HomeMy WebLinkAboutContract 53038-R2FP3.FORT WORTH,
WATER DEPARTMENT
NOTICE OF PROJECT COMPLETION
-FP3
City Secretary No:_53038-R2
Date Received: 5/3 1/2023
City Project Ns: 102197
Regarding contract 53038-R2 for Small Diameter Water Extensions, Replacements & Relocations Contract 2019 as required
by the WATER DEPARTMENT as approved by City Council on 9/19/2019 through M&C 19-0164 the director of the
WATER DEPARTMENT upon the recommendation of the Assistant Director of the 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:
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed:
Less Previous Payments:
Final Payment Due
ia"7 size&
Recommended for Acceptance
Asst. Director, WATER DEPARTMENT
Ulna tOvhel-1fakofel-
Christopher HIrder (May 31, 2023 09:57 CDT)
Accepted
Director, WATER DEPARTMENT
Client Department
Asst. City Manager
Comments:
$750,000
$0 Ns
$726,334.45
0 Days @ $650.00/ Day
$0.00
$726,334.45
$726,334.45
$0.00
May 26, 2023
Date
May 31, 2023
Date
M av 31, 2023
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
C-620 Signature Page
Contractor's Application for Payment
To (Owner) City of Fort Worth Invoicing Period (From- To):
3/2/2023 - 5/18/2023
P. O. FW060-0000013240 From (Contractor):
Number: TEJAS COMMERCIAL CONSTRUCTION LLC
Project: 102197 Contractor's CFW Vendor No.:
0000034218
City Secretary Contract
Number:
IApproved Change Orders
INumber
I I
2
3
4
5
6
7
8
TOTALS
NET CHANGE BY
CHANGE ORDERS
Contractor's Certification
53038-R2
Application For Payment
Change Order Summary
Additions
Invoice No.I Final
Invoice Date:
5/18/2023
Remit to ( If Not Automatic Deposit):
Contract SMALL DIAMETER WATER MAIN EXTENSIONS, REPLACEMENTS & RELOCATIONS CONTRACT 2019
Name:
11. ORIGINAL CONTRACT PRICE.......................................................... $
Deletions 12. Net change by Change Orders................................................................. $
13. Current Contract Price (Line 1 + 2)........................................................ $
14. TOTAL COMPLETED AND STORED TO DATE
The Contractor certifies with the submittal of this document and associated Payment Request Submittal
on the City of Fort Worth Buzzsaw system that to the best of their knowledge: (1) all previous progress
payments received from Owner on account of Work done under the Contract have been applied on
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 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 encumbrances);
and (3) all Work covered by this Application for Payment is in accordance with the Contract Documents
and is not defective.
$750,000.00
$750,000.00
(Progress Estimate, Construction Allowance and Change Orders).......
$ $726,334.45
5. RETAINAGE:
a. Work Completed. $
b. _Not Used $
c. Total Retainage (Line 5a + Line 5b)................................
$
6. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c).............................
$ $726,334.45
7. LESS PREVIOUS PAYMENTS (Line 6 from prior Application).........
$ $726,334.45
8. AMOUNT DUE THIS APPLICATION .................................................
$
9. BALANCE TO FINISH, PLUS RETAINAGE
(Column G on Progress Estimate+ CA + COs + Line 5 above) ...............
$ $2,247,759.92
10. CONTRACT TIME:
Consent of Surety
Affidavit of Bills Paid
a, Days Awarded 365
b, Days Added by CO
C. Total Days 365
d, Days Charged 344
e, Days Remaining 21
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.
Progress Estimate CitySi-twy 53038-R2
Contract Nunn'
Enr (Contl n SMALL DIAMETER WATER MAIN EXTENSIONS, REPLACEMENTS & RELOCATIONS CONTRACT 2019
Application Penod 3/2/2023 - 5/18/2023
A
Item
Bid Item No Descnptmn
1
Work Order Mobil -ion
2
3
Work Order Eme/raencv Mobdlzallon
4" PVC Water Pre
4
6" PVC Water Pre
5
8"PVC Water is
6
10" PVC Water P� e
7
12" PVC Water Pine
8
4" DIP Water
9
6" DIP Water
10
8" DIP Water
11
10" DIP Water
12
12" DIP Water
13
14
8"Water Cartier Pl�e(DI w/SS Casir) Spacers
10"Water Cartier Per (DI w/SS CasmQSpacers
15
12" WatergCartier Pike 1bl w/ SS Casix Spacers
CCuit
rip°W°elded
17
20" CasmgMoen
Steely)
18
19
24" Casmgl�Den Cut
30" Casmgl�p�en Cut
elded Steel)
Ided Steel
20
21
16" Casmgl�lher Than Den Cut/ oiled Steel w/ Grout)
20" Casmgl 'burner Than Open Cu( oiled Steel w/ Grout)
22
24" Casmgl�Olher Than Open Cu ailed Steel./ Grout)
23
30"Cash, by either Than Open Cu (Welded Steel w/ Grout)
24
4" Gate Valve
25
6" Gate Valve
26
8" Gate Valve
27
10" Gate Valve
28
12" Gate Valve
29
4" Cut -in Valve
30
6" Cut -in Valve
31
8" Cut -in Valve
32
10" Cut -in Valve
33
12" Cut, Valve
34
Remove 4"Water Valve
35
Remove 6" Water Valve
36
Remove 8" Water Valve
37
Remove 10" Water Valve
38
Remove 12" Water Valve
39
Ductile Iron Fittinas w/Restraint
40
Fire Hyy rant
41
Fire Hv rant Bbl. Extension
42
Saly JJ�� s ire h M
43
6" x 4"T o%nc eve & Valve
44
6" x 6" Tam`(n =eve & Valve
45
48
8" x 4" Tam`(n =eve & Valve
8" 6" Tao[`(nr�Sleeve &Valve
47
x
8" x 8" Taooin�l Sleeve &Valve
48
10" x 4" Tao[`Inr�S leeve & Valve
49
10" x 6" Tao[`lnr�Sleeve &Valve
50
10" x 8" Taooin/1 Sleeve & Valve
51
10" x 10" Taurnn Sleeve & Valve
52
12" x 4" Tao[`lnr�S�eeve &Valve
53
12" x 6" Tao[`lnr�Sleeve &Valve
54
12" x 8" Taooin/1 Sleeve & Valve
55
12" x 10" Tao%nn,Sleeve & Valve
56
12" x 12" Taorrm Sleeve & Valve
57
16" x 4" Taor`Inr�S� ve & Valve
58
16" x 6" TaD[`nr�Sleeve &Valve
59
16" x 8" TaooinP�Syleeve & Valve
61
16" x 12" Ta�ooirny�sleeve & Valve
62
, -Water Tao fo Main
63
314" C [�\(Service Line
64
314"Pro eWater Service
65
314" Bored Water Service
66
1" Water Tao to Main
67
1" Cr�q(:r Service Line
68
1" Pnva a Water Service
69
1" Bored Water Service
Specification Unit of
Section N. Measure
EA
EA
LF
LF
LF
LF
LF
LF
LF
LF
LF
LF
LF
LF
LF
LF
LF
LF
LF
LF
LF
LF
LF
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
TONS
EA
VF
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
EA
LF
LF
LF
EA
LF
LF
LF
Bid Quantity Unit Price
100.0000J) $2000.od
25.0000010
$2500.00
200.0000t
$45.00
800.00000\I
$55.00
1200.00000\I
$60.00
400.00000kI
$65.00
400.0000nJ
$91.00
100.00000161
$60.00
100.000000
$70.00
100.000004
$85.00
00.000004
$90m
100.00000\I
$95.00
100.00000\I
$100.00
100.00000\I
$105.00
$120.00
100.00000\I
00.00o0%
$120.00
100.000000)
$130.00
100.000000J
$140.00
100.00000(�J
$200.00
100.00o00(fJ
$425.00
100.00000T
$450.00
100.00o00()J
$450.00
100.000001
$550.00
20.00000(fJ
$800.00
25.000001
$1.10,0,00
25.00001nu
$1.500.00
10.00000i.-1
$2.400.00
10.00000n1
$2.800.00
5.000004
$1.600.00
5.00000111
$2.500.00
5.00000n1
$3,000.00
5.00000n1
$3,500.00
5.000000
$4,500.00
5.000000)
$300.00
5000OOT
$350.00
5:00000T
$400.00
5.00000()J
$450.00
5.00000
$800.00
15.0000q
$BA00.00
20.000oou
$4,200.00
20.00000Q1
$4Saw
5.00000J
$800.00
1.00000J
$3.000.00
1.00000'11
$3.000.00
1.000OOJ
$3,500.00
1.00000'11
$4.500.00
1.000OOJ
$4,000.00
1.000OOJ
$4,000.00
1.000OOJ
$4,000.00
1.000OOJ
$4,000.00
1.000OOJ
$4,000.00
1.00000J
$4,000.00
1.00000J
$4.500.00
1.00000J
$4.500.00
1.000OOJ
$4.500.00
1.000OOJ
$4.500.00
1.00000J
$4.500.00
1.00000J
$4.500.00
1.00000J
$4.500.00
1.00000J
$6.000.00
1.000001d
$6.500.00
25:00000Q
$500.00
10000000Q
$25 .00
100.00000Q
$50.00
50.00000�1
$35.00
25:000OOQd
$1,250.00
100.00000Q
$44.00
100.00000�
$50.00
50.000004
$65.00
B
C
Bid Value
Estimated Quantity
Installed
$200,000.0
30.00000(
$62,500.00
$9.000.00
65.60000(
$44.000.00
245.40000(
$72,000.00
672.30000(
$26,000.00
4.00000(
$36,400.00
810.40000(
$6,000.00
$7,000.00
20.00000(
a
I
I
1
ff
D
Vel"e I Previously Installed Valuc I Vame This Period
$2 \\52.00
1319700
$40 38.00
S 60.00
$73,746A0
®r
$80.0a
$1 A @@610.00
$2.800.00
$700.00
$400.00
$55 C00
$37�0.00
$S 5.00
Rm0.00
$3,000.00
$27.000.00
$270.00
$22t0.00
$4,500.00
$4,500.00
12.500.001 $4X00.0a
011.60 $�5.01 $5.1.60
This documem has been modified from its oripnal form w an EICDC document and the user did not highlight the
modbficatrons. You are encouraged to read the document carefully and consult Legal Counsel poor to its ex-n-
C-620 Unit Price Progress Estimate
Contractor's Application
Apple -on Number Final
Appliwtioa Date 5/18/2023
E F
Materials Presently Trod Completed %
Stored (not m C) a"d Stored w Date (F)
(D E) B
$60.000.00 30.0%
$2.952.00 32.8%
$13.497.00 30.7%
$40.338.00 56.0%
$260.00 1.0%
$73.746.40 202.6%
$1,400.00 20.0%
$1.900.00 20.0%
$8.80000 32.0%
$10,500:00 28.0%
$2.800.00 10.0%
$700.00 40.0%
$400.00 20.0%
$55.088.00 45.9%
$37.80000 45.0%
$6.975:00 77.5%
$1.600.00 40.0%
$3.000.00 100.0%
$27.000.00 600.0%
$27.000.00 600.0%
$22:500:00 500.0%
$4.500.00 100.0%
$4.500.00 100.0%
$12.500.00 40.0%
$5.011.60 113.9%
G
Balance to Fmish
(B -F)
$140,000.00
$62,500.00
$6,048.00
$30,503.00
$31,662.00
$25,740.00
$37.346.40
$6,000.00
$5,600.00
$8,500.00
$9,000.00
$7,600.00
$10.000.00
$10,500.00
$12,000.00
$12,000.00
$13,000.00
$14,000.00
$20,000.00
$42,500.00
$45,000.00
$45,000.00
$s5,000.00
$16.000.00
$18.700.00
$27.000.00
$24,000.00
$25.200.00
$8.000.00
$12.500.00
$15.000.00
$17.500.00
$22.500.00
$1.500.00
$1.050.00
$1,600.00
$2.250.00
$4.000.00
$64,912.00
$46.200.00
$2.025.00
$2.400.00
$3,000.00
$3.500.00
$22.500.00
$4.000.00
$4,000.00
$4.000.00
$4.000.00
$4,000.00
$4,000.00
-$22,500.00
-$18.000.00
$4,500.00
4
Progress Estimate CityS-ary 53038-R2
Contract Num:
Far (ConhaC1) SMALL DIAMETER WATER MAIN EXTENSIONS, REPLACEMENTS & RELOCATIONS CONTRACT 2019
Applicaean Period 3/2/2023 - 5/18/2023
item
Bid Item No D..mmmm Specification Unit of
Section N. Measure
70
71
1 1/2" Water Tap to Main
1 1"" Copper Service Line
72
1 1/2" Private Water Service
73
1 1/2" Bored Water Service
74
2'Water TaP to Maur
75
2" Copper Service Lure
78
2" Private Water Service
77
2" Bored Water Service
78
3/4" & 1" PVC Meter Box (Type A)
79
1 1/2" 8 2" PVC Meter Box (Type B)
80
Bullhead PVC Meter Box (Type C)
81
Conc. Meter Box (Type A)
82
Conc. Meter Box (Type B)
83
1" Multiple Service Branch
84
1 1/2" Multiple Service Branch
85
2" Multiple Service Branch
88
Relocate 3/4" Water Meter
87
Relocate 1"Water Meter
88
Relocate 1 1/2"Water Meter
89
Relocate 2" Water Meter
90
Sprinkler SYstem Backflow Preventer Relocation
91
2" Temporary Water Services
92
3"Water Meter and Vault
93
4"Water Meter and Vault
94
6"Water Meter and Vault
95
8"Water Meter and Vault
96
10" Water Meter and Vault
97
Remove Concrete Water Vault
98
Water Sampling Station
99
2" or Smaller Water Abandonment Plug
100
4"-12" Water Pressure Plug
101
16" Water Pressure Plug
102
Water Main Extra Depth (> than T)
103
Trench Safety
104
Exploratory Excavation of Existing Utilities (0' - 5' )
105
Exploratory Excavation of Existing Utilities (V - 10' )
106
Exploratory Excavation of Existing Utilities (10' - 20' )
107
Concrete Encasement for Utility Pipes
108
Imported Embedment/Backfill, CLSM (Plowable Fill)
109
Imported Embedment/Backfll, Type B
110
Concrete Rip -Rap
III
Large Stone Rip -Rap, Dry
112
Large Stone Rip -Rap, Grouted
113
Block Sod Placement
114
Seeding, Hydromulch
115
Asphalt Pavement Repair, Water Service
116
4' Wide Asphalt Pvmt Repair, Residential
117
5' Wide Asphalt Pvmt Repair, Residential
118
6' Wide Asphalt Pvmt Repair, Residential
119
4' Wide Asphalt Pvmt Repmr, Arterial
120
5' Wide Asphalt Pvmt Repair, Arterial
121
6' Wide Asphalt Pvmt Repair, Arterial
122
4' Wide Asphalt Pvmt Repair, Industrial
123
5' Wide Asphalt Pvmt Repair, Industrial
124
6' Wide Asphalt Pvmt Repair, Industrial
125
Asphalt Pvmt Repair Beyond Defined Width, Residential
126
Asphalt Pvmt Repair Beyond Defined Width, Arterial
127
Asphalt Pvmt Repair Beyond Defined Width, Industrial
128
2" Extra Width Asphalt Pavment Repair
129
3" Extra Width Asphalt Pavment Repair
130
4" E ha Width Asphalt Pavment Repair
Bid Quavery Urdtpdce Bid Value
Estimated Quanhly Installed Value Pmvicedy lastallyd Value Value This Period
EA
LF
25.000000
100.000000
$2,400.00
$55.00
$60,000.00
$5,500.00
9.00000000
137.14000000
LF
LF
100.000000
50.000000
$50.00
$70.00
$5,000.00
$3,500.00
EA
25.000000
$2,700.00
$67,500.00
19.00000000
LF
100.000000
$55.00
$5,500.00
166.45000000
LF
100.000000
$60.00
$6,000.00
LF
50.000000
$80.00
$4,000.00
EA
25.000000
$250.00
$6,250.00
3.00000000
EA
25.000000
$400.00
$10,000.00
17.00000000
EA
EA
EA
10.000000
5.000000
5.000000
$350.00
$350.00
$500.00
$3,500.00
$1,750.00
$2,500.00
3.00000000
4.00000000
9.00000000
EA
2.000000
$550.00
$1,100.00
EA
2.000000
$550.00
$1,100.00
EA
2.000000
$700.00
$1,400.00
EA
5.000000
$600.00
$3,000.00
EA
5.000000
$600.00
$3,000.00
EA
5.000000
$600.00
$3,000.00
EA
5.000000
$700.00
$3,500.00
EA
5.000000
$1,000.00
$5,000.00
LF
1500.000000
$8.00
$12,000.00
C-620 Unit Price Progress Estimate
Contractor's Application
Application Number Fine)
Applioni-Data 5/18/2023
$21,600.0(S $21,600.00 60 $21,0.00 31.01 $38,400.00
$7,542.70 $7,542.70 $7,.2.70 137.1% -$2,042.70
$51,300.00 $51,300.00 $51,300.00 76.0% $16,200.00
$9,154.75 $9,154.75 $9,154.75 166.5% $3,654.75
$750.00 $750.00
$6,800.00 $6,800.00
$1,050.00 $1,050.00
$1,400.00 $1,400.00
$4,500.00 $4,500.00
EA 10.000000 $10,000.00 $100,000.00 3.00000000 $30,000.00 $30,000.00
EA 10.000000 $15,000.00 $150,000.00 1.00000000 $15,000.00 $15,000.00
EA 10.000000 $16,000.00 $160,000.00
EA 5.000000 $10,000.00 $90,000.00 2.00000000 $36,000.00 $36,000.00
EA
5.000000
$20,000.00
$100,000.00
EA
5.000000
$2,000.00
$10,000.00
1.00000000
EA
5.000000
$2,100.00
$10,500.00
2.00000000
EA
10.000000
$700.00
$7,000.00
4.00000000
EA
10.000000
$800.00
$8,000.00
3.00000000
EA
5.000000
$1,200.00
$6,00000
LF
50.000000
$10.00
$50000JF114.70000000
70000000
LF
100000000
$8.00
$800.00
FA
5000000
$1,400.00
$7,000.0000000000
EA
5.000000
$1,800.00
$9,000.00
,00000000
EA
5.000000
$3,000.00
$15,000.00
CY
25.000000
$165.00
$4, 12500
CY
100.000000
$150.00
$15,00000
149.00000000
Cy.
100000000
$35.00
$3,500.00
SY
10000000
$150.00
$1,500.00
SY
10.000000
$125.00
$1,250.00
BY
10.000000
$225.00
$2,25000
BY
100.000000
$10.00
$1,00000
3.30000000
BY
100000000
$10.00
$1,000.00
340.63000000
LF
200000000
$50.00
$10,000.00
19.70000000
LF
300.000000
$60.00
$18,000.00
LF
300.000000
$70.00
$21,000.00
5.70000000
LF
300.000000
$85.00
$25,50000
LF
300.000000
$65.00
$19,50000
LF
300000000
$75.00
$22,500.00
68.20000000
LF
300000000
$90.00
$27,000.00
78.00000000
LF
300.000000
$65.00
$19,500.00
LF
300.000000
$75.00
$22,500.00
LF
300.000000
$90.00
$27,00000
BY
300.000000
$40.00
$12,00000
BY
300000000
$45.00
$13,500.00
BY
300000000
$65.00
$19,500.00
SY
100.000000
$21.00
$2,100.00
BY
100.000000
$5.00
$2,500 00
�
BY
100.000000
$35.00
$3 ,50000
$2,000.00
$2,000.00
$2,000.00 20.0%
$8,000.00
$4,200.00
$4,200.00
$4,200.00 40.0%
$6,300.00
$2,800.00
$2,800.00
$2,800.00 40.0%
$4,200.00
$2,400.00
$2,400.00
$2.400.00 30.0%
$5,600.00
$6,000 00
$4,11700
$4,117.00
$4,11700 823.06
-$3,61700
$4,277.60
%4,277.60
$4,277.60 534.7%
$3,477.60
$2,800.00
$2,800_00
$2,800.00 40.0%
$4,200.00
$5,400.00
$5,400.00
$5,400.00 60.0%
$3,600.00
$15,000.00
$4,125 00
$22,35000
$22,350.00
$22,35000 149.0%
$7,35000
$3,500.00
$1,500.00
$1,250.00
$2,250 00
$33 00
$33.00
$33 00 3.3%
$967 00
$3,406.30
$3,406.30
$3,406.30 340.6%
$2,406.30
$985.00
$985.00
$985.00 9.9%
$9,015.00
_
$18,000.00
$399.00
$399.00
$399.00 1.9%
$20,601.00
$25,500 00
$5,115.00 $5,115.00 $5,115.00 22.7% $17,385.00
$7,020.00 $7,020.00 $7,020.00 26.0% $19,980.00
Thu document has been modified from ns ori®naI from es an EICDC document and the user did not highlight the
modbficahons. You are encouraged to read the document carefully and consult Legal Counsel poor to it, exec h-
C-620 Unit Price Progress Estimate
Progress Estimate
CityS-1y
53038-R2
Contractor's Application
Contract Num:
E°r(Conomen
SMALL DIAMETER WATER MAIN EXTENSIONS, REPLACEMENTS & RELOCATIONS CONTRACT 2019
ApplrcauovNumber:
Final
Applleadon Period
3/2/2023 - 5/18/2023
Applic mu Date
5/18/2023
A
H
C
D
E
F
G
Item
Told Completed
Balance to Finish
S
Unrt of
Hid Quantiry
Unit Price
Bid Valve
Estimated Quantity
Valve
Previovaly has�lled Valve
Matenals Presently
Value This Period
and Stored a Date (F)
IB -F)
Bid I[em No
_a[iov
Descnptmn Sechootlon N.
Mc.-
Installed
Smmd (vo[ inC)
(D t E) B
131
Temporary Ashalt Pavement Repair
LF
100.000000
$21.00
$2,10000
$2,10000
132
6" Flexible Base, Type B, GR-1
BY
50.000000
$30.00
$1,500 00
$1,500 00
133
6" Flexible Base, Type B, GR-2
BY
50 000000
$30.00
$1,500.00
$1,500.00
134
High Early Strength Cone.
By.
200 000000
$160.00
$32.000.00
$32.000.00
135
Cone Pvmt Repair, Residential
BY
300.000000
$90.00
$27.000.00
34.44000000
$3.099.60
$3.099.60
$3.099.60 11.5%
$23,900.40
136
Cone Pvmt Repair, Arterial/Industrial
BY
300.000000
$95.00
$28,500.00
138.30000000
$13,138.50
$13138.50
$13.138.50 46A%
$15,361.50
137
Cone Pvmt Repair Beyond Defined Width, Residential
BY
300.000000
$85.00
$25,500 00
$25,500 00
138
Cone Pvmt Repair Beyond Defined Width,Arterial/Industrial
BY
100.000000
$90.00
$9,00000
4.20000000
$37800
$378.00
$37800 4.2%
$8,62200
139
Brick Pavement Repair
BY
100000000
$160.00
$16,000.00
$16.000.00
140
Brick Pvmt Repair(Cily Supplied)
BY
100000000
$150.00
$15.000.00
$15,000.00
141
6" Cone Curb and Ginter (Replaced)
LF
300.000000
$40.00
$12.000.00
5.00000000
$200.00
$200.00
$200.00 1.7%
$11,800.00
142
6" Cone Curb and Gutter Attached to Conc. Pvmt (Replaced)
LF
300.000000
$25.00
$7,50000
47.00000000
$1,17500
$1.175.00
$1.17500 15.7%
$6,32500
143
9" Cone Valley Gutter, Residential
BY
50.000000
$90.00
$4,50000
$4,50000
144
11" Gone Valley Gutter, Arterial/Industrial
BY
50 000000
$95.00
$4,750.00
$4,750.00
145
4" Concrete Sidewalk
SF
300000000
$10.00
$3.000.00
240.00000000
$2,400.00
$2,400.00
$2.400.00 80.0%
$600.00
146
4" Cone Sidewalk, Exposed Aggregate
SF
200,000000
$15.00
$3.000.00
$3,000.00
147
6" Concrete Driveway
SF
300.000000
$12.00
$3,600.00
$3,600.00
148
6" Concrete Driveway, Exposed Aggregate
SF
200.000000
$15.00
$3,00000
$3,00000
149
6" DIP Sewer Pipe (Repy. At Variable Depth)
LF
50.000000
$85.00
$4,250 00
$4,250 00
150
6" PVC Sewer Pipe (RepIc. At Variable Depth)
LF
50 000000
$75.00
$3,750.00
$3,750.00
151
8" DIP Sewer Pipe (Reptc. At Variable Depth)
LF
50 000000
$90.00
$4.500.00
$4,500.00
152
8" PVC Sewer Pipe (Reply At Variable Depth)
LF
50.000000
$80.00
54.000.00
$4,000.00
153
10" DIP Sewer (Repic At Variable Depth)
LF
50.000000
$100.00
$5,000.00
$5,000.00
154
10" PVC Sewer Pipe (Repic At Variable Depth)
LF
50.000000
$90.00
$4,50000
$4,50000
155
12" DIP Sewer(Reple. At Variable Depth)
LF
50.000000
$110.00
$5,50000
$5,50000
156
12" PVC Sewer Pipe (RepIc. At Variable Depth)
LF
50 000000
$90.00
$4.500.00
$4,500.00
157
16" DIP Sewer (Repic. At Variable Depth)
LF
50 000000
$130.00
$6.500.00
$6,500.00
158
15" PVC Sewer Pipe (Repl. At Variable Depth)
LF
50.000000
$100.00
$5.000.00
$5,000.00
159
Traffic Control Details
EA
50.000000
$1.500.00
$75,00000
12.00000000
$18,00000
$18.000.00
$18.00000 24.0%
$57,00000
160
Street Use Permit
EA
50.000000
$100.00
$5,00000
14.00000000
$1,40000
$1,400.00
$1.40000 28.0%
$3,60000
166
Install 21.3 9 of 6" DR 14 PVC pipe, locate & connect to existing Iine,test &
LS
1 000000
$6,881.50
$6,881.50
$6,881.50
162
Remove and reinstall same fire hydrant at new location
EA
1 000000
$2,900.00
$2,900.00
$2,900.00
167
Excavate two existing service, replace existing coronation stop, replace 1"
EA
2,000000
$1,800.00
$3.600.00
$3,600.00
168
Adjust one exist"? water service and new oncreta meter box
EA
1.000000
$1,100.00
$1.100.00
$1.100.00
169
Adjust existing 15" mega bnserviceandnewconcretemeterbox
EA
1.000000
$1.050.00
$1,05000
$1,05000
170
Locate & adjust 2 fire line gate valves
EA
2.000000
$450.00
$900 00
$900 00
172
Grout waterline per cubic yard
CY
1000000
$275.00
$275.00
13.00000000
$3,575.00
$3,575.00
$3.575.00 1300.0%
43,300.00
163
Excavate ex stin/� waterline for EZ vaNe installation 0-8' deep
EA
1 000000
$1,800.00
$1.800.00
$1,800.00
164
8"EZ vaNe with metalson
EA
1,000000
$14.250.00
$14.250.00
$14,250.00
165
12" EZ valve with installation
EA
1.000000
$22.500.00
$22,500.00
$22,500.00
A-171
Modify existing 3"meter to a 4- meter
LS
1.000000
$1,750.00
$1,75000
$1,750 00
A-173
Harris hospital meter change out and vault modification
LS
1.000000
$45,962.87
$45,96287
$45,962 87
A-174
Installing samplin8 station,credit tap,saddle,curb stop,reducer
LS
1 000000
$1,700.00
$1.700.00
$1,700.00
A-177
Remove and rZace Bilco Hatch on meter vault
EA
1 000000
$2,700.00
$2.700.00
1.00000000
$2.700.00
$2,700.00
$2.700.00 100.0%
A-176
Remove and replace 8" Meter
Ea
1.000000
$3.100.00
$3.100.00
1.00000000
$3A00.00
$3.100.00
$3.100.00 100.0%
This document has been modified from ns original form w se EICDC document and the user did not highlight the
moddie,tions. You are encouraged to read the document carefully and consult Legal Counsel prior to it, execenon
Progress Estimate CityS—ary 53038-R2
Contract Num:
Enr (ContlaCt) SMALL DIAMETER WATER MAIN EXTENSIONS, REPLACEMENTS & RELOCATIONS CONTRACT 2019
Applindon Penod 3/2/2023 - 5/18/2023
Totals
A
Item
Descvp[mn Specification Uett of Bid Quantity Unit Price Section No. 10—
B C
Bid Value Eatlmated Quanttty
In tulle,
$726.334A5
This documem has been modified from ns oripicd form w an EICDC document and the user did not highlight the
mod�ficahona. You am encouraged to read the document carefully and consult Legal Counsel pnor to it, executi—
C-620 Unit Price Progress Estimate
Contractor's Application
Apple—ov Number Final
Application Date 5/18/2023
E F G
MaterialToml Completed % Balance to Fi—h
s Presently
Previously hra�llyd Value Value This Period Stored (not m C) and 6bred b Date (F) (B -P)
(D + E) B
$726.334.451
$726.334.45 24.4 % $2,247.759.92
C-620 Change Order
Progress Estimate
Construction Allowance Usage
Contractor's Application
ADDITIONS
For (contact):
102197
SMALL DIAMETER WATER MAIN EXTENSIONS, REPLACEMENTS & RELOCATIONS
Cary Secretary
53038-R2
Apphcatmn Number:
Final
CONTRACT 2019
Comma Nu r:
(Application Period:
3/2/2023 - 5/18/2023
Application Date:
5/18/2023
A
B
C D
E
F
Item
Balance to Foa,h
Total Completed
Sp""'.'Quantity to Add Unit Price
Addition Value
Estimated Quantity
Value
Previously Value This Materials Presently
and Stored to Date (F) (B - F)
Item Number
Description Section No. Unit of Measure
Installed
Installed Value Pmod Stored (no[ ry C)
(D � E) B
This document has been modified from its original form as an E]CDC document and the user did not highlight the
modrficatmns. You are encouraged to read the document carefully and consult Legal Counsel pnor tons execution.
C-620 Change Order
Totals
Progress Estimate Construction Allowance Usage
CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED
IFm(C -.): 102197 SMALL DIAMETER WATER MAIN EXTENSIONS, REPLACEMENTS & RELOCATIONS CONTRACT 2019 Application Number:
(Application Period: 3/2/2023 - 5/18/2023 Application Date:
A B C D E
� Item
Bid Item Number Description Speediest- Unit of Measure Quantity to Delete Unit Price Reduction Value Not Used Not Used Not Used Not Used Not Used
Section No.
Totals
This document has been modified from its original form as an EJCDC document and the user did not highlight the
mod,ficattons. You are encouraged to read the document carefully and consult Legal Counsel poor torts-ccutron.
Contractor's Application
Final
5/18/2023
F
Not Used Not Used Not Used
City of Fort Worth Summary of Charges
City Secretary Contract Num: 53038-R2
SMALL DIAMETER WATER MAIN EXTENSIONS' P. O. FW060-0000013240
REPLACEMENTS & RELOCATIONS CONTRACT 2019
Application Period: 3/2/2023 - 5/18/2023 I Application I Final
Number:
Funding Identification (FID)
Origqinal Contract
156002 0600430 5740010102197 001780 9999
10
10
10
10
10
10
10
10
10
10
Change Order 1
156002 0600430 5740010102197 001780 9999
10
10
10
10
10
10
10
10
10
10
Change Order 2
156002 0600430 5740010102197 001780 9999
10
10
10
10
10
10
10
10
10
10
Change Order 3
56002 0600430 5740010102197 001780 9999
0
Total Completed
$723,234.45
Amt Remaining
$2,247,759.92
Gross
Project Number: 102197
Application Date: 5/18/2023
Retainage Net
City of Fort Worth Summary of Charges
City Secretary Contract Num: 53038-R2
SMALL DIAMETER WATER MAIN EXTENSIONS' P. O. FW060-0000013240
REPLACEMENTS & RELOCATIONS CONTRACT 2019
Application Period: 3/2/2023 - 5/18/2023 I Application I Final
Number:
Funding Identification (FID)
Change Order 4
156002 0600430 5740010102197 001780 9999
10
10
10
10
10
10
10
10
10
10
Change Order 5
156002 0600430 5740010 102197 001780 9999
10
10
10
10
10
10
10
10
10
10
Change Order 6
156002 0600430 5740010102197 001780 9999
10
10
10
10
Total Completed Amt Remaining Gross
Project Number: 102197
Application Date: 5/18/2023
Retainage Net
City of Fort Worth Summary of Charges
City Secretary Contract Num: 53038-R2
SMALL DIAMETER WATER MAIN EXTENSIONS' P. O. FW060-0000013240
REPLACEMENTS & RELOCATIONS CONTRACT 2019
Application Period: 3/2/2023 - 5/18/2023 I Application I Final
Number:
Funding Identification (FID) Total Completed Amt Remaining Gross
10
10
10
10
10
10
I
I Change Order 7
156002 0600430 5740010102197 001780 9999
10
10
10
10
10
10
10
10
10
10
I
Change Order 8
156002 0600430 5740010102197 001780 9999
10
10
10
10
10
10
10
10
10
10
I
I Totals
156002 0600430 5740010 102197 001780 9999 $723,234.45 $2,247,759.92
10
10
10
10
10
10
10
Project Number: 102197
Application Date: 5/18/2023
Retainage Net
City of Fort Worth Summary of Charges
City Secretary Contract Num:
53038-R2
SMALL DIAMETER WATER MAIN EXTENSIONS
I P. O.:
FW060-0000013240
Project Number:
102197
REPLACEMENTS & RELOCATIONS CONTRACT 2019
I
Application Period:
3/2/2023 - 5/18/2023 I Application I
Number:
Final
Application Date:
5/18/2023
Funding Identification (FID)
Total Completed Amt Remaining
Gross
Retainage
` Net
10
1.00
$0.00
$0.00
$0.00
10
.00
$0.00
$0.00
$0.00
10
J.00
$0.00
$0.00
$0.00
1 Grand Total
$723,234.45 $2,247,759.92 1 1
$0.00
$0.00
$0.00
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME:
Small Diameter Water Extensions, Replacements & Relocations Second Renewal
CITY PROJECT NUMBER:
102197
WATER
PIPE LAID
SIZE TYPE OF PIPE
LF
Water Pipe
4" PVC
65.6
Water Pipe
6" PVC
245.4
Water Pipe
8" PVC
672.3
Water Pipe
10" PVC
4
Water Pipe
12" PVC
810.4
Water Pipe
6" DIP
20
Water Pipe
12" DIP
20
FIRE HYDRANTS: 9
VALVES (16" OR LARGER)
PIPE ABANDONED
SIZE TYPE OF PIPE
LF
DENSITIES:
NEW SERVICES:
I SEWER
PIPE LAID SIZE TYPE OF PIPE LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
FORTWORTH.
M,
TRANSPORTATION AND PUBLIC WORKS
May 19, 2023
Tejas Commercial Construction, LLC
P.O. Box 10395
River Oaks,TX 76114
RE: Acceptance Letter
Project Name: Small Diameter Water Main Extensions, Replacements and Relocations, Contract 2019-
Renewal 2
Project Type: Water Main Extensions
City Project No.: 102197
To Whom It May Concern:
On May 19, 2023 a final inspection was made on the subject project. There were no punch list items
identified at that time. The final inspection indicates that the work meets the City of Fort Worth
specifications and is therefore accepted by the City. The warranty period will start on May 19, 2023,
which is the date of the final inspection and will extend of two (2) years in accordance with the Contract
Documents.
If you have any questions concerning this letter of acceptance, please feel free to contact me at 817-
392-2626.
Sincerely,
Lawrence Hamilton (May 25, 202316:27 CDT)
Lawrence Hamilton, Project Manager
Cc: Don Watson, Inspector
Don Watson, Inspection Supervisor
Aaron Ybarra, Senior Inspector
Tony Sholola, Program Manager
NA, Consultant
Tejas Commerical Construction LLC, Contractor
NA, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 08/20/19
r, TM Document G70? .1994
Consent of Surety to Final Payment
PROJECT. (Name and address) ARCHITECT'S PROJECT NUMBER: OWNER ❑
Bond Number: 5940387
Second Renewal - Small Diameter Water Main Small Diameter Water Main ARCHITECT ❑
Extensions, Replacements, & Relocations CONTRACT FOR: Extensions, Replacements, &
Contract 2019, CPN 102197 Relocations Contract 2019 CONTRACTOR ❑
TO OWNER: (Name and address) CONTRACT DATED: Febbruary 16th, 2021 SURETY !]
City of Fort Worth
200 Texas St. OTHER ❑
Fort Worth, TX 76102
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(Insert name and address of Snre4)
Old Republic Surety Company
2201 E. Lamar Blvd., Unit 260
Arlington, TX 76006
,SURETY,
on bond of
(Insert name and address of Contractor)
Tejas Commercial Construction, LLC
P.O. Box 10395
River Oaks, TX 76114
,CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve
the Surety of any of its obligations to
(Insert name and address of Owner)
City of Fort Worth
200 Texas St.
Fort Worth, TX 76102
, OWNER,
as set forth in said Surety's bond.
1N WITNESS WHEREOF, the Surety has hereunto set its hand on this date: May 22nd, 2022
(Insert in writing the month followed by the numeric date and year.)
Old Republic Surety Company
(Surety)
r� (Signat authorised repr entative)
Attest: Jordan A. Pitts
(Seal) Melissa Pitts, Bond Secretary (Printed name and title) -
CAUTION: You should sign an original AIA Contract document, on which this text appears in RED. An original assures that`
changes will not be obscured.
AIA Document G707TM —1994. Copyright C 1970 and 1994 by The American Institute of Architects. All rights reserved. WARNING: This AIA`
Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA' Document, or any
portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible underthe law. Purchasers
are not permitted to reproduce this document. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal
counsel, copyright@aia,org. DQ51f ACD44
it**it
* OLD REPUBLIC SURETY COMPANY
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY, a Wisconsin stock insurance corporation, does make, constitute and
appoint: LLOYD RAY PITTS JR, WILLIAM D. BIRDSONG, JORDAN A. PITTS of DALLAS, TX
its true and lawful Attorney(s)-in-Fact, with full power and authority for and on behalf of the company as surety, to execute and
deliver and affix the seal of the company thereto (if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof,
(other than bail bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note
guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits, or black lung bonds), as follows:
ALL WRITTEN INSTRUMENTS
and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attorneys -in -Fact, pursuant to these presents, are ratified and confirmed.
This appointment is made under and by authority of the board of directors at a special meeting held on February 18, 1982,
This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD
REPUBLIC SURETY COMPANY on February 18,1982.
RESOLVED that, the president, any vice-president or assistant vice president, in conjunction with the secretary or any assistant secretary, may appoint
attorneys -in -fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case, for and on behalf of the company to
execute and deliver and affix the seal of the company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said officers may
remove any such attorney -in -fact or agent and revoke any Power of Attorney previously granted to such person.
RESOLVED FURTHER, that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company
(i) when signed by the president, any vice president or assistant vice president, and attested and sealed (if a seal be required) by any secretary or assistant
secretary; or
(i1) when signed by the president, any vice president or assistant vice president, secretary or assistant secretary, and countersigned and sealed (if a seal be
required) by a duly authorized attorney -in -fact or agent; or
(iii) when duly executed and sealed (if a seal be required) by one or more attorneys -in -fact or agents pursuant to and within the limits of the authority
evidenced by the Power of Attorney issued by the company to such person or persons.
RESOLVED FURTHER that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney or
certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the company; and such
signature and seal when so used shall have the same force and effect as though manually affixed.
IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer, and its corporate seal to be
affixed this 9th d f December 2021
ay o
SEAL : a
1
ant ss,., Setre a.
A , C
STATE OF WISCONSIN, COUNTY OF WAUKESHA - SS
OLD REPUBLIC SURETY COMPANY
414-
President
On this Sth day of December 2021 , personally came before me, Alan PavUr:
and Karen J Haffner , to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY
who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say: that
they are the said officers of the corporation aforesaid, and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate seal
and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation.
N H•, . 5
i a�1A,Rj`.
Notary Public
My Commission Expires: September 28, 2022
CERTIFICATE (Expiration of notary's commission does not invalidate this instrument)
I, the undersigned, assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Wisconsin corporation, CERTIFY that the foregoing and attached
Power of Attorney remains in full force and has not been revoked; and furthermore, that the Resolutions of the board of directors set forth in the Power of
Attorney, are now in force.
$9-5054 SEAL ; Signed and sealed at the City of Brookfield, WI this 22nd _ day of May 2023
AI.MIR
ORSC 22262 (3-06) 1 As�
PITTS,FENNELL & ASSOCIATES LLC
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 Charles D. Allen,
Vice President Of Tejas Commercial Construction, 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 102197 Small Diameter Ext.,Replacements and Relocation
Charles D. Allen Vive President
Subscribed and sworn before me on this date 23rd of May, 2023.
Notary Public
Tarrant County Texas