved Change Orders 0.00 (Attachment "B" consisting of 0 pages) Materials on Hand 0.00 (Attachment"C" consisting of 0 pages) Total Value of Work to Date 4,401,596.50 Less Amount Retained at 5% Net Amount Earned on Contract 4,401,596.50 Less Amount of Previous Payments 4,181,516,67 BALANCE DUE THIS STATEMENT 220,079.83 Percentage of Contract Paid to Date 100.00% The undersigned Contractor certifies that all work, including materials on hand, covered by this Periodical Payment has been completed or delivered in accordance with the Contract Documents, that all amounts have been paid by him for work, materials, and equipment for which previous Periodical Payments were issued and received from the Owner, and that the current payment shown herein is now due. Contractor: Mountain Cascade of Texas By: Date 11729 East FM 917 Alvarado,Texas 76009 Reviewed by Inspector By: Date Recommended by Engineer: By: Date 2-8-21 Approved for Payment by Owner: By: Date O O O O OO O O O O O O O O O O O O O O O _ O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O 0 Q _ o > E O O O O O O O O O O O O O O O O O O M O Q > O O O O O O O O O O CND Cal) 'IN, O O O O O O O O a) N O O O O O O O O O 0 O O O O O O O O O o E a) O O O O O O O O O O O O O O O O O O O O a N O (O O O O N O O N V' LO O 0 N V' O O O O 00 M 00 CD (O 00 O c0 r- O O I- It CI) O (O 0 O w +m- 0 I� d: 'ct M O (O (O M (O (O N LO N M O M V 00 Q I- m U O (ij N co 0) M d' d' V' O (0 N I-- V' > Y LO O �j 64 co, 6) 69 b9 w (A 69 69 69 Efl 64 64 69 (A M M 69 w 69 V M (D (O 0 (O LO N N M O V' N M N O N O t0 M N (D 00M o M r - a) N 00 O I� C CL O m EE ~ O U O O O 0 0 o O O O o 0 0 O O O o 0 o O O a) O o 0 0 0 0 0 0 o O o 0 0 0 0 0 0 0 0 0 C) j a N 0) (D O O O N O O N V' (O 0 O N V O O O 0 CO CM CO (0 (O 00 O 00 r O O ti d' M o (O O 6) a) ,° 0 I� V' CO O 10 (O M (O (O N (O N (M O M V 00 U O LO N 00 � co d' V' 4O M N r d. > a` Y (n `O EA (» (» ul w EA (» W w w CO 69 69 69 (» 69 (» w 'O ct CI) (D (O o (O LO N N M 0 V' N M N O N O ,FT a) VO CI) (D 00 CO O (D I-- O - N N 00 O I� C a a) E U 0 a a) � 0 a E 7 o N mUW > Y .(n 0 = F- 69 M EA, W9 w 64 ER W Hl 6). w <fl W 69 6' M w W ER Efl -� N N -a W m E 0 O O U U O O o 0 o O o 0 o O o O O o 0 O O O O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 N O (D O 0 O N O O N N (O CO O N V O O O 0 U c0 co 00 M (O M 0 M r (O M N V' M O (D 0 O (6 = I� V d' c0 O LO (O M (O N P' O N M O M 01 M OO (O (O N 00 r (O -It N (M a) V' m N N mc0 E O (O O co I` co r O U Q fH W W ER 69 U)� 64 W, 69 69 69 w ER W w EA w (» w 64 0 O O O o 0 0 0 o O O O 0 0 0 o O o 00 a) 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 M (h (o o r: o r o o (o N Lri r o (o 06 o 0 of N N (b N .7 M 't 00 M N (O 0) 0 00 00 (O CI) LO (DLO O O 00 M N N I- ^ O LO N N O C N NCI) V' (O 0 'C fA (fl EFJ Ef3 w w 64 U) F13 69� 64 64 fA U3,1 Gal w o Q Q Q Q Q Q LL 0 0 m J J J J J J J t- W W W W W W W W W J J J O a) N a O — N � co N ((D � u7 O N d' 'V' N (h N N O LL (E N W O t� .0 m O)f CJOw N C E O O_ E W o F- N a) c > w C `) O a) a) m a) cu > J16 Z n n a ° U) a) m O 0 a) m m 'v a w ao m a) a) m m aci aci f N �' _ >j a) O i0 cr w 0 0 d d y w a) a) a) 0 U a) c c a) a) c = m m m (n U U o o c a) m a) > > g a) 0 0 0 0 o N o W U U > > a = = - > > > m m m c c c ° o > > a a �, w m m m > > cu c ii w w w rn o Y U 0 o 0 0 o a)CL U a`> > > > a) a) F -0 a) a) a) LL ° c m 0 o rn rn � 0 m _ - E m m Z ° s U U U U U 0 O C9 Um Um x X (j - U U c m o o - - N M - CV M _ _ _ N (D M M - BC: V O 0 E (..) p_ :E (n (0 W N C1 N (01 001 N (n N M U N N O W o N z o N N U o d E O N co d (O M n W O O N cM V 0 M r M 6) O m o .� a) z N IL 0 w U n. — 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O O O O O O O O O O N O O O O O O O N O O O O O O O O O O O O N O O O O O O O O O a O O O O O O O O O O O O N O O O O C. O O Q o E O O O O O O O O O O O N O O O O O O c U °� ro O O O o 0 o O 0 0 0 o O O O 0 O 0 E a O o 0 0 O op o O O o O O o 0 o O 0-Q (ON Y m Od' O N 0N 0V 0(O o0 of O O O� O) LOO O O r CO O (ON r r OCO O � (O M N > O 69 Efl (A E) w 691 ER 64 W Efl (a EA 64 w (A O N (O O CO L N O O_ 0 N O O (D N LO r C Q N E U o U O o 0 O o 0 0 o O O o 0 0 o O CD O a� o O O O o 0 0 0 0 0 0 0 o O o o O 0 = a (O a0 O N O M N (O O O O OD O O O O O 6) d' (O LO O O O O M 0 M O O O V 0 N .� EO ct M V r V' co V' 0 (O N r O CO O C U N (O r M M (\ V (n N N > a` Y 0 »T N M O M (O N M N O_ M O - tp (\7 h G Q N O E a CJ 0 v a� ro o a E a> E � o N m U w > Y .N O � ~ 64 V) ER Ef) fA EA 64 w 69 Efl w ER ER w ffl w 69 w w w N "-T U) G -a Li roE 0 O L U U O � O O O O 0 o O O 0 0 O O O o 0 O O o 0 O 0 o O o o O o O O O o 0 o O O O o 0 o O M CO O) N O (O N Lo O O) O O (o O O O O O O O U C O) V' (O O C) O) O O M O O) (O O O O O O V O (0 p V co V' r tt cq C (O N r (O r r O CO O O O N (O r CO M N N N N UQ EA 61 V) w EA 69 w ER 69 Efl 69 EH w W,1 69 661 EA w 69 69 O 0 0 0 o O O o o O 0 o O 0 O O O 0 O o ro o 0 0 0 o O o 0 0 0 o Ln o o (n o o O o 0 0 0 0 o 00 co of N LO (0 rr m o 0 v o (D 0 0 0 0 N N N ro V' U) V' M V' O O O N co O (O O O d' O o a N (O V r fl- c0 co (n (O O) r O CO O N N O o r U 69 ffl ER EA w EA 69 EA EA w w Ef) EA 69 w w 69 Wf 6q w N O =3 Q Q Q Q Q Q QQ Q Q Q Q Q QQ LL_ c p ro W W W W W W W (n O D W J J J W W J W W J J W N N 2 a N (fl O (O N N 0) 0 O a) (0 (O 0 T— N M CO (O LL. ._ CIS ro N r V' CE N ro m CJ 0 w N C N E N — O a (6 O E w (n J co 0 o6 � > N c U J w0 i2 c2 o N c a_oi d m U > co cOD c a) mN ) C _ Ox X oU YU OU �N ~R X . U JU LL X E ro C _ O O� c N Q N O a) O aro)N a)2 Np lL U 0 (U N a) .6 O K�m U .Ua2 o o U > > a) ° cro o o oo z o N o E a) w 0 0 ro �0 ro O ro � O O (O i) a) — O (6 N a) N > N m U a to U) Co U) (Y (n D� C H U) w E w E a o 'Fuo (a z o 2 E O N M (O M ti M O) O N M <} (O (.0 ti o0 6) O a 'o z N N N N N N N N N coM Cl) Cl) M Cl) M M M M d' a 0 w 0 a — 'a o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 _O O O O (O O O (O O OD LO O N_ ti a) V' O CI) O o Y a) O O O O Q M O O O W O O r O M O O d) W M It O N O E N O O O N O r N N (� O N M O M O O c U O O O O O O o O O O o O o 0 0 O O O E a) O o O O O o 0 O o O o O O o 0 0 0 0 i1 O ID ID O O N O (O O O CD LO r (D CON O (a O ID CIO C. N p O N (O M O cc O It (O t` O) V cc (O N (D co O O Q O U N N O n (n O O) V' co (O M d' M M tl- co F (0 Y V N N — N (n r N r N t� (p N 00 r r r U) U) U) U) U) (A U) U) U) UJ U) U) U) U) w 6R U) U) U) O) N (n (n O O co (O 00 co U N M T O) O n O O) O 00 r D) 00 M a) N M (n 00 V' N CI) C -aN h 0 a) E N UU m O O o O O o o O o O O O O o o O o O m O O o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 �O j a a) O CD CD (O O N O (0 O O O (O r (D co N O O (D O O O O O (0 O 00 V N r r (D LO I- N .0 EO N (O M O O O It M t� O) V_ W M N (D (1) O 6) > U N N O � (n O O d' M (0 M V M M r M a3 V' N N r N (O r N r N t� - D- ` (D N OD r r � f» (n (» U) w co U) 6> U) U) U) 69 U) U) UT 69 U) U) U) 70 O N (O (O O co (O 00 00 (O N M T a) O O t` O O) O 00 tl- (Y) 00 M =3 '"• N M (n 00 <t' (N CI) V• N O) O C � N N O N E U v m a) o Q E m E D o m m U W Y_ .N O 'C ~ U) U) U) U) U) U) U) 6% U) (A U) U) U) U) U) 69 a (fl U) Qw m E Mn o 1- U O o O O o O O 0 o O o O O O o o O O O O o O O O O o o O O O O o O o O O O o 00 O O O O O O M O (O O O O (O r -,t M N O U O O O O O O r (D V' V' 00 co ti c0 O (D O r (6 =3 O (i) M O O O (O M M M (D <t M t` V n (M o0 O) D OO N O O U) � N () (.0 O CO 00 O M E It N I M lf tl- It0 r U Q r r U) U) 64 U) U) Ga U) UT U) U) Ca U) U) (0 U) UT (A 61) (fl O O O O O O O o O O O o O O O o ,., N O O O O O O O O O O O O O O O O 0 0 U U (n V (n O N O O O U') CI) (D O O O O It N It (D 00 N M 00 O O O O O N N O C N o I— O •� OV' O N U � U) 64 U) U? U) U) U) 60 U) U) U) 64 U) U) U) U) E � U- E 4- (b IL IL a N U) v) u. U- > > > Z (L a a .a = O (a J J J J J J J J U) U) (f) U) J J J 0 N Q a co NLO (D V ('o N u) M a C C m O M Lo LO N N V CO N CI)) 0Ow N t to N E m G E Y 0 (1) y E C a rn N < > E- a) � CL E W a) m O U E (a N C C cx a) M (DJ CD U O O °a eu w O c U O O O N N J °Z c > U a oo dd d 0 IL U m m (Da °� -11�X o U - 'a — a a) O o0 Oa) O N ) p p N O >U) - U) ora0' '.. U U 3 , o 0 p a X o a Q a) a) > d a o O W Y Y a) n o 0 m i O O O O L UUC O 0 o 0)6 O N >+ U > as U a cG U) _ W 0'1 w U {-1 (O (O a' </' a' (01 E w E N O (a w Z Z o a�i E O N CO d M M ti 00 O O N co N M 'o Z d' V V' V' d' V (O (n (O tf) a 0 w U a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 � O O � O t O O C O O O O O O O O O O Cl) O 0 Y a) O O O Iq O O O O O O O O O 00 O O O O m O Q 0 `S E O O O t-- O O O O O O O O O 0 O O O O co O Q CD O O O O O OV' O O O O O O O CD O O m O O - U c m o O O o o O o O O o O o O o O o O O O 0 _ m o 0 0 0 0 0 0 0 0 0 0 0 0 o O o 0 0 0 0 0- O O 00 co O co O (D O O O O O O O O O (V O (D O m ti (O (D )n (D r 0) O CD (D (D O N N (D (D N (O ro O a) o N 00 (O O N V) Iq O a) O O cr m t� O d) (O M M Q O -2 () 0) (O N m N 00 O V' CD O M m N E- m 00 N M co 00 r V v (0 d' CO > Y 00 N m O V> V3 Efl V> V) V? 03 (a m w w w w EA V3 V3 w V3 b9 V) M V' m M LO (0 W M N V o co N N N M C Q (O CU E O U 0 0 0 o O O O 0 0 C. 0 0 0 0 O O O O o 0 a) O o 0 0 0 0 0 o O o o O o 0 0 o O o O o p (n a O O w c0 O m O (0 O O ID O 0 CD CD N LO ) Cl) r (O (O LO (O r O O O O O O N N O ((0 N (O N ,O O V) N 00 (O O N (O m O 0) O O Cl) m r O O) (O t0 M 3 > M m N m N m 00 V' O O) O co ('0 N m 230 m N Cl) m OD (O Cl) > d i CO N Cl) O Efl EA Vj VT V) V3 69 m V) V) Vf Vf m EA V3 V) V) ffl V) m V) >. a) a0 00 M V M 00 00 N V LO O :� tl- N N N co N Q M a) 3 E O U m N m m o a. E a) E =3 O N U W > `1 .N O ~ co EA ffl w V3 (H 64 W, 69 V) w Gq VT (A (R V3 V) w V> 69 m N QW m E Mn O U O o O O 0 0 O o O o 0 0 0 0 0 o O O O O o O o o O o o O O O O o O o 0 0 0 0 0 0 O o m (D O Cl) O O O O O O O O O O N O )n -FoU C O r M m (O m n r O O O O O O N O (D O CO N O (O N O N (O IY O O O O m (O t� O O M m m Q O co (O N CO O N c0 m <t (O O 0 Cl) M �F O E � N (O W N rl-N V (O M V N U Q v> va v3 (» (» Va (» (» va (» (» (» (» (» Va (» (» W, Va W, 0 0 0 0 o O 0 0 0 0 0 O 0 0 0 0 O O 0 0 a) o 0 0 0 o O O o 0 O O o O o 0 0 0 o O o 0 o n o o ti tl- 00 o m o dt 0 0 0 0 0 (D o o LO (D o Cl) N o m N a M N ti m (O (O n n O O O O O M ti CDd' O m N N O C .,-. N to d• O O) O O m h O r 00 �- o ♦- O •C O N m O V' (O e0 U ::) N Cl) V> V). to fA (H Vq W> V3 V) V) (R (A V, V3 V) V> V) 03 w V3 F0- a) Q Q Q QQ QQ Q Q Q Q Q Q LL_ C O (p J J J J t- W W W W W W W (n O a) QI a a Il C .O O N V' N t0 CO CO O N N W Cl) N M co co N co O O OOW N G N a) O 21 C E W J _ � @ U -� U- c m (fl c rn O _ o c z a •7� O a) U) (q c cu a) a) a) m m aa)) Wn c F N 3 � E E a) O N O i0 O IL IL w (D a) a) C ~ W X r m Un � o m wwo o O m t i�� L o rn o 2 v (L) 00 u > O n a o U O c <Y M d > N (O M Oz o wO U) a) CO m mm s= Oc O a o o N NO V V Lm_E U 2 (n (O 00 cr) .N N O W o m W Z N N � o C N E O d M r O0 0) O N M V (O 9 t� W O) O N m O a) z N N N N O W d () 0 O O O O O O O O O O O O O O O O O O O O � O O O O O O O O O O O O O O O (O O O O O QI O O O O O O O Cl? O O O O O OC o O O O O O O Q a O O O O O O O O O O O O O O M O co O N O O O O CD O O O O O � O r ID O Q EO N c U a) O o 0 o O O O o o O o o O O O E m o 0 0 o n o 0 0 0 0 0 o O (n o Q_ O O O O 0 (V (o 0 07 O LO O O O O (O O M V Cl) O M O O O N O t6 N p r (O O V M co O O r O a0 O (O (O Q () W M r N N V' (o N r to Y N O N �j V) (A V> V) 64 V3 V> V� V3 V) 69 V) Vy V3 V) (A 69 Efl 69 Vf O O O O d' O V' CD L O (O T �-- N N r Cl) O N �= a) r r o0 m r r 0 = E N O U O O O O O O O O O O O O O O O a) O O O O Lq O O O O O O O O u) O O O O O O N (0 O M O (O O O O O U') O M d' Cl) O M O O O N O a� .o o Lq m V o M W O r O cc o (n (n N2 () 00 � r N N V (Mo N r ((O d Y N O N V! Vj VJ 64 69 (A Ea V) V) (A VT V), co V) V3 (fl V3 69 69 V) N T N N N M O N Oco O Q pro r G N O E N n` 0 0 -o a) ar CU o o E (L) E ' =3 O (N m U W .Y N O = VT V) V3 V). fA w V9, Gl� U) (fl 691 6q w U) W, W� EH w(A (fl ar w a) N -a W m E N O O = OUH o O o o O o O O o O O o o O O O o 00 O o (O o O O o o O (n O o O O o O o O O O O t`: 0 0 0 0 0 0 0 o N w 0 of o 0 0 0 rn o U C (o O O O O (O O Cl) It M O M O O O O m O N (6 O r N (n 'IT CD V' M 00 O O .- O O O (O (n (O O 00 M V' (fl r N V I--:(V ' 00 O (Orn OC Q M O r MV' U N 69 V3 69 (fl V9 69 69 (fl Vf 64 V3 (Al VT V) V) V3 69 V>69 69 O O O O O O O O O O O O O O O O O O O O (O O O O U? O O Iq O O O O O O O O O O 0 o U U O O O O O O O 00 V' O O O O (O <t N N m O 00 O (O O co It 00 M O O O N N O C a (O (O O (fl M W O O O U .0 (V r ( r (fl (R EA 69 (fl Vi V) V3 (n 69 V> V> V> EA U) V) V3 Efl (A 0 LL 'E p N LL LL. Q Q Q lL Q Q w (n LL. tL tL �- (n U) (n tL LL. m J J LLI LU IL J W W J J J J J U) J J J J (n o a) o_ `0 LL- C (� `- d) M O l0 'm E ro N N r o N m ' y W 00 0 0 W .. N CN E L y 0 7 c L 2 G C +' E W m G ~ C C C U J LL N U p ar W U) n J@ Z a) c c c oo a r a ui a� - 2 LL U m O (�> F- W c 06 a a cli (` U Y O m O o cD ''V m U C m a) wo o a� CL o f 0° n w co o a) o fl o m s m m o Q N 0 C > U O LLtl 0 c 3 0 o LL. (D a) U t_ — cn d F- a a S F- Ua) z o LL O p O E E: � E m EvL � U a U) n U c w E a 0 o z Z o ai E O d' (O (0 r co 0) O N M <f' LL7 O r 00 O) O 00 °n 'o Z N N N N N N M M M M M M M M co co a- O w U a- — a o 0 0 0 o _4) � a � o O a (O N (n D) o E O O I (D Q p N N �- c � C O O CD O O CDE _O O O (n Ln 0 Q O O O (D .:B (D (D co CD O EO W M D) (A O O N 4 M 69 69 EA O �� M C p_ E O U O O O O a) O O (D (D o Q O O O (D CO (D CD D) N .O EO of Cl) D) (A = � U a` n tor- v Y O N <! (n(A 69 M N a O 7 .T N h O � � 0- (1) E O U a - a� � o n E a� E - o m U W > Y .T O � •= O G Q W D E N OUP o O Cl 0 CD O O O LO N O Il-�N OD (D O G O (n to In to � UQ tt O N 'q EA 69 kA 69 O O O 0 o U U nj N N (6 (6 N o a` N N o C J ~ ~ la- o M � = O ' � J d LL cu Ds rn._ v O O W --� E o E w CL > Q rn o � G � > > E W J LL N U � O � Z "m O o (L F� N a a `o zo 0 m m U o t M U Lu : U N p (D ti C Y U O O .N U Z o a) r L c a o o I- E U d co (O w E (D o � � Z o E o rn 3 'm o .o 2 Z v w o w U a - F ORTWORTRi. TRANSPORTATION AND PUBLIC WORKS March 31, 2021 Mountain Cascade of Texas, LLC. 11729 E. FM 917 Alvarado, TX 76009 RE: Acceptance Letter Project Name: Southgate Offsite Waterline Improvements 16/24" Project Type:Water City Project No.: 101541 To Whom It May Concern: On December 10, 2020 a final inspection was made on the subject project. There were no punch list items identified at that 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 December 10, 2020, which is the date of the final inspection and will extend of two (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- 392-7818. Sincerely, AYIAZ 9d462,Lt,P.E. KhaI Jaafari P.E.( ug 27,202111:26 CDT) Khal Jaafari, P.E., Project Manager Cc: Matthew Wilson, Inspector Mark Owen, Inspection Supervisor Edwin R. Rodriguez, Sr., Senior Inspector Victor V. Tornero,Jr., P.E., Program Manager Pacheco-Koch, Consultant Mountain Cascade of Texas, LLC., Contractor Vista Properties, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.08/20/19 / � ) \ \ ) ( 71} Cl) m § / j j > z } CD 2 m { \ \ § \ / \ m 9 9 @ / / g S w o o a ® s o o > % c 2 G e ° ; o / = m m = % z ) 0 ` 0 } \ \ m ) z m m § \ \ En o m o 8 G G ` y \ § % f ® m § ch \ ( + ° $ ® ~ ° \ / \ / \ \ ; $ » -1c Q § § \ \ ® CD - 2m » = m ®G / _ m » ° - » -cn / 0 - \ \ ? .. mCD / / m _ d & D) -n o _ \ / cn CO / w 0 \ % § _ - = o ` :3 ~ / 2co ° ® f \ } ® 2 m \ R0 0R e o \ z z . j \ \ m.. .. > C— , 2 K m 00 a 2 0 _ w H f \ > Cl) o e I � k § \ \ \ n \ t % ® ° Cl) m& » R 0 / ` \ kCID (D / .. O m m / 2 ~ ° 3 � 2 # ( c ; 0 \ g / § zm 2 ID g 00 2m 7 CA a U A e Q0 7 � g ) � 0 s s ! o 2 \ \ \ \ -< / x -< < N O N C CD W 0) a tn CD � - o N 7 - CD o a = O D n. d A A A W W N N N N ' m A N Cn A mAmc) mwmN V Q N 0 x- m � N d O C fD G C) (7 � co W w w w w W w w W co w W W W 7 N W WO j W W N j i co p i CD CD N N N N cn N -1 -1 71 A W A W W O (n _ Cn N O s co 0 0 0 O O CD CD C. N 0 O -+ --+ O m m A .wa Wj A A O > O Wo 0 A 000cnmm o0o A o00o m �- m cn m cn m cn W CD 0 0 p d m D a W o W T V W (n m ' O W m m0 N m Cn -+ (Nil CD W p� �. V A 'P m N -� Z O O O N N CD O m 0 0 (D O O m C m (n CD (D 7 cn (n rr ( rmmrmrmrrr m (n (n (nr rr (nrmmrrmmm < -nco CTDDTD 'n > mmm D C < G71 . . G -n > > m -n DDD z z z 0 0 0 r m m D Wo m m D o O O = O m = m v 0 m OO = A X0 � D TT� O xu O D Z O D m xrr- C) o ° mz � � Cl) D p z < m 0 G7p zr Nara -p � pmm Cf) r m A O -q a m m DDxDpOm � n°' Coo MZZZfM rD2D � (rfl n � n? co m o -iz <T � -� cnOD00 000m � z � -n � cnD - 0o rZ (1) T -0 O m 0 � 7 r (nOG) G) O D O � m O � � -1 r- O m m o c� y n � m n m -i m � y � o z G O O x O T O m m 0 0 z z > < O O x p -n � m i m ai � -nm 4m m Omm D Kmm mm m o O Z O �m n m z m z C 55 o 0 A � a O r Z O -n 0 m z z < < D m G) � rZ � 00X -IDO � � m � DmO O � rzT00 � DDr 'o i mZ2c� o im -WZ3 Zwa MM --j mz = 0o -gmwc < m � 0 M mK2: zmm � � m DDZom DDi mKzz rbmm z O v D � 0 � D mmm � zr) � z � O D m Dz Dr Om 0mo oyZ r- v D > z = m � A D C < D a a a -u m r 2 c O r o n D O r a A o m m _< m '0 p � O zD iz m m zox zD z m0 (� � m D '00 0z � m o mm U) cD 'n m v m o C o o c o a cr i o o 1 0 0 F- v m � - d Er, 69 rfl69 c �' O 69( c j°'svn tj N c�rj O va Efl m w N 69 fA Cn 4 N O Un 0 0 C)1 Wp 9 v Oo O o O N o 0 0 Cn 0 0 (n m CWJ1 N O O 0 0 0 CC O A O O o 0 0 0 0 O O O o 0 0 CD CD o O O O o 0 0 o O O O p O O O O O CD 0 0 o 0 0 CD m W 8 69 Ffl y '��Ffl 6)Ffl C9��69 Efl N ffl Ey ffl f/1 ffl Efl EAR fA�f969 �?A W W A y V� N A (n N N Co O -4 V N V N .� W m O O p N ' V A A tD 8 V m to N�A N (n W CO O Co O N N O O O m O O m W N N C. m m W Cn m m N A O p 0 CO O O m Cp O(Il V Cn -� CAD m m W O (n O O O O V b o N � 0 . N O 0 C) CD0 0 0 0 N O Cn O O O 0 0 'A O N CO N Cn O O m o 0 0 0 CD 0 0 0 m 0 0 0 0 0 0 O O O CD 0 O O p O O O O p o O O O CD O O O O O O O O N x A m < A in n O z J � -r1 rn O N Z7 O O O, O z ° 0- n C 0 03 m w W p m D C) CD O ° c z z z a C2 0 o m m c 1 3 m =1 3 00 - 3 Sao p (7 A CD c D ° � D O COn 0 Q O a c N3 7 - Ui O n. D u 3 N rt3i N p o A � W '! m CQ O a r� Q p�N p q - CD m n (n m o CD � m p�j m �` CDm '1 0 _ Ucl ° O Cl) 0) :3 C3 O c (D C m IQ -s + Cn CA OZT y v y ozi m -nn v m m o > Po (D c 3 v D 3 n v D 0 r, m s o m o �_ CD p rr r r i D U 2 ` CD D < < Q cn w N W v m mLn -, m C) ° (D n O n W n . CD G CD Cn = o v 0- CD m d O c m CD rD Q ? Co9 o © ❑ CD mom ' `c � a A _m o Cn m m t1l CD Qp m m �'m ° 0 r r 4 CD m `n 3 O �' m n z °_' :3 � Et CD O -0 o d o CL a < m o C CD ' o a v m m n D z Co 7 D Q c �, o 3 3 T 3 S zz w m a M to O C O -0 CD n f0 (9 'S y < O < N N m a m 3• N m n 1 m \ `C o N 3. w D d ° O d Q. CD _to r+ - �. (� to. p 0 �^ 3 n D n O V' v_ a >>a 0 - CD v r+ - A ^ CD v� y m m D d o 3 73 Q n () =r chin `$ o A v Cv o CD 0 0 w ° 3 O rD s z d o 3 ? D ° O Q N n cD m ` v n N o : 0 0,, � O � C)• � 5.N• rA Sll c Q C ry m zy (n CO CD ID (D OZ w N p CD f p A n� O ro O I c m 11 NtD NI N 3 'O p(a "l 54O t®j � O7 �•G7 ® F75 J ID °: ` c� j j O N W tD a w 3 O N n N^ 0 3 o IDD �tD to 1v N!o n �CL � 3 m A 1 # a y = � w� - � m oa = in tD to oiu o v wn m e9 ifl aoON CDs tp 3 i CD to W toN 7 lU N C) 7 Vim) I rnj T W� ,�N M 'C U)t) N C3'U1 p 'TI O t O� N ' N W R' n a�y`•� j C Q (7 3 U� O N i _•CAI N N 'O� a-� O tg� ❑.�'7 NO •;4 O O N » Uu0 i �'--�-i-j-------i p ID '(D n tD O O ? N n co C O Ci tp S Ill n . �i mn N mC) 0• G o0 o � os z �� tN�I m r°�n (ODcn tD_ 3 p n 3 i m t�"n cn to � N i 72 -0 S Er �4u N O O Al o M., c° �.° ]�W p vN N n�� U)CO °CD s�P d� N � ' 0 �� P 3 n Cl) <oco F,(b c 2ci 9 CD �^{ a� m om ° 3c>, n CD niS� h OD co o f N_ o) I m I o O� Q �trm �Ms 0 (D t i3� ! 0..• :p z 'U 0') W to t� N{ a wZ� a� �v 3 CD 0 c<- aq � O nC O N N O 'O+ = CL o�N, ma mQ$ no m a =0 Di ry n to lD N�•tD �•�.• O fl1 n E F. �. (n Q t� 5 V �� ° M � 9 II CD m O5 S�C tD 1 = 3O 3O N�` J (D fD I v v } #k &) D }t ' _23 &a �a �a \ #)/ � 2 ' ° \f°® I /) /) OD / / \ c�� 'a ® ƒ � &ka)—— /6{ CC) f > P, \ 8 u �\§{ § | k k } 22 °/ I a ---- / / k c: / /§ ° � eoo � - 0. a • ƒ § � \f § ( .. . g e � � ; ;± $ R o \ 2 0 / \ LLI # k a) ) } } a c § om£ m mm% \ ) \ � q\5 / ---- f a /® 2F k § t f}± E 2 o k f } / ) % ))A o o § \ f § \ m y � e=�5 2 § , g 3m f � � e &%d � § 2 I / g l k .. / \ / /?Q. / / . � � � FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name SOUTHGATE DEVELOPMENT-16-24"DIAMETER WATER MAIN Contract Limits Project Type PAVING City Project Numbers 101541 DOE Number 1541 Estimate Number 1 Payment Number 1 For Period Ending 7/29/2021 CD City Secretary Contract Number Contract Time 24CD Contract Date Days Charged to Date 284 Project Manager NA Contract is 100.00 Complete Contractor Mountain Cascade of Texas 11729 E FM 917 Alvarado, TX 76009 Inspectors OWEN / WILSON Thursday,July 29,2021 Page 1 of 4 City Project Numbers 101541 DOE Number 1541 Contract Name SOUTHGATE DEVELOPMENT-16-24"DIAMETER WATER MAIN Estimate Number 1 Contract Limits Payment Number 1 Project Type PAVING For Period Ending 7/29/2021 Project Funding PAVING Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total --------------------------------------- 145 6"CONCRETE INTEGRAL CURB AND GUTTER 490 LF $40.00 $19,600.00 490 $19,600.00 co#1 146 6"THICK REINFORCED CONCRETE DRIVE 203 SY $122.00 $24,766.00 203 $24,766.00 APPROACH co#1 147 REINFORCED CONCRETE PARKING LOT 385 SY $140.00 $53,900.00 385 $53,900.00 PAVING co#1 148 11"THICK REINFORCED CONCRETE STREET 478 SY $160.00 $76,480.00 478 $76,480.00 PAVING 149 4"CONCRETE SIDEWALK co#1 298 SY $80.00 $23,840.00 298 $23,840.00 150 REMOVE AND REPLACE CONCRETE BARRIER 5 EA $2,925.00 $14,625.00 5 $14,625.00 FREE RAMP co#1 -------------------------------------- Sub-Total of Previous Unit $213,211.00 $213,211.00 PUBLIC PAVING Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total 40 GRAVEL ROAD 125 SF $4.00 $500.00 125 $500.00 41 6"THICK REINFORCED CONCRETE DRIVE 130 SY $122.00 $15,860.00 130 $15,860.00 APPROACH co#1 Sub-Total of Previous Unit $16,360.00 $16,360.00 -------------------------------------- Thursday,July 29,2021 Page 2 of 4 City Project Numbers 101541 DOE Number 1541 Contract Name SOUTHGATE DEVELOPMENT-16-24"DIAMETER WATER MAIN Estimate Number 1 Contract Limits Payment Number 1 Project Type PAVING For Period Ending 7/29/2021 Project Funding Contract Information Summary Original Contract Amount $154,715.00 Change Orders Change Order Number 1 $74,856.00 Total Contract Price $229,571.00 Date Total Cost of Work Completed $229,571.00 Contractor Less %Retained $0.00 Net Earned $229,571.00 Date Inspection Supervisor Earned This Period $229,571.00 Retainage This Period $0.00 Date Less Liquidated Damages Project Manager Days @ /Day $0.00 Date LessPavement Deficiency $0.00 Asst.Director/TPW Less Penalty $0.00 Date Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $229,571.00 Thursday,July 29,2021 Page 3 of 4 City Project Numbers 101541 DOE Number 1541 Contract Name SOUTHGATE DEVELOPMENT-16-24"DIAMETER WATER MAIN Estimate Number 1 Contract Limits Payment Number 1 Project Type PAVING For Period Ending 7/29/2021 Project Funding Project Manager NA City Secretary Contract Number Inspectors OWEN / WILSON Contract Date Contractor Mountain Cascade of Texas Contract Time 240 CD 11729 E FM 917 Days Charged to Date 284 CD Alvarado, TX 76009 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded -------------------------------------- Total Cost of Work Completed $229,571.00 Less %Retained $0.00 Net Earned $229,571.00 Earned This Period $229,571.00 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 $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $229,571.00 Thursday,July 29,2021 Page 4 of 4 Asst. City Manager Date Notice of Project Completion Project Name: SOUTHGATE OFFSITE WATERLINE IMPROVEMENTS 16-24" DIAMETER WATER MAIN City Project No.: 101541 City's Attachments Final Pay Estimate 0 Change Order(s): 0 Yes ❑ N/A Pipe Report: 0 Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 240 CD Days Charged: 284 Work Start Date: 3/2/2020 Work Complete Date: 12/10/2020 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name SOUTHGATE DEVELOPMENT-16-24"DIAMETER WATER MAIN Contract Limits Project Type WATER City Project Numbers 101541 DOE Number 1541 Estimate Number 1 Payment Number 1 For Period Ending 7/28/2021 CD City Secretary Contract Number Contract Time 24CD Contract Date Days Charged to Date 284 Project Manager NA Contract is 100.00 Complete Contractor Mountain Cascade of Texas 11729 E FM 917 Alvarado, TX 76009 Inspectors OWEN / WILSON Thursday,July 29,2021 Page 1 of 6 City Project Numbers 101541 DOE Number 1541 Contract Name SOUTHGATE DEVELOPMENT-16-24"DIAMETER WATER MAIN Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER For Period Ending 7/28/2021 Project Funding WATER Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total --------------------------------------- 101 6"C900 PVC(DR-18)PIPE 54 LF $33.00 $1,782.00 54 $1,782.00 102 8"C900 PVC(DR-18)PIPE 33 LF $43.00 $1,419.00 33 $1,419.00 103 12"C900 PVC(DR-14)PIPE 1226 LF $86.00 $105,436.00 1226 $105,436.00 104 16"C900 PVC(DR-18)PIPE 866 LF $180.00 $155,880.00 866 $155,880.00 105 2"COPPER PIPE 80 LF $27.00 $2,160.00 80 $2,160.00 106 12"DUCTILE IRON PIPE 161 LF $50.00 $8,050.00 161 $8,050.00 107 16"DUCTILE IRON PIPE 1006 LF $97.00 $97,582.00 1006 $97,582.00 108 DUCTILE IRON WATER FITTINGS W/ 5 TN $7,100.00 $35,500.00 5 $35,500.00 RESTRAINT 109 2"GATE VALVE 1 EA $1,380.00 $1,380.00 1 $1,380.00 110 6"GATE VALVE 2 EA $2,286.00 $4,572.00 2 $4,572.00 111 8"GATE VALVE co#1 2 EA $2,252.00 $4,504.00 2 $4,504.00 112 12"GATE VALVE co#1 3 EA $3,735.00 $11,205.00 3 $11,205.00 113 16"GATE VALVE co#1 10 EA $19,757.00 $197,570.00 10 $197,570.00 114 16"X2"TAP 4 EA $1,060.00 $4,240.00 4 $4,240.00 115 16"X6"TAP 2 EA $4,556.00 $9,112.00 2 $9,112.00 116 2"COMBINATION RELEASE VALVE 3 EA $10,778.00 $32,334.00 3 $32,334.00 117 STANDARD FIRE HYDRANT 2 EA $6,000.00 $12,000.00 2 $12,000.00 118 24"THICK STEEL ENCASEMENT(3/8 WALL 160 LF $471.00 $75,360.00 160 $75,360.00 THICKNESS) 119 30"THICK STEEL ENCASEMENT(3/8 WALL 772 LF $700.00 $540,400.00 772 $540,400.00 THICKNESS)co#1 120 CONCRETE ENCASEMENT 10 LF $89.00 $890.00 10 $890.00 121 STANDARD CLEANING WYES(12"AND 2 EA $1,248.00 $2,496.00 2 $2,496.00 SMALLER) 122 STANDARD CLEANING WYES(16"AND 6 EA $2,553.00 $15,318.00 6 $15,318.00 LARGER) 123 PLASTIC METER BOX 1 EA $449.00 $449.00 1 $449.00 124 CONCRETE METER BOX 1 EA $762.00 $762.00 1 $762.00 125 CASED CROSSING TEST STATION 10 EA $1,745.00 $17,450.00 10 $17,450.00 126 FLUSH MOUNTED FOREIGN TEST STATION 1 EA $1,806.00 $1,806.00 1 $1,806.00 127 CONNECTION TO EXISTING MAIN 16 EA $7,387.00 $118,192.00 16 $118,192.00 128 FLOWABLE FILL 115 SF $13.00 $1,495.00 115 $1,495.00 Thursday,July 29,2021 Page 2 of 6 City Project Numbers 101541 DOE Number 1541 Contract Name SOUTHGATE DEVELOPMENT-16-24"DIAMETER WATER MAIN Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER For Period Ending 7/28/2021 Project Funding 129 16"X8"MECHANICAL JOINT SLEEVE 2 EA $1,500.00 $3,000.00 2 $3,000.00 130 TRENCH SAFETY 2539 LF $1.00 $2,539.00 2539 $2,539.00 131 TEMPORARY WATER LINE 710 LF $20.00 $14,200.00 710 $14,200.00 133 INLET PROTECTION co#1 2 EA $84.00 $168.00 2 $168.00 136 REMOVE TREE 6 EA $950.00 $5,700.00 6 $5,700.00 137 REMOVE AND REPLACE TREE 1 EA $2,700.00 $2,700.00 1 $2,700.00 138 TRAFFIC CONTROL 1 LS $12,000.00 $12,000.00 1 $12,000.00 139 SWPPP 1 LS $840.00 $840.00 1 $840.00 140 REMOVE AND REPLACE LIGHT POLE 1 EA $11,000.00 $11,000.00 1 $11,000.00 141 HYDROMULCH co#1 2299 LF $1.00 $2,299.00 2299 $2,299.00 142 RESTRIPING PAVEMENT 302 LF $5.00 $1,510.00 302 $1,510.00 143 REMOVE EXISTING 8"WATER MAIN 575 LF $4.00 $2,300.00 575 $2,300.00 144 MOBILIZATION,BONDS,&INSURANCE(max 1 LS $40,000.00 $40,000.00 1 $40,000.00 5%) 151 RAILROAD FLAGGER AND COORDINATION 2.7805 LS $10,000.00 $27,805.00 2.7805 $27,805.00 (ALLOWANCE)co#1 152 CATHODIC PROTECTION STUDY AND 1 LS $25,000.00 $25,000.00 1 $25,000.00 INSTALL(ALLOWANCE) Sub-Total of Previous Unit $1,610,405.00 $1,610,405.00 PUBLIC WATER Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total --------------------------------------- 1 6"C900 PVC(DR-18)PIPE 11 LF $33.00 $363.00 11 $363.00 2 12"C900 PVC(DR-14)PIPE co#1 82 LF $86.00 $7,052.00 82 $7,052.00 3 16"C900 PVC(DR-18)PIPE 1933 LF $90.00 $173,970.00 1933 $173,970.00 4 24"C900 PVC(DR-18)PIPE co#1 6781 LF $130.00 $881,530.00 6781 $881,530.00 5 2"COPPER PIPE 10 LF $27.00 $270.00 10 $270.00 7 16"DUCTILE IRON PIPE 284 LF $77.00 $21,868.00 284 $21,868.00 8 24"DUCTILE IRON PIPE co#1 211 LF $188.00 $39,668.00 211 $39,668.00 9 DUCTILE IRON WATER FITTINGS W/ 9 TN $9,450.00 $85,050.00 9 $85,050.00 RESTRAINT 10 6"GATE VALVE 1 EA $2,263.00 $2,263.00 1 $2,263.00 14 12"GATE VALVE 1 EA $3,570.00 $3,570.00 1 $3,570.00 11 16"GATE VALVE co#1 4 EA $20,474.00 $81,896.00 4 $81,896.00 12 24"GATE VALVE 8 EA $34,000.00 $272,000.00 8 $272,000.00 Thursday,July 29,2021 Page 3 of 6 City Project Numbers 101541 DOE Number 1541 Contract Name SOUTHGATE DEVELOPMENT-16-24"DIAMETER WATER MAIN Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER For Period Ending 7/27/2021 Project Funding 13 16"X2"TAP 1 EA $900.00 $900.00 1 $900.00 14 8"BLOW OFF VALVE 3 EA $16,000.00 $48,000.00 3 $48,000.00 15 3"COMBINATION RELEASE VALVE 1 EA $18,000.00 $18,000.00 1 $18,000.00 16 STANDARD FIRE HYDRANT 1 EA $4,300.00 $4,300.00 1 $4,300.00 17 30"THICK STEEL ENCASEMENT(3/8 WALL 245 LF $736.00 $180,320.00 245 $180,320.00 THICKNESS)co#1 18 42"THICK STEEL ENCASEMENT(1/2 WALL 316 LF $1,170.00 $369,720.00 316 $369,720.00 THICKNESS) 19 STANDARD CLEANING WYES(16"AND 8 EA $5,000.00 $40,000.00 8 $40,000.00 LARGER) 20 CASED CROSSING TEST STATION 8 EA $1,745.00 $13,960.00 8 $13,960.00 21 FLUSH MOUNTED FOREIGN TEST STATION 2 EA $1,806.00 $3,612.00 2 $3,612.00 22 CONNECTION TO EXISTING MAIN co#1 4 EA $8,130.00 $32,520.00 4 $32,520.00 23 FLOWABLE FILL 105 SF $13.00 $1,365.00 105 $1,365.00 25 TRENCH SAFETY 8711 LF $1.00 $8,711.00 8711 $8,711.00 27 CONSTRUCTION ENTRANCE 1 EA $1,500.00 $1,500.00 1 $1,500.00 31 REMOVE TREE 1 EA $950.00 $950.00 1 $950.00 32 REMOVE AND REPLACE TREE 14 EA $2,600.00 $36,400.00 14 $36,400.00 33 TRAFFIC CONTROL 1 LS $7,330.50 $7,330.50 1 $7,330.50 34 SWPPP 1 LS $840.00 $840.00 1 $840.00 35 REMOVE AND REPLACE T BARBED WIRE 129 LF $8.00 $1,032.00 129 $1,032.00 FENCE 36 REMOVE AND REPLACE 6'WROUGHT IRON 24 LF $84.00 $2,016.00 24 $2,016.00 FENCE 37 REMOVE AND REPLACE 6'CHAIN LINK FENCE 70 LF $30.00 $2,100.00 70 $2,100.00 38 HYDROMULCH co#1 47739 SY $1.00 $47,739.00 47739 $47,739.00 39 MOBILIZATION,BONDS,&INSURANCE(max 1 LS $68,000.00 $68,000.00 1 $68,000.00 5%) 44 RAILROAD FLAGGER AND COORDINATION 2.7805 LS $10,000.00 $27,805.00 2.7805 $27,805.00 (ALLOWANCE)co#1 45 CATHODIC PROTECTION STUDY AND 1 LS $75,000.00 $75,000.00 1 $75,000.00 INSTALL(ALLOWANCE) Sub-Total of Previous Unit $2,561,620.50 $2,561,620.50 -------------------------------------- Thursday,July 29,2021 Page 4 of 6 City Project Numbers 101541 DOE Number 1541 Contract Name SOUTHGATE DEVELOPMENT-16-24"DIAMETER WATER MAIN Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER For Period Ending 7/27/2021 Project Funding Contract Information Summary Original Contract Amount $3,881,910.00 Change Orders Change Order Number 1 $290,115.50 Total Contract Price $4,172,025.50 Date Total Cost of Work Completed $4,172,025.50 Contractor Less %Retained $0.00 Net Earned $4,172,025.50 Date Inspection Supervisor Earned This Period $4,172,025.50 Retainage This Period $0.00 Date Less Liquidated Damages Project Manager Days @ /Day $0.00 Date LessPavement Deficiency $0.00 Asst.Director/TPW Less Penalty $0.00 Date Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $4,172,025.50 Thursday,July 29,2021 Page 5 of 6 City Project Numbers 101541 DOE Number 1541 Contract Name SOUTHGATE DEVELOPMENT-16-24"DIAMETER WATER MAIN Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER For Period Ending 7/27/2021 Project Funding Project Manager NA City Secretary Contract Number Inspectors OWEN / WILSON Contract Date Contractor Mountain Cascade of Texas Contract Time 240 CD 11729 E FM 917 Days Charged to Date 284 CD Alvarado, TX 76009 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded -------------------------------------- Total Cost of Work Completed $4,172,025.50 Less %Retained $0.00 Net Earned $4,172,025.50 Earned This Period $4,172,025.50 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 $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $4,172,025.50 Thursday,July 29,2021 Page 6 of 6 FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Southgate Offsite Water Improvements 16"/24" PROJECT NUMBER: 101541 DOE NUMBER: N/A WATER PIPE LAID SIZE TYPE OF PIPE LF Open Cut 6" PVC 65' Open Cut 8" PVC 33' Open Cut 12" PVC 1308' Open Cut 16" PVC 2799' Open Cut 24" PVC 6781' By other than open cut 12" D.I. 161' By other than open cut 16" D.I. 1290' By other than open cut 24" D.I. 211' FIRE HYDRANTS: 3 VALVES (16" OR LARGER) 22 PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: Taken-Passed NEW SERVICES: 2" Copper 90' 1.5" Copper 20' SEWER PIPE LAID SIZE TYPE OF PIPE LF N/A PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: NEW SERVICES: N/A TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street• Fort Worth,TX 76012-6311 (817) 392-7941 • Fax: (817) 392-7845 Signature: V1GhRGcfooW Vishal Sood(Aug27,202108:04 CDT) Email: Vishal.Sood@fortworthtexas.gov AFFIDAVIT STATE OF TEXAS COUNTY OF JOHNSON Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Andrew L. McCulloch, Vice President Of Mountain Cascade of Texas, LLC, 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; Southgate Offsite 16"/24" Water Line Improvements BY Andr L. McCulloch,Vice President Subscribed and sworn before me on this date 14th of December, 2020. t ublic �� ypri WANDA SUE JARRELL o County' Texas `��4P•�.••U9'4 Notary Public,State of Texas .•c ',�v�+� Comm. Expires 06-29-2024 Notary ID 11962407 CONSENT OF OWNER 1-1 SURETY COMPANY ARCHITECT I.1 CONTRACTOR I-.1 TO FINAL PAYMENT SURETY OTHER Li AIA DOCUMENT G707 Bond No. 070209761 PROJECT: (name,address) TO(Owner) ARCHITECT'S PROJECT NO: City of Fort Worth CONTRACT FOR:Southgate Development 16 /24" Diameter Water Main Job#88049 Project# 101541 TX CONTRACT DATE:December 18, 2019 L CONTRACTOR: Mountain Cascade of Texas, LLC 11729 E. FM 917 Alvarado, TX 76009 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surely Company) Liberty Mutual Insurance Company 175 Berkeley Street, Boston, MA 02116 SURETY COMPANY, On bond Of(here Insert name and address of Contractor) Mountain Cascade of Texas, LLC 11729 E. FM 917 Alvarado, TX 76009 CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surely Company of any of its obligations to(here Insert name and address of owner) City of Fort Worth ,TX OWNERS, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 11 th day of December, 2020 Liberty Mutual Insurance Company Surety Company Signature of Authorized Representative Attest: jo (Seal): Ian illiams Phillip Knower Attorney-in-Fact Title 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•APRIL 1970 EDITION•AIA® ONE PAGE 0 1970-THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVE.,NW,WASHINGTON,D.C.20006 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 Liberty Mutual Insurance Company Mutual. The Ohio Casualty Insurance Company Certificate No: 8204502-985949 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, Aimee R. Perondine;Alexis Apostolidis;Bethany Stevenson;Brendan Fletcher;Bryan M.Caneschi;Cassandra Baez;Donna M.Planeta;Eric Strba;Jacqueline Susco;Janee Wright;Joshua Sanford;Kathryn Pryor;Michelle Anne McMahon;Nicholas Turecamo;Phillip Knower;Rebecca M.Stevenson;Tanya Nguyen all of the city of Hartford state of CT each individually if there be more than one named,its true and lawful attorney-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 17th day of November , 2020 Liberty Mutual Insurance Company P�\NSU,Q PN" INS& \NSU"? The Ohio Casualty Insurance Company �J G°RP°taT y� y`�G°aP°fir 9y \VP4°aP°Syr Zc, West American Insurance Company J3 Fom Q3 FOC+ � r Fom 1912 0 0 1919 1991 vi r v �%3 y i r� o a �� t� d�SSgCHHs�,dD NAMPS�`.aD YS �NOJAI% 4�z 9j7 * *� l * T� M * i� By: to David M.Carey,Assistant Secretary m State of PENNSYLVANIA ss County of MONTGOMERY p .;� On this 17th day of November 2020 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance cu 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 0)— therein contained by signing on behalf of the corporations by himself as a duly authorized officer. aN= IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. cu U) --AS, O Pi Ey COMMONWEALTH OF PENNSYLVANIA JS O �o� r.x Notarial Seal e0- N OF Teresa Pastella,Notary Public C Upper Merionhvp.,Montgomery County By: ;u "' Q;G My Commission Expires March 28,2021 Teresa Pastella,Notary Public <O OTq-- ••� �, Member,Pennsylvania Association of Notaries `SO N t:�% 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 Insurance oQ E.� Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: N ARTICLE IV—OFFICERS:Section 12.Power of Attorney. — [2 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 President v may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety any and all M— 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 o 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 instruments shall Z v 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. lO Q ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings. 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, shall appoint such attorneys-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 attorneys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation—The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attomeys-in- fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Authorization—By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 11 th day of December , 2020 . P�\NSU j.j POSY INS&,p �\NSU/?G°µPORyr�C yJ o°pP°R,yT y2 VP °aP°agr yC� 1912 0 1919 EU 1991 By: a�9SSA6H�S��da SORgMPsaa `fir rNOtANP ds Renee C.Llewellyn,Assistant Secretary LMS-12873 LMIC OCIC WAIC Multi C°8P20