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Home My WebLink AboutContract 55573-FP1.FORT WORTH, WATER DEPARTMENT NOTICE OF PROJECT COMPLETION -FP1 City Secretary No:_55573 Date Received:6/15/2023 City Project Ns: 102301 Regarding contract 55573 for Water & Sanitary Sewer Replacement Contract 2019 WSM-E as required by the WATER DEPARTMENT as approved by City Council on 2/16/2021 through M&C 21-0127 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 T� SS&6& Recommended for Acceptance Asst. Director, WATER DEPARTMENT C&tki tall-dl-r Christopher 4arder (Jun 13, 202315:37 CDT) Accepted Director, WATER DEPARTMENT Client Department Dghq Buy,ak7 f Asst. City Manager Comments: $3,773,523.45 $78,041.00 Ne 4 $3,518,562.21 0 Days @ $650.00/ Day $0.00 $3,518,562.21 $3,342,634.10 $175,928.11 Jun 13, 2023 Date Jun 13, 2023 Date Jun 13, 2023 Date OFFICIAL RECORD 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: 6-7-2023 6/7/2023 P. °. FW060 00000 From (Contractor): Remit to ( If Not Automatic Deposit): Number: Woody Contractors Project: 102301 Contractors CFW Vendor No.: 35314 City Secretary Cumber:ntract 55573 Contract Water & Sanitary Sewer Replacement Contract WSM-E Number: Name: Application For Payment Change Order Summary (Approved Change Orders 11. ORIGINAL CONTRACT PRICE ........................................................ $ $3,773,523.45 Number Additions Deletions 12. Net change by Change Orders............................................................... $ $78,041.00 1 $208,025.00 $232,400.00 13. Current Contract Price (Line 1 t 2)...................................................... $ $3,851,564.45 2 $107,606.00 $11,340.00 14. TOTAL COMPLETED AND STORED TO DATE 3 $6,150.00 1 (Progress Estimate, Construction Allowance and Change Orders)..... $ $3,518,562.21 4 $31,875.00 $31,875.00 15. RETAINAGE: 5 I a. X $3,518,562.21 Work Completed......... $ 6 b. X Not Used $ 7 I c. Total Retainage (Line 5a + Line 5b).............................. $ 8 16. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c)........................... $ $3,518,562.21 TOTALS $353,656.00 $275,615.00 17. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)....... $ $3,342,634.10 NET CHANGE BY $78,041.00 8. AMOUNT DUE THIS APPLICATION ............................................... $ $175,928.11 CHANGE ORDERS 9. BALANCE TO FINISH, PLUS RETAINAGE (Column G on Progress Estimate+ CA + Cos + Line 5 above) ............. $ $333,002.25 Contractor's Certification 10. CONTRACT TIME: The Contractor certifies with the submittal of this document and associated Payment Request Submittal a. Days Awarded 510 on the City of Fort Worth Buzzsaw system that to the best of their knowledge: (1) all previous progress b, Days Added by CO 75 payments received from Owner on account of Work done under the Contract have been applied on C. Total Days 585 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 d, Days Charged 580 payment free and clear of all Liens, security interests and encumbrances (except such as are covered by Days Remaining 5 a Bond acceptable to Owner indemnifying Owner against any such Liens, security interest or e. encumbrances); and (3) all Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective. TrorAbU0rl7un 8, 202316:29 CDT) Consent of Surety Affidavit of Bills Paid 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. 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S1,J9B.58 65 tIKC1A55BIEU E\CAVAl10\(5050) CS' 1H).00JO4WJ $SI.p] S7,91O.W 9250000000 3f,90250 51,90250 U,W250 61.]°e U,017.50 65 IAY-Rw CM h G1RTER 9.M) 5500000000 U701 $;035.W _ _.. 67 TREE PROIFCIIOU(5050) EA O.SODJOWO SLW.W S3W.W 0.250000W SISOW SISO.pI SISOW 504': SISO.W 6l AUUIDo\AL STAKL\'O FOR SSRFETGRADL\O (5050) IS 0.250J0000 S3,W0.W S]SOW 0.2500DJ]D 5759.00 5750.W S]SOW IW.O': TOI.B SI13,J10.22 50.01 S111A10.21 105- 33.81J.21 SIO7,bOS00 SIU.J30.21 Progress Estimate Change Order Number 1 2 1ELETIONS 102301 SV.ter&Sadbq S<rter Replanment Conhart\\'SAI-\p.+`-->6°°R`°°�* Aop5c.6o9 Pi 6-7-2023 A D C D E km Ciwge gderlem Dsec*w SpnAficaeon u�o[ COS b Uvt Pid - V\'d U9ed Ka Usn1 .\'d L•ud P-d Used t:d Uud Ko. Secdonro. Sf..uve 7 W.C51C0\CWETECUAD A.\D tt-L\Cf10LI1iER [F _ 220.00000000 U206 5]OI0.0�J 29 CO*CPM_REPA�Bt RUME\RLV.___ __._. __ - _ _. IF _._ 50.00000000 _ S60A0 5).000.00 _.. _ _ 32 IOPSOd __. . .. - _. 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FINAL Apps''°°"P"cni 6-7-2023 App 'O D' 6nrz023 A D C D E F Clwb ONerll<m SFa��w>con Urd of CO Qu>nEryu AAf U�Pri:e Cha-ge Ordn F�m�utN Qw�uq \, Pmiuull' \'>Iue Thi, SI>Ic>i>➢Ptoewl' WS bDade (Fl W-I) No. DacnpEm Satioe Na hlcuuc \'he ry.> WUA-d Vilve PedN StuN(nd'a C) (D>E7 ➢ 69 At>jd.lDi Adj>nmas EA 1.000gJg00 H2O0.00 _�i Z00.00 I.lg0g0600 _ Si 200.00 M200.00 H,2gR60 100.0•: JI _ Cku➢whmEln S[rtcl � _ 1.06000000 _._ _�19dQw_ $1,950.g0 1.060g0o00 91,95Q00 i1�950.00 _._ 51,95g 6g 1900!: rem➢ xlsaw xtxw xlw.w xlxw loaox Progress Estimate Change Order Number 1 3 Contractor's Application DELETIONS Fammt><m 102301 wat<r&sa➢Imams<„<r a<plac<m<m C'untra9t \cssl-E Amc;'Emn FINAL AooScauT P<tnt 6-7-2023 6nn023 D C D E F ❑+n'M ONaltae lirn� CO Qw>reryb Ikk4m Spai6:adon Lti o! umPri:e ClwSe dd>r NM Vad Nd Uud Ndllxed Not U,N Na Usa1 Na USN Na U>N Na L'al Na � Dekk "2 Salim Na Mwve \'>Am W,I document has beenm If 6om Itso 91Ixmas an EXM Eav 1 aM 0uuser dd rot Ngh5gM the moQS Eons. You are ercuu .tread the documentarefu9yaM—.h Legal Cwnsel pbe m Pse>ecofion. Progress Estimate Change Order Number I Q Contractor's Application ADDITIONS Fafamoaco: 102301 W.- &Sfldlary S... Replacement Contract YPSAI-E em 3"a`naJ 55573 FINAL Cqua>t Nov: Alp i6 P"wA' 6-7-2023 App6:.a Is— 6n/2023 A D CAs— Rcm Aila:eb Fm'vh F�uans4d QauidO' Pmioud3' t'aluc ihu \IatadaL Prea^0J' SkrtdCm'bD N-F) Clwge gder Ram No. °ai�a' Sµsi6:aum Urtof CO Qu.x60'b AM ESm Prw-e SKdm No. Stavuk chn�e Ud. VaR< WUCcd {, Wta3cd YaJua Pada1 54md(M e, C) aryl (DaE) 0 70 Ramm<Nrn'CSG (ate) _ J].OWCOM — stw S296.w 37.wp00000 SI9G00 sm. _ 529600 100.0' 71 Jnnil laJSmn Cbb(fq{xm]0) ]F 3].000Q1fAlD Sllw S1,629w _ 3700000000 S1,621.00 51,— $1,625.00 JI RammeNrn C6G (x<na) IF 3500000000 Stw S101w 3L000OODJD � S30i.w SIIN.w $.)6{.w 39 3w $1,6— 3&, S6 s1,6R f1,Rw wM J7 AemmeNm'CAG (pn+a¢) IF 7$.ww3000 fS00 _...51. $600.00 ]SAOU30W0 _. UK. S—. SwO.w I00.P: I Wlal L+Jdoxn lt.Rlfariam Jll 1s.00w0000 sls3w 7s.00w0000 S3,3— S1,3— _ S3,)0 w Iw 0`i 72 Ep 11.1 tL {E JS.000OOO.MI S535.w s2J,071w M.310:gJw f15,]ISRI $15,71130 SI5,710.30 653'. $1,356.70 TotaR 531..'s.. 323.31" 73.M: .ffJ56.70 Progress Estimate Change Order Number 1 4 Contractor's Application DELETIONS Fm amo-aa°' 102301 FINAL Aw3:''u^P"3w: 6-7-2023 A00 a"41Dss` 6n12023 A ❑ C O E F Ram Chv�e pdar lnm a,Apum COq-6tlk Spnifiaam I)uM �� Vrct l'me Dr, Chvy0.d. Nd Uud Nd Uud Nd Ukd Nd UsN Nd Vsef Nq Vxd Nq Vud Nd Uud Na. 17 1' PhaN'akr3mixft—) Serrion Na 3leuue IF St:00000000_ S15.00 YaSa 29 _. 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City of Fort Worth Summary of Charqes 9 �o0 00000 City secretary Contract Num: 55573 I �\'stet &Sanitary Sewer Replacement Contract WSM-E P. o.: FNI Project Number. � 102301 Application Period: 6-7-2023 I Application I FINAL Application Date: 6/7/2023 I Number: Funding Identlflcatlon (FID) - Total Completed Amt Remalning Gross Retainaae Net orl final Contract 156002-0600430-5740010-1023.%1-001780-9999 I $1,161,100.38 $101,951.62 $0.00 0.00) 700430-574001040230101780-9999 1I $1,382.569.68 $356,744.12 $0.056002 I 1 0.0Z30100-0200431.574001040230A02480-9999 (0.0 $619,393.64 1 1 $151,764.02 1 1 $0.00 1 1 o bo.rp] )0 ion Io I I I rn ao I I i sn.an to I I I I I -0", 1 1 to I I I I I sa co I I �o.on 1 10 I I I I I n,u,u to o I I I I I au I I I I 002-0600430-5740010402301-0011780-9999 156002-0700430-5740010-102301-001780-9999 1 I $212.410.00 1 ($236,785.00, I 30100-0200431-5740010402301-002480-9999 1 I .0 00 0 I I 0 I ji �u. I I 0 I I��I i ocol 1 o.nnl "I Io O "10 nn 10 oo I I Io to I I nna I a.03 1 1 10 o 1 I ^o.cf) I I n'. I I ; I -- ---- — - - - — _-- �-------- Change Order 2 --- 156002-06004305740010-102301-001780-9999 $12.041 A3 $11,721.08 $0.00 >0.00 $0.00 156002-07004305740010-102301-001780-9999 1 $46,980.51 1 1 ($4,758.01)1 1 $0.00 1 1 $0.00 1 130100-02004315740010-102301-002480-9999 1 $54,398.28 1 1 ($24,117.28)1 1 1 1._''' I �nq 0 iI I I I 1 1 I I �:",�:� to I I I 1 1 ;o.uc I to r111 10, onr; I I I I I ;Jr'.a to I I I I I ,o0 1 10 City of Fort Worth Summary of Charges City Secmtary Contract Num: I 55573 I Water &Sanitary Sewer Replacement Contract WSM-E � P. O.: FW060 00000 Project Number: 102301 Application Period: I 6-7-2023 I APPlica ion I FINAL Application Date: 6/7/2023 Number. Funding Identification (FID) I I Total Completed Amt Rema —In —In A --I I Gross I I Retainage I r— Net —I I I I Chan a Order 3 - 14 j I 156002-06004305740010-102301 001780-9999 156002-0700430-5740010402301-001780-9999 I I $4,200.00 1 I 130100-02004315740010-102301-002480-9999 I 1 $1,950.00 1 1 I I 50 rip I I i•0.00 I to I I I I so ao I 1 :'i pu 1 to to I i I I I o ar, I I 50.00 I 10 I I I I I o.00 1 I :0 o0 1 Io uo I 10 I I I ,rr uo I I I ;o,00 I I :.r ug f Io I I 1 t ;000 I I I -a.00 I I Chan s8Q0-Order4 I1 488184023011780-9999 $1,976.00 $1,976.00 '.0 ipgl88 -102301-001780-9999 $17,642.30 1 1 47,6421l� 1 triipb OUp I1 130100-0200431-5740010-102301-002480-9999 $3,900.00 1 1 ($3900.00 0 ;;0 Of, 0 Io I I I so nri l0 I I I I �00o I I I ril"r) I I an I 10 I oo I 10u to I n no I I ;n r,, I I 1 n.0o 1 1 nn 1 10 I I so no I I ;pn9 I I 0o I i a.00 I to I I �O00 1 1 �r.oa I I � 1 �,,00 I 10 I I I ',n 00 1 1 1 1 1 bo.o:j t _ Change Order 5 (56002-0600430-5740MA02301- 01780-9999 156002-0700430-5740010-102301-001780-9999 00 130100-O2DO4315740010402301-002480-9999 10 I i,o.gii I I o.t',o I I +) nu 1 I i.n.or1 I 10 I Op I I O.Cp I I Opp 1 I a'� OD I 10 I Op I I ua.a:+ I I ono I I <o.iro I 10 r,b 0 I Or) I1 t n.r0to 10 I I so aj I I so irg I I ;0 0o I I p rip i 10 I I 0 no 1 ( o.cn I 1 a.ao 1 1 n.on 1 City of Fort Worth Summary of Charqes City Secretary Contract Num: 55573 Water & Sanitary Sewer Replacement Contract WSM-E IP.0.: FW060 00000 Project Number: 102301 Application Period: I 6-7-2023 I Application I FINAL Application Date: 6/7/2023 Number: TotalCompleted AmtRemaining Gross Rstainage - Net—]Funding I Identification (FID) �— Chanle Order 6 156002-0600430-5740010-102301 01780-9999 56002-07004305740010402301-001780-99999u Oi) 30100-020043"740010-102301-002480-9999 V!n `.0 UO ' 0.7,0 10 10 I I v ar; I 1:, I I so ao I to 1 1 1 1 1 to I I �,.o:� I _0.6'� I I s;! o0 1 1 I 0 10 to F— - Chanyqet7rder7- 156002-0600430-5740010-102301 001780-9999 156002-0700430-5740010-102301-001780-9999 1 I:O Cn I 130100-O2004315740010-102301-002480-9999 1 I w C76 I I 10 to to Io n nr, I I o au �!.o;� n.n� 0.'' I 10 I 1 1 1 1 "Cl no I I I r.jo I I , an I I I Chan$e Order 56002-06004305740010-102301-0017809999 `�0!) 56002-07001301740010-102301-001780-9999 7; Or, ':u 0;, 130100-02004315740010-102301-002480-9999 I I --�I I ;-t,0ol I -.I I ::o0%I I:�%0uI 10 ;0.0u I I I ,T) to I I n on I I o co I I to r10 to <00�, (A to I I n.n0 I I vUu a.nr, io 0 no l I nn l to Io to I__ I I I I City of Fort Worth Summary of Charqes City Secretary Contract Num: 55573 Water &Sanitary Sewer Replacement Contract WSM-E [P.O.: FW060 00000 Project Number: 102301 Application Period: I 6-7-2023 I Application I Number. FINAL Application Date: 6/7/2023 Funding Identification (FIG) —F Total Comeleted I F Amt Remaining Gross Retainage Net —� Totals I I�-- -- —0- 58002-0600430-5740010-102301-001780-9999 I $1,175,117.81 $111,696.70 I $0.00 $0.00-1 56002-0700430-5740010-102301-001780-9999 I $1,663,802A9 $97,558.821 I $0.00 I - ''! I I $0.00 30100-0200431-57400 1 0-102301 -002480-9999 I $679,641.92 I I $123.746.74 I $0.00 $0.00 1 10 0 o i I I I I o to I to I I 10 I i 1 1 1 to I I I Grand Total 1 1 $3,518,562.21 1 $333,002.251 1 $0.001 1 ($175,928.11)1 1 $175,928.111 CSC No. 55573-COI FORT WORTH City of Fort Worth Change Order Request Project Name: Water and Sanitary Sewer Replacements Contract 2019, WSM-E City Sec No.: 1 55573 Project No,(s)] 56002.060043010700430.102301.001780 1 M&C: 1 21-0127 CityProj. No.:1 102301 Project Description:) In conjuction with replacement of lice water and sewer main, all connecting lead services will be removed and replaced, Contractor.' Woody Contractors, Inc. I Change Order it 1 1 Date: 1 6/18/2021 City Project Mgr.1 Brenda Oropeza City Inspector: Eustorgio Andrade Phone Number: 817-392-8271 I Phone Number: 817-871-7678 Dept. Water Sewer Paving Totals Contract Time (Calender days) Original Contract Amount $1,263,052.00 $1,739,313.80 $771,157.65 $3,773,523.45 Z10 Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date Amount of Proposed Change Order $0.00-$24,375.00 $0.00-$24,375.00 Revised Contract Amount $1.263,052.00 $1,714,938.80 $771,157.65 I $3,749,148.45 510 Original Funds Available for Change Orders $63,153.00 $86,966.20 $38,558.35 $188,677.55 Remaining Funds Available for this CO $63,153.00 $86,966.20 I $38,558.35 $188,677.55 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT -0.66% MAXALLOWABLECONTRACTAMOUNT (ORIGINAL CONTRACT COST +25%) $4,716,904.31 r JUSTIFICATION (REASONS) FOR CHANGE ORDER Change order No.1 will allow for the installation of 8 and 10-inch Class 160 PVC sewer pipe in lieu of ductile iron pipe with protecto 401 coating, Due to on going issues with the ductile iron pipe with protecto 401 coaling, staff recommends the use of class 160 PVC sewer pipe to expedite construction of the project. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full (both time and money) for all costs arising out of, or Incidental to, the above Change Order. Contractor's Company Name Contractor Nam'( - Co�(ractor Signature at Woody Contractors, Inc. Troy woody Inspector Pro"' A"�an' er T-z f _ ZI 'GcrislvpkerJ�eC�ei' Jun 23, 2021 �/��/!t��1 Assistant CityAttome. - Date Assistant City Manager Jun 23, 2021 ram" "'¢'Jun23,2o21 Coun_cll Action (If Required) M&C Number NIA M&C Dale Approved j NIA `F0PT Wk-3RT14 CRy of Fort `il wth ! " Change Order Additions Project Name Water and Sanitary Sewer Replacements Contract 2019, WSM-E City Sec No.: ( 56573 Project No.(s): 56002-060043010700430-102301-001780 ' DOE No.j 21-0121 City Proj. No.: l 102301 Project I In conjuction with replacement of the water and sewer main, all connecting lead services will be removed and replaced. Description _. Contractor Woody Contractors, Inc. Change Order:Dale: 611812021 City Project Mgr, d Brenda. Oropeza City Inspector j Eustorgio Andrade j ADDITIONS 57 10-inch Class 160:SS�CSSackfill 53 _ 10-inch Class 160 SS ,_ 54 8-inch Class 16.0 SS 55 8-inch Class 160 SS:CSS Back811 Page 2 of 4 DEPT Unit Qtyewer Unit Cost I Total S 40.06 LF $158.0b $b,320.00 Sewer 315.00 LF $131.00 $41,265.00 Sewer 1,250.00 LF $126.00 $157,500.00 Sewer 20.00 LF $147.00 $2,940.00 Water Sewer $208,025.00 Paving Additions Sub Total $208,025.00 FORT WORTH City of Fort Worth Change Order Deletions Project Name Water and Sanitary Sewer Replacements Contract 2019, WSM-E City Sec No.: 55573 Project No.(s): 56002-0600430/0700430-102301-001780 1 DOE No. 21-01 City Proj. No.: 102301 In conjuction with replacement of the water and sewer main, all connecting lead services will be removed and Project Description replaced. Contractor Woody Contractors, Inc, Change Order: 711 . Date 6/1812021. City Project Mgr. Brenda Oropeza City Inspector: I Eustorglo Andrade ITEM DESCRIPTION 3 10" Sewer Pipe, DIP, W/Prolecto 401 Coaling, CSS Backfill 4 10-Inch Sewer Pipe, DIP WlProteclo 401 Coating 7 8" DIP Sewer Pipe WlProtecto 401 Coating 8 8" DIP Sewer Pipe WlProtecto 401 Coating, CSS Backfill DELETIONS DEPT Oty Unit Unit Cost Total Sewer 40.00 LF $173.00 $6.920.00 Sewer 315.00 LF $146.00 $45,990.00 Sewer 1,250.00 LF . $141.00 $176,250.00 Sewer 20.00 LF $162.00 $3,240.00 Page 3 of 4 Water Sewer $232,400.00 Paving Deletions Sub Total $232,400.00 MIWBE Breakdown for this Change Order MWBE Sub'--L-1 - 4 1 1.. 1117ype of Service-E ` LIULL -r -Amount for this CO Total $0.00 Previous Change Orders CO # DATE 4 I AMOUNT Total � 4 e t 0100— i 1 1 1 F F + - 9 Page 4 of 4 Contract Compliance Manager By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. P*/�- LI/ Signature 3YtvIJa Name of Employee i Title ATTEST: Mary J. Kayser City Secretary CSC No. 55573-CO2 FORT WOR'Ukl City of Fort Worth ft-.0011111— Change Order Request Project Name: Water and Sanitary Sewer Replacements Contract 2019, WSM-E i Clly Sec No.: 1 55573 Project No.(s):1 56002-060043010700430-102301.001780 1 M&C: i 21-0127 f City Proj. No.: I 10230' Project Description] Replacement of deteriorated water and sewer lines, Conlractod Woody Contractors, Inc. Change Orderfl 1 2 1 Dale: 4i27/2022 City Project Mgr.1 Brenda Oropeza 1 Cily Inspector: Pedro Hernandez 1 Phone Numbed 817-392-8271 1 Phone Number:! 817-992-3991 Dept, Water Sewer Paving Totals Contract Time (Calender days) Original Contract Amount $1,263,052,00 $1,738,313.80 $M,157.65 $3,772,523.45 510 Extras to Date Credits to Date $24,375,00 $24,376.00 Pending Change Orders (in M&C Process) Contract Cost to Date $1,263,052.00 $1,713,938.80 $77.1,157.65 $3,796,898.45 510 !Amount of Proposed Change Order .$23,762:50 $42,222.50 $30,281.00; $96,266.00 _ 15 Revised Contract Amount $1,286,814.50 $1,756,161;30 $801.438.65 $3,844,414.45 525 Original Funds Available for Change Orders $63,153.00 $86,966.20 $38,558.35 $188,677.65 Remaining Funds Available for this CO $63,153.00 $86,366.20 $38,658.35 $188,077.55 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1-.91% MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) 1$41715,654.31 JUSTIFICATION (REASONS) FOR CHANGE ORDER Change Order No, 2 will provide pay item quantities for the following: Unclassified street excavation due to having to lower the street Concrete pavement repair that was inadvertently listed as LF instead of SY at the time the project was advertised for bid. Lay down curb and gutter to match existing ground topography Additional top soil quantities Retaining wall adjacent to the newly installed sidewalk on the west side of the 200-300 block on Colonial Street near Airport Freeway as well as the 200.300 block on the west side of Nevins Street near Airport Fwy Curb adjacent to newly installed sidewalk on the northern part of E 1st Street City staff concurs with the contractor's request for 15 additional days on the change order. 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. Contractor's CompanYName ContractonName Con racl,Sl nature •.Dale Woody Contractors, Inc, Troy Wood 5 'Y 1 Inspector.. "'Date. 5-10-2022 Pr ectManaq�:`�'�k„ % Dale 5- t0--7 Director'(Water Dept) v� Date -F tonslruck Supervisor ffPW Dept) Date H _I. May 11, 2022 (,(� � 05/10/22 Assistant City Attorney Date Assistant City Manager Date ,,,_ T ,_ May 11, 2022 a" Sava May 13, 2022 Council Action (If Required) M&C Number j NIA M&C bale Approved j NIA FORT WORTH City of Fort Worth Change Order Additions Project Name I Water and Sanitary Sewer Replacements Contract 2019, WSM-E City Sec No.: 1 55573 Project No.(s): 1 56002-0600430/0700430-102301-001780 1 DOE No.1 21-0121 City Proj. No.: 1 102301 Project I Replacement of deteriorated water and sewer lines. Description Contractor Woody Contractors, Inc. j Change Order: Date: 1 4/27/2022 City Project Mgr. Brenda Oropeza City Inspector Pedro Hernandez ADDITIONS ITEM DESCRIPHON DEPT Qty Unit 'Unit Cost Total 30 3232.0100 Conc Ret Wall Adjacent to Sidewalk Paving 33.00 SF $72.00 $2,376.00 31 Excavation for Curb and Gutter (60/50) Paving 65.00 CY $55.00 $3,575.00 32 3223.0101 Unclassified Excavation (50150) Paving 300.00 CY $53.00 $15,900.00 33 Lay Down Curb & Gutter (50150) Paving 110.00 LF $37.00 $4,070.00 34 Tree Protection (60/50) Paving 1.00 EA $600.00 $600.00 35 Additional staking for street grading (50/50) Paving 0.50 LS $3,000.00 $1,500.00 36 3213.0322 Conc Curb at Back of Sidewalk Paving 300.00 LF $31,00 $9,300.00 32 3291.0100 Topsoil Water 126.00 27 $50.00 $6,300.00 41 3201.0614 Conc Pvmt Repair, Residential Water 55.00 SY $108.00 $5,940.00 42 Excavation for Curb and Gutter (50/50) Water 32.50 CY $55.00 $1,787.50 43 3223.0101 Unclassified Excavation (50/50) Water 150.00 CY $53.00 $7,950.00 44 Lay Down Curb & Gutter (50/50) Water 55.00 LF $37.00 $2,035.00 45 Tree Protection (50/50) Water 0.50 EA $600.00 $300.00 46 Additional staking for street grading (60/50) Water 0.25 LS $3,000.00 $750.00 29 3201.0614 Conc Pvmt Repair, Residential Sewer 300.00 SY $108,00 $32,400.00 64 Excavation for Curb and Gutter (50/50) Sewer 32.50 CY $55.00 $1,787.60 65 3223.0101 Unclassified Excavation (50/50) Sewer 150.00 CY $63.00 $7,950.00 66 Lay Down Curb & Gutter (50/50) Sewer 55.00 LF $37.00 $2,035.00 67 Tree Protection (50150) Sewer 0.50 EA $600.00 $300.00 68 Additional staking for street grading (50/50) Sewer 0.25 LS $3,000.00 $750.00 Water $25,062.50 iSewer $45,222.50 Paving �$37,321.00 Additions Sub Total !$107,606.00 Page 2 of 4 FORT Woo,-F m City of Fort Worth Change Order Deletions Project Name Water and Sanitary Sewer Replacements Contract 2019, WSM-E City Sec No.: 55573 Project No.(s): 56002-060043010700430-102301-001780 DOE No, 1 21-01 City Proj. No.: 102301 Project Description I Replacement of deteriorated water and sewer lines. Contractor I Woody Contractors, Inc. City Project Mgr. Brenda Oropeza ITEM DESCRIPTION 7 3216.0102 7-inch Concrete Curb and 18-inch Gutter 29 3201.0614 Conc Pvmt Repair, Residential 32 3291.0100 Topsoil Change Order: F2 Date I 4/27/2022 City Inspector: I Pedro Hernandez DELETIONS DEPT Qty Unit UnIt Cost Total Paving 220.00 LF $32.00 $7,040.00 Sewer 50.00 LF $60.00 $3,000.00 Water 26.00 CY $50.00 $1,300.00 Page 3 of 4 Water Sewer (Paving Deletions Sub Total $1,300.00 $3,000,00 $7,040.00 $11,340.00 M/WBE Breakdown for this Change Order �,.. , - � �,:.. '::: =• a ..unto. r.;tfi's � O'..�_, Total Previous Change Orders ouT �h ii u+3; Total Page 4 of 4 Contract Compliance Manager By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. �2r9�0-GC/� Signature Brenda Oropeza Name of Employee Graduate Engineer Title ATTEST: 9aru�ei2 S. gdm7iLCG Jannette 5. Goodall (May 13, 202212:47 CDT) Jannette Goodall City Secretary 5/10/2022 CPN 102301 Water and Sanitary Sewer Replacements Contract 2019, WSM-E Chanqe Request 2 Notes The proposed unit prices have been reviewed and determined to be fair and reasonable in comparison to recent bid prices. The major pay item quantities on change order No. 2 are: • Unclassified Excavation at $53.00/CY; The cost from past project ranges from $40/CY to $107/CY • Conc. Curb at back of sidewalk at $31.00/LF; The cost from past projects ranges from $29/LF to $46/1-F CSC No. 55573-CO3 FORT W_ ORTH City of Fort Worth s t... Change Order Request Project Name: Water and Sanitary Sewer Replacements Contract 2019, WSM-E I City Sec No.: 1 55573 Project No.(s)] 56002-0600430/0700430-102301-001780 1 M&C: 1 21-0127 1 City Proj, No.: l 102301 Project Description:) Replacement of deteriorated water and sewer lines. Contractor: Woody Contractors, Inc. Change Order # 3 Date: 12/5/2022 City Project Mgr. Brenda Oropeza City Inspector: Pedro Hernandez Phone Number: 817-392-8271 Phone Number: 817-992-3991 Dept. Water Sewer Paving Totals Contract Time (Calender days) Original Contract Amount $1,263,052.00 $1,738,313.80 $771,157.65 $3,772,523.45 Z10 Extras to Date $23,762.50 $42,222.50 $30,281.00 $96,266.00 015 Credits to Date $24,375.00 I $24,375.00 Pending Change Orders (in M&C Process) I i Contract Cost to Date $1,286,814.50 $1,756,161.30 $801,438.65 $3,893,164.45 525 'Amount of Proposed Change Order $0.00 $4,200.00 $1,950.00 $6,150.00 GO Revised Contract Amount $1,286,814.50 $1,760,361.30 $803,388.65 $3,850,564.45 Z85 Original Funds Available for Change Orders $63,153.00 $86,966.20 $38,558.35 $188,677.55 Remaining Funds Available for this CO $39,390.50 $86,366.20 $8,277.35 $134,034.05 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 2.07% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $4,715,654.31 JUSTIFICATION (REASONS) FOR CHANGE ORDER Change Order No. 3 will provide for the following: • The removal of brush on a segment on E 1st Street to accommodate new sidewalk installation as requested by TPW. • Adjustment to a sanitary sewer manhole due to lowering of the street City staff concurs with the contractor's request for 60 additional days on the project to allow for the replacement of the existing cast iron water main prior to repaving the indicated segment of E 1st Street. 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. Contractor's Company Name Contractor Name Contactor Si nature Date Woody Contractors, Inc. Troy Woody Inspector Date Pro eqt Man C° Date i'ld-o 12/6/22 ) 2- - 2 2 D_. rector. ;Water,De�t Date 6nstructiohdu ervisor (TPW Dept) Date %.- I Dec 7, 2022 44za Z�14eaA& 1216122 Assistant City Attorney � Date Assistant City Manager - Date Dec 14, 2022 ° " �*1 Dec 16, 2022 Council Action (if Required) M&C Number NIA M&C Date Approved NIA FORT WORTH City of Fort Worth Change Order Additions Project Name Water and Sanitary Sewer Replacements Contract 2019, WSM-E City Sec No.: 1 55573 Project No.(s): 56002-0600430/0700430-102301-001780 1 DOE No.1 21-0121 City Proj. No.: 1 102301 Project Replacement of deteriorated water and sewer lines. Description I Contractor Woody Contractors, Inc. Change Order:03 Date: 1 12/5/2022 City Project Mgr. Brenda Oropeza City Inspector I Pedro Hernandez ADDITIONS HER UESCKIPI IUN DEPT Qty 'Unit 'Unit Cost Total 69 Major MH Adjustment Sewer 1.00 EA $4,200.00 $4,200.00 37 Clear Brush on E 1st Street Paving 1.00 LS $1,950.00 $1,950.00 Water Sewer $4,200.00 Paving $1,950.00 Page 2 of 4 (Additions Sub Total $6.150.00 F0a-r WORTH City of Fort Worth Change Order Deletions Project Name Water and Sanitary Sewer Replacements Contract 2019, WSM-E 1 City Sec No.: 55573 Project No.(s): 56002-0600430/0700430-102301-001780 DOE No, 1 21-01 City Proj. No.: 102301 Project Description I Replacement of deteriorated water and sewer lines. i Contractor I Woody Contractors, Inc. Change Order: F3 I Date 12/5/2022 City Project Mgr. Brenda Oropeza City Inspector: ' Pedro Hernandez DELETIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total Page 3 of 4 Water Sewer Paving Deletions Sub Total MMBE Breakdown for this Change Order A':"bunt:for.=this:.GQ'�':;` !n::.... .,, Previous Change Orders t,H-.hv -- Gi.' Page 4 of 4 WOODY CONTRACTORS INC Job: 2019 CONTRACT WSM-E CHANGE REQUEST. Date August 25, 2022 Time 9:00 AM Item Description quantity Unit Price 1 CLEAR BRUSH ON 1ST STREET. 1 LS $ 1,950.00 000000 WOODY CONTRACTORS 650 TOWER RD KENNEDALE, TX 76060 PHONE- 817-483-4787 FAX 817-483-2048 Total Price $ 1,950.00 Total for Sheet $ 1,950.00 1 Total For Job $ 1,950.00 PRICE IS FOR CLEARING THE BRUSH FOR THE SIDEWALK THAT WAS ADDED ON 1ST STREET. WOODY CONTRACTORS INC Job: WTR & SS CONTRACT 2019 WSM-E Date September 12, 2022 Major MH Adjustment Change Order Item Description 1 MAJOR MH ADJUSTMENT WOODY CONTRACTORS 650 TOWER RD KENNEDALE,TX 76060 PHONE- 817-483-4787 FAX 817-483-2048 Quantity Unit Price 1 EA $ 4,200.00 $ Total for Sheet $ Total For Job $ The sewer manhole rim elevations were set to the grade shown in the plans. Since the street was cut after the fact, one will need a major adjustment in order to lower it to the final grade. Total Price 4,200.00 4,200.00 4,200.00 Contract Compliance Manager By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Signature Brenda Oropeza Name of Employee Graduate Engineer Title ATTEST: %'l-le9442 c). (5,oW IGL Jannette S. Goodall (Dec 16, 2022 15:28 CST) Jannette Goodall City Secretary CSC No. 55573-CO4 FORT WORTH City of Fort Worth ! Change Order Request Project Name:1 Water and Sanitary Sewer Replacements Contract 2019, WSM-E City Sec No.: 1 55573 Project No.(s)] 56002-0600430/0700430-102301-001780 1 M&C: 1 21-0127 City Proj. No.: l 102301 Project Description:) Replacement of deteriorated water and sewer lines. Contractor] Woody Contractors, Inc. j Change Order # 4 Date: 2/21/2023 City Project Mgr.1 Brenda Oropeza I City Inspector: Pedro Hernandez Phone Number: 817-392-8271 Phone Number:) 817-992-3991 Dept, Water Sewer Paving Totals Contract Time (Calendar days) Original Contract Amount $1,263,052.00 $1,738,313.80 $771,157.65 $3,772,523.45 510 Extras to Date $23,762.50 $46,422.50 $32,231.00 $102,416.00 075 Credits to Dale $24,375.00 $24,376.00 Pending Change Orders (in M&C Process) I Contract Cost to Date $1,286,814.50 $1,760,361.30 $803,388,65 $3,899,314.45 585 Amount of Proposed Change Order $0.00 $0.00 $0.00 $0.00 0 Revised Contract Amount $1,286,814.50 $1,760,361.30 $803,388.65 $3,850,564.45 585 Original Funds Available for Change Orders $63,153.00 $86,966.20 $38,558.35 $188,677.55 Remaining Funds Available for this CO $39,390.50 $86,366.20 $6,327.35 $132,084.05 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1 2.07% MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 259/0) 1$4,715,654.31 JUSTIFICATION (REASONS) FOR CHANGE ORDER Change Order No. 4 will provide for the removal and replacement of new standard curb and gutter with laydown curb in order to provide positive parkway drainage and prevent ponding behind the back of curb as well as liner for manholes that need coating. 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, I Contractor's Company Name I Contractor Name ractor Signature I Date Woody Contractors, Inc. Troy Woody - L , la _ � d Inspector Date 2/22/23 Project agager ?.� ",, 4 Date 2 - ZZ Director (Water Dept) V Dale Construction er'visor (TPW Dept) Date FhnrFonhrr Harclrr T 5 , Feb 23, 2023 ��!/� 2/22/23 ' Assistant City Attorney Date Assistant City Manager I Date „ Feb 27, 2023 P141 #4444 C_r IFeb 27, 2023 Council Action (If Required) j 1 M&C Number I NIA M&C Date Approved NIA F[oRT WoRTm City of Fort Worth Change Order Additions Project Name Water and Sanitary Sewer Replacements Contract 2019, WSM-E I City Sec No.: 1 55573 Project No.(s): 56002-060043010700430-102301-001780 DOE No,1 21-012A City Proj, No.: 1 102301 Project Replacement of deteriorated water and sewer lines. Description 7 Contractor 1 Woody Contractors, Inc. I Change Order:® Date: ) 2/21/2023 City Project Mgr. 1 Brenda Oropeza j City Inspector 1 Pedro Hernandez ADDITIONS ITEM UtSCRIPIION DEPT Qty Unit IUnit Cost Total 70 Remove New C&G Sewer 37 LF $8.00 $296.00 71 Install Laydown Curb (for Item 70) Sewer 37 LF $44.00 $1,628.00 38 Remove New C&G Water 38 LF $8.00 $304.00 39 Install Laydown Curb (for Item 38) Water 38 LF $44.00 $1,672.00 47 Remove New C&G Paving 75 LF $8.00 $600.00 48 Install Laydown Curb (for Item 47) Paving 75 LF $44.00 $3,300.00 72 Epoxy MH Liner Sewer 45 VF $535.00 $24,076.00 Water $1,976.00 Sewer $25,999.00 Paving $3,900.00 Additions Sub Total $31,875.00 Page 2 of 4 F" P,-r WO R."C H City of Fort Worth Change Order Deletions Project Name I Water and Sanitary Sewer Replacements Contract 2019, WSM•E Project No.(s): 56002-060043010700430-102301-001780 DOE No. 1 21-01 Project Description I Replacement of deteriorated water and sewer lines. Contractor I Woody Contractors, Inc. City Project Mgr. Brenda Oropeza ITEM DESCRIPTION 17 1" Private Water Service 28 Asphalt Pvmt Beyond Defined Width„ Residential 13 2" Asphalt Pvmt Type D (50150) 51 Construction Allowance 22 Pre -CCTV Inspection 23 Remove Concrete Driveway 8 Remove Concrete Driveway (50I50) City Sec No.: 55573 City Proi. No.: 102301 Change Order:®® Date I 2/21/2023 City Inspector: I Pedro Hernandez DELETIONS DEPT Qty Unit Unit Cost Total Water 56.00 LF $35.00 $1,960.00 Sewer 48.00 SY $45,00 $2,160.00 Paving 364.00 SY $10.70 $3,894.80 Sewer 0.17 LS $140,000.00 $23.800.00 Sewer 9.75 LF $4.00 $39.00 Water 8.00 SF $2.00 $16.00 Paving 2.60 SF $2.00 $5.20 Page 3 of 4 (Water $1,976.00 (Sewer $25,999.00 Paving $3,900.00 IDeletions Sub Total $31,875.00 0 M/WBE Breakdown for this Change Order S. T is.:GO:``:`. for.A yp,..o. C Total Previous Change Orders iDAI N Total Page 4 of 4 2/22/2023 Water and Sanitary Sewer Replacements Contract 2019, WSM-E CSC: 55573 CPN: 102301 Change Order 4 Notes Staff has reviewed the requested prices and considers them to be fair and reasonable. Contract Compliance Manager By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. 34'a� 04p�r' Signature Brenda Oropeza Name of Employee Graduate Engineer Title ATTEST: Jannette Goodall City Secretary FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Water & Sanitary Sewer Replacement Contract 2019 WSM-E CITY PROJECT NUMBER: 102301 WATER PIPE LAID SIZE TYPE OF PIPE 12" PVC 8" PVC 8" DIP 6" PVC LF FIRE HYDRANTS: 7 VALVES (16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: 1" (100) Copper 900 3926 20 89 SEWER PIPE LAID SIZE TYPE OF PIPE LF 12" PVC 766 10" PVC 311 8" PVC 3528 10" Class 160 350 6" CIPP 112 6" PVC 31 15" PVC 20 8" Class160 1310 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: 4" (144) SDR-26 4" (1) Class 160 TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 FORT WORTH. TRANSPORTATION AND PUBLIC WORKS June 8, 2023 Woody Contractors, Inc. 650 Tower Dr. Kennedale, Texas 76060 RE: Acceptance Letter Project Name: Water and Sanitary Sewer Replacement Contract 2019 WSM-E Project Type: 01, 02 & 03 City Project No.: 102301 To Whom It May Concern: On March 28, 2023 a final inspection was made on the subject project. There were punch list items identified at that time. The punch list items were completed on June 8, 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 June 8, 2023, which is the date of the punch list completion and will extend of two (2) years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance, please feel free to contact me at Brenda Oropeza 817-392-8271. Sincerely, Brenda Oropeza, Project Manager Cc: Pedro Hernandez, Inspector Wade Miller, Inspection Supervisor Ariel Duarte, Senior Inspector Tony Sholola, Program Manager N/A, Consultant Woody Contractors Inc., Contractor n/a, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT BURETOTHER ❑ (SIMILAR TO AIA DOCUMENT G707) Bond No. K40201774 PROJECT: Water and Sanitary Sewer Replacement Contract 2019 WSM-E, City Project No. 102301 (name, address) Fort Worth, TX TO (Owner) ARCHITECT'S PROJECT NO: City of Fort Worth CONTRACT FOR: 200 Texas Street Fort Worth, TX 76102 fCONTRACT DATE: CONTRACTOR: Woody Contractors, inc. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Company) Vigilant Insurannce Company 2001 Bryan Street, Suite 3600 SURETY COMPANY Dallas, TX 75201 } on bond of (here insert name and address of Contractor) Woody Contractors, Inc. 650 Tower Drive CONTRACTOR, Kennedale, TX 76060 hereby approves of the final payment to the Contractor, and agrees that the final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (here insert name and address of owner) City of Fort Worth 200 Texas Street OWNER Fort Worth, TX 76102 as set forth in the said Surety Company's bond. IN WITPIESS WHEREOF, The Surety Company has hereunto set its hand this Attest: (Seat): 11th day of January , 2023 VIGILANT INSURANCE COMPANY Surety Company By �&presentative Signature orAuthorized Kyle W. Sweeney Attorney--in--Fact Title Note: This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims, Current Edition H U r, Power of Attorney Federal insurance Company I Vigilant Insurance Company I Pacific indemnity Company Know AU by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Elizabeth Gray, Charles D. Sweeney, Kyle W. Sweeney and Michael A. Sweeney of Fort Worth, Texas---------------------------------------------------------------------------------------------------------------------------------------- each as their true and lawful Attorney,in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than hail bonds) given or executed In the course of business, and any instruments amending or altering the same, and consents to the modification or alteration of any Instrument referred to In said bonds or obligations. In Wttness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 1611 day ofSeptember, 2019, lkiwn 41.Chiot .AtiislanlSc tera€y STATE OF NEW JERSBY County of Hunterdon —At" vvL t4 _, �, Slrphen t41. Haney, Vice Prc-A h¢nt =10110,i� On this 161h day of September, 2019, before me, a Notary Public of New Jersey, personally came Dawn M. Chloros, tome known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Dawn M. Chloros, being by me duly sworn, did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies; and that she signed said Power of Attorney as Assistant Secretary of said Companies by like authority; and that she Is acquainted with Stephen M. Haney, and knows him to be Vice President of said Companies; and that the signature of Stephen M. Haney, subscribed to said Power of Attorney is in the genuine handwriting of Stephen M. Haney, and was thereto subscribed by authority ofsaid Companies and in deponent's presence. Notarial Seal CD KATHERINE J. ADELAAR NOTARY PUBLIC CF NLw dERse5 y No. 2316(ma Cntvtmiaabn ExpEroa duly 10, 2D24 rta;ary Fubllr. CERTIFICATION Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY on August 30, 2016: "RESOLVED, that the l'ollowlng authorizations relate to the execution, for and on behalfof theCompany, ofbonds, undertakings, reeognizances, contracts and other written commitments orthe Company entered Into In the ordinary course ofbusiness (each a "Written Conmiianenr): (q Pach of the Chairman, the President and the Vice Presidents of the C,umpanyishereby authorized to execute any Written Commitment forandonbehatfoftheConmpiny.underthe seal of the Company, or otherwise, (2) Each duly appointed attorneydn-fact or the Company Is hereby authorized to execute any Written Commitment for and on behalfof the Company, under the seal of the Company or otherwise, to the extent that such action Isauthorized by the grant of powers provided for in such persons written appointment as such utturney-In-fact (3) Bach of the Chairman, [he President and the Vice Presidents of the company is hercbyauthorfzed,for and oil behalfoftheCompany. toappoint Inwriting any person the altorncy. in -last or the Company with full power and authority to execute, for and on behalf of the Company, under the seal oftile Company orotherw1w,such Written Conimintientsofthe Company as may be specined In such written appointment, which specification may be by general type or class of Written Commitments or by specifiea lon of one or more particular Written Commitments. (4) Luch of the Chairman, the President and the Vice Presidents of the Company Is hereby authorized, for and on behalfof the Company, to delegate in writing to any other officer of the Company the authority to execute, for and on behalf of the Company, under time Company's seal or otherwise, such Written Commitments of the Company as are specified in such written delegation, which specillcadon may be by general type or clam ol'Written Commitments or byspecilicationofoneormore ixrrdcularWritten Cutnniltmems, (5) The signature of any officer or other person executing any Written Commltnment.or appointment or delegation pursuant to this Resolution, and the seal of the Company, may he aflined by facsimile on such Written Cummltmentor written appointment or delegation. PUIV11-19R 10i80LVI,?V, that the foregoing Resolution shall not be deemed to be, an exclusive statement of the powers and authority ofoniceis, employees and other persons to act i'or and on behalfof the Company, andsuch Resolution shall not limit or otherwise allect the exercise orally such power or atithorily otherwise validly granted or vested" I, Dawn M. Chloros, Assistant Secretary of FEDERAL INSURANCES COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "Companies") do hereby cet'dfy that (1) the foregoing Resolutions adopted by the Board of Directors of the Companies are true, correct and in full force and effect, (h) the foregoing Power of Attorney is true, correct and in full force and effect. Given Linder nmyhand and seals ofsaldCompantesatWhitehouse Station, NJ, this 11th day of January 2023. tF �^""'`"' fkati}'n �i. C.,Itlrst�, f15�ist.hnt Sz�rsel;uyo 1NTI-IR EVE)rr YOU W1SH'It0 VERIFY'rHE AUrH ENI'ICITY OF7111S BOND oR NOTIFYUS OF ANY OTHER MATTER, PLEASE CONTACT US A'r; Telephone (908)90a-3493 Fax(908)903-3656 e-mail: suretyochubb.com FED- VI G-PI (rev. 00-18) 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 Troy Woody, President Of Woody Contractors, 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; Water and SS Replacement Contract 2019 WSM-E- BY / Tro�Woo�dy- resident Subscribed and sworn before me on this date M of June, 2023. otarylic Tarrant, Texas .......� LUZAMVELO • My CwrnUOn Empires A0129, 2027 -0 !lOTAR7 10 12860410