HomeMy WebLinkAboutContract 53501-FP1 NN Coded 04.13.22
Vendor Name: Gra Tex CSC No.53501-FP1
Invoice No.53501-FP1
Invoice D2te:04/08/2022 FORT WDRTH@
FID 56002-2060000-101687-RETAIN-$111,343.62
FID 30100-2060000-101687-RETAIN-$19,798.03
56002-101687
TRANSPORTATION AND PUBLIC WORKS CS 53501
NOTICE OF PROJECT COMPLETION
City Secretary No:-53501—
Date Received:
City Project Ne: 101687
Regarding contract 53501 for WATER&SEWER REPLACEMENT CONTRACT 2018 WSM-L as required by the
WATER DEPARTMENT as approved by City Council on 01/28/2020 through M&C 20-0053 the director of the
WATER DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public
Works Department has accepted the project as complete.
Original Contract Prices: $2,953,127.10
Amount of Approved Change Orders: $ 5,354.50 Ns 1,2
Revised Contract Amount: $2,958,481.60
Total Cost Work Completed: $2,633,069.97
Less Deductions:
Liquidated Damages: 0 Days®$650.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $2,633,069.97
Less Previous Payments: $2,501,416.47
Final Payment Due S131,663.50
L n U cam)
_U _
Reconnirefted Acceptance Date
Asst. Director, TPW - Capital Delivery
chnstot9her 1-0rder
Christopher Harder(Apr 13,2022 09:00 CDT)
Accepted Date
Director, WATER DEPARTMENT
Client Department
Dana Burghdoff(Apr 13,20 9:05 CDT
Asst. City Manager Date
Comments: OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX
C-620 Signature Page
Conti-actor's Application for Payment Invoice No. Final
To(Owner) City of fort Worth Invoicing Period(From-To): Invoice Date:
3/l/22 to 3/30/22 3/1/2022
P.0. 7800 Prom(Contractor): Remit to(If Not Autonnalic Deposit):
Number. GRA-TEX UTILITIES
Project: 101687 Contractor'sCPW Vendor No.:
City Secretary Ne 53501 Contract
Number:
Nannc:
WATER&SANITARY SEWER REPL. CONTRACT 2018 WSM-L
r.
Application For Payment
Change Order Smnmary
Approved Changc Orders 1. ORIGINAL CONTRACT PRICE....•................................................... S $2,953,127.10
Number Additions Deletions 2. Net change by Change Orders............................................................... S S5,354.50
1 $32,900.00 $33,045.00 3. Current Conlr•rrcl Price(Lime 1 f 2)...................................................... S $2,953,481.60
2 S5,502.50 4. TOTAL COMPLETED AND SPORED TO DA"I'E
3 (Progress Estimate,Construction Allowance and Change Orders)..... S S2,633,069.97
4 5. RETAINAGE:
5 n.5.0% X $2,633,069.97 Work Completed......... S S131,653.50
6 b. X Not Used S
7 c.Total Relainage(Line 51+Line 5b).............................. S S131,653.50
8 6. AMOUNT ELIGIBLE TO DATE(Line 4-Line 5c)........................... S S2,501,416.47
TOTALS $3S,402.50 $33,048.00 7, LESS PREVIOUS PAYMENTS(Line 6 from prior Appliention)...... S S2,501,416A7
NE•T CHANGE BY $$359.50 8. A14IOUNT DUE THIS APPLICATION............................................... S S131,653.50
CHANGE ORDERS 9.BALANCE TO FINISH,PLUS RETAINAGE
(Column G on Progress Estimate+Cal+COs+Line 5 above)............ S S457,065.13
Cortractor'sCertification 10. CONTRACTTIBIE:
The Contractor certifies with die submittal of this document and associated Payment Request Submittal a. Days Awnrded 320
on the City orport Worth Buzzsaw system that to the best of their knowledge:(1)all previous progress b. Days Added by CO 170
payments received from Owner on account of Work done under the Contract have been applied on
account to discharge Contractors legitimate obligations incurred in connection with Work covered by C. Total Days 490
prior Applications for Payment;(2)title orall Work,materials and equipment incorporated in said
Work or otherwise listed in or covered by this Application for Payment will pass to Owner at tinne of
payment free and clear ofall Liens,security interests and encumbrances(excep(such as are covered by d. Days Charged 479
a Bond acceptable to Owner indemnifying Owner against any such Liens,security interest or e, Days Remaining I I
encumbrances);and(3)all Work covered by this Application for Payment is in accordance with the
Contract Documents and is no defective.
Xlma t7ohiism
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.
G6x0.1 Ptv Prcgn-it Eitmid
Progress Estimate nol^t 53501 Contractor's Application
WATERS SANITARY SEWER REPL.CONTRACT 2018 WSBI-L '�'°'tii3 " Fi❑❑I
3/1122 to 3130/22 ]"""n❑-` 3/12022
A ❑ I DE 0
tvn Satil Cm;lep .. Ovaxet+A-0�A
ivcif.r ❑11 p.•rin> lY:+il�,. ➢il Vil•u G�!NCu-tiry \'.I.x Ft�ir.ul)t t.tl:l t'>'�e L>'w h:r Pma! Sl�'}"il> c •.m (3] (❑-S)
R1dLLw 1:e L4aa:HAm S<N:nt:a. L'x<o(3(.wr Wallet rN(ntin C) �"� �
0
ll:lRT-1VAl£R111PflOYE1'EII(b_
1 e-k FPSCVJ>•sr Pax - - -- -lF 4)Oo- omo Sf30 11550 62T0 E s 000p ----- - - - No"— 1S1J900% - 54]50
Z F w0 siso00 SBA d
] Ss'an $5, W 979% 51]I b0
4 - Ogle lrtn V/a v.'rttnpf w/RnVvd.=i2' -Ri ]Ooo00o S100W SI0000 .. 510060
.5. Fn MNW _. - EA.. -9000000 - 5].510 OJ .....$]t 6•A 00 -900000000 Ut,9'_aoo -- S11,950.00 U1,95p 00 1000% -
6 CCrvxcicrita E;ttrq&m[JNtoB v[AVh!eflfan EA.. OOa0000 sssoo 11, -- 13I,C0]00 1OOa00a00 SIT,Gda as .. 31?Ca000 _ S31,GOOW tUo a% -
] 1�B+N\'fLtr Senkq.Uefv fte vrn<clan - FA - - 126000000 1".Is 1]B,LGO DO 1101I00'JOOW U9,O60 f4 U9,OL0.11 S19 o6000 lo00%
B t_.I1 Jd,<r5<nty - - -- - -- EA 121 a01- si5'A00 -s'n' o. - 13800000000 SI B"uoso s193,J00 C0 I'sI No to00%
0 p-9xlf Si.]3000 311,8[0W 9.WO— -'.L000 T1 t,086.06 --- --- -olo00 1060% - - --
i0 0dltlf Cak V>•.v.,. _,. - _... EA- ----9da0pW- -..'Noo 515,—. BOCOOOOCO _ 515]00[d 515,]0000 __._ __ 5f9]OOM 1000% -- -
11 12,15A00 11 slo0C0 3•AO o- Stt B:500 S11,B2500- _ S1t,82506 91]% St,o]300
12 TraTC C9nWl pekes LS 1oo0t0p -510000 510000 tINOO41] S10000 St0000 St0000 in D%
13 een>5�gnskegR --Lb i—o 1?TSdpd tacao00cp 5?T1a eo - .,-oo __ svap ab 1.q% -
ia inaiutctatswlw(Ai eoaflrox•,) ---Ls i"Ion N.M.s]lN. sg.bo 2K000ON sSs'oa Is.ob - sJ.dsa ap t0p p%
_.. is R<Im.Ba.n m:.v,�.a EA. zappwB --sihoa0 N.oo Sccbpooca _ss:n as - -sswoo _.. _..Iscl ao iNo% -sLeoap
-16 ReRmcBh❑Oa.fl Va'.v FA .. 4woo00 siww STI000 4CC000OCO S]2000 572080 .. 1)2o00 t00o%
-i] 6v'.->9a Fry{i,V'f1N EA - -)--0a0o0C 00 SJ,T4000 >C— -Sl,70. 51,]4000- _- - U,T6o 00 10n%
.Terry aryA:tnll Vrrg PtWY _.
10 RJrcJf NVACon 31
6'CTB1 ]050000000 1- 5183,]0000 'v419 pE000oC0 314?45400 SidZA5400 St43, b) )T.T.4 54),04000
19 Temvray lo.<r5en<[v LS 10ooC00 5140,Lo000 1N,000 CO -T00000W6 _ 40,00000 5140,00 0 06 -- StJJ,No Lo 3 Obp 00 1W0%
30 Emam'av Eusa;cnG6atrq tJkt<s FA 2o00W0 5).T`AW -ST,StO Cb 20CA00000 ST,'A006 SI,50000 5),50]0] 1000%
31 VJ4 IJdkr flnaABJ<s4raM(50/A). ___. EA - -200MA0 511000 _.. 3311 - _ _ __ _ __3}2000
22 T—Se< __I 4900 o00E00 -so t3 3,"Itb 431504o00000 313)23 $73]25 s)]T.15 100o% -5133
23 VI4 v.eBo<NO,nL•rsrd v.'Conv[te Ca'vr ISOP01 C.—. 1'.Co sl.n000 —o 17,1.00 ST�1•A by 5T,1160] ]25054 14,p5a00
24 ]0'Ga/•C-'Open 1 .320W - .. ..
25 24rcfr-AO SvIax Came Tl -O'Ux 11..0) by 4200000000 S1l. 141,08000 359250000000 Sr0.95450 SW.91436 Sru,93450 85. -56,925 s0
20 t04 Pa.<r-,eN Mawtan('At'i01 SY 42000aa000 5)W U],18000 _o OOW— U0.5T]00 5Jo.-00 - 110,5]J Ob 921% 5?COI00
27 _P4rtn1 H>v»Mmes>50[S0; -- EA - 8000000 .5. .,1. 2823000000 ll.-21 S2'—s 51,:01.25 'o B% .5'All 5
NNOO
RO P<rr4.vaM R<'Naa E.(a5laa+5v 0C1a wv!eVv:eJIW2cf(SO-f.01- - -_.-. SY 30 a0 5],01510.6 415T.6S000OOW 33]?,09]SId On15WR[0ept.axPer(010 F JA Is— I. 595 17B -- -35]?3,]09921T505 - S7
.]i,d39]37105 t7
549 1]%
30 Pe SY SS,16o0 ]).TW $4,222 b 943%•A - T:S231..B)0B21 T505 335 N
31 R<naeaMR[ 64rv>,Care.ele OrawaI 11-"01 SF 1a)o onno -"1 f3J,T12W 24d560W0000 321,aTl.}B 32J,-71 32].Mls B9o% 523a2d
]T Cemime(3.mVj(NIN TI! 41 a000W Si0010 3f2Tt510 a12.'Ab]000 - 312,2%is St?356 t] -- son - 512158 t3 1.1 a!4 _. :5002
o) Vlvv Wa Lawcm9 FA 5OW400 "".000 I,"!1. 2000-1 $?50000 S1,5001.
_. __. - _-. S?50600 /A 0!t 311.23000
Ist'Prtak ben•<v lP 15sononns. .N 3IIN. 3].:to.
JS Carcrtk Ereat<n<Nfor[h;."(P.Be>. -. Gv SOCL000 1:1000 ST00N 00000
30 Y/akrCwutnef.onAu>nca LS 1.00oo00 S6C,000 Co SEO,OOo00 560,00000
NIR 2-bARRARY5E1•fER IVPROVEVEtRb
t 61rctt PVCben<f P. lF 41—non -STS. UlO.TSUOd -4ajl.atonno s11a,023 a0 sJ.HL02500 S]]o01500 10ao% -5)500
2 a10 rC<n'v - ---- - EA -1R400W00 31.006 CO 332].2.00 112000—. $111,2.CO s21?400.Oo - TSiB600 da 984%- ULOd Oo
] 4.Ivu!IJarf4'q - - - - - EA -13000000 Ss-LO 1103 R4J 00 ---1BO--. --- 5103.2:000 310],2N.00 - � - 110214000 1C00%
4 EyrJ UaNw'v tmer_(V( EnmmrJaf er Ua<kn] VF 21.OW000 Sd1500 Sd,92500 ]100000000 SB,9]5W 50".Is,12s SB,B]500 1000%
5 TrvT<Con;rN - -IJO 5d]000a s?'.. 510,]50oo 500000000 111'.. 51$1 00 - _- -- 510T50. -
a - TaTgwNm pa>1,_. - Is s"' stpo La '-. ioacopppc clod-ab - s1p0 o0 _.. nadod -
T Ovm[:e W'v- - - - FA 1ao000t0 382300 St4,610 C0 _ 514850W
e TrtreASa'aryb,atom- - LF ddis oo0No Sa.11 SILL'. G1IaDo ow - 556165 L:9165 - -- 2461 e5 f00 bit �011
1B-p0a0W I'.
1?ST000 1000000000 - - S9,ST6o0 sg5To00 ... slsoo'0 IN- _
10 EsP3»alxt'E>cnatan ofEnl+lT lAY<a EA -l0]OCCO U,).4 Is 5?s0600 200000000 SI.'A0 I, ST,SC660 50-I IN-
I tt Patfonstr0[Ian CC]V Wpeccan --- - --- - - tF d411000000 -5415 5sl'.I Lb 4411ON00000 316,]09 so 310,]OS05 5ss:0 5 t000% -5415
13 Remoa Jail Uu9a'4 ... _ _... ly 1200d000 I,.so I"IN so _1200.'60000 55,40000 SS,a0000 _._ ___. SS rl.OW 10004
-
13 Santary5veft LLx(-.1 CY 10 obbt60 SI:A00 st,'A000 S15M 00
14 Convwxon SuneJIA>-Out Rxaxvl LS Ioono.non N,e'A 00 n.TN so -1L+W 1 SJ,d'A 00 SJ,05000 S]BW Co t000%
15 G�uW.taf 51atn0 ---i5 t0006W 3].]5000 41.1... too IN 5?150 CO 3?]+000 -- - - 32TS0. Iss'h
10 _ ]u'uA MVACSvhce Gwau Tlye9'Un(SN.01 SY 92000a00(A St tN -,IOo - ]592:AW000p SC0.95450 3d0,95450 541.95Y'A 655% S3.0I5.50
11 1040[n Pa.<maN Pffewtan(10/AI SY IIO4 O0ao00 1].Pb 1U,14o00 SS9210000Wo 5$2,.TS 320,OL1. SU'I]5 BSS% sd,]o325
td P>NMFUu>eAYnul30>+0I EA - <000000 18500 -S]S 00 3022ECOW0 '4,-i5 - - 5?d0115- ---- - - 5?:Ot]5 1653% -S205t 23
10 —4w.OReY-Yvm+N 1. - SY 3000000CC 3Is Is No.00 4]01]OOL0000 54,91J.Do 54sso.a0 54.9ZJ 40 1593% -51,0]349
20 UaNw'd PO,uhr+Mx.(:wr to Co"v lSof.0) -- -- EA 4000400 $a13W - 3]]OC oo 1a0W0000o -- T11.SSa as 511,SSO aO - St1.5`AW ]500% - 58,25000
Tt RemavaM ReCxe Carcnta CUNWGv.1er 110%01 IF 23'A 0o00W 54]:A -195.1]3II t00200000000 -- S]2Bdt t)0-- - SI?901.p0 5i2,8.. 16115 - 1]218400
T] P<mav utl Rap'acv,EO klp Wcre.a-11 GU!<r(•Ufiol SY -Moo 1112Co -Si45000 ST]000 . - - Sd—. 541J240 - -- --- Sao}2 rA 94)% U5T.LA
23 R<mP.v aM Red Obgn Ccr¢r¢;v Otmaar1-01 Sf- 1a1o000ao0 1940 32],)1260 2o11]SC00000 125�5490 ao.o56.96 -- - - 125,J3690 t009% ll'—so
24
GmLnro(]0 5'plt 11ars01 -- --- hl ---45000000 $21a Go s9,d'A 00 5725006000--- I,..50 512022A --- 512022s0 12T1% - I I'`A
R5 c E>va O<M 1Jv9a'< - ---- VF - 20-on UTs 00 S1,50000 1/25000000 11,oa])5 -55,04].)5 55,]1]TS ]1 J% 3?t'A25
26 - Pre4X:1V IkPectgn -- _- - lF r90 EC0000 s230 III.Is 595000W000 $1.1elN 1188% Sa3].50
Terr$vrery ASf4u3 Pn'ng Re WY _. -
27 Rdt<JINVAOBn 6'C]RI tF BJOOOOWO 52d 00 318),940 II.. 63:5000W006 516?]IpW 3182]]000 516?J]0W 96)% 55,
- o
2B SPNnrybewv Gn>B0[tm Abwarce - - LS iC00000 56000000 340,00000 - S4o,Cmb].b]
U11R0-PAY tK IUpROVEYFtliS
1 10. nerrgNPWelva[w(SOfi01 SY B4W OOp00o ST 90 558,]6000 )452500 I. 350.95]]5 $50,o5].]5 _ _ S-B,95J.]5 80 B% S]NM.25
2 ReRge]o for GO+t HVACSM•eO Gnhon Watroro EA ].000000 553500 U,6]500 - 5WINDO 51,515 so 51,5)500 S1,U3. C29% 3?t0600
3 2-vcb NVACb Cu+<e T1tt'fl'1J�('APA1 - - - EA B"v00000000 S11 dC 52$,I,C0 ]10500000000 381.N so 501,909.00 SBt,GC900 B06% 512]1t.00
4 PONryllbute Atlbvis(50501 _ EA 900M00 Sd500 -ST6300 'A:AOOW00 -_. II Ill. S4,rA2'A - 3<BO3 S0 O3].0Y 14,01T30
amuSad Re . 4C00000W S103o 20,1C000 95]00000000 59815Po 52615.90 5, I. t58 B% -53'nsIs
L d„em<N 1'Cf0] ...... SV...
6 Ar>Nn<Pd'n➢rgN x,Caxmk Coarl-'0P.0) - EA <005000 39350a U,J11000 --- -400000000 U,30000 5]300W UJC000 tO1f0% ---
�] -- s'Iv rU<ty BaxAd•,v'+rgNllof I EA- �COa000 Sf 100o - SJ1000
8 1YavVa.e Box Aqurzvartx Caxx:v G'ar150f01 EA ]onno -- -5510-W --51,65000 3C0000000 31,0501 - 518'A 00 S1,6JO CO 1000%
9 I14Y M,vvOn<N - u on- 1],0.,I - 5),00000 083SE0000 53,849 I0 3$,B4911
33,6<910 I. - - - .-lo L0
10 Retrae,MR<p'xq Ceptae:aCVCard Gutic-r 15�01 LF a]pO Go0o00 3:056 1190,]5000 3J59.S0000000 S13T,T)i i5 - -31]]3]4 15 Stl],2]4>5 ]21K - S9J,OT535
ii R<rtavvW Rtp';E>56rN Ca+ae:e Yv"zl O",N)o1 SY - fA I... 1112 C6 30,94000 )S46o00000 18<da 2 4—72 SB• PA 9aJ% 551320
1} Rema.eaM R<N 6'.xn Cwr+etfl Lti.exaJ(5050) 5F 4940.-wo 3980 14],i34W SALB910CUW0 -- 549,0)4)I 54d 0]4]2 - -- - - - W.—
Is 10]O% 51,41❑TI
Cemirtq(Jto G9R j30i0I LS tJ}o00000 511p00 53T,1]000 11d5WCa0W 52a,003 C0 534805W SId BdS CO 89 B% S?B)300
td Pe.mCcrvWC9n Abnance - -- - LS 1Coo000 Uop0000 U0,00000 _ � - S]bt0000
Tokk f25iv.]6BA) ............ f0.90 fi.fv,T0v.ti 8d 0% USI,Svo.Bi
RU Km�.LLW 5.e iu '"rvl(..c sFJCIX:S�tiotW4e un tJ�avlva'datr
Cot❑Change Order
Progress Estimate Change Order Number I Contractor's Application
ADDITIONS
Far(`°Q°`0' 101687 WATERSSANTTARYSEIVERREPLCONTRACT2018WS1I-L Ci samun $7501 MPGca o umr. FinRl
crnP
APPli.d.Pcrioi: 311/22 to 3/30/22 APP'"""'na" 3/1/2022
A D C D E F
Addilitw
ChlqC ONtr Iran S ) 8c EsOmatN QusnBt>' Prmiousl)• Valu<This Alatcriala ftcsrn8y
Des<71Pam Pxifcaliext l%nit of\Icuwc CO Qucnut 4+AJJ L'nil Pritt Clue OrJa WVI�N Value InvillN\bloc 1'uiuJ StaN(�ut in C) °^d SmrNw Date (F) (0•F)
Na. SaEon No. l'alua (D.F) ❑
36 6-INCII TOP SOIL C1' S0.00000000 550,00 S21500.00 27.50000000 S1,375.00 $1,375.00 51,375.00 55.0t. 51,125A0
37 R.\fOVFiREPL,%CE 4-INCH LEAD ULALR SF 187.50000000 S9.0 V,725.00 7a.000WOg0 5613,00 S684.00 S6-f4.00 373'.: SL081.00
33 U.VOVEMR LACE 4-INCH ADA RAW I,% 0.50oo000n 525g000 S1,250.00 0.50000W0 S1,250.00 SLM.00 sl,lmeo leoo0.:
39 UNCLASSIFIED MEET EXCAVATION C1' 50.00000000 S53.00 52,73g.00 71XODODO) S3,91835 S3,918.75 2,919.75 142.516 -51.168.75
29 &INCH TOP SOIL CY 50.00000000 S50.00 S;500.00 2840000000 S1,400.00 SI,400.00 51,400.00 $6.0:: 51,100.00
30 RE\IO\'FREPLACE 4-INCIf LEAD WALK SF W,50000000 K20 S1,725.00 70.00000000 S6LI.00 S61{.00 S633.00 373:: S1,081.00
31 RE%0VERFPIACE 41%*Cll ADA RI\5P EA 0.50000000 S2,500.00 S1,250.00 0.50000000 51.250.00 51.250.00 S1.250.00 100.0'.:
32 UNCLASSIFIED STREET EXCAVATION C1' 50.00000000 $55.00 S2,7S0.00 711 OgOOaO $3,918.75 33,918.75 S3,918.75 I415:: -51,163.75
15 64NCIl TOP SOIL Cl• Imeg000000 S50.00 S5.00000 55.5W00000 S1775.00 S;775.00 52.775.00 55.$' SZ725.00
16 RE\fOVEREPL10E 4-INCH LEAD WALK SF 375.00000000 S9.20 S3,45000 140.00000040 51.288.00 S1,288.00 _ _ SI,288.00 37X; S2.162.00
17 RE\IO\'EREPLACE 44NCFI ADA RA\IP EA Log(reg00 52,500.00 5;500.00 1.00000000 51500.00 52.500,00 52,500.g0 ]00.01:
11 UNCLASSIFIED STREET EXCAVATION CT IW00000000 S5300 55Woo 14150000000 $7.937.50 S7,837.50 S7,837W 142.5% SL337.50
Tolah S32,Moat S28.801.00 528,1101.00 S28,801.00 87.5% Sl.0YJ.00
Thin J.<unt t+l lau Mr mNifN frmn iY tti8irul Aenvan E1CDC Jxvn�mt.N theuw diJ nctluCNi [Nc
en,lifcad..I uem do jn,r,a0 dwv cucNlkyandc 11L3I Caw I,icrmits ca.�utim
C-520 Change Order
Progress Estimate Change Order Number 1 Contractor's Application
DLLLTIONS
Fan(--ty 101687 IVATER&SANITARY SENVERREPL CON rRACT20 ISW&M-L nroiiraoa+��mb Final
APplianion PmW: - 3/W2 to 3/30/22 ArrRaau�„Daa: 31112022
A n C D E F
Itrn+ CO Quanrip w Dck
Change Ordu l+m+ Spnificatircn Vrdt Pnc. Cl+vigu Order Tot U,a Not tj,N Not Urat Not U,N Not Ural Not Vtd Nat UrN N..USN
��. D:r<rirum s«uon Nu. crdtoru�,nrc n.•lar: eam.
35 WATER CONSTRU'CUON ALLO\t'A\CE IS 0.13750000 M6,000.00 59,374.00
29 S;VNRARY SEWER CONSPRU'CTION Auou,A.NCE LS 0113790000 560,0g0.00 $9,274.00 -
IJ PAVING CONSTRUCTION ALLOWANCE LS 0.33000000 510,000.00 516,500.00
T-4 533,01400
TNsdhvnlml hi]G m+rfifiN hrn+Ib ari�+ulf uanElCDC docwnaten.l 0+c u+mdid m+hisltliyht th.
mNifiuOama.1'ou aru rn<eurag.�i+o rud 0w dwummt cu.Tulir and cemult L<gal Crvm.l FT•M to iU ev�v9m.
Cfi20 Cbgr order
Progress Estimate Change Order Number 2 Contractor's Application
ADDITIONS
101G87 WATER&SANUARYSE{VERREPL CONTRACT 2018\VSM-L ctnsRr<wy 53501 A➢Plia&,N—hr. FiOaI
cm�rt>`nm:
Ap li,.U.NiiN; 3/122 to 3/30/22 AppGatl°"D— 311/2022
A C D F. F
a
lull mccmF i,fi
Addi6tt•Cl— EA..WQumiiw P-i—ly5 Vela:This \I-W,P. t.
.cdy 7vW Canpl<tN
Clunee Order ftai Sr'ifiatian CO QusnriO lv Add l.Ytil free \'due u SlrWbDst< (F) 1D'�
X.. ll<scnpfion Snuw s�'v. Inll of\l— Od-V.N< 1-11N ..Iw Vnly< NA&` Sf (-.C) (D�F) D
IS Pa—lM.41,Ss LF I35.00000000 $25.50 Sl,}1250 135.00000000 S3,3 2.50 S3,N2.50 S3,112.50 100.0%
16 Cmaefe oddi, is 1.000 Ww S1,06000 51,060.00- 1.00000000 5(,040.00 SI'M.00 SI,060.00 I00.0:.
31 R®cbiuuom LS 1.00000000 SI,OP0.00 51,000.00 1.00000000 SI,—.00 51,W.00 S1100000 100.0i;
7<I>is SC502.50 55.502.50 5 502.50 51-0LW 100.01.
Thisd«umrntt l�.�n mNiDNf iU edSinsi fem�es sn E3CDC daumrnt uW kusadid n+l N(ldlShtfhc
mNifaliaiu.l'ou ua arcoumSW to rad dx:dcrumml cucfolt)•uW crnvll L<Ssl Cwm<I(riff ro its<�.�vnm.
Cfi20 Chame Order
Progress Estimate Change Order Number 2 Contractor's Application
DELETIONS
101687 \PATER&SANITARYSE\VERREPL CONTRACT 2018 WS111-L Final
APP&atim NW: 3/1/22 to 3/30/22 .+PnOcalion Dm<: 31112022
d D C D E F
Ik°1 CO QiwGry to Dckd_Chsngc
Clwge Ord<rl�m� Det<riPtion Spifiation Unit of\(wvr 0<l.uc L`dt Ric. OrJa t'sho Not Vt<+f Not Vsat Not Ued Not Usti Not U_J V.,U J Natu,M TutVuJ
No. Sailen\o.
T-h
This dttummt fcm Its trigiml f*mnsmr Ct Jocvmmt-d 6—did mt higNiLhi the
mNifutiern.l'uu ae rncoungwl w rcad We dovmmtcu<futly snJ«vault L<gst Ceunul MiH W iv<v�cu+im
City of Fort Worth Summary of Charges
City Secretary Contract Num: 53501 WATER&SANITARY SEWER REPL,CONTRACT 2018 P.0... 7800 Project Number: 101687
WSIVI-L
Application Period: 3/1/22 to 3/30/22 Application Final Application Date: 3/1/2022
Number:
Funding Identification(FID) I Total Completed I Amt Remaining ! Gross ! Retainage Net
1
!. __.... _._... Original Contract !!
56002-0600430-5740010-101687-001780-9999 $1 122 000.54 $148 377.57! ($0 00) I ($0 00)� ($D 00)
156002-0700430-5740010-101687-001780-9999 ! $1,089,471.31 I I $104,943.69! � ! i -'I -1
130100-0200431-5740010-101687-002480-9999 $387,294.fi2 I $101,039.38 1
10
!D
o
10 !
0
o ;
o
Change Order i
56002-0600430-5740010-101687-001780-9999 $7 187.75 ($7 236.75)j
156002-0700430.5740010-101687-001780-9999 ; $7,212.75 1 1 ($7.261.75)1 1
130100-0200431-5740010-101687-002480-9999 ( i $14,400.50I 1 ($14,450.50)1 I - !10
!0 ! I !
o
10
1 "I
j Change order ! _
156002-0600430.5740010-101687-001780-9999 ( ; $1,000.0OI
I
156002-0700430-5740010-101687-001780-9999 1 1v I
130100-0200431-5740010-101687-002480-9999 ! $4,502.50 1
ID
D
ip
ID
0
l0 !
io _
to "'
.....City of Fort Worth Summary of Charges
City Secretary Contract Num: 53501 \PATER&SANITARY SERVER REPL.CONTRACT 2018 1 P. j 0.: 7800 Project Number: 101687
A'SDI-L �
Application Period: 3/1/22 to 3/30/22 Application Final Application Date: 3/1/2022
Number:
Funding Identification(m) j ( Total Completed- !- Amt Remaining - --Gross- - - -- - - -- --Retainage
j � 1
t
Change Order
156002-0600430.5740010-101687-001780-9999
j56002-0720430-5740010-101687-001780-9999
3010D-0200431-574001D-101687-002480-9999
10
10 !
to ( i
10
( I 1
!o
o
to
10
I I !
Change Order4
156002-0600430-5740010-101687-001780-9999
56002-0700430-5740010-101687-001780-9999
30100-0200431-5740010-101687-002480-9999 I
0 - -.
to
10
to
D
0
0
Change Orders
156002-0600430-5740010-101687-001780-9999
56002-0700430-5740010-101687-001780-9999
30100-0200431-5740010-101687-002480-9999
0
ID I
10 I
0
to
12
D -I
'D I i I
City of Fort Worth Summary of Charges
City ec
Secretary Cont net Num: 53501 WATER&SANITARY SERVER REPL.CONTRACT 2018 P O : 7800 Pro t Number: I01687
R'SDI-L 1
Application Period: 3/1/22 to 3130/22 Application Numbe Final Application Date: 3/1/2022
r:
Funding identification(FID) II Total Completed Amt Remaining I Gross I Retainage Net
1 Change order 6. .
156002-0600430-5740010-101687-001780-9999
56002-0700430-5740010-101687-001760-9999
�0100-0200431-5740010-101687-002480-9999 "I
0
10
0 I
!
0
0 I i I I I I I I I i
to i
____ I I
I _ Chan9eOrder7
56002-0600430-5740010-101687-001780-9999 ( -
156002-0700430-5740010-101687-001780-9999 ---
30100-0200431-5740010-101687-002480-9999 <
g
10
10
i0
0
0
00 1
I Change Order 8
156002-0600430-5740010-101687-001780-9999
56002-0700430-5740010-101687-001780-9999
30100.0200431-5740010-101687-002480-9999
10 ! I
0
0
'0
10 —
o
10
Cityof Fort Worth Summa of Char es
CitySecrets Contract Num: 53501 `VATER&SANITARY SEWER REPL.CONTRACT 2018 7800
Secretary NVSM-L P'�'' Project Number. 101 687
Application Period: 311/22 to 3/30/22 Application Final Application Date: 3/1/2022
Number:
Funding Identification(FID) - I Total Completed I I Amt Remaining -- Gross- _- -Retainage- ; Net
Totals
I156002 0600430 5740010 101687-001780-9999 I $1,130,188.29� � $141,140.82 i $0.00 0.00
$1,096,684.06 I ( $97,661.94 I I
56002-0700430-5740010-101687-001780-9999 ) S
I
I30100-0200431-5740010-101687-002480-9999 $406 197.62 1 1 $86 588 88 1
to „I
10
o
o
10 I ,I
10 -1
Grand Total $2,633,069.97 $325.411.64 ($0.0i ($0.00) $5,723.65
CSC No.53501-COl
IF0a-r n-F>- City of Fort Worth
Change Order Request
PfojectName:1 2018 Water and Sanitary Sewer Replacement,WSM-L City Sec No.: 53501
Project No.(s): 56002-0600430/0700430.001780 DOE No. F-N-/-A-----1 CityProj.No,:1 101687
Project Description: Water,Sanitary Sewer and Paving Improvements on Wedgwodh Road S.and Minot Road
Contractor: Gra•Tex Utilities,Inc. Change Order L-J Date 1 3/3/2021
CilyProjectMgr.1 Dena Johnson City Inspector: I OscarAguillon
i
Phone Number: 817-392-7866 Phone Number: 817-392-8294
Dept, - 'ftter Sewer Paving Totals Contract Time
Calender days
Original ConlractAmount $1,270,378.10 $1,194,415.00 $488,334.00 $2,953,127.10 320
Extras to Dale
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Dale $1 270,378.10 $1 194 415.00 $488 334.00 $2 953127.10 320
Amount of Change Order -$49.00 $49.00 -$50.00 -$148,00 130
Revised Contract Amount $1,270,329.10 $1,194,366.00 $488,284.00 $2,952,979.10 450
Original Funds Available for Change Orders $50,815.00 $47,777.00 $24,417.00 $123,009.00
j Remaining Funds Available for this CO
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OFORIGINAL CONTRACT -0.01%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+251%) $3,691,408.88
JUSTIFICATION(REASON$)FOR CHANGE ORDER
Change Order No.1 provides for the following items that were inadvertently omitted at the time the project was advertised
for bid:
• Top soil for block sodding in front yards.
• Removal and replacement concrete lead walk. i
Removal and replacement of ADA ramps.
• Unclassified street excavation.
Staff recommends the approval of 130 additional calendar days for the change order.
It is understood and agreed that the acceptance of(his 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 Ord
Contractor's Company Name Contractor Name I ,-,Conir SI lure Date
Gra-Tex Utilities,Inc, Jim Brent 3`
Ins eotor Date Pro act M a er Date
3/12121
Asslslant Director Water'Dept) Date Construction Kdpervlsor Water Dept) Date
ar 1-5 2021-
Assistant City Attorney Date Assistant City Manager Date
5 _ a116,2021 Ratia Mar 16,2021
Council Action If Required)
M&C Number NIA M&C Date Approved A
i
I
1-a>rz-F Wa;�Pur M City of Fort Worth
Change Order Additions
Project Name 2018 Water and Sanitary Sewer Replacement,WSM-L City Sec No.: 53501
Project No.(s): 56002-060043010700430.001780 DOE No, N/A City Proj.No.: 101687
Project Water,Sanitary Sewer and Paving Improvements on Wedgworth Road S.and Minot Road
Description
Contractor Gra-Tex Utilities,Inc. Change Order:=1 Date: 3/312021
City Project Mgr. Dena Johnson City Inspector FOscarAguillon
ADDITIONS
DEPT Qty Unit Unit-Cost Total
36 6-inch top soil Water 50.00 CY $50.00 $2,500.00
37 RemovelReplace 4-inch lead walk Water 187.50 SF $9.20 $1,725.00
38 Remove/Replace 4-inch ADA ramp Water 0.50 EA $2,500.00 $1,250.00
39 Unclassified Street Excavation Water 50.00 CY $55.00 $2,750.00
29 6-inch top soil Sewer 50.00 CY $50.00 $2,500.00
30 Remove/Replace 4-inch lead walk Sewer 187.50 SF $9,20 $1,725,00
31 Remove/Replace 4-inch ADA ramp Sewer 0.50 EA $2,500.00 $1,250.00
32 Unclassified Street Excavation Sewer 50.00 CY $55.00 $2,750.00
15 6-inch top soil Paving 100.00 CY $50.00 $5,000.00
16 Remove/Replace 4-inch lead walk Paving 375.00 SF $9.20 $3,450.00
17 RemovelReplace 4-inch ADA ramp Paving 1.00 EA $2,500.00 $2,500.00
18 Unclassified Street Excavation Paving 100.00 CY $55.00 $5,500,00
I
I
Water 1$8,225.00
Sewer $8,225.00
Paving $16,450,00
Paige i of i Additions Sub Total 1$32,900.00
City of Fovt Worth
_ Change Ovdar Deletions
_ ProJect Name 2018 Water and Sanitary Sewer Replacement,WSM-L City Sec No.: 5350 i
Project No.(s): 56002-0600430/0700430.001780 DOE.No. riijA71 City Proj.No.; 101687
ProJect-Descripllon Water;Sanilary Sewer and Paving Improvements on Wedgworth Road S,and Minot Road
Contractor Lira-`TeX Utilities,Inc. Change Order: I 11 Date 3/3l2021
City'Pioject Mgr.- Dena Johnson �� Cily Inspeclor: I OscarAgullloll
DELETIONS
} ITEM bESCRIPTION':' f DErT T Qty Ltnit UnitCast _TO
1 i 735 Water Constrdction Allowance: Water � 0.1379 I.S ` $60,000.00$8,274.00 —
"•_28 . Sanitary.Sewei'Cohstru6tion Allowance Sewer 0.1379 LS $60,000,00$8,274.00
14 Paving Conslruction'Allowanc6 Paving 0.55 LS $30,000.00$16,500.00
Water $8,274.00
Sewer $8,274.00
Paving $16,600.00
Pat:e 1 of 1 Deletions Sub Total $33,048.00
j M/WBE Breakdown for this Change Order
MWBE Sub Type of Service AmWnt-for this-CO
Total $0:00 ;
Previous Change Orders :.
Ca# DATE. :i 'AMQUNT
I
Total
r
;a
H
'1
F
E
1�
r�
k
Page 1 of 1
i
Contract Compliance Manager
By signing acknowledge thatl am the person responsible
forth-,monitoring and administration of this contract,including
ensuring all performance and reportingregairements.
Signature /J
Dena johnson
Name ofBmployee
Project Manager
Title
ATTEST:
v ;'I
Mary J.Kayser
City Secretary
i
E
C
f
E
f
CSC No.53501-CO2
IF0iR— ' Wo P- m City of Fort Worth
"— Change Order Request
Project Name:1 2018 Water and Sanitary Sewer Replacement,WSM-L I City Sec No.: 53501
Project No.(s): 56002-060043010700430-001700 DOE No. N/A CilyPrcj.No.:1 101687
Project Descriplion: Water,Sanitary Sewer and Paving Improvements on Wedgworth Road S.and Minot Road
Contractor: Gra-Tex Utilities,Inc. Change Order# 0 Date 1 7/13/2021
City Project Mgr.1 Dena Johnsbn Clty Inspector: I OscarAguillon
Phone Numbed 817-392-7866 Phone Number: 817-392-8294
Dept. Water Sewer Paving Totals Contract Time
(Catenderdays)
Original Contract Amount $1,270,378.10 $1,194,415.00 $488,334.00 $2,953,127.10 , 320
Extras to Date 0130
Credits to Dale $49.00 $49.00 $50.00 $148.00
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,270,329.10 $1,194,366.00 $488,284.00 $2,952,979.10 450
Amount of Change Order $1,000.00 $0.00 $4,502,50 $5,502.50 040
Revised ContractAmount $1,271,329.10 $1,194,366.00 $492,786.50 $2,958,481.60 490
Original Funds Available for Change Orders $50,815.00 $47,777.00 $24,417.00 $123,009.00
Remaining Funds Available for this CO
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT
MAXALLOWABLECONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%) $3,691,408.88
JUSTIFICATION(REASONS)FOR CHANGE ORDER
Change Order No.2 provides for the following items that are necessary on the project:
Additional quanitites For pavement marking.
• Grinding of a concrete driveway approach to satisfy a homeowner.
• Remobllization to the job site to redo a propety owner's driveway approach.
Staff recommends the approval of 40 additional calendar days for the change order.
It is understood and agreed[hat the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment
In full(both lime and money)for all costs arising out of,or incidental to,the above Change Order.
`Coritraotors Company-Name ConlractorName C tr tor:Sig nature- - - Da e
Gra-Tex Utilities,Inc. Jim Brent
I ector Date -Project ana er Date ,
7 f3 JAI 7/13121
AssistantBireotor.(Water'Dept) Date Constructio upervisor TPW'Dept Date
�►� - �j, Jul 16,2021 07/13/21
Assistant City Attorney Date Assistant City,Manager Date
'°QJS 1ul16,zoz1 / ul20 2021
Council Action If Required
M&C Number N/q M&C Date Approved NIA
II cy P,-r Wo pur m City of Fort Worth
Change Order Additions
Project Name 2018 Water and Sanitary Sewer Replacement,WSM-L City Sec No,: 53501
Project No.(s): 56002-060043010700430-001780 DOE No. N/A City Proj.No.: 101fi87
Project
Description Water,Sanitary Sewer and Paving improvements on Wedgworth Road S,and Minot Road
Contractor Gra-Tex Utilities,Inc. Change order:02 Date: 7/13/2021
City Project Mgr. Dena Johnson City Inspector F Oscar Aguillon
ADDITIONS
DPT Unit '.>;UmfCosf T.otaI -
15 Pavement Markings Paving 135.00 LF $25.50 $3,442.50
16 Concrate Griding Paving 1.00 LS $1,060.00 $1,060.00
37 Remoblization Water 1.00 LS $1,000.00 $1,000.00
I
II
I
f
i
f
r.
�d
Water $1,000.00
Sewer 6
Paving $4,502.60 I
Page 2 of 4 Additions Sub Total $5,502.50
C
h
C
F(c>g,-r Woipu8 m City of Fort Worth
Change Order Deletions
Project Name 2018 Water and Sanitary Sewer Replacement,WSM-L City Sec No.: F 53501
Project No.(s): 55002-0600430/0700430-001780 DOE No. N/A City Proj.No,: 101687
Project Description Water,Sanitary Sewer and Paving Improvements on Wedgworth Road S.and Minot Road
Contractor Gra-Tex Utilities,Inc. Change Order: F2 ] Date 7/13/2021
City Project Mgr. Dena Johnson City Inspector: Oscar Aguillon.
DELETIONS
ITEM DESCRIPTION DEP . . Qty "`•, Unit Unit Gost Total
I
f
I
ff
k
i
I f
I.
I
i
i
4
A
c
l
�i
r
Water
Sewer
Paving
4
Page 3 of 4
Deletions Sub Total
F
i;
MM/BE Breakdown for this Change Order
MWBE Sub Type of Service Amount<;for ihtsGO
Total $0 00
Previous Change Orders
cod. .DATE. AMOUNT
i
Total 40 f
f
u
hh
! z
N
z
Page 4 of 4
I
f'
Contrad Compliance Manaa'er
Bysigningl aolcuowledge thatlam the person responsible
fortlre monitoring and administration of this contract,including
ensuring allperformance and rep ortingreguirements.
�� �.J-b/ClZdoJ1�
Signahwe
Denajohnson
Name ofBmployee
Project Manager
Title
. 1 j
i
ATTEST;
. I
Ronald Gonzales
Acting City Secretary
i
� G
' a
f
E
d
nh
I
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me,the undersigned authority, a notary public in the state
and county aforesaid,on this day personally appeared John Crowley,
Project Manager Of Gra-Tex Utilities,Inc. ,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;
CPN# 101687-2018 WSM-L
BY
4PrMa:nag:re
Subscribed and sworn before me on this date 31 Day of March,2022.
- URSTEN L.STULTS
My Notary ID#124659422
Notary ublic E)VresAugust 22,2023
ip'nCa county, State
CONSENT OF Owner 12f
SURETY COMPANY Architect ❑
TO FINAL PAYMENT Contractor ❑
Surety ❑
Other ❑
Project: Water and Sanitaiy Sewer Replacement Contract 2018,WSM-L, City Project Number 101687
rTO(Owner)
City of Fort Worth Applicable Bond Number: 46BCSHP4384
1000 Throckmorton Contract For:
Fort Worth,Texas 76102 $2,958,482.00
L J
Gra-Tex Utilities Inc. Effective:
Contractor: 1-28-2020
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
Hartford Fire Insurance Company,Suety Company
On bond of Gra-Tex Utilities, Inc.
Contractor,
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
the City of Fort Worth ,Owner
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
The Surety Company has hereunto set its hand this 5th day of April,2022. ,
Hartford Fire Insurance Company
Surety Company
Signature of Authorized Representative
Attest: Attorney-in-Fact
(Seal): Title
Direct inquiries/Claims to.
POWER OF ATTORNEY One HARTFORD
BOND,T-12
One Hartford Plaza
Hartford,Connecticut o6155
Bond.Claimsna thehettford com
calf•688-266.3488 6rfaX:86o-757.5835
KNOW ALL PERSONS BY THESE PRESENTS THAT:
Agency Name. INSURICA INS MANAGEMENT NETWORK
A enc Code: 46-5I0067
0 Hartford Fire Insurance Company,a corporation duly organized under the laws of the State of Connecticut
Hartford Casualty Insurance Company,a corporation duly organized under the laws of the State of Indiana
0 Hartford Accident and indemnity Company,a corporation duly organized under the laws of the State of Connecticut
Hartford underwriters Insurance Company,a corporation duly organized under the laws of the State of Connecticut
Twin City Fire Insurance Company,a corporation duly organized under the laws of the State of Indiana
Hartford Insurance Company of Illinois,a corporation duly organized under the laws of the State of Illinois
Hartford Insurance Company of the Midwest,a corporation duly organized under the laws of the State of Indiana
Q Hartford insurance Company of the Southeast,a corporation duly organized under the laws of the State of Floridd
having their home office in Hartford,Connecticut,(hereinafter collectively referred to as the"Companies")do hereby make,constitute and appoint,
up to theamount of Unlimited :
JIM BARR, ROGER REDDEN, RHONDA WELLS, RUSSELL BOARD of ARLINGTON, Texas ;
their true and lawful Attorneys)-in-Fact,each in their separate capacity 4 more than one is named above,to sign its name as surety(ies)only as
delineated above by®,and to execute, seal and acknowledge any and all bonds, undertakings,contracts and other written instruments In the
nature thereof,on behalf of the Companies In their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and
executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law.
In Witness Whereof,and as authorized by a Resolution of the Board of Directors of the Companies on May 6,2015 the Companies have
caused these presents to be signed by its Senior Vice President and Its corporate seals to be hereto affixed, duly attested by its Assistant
Secretary. Further,pursuant to Resolution of the Board of Directors of the Companies,the Companies hereby unambiguously affirm that they are
and will be bound by any mechanically applied signatures applied to this Power of Attorney.
�/►�� �. � '�, :`(��tntwv j` q°Ikxti %\197� : ��ty 70�la .9 j•
John Gray,Assistant Secretary M.Ross Fisher,Senior Vice President
STATE OF CONNECTICUT
I
ss. Hartford
COUNTY OF HARTFORD
On this Sth day of January,2018,before me personally came M.Ross Fisher,to me known,who being by me duly swom,did depose and
say:that he resides in the County of Hartford, State of Connecticut;that he is the Senior Vice President of the Companies, the corporations
described In and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said
instrument are such corporate seals;that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his
name thereto by like authority,
♦ ra+3►'
Kathleen T.Maynard
Notary Public _
CERTtRCATE My Commission Expirts July 31,2021
I,the undersigned,Assistant Vice President of the Companies,DO HEREBY CERTIFY that the above and foregoing Is a true and correcf, •.copy of the Power of Attorney executed by said Companies,which is still in full force effective as of 5 7 / —
Signed and sealed at the City of Hartford. = _
�►�a D JULNrIN((f1 i s �l#d r y+��i 8'Tf �t
j.�,,yf • f, tNr 1 R ♦ • .�
Kewn Heckman,Assistant Vice President
POA 2Q3
IMPORTANT NOTICE
To obtain information or make a complaint:
You may contact your Agent.
You may call The Hartford's Consumer Affairs toll-free telephone number for information or to
make a complaint at:
1-800-451-6944
You may contact the Texas Department of Insurance to obtain information on companies,'
coverages, rights, or complaints at:
1-800-252-3439
You may write the Texas Department of Insurance:
P.O. Box 149104
Austin, TX 78714-9104
Fax: (512) 490-1007
Web: www.tdi.texas.Gov
E-mail: ConsumerProtectionC tdi texas Qov
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your premium or about a claim,.you should contact the
(agent) (company) (agent or the company) first. If the dispute is not resolved, you may contact the
Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR POLICY:
This notice is for information only and does not become a part or condition of the attached
document.
I
./TX4275-1
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: The Construction of Water and Sewer Replacement Contract 2018 WSM-L
PROJECT NUMBER: CPN 101687
DOE NUMBER:
WATER
PIPE LAID SIZE TYPE OF PIPE LF
DR-14 8" PVC 4855.00 LF
8" DIP 50.00 LF
DR14 6" PVC 90 LF
FIRE HYDRANTS: VALVES(16"OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES: 1"(126)each PVC
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
8" PVC SDR 26 4,411.00 LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES: 4"(122)each SDR 26 PVC
TRANSPORTATION AND PUBLIC WORKS
i The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941•Fax:(817)392-7845
FORT WORTH,
TRANSPORTATION AND PUBLIC WORKS
February 7,2022
Gra-Tex Utilities, Inc.
605 Prairie St.
Arlington,Texas 76011
RE: Acceptance Letter
Project Name:The Construction of Water and Sanitary Sewer Replacement Contract 2018 WSM-L
Project Type:Water,Sewer
City Project No.: 101687
To Whom It May Concern:
On July 21,2021 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 February 7,2022. 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 February 7, 2022,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 817-
392-7866.
Sincerely,
Dena Johnson, Project Manager
Cc: Oscar Aguillon, Inspector
Wade Miller, Inspection Supervisor
Manny Nieto,Senior Inspector
Tony Sholola, Program Manager
Criado&Associates, Inc., Consultant
Gra-Tex Utilities, Inc.,Contractor
N/A, Developer
File
E-Mail: TPW—Acceptance@fortworthtexas.gov
Rev.8/20/19