HomeMy WebLinkAboutContract 51712-FP1FORT WORTH.
-FP1
City Secretary
Contract No. 51712
Date Received 06/29/2023
AT
NOTICE OF PROJECT COMPLETION
(Developer Projects)
The Transportation and Public Works Department upon the recommendation of the Project
Manager has accepted the following project as complete:
Project Name: Calloway Cemetery Road THE Railroad Crossing
City Project No.: 101442
Improvement Type(s): x❑ Paving
Original Contract Price:
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete:
Contractor
V.P. of Field Operations
Title
Rebcon Inc.
Company Name
16—
charleshaves (Jun 7 02313:34 CDT)
Project Inspector
Bfi`�AE MLtf^AIt"
eoree} arauez (Jun 2�, 202313:57 CDT)
Project Manager
71 OwDa a Owen(Jun 29. 202314:26CDT)
CFA Manager
A. —
Lauren Prieur Oun 29. 202315:03 CDT)
TPW Director
1Niuiam Inhncnn lli 79 7n7316 lgr[M
Asst. City Manager
❑x Drainage x❑ Street Lights ❑ Traffic Signals
$1,166, 562.50
$256,274.43
$1,422,836.93
$1,422,836.93
Jun 29, 2023
Date
Jun 29, 2023
Date
J u n 29, 2023
Date
Jun 29, 2023
Date
J u n 29, 2023
Date
Jun 29, 2023
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Page 1 of 2
Notice of Project Completion
Project Name: Calloway Cemetery Road THE Railroad Crossing
City Project No.: 101442
City's Attachments
Final Pay Estimate x❑
Change Order(s): ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time 130 WD Days Charged: 279
Work Start Date: 4/18/2022 Work Complete Date 6/21/2023
Completed number of Soil Lab Test: 0
Completed number of Water Test: 0
Page 2of2
FORT WORT 11
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name CALLOWAY CEMETERY RD THE RAILROAD CROSSING
Contract Limits
Project Type STORM DRAIN & PAVING
City Project Numbers 101442
DOE Number 1442
Estimate Number I Payment Number 1 For Period Ending 6/26/2023
WD
City Secretary Contract Number Contract Time 13WD
Contract Date Days Charged to Date 279
Project Manager NA Contract is 100.00 Complete
Contractor REBCON, INC.
1868 W. NORTHWEST HWY
DALLAS, TX 75220
Inspectors OWEN / C. Hayes
Tuesday, June 27, 2023 Page 1 of 6
City Project Numbers 101442
Contract Name CALLOWAY CEMETERY RD THE RAILROAD CROSSING
Contract Limits
Project Type STORM DRAIN & PAVING
Project Funding
STORM DRAIN
Item Description of Items
No.
1 REMOVE RIP RAP
2 REMOVE 30" STORM LINE
3 30" STORM ABANDONMENT PLUG
4 REMOVE HEADWALL/SET
5 MEDIUM STONE RIPRAP
6 TRENCH SAFETY
7 21" RCP
8 24" RCP
9 24" RCP, CLASS V (CO #1)
10 36" RCP (CO 91)
11 36" RCP
12 4' STORM JUNCTION BOX
13 21" SET, 1 PIPE
14 10' CURB INLET
15 4' DROP INLET
16 CONCRETE ENCASEMENT FOR UTILITY PIPES
17 CONCRETE FLUME
18 30" STEEL PIPE (CO #1)
19 BORE FOR 30" STEEL PIPE (CO #1)
20 18" RCP, CLASS V (CO #1)
21 36" STEEL PIPE (CO #1)
22 BORE FOR 36" STEEL PIPE (CO #1)
23 CONSTRUCTION MATERIAL & LABOR
INCREASE (CO #1)
DOE Number 1442
Estimate Number I
Payment Number 1
For Period Ending 6/26/2023
Estimated Unit
Unit Cost
Estimated
Completed
Completed
Quanity
Total
Quanity
Total
1800 SF
$5.00
$9,000.00
1800
$9,000.00
56 LF
$51.00
$2,856.00
56
$2,856.00
1 EA
$1,270.00
$1,270.00
1
$1,270.00
1 EA
$1,815.00
$1,815.00
1
$1,815.00
70 SY
$94.00
$6,580.00
70
$6,580.00
352 LF
$14.00
$4,928.00
352
$4,928.00
77 LF
$146.00
$11,242.00
77
$11,242.00
47 LF
$148.00
$6,956.00
47
$6,956.00
92 LF
$161.00
$14,812.00
92
$14,812.00
0 LF
$215.00
$0.00
0
$0.00
80 LF
$313.00
$25,040.00
80
$25,040.00
l EA
$5,390.00
$5,390.00
1
$5,390.00
1 EA
$1,870.00
$1,870.00
1
$1,870.00
2 EA
$5,115.00
$10,230.00
2
$10,230.00
3 EA
$5,720.00
$17,160.00
3
$17,160.00
11.8 CY
$385.00
$4,543.00
11.8
$4,543.00
7 SY
$495.00
$3,465.00
7
$3,465.00
0 LF
$117.00
$0.00
0
$0.00
0 LF
$721.00
$0.00
0
$0.00
34 LF
$169.40
$5,759.60
34
$5,759.60
104 LF
$158.00
$16,432.00
104
$16,432.00
104 LF
$770.00
$80,080.00
104
$80,080.00
1 LS
$22,185.29
$22,185.29
1
$22,185.29
Sub -Total of Previous Unit $251,613.89 $251,613.89
PAVING
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 RAILROAD COORDINATION 1 LS $25,000.00 $25,000.00 1 $25,000.00
2 RAILROAD FLAGMEN (CO #2) 45 WD $1,100.00 $49,500.00 45 $49,500.00
Tuesday, June 27, 2023 Page 2 of 6
City Project Numbers 101442 DOE Number 1442
Contract Name CALLOWAY CEMETERY RD THE RAILROAD CROSSING Estimate Number I
Contract Limits Payment Number 1
Project Type STORM DRAIN & PAVING For Period Ending 6/26/2023
Project Funding
3 MOBILIZATION
1
LS
$81,000.00
$81,000.00
1
$81,000.00
4 REMOVE CONCRETE DRIVE
810
SF
$2.50
$2,025.00
810
$2,025.00
5 REMOVE ASPHALT DRIVE
880
SF
$2.50
$2,200.00
880
$2,200.00
6 REMOVE FENCE
524
LF
$10.00
$5,240.00
524
$5,240.00
7 REMOVE ASPHALT PVMT
3721
SY
$17.00
$63,257.00
3721
$63,257.00
8 12"-18" TREE REMOVAL
2
EA
$1,250.00
$2,500.00
2
$2,500.00
9 UNCLASSIFIED EXCAVATION BY PLAN (CO
241
CY
$30.00
$7,230.00
241
$7,230.00
#1) (CO #2)
10 EMBANKMENT BY PLAN
1028
CY
$64.00
$65,792.00
1028
$65,792.00
11 SWPPP
1
LS
$26,000.00
$26,000.00
1
$26,000.00
12 6" FLEXIBLE BASE TYPE A GR-2 (CO #1)
428
SY
$22.00
$9,416.00
428
$9,416.00
13 CEMENT
35
TN
$242.00
$8,470.00
35
$8,470.00
14 8" CEMENT TREATMENT
2557
SY
$21.00
$53,697.00
2557
$53,697.00
15 2" ASPHALT PVMT TYPE C (CO #2)
338.18
SY
$26.00
$8,792.68
338.18
$8,792.68
16 7" ASPHALT BASE TYPE B (CO #2)
338.18
SY
$68.00
$22,996.24
338.18
$22,996.24
17 9" CONC PVMT
2105
SY
$119.00
$250,495.00
2105
$250,495.00
18 6" CONCRETE DRIVEWAY
5222
SF
$12.00
$62,664.00
5222
$62,664.00
19 4" SLD PVMT MARKING HAS
1550
LF
$1.20
$1,860.00
1550
$1,860.00
20 24" SLD PVMT MARKING HAE
90
LF
$7.00
$630.00
90
$630.00
21 LANE LEGEND RR
2
EA
$1,045.00
$2,090.00
2
$2,090.00
22 REFL RAISED MARKER
22
EA
$5.50
$121.00
22
$121.00
23 6' CHAIN LINK STEEL (CO #2)
0
LF
$33.00
$0.00
0
$0.00
24 20' GATE STEEL (CO #2)
0
EA
$4,950.00
$0.00
0
$0.00
25 TOPSOIL
290
CY
$76.00
$22,040.00
290
$22,040.00
26 BLOCK SOD PLACEMENT
1066
SY
$6.00
$6,396.00
1066
$6,396.00
27 SEEDING HYDROMULCH
3835
SY
$2.10
$8,053.50
3835
$8,053.50
28 FURNISH/INSTALL ALUM SIGN GROUND
10
EA
$891.00
$8,910.00
10
$8,910.00
MOUNT CITY STD
29 TRAFFIC CONTROL (CO #2)
14
MO
$10,000.00
$140,000.00
14
$140,000.00
30 VALVE BOX ADJUSTMENT
2
EA
$231.00
$462.00
2
$462.00
31 MANHOLE ADJUSTMENT, MAJOR W/COVER
2
EA
$1,612.00
$3,224.00
2
$3,224.00
32 REMOVE CONCRETE TRAFFIC RAIL
300
LF
$34.00
$10,200.00
300
$10,200.00
33 REMOVE STEEL BOLLARD
9
EA
$200.00
$1,800.00
9
$1,800.00
34 TEMPORARY 6" FLEXIBLE BASE TYPE A GR-2
355
SY
$32.00
$11,360.00
355
$11,360.00
35 CONCRETE STREET HEADER
130
LF
$15.00
$1,950.00
130
$1,950.00
Tuesday, June 27, 2023
Page 3
of 6
City Project Numbers 101442
Contract Name CALLOWAY CEMETERY RD THE RAILROAD CROSSING
Contract Limits
Project Type STORM DRAIN & PAVING
Project Funding
36 30' GATE, STEEL (CO #2)
37 8" FLEXIBLE BASE TYPE A GR-1 (CO #1)
38 3" ASPHALT PVMT TYPE D (CO #1)
39 6" ASPHALT BASE TYPE B (CO #1)
40 CONSTRUCTION MATERIAL & LABOR
INCREASE (CO #1)
DOE Number 1442
Estimate Number I
Payment Number 1
For Period Ending 6/26/2023
0
EA
$6,050.00
$0.00
0
$0.00
304
SY
$26.00
$7,904.00
304
$7,904.00
304
SY
$28.00
$8,512.00
304
$8,512.00
304
SY
$55.00
$16,720.00
304
$16,720.00
1
LS
S101,811.04
$101,811.04
1
$101,811.04
Sub -Total of Previous Unit $1,100,318.46 $1,100,318.46
- - - - - - - - - - - - - - - - - - -
ST LIGHT
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
---------------------------------------
1
FURNISH/INSTALL ELEC SERV POLE MNT
2 EA
$7,700.00
$15,400.00
2
$15,400.00
2
2"CONDT PVC SCH 80
450 LF
$18.00
$8,100.00
450
$8,100.00
3
NO 10INSUALTED ELEC CONDR
1425 LF
$1.00
$1,425.00
1425
$1,425.00
4
GROUND BOX TYPE B W/APRON
3 EA
$935.00
$2,805.00
3
$2,805.00
5
INSTALL TYPR 33B ARM
4 EA
$369.00
$1,476.00
4
$1,476.00
6
LED LIGHTING FIXTURE
4 EA
$715.00
$2,860.00
4
$2,860.00
7
RDWY ILLUM FOUNDATION
4 EA
$1,265.00
$5,060.00
4
$5,060.00
8
CONTACT ENCLOSURE, PAD MOUNT
2 EA
$7,700.00
$15,400.00
2
$15,400.00
9
RDWY ILLUM TY 8 POLE
4 EA
$1,969.00
$7,876.00
4
$7,876.00
10
CONSTRUCTION MATERIAL & LABOR
1 LS
$6,770.83
$6,770.83
1
$6,770.83
INCREASE (CO #1)
11
REMOVE EXISTING STREETLIGHT (CO #2)
1 EA
$3,731.75
$3,731.75
1
$3,731.75
--------------------------------------
Sub -Total of Previous Unit
$70,904.58
$70,904.58
Tuesday, June 27, 2023 Page 4 of 6
City Project Numbers 101442
Contract Name CALLOWAY CEMETERY RD THE RAILROAD CROSSING
Contract Limits
Project Type STORM DRAIN & PAVING
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Change Order Number
Al
Change Order Number
Al
Change Order Number
Al
Change Order Number
A2
Change Order Number
A2
DOE Number 1442
Estimate Number 1
Payment Number 1
For Period Ending 6/26/2023
$1,166,562.50
$53,700.89
$131,049.04
$6,770.83
$61,021.92
$3,731.75
Total Contract Price $1,422,836.93
Total Cost of Work Completed $1,422,836.93
Less % Retained $0.00
Net Earned $1,422,836.93
Earned This Period $1,422,836.93
Retainage This Period $0.00
Less Liquidated Damages
Days @ / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$0.00
$0.00
$0.00
$0.00
$0.00
$1,422,836.93
Tuesday, June 27, 2023 Page 5 of 6
City Project Numbers 101442
Contract Name CALLOWAY CEMETERY RD THE RAILROAD CROSSING
Contract Limits
Project Type STORM DRAIN & PAVING
Project Funding
Project Manager NA
Inspectors OWEN / C. Hayes
Contractor REBCON, INC.
1868 W. NORTHWEST HWY
DALLAS , TX 75220
Line Fund Account Center
DOE Number 1442
Estimate Number 1
Payment Number 1
For Period Ending 6/26/2023
City Secretary Contract Number
Contract Date
Contract Time 130 WD
Days Charged to Date 279 WD
Contract is .000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Amount Gross Retainage Net
Funded
Total Cost of Work Completed $1,422,836.93
Less % Retained $0.00
Net Earned $1,422,836.93
Earned This Period $1,422,836.93
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
$0.00
Plus Material on Hand Less 15%
$0.00
Balance Due This Payment
$1,422,836.93
Tuesday, June 27, 2023 Page 6 of 6
PROJECT NAME:
CONTRACT:
CFA #
CITY PROJECT #
DOE #
WATER PROJECT #
SEWER PROJECT #
FILE #
INSPECTOR:
PROJECT MANAGER:
ORIGINAL CONTRACT
EXTRAS TO DATE
CREDITS TO DATE
CONTRACT TO DATE
AMOUNT OF PROP. CHANGE ORDER
REVISED CONTRACT AMOUNT
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
REVISED COST SHARE
TOTAL REVISED CONTRACT
Revised: 10-12-2011
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
Calloway Cemetery Road THE Railroad Crossing
51712-A1
2018-028 CITY PARTICIPATION: NO
101442
N/A
N/A
N/A
K-2587
APPROVED
By George Marqeuez, P.E. at 5:22 pm, Jun 16, 2023
CHANGE
ORDER No:
Al
Aaron Ybarra Phone No: (817) 392-8306
George Marquez Phone No: (817) 392-6826
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREET LIGHTS CONTRACT
Developer �a �� Developer =, .Developer,";Developer DAYS
Cost Cost 2C1 eveloper Cost Cost CI Cost Cost CII Cost
$0.00 i0 00�� �� $0.00 4j0 fi _ $908,247.50 0 OOm �" E197,913.00 �F SO 00 $60,402.00 SO 00 130
$o.00 so 00 $o.00 �v�, So-y� $0.00 oo r saao ;o 0o So.00 �� o
$0.00 4.1
$ so 00 $0.00 j0 00 $0.00 j0 00 , $0.00 �0 00 3 $0.00 0
$0.00 xi j0 005"1I11,1K $0.00 v;m l $908,247.50 f0 O yi $197,913.00 J SO 00 $60,402.00 130
$0.00 0 00 $0.00 s0 00i - u # r r r V0 �r i
$131,049.04 fd OQ $53,700.89 f0 00 56,77D.83 z j0 00 12
�n�ttDCT�'i C�. ytlWYpgq'i�l^;'y
$0.00 1)il �j,0 00w `t $0.00 f0 00a $1,039,296.54 1, fO.OQ ., , ` $251,613.89 7f04.0,Owl �kA�a E67,172.83 t0:0 142
$0.00 $0.00 $1,039,296.54 $251,613.89 $67,172.83
Dev. Cost $1,358,083.26 Clty Coat r 5* SU 00 s n
$1,358,083.26
Page 1
es in the
ntract
You are directed 10 make the following I Cl; BID ITEM�QUANTITY Tents I I UNIT PRICE I TOTAL
PAY ITEM # # IUNIT ITEM DESCRIPTION
DRAINAGE
9
3341.0207
92 -30
LF
24" RCP, Class V
$
161.00
$ 14,68i2.00
$ (4,830.00)
49
3344 9399
d -26
SY
V' F'vftIt Ya. e A GR
$
245.00
_2
$ (5,590.00)
4-9
8889.9992
-, _72
LP
_
$ (8,424.00)
Dacia341.0105
a _72
Rare feF33{�^�8 �
$ (51,912.00)
20
20
39999
3341.0105
34
LF
LF
18" RCP, lass
169.40
$ 5,759.60
21
9999.0009
104
LF
36" Steel Pipe
$
158.00
$ 16,432.00
22
9999.0010
104
LF
Bore for 36" Steel Pipe
$
770.00
$ 80,080.00
23
9999.0011
1
LS
Construction Material & Labor Increase
$
22,185.29
$ 22,185.29
TOTAL
$139.28885
$ 53,700.89
PAVING
9
3123.0101
J-92 93
CY
Unclassified Excavation by Plan
$
30.00
$ 5,', 60.0U
$ 2,790.00
12
3211.0122
420-304
SY
6" Flexible Base Type A GR-2
$
22.00
S 941-&.
$ (6,688.00)
37
3211.0113
304
SY
8" Flexible Base Ty e A GR-1
$
26.00
$ 7,904.00
38
3212.0303
304
SY
3" Asphalt Pvmt�ype D
$
28.00
$ 8,512.00
39
3212.0503
304
SY
6" Asp`halt Base Ty ve B
$
55.00
$ 16,720.00
40
9999.0012
1
LS
Construction Material & Labor Increase
$
101,811,04
$101,811.04
TOTAL
5150;123:04
$ 131,049.04
STREET LIGHTS
10
I 9999.0013 I
1 I
LS I
Construction Material & Labor Increase
I $
6,770.83I
$ 6,770.83
TOTAL
S 6,770.83
REASONS FOR CHANGE ORDER 1) Change orderrequired for revised paving section at commercial driveway for vehicle load and frequency. Changes correspond to Revision No. 1 as shown on
sheet 8 of the construction plans.
2) Revised drainage utility lines and structures to accommodate field conflict with existing franchise utilities. Changes correspond to Revision No. 1 as shown on
sheets 14, 18, and 19 of the construction plans
3) Change order required and developedowner approved for material and labor increase in cost over project delay, not caused by contractor.
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED: APPROVED: APPROVED:
Graham Associates, Inc. Wridian Municipal a agement D' 'ct Rebcon, Inc.
Name: Christian J. Conners, P.E. Name: -Ihl A /L- z '�cPNEa ZAAACE Name: Danny Krieg
Title: Principal Title: Z: - ......I U tere- I.HAIIILAU L Title: President
Revised: 10-12-2011 Page 2
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
Calloway Cemetery Road THE Railroad Crossing
CONTRACT:
51712-A1
3HANGE
ORDER No:
CFA #
2018-028
CITY PARTICIPATION: NO
CITY PROJECT #
101442
DOE #
NIA
A2
WATER PROJECT #
NIA
SEWER PROJECT #
NIA
FI LE #
K-2587
INSPECTOR:
Aaron Ybarra
Phone No:
(817) 392-8306
PROJECT MANAGER:
George Marquez
Phone No:
(817) 392-6826
CONTRACT UNIT
WATER
SEWER
PAVING
DRAINA jE
STREET
LIGHTS
CONTRACT
Developer
Cost
¢ ,a eveloperrn
N Icy G#s ,^�CosY
I^ ;Developer
i GItS� GosY ` Developu Cast 4i�y Cost
Deve[oper
Cast
a#s:
e 0 3f .
DAYS
ORIGINAL CONTRACT
$0.004
OQ $0.00
$D 00.
�GSA
$908,247.50
$197 913 OD
$60,402 00
H
130
EXTRAS TO DATE
$0.00le
Ff $A oQ $0.00
$b oo •
$131,049.04 $D pg ;
$53,f00,89 11VII $¢! a
$0,770 B3
O 0
12
CREDITS TO DATE
$0.00
''k 2 1`.,
6" DSO 0, $0,00
£"A4h K
0 00 .
�L.4 ii
$0.00 $OQxx' '
ry
$9.00 "4y Q
$0.00
NAl
-0$00
txg,,,,;;;;$QaiOr�
0
CONTRACT TO DATE
$0.00
�+� }�O,QQ`t a, $0.00£O.RO+
$1,039,298.54 $QY
$251,613.89 $gw
$8T,1T283
%4�t
142
AMOUNT OF PROP. CRAN GEURDER
$OAO
11 $0.00
$Q
.0..
$3,731 T5
i"
240$61,021.92
REVISED CONTRACT AMOUNT
$0,00
5!„ $OG'00; +;f.� g0,00
$1,100,318.46 $t}�QU'.:
�
$251613.89 Qr?, t
$70,W4.58
? Oq ✓
382
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$0.00
$0.00
$1,100,31BAR
$251,51309
$70,904.58
REVISED COST SHARE
Dev. Cost: $1,422,836.93
GItJ Cc sf
A 4? Ask
$0.0019
s"
TOTAL REVISED CONTRACT
$1,422,836.93
Revised: 10-12-2011 Page 1
You are directed to make the follaavinq changes in the contract documents:
I CITY B# ITEM I
I
PAY ITEM #
QUANTITY
UNIT
ITEM DESCRIPTION
PAVING
2
15
WD
Railroad Flagman
9
3123.0101
49
CY
Unclassified Excavation 6'(Plan
15
3212.0201
23.18
SY
2" Asphatt Pvmt Type C
15
3212,0504
23,18
SY
7" Asphalt Base Type B
23
3231-0113
-519
LF
6' Chain Link, Sleet
24
3231-0307
-2
EA
20' Gate` Steel
29
3471.0001
8
MO
Traffic Control
36
9999,0008
-2
EA
30' Gate, Steel
TOTAL
STREET LIGHTS
11
I 9999-0014 I
1 {
EA I
Remove Existinq Streetlight
TOTAL
REASONS FOR CHANGE ORDER
UNIT PRICE I TOTAL
$
1.100.00
$ 16,500.00
$
3000
$ 1470,00
$
26,00
S �o2.6a
$
(38.00
$ 1,575.24
$
33.00
$ (17.127.00)
$
4,950,00
$ (9,900.-001
$
10,000.00
$ 80,000,00
$
6,050,00
$ (12100,00)
$ 6�.021.92
$
3,731.75I
I
$ 3,731.751
$ 3,731.751
1) Change order required to manage crossing closures for extended construciton time for projecl close out.
2) Change ordder required for a field adjustment to the asphalt area of a driveway.
3) Change order required for the removal of items realated to the replacment of the Clyde Godfrey private fence and gate systems-
4) Change order required for additional contract time to cover work stoppage and delays
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 1006% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED:
Graham Associates, Inc.
By:
Name: Christian J. Conners, P.E.
Title: Principal
APPROVED:
Viridian Municipal AAana
By: t
Name: Michelle Deuell
Title: Chairman
APPROVED:
Reboon, irr
BY
J?�
Name: Danneg
Title: President
Revised: 10-12-2011 Page 2
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
June 23, 2023
Rebcon Inc.
1868 W Northwest Hwy
Dallas TX, 75220
RE: Acceptance Letter
Project Name: Calloway Cemetery Rd. THE Railroad Crossing
Project Type: Drainage, Paving, Street Lights
City Project No.: 101442
To Whom It May Concern:
On June 23, 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 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 June 26, 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 817-
392-6826.
Sincerely,
eorge arquez (Jung ,202313:57 CDT)
George Marquez P.E., Project Manager
Cc: Charles Hayes, Inspector
Don Watson, Inspection Supervisor
Oscar Aguillon, Senior Inspector
Victor Tornero P.E., Program Manager
Graham & Associates Inc., Consultant
Rebcon Inc., Contractor
Veridian Holdings LP, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
CONTRACTOR'S AFFIDAVIT OF FINAL PAYMENT AND RELEASE
THE STATE OF TEXAS
COUNTY OF TARRANT
BEFORE ME, the undersigned authority, on this day personally appeared
Jim Schumann ("Affidant"), who, after being by me duly sworn, deposes and says that he is
Rebcon. Inc, a Corporation (corporation, partnership, trade name) of Dallas
County, State of Texas (the "Contractor"), which said Contractor was awarded the contract dated the
27th of June. 2023, forthe construction of Vista Wav Extension and Associated Paving Improvements
at Citv of Fort Worth (the "Work"), for a total consideration of $1.422,836.93 dollars to be
paid to the said Contractor (the "Contract"), and that Affiant has full power of authority to make this
affidavit.
That Citv of Fort Worth (Viridian Municipal Management District) (the "Owner") has
approved the final estimate on said Work, and that the said Contractor has fully satisfied and paid any
and all claims that may be covered by Chapter 53 of the Texas Property Code, and Article 5160 of the
Revised Civil Statutes of the State of Texas, or any other applicable statutes or charter provisions, and
that all just bills for labor and materials have been paid and discharged by said Contractor insofar as
they pertain to the Work in question.
That in addition to any funds which may have been previously paid by the Owner, the
Contractor hereby accepts the amount of $78.792.67 Dollars as FULL AND FINAL PAYMENT under
the aforementioned Contract, and hereby waives and releases any right Affiant and/or the Contractor
may have to pursue claims of any nature against the Owner arising out of or in any manner connected
with the performance of the Work and/or the Contract, including but not limited to claims of third
parties that supplied material and/or labor for the Work for or through the Contractor
("Subcontractors"), as well as claims for delay, additional compensation orfor recovery of liquidated
damages which may have been withheld by the Owner. The Contractor shall defend, hold harmless
and indemnify the Owner from any such claims of such Subcontractors. This affidavit is given
pursuant to the final payment provisions of the Contract and shall not be deemed to alter or modify
the terms and provisions of said Contract.
Operations}
Rebcon. Inc.
® (Affiant)
Jim Schumann
(Printed Name)
Vice President (Field
SUBSCRIBED AND SWORN TO BEFORE ME, thiss227th day of June , 2023 .
i
,•� Via,......,, � -.
;,�,�Y. �(�s.,,•: (Notary Public in and for the State of Texas)
{N
�r
OF
';i RE3 05ma.�`
"1iir111101�
thou nc'cL T. 00-ry
(Printed Name of Notary)
My commission expireN4/ Z0 .
CONSENT OF
OWNER ❑
SURETY COMPANY
ARCHITECT ❑
TO FINAL PAYMENT
CONTRACTOR ❑
SURETY ❑
AIA DOCUMENT G707 OTHER
Bond No. PRF9335140
PROJECT: Calloway Cemetery Road THE Railroad Crossing, Project No. 101442, City of Fort Worth,
(name, address) TX
TO (Owner) [ City of Fort Worth & Viridian Municipal
Management District
3100 McKinnon Street, Suite 1100
Dallas, TX 75201
CONTRACTOR: Rebcon, LLC
1868 W. Northwest Hwy
Dallas, TX 75220-7018
ARCHITECT'S PROJECT NO:
CONTRACT FOR:
CONTRACT DATE: December 10, 2019
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)
Colonial American Casualty and Surety Company
Fidelity and Deposit Company of Maryland
1299 Zurich Way, 5th Floor, Schaumburg, IL 60196-1056 , SURETY COMPANY,
on bond of (here insert name and address of Contractor)
Rebcon, LLC
1868 W. Northwest Hwy
Dallas, TX 75220-7018 , CONTRACTOR,
hereby approves of the final payment to the Contractors, and agrees that final payment to the Contractor shall not rclicvc
the Surety Company of any of its obligations to (here insert name and address of Owner)
City of Fort Worth & Viridian Municipal Management District
3100 McKinnon Street, Suite 1100
Dallas, TX 75201 ,OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 29th day of June 2Q23
Colonial American Casualty and Surety Company
Ejdf-liiy and Deposit Company of Maryland
Surety Company
i alure of Authorised Repre �ntative
Attest:
(Seal): Andrea Rose Crawford Ariarnev-In-Fact
Tills
NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
AIA DOCUMENT G707 a CONSENT OF SURETY COMPANY TO FINAL, PAYMENT • APRIL 1970 EDITION • AIA® ONE PAGE'
@ 1970 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave., NW, WASHINGTON, D.C. 20006
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY 'THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of
New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert
D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth
on the reverse side hereof and arc hereby cerlifted to be in Rill force and effect on the date hereof, do hereby nominate, constitute, and appoint
John William NEWSY, Troy Russell KEY, Debra Lee MOON, Andrea Rose CRAWFORD, Sandra Lee RONEY, Linda Michelle
STALDER, Suzanne KH=beth NIEDZWIEDZ, Sherie Michelle GREENOUGH, Cheri Lynn IRBY and Joshua D. TRITT, all of
Addison, Texas, its true and lawful agent and Attorney -in -Fact, to snake, execute, seal and deliver, for, and on its behalf as surety, and as its act
and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding
upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly
elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of
the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland, and the regularly elected
officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland, in their own proper persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By -Laws of said Companies and is now in force.
IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 5th day of March, A,D. 2020.
oft
all
� s
ATTEST.
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By: Robert D. Murray
Vlce President
1kD 4 vtxou —.-
By. Down R Brown
Secretary
State of Maryland
County of Baltimore
On this 5° day of Mardi, A.D. 2020, before the subscriber, a Notary Public of the State of Maryland, duly coma iWoned and qualified, Robert!). Murray,
Vice President and Dawn L Brown, Secretary of the Companies, to me personally known to be the Individuals and officers described in and who execthted
the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of the Company
aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature
as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and you first above written.
r
11;�
m134`t'j�`
Constance A. Dunn Notary Public
f.,rifj;•W�� ti.,
I,,IIrin,,,,,
My Commission Expires: July 9,2023
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V, Section 8, Attornevs-in-Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies,
recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any
time."
CERTIFICATE
I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the, FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that
the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section
8, of the By- Laws of the Companies is still in force.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the I5th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on theCompany."
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and hold on the loth day of May,1990.
RESOLVED: "Thal the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of
any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect
as though manually affixed.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies,
this 20 day of 4- . 2
OkIrlJo a
i
r2 8
By: Brian M. Hodges
Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION
OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT
INFORMATION TO:
Zurich Surety Claims
1299 Zurich Way
Schaumburg, IL 601%-1056
wwwjewrtsfclaim as zxr chna.com
800-626-4577
Texas Important Notice
IMPORTANT NOTICE
To obtain information or make a complaint:
You may call Zurich North America's toil -free telephone
number for information or to make a complaint at:
1-800-382-2150
You may contact the Texas Department of Insurance to
obtain information on companies, coverages, rights, or
complaints at:
1-800.252-3439
You may write the Texas Department of
Insurance:
P.O. Box 149104
Austin, TX 78714-9104
Pax: (612) 490-1007
Web: www.tdl.texas.gov
E-mail: ConsumerProtecbon@tdi.texas.gov
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your premium or
about a claim, you should contact the company first. If
the dispute is not resolved, you may contact the Texas
Department of Insurance.
ATTACH THIS NOTICE TO YOUR POLICY:
This notice Is for information only and does not become
a part or condition of the attached document.
ZURICH.
AVISO IMPORTANTE
Para obtener informaci6n o Para presentar una queja:
Usted puede Ilamar al nOmero de teldfono gratuito de
Zurich North America's Para obtener informacion o Para
presentar una queja al:
1-800-382-2150
Usted puede comunicarse can el Departamento de Se-
guros de Texas para obtener Informad6n sobre com-
panlas, coberturas, derechos, o quejas al:
1-800-252-3439
Usted puede escribir al Departamento
de Seguros de Texas a:
P.O. Box 149104
Austin, TX 78714-9104
Fax (512) 490-1007
Sitio web: www,tdi.texas.gov
E-mail: ConsumerProtection@tdi.texas,gov
DISPUTES POR PRIMAS DE SEGUROS 0
RECLAMACIONES:
SI tiene una disputa relacionada con su prima de seguro
o con una reclamaci6n, listed debe comunicarse con la
compahla primero. Si la disputa no es resuefta, usted
puede comunicarse con el Departamento de Seguros de
Texas.
ADJUNTE ESTE AVISO A SU P6LIZA: Este aviso es
solamente Para prop6sitos informativos y no se con-
vierte en parts o en condici6n del documento adjunto.
U-GU-2WE (06116)
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