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Contract 54016-FP1
.FORT WORTH, TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION City Secretary No: 54016 -FP1 Date Received:Jun 10,2022 City Project Ns?: 02727 Regarding contract 54016 for as required by the WATER DEPARTMENT as approved by City Council on 05/05/2020 through M&C 20-0305 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: $4,010,153.00 Amount of Approved Change Orders: $ 92,386.50 Ne 1,2 Revised Contract Amount: $4,102,539.50 Total Cost Work Completed: $ 3,583,438.28 Less Deductions: Liquidated Damages: 0 Days @$630.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $ 3,583,438.28 Less Previous Payments: $ 3,400,554.24 Final Payment Due $ 182,884.04 L"WeK, Jun 3,2022 Lauren Prieur(Jun 3,2022 13:26 CDT) Recommended for Acceptance Date Asst. Director, TPW - Capital Delivery ChLELOo 2hef 1-fig r Jun 3 2022 Christopher Harder(Jun 3,2022 14:01 CDT) Accepted Date Director, WATER DEPARTMENT Client Department Z�Iallt� Jun 9,2022 Dana Burghdoff(Jun 9,202 7:23 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: 5/31/2022 to 6/2/2022 6/2/2022 P.O. FW060_0000009089 Prom(Contractor): Remit to(If Not Automatic Deposit): Number: GRA-TEX UTILITIES,INC. Project: 02727 Contractors CFW Vendor No.: City Secretary Contract 54016 Contract W&SS REPLACEMENT CONTRACT 2016 WSM-F PART 2 Number: Name: Application For Payment Change Order Suninin Approved Change Orders 1. ORIGINAL CONTRACT PRICE........................................................ S S4,010,153.00 Number Additions Deletions 2. Net change by Change Orders............................................................... S S92,386.50 l $486,000.00 $405,000.00 3. Current Contract Price(Line 1 t 2)...................................................... S S4,102,539.50 2 $13,000.00 $1,613.50 4. TOTAL COMPLETED AND STORED TO DATE 3 (Progress Estimate,Construction Allowance and Change Orders)..... S $3,583,438.28 4 5. RETAINAGE: 5 A. X $3,583,438.28 Work Completed,,....... S 6 b. X Not Used $ 7 c.Total Retainage(Line 5a+Line 5b).............................. S 8 6. AMOUNT ELIGIBLE TO DATE(Line 4-Line 5c)........................... S $3,583,438.28 TOTALS $499,000.00 $406,613.50 7. LESS PREVIOUS PAYMENTS(Line 6 from prior Application)......, S S3,404,266.37 NET CHANGE BY $92,386.50 8. AMOUNT DUE THIS APPLICATION............................................... S $179,171.91 CHANGE ORDERS 9.BALANCE TO FINISH,PLUS RETAINAGE (Column G on Progress Estimate+CA+COs+Line 5 above)............. S $519,101.22 Contractor's Certification 10. CONTRACT TIME: The Contractor certifies with the submittal of this document and associated Payment Request Submittal a. Days Awarded 365 on the City of Fort Worth Buzzsaw system that to the best of their knowledge:(1)all previous progress b. Days Added by CO 180 payments received from Owner on account of Work done under the Contract have been applied on c Total Days 545 account to discharge Contractor's legitimate obligations incurred in connection with Work covered by prior Applications for Payment;(2)title of all Work,materials and equipment incorporated in said Work or otherwise listed in or covered by this Application for Payment will pass to Owner at time of it. Days Charged 543 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 2 encumbrances);and(3)all Work covered by this Application for Payment is in accordance with We Contract Documents and is not defective. 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. UWLL.1hG PnYtft E,en✓b Proeress Eslilnnle r<,+gJ<r 34016 Contractor's Application cnatsa rnl,.w.o WSSS REPLACENIEffr CONTRACT 2016 WSnl-F PART Nfkr:.N:3^ FW1 "rl��'•'aP1 sn1n0]1mcnF10T: Fltl•n.or. fnnea A D [ r � /{�4a+a lfY<f efV.ral l]afbl EIYL L,a<aIQ'-JO \�- 1rn3oS IwT.1-0Y.•- \'dxh+/AJ S��'P"'!Y NAttJ�On Fl p�R•n� Nf I:, loneaa A+ >lau, lubTJ R+hcl W•!/ ■ lINT11'IrIgHNCEuflrt ' 1 I1 RGYhup<• 911HY1 1f xlm 11Hro IMOoOm Itii00000LA0 ab>»% {Sb3]Im t}N»fW 10]Si JI»!m 1 1ltW OPI'l,•u Pu _ V lIIOm Hl.lb% a000L0000 fN0e0ro Ib0e0m fb0%W II}}Y .1fPNW I IW RCYIM1rp<• If 3}mfAD00[ IN. 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(D!E) 0 \Y•36 Jf'afTXDDT Tr it Rryub(1•R"m+J IIES C—de Wu) Lf 1.00000000 $1.190A0 Sf 79.,-0A0 1.00000000 Sf i➢OAO Sf,190.00 SUM" 100_0% W-37 RE M,,Wlimofl2•\Pala llne - - - fS IA0000000- -- 3&OAO - _SSAfO.W I0000"m Sup." S7imm _ S2,030.00 100,0% W59 TMI:CmOd faE Lnaaa WRad Clorvref Tw,h Is 1A0000000 _f11�9SA0 __ f1,213A0 IA0000000 - SI,197.00 $1,191.00 f11/�-1A0 100_Oli W139---WrnidraN lnn,ll JO•RCPSMm Dr,fn(I�iw,SLlafilk Egil - -- - -44A0000000 SIBM $9,012A0 44000OOM 59AI2A0 _ S9,111A0 _ _59S12A0 100.0% _- - \�' .._. Fumi�hWlnn,ll H•RCP Slamik,In(fa0..flilaiilk Eq, _ __LF.__ 10.00000000 $101.74 f1PWO 20.0 MO - $014.40 31A14.I0 - - _--s4o 410 IWA11 S-23 EInO'M-M,ling(\\'v,m Cortinfl IT 13.00000000 f11sm 5111,--3.00 11.00000000 S)f1, SAG S),$7SM S),11fA0 100,0% P•11 CmnAcrup,faludnall,inridi afua). IF JOA0000000 -5310--__. fi,1J0A0 00A0000aoG f1,5100 30200 -.SIOAO 100=011 P•JJ 6Jni,W lL(nrb Cm—CWb m WlofSidm,O: 1P 200.00000000 f19.2J WAf0A0 200.00000000 -f>.f10A0 $3.110- _ S33SOA0 1011.6% PN__ Lf�cmtneia)dmn Oub Wfmill\'allrylFnta __ 1T_ I00.00000000_ _ 3150 f�1GA0 100.00000000 Sl,Mom- $ 1,1fo.00 _ _ _S,I/f0A0 100.01i IS LW ONO S3 --�S7_00 IA0000000 SJAN �3JA0000 SI,000AO 100.01i PJS_ S{riAb S)t!an Reryin -_ Wy0 -_--✓100. - - - -_ T-h SII79110 sit 196jol 31119U0 fJi f/6S0 OOAIi l Im&—buhvn-W a O.mivaigmi fl-u,n MIX"I—W Aeuur M—WSW&Ow -Arnalm,l.aremwr+lNla rud0,e0.vmnYeu,bll/'+^lcwun UPI Cw Ipri 0iu I C 620 Cb00001da II I Progress Estimate Construction Allowance Usage Contractor's Application CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED Pa<,mlaak 02727 W&SS REPLACEMENT CONTRACT3016 WSNI•F PART Final j AssO<,dmeatu 5/31/2022 to 61212022 A{FO<almou<: 612/1011 A 0 C O E F Ilan Iitd Iran KunAr QuutiyloneM< Cnx Psis RMutimlllue Ka llud Ka Cud Ka1'fN Ka lhM Ka 11N Ka Vud Ka Vud xa UW , S tim Ks CmMnlim NboweKal EA 1.06000000 SSS,9tIJ0 S15,93 IJO COM,Wiaa Allm,ne,Ko.2__ ... _ .__FA_ 1.00000000 Sl.l71J0 SJS_7SA0 _ _ 'I CgwNnkaNbna_lu•PKo.I_ _ FA IJ0000000 _SlaROAO _ _.$lifloAO cmmualalAlbuvuroKwl G IJOo000U0-_-510,700J0 110700-4 _ _ _. .. _. ol, Sll,l9i.t0 I I 7N,A vv�+a 6u E.•�n maSnnl fnm Wm(uulf,,,n FJC/M d>vinn+W du wwdidMNSIJiPNdw a.xr•n..LL roo u,aw.,P,aa�a.Pm:a..nl.,d w,mly w.wanx I.yl cwn.,I Paalo W«antra i C51 Ch,,ae O,d.e Progress Estimate Change Order Number 1 Conh•nc Ol"s Application ADDITIONS r«(«.+.,n): 02727 W&SSREPLACE6IEM'COMRACT2016W561•PPART2 cays—uy 51016 '�'I11114A Final c«A,nN— AWk,li P.ef..F 513112022 to 6/212022 A1gii,alm Dnc 61violz A D c D E r h— AM. T.ul cmEla.O 11 O,I+nrb fmWi chmv Qd I— S�ifw',lim COQu iylo AM LtiA H. co-,,QM r'IFuINQ+wh)' `a.. hni.wly \',beThi, 11,Im,h hue++))' y�Staedb Dile (F) (D•F) D-Tipdm wk{ TA lbnof)f,—, J,,b. I,u1JI1N w.0.J W.. Peeicd fl«d(-bn C) ( ) D.E D IY61 Llaii 016uJ)Oind,0u11«LW,ILIim(J0-J0) 31JJ�000AO Ul6.17000000 _fJ4J i,9).11 $141,493.11 _ S)13.19).11 IOIA1i PJl f4nde(W6,N3O4nh Omlu Wulhlhm(f01J0) 1500.00000000 S34AO 3113,6o6.00 1116.17600000 ._31UA91.11 SI43,493.11 0E!),l9J 1/ 1040`i - S).J9),IH Toll+ I 34lfAooAolsm"jil $n IU6 1 IO ii dJ t f TN.dww,niwl�nendin.J fnmfa«Igrulf—rJCUC, 11L0uJ—1 F6,0ueN1 k ..,Ju+.s.�,nl.,eebnr,e,J...w+u1<yleme.,<If.k,bm<�M� C 6N Ch,ry,O,d,, Progress Estimate Change Order Number I Contractor's Application DELETIONS Pm(mdraA): 02n7 W&SS REPLACEMENT COIrFRACr 2016%VSbl-F PART Final A}]dl:,tk++Pariwt: 513112022 1D 6/2/2022 AMV,9iw Dar. 61L103! A D C D E F Imn D n (h+nde0tder um d�.ilimnm LSul d>kuwe D rok. 1e L-wt Prim 0MV Owa N.V d Na LhN Na L'ud Ndu j Nalthwf NNL'W N.Ma Na Lha Nw D' S.A.N. eMe \SWe N'-JO__....7inA+C4Nud Oulur(1G)0) _ IF_ 4700.00000000 515.00 $10J}00.00 —.—._.— P.f LF 'f00A0000000 —.. d1f.00 _S)0),100.00 W. NO 0 lTi+0.vn+nilw hm�mLfiN fnm iu myiulf umFJC0C6 vmM aNiheuur&dM N�lk the m�G6:+liul'w uamnvnpdte rudtAeA wore wafullJudwvuufi letd Camultrimbfue vOm CA20 Glyn,*Oid,i Progress Estimate Change Order Number 2 Contractor's Application ADDITIONS R, 02727 \1'&SS REPLACEMENT CONTRACr2016 WS6i•F PART 2 City S wy 54016 C dnA Nom 5/31/2022 la 6/212022 Asrli<,nmD„t: 61212022 A n c D E F Adplm Ch. G1omINQiwhY fY<tiwl• \Slutm 11-i'ltfinmlf� ToW CmyOAN !i CwvO,dn I— Dnafplm SMjrl,�' C\Nuf3larvN COQ„ethylo Adl l'M Ptiue O \Ylut hul,11N U.,e Inm1t.J\Clue Pmnl Stxtd(M fn C) WSItteJ1"D,Ie (F7 (0•F) Na S tiro No. (n t E) n 8J0 ShJar SlWul,AdjwOonu(f0:f0) _ __- EA 200000000 SM10.00 _ $6,500.00 2A0000000 36,f00.00 S6,f00.00 S6,f00A0 IOOAIi_ PJ6 SLJa SIWWe AdjuMu,,,(f6J0) _._�_ 1A0000000 S1,1S0.00 _ $6 f0�_0_AO 100000000 _S6,f00.00 36,500.00 Tom 311 0.00 Sn 00 $U 000.00 311 .00 IOOAI: iI 7la A., W t—.w6td firm h,aiSwl f u,n MIX&vmml Ad.—dd-hi0dig,0, mdiaullau Ym-god to &,—ot tutiulty W—h UPI C-1�i.�toN«nvfnn CEIOChe0y0Oider Progress Estimate Chmige Order Number 2 Contractor's Application DELETIONS ramt�Y ,. 02727 W&SS REPLACEMENT CONTRACT 2016\YSt,1•F PART A1J0i,+11mFvmh,: Finn] A,PIn-,dm Pariul 51311202216 6/2/2022 ArvllaSm oar. 61V2022 it A D C D E F Ire CDW., yb D,40mch v ClueSe O,Jalum s in:n,w, l'Nt ni:< N.L4N NO V,M Ndt%a Ka1hN Na t'ud Ka t•W Na VuJ Nae„d I Ks r1oi' shim Ka th,arm— mw OA,VA., 5-2 S•DIPSnv Pi _ LF 3.000O0000 JI30.00 S390A0 - _ SA -�"f`tlN Dv6,6„eN/Wa61S A._}a6k Sl,kdd Cy IO 0 SI0.00 S100.00 - S.IS S.fou1N'Ide NlOuh P„wnE Rm,k�RaldmOil _ LF1 COOM00000000 $SIAO SI01.00 S.IJ _N1E,EP„maRry,4 WJm1D<MN117YhR 1J0J41 - -- EY 9.10000000 S07.00 __S921 f0 J21— e 5 31 IJV li 7N,d vmnf tuh m�LON Wm(u Mb^+If u,n F1CDC davnvd u,Iduuu,fdMNlhItJN O� fi.fi—Y.ue,ow,pJ ra,ue,A:avmui w,lunP W,�wuR L<vl Couuel l,I.Ybiu,.v0•� City of Fort Worth Summary of Charges CitySecretary COMM Num: 54016 2 ' - P.G,: FW060-0000009089 ProjcclNumber. 02727 Application Period: 5/31/2022 to 6/2/2022 APP icaeo° Finol Application Date: 6/2/2022 Number. --- Original Contract — - - - ------ --— —� Net — -- I Function ldentlBcallon(FID) I Total Completed Amt Remainln I Gross Retains e — 56002-0600430574001O-CO2727-CO1783-9999 $2.268 279.73 5592,099.66 56002-07004305740010-0O2727-001783-9999 $94.628.601 $5.958.50 I I 30100-02004315330500-0O2727-0O2480.9999 $716,643.69 1 $587,154.06 1 o I oI o I I o I I 0 I I I I I o o n I Change Order 66002-0600430574001O-CO2727-CO1783-9999 $245A93.18 -S204,993.16 56002-0700430-5740010-0O2727-001783.9999 I I 30100-0200431-5330500-0O2727-0O2480.9999 $245,493.101 I -$204.993.181 'I I 0 1 o o I I o I o o I I I o I I I I I o I I I I I I Change Order 56002.0600430-5740010-0O2727-001783-9999 56002-0700430-5740010-0O2727-001783.9999 $6,500.001 •51,613.50 '� I I ��''� 30100-020043i5330500-CO2727-CO2480-9999 $6.500.00 0 I 1 rn 0 ;1 1 0 0 0 0.1 r0 1 I j;, li it City of Fort Worth Summary of Charges City Secretary Convect Num: 54016 2 p,O,; CW060-0000009089 project Number. 02727 Application Period: 5/31/2022 to 6/2/2022 App icabon Number: Final Application Date: 6/2/2022 Funding Identl0catlon(FID) I Total Com leted I ntn Gross Retalnage I Net I Chan a Order 3 -- - - --I --- - I - — -— - 56002-0600430-5740010 CO2727•C01783-9999 66002-07004305740010•CO2727-001783.9999 - I I ,•� I I •�,. 30100-02004315330500• 002727-0O2400.9999 I I 0 I I I o 0 0 I I I I 0 0 0 n to I I — — Change Order 4 — — -- - — -- — -- — --—— 56002-0600430-5740010•CO2727-001783-9999 56002-0700430-574001O-0O2727-001783.9999 30100-0200431.5330500•CO2727-0O2480.9999 o 0 I I 0 o I 0 0 o -Change Order B 56002-0600430-574001O-0O2727-001763-9999 56002-07004305740010-Cp2727-001783-9999 30100.0200431-5330500•CO2727-0O2480-9999 0 0 i 0 0 City of Fort Worth Summary of Charges City Secretary Contract Num: 54016 2 P.O.: FW060-0000009089 Project Number: 02727 Application Period: 5/31/2022to6/2/2022 APP'cation Final Application Date: 6/2/2022 Number. --.._._..... _.- ------ - Fundingldentification(FID) I Total Completed I Amt Remalnin I Gross I Retalna a Net I Chan a Order 8 56002-0600430-5740010-002727-001783-9999 56002-0700430-5740010•CO2727-001783-9999 I I 30100.0200431-5330500-0O2727-0O2460-9999 p o I I I I u rr,i o p .I 0 o I I I I I "0.) o i 0 Chan eOrder7 56002.0600430.5740010•CO2727-001783-9999 66002-07004305740010-0O2727-001783-9999 30100-02004315330500-Co2727-0O2480-9999 I I I o I I 0 o o o I I o i o I i Chan eOrder8 — - -- ---- - -- - - - .. - 56002.0600430-b740010•CO2727 C01763-9999 a uu 56002-0700430-5740010-0O2727-001783-9999 :0 0(' 30100.02004315330500-0O2727-0O2460.9999 77"nu I I I I t"'' 0 p 0 I )Q' I I I o I rn I I I o I p -.,,m 'I 0 p - — - --- - - ---- - L I --- -- I--- City of Fort Worth Summary of Charges City Secretary Contract Num: 54016 2 p,D,; FW060-0000009089 project Number: 02727 Application Period: 5/31/2022 to 6/1/2022 App icaNumber:aon Anal Application Dale: 6/2/2022 Futidlrip Identification IFIDj-�� �I � Total Completed IL Amt Remalnlng I Gross I Retatna e I Net I Totals 66002-0600430-5740010-0O2727-001783-9999 $2.613.772.91 S387,106.38 56002-0700430-5740010-0O2727-001783.9999 5101,128.b0 54,345.001 I 30100-0200431-5330500-0O2727-0O2480-9999 S96B,638.87 5362,160.88; � ,I o 0 I I o o o I — 0 I I 0 I I I o I Grand Total 1 $3,503,438.28 1 $753.612.26 1 1 $0.00 $179,17i.91 $179,171.92 I i i I, I I I CSC No.54016-AR1 I H-F WoR.,!,Un City of Fort Worth Construction Allowance Request Project Na.mol Water and Sanitary Sewer Replacement Contract 2016 WSM-F,Part 2 City Sec No. 54016 Project No•(s) 69601-0600430•CO2727-CO1703 M&C; F--20---03-0-6-1 CltyProj.No.J 2727 Project oescripllon; Water,Sanitary Sewer and Paving Improvements on Mount Vernon Avenue,Newark Avenue Sanderson Avenue and Crestview Drive Contractor Gra-Tex Utilities,Inc. Allowance No; Date; 121712020 City Project Mgr.1 J.Chris Underwood City Inspector: I Pedro Hernandez Phone Number; 017-392-2629 Phone Number: 017-992-39971 C Dept, Water Sewer Paving Totals Contract Time Calendar days Original Contract Amount $2,625,668.25 $100,687.00 $1,283,697.75 4;#10;45%.A I 365 Previous Allowances Allocated I$0,00 40:00 $0100 ! `801U ! 0 Amount of Pro)osod Allocation 26ifl09.0'0 0;00 Oi00 ' 26'fl01100' .1 0 Original Allowance Available for Allocation $120,000.00 $10,000M $46,000.00 b7,0;U0.O100 i Remaining Funds Available for this Allocation $1'2010.U, i00. i 11OI11g0 'l), 441,0.00l00 i $.176 0000 i Revised Contract Time 365 � I - .11ll8Tlj?l0A'TIgIV(1��A3-l�N��FOR°ALILQY�IANOE� '°= I I Allowance No. 1 will provide reimbursement for emergency water main repair and paving repair on East Lancaster Avenue(TXDOT Right-of-way).The allowance,will also allow for the removal and replacement of existing storm drain that was encountered in direct conflict during water main installation at Crestview I Drive and Martel Avenue intersection. i i I It Is understood and agreed that the acceptance of this Construction Allowance Request by the contractor constitutes an accord and satisfaction and represents payment in full for all costs arising out of,or Incidental to,the above Construction Allowance Request, - AWO �Gorflrti6toPs�Coiu tin �Naltto I Q011t(doloi'Name lr o loi5l tialtire Gra-Tex Utilities,Inc. Jlm Brent !Ins solar _ - - +pdfa. o` ana er bate e c�9 . lu-� 2 �S•7 I l 2'5-2f Ifedlocl Wal'adiDe 1. I Dale I Gd IrUgll !8 erVlao ;mIP ' apt) Di3le Feb 5,2021 /�&slsl.,rfl+.nil Allorne Date Asslstan1,G'1l Me s or Rate. eb 10 2021 eb 8,2021 ..� ,��,.e,.,,,, „«, ' i lF®i,--Iu wop'-r m City of Fort Worth --. — Construction Allowance Request Project Name Water and Sanitary Sewer Replacement Contract 2016 WSM-F,Part 2 City Sec No. 54016 Project No.(s) 59601-0600430-CO2727-CO1783 M&C: 20 0305 City Pro].No. 2727 i Project Water,Sanitary Sewer and Paving Improvements on Mount Vernon Avenue,Newark Avenue Sanderson Avenue and Description Crestview Drive Contractor Gra-Tex Utilities,Inc. Allowance No: [= Date: 12l712020 City Project Mgr. J.Chris Underwood Cily Inspector FPedroHernandez j CONSTRUCTION ALLOUVANGE ITEMS TO BE ADDED —ITHM E5(Rlt''I'Ic5 DEPT Qt Unit Unit Cost Total W-56 4`i of TOOT Trench Repair(8'Reinforced HES Concrete ease) Water 1 LS $0,790.00 $0,790.00 and Full Lane width HMAC mill and Overlay W-57 Re-Chlorinalion of 12"Water Line Water 1 LS $2,050.00 $2,050.00 W-59 Traffic Control for E,Lancaster and Road Closure for Newark Water 1 LS $1,295.00 $1,295.00 W-59 Furnish and Install 30"RCP Storm Drain(Labor,Material&Equipment) Water 44 LF $223.00 $9,812.00 W-60 Furnish and Install 24"RCP Storm Drain(Labor,Material&Equipment) Water 20 LF $201,74 $4,034.80 i i Water $25,9II1.D0 Sewer Paving Page 2 of 4 Additions Sub Total 1$25,981.80 I i i IFc3n-r VV'C3R'r1Ht City of Fort Worth —'�J— Construction Allowance Request Project Name Water and Sanitary Sewer Replacement Contract 2016 WSM-F,Part 2 City Sec No, 54016 Project No.(s) 59601-0600430-CO2727-CO1703 M&C: 20 0305 City Proj.No. 2727 Project Description Water,Sanitary Sewer and Paving Improvements on Mount Vernon Avenue,Newark Avenue Sanderson Avenue and Crestview Drive Contractor Gra-Tex Utilities,Inc. Allowance No: 0 Date 1 1217/2020 City Project Mgr. J.Chris Underwood City Inspector Pedro Hernandez CONSTRUCTION ALLOWANCE ITEMS TO BE DELETED ITEM DESCRIPTION DEPT Qly Unit Unit Cost Total it i i i Water Sewer Paving Page 3 of 4 Delelions Sub Total i MIWBE Breakdown for this Change Order MWBE Solo . Type of Service Amount.for;this':CO i 1 I Total $0.00 Previous Change Orders Co# DATE AMOUNT Total $0.00 Page 4 of 4 i CSC No.54016-AR2 I City of Fort Worth Construction Allowance Request I Project Namol Water and Sanitary Sewer Replacement Conlract 2016 WSM•F,Part 2 City Sec No, 1 64016 Project No.(s) 69601.0600430•CO2727-001703 M&C: 20 0305 City Proj.No.1 2727 Project Dascripllon: Water,Sanitary Sewer and Paving Improvements on Mount Vernon Avenue,Newark Avenue Sanderson Avenue and Crestview Drive Contractor Gra-Tex Utilities,Inc. Allowance No: 2 Data: 2f2f2021 City Project Mgr,I J,Chris Underwood City Inspector: Pedro Hernandez Phone Number;1 817-392-2629 Phone Number 017-992-3901 Dept. Water Sower Paving Totals Contract Tlme Colander days Original Contract Amount $2,626,668.26 $100,687.00 $1,203,697.76 'gjQ(fD,+IG3t00; 365 Previous Allowances Allocated ;05 0;1'80 ! 0100 !. Oi00 I 010L-. 0 0rG7.6i00, ! OAO,- I E. 87,6j00' __r 0 Amount of Proposed Allocation %:p:i0,, , Original Allowance Avallaple(orAlloeallon $120,000.00 $10,00000 $46,000.00 —.:1.7,ti O.0 iQ.-1 Remaining funds Available for this Allocation flt1'0;1't1,20...' �.I—4:10:000 :0; 1061 Nl0:0' 1 i..14.9'0'01.20 Revised Contract Time 386 I uus7ll11GAI'ION►���AsdNS);FORA, �AwAN:.W. Allowance No.2 will provide for manhole corrosion protection on two project sanitary sewer manholes. 'I It Is understood and agreed that the acceptance of this Construction Alowance Request by the contractor constitutes an accord and satisfaction and represents payment In full for all costs arlsing out of,or Incidental to,the above Constwolion Allowance Request > 011lrtiotoP!sdai» riii !N�mo I ;CdlYlfri6lor:'Nnhlo; 11 �, Oolti"ol8rt5t iiEitiir. '_ _._ J'_ •bttZai_ Gra-Tex Utilities,Inc. Jim Brent �'O '111e fedlr�r p'<f o, �; lava soli and:e��- - - '•' )pAto. 3I21 ;U.ICeotoi'+Watvl';[�i1't _ IDEiIo I�•is n9lrubflon� .o'rljeot,47f?WIp.A it:� _ �� 1W'dto- _ � S May 3,2021 s9jdlalif 01l rAll4ni. UOke i "A RC tMaha er, IDAIo• 01 May 4,2021 r „«„ May 4,2021 II I I Fc') n-JU City of Fort Worth Construction Allowance Request Project Name Water and Sanitary Sewer Replacement Contract 2016 WSM-F,Part 2 City Sec No, 54016 Project No.(s) 59601-0600430-CO2727-001783 1 M&C: 20 0305 City Proj.No. 2727 Project Water,Sanitary Sewer and Paving Improvements on Mount Vernon Avenue,Newark Avenue Sanderson Avenue and Description Crestview Drive Contractor Gra-Tex Utilities,Inc. Allowance No: 0 Dale:F 21212021 City Project Mgr. J.Chris Underwood City Inspector r Pedro Hernandez CONSTRUCTION ALLOWANCE ITEMS TO 13E ADDED ITEM LIt CRIP'00N DEPT Qt Unit Unit Cost Total S 23 Epoxy Manhole Liner(Warren Coaling) Sewer 11 VF $325.00 $3,575.00 Water Sewer $3,575.00 Paving Page 2 of 4 Additions Sub Total 1$3,575.00 F" City of fort Worth —"� Construction Allowance Request Project Name Water and Sanitary Sewer Replacement Contract 2016 WSM-F,Part 2 City Sec No. 1 54016 Project No.(s) 59601-0600430-CO2727-CO1783 M&C: 20 0305 City Pro].No. 2727 Project Description Water,Sanitary Sewer and Paving Improvements on Mount Vernon Avenue,Newark Avenue Sanderson Avenue and Crestview Drive Contractor Gra-Tex Utilities,Inc. Allowance No: 0 Date 212/2021 City Project Mgr. J.Chris Underwood City Inspector Pedro Hernandez CONSTRUCTION ALLOWANCE ITEMS TO BE DELETED ITEM DESCRIPTION DEPT 61ty JTotal I Water Sewer Paving Page 3 of 4 Deletions Sub Total MIWBE Breakdown for this Change Order MWBE Sub Type of Service Amount.for-this CO Total $0 00 Previous Change Orders co. DATE AMOUNT I Total $0.00. Page 4 of 4 CSC No.54016-AR3 F0k,r WQyxz r City of Fort Worth Construction Allowance Request Project NOmol Water and Sanitary Sewer Replacement Contract 2016 WSM-F,Part 2 Clly Sec No. 1 54016 Project No..(s) 30100-0200431-0O2727-006280 M&C: 20 0305 City Proj.No.1 2727 Water,Sanitary Sevier and Paving Improvements on Mount Vernon Avenue,Newark Avenue Sanderson Avenue and Project Description: Crestview Drive Contractor. Gra-Tex Ulllilie's,Inc. Allowance No; �_� Dale; I 6/13/202t . City Project Mgr: J.Chr13 Underwood City Inspector; Pedro Hernandez Phone Number; 817-392-2629 Phone Number; 817 992-3991 Dept. Water Sewer Paving Totals Contract Thne (Calendar days Original Contract Amount 4,625A 25 $100,587.00 $1,283,697.76 $4;010163:00 366 Previous Allowances Allocated $25;901.80' $3,676100. _ $0.00' $O,OD 0 Amount of Pro used Allocation $0;00 $0.00 $1,540.00 $1, 01'00 0 Original Allowance Available for Allocation $120,000,00 1 $10,000,00 $45,000.00 1 1757555a Remaining Funds Available for[his Allocation $9410,18.20 1 $6.425.00 $45,000.00 '$145,443.20 Revised Contract Time 365 - JU$TIFICA�'ION:(R�'ASONS)I�OR�pi11li0WAb1GE. :�,� Allowance No.3 will provide concrete steps for lead walks in the right-of-way, t It Is understood and agreed that the acceplance bf[his Construction Allowance Request by the contractor constitutes an accord and satisfaction and represents payment In full for all costs arising out of,or Incidental to,the above Construction Allowance Request, powlrsotae's,Coanpariy;Nante CantraotorName , C ntr clgr sjggatUra aa� Gra-Tex Utilities,Inc. Jim Brent Jnepoator late Pro Lat 'anacger Q�te Ped4-C,-G. 5-13-2 5 Dlreotor Water Dept) I Date o_nslruatlariSrl 'ervl9or TIPW' eRtlljyy�O t741e o,h<,°rderlV, 11,}p}I IS.S9CDil 'S, May 14,2021 ,44,eG g PeZaA& 5/14/21 AsslstonhClt AttorneyI Dale. Assistant Clt Manager !Date 6 i May 17,2021 `e'`g-a May tCr°r).0,CDT) May 18,2021 I i F(aa- WoP,FI-h City of Fort Worth — — Construction Allowance Request Project Name Water and Sanitary Sewer Replacement Contract 2016 WSM-F,Part 2 City Sec No. 54016 Project No.(s) 30100 0200431 CO2727-006280 I M&C: 20 0305 City Proj,No. 2727 Project Wafer,Sanitary Sewer and Paving Improvements on Mount Vernon Avenue,Newark Avenue Sanderson Avenue anti Description Crestview Drive Contractor Gra-Tex Utilities,Inc. Allowance No: F 3 Date: 5/1312021 City Project Mgr, J.Chris Underwood City Inspector Pedro Hernandez CONSTRUCTION ALLOWANCE ITEMS TO 13E ADDED 1E —Cb -RTPIT0 DEPT Qty Unit Unit Cost Total P-32 Concrele steps for lead walks In right of way Paving 40 LF 1$38.50 $1,540.00 I I j Water Sewer i Paving $1,540.00 Page 2 of 4 Additions Sub Total $1,540.00 i ; FOP,T WoR, T-1 City of Fort Worth —L�— Construction Allowance Request Project Name Water and Sanitary Sewer Replacement Contract 2016 WSM-F,Part 2 City Sec No, 54016 Project No.(s) 30100-0200431-0O2727-006280 M&C: 20 0305 City Proj,No. 1 2727 Project Description Water,Sanitary Sewer and Paving Improvements on Mount Vernon Avenue,Newark Avenue Sanderson Avenue and Crestview Drive Contractor Gra-Tex Utilities,Inc. Allowance No: 1-3 1 Date 1 5/13/2021 City Project Mgr. J.Chris Underwood City Inspector Pedro Hernandez CONSTRUCTION ALLOWANCE ITEMS TO BE DELETED ITEMI DESCRIPTION DEPT City JUnit I Unit Cost Total Ii I I Water Sewer Paving Page 3 of 4 Deletions Sub Total MIWBE Breakdown for this Change Order MWBE Sib Type of Service Amount for this CO I Total $0.00 Previous Change Orders j Coif DATE AMOUNT Total I Page 4 of 4 CSC No.54016-AR4 ]FORT• WbR-rH City of Fort Worth Construction Allowance Request Project Namel Water and Sanitary Sewer Replacement Contract 2016 WSM-F,Part 2 City Sec No. 54016 Project No.(s) 30100.0200431-CO2727-006280 mc: 20.0305 City Pro].No.I CO2727 Project Description: Water,Sanitary Sewer and Paving Improvements on Mount Vernon Avenue,Newark Avenue,Sanderson Avenue and Crestview Drive Contractor, Gra-Tex Utilities,Inc Allowance No: ® Date: F 11/30/2021 City Project Mgr.1 J.Chris Underwood City Inspector: I Pedro Hernandez Phone Number: 817-392-2629 Phone Number: 817-992-3991 i Dept, Water Sewer Paving Totals Original Contract Amount $2,625,868.25 $100,687.00 $1,283,697.75 $4,0.10,163 00 Previous Allowances Allocated :$25,981:80:. ',$3;575:00'. $1;540,00':: $31;096.80 Amount of Proposed Allocation 0`00 0;00 $10;700 DO' 10;700:00':... Original Allowance Available for Allocation $120,000. 00 $10,000 00 $45,000.00 ,'•$176,000;00 i Remaining Funds Available for this Allocation $94;01 B.20. -$6 425.00.:. ' `'$43.460:00'!'? ;:$143 903.20 ..._.......: +.:x-•.a:c...._.... ...,,....,;--mac —•-=S i v 3 r: H!Ci%;hr :^ie.•.Y. ^:ri:ii3'.n,._...__ s.•.f •-s�.";r=;itJUS?iI�+ICA, IbN•R�AS'bN5 s 0'p nL1,0y ANTE. :tl"•.;• jri�.t��,.- d�'�t."-uc�-`t�.:;:1`w ,�#'- -•+iE �:. ..!I.. on..,•�,..1�r ,Ir. T=i1.F','-... .-�lS:,- i.:3..-...tF�'�..... Allowance No.4 will provide for the installation of 6-Inch to 12-inch concrete curb on back of sidewalk In lieu of a retaining wall to match existing topography,installation of 3-foot wide concrete valley gutter and lay down curb for drainage purposes and sprinkler system repairs on Mount Vernon Avenue, i I i I i His understood and agreed that the acceptance of Ihis Construction Allowance Request by the contractor constitutes an accord and salisfaclton and I represents payment In full for all costs arising out of,or Incidental to,the above Construction Allowance Request: :tl:l:....,:m_r"v -- ^tit3S;Hz�.--:•=e^Tyiy '�! 'a,.,:_>:t,��:h: ^i�^rl•�•-•_:s4�te: ,. f:it�i; :..R�:_.�:'r^!-:Y'Y•:YIr•.-�1::nF.t:-�..J n16�'1}:^.ti-"�t�'jt>:-:'i t +.. n: :%r..$i! trr.7::5::_w: 0 tr .S @ •ri�_Ne r:d.. Sri ,.. 5'"�rci.'�o�ltraq ii�:,aQrp. �mQ �: _T�,.•�CQl!lraslod.N.ama�:�!���__�_�.--_:,_.•�G_A..�4lQG_ 81lllC.��:��_� D Gra-Tex Utilities,Inc Shelson Rosenbaum ' .,,.mar ",s:•'ra Sng:i:::l,•r.'''ivi'....... it i i;••iiS,S`�'E=:%rr:l?:^i i ` :T .a t2�$t@= Ahe eLn .,.1 st' 12-2-2021 /2 2 i ..�..^.� r...... iaEt?r: y:aa 3 rn2•*:ramnui qlt Ili ►t ::.: . .=03 t�-- a _�a 120t naln 5 AvbT Ne:. •c : :g. •��� �:•c •::;rq;l;;; �t,� .1mrllnrAer r.S Dec 3,2021 44ZaK�?upA& 12/2/21 b.:L�.+. i 1?9•:a^• =::t.,..,y�.,.tr,: :y�?q:;n�q;na:;Yi7a•�;„!=•a.".i;i;i_ =kSl�i''"'tasy�.�'r ni"t: tw%3in ..7::�tii=.�..g 1aa� t •� � ��e�1 As.�1s1a>��l �Ilet►a ef. Dec 6,2021 Dec 7,2021 ._ .. ... s.... ::�:.., .. -c.-. ._... y„ - fmr. ,c.a�;.:`ag;:�• .Jvr'- r s.� ., -fi- —.i s s "ey4r_•:.4:=m�-!}._ ::r:. ::a s>,:r:;!i �.2�i'`i'�7ri smruiis^ - '^_L: r•,:4... .. •:4C-'t1:::i:�;;.:i_:. :,.i:y'siiii:,,s.: ..��.e{:i�: ,.d.!.t., `.'�.. ^,.,.:t::il-i��tiil�!i;ratcl_;:r.;i'ili;aft•U9t:iE-':.`+::Y'i1?;:a'.�';a..s.•.: . FORT WORT 11 City of Fort Worth Construction Allowance Request Project Name Water and Sanitary Sewer Replacement Contract 2016 WSM-F,Part 2 City Sec No. 54016 Project No.(s) 30100-0200431-CO2727-006280 M&C: 20-0305 City Proj.No. CO2727 Project Water,Sanitary Sewer and Paving Improvements on Mount Vernon Avenue,Newark Avenue,Sanderson Avenue and Description Crestview Drive Contractor Gra-Tex Utilities,Inc Allowance No: 0 Date: 1113012021 City Project Mgr. J.Chris Underwood City Inspector F Pedro Hernandez CONS I RUG I ION ALLOWANCE I I EMS I U BE ADDED -1TE DL m ' DEPT Qt Unit Unit Cost Total P-33 6-inch to 1212-inch Concrete Curb on Back of Sidewalk Paving 200.00 LF $19.25 $3,850.00 P-34 3-foot Concrete Laydown Curb and Small Valley Gutter Paving 100.00 LF $38.50 $3,850.00 P 35 Sprinkler System Repairs Paving 1.00 LS $3,000.00 $3,000.00 l Water i, Sewer Paving $10,700.00 Page 2 of 4 Additions Sub Total 1$10,700.00 i F o3RT Wo wri-3 City of Fort worth 1=- � Construction Allowance Request Project Name Water and Sanitary Sewer Replacement Contract 2016 WSM-F,Part 2 City Sec No. F 54016 Project No.(s) 30100-0200431-CO2727-006200 M&C: 20- 3305 City Proj.No. F CO2727 Project Description Water,Sanitary Sewer and Paving Improvements on Mount Vernon Avenue,Newark Avenue,Sanderson Avenue and Crestview Drive Contractor Gra-Tex Utilities,Inc Allowance No: © Date 11/3012021 City Project Mgr. J.Chris Underwood City Inspector EPedro Hernandez CONSTRUCTION ALLOWANCE ITEMS TO BE DELETED ITEM DESCRIPTION I DEPT I Qly Unit Unit Cost (Total Water Sewer Paving Page 3 of 4 Deletions Sub Total MIWBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders Co It DATE AMOUNT Total $0.00 Page 4 of 4 CSC No.54016-COl I I r--'oRT City of Fort Worth Change Order Request Project Name:1 Water and Sanitary Sewer Replacement Conlracl2016 WSM-F,Part 2 Clly Sec No,; 64016 II Project No.(s); 69601.0600430-002727-001783 M&C; 20-0305 C1IyProJ.No,:J 02727 ! Project Description; Water,Sanitary Sewer and Paving Improvements on Mount Vernon Avenue and Crestview Drive Conlroclor; Ora-Tex Ulllillos,Ino, Change order# C1� Dale; 121712020 City Project Mgr, J.Chris Underwood Cily Inspector; Pedro Hernandez Phone Number; 817-392-2829 Phone Number; 817-992-3991 Dept, Water Sewer Paving Totals Contract Time, (Calendar days) Original Contract Amount $2,626,060.26 i :.$100,607.00 $1,203,897.75 $4;0.10,t63i00 i 366 Extras to Dale Credits to Date J Pending Change Orders(In M&C Process) J Contract Cost to Date $11316 93%60 :i, ;$64,A 86 00`' Amount'of Proposed Change Order - 4DJ500;00 I !$AO;SO..O.00;ai ' 010QQ100; :! 13014 1ConlractAmount $1,367OW60 ; ''$54;;93.8100 , :$40;60010-Q:i= ff$df462107660 Original Funds Available for Change Orders $78,776.00 $6,029.00 $64,185.00_ t�w$4h7;9QQ(0`--I Remaining Funds Available for this CO -$78,716.00 $6,0291OQ $G4(10:5100 $;4;d7,, QQ 00" f Additional Funding(If necessary) CHANGE ORDERS fo DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT '2102°l0 I MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $Gj012(Q04'1i26'. _ JUsm�giGrnloN;���,asa.�s)`RQR+QWPiNQp l The change order will provide for matching existing 8-Inch curb and 30dnch gutter replacement,In Ileu of,bid proposal of 7-Inch curb and 18- Inch gutter replacement, 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, ConIrablor's.Coni W Name Contmolor%ime 'foltl0iotor3lohEiture DO I Gra-Tex Utilities,Ind. Jliii Brent a a s ie for DiIto Pro eol Manager 1 Mineee �lesls(aiil,OlrColori W,alernq i 'bolo 1'70A6eiw000%i erAQo_r pW Pe rl i Ao le. • s. Dec8,2020 �, 2-9—,?d I ai'f(i�1C l�1lQ'r_ne 001b i I selslanl 011 ,Manager 1pale Dec il,2020 Dec 11,2020 'CounrilfAtillon'It'f�e�ufreil' _ M&C Number NIA M&C Data Approved NfA i i i I I i i i 1F'anT WORD City of Fort Worth —�= Change Order Additions Project Name Water and Sanllary Sewer Replacement Contract 2016 WSM-F,Part 2 City Sec No,: 54016 Project No,(s): 69601.0600430-G02727-001703 DOE No. 20-0305 City Pro).No.: 02727 Project Water,Sanitary Sewer and Paving Improvements on Mount Vernon Avenue and Creslvlew Drive Description Contractor Gra-Tex Utilities,Inc. Change Order:= Dale: 1217l2020 City Project Mgr. J.Chris Underwood City Inspector rPedro Hernandez i ADDITIONS -1'I' M— DES(;f#I 'PION -b—EPTI—Qty DR11it It Cost Total W-61 0-Inch Curb and Winch Guller Installllon(60/50) Water 4,600.001 LF 1$54.00 1$243,000.00 P-32 8-Inch Curb and 30•Inct)Gutter Inslallllon(60160) Paving 4600.00 LF $54.00 1$243,000.00 I I I i I i Water $243,000,00 Sewer Paving $243,000.00 i Page 2 of 4 Additions Sub Total $486,000,00 1F((3n-F Vv®P-.-Fm City of Fort Worth — -- Change Order Deletions Project Name Water and Sanitary Sewer Replacement Contract 2016 WSM-F,Part 2 City Sec No.: 64016 II Project No,(s): 69601-0600430•CO2727-CO1703 DOE No. 20-03 City Proj.No.: 02727 t Project Description Water,Sanitary Sewer and Paving Improvements on Mount Vernon Avenue and Crestview Drive I Contractor Gra Tex Uliiilies,Inc. Change Order: M Data 121712020 I City Project Mgr. J.Chris Underwood City Inspector: Pedro Hernandez DELETIONS ITEM DESCRIPTION DEPT filly Unit Unit Oost Total W-30 7-Inch Curb and Gutter(60/60) Water h,600.00 LF $46.00$202,600.00 P-0 7-Inch Curb and Gutter(60160) Paving 4,600.00 LF $ 0$202,500.00 �I I I � { I i III l I I Water $202,600.00 Sewer Paving J$202,6100,00 Page 3 of 4 Deletions Sub Total $405,000,00 i I � MMBE Breakdown for this Change Orden MWBE Sub Type of Serylce Amount for this CO ------------ Total $0.00 I Previous Change Orders co It DATE AMOUNT Total $0.00 I j Ii i I Page 4 of 4 CSC No,54016-CO2 FO R.T WORTH City of Fort Worth Change Order Request Project Name:1 Water and Sanitary Sewer Replacement Contract 2016 WSM-F,Part 2 City Sec No.: 1 54016 Project No.(s): 59601.0600430•CO2727-001783 I M&C: 20-0305 CilyProj.No.:1 02727 Project Descflpllon: Water,Sanitary Sewer and Paving Improvements on Mount Vernon Avenue and Crestview Drive I Contractor: Gra-Tex Utilities,Inc. Change Order it 0 Dale; 1 12116/2021 i City Project Mgr.1 J,Chris Underwood City Inspector: Pedro Hernandez Phone Number; 817-392-2629 Phone Number: 817-992-3991 Dept. Water Sewer Paving Totals Contract Time (Calenrler days) Original Contract mount 2 625 868.25 100 587,00 1283 697.76 4 010153,00 365 g lratA $ , � $ � $ � � $ � . , Extras to Date $40,500.00 $40,500.00 $814000,00 Credits to Dale Pending Change Orders(in M&C Process) Contract Cost to Dale $2,666,368,26 $100,587,00 : $1,324,197,75 $4;091;453,00 365 Amount of Proposed Change Order ';$0.00. $4,080-00 16,500.00' . $111386-60 180 Revised Contract Amount $2,666,368,25 '.$105,473.,50. $1,330,697.75 $4,102,539:50 545 Original Funds Available for Change Orders $70,776.00 $5,029.00 $64,185.00 $147;990.00 Remaining Funds Available for this CO $38,276,00 :$5,029,00 $23,685.00 $6.600,00 Additional Funding(if necessary) I CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 2:30% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) 1$5,0121691,25 !; +` i,.�..`.' ti<C,: „'; . JUSTIIiIQ/�71gN�(REg50NS),l'OR!Of The change order will provide for Major Manhole Adjustments to Increase the ring and cover size from 24-Inch to 30-Inch, Staff recommends the approval of 180 calendar days to the project for the additional effort to reconstruct addilinai sidewalks,retaining walls and driveways that had to be lowered during construction. �I t It Is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full(both time and money)for all costs arising out of,or Incidental to,the above Change Order, Gra-Tex Utilities,Inc, Sheldon Rosenbaum I / - 7-1/1 ;r , i.-,,:,..1, ll iJlatq° Ll;fi�'��t` '6•�tiNi I�.el',.,. � S.11 �_hlS�tiP.,1�ci, 41d'tilai,�{p`�je11°I, i;ij 12-20-2021 121 u if ofistiunlfoht$ '�rV�soiti l � T S, Jan 18,2022 ,cQ T�U.CIiLZ`� 12I20/21 }AssJsla0lC.11,gl�orn'e'' ` ;pates l 1;+�Aslstarit'iGil 1Mana sr f '>`'` r„a;%x'r�4<�'E,� ;:,,j)'leai.;= 1 Jan 21,20t2�2 ) Jan 22,2022 .l•il i t , 1i. 1--i ,tty ' )• _ �t n ' f). OR J , fleu'�:, •oZy n Y.: i ( _ QO�`Cl�1 OLIO ,I_ft lll[8Ci, l t r,'. ' L w, i_.+. ttt!4 'i�it,• M&C Number NIAN M&C Dale Approved ff'OPT WORTI-i City of Fort Worth � — Change Order Additions Project Name I Water and Sanitary Sewer Replacement Contract 2016 WSM-F,Part 2 City Sec No.; 54016 Project No.(s): 59601-0600430•CO2727-CO1703 DOE No. 20-030 City Pro).No,: 02727 Project Water,Sanitary Sewer and Paving Improvements on Mount Vernon Avenue and Crestview Drive Description Contractor Gra-Tex Utilities,Inc, Change Ortler:� Dale; 1211612021 City Project Mgr, J.Chris Underwood City Inspector Pedro Hernandez ADDITIONS ITEM —DESCRIPTION I DEPT I Qty JUnIt JUnItCost I Total S-24 Major Manhole Adjustments(50150) ISewer 2.001 EA 1$3,250.00 1 $6,600.00 P-36 Major Manhole Adjustments(60/50) JPaving 2,00 EA $3,250.00 $6,500.00 i I Water Sewer $6,500.00 Paving $6,500.00 Page 2 of 4 Addllions Sub Total 3,000.00 1 oR-r WoRT H City of Fort Worth Change Order Deletions Project Name Water and Sanllary Sewer Replacement Contract 2016 WSM-F,Part 2 City Sec No.: 54016 Project No.(s): 59601 0600430 CO2727 C017E13 DOE No. 20 03 City Pro].No.: F02727 Project Description Water,Sanllary Sewer and Paving Improvements on Mount Vernon Avenue and Crestview Drive Contractor Gra-Tex Utilities,Inc. Change Order: M Dale 1 12/16/2021 City Project Mgr. J.Chris Underwood City Inspector: F Pedro Hernandez DELETIONS ITEM DESCRIPTION I DEPT City Junit I Unit Cost Total S-2 0"DIP Sewer Pipe I Sewer I 3.00 LF $130.00$390.00 S-9 Imported Embedment/Backfill,Acceptable Material Isewer 20.00 CY $10,00 $200.00 S-13 5-foot Wide Asphalt Pavement Repair,Residential I Sewer I 2.00 LF $51.00$102.00 S-14 Asphall Pavement Repair Beyond Defined Width,Residential Sewer 9.50 SY $97.00$921.60 I Water Sewer $1,613,50 Paving Page 3 of 4 Deletions Sub Total 1$1,613.60 MIWBE Breakdown for this Change Order Amount for this CO MWBE Sub Type of Service Total $0.00: Previous Change Orders tt DATE AMOUNT Co I Total $0.00 I page 4 of 4 FORTWORTH TRANSPORTATION AND PUBLIC WORI{S PIPE REPORT FOR: PROJECT NAME: Water&Sanitary Sewer Replacements Contact 2016-WSM-F,Part 2 CITY PROJECT NUMBER: "CO2727" WATER PIPE LAID SIZE TYPE OF PIPE LF 12" PVC 2173 12" DIP 64 8" PVC 5162 8" DIP 144 6" PVC 77.5 FIRE HYDRANTS: 6 VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: 1" (184) Water Service 2" (5) Water Service SEWER PIPE LAID SIZE TYPE OF PIPE LF 8" DIP 227 I PIPE ABANDONED SI ZE ZiJ TYPE OF PIP>✓ LF DENSITIES: NEW SERVICES: 4" (3) PVC TRANSPORTATION AND PUBLIC WORICS The City of Fort Worth• 1000 Throclunorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 FORTWORTH, TRANSPORTATION AND PUBLIC WORKS June 2,2022 Gra-Tex Utilities, Inc. P.O. Box 700 Arlington,TX 76004 RE: Acceptance Letter Project Name:Water and Sanitary Sewer Replacement Contract 2016 WSM-F, Part 2 Project Type: Water,Sewer, Paving City Project No.: 02727 To Whom It May Concern: I On May 26, 2022 a final inspection was made on the subject project. There were punch list items I identified at that time. The punch list items were completed on June 2, 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 June 2, 2022,which is the date of the f punch list completion and will extend of two(2)years in accordance with the Contract Documents. If you have any y questions concerning this letter of acceptance, please feel free to contact me at 817- 392-2629. Sincerely, 7 Chni UIIW9P -GtJXW J.Chris Underwood(Jun 3,202212:12 CDT) Chris Underwood, Project Manager Cc: Pedro G. Hernanez, Inspector Wade Miller, Inspection Supervisor Ariel Duarte,Senior Inspector Chris Underwood, Program Manager Water Department, Consultant Gra-Tex Utilities, Inc, Contractor N/A, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.8/20/19 CONSENT OF SURETY O\VNRR TO FINAL PAYMENT ARCMTECT > ALA Document G707 CONTRACTOR 0 Bond Number: 46BCSHP4385 SURMPY OOTM 1l TO OWNER: ARCliincrS PROJECT NO.: Project #02727 (Naineandaddrm) City of Fort Worth Applicable Bond Number: 46BCSHP4385 1000 Throckmorton CONTRACT FOR: Water and Sanitary Sewer Replacement Fort Worth,Texas 76102 PROJECT: CONTRACT DATED: 5-8-2020 (Nmueanda,klrrr� Water and Sanitary Sewer Replacement City of Fort Worth Project#02727 (Contract 2016 WSM-F Part 2) CONTRACTOR: Gra-Tex Utilities,Inc. In accordance vMh the provisions of the Contract between the Owner and the Contractor as indicated above,the llnae,t na,ntond addrswxofSLrety) Hartford Fire Insurance Company,Surety Company Insurica DFB 700 Highlander Boulevard,Suite 340 Arlington,Texas 76015 SURETY, on bond of Gra-Tex Utilities,Inc. (inten nameand addn,4tgfCatfmcfru) P.O.Box 700 Arlington,Texas 76004 , CONTRACTOR, hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall n(it relieve the Surety of any of its obligations to the City of Fort Worth,Texas (Itlmtt,u,nrearrd add,sxssoJCkrmcT) 1000 Throckmorton Fort Worth,Texas 76102 , OWNRR, as set ford)in said Surety's bond. 1N\MTNESS VMREOF,the Surety has hereunto set its band on this date: 1 st of June,2022 (Dray!MRIYI r(t11N);rontbfb1W d41,9mmama(dweawl.mrl Hartford Fi'9nsurance Company (sYq,raltnr J ulborizal+rp,»rntatirrl Attest: ` Jini'Barr,Attorney-in-Fact (seal): s (M9urd,ran+e and tlrlrl G707--1994 Direct Inquiries/Claims to: THE HARTFORD BOND,T-12 POWER OF ATTORNEY HartfOne ord,Connectcut 06155 Bond.Claims(cDthehartford.com call:888.266-3488 orfax:860.757.5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: INSURICA INS MANAGEMENT NETWORK Agency Code: 46-510067 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 Hartford Accident and Indemnity Company,a corporation duly organized under the laws of the State of Connecticut OHartford 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 0 Hartford Insurance Company of the Southeast,a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut,(hereinafter collectively referred to as the"Companies")do hereby make,constitute and appoint, up to the amount of Unlimited : JIM BARR, ROGER REDDEN, RHONDA WELLS, RUSSELL BOARD of ARLINGTON, Texas their true and lawful Attorney(s)-in-Fact, each in their separate capacity if 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. F?=1 A �� rr �`+��rnntv�` - ynl►1 ;';1974 a=t t079 '► ♦ y 'Ai �� �1' may`•., .,•'�� fi �► ,v� 979 John Gray,Assistant Secretary M.Ross Fisher,Senior Vice President STATE OF CONNECTICUT Ss. Hartford COUNTY OF HARTFORD I On this 5th day of January,2018,before me personally came M.Ross Fisher,to me known,who being by me duly sworn,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. �ttT.argj. ;i'wu"ry�3 �✓��v�-��11 � Kathleen T.Maynard Notary Public CERTIFICATE My Commission Expires July 31,2021 I,the undersigned,Assistant Vice President of the Companies, 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 effective as of Signed and sealed at the City of Hartford. `��r� .,+^ti yv.cr,.in.rli`n '. LO!}!` ,{` fyrMhrb �.✓��'�'��. 3�,roefua ,��� 'r .� '��nnntvf� � Yount► ">.:,1979 ;�' ZC74 79Y9 '�1���' KeVin Heckman,Assistant Vice President POA r018 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.Qov E-mail: ConsumerProtection@tdi.texas.goy 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 i I ./TX4275-1 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#02727 - 2016 WSM-F Part 2 BY )project Manager Subscribed and sworn before me on this date 26 Day of May, 2022. KJIRSTEN L.STULTS ✓ •: My Notary ID#124659422 N ary Public r _ ;�. � Expires August 22,2023 TJ,wrA�A' County, State