HomeMy WebLinkAboutContract 52931-FP1 FORT WORTH,
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
City Secretary No:_52931 -FP1
Date Received:Jun 3,2022
City Project Ns: 00626
Regarding contract 52931 for Loving Avenue Culvert and Channel Improvements as required by the
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 09/10/2019
through M&C 19-0138 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: $3,512,938.10
Amount of Approved Change Orders: $-555,035.17 Ns 1
Revised Contract Amount: $2,959,902.93
Total Cost Work Completed: $2,959,902.93
Less Deductions:
Liquidated Damages: 0 Days @$650.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $2,959,902.93
Less Previous Payments: $2,815,981.86
Final Payment Due $143,921.07
`auren Prleur Jun 2 2022
Lauren Prieur(Jun 2,2022 12:46 CDT)
Recommended for Acceptance Date
Asst. Director, TPW - Capital Delivery
A' Jun 2,2022
William M Johnson kun 2,2Q2214;02 CDT)
Accepted Date
Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
Client Department
Z�Iallt� 3�GG Jun 2 2022
Dana Burghdoff(Jun 2,202 M8 CDT)
Asst. City Manager Date
OFFICIAL RECORD
Comments: CITY SECRETARY
FT. WORTH, TX
C-620 Signature Page
Contractor's Application for Payment Invoice No. FINAL
To(Owner) City of Fort Worth Invoicing Period(From-To): Invoice Date:
January 29,2020 to A ri130,2021 5/4/2021
P.°. FW020-0000003018 From(Contractor): Remit to(If Not Automatic Deposit):
Number: KLUTZ CONSTRUCTION LLC
Project: 00626 Contractor's CFW Vendor No.:
0000029043
City Secretary Contract 52931 Contract
Number: Name:
LOVING AVENUE CULVERT AND CHANNEL IMPROVEMENTS
Application For Payment
Change Order Summary
Approved Change Orders 1. ORIGINAL CONTRACT PRICE............................................................. $ $3,512,938.10
Number Additions Deletions 2. Net change by Change Orders.................................................................... $ -S553,035.17
1 $97,934.00 3. Current Contract Price(Line 1+2)........................................................... $ $2,959,902.93
2 $57,867.06 $708,836.23 4. TOTAL COMPLETED AND STORED TO DATE
3 (Progress Estimate,Construction Allowance and Change Orders)....... $ $2,959,902.93
4 5. RETAINAGE:
5 a. X $2,959,902.93 Work Completed.......... $
6 b. X Not Used $
7 c.Total Retainage(Line 5a+Line 5b)................................ $
8 6. AMOUNT ELIGIBLE TO DATE(Line 4-Line 5e)............................... $ $2,959,902.93
TOTALS $155,801.06 $708,836.23 7. LESS PREVIOUS PAYMENTS(Line 6 from prior Application)......... $ $2,815,981.86
NET CHANGE BY -$553,035.17 8. AMOUNT DUE THIS APPLICATION.................................................... $ $143,921.07
CHANGE ORDERS 9.BALANCE TO FINISH,PLUS RETAINAGF
(Column G on Progress Estimate+CA+COs+Line 5 above)............... $ $0.00
Contractor's Certification 10. CONTRACT TIME:
The Contractor certifies with the submittal of this document and associated Payment Request Submittal a. Days Awarded 290
on the City of Fort Worth Buzzsaw system that to the best of their knowledge:(1)all previous progress b, Days Added by CO 203
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 493
prior Applications for Payment;(2)title of all Work,materials and equipment incorporated in said
Work or otherwise listed in or covered by this Application for Payment will pass to Owner at time of d, Days Charged 384
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 e. Days Remaining 109
encumbrances);and(3)all Work covered by this Application for Payment is in accordance with the
Contract Documents and is not defective.
Charles M.Klutz
Charles M.Klutz(May 16,202216:05 CDT)
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.
Ca20lAs[Phe Pmgess Esthv:e
PM."Estimate City Secretory 52931 Contractors ApplicalIon
Commel Num:
I.(contract): LOVING AVENUE CULVERT AND CHANNEL BIPROVEMENTS Application Nm FINAL
Apphrahon Per January 29,2020 to April 30,2021 Application Dat 5/4/2021
A B C D E F I G
Item Matems s Total Comp et 8e Bolwtce to Finish
Speci5cati Unitof Bid Quantity Unit Price Bid Value Estimated Quantity Value Preciously Value This Period Presently and Stored to (F) @-F)
Bid Item No. Desorption on Section Measure Installed Installed Value Stored not in Date(D.131 B
UNIT I-WATER_LINE IMPROVEMENTS
1 3311.0251 0'DIP Water LF 115.000000 $193.00 $22,195.00 139.00000000 $26,827.00 §26,827.00 526,827.00 120.9% -§4,632.00
2 3311.0261 8"PVC Water Pipe LF 90.000000 $177.00 $15930.00 100.00000000 $17,700.00 $17,700.00 $17,700.00 111.1% -$1,770.00
3 3311.0161 6"PVC Water Pipe _ LF 16.000000 5169.00 $2704.00 16.00000000 $2,704.00 $2,704.00 $2,704.00 100.0%
4 3312.3003 8"Gate Valve EA 3.000000 $1,500.00 $4.500.00 3.00000000 $4.500.00 $4,600.00 $4.500.00 100.0%
5 3312.30026'Gate Valve EA 1.000000 51,100.00 $1,100.00 1.00000000 $1,100.00 $7,700.00 $1,100.00100.0%
6 3305.0003 8"Waterline Lovrerinp EA 1.000000 $7,000.00 $7,000.00 $7,000.00
7 3312.0001 Fire Hydrant and Extension EA 1.000000 $3,700.00 $3700.00 1.00000000 $3,700.00 $3,700.00 53,700.00 100.0%
-- - - --_.
0 0241.1302 Remove 6"Water Valve EA 3.000000 $150.00 $450.00 3.00000000 5450.00 $450.00 5450.00 100.0%
9 0241.1510 Salvage Fire Hydrant EA 7.000000 $350.00 $350.00 1.00000000 $350.00 $350.00 $350.00 100.0%
10 0330.0001 Concrete Encase Utility Pipe CY_ 4.00_0000 $350.00 _$1,400.0_0 _ $1,400.00
3201.0201 Asphalt Pvmt Repair Beyond Defined
11 Width,.Residential-Water lmproyementa____ BY 20.000000 $84.00 $1.680.00 $1680,00. _ _.. _. _ - _
3201.0400 Temporary Asphalt Paving Repair(Y
12 HMAC on 6'Flexible Base Course) LF 235.000000 $21.00 $4,935.00 2.00000000 $42.00 $42.00 $42.00 0.9% $4,893,00
_-
13 3304.0101 Temporary Water Services LS 1.000000 $18,000.00 $16 a00.00 1.00000000 $18,000.00 $16,000.00 $16,000.00 100.0%
14 33050109 Trench Safety LF 218.000000 §1.00 $216.00 255.00000000 $255.00 $255.00 $255.00 118.1% -$39.00
-- _.____._ _.
_ 16 3311.0001 Ductile Iron Water Fittings w/Restraint TON 1.000000 $7000.00 _ $7,000.00 0.95000000 __$B__,650.00 $6,650.00 58,E_5_0_.0.0 950% 4350.00
3312.0117 Connection to Existing 4"-12"Water Main
16 EA 3.000000 $8.000.00. $24,000,00 3.00000000 $24.000.00 $24,000.00 $24,000.00 100.0%
17 3312.2001 1'Water Service,Meter Reconnection EA 6.000000 $300.00 $1,500.00 3.00000000 $900.00 $900.00 $900.00 60.095 $600.00
18 3312.2003 1"Water Service EA 5.000000 $2,000.00 $10,000.00 8.00000000 $12,000.00 $12,000.00 $12,000.00 120.0% 52,000.00
18 3312.2004 1"Private Water Service LF 75.000000 $25.00 $1,875.00 $1,876.00
--
3305.0202 Imported EmbedmenVBackfill,Cement
20 Stabilized Backfill CY 10.000000 $93.00 $930.00 $930.00
21 3305.0203 Imported EmhedmenVBackfill,CLSM CY 50.000000 $123.00 $8,750.00 $6,150.00
3305.0204 Imparted EmhedmenVBackfill,Crushed
22 Rock CY 60.000000 $25.00 $1.250.00 $1250.00
23 3305.0207 Imported EmbedmenUBackfill,Select Fill CY 10.000000 $25.00 $250.00 180.00000000 $4,500.00 $4,500.00 $4,500.00 N##HU# 34.260.00
24 3471.0001 Traffic Control MO 2.000000 $2000.00 $4,000.00 2.00000000 $4,000.00 $4,000.00 54,000.00 100.0%
25 3125.0101 SWPPP z 1 acre LS 1.000000 $1 000.00 $1,000.00 1.00000000 $1,000.00 $1,000.00 $1,000.00 100.0%
3471.0010 City Streets!Residential Streets Closure
28 MO 1.000000 $1200.00 $1200.00 1.00000000 $1200.00 $1,200.00 $1.200.00 100.0%
0171.IX101 Construction - --- - - _ -- -
27 Stoklaamphai) LS 1.000000 $4.030.00 $4,030.00 1.00006600 $4.030.00 $4,030.00 $4,030.00 100.0%
0171.0001 Construction Survey(GPS Red Line
28 Survey) LS 1.000000 $1,000.00 $1,000.00 1.00000000 $1,000.00 $1,000.00 $1.000.00 100.0%
29 9999.0001 Water Construction Allowance LS 1.000000 -$5,000.00 $5,00aco $5,000.00
UNIT 2-SEWER IMPROVEMENTS
1 3331.4222 16"DIP Sever LF 67.000000 $245.00 $16,415.00 67.00000000 $16.415.00 $16,415.00 S16,415.00 100.0%
2 3331.4215 15"Sewer Pipe(PVC SDR-26) LF 132,000000 $139.00 $18,340.00 132.00000000 $18.348.00 S18,348.00 _ S18,348.00 100.0%
3 3331.4208 12'Sevier Pipe(PVC SDR-26) LF 539.000000 $114.00 $61,332,00 538.00000D00 $61,332.00 $61,332.00 $61,332.00 100.0%
4 3331.4212 12"DIP Sever _ LF 270.000000 $171.00 $46,170.00 270.00000000 $46,170.00 $46,170.00 546,170.00 100.0%
5 3331.4115 6
"Sevrer Pipe(PVC 50R-26) LF 217.000000 $100.00 $21,700.00 217.00000000 521,700.00 $21,700.00 $21,700.00 100.0%
fi 3331.4119 8"DIP Sevrer Pipe LF 70.000000 $144.00 $10,090.00 70.00000000 $10,080.00 $10,080.00 $10,08000 100.0%
7 9999.0003 30"Drilled Pier,Complete and In Place CY 20.000000 $620.00 $12.400,00 9.10000000 $5,642.00 $5 642.00 $5,642SO 45.5% $6,758.00
9999.0004 Pier Head for Pipe up,Complete and In
8 Place EA 2.000000 $7,800.00 $15,600.00 2.00000000 $15,600.00 $15,600.00 $15,600.00 100.0%
9 0241.2201 Remove 4'Se•:rer Manhole EA 8.000000 $600.00 $3,600.00 6.00000000 53,600.00 $3,600.00 53,600.00 100.0%
10 3339.1001 4'Manhole EA 12.000000 $7,150.00 $85,800.00 13.00000000 $92,950.00 $92,950.00 $92,950.00 108.3% 57,150.00
11 3339.1002 4'Drop Manhole EA 3.000000 $12,650_00 _ $37,950.00 2.00000000 $25,300.00 $25,300.00 $25,300.00 66.7% $12,650.00
12 3301.0101 Manhole Vacuum Testing EA 15.000000 $150.00 $2,250.00 15.00000000 $2,250.00 $2,250.00 $2.250.00 100.0%
13 3137.1111 Concrete Riprap SY 50.000000 S189.00 $9,450.00 53.00000000 $10,017.00 $10,017.00 $10,017.00 106.0% -$567.00
14 3305.0112 Concrete Collar _ _ EA 15.000000 $1,054.00 $15,810.00 11.00000000 $71,594.00 §71,594.00 $11,594.00 73.3% $4,216.00
15 3339.1003 4'Extra Depth Manhole VF 78.000000 $170.00 §13,260.00 71.12000000 $12,090.40 $12,090.40 $12,090.40 91.2% $1,169.60
3339.0001 Epoxy Manhole Liner(Warren
16 Environmental or Chesterton) VF 95.000000 $260.00 $24.700.00 107.90000000 $28.054.00 $28,054.00 $28,054.00 113.6% •$3,354.00
17 3331.3101 4"Sevrer Service EA 10.000000 $1,700.00 $17,000.00 8.00000000 $13,600.00 513,600.00 $13,600.00 80.0% $3,400.00
_._ _ 00 . _.
18 0241.2001 Sanitary Line Grouting CY 10.000000 $500.00 $5,000.00 _ $5,000.00
3201.0113 6'Wide Asphalt Pvmt Repair,Residential
19 LF 25.000000 _ $115.00 __$2.875.00 __ _$28_,76.00
3201.0400 Temporary Asphalt Paving Repair(Y
20 HMAC on 6'Flexible Base Course) _ _ LF 335.000000 $25.00 $8.375.00 _3.35.00000000 $8,375.00 $8,375.00 $8,375.00 100.0%
21 0241.0401 Remove Concrete Drive SF 1150,000000 _ $1.00 $1.150.00 _ S1,150.00
22 3213.0401 6"Concrete Driveway SF 1150.000000 _$12.00 $13.800,00 _ $13,800.00
23 3301.0001 Pre-CCTV Inspection LF 1055.000000 $4.00 $4.220,00 710.00000000 $2,840.00 $2,840.00 $2,840.00 67.3% $1,380.00
24 3301.0002 Past-CCTV Inspection LF 1294.000000 $4.00 §5,176.00 1116.00000000 $4,460.00 $4,460.00 §4,460.00 86.2% $716.00
3305,0103 Exploratory Excavation of Existing Utilities
25 EA 5.000000 $900.00 $4,500.00 5.00000000 $4,500.00 $45400.00 $4.500.00 100.0%__
28 3305.0109 Trench Safety LF 1310.000000 $1.00 $1,310.00 1294.00000000 $7,294.00 $1,294.00 $1,294.00 98.8% $16.00
3305.0202 Imported EmbedmenUBackfill,Cement
27 Stabilzed Backfill CY 50.000000 $93.00 $4,650.00 $4.650.00
_ -_.. _
28 3305.02031mported EmbedmenUBackfill,CLSM CY 50.000000 $123.00 S6,150.00 $6,750.00
3305.0204 Imported EmbedmenVBackfill,Crushed
29 Rock CY 100.000000 $26.00 $2,600.00 _$2.600_00
30 3305.0207 Imported EmbedmenUBackfill,Select FIII CY 100.000000 $25.00 $2,500.00 240.110000000 §6,000.00 58,000.00 §QO60.00 246.0% 53,500.00
_ wa _ _
31 3125.0101 SWPPP 21 acre LS 1.000000 $7,000.00 51,000.00 1.00000000 §1.000.00 $1,000.00 $1,000.00 100.0%
3471.0010 City Streets/Residential Streets Closure
32 _ MO 1.000000 $1.200.00 _ $1,200.00 1.00 00000 $1,200.00 $1,200.00 . $1,200.00 100.0%
0171.0001 Construction
33 Staking(Sevier) LS 1.000000 S6,710.00 $6,710,00 1.00000000 $6,710.00 $6.710.00 $6.710.00 100.0%
34 3471.0001 Traffic Control MO 4.000000 $?000.00 $8,000.00 4.00000000 $8,000.00 $8,000.00 $8,000.00 100.0%
35 9999.0005 Sewer Construction Allmvance LS 1.000000 $15,20000 516200.00 $15,200.00
UNIT 3-PAVING AND DRAINAGE
1 3110.0101 Site Clearing(including All Trees) _ LS 1.000000$161,25000 $161,250,00 1.00000000 $161,250.00 $167,250.00 $161,250.00 100.0%
2 024T0401 Remove Concrete Drive SF 100.000000 $8,00 $800.00 1007.00000000 $8,056,00 $8.056.00 $B4O56.00 ###### -$7,256.00
3 0241.0500 Remove Fence(All Types) _ LF 250.000000 $3.00 $750.00 250.00000000 $760,00 $750.00 $750.00 100.0%
4 0241.0550 Remove Guardrail LF 183.000000 $6.00 $1,098.00 63.00000000 S498.00 $498.00 $498.00 45.4% $600.00
5 0241.1100 Remove Asphall Pvml BY 1601.000000 $4.00 -$6,404.00 800.00000000 S3,200.00 $3.200.00 $3.200.00 50.0% $3,204.00
6 0241.1300 Re move Coma Curb B Gutter LF 365.000000 $3.00 $1,095.00 315.00000000 S945.00 $945.00 $945.00 86.3% $150.00
7 0241.2013 Remove 8'Sewer Line LF 71.000000 $15.00 $1,065.00 71.00000000 $1,065.00 $1.065.00 $1,065.00 100.0%
8 0241.2014 Remove 10'Sewer Line _ LF 128.000000 $15.00 $1,920.00 128.00000000 $1,920.00 $1.920.00 $1,920.00 100.0%
9 0241,2015 Remove 12"fla=Line _ LF 195.000000 $15.00 $2,925.00 195.00000000 $2,925.00 $2.925.00 $2.925,00 100.0%
10 0241,2016 Remove 15"Sewer Line _ LF 102.000000 $15.00 $1,530.00 102.00000000 $1,530.00 $1,530.00 $1,530,00 100.0%
11 0241.2201 Remove 4'Sewer Manhole _ _ EA 1.000ODO $800.00 $600.00 1.00000000 $800.00 $800.00 $800.00 100.0%
12 0241.300,Storm Line Grouting _ CY 20.000000 $369.00 $7.380.00 $7,380.00
13 0241.1121 Rempve 48"Storm Line _ LF 60,000000 $20.00 $1.200.00 60.00000000 $1,200.00 $1.200.00 $1,200.00 100.0%
14 0241 3025 Rempvo 60'Storm Line LF 130.000000 $20.00 $2,600.00 130,00000000 $2,600.00 $2,600.00 $2,600.00 100.0%
16 0241.4401 Remove HeadwalUSET _EA 4.000000 51,00.0.00 __ _$4,000.00 4.00000000 $4.000.00 $4,000.00 $4,000.00 100.0_%
3123.0101 Unclassified Excavation,Including
16 Channel aticn CY 4875.000000 $18.60 S90,675.00 4875.00000000 590,675.00 $90.675.00 $90,675,00 100.0%
_- _0.
17 3123.0102 Fill CY 709.000000 $6.10 54,324.90 709.00000000 $4,324.90 $4,324.90 $4,324.90 100.0%
18 3137.0101 Concrete Riprap SY 105000000 $174.00 $18,270.00 87.81000000 $15,278.94 $15,278.94 $15,278.94 83.6% $2,991.06
3137.0105 Medium Stone Riprap,grouted-Including
19 Filter Fabric _ SY __ 57.000000 $167.00 _...__$9.519,00 57.00000000 $9,619.00 __$9.519.00 _ _$9,519.00 100.0%
3201.0400 Temporary Asphalt Paving"Pair(Z.
20 HMAC an 6'Flexible Base Course) LF __ 110.000000 S136.00 _ _ $14.960,00 110.00W0000 _ $14.96000 $14.960.00 _ $14,960.00 1000%_
21 3211.0400 Hydrated Lime 9448 LBS/SY TN 47.000000 $186.00 $8,742.00 40.00000000 $7.440.00 $7.440.00 $7,441.10 65.1% $1.302.00 I
22 3211.0502 8'Lime Treatment SY _ 1890.000000_ _ $6.40_ $12.096.00 1608.00000000 $10,291.20 $10291.20 510,29L20 85.1% $1,804.80 j
m„a. we��ue,n um u,�.0 r..o.,a,¢Jcpca. wua,aQean..r:#c�+u<
C.fiM IN Pdu Pr[grers Estmss
Progress Estimate City Secretary 52931 Contraewe,Applicelion
Clout Nunn
For(canimcl)' LOVING AVENUE CULVERT AND CHANNEL IMPROVEMENTS Application Nor FINAL
Application Per January 29,2020 to April 30,2021 Application Dal 5147202/
A B C D E F G
Item Estimated Quantity Preciously arena s Tom Comp et % Balance to Finish
Specificati Unitof Bid Quamity Unit Price Bid Value Value Vuiue This Period Pasemiy and Ste"to (F) (B-F)
Bid Item No. D<uription Installed In,tolled Value
_ Section _Measure Stapd(pa in DA (D+E) B
23 3212.03022"Asphalt Pvml Type SY 1590.000000 §18.41 $26,091.90 1592.00000000 526,124.72 $26,124.72 $26,124.72 100.1% _._ 532.82
24- 3212.0501 4"Asphalt Base Type B SY 1590.000000 §28.31 $45,012.90 1592.00000000 545,069.52 $45,069.52 $45,069.52 100.1% -$56.62
25 3213.0301 4"Cant Sidewalk _ SF 270.000000 §8.90 $2,403.00 799.55000000 57,116.00 $7,116.00 -50.01 $7,116.00 296.1% -54,713.00
_.
26 3213.0401 6"Concrete Drrvanay SF 800.000000 $11.90 $9,520.00 1627.37000000 $19,365.70 $19,385.70 $0.00 $19,365.70 203,4% -$9,845.70
27 3216.0101 6"Conc Curb and Gutter LF _822.000000 $49.00 540,278.00 884.00000000 $43,316.00 $43,318.00 $43,316.00 107.5% -$3,038.00
28 3217.5001 Curb Address Painting F1 5.000000 $47.00 $235.00 $235.00
3231.0112 5'Chain Link,Steel,Including Cono.Mow
29 Stria LF 350.000000 $20.00 $7000.00 354.000000DO $7.080.00 $7,080.00 $7,080.00 101.1% -$60.00
30 3231.0211 Barbed Wire Fence,Metal Posts LF 100.000000 $15.00 §1,500.00 $1,500.00
3232.0205 TxDOT Sid Rel Wall-RW 1(H)B,
31 Including Weeo Holes and Conc._CourseAparep@te_ SF 4694.000000 $73.00 $342,662.00 4538.90000000 $331.339.70 $331,339+70 $331339.70 96.7% $11,322.30
32 37910100 Tnosnl - CY 1906.000000 $47.40 $42944.40 -860:00000000 $4Q764.00 _ $40.764.00 - - - ---- -�40764.00 94,9% $2,18DA0
33 32o7 nin0 Rlnnk Snd PI-annent BY 1176.000000 $7.20 $8,467.20 1420.60000000 $10,228.32 $10.228.32_- $10228+32 120.8% -$1,761.12
34 32g2 n450 Seedinn h'ndinn anent SY- 5122.000000 $2.30 $11.780.60 6379.00000000 $12,371.70 $12,371.70 _ $12.371.70 1050% -$591.10
35 3992 aSno Snndino SM Rrhontinn Rlanket(:inlay I SY 3592.000000 $1.50 $5,388.00 2055,00000000 $3.082.50 $3,082+50 $3,082+50 57.2% $2.305.50
36 3292 f15n0 S-Am.Sit RM-tinn Rlanket Curley III BY 1630.000000 $2.70 $4,131.00 1671.00000000 $4,511.70 $4,511.70 $4.511.70 109.2% -$380.70
37 .1 n5 nif13 Fvnlnratnry Fvravation of Fnst na IIt Heim, EA 6.000000 $1,200.00 $7,200.00 _ $7200.00
38 33nfi 01n7 Manhnln Ad'stment Miner EA- 7.000000 $500.00 $3,500.00 4.00000000 $2.000.00 $2,000.00 $2,000.00 57.1% _ $1,500.0.0
_ 39 33n5 n1nfi Manhole Arlinatment Main, EA 1.000000 $2.500.00 $2.500.00 1,00000000 $2,500.00 $2,500.00- $2,500.00 100.0%
40 1301010A Msnnllannnus Stninturn Adiustment(WM) EA 5.D00000 $1500.00 $7,500.00 $7.500.00
_ 41 33090111 velve Rnv Adnistment EA 4.00000' $350.00 - $1400.00 5.00000000 $1,750.00 $1,750.00 $1,750.00 125.0% -$350.00
_ _42 33411405 7v7 Rnv Md-d LF 210.00D000 $671.00 $140,910+00 208.00000000 $139:56Boo
$139:568.00 $139,568.00 99.0% $1,342.00
43 334,910(If1 Hradwall Rm Culved _ Cy 10.5.000000 $1,510.00 $158,550.00 79.55000000 5120,120.50 $120,120.50 $120,120.50 75.8% $38429.50
_ 54 4 4fMI Furuh hlln,t,nI Ahlm Sinn('round Mount EA 3.000000 -$500.00 $1,500.00 4.00000000 52,000.00 $2,D00.00 $2,000,00 133.3% S500.00
45 34�1 in Ramnvu and Reinstall Sinn Panel end Pnst EA 2toofl0 $350.00 $700.00 $700.00
46 3471.0n01 Treffir.Conunl MO 6.000000 $2.000.00 $12,000.00 7.00000000 $14,000.00 $14,000.00 $14,00000 1163 -S2,000.00
_ 17 .1471 nnn2 Pndahle Me,--Sinn WK 36.000000 $500.00 $18,000.00 400000000 $2,000.00 $2.000.00 $2,000.00 11.1% $16.000.00
48 34710O1n Coy Strertsl R-H-tiel Si Je C.IPAOre MO 5.000000 51200.00 $6,000.00 lm00000000 $4,800.00 $4.800.00 $4,800.00 80.0% S1,200.00_
49 91990101 SWPPP 21 arrr _ LS 1.000000 $5,000.00 $5,000.00 1.09000000 $5.000.00 $5,D00.00 $5,000.0.0 100.0% _
50 eppp MOn Salvanr and Rai sr Fv Mei1 P�yr JP x6_. EA 1.10.010 $2,000.00 52,000.00 __ $2,000+00
51 gqq9 nn 11
Install ACR Mats ArmnrFin>�1_Cl..ce 7n- SY 6257.000000 $225+60 - $1,411,579+20 4301.47000000 $970.411.63 $970,411+63 $0.00 $970,411.63 68.°7 $441,167.57
52 ggqq n00215'Gato Steel _ EA 1.000000 $2,500.00 $2,600.00 1.00000000 $2,500.00 $2,5DO.00 $2,500.00 100.0%
53 peep nOn3 Ramnve Fv Reilrnad Tin Retaininn.Wall LF 2fi0.000000 $21.00 55,460.00 260.00000000 $5,4fi0.00 $5,460.00 $5,460.00 100.0%
54 peon.0.1 Flunlsh and Install Standard Tyne III Rued EA 4.000000 $2,000.00 $8,000.00 4.00000000 $B4O00.00 $8,D00.00 $8.000,00 100.0%
55 1peq 0005 FUrnysh and Install Motel R-ro Guard LF 300,000000 $55.00_ $16.500.00 225.0c000000 $12,375.00 $12,375.00 $12.375,00 75.0% $4,125.00
56 g9go nOf)fi InstalLCade-strien Rail fPR111 LF 20T000000 $155.00 $32,085,00 207.00000000 532,005.00 $32,OB5.00 $32.085,00 100.0%
57 - 112'0101 SWPRp_21 acre LS 1.000000 $5.000.00 $5.000.00 1.00000000 S5000.00 $5.000.00 $5.000.00 100.0%
58 M71 Onnl C nst➢LCter,Stak'nn IPay nn R nra nenrl LS 1.000000 $16 110.00 $16,110+00 1.00000000 $16,110,00 $16,110.00 $16,110.00 100.0%
59 gg9q OnO7 Pevinr_R nra none Cnnshi nt'nn Allu-ne LS. 1.000000 $90 500.00 $90500.00 $90.500+00
Totals1 $3.512.938.10 2811307.43 $2.811.307.431 $0.001 1$2,811.307.431 80.0%1 $701630.67
ns�Iu,sm,eerwr m�t�vnpcuca..suey,ac4rare$uyaue
mLf an Yo..e m-n.u.+ibrd ae0.vrfWly N,vm,fi r�g4 Cawelr.iubie cuwm
C520 Change order
Progress Estimate Construction Allowance USRgC Contractor's Application
ADDITIONS
F«(x!6rad>f 00626 LOVING AVENUE CULVERT AND CHANNEL IMPROVEMENTS COy S^T-t 52931 'Wiad-N-b- FINAL
C«ur.a Non:
Appliearm 3aaim: JRnuR1y 29,2020 to ApAl 30,2021 AppliWiMD'I:' 514/2021
A ➢ C D E F
Itnn .. ➢alanx to Finish
Eni-a Q-hy Pxai-ly Value Thin Materiau PreseNly TaalCmplaN
pim Spnilieatim Qusmltytu Add Usut Prix Addid-VA. Value WSI«ed to Date (F) (➢-F)
IIm,Nmnh« D«ri Smim N. U!dt M\teasure IM.s11N lndalkd\'aloe P.nod StorN(mtm C) (D+E) ➢
62 __Ren NKutim f«S-Ln-''= _..is_ 1.00000000 __SSJ00.00_ __ _531100.00 1.00000000 S33�00.00 S3;3N.N __ S3,300_00_1000%
63 Renwb Il ianf 13me StaMi Iim M 1.00000000 58,000.00 $3,000.00 1.00NNN _58,000.00 58,0woo __ S3,000.00 1000!!
64 R-biliutien f«AyhA Plaxnwntl IS 1.00000000 S13,60000 S13,600.00 1OWN000 S13600.00 S13,6W.00 S13,600.00 100.0::
65 Rm ilm imf«AC➢s Canme\\'«l: M 1.00000000 23400 _ S3,40000 1.00000000 S3,400.00 S3,4MM S3,40000 100.0%
66 6\\' Fmx xith Mf lP 1S 260.00000000 $37.00 S7,40000 146.00000000 $5.40200 SS.UM $5,40200 730 S1,998.00
67 Additi«ul Clearing Almg 3M,St ROW M 1000000" S3,000.00 S3.000 as 1.000"No S3,000.00 S3000.00 SJ0AN 100.0'.
68 R.iN.g\\'all pr l-il 331410-D546 100000000 Slls_600A0 S11,60000 1.00000000 S11,6M00 SI1,600.00 $1 LM 00 ID00!°
69 Split MIFox 50.00000000 $18.00 S900.00 33.000NON $594,00 $594.00 $51400 66.0!° S30600
70 tmgatim R�im asd Testing LT I.00000000 22.775.00 S2,]]5.00 1.00000000 22,775.00 52,775.00 22,]]3.00 55.000.0 52,5 I00.0°: ,
EA 2.00000000 00.00 0 Z,00000000 55 . 55,000.00 55,000.00 _100.0!:30 WaterSmix Relaeatim _ r000__.00.__
36 Remos'eaM Replax 6'SexerSmix EA ).00000000 S3,400.00 53,400.00 1.00000000 S340000 S3,400.00 23,400.00 100.0!:
Tota4 S62]S00 $60071.00 $60071.00 $60,071.00 96.311 i 04.00
I
I
I
I
Thu dwvnxm hasbxn m ifiN Rom iu«igj,l f as m FJC13C da wrcntaM Oe u didn higWightOw
madif time Ym are env gtdtoxsd the dwvmntl euefully a .hl pl Cmruel pia no its a anvtim
C-M Change Ord.
Progress Estimate Construction Allowance Usage Contractor's Application
CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED
F.(—.); 00626 LOVING AVENUE CULVERT AND CHANNEL IMPROVEMENTS `>E 1ktiwN,,b`r FINAL
`mli.dan Perioa: January 29,2020 to Apra 30,2021 AW1intim Dal,. 514/2021
A ❑ C D E F
mn
IIid Lem MmSer Des ripim Spi.N.i tlum
UNt ofMessurc iry to Delae VMRia Redanbn Value pa Uxd pa Vaed Not lhed pd lfxd pot Used pa Usd pot Uacd pal Vud
Snt'm p.
t
29 Wnn Cm Yim Allmtvwe 13 1.00 ONO $�]]5.00 57,77500
51 Sc"n Cmuw.vm.11lm,anx _ IS 100000000 51�_00.00 5],a0000 _
59 IS 1.00000000 S51_20_0 551.20f1.00
Tota4 362]S00
This dwvn,mthss brnnwdiRM Gm,its crigmlf uan&CDC dwvmmt.d dK uurdid twt bighligN Or
modificatimv I'm ore mvuragedta read tha dovn,eN earefu115 atd rnuuII legal Camual pri.to it9 ea'wvtion
C620 Charge IXdet
Progress Estimate Change Order Number Ol Contractor's Application
ADDITIONS
FO(fTOiC1S 00626 LOVINGAVENUE CULVERT AND CHANNEL IMPROVEMENTS CYSJ\i11 52931 AFFbae'w N— FINAL
Caaay Nee
Ap*4 Peri - January 29,2020 to April 30,2021 .Sg3:'an Dam. 5/4/2021
A B C D E F
Iwn BaLne m Fm6h
Ch qK Q�mtaam 5 tiw L'm o[ NQuwiJ'm Add Dri1 Ri:< CIey�0.d� Fs0'matNPO' \,JW Pmiomll' \'JAr IYL S41ci,N FlunW1' WS (F)
Na Ds,gme Saden Ne. \IeJ,ee Va3ur 1nn+5N WIJSedV W PariW Sped(rcJtn C) (D.E) B
tq 0E\IO\'E.V9D DISPOSE OF TBIFS _210.0000W00 I'.. S".".00 300.000P]000 SI,SM00 f1,50. S_Iwq. 50.0°: .1500
61 aENO\'E A.\D DLSPOSE'IRASa20C}'IDAD C} _ 'paOppOpppp 1)S.W SS],SM.00 b10 WW61W S1s,M0.M SJR000.00 _. SJS 000.00 91.J?: 51,309.02
—_—__
2 CP\'C\VATFa � - 1330090DW0 SI».W 523,SJI.M I.,— 523,1J100 S2),SJI.M f23,1J1.M IW.4':
4 i'OATE VALVE G 1.00900000 S111W.W SI,SMM I— SI,SW.W $"W.. 51,1M.M IMO?:
—
d _i'N'ATERILEIAI\TAL\O SI,000.00 S],OJO.M IOW6p30 S],Pl].M 31,000.00 SI,M)W I—IJ _ TPII:CIS SAFE31' ISJ.000ODJ00 — SIM 1—.. 113.OM00000 1113.W SISJ.M SIJJW
_. _—__
IS DL'CDI£DSON FiiTIN05 EA 0.250000M $),MO.W 11,]10W 0.256MU0 SI,]10.M SI,]SO.W _ .._-_$I]`00
16 CONNECTTO E\15i SLW LF I.000OOOM S9,WO.W 39,000.00 I.OMJQ]00 19,[UJ.W SS,P]0.00 _ _ _ SPROW
21 DOORTFD E\0ED\ffM CIS\I CY 5.00M0000 SI]J.W 5511.M J.00P}?}JO 5361.W 5369.M SM9.00 60.0?: 32J600
30 CDF AND PLL'O EA 200000000 51MM SI,00O.W 200000900 SI,000.M SI,aU.M In OOrt00 IM.O°:
Toby S979 393 U.Of 393113.00 593 I3.01 9J.iti SS lll.fe
I
Thn dwvrcNw thm mwifiN Bcm w a3a�9tl(am u an EICDC dxwnnt vd Ort wn&d aoliupj5[)d�hc
niaBfi:Jtimv}'w vc ettangN brtJd thedwvmu wc(d11'arf,tlayl Camel l�abih c[auem
C620 Change Order
Progress Estimate Change Order Number 0 Contractor's Application
DELETIONS
F.(-1), 00626 LOVING AVENUE CULVERT AND CIIANNEL IMPROVEMENTS
FINAL
Appfo pedDL January 29,2020 to April 30,2021 ACp� Dap 5I42021
A a C D E F
Clwge Ordcrlam Gem Spairwauon r,N d ro 'O ttiFl:e C.— Sd— N.Used A'IXlydd Nd VW Tdlrssd
Nn D�nWOO Sation- Alan l'aAe
Tola6
iwm wnRn„nsge.+uaem a�rw rer�,,,HF�cDc d�dd,uwx�..ad,we�pnss�uk
rcosr,uau Trn,R.�:a.a0ed m Rar ur aam,uv c,r<rm7,mr cmrvn rry2l caved ma b m a..,mm.
C620 Charge Order
Progress Estimate Change Order Number 2 Contractor's Application
ADDITIONS
I.(-.Y. 00626 LOVING AVENUE CULVERT AND CHANNEL IMPROVEMENTS c^J'STYa's' 52931 `�1ia°0A1�O1"a' FINAL
C-Num
Applinf Period: January 29,2020 to April 30,2021 Appliutim Date: 5/4/2021
A B C D E F
Item Balan«to Rnidi
Additim Chmgt F6inutedQ-h) Preciauly l'alue mds 5htedak PrnaWy Taal C«npldtd %
ange Ch Order Item Si CO Qu-Y In Add U,1hPi Value aN SI«m to Date (F) (B-
F)
N. DurNw^ Stnim No. Ihdt of5leamre l3Ner Value IMalltd hutalled Value Period St«M(rutNC) (DIE) B
1 8'DIP\Yat« - I.F 24,00000000 S193A0 $4,632.00 S3,633.00
2 E•Ac35'ater Pipe IF M00000000 S177.00 S1,770.00 _ - $1,770.00
li Tr�Safely >F 39.00000000 51.00 5J9.00 SI9.00
_ . -_-IE 1•\\'aerSmitt ISA 1.00000000 S2J00000 S2,000.00 _-__..S?.000.....00_
- --23- - Inµmd MBckll,Sea Fl CV 170.00000000 S2500 S_4.,25.0.00 Si,250.00
-
Seutr
10 4'.kf d e EA 1.00000000 57,150.00 _S7150.00 _ 57,150.00
D CmTett Riprap SY 3.000 U. $189.00 S567.00 _ S567.00
16 Epoxy\IaNwle lJner(\t'artm F'miranindal«Chatenm) l'f 12.9aoaooao 526000 s3J5100 - s3,3.54 o0
-- CY 140-1,0000 51,300.00 $35,00.00
30 In�pated Fnibtdrum�BaNll,Select Fill S2500-
_.. _.. Paaing.0 Drab v _ __- __----
2 R-CamTde Dri,e SF 907-00000_ St.00 57,256.00 __$72�56.00
SY 200-MO $16.41 S72.52 S32.82
23 2•As phak P.nx TpeO -__.._. __.. _.- -
24 4•Aspnatt Bare T)P B Sy 2.00000000 S18.31____S56.62 _- S56.62
SF 529.35000000 St.90 $4,713.00 57713.00
---SF 827.370000M S11.90 S9,843.70 S9,845.70
26 6•C«wTete Ddrznay ._.._....- _-_.._... _
-_-- - -- IF 62.000Oo000 S4100 S303100 _ S1038.00
27 6'avrn CLrbard Cute« _. ..-.-__� -- _--___.._ __..
29 3'Cluin lli�a:,Stte41rcluding Corc.5lmSnip LF _ 40000000 5E0.00 S80.00 580.00
33 Blw-k Sod PI.- SY _244.60000000 S7.20 ..S17�61.12 __ SI.76I.12
N Sttding l[)drmntichxhh binding agent SY 257.00000000 $330 $591.10_ 5591.10
36 Seding Soil Retmtim 111Nq Cudtx III Sy - .41.00000 S2.70_ S380.70 _ _ S38o_70
EA 100000000_ SJ50.00 S150.00 _ __._._.._ S350.00
4I VaIrt M.Adjudinmt .___ --_-.-
44 Fnmirh7-11 AIIum Sip GrmM M-Cxy SIa F:1 1.00000000 S500_00 _ 5300.00 _ __ _ $500:00
46 Tn05t C-1 JIO IM000000 SI,000.00 S2,000.00
Totals $57,867.01 557 6].06
Th(eao.,�nnx hn l,«nmaaiotafmnih«;dolt a.an FJCDc dr.,,m�,tamdK ntraiarct higldidx uK
mraiotar0r�Ym.re ercmmgeam r<aame aommmt rare6�nyam�rnnn fugal cmmtl pri«Io ti e�,nid.
C-620 Ch ge We,
Progress Estimate Change Order Number 2 Contractor's Application
DELETIONS
Fm(m Y 00626 LOVING AVENUE CULVERT AND CHANNEL IMPROVEMENTS APplbfl.N-b.. FINAL
Application Period: January 29,2020 to Ap1il 30,2021 Appli-im Date: 5/4/2021
A D C D E F
Item peldiw C'lunge
Change Order Item Dex Ptiw Spmif afwn ua of%f-COQuv4i0lo Delete VnO Prim Od.Nlue Nat LhM NM Used Nat Used Na UsN Na Used Nm l/sd Na Vsed Nd Used
No. SMian Nu
6 H'\t'a Mme Lpxczing EA 1.00000000 ST0�0000 _n00000
10 Cw.TA �au F Ltil t)Pipe_. _ Cl' 4.00000000_ S150.00 t14s 00.00
II A44.1t Nnapc II lk3wd pc 2"\\'iddC.e6i mtultl'atzr J.W. ST z0.00000000___$2100 ..,._. $4,39300_
12 D-il'1ry.Wtt'Pain,ReRa i,,t\I.\C ai 6'FlctiFlc❑au Cw LF 213.00000000_ _ Szl_00 t4H93.w
IS ISuvile lnm\\atn Fnt�n - _- --�- --- -_-gs xiRuvaim TN 0.05000000 57300.00 S13000
17 1'\1'akr 8znt.c,\I i" Yiw EA _ 3.0000000 _ $25.00 _560000
19 1'Pritate N'atuSmtm LF ]5.00000000 S]5.00 _5�7300
20 _._.In'!*mMF:bchnrnt IJsi.fil1Csvtnn Subilizzd lL.-Mill Cl' 52,00000000 591.00 5930.00
21 (ngu6edF_hd to �Il Ctd dR cT szmllit000 00 __.s12300
5.M
22 I MEm6.W�unvRszi.l111emJeeA]lock Cl' SU.60000000 Sz5:00 $1,250.00
_"_Wnt
Seim
] l0'Drilld Pizr Cmnpine Wln Plam _ Cl' I0.90000000 562000 567�SH.Op_ _
II J'Ikpp lnln E.A. 100000000 S12b101ia $Ii 50.00
14 4'E-<Cellu FA _ 6,88000000 5$17000 $1,116
69.00
15 4'S-lkpt i"hole EA 2.00000000 SI]0.00 _ SI,169.60
I] 4'Sntx ., - EA 0000000 5$5W.00 S34�0000
18 saNtvy Linc Grouting CY 10,00000M Ss00.00_ SSr000.00
19 6-Wi&_-_-_ M pM mt PMmtRp'nfte dmtial --- __ _ � --F' 25.0.000000__- 5115.00 S2r575.00
21 S 1150a0o0000 S1.00 51,150.00
22 6-Cwd,Dd,,,y t 113 00000000 512.00 313,800_00
IJ PcCCT\Ip,.jiw IF JJ5,00000000 5300 51�80_00
24 Pm1CR'Impan LF I79000000
_-
SJ_PU S716.00
26_ Trsrch Safely _ IF 1600000000 SI.00 _$16.00
28 ImpvtN&nMinznvl3acAfll,C.mrneSuhil¢ede B+dill C1' S0.00000000 _39100 $J 650.00 _
28 ImpwtMFmMdment IJa:LfIICIS\f __ __ Cl' 50.00000000_
--_ - S .00 r_0
9 Cl 0000000 _26.00 S2,6W.00
35 0.77611379 $SJz000 S11,800.000_.__,.________._
Pan,nd him,,
4 Rcma�z Guudrail LF 100.00000000 $6.00 5600.00
5 Rzmot'e Ap],A Psmt _ SS' 801.00000000 S4b0 SJ,20400
6 St-,
Cwc tin Guuzr _ IF _20.00000000 S3.006S. ,380.00
12 $tpmt line Gmxting
C1' z0.00000000 5J69.00 $],J8000
18 Cen nv<Ripnp Sl' 17.I9000000 _ SI74.00 $1.30200
21 IIFSstN lime(rf 48ILS SI' - TV- T.00nOO SI H6.00 SIS0200
22 8'time Trcamtml SY z8200000000 56.40 51,804.80
28 ' Adele Painting _ _ ly 5.00000000 _ S47.00_ ,500 0
30 T,]Xt1\\'ne Fens,kfeul Pnsv IF 155.-t0000 SI3.06 SI,30000
31 TWiStd Rzt l\'u1tR\\'1(D)n.imluding\t'np llalnarM Con-.Co SF I330"00000 S73.00_ S11,32230
32 Toptil Cl' 4600000000 SJTAO 52,18040 _
35 SmiinB SeJ Rctcnnon BlvO.zt.Curlcel sl" 153 7.0 000 0000 SI.50 52,303_50
38 Sl F at Mof Fvstmg LY lOn EA 6 0 0 0 01111 S1,200.6UM __$T200.00
38 \laedw!z Adjunmzrrv,\Imo F.A 1.00000000 550000 51,500.00
40 31'nmllamanS turc Adjunnunt(\t'31) EA 200000000 SI,500_00__ $1,300_00
42 ]x]Boa CLhert LF 5.4500090 367I.00 _S1,J4z.00
43 Haedaall Bu Nhesd EA 25.450000o t$350.00 SI8,429.30
45 -RemoteaMReimyll Sign Paneled Pptl __--- EA 200000000 _.. S130.00 _5]OO.00 _
47 _Palest"Messigegigt _ _N'1:_ _3.00000000_ 5500M 516,000.00
48 _ City StrMa�RaideNaiI SVeels Clomrc_ MO I.000OGOpO _ _SI'YOOAO _ SI,2
00.00
50 SahagaaM Reme Etl.hfall Hox(Pmt)_ EA ]00000000 5200000 52�000.00
SI _ LWaIl AC011e4 AmorElexLlau TO-Tm AppmrN EquinlzN Sl' 1933.33000000 S22560 $�4116].5]
55 Fumish ad hull Alml Beam Guard Fens,Ircluding Temhul IF-- -75A0000000 _ $5S.00 S4.12500 ------ -- ------
----
39 Patina&Oraiiuge Cmutruniw Nlottuna EA oO 000 590r50000 53 S325.U0 _
60 Remo ant Dsryme ofT EA 5000000000 5]50 _ S3"/5.00
_--
61 Row and+,p Mml 20 CY Load M OODDOOOO ST5A0 S4,500.00
66 6'\t'ocdF it ifi\Ina]Yon LS 54.00000000 53].00 51,998.00
69 Split Rail F- IS 1].00000000 SIS00 S306.00 _
]I utionfer IS 1.00000000. 34,288.30 53,288.50
Totals STOB M6.z3
Thu dwvnwiLLhu bzzn nwdificlGanits aiyrvlf ssan EICOC dwvmrntaN We usx did rcthighligM OK
modifintiwe 1'w arc enwray dto and the dowmn0 mrcPolls'aMrnwlt l.av,�l Cwmel primto as a<.�vtiw
City of Fort Worth Summary of Charges
City Secretary ContractNum: 1 52931 LOVING AVENUE CULVERTAND CHANNEL P.O.: FW020-0000003018 Project Number: 00626
IMPROVEMENTS
Application Period: Jnnuary 29,2020 to April 30,2021 Application FINAL Application Date: 5/4/2021
Numbcr.
Funding Tdenti0cation(FID) --I F Total Completed Amt Remainin Gross -- Retsina a Net
Original Contract
59651-0200431-574001O-CO0626-CO2883 $2.871378.43 $641,559.67 $0.00 $0.00
0 0 ,
0 saco so 00 ,on
0 slIn0 :in0 inn
o uo -,o on no
o n oo ao 11n
p 00
0
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0
Change Order 1
59651-0200431-5740010-CO0626-CO2883 $92,813.00 $5,121.00
0
0 �Un
0 0 00
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0 srWo
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Chan eOrder2
59651-0200431-5740010-000626-0O2883 $4,288.50 $648 680.67
o
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0 U.np ;q n0
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City of Fort Worth Summary of Charges
City Secretary Contmct Num: 52931 LOVING AVENUE UULVERTAND UHANNEL P.0.: FW020-0000003018 project Number. 00626
IMPROVEMENTS
Application Period: January 29,2020 to April 30,2021 Application FINAL Application Date: 5/4/2021
Number:
F
------ -- - _..unding Imt --
denti0cation(FID) 1 F Total Completed I Amt Rem Retainage Net
Change Order 3
59651-0200431-574001 O-CO0626-CO2883 Su'Jo -'C" 17E ,'J ri
0 ;p t�ni ;Opp :n�iu ,i:�] _,,I�10
0 °,o bu H)00 ..:0 OG
0 �,n p0 .,.0 00 -,a nn m c n,
0 .t0 n0 30 gn ;U f'il f�n
0 ;7�.a�1 - -�n 00 '�r..) cn
p 50 UO �.n i��0 SO 0 f :SU 00 .:.f)il0
0 Sii p0 .,0 Cu) :;O.Ui) :.n Ob :A)p0
0 >0.00 ;0 cD ,U,OV iU 90 i;0
W,
0 SO,u0 ri c0 c 1 l :1 u0 g0 00
Chan eOrder4
59651-0200431-5740010-000626-0O2883 30 Ou 0.o0
p �o 00
0 SO 00 - -0 00 cn '1 H 10.00
0 50.00 °CI.Ou -:u
0 00
0 ill IJO ':,0.(lil '_i i;;l '=,G'00
0 -'0 00 ill Go i,il :jl7 00
0 ::0 GO :.ri 00 nn ?0 OF)
0 '.U10 ::if.00 O.Op
Change Order 6
59651-0200431-574001 O-CO0626-CO2883 £0 Oo c
0 50 Oii $0Ii0 :;o ri
0 10 00 50 OC
0 yir0il .;Q 04
0 0 ou ;o rl0 cr]
0 ;O.O,I nO
0 Su.00 0 CG
0 sn OU
0 o 00 50 u0
0 r,0 Oli ;q00
0 '0 00 50 00 'u CU
City of Fort Worth Summary of Charges
pi�
ntract Num: 52931 LOVING AVENUE CULV pO: F�V020-0000003018 Project Number: 00626
IMPROVEMENTS
Application Period: January 29,2020 to April 30,2021 APpl,wtioFINAL Application Date: 5/4/2021
Number:
Funding Identification(FID) Total Completed I Amt Remaining F Gross F Retainage I F Net
Chan a 0rder6
59651-0200431-5740010-000626-0O2883
p 0 00 ui so 010 "r0
0 .'oo I (l ii OC .r 00
0 ,;iin ;'.�00 -u El
SO Cu t Q
p
n0 ,n o ;,00 ',na
0 .',n("' c''00 ;;L0)
0 :.n Oir =.0 00 -�'0 fill
o - 50.00 sCi GO i.0 00
o :;000 ._O.Uri :;i CU r;00
Change Order
59651-0200431-5740010-000626-0O2883
p
0 (100 100
0 0.0) _ ''00
0 SU 00 r:OC
p Cu
0 50 fill - CO
p 00
0 0 00 0 00
p JOOiJ _�ti�n
Change Order
59651-0200431-5740010-000626-0O2883 iu
p i3O 00 - fill
0 ;u.00 - -
0 0.00
o sa oo
0 0 ou
0 J fill
0 %i00
0 70 00
City of Fort Worth Summary of Charges
City Secretary Contract Num: 52931 LOVING AVENUE UULV P.O.: FW020-0000003018 project Number: 00626
IMPROVEMENTS
Application Period: January 29,2020 to April 30,2021 Application FINAL Application Date: 5/4/2021
Number:
Funding Identification(FID) - Total Com leted Amt Remaining F Gross Retainage F Net
I
Totals --- _-- — -- — �
59651-0200431-574001O-000626-CO2883 $2,959 902.93 $0.00 $0.00 :.',!�u $0.00
p EU.Uu _i
0
0
0 �i Gig �.-�00 -n 00 i10
0 00 .M 00 Cu nn ;00
0 ri;iu iUUi 500u 00
0 a r;n ,o pn
9 0o u oo ca
a
Grand Total $2.959.902.93 1 1 $0.00 ($0.00) ($143,921.07) $143,921.07
FORT WORTH.
Routing and Transmittal Slip
Transportation & Public Works
Department
DOCUMENT TITLE: Loving Ave Channel and Culvert Improvements —
Change Order No. 1
M&C: N/A CPN: C00626 CSO: DOC#:
Date:
To: Name Department Initials Date Out
1. Oscar Aguillon TPW - signature oOA_ Jul 27,2020
2. Mike Bennett TPW - signature R Jul 27,2020
3. Linda Young TPW - signature Ju127,2020
4. Jennifer Roberts TPW -review 09- Jul 27,2020
5. Lauren Prieur TPW - signature uP p Ju127,2020
6. William Johnson TPW- signature Jul 28,2020
7 Doug Black Legal - signature Jul 28,2020
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: DYES ®No
RUSH: DYES ®No SAME DAY: ❑YES ❑No NEXT DAY: DYES ❑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@FortWorthTexas.gov at ext. 7233 for pick up when completed.
Thank you!
FORT WORTH. City of Fort Worth CSC No.52931-COI
Change Order Request
Project Namel LOVING AVENUE DRAINAGE AND CHANNEL IMPROVEMENTS City Sec# 52931
Client Project#(s)l C00626
Project Culvert and Channel Improvements at Loving Avenue
Description
Contractorl KLUTZ CONSTRUCTION,LLC. Change Order# 0 Date 4123/2020
City Project Mgr.I MIKE BENNETT City Inspector OSCAR AGUILLON
Dept. TPW Water Sewer Contract Time
Totals CD
Original Contract Amount $3,512,938.10 $3,512,938.10 290
Extras to Date
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $3,512,938.10 $3,512,938.10 290
Amount of Proposed Change Order $97,934.00 $0.00 $0.00 $97,934.00 10
Revised Contract Amount $3,610,872.10 $3,610,872.10 300
Original Funds Available for Change Orders $176,000.00 $176,000.00
Remaining Funds Available for this CO $176,000.00 $176,000.00
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 2.79%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $4,391,172.63
JUSTIFICATION(REASONS)FOR CHANGE ORDER
This change order is needed to provide for the removal of tires and trash that was discovered during excavation of the channel. The debris
cannot be taken to a traditional spoil site. Additionally,an existing waterline was in conflict with the proposed sewer. The water line needs to be
re-routed to avoid the conflict. This change order provides for additional water line and fittings.
I
I
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 C tra ture Date
KLUTZ CONSTRUCTION,LLC. �►rcnct�H. �:irz y -/
Inspector/Inspection Supervisor Date Project Manager/Program Manager Date
Br�rr rUj,uL(nm Ju127,2020 'Wfo He""Off .�+ .-w aurl4- ��i n,zaiu Jul 2.7,2020
va
Assistant Director Del Date Director,Contracting Department Dept Dale
Ju127,2020 I I t J--- Jut 28,2020
Assistant City Attorney Date Assistant CU Manager Date
Jul 28,2020 Ju129,2020
Council Action if required)
M&C Number M&C Date Approved
Contract Compliance Manager:
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and reporting requirements.
Mike Bennett MiKeSennett
/ tLle Bennett llul3r,IOM03:8 COTS
Name of Employee/Signature
Project Manager
Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature
ATTEST:
Mary J. Kayser,City Secretary
FORT WORT" City of Fort Worth
-'"V'-- Change Order Additions
Project Name LOVING AVENUE DRAINAGE AND CHANNEL IMPROVEMENTS City Sec# 52931
Client Project# C00626
Project Description Culvert and Channel Improvements at Loving Avenue
Contractor KLUTZ CONSTRUCTION,LLC. Change Order# 0 Date 4/23/2020
City Project Mgr. MIKE BENNETT City Inspector FOSCARAGUILLON
ADDITIONS
Unit Unit Cost o a
TPW
60 REMOVE AND DISPOSE OF TIRES TPW 250.00 EA $7.50 $1,875.00
61 REMOVE AND DISPOSE TRASH 2OCY LOAD TPW 700.00 CY $75.00 $52,500.00
2 8"PVC WATER TPW 133.00 LF $177.00 $23,541.00
4 8"GATE VALVE TPW 1.00 EA $1,500.00 $1,500.00
6 8"WATERLINE LOWERING TPW 1 1.00 LF $7,000.00 $7,000.00
14 TRENCH SAFETY TPW 153.00 EA $1.00 $153.00
15 DUCTILE IRON FITTINGS TPW 0.25 EA $7,000.00 $1,750.00
16 CONNECT TO EXIST MAIN TPW 1.00 LF $8,000.00 $8,000.00
21 IMPORTED EMBEDMENT CLSM TPW 5.00 CY $123.00 $615.00
30 CUT AND PLUG TPW 2.00 EA $500.00 $1,000.00
TPW 97,934.00
Water $0.00
Sewer $0.00
Sub Total Additions 73 .
Change Order Additions Page 2 of 5
Four WORT" City of Fort Worth
1 V'"r Change Order Deletions
Project Name LOVING AVENUE DRAINAGE AND CHANNEL IMPROVEMENTS City Sec# 52931
Client Project# C00626
Project Description Culvert and Channel Improvements at Loving Avenue
Contractor KLUTZ CONSTRUCTION,LLC. Change Order# F-—1 ] Date 4/23/2020
City Project Mgr. MIKE BENNETT City Inspector FOSCARAGUILLON
DELETIONS
Unit m os o a
Change Order Deletions Page 3 of 5
TPW 0.00
Water $0.00
Sewer $0.00
bub I otal Ueletions
Change Order Deletions Page 4 of 5
MIWBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
co# DATE AMOUNT
None
Total $0.00
FORTWORTH.
Routing and Transmittal Slip
Transportation & Public Works
Department
DOCUMENT TITLE: Loving Ave Channel and Culvert Improvements
Reconciliation Change Order
M&C: 21-0976 CPN: C00626 CSO: 52931 DOC#:
Date: 12/22/2021
To: Name Department Initials Date Out
1. Oscar Aguillon TPW - signature PA— Jan 3,2022
2. Mike Bennett TPW- signature 7C8 Jan 3,2022
3. Charlie Klutz Klutz - signature 9 Jan 5,2022
4. Linda Young TPW- signature Jan 5,2022
5. Martin Phillips TPW- signature . Jan 5,2022
6. Lauren Prieur TPW- signature LLL P Jan 6,2022
7. William Johnson TPW- signature — Jan 11,2022
8. Doug Black Legal- signature Jan 11,2022
9. Dana Bur hdoff CMO - signature a Jan 11,2022
10. Jannette Goodall CSO - signature Jan 13,2022
11. 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: EYES ®No SAME DAY: EYES ®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(�i),FortWorthTexas.gov at ext. 7233 for pick up when completed.
Thank you!
CSC No.52931-CO2
FOR_ _T WORTHw City of Fort Worth
Change Order Request
Project Name Loving Ave Channel and Culvert Improvements City Sec# 52931
Client Project#(s)l C00626
Project Description Improve an existing channel and culvert crossing to reduce the risk of roadway overtopping.
Contractor Klutz Contractors Change Order# 2 Date 6/21/2021
City Project Mgr. Mike Bennett City Inspector Oscar Aguillon
Dept. Water Sewer TPW Contract Time
Totals CD
Original Contract Amount $3,512,938.10 $3,512,938.10 290
Extras to Date $97,934.00 $97,934.00 10
Credits to Date
Pending Change Orders(in M&C Process)
Contract Cost to Date $3,610,872.10 $3,610,872.10 300
Go to ADD&DEL Tabs to Enter CO Backup $0.00 $0.00 -$650,969.17 •$650,969.17 193
Revised Contract Amount 2,959,902.93 2,959,902.93 493
Original Funds Available for Change Orders $0.00 $0.00 $878,234.53 $878,234.53
Remaining Funds Available for this CO $780,300.53 $780,300.53
Additional Funding(if necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT -15.74%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $4,391,172.63
JUSTIFICATION(REASONS)FOR CHANGE ORDER
This is the reconciliation change order. The major reason for the overall cost reduction is an over estimation of quantities in the original contract. The articulated concrete block
line item had significantly more estimated quantity than was needed for the project. Other line items such as the portable message sign,and driveway,retaining wall and
headwall installation line items also had an over estimation of quantities. The change order also includes reimbursement of FNI engineering fee to provide report on retaining
wall that failed concrete tests. Additionally,change order includes additional 90 days for extended shut down due to Oncor relocating their poles(from Change Control Request
2)and 103 days for extended shut down to reacquiring right of way owned by the City early in 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 and reporting requirements.
Contractors Company Name I Contractor Name Contract Signature I Date
Klutz Construction,LLC Charles M Klutz OalJan 5,2022
Ins ector/Ins ection Supervisor Date Project and Contract Compliance Manager Date
_ Jan 3,2022 Jan 3,2022
Program Manager Date Senior Capital Project Officer Date
Jan 5,2022 Jan 5,2022
Assistant Director(Dept) Date Director,Contracting Department(Dept) Date
Jan 6,2022 Jan 11,2022
Assistant City Attorney Date JAssistant City Manager Date
Jan 11,2022 Jan 11,2022
Council Action if required)
M&C Number 1 21-0976 M&C Date Approved 12/14/2021
ATTEST: gg
ette S.Goodall(Jan 13,20220& CST)
Jannette Goodall,City Secretary
FoR. rW�or�rH City of Fort worth
Change Order Additions
Project Name I Loving Ave Channel and Culvert Improvements City Sec# 52931
ClienlProjecl# I C00626
Contractor Klutz Contractors PMJ Mike Bennett Inspector OscarAguillon
Change Order Submittal# 0 Dale 612 112 0 2 1
ADDITIONS
ITEM Unit UnitcostTotal
Water
1 8'DIP Water TPW 24.00000000 F 193.00
2 8"PVC Water Pipe TPW 10.00000000 LF 177.00
14 Trench SaFet-y TPW 39.00000000 LF 1.00
18 1° alerService TPW 1.00000000 FA 2,000.00
23 Imported EmbedmentlBackEll,Select Fill TPW 170.00000000 CY 25.00
Sewer
10 'Manhole TPW 1.00000000 EA $7.150.00
13 Concrete Ripmp TPW 3.00000000 SY 189.00
16 Epoxy Manhole Liner(Warren Environmental or Chesterton) TP 12.90000000 VF 260.00
I-mp-o-rt-eU-Ern-bedmenVBackfill,Select Fill TPW 140.00 5.
Paving and Dramage
2 Remove Concrete Drive TPW 907.00000000 SF 8.00
23 2'Asphalt Pvmt Type D TPW 2.00000000 SY 16.41
24 4°Tspalt se Type B TPW 2.00000000 28.31
K
4'Conc Si ewa k TPW 529.550000006'Concrete Driveway TPW 827.37000000 SF6'Conc Curb and Gutter TPW 62.00000000 LF5' hain Link,Steel,Inc uding nc.Mow Idp TPW 4. LF
Block od Placement TPW 244.60000000 SY 720
Seeding, ydromulch with binding agent TPW 257.00000000 SY 230
Seeding,Sol]Retention Blanket,Cudex III TPW 141.00000000 Y 2.70Valve Box Adjustment TPW 1.00000000 EA 350.00
44 Furrishllnslall Alum Sign Ground Mount City Slid. TPW 1.00000000 FA 500.00
6 Traffic Control TPW 1.00000000 M 2,000.00
Water $0.00
Sewer $0.00
TPW $57,867.06
Sub Total Addit]ons 57,867.06
Change Order Additions Page 2 of 4
FORT WORTH City of Fort Worth
Change Order Deletions
Project Name I Loving Ave Channel and Culvert Improvements City Sec# 52931
Client Project# I C00626
Contractor Klutz Contractors PM MikeBennelt Inspector 0 rAguillon
Change Order Submittal# Date 6/2112021
DELETIONS
ITEM DESCRIPHUN DEPT Cry Unit Units oa
Water
ate ine Lowenng
Concrete Encase Utility Pipe
p at ml Repair Beyond DefinedResidential-Water Improvement
Temporary Asphalt Paving Repair on Flexible Base CoursT
ucti a ron aler Fittings wRestraint
I'Water Service,Meter Reconnection
nva e a er Service
20 Imported m e men ac i,Cement StabilLzed Backlill
Imported m e men ac i,CLSM TPW 52.00000000
Imported27— m e men ac i, rus e
ewer
Drilled Pier,Complete an n ace
rop an o e 5.
14 Concrete ar
5Depth Manhole 7.
Sewer Service
Sanitary Line Grouting TOM
e Asphalt Pvmt Repair,Residential
Remove Concrete Drive ,5.
6Concrete Driveway
Pfe-CCTV Inspection 5.
Post-CCTV Inspection 9.
26 french Satety
27 Imported m e men ac ement Stabilized Backfill
Imported m e men ac i, 5
Imported m e men ac rus e
5 ewer Construction Allowance T 5 5,
Paving an Drainage
Remove Guardrail
emove pat ml
6 Remove Conc Curb&Gutter
Storm Line Grouting TPW—-----2.
onaele 1prap
Hydrated ime
tine realment P 2
28 Curb Address Painting
Barbed ire Fence,Metal Posts
31 TxDOT Sidel Wall- IncludingWeep Holes and Conc.CourseT
apsoi
Seeding,Soil Retention Blanket,Curlex
Exploratory Excavation of Existing Utilities
Manhole Adjustment,Minor
Miscellaneous Structure Adjustment
x z u ert TPW
Headwall,Box Culvert
45 Remove and ReinstallSign Panel and Post
Portable Message Sign
49—City Stfeets/Residential Streets Closure Tpw— MO
Salvage and Reuse Ex.Mail Box(Post)
Tn—sFaTFAUBTats,ArmorFlex- ass - or Approved Equivalent,Including
97—
Furnish and Installeta eam Guard Fence,Including Terminal Ends
Paving&Drainage Construction Alowance
Remove and Dispose of Tires
61 Remove and Dispose Trash 20 CY Load
6'Wood Fence with etaPost 0
p i ai ence
Deduction for Engineering review of failedcenctrele test of retaining wall
Water 0.00
Sewer $0.00
TPW $708,836.23
Sub TotalDeletions
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
1/25/22,4:28 PM M&C Review
Official site of the City of Fort Worth,Texas
CITY COUNCIL AGENDA FORTTIV'ORT_I1
Create New From This M&C
DATE: 12/14/2021 REFERENCE**M&C 21- LOG NAME: 20SW LOVING AVENUE CHANNEL
NO.: 0976 CHANGE ORDER 2
CODE: C TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT: (CD 2)Authorize Execution of Change Order No. 2 to City Secretary Contract No. 52931
with Klutz Construction LLC, Reducing the Contract Amount by $650,969.17 for the
Construction of Loving Avenue Channel and Culvert Improvements, Thereby Decreasing
the Total Contract Amount to $2,959,902.93
RECOMMENDATION:
It is recommended that the City Council authorize the execution of Change Order No. 2 to City
Secretary Contract No. 52931 with Klutz Construction LLC, reducing the contract amount by
$650,969.17 for the construction of Loving Avenue Channel and Culvert Improvements, thereby
decreasing the total contract amount to $2,959,902.93.
DISCUSSION:
This project provides for the construction of Loving Avenue Channel and Culvert Improvements. This
proposed Change Order No. 2 is for the purpose of reconciling the contract quantities with actual
construction quantities now that construction is complete. It is reducing the contract amount by
$650,969.17 for the project, thereby decreasing the total contract amount to $2,959,902.93.
Construction Contract DATE AMOUNT
Original Contract Amount (M&C 19- 9/10/19 $ 3,512,938.10
0138)
Change Order No. 1 7/29/20 $97,934.00
Change Order No. 2 - Contract Pending $ (650,969.17)
Reconciliation
Revised Contract Amount - $ 2,959,902.93
The major reason for the overall cost reduction is that more erosion control block was estimated than
was actually needed. As construction progressed, it was determined that the quantity of block could
be reduced by approximately 30\% compared to what was originally estimated in the initial bid
package. The overestimation had not been identified at the time Change Order No. 1 was requested.
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that funds are available in the current capital budget, as previously
appropriated, in the Stormwater Capital Projects Fund for the Loving Avenue Channel & Culver
project to support the approval of the above recommendation and execution of the change order. Prior
to any expenditure being incurred, the Transportation and Public Works Department has the
responsibility to validate the availability of funds.
apps.cfwnet.org/council_packet/mc_review.asp?ID=29523&councildate=12/14/2021 1/2
1/25/22,4:28 PM M&C Review
TO
- --- — - -- --- - --A—mount--
[F—und- Department Account ProjectProgram Activity Budget Reference#—- - --- ID - -----�-- ID J----- -----I Year (Chartfield
FROM ____
Fund Department Account Project Program Activity Budget Reference# Amount 1
ID1 ID Year (Chartfield 2) J
Submitted for City Manager's Office by: Dana Burghdoff(8018)
Originating Department Head: William Johnson (7801)
Additional Information Contact: Linda S. Young (2485)
ATTACHMENTS
20SW LOVING AVENUE CHANNEL CHANGE ORDER 2 funds availability.docx (CFW Internal)
CPN C00626 1295 20210930 CO2.pdf (CFW Internal)
CPN C00626 LOVING AVENUE MAP.pdf (Public)
Loving C00626 FID Table CO2.xlsx (CFW Internal)
apps.cfwnet.org/council_packet/mc_review.asp?I D=29523&cou nci Idate=12/14/2021 2/2
FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Loving Avenue Culvert And Channel Improvements
PROJECT NUMBER: 626
DOE NUMBER: NA
WATER
PIPE LAID SIZE TYPE OF PIPE LF
North American 8" DIP 139.00 LF
8" PVC 100.00 LF
6" PVC 16.00 LF
FIRE HYDRANTS: 1 FH VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
16" DIP 67.00 LF
Eagle 15" PVC SDR-26 132.00 LF
12" PVC SDR-26 538.00 LF
12" DIP 270.00 LF
8" PVC SDR-26 217.00 LF
8" DIP 70.00 LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
i
DENSITIES:
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
May 26, 2021
Klutz Construction, LLC
P.O. Box 185
Kennedale,Texas 76060
RE: Acceptance Letter
Project Name: Loving Avenue Culvert and Channel Improvements
Project Type: 01,02,03,04
City Project No.: 00626
To Whom It May Concern:
On May 26, 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 June 14, 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 June 14, 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 817-
392-7891.
Sincerely,
'Falltff -
Mike Bennett, Project Manager
Cc: Oscar Aguillon, Inspector
Wade Miller, Inspection Supervisor
Manny Nieto, Senior Inspector
Linda Young, Program Manager
Stream Water Group, Inc., Consultant
Klutz Construction, LLC, Contractor
N/A, Developer
File
E-Mail:
Douglas W. Wiersig, P.E., PhD., Director,TPW Wendy Chi-Babulal, P.E., Water
Richard Martinez, Assistant Director,TPW Tony Sholola, P.E., Water
Marisa Conlin,Traffic Engineering Richard Zavala, Director, PARD
Allen Hall, Superintendent,TPW David Creek,Assistant Director, PARD
John Robert Carman, P.E., Director, Water
Chris Harder, P.E., Assistant Director, Water
Rev.9/15/16
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT El
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
OTHER
(SIMILAR TO AIA DOCUMENT G707)
Bond No. 8245-50-42
PROJECT: Loving Avenue Culvert&Channel Improvements,
(name,address) City Project Number: 00626
TO (Owner)
ARCHITECTS PROJECT NO:
City of Fort Worth CONTRACT FOR:
200 Texas Street
Fort Worth,TX 76102
CONTRACT DATE:
CONTRACTOR: Klutz Construction,LLC
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the(here insert name and
address of Surety Company)
Vigilant Insurance Company
2001 Bryan Street,Suite 3600 ,SURETY COMPANY,
Dallas,TX 75201
on bond of(here insert name and address of Contractor)
Klutz Construction,LLC
P.O. Box 185 ,CONTRACTOR,
Kennedale,TX 76060
hereby approves of the final payment to the Contractor, and agrees that the final payment to the Contractor shall not relieve the
Surety Company of any of its obligations to(here insert name and address of owner)
City of Fort Worth
200 Texas Street
Fort Worth,TX 76102 ,OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
The Surety Company has hereunto set its hand this 4th day of May 2021
VIGILANT IN5VAANCE COMPANY
Surety Comp
By 4�E�—
Signature of Authorize epresentative
Attest:
(Seal): Kyle W. Sweeney Attorney—in—Fact
Title
Note:This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition
C H U E3 E3'
Power of Attorney
Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company
Know AE by These Presents,That FEDERAL INSURANCE COMPANY,an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,and PACIFIC
INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Elizabeth Gray, Charles D. Sweeney, Kyle W. Sweeney and
MichaelA.Sweeney of Fort Worth,Texas----------------------------------------------------------------------------------------------------------------------------------------
each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise,bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed in the course of business,and any
instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations.
In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested these
presents and affixed their corporates seals on this 161b day of September,2019. q�
(lawn 11,Chlcmr .AssLStantSecretary Stephen M.'Ilancy,Vice PreAdent
00(a
STATE OF NEW JERSEY
County ofHunterdon Ss.
On this I6i1 day of September,2019,before me,a Notary Public of New Jersey,personally came Dawn M.Chloros,tome known to be Assistant Secretary of FEDERAL INSURANCE
COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY,the companies which executed the foregoing Power of Attorney,and the said Dawn M.
Chloros,being by me duly sworn,did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC
INDEMNITY COMPANY and knows the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by
authority of said Companies;and that she signed said Power of Attorney as Assistant Secretary of said Companies by like authority;and that she is acquainted with Stephen M.
Haney,and knows him to be Vice President of said Companies;and that the signature of Stephen M.Haney,subscribed to said Power of Attorney is in the genuine handwriting of
Stephen M.Haney,and was thereto subscribed by authority of said Companies and in deponent's presence.
Notarial Seal KATHERINE J.ADELAAR
N01'aRY NOTARY PUBLIC OF NEW JERSEY
N0.2316686
4 pU8!10 Commission Expires July 16.2024 Naary nubile
dEBg�`
CERTIFICATION
Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 30,2016:
"RESOLVED,that the following authorizations relate to the execution,for and on behalfof the Company,of bonds,undertakings,recognizances,contracts and other written commitments of the Company
entered into in the ordinary course ofbusiness(each a"Written Commitment"):
(1) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment for and on behalfof the Company,under the
seal of the Company or otherwise.
(2) Each duly appointed attorney-in-fact of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal of the Company or
otherwise,to the extent that such action is authorized by the grant of powers provided for in such person's written appointment as such attorney-in-fact.
(3) Each of the Chairman,the President and the Vice Presidents of the Company Is hereby authorized,for and on behalfof the Company,to appoint in writing any person the attorney-
in-fact of the Company with full power and authority to execute,for and on behalfof the Company,under the seal of the Company or otherwise,such Written Commitments of the
Company as may be specified in such written appointment,which specification may he by general type or class of Written Commitments or by specification of one or more particular
Written Commitments.
(4) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalfof the Company,to delegate in writing to any other officer of the
Company the authority to execute,for and on behalf of the Company,under the Company's seal or otherwise,such Written Commitments of the Company as are specified in such
written delegation,which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments.
(5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution,and the seal of the Company,may be affixed by
facsimile on such Written Commitment or written appointment or delegation.
FURTHER RESOLVED,that the foregoing Resolution shall not be deemed to bean exclusive statement of the powers and authority of officers,employees and other persons to act for and on behalfof
the Company,and such Resolution shall not limit or otherwise affect the exercise of any such power or authority otherwise validly granted or vested."
I,Dawn M.Chloros,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY(the"Companies")do hereby
certify that
(i) the foregoing Resolutions adopted by the Board of Directors of the Companies are true,correct and in full force and effect,
(ii) the foregoing Power of Attorney is true,correct and in full force and effect.
Given under my hand and seals ofsaid Companies at Whitehouse Station,NJ,this 4th day of May 2021.
00(v Wwn 11,Chloros.AI*Sistnnt Secretztr?
IN THE EVEN'YOU WISH'f0 VERIFY 1'HE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER PLEASE CONTACT US AT:
1'ele hone(908)903-3493 Fax(908)903-3656 e-mail:sure @chubb.com
FED-VIG-PI(rev.08-18)
AFFIDAVIT OF BILLS PAID
UNCONDITIONAL
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, a Notary Public in and for the State of Texas, on this day
personally appeared,C�- �1e,� M tC..( u f Z of Klutz Construction, LLC, known tome to be
a credible person, who being by me duly sworn, on his oath deposed and said;
That all invoices for K316 Loving, City Project No. 00626 in Fort Worth, Texas have been paid
in full.
By: �S
Subscribed and sworn before me on thus—4--day of M Ct v , 2021.
No66 P blic
LUZ A RAVELO
P
Notary Public,State of Texas
='i y4'• My Commission Expires
�:.
April 29,2023
NOTARY to 12 02.3 tl4