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Home My WebLink AboutContract 55427-FP1FORTWORTH, TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION -FP1 City Secretary No. 55427 Date Received: 7/10/2023 City Project N!?: 101015 Regarding contract 55427 Kroger Drive Phase 2for as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 3/2/2021 through M&C 21-0147 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation & Public Works 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 Patricia L. wa'dsn Patricia L. Wadsack (Jul 7. 202311:04 CDT) Recommended for Acceptance Asst. Director, TPW - Capital Delivery i aAn vArf id 7 ma n7 rnTi Accepted Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT W illia�John— 0.202308:58 CDT) Asst. City Manager Comments: $ 3,211,162.73 377,512.89Tr2 6 $ 3,588,675.62 s 3,485,768.92 95 Days @ $1250.00/ Day s118,750 $ 3,485,768.92 $ 3.311.480-47 s 55,538.45 Jul 7, 2023 Date Jul 7, 2023 Date J u 110, 2023 Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX C-620 Signature Page Contractor's Application for Payment Invoice No. 24 Final To (Owner) City of Fort Worth Invoicing Period (From - To): Invoice Date: 5/01/23-5/31/2023 5/31/2023 P. 0. FW020-0000005485 From (Contractor): Remit to ( If Not Automatic Deposit): Number: Reliable Paving, Inc. Project: 101015 Contractor's CFW Vendor No.: Reliable Paving, Inc 1903 N Peyco Dr., Arlington, TX 76001 City Secretary Contract 55427 Contract Kroger Drive Phase 2 Number: Name: Application For Payment Change Order Summary Approved Change Orders 1. ORIGINAL CONTRACT PRICE............................................................. $ $3,211,162.73 Number Additions Deletions 2. Net change by Change Orders.................................................................... $ $377,512.89 1 $315,627.85 $237,567.00 3. Current Contract Price (Line 1 t 2)........................................................... $ $3,588,675.62 2 $303,180.66 $148,524.05 4. TOTAL COMPLETED AND STORED TO DATE 3 $75,981.06 (Progress Estimate, Construction Allowance and Change Orders)....... $ $3,485,768.92 4 $99,636.62 $42,143.20 5. RETAINAGE: 5 $5,940.10 a. X $3,485,768.92 Work Completed.......... $ 6 $5,380.85 b. X Not Used $ 7 c. Total Retainage (Line 5a + Line 5b)................................. $ 8 6. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c) ............................... $ $3,485,768.92 TOTALS $805,747.14 $428,234.25 7. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)......... $ $3,311,480.47 NET CHANGE BY $377,512.89 8. AMOUNT DUE THIS APPLICATION.................................................... $ $174,288.45 CHANGE ORDERS 9. BALANCE TO FINISH, PLUS RETAINAGE (Column G on Progress Estimate+ CA + Cos + Line 5 above) ............... $ $102,906.70 Contractor's Certification 10. CONTRACT TIME: The Contractor certifies with the submittal of this document and associated Payment Request Submittal a. Days Awarded 270 on the City of Fort Worth Buzzsaw system that to the best of their knowledge: (1) all previous progress b, Days Added by CO 187 payments received from Owner on account of Work done under the Contract have been applied on C. Total Days q57 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 552 payment free and clear of all Liens, security interests and encumbrances (except such as are covered by a Bond acceptable to Owner indemnifying Owner against any such Liens, security interest or e. Days Remaining -95 encumbrances); and (3) all Work covered by this Application for Payment is in accordance with the Liquidated Damages $1,250.00 x day Consent of Surety D� Affidavit of Bills Paid Quentin Smith (Jul 6, 2023 08:58 CDT) 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 0ro $°` 55427 Contractor's Application cunran Nun, FO'14On18") Kroger Drive Phase 2 pp `°"O"Nw4r°f 24 Final nppluvun Panaa 5/01/23-5/31/2023 pn "non °81p V31/2023 ua B,a mnNo D«a,p o spnu,gwnon umrorMnanu,n em Quem,a u"ae"� em vm°° uim�ad,ro v"1aa vra„ y mnwvma. vales 36r. v.una sm(o2, cr)y a �or<am a snmon No "a sm.e>Dak gT �Wl 13093/C 12 AWG MUIb-Cantluclor Cable LF 900 $285 $238500 90000000000 $238500 $238500 $2 385 00 1000% 98 '304113104/C 14 AWG MUIY-Cantluclor Cable 100 $247 $2A700 10000000000 $24700 $24700 $24700 1000% gg '34411311 5/C 14 AWG Mu10-Cantlualor Cable 1320 $253 $333960 132000000000 $333960 $333960 033980 1000% 100 '34411312 M14 AWG Mu10-Cantlualor Cable Ms $299 DI Wl 35 38500000000 $1 091 35 $1 091 35 $1 091 35 1000% 101 �3441131410/C 14 MG Mu10-Cana-Cable 535 $374 $200090 53500000000 $200090 $200090 $200090 1000% 102 '3441131520/C 14 AWG Mu10-Canauala Cable 2540 $575 $14605.00 2.000000000 $14605.00 $14605,00 $14605.00 1000% 103 �344113223/C 14 AWG Mu10-Cantlualor Cable 1205 $207 $24M 35 120500000000 $24M 35 $24M 35 $24M 35 1000% 106 �34411408 Na 6lnaunleE El. Cantlr 1Is $224 $25280 11500000000 $25280 $25180 $25280 1000% 105 �34411409 Na 81nauMlatl Elec Cantlr 4120 $1.90 $782800 123000000000 $233700 $233700 $233700 299% $549100 106 �34411411 Na 121nau1aletl El. Cantlr 400 $1.55 $62000 40000000000 $62000 M2000 $62000 1000% 107 �34411413 Na 6 Bare El. Cantlr SLID 100 $224 $22400 10000000000 $22400 $22400 $22400 1000% 108 �34411414 Na 8 Bere El. LF 2200 $190 $418000 220000000000 $418000 $418000 $418000 1000% 109 M1503 G-d Box Type D, HApmn 10 $124200 $22350.00 1800000000 $22356.00 $223%,00 $22356.00 1000% 110 16031-11110 14- Pd. Asambly 5 $109250 $546250 $546250 111 �34411611 FumnM"alall Type 41 Signal Pole 0 $959560 $767"80 $76-80 112 �30411612 F-1-1 111 Type 42 Signal Pole 1 $776940 $776s 40 $776940 113 �S4411613 FumnM-11 Type 43 Signal Pole(per TsDOT atanEaMa) 2 $10984.10 $21928.20 $21928,20 116 �34411614 FumnM-11 Type 44 Signal Pole 1 $807530 $807530 $807530 115 �34411623 FumnM-11 Mast Arm lB 36 12 $227240 $27268,80 $27268.80 118 �34411824 FumnMnalall Masi Arm 40 48 2 $327405 $6 s4010 $6-10 117 �3441 1045 FumnMnalall Type 33A Arm g .1915 $3 ]1] 75 $3 ]1] 25 110 '3441 1701 1V 1 Sg 1 Fau M. 5 $1407 60 $7.3. 0. 5.00000000 $7 038 00 $7 038 00 $7 038 00 100 0% 119 120 121 122 123 124 '344117031V 3 Sgnal -M. � 117M TY4 Sgnal Feu M. �S4411707 Fu ,.-So"d S-Baes Fou" M. �34411713 Sg"a1Cab"N Fauntlalian 31, �30411715 8g 1--Faun M. 352i8 BBU �34411725 FumnM-11 ATC 811 CDmmller g $429525 3 $614560 11 $90850 1 $338120 2 $369610 1 $513015 $3885].25 $1843680 $999350 $336720 $739220 $513015 9.00000000 3.00000000 1100000000 1.00000000 2.00000000 1.00000000 13885].25 $1843680 $999350 $336720 $739220 $513015 $3.-,25 $18436.80 $999350 $336720 $739220 $513015 $38657.25 1000% $18436.80 1000% $999350 1000% $336720 1000% $739220 1000% $513015 1000% 12�34411741 Fum-1-111325, Cadmller Cabinet Assembly 3 $18794.45 $56383.35 3.00000000 $56383.35 $56383,35 $5830.35 1000% 128 '34411772 Fum-1-1112-80 Vdl Single Ph- Tmsa-M-d 2 $782000 $15040.00 2.00000000 $15840..0 $15040.00 Ell .2o.00 1000% 127 '- 4001 F-1-1 l 11 Alum Sg" Masi A"" M.- g $044 00 $5 796 00 9.0000000) $5 796 00 $5 796 00 $5 796 00 1000% 12. �9990014 FumnHllnalall-Camere �344110 3 $5917W $17753.70 3.00000000 $17753.70 $17753,70 $17753.70 1000% 129 �9990015 FumnHllnalall Effi- Cable( -Camera) '344110 375 $230 $86250 37500000000 $86250 $08250 $86250 1000% 130 �9990016 FumnM"a1a114G DIGI M- 3 $231380 $894140 3.00000000 $6 NI 40 $694140 $6 NI 40 1000% 131 -2805 3011 2' CONDT PVC SCH 40 M 1000 $20 ]0 $37 260.00 $37 260.00 132 2605 3012 2' CONDT PVC SCH 40 (B) 2000 $28 75 $51500.00 $57 500.00 133 � 11502 G-d Box Type B, wApmn 12 $103500 M2420.00 1200000000 $12420.00 $12420.00 $12420.00 1000% 134 �-1 1.1 F-1-1 111Typa33A Arm 27 $41915 $1, 333.25 $17333.25 Thia dawmenr M1ubem nud,a°a 8o,n,ra ondnalrow, mnn Pddow,nw thee ..norbidaigM1r rbe „uAg<anona You are mwu,aped ro natl Netlownanr artf411y and conaulr Levl gl CowiI gnorro"n execemn Progress Estimate Ciy 6si'8j' 55427 Contractor's Application mmw Nom Po.ico"�-+T Kroger Drive Phase 2 as CH1O"N"""" 24 Final wPPl,nmo"Pe"oa- 5/01/23-5/31/2023 w a p 00 Ceon °81p P V31/2023 c $Pemfieanon BId Q..I.V Unll P— Bid Velu° E enliro Velo° y mlledV V"Iua 3T�s Period m�al(ww^�Y a �ore510 (B BeI BmmFinisF d6N+E)� pad Item No p poem Umr ofMemum 9ecm"No I'BtlJQ S1 135 —11]]2 FumisM1llnsU11141111 -13m91e PM1ase TronsockM Mebretl 3a 4111 EP $7.82000 $].82000 1.00000000 $].82000 $].82000 $].82000 10001 _ 136 �4413302 Rtlwy ilium Fountlalim TY3 �J4I120 EA 119 $38.58625 1800000000 $38.535.50 $38.535.50 $36.535.50 94 ]% $2.029 ]5 _ a34411112 FumisM1llnstall Rtlx-a 11-TY 18 Pole �44120 EA 19 :2.02111 $2.29310 $43.588.90 $43.568.90 138 34413-2-2-2JD-dplex Alum—Goctl— �44120 LF 3]30 $3A5 $12.888.50 $12.868.50 _ 138 `39990013 FumisM1llnstall LED Li9Min9 FlMure Totals �44120 EP 2] $63825 $17.232.75 93.211.162.73 2800000000 $16.594.50 82.693ASSA3 $16.594.50 92.693ASSA3 $16.594,50 963% $63825 52893ASSA3 839% 9517.707.301 Thia dawmem M1ub modified u GIs 6"d"elea en m ."d the d.d"ol M1�dai0M11 iFe moAfieanooa Yu mwO10 n6etlw.1 aY"d1-1Lgl CowIP"orio"n execum" C-620 Change Order Progress Estimate Eor (wnvaap 101015 Kroger Drive Phase Appliwaon Penod: I item Item Numbs Descnphan Totals Construction Allowance Usage ADDITIONS Clry 9ewetery 55427 Cl— NM: 5/01/23-5/31/2023 A B C Speolfiwtion Quamiryb Add Umt Price Addition Value Esv, Sation NQua o. Unit ofMeesure lunalled Pr musty Installed Value E Value This Matenals Presently P.vA sao (not. C) Contractor's Application 24 Final 5/31/2023 F Tool Completed / Balancem Finish aM Sto to Date (T) (B -F) (D+E) B Thee documwl has bern moMfled fiom ite original form ea an EJCDC dowmeot and the user dldoo[ Idghlight the modifications.Vouareenwuraged to read the document carefully and —a Couruel prior to its execution. C-620 Change Order Progress Estimate Construction Allowance Usage Contractor's Application CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED For (eon aa). 101015 Kroger Drive Phase 2 Appl—m Number: 24 Final Appflwbon P—d 5/01/23-5/31/2023 Appfiwdon Date: 5/31/2023 A B C D F F Did Item Number hem Description Specifiwfion Umt of Measure Quantity to Delete Unit Price Reduction Value Noc Used Noc Used Not Uw NM Ured Noc Used NM Uw NM Used NM Ure I I I I I I I I I I I I Seetion No. I I I I I I I I I I I I I I I I I Tubb This documwt has bern moMfled 6om its original form es an DICDC dowmeot and the user dldoo[ Idghlight the modifications.VouareenwuragedWread the document carefully and —It Up[ Cou 1 prior to its execution. C-620 Change Order Progress Estimate Change Order Number 1 1 ADDITIONS jrm(contiact). 101015 Kroger Drive Phase 2 Coavaot Nall55427 JA Ai ahO"Penod: 5/01/23-5/31/2023 A B C m Mdrtion Gunge Order Item SpttiBmtion CO Quantity to Add Unit Price Change Ordtt EsvmatN Quantity Installed N. Daanphon Sation No. Umt ofMeeaure Value 66A RRFB AssemblySm¢Ie Srded lSolar3 Pawder Coat Black 3441.1841 EA 200000000 111,63'/50 12121500 200000000 80 FumisW Install Eltt Sery Pedestal 2605.0111 EA 2 00000600 $5.750.00 $11.500.00 2.00000000 83 3"CONDTPVCSCH80lBl 2605.3026 LF 34000000000 $3565 $12.121.00 34000000000 124 Fumia lretall ATC Srynal Controller 3.1.1725 EA 2.00000000 $5.130.15 $10260.30 2.00000000 140 hvla1110'-14TP Pole Assembly Pawder Caat Black 3441.1603 EA 500000000 $1,43750 $7.18750 500000000 141 FamieW Ire 11 Tyce 41 Sisal Pole Powder Coat Black 3"1.1611 EA 8.00000000 $10.893.95 $87.151.60 8.00000000 142 FumisW Install T- 42 Simal Pole Powder Coat Black 3441.1612 EA 100000000 $8,87455 $8.97455 100000000 143 FumleW Ire 11 Tyce 43 Siyoal Pole I— TX T staodmds) Powder 3411.1613 EA 2.00000000 $12.241.75 $.A83.50 2.00000000 144 FumuW Install T-44 Simal Pole Powder Coat Black 3411.1614 EA 100000000 $9,27360 $9273 60 1 00000000 145 FumiaW Ire 11 Mast Arm 16'- 36'Powder Coat Black 3"1.1623 EA 12.000000W $3.364.90 $40378.80 12.00000000 146 FumuW Install Mast Arm 40'- 48'Powder Caat Black 3441.1624 EA 200000000 $4,53905 $9.0810 200000000 147 FumiaW Ire 11 Tyce 33A Arm Powder Coat Black 3"1.1645 EA 9.00000000 $517.50 M.651.50 9.00000000 149 F. eW Install Tv 33A Arm Pow Coat Black 3441.1645 EA 27 00000000 $517 50 $13.972 50 27 00000000 149 Fumishllnsull Rdwavlllum TYl8Pole Powder Coat Black 3,111.3352 EA 19.00000000 $2.753.10 $52308.90 19.00000000 150 4- CONDT PVC SCH 80 lB) 2605.3034 LF 6000000000 $5175 $3.10500 6000000000 I I I I I I I I I I I -Add 10 Days I I I I I I I I I I I I Totals $335,621.85 D Value Prevmudy Installed Value $21,27500 $21,27500 $11.500.00 $11.50o.0o $12,12100 $12,12100 $10.260.30 $10.260.30 $7,18750 $7,19750 $87.151.60 $87.151.60 $9,87455 $8,87455 $24.483.50 $24.483.50 $9,27360 $9,27360 $40.378.80 $40.378.80 $9,07810 $9,07810 $4.657.50 $4.657.50 $13,97250 $13,97250 $52.308.90 $52.308.90 $3,10500 $3.10500 $315,R7M Value This Pawl Contractor's Application Appuaflun Number 24 Final Applroaflon Date: 5/31/2023 E F Tool Completed / Balance to Fime& Matmala Presently and Stm WDate (F) M-F) StorN (votm C) (D+E) B $21,2/5 00 1000% $1L500.00 100.0% $12,12100 1N.0% $10.260.30 100.0% $7,197 50 1000% $87.151.60 100.0% $8,87455 1000% $24A83.50 100.0% $9,27360 1000% $40.378.80 I00.0"/0 $9,07810 1000% $4.657.50 100.0 $13,972 50 100.0% $52.308.90 100.0"/0 $3,10500 IN.0% $315.627.85 100.0% Thia documwl has bern moMfled from ita original form ea an EJCDC dowmeor and the user didoo[ highlight the modifications. You 11 enwuraged W read the document carefully and -a Cowuel prior to its execution. C-620 Change Order Progress Estimate Change Order Number 1 1 DELETIONS For (con eat) 101015 Kroger Drive Phase 2 A,[—,.. Apphaatlon P—W 5/01/23-5/31/2023 AMI—tmn Date A B C D E Change Ord, Item R— Description Sp ifiwtion Measure CO Quantlty to Umt Price Change Order N. Used Not USN Not Used Nol Ure N. Used No. S,tion No. Umt of Delete Value 82 60 ]' �/Y lbl larl !T) ��/- 2605.3025 LF 25000000000 $2645� J 18.457.4 56.612.50 $55.412.50 111 f fple� 61ooH118 y F—A Install Twe�41 Simgl Fole 3441.1603 EA 3441 1611 EA 500000000 8 00000000 $1.092.SUJ $9,595 60 $]6.]64 80L 112 FumisW 1-11'jY�e� 2 Si— Pole 3441.1612 EA 1 00000000 $].]69.4( $].]6M 113 114 F—A 1—di V Sim', Pole fcer TX T FumiSWlwllJJyyjj��ee44 Si�Ixl Pole stendardsl 3441 1613 EA 3441.1614 EA 2 00000000 1.00000000 510,96410J $8.0]5.3(( $2112120[ $8.0]5.30 115 FumisW lrvsta((MaetAarm ld-36- 34411623 EA 1200000000 $2,27246 12]7880L 116 W F=i lwll M,9 Arm 4o-48- 3.L1624 EA 2.00000000 $3.2]4.OJ $6 S.lU 11] F—A Install T-13A Arm 3441 1645 EA 9 00 NNO $419 ]?/ $3.'/]] ]5 134 137 I I I I I I I I I FumlaW Ire 11'T'�ywoe 3M Arm FumisWlnstallU-111am TY 18Pok 3"1.1645 EA 34413352 EA 2].0wwwo I ON00wo $419.]J $2,29316 WJj33.2? $43.i6890 I I I I I I I I I I I I Total $23]56].06 Contractor's Application 24 Final 5/31/2023 F NM Ured NM Ured Not Used Tale documwl has bern moMflN fiom ite original form ea m 21CDC dowmeot and the user didoo[ highlight the modifications. You 11 en 11r d c read the document carefully and -It Legal C-1 prior to its execution. C-620 Change Order Progress Estimate Change Order Number 1 2 ADDITIONS IF,(c It): 101015 Kroger Drive Phase C o-S� _ ssazv `�i°eahO"Pe"Od' 5/01/23-5/31/2023 Change Ord, Item A gem No, Da phon 81 2605 3015 2" CONDT OVC SHC 80 (T) 133 3441.1052 Ground Box T-5.11Amon 135 34411]]2FumsWlture11240-080Volt Smele Phase Transack,Me I51 2605.30162" CO— PVC SCH 80 B) 152 3441140N061usuIe Elec Coadr 92 3441.121: FLmie Install HvWd DGeohon Sysem 91 3441 1201 Fumishl 1-11 BBU System EXT MOuut 1 "Add 50 Days Totals B C AM,t,.. Ch., Estimated Quantity Sp,ifi"tion ua,measure CO Qusa6ty b Add Untt Price Order Value 1nsm11N Sation No, LF 1820.00000000 $2300 $41,86000 192000000000 EA 4.00000000 $1.035.00 $4.140.00 4.00000000 EA 200000000 $7,82000 $15,64000 200000000 LF 197IA0000000 $35.00 $68.985.00 197L00000000 LF 149NOH00000 $374 $55,74096 1490400000000 EA 1La0000wo $9.027'a $99.302.50 I1.00000000 EA 200000000 $8,'/5610 $11,51220 200000000 $303380.66 D Value $41,86000 $4.140.00 $15,64000 $68.985.00 $55,740 96 $99.302.50 $17,512 20 $303380.66 E Preno Iy Value The, Materials IP e,—ly I_11l Value Pmod Scored (notm C) Contractor's Application 24 Final 5/31/2023 F Balance m Fmish Thal Completed L Stored to Date (F) (B -F) (D+E) 8 $41.960 00 1000% S4,140.00 100.0% $15.64000 1000% $68.985.00 100.0% $55.740.96 1000% $99302.50 100.0% $17.51220 1000% $303.180.66 100.0% Thin document has bern moMfled 6om its original form ea an BICDC dowmeot and the user didoo[ Idghlight the modifications. Vou 11 enwuraged c read the document carefully and -It Comuel prior to its execution. C-620 Change Order Progress Estimate Change Order Number 1 2 DELETIONS IFor(c '-' 101015 Kroger Drive Ph-2 Aoolmabon Number Aoohcabon Permd 5/01/23-5/31/2023 Aoohcabon Date w E C D E Change Orda I —Description Imn' CO Qaan6ry to Spxificanon Umt Price D Ieion Change Not Used Not Used Not Used Not Used Not Used No. Umt of Measure Delete Sectian No Order Value 78 131 9999 0011 Pedestrmn Ratl Y PRD 2605.M 7', j T1 LF 133 00000000 LP 1800.00000000 $82 5K $20.]yf $10,972 5K $3].260.0� 132 26053f11!}f(�'I�'j�I��p (;Flj1 t IbaS FL sW Im �� I 3 LF 2000.00000000 EA 1.000N 0 $28 ]0 $419.7i $5],40006 $419.]i 136 13] 34413302 AdW�Ilium Foun time TY 3. 5,6and8 3"13352 FLm'Ia1J Iretall Mz Ilium TY 18 Pole BA 100000000 EA 1.00000000 $2,029'//i/ $2.293.1 V $2,029]/i/ $2.293.16 139 1 139 344134042-2-2-0/)<��dnlex Alum El. Conductor iaa1lll LED h6fim F— LF 3]30.00000000 EA 1.00000000 $34? $638.2? $12,86856 $638.2? 1 90 I I I I I I I I I I 99990013— 34411205Fumisltllnstall VlDS EA 1100000000 $2,24026 $24,6422d I I I I I I I I I I I I 1 Totals SM&S24.1ii Contractor's Application 24 Final 5/31/2023 F Nat Used Nat Used Not Used Thee document has barn moMfled bum its original form ea an EJCDC dowmeot and the user didoo[ Idghlight the modifications. You 11 rnwuraged to read the document carefully and -It Legal Comuel prior to its execution. C-620 Change Order Progress Estimate Change Order Number ADDITIONS jrm(c It)' 101015 Kroger Drive Phase Appliwbon Penod: I Change Order item No. Item Da peon 5 330501/1 Tramp Safety 11 3312.01 Cmmepton to Exitlinl4"42" Wata Main 21 0 5011Co rete Collar 153 0:771010021 Conrtmc0oSki- 154 00u I55 0241.10N VPVC Water LmeG 1-1 150' 024112184"-12"Water Alst o ent Plue 157 021101 Removeand Salvage 8"Ware Valve I58 330501.1110 Uvho, Markers 159 3305.0115 Vawum Excavation I60 33110001 Ducvleiron Water Fimn¢a wl Renrmm 161 3311.02628PVC(DR-141 Wa Pine 162 1112 Mal 8" Gaze Vat- 1 63 3312.31038"Cut-in Gate Valve 164 3305 D203 Imo W EmbMmrnN .ckfill, CLSM 20 0241.0900 Remove Miec Cou S-- 165 I 26050101 Electne Co Power Suooly I I I I I I I I I I I I I I I I I I I I I I I I I I I I I -Add 30 Days Tatals 5/01/23-5/31/2023 3 City Secretary Convect Num Specification UmtofMeasure COQuantiryto Add Unit Price Change Ordtt Sation N, Value LF 10500000000 $1150 $1207.50 EA 2.00000000 $3.220.00 S6AQ.00 EA 200000000 $92000 $1.84000 LS 1.00000000 $1.500.00 S1,500.00 LS 100000000 $1,50000 $1.50000 Cv 6 00000000 $400.00 S2,400.00 EA 200000000 $96000 $1.92000 EA 1.00000000 $600.00 $600.00 LS 100000000 $30000 $30000 EA 2.00000000 $2.200.00 54,400.00 TON 040000000 $7,80000 $3.12000 LF 105.00000000 $153.15 $16.080.75 EA 200000000 $2,20000 MAN 00 EA 2.00000000 $3.600.00 S7200.00 Cy 8000000000 $15368 $1229440 LS 1.00000000 $363.04 $363.0,1 LS 1000000W $10,41537 $10.41537 Contractor's Application 55427 Appltwrion Number: 241ina$ Appi-ion Date: 5/31/2023 C D E F Balance. Fimsh Tool Completed % Eta..t Quantity Value Previwsly Value This Matm Presently aM SDate (F) F) Insaslled �maled Value Pe d Sao ,II of at C) (+H M E) 10500000000 $120750 $1,20750 $1,20750 100.0% 2.00000000 S6AM.00 $6.440.00 $6A40.00 100.0% 200000000 $1.94000 $1,84000 $1,84000 1000% 1.00000000 S1,500.00 $1.500.00 $1.500.00 100.0% $1.500001 6.00000000 $2,400.00 $2.400.00 $2.400.00 100.0% 1 200000000 $1.92000 $1,92000 $1,92000 1000% I 1.00000000 $600.00 $600.00 $600.00 100.0% 1 100000000 $30000 $30000 $30000 1000% I 2.OW)OW 0 $4,400.00 $4.400.00 $4A00.00 100.0% 1 04000N $3.12000 $3,12000 $3,12000 1000% I 105.00000000 $16.080.75 $16.080.75 $16.080.75 100.0% 1 200000000 $4.40000 $4,40000 $4,40000 1000% I 2.000000W $7200.00 $7.200.00 $7.200.00 100.0% 1 2000000000 $3.073.60 $3.07360 $3,07360 250% $9.220801 1.00000000 $363.04 $363.04 $363.04 100.0% I 100000000 $10.41537 $10,41537 $10,41537 1000% I ®' I I I I I I I I I I I I I I I I I I I I I I I $I0.72080 Thee documwl has bern moMfled bum ire original form ea an EJCDC dowmeot and the user didoo[ Idghlight the modifications. Vou 11 enwuraged c read the document carefully and wasvltLegal Couruel prior Io its execution. C 620 Change Order Progress Estimate Change Order Number 1 3 Contractor's Application DELETIONS For (contraatl 101015 Kroger Drive Ph-2 Aoolicahon Number 24 Final IAooheatron Permd 5/01/23-5/31/2023 Aoohcatmn Date 5/31/2023 A a c D e F I— COQuaabty to N U N U N N U N U N U D I l Del— t Ut U Change Order I— —pnon Spxificanon UmtofMeewre Delete nrt Price Cnaage Order ot Used Not Used ot s osed ot s ot sed osed Not Used No. Section No Value I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Totals rn�s documwt nas barn momnea eom ns od�aal roan ea an elcDc aowmwt aoa me user mamt lagnngnt the modifications. Voa 11 enwuragea c read the document carefully and —It Legal Counsel prior to its execution. C-620 Change Order Progress Estimate Change Order Number 1 4 Contractor's Application ADDITIONS jrm(conmac9' 101015 Kroger Drive Phase 2 55427 Apphwflon Number. 24 Final Conva°t N°m I 5/01/23-5/31/2023 A,,A-ion Dam: 5/31/2023 A B C D E F Item Balance. Fimsh Addtmon Eslimatetl Qwntlty Previously Value TM1ls Matenals Presently Total CompletM (B -F Change Oda Item Descrlptlon Specificati°n Umt of Measure CO Qnanmry to Add Unrt Pnae Change Order I°Aalled Value Iwlalled Value Perlotl Stomtl (vo1mC) aM StorN to Date (F) No. Smti°n No Value (D+E) B 140 1-1110'-14'Ped Pvle Assembly Pawder Cvat Black 344111/1 EA 100000000 $1,43750 $1.4111, 100000000 51.4111, $1,11111 $1,43750 1000% 21 Removal A.mhalt Pavement 0241.1100 SY 71.00000000 $9.60 $681.60 71.00000000 $681.60 $681.60 $681.60 100.0% 0 Uvclasstfidi Excavazmn by Plan(Rwd-0 3103 D10I CY 800000000 $2348 $18784 800000000 $18784 $187M $18784 1000% 35 6'Floxrble Base, 1-B, CR2 3211.0212 SY 71.00000000 $16.82 S1.194.22 71.00000000 $1.194.22 $L194.22 $1.194.22 100.0% 40 10"Cane Pvmt 3213 D103 SY 7100000000 $7566 $5.37186 7100000000 $5.371.86 $5.37186 $5,37186 1000% 47 6"Toosml 3291.0100 CY 705.00000000 $53.98 $38.055.90 705.00000000 $38.055.90 $38.055.90 $38.055.90 100.0% 48 Blvck Sod Placemrnt 3292 D100 SY 4230.00000000 $423 $17.89290 423000000000 $17.99290 $17,89290 $17,89290 1000% 31 Embarkment bvvlan 3124.0101 CY 161.00000000 $18.24 $3.009.60 W.00..() 13.09.60 $3.009.60 $3.009.60 100.0% 16 MaMole Adm LMinor 3050107 EA 100000No $34500 $34500 100000000 $34500 $34500 $34500 1000% 166 SWPPP>I Acre 3125.0101 LS 1.00000000 $5.148.00 S5.148.00 1.00000000 $5.148.00 $5.148.00 $5.148.00 100.0% 41 S"Cove Pvmr 32130103 SY 1890000000 $8236 $1.55660 1890000ON $1.556.60 $1,55660 $1,55660 1000% 167 4" SLD Pvmt Markin¢ Has(W) 3217.9999 LF 4600.00000000 $1.43 $6.578.00 4600.00000000 $6.578.00 $6.578.00 $6.578.00 100.0% 161 I I I I I I I I I I I I I I I I I I I Pref°rmcl Thermo 1,1, Contrast Mmkin¢s-24'Cmsswalk 3217/502 LF 1 000000000 $2164 $18.177.60 84000000000 $18.17761 $11,17760 $18,17760 100.M. I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I T°tea $99.636.62 $99.636.62 $99.636.62 I I I I I I I I I I I I I I I I I I I S99.636.62 100.0% This documwl has barn moMfled 6om its orlgvul form es an FJCDC dowmevt and the user dldoo[ mghlight the modifications. You 11 enwuraged to read the document carefully and -a Couruel prior to its execution. C 620 Change Order Progress Estimate Change Order Number 1 4 DELETIONS �Fmrcono-aan 101015 Kroger Driz,e Phases AvohcahoaNumber Avvhconon Permd 5/01/23-5/31/2023 AooLcatmn Date A H C D E I¢m Del. co Q...,y to Change Orda Item D—p.. SpxificanOn Umt ofMeesore Delete Umt Price Change Order Not UsN Not Used Not UsN Not Used Not UsN No. S-,.. No Value I ImMpd Emb .—BNMILCLSM TPW CY 6000000000 515368 1,1..1/ 80[[ 54 on Controller. Pedealal fuvdedon TPW EA 1.0wwwo $22.540.0 $22540.W 61 24"�DPvmt Markme HA M TTPW LF 84000000000 $1239 $10.382.40 I I I I I I I I I I I I I I I I I I I I I I I I I I Torah $4z.343.2Q Contractor's Application 24 Final 5/31/2023 F Not Used Not Used Not Used Tn�s documwl nas hern momnea eom ns od�nal roan ea an elcDc aowmwt aoa me user manor lagnngnt the modifications.Yoa 11 enwuragea to read the document ca Wly and —It Legal Coo 1 prior to its execution. C-620 Change Order Progress Estimate Change Order Number ADDITIONS jrm(convam): 101015 Kroger Drive Phase 2 Appliwaon Penod: I Change Orda Item uem No. Description 87 34411III 1S- Sismal Head Assembly 100 3441.13127IC14 AWGMuIti-Conduclor Cable 127 34414001 FamisMnstall Alum Sim Mast Arm Meant 169 3441.1"'Remove SiEnal Head Assembly 170 34411431Ranove S�vmal Cables in Pale/Mast Arm 171 3441.4109 Remove Slyn Paoel I I I I intale 5/01/23-5/31/2023 5 City Secretary Convect Nam Addtvon SPeeific w. COQuanvtyto Add Umt Price Change Order Secvan No UmteMeasure Value TPW EA 200000000 $1,98605 $3.97210 TPW LF 100.00000000 $2.99 $299.00 TPW EA 100000000 $64400 $64400 TPW EA 2.00000000 $400.00 $800.00 TPW LF 10000000000 $100 $loan TPW EA 1.00 wwo $125.00 5125.00 Contractor's Application 55427 Appltwtion Number: 24 Final Apphwbon Date: 5/31/2023 C D E F Balance co Fimsh Total C,aa,1-d Enlmated Quantity Val- Previously Value This Matenals Presontly Sao to Date (F) (B'� Ivslalled Ivslalled Value Periotl stored (vo1mC) N+E) B 200000000 $397210 $3,97211 1000% 100.00000000 $299.W %97210 $299.00 $299.00 1W.0% 100000000 $64464 $6440100% 2.00000000 $Soo.oO00 $g0o.00T400 $$oo.000 1oo.or0 10000000000 $10000 $10000 $10000 100.0% L00000000 $125.00 $125.00 $125.00 100.0% S5.940.10 100.0% This documwl has bern moMfled 6om its original form es an FJCDC dowmeot and the user didoo[ Idghlight the modifications.Voaareenwuraged W read the document carefully and —I Couruel prior to its execution. C 620 Change Order Progress Estimate Change Order Number 1 5 Contractor's Application DELETIONS For rwno-aan 101015 Kroger Drive Ph-2 Aoolicahon Number 24 Final IAooheatron Permd 5/01/23-5/31/2023 Aoohcatmn Date 5/31/2023 A B C D E F I— COQuavbty to Del— 1 Change Oda Item D—pnon Spxificanon UmtofMeewre Delete Unrt Price Cnaage Order Not Us Not Used Not U,M Not Used Not Us Not Used Not Used Not Used No. Section No Value I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Totals rn�s documwl nas barn momnea eom ns od�aal roan ea an elcDc aowmwt aoa me user mamt lagnngnt the modifications. Voa 11 enwuragea m read the document carerally and —It Legal C-1 prior to its execution. C-620 Change Order Progress Estimate Change Order Number 1 6 Contractor's Application ADDITIONS jra(rontract). 101015 Kroger Drive Phase 2 55427 Apphwdon Number. 24 Final Convect Nam JAePliw Pe" : 5/01/23-5/31/2023 AApp—ion Date: 5/31/2023 A 6 C D E F Item Balance. Fimeh Addmm� EavmatN Quenvty Prev dy Vvlue This Matmala Prawtly To41 Completed % (B-F) Change Dada Item DaanpvOn Spaification CO Quantity b Ada Umt ofMeeaure Untt Price Change 0rda Ieta11w Value metalled Value P—d Sao (votm C) and Stomd to Date (M) N. Satlon No. Value (D+E) B 134 3441 1145 FvmieltllnstalI T— 11, Arm TPW EA I ONW000 $419 75 $419 75 $419 75I 136 3441.3302 Rdw DI Foundation TY 3,5,6, a.d 8 TPW EA 1.00000000 $2.029.75 $2.029.75 1.00000000 $2.029.75 $2.029.75 $2.029.75 100.0% I 137 34413352FvmieltllnetallRd— IlllvmTYI8Pvle TPW EA IONW00O $2,29310 $229310 $2,293lOI 139 9999.0013 Fumishllretall LED Lleht pFixture I I I I I I I I I I I I I I I I I I I I I I I TPW EA 1.00000000 $638.25 $638.25 LODW0000 $638.25 $638.25 $638.25 100.0% I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I T.We $5380.85 $2.668.00 $2,668.00 I I I I I I I I I I I I I I I I I I I I I I I I $2.668.00 49.6% $2.712A51 Thee documwl has bern moMflea 6om ite original form ea an EJCDC aowmeot and the user dldoo[ Idghlight the modifications. You 11 en 11r do read the document carefully and —a Couauel prior to its execution. C 620 Change Order Progress Estimate Change Order Number 1 6 Contractor's Application DELETIONS For (contraatl 101015 Kroger Drive Ph-2 Aoolicahon Number 24 Final IAooheatron Permd 5/01/23-5/31/2023 Aoohcatmn Date 5/31/2023 A a c D e F I— COQuaabty to N U N U N N U N U N U D I l Del— t Ut U Change Order I— —pnon Spxificanon UmtofMeewre Delete nrt Price Cnaage Order ot Used Not Used ot s osed ot s ot sed osed Not Used No. Section No Value I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Totals rn�s documwt nas barn momnea eom ns od�aal roan ea an elcDc aowmwt aoa me user mamt lagnngnt the modifications. Voa 11 enwuragea c read the document carefully and —It Legal Counsel prior to its execution. City of Fort Worth Summary of Charges City Secretary ContractNum: 55427 Kroger Drive Phase 2 0.: FW020-0000005485 Application Period: 5/O1/23-5/31/2023 Applicatop. n 24 Final Number: Funding Identification (FID) 1 0 jgginal Contract 134018-0200431-5740010-104615-002480-9999-18010199 10 10 10 10 10 10 10 10 10 10 I I Chan- a Order 1 134018-0200431-5740010-10101502480-9999-18010199 10 10 10 10 10 10 10 10 10 10 I I Chan a Order 2 134018-0200431-5740010-101015%02480-9999-18010199 10 10 10 10 10 10 10 10 10 10 I Total Completed Amt Remaining Gross $2,693,455.43 $517,707.30 $315,627.85 ($237,567.00) $303,180.66 Project Number: 101015 Application Date: 5/31 /2023 Retainage Net City of Fort Worth Summary of Charges City Secretary ContractNum: 55427 Kroger Drive Phase 2 p.O. ; FW020-0000005485 Application Period: 5/O1/23-5/31/2023 Applicator Number: 24 Final Funding Identification (FID) I Chan a Order 3 134018-0200431-5740010-101015%02480-9999-18010199 to to to to to to to to to to I I Chon_q�e Order 4 134018-0200431-5740010-101015-002480-9999-18010199 10 to to to to to to to to to I I Chan_ a Order 5 134018-0200431-5740010-101015 b02480-9999-18010199 to to to to to to to to to to I Total Completed Amt Remaining Gross $65,260.26 $10,720.80 $99,636.62 ($42,143.20) $5,940.10 Project Number: 101015 Application Date: 5/31 /2023 Retainage Net City of Fort Worth Summary of Charges City Secretary ContractNum: 55427 Kroger Drive Phase 2 p.O. ; FW020-0000005485 Application Period: 5/01/23-5/31/2023 Applicator Number: 24 Final Funding Identification (FID) I Chan a Order 6 134018-0200431-5740010-101015%02480-9999-18010199 10 10 10 10 10 10 10 10 10 10 I I Chan_q�e Order 7 134018-0200431-5740010-101015-b02480-9999-18010199 10 10 10 10 10 10 10 10 10 10 I I Chan_ a Order 8 134018-0200431-5740010-101015 b02480-9999-18010199 10 10 10 10 10 10 10 10 10 10 I Total Completed Amt Remaining Gross $2,668.00 $2,712.85 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 S0.00 Project Number: 101015 Application Date: 5/31 /2023 Retainage Net City Secretary Contract Num: I 55427 Application Period: Funding Identification (FID) I Totals 134018-0200431-5740010-101015-002480-9999-18010199 10 10 10 10 10 10 10 10 10 10 City of Fort Worth Summary of Charges Kroger Drive Phase 2 alp..0.: FW020-0000005485 Project Number: 101015 Number: 5/01/23-5/31/2023 Apumer:: I 24 Final ApplicatonDate: 5/31/2023 Total Completed Amt Remaining Gross Retainage Net $3,485,768.92 $251,430.75 Grand Total 1 1 $3,485,768.92 1 1 $251,430.75 1 1 $0.00 1 1 ($174,288.45)1 1 $174,288.45 1 FORT WORTH Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Kroger Drive Phase 2 (from Ray White to Park Vista Circle) Construction Contract Change Order No. 1 M&C N/A CPN DATE: TO: 1. Ilianisse Figueroa Aponte 2. Eric Tinner 3. Chad Allen 4. Raul Lopez 5. Martin Phillips uren Prieur %illiam Johnson 8. Doug Black 9. Dana Burghdoff 10. Ronald Gonzales 11. TPW Contracts 101015 CSO # 55427 INITIALS /PA - review IEA - signature 2 ET - signatures - signature RREEL,4, - signature MAP - signature LLp LLP - signature wAIv- - signature DWB - signature - signature - review DOC# 55427 CO#1 DATE OUT DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: ❑ Yes ® No RUSH: ❑ Yes ® No SAME DAY: ❑ Yes ® No NEXT DAY: ❑ Yes ❑ No ROUTING TO CSO: ® Yes ❑ No Action Required: ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return To: Please calITPW Contracts at ext. 7910 for pick up when completed. Thank you. CSC No. 55427-COI FOC2 � T�-W�OR�TH, City of Fort Worth Change Order Request Project Name Kroger Drive Phase II (From Ray White to Park Vista Cir) Client Pro)ect #(s) l City Project Number 101015 I City Sec # l 55427 Project Description) Reconstruction of Kroger Dm a from Ray White Road to Park Vista Circle and includes the following: 2" mill and oveday,10' concrete pavement, lime treated base, storm drain culvert extensions and headwalls, three signalized intersections, and concrete trail Contractorl Reliable Paving, Inc. Change Order #1 City Project Mgr.I Chad Alien, PE, CFM Dept. TPW Original Contract Amount $3,211,162.73 Extras to Date $0,00 Credits 10 Date $0,00 Pending Change Orders (in M&C Process) $0.00 Date I 7-20-2021 City Inspeclorl Eric Tinner Contract Time Totals (CID $3,211,162.73 �o ConlraCI Cost 10 Dale S3 211 162 73 $3 211 162 73 270 Amount of Proeosed Change Order RNsed Contract Amount Original Funds Available for Change Orders Remainfng Funds Available for this CO Additional Funding (if necessary) �r �78,060.85 10 I $3,289,223.58 280 $0.00 $78,060.85 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 2,43% MAXALLOWABLECONTRACTAMOUNT (ORIGINAL CONTRACTCOST+25%) $4,013,953.41 JUSTIFICATION (REASONS) FOR CHANGE ORDER Adding a powder coat finish to all signal and illumination equipment. Substituted trench and bore conduit runs per RFI from Bean Electrical. $78,060.85 S3,289,223.58 $0.00 $78,060,85 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 ahove Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Contractor's Cowpany Name Contractor ame Contract Signature Date Reliable Paving, Inc. Steven Lancaster 5-� 7120 / 2 + Ins oNlns ection Supervisor Date Project and Contract Com Hance Manager Date Jul 28,2021 ` '�, a Ju128,2021 Program manager Date Senior Ca dal Project Officer Date Ju128,2021 Ju130,2021 Assistant Director Wet Date Ju130, 2021 ng Department ,,, gyp„ Date Aug 2, 2021 Assistant C Attorney Date Date Aug 2,2021 eu��gso ago., Aug 6,2021 Council A u M&C Number N/A M&C Date Approved C N/A ATTEST: R itaa P, I0&,1t A4-S1 Ronald P. Gonzales (Aug 6, 202111:13 CDT) Ronald Gonzales, Acting City Secretary FCity of Fort Worth �T— Change Order Additions Pmjec[Name I Kroger Drive Phase II (From Ray White to Pads Vsts Qr) City Sec # I 55427 Client Project # I City Proiect Number 101015 Contractor+ Reliable Paving, Inc. PMj Chad Allen, PE, CFM Inspector) Eric Tinner M Change Order Submittal # 0 Data 1 7-20-2021 ADDITIONS 1 API ��NIINNN1l1U I`Y"Lt,Lto.W � bbA yumr1 1 Powder Leet Black tb HKFb AA IPW to � u.w1m, 6U 2605.U111 SambMd l=) IPW 21KKKKKKIU EA 55,750.W 1,500.00 USCH K3 IPW U.WUIK10 LF ..155 y1 10"doU 1zwb 3441.1 W5 W Z000000U4 F1 ..Wa! 140 341.18UInstall tU-14'PetlPalo Assm PowuerGoaBlack IPW 5.WUlKNN1t1 to $1,431M 1,18LOU 141 3441.1611 FumisMnM) Iype41 S�rtal ProlePowder Coat Black 1PW B.000UD01K1 EA $10893.95 1,1b1.liU 142 3441.1612 FUMWnStaN Iype42SmnalPole Powder (49Black IPW 1.DDIKKKKIU IA $8,814.55 ,814.55 143 3441.1613 FumisMnslaOType43/S/IPalo (perlXWlstantlarCs)PasVef IPW "LWWUUOU hit S7L,L41.7S a,4W.5U 144 3441.1614 Furs shltnstall t yps 44 Segnal Pala ifwrder (oat Btadc IPW 1.0000000U to 145 3441.1623 FumisM�ll Mast Ar i EV - M Powder Goat Black IPW 12AMODUIIU EA 384.96 flw.bu 148 3441.1524 Funshllrtstall Mast Arm Q- Qr Powder Coat Week TPW 2.MUID W FA ,5&US 16.1u 141 3441.1b45 FLMWnStall I ypa MA Arta POWUr GOat Black TPW 9.(KKXK W FA 111.5U 148 3441.1645 FumsMnstal lype33AArm FawoarC0Black IPW 21.0DDDDDDU FA $517.50 iW,U7LAU 149 3441.3352 FWm IYIdPole Powder GoalBlack IPW 19.IKKKKKK EA 53. �U9 150 M.3U344uGrtM80(8) IPW 60.DDDDDDW LF .75 WW Irn $315,627.85 Sub Total Additions $315,627.85 Change Order Additions Page 1 of 1 FW� City of Fort Worth T Change Order Deletlons Project Name I Kroger DrW Phase II (From Rey White W ParkVista CO ' City Sec # I W27 I Client Project # I City Project Number 101015 l Canaacmrl Reliable Pavtng, Inc. PMl Chad AD., PE, CFM Inspector) Eric Thmer Change Order Submittal # 0 Date 1 7-20-2021 1 DELETIONS 11p Ut LKleI IUN UtrI U7 I Unit UnqLcq 10 'I 00 J441.1641 KHVb A68emb7 bmG(6 NOW 13018r) IPW VAKKK V to i9,L[b. 5 ,40/.0U 13,b1 U 2bU0.JUZb J- I:UNU I PV(; b :t16U 1 IPW 2SU.UU000U It $26.45 L.5U 11U J441.IWJ MUM IU'-14'MCI P01e IPW S.LVAKriNO EA sl'(e2.5U ,4bL.5U ill 3441.1611 FUmWnsW Type 41 b�M% TPW U.UUt ULK) to WMI-U /b,/b4.UU IIZ 4441.161Z FU1nMMr1SMlype 42 S$= Pole IPW 1.000UUUUlI EA ilAVAU /,Ib9.4U 113 114 3441.1613 Fum5MnstM gyQ�4�l��n8JP01e(par mu stanwas) 3441.1614 Funimhir)stall (yp9445�nall'm IPW IPW 2.000UUUUU 1.MXXXKW to to i1U,`Jb4.lu ux.).JU Ub—U 115 5441.IbZ3FUMW0M uM=Arm w-M IPW 12.000mw EA �Z//2/2.4U �-40.14] 11U 3441.IbZ4 humMinstail Mast Arm 4V-48' IPW 2.0UUmw LA SS,214.U5 11/ 3441.1045 FUMVAr taa type&A ArM IPW 9.UUUU000U EA bJ,!lI.IS IM 3441.16451-Uml4MnSt9U I ype JJA Ann IPW 21.U000UUIHl to 1419.15 419.75 i11,SSJ.LS 1S/ 3441.JJbZ i-um=[nsM HOWay Alum I IU Polo IPW 19.000UUUUIf EA b1,L9J.1U- f4J,bW.9U YM $237,567.00 6U0 IOtm Uekmrts 3LS/,0o/.UV Change Order Deletions Page 1 of 1 M/SBE for this Change Order M/SBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders CO # DATE I AMOUNT Total I $0.00 I FORTWORTH Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Kroger Drive Phase 2 (from Ray White to Park Vista Circle) Construction Contract Change Order No. 2 M&C N/A CPN 101015 CSO # 55427 DOC# 55427 CO#2 DATE: TO: INITIALS/F DATE OUT Nov 18 2021 1. Ilianisse Figueroa Aponte - review IFA ' 2. Eric Tinner - signature 'Er Nov 18, 2021 3. Chad Allen - signatures Nov 17, 2021 4. Raul Lopez - signature R Nov 18, 2021 5. Martin Phillips - signature 1A� Nov 18, 2021 6. Lauren Prieur - signatures Nov 18, 2021 7. William Johnson - signature W, Nov 18, 2021 8. Doug Black - signature o,,� Nov 23, 2021 9. Dana Burghdoff - signatures Nov 23, 2021 10. Ronald Gonzales - signature Nov 23, 2021 11. TPW Contracts - review DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: ❑ Yes ® No RUSH: ❑ Yes ® No SAME DAY: ❑ Yes ® No NEXT DAY: ❑ Yes ❑ No ROUTING TO CSO: ® Yes ❑ No Action Required: ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return To: Please calITPW Contracts at ext. 7910 for pick up when completed. Thank you. CSC No. 55427-CO2 FORTWORTH. City of Fort Worth Change Order Request Project Namef Kroger Drive Phase 11(From Ray White to Park Vista Cir) Client Project;#(s)I City Project Number 101015 City Sec # I 55427 Project Description) Reconstruction of Kroger Drive from Ray White Road to Park Vista Circle and includes the following: 2" mill and overlay,10" concrete pavement, lime treated base, storm drain culvert extensions and headwalls, three signaiized intersections, and concrete trail. Contractorl Reliable Paving, Inc. Change Order#I 2 I Datel 111912021 City Project Mgr. l Chad Allen, PE, CFM I City Inspectorl Eric Tinner Dept. TPW Contract Time Totals (CDI Original Contract Amount $3,211,162.73 $3,211,162.73 270 Extras to Date $315,627.85 $315.627.85 10 Credits to Date $237.567.00 $237.567.00 Pending Change Orders (in M&C Process) $0.00 Contract Cost to Date $3,289,223.58 $3,28%223.58 280 Amount of Proposed Change Order $154,656.61 $154,656.61 50 Revised Contract Amount $3,443,880.19 $3,443,880.19 330 Original Funds Available for Change Orders $232,717,46 $232,717.46 Remaining Funds Available for this CO $154,666.61 $154,656.61 Additional Funding {if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 7,25% MAX ALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACTCOST+25%) $4,013,953.41 JLISTiFIGATiON (t #SUKS):FOR CHANGE ORDER Changes were required due to: Illumination standards require copper wiring and Sch 80 conduit but were bid as aluminum and Sch 40, which was an old CoFW standard. Revised signal detection equipment that was originally bid as VIDS and not a hybrid system, an old standard. Removed length of railing to revise error in bid quantity. 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. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Contrac(or`s Company Name Contractor (name) Contract ignature Date Reliable Paving, Inc. Steven Lancaster I N - 1I InspectorAnspection Supervisor Date Project and Contract Compliance Manager Da Nov 18, 2021 ti yak Nov 17, 2021 Program Manager Date SeniorCapitat Project Officer Date Nov 18, 2021 Nov 18, 2021 Assistant Director {Dept) Date Director, Contracting Department (Dept) Date Nov 18, 2021 ,,. Nov 18, 2021 Assistant C!4 At#arney Date Assistant City Manager Date r _.,.. Nov 23, 2021 Nov 23, 2021 Councl Aden {if required) M&C Number I M&C 21-0848 NI&C Date Approved 11I9l2i721 ATTEST: aM Ronald P. Gonzales, Acting City Secretary FORT WORTH City of Fort worth V-- Change Order Additions Project Name I Kroger Drive Phase 11(From Ray White to Park Vista Cir) City Sec # 55427 Client Project # I City Project Number 101015 1 Contractor{ Reliable Paving, Inc. PMI Chad Akn, PE, CFM htspector� Eric Thner Charge Order Submittal # 0 Date I 1 N9f2021 ADDITIONS ITEM 0ESCR1PIIUN DEPI U� Unit Unit Gost total 81 2605.Mlb 2'CUNUI PVCSUHbu(I) I'PW 1,tl2U. LF aLJ.11U L4t,bMW 133 3441.1502 Ground Box Type B. wlAprbn TPN! 4.00000000 EA $1,035.00 $4,14U.W 135 3441.1M FumWrtstaa 240480 Volt Single Phase Transo" Metered Pedestal TPW 2.00UU0000 EA $7,820.00 b1 b,b4U.UU 151 2665.3016 2' CONDT PVC SCH BO (B) TPW 1,971d1U000000 LF $35.00 %8,985.W 152 3441.1408 NO 6 Insulated Etec Condr TPW 14,904.00000D00 LF $3.74 S56,14U.9b 92 3441.1215 Ftmrishllnstall Hybrid DetscOorl S it TPW 11.ODDDODDU EA $9,027.50 $99,302.50 91 3441.1209 Fury astaU BU System EXT led sMi TPW 2.00D00000 EA $8,756.10 at l,5t2.2t1 TPW $303,180.66 Sub Total Additions S303,180.66 Change Order Additions Page 2 of 4 FORT WORTH City of Fort Worth '71 Change Order Deletions Project Name I Kroger Drive Phase 11(From Ray White to Park Vista Cir) City Sec p 1 55427 Client Project # I City Project Number 101015 1 Ca nct rl Reliable Paving, Inc PMI Chad Alien, PE, CFM Inspectoij Eric Tmner I Change Order Submittal 9 0 Date I 11MM21 I DELETIONS IItM - Utbukit,11UN Utrl - Unut unit l:osl Iota] 18 9999.W11 Nedestrian Ketl11 Y YK11 IYW 133. LF W.SU 51U,91'2.SU 131 2605.3011 2' CONDT PV(, SCH 4 1PW 1,800.00M0000 LF $20.7U $37,260.00 132 2W5.3012 2' CONOT PVC SCH 40 11 TPW 2,000.00000000 LF $28.70 W,4UU.W 134 3441.1645 Fumsmmwl Type 33A Arm TPW 1,00000000 EA $419JU $419.15 136 3441.3302 Rdwy Ilium Foundation TY 3,5A and 8 TPVY 1.00000000 FA S2,029.75 $2,U29.75 137 344,.3352 FumsMnstall Rdway Blum TY 18 Poe TPA, 1.000000w FA 52,293.19 $2,293JO 138 3441.3404 2-2-24 Uuadplex Alum FTec Conductor TPw 3,73U.MM0000 LF $3.45 $12,80.50 139 9999.0013 Fumistillnstall LED Lighting Future TPW 1.00000000 EA $638.25 �838.25 90 3441.1205 FumisMnstall VIOS TPW 11.00000000 EA $2,24020 52 ,h42.2U TPW S14024.05 Sub Total Deletions 5148,524.05I Change Order Deletions Page 3 of 4 MISBE for this Chanqe Order MISBE Sub I Type of Service I Amount for this CO Total $0.00 Previous Change Orders COL DATE I AMOUNT 8/6/2021 $78,060.85 Total $78,080.85 M&C Review Page 1 of 2 CITY COUNCIL AGENDA Official site of the City of Fort Worth, Texas F RT� i REFERENCE **M&C 21- 20KROGER DRIVE DATE: 11/9/2021 NO.: 0848 LOG NAME: PHASE 2 CHANGE ORDER 2 CODE: C TYPE: CONSENT PUBLIC NO HEARING: SUBJECT: (CD 4) Authorize Execution of Change Order Number 2 in the Amount of $154,656.61 and the Addition of 50 Calendar Days to the Contract with Reliable Paving, Inc., for Construction of Paving, Drainage and Traffic Signal Improvements for Kroger Drive Phase II From Ray White to Park Vista Circle for a Revised Contract Amount of $3,443,880.19 (2018 Bond Program) RECOMMENDATION: It is recommended that the City Council authorize execution of Change Order Number 2 in the amount of $154,656.61 and the addition of 50 calendar days to City Secretary Contract Number 55427 with Reliable Paving, Inc., for construction of paving, drainage and traffic signal improvements for Kroger Drive Phase II from Ray White to Park Vista Circle for a revised contract amount of $3,443,880.19 (City Project No. 101015). DISCUSSION: On March 2, 2021, Mayor and Council Communication (M&C) 21-0147, the City Council authorized a contract with Reliable Paving, Inc. in the amount of $3,211,162.73 for construction of paving, drainage and traffic signal improvements for Kroger Drive Phase II from Ray White to Park Vista Circle (City Project No. 101015). The contract was subsequently revised by Change Order No. 1 in the amount of $78,060.85 administratively authorized August 6, 2021 that provided for black powder coating of the proposed traffic signals and street lights, and boring of the electrical conduit across Kroger Drive rather than installing it by open cut. Change Order No. 2 provides for changes in the type of wiring and conduit provided for the street lighting improvements to the current standard of copper wiring and schedule 80 conduit instead of the old standard of aluminum wiring and schedule 40 conduit, upgraded traffic signal detection equipment to the current standard hybrid detection system instead of the old standard video imaging detection system, and decreasing the amount of pedestrian rail required for the project. Change Order No. 2 also provides 50 additional calendar days due to delays associated with review and approval of the street light and traffic signal material submittal documents, processing of Change Order No. 1 and changes to the street light and traffic signal plans to incorporate the revisions mentioned above. This project is included in the 2018 Bond Program. Available resources within the General Fund will be used to provide interim financing until debt is issued. Once debt associated with the project is sold, bond proceeds will reimburse the General Fund in accordance with the statement expressing official Intent to Reimburse that was adopted as part of the ordinance canvassing the bond election (Ordinance No. 23209-05-2018) and subsequent actions taken by the Mayor and Council. Reliable Paving, Inc. agrees to maintain its initial M/WBE commitment of 17\% that it made on the original contract and extend and maintain that same M/WBE commitment of 17\% to all prior change orders up to and inclusive of this Change Order No. 2. Therefore Reliable Paving, Inc. remains in compliance with the City's M/WBE Ordinance and attests to its commitment by its signature on the Acceptance of Previous M/WBE Commitment form executed by an authorized representative of its company. This project is located in COUNCIL DISTRICT 4. http://apps.cfwnet.org/council_packet/mc review.asp?ID=29396&councildate=ll/9/2021 11/15/2021 M&C Review Page 2 of 2 FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies that funds are available in the current capital budget, as previously appropriated, in the 2018 Bond Program Fund for the Basswood @US 377 & Kroger @377 project to support the approval of the above recommendation and execution of the change order. Prior to any expenditure being incurred, the Transportation and Public Works Department has the responsibility to validate the availability of funds. TO Fund Department Account Project Program Activity Budget Reference # Amount ID ID Year (Chartfield 2) FROM TFund Department Account Project Program Activity Budget Reference # Amount ID ID Year (Chartfield 2) Submitted for Citv Manaaer's Office bv: Dana Burghdoff (8018) Oriainatina Department Head: Additional Information Contact: ATTACHMENTS M&C Map Kroger Drive Phase 2.pdf William Johnson (7801) Monty Hall (8662) http://apps.cfwnet.org/council_packet/mc review.asp?ID=29396&councildate=ll/9/2021 11/15/2021 FORT WORTH. Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Construction Change Order No. 3 - Kroger Dr Phase II M&C: CPN: 101015 CSO: 55427 DOC#: 1 Date: To: Name Department Initial s Date Out 1. Bus. Support Partner — Sara Cox TPW-initial sc 04/06/22 2. Steven Lancaster -Reliable Paving, Inc. Steven@reliablepavin g.com 04/07/22 JAf 3. Eric Tinner - Inspector TPW - sign � 04/07/22 4. Brendan McInnes — Project Manger TPW-initial 04/07/22 5. Chad Allen — Contract Compliance Mngr TPW - sign 3t" 04/08/22 6. Raul Lopez — Program Manager TPW - sign 2EREL 04/08/22 7. Martin Phillips — Senior CPO TPW - sign MAPHIP 04/11/22 8. Lauren Prieur — Asst. Director TPW - sign � 04/11/22 9. William Johnson - Director TPW - sign rT 04/11/22 10. Doug Black — City Attorney Legal - sign 04/13/22 11. Dana Burghdoff - ACM CMO - sign 04/14/22 �� 12. Jannette Goodall - CSO CSO - sign IfL04/14/22 13. TPW Contracts TPW DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: DYES [DNo RUSH: DYES ❑No SAME DAY: YES ZNo NEXT DAY: YES ®No ❑ ❑ ROUTING TO CSO: ❑YES ❑No Action Reauired: ❑ As Requested ❑ For Your Information ❑ Signature/Routing and or Recording ❑ Attach Signature, Initial and Notary Tabs Return To: TPWContracts(a)for[worthtexas.aov, for pick up when completed; list "Please call Brendan ext # 2817 for questions. Thank you. " CSC No. 55427-0O3 FORT WORTH, City of Fort Worth Change Order Request Project Name Kroger Drive Phase II (From Ray White to Park Vista Cir) City Sec # I 55427 Client Project #(s)l City Project Number 101015 Project Reconstruction of Kroger Drive from Ray White Road to Park Vista Circle and includes the following: 2" mill and overlay, 10" concrete pavement, lime Description treated base, storm drain culvert extensions and headwalls, three signalized intersections, and concrete trail Contracto1KeiiaDie raving, inc. - i etas uomm. uonstruceion, seam Change Order #1 3 Date 3/25/2022 Flarfrir. City Project Mgc1 Brendan McInnes, PE City Inspectorl Eric Tinner Dept. TPW Contract Time Totals (CD) Original Contract Amount $3,211,162.73 $3,211,162.73 270 Extras to Date $618,808.51 $618,808.51 60 Credits to Date $386,091.05 $386,091.05 Pending Change Orders (in M&C Process) $0.00 Contract Cost to Date $3,443,880.19 $3,443,880.19 330 Amount of Proposed Change Order $75,981.06 $75,981.06 30 Revised Contract Amount $3,519,861.25 $3,519,861.25 360 Original Funds Available for Change Orders $385,339.53 $385,339.53 Remaining Funds Available for this CO $152,622.07 $152,622.07 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 9.61 % MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $4,013,953.41 Ex 8" water main relocation required due to actual clearance from bottom of proposed culvert extension being unacceptable. Cost of $9,919.34 for installing electrical power supply by Tri-County Electric being added to contract as pass -through cost. Tri-County to invoice contractor and City to reimburse contractor plus 5% administrative fee for a total of $10,415.37. Tri-County invoice included the following: Install 168 feet of single-phase overhead service wire,134 feet of single-phase underground trench, conduit, and cable, 510KVA transformers and all associated units to serve 5 traffic lights. Includes retirement of 427 feet of single-phase overhead secondary line. 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. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Contractor's Company Name Reliable Paving, Inc. Jeremiah Brooks I16revvc" 8r0-rt(c9-- 104/07/22 Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date 04/07/22 04/07/22 r Date Date 04/08/22 P 04/11/22 i. nt Di Date Director, sting Depam Date o.� 04/11/22 04/11/22 ssistant City Attorney Date Assistant City Manager Date BQP1t o 04/13/22 Law &g4hdo404/14/22 uouncIRRIMM M&C Number l M&C Date Approved ATTEST: ]QHNZLtB, C BOOR�Q� Jannette Goodall, City Secretary FORT WORTH City of Fort Worth �'*`_ Change Order Additions Project Name I Kroger Drive Phase II (From Ray White to Park Vista Cir) I City Sec # 1 55427 1 Client Project # I City Project Number 101015 Contractor nename rawng, nc.- etas,,omm.,,ons❑ucnon, bean I ri-Mr pMl Brendan McInnes, PE Inspector) Eric Tinner I Change Order Submittal # O3 Date 1 3/25/2022 1 ADDITIONS IIEM DESCRIPIION DEFT Oty Unit Unit Cost total 1 b 33ftlJW9 I rench 5ately I PW 1Ub.000U0U0u LF $11.bu $1,2U/.bu1 11 3312.0117 Connection to Existing 4"-12" Water Main TPW 2.00000000 EA $3,220.01J $6,440.001 11 33Ub.U112 Concrete Collar IPW 2.000UUUUU EA $92u.uu $1,840.001 153 0171.0101 Construction Staking TPW 1.00000000 LS $1,500.011 $1,500.001 1b4 UlOXU2 As -built Survey IPW 1.000Uu00U LS $1,buu.UU $1,500.001 155 0241.1001 8" PVC Water Line Grouting TPW 6.000OOOOU CY $400.1)U $2,400.001 1bb U241.1218 4"-12" Water Abandonment Plug IPW 2.0000000( EA $96U.UU $1,920.001 157 0241.1303 Remove and Salvage 6" Water Valve TPW 1.0000000( E4 $600.00 $600.001 158 33Ub.U110 Utility Markers IPW 1.0000000( LS $300.00 $300.001 159 3305.0116 Vacuum Excavation TPW 2.0000000( EA $2,200.OU $4,400.001 160 3311.0001 Ductile Iron Water Fittings w/ Restraint TPW 0.4000000( TON $7,800.01J $3,120.001 161 3311.0262 8" PVC DR-14) Water Pipe TPW 105.0000000( LF $153.16 $16,080.751 162 3312.3003 8" Gate alve TPW 2.0000000( EA $2,200.01J $4,400.001 163 3312.3103 8" Cut -in Gate Valve TPW 2.000OOOOU EA $3,600.OU $7,200.001 164 33U5.0203 Imported Embedment/Backtill, CLSM TPW 80.00000000 CY $153.68 $12,294.401 20 0241.0900 Remove Misc Conc Structure TPW 1.00000000 LS $363.04 $363.041 165 26U5.0101 Electric Co Power Supply TPW 1.0000000U LS $10,415.31 $10,415.371 1 I I I I I I I 1 I 1 I 1 I I I I I I I I I I I I I I I I I I I I I i I I I I TF W $75,981.06 Sub Total Additions $75,981.06 Change Order Additions Page 2 of 4 FORT WORTH City of Fort Worth V V" Change Order Deletions Project Name I Kroger Drive Phase II (From Ray While to Park Vista Cir) CitySec # 1 55427 Client Project # I City Project Number 101015 Contraotorl Keualie raving, inc. - i etas Comm. wnstruction, wean I PMI Brendan McInnes, PE I Inspectorl Eric Tinner Flarlrir. I Change Order Submittal # F--3--J Date 1 3/25/2022 DELETIONS llFM UtSUKIF'I IUN UFF'I Uty Unit Unit lost total TOW $0.00 Sub Total Deletions $0.00' Change Order Deletions Page 3 of 4 M/SBE for this Chanae Order M/SBE Sub I Tvpe of Service I Amount for this CO Total $0.00 Previous Change Orders co# DATE AMOUNT 8/6/2021 $78,060.85 11 /9/2021 $154,656.61 Total I $232,717.46 I FORT WORTH:, Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Construction Change Order No. 4 - Kroger Dr Phase II M&C: 22-0690 CPN: 101015 Date: To: Name 1. Bus. Support Partner — Misty Davila 2. Quentin Smith — Contractor 3. Eric Tinner - Inspector 4. Brendan McInnes — Project Manger 5. Chad Allen — Contract Compliance Mngr 5. Raul Lopez — Program Manager 6. Lissette Acevedo — Interim Senior CPO 7. Michael Owen — Interim Asst. Director 8. Lauren Prieur — Interim Director 9. Doug Black — City Attorney 10. William Johnson - ACM 11. Jannette Goodall - CSO 12. TPW Contracts CSO: 55427 DOC#: 1 Department Initials Date Out TPW-initial M"• Dec 5, 2022 Contractor z Dec 5, 2022 TPW - sign Dec 5, 2022 TPW-initial RM Dec 2, 2022 TPW - sign � Dec 4, 2022 TPW - sign Dec 6, 2022 TPW - sign Dec 7, 2022 TPW - sign Dec 7, 2022 TPW - sign 0 Dec 7, 2022 Legal - sign d2 Dec 9, 2022 CMO -sign AlDec 11, 2022 CSO - sign GSG Dec 12, 2022 TPW DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: ❑YES ®No RUSH: ❑YES ®No SAME DAY: ❑YES ®No NEXT DAY: ❑YES ®No ROUTING TO CSO: ®YES ❑No Action Required: ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return To: TPWContracts(&for[worthtexas.aov, for pick up when completed; list "Please call Brendan ext # 2817 for questions. Thank you. " Dec7,2022 CSC No. 55427-CO4 City of Fort Worth Change Order Request Project Namel Kroger Drive Phase II (From Ray White to Park Vista Cir) City Sec # j 55427 Client Project #(s)I City Project Number 101015 Project Description) Reconstruction of Kroger Drive from Ray White Road to Park Vista Circle and includes the following: 2" mill and overlay,10" concrete pavement, lime treated base, storm drain culvert extensions and headwalls, three signalized intersections, and concrete trail rcanauro ravniy, uw.- iclaa wnun. Contractorl (nne4riir4inn Rcnn Flor4rir Change Order# City Project Mgr.l Brendan McInnes, PE Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date Amount of Proposed Change Order Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) TPW $3,211,162.73 $694,789.57 $386,091.05 $0.00 Date) 9/28/2022 City Inspectorl Eric Tinner Contract Time Totals (CD) $3,211,162.73 270 $694,789.57 90 $386,091.05 $3,519,861.25 $3,519,861.25 360 $57,493.42 2 $3,577,354.67 362 $385,339.53 $76,641.01 $57,493.42 $3,577,354.67 $385,339.53 $76,641.01 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 11.40% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $4,013,953.41 JUSTIFICATION (REASONS) FOR CHANGE ORDER Existing pavement required replacement due to pavement cracking and failure due to heavy loads. Additional earthwork includes embankment for sidewalk shifts to avoid newly relocated power poles and sidewalk redesign. Sod and topsoil quantites were increased to accomadatre the sidewalk shift as well as designer errors in the original project quantity estiamtes. Additonal pedestrian push button was needed after barrier free ramp and signal pole revisions due to ADA spacing requiremnts. Striping was added to the outside lane of the project and was missed in the design phase as being required where there is no curbline. Contractor have provided provided quotes for subcontractors doing work items not previously in the contract. Cost - City of Fort Worth has compared the unit prices which are being proposed by the contractor to other similar items and accepts the unit costs. The difference in pricing can be justified by the current market pricing which is fluctuating on a monthly basis due to price escalation and inflation. The City finds that the prices that are being proposed by the contractor are fair and reasonable. The average pricing was compiled from similar items from the Texas Department of Transportation Average Low Bid Unit Prices effective August 2022 and existing similar items of differnt colors. Time - Additional contract time has been reviewed and the amount of days being granted is deemed reasonable for the work scope when reviewed in relation to the critical path of the work activities. 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. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Contractor's COMDanv Name Contractor Name Contract Si na W Date Reliable Paving, Inc. h o�. 13,—, Quentin Smith Dec 5, 2022 ns ector/ins ection Supervisor Date Project and Contract Compliance Manager Date rlr, Tnner Dec 5, 2022 Dec 2, 2022 'ro ram Manager Date Senior Capital Project Officer Date F Dec 6, 2022 E Dec 7, 2022 assistant Director (Dept) Date Director Trac artment (Dept) Date 1 ' 7w� 'JO �r+w► Dec 7, 2022 --- ,— I Dec 7, 2022 assistant City Attorne Date Assistant City Manager Date Dec 9, 2022 Dec 11, 2022 ion (if required) Ad M&C Number I 22-0690 I M&C Date Approved 19/13/2022 ATTEST: ,TannFrFFn .< /'nnilall Jannette Goodall, City Secretary City of Fort worth Change Order Additions Project Name I Kroger Drive Phase II (From Ray White to Park Vista Cir) City Sec # 55427 Client Project # I City Project Number 101015 Contractorl ^coda ravuiy, iii, - ielao wumi.--ueuou, l Rmn Llorlrir pMl Brendan McInnes, PE I irspectorl Eric Tinner l Change Order Submittal # ® Date 1 9/28/2022 ADDITIONS IIEM UESCRIPIIUN UEPI ( Unit Unit Gost Iohal 14U 3441.16U3 Install 1U' - 14' Fed Pole Assembly Powder Uoat Black I F W UUUUUUUU EA $1,43/.bU $1,43/.bUl 21 0241.1100 Remove Asphalt Pavement TPW 71.00OOOOOU BY $9.60 $681.601 30 3103.0101 Unclassified Excavation by Plan (Roadway) TPW 8.00000000 CY $23.48 $187.841 35 3211.0212 6" Flexible Base, Type B, GR-2 TPW 71.00000000 SY $16.82 $1,194.221 40 3213.010310" Conc Pvmt TPW 71.00000000 SY $75.66 $5,371.86j 47 3291.0100 6"Topsoil TPW 7U5.00000000 CY $63.98 $38,055.901 48 3292.0100 Block Sod Placement TPW 4,230.00OOOOOU SY $4.23 $17,892.901 31 3124.0101 Embankment by Plan TPW 165.000OO000 CY $18.24 $3,009.601 16 3305.0107 Manhole Adjustment, Minor TPW 1.0000000U EA $345.00 $345.001 166 3125.0101 SWPPP> 1 acre TPW 1.00000000 LS $5,148.00 $5,148.001 41 3213.0103 8" Conc Pvmt TPW 18.900000OU SY $82.36 $1,556.601 167 3217.9999 4" SLD Pvmt Marking HAS (W) TPW 4,600.00000000 LF $1.43 $6,678.001 168 3217.0502 Preformetl Thermoplastic C ntrast Markings - 24" Crosswalk TPW 840.00OOOOOU LF $21.64 $18,177.601 TPW $99,636.621 1 1 1 Sub Total Additions $99,636.621 Change Order Additions Page 2 of 4 r+)R I NV4 o „I City of Fort Worth -I-- Change Order Deletions Project Name I Kroger Drive Phase II (From Ray White to Park Vista Cir) I City Sec # 1 55427 1 Client Project # I City Project Number 101015 1 Contractor) �`11°mcrcv y, �.-ict°awn..... uu°euuu, I pMl Brendan McInnes, PE I nspector) EdcTinner R°°n FI°nfnr Change Order Submittal # ® Date 1 9/28/2022 1 I tM UtSUKIN I IUN 1 b4 33Ub.U2U3 Imported tmbedmenVKacktill, ULSM 54 9999.0004 Irrigation Controller, pedestal foundation 61 3217.0501 24" SLD Pvmt Marking HAE (W) DELETION5 ULFI U UOI[ I HW bUUUUUUUU UY TPW 1.00000000 EA TPW 840.00000000 LF Unit Cost $1b3.b6 $22,540.00 $12.38 TFH/ Sub Total Deletions total 1 $9,22U.8ul $22,540.001 $10,382.401 $42,143.201 1 1 $42,143.201 Change Order Deletions Page 3 of 4 M/SBE for this Change Order M/SBE Sub Type of Service T Amount for this CO Total $0.00 Previous Change Orders CO # DATE AMOUNT 1 8/6/2021 $78,060.85 2 11 /9/2021 $154, 655.61 3 3/25/2022 $75,981.06 Total I $308,698.52 https://fo rtworthtexas.sha repoi nt.com/sites/tpwgis/CPFS/Lists/Request%20Log/Attachments/11044/101015-CN CO-CO%20No.%204%20-0/020 Kroger%20 D r%20Phase%20I I%20sign ed. FORTWORTH. Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Construction Change Order No. 5 - Kroger Dr Phase II M&C: CPN: 101015 Date: To: Name 1. Bus. Support Partner — Misty 2. Quentin Smith — Contractor 3. Eric Tinner - Inspector 4. Brendan McInnes — Project Manger 5. Chad Allen — Contract Compliance Mngr 5. Raul Lopez — Program Manager 6. Lissette Acevedo — Interim Senior CPO 7. Michael Owen — Interim Asst. Director 8. Lauren Prieur — Interim Director 9. Doug Black — City Attorney 10. William Johnson - ACM 11. Jannette Goodall - CSO 12. TPW Contracts CSO: 55427 DOC#: 1 Department Initials Date Out TPW-initial MM Dec 2, 2022 Contractors Dec 2, 2022 TPW - sign E,�L Dec 5, 2022 TPW-initial g8L Dec 2, 2022 TPW - sign Dec 4, 2022 TPW - sign Dec 6, 2022 TPW - sign Dec 7, 2022 TPW - sign �— Dec 7, 2022 TPW - signer Dec 7, 2022 Legal - sign ,WGib{� Dec 14, 2022 CMO - sign L Dec 15, 2022 CSO - sign Dec 15, 2022 TPW DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: ❑YES ®No RUSH: ❑YES ®No SAME DAY: [—]YES ®No NEXT DAY: ❑YES ®No ROUTING TO CSO: ®YES ❑No Action Required: ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return To: TPWContracts0fortworthtexas.00v, for pick up when completed; list "Please call Brendan �a ext # 2817 for questions. Thank you. " CSC No. 55427-CO5 Fowi- Woin-I I, City of Fort Worth Change Order Request Project Name Kroger Drive Phase II (From Ray White to Park Vista Cir) Client Project #(s)l City Project Number 101015 City Sec # j 55427 Project Description) Reconstruction of Kroger Drive from Ray White Road to Park Vista Circle and includes the following: 2" mill and overlay, 10" concrete pavement, lime treated base, storm drain culvert extensions and headwalls, three signalized intersections, and concrete trail Contractorl Reliable Paving, Inc. - Bean Electric Change Order#1 5 1 Date) 11/15/2022 City Project Mgr.l Brendan McInnes, PE City Inspectorl Eric Tinner Dept. TPW Contract Time Totals (CD� Original Contract Amount $3,211,162.73 $3,211,162.73 70 Extras to Date $794,426.19 $794,426.19 92 Credits to Date $428,234.25 $428,234.25 Pending Change Orders (in M&C Process) $0.00 Contract Cost to Date ,354.67 $3,577,354.67 362 Amount of Proposed Change Order $5,940.10 $5,940.10 0 Revised Contract Amount $3,583,294.77 $3,583,294.77 362 Original Funds Available for Change Orders $385,339.53 $385,339.53 Remaining Funds Available for this CO $19,147.59 $19,147.59 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 11.59% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $4,013,953.41 JUSTIFICATION (REASONS) FOR CHANGE ORDER City of Fort Worth Traffic Manangement has requested that the signal heads installed in the current contract be repalced with 5 section heads instead of 3 section with no turn signs. This changes is being implimented to allow better access to busineesses on the south side of the road from Westbound traffic. Contractor was sent the revised layouts and priced the rework to change out the heads after the contract plan work was complted. Cost - City of Fort Worth has compared the unit prices which are being proposed by the contractor to other similar items and accepts the unit costs. The difference in pricing can be justified by the current market pricing which is fluctuating on a monthly basis due to price escalation and inflation. The City finds that the prices that are being proposed by the contractor are fair and reasonable. The average pricing was compiled from similar items from the Texas Department of Transportation Average Low Bid Unit Prices effective August 2022. 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. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Contractor's Company Name Contractor Name Contract Si na IF Date Smo h Reliable Paving, Inc. Quentin SmQa911in ith Dec z, 2022 ctor/Inspection Supervisor z Date Dec 5, 2022 Project and uonffgct ompian na er Sreha'atiltl�%r A Date Dec 2, 2022 Program Manager Date Senior Capital Project Officer Date Dec 6, 2022 oCmmmmg Dec 7, 2022 Assistant Director Dept Date Director, Department Dept Date ?� !w�►—f Lt�a.�.� Dec 7, 2022 w--,- Dec 7, 2022 Assistant City Attorney Date lAssistant City Manager o z n Dec 14, 2022 oe ou 3 a, Dec 15, 2022 on if required) M&C Number l l M&C Date Approved l -- ----'� ATTEST: Jannette Goodall, City Secretary r1 N4 V4V}I;'I'11 City of Fort Worth Change Order Additions Project Name I Kroger Drive Phase II (From Ray White to Park Vista Cir) City Sec # 55427 Client Project # j City Project Number 101015 1 Contractorl Reliable Paving, Inc. - Bean Electric I PMI Brendan McInnes, PE I Inspectorl Eric Tinner Change Order Submittal # 0 Date 1 11115/2022 ADDITIONS I I EM UESCRIP I ION UEP I City Unit Unit Cost I otal 6/ 3441.1UU3b-Sect Signal Head Assembly IPW 2.000UUUUU EA $1,98b.Ub $3,9/2.1Ul 100 3441.1312 71C 14 AWG Multi -Conductor Cable TPW 100.0000000u LF $2.99 $299.001 127 3441.4001 Furnish/Install Alum Sign Mast Arm Mount TPW 1.00000000 EA $644.OU $644.001 169 3441.1010 Remove Signal Head Assembly TPW 2.000OO000 EA $400.00 $800.001 170 3441.1431 Remove Signal Cables in Pole/Mast Arm TPW 100.00000000 LF $1.00 $100.001 171 3441.4109 Remove Sign Panel TPW 1.000OO000 EA $125.00 $125.001 TPW $5.940.101 1 1 1 Sub Total Additions $5,940.10 1 Change Order Additions Page 2 of 4 I I LM T war VVO City of Fort Worth T Change Order Deletions Project Name Kroger Drive Phase II (From Ray White to Park Vista Cir) I City Sec # 1 55427 1 Client Project # City Project Number 101015 1 Contractor Reliable Paving, Inc. - Bean Electric I PMI Brendan McInnes, PE I Inspectorl Eric Tinner Change Order Submittal # 0 Date 1 11/15/2022 1 DELETIONS ULbUKII IIUN ULVI Uty Unit Unit Uost total I I I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I I I I I I I I 1 1 1 1 1 1 1 I I 1 1 I I 1 1 I I I I I I 1 1 1 1 1 1 1 1 1 1 1 1 I TPW $0.001 I I Sub Total Deletions $0.001 Change Order Deletions Page 3 of 4 M/SBE for this Change Order M/SBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders co # DATE AMOUNT 1 8/6/2021 $78,060.85 2 1119/2021 $154,656.61 3/25/2022 $75,981.06 $57,493.42 Total I $366,191.94 FORTWORTH. Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Construction Change Order No. 6 - Kroger Dr Phase II M&C: 22-0690 CPN: 101015 CSO: 55427 DOC#: 1 Date: To: Name Department Initials Date Out 1. Bus. Support Partner — Alexiz Ramirez TPW-initial ply Apr 26, 2023 2. Quentin Smith — Contractor Contractor Apr 26, 2023 3. Eric Tinner - Inspector TPW - sign Apr 25, 2023 4. Brendan McInnes — Project Manger TPW-initial &1 Apr 25, 2023 5. Chad Allen — Contract Compliance Mngr TPW - sign � May 9, 2023 5. Raul Lopez — Program Manager TPW - sign 2cz May 10, 2023 6. Lissette Acevedo — Senior CPO TPW - sign C�v May 11, 2023 7. Michael Owen — Interim Asst. Director TPW - signer May 11, 2023 8. Lauren Prieur — Director TPW - sign LL� May 12, 2023 9. Doug Black— City Attorney Legal - sign ddwb May 12, 2023 10. William Johnson - ACM CMO - sign May 15, 2023 11. Jannette Goodall - CSO CSO - sign s May 15, 2023 12. TPW Contracts TPW DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: [-]YES ®No RUSH: ❑YES ®No SAME DAY: ❑YES ®No NEXT DAY: ❑YES ®No ROUTING TO CSO: ®YES ❑No Action Reauired: ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return To: TPWContractsnafortworthtexas.aov, for pick up when completed; list "Please call Brendan �a ext # 2817 for questions. Thank you. " Brendan McInnes (Apr 25, 2023 13:44 CDT) CSC No. 55427-006 FORT WORTH City of Fort Worth �T Change Order Request Project Name I Kroger Drive Phase 11 (From Ray White to Park Vista Cir) City Sec # l 55427 Client Project #(s)l City Project Number 101015 l Project Reconstruction of Kroger Drive from Ray White Road to Park Vista Circle and includes the following: 2" mill and overlay, 10" concrete pavement, lime Description treated base, storm drain culvert extensions and headwalls, three signalized intersections, and concrete trail Contractorl Reliable Paving, Inc. - Bean Electric Change Order #1 6 1 Datel 4/18/2023 City Project Mgr.l Brendan McInnes, PE City Inspectorl Eric Tinner Dept. TPW Contract Time Totals (CD �70 Original Contract Amount $3,211,162.73 $3,211,162.73 Extras to Date $800,366.29 $800,366.29 92 Credits to Date $428,234.25 $428,234.25 Pending Change Orders (in M&C Process) $0.00 Contract Cost to Date $3,583,294.77 $3,583,294.77 362 Amount of Proposed Change Order $5,380.85 95 Revised Contract Amount $3,588,675.62 15,380.85 $3,5 8,675.62 457 Original Funds Available for Change Orders $385,339.53 $385,339.53 Remaining Funds Available for this CO $13,207.49 $13,207.49 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 11.76% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $4,013,953.41 JUSTIFICATION (REASONS) FOR CHANGE ORDER ML.- One (1) street light had been removed in Change Order 2 but already installed in the field before that direction was provided. This change order is adding that quantity back to the contract to match what was installed in the field. Pricing is per unit prices in the original contract. Additional days being added as part of the final contract time settlement terms with the Contractor. 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. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Contractor's Company Name Contractor (Name) Contract Signature Date Reliable Paving, Inc. Quentin Smith QGlBNt/N^sw th In, Apr 26, 2023 Inspector/Inspection Superviso Date Project and Contract Compliance Manager Date E�icTnnev Apr 25, 2023� May 9, 2023 Program Manager Date Senior Capital Project Officer Date May 10, 2023 aA May 11, 2023 Assistant Director (Dept) Date Director, Contracting Department (Dept) Date �' t ��+�--f L fw•+► May 11, 20239- May 12, 2023 Assistant City Attorney Date Assistant City Manager Date May 12, 2023 "t^+�� May 15, 2023 Council Action (if required) M&C Number l l M&C Date Approved ATTEST: Q� A ..C4 —0 a Jannette Goodall, City Secretary T�it r VVQ r�i City of Fort Worth Change Order Additions Project Name j Kroger Drive Phase II (From Ray White to Park Vista Cir) City Sec # 55427 Client Project # i City Project Number 101015 1 Contractorl Reliable Paving, Inc. - Bean Electric I PMI Brendan McInnes, PE I Inspectorl Eric Tinner Change Order Submittal # © Date 1 4/18/2023 ADDITION5 I I EM UESCRIP I ION UEP I City Unit Unit Cost I otal 134 3441.164b Furnish/ Install Iype33AArm IPW 1.uuuuuuuu EA $419./b $419./5l 136 3441.3302 Rdwy Ilium Foundation TY 3, 5, 6 and 8 TPW 1.00000000 EA $2,029.75 $2,029.75 1 137 3441.3352 Furnish/ Install Rdwy Ilium TY 18 Pole TPW 1.00000000 EA $2,293.10 $2,293.101 139 9999.0013 Furnish/Install LED Lighting Fixture TPW 1.00000000 EA $638.25 $638.251 TPW $5.380.851 1 1 1 Sub Total Additions $5,380.85 1 Change Order Additions Page 2 of 4 I I LIVI r wr i;'i'ri City of Fort Worth Change Order Deletions Project Name I Kroger Drive Phase II (From Ray White to Park Vista Cir) I City Sec # 1 55427 1 Client Project # I City Project Number 101015 1 Contractorl Reliable Paving, Inc. - Bean Electric PMI Brendan McInnes, PE I Inspeclorl Eric Tinner Change Order Submittal # © Date 1 411812023 1 DELETIONS ULb :KII IIUN ULVI l.lty Unit Unit lost total I I I I I I I I I I I ) ) ) ) 1 1 1 1 1 1 1 1 1 1 1 1 I I I I I I I I I I 1 I 1 1 1 I I 1 I I I I I I I I I 1 1 I I 1 I 1 1 1 1 1 I I I 1 1 1 TPW $0.001 I I Sub Total Deletions $O.00I Change Order Deletions Page 3 of 4 MISBE for this Change Order M/SBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders co# DATE AMOUNT 8/6/2021 $78,060.85 1119/2021 $154,656.61 3/25/2022 $75,981.06 12/12/2022 $57,493.42 12/18/2022 $5,940.10 Total $372,132.04 FORTWORTH. ''no, TRANSPORTATION AND PUBLIC WORKS June 28, 2023 Reliable Paving, Inc. 1903 Peycon Drive North Arlington, Tx. 76001 RE: Acceptance Letter Project Name: Kroger Drive Phase 2 Project Type: 01, 03, 04, 06 City Project No.: 101015-2 To Whom It May Concern: On March 3, 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 28, 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 28, 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 817-392-2817. Sincerely, Enlvfair 41hile,r Brendan McInnes (Jul7, 2023 10:57 CDT) Brendan McInnes, Project Manager Cc: Eric Tinner, Inspector Wade Miller, Inspection Supervisor Ariel Duarte, Senior Inspector Raul Lopez, Program Manager Pacheco Koch, Consultant Reliable Paving, Inc., Contractor N/A, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 CONSENT OF SURETY COMPANY TO FINAL PAYMENT Conforms with the American Institute of Architects, AIA Document G707 PROJECT: (name, addres5)Kroger Drive Phase 2 Fort Worth. TX TO (Owner) OWNER ❑ ARCHITECT ❑ CONTRACTOR ❑ SURETY ❑ OTHER Bond No. 4439530 ARCHITECT'S PROJECT NO: City Project 101015 CITY OF FORT WORTH CONTRACT 1=0R: 1000 Throckmorton Street Kroger Drive Phase 2 (From Ray White to Park Vista Circle) Fort Worth Tx 76102 --� CONTRACT DATE: March 2, 2023 CONTRACTOR: RELIABLE PAVING, 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) SURETEC INSURANCE COMPANY 1330 Post Oak Blvd. Houston TX 77056 , SURETY COMPANY on bond of (here insert name and address of Contractor) RELIABLE PAVING, INC. 1903 North Peyco Arlington TX 76001 , CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that 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 1000 Throckmorton Street Fort Worth TX 76102 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS, WHEREOF, the Surety Company has hereunto set its hand this Attest: (Seal): 6th day of July, 2023 SURETEC INSURANCE COMPANY Surety Company / Signature of Authorized Representative Robbi Morales Title Attorney -in -Fact 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 ONE PAGE POA# 4221097 JOINT LIMITED POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That SureTec insurance Company, a Corporation duly organized and existing under the laws of the State of Texas and having its principal office in the County of Harris, Texas and Markel insurance Company (the "Company"), a corporation duly organized and existing under the laws of the state of Illinois, and having its principal administrative office in Glen Allen, Virginia, does by these presents make, constitute and appoint: Don E. Cornell, Ricardo J. Reyna, Sophinie Hunter, Robbi Morales, Kelly A. Westbrook, Tina McEwan, Joshua Saunders, Tonie Petranek, Mikaela Peppers Their true and lawful agent(s) and attorney(s)-ir-fad, each in their separate capacity if more than osm is named above, to make, execute, seal and deliver for and on their awn behalf, individually as a surety or jointly, as co -sureties, and as their act and deed any and all bonds and other undertaking in suretyship provided, however, that the penal sum of any one such instrument executed hereunder shall not exceed the sum of: In Unlimited Amounts This Power of Attorney Is granted and is signed and sealed under and by the authority of the following Resolutions adopted by the Board of Directors of SureTec Insurance Company and Markel Insurance Company: "RESOLVED, Thatthe President, any Senior Vice President, Vice President, Assistant Vice President, Secretary, Assistant Secretary, Treasurer or AsslstantTreasurer and each of them hereby is authorized to execute powers of attorney, and such authority can beexecuted by use of facsimile signature, which may beattested or acknowledged by any officer or attorney, of the company, qualifying the attorney orattorneys named inthe given power ofattorney, to execute in behalf of, and acknowledge asthe actand deed of the SureTeclnsurance Company and Markel Insurance Company, as the case may be, all bond undertakings and contracts of suretyship, and to affix the corporate seal thereto." IN WITNESS WHEREOF, Markel insurance Company and SureTec insurance Company have caused their official sealto be hereunto affixed and these presents to be signed by their duly authorized officers on the sm day of sepmrnr— , 2022 , SureTec Insurance Company StyRAN ``�c531kAAttC��gn surance mpany SEAL J By:-- d''' ... %.� '•�,t Y� Vice President Michael C. Keirrtig, President *.... i��'r'rrrt$�`. State of Texas County of Harris: On this sm day of serr -t— , 20n A. D., before me, a Notary Public of the State of Texas, in and for the County of Harris, duly commissioned and qualified, came THE ABOVE OFFICERS OF THECOMPANIES, to me personally knownto be the Individuals and officers described in, who executed the preceding instrument, and they acknowledged the execution of same, and being by me duly sworn, disposed and said that they are theofficers ofthe said companies aforesaid, and that the seals affixed to the proceeding instrument are the Corporate Seals of said Companies, and the said CorporateSeais and their signatures as officers were duly affixed and subscribed to the said instrument by the authority and direction of the said companies, and that Resolutions adopted by the Board of Directors of said Companies referred to in the preceding instrument is now in force. IN TESTIMONY WHEREOF, I have hereunto set my hand, and affixed my Official Seal at the County of Harris, the day and year first above written. XENIA CHAVEZ Nolas.y Public, Stale 01 Texas ;�; +•T Notary ID# 12911765 9 ` By: My Ct w4s;iat Expires i XA-i—Phavez, Notary Public SEPTEMMR 10, 2024 , "",,;,',,,.•• � My Commission expires 9/10/202 We, the undersigned Officers of SureTec Insurance Company and Markel insurance Company do herby certify that the original POWER OF ATTORNEY of which the foregoing is a full, true and correct copy is still in full force and effect and has not been revoked. IN WITNESS WHEREOF, we have hereunto setour hands, and affixed the Seals of said Companies, on the __61b—day bf JUN 2023 ABea any gyp t Secretary Mark nsurance Company By: Andr Marquis,AsOstantSe nary Any Instrument issued inexoes5 of the penalty stated above is totally voidard without anyvalidity. 4221097 Forverlfication of the authorilyof the Power you may call (713)812-0800or any business day between 9:30AM andS:00 PM CST. RELIABLE PAVING INC.. DBA RELIABLE COMMERCIAL CONSTRUCTION 1903 N. PEYCO DRIVE ARLINGTON, TEXAS 76001 817-467-0779 AFFIDAVIT OF .BILLS PAID FOR PUBLIC WORK 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 PAM DONALDSON, VICE PRESIDENT OF RELIABLE PAVING INC. DBA: RELIABLE COMMERCIAL CONSTRUCTION., known to me to be a credible person, who being by me duly sworn, upon her oath deposed and said; That all persons, firms, Subcontractors, associated, corporations, or rather organizations furnishing labor and/or materials have been paid: in full; That there are no claims pending for personal injury and/or property damages; on Contract described as, CITY OF FORT AIORTH, KROGER DRIVE PHASE lI TEXAS. Pam Donaldson, VP SUBCRIBED AND SWORN TO BEFORE ME, a Notary Public, this 30 day of �s +a. 2023 WILLIAM PADMORE, JR. ..: •: My Notary ID # 11730154 Expires September 7, 2023 rk two ..F a;: , (sea ,........ Riot ublic i d far t[�e STATE or TEXAS