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Contract 52108-FP1
NN Coded 02.09.23 Vendor Name: PM Construction Invoice No. 52108-FP1 Invoice Date: 02/08/2023 Release Retainage - $173,839.46 FID 56016-2060000-CO2448-CRETAN FORTWORTH WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES NOTICE OF PROJECT COMPLETION CSC No. 52108-FP1 56002-CO2448 CS-52108 Regarding contract 52108 for Upper Clear fork Drainage Basin Interceptor Improvements as required by the Water Department as approved by City Council on 2-12-2019 through M&C C-29038 the Director of the Water Department, upon the recommendation of the Sr. Capital Projects Ofircer, Capital Projects Delivery, Water Department, has accepted the project as complete. Original Contract Prices: Amount of Approved Change Orders: Revised Contract Amount: Total Cost Work Completed: Less Deductions: Liquidated Damages: Other Deductions(see comments): Total Deduction Amount: Total Cost Work Completed: Less Previous Payments: Final Payment Due Recommended for Acceptance Assistant Director, Water Department Clad f Ard&r Christopher arder(Feb 9, 202316:37 CST) Accepted Director, Water Department Dana Burghdoff Dana Burghdoff eb 10, 202310:51 CST) City Manager $3,637,206.04 ($2,686.37)Ne 1 $3,634,519.67 $3,476,790.05 0 Days @ $630.00/ Day $0.00 $3,476,790.05 $3,302,950.59 $173,839.46 ze) 12- E�' Date Date Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Project Name: Upper Clear fork Drainage Basin Interceptor Improvements DOE. Ns: Comments: City Project Numbers 56002-0700430-CO2448-CO1783 Contract Name Upper Clear Fork Drainage Basin Interceptor Improvements Contract Limits Council District 9 Project Type Sewer Project Funding Project Manager Domenech Inspectors Johnson / Reed Contractor PM CONSTRUCTION AND REHAB, LLC 1131 N RICHEY PASADENA, TX 77506 56002-CO2448 CS-52108 DOE Number 2448 Estimate Number 31 Payment Number 31 For Period Ending 1/26/2023 City Secretary Contract Number 52108 Contract Date 2/12/2019 Contract Time 365 CD Days Charged to Date 874 CD Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded Total Cost of Work Completed $3,476,790.05 Less 0 % Retained $0.00 Net Earned $3,476,790.06 Earned This Period $285,747.28 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 / Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $3,191,042.78 Plus Material on Band Less 15% $0.00 Balance Due This Payment $285,747.28 Tuesday, February 7, 2023 Page 9 of 9 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name Upper Clear Fork Drainage Basin Interceptor Improvements Contract Limits Council District 9 Project Type Sewer City Project Numbers 56002-0700430-CO2448-CO1783 DOE Number 2448 Estimate Number 31 Payment Number 31 For Period Ending 1/26/2023 CD City Secretary Contract Number 52108 Contract Date 2/12/2019 Project Manager Domenech Contractor PM CONSTRUCTION AND REHAB, LLC 1131 N RICHEY PASADENA, TX 77506 Inspectors Johnson / Reed Contract Time 36GD Days Charged to Date 874 Contract is 96.000 Complete Tuesday, February 7, 2023 Page 1 of 9 City Project Numbers 56002-0700430-CO2448-CO1783 Contract Name Upper Clear Fork Drainage Basin Interceptor Improvements Contract Limits Council District 9 Project Type Sewer Project Funding Unit I Trinity Park I DOE Number 2448 Estimate Number 31 Payment Number 31 For Period Ending 1/26/2023 Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 3331.2116 54" CIPP 475 LF $470.00 $223,250.00 475 $223,250.00 2 3339.0001 Epoxy Manhole Liner 6.3 VF $336.00 $2,116.80 6.5 $2,184.00 3 9999.0001 Modified Type A Manhole 1 EA $17,500.00 $17,500.00 1 $17,500.00 4 9999.0002 Epoxy Line and Remove and (CO#1) 1.5 EA $21,250.00 $31,875.00 1.5 $31,875.00 5 3201.0201 Asphalt Pvmt Repair Beyon (CO#1) 20 SY $127.00 $2,540.00 20.22 $2,567.94 7 3291.0100 Topsoil 280 CY $31.00 $8,680.00 8 3292.0100 Block Sod Placement 5038 SY $6.25 $31,487.50 9 3301.0001 Pre -CCTV Inspection 475 LF $25.00 $11,875.00 475 $11,875.00 10 3301.0002 Post -CCTV Inspection 475 LF $4.50 $2,137.50 475 $2,137.50 11 3301.0101 MH Vacuum Testing I EA $250.00 $250.00 12 3305.0109 Trench Safety 10 LF $2.00 $20.00 10 $20.00 13 3305.0110 Utility Markers 1 LS $935.00 $935.00 14 3305.0112 Concrete Collar 3 EA $1,555.00 $4,665.00 1 $1,555.00 15 3471.0001 Traffic Control 1 MO $1,430.00 $1,430.00 3 $4,290.00 16 3303.0001 Bypass Pumping I LS $175,000.00 $175,000.00 1 $175,000.00 17 3125.0101 SWPPP >_ 1 acre I LS $18,700.00 $18,700.00 1 $18,700.00 18 0171.0101 Construction Staking I LS $1,870.00 $1,870.00 1 $1,870.00 19 0171.0102 As -Built Survey 1 LS $1,870.00 $1,870.00 1 $1,870.00 20 Structure Reh. w/ Warren coating (CO#1) 77 SF $41.80 $3,218.60 77 $3,218.60 21 By Pass Equip. Rental (CO#1) 3 MO $30,610.80 $91,832.40 3 $91,832.40 22 Demob. During FWSSR (CO#1) 1 LS $23,362.81 $23,362.81 1 $23,362.81 23 -------------------------------------- Warren Epoxy 250 mils Warren Reh. (CO#1) 4 EA $23,979.75 $95,919.00 4 $95,919.00 Sub-Total of Previous Unit $750,534.61 $709,027.25 Unit II Trinity Park II Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 20 - - - - - ---- 3331.2116 54" CIPP ------------------------- 370 LF $335.00 $123,950.00 370 $123,950.00 22 3339.0001 Epoxy Manhole Liner 8 VF $336.00 $2,688.00 16.52 $5,550.72 23 3339.1103 5' Extra Depth Manhole 2 VF $392.00 $784.00 24 3339.1105 5' Type A Manhole 1 EA $19,000.00 $19,000.00 Tuesday, February 7, 2023 Page 2 of 9 City Project Numbers 56002-0700430-CO2448-CO1783 DOE Number 2448 Contract Name Upper Clear Fork Drainage Basin Interceptor Improvements Estimate Number 31 Contract Limits Council District 9 Payment Number 31 Project Type Sewer For Period Ending 1/26/2023 Project Funding 25 9999.0001 Modified Type A Manhole 1 EA $21,000.00 $21,000.00 2 $42,000.00 26 3201.0201 Asphalt Pvmt Repair Beyon (CO#1) 37 SY $127.00 $4,699.00 19.5 $2,476.50 27 3291.0100 Topsoil 71 CY $31.00 $2,201.00 28 3292.0100 Block Sod Placement 1272 SY $5.00 $6,360.00 29 3301.0001 Pre -CCTV Inspection 370 LF $26.00 $9,620.00 370 $9,620.00 30 3301.0002 Post -CCTV Inspection 370 LF $5.00 $1,850.00 370 $1,850.00 31 3301.0101 MH Vacuum Testing 2 EA $250.00 $500.00 32 3305.0109 Trench Safety 20 LF $2.00 $40.00 20 $40.00 33 3305.0110 Utility Markers 1 LS $935.00 $935.00 34 3305.0112 Concrete Collar I EA $1,870.00 $1,870.00 2 $3,740.00 35 3471.0001 Traffic Control 1 MO $1,250.00 $1,250.00 3 $3,750.00 36 3303.0001 Bypass Pumping 1 LS $151,000.00 $151,000.00 1 $151,000.00 37 3125.0101 SWPPP >_ 1 acre 1 LS $13,500.00 $13,500.00 1 $13,500.00 38 0171.0101 Construction Staking 1 LS $1,870.00 $1,870.00 1 $1,870.00 39 0171.0102 As -Built Survey 1 LS $1,870.00 $1,870.00 1 $1,870.00 40 -------------------------------------- Structure Reh. w/ Warren Epoxy 154 SF $41.80 $6,437.20 154 $6,437.20 Sub-Total of Previous Unit $371,424.20 $367,654.42 Unit III University Drive Item Description of Items No. --------------- 40 3331.2115 48" CIPP 41 9999.0002 Epoxy Line and Remove and 42 3201.0201 Asphalt Pvmt Repair Beyon 43 3291.0100 Topsoil 44 3292.0100 Block Sod Placement 45 3301.0001 Pre -CCTV Inspection 46 3301.0002 Post -CCTV Inspection 47 3305.0110 Utility Markers 48 3471.0001 Traffic Control 49 3471.0002 Portable Message Sign 50 3303.0001 Bypass Pumping 51 3292.0600 Mowing 52 3125.0101 SWPPP > 1 acre Estimated Unit Unit Cost Estimated Completed Completed Quanity Total Quanity Total ----------------------- 690 LF $250.00 $172,500.00 690 $172,500.00 2 EA $24,000.00 $48,000.00 2 $48,000.00 963 SY $128.00 $123,264.00 183 CY $31.00 $5,673.00 3265 SY $5.00 $16,325.00 257.42 $1,287.10 690 LF $22.00 $15,180.00 690 $15,180.00 690 LF $5.00 $3,450.00 690 $3,4%00 1 LS $930.00 $930.00 3 MO $15,300.00 $45,900.00 1.5 $22,950.00 12 WK $400.00 $4,800.00 2 $800.00 1 LS $164,000.00 $164,000.00 1 $164,000.00 3 EA $930.00 $2,790.00 1 LS $7,150.00 $7,150.00 1 $7,150.00 Tuesday, February 7, 2023 Page 3 of 9 City Project Numbers 56002-0700430-CO2448-CO1783 DOE Number 2448 Contract Name Upper Clear Fork Drainage Basin Interceptor Improvements Estimate Number 31 Contract Limits Council District 9 Payment Number 31 Project Type Sewer For Period Ending 1/26/2023 Project Funding 53 0171.0101 Construction Staking 1 LS $1,870.00 $1,870.00 1 $1,870.00 54 -------------------------------------- 0171.0102 As -Built Survey 1 LS $1,870.00 $1,870.00 1 $1,870.00 Sub-Total of Previous Unit $613,702.00 $439,057.10 Unit IV River&ont Drive Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 55 - - - - - - 3331.2115 48" CIPP - - - - - - 185 LF - - - - $375.00 - - - - $69,375.00 - - - - 185 - - - $69,375.00 56 3339.0001 Epoxy Manhole Liner 20 VF $337.00 $6,740.00 15 $5,055.00 57 3339.1103 5' Extra Depth Manhole 11 VF $392.00 $4,312.00 9 $3,528.00 58 3339.1105 5' Type A Manhole 1 EA $23,000.00 $23,000.00 1 $23,000.00 59 9999.0001 Modified Type A Manhole (CO#1) 0 EA $24,500.00 $0.00 60 3201.0201 Asphalt Pvmt Repair Beyon 336 SY $128.00 $43,008.00 79.09 $10,123.52 61 3301.0001 Pre -CCTV Inspection 185 LF $27.00 $4,995.00 185 $4,995.00 62 3301.0002 Post -CCTV Inspection 185 LF $5.00 $925.00 185 $925.00 63 3301.0101 MH Vacuum Testing 2 EA $250.00 $500.00 64 3305.0109 Trench Safety 20 LF $2.00 $40.00 15 $30.00 65 3305.0110 Utility Markers 1 LS $930.00 $930.00 66 3305.0112 Concrete Collar 2 EA $1,370.00 $2,740.00 67 3471.0001 Traffic Control I MO $35,900.00 $35,900.00 1 $35,900.00 68 3303.0001 Bypass Pumping 1 LS $207,000.00 $207,000.00 1 $207,000.00 69 3125.0101 SWPPP _> 1 acre I LS $5,300.00 $5,300.00 1 $5,300.00 70 0171.0101 Construction Staking 1 LS $1,870.00 $1,870.00 1 $1,870.00 71 0171.0102 As -Built Survey I LS $1,870.00 $1,870.00 1 $1,870.00 72 Epoxy Line & Rep. Structure Top w / 250 mil WE 1 EA $33,079.20 $33,079.20 1 $33,079.20 (CO#1) -------------------------------------- Sub-Total of Previous Unit $441,584.20 $402,050.72 Unit V Davidson Railyard I Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. - Quanity Total Quanity Total - 72 - - - - - - - - - 3331.2115 48" CIPP - - - - - - 110 LF - - - - $527.00 - - - - - - - - $57,970.00 575 $303,025.00 73 3339.0001 Epoxy Manhole Liner (CO#1) 0 VF $336.00 $0.00 74 3339.1103 5' Extra Depth Manhole (CO#1) 0 VF $392.00 $0.00 75 3339.1105 5' Type A Manhole (CO#1) 0 EA $22,800.00 $0.00 Tuesday, February 7, 2023 Page 4 of 9 City Project Numbers 56002-0700430-CO2448-CO1783 Contract Name Upper Clear Fork Drainage Basin Interceptor Improvements Contract Limits Council District 9 Project Type Sewer Project Funding DOE Number 2448 Estimate Number 30 Payment Number 30 For Period Ending 3/31/2021 76 9999.0001 Modified Type A Manhole 1 EA $26,700.00 $26,700.00 77 3211.0122 6" Flexible Base, Type A, (CO#1) 180 SY $31.00 $5,580.00 78 3301.0001 Pre -CCTV Inspection 110 LF $31.00 $3,410.00 79 3301.0002 Post -CCTV Inspection 110 LF $5.00 $550.00 80 3301.0101 MH Vacuum Testing 2 EA $250.00 $500.00 81 3305.0109 Trench Safety 20 LF $187.00 $3,740.00 82 3305.0110 Utility Markers 1 LS $935.00 $935.00 83 3303.0001 Bypass Pumping 1 LS $195,000.00 $195,000.00 84 3125.0101 SWPPP >_ 1 acre I LS $4,700.00 $4,700.00 85 0171.0101 Construction Staking 1 LS $1,870.00 $1,870.00 86 0171.0102 As -Built Survey 1 LS $1,870.00 $1,870.00 87 0135.0101 Railroad Coordination 1 LS $6,400.00 $6,400.00 88 Manhole Rehab W/ 250 mils Warren (CO#1) 23.15 VF $533.50 $12,350.53 89 ------------------------------ Remove and Replace Manhole Cone & Cover(CO#1) 1 LS $4,787.20 $4,787.20 Sub-Total of Previous Unit $326,362.73 Unit VI Davidson Railyard H Item Description of Items No. --------------- 88 3331.2110 24" CIPP 91 3339.1105 5' Type A Manhole (CO# 1) 92 9999.0001 Modified Type A Manhole 93 3211.0122 6" Flexible Base, Type A, 94 3301.0001 Pre -CCTV Inspection 95 3301.0002 Post -CCTV Inspection 96 3301.0101 ME Vacuum Testing 97 3305.0109 Trench Safety 98 3305.0110 Utility Markers 99 3305.0112 Concrete Collar 100 3303.0001 Bypass Pumping 101 3125.0101 SWPPP >_ 1 acre 102 0171.0101 Construction Staking 103 0171.0102 As -Built Survey 104 0135.0101 Railroad Coordination Estimated Unit Unit Cost Estimated Quanity Total -------------- 1400 LF $85.00 $119,000.00 0 EA $22,800.00 $0.00 1 EA $29,250.00 $29,250.00 556 SY $31.00 $17,236.00 1400 LF $14.00 $19,600.00 1400 LF $5.00 $7,000.00 2 EA $250.00 $500.00 20 LF $311.00 $6,220.00 1 LS $935.00 $935.00 1 EA $1,500.00 $1,500.00 1 LS $205,000.00 $205,000.00 1 LS $5,000.00 $5,000.00 1 LS $1,870.00 $1,870.00 1 LS $1,870.00 $1,870.00 1 LS $7,000.00 $7,000.00 575 $17,825.00 575 $2,875.00 1 $195,000.00 1 $1,870.00 1 $1,870.00 1 $6,400.00 23.15 $12,350.53 1 $4,787.20 $546,002.73 Completed Completed Quanity Total 1400 $119,000.00 1400 $19,600.00 1400 $7,000.00 1 $205,000.00 1 $1,870.00 1 $1,870.00 1 $7,000.00 Tuesday, February 7, 2023 Page 5 of 9 City Project Numbers 56002-0700430-CO2448-CO1783 DOE Number 2448 Contract Name Upper Clear Fork Drainage Basin Interceptor Improvements Estimate Number 31 Contract Limits Council District 9 Payment Number 31 Project Type Sewer For Period Ending 1/26/2023 Project Funding 105 Remove Existing Mh Liner Prep W/ Warren (CO#1) 1 LS $13,475.00 $13,475.00 1 $13,475.00 106 Mh Rehab w/250 mils Warren (CO#1) 58.31 VF $533.50 $31,108.39 58.31 $31,108.39 107 Remove & Replace Mh Cone & Cover (CO#1) 2 EA $4,187.70 $8,375.40 2 $8,375.40 -------------------------------------- Sub-Total of Previous Unit $474,939.79 $414,298.79 Unit VII Davidson Railyard III Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total - - 105 - - - 3331.2110 24" CIPP - - - - - 440 LF - - - - $95.00 - - - - $41,800.00 - - - - 440 - - - - - $41,800.00 106 3339.0001 Epoxy Manhole Liner 32.59 VF $336.00 $10,950.24 32.3 $10,852.80 107 3339.1101 5' Manhole 2 EA $23,400.00 $46,800.00 2 $46,800.00 108 3339.1103 5' Extra Depth Manhole 21 VF $392.00 $8,232.00 21 $8,232.00 109 3137.0101 Concrete Riprap 187 SY $88.00 $16,456.00 110 3211.0122 6" Flexible Base, Type A, 278 SY $31.00 $8,618.00 111 3291.0100 Topsoil 86 CY $31.00 $2,666.00 112 3292.0400 Seeding, Hydromulch 1535 SY $2.00 $3,070.00 113 3301.0001 Pre -CCTV Inspection 440 LF $15.50 $6,820.00 440 $6,820.00 114 3301.0002 Post -CCTV Inspection 440 LF $4.00 $1,760.00 440 $1,760.00 115 3301.0101 MH Vacuum Testing 2 EA $250.00 $500.00 2 $500.00 116 3305.0109 Trench Safety 20 LF $187.00 $3,740.00 20 $3,740.00 117 3305.0110 Utility Markers 1 LS $935.00 $935.00 118 3303.0001 Bypass Pumping I LS $75,000.00 $75,000.00 1 $75,000.00 119 3125.0101 SWPPP >_ 1 acre 1 LS $11,800.00 $11,800.00 1 $11,800.00 120 0171.0101 Construction Staking 1 LS $1,870.00 $1,870.00 1 $1,870.00 121 0171.0102 As -Built Survey 1 LS $1,870.00 $1,870.00 1 $1,870.00 122 0135.0101 Railroad Coordination 1 LS $6,500.00 $6,500.00 1 $6,500.00 123 Add Debris Remov. (CO#1) 440 LF $3.30 $1,452.00 440 $1,452.00 124 24 " Tuberculation Remov. (CO#1) 1 LS $4,125.00 $4,125.00 1 $4,125.00 125 -------------------------------------- Encase 24 " Pipe W Concrete (CO# 1) 1 LS $3,850.00 $3,850.00 1 $3,850.00 Sub-Total of Previous Unit $258,814.24 $226,971.80 Unit VIII Medical District Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total Tuesday, February 7, 2023 Page 6 of 9 City Project Numbers 56002-0700430-CO2448-CO1783 Contract Name Upper Clear Fork Drainage Basin Interceptor Improvements Contract Limits Council District 9 Project Type Sewer Project Funding 123 3331.2111 27" CIPP 845 LF 124 3339.0001 Epoxy Manhole Liner 17 VF 125 3339.1101 5' Manhole 1 EA 126 3339.1103 5' Extra Depth Manhole 11 VF 128 3291.0100 Topsoil 63 CY 129 3292.0400 Seeding, Hydromulch 1133 SY 130 3301.0001 Pre -CCTV Inspection 845 LF 131 3301.0002 Post -CCTV Inspection 845 LF 132 3301.0101 MH Vacuum Testing 2 EA 133 3305.0109 Trench Safety 20 LF 134 3305.0110 Utility Markers 1 LS 135 3303.0001 Bypass Pumping 1 LS $ 136 3125.0101 SWPPP >_ 1 acre 1 LS 137 0171.0101 Construction Staking 1 LS 138 0171.0102 As -Built Survey 1 LS 139 0135.0101 Railroad Coordination 1 LS 140 Manhole Rehab w/ 250 Mils Warren (CO#1) 95.46 VF 141 Remove Fixed Debris 27" Pipe (CO#1) 1 LS 142 Clean Pipe W/ Rotatinf Nozzle (CO#1) 1 LS 143 Expose/Shore/Ab MH @ Sta 50+61 (CO#1) 1 LS Sub -Total of Previous Unit DOE Number 2448 Estimate Number 31 Payment Number 31 For Period Ending 1/26/2023 $123.00 $103,935.00 845 $103,935.00 $336.00 $5,712.00 18.2 $6,115.20 $24,250.00 $24,250.00 1 $24,250.00 $392.00 $4,312.00 12.5 $4,900.00 $31.00 $1,953.00 20 $620.00 $2.00 $2,266.00 $19.00 $16,055.00 845 $16,055.00 $4.00 $3,380.00 845 $3,380.00 $250.00 $500.00 1 $250.00 $311.00 $6,220.00 15 $4,665.00 $935.00 $935.00 127,000.00 $19,488.00 $127,000.00 1 $127,000.00 $6,250.00 $6,250.00 1 $6,250.00 $1,870.00 $1,870.00 1 $1,870.00 $1,870.00 $1,870.00 1 $1,870.00 $6,700.00 $6,700.00 $533.50 $50,927.91 70.3 $37,505.05 $11,924.00 $11,924.00 1 $11,924.00 $1,650.00 $1,650.00 1 $1,650.00 --------------- $19,488.00 1 $19,488.00 --------------- $397,197.91 $371,727.25 Tuesday, February 7, 2023 Page 7 of 9 City Project Numbers 56002-0700430-CO2448-CO1783 Contract Name Upper Clear Fork Drainage Basin Interceptor Improvements Contract Limits Council District 9 Project Type Sewer Project Funding Contract Information Summary Original Contract Amount Change Orders Change Order Number 1 Change Order Number 1 Change Order Number 1 Change Order Number 1 Change Order Number 1 Change Order Number 1 Change Order Number 1 Date Contractor Date,2- 7-'3 Inspec n Supervisor l. Date )l 3_ P ect Mlannager A)IA- A- Date Asst. Direc ort /TPW aIL4&�5G Harder Christopher arder(Feb 9, 202316:37 CST) Date Director / Contracting Department Total Contract Price DOE Number 2448 Estimate Number 31 Payment Number 31 For Period Ending 1/26/2023 $3,637,206.04 $74,453.81 ($83,097.80) $8,579.20 $33,469.27 $10,670.79 $9,427.00 $10,749.91 44- 3,7lySsl.o2 Total Cost of Work Completed $3,476,790.05 Less 0 % Retained $0.00 Net Earned $3,476,790.06 Earned This Period $285,747.28 Retainage This Period $0.00 Less Liquidated Damages Days @ / Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $3,191,042.78 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $285,747.28 Tuesday, February 7, 2023 Page 8 of 9 City Project Numbers 56002-0700430-CO2448-CO1783 Contract Name Upper Clear Fork Drainage Basin Interceptor Improvements Contract Limits Council District 9 Project Type Sewer Project Funding Contract Information Summary Original Contract Amount Change Orders Change Order Number 1 Change Order Number I Change Order Number 1 Change Order Number I Change Order Number 1 Change Order Number I Change Order Number 1 Date 2/7/2023 Contract Date?- 7-'3 Inspec n Supervisor YDate 3� PAJect Manager ,2 (211h Date v 2- 3 Asst. DirectorlEWX Cr�fr»Ftlder T1 Date Director / Contracting Department Total Contract Price DOE Number 2448 Estimate Number 31 Payment Number 31 For Period Ending 1/26/2023 $3,637,206.04 $74,453.81 ($83,097.80) $8,579.20 $33,469.27 $10,670.79 $9,427.00 $10,749.91 $3;634,553�7 .0" 3� 7!y SSC. 02 Total Cost of Work Completed $3,476,790.05 Less 0 % Retained $0.00 Net Earned $3,476,790.06 Earned This Period $285,747.28 Retainage This Period $0.00 Less Liquidated Damages Days @ / Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $3,191,042.78 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $285,747.28 Tuesday, Febmary 7, 2023 Page 8 of 9 FORTWORTH rev 03/05/07 WATER ENGINEERING & FISCAL SERVICES FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:31 NAME OF PROJECT: Upper Clear Fork Drainage Basin Interceptor Improvements PROJECT NO.: 2448 CONTRACTOR: PM Construction & Rehab CITY PROJECT 52018 PERIOD FROM: 03/31/2 1 TO: 01/26/23 FINAL INSPECTION DATE: 1/26/2023 WORK ORDER EFFECTIVE: 6/10/2023 CONTRACT TIME: 365 0 WD OQ CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. SAT, SUN, RAIN, TOO WET, UTILITIES DAYS TOTAL & HOLIDAYS & TOO COLD RELOCATIONS OTHERS* CHARGED DAYS THIS PERIOD 657 657 PREVIOUS PERIOD 435 435 TOTALS TO DATE 874 874 w-RI-1yuF:10.IqVIN31 LD- 2/7/2023 CTO DATE INSPECTOR DATE Capital Projects Delivery, Water Department The City of Fort Worth • 200 Texas Street • Fort Worth, T176012-6311 (817) 392 - 4477 • Fax: (817) 392 - 8460 0!t IF=F;Z, SOUTH CENTRRL STATE OF TEXAS COUNTY OF HARRIS AFFIDAVIT OF ALL BILLS PAID AND LIEN RELEASE THE UNDERSIGNED was contracted or hired by City of Fort Worth to furnish labor and/or materials in connection with certain improvements to real property described as follow: Contractor: PM Construction & Rehab, LLC dba IPR South Central, LLC Job Description: Project No.02445 For Work Performed Through: March 2021 Job Name: Upper Clear Fork Drainage Basin Interceptor Improvements Final Contract: $3,476,790.05 Job Location: Fort Worth, TX The undersigned certifies and warrants that there are no known mechanic's or material man's liens outstanding as of the date hereof, that all bills incurred by it with respect to the Work have been paid in full, and that there is no known basis for the filling of any mechanic's or material man's lien on the property and/or improvements above described by any person or entity performing work on behalf of the undersigned,; and to the extent permitted by applicable law, the undersigned does hereby waive and release any mechanic's or material man's lien or claims of lien of any other such person or entity, and further agrees to indemnify and hold the owner harmless from any said lien or claim including the payment of related costs, expenses, and responsible attorney's fees. PM Construction & Rehab. LLC dba_IPR South Central. LLC CONTRACTOR Ilk I NATURE Alam Ouintero PRINTED NAME Area Director TITLE SUBSCRIBED AND SWORN to before me, the undersigned on this the 12TH day of Januaa 2023. -c CLAO- Shl-VOLJ Notary Public for the State of Texas SANDRARICHNOW My Commission Expires: `•c'' c-'- My Notary ID # 5167981 Expires May 23, 2026 CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCFATFCT AIADocttmenl G707 CONTRACTOR Bond No. SU1155177 Arch SURFTY (Instructions on revere side) Bond No. ES00002539 CMiFR TO OWNER: ARCHITECT'S PROJECT NO,: ((Wwte attdad (mW City of Fort Worth CONTRACT' FOR: 100 Throckmorton St Fort Worth, TX 76102 PROJECT: CONTRACT DATED: (Name turd atklrew) Upper Clear Fork Drainage Basin Interceptor Improvements In ac(inl tnce with the ptrniskms of the Contract between the Owner and the Ctmtraaor as Indicated above, the (htsrrr trtmrr wul al0W gf.WMY) Arch Insurance Company 3 Parkway, Ste 1500 Philadelphia, PA 19102 on bond of (Infert wmtemtdadtkrssq'6b+Hroan+7 PM Construction & Rehab, LLC 131 N. Richey Everest Reinsurance Company 100 Everest Way Warren, NJ 07059 , SURETY, Pasadena, TX 77506 . CONTRACTOR, hereby approves of die final payment to the Contractor, and agrees that rmal payment to the ContmLtor shall not relieve the Surety of any 4Its obligadnns to Onxtrtrartteearladdr uofoawo2 City of Fort Worth 100 Throckmorton St Fort Worth, TX 76102 , OWNER, as set firth in said Sw t:ty's bond. IN WrINESS VA-IEREOr, the Surety has hereunto set Its haul on this date: December 22, 2022 (Irm" hi trN/hr((tbr utwuG jullatVt! Dr &v ttutmnfc t&Nrrr jd j%wr.) By: Attest. (Seal): Arch Insurance Company Everest Reinsurance COmDan (W-V) By: Nll" f.1()(»rUttrvojnrr nq>rcxYttalrr! Victoria P. Lyons Attorney -in -Fact (111tlkrt ttrttrtr rutAlH(rl = AM DOCUMENT OM-OLWiFNTOIIMIRMTOFIKXL►AYMF.N'r•IWIUMON• AIA 01994 • TWAMEttll k4 t85tTWMOFARa11T1y=,1735 KFWYDRXAVENUE, W WAS''H. S i s It(C'I , D.C. 2t1 &5292 G707--1994 SurePath2022 This Power ofAetorney limits the acts ofthose named herein, and Itrey have no authority to bind the Company except In the manner and to the extent herein .slated. .Vol vulld for Note, Loan, Letter of Credit, Currency Rate, Interest Rate or Residential Value Guarantees. POWER OF ATTORNEY Know All Persons By These Presents: That the Arch insurance Company, a corporation organized and existing under the laws of the State of Missouri, having its principal administrative office in Jersey City New Jersey (hereinafter referred to as the "Company") does hereby appoint: Victoria P. Lyons its true and lawful Attomey(s)in-Fact, to make, execute, seal, and deliver from the date of issuance of this power for and on its behalf as surety, and as its act and deed: Any and all bonds, undertakings, recognizances and other surety obligations, in the penal sum not exceeding One hundred and Fitly Million Dollars (150,000,000.00). Any and all bonds, undertakings, recognizances and other surety obligations. Surety Bond Number: SU1155177 Principal: PM Construction & Rehab, LLC Obligee: City offort Worth This authority does not permit the same obligation to be split into two or more bonds In order to bring each such bond within the dollar limit of authority as set forth herein. The execution ofsuch bonds, undertakings, recognizances and other surety obligations in pursuance of these presents shall be as binding upon the said Company as fully and amply to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at its principal administrative office in Jersey City, New Jersey. This Power of Attorney is executed by authority of resolutions adopted by unanimous consent of the Board of Directors of the Company on August 31, 2022, true and accurate copies of which are hereinafter set forth and are hereby certified to by the undersigned Secretary as being in full force and effect: "VOTED, That the Chairman of the Board, the President, or the Executive Vice President, or any Senior Vice President, or the Surety Business Division, or their appointees designated in writing and filed with the Secretary, or the Secretary shall have the power and authority to appoint agents and attorneys -in -fact, and to authorize them subject to the limitations set forth in their respective powers of attorney, to execute on behalf of the Company, and attach the seal of the Company thereto, bonds, undertakings, recognizances and other surety obligations obligatory in the nature thereof, and any such officers of the Company may appoint agents for acceptance of process." This Power of Attorney is signed, sealed and certified by facsimile under and by authority of the following resolution adopted by the unanimous consent of the Board of Directors of the Company on August 31, 2022: VOTED. That the signature of the Chairman of the Board, the President, or the Executive Vice President, or any Senior Vice President, of the Surety Business Division, or theirappointees designated in writing and filed with the Secretary, and the signature of the Secretary, the seal of the Company, and certifications by the Secretary, may be affixed by facsimile on any power of attorney or bond executed pursuant to the resolution adopted by the Board of Directors on August 31, 2022, and any such power so executed, sealed and certified with respect to any bond or undertaking to which it is attached, shall continue to be valid and binding upon the Company. In Testimony Whereof, the Company has caused this instrument to be signed and its corporate seal to be affixed by their authorized officers, This 31" day of August, 2022 Attested and Certified COZ Arch insurance Co pony A (HU413VATE Xpx— we sElt Regan A. Shulman, Secretary 1t� Stephen C. Ruschak, Executive Vice President STATE OF PENNSYLVANIA SS M1>wll� COUNTY OF PHILADELPHIA SS 1, Michele Tripodi, a Notary Public, do hereby certify that Regan A. Shulman and Stephen C. Ruschak personally known to me to be the same persons whose names are respectively as Secretary and Executive Vice President of the Arch Insurance Company, a Corporation organized and existing under the laws of the Slate of Missouri, subscribed to the foregoing instrument, appeared before me this day in person and severally acknowledged that they being thereunto duly authorized signed, sealed with the corporate seal and delivered the said instrument as the free and voluntary act of said corporation and as their own free and voluntary acts for the uses and purposes therein set forth. CorttsotrwuttA of NrrrgAwtla • idOtary feMi ArOttEtt 11111M ,[+lotaryftitk aMGoeaelrlouE�w 1'> CWAV MicheleTri odi,Not Public Paten*" Ilky Yr 11"M P CERTIFICATION My commission expires 07/31 /2025 L Regan A. Shulman , Secretary of the Arch Insurance Company, do hereby certify that the attached Power of Attorney dated August 31, 2022 on behalf of the person(s) as listed above is a true and correct copy and that the same has been in full force and effect since the date thereof and is in full force and effect on the date of this certificate; and I do further certify that the said Stephen C. Ruschak, who executed the Power of Attomey as Executive Vice President, was on the date ofexecution of the attached Power of Attomey the duly elected Executive Vice President of the Arch Insurance Company. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the Arch Insurance Company on this 22nd day of December. 2022 Regan A. Shulman, Secretary This Power of Attomey limits the acts of those named therein to the bonds and undertakings specifically named therein and they have no authority to bind the Company except in the manner and to the extent herein stated, PLEASE SEND ALL CLAIM INQUIRiE,S RELATING TO THIS BOND TO THE FOLLOWING ADDRESS: Arch Insurance —Surety Division 3 Parkway, Suite 1500 ppllt Tff Philadelphia, PA 19102 iFJYL 11711 To verify the authenticity of this Power of Attorney, please contact Arch Insurance Company at SuretyAuthenticLWarchlnsurence.corn Please refer to the above named Attorney -in -Fact and the details of the bond to which the power is attached. AICPOA08312022 Printed in U.S.A. ZWE R IESN, POWER OF ATTORNEY EVEREST REINSURANCE COMPANY KNOW ALL PERSONS BY THESE PRESENTS: That Everest Reinsurance Company, a corporation of the State of Delaware ("Company") having its principal office located at 100 Everest Way, Warren, New Jersey, 07059, do hereby nominate, constitute, and appoint Russell M. Canterbury, Jessica L. Piccirillo, Steven E. Susanin, Woodrow M. Baird, Diane Moraski, Victoria P. Lyons, Kathleen M. Flanagan, Richard A. Leveroni its true and lawful Attomey(s)-in-fact to make, execute, attest, seal and deliver for and on its behalf, as surety, and as its act and deed, where required, any and all bonds and undertakings in the nature thereof, for the penal sum of no one of which is in any event to exceed UNLIMITED, reserving for itself the full power of substitution and revocation. Such bonds and undertakings, when duly executed by the aforesaid Attorney(s)-in-fact shall be binding upon the Company as fully and to the same extent as if such bonds and undertakings were signed by the President and Secretary of the Company and sealed with its corporate seal. This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Board of Directors of Company ('Board') on April 21, 2016: RESOLVED, that the President any Executive Vice President; and any Senior Vice President are hereby appointed by the Board as authorized to make, execute, seal and deliverforand on behaffof the Company, any and all bonds, undertakings, contracts orobligations in surety or co -surety with others and that the Secretary or any Assistant Secretary of the Company be and that each of them hereby is authorized to attest to the execution of any such bonds, undertakings, contracts or obligations in surety or cc -surety and attach thereto the corporate seal of the Company. RESOLVED, FURTHER, that the President, any Executive Vice President, and any Senior Vice President are hereby authorized to execute powers of attorney qualifying the attorney named in the given power of attorney to execute, on behalf of the Company, bonds and undertakings in surety or co -surety with others, and that the Secretary or any Assistant Secretary of the Company be, and that each of them is hereby authorized to attest the execution of any such power of attorney, and to attach thereto the corporate seat of the Company. RESOLVED, FURTHER, that the signature of such officers named in the preceding resolutions and the corporate seal of the Company may be affixed to such powers of attorney or to any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be thereafter valid and binding upon the Company with respect to any bond, undertaking, contract or obligation in surety or co -surety with others to which if is attached. IN WITNESS WHEREOF, Everest Reinsurance Company has caused their corporate seals to be affixed hereto, and these presents to be signed by their duly authorized officers this 111 day of November, 2022. y`�SUra>)cP Everest Reinsurance Company 0 SEAL pr 1973 * Attest: Nicole Chase, Assistant Secretary By: Anthony Romano, Senior Vice President On this 11'" day of November, 2022, before me personally came Anthony Romano, known to me, who, being duly swom, did execute the above instrument; that he knows the seal of said Company; that the seal affixed to the aforesaid instrument is such corporate seal and was affixed thereto; and that he executed said instrument by like order. LINDA ROBINS Notary Public, State of New York No 01 RO6239736 Qualified in Queens County Term Expires April 25, 2023 Linda Robins, Notary Public IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Company, this 22nd day of December 2o2 . ES 00 01 04 16 FORTWORTH Capital Projects Delivery, Water Department PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR & PROJECT DATA REV: 02/20/07 Name of Contractor Project Name PM Construction and Rehab,LLC Upper Clear Fork Basin Interceptor Improvements ff"ater Engineering Inspector DOE Number Jesse Reed 52108 Haler Engineering Inspector Project Manager ❑ Water Fz] Waste Water ❑ Storm Drainage ❑ Pavement Liam Conlon Initial Contract Anromt Project Difficulty $3,634,559.67 O Simple QQ Routine p Complex Final Contract Amount Date $3,476,790.05 2/7/2023 II) PERFORMANCE EVALUATION 10 - Inadequate I -Deficient 2 - Standard 3 -Good 4 - Excellent ELEMENT WEIGHT ( x) APPLICABLE (Y / N) RATING (0 - 4) MAX SCORE SCORE I Submission of Documents 2 Y 3 8 6 2 Public Notifications 5 Y 3 20 15 3 Plans on Site 5 Y 3 20 15 4 Field Supervision 15 Y 2 60 30 5 Work Performed 15 Y 2 60 30 6 Finished Product 15 Y 2 60 30 7 Job Site Safety 15 Y 3 60 45 8 Traffic Control Maintenance 15 Y 3 60 45 9 Daily Clean Up 5 Y 3 20 15 10 Citizen's Complaint Resolution 5 Y 4 20 20 11 Property Restoration 5 Y 3 20 15 12 After Hours Response 5 Y 3 20 15 13 Project Completion 5 Y 2 20 10 III) CONTRACTOR'S RATING Maximum Score (MS) = 448 or sum of applicable element score maximums which = Rating( ITS / MS] * 100%) 291 / 448 Performance Category Good <20% = Inadequate 20% to <40% = Deficient = 65% TOTAL ELEMENT SCORE (A) 291 BONUS POINTS (25 Maximum) (B) TOTAL SCORE (TS) 291 448 40% to <60% = Standard 60% to <80% = Good >80% = Excellent Inspector's Comments (INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature Inspector �--- Signature Contractor Signature Inspector's Supervisor CONTRACTOR'S COMMENTS Capital Projects Delivery, Water Department The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TZ 76012-6311 (817) 392 - 4477 • Fax: (817) 392 - 8460 FORTWORTHREV: 02/22/07 Capital Projects Delivery, Water Department CONTRACTOR'S EVALUATION OF CITY 1) PROJECT INFORMATION natP 7-FI— Ph_2l Name of Contractor Project Nante PM Construction and Rehab,LLC Upper Clear Fork Basin Interceptor Improvements Water Engineering Inspector Project Manager Jesse Reed Liam Conlon DOE Number Project DifJ1culty Type of Contract 52108 0 Simple Q Routine p Complex ❑ Water 0 Waste Water ❑ Storm Drainage ❑ Pavement Initial Contract Amount Final Contract Amount $3,634,559.67 $3,476,790.05 II) PERFORMANCE EVALUATION 0 - Inadequate 1 - Deficient 2 - Standard 3 - Good 4 - Excellent ELEMENT RATING ELEMENT RATING INSPECTION EVALUATION PLANS & SPECIFICATIONS 1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 2 Clarity & Sufficiency of Details 3 Accuracy of Measured Quantities 3 Applicability of Specifications 4 Display Of Professionalism 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance - Setting up Valve Crews, Labs 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 14 Resolution of Utility Conflicts 3 Bid Opening to Pre -Con Meeting Timeframe III) COMMENTS & SIGNATURES COMMENTS Signature Inspector Signature Inspector's Supervisor INSPECTOR'S COMMENTS Capital Projects Delivery, Water Department The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 4477 • Fax. (817) 392 - 8460 FORTWORTH WATER ENGINEERING & FISCAL SERVICES PIPE REPORT FOR: PROJECT NAME: Upper Clear Fork Drainage Basin Interceptor Improvements PROJECT NUMBER: 2448 DOE NUMBER: 52108 WATER PIPE LAID SIZE TYPE OF PIPE LF FIRE HYDRANTS: VALVES (16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF CIPP 54" RCP 845 CIPP 48" RCP 985 CIPP 24" RCP 1840 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: WATER ENGINEERING & FISCAL SERVICES The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 4477 • Fax: (817) 392 - 8460 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 56002-0700430-0O2448-001783 Contract Name Upper Clear Fork Drainage Basin Interceptor Improve DOE Number 2448 Contract Limits: Council District 9 Estimate Number 31 Project Type Sewer Payment Number 31 Control Number 24481 For Period Ending Contract: 52108 Contract Time 365 CD Contract Date: 2/12/2019 Days Charged to Date Gr' %V CD Inspectors Johnson / Reed Date Prepared by Inspector �?- / ----------------------------- % / 0-? Contract is % Complete Construction ID: 12802 Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost No. ---------------------------------- Quanity Quanity for Month Quanity Unit I Trinity Park I 1 3331.2116 54" CIPP 475 LF $470.00 475 2 3339.0001 Epoxy Manhole Liner 6.3 VF $336.00 6.5 3 9999.0001 Modified Type A 1 EA $17,500.00 1 Manhole 4 9999.0002 Epoxy Line and 1.5 EA $21,250.00 1.5 Remove and (CO#1) 5 3201.0201 Asphalt Pvmt Repair 20 SY $127.00 20.22 Beyon (CO#1) 7 3291.0100 Topsoil 280 CY $31.00 8 3292.0100 Block Sod Placement 5038 SY $6.25 9 3301.0001 Pre -CCTV Inspection 475 LF $25.00 475 10 3301.0002 Post -CCTV Inspection 475 LF $4.50 475 11 3301.0101 MH Vacuum Testing 1 EA $250.00 12 3305.0109 Trench Safety 10 LF $2.00 10 13 3305.0110 Utility Markers 1 LS $935.00 14 3305.0112 Concrete Collar 3 EA $1,555.00 1 15 3471.0001 Traffic Control 1 MO $1,430.00 3 16 3303.0001 Bypass Pumping 1 LS 175,000.00 1 17 3125.0101 SWPPP >_ 1 acre 1 LS $18,700.00 1 18 0171.0101 Construction Staking 1 LS $1,870.00 1 19 0171.0102 As -Built Survey 1 LS $1,870.00 1 Tuesday, February 7, 2023 Page 1 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 56002-0700430-0O2448-001783 Contract Name Upper Clear Fork Drainage Basin Interceptor Improve DOE Number 2448 Contract Limits: Council District 9 Estimate Number 31 Project Type Sewer Payment Number 31 20 Structure Reh. w/ Warren coating (CO#1) 21 By Pass Equip. Rental (CO#1) 22 Demob. During FWSSR (CO#1) 23 Warren Epoxy 250 mils Warren Reh. (CO#1) 77 SF $41.80 77 3 MO $30,610.80 3 1 LS $23,362.81 1 4 EA $23,979.75 4 estimated Total This Unit $750,534.61 Completed Total This Unit $709,027.25 — Construction ID: 12803 — — — — — — — — — — — — — — --- Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost No. Quanity - - Quanity for Month Quanity Unit II Trinity Park II - - - - - 20 3331.2116 54" CIPP 370 LF $335.00 370 22 3339.0001 Epoxy Manhole Liner 8 VF $336.00 16.52 23 3339.1103 5' Extra Depth Manhole 2 VF $392.00 24 3339.1105 5' Type A Manhole 1 EA $19,000.00 25 9999.0001 Modified Type A 1 EA $21,000.00 2 Manhole 26 3201.0201 Asphalt Pvmt Repair 37 SY $127.00 19.5 Beyon (CO#1) 27 3291.0100 Topsoil 71 CY $31.00 28 3292.0100 Block Sod Placement 1272 SY $5.00 29 3301.0001 Pre -CCTV Inspection 370 LF $26.00 370 30 3301.0002 Post -CCTV Inspection 370 LF $5.00 370 31 3301.0101 MH Vacuum Testing 2 EA $250.00 32 3305.0109 Trench Safety 20 LF $2.00 20 33 3305.0110 Utility Markers 1 LS $935.00 34 3305.0112 Concrete Collar 1 EA $1,870.00 2 Tuesday, February 7, 2023 Page 2 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 56002-0700430-0O2448-001783 Contract Name Upper Clear Fork Drainage Basin Interceptor Improve DOE Number 2448 Contract Limits: Council District 9 Estimate Number 31 Project Type Sewer Payment Number 31 35 3471.0001 Traffic Control 1 MO $1,250.00 3 36 3303.0001 Bypass Pumping 1 LS 151,000.00 1 37 3125.0101 SWPPP >_ 1 acre 1 LS $13,500.00 1 38 0171.0101 Construction Staking 1 LS $1,870.00 1 39 0171.0102 As -Built Survey 1 LS $1,870.00 1 40 Structure Reh. w/ Warren Epoxy 154 SF $41.80 154 L 7 (a rV %2 estimated Total This Unit $371,424.20 Completed Total This Unit $367,654.42 ©• 0" - - Construction ID: 12804 - - - - - - - - - - - - - - Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost No. Quanity — — — — Quanity for Month Quanity Unit III University Drive — ------------------ 40 3331.2115 48" CIPP 690 LF $250.00 690 41 9999.0002 Epoxy Line and 2 EA $24,000.00 2 Remove and 42 3201.0201 Asphalt Pvmt Repair 963 SY $128.00 Beyon 43 3291.0100 Topsoil 183 CY $31.00 44 3292.0100 Block Sod Placement 3265 SY $5.00 257.42 45 3301.0001 Pre -CCTV Inspection 690 LF $22.00 690 46 3301.0002 Post -CCTV Inspection 690 LF $5.00 690 47 3305.0110 Utility Markers 1 LS $930.00 48 3471.0001 Traffic Control 3 MO $15,300.00 1.5 49 3471.0002 Portable Message Sign 12 WK $400.00 2 50 3303.0001 Bypass Pumping 1 LS 164,000.00 1 51 3292.0600 Mowing 3 EA $930.00 52 3125.0101 SWPPP >_ 1 acre 1 LS $7,150.00 1 Tuesday, February 7, 2023 Page 3 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 56002-0700430-0O2448-001783 Contract Name Upper Clear Fork Drainage Basin Interceptor Improve DOE Number 2448 Contract Limits: Council District 9 Estimate Number 31 Project Type Sewer Payment Number 31 53 0171.0101 Construction Staking 1 LS $1,870.00 1 54 0171.0102 As -Built Survey 1 LS $1,870.00 1 yap, to :stimated Total This Unit $613,702.00 Completed Total This Unit $439,057.10 U • a °' Construction ID: 12805 Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost No. Quanity Quanity for Month Quanity ------------------- Unit IV Riverfront Drive 55 3331.2115 48" CIPP 185 LF $375.00 185 56 3339.0001 Epoxy Manhole Liner 20 VF $337.00 15 57 3339.1103 5' Extra Depth Manhole 11 VF $392.00 9 58 3339.1105 5' Type A Manhole 1 EA $23,000.00 1 59 9999.0001 Modified Type A 0 EA $24,500.00 Manhole (CO#1) 60 3201.0201 Asphalt Pvmt Repair 336 SY $128.00 79.09 Beyon 61 3301.0001 Pre -CCTV Inspection 185 LF $27.00 185 62 3301.0002 Post -CCTV Inspection 185 LF $5.00 185 63 3301.0101 MH Vacuum Testing 2 EA $250.00 64 3305.0109 Trench Safety 20 LF $2.00 15 65 3305.0110 Utility Markers 1 LS $930.00 66 3305.0112 Concrete Collar 2 EA $1,370.00 67 3471.0001 Traffic Control 1 MO $35,900.00 1 68 3303.0001 Bypass Pumping 1 LS 207,000.00 1 69 3125.0101 SWPPP >_ 1 acre 1 LS $5,300.00 1 70 0171.0101 Construction Staking 1 LS $1,870.00 1 71 0171.0102 As -Built Survey 1 LS $1,870.00 1 Tuesday, February 7, 2023 Page 4 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 56002-0700430-0O2448-001783 Contract Name Upper Clear Fork Drainage Basin Interceptor Improve DOE Number 2448 Contract Limits: Council District 9 Estimate Number 31 Project Type Sewer Payment Number 31 72 Epoxy Line & Rep. Structure Top 1 EA $33,079.20 1 w1250 mil WE (CO#1) -elO, osa.72 �,stimated Total This Unit $441,584.20 Completed Total This Unit $402,050.72 O.d"' Construction ID: 12806 — — — — — — — -------- Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost No. Quanity ------------------ Quanity for Month Quanity Unit V Davidson Railyard 1 72 3331.2115 48" CIPP 110 LF $527.00 575 73 3339.0001 Epoxy Manhole Liner 0 VF $336.00 (CO#1) 74 3339.1103 5' Extra Depth 0 VF $392.00 Manhole (CO#1) 75 3339.1105 5' Type A Manhole 0 EA $22,800.00 (CO#1) 76 9999.0001 Modified Type A 1 EA $26,700.00 Manhole 77 3211.0122 6" Flexible Base, Type 180 SY $31.00 A, (CO#1) 78 3301.0001 Pre -CCTV Inspection 110 LF $31.00 575 79 3301.0002 Post -CCTV Inspection 110 LF $5.00 575 80 3301.0101 MH Vacuum Testing 2 EA $250.00 81 3305.0109 Trench Safety 20 LF $187.00 82 3305.0110 Utility Markers 1 LS $935.00 83 3303.0001 Bypass Pumping 1 LS 195,000.00 1 84 3125.0101 SWPPP >_ 1 acre 1 LS $4,700.00 85 0171.0101 Construction Staking 1 LS $1,870.00 1 86 0171.0102 As -Built Survey 1 LS $1,870.00 1 87 0135.0101 Railroad Coordination 1 LS $6,400.00 1 Tuesday, February 7, 2023 Page 5 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 56002-0700430-0O2448-001783 Contract Name Upper Clear Fork Drainage Basin Interceptor Improve DOE Number 2448 Contract Limits: Council District 9 Estimate Number 31 Project Type Sewer Payment Number 31 88 Manhole Rehab W/ 250 mils 23.15 VF $533.50 23.15 Warren (CO#1) 89 Remove and Replace Manhole 1 LS $4,787.20 1 Cone & Cover(CO#1) �.stimated Total This Unit $326,362.73 Completed Total This Unit $546,002.73 6T- O a Construction ID: 12807 — — — — — — — — — --- Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost No. Quanity Quanity for Month Quanity Unit VI Davidson Railyard II — —------------------ 88 3331.2110 24" CIPP 1400 LF $85.00 1400 91 3339.1105 5' Type A Manhole 0 EA $22,800.00 (CO#1) 92 9999.0001 Modified Type A 1 EA $29,250.00 Manhole 93 3211.0122 6" Flexible Base, Type 556 SY $31.00 A, 94 3301.0001 Pre -CCTV Inspection 1400 LF $14.00 1400 95 3301.0002 Post -CCTV Inspection 1400 LF $5.00 1400 96 3301.0101 MH Vacuum Testing 2 EA $250.00 97 3305.0109 Trench Safety 20 LF $311.00 98 3305.0110 Utility Markers 1 LS $935.00 99 3305.0112 Concrete Collar 1 EA $1,500.00 100 3303.0001 Bypass Pumping 1 LS 205,000.00 1 101 3125.0101 SWPPP >_ 1 acre 1 LS $5,000.00 102 0171.0101 Construction Staking 1 LS $1,870.00 1 103 0171.0102 As -Built Survey 1 LS $1,870.00 1 104 0135.0101 Railroad Coordination 1 LS $7,000.00 1 Tuesday, February 7, 2023 Page 6 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 56002-0700430-0O2448-001783 Contract Name Upper Clear Fork Drainage Basin Interceptor Improve DOE Number 2448 Contract Limits: Council District 9 Estimate Number 31 Project Type Sewer Payment Number 31 105 Remove Existing Mh Liner Prep 1 LS $13,475.00 1 W/ Warren (CO#1) 106 Mh Rehab w/250 mils Warren 58.31 VF $533.50 58.31 (CO#1) 107 Remove & Replace Mh Cone & 2 EA $4,187.70 2 Cover (CO#1) -------------------------------------- ;stimated Total This Unit $474,939.79 Completed Total This Unit $414,298.79 D,pU Construction ID: 12808 - ------------------- Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost No. Quanity Quanity for Month Quanity Unit VII Davidson Railyard III ------------------ 105 3331.2110 24" CIPP 440 LF $95.00 440 106 3339.0001 Epoxy Manhole Liner 32.59 VF $336.00 32.3 107 3339.1101 5' Manhole 2 EA $23,400.00 2 108 3339.1103 5' Extra Depth Manhole 21 VF $392.00 21 109 3137.0101 Concrete Riprap 187 SY $88.00 110 3211.0122 6" Flexible Base, Type 278 SY $31.00 A, 111 3291.0100 Topsoil 86 CY $31.00 112 3292.0400 Seeding, Hydromulch 1535 SY $2.00 113 3301.0001 Pre -CCTV Inspection 440 LF $15.50 440 114 3301.0002 Post -CCTV Inspection 440 LF $4.00 440 115 3301.0101 MH Vacuum Testing 2 EA $250.00 2 116 3305.0109 Trench Safety 20 LF $187.00 20 117 3305.0110 Utility Markers 1 LS $935.00 118 3303.0001 Bypass Pumping 1 LS $75,000.00 1 119 3125.0101 SWPPP >_ 1 acre 1 LS $11,800.00 1 Tuesday, February 7, 2023 Page 7 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 56002-0700430-0O2448-001783 Contract Name Upper Clear Fork Drainage Basin Interceptor Improve DOE Number 2448 Contract Limits: Council District 9 Estimate Number 31 Project Type Sewer Payment Number 31 120 0171.0101 Construction Staking 1 LS $1,870.00 1 121 0171.0102 As -Built Survey 1 LS $1,870.00 1 122 0135.0101 Railroad Coordination 1 LS $6,500.00 1 123 Add Debris Remov. (CO#1) 440 LF $3.30 440 124 24 " Tuberculation Remov. (CO#1) 1 LS $4,125.00 1 125 Encase 24 " Pipe W Concrete 1 LS $3,850.00 1 (CO#1) estimated Total This Unit $258,814.24 Completed Total This Unit $226,971.80 a. ca Construction ID: 12809 --- ------------------ Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost No. -------------------------------------- Quanity Quanity for Month Quanity Unit Vill Medical District 123 3331.2111 27" CIPP 845 LF $123.00 845 124 3339.0001 Epoxy Manhole Liner 17 VF $336.00 18.2 125 3339.1101 5' Manhole 1 EA $24,250.00 1 126 3339.1103 5' Extra Depth Manhole 11 VF $392.00 12.5 128 3291.0100 Topsoil 63 CY $31.00 20 129 3292.0400 Seeding, Hydromulch 1133 SY $2.00 130 3301.0001 Pre -CCTV Inspection 845 LF $19.00 845 131 3301.0002 Post -CCTV Inspection 845 LF $4.00 845 132 3301.0101 MH Vacuum Testing 2 EA $250.00 1 133 3305.0109 Trench Safety 20 LF $311.00 15 134 3305.0110 Utility Markers 1 LS $935.00 135 3303.0001 Bypass Pumping 1 LS 127,000.00 1 136 3125.0101 SWPPP >_ 1 acre 1 LS $6,250.00 1 Tuesday, February 7, 2023 Page 8 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 56002-0700430-0O2448-CO1783 Contract Name Upper Clear Fork Drainage Basin Interceptor Improve DOE Number 2448 Contract Limits: Council District 9 Estimate Number 31 Project Type Sewer Payment Number 31 137 0171.0101 Construction Staking 138 0171.0102 As -Built Survey 139 0135.0101 Railroad Coordination 140 Manhole Rehab w/ 250 Mils Warren (CO#1) 141 Remove Fixed Debris 27" Pipe (CO#1) 142 Clean Pipe W/ Rotatinf Nozzle (CO#1) 143 Expose/Shore/Ab MH @ Sta 50+61 (CO#1) 1 LS $1,870.00 1 1 LS $1,870.00 1 1 LS $6,700.00 95.46 VF $533.50 70.3 1 LS $11,924.00 1 1 LS $1,650.00 1 1 LS $19,488.00 1 estimated Total This Unit $397,197.91 Completed Total This Unit $371,727.25 D Go. Total Itemized Amount (Including Change Order $3,634,559.67 Total Cost of Work Completed Inspector Less Retained /o ° Net Earned 9JJ� 3�✓ L'6 Previous Payment $3,302,950.56 Material on Hand 15% Balance Due This Payment C .3,/7 SGC1. 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O CD O O O O O O O O O m Q\ d\ Q\ N v) kn M M M M D\ O O 8 O O O O _ O M M m en N N M M M Cl) M M M M M M M M M M M M M M M O O O rG M 'ch h b DD O\ O .--� N M 7 N � r,a0 O\ CD M 00 01 O M 7 N �o n 00 01 O N M eF �D .--i 10 \o t- l� l� [� l- i- i- r- (� 00 00 a0 00 0o O .000 co 00 00 00 00 00 00 00 00 00 00 o0 00 00 l- r- n t- O O O O CDCD O O CD O O (D CD O CDC) '1 I -*It 7 V' et 7 N N N N N N N N N N N N N N N N N N N N n C1 �o O N GO C, O M M 6%i 69 69 J b w 4) F FORT WORTH February 07, 2023 PM Construction and Rehab ,LLC 1131 N. Richey Pasadena, TX 77506 Re: Acceptance Letter Project Name: Upper Clear Fork Drainage Basin Interceptor Improvements Project Type: Sewer Project Ns: 02448 DOE. Ns: N/A Contract Ns: 52108 Gentleman: Dated: 2/7/2023 On January 26, 2033 a final inspection was made on the subject project. There were punch list items identified at the time. The punch list items were completed on January 26, 2023. 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 January 26, 2025, which is the date of punch list completion and will extend for (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) 392-6054 Yours Truly, l Tony Sholola, P.E., Assistant Director, Water Department TS / cc: Chris Harder, P.E., Director, Water Department Laura Wilson, P.E., Deputy Director, Water Department Captain Michael Skains, Fire Department Luke Coffman, Sanitary Sewer Systems Superintendent, Water Department Cesar Zavala, Water Systems Superintendent, Water Department Liam Conlon, Project Manager, Water Department Capital Projects Delivery David R Johnson, Inspection Supervisor, Water Department Capital Projects Delivery Jesse Reed, Inspector, Water Department Capital Projects Delivery William Weidman PE, Consultant PM Construction and Rehab LLC, Contractor File WATER DEPARTMENT ENGINEERING AND FISCAL SERVICES THE CITY OF FORT WORTH * 1000 THROCKMORTON STREET * FORT WORTH, TEXAS 76102 817-392-8240 * Fax 817-392-8195 0 Printed on recycled paper