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Contract 53452-FP1
FORT WORTH© lroo� TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION City Secretary No_53452 -FP1 Date Received: Dec 13,2021 City Project Ne: CO2272 Regarding contract 53452 for NORTH RIVERSIDE DRIVE FROM TARRANT PARKWAY TO OLD DENTON ROAD as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 12/17/2019 through M&C 19-0406 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: $8,907,940.57 Amount of Approved Change Orders: $865,479.48 NO 1,2,3 Revised Contract Amount: $9,773,420.05 Total Cost Work Completed: $9,773,420.05 Less Deductions: Liquidated Damages: 0 Days @$650.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $9,773,411.48 Less Previous Payments: $9,284,740.91 Final Payment Due $488,670.57 L�e�P�ceuY Lauren Prieur(Dec 10,202116:07 CST) Dec 10,2021 Recommended For Acceptance Date Asst, Director, TPW - Capital Dellvery _(g,.casc O 10:41 WJ(Dec 13,20 10:41 CST) Dec 13,2021 Accepted Date, Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT Client Department 19ana 244 0 Dec 13,2021 Dana Burghdoff ec 13,202111:04 CST) Asst, City Manager Date Comments: OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX C-620 Signature Page Contractor's Application for Payment Invoice No. 19-FINAL TO(Ovvner) City of Fort Worth Invoicing Period(From-To): Invoice Date: October 1 2021 to October 31,2021 I1/18/2021 P.O. FW020-3334 From(Contmetor): Remit to(ICNot Automatic Deposit): Number' McMahon Contracting LP Project: CO2272 Contractors CFW Vendor No.: 0000011434 James Proulx or Shelle•Patterson City Secretary Contract 53452 Name:C0n6no Number. :North Riverside Drive from Tarrant Parkway to Old Denton Road Application For Payment Change Order Summary Approved Change Orders 1.ORIGINAL CONTRACT PRICE..........................................................S S8,907,940.57 Number Additions Deletions 2.Net change b)•Change Orders.................................................................S S865,479A8 1 $798,863.67 $32,915.00 3.Current Contract Price )(Line 1 t 2........................................................S 59,773,420.05 2 $37,566.60 4.TOTAL COMPLETED AND STORED TO DATE 3 $325,636.17 $263,671.96 (Progress Estimate,Construction Allowance and Change Orders).......S S9,773,411.48 4 5.RETAINAGE: 5 a.5.0% X Work Completed..........S 6 It. X Not Used S 7 c.Total Retainage(Line 5n+Line 5b)..............•..•.............S 8 6.AMOUNT ELIGIBLE TO DATE(Line 4-Line 5c).............................S S9,773,411.48 TOTALS $1,162,066.44 $296,586.96 7,LESS PREVIOUS PAYMENTS(Line 6 from prior Application)........S S9,284,740.91 NETCHANGEBY S865,479.48 8.AMOUNT DUE THIS APPLICATION.................................................S S488,670.57 CHANGE ORDERS 9.BALANCE TO FINISH,PLUS RETAINAGE (Column G on Progress Estimate+CA+Cos+Line 5 above)..............S S8.57 Contractor's Certification 10.CONTRACT TIME: The Contractor certifies nigh the submittal ofthis document and associated Payment Request Submittal a. Days Awarded 540 on the City of Fori Worth Bua w system that to the best of their hi niedge:(1)all previous progress It. Days Added by CO 90 payments received from Owner on account of Work done under the Contract have been applied on C. Total Days 630 account to discharge Contractors legitimate obligations incurred in connection with Work covered by prior Applications for Payment;(2)title of all Work,materials and equipment incorporated in said Work or other ise listed in or covered by this Application for Payment will pass to Owner at time of it. Dn)a Charged 556 payment free and clear of all Liens,security interests and encumbrances(except such as are covered by a Bond acceptable to Owner indemnifying Owner against any such Liens,security interest or C. Drys Remaining 74 encumbrances);and(3)all Work covered by Ibis Application for Payment is in accordance with the Contract Documents mid is not defective. Liquidated Damages Oa S650.00 x day sGce7�mmfahc Shelley McMahon(Dec 10,202113:58 CST) This document has been modified from its original form as an EJCDC document and the user did not highlight the modifications.You are encouraged to read the document carefully and consult Legal Counsel prior to its execution. �6mYaReR�enE>,��. Progress Estimate 53452 Contractor's Application rnE®.c Nallh RimnideDfirefmm Tarmnt PatATagto Old Dentoo Road 19-MAL '�'m�p Odohr/,3031 fo Oplohr31,3@I +fyinal>/n 31aers93f J.. omtte dim tin eVQsery ]�i w.s BEsi Saa J at f1:zn,w.J W,iC�B sua<bp)fanr aH a m»� Q n tW rtntynn,eavusl0mawfd oxpa>t 6)dml9 eem2 Ise rpe - - _ - 0 11=-- x•opopwo H.51d R4)fi2o 23SAtOt'O •6916 J4 f349f6w 5]s 916•] f_ Ja]x -s 3,13aio 1aM Z. tr a,p - IF__. :o[xew 51.s p1 - r24)pA 19Dm0Y.a4.._.. f35AA-- f3AIDv sz 5[om foo o'h - f tasexwo FE9pJ 4e6] __ --_ 4waaa- ts03 uffm6l.n - •rvre IS tF -- fm SJmrilm SfSMd Ja 1615fi s6 on)d - IIx txoarm Sttlw --- ...f�-- 5199ss.1a H69.3 fa I[o]'s, 1sOt Jlflot6l ma vrvpe - -Lc _ - - ta� 51 m - LF wcxum Elsa xa � _ 1sO5 151 rn t)v P9e Lr )o oaaw 51d119 3 N wwpmCW � Hb11:roIt fsafie 'Wf e+a 4 _ cv [vs arw] a11om 3E6 _ pmoepaU � ro _. l3915 w SEo 6)IW 1sa5e -9Wf V.rc<s of la eV fey mcpo x6]w -W AWN - - 5 faa6E � -_4 »Ixv Flr sx E5911 _ )mmomY-- f1061d-ia 5146�H J1 -- -- ifa6H>]woox -- cenrcc• 6hVyf6` —. y 1sa6e icinrcc mssurya•tTWlrvan »Izv u c. 5193)ai �_ ---- i31 fl)9]Isl ta0) 31p50 _ »Ssxs Ls o. •A»R �_R OOp0.yUG_. iR S}91n R � 1eM 0 Wf -K ew'2I of)Iv Ls Iwxa. •snow - 4,1.. 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INNpI krma, Tatl raedN w &ta.wFii ' B] ztiaJtix BJ f'a:x \•DSTV,Itid n�i SSwf uzwlV eEJ Lccdmr lv tw x.. ormrD� Sw.N. SVYY �-� rc��p. ra. nw.rrtrYYra. ....�wv a..n- tc1 -.. -Y9n - __ roproc R!z_-. Ir6s moogmD SDI-_ aolzo- io o m�s vm tat to J11om - c0000D an 1nmm -- tsoaooaeo Hfosm Rlosm_ - ]ilos ri I—a 1e119 - Jf tom Fw--- .3 Jea[Omm pmm S3]Ree- feOJmb]00 rzw H,irz% to 2a .. - from -.. Hb25 9 d d 1ciR M itl __-_ doM 591a DOm0000-_. G ta121 _J AmbllDd�}wcrt m _6x-_ MDODO00- sf2n _¢]f ti62Je to OIf]e - -µiJpA6R-f(MRwTYmN,aty wily - -_ - -= p}W]e] fM 51 I-ea bo2Omomm $IgJm D2 {f3•wm vao3] -F. TJnAra-t Nf�Poxn«r reap Jit1v - -.- - �� tc n _1 cv bo]DDm sa M lcfb om[s <. - vlly � deamaq]mD Dli x _. sr _ ..vas - fedfb.amanoD - -_- »ii..p�Y Renmerartanr.e.-.r) JZIZU - s19m _- 2JD nst�5] mww 1c1A s! 9 -3 Sflmm]mO 1e 30 _S pa l re.rar) Jifizb s! pm0o0O s]s°•2 I% ptmwm0-_-,. 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Hnm z prw.e ax= Jlftd Imau, HiW-m %Nm t000..00m iswm 325 1t3i Otm i-lc��igvl(a•)ra M_smui,) Jzst is —� nOtmm Progress Estimate 53452 Contractor's Application 1a� North Rivenidn Drive fmm Tarrant Padny to Old Denton Road WF7WL Ortoeer1,202110 W.ber31,2021 .yrsmr c ImVratl sa. 1�'rre, t�fow r1 wear r.�Pov sett �_e""4 ve. n.,in+>rmrW. Sa.Su,mw vemLxmh to t>�ur B �:�� it ,..14um0 sa N� Correa temar.+[m.orttucndw��ee.�et`t� nstxa to e�v,dee nms Q,�r..'..m��.pcaa mi.0 e.>e G6ZODt¢rg6Otdea Progress Estimate Construction Allowance Usage Contractor's Application ADDITIONS rm«mo-a tz CO2272 Nnnh Rla�.t]1d.Dtia.rwm r.Ta.nt lhalctn3�t.as DJntmt Ra.d cy s¢,.ntY 53452 19-FINAL cmo-ct2;m,: A{9Enem Pmod: October 1,2021 to October 31,2021 Apptingm Duc Imerzo:t A D C D E F It® T-Ic- W IOalviceb Fid,6 &6'm,td P¢ne0' fh+in¢IY Yiluc Thu A41niaL ltamty Ib.TA.nSer paaaipgm SpNintlm CritdMw,.e Q¢e6ryb Add l.'dlPlke Additlmtalm Innped Yilx LeWM\'ilm Ftxiad SaM(vn InCS xA S bDatn ( N-Fl (DIE) B S¢SmX¢ (paE) 1¢IJt 999yo0001o1egal CdaedTeaaN Wi,d Cm,naa nii510' SY 3NOW0W00 sn.T 383.749.10 290,00000000_ St),749.10 _M]J9.10 St]3 Jm o IOOAti t¢I-]2 9999.o0m YviaaetNgN CLbaMG.ln IAt$pEWnl,Ivd�Si IE 20R00000000 W35 16.1T0.00_ �_. -__..__. 21A1ON0'003 _ S6,]]000 1eIJ3 9999.0ppp 5paialp Cawne Ptx Remaal 55' 300.00000000 Sn35 54630A0 200A0000000 SQ650A0 �5�6,65mp _.__�__. -_. $6.650.00 10 1¢2-35 3215010510•Cmaete Pmtlh Rhrnidc D,Am) _ S 10.00000000 552% t519.� 1000000000 1529.60 5329.60 S529.60 100.0!: 1¢262 9999.0000 NtayalCd¢NTmuel RauNCawn-ils niW lO•c SY 355.00DD3000 Utt'19 3101510.J5 355.00000000 t10252645 SSMJS. _ S10z,szaJs 100Ati Ie2JJ 99990000\'adaaeFlegH tLba�q GWln(At SpiNn DlaM,Si IF 2WD0000000 U3.B5 S9,47tA0_2W 00000000 _S9J]tA0 __P,JTtpO_ _. _ 39.JItAO 100.0ti 1a24 9999.00m Ra4d Cm,n]Ik C'Iwn�SViryq ttJE(\4T EA t6ot9dpo9 S-o SHAW aato90o6o $nU.00 slim Slam 10 � taTJ 9999.0000 Ri,d CJvm-ilt CEnfm Spipi�g tUE M) __ EA 10.00000000 _SIIo00 SIJIOOAO IO.000OOOOD s1.100A0 S1,10000 SI.100.00 100 1- �--_ 3-21 g9g9,0000 Wcgr,�CdaMTeWMRauedCrmtnaa nii6 t0' SY 55.00000000 538t]9 S245JT,15 S2J,H1.15 52J H].IS IOOAL' -_- - _ -�- 3.2t 9999,0000\SdalJe FidUl CubadC n(At SpliWal,IvM,S 1F t0.W000000_ SUAS f2,]OL00_IO.000OOOOD 32-]OtDO S2,]OtDO _ 100.(M1 3-29 9999.0000 Ri,cd C,vmalS CTcami SniygtiJE MT EA 4.0o000000 5110.00 H40o0 JD_DOOWJO H4000 SJJR00 Ham It140ti 1 Ilm Msn On�ug IS I.00000000 S13Slbtt s13,53611 _I.000OOol9 S13.SS611 SI3,SM11 - -----�-- 511,536.11 IOOA'J �- 2 Cw6atim AdSuma lkdnill L4 _I.00f100000 J]0951] s21,035A7 I.000OOOOU s27-09S.J] 52],095.4] 521A95.J] tOLLOti 3 {nio .c idgSp.WMR"k LS tD000000D s3,2s2,o .,25220 1- 13.25]20 53,2523J - SX252]II J Replae¢vtdDam+gMDgNlMelfaim, ___LS_ _ IL000000D _U,ISJ.63 U,154.63 __ _----.- _. w.63 v,1sJ63 s,IH.v I0003: -_ -$ s�,a,6im lv.a Eatwim Is - _-Iil0000000 vJ.00zn s1J,wu3 - lldad¢muY Sv tarn mod6deamin aigi¢1f atm FJCOC�WOk xardidmagldigNdx modificatl¢a 5'w H ctwragd b rtad Ne doamevt tueGdY a,d awd�[agJl caw al prirt b i¢nnti m CJi20 Clarge OrY.r Two SI601t3!] Sll UL41 $2WIL41 98 IILJI 19.5•:I 514.00S.J] �m<.,muwa«„�asm�mm®Ntr,.,o FJcoc n. ,�auK�nRsamwy�uy�m< mo35<au on.Tw n«�>sm u nJA m<avn<m<,�un.m m„wi Isyl c�.a�e m���.<wn�.. C820 Cle,ge Older Progress Estimate Construction Allowance Usage Contractor's Application CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED Fm OmuwtY CO2272 north Ri...Ad,Dri,e ftom T—t P.,k—y to Old Dmt..Road A591iadm r'mi2c 19-FINAL A19R�amrmoa October 1,2021 to October 31,2021 A1Flioum°"` H1180021 A ° c D E F Ran Rid Ran T\arba Dacdp6m Spa'fiadm Ltilof)Ievmr Qump-.Mkk vd,Mk RN dm{'alue .X'a C,d Ha L',el .�'a t.'ad �'a LYet }:a V,al Halhd Hall'+el S.H Uad Sadm Ha _ Icl-JS 3211010510'CmmmFxnt Ri RtxdhAPmel SS' IS000000000 SS]%_ _ S95), iIO _ ICIJ1 9999A000 Tjpe AdDPvvgdokgY CdadTeLund lO'Cacn S]' _ IOr.00Dm000 SI3S30_ __SIJ,Jr1.10 _ _ let-l3 )iI10102TCamck A,a,owlSunmafidl'IMmsu,A SY IS00000000 H5.73 66ti95_ 1e2-35 3211010510•Canme—(KM—.D,P o SY 2M..000000 55295 311,651.20 Ie2-31 9999.0000 Age MDA,iK_Riku caaATSWd10' SY 133A0000000 SIJSM - $17,99J --- IdJD J2D.000J d'BRAAJOIS4ddiv 1t�3(R'2 IF__ 5.00000000 SIM -- S 0 --- IdM Id .M.OMI 1'61DAm114d;'u_iO HAS(\\S IF__ I5.00000000 f232 --- -S3i10 - J16 99990000 IF_ 10.00000000 IdJa 32I1.0501±J'st.ets WSiy FfAE1P1 IF 210.000p1000 5911 _S I.tO 1dN li=).0003 J•ORI;Am l6diie HAS(N?_ IF 590000000 Sim 5 0 Id0 3211.0301 IF I5.00000000 5232 S3410 Id06 5999.00N 6•cL15Pmt\fa' H{E(Vl� IF I000000000 56.96 56910 IdJ 3217.050124-SW PmdSUMMH.AE01') IF 21000000000 $911 S1.9JLM 391 321101036—c Pru\\'akm 3Fsv wRwm.Ltmtcg_ _ SY S1A0000000 $5224 S29I91! 301 9999.00 w—1 Ce:aMSta�e11•Caaiae R'e,�nn _ SY 3JA0000000 316L91�60S9J 3.19 3210.050121'S2DAml3RU WSE1W1 IF 60,0p00000p S911 SMI. IeI•M 9'I99.0000 HwgiapmaaeMaCw6uWm Allu,anx _g94)59 IS 1.000000 $I540 $)115920 1e261 9999.0009 A,vglmp�nnvanx,Cwtruxim Aemvu 0000 49 y)99 IS 1000000 SIH00000 39L66910 1e261 9999.000p A,RglmpmmmvCwtraam Alla,�me — 13 100000000 H111J.11 H1184.41 lel-M 9999.000p ANn11 _mmv Cwvus"m.Vlm,n.e IS 1.00000000 31I153.10 Sfl 15, 2.10 T h Sl I1/1 ThR duanmlEv teen nioi6cd6aniR ai9vlf van EICOC dx�wnf>b die uadidm H9]0iyddv modifi:adan 1'wart awvnBN brtad dK dwvnmevddl5 aMmuWl Ieyl CaaudpimbiR ecntim O6M(Trnge Order Progress Estimate Change Order Number 0 Contractor's Application ADDITIONS F.(<mo-xt) CO2272 North RhxrddeDatae fmm Tarrant Parkway to Old Denton Road CirySmeuT 5.345E AKIk'6®h\mi 19-FINAL cmo-whm ARJw+Ym PanS. October 1,2021 to October 31,2021 A3W�Jimlau 11a8f2021 B C D E F TwICmpldei % RJlmab F.;.. 1]x^ie(edn S® Speeifierim LFdaF CO Q,Wdrb Add UnAleiw Addi3im Ch»ae E9muNfNNM. VJ�u Rniwuly \'Jahis Period A41ei,h Rewdy WSbrdb Gu hn ��¢'4 SarimM hluwe O<du VJm AJalkd ivaa3N Vatm 39aai(min C) (D-E) R Livt la'Waurhq<nmmY 1a-31 _02Jt.t016 Ammc16'{V<c l.iu LP T000000000 E13 t5 396930_ A000.�0000__ H69.50 596930 39693p 100.W Ia03 )3110161 IRv119•Pl'C DA-1Jlt's Npe - LF )p.00000p0p S]¢IJ fi-io_A 00000000 EIy09;0 -�H309.10 -_-- H.909 t0 I00.0`e _ 1a01 __3311045E Wu1115'Dltt'Ja Pita _ SE 70.00NN000 Mr- H391.10 _7000009000 W91.10 St,391.10 H39I.10 I00.01, 1a23 331E30V3 b•.116.O,u V.hc FA "Coeco000 "A66.J9 SI,i66.J9_ IWOO,tOM EI.H6J9 f1.i66J9 SI.t66J9 IO0.W to-25 J311 UV1 QwvJeim F�^='•xitSRemila TOR 300000000 $39111 H913;3 10WNJ00_ W3In$3 53,9_J3;3 H,93313 l0o- _Ic+xd 33110-CavuaimbEvJing 16•tt'JCHain PA 300000000 f2,Y9JA2 59.1]60t 400000(00 59.1]6M_WI)=03 �,1)6W IOO.W 10-21 33123(K6 16.O.YYahewr\'auk _ PA 100000000 S14A3].)2 f14A37.72 I0o000000_ S1403).)2 _SIJ OMM Slaw?.n 100.0% lb:Sarumy Sevru krycnmmY - __ - _IbIJ 3305011J hLnMle Mjurvmtb4 xt Cmc F.\ 300000000 f20322i�5606611 30C9000M_ 0666E .__X066t1 36066.II 100.0% tSalc:Pnvg3.cgvnmmY ���� Ica-0? 31250101 FmJm CmeolN- _ m IA0000000 SJ0337;1 M$3161 _100000000 510.531.6E H0331.61 100.0% Ic2-03 3J)1.0U1 Tn0'r Cmtmlbfwvu _ 1p 3000000J0 E2 3]220)1/H SI3 500000000 EI13-1220 f13,1- St33A20 100.0% Ic1-05 01]IAI01 CmJrvcSim Sukag __ I; IA0000000 Hl2230 H.12250_IA0000000 S1t2250 S�UZSO _ 3250 IOO.Oti 1216 U2J1051•3 A®xc Fm<e _ IF SSOA0000000 S232_ $1.2.00_50.00000000 511600 511600 SI1600 9.1% M.I. I132 UIJI OSSA Amv.<OuuhJl _ IF A00000000 S21A0 MA"M xectoc000 SI N00 f1.JT3.00 SI M00 10004: l] 3110010E Siu Ckavy 13 1.occcoeoe H2M256 H236236 IA0000000 H336256 Sny36256 HT36236 100056 '- 3110010E 6'-t2'TruRmral FA 4200000000 S2)].06 111,6365E J1IX1000000 511,6363E 311,6365E 3IIA3652 1043 Ic2-19 311001026•-12•Tru Rem,al_ P.\ M00000000_ 15263) S7;9535_ IS40000000_ S];9335 Si 8-5 _ 3739sM 1000% _Ic2-20 3110010116'-2J•TrmR.,d m 200000000 S]J313 SIAt630 Uccoc000_ SIAH30 SIAf63_0 31,4H30 100.0. 1c231 10.0105>24-T,_e:R.1 eA 3.00ri00000 Hl25) 526172E 3A0000000 ].]1 S2b47.31 52MI..71 100A% 1e2.23 _ 31100105>24•T<IM-;.l b<'Plm(M) CY 215000000000 SM]I S33A52S0 2)W00000000 S73A52S0 M.43250 E5345230 100.09: Ic2-2) 3211.o-10Wabitiee(13l-,SIj TN J50oAco0 $I.. 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Mali to0055 Id-,o 9999000J COVIRAST WU LegaJ Artvr(l{'SB) BA sO3000o00 _sl0600 sEA3oa0 5.000000o0 szo3om_s1,o)11 _- 120"m Ioo.O% Id-!I 99990Q)CO\TRASTLrc I.eEmd OBLprtw(\Y3B) FA 300000000 s)39to S23A40 3A0000000 S22A.J0__E22]9.J0 2AA0 100.0% 1d 24 99990003 hmnah CLnJm Strymg HAE(t\� - W 300000030 SIl¢OD 53M00 3A0000000 131000 533000 _.-__-- S3M00 I000%Id-ti 321 7.210E RF3LR+LNMuka Tl'6GR _ _ E\ b000000ooD 116E 3EA40 (9oN00100 32]lJ0 s2]flJ0 Id±1 _3331 i00l Fvmi,hM1uta0 AMv5i�Caomd Ebw cy sld FA 1 00000 03 0 H39.J0 H39.J0 100000000 H39.40__$-..J0 $539.J0 IOOA% Id-1] 3JIIAIm.-SiP,Pu -Pad FA 9.00000000 SIIOM 599110 9.00000000 5991.10 E991.t0 -I.. 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HH.003 AJ 5T.3 W^l leT 39 pl}Tei L)n _ PA 100000000 SI299200 51299200 _IOOOOOOOD SI299200 -Ste]99200 51299200 IOO.M4 lea! 3H9.I001 iWda'<Y(Sti'Bm Nhm) � 100000000 SH.t]6{5 S3J.!]615 EH lT6l5 Ie39 32120p2 TCf)OTSWRe It'<0-A3\'1(L)II ,3P H000006000 Ei33J SI133760 -- SITSA60 Io-M, 99A.0060 Pedauia Ruing LE 3700000060 5135.A S].IW..9_ 31.00000000 5116{S9 f1.16IM 51161 t9 1N.M1 IsJO 313]O,oI cmnve Rq<ap _ SY p(y0ppppp f12J.60 23.J9200 _ S+J9200 _. Ilvd if.Sum LpAuog Sgmmmu __ .- _- . 1(DI 313I 3003 Rdvy 0lwiAa�tly TS'1l,1..�19,vd D30 __ FA 200000000 53.15036 KM.'i_200000000 $6301.13 f6,.I.12 36301.13 1(OT 3N13301 Rdrythw Fwduim TY33.6,W. 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H.ISt00 -___- fi.I5t00 100.033 Ifil 315I.iJlo hb 101w�tW�m Cmdr IF J9509960900 S262 31.2969D A5.0066p000 5201290 Ti.01290 S3A.290 160.6H -$3.600 I[-33 9999,0000 Fmw83fiveR 3l.3 vmfa T59<1.Pil< HA 2000)aN0 32i5000 Sl.30000 t060WW1 A.000.00 A000.00 .___.- A.00000 p0.036 -SJ30000 I,Eh IB:Wtv<p 5<J<mmw+ - IS01 3M1 OIOo kgvtedT«Nfi"@i<km Sad Mry) Cy J30.06006000 u203 SIt.06..60 Jp.00000000 EI..ON.60_�1l06..60- _ SII.06l60 IOO.M3 I.JIi 3A20160.Block tad Fl<cmml - SY 16T500006060 Ef.t6 53133330 ISS006000000 3991300__59,013_00 - -__ A.Ot300 63296 312J3250 ]WL S .636T 36] A.91 56T A.91 36T 9A91 H.]Sf Sll J6l]6 Thi<dximmthvbem maiifxd O.m iuorigiwlfmmuaPSOc duwa and Jz u�a bd<d higEliEMihe mNJxvvu k'm vemmugda<od Orc6xuumtwehihvd rm<uh Lsgu C<wul pia loiu e<mnia csm Change Order Progress Estimate Change Order Number 0 Conti-actor's Application DELETIONS Ea(antra) CO2272 N-1,111, ideDd.I—Tarzant Parkway to Old Denton Road '�IP(ka�h 10 AlpwiimPwid January It 2021 to January 30,2021 Aa,"" 1 2/2011 A B C D E !® NQuel'ryb Odnim Chute Chuge Udesna Speeir+;m LbeQ the Pdm 13JIIhd Knthd Elat Ltd 1:alllssd 2iollhd 1Jol Uud Halleed 2!a �� Salim Ta Sleavale Odn< Qda Vdm ISathd _ Ltu ic.Pnvg igmauvu _ _ _ ie3-l5 131101051M Cmene Aaa MRnmidelYAml)___ _ 5.000OOOOo l.m ssJ S) —I.. sB13s3o Iczat 9s99oow r3yece_.+;et=up.l cdaei io•cman.(s(La.r --_ a.lnoromo Iez-39_ 9N9.0000 DTeCPnies_faepel Co!ad ln'Cmcrne(SrLrtu _ 4300000000 51— 5193m Ie2J5 _9999.00W imCPniug-Negrel Co!.�d lr�Crnnele(S�Lrtu _ 65000000000 ST35 53.90TS0 Ifue ld:3geyeS Pnveaa\fuW'�y 6nP�ammu Idp2 331T0002 a'S/DPmaAWLir31LJ5(I') 540000000a0 SII) 5651t0 IdDS 32ITOm2 t'SIDPwlAWlin3IiA3(1') 11000000000 5 2 ms5 ldp 321105012J•SLDAtm].LIin31LiE(`\') _ 100.00000000 �2S 39)t00 lh'a In Orunvehamemnt+ _ Inl) 31J1.030�3a'RCP_`m0 ___ ISO.000OD300 SIJI t1 531.T)60o vt It Strm L!Jw.E 4rCrv:mcu 1f13 the l(Svat L'Jnwg Yryvaaca,� _ _ 3100000000 Sq(p 5133950 IfU 33 11 12 6b-6Tri(!ex Alum E!n Cw,tunx 13t00000000 Si20 530360 5 2N 1.1 I.i'S:h so Pl'C lm:lu3a irm:hir310.:Lf11) -- IOdOOOOOJ00 $13" SIA . If 11 3JJ13323 GwuiAN�le116'«'nJ Li:A�Pe!e Arm 1Cl JJ3(N SJt)10 NtTm Tehla UE ISAt the dxvuml6a+t�w4fiM Garvat oripml(mmu mE1COC daummlavdttu undid atLS2dBld the uu5W4w I'm vemttvlgedbread Nedavmvd.rdua3'ad lawhLegal Cauud piabiw ernvtim csze amrgetrdu Progress Estimate Change Order Number Contractor's Application ADDITIONS CO2272 NIA1,wrenid<DHI,fmm T.Mlt P.<lw.r to Old D,1111 flood coe,—< $314 .\Igdiyimr'mhr 19-FINAL cati<m.rem: October 1,2021 to October 31.2021 '�1""m'Dee< dLlflridit A B D 6 F Ilea itlil cm{i<IN 1: BJua uFvJ$ Ctmgie OAmhm �� Sfnirwtim L'MK LO Qvet�to.ldl L'rie Price pkr VOiA�r< Lwill m \'aloe �Pr<�aW�'� \aPaid a5urd(N<nCl WSueabD<te(D+ Te 6<mmel;a Akam< B) B LFe Idi_Syng SPama.l.Wm66Rumn« _ Id31 _HII IriI BRFB Avem51y5v J<Sha(Sdm) PA 5 111V S).51332 n).Srd60 SOORY01] fJ],�fb[+J fll,ub 6J _ f)iSa6(A Iwo; T<t.k SI)NS60 dt)<aa,60 51)5a6d0 L) t IePO!i n<aavemwt«nmaa6nt r�mw em anFlCllCdnvm Wu,<�am aamx' u.a,Spl iv3Wiy i vm6f'w Y<mare<aaa<gMbnsi tre d¢waaaeefuth'WmnuP lepl Can«I R>*biu exenfim Progress Estimate Change Order Number 0 Contractor's Application DELETIONS Fa(mernT CO2272 N°elh Rl—lde Drhe fmm T.mnl NW.y to Old Demon Road Aryixaim Nss°k<c 19-FINAL Arp—Fe°m October 1,2021 to October 31,2021 `4°I""'°'De4' lunrs021 B C p fi F ev im I lm O Ifri[Diee N4 Wed Nn Vxd NLLlhed Nq Wed Nd lLed N4 Wed Na LhN Na Vxd ' �N° Sx4m N° A4eeve TdW Thudmmemhubanv°Lhed hm ne aipvel Nv u n EKDC 6x�n endde ux ddrth'ryN:f}tdu vodf'w Ym vicen2v+e<db erwliAe dv+raaf a•<Wb'eti mm�S LPi Cum�elF�bin cvWim C6H1 Change Order Progress Estimate Change Order Number 3 Contractor's Application ADDITIONS F.(<mo,a) CO2272 north IUvrside Drire from T[r]tnt PJrkaq to Old Denton aetd cay- 5345E A�i;r+ha'fi 19-FINAL any Aigvavm PaW: October 1,2021 to October 31,2021 Ate"+'ia'D+" 111IM021 A 0 D E F tan B,I,attb Fnuh Addtm Eldmad Qu,nby Raiwdy Vdv Td, ALiaiataRam Ta+I Cmgtad t. CbabeOrdal® �arytiea SIecJ,c6m tked CO Qabtiyb Add Unit Pda O,u$e Oda Vdie ha+4d Vdrc Paid StaN(MmC� °1d Stvdbdte (E) -F) 1(e Salim Aa l.kavee U. (D*E) B Ibl 331 LOSSI hWBIe'IA\Nla Pipe(COaI) IF 3Y9.OJORYUO' 31562E Sld]09.)1 299.00000000 534TJ9.]i. SM.Y09.it Si4)09.]1 100.q: Ia03 33110261 Im.B 1'TY;qt-li\Vaa Pipe(COsI) ____ IF Ido0000000 03.75 31.500.00 1400000000 S1.50000 SI,S000D SI,$W 1_OO.gb I rJKd _33120106CanatlmbEdsw@I6'\\'eta Afdn(COe3) FA 200000000 15pM00 SI0.1MW 200000000 SIQI3000 f�012000 ___ SI0.1M00.IOO.q: te0& 33120111 CmnatimbF'ainE 11E•lVcahhn(C053) _ PA 100000000 H025.00 HA25.00 I.00co)Oo3 SJ92500__Sr MS OD H02500 1 W Itli 9999.000ORemneSfia2e 1'Cm2iwian Ak\'dve AvmtlT(CDe3) _ FA IOOOOOOJO _ SIAIIA2- fIJ11.J2 1.00000000 SI t1IAz SI,tnJ2 SIt11.42 1000% I•IS 02JI.1JN RmvleSehegei'll'aa\'afie(COSJ) FA IOW00000 S9p5)1 �05.]I 1.00000000 1905)1 5905.)1 f905.)1 I.M 1�19 - ._- _ --_-_- __- 1600000J00 _5129) f20133 16.0000D1OD_ 520].52 SZO)S2 320752 IOO.rK 101 0241.1010 Amvrc 1e'3\'aa l3ne(CVe3) IF Mr000(coO $15.7 $1745.13 MA0000000_ St.H5.13_H�]J1.13 --_-- $1)JS.tl 100.q: 1.23 U1230pJ)wOt•Ove Nhe(COeI) _ EA 1.00000000 Sz.25000 $2.250.00 1D0000000 nato 0 S2,]5000 --- - $2.250.00 .00oft 105 31.1....Fn£nm$,,nOeAatrdn(CO'+3) 1DN I.t5000000 H.15500 516311/5 It5000000 316311.)5_$16Jt115 - �- SI6311.)5 IOO.gJ It35 9999000p 2'C;bmvimMVrh<AvmGS(Cos FA 1.00000000 S9AV500 390i300 I.000OOOOD 9At500 .E90t500__________ U.MS00 100gi Icl-03 H1I0001 T+QicCmvd Akssva(Cwl) )AD 200000000 S1.81671 Ub33.t2 20000000E Uffl-_35,d31 2 55,633.J2 100011 Ie2.13 03JI.IOODAmm<Cmaae PxM1(CO J) - - SY 225A0000y00 f 5 S5,1715 32f.000o0000 S59)3.75 _ 559933.15 ----� H9]3.15 loom 1123i _31 230101 LMassi6d 1-n tO'P1m(Cv)(CWJ) CY 325.75000000 H351 $1093[b9 32515000000 t10.91t69 514931b9 ---- Von" IMM Ie2.25 321101131'Fkolh Bsse,1)peA GR-1(CGvI) _ SY 10p0(g0y00o f3dp0 SIO.[OO.OD 300.00000000 SIQi0000 SIQ[OODO _ SI0.S0000 100.(/.: Ic2-2] 32110J90115dreNlime(c 311La 51�(COeI) 1N -'Oo(coo f19$00 H]J5.)3 HIJOOOOOD HSJS.)5_ U1J5)3 UHS)5 1000% 1e3.3t UI105(n��tmeTrannmr(CO=l) _ SY 130000000000 U1E >93ta00 U00.00000000 593t60J _t6g0- ---- - 3931690 IOOgi 1.243 3213010E)•CauxaePrvmaa( mmaf Idh]hvgao+Alwean SOb SY 11)500000000 15)d3 fd])1515 11]5000)0000 H].]I315 U7,11315 f6]11535 loom Ic2-H 3EI302021Cmc Pa-(COa3) SY 24f00000000 E11331 5E3.IISN_-o0D00000 M11524__=.It5]A---- S23.IIS2J 100- 1e2.36 331303051q Cmp PaalffS(COa3) _ SY 200000L000 $131. 32bb.00 2QOJJJf000 5263000�o0 52.6g90 IOpq: IeL3) 99990000iueWil Cdordieawcd A+i+aicmxaQRhh 10•Cmaa<thi SY 21000000oO SH500 S714S 00-_3100000000 U14300_f]24SW St1J500 1000% ie2-Jt 9999pppp'13ieCPning-htepil Cain�ed l0•Cmnae(Sptiva hhnd,)(CO _ sY toRUttVO 5201100 SM000 1000000)0 S20o00 smet) --- $-w 100.0`: ie2-39 99990000 i>yeB Palinb-Megsl Cebdrremudi'CmaaelSplma tiler SF IS5.00000000 SIM 5201600 15500000000 32AI600 iZ01600 S2". IOO.q: Ie240 999900006't\2dexe•TB AcIFnv CWh(AdjrmbMdemimhdhS(js IF 9.0p000000 U500 S#300__900000000 $2)3.00 522500 U25.00 I..: ie2-J1 321JOb23'CmcSiirnvk(>6'il'de)(CO»)_ SY 1<NJM100 HSO 366300_T_00000000_ 366300 566100 Sb6100 IOO q. Ic2.51 99990pOpguria Free R+vµ].IWF£D"Rpe A4i(Toil RavP)(Croe3) _ FA 200000000 $I49J00 S M00 _ 20Yri0000_ H91t00 H9It00 51.93t00 Itooi, Idi-01 32110201 i'BAAPa2AW�giL\SlN)(COs3) iF 2)5000.U000 523z SU100 2750U(0000 SU100 -100 363t00 IOD.q: Idl-12 321i 210E RF.Peied Stria TY tC(COJ EA 21500000000 _ Idl-23 12.1VF)T31DRd+b iba�m YCrm,aah,mdmaahtaacrae(COY3 !P _ d002]Sa% 000 11. ]600 1 2 E1176 IIOOOO..gi dl-22 (C-) 539.J 39) $1,oll _� SI.07., 3g0000000 310 1 SO SJ0 400 Hg IOOq dl-3J _z4.11 D -.1 $21. sf200 rioo H20 Pt-00 100- i Idl-3 p LS . 314531 $109311 I-- . _ f14331 IWM Id,t 321O24- DPnhhb4s(1)(CD3) u 1354 32E $1.70 $I si"" $I.. IOOq: 00 fI. I15Ibi4 3217-R.J'Pbt-kn (C-) IF 3M,00 sM. $IJRJO IOOP4 Id2.1) 3111 JIq Rmrc sgnPmla,d Pm((CO:)) _ PA 1.00000000 311020 5110.20_ IM'>o0000_ 311020 211020 $11020 IOOgi Id2-21 lW1J003 Fvni,bta+V AFvn Spm Geamd Atamt Ca3'SW(COU) _ FA 1.00000000 E539J0 S539.J0 I�UYW S539J0 $539J0 2539.i0 IOO.gi I.. 3211J3U3R®a 9-t-K-4(CGa3) ____ _ IF 150000g00 no UI20_i50UU%q_ SD20 S11YI H120 t.0% Idb24 _3NI.ItJS AeM+4RR£B M.mbry SinEle Slid(Sdr)(Cw3) _ FA 1.00000000 SSl, H.St63S _ lwy[Wp SS.dtd21 HbFd23 SS6t615 1000% Id3.25 ArdnlindmdStdpirb Subamtrxeac(hfm®mamwldavf(CWl 1.9 1.o0g000o 3200000 s2Eo) __IQ000000 $2m. Si00P111 $I,000.00 IOo q: IeJi__ T,CISbm3uectimem(CO+J) F.\ 1.00000000 51235500 S1255500 IM3000pp f1255$w 512555A0 sw$s00 100.- INS J2-RCPCIm3(-3) V 1600000000 pum U901U0 1000Ao%10 U90J.00 $390r00 U90J00 IOO.q: IeJ3 ast RIPRq(-) 3Y noo9agoE woo HaS000 uao.nao H.o.. Ib-01 32910100 f,-T-I(J'Thlt in Arcss)(- CY 121o00g000 U500 U -_SS054f10 H.O5000 100_04 _-_ - �2- 121oao9000 s]11750 -130 s)usoo IOO.gi ItoE 3z9zo)aoll(atsd P,canaa(cw3) __ EY So.0000W00 $loss ssnso sE(oU)Eoo ssz)sE ssz]so ssz]so laogi Thu diaweuM lm,mdded Bwniu wiyulf am ElCOC davmxtW Weuv didnol ApNip),3 the ®1R iim+l'w ac mmv4d torW rh<da�mantruefutry axi.m.uh I:gal Caimrl privb tr exmnim CL]0 pienge Order TWIT Li 6161] Sl)dd161) L3 6)61] Sli 6161f 100gi Thu doavmvu hu 6m ndJmi 6vm iv oripul fsm u an EICOC dai®t avd Ne uv Ad ve bgAl gILL rh< mMJ ariav Tav veevmrgd lorod Nedvcvcml wWip�aN♦mwh Legd Camsslivwto ti csn,4m -20 U,n —, Progress Estimate Change Order Number 0 Contractor's Application DELETIONS Fa CO2272 IN-1,RAxlddr Di,,from Tarrant Poek,,y 1,Old Denson Road AFN.—A5m0e: 19-FINAL APPU— d- October 1,2021 to October 31,2021 AW"iim Dic I1a32021 A B ❑ E lm F CO Q+bLL)M a;w C CLbte Qdmtm Dea45bv Sre<J''® ma �d LFUPritt CTu�e Qder N'a U,d [:tt Uu.l Ea U,W MUsd ):at U,d 1,•aihW I:M U+N 1;allad rb saw,)b. nl.,ac vas Icl-0f 9999.000OFlcdle -Ne SeNddulArtalelB�CAr __.___ __ CI'_._ 150.00000000 E15.10 K765W Ie136 32130Mf 1P CaeeFwtlO:S -- _- ------_- SY _ ]6500000000_ EIOJ.19 -Et0,1JO t5- 1e2-36e 3211020510'CmeP HU _ SY _ N500000000 _ )IW t9 E]3�9t=J5 - - --- — 1e2-D 311)O)035'Cme3ldraahf>Btt'ge) _ - - SE 53t]00000000 E6t7 536] - Ie2-!t 321303n5'Cme3idawa�Ad'bavlbCSub(>6'a'de) --- SF 259tOQV00W _ EE.12 E±1.91J36 ---- - len Icon 000 SU 3]�.t5 -,-5 �11 9999.0000Ca[im Ckand EA 100000000 tIon20 1,3E30 - -- -- 3�13 32110)125'Cmc3iinrk Adibm,bCmbf>6N'tle)_____ __6E_ t58000DDDD3 EB t2 EI�,6]W isula 33656]1.96 -- - —� 'Iti,dDmmt hutm„mdJwi Gem¢amyvlf umEK❑C dawmtWOemm did MtdgWigAttAe m�Afwtiau Yw ueaeevra3Nb�uA�davmml cadulty W ernwYLegel Cmwdpia b Rse,eculim City of Fort Worth Summary of Charges City Secretary ContractNum: 53452 North 2rverst a rive from arrantParkwayte enton P O. F\V020-3334 Project Number: CO2272 Road Application Period: October 1,2021 to October 31,2021 Application Number 19-FINAL Application Date: 11/18/2021 Funding Identification(FIE) Total Completed I Amt Remainin- (— g � ( Gross Retainege _I ( Net Original Contract 34014-0200431-5740010-0O2272-0O2380 $5 514,228.58 $93,226.55 30108-0200431-574001 O-CO2272-CO2380 $2,585,954.79 1 $134,866.64 �' I 159651-0200431-574001 O-CO2272-002860 $633,625.44 $53,961.42 I 0 I I 0 I I 0 I I I I 0 I I o I I I I 0 I I I I 0 0 Chan go Order 1 34014-02004315740010-0O2272-0O2380 $424,810.33 $85,177.96 a�0 s0.cn 30108-0200431-5740010-CO2272-CO2380 I $251,589.58 $4,370.80 U.uu dq 0� 59651-0200431-5740010-0O2272-002880 o 0 0 o au I o oou o ,, ou 0 :ii.!;D :u 00 o on so.00 Chan a Order2 34014-0200431-5740010-0O2272-0O2380 $37,566.60 30108-0200431-5740010-0O2272-0O2380 I .U,UU 59651-0200431-5740010-0O2272-002880 �i.ul .000 0 ,1.CU rR00 0 D 1 j0.00 o I I o 00 o so au o aocn s000 0 1 ni so0o 0 ���ou sa.ou 0 City of Fort Worth Summary of Charges City Secretory Contract Num: 1 53452 ort, rverst[c Drive ronr arrant Parkway to Denton PO: FNV020-3334 Project Number: CO2272 Road Application Period: October 1,2021 to October 31,2021 Applicatio Number.n 19-FINAL Application Date: 11/18/2021 Funding Identification(Fin% - _—� Total Am Cam Completed -- P I t Remaining I Retainage Net —� Change Order 34014-0200431-5740010-0O2272-0O2380 $325,636.17 $176,666.11 ;0 r; 30108-0200431-5740010-0O2272-0O2380 UiYi $87,005.85 59651-0200431-5740010-0O2272-002880 0 U.0 0 I u o;) I A co 0 I o_Cn 0 0 o.eo ri.0 r�oo l 0 eo on I -1)to o Co 0SD.00 ::J Chan a Order4 34014-0200431-5740010-0O2272-0O2380 30108-0200431-5740010-0O2272-0O2380 59651-0200431-5740010-0O2272-002880 0 0 0 _)co 0p.OU 0 o ro SO Cu I I_ Change Order 34014-0200431-574001 O-CO2272-0O2380 ._li 1,) 30108-0200431-574001 O-0O2272-0O2380 j .qp pp =0 06 59651-0200431-5740010-0O2272-002880 0 :U.UU O.CO 0 0 0 �.G o0 LU Op 0 - 0 0 L City of Fort Worth Summary of Charges City Secretary Contract Num: 1 53452 North iversi a Drive from Tarrant Parkway to Old Denton P.0.: FW020-3334 Project Number: CO2272 Road Application Period: October 1,2021 to October 31,2021 Application 19-FINAL Application Date: 11/1S/2021 Number: Funding Identification(FID) I Total Completed I Amt Remaining j I-- Gross � � Retainage- I I Net Change Order 6 —�----—----- 34014-0200431-5740010-0O2272-0O2380 30108-0200431-5740010-CO2272L02380 -0ro 59651-0200431-5740010-0O2272-002880 O.Ln 90 rn 0 so rr ra 0 ;p rn I I o ro 0 00 rr I 5o r, 0 I 5oro ,ro 0o.ru I 0 Saru >:o_gin 0 sr.rn 0 it ro Change Order 7 - -- — - 34014-02004315740010-0O2272-0O2380 30108-02004315740010-0O2272-0O2380 I :O.Gn �00I 59651-0200431-5740010-0O2272-002880 a.GO r.Do 0 W.a.) o ou 0 0 :r oo �o.ro 0 so ro r riy 0 o er so.eu 0 I :r.Du -,0 CO 0 :O!i�i ACu :di�.70 0 50.00 I s0_PO s�C,ro Change Order 34014-0200431-574001 O-CO2272-CO2380 30108-0200431-5740010-0O2272-0O2380 co rp -I 59651-0200431-5740010-0O2272-002880 ::r rp 0 I o co 0 0 e:: o 0 0 0 o al.i City of Fort Worth Summary of Charges City Secretary Contract No.: 1 53452 North Riverside Drive front Tarrant Parkway to Old Denton P 0. FNV020-3334 Project Number: CO2272 Road Application Period: October 1,2021 to October 31,2021 Application Number. 19-FINAL Application Date: 11/18/2021 Fund in Identification FID 9 ( ) Total Completed � � Amt Remaining � � Gross Retsina e � ( Net Totals 34014-0200431-5740010-CA2272-0O2380 $6,302,241.67 $1,738.40 J 00 30108-0200431-5740010-0O2272-0O2380 $2,837,544.37 $52,231.59 J UCt 59651-0200431-5740010-0O2272-002880 $633,625.44 $53,961.42 r Ou 0 Su.Oi' :>0 00 0 0 ] 0 0 UD U CO o o eu 0 On iG Uu 0 {{i Or SO 00 0I ii 09 Grand Total $9,773,411.48 $8.571 $0.00 1 1 ($488,670.57) $486,670.57 I I FORTWORTH. Routing and Transmittal Slip Transportation & Public Works Department DOCUMENTTITLE: Construction Allowance No. 1 — N. Riverside Dr. (Old Denton Rd. to N. Tarrant Pkwy.) M&C: 19-0406 CPN: CO2272 CSO: 53452 DOC#: Date: To: Name Department Initials Date Out 1. Shawn Fargo TPW - signature 9- Sep 30,2020 2. Derek White TPW - signature DAw Sep 30,2020 3. Raul Lopez TPW - signature lea__ Sep 30,2020 4. Jennifer Roberts TPW - signature Sep 30,2020 5. Lauren Prieur TPW - signature Oct i,2020 6. William Johnson TPW - signature oct1,2020 7 Doug Black Legal - signature awa oct2,2020 8 Dana Burghdoff CMO - signature 9 Mary Kayser CSO - signature 10. TPW Contracts TPW DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: ❑YES ®No RUSH: El YES ®No SAMEDAY: ❑YES ❑No NEXT DAY: ❑YES ❑No ROUTING TO CSO: ®YES ❑No Action Required: ❑ Attach Signature, Initial and Notary Tabs ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File Return To: TPWContracts c-,FortWorthTexas.gov at ext. 7233 for pick up when completed. Thank you! FORTVVORTH CSC No.53452-AR1 City of Fort Worth Construction Allowance Request Project Namel N.Riverside Drive From Old Denton Road to N.Tarrant Parkway City Sec# 53452 Client Project fl(s)l CO2272 Project Construct four-lane,divided arterial street with roundabouts at Thompson Road and Summerfields Boulevard.The project will include new travel lanes, Descdp0on intersection improvements,drainage improvements,shared-use paths,sidewalks,street lights,etc. Contractor McMahon Contracting,L.P. City Inspector Shawn Fargo Funding Allocation Account 34014 30108 59651 Contract Time Totals CD Original Contract Amount $5,607,455.12 $2,720,821.43 $579,664.02 $8,907,940.57 540 Extras to Date $0.00 $0.00 $0.00 Credits to Date $0.00 $0.00 $0.00 Current Contract Amount $5,607,455.12 $2,720,821.43 $579,664.02 $8, 040.57 540 Amount of Proposed Allocation $98,669.57 73,159.20 $0.00 $171 90907,940.57 Original Allowance Available for Allocation I $144,000.00 $156,000.00 $3 0,000.00 Allowance Funds Previously Allocated $0.00 $0.00 Remaining Funds Available for this Allocation $144,000.00 $156,000.00 $300,000.00 JUSTIFICATION(REASONS)FOR CHANGE ORDER IN ACCORDANCE WITH THIS CONSTRUCTION ALLOWANCE REQUEST,THE CONTRACTOR SHALL:Furnish all labor and material as perattached proposed Construction Allowance Request(with attachments)to the Construction Allowance Request: CONSTRUCT RAISED CROSSWALKS PER REVISED PLANS DATED REVISIONS 07-13-2020(SEE ATTACHED). CHANGES TO THE BID ITEM QUANTITIES FOR ADDING THE RAISED CROSSWALKS(SEE ATTACHED). It is understood and agreed that the acceptance of this Construction Allowance Request 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 Construction Allowance Request. Contract Time will be adjusted on the basis of the time shown on this Construction Allowance Request by a later Changer Order,if necessary. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance and reporting requirements. Contractors Company Name Contractor Name Contract SigR6 q Date InspectorAnspection Supervisor Date Pro act and ntra Compliance Manager Date 74 Sep 30,2020 9 A 10 � Sep 30,2020 Program Manager Date Senior Capital Project Officer Date p�My Sep 30,2020 _�[�yj., Sep 30,2020 Assistant Director(Dept) Date Director,Contracting Department(Dept) Date Oct 1,2020 f .i Oct 1,2020 Assistant City Attorney Date Assistant City Manager Dale Lys- Oct 2,2020 Dana our, oct�,zo2o A17EST: s �vhald (2aHzalnr o„ Mary J.Kayser,City Secretary City of Fort Worth Construction Allowance Additions Project Name N.Riverside Drive From Old Denton Road to N.Tarrant Parkway City Sec# 53452 Client Project# CO2272 Contractorl McMahon Contracting,L.P. Inspector Shawn Fargo ADDITIONS HEM DESCRIPTION DEVI city Unit UnitCost Total 1c.1-11 9999.0000 integralo ore ex ure aiseCrosswalk with oncre Man 1c.1-72 9999.0000 Variable Height Curb and Gutter(At Splitter Islands idewa k) LF 5 c. -7I=- 9999.0000 Specialty Concrete Pvml RemovalY 5 c.-5 3213.0105Concrete Pvmt Riverside Dr mt) T4MT— --77-- 9999.0000 Integral Colored/Textured Raised Crosswalkwith Concrete Un 55. Y .7 c.- Variable Height Curb and Gutter(At Splitter IslandsSidewalk) LF 5 A7 9999.0000 Raised Crosswalk Chevron Striping AE(N) E d- Raised Crosswalk Chevron Striping HAE(N� EA Integral9999.0000 o ore!Textured Raised CrosswalkwithConcrete Un 5. 7 9999.0000 Variable Height Curb and utter(At Sp litter Islands Sidewalk) LF 5 Raised9999.0000 CrosswalkChevron Striping 34014 $142,203.20 30108 $97,169.10 59651 $0.00 Sub Total Additions PIF37TZ Change Order Additions Page 2 of 4 FORT_ �T11 City of Fort Worth Construction Allowance Deletions Project Name I N.Riverside Drive From Old Denton Road to N.Tarrant Parkway City Sec# 53452 Client Project# I CO2272 Contractor McMahon Contracting,L.P. Inspector Shawn Fargo 11 EMS TO BE REUUGED AND CREDITED TOWARD GON5TRUGTION ALLOWANCE ty Unit UmtCost ola c.- Concrete t Riverside rPvmt) c.-7 Type A&D Paving-Integral Colored/Textured ncrete(Trot 7. Y 5. c.- 7"Concrete Pavement( ummerfields,Thompson, onterra& 5. 5.7 5 Concrete Pvmt( Riverside Dr Pvmt) 5. c.-7 Type &D Paving-Integral o ored/rextured ncrete(Truck Y 5. d- 7. "BRK Pvmt Marking A (W) 5. F 7. t Marking 5. SLID Pvmt Marking HAL(W) LF 3217.0501 D Pvmt Marking AE(W) F 7. "BRK Pvmt Marking HAS(W) TUTT 5. LF 7. D Pvmt Marking HAS(W) 34014 15,0000000LF d- D Pvmt Marking AE(W) LF ld-08 3217.0501 24'SLID Pvmt Marking HAL(W) TUTT MMUM LF -7Concrete Pvmt(Western Thompson Roundabout Leg-Dunaway 34014 51.00000000 Y $57.24 Integral Colored/Stamped oncrete(Western ompson oun a 3-7 3217.0501 24'SLID Pvmt Marking HAE(W) F 34014 $43,533.63 30108 $24,009.90 59651 $0.00 Sub Total Deletions 7, .5 Change Order Deletions Page 3 of 4 MISBE Breakdown for this Construction Allowance MISBE Sub Type of Service Amount for this CO Total $0.00 Previous Construction Allowance co# DATE AMOUNT Total $0.00 FORTWORTH Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Construction Allowance No. 2 — N. Riverside Dr. (Old Denton Rd. to N. Tarrant Pkwy.) M&C 19-0406 CPN CO2272 CSO # 53452 DOC# DATE: 01-26-2021 TO: INITIALS DATE OUT 1. Shawn Fargo -signature Jan 28,2021 2. Derek White -signature 6AW Jan 28,2021 3. Raul Lopez -signature REL Jan 28,2021 4. Lissette Acevedo - review Jan 29,2021 5. Lauren Prieur - signature *L Jan 29,2021 6. William Johnson -signature 4- Jan 29,2021 7. Doug Black -signature ?13— Feb 1,2021 8. Dana Burghdoff -signature 9. Mary Kayser -signature 10. TPW Contracts DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: ❑ Yes ® No RUSH: ❑ Yes ® No SAME DAY: ❑ Yes ❑ No NEXT DAY: ❑ Yes ❑ No ROUTING TO CSO: ® Yes ❑ No Action Required: ❑ Attach Signature, Initial and Notary Tabs ❑ As Requested ❑ For Your Information o Signature/Routing and or Recording ❑ Comment ❑ File Return To:Please caIITPW Contractsat ext.7910 for pickup when completed. Thank you. CSC No.53452-AR2 FORT WORTH. City of Fort Worth Construction Allowance Request ProjectNamel N.Riverside Drive From Old Denton Road to N.Tarrant Parkway City Sec# 1 53452 Client Project#(s)l CO2272 Project Construct four-lane,divided arterial street with roundabouts at Thompson Road and Summerfietds Boulevard.The project will include new Description I travel lanes,intersection improvements,drainage improvements,shared-use paths,sidewalks,street lights,etc. Contractorl McMahon Contracting,L.P. CA#1 2 1 Dale 1/25/2021 City Project Mgr. Derek A.White,PhD,PE City Inspectorl Shawn Fargo UNIT or DEPT 34014 30108 59651 Totals Contract Time Original Contract Amount 7, . 777 57 , 7, 57 CD Extras to Date 0.00 Credits to Dale 0.00 Current Contract Amount 5,607,455.12 2,720,821.43 579.664.02 8,907,940.57 Amount of Proposed ocation 43 884. 8 77 57. 0 0.00 2 0 1.58 ngina Allowance vai a e to ocation 5 , Allowance Funds Previously Allocated 98,669.57 73,159.20 171,828.77 Revised Allowance Balance 1,445.95 5,683.70 0.00 7,129.65 JUSTIFICATION(REASONS)FOR CONSTRUCTION ALLOWANCE IN ACCORDANCE WITH THIS CONSTRUCTION ALLOWANCE REQUEST,THE CONTRACT SHALL: Furnish all labor and material as per attached proposed Construction Allowance Request(with attachments): Using construction allowance for 1)removing sediment in existing box culvert connecting to a proposed box culvert to improve stormwater discharges,2)constructing a modified headwall of an outfall to the channel as determined by field conditions,3)repairs to concrete spauling of pedestrian bridge as determined by field inspection,4)replacement of existing light pole damaged by the traveling public,and 5)early works for construction of Summerfields Blvd Extension. It is understood and agreed that the acceptance of this Construction Allowance Request 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 Construction Allowance Request.The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance and reporting requirements. Contractor's Company Name Contractor(Name) Contract Signature Date McMahon Contracting ames Frouix 1/26/21 Inspector/inspection Supervisor Date Project and Cont act Compliance Manager Date J4-0-Ti- Jan 28,2021 ?:�[Kkll.w{..h,r`s, J,,28,2021 Program Manager Date Senior Capital Project Officer Date Jan 28,2021 Jan 29,2021 Assistant Director(Dept) Date Director,Contracting Department(Dept) Date Isar'!,�Lalli Jan 29,2021 —Je 4" Jan 29,2021 Assistant City Attorney Date Assistant City Manager Date Na Dona our hAaFF Feb 1,2021 �, Feb a,2— ATTEST: Mary J.Kayser,City Secretary Construction Allowance SUMMARY Page 1 of 4 FORT WORTH. City of Fort Worth Construction Allowance Additions Project Name I N.Riverside Drive From Old Denton Road to N.Tarrant Parkway City Sec# Client Project# I CO2272 Contractor McMahon Contracting,L.P, PM Derek A.White,PhD,PE Inspector Shawn Fargo Construction Allowance Submittal# = Date ADDITIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total 1 Box Culvert Cleaning 34014 1.00000000 LS 13,536.81 13,536.81 Construction Additional Headwall e es rian Bridge Concrete Spauling Repair Replacement ot UamagedLight Pole Bottom umme ie s v x ension 34014 $43,884.48 30108 $77,157.10 59651 $0.00 Total Additions 2 ,0 .58 Construction Allowance Additions Page 2 of 4 Construction Allowance Value FORT WORTH City of Fort Worth � Construction Allowance Value Project Name I N.Riverside Drive From Old Denton Road to N.Tarrant Parkway City Sec# Client Project# I CO2272 Contractorl McMahon Contracting,L.P. PM Inspector Shawn Fargo Construction Allowance Submittal# = Date CONSTRUCTION ALLOWANCE VALUE BEING USED ITEM DESCRIPTION Qty Unit Unit Cost Total 1c.2-61 9999.0000 Paving Improvements Construction Allowance 1.00 LS $43,884.48 $43,884.48 10-70 19999.0000 Paving Improvements Construction Allowance 1.00 1 LS 1 $77,157.101 $77,157.10 Note to Preparer. Delete example information in cells and add the CONSTRUCTION ALLOWANCE contract bid item number being used,description,UNIT or DEPT,Qty,Unit and Unit Cost in the lines above.Three lines are provided for those cases when up to 3 different Construction Allowance types are being impacted.In most cases only one Construction Allowance type will be impacted.Delete these instructions from the form. Construction Allowance Value 3of4 MISBE for this Construction Allowance Request MISBE Sub Type of Service Amount for this CAR Total $0.00 Previous Construction Allowance Requests CAR# DATE AMOUNT I Total $0.00 I I I i II i Construction Allowance MSBE Data Page 4 of 4 I CSC No.53452-COI FORT WORTH City of Fort Worth Change Order Request Project Namel N.Riverside Drive From Old Denton Road to N.Tarrant Parkway City Sec# 53452 Client Project#(s) CO2272 Project Description Construct 4-lane,divided arterial street with roundabouts at Thompson Rd.and Summerfields Blvd.The project will include new travel lanes,intersect on improv.,drainage improv.,shared-use paths,sidewalks,street lights,and extending 70OLF of the WB lanes of Summerfields Blvd. Contractorl McMahon Contracting,L.P. J Change Order# 1 Dale 1211112020 City Project Mgr. Derek A.White,PhD,PE City Inspector Shawn Fargo Dept. 34014 30108 59651 Contract Time Totals CD Odginal Contract Amount $5,607,465.12 $2,720,821.43 $579,664.02 $8,907,940.57 540 Extras to Date Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $5,607,455.12 $2,720,821.43 $579,664.02 $8,907,940.57 540 Go to ADD&DEL Tabs to Enter CO Backup $509 988.29 $255 960.38 $D.OD $765 948.67 Revised Contract Amount $6,117,443.41 $2,976,781.81 $579,664.02 $9,673,889.24 54O Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $O.DO $0.00 $0.00 Additional Funding(if necessary) $509,988.29 $255,960.38 $765,948.67 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 8.60% MAXALLOWABLE CONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%) $11,134,925.71 JUSTIFICATION(REASONS)FOR CHANGE ORDER IN ACCORDANCE WITH THIS CONSTRUCTION CHANGE ORDER,THE CONTRACTOR SHALL:Furnish all labor and material as per attached proposed Change Order (with attachments)to the Change Order Request: SUMMERFIELDS BLVD EXTENSION PLANS DATED 10-23-2020 AND REVISION SHEETS DATED 12-02-2020(SEE ATTACHED). 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. The Project/Program Manager signing below acknowledges that he/she Is the person responsible for the monitoring and administration of this contract,including ensuring all performance and reporting requirements. Contractor's Company Name Contractor Name Contract siqqature I Date McMahon Contracting James Proulx 28 1/27/21 Inspectorlinspection Supervisor Date ProIedand Contract Cgoliance Manager Date Jen 29,3021 >r,.Y.l,.a UyBs.. ha 29,2021 Program Manager Date Senior Capital Project Officer Date Jen 29,2p21 /i�riFf�G vi/�� Jdn 312P11 Assistant Director e t Date Director,Contracting Department(Dept) Date LAMINk PrL r Feb 1,2021 _J L Feb 1,2021 Assistant(tt'Attorney Date Assistant City Manager Date �n Feb 4,2021 nanA.9un1 4off Feb 4,2021 Council Action if required) M&C Number P9-0078 M&C Date Approved 1-26-2021 ATTEST:(YIVCa�f - bbF FORT4. Mary J.Kayser,City Secretary 0 0000oo000O a ° 00 °pv o d° °=d 0 *� OFFICIAL RECORD a °°°°°°°0 a CITY SECRETARY Zl?*xP oaa FT.WORTH,TX Fuar 1Voer a City of Fort Worth Change Order Additions Project Name N.Riverside Drive From Old Denton Road to N.Tarrant Parkway City Sac# 53452 Client Project# CO2272 Contractorl McMahan Contracting,L.P. PMJ Derek A.White,PhD,PE Inspector Shawn Fargo Change OrderSubmittel# = Date 12/1112020 AUDITIONS ITEMDESCRIPTION DE PTTUnitni s t fiTotal m a: a mprovemene-2 02 .0 6 Remove 16 ater ine 0 08 70 3.B5 ns DR- a er ipe . .7 7a-0 33 .0 ns 6 D a r Pipe 30108 0000 00000 22T3 e ns lea ea e mn i ngsw Res m 0 0 38 ,933.83 a-Wd 3312.0106 Connectono Existing a er Main a-28 33 2.3008 6' ate Valve w Vault 30 08 .00000000 EA $14,037.72 Unit :Sanitary Sewer Improvements 3305.0114 Manhole Adjustment,Major 4 Cover EA -TT .27 Unit c:Paving Improvements c.2-02 3125.001 01 Erosion Control Measures 30108 1Z000000 LS 537.6 C. 3471.0001 Traffic Control Measures MO $2,714.;g c. 5 0171.0101 GonstrucUonStaking 22. C.- 0241.0600 Remove Fence 5. c.2-6 02411.0550 Remove Guardrail TOT9- 70. LF 2. ,7. c.-7 e n9 G.- 3110.0102 6'- 2'Tree Removal 30108 42.00000000 EA $277.06 C.• 'TmeRemoval nTff- 15.00000000 EA R 3 0.0 04 8'-24'Tree Removal 30 08 2. EA 743.5> 'Tree Remova 73 23.0 0 Undass fi pv y en Cu 30 08 2,750.00000000 CY 6.7 7 yre Umea 5.32 .0 2 8 ime rea en 34014 25.00000000 SY .07 52 .75 7 ePavement umme a s,T mpson, onerra 7 .3 3.0202 7'Conc Pvmt ES 3 0 265.00000000 S 6,. 3213.0205 Pvml E 4 120.00000000 c.2 22 9999.0000 Integral Coo extu Raise Crosswalkwith 0'Concrete n 01 120.00000000 5 .7 c. 7 ype D Paving•nlegra e re oncrete me c.2 9999.0000 Variable Height Curb and utter AtSplitter Islands Sidewalk 3 1 W. LF 29.7 c. 7 5' nc i ewa >6 de 7 5. c.2 6 3213.0311 'Conc Sidewalk,Adjacent o <6' a 3401 50. S .0 c. 5 Sidewalk,Adjacent to rb> F T55,627.90 c-2 9 3232.0101 Conc Ret Wallwith e S ewa 34014 2 5. SF .53 c.2-50 3232.0100 one Rot Wallwith Sidewalk,Face c.2 7 5.0 8 Valve Box Adjustment(for 6' Valve) .00000000 ,593.7 5.01114 Man a Adjustment MajorydCover 7 TEM9 3231.02111a ire Fence,Metal Posts 3 O _-3-6-0-mmm I Change Order Additions Page 2 of 5 Unit nape Pavement Marking Improvements 3217.4307 Remove a er 3 0 7 . 6 7. Pv Marking 3 32 .0003 'BR P a rig AS 3 0 .00000000 Pvm a g d-06 9999. 8'S Pvmt Marking RAE(N) 3 01 85.00000000 LF 96 IP-7 CONTRASTD Marking B d-0 9999.0000 CONTRAST Lane Legend Arrow B 340 4 FA .00 CONTRAST -17779 Lane LegendB 5. 1 2 9999.0000 CrosswalkChevron Striping 34014 3.00000000 FA 1 0.00 Ra a erT - FA d 2 344.4003 Fumis Install Alum Sign round Mount City td. 340 4 .00000000 FA emove Sign Panela Post d-25 3441.4109 Remove Sign Panel 0 3.00000000 EA $110.20 n Is:Drainage Improvements c. 5 0171.0101 Constructon Staking 34014 a•5 W1.0205 'RCP,Class III 3 01 0.00000000 LF 6.72 a-6 3341.0205 R P,Class 5. e-04 334.0309 36'RCP,Class III 340 4 35.00000000 LF 36.68 5x6 Box Culvert 34014 76.00000000 e-2 3349.6003 20'Recessed Curb Inlet 340 4 EA , 2.00 6 Type 2 Inlet77 e37 3349.8003 20'Type 2 Inlet 340 4 .00000000 EA 2,99.00 3349.1000 Headwall(5'x5'Box erl ,7. 9 3232.0202 TX DOT Sid Reta -R (L)8 M 0. SF 73. 9999.0000 Pedestrian i ing Concrete Pjprap Unit 1.Street Lighting Improvements R lum sm y 9,a EA -0 344.3302 R I um Founda'cn ,,6,an 8 34014 2.00000000 EA ,566.00 3441.3201 LED Lighting i ure 2605.3016 2'Sch 80 P (includes Trenching&8 II) 340 4 4 0.00000000 LF 3.92 ,7 7 3441.1502 Ground Box mall,wl Lid Apron -0 3441.1409 NO 8 Insulated EIR-C-o-rOr 34014 85.00000000 2.80 Insulated Esc Condr 340145. 6 1-22 9999.0000 Fumish 6 Ins18113M arm forType 18 pole 3 01 2.00000000 2,250.00 Unit g:Landscape Improvements 3291.0100 Imported Topsoil 'Thc in SodAreas) g-02 3292.0 00 Block Sod Placement 3 01 3,675.00000000 S 34014 W2,362.09 30108 3256,501.58 59651 $0.00 ub Total Additions Change Order Additions Page 3 of 5 Fr w r No r a i n City of Fort Worth �V Change Order Deletions Protect Name N.Riverside Drive From Old Denton Road to N.Tarrant Parkway City Sec tl 53452 Client Prated# CO2272 Contractor McMahon Gonbacbng,L.P. PM Derek White,PhD,PE Inspector Shawn Fargo Change Order Submitial# O Data 12111f2020 DFL"UN5 ITEM n n s o n c: a ng Improvements c1 5 3213.010Concrete Pvmt(N Riverside or mt 01 .00000000 S 52.8 1c.238 ype C Paving-Integral Coloied!T Concrete(pl lter islands) 0 08 .00 0000 S 5.30 c.239 9999.0000 Type B Paving-Integral ColorediTcodured 4'Concrete Splilter 01 .00000000 SF 10.96 c. 5 nc ewa < e RUT 650.000011000 SF n :SIgnage&Pavement Marking Improvements 32 7.0002 'SLD Pvmt Marking HAS(1) 7. SED Pvmt marving HAS(Y) 34014 11 0.00000000 2.32 1 08 3217.501 24"SLD Pvmt Marking 01 ---Too 00000000 928 Unit s:Drainage Improvements e- Class III LF 1.8 Unit If.StreetLighting improvements (Riser) Triplex Alum Elec Conductor 34014 138.00NO000 LF $220 5 2605.3001 1-114'Sch 80 PVC(Includes re ng&Backfill) 340 13.92 18 3 1.3323 Fumishllnsta l8 L t Po:e Arm 9-01—T .00000 —EA 8720 34014 $32,373.80 30108 541.20 59651 $0.00 Sub TotalDeletions Change Order Deletions Page 4 of 5 MISBE for this Change Order M/SBE Sub Type of Service Amount for this CO El Cala Decoractive concrete $16,243.20 Zamora Construction Sidewalk and ada ramps $30,909.10 G&J Seeding Sod and Hydro-mulch $18,558.75 Total $65,711.05 Previous Change Orders CO# DATE AMOUNT i Total $0.00 1/2 712 0 2 1 M&C Review official site of the City of Fort Worth,Texas CITY COUNCIL AGENDA FORT ORTII DATE: 1/26/2021 REFERENCE'**M&C 21- LOG 20N RIVERSIDE DR CHANGE ORDER 1 NO.: 0078 NAME: (SUMMERFIELDS BLVD EXT) CODE: C TYPE: CONSENT PUBLIC NO HEARING: SUBJECT. (CD 4)Authorize Execution of Change Order No. 1 to the Construction Contract with McMahon Contracting, LP, in the Amount of$765,948.67 for a Revised Contract Amount of $9,673,889.24 for the North Riverside Drive Project(2014 Bond Program) RECOMMENDATION: It is recommended that the City Council authorize the execution of Change Order No. 1 to City Secretary No. 53452, a construction contract with McMahon Contracting, LP, in the amount of $765,948.67 for the North Riverside Drive project(City Project No. CO2272)thereby increasing the contract amount to$9,673,889.24. DISCUSSION: The purpose of this Mayor and Council Communication (M&C) is to authorize a change order to extend the westbound lanes of Summerfields Boulevard as part of the North Riverside Drive project (City Project No. CO2272). City Council authorized the construction contract with McMahon Contracting, LP on December 17, 2019 (M&C 19-0406). Summerfields Boulevard is an established four-lane neighborhood connector from North Riverside Drive to Beach Street where the westbound lanes terminate at Cannonwood Drive. Since the roundabout at North Riverside Drive and Summerfields Boulevard is currently under construction, the contractor has the resources onsite to extend the westbound lanes and connect them to the proposed roundabout. The extension of Summerflelds Boulevard will increase capacity to accommodate significant traffic demand anticipated in the area. Extending the two westbound lanes will bridge the existing gap between North Riverside Drive and Summerfields Boulevard and will keep it consistent with the rest of the thoroughfare. The original contract amount authorized by the City Council was $8,907,940.57. With a total amount of$9,673,889.24, the percent change in this contract is 8.6\%. Staff considers this change order to be fair and reasonable for the proposed scope. The following table summarizes the status of this contract. Contract No. 53452 Total M&C Contract Description Amount Contract No. Amount Construction of North ,Awarded Riverside Drive from F19- Contract North Tarrant Parkway $8,907,940.57 $8,907,940.57 j0406 to Old Denton Road Change Extend the Westbound This Order Lanes of Summerfields $765,948.67 $9,673,889.24 M&C No. 1 Boulevard The following tables summarize the funding history. apps.cfwnet.org/councll_packet/mc_review.asp?ID=28630&counclldate=1/26/202l 1/2 1/27/2021 M&C Review Fund I Existing Additional Project Total Funding Funding �340glrI4 - 2014 Bondroam $11,610,000.00 $0.00�$11,610,000.00 30104 - Developer Contribution $405,776.00 $0.00 $405,776.00 30108 - Transportation Impact Fee Cap $3,000,000.001 $0.00 $3,000,000.00 39408 - Street lRehabilitation $2,475.35 $0.00 $2,475.35 52002 - Stormwater Capital Projects $86,000.00 $0.00 $86,000.00 McMahon Contracting, LP agrees to maintain its 59651 - Stormwater $60000000 $OOQ $60000000 initial MBE commitment Cap Proj - Bonds , . . , . of 15\% that it made on Project Total $15,704,251.35 $0.00 $15,704,251.35 the original contract and extend and maintain that same MBE commitment of 15\% to this first change order. Therefore McMahon Contracting, L.P. remains in compliance with the City's BDE Ordinance and attests to its commitment by its signature on the Acceptance of Previous MBE commitment form executed by an authorized representative of its company. This project is located in COUNCIL DISTRICT 4. FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies that funds are available in the current capital budget, as previously appropriated, in the 2014 Bond Program, Transportation Impact Fee Cap, and Developer Contribution Funds for the North Riverside Dr- N Tarrant project to support the approval of the above recommendation and execution of the amendment to the engineering services agreement. Prior to any expenditure being incurred, the Transportation & Public Works Department has the responsibility to validate the availability of funds. TO Fund Department I Account Project Program Activity Budget Reference# Amount ID ID Year Chartfield 2 FROM I-Fund �--D-epartment Account Project Program Activity Budget Reference# Amount ID - —---ID- ---------- -- - ------ - Year ---(Chartfield 2 Submitted for City Manager's Office by. Dana Burghdoff(8018) Originating Department Head: William Johnson (7801) Additional Information Contact: Monty Hall (8662) Raul Lopez (2457 ) ATTACHMENTS DOC-CO2272-20210104-CO No 1 Project Location.pdf apps.Gfwnet.org/GounciI—packet/mc_review.asp?ID=28630&councildate=1/26/2021 2/2 CSC No.53452-CO2 FOR"I'WORTH, City of Fort Worth Change Order Request Project Namel N.Riverside Drive From Old Denton Road to N.Tarrant Parkway City sec# 1 53452 Client Project#(s) CO2272 Project Description Construct4aane,divided arterial street with roundabouts at Thompson Rd.and Summerfiekts Blvd.The project will Include new travel lanes,intersection improv.,drainage improv.,shared-use paths,sidewalks,street lights,and extending 70OLF of the WB lanes of Summerfields Blvd. Contractorl McMahon Contracting,L.P. Change Order# 2 Date 2/3/2021 City Project Mgr. Derek A.White,PhD,PE City Inspectorl Shawn Fargo Dept. 34014 30108 59651 Contract Time Totals CD Original Contract Amount S5,607,455.12 S2,720,821.43 $579,664.02 $8,907,940.57 540 Extras to Date $765,148.67 $765,948.67 Credits to Dale Pending Change Orders(in M&C Process) 0 Contract Cost to Date $6,373,403.79 $2,720,821A3 $579,664.02 $9,673,869.24 540 Go to ADD&DEL Tabs to Enter CO Backup 37,566.60 $0.00 $0.00 $37,566.60 0 Revised Contract Amount $6,41F,775.39 $2,720,821.43 $579,KA.02 $9,711,455.84 540 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 $0.00 $0.00 Additional Funding(if necessary) $37,566.60 $37,566.60 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 9,02% MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+2545) $11,134,926.71 JUSTIFICATION(REASONS)FOR CHANGE ORDER IN ACCORDANCE WITH THIS CONSTRUCTION CHANGE ORDER,THE CONTRACTOR SHALL:Furnish all labor and material as per attached proposed Change Order (with attachments)to the Change Order Request:Construction plans of the west leg of Thompson Rd Roudabout showed no RRFB's but the other legs included 5 RRFB's per leg(SEE ATTACHED). Consequently,5 RRFB's have been added to improve pedistrian safety. 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.The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance an rting requirements. Ins ectorllris ti.S1!` I&of ;.tea ram; >49te. '=Prq' land . m Iiaoce Manager Date Feb 9,2021 Feb 9,2021 Pram man a er. # Setiar:Ca ea'QOicec, u Da(e Feb 9,2021 Feb 10,2021 Asslslant pireetdr Os l Date Dl edlor..061 ctl 65 -ftehv( Feb 11,2021 _ Feb U,2021 A_ssµlsajan,t�C iotyn Ritom G_ da Da2 Feb22,2021 Feb 22,2021 .Cott"didifiJ6gn fit re"wired , M&C Number M&C Date Approved ATTEST: U vU ,a4uonn�� ap MaryJ.Kayser,City Secretary � °FORT00,00 �r =o° 0 OFFICIAL RECORD 000% 0=d Q*° °* CITY SECRETARY o °O°°°°°°°°° an>1 nUUO 44pp FT.WORTH, TX i Fonr Wmtrrr City of Fort Worth `V Change Order Additions Project Name I N.Riverside Drive From Old Denton Road to N.Tarrant Parkway City Sec 8 53452 Client Project k I CO2272 Contnictorl McMahon Contracting,L.P. PMJ Derek A.White,PhD,PE Inspectorl Shawn Fargo Change Order Submittal# Dale 21312021 ADUff WNS ITEM DESCRIPTION DEPT Qty U nit Unit Cost Total Unit ignege&PavementMarking Impmements 2 3441.1841 RRFB Assembly Single Sided olar 34014 5.00000000 EA 5 3.3 340A $37,666.60 30108 $0.00 59651 $0.00 Sub TotalAdditions $37,566.60 Change Order Additions Page 2 of 4 Fna r� Wok i it City of Fort Worth Change Order Deletions Project Name I N.Rlverskle Drive From Old Denton Road to N,Tarrant Parkway City Sec# 53452 Client Project# 1 CO2272 Contractor McMahon Contracting,L.P. PM DerekA White,PhD,PE Inspector Shawn Fargo Change Drder Submittal# 0 Date 2/3/2021 OELET10145 Unit UnItsTotal 34014 $0.00 30108 $0.00 59651 0.00 Sub Totale ns Change Order Deletions Page 3 of 4 MISBE for this Change Order M/SBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders co# DATE AMOUNT Total $0.00 CSC No.53452-CO3 FORT WORTH. City of Fort Worth Change Order Request Project Name I N.Riverside Drive From Old Denton Road to N.Tarrant Parkway City Sec# 1 53452 Client Project M(s) CO2272 Project Description Construct 4-lane,divided arterial street with roundabouts at Thompson Rd.and Summerfields Blvd. The project will include new travel lanes,intersection mprov.,drainage improv.,shared-use paths,sidewalks,street lights,and extending 70OLF of the WB lanes of Summerfields Blvd. Contractorl McMahon Contracting,L.P. Change Order 41 3 Datel 703/2021 City Project Nigr.1 Mitch Aiton,PE,PMP City Inspectorl Shawn Fargo Dept. 34014 30108 59651 Contract Time Totals CD Original Contract Amount $5,607,455.12 $2,720,821.43 $579,664.02 $8,907,940.57 540 Extras to Date $803,515.27 $803,515.27 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Dale $6,410,970.39 $2,720,821.43 $579,664.02 $9,711,455.84 Amount of Proposed Change Order $148,970.06 -$87,005.85 $0.00 $61,964.21 Revised Contract Amount $6,559,940.45 $2,633,815.58 $579,664.02 $9,773,420.05 630 Original Funds Available for Change Orders $0.00 Remaining Funds Availeble for this CO $0.00 $0.00 $0.00 Additional Funding(if necessary) $148,970.06 $148,970.06 CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 9.72% MAXALLOWABLE CONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%) $11,134,925.71 JUSTIFICATION(REASONS)FOR CHANGE ORDER IN ACCORDANCE WITH THIS CONSTRUCTION CHANGE ORDER,THE CONTRACTOR SHALL:Furnish all labor and material as per attached proposed Change Order (with attachments)to the Change Order Request: The following items are added to accomodate the three items. (1)Reconstruct the Westbound entry to N Riverside and Thompson Roundabout to accomodate the larger trucks entering the roundabout. Existing truck traffic has knocked down existing signage twice since installation. (2) Reconstruct Caroline and N Riverside crosswalk to meet ADA standards. (3)Construct a median opening at Carolina Entrada and Summerfield to accomodate local neighborhood traffic. Bid items removed are no longer needed from the original bid of the project. 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. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance and4wllting requirements. Contractor's Company Name Contractor a Contract Sr n trhe'�`� Date McMahon Contracting,L.P. Inspector/Inspection Supervisor Date Pro ect and ConlMct Coin fiance Manager Date .�...�. Aug 6,2021 tt&ddr.' Aug 9,2021 Program Manager Date Senior Capital Project Officer Date Aug 9,2021 Aug 9,2021 Assistant Director.De t Date Director,Contracting Department(Dept) Date Aug 9,2021 lAug9,2021 A=nt City Attome Date Assistant City Manager Date Aur I+Hoff Aug 12,2021 Dana Aug 13,2021 Council Action if required) // M&C Number WA M&C Date Approved NIA ATTEST:,"� dad FORT�t�-��� Ronald P.Gonzales,Acting City Secretary �0°°°pOOpOOo� 6 1., Vo 0000 ° ✓ o o* OFFICIAL RECORD °°°°°°°°°°° a CITY SECRETARY AnaA� FT, WORTH, TX City of Fort Worth Change Order Additions Project Name N.Riverside Drive From Old Denton Road to N.Tarrant Parkway City Sec# 53452 Client Project# CO2272 Contractorl McMahon Contracting,L.P. PM Mitch Alton,PE,PMP Inspector Shawn Fargo Change Order Submittal# Date 7f13/2021 ADDITIONS ITEM DESCRIPTION DEPT City n n a InstallWater Pipe a-03 33 .026 Install8 P R- Water Pipe a 2. n Existing 6 Water n 0 .0 a- e n s ng - a er Main a- 99 .0000 Remove/Salvage na r Valve Assembly0 .D0000000 A 1,8 .2 la-15 0241.1303 Remove/Salvage er Valve a- Remove a er ne 6.00000000 a-2 0 6 emove aler Dne C 299.0 .8 la-23 3312.3003 Installate Valve a-25 3311.00011 Ductfle Iron Fittings with Restraint C 34014 .85000000 T 878 .00 a-n-9999.001JO 2'GomblnaDonr Valve Assembly =- raffle Control Measures c.- emove uoncrete Pvmt c.2-22 3123.0101 Unclassifiedcaval by Plan Cut C 5.75000000 $33.56 Flexible Base,Type 0 iydrated Lime(at 38 LbsJSY) c.- me Treatment 0 1,3 .00000000 -S 22 c. oncre Pavementumm a s,Thompson, n ma 57. 32 3. 2Cone Pvmt S C 3 0 2 .00000000 3.3 c. nc Pvmt c. n egraColored/Textured se rossw naee n .-c ype G Paving-integral Colored IO'Concre s tter an s c.2-39 9999.0000 Type B Paving-Integral C ore urConcrete(SplItter Islar 34014 i55.00OOOM 20 -c. e x Rollover Curb(Adjacento Pedestrian Iralls c. 32 3. 02 5 Gonc ewa e 0 8.00000000 NEED c -. Bender Free Ramp,MODIFIED Type - rail amp 32 .0 0 t ar ng 3 34014 275.00000000 2. Raiseder -22 a4411.4003 Fumlshflnstall Alum Sign Ground Mount City Sid. CO#3) 34014 2.00000000 Prefab ermo at Crosswalkson decorative concrete 13.80 Prefab ermo a rosswa on ecora a con 300. F 27.60 Id.1-25 Relocate RRFB and Foundation at E Comer of Thompson and Riverside 1 2-02 3 17.0002 Pvmt Marldng HAS 3 014 35.0000 F 7.4301 Remove mt Madding 2- 8 Remove Sign Panel and Post Furnish/Install Aum Sign Ground Mount d2-23 32 03 Remove 8 Pvrnt Marking 34014 .00000000 FMOO ,. Relocate Assembly Single (Solar) 2-2 a a on o Striping Sub-contractor r Minimum amount o 0 .OODDOOD S orm unc oxe-2 2' CP ass3 0 6. e. Rock p Rap g0Imported opso n Sod Areas) 2. 0000 5.00 g 2 3292.0100 BlockPlacement0.55 34014 $325,630.17 30108 To.00 59651 0.g0 Change OrderAddltlons Page 2 of 4 Fou 1""on 1 1 City of Fort Worth Change Order Deletions Project Name N.Riverside Drive From Old Denton Road to N.Tarrant Parkway City Sec# 53452 Client Project# CO2272 Contractor McMahon Contracting,L.P. PMj Mitch Ailon,PE,PM P Inspecto Shawn Fargo Change Order Submittal H t=J Date 7C2312021 UtLt I WINS Unit UnitCost a eKible Base as Needed&as Directed By City G c Pvmt c c. nc Sidewalk(> e c. ---TA=— cone ewa ,Adjeoent to Curb I[> e e. ea x u e lig-11 9999.0000 1757rro—nTUnout 6"Gormbidewalk,Adjaoento Curb(> e 34014 176,666. 30106 $67,005.85 59651 $0.00 u e ions Change Order Deletions Page 3 of 4 MISBE for this Change Order MISBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders co# DATE AMOUNT Total $0.00 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS December 6, 2021 McMahon Contracting L.P. 3019 Roy Orr Blvd. Grand Prairie,Texas 75050 RE: Acceptance Letter Project Name: North Riverside Drive Project Type:Water,Sewer,Streetlights,Drainage,Pavment City Project No.: 02272 To Whom It May Concern: On November 18, 2021 a final inspection was made on the subject project. There were punch list items identified at that time. The punch list items were completed on December 6, 2021. 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 December 6, 2021, which is the date of the punch list completion 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 683- 715-9424. Sincerely, Aot! Rb Mitch Aiton, Project Manager Cc: Hershel Stanley Sutterfield, Inspector Wade Miller, Inspection Supervisor Ariel Duarte, Senior Inspector Raul Lopez, Program Manager Baird, Hampton & Brown, Consultant McMahon Contracting L.P., Contractor N/A, Developer File E-Mail: Douglas W. Wiersig, P.E., PhD., Director,TPW Chris Harder, P.E., Assistant Director,Water Richard Martinez, Assistant Director,TPW Wendy Chi-Babulal, P.E.,Water Marisa Conlin,Traffic Engineering Tony Sholola, P.E., Water Allen Hall, Superintendent,TPW Richard Zavala, Director, PARD John Robert Carman, P.E., Director,Water David Creek, Assistant Director, PARD Rev.9/15/16 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 9330033 PROJECT: (name, address)North Riverside Drive Fort Worth, TX TO (Owner) F ARCHITECT'S PROJECT NO: 02272 CONTRACT FOR: C4TY OF FORT WORTH Paving, Drainage,8 UtHity 3mprpvements for North Riverside Drive From North 200 Texas Street II Tarrant Parkway to Ofd Denton Road Fort Worth.TX,76102 J CONTRACT DATE:1211712019 CONTRACTOR: MCMAHON CONTRACTING, LP In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the there insert name end address of Surety Company) COLONIAL AMERICAN CASUALTY AND FIDELITY AND DEPOSIT COMPANY OF SURETY COMPANY MARYLAND 1299 Zurich Way 1299 Zurich Way,5th Floor Schaumburg, IL 60196 Schaumburg IL 60196-1056 , SURETY COMPANY on bond of (here insert name and address of Contractor) MCMAHON CONTRACTING, LP 3019 Roy Orr Blvd. , CONTRACTOR, Grand Prairie. TX, 75050 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 obligations to there insert name and address of Owner) CITY OF FORT WORTH 200 Texas Street , OWNER, Fort Worth, TX, 76102 as set forth in the said Surety Company's bond. IN WITNESS, WHEREOF, the Surety Company has hereunto set its hand this 9th day of December, 2021 COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND Surety Company Attest: (Seal): Signature of Authorized Representative Robbi Morales _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 ONE PAGE ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York. the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"). by Robert D.Murray,Vice President, in pursuance of authority granted by Article V.Section 8.of the By-Laws of said Companies•which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof,do hereby nominate.constitute. and appoint Ricardo d.REYNA,Tina MCEWAN,Don E.CORNELL.Joshua SAUNDERS,Robbi MORALES,Sophinie t[ITNTER, Kelly A. WESTBROOK,Tonic PETRANEK, Mikaela PEPPERS of Dallas,Texas, EACH, its true and [awful agent and Attorricy-in- Fact,to make,execute,seal and deliver,for.and on its behalf as surety,and as its act and deed: any and all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents.shall be as binding upon said Companies,as folly and amply, to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE. COMPANY at its office in New York. New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills.Maryland..and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V.Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 11th day of May.A.D,2021. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SI TRETV COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D.Xturray Gee President Bv: Dawn E: Brown Secretary State of Maryland County of Baltimore On this t 1th day of May. A.D.2021, before the subscriber,a Notan-Public of the State of Maryland,duly commissioned and qualified,Robert D. Murray,Vice President and Dawn E.Brown,Secretary of the Companies,to me personally known to be the individuals and officers described in and who executed the preceding instrument_and acknowledged the execution of same,and being by me duly sworn,deposeth and saith,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF.I have hereunto set my stand and affixed my Official Seal the day and year first above written. 0 1ti,,tulrt/ Constance A Dunn,Notary Public My Commission Expires.lulu 9,2023 1111l1,1lr1,� Authenticity of this bond can be confirmed at bondvalidator.zurichna.com or 410-559-8790 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8,Attorneys-in-Fact. The Chief Executive Officer,.the President,or any Executive Vice President or Vice President may. by written instrument under the attested corporate seal. appoint attorneys-in-fact with authority to execute bonds, policies. recognizances, stipulations, undertakings. or other like instruments on behalf of the Company, and may authorize any officer or any such attomev-in-fact to affix the corporate seal thereto:and may with or without cause modify of revoke any such appointment or authority at any tithe." CERTIFICATE I, the undersigned Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY. and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate:and I do further certify that Article V.Section 8,of the By-Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duty called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney.-Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May. 1994. and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May. 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President.Secretary.or Assistant Secretary of the Company, whether made heretofore or hereafter.wherever appearing upon a certified copy of any power of attorney issued by the Company.shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 9th day of December 2021 o Piro" SISAL 0a ism By: Brian M.Hodges Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND,THE BOND NUMBER,AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg,IL 60196-1056 www.reportsfc[aims(d,zurichiia.com 800-626-4577 Authenticity of this bond can be confirmed at hondy:ilid:ttor.zuriclin;i.com or-410-559-8790 BILLS PAID AFFIDAVIT FOR CONTRACTOR State of Texas § County of Dallas § BEFORE ME, the undersigned authority, on this day personally appeared Shelley McMahon, known to me to be a credible person and officer of McMahon Contracting;LP and who, being duly sworn, upon his oath declares and acknowledges as follows: 1. I am a duly authorized agent of McMahon Contracting LP, which has authorized me to make this affidavit, and all of the recitations herein are true and correct. 2. Pursuant to Private Development Contract No. 4CO2272 between The City of Fort Worth and McMahon Contracting LP for North_Riverside Drive (Tarrant Parkway to Old Denton Road), McMahon Contracting LP has supplied materials and performed labor in connection with the construction of improvements on real property owned by City of Fort Worth in the City of Port Worth("the improvements"). 3. McMahon Contracting LP has actual knowledge that all bills owed by The City of Fort Worth to McMahon. Contracting LP for materials supplied or labor performed in connection with the improvements have been fully paid and satisfied. 4. McMahon Contracting LP has actual knowledge that all bills owed by McMahon Contracting LP to others for materials supplied or labor performed in connection with the improvements have been fully paid and satisfied. 5. McMahon Contracting LP has actual knowledge that there are no claims or liens for materials supplied or labor performed in connection with the CIP Contract. 6. McMahon Contracting LP further warrants that should any claim or lien be filed for material supplied or labor performed in connection with the CIP Contract, McMahon Contracting LP will immediately furnish a bond pursuant to Texas Property Code Sections 53.236 through 53.238 for release of each the claim or lien, obtain settlement of any claim or lien, and furnish the City of Fort Worth written full release. McMahon Contracting LP agrees to fully indemnify and hold harmless the City of Fort Worth from any and all costs that may occur by reason of such claims or Bens. EXECUTED this OJ 4 day of ,20� McMahon Contracting LP t By__e)� . NAM TITLE: STATE OF TEXAS COUNTY OF DALLAS This instrument was acknowledged before me on 011- by Bd (W1id . of a corporation, on behdif of said corporation. [NOTARY PUBLIC STAMP] " P'', Estrella MunOz NOTARY PUB :°. My Commission Expires +� 04130/2025 t 1©No 133076909