HomeMy WebLinkAboutContract 55382-FP1 FORT WORTH,
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
City Secretary No:_55382 -FP1
Date Received: May 6, 2022
City Project Ns: 101582
Regarding contract 55382 for N BEACH STREET&BASSWOOD BLVD INTERSECTION
IMPROVEMENTS as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as
approved by City Council on 02/02/2021 through M&C 21-0144 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: $1,537,331.40
Amount of Approved Change Orders: -$14,609.00 Ns 1
Revised Contract Amount: $1,522,722.40
Total Cost Work Completed: $ 1,522722.29
Less Deductions:
Liquidated Damages: 0 Days @$1,250.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $1,522,722.29
Less Previous Payments: $1,446,586.18
Final Payment Due $ 76,136.11
'L��' llz2j,-�� May 4 2022
Lauren Prieur(May 4,202211:47CDT) Y 7
Recommended for Acceptance Date
Asst. Director, TPW - Capital Delivery
Wj(May 5,2022 10:0 CDT) _
May 5, 2022
Accepted Date
Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
Client Department
Daea&�6ILWe
Dana Bur 5,2022 1 :531 CDT) May 5,2022
Asst. City Manager Date
Comments: OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
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FORTWORTH.
Routing and Transmittal Slip
Transportation & Public Works
Department
DOCUMENT TITLE: North Beach Street and Basswood Boulevard
Intersection Improvements — Change Order #3
M&C: N/A CPN: 101582 CSO: 55382 DOC#: 1
Date: 4/12/2022
To: Name Department Initials Date Out
1. Justin Blair McClendon Construction Co., Inc a 04/13/22
2. William R Roberson TPW-signature - 04/13/22
3. Iskal Shrestha TPW- signature ZL- 04/13/22
4. Van Pham TPW-review � 04/14/22
5. Lissette Acevedo TPW- signature 04/14/22
6. Martin Phillips TPW- signature 04/14/22
7. Lauren Prieur TPW- signature 04/14/22
LP
8. William Johnson TPW- signature i 04/15/22
9. Doug Black Legal-signature dull- 04/15/22
10. Dana Burghdoff CMO - signature 04/18/22
11. Jannette Goodall CSO - signatures 04/19/22
12. 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: []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
® Signature/Routing and or Recording
❑ Comment
❑ File
Return To: TPWContractsAFortWorthTexas.gov at ext. 7233 for pick up when completed.
Thank you!
CSC No. 55382-CO3
FORTWORTH. City of Fort Worth
*_� Change Order Request
Project Name North Beach Street&Basswood Boulevard Intersection Improvements City Sec# 55382
Client Project#(s)l CPN 101582
Project Description Paving,Traffic Signal&Illumination Improvements for North Beach Street&Basswood Boulevard Intersection Improvements.
Contractor McClendon Construction Change Order# 3 Date 4/12/2022
City Project Mgr. Iskal Shrestha City Inspector William R.Roberson
Contract Time
Dept, TPW Totals (CD)
Original Contract Amount $1,537,331.40 $1,537,331.40 252
Extras to Date $23,258.00 $23,258.00
Credits to Date $37,867.00 $37,867.00
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,522,722.40 1 $1,522,722.40 252
Go to ADD&DEL Tabs to Enter CO Backup $0.00 90
Revised Contract Amount 1,522,722.40 $1,522,722.40 342
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $14,609.00 $14,609.00
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT
MAXALLOWASLECONTRACTAMOUNT(ORIGINAL CONTRACT COST+25%) $1,921,664.25
JUSTIFICATION(REASONS)FOR CHANGE ORDER
The Contractor had 252 calendar days to complete the project for final acceptance per the executed contract.The Contractor begins work on Tuesday,April 20,2021,and
theirby completion date for final acceptance was Monday,December 27,2021.The Contractor achieved substantial completion within the contract time(252 calendar
days).The new traffic signal was fully functional and operational on August 24,2021.On all four(4)legs of the intersection,a dual left-turn lane,sidewalk,and ADA ramp
were installed and opened before December 27,2021.
However,The project's scope also includes furnishing and installing one(1)Street light pole.The streetlight pole couldn't deliver on time due to the long lead time.The
Contractor requested additional 33 calendar days for the street light.It was installed on January 12,2022.
On Tuesday,January 4,2022,City performed the Texas Department of Licensing and Regulation(TDLR)inspection of the sidewalk and ADA ramps.The inspection results
require the Contractor to modify the small portion of sidewalks and require the City to apply for a Variance application to address the TAS Section 303.2.The Variance will
allow the existing sanitary sewer manhole cover within the accessible route to provide a level change that exceeds 1/4".
On Tuesday,February 8,2022, City notified the Engineer of Record(EOR)to investigate and provide a solution for the non-compliance with the TDLR inspection report.
The TDLR inspection added work to the Contractor outside the project's original scope and needed to be complete before the final inspection.On Monday,February 28,
2022,the Contractor notified the City that all TDLR punch lists were complete except the one related to TAS Section 303.2.The FOR provided different options for TAS
Section 303.2.On March 1,2022,the City decided to apply for the Variance.The FOR provided the variance application on March 10,2022.The variance application was
submitted on Monday,March 21,2022.The final inspection was scheduled for Tuesday,March 22,2022.
The Contractor completed most of the work within the contract time,and they have done their due diligence to get this project completed on time.The added time was to
address the long lead time for One(1)street light pole and TDLR Inspection Items.
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 Signature D�ateMcClendon Construction Co.,Inc Justin Blair 4� q.y, 04/12
Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date
04/13/22 04/13/22
Program Manager Date Senior Capital Project Officer Date
04/14/22 li,t 04/14/22
Assistant Director Dept Date Director,Contracting Department(Dept) Date
Lau�eH P:le 04/14/22 04/15/22
Assistant City Attorney Date Assistant City Manager Date
04/15/22 04/18/22
Council Action(if required
M&C Number M&C Date Approved
ATTEST:
Jannette Goodall,City Secretary
I
FUICr WUR_r n City of Fort Worth
-�'V- — Change Order Additions
Project Name I North Beach Street&Basswood Boulevard Intersection Improvements City Sec# 55382
Client Project# I CPN 101582
contractorl McClendon Construction PMJ Iskal Shrestha Inspector William R.Roberson
Change Order Submittal# Date 4/12/2022
ADDITIONS
Unit Unit Cost Total
TPW 0.00
Su Tota A ikons 0.00
Change Order Additions Page 2 of 4
Folrr Wrrerti City of Fort Worth
Change Order Deletions
Project Name I North Beach Street&Basswood Boulevard Intersection Improvements City Sec# 55382
Ckent Project# I CPN 101582
Contracto McClendon Construction PM Iskal Shrestha Inspector W Iliam R.Roberson
Change Order Submittal# L=J Dale 4/12/2022
DELETIONS
Unit ni os Total
TPW 0.00
Sub TotalDeletions
Change Order Deletions Page 3 of 4
M/SBE for this Change Order
M/SBEiSub Type of Service Amount for this CO
N/A
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
1 6/15/2021 $23,258.00
2 7/21/2021 -$37,867.00
Total $14,609.00
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
April 22, 2022
McClendon Construction
548 Memorial Plaza
Burleson,Texas 76024
RE: Acceptance Letter
Project Name: N Beach Street And Basswood BLVD. Intersection Improvement
Project Type: Paving &Street Lights.
City Project No.: 101582
To Whom It May Concern:
On March 22, 2022 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 April 22, 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 April 22, 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-
395-4013.
Sincerely,
lsKc�l Shesthc�
I skal Shestha(May 4,2022 10:22 CDT)
Iskal Shresths, Project Manager
Cc: Riley Roberson, Inspector
Mike Glover, Inspection Supervisor
Daniel Roy, Senior Inspector
Lissette Acevedo, Program Manager
Pape-Dawson, Consultant
McClendon Construction, Contractor
N/A, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
CSC No.55382-COI
FORTWORTH City of Fort Worth
Change Order Request
Project Name North Beach Street&Basswood Boulevard Intersection Improvements City Sec# 55382
Client Project#(s) CPN 101582
Project Description Paving,Traffic Signal&Illumination Improvements for North Beach Street&Basswood Boulevard Intersection Improvements.
Contractor McClendon Construction Change Order# 1 Date 6/2/2021
City Project Mgr. Iskal Shrestha City Inspector William R.Roberson
Dept. TPW Contract Time
Totals (CD)
Original Contract Amount $1,537,331.40 $1,537,331.40 252
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,537,331.40 _ $1,537,331.40 252
Amount of Proposed Change Order $23,258.00 $23,258.00
Revised Contract Amount $1,560,589.40 $1,560,589.40 252
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary) $23,258.00 $23,258.00
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1.51%
MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,921,664.25
JUSTIFICATION(REASONS)FOR CHANGE ORDER
The change in Bid quantity and addition of Bid items were as a result of Engineer of Record(EOR)'s response on Contractor's request for information(RFI)number 1,2,
and 3.
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 Signature Date
McClendon Construction Co.,Inc Justin Blair Jun 3,2021
Inspe a roject and Contract Compliance Manager Date
FJu4,2021 s5l ea11 Jun8,2021
Date enior Capital Project Officer Date
9,2021 Mar n A Phanps Jun 9,2021
Assistant Director(Dept) Date Director,Contracting Department(Dept) Date
Jun 10,2021 1JA.9d—_ Jun 11,2021
Affnmav Date A Date
nWWA so. Jun 14,2021 Jun 14,2021
Council Action(if required)
n M&C Number M&C Date Approved
ATTEST:'
apF FORT a
Mary.Kayser,City Secretary �A.o°°° °°0 OFFICIAL RECORD
°
°9�
0vo CITY SECRETARY
Q o d
�a °0° 0 *.y FT. WORTH, TX
000000 Cy
a NiXAS�aa
Fo RT W4RTk1 City of Fort Worth
o Change Order Additions
Project Name North Beach Street&Basswood Boulevard Intersection Improvements City Sec# 55382
Client Project# CPN 101582
Contractorl McClendon Construction PMJ Iskal Shrestha Inspector William R.Roberson
Change Order Submittal# 0 Date 6/2/2021
ADDITIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
Remove Conc PvmI
106 3213.020611"Conc Pvmt HES TPW 11.00000000 SY 250.00 2,750.00
34 9999.0001 8"recompacted subgrade TPW 11.00000000 SY 8.00
39 3305.0106 Manhole Adjustment,Major TPW 1.00000000 EA $6,000.05 6,000.00
45 2605.3015 2"CONDT PVC SCH 80(T) TPW 70.00000000 LF 28.00
62 3441.1408 NO 6 Insulated Elec Condr TPW 50.00000000 LF 2.00 00.00
64 3441.1413 NO 6 Bare Elec Condr SLD TPW 25.00000000 LF $2.00
86 2605.3015 2"CONDT PVC SCH 80(T) TPW 485.00000000 LF $28.05 3,580.00
88 3441.1408 NO 6 Insulated Elec Condr TPW 690.00000000 LF 2.00
89 3441.1415 NO 10 Bare Elec Condr TPW 345.00000000 LF 1.00 3 5.00
90 3441.1502 Ground Box Type B,w/Apron TPW 1.00000000 EA $1,275.06
107 2605.3014 2"CONDT RM(Riser) TPW 30.00000000 LF $36.05 080.00
93 3441.3302 Rdwy Illum Foundation TY 3,5,6,and 8 TPW 1,00000000 EA $2,250.06
TPW $31,078.00
Sub Total Additions $31,078.0
Change Order Additions Page 2 of 4
FOR ORII'H City of Fort Worth
Change Order Deletions
Project Name North Beach Street&Basswood Boulevard Intersection Improvements City Sec# 55382
Client Project# CPN 101582
Contracto McClendon Construction PM Iskal Shrestha Inspector William R.Roberson
Change Order Submittal# 0 Date 6/2/2021
DELETIONS
ITEM DESCRIPTION UEH I ty Unit UnitCost Total
TPW 7,820.00
u otal Deletions
Change Order Deletions Page 3 of 4
CSC No.55382-CO2
FORT WORTH City of Fort Worth
Change Order Request
Project Name North Beach Street&Basswood Boulevard Intersection Improvements City Sec# 55382
Client Project#(s) CPN 101582
Project Description Paving,Traffic Signal&Illumination Improvements for North Beach Street&Basswood Boulevard Intersection Improvements.
Contractor McClendon Construction Change Order# 2 Date 7/8/2021
City Project Mgr. Iskal Shrestha City Inspector William R.Roberson
Contract Time
Dept. TPW Totals (CD)
Original Contract Amount $1,537,331.40 $1,537,331.40 252
Extras to Date $23,258.00 $23,258.00
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $1,560,589.40 $1,560,589.40 252
Amount of Proposed Change Order -$37,867.00 -$37,867.00
Revised Contract Amount $1,522,722.40 $1,522,722.40 252
Original Funds Available for Change Orders $0.00
Remaining Funds Available for this CO $0.00
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT -0.95%
MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,921,664.25
JUSTIFICATION(REASONS)FOR CHANGE ORDER
The change in Bid quantity and addition of Bid items resulted from the Engineer of Record(EOR)'s response to the contractor's request for information(RFI)numbers 6,7a,
and 8.
RFI 6 is about descoping the portion of the southbound paving from the contractor's contract.Per the contractor's RFI,the existing pavement is in good condition and
recommended not to replace.I coordinated the contractor's request with FOR and TPW Street Service.TPW Street Service field verify the condition of the existing
pavement.Per email from Juan Cadena(TPW Streets and Stormwater Operations),he agrees with the contractor's recommendation to leave the portion of the pavement
as-is.FOR also agree with the contractor's recommendation.
RFI 7a is about the Temporary Traffic Singal Phasing.The contractor installed the temporary Traffic Signal Phasing per Issue for Construction(IFC)document but TPW
Transportation Management made the contractor to revised the plan,which required accommodation of the LED's and signal heads.
RFI 8 is about using Off Duty Police Officer to control the traffic flow at the intersection.The project requires relocating the Oncor transformer from the existing pole to the
new pole.The existing traffic signal cabinet doesn't have a BBLI to run the signal while power is disconnected.When relocating the Oncor transformer,the existing traffic
signal equipment will be out of the power source.The contractor recommended using Off Duty Police Officers to control traffic flow at this intersection while Oncor performs
work because the intersection has two(2)major arterial roadways.
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 Signature
McClendon Construction Co.,Inc Justin Blair `a��"wa'���o Jul 13,2021
Inspector/Inspection Super Date I Project and Contract Compliance Manager Date
on Ju114,2021 ��auaz��spn Ju114,2021
Date fficer Date
LisaHte Aoevedo.eE Jul 16,2021 Jul 16,2021
�us,z�„s�o=on
Assistant Director(Dept) Date Director,Contracting Department(Dept) Date
/�iweh /oaf : Jul 16,2021611,;u., J u 119,2021
Assistant City Attorney Date JAssistant City Manager Date
Ju 119,2021 w _ Ju120,2021
Council Action(if required)
/ M&C Number M&C Date Approved 0
ATTEST:�D�t�Gl�l � GD�l/t�GPif .p4�nnn�
Ronald P.Gonzales(Jul 21,202108:47 CDT) AqL foR ��j�1�j,
/J' ` pOOOoo� 0 Y
Ronald P.Gonzales,Acting City Secretary 0�Do°° °°oQw�� OFFICIAL RECORD
01
vo S=� CITY SECRETARY
°°°°°°°°°°°.�e FT. WORTH, TX
d�n��EXAS.oAp
FoRTWDRTH City of Fort Worth
Change Order Additions
Project Name North Beach Street&Basswood Boulevard Intersection Improvements City Sec# 55382
Client Project# CPN 101582
Contractor McClendon Construction PM Iskal Shrestha Inspecto William R.Roberson
Change Order Submittal# O2 Date 7/8/2021
ADDITIONS
Unit Unit Cost Total
emove Conc Curb and Gutter TPW 81.00000000
108 Temporary Signal Modification TPW 1.00000000 LS $1,742.05
109 Traffic Control with Off Duty Police Officer TPW 6.00000000 HR $500.00 3,000.00
TPW $5,552.00
Sub Total Additions 5,552.00
Change Order Additions Page 2 of 4
FORT WORTH City of Fort Worth
r-- Change Order Deletions
Project Name North Beach Street&Basswood Boulevard Intersection Improvements City Sec# 55382
Client Project# CPN101582
Contracto McClendon Construction PM Iskal Shrestha Inspector William R.Roberson
Change Order Submittal# O2 Date 7/8/2021
DELETIONS
ty Unt Unit Cost I ota
Remove Gonc.Hvmt
"Conc.Pvmt Y
"Recompoacted Subgrade SY
TPW $43,419.00
Sub TotalDeletions
Change Order Deletions Page 3 of 4
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 Justin Blair, Vice President of McClendon
Construction Company,Incorporated, 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 there are no claims pending for personal injury and/or property damages;
On Contract described as;
N Beach Street& Basswood Blvd Intersection Improvements CPN 101582
By
Justin Blair
Subscribed and sworn before me on this S day of
20
MISTY WEBB
Notary Public,State of Texas
P Comm.Expires 01-09-2026 Notar ublic in Tarrant
Notary ID 126838467 06unty, Texas
t,
Bond Number TXC611803
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
PRO.JE.CT; North Beach Street and Basswood Boulevard Intersection
(name. addrem) Improvements Project Number 101582
TO(Owner)
City of Fort Worth, Texas
1000 Throckmorton Drive CONTRACT FOR: Construction
Fort Worth, TX 76108
CONTRACTOR: CONTRACT DATE:
McClendon Construction Company, Inc .
548 Memorial Plaza
B
In accordance with the provisions of the Contract between the Owner and the Contractor as
indicated above,the (here ineert name and addreem of Sumty Co.)
Merchants Bonding Company [Mutual]
PO Box 14498
Des Moines, IA 50306-3498 ,SURETY COINIPANY,
on bond of(here tnwert name and addrem eC t,ontraLlor)
McClendon Construction Company, Inc.
548 Memorial Plaza
Burleson, TX 76024 .CONTRACTOR
hereby approves of the final payment to the Contractor and agrees that final payment to the
Contractor shall not relievo the Suroty Company of any of its obligations to(here inPcrt name and
nddmos or Owner)
City of Fort Worth, Texas
1000 Throckmorton Drive
Fort Worth, TX 76108 OtVNRR.
as set forth in the said Surety Company's Bona.
IN WITNESS WHEREOF, Merchants Bonding Company [Mutual]
tho Suroty Companv ba■horounto sot its band this 2 5 t:h day of Apr i 1 2022
Mer4 ants acndinq Company
S is patty.
_bL(
Si$cVware of Authorized Represent at We
Betty J0 Reeh
Attorney-in-Fact
MERCHANTS�+�
BONDING COMPANY..
POWER OF ATTORNEY
Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC„
both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,individually,
Ana Tomes;Andrew Addison; Betty J Reeh; Bryan K Moore;Elizabeth Ortiz;Michael D Hendrickson;Patricia Ann Lyttle;Patrick Coyle
their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) 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.
This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board
of Directors of Merchants Bonding Company(Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors
of Merchants National Bonding,Inc.,on October 16,2015.
"The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority
to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and
undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof."
"The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney
or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the
Company,and such signature and seal when so used shall have the same force and effect as though manually fixed."
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the
Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction
contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department
of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of
its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given
to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner-
Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation,
In Witness Whereof,the Companies have caused this instrument to be signed and sealed this i9lh day of March 2021
r•-`A� �Ngf e.,, �•&q\NG•CO,y�A•.
y�: :�ORPt7 (MUTUAL)
MERCHANTS NATIONAL OND BONDING, INC.
2003 :a'' 1933 c By
.d' N
........ ' 'yam' c;•
..� �' �a
•'J�; !y .' L •• President
STATE OF IOWA """"'`'� •"•''
COUNTY OF DALLAS ss.
On this 19th day of March 2021 before me appeared Larry Taylor, to me personally known, who being by me duly sworn
did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the
seals affixed to the foregoing instrument are the Corporate Seats of the Companies;and that the said instrument was signed and sealed in behalf
of the Companies by authority of their respective Boards of Directors.
z.Q.�UA4 s POLLY MASON
0 e e o• Commission Number 750576 � �OLS
My Commission Expires
,pwP January 07, 2023 Notary Public
(Expiration of notary's commission
does not invalidate this instrument)
I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC.,do hereby
certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full
force and effect and has not been amended or revoked. CC 4j�-"' �
In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this2_4 day of v .
20Q3 :'�; :¢' 1933 c Secretary
.s
'sd.•. •���••� •,fly •,. `sac:
:�44/ • •.
POA 0018 (1120)
MERCHANTS
BONDING COMPANY
IMPORTANT NOTICE
To obtain information or make a complaint:
You may contact your insurance agent at the telephone number provided by your insurance
agent.
You may call Merchants Bonding Company's toll-free telephone number for information or to
make a complaint at:
1-800-678-8171
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 at:
P. O. Box 149104
Austin, TX 78714-9104
Fax: (512)475-1771
Web: http://www.tdi.state.b(.us
E-mail: ConsumerProtection{,,ciltdi.state.tx.us
PREMIUM AND CLAIM DISPUTES: Should you have a dispute concerning your premium or
about a claim you should contact the agent 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.
SUP 0032 TX(1/09)