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Home My WebLink AboutContract 54675-FP1City Secretary 54675 -FP1 Contract No. FORT WORTH. Date Received Dec 7, 2022 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: Altamesa Boulevard Extension for 46 Ranch Addition City Project No.: 102575 Improvement Type(s): ❑x Paving ❑x Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $2,005,946.46 Amount of Approved Change Order(s):-$394.56 Revised Contract Amount: Total Cost of Work Complete: $2,005,551.90 Oamon Atoman Dec 1 2022 pamnn Norman (ner 1 ?_m_ 210:17 CST Contractor Date Ridg_emont Commercial Construction Title Director of Ofc. and Ind. Svc. Company Name De1;C�I�.' Dec 1, 2022 Project Inspector Date C,,J,,., P. �. Dec 1, 2022 Project Manager Date Rg&gggs, 1154u� oR&m, Dec 6 2022 Rh—,, Diane Owen (De, 6. 70?2 1438 CST) CFA Manager Date 10 - Dec 6, 2022 Interim TPW Director Date G�Johnsonl--� Dec 6 2022 Willia202215:18 CST) Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 1 of 2 Notice of Project Completion Project Name: Altamesa Boulevard Extension for 46 Ranch Addition City Project No.: 102575 City's Attachments Final Pay Estimate x❑ Change Order(s): ® Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time 180 WD Days Charged: 231 Work Start Date: 11/19/2020 Work Complete Date 09/07/2022 Completed number of Soil Lab Test: 940 Completed number of Water Test: 8 Page 2 of 2 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name ALTAMESA BOULEVARD EXTENSION FOR 46 RANCH ADDITION Contract Limits Project Type DRAINAGE & PAVING City Project Numbers 102575 DOE Number 2575 Estimate Number i Payment Number 1 City Secretary Contract Number Contract Date 9/23/2020 Project Manager NA Contractor RIDGEMONT COMPANY 1520 W. WALNUT HILL LANE IRVING, TX Inspectors CORDOVA, R / CAIN For Period Ending 75038 Contract Time Days Charged to Date Contract is 100.00 9/7/2022 WD 18WD 308 Complete Tuesday, November 1, 2022 Page 1 of 5 City Project Numbers 102575 DOE Number 2575 Contract Name ALTAMESA BOULEVARD EXTENSION FOR 46 RANCH ADDITION Estimate Number I Contract Limits Payment Number I Project Type DRAINAGE & PAVING For Period Ending 9/7/2022 Project Funding SECTION IV: DRAINAGE IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 21"PRESSURE PLUG 2 EA $800.00 $1,600.00 2 $1,600.00 2 30" PRESSURE PLUG 1 EA $839.00 $839.00 1 $839.00 3 REMOVE HEADWALL/SET 1 EA $3,672.00 $3,672.00 1 $3,672.00 4 POST -CCTV INSPECTION OF STORM DRAIN 3296 LF $1.00 $3,296.00 3296 $3,296.00 5 MANHOLE VACUUM TESTING 5 EA $220.00 $1,100.00 5 $1,100.00 6 TRENCH SAFETY 3296 LF $1.00 $3,296.00 3296 $3,296.00 7 UTILITY MARKERS 1 LS $1,576.00 $1,576.00 1 $1,576.00 8 18" RCP CLASS III 54 LF $51.00 $2,754.00 54 $2,754.00 9 21" RCP CLASS III 732 LF $55.00 $40,260.00 732 $40,260.00 10 24" RCP CLASS III 1010 LF $65.00 $65,650.00 1010 $65,650.00 11 30" RCP CLASS III 544 LF $80.00 $43,520.00 544 $43,520.00 12 36" RCP CLASS III 387 LF $105.00 $40,635.00 387 $40,635.00 13 48" RCP CLASS III 132 LF $157.00 $20,724.00 132 $20,724.00 14 8X4 BOX CULVERT 332 LF $411.00 $136,452.00 332 $136,452.00 15 8X5 BOX CULVERT 105 LF $446.00 $46,830.00 105 $46,830.00 16 4' STORM JUNCTION BOX 4 EA $5,014.00 $20,056.00 4 $20,056.00 17 18" SET 1 PIPE 2 EA $1,823.00 $3,646.00 2 $3,646.00 18 24" SET 1 PIPE 4 EA $2,397.00 $9,588.00 4 $9,588.00 19 10' CURB INLET 9 EA $4,601.00 $41,409.00 9 $41,409.00 20 15' CURB INLET 5 EA $5,795.00 $28,975.00 5 $28,975.00 21 11.5' X TXT STORM JUNCTION BOX 1 EA $10,556.00 $10,556.00 1 $10,556.00 22 HEADWALL 24" RCP 2 EA $4,248.00 $8,496.00 2 $8,496.00 23 HEADWALL 8' X 5' BOX CULVERT 1 EA $13,259.00 $13,259.00 1 $13,259.00 24 HEADWALL (2) 8'X4' BOX CULVERT 1 EA $23,969.00 $23,969.00 1 $23,969.00 25 STD. "Y" INLET 4 EA $5,455.00 $21,820.00 4 $21,820.00 26 -------------------------------------- CONNECT TO EX. STORM LINE 1 EA $5,235.00 $5,235.00 1 $5,235.00 Sub-Total of Previous Unit $599,213.00 $599,213.00 SECTION V: PAVING IMPROVEMENTS Item Description of Items No. --------------- Tuesday, November 1, 2022 Estimated Unit Unit Cost Estimated Completed Completed Quanity Total Quanity Total ---------------------- Page 2 of 5 City Project Numbers 102575 DOE Number 2575 Contract Name ALTAMESA BOULEVARD EXTENSION FOR 46 RANCH ADDITION Estimate Number I Contract Limits Payment Number I Project Type DRAINAGE & PAVING For Period Ending 9/7/2022 Project Funding 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 REMOVE FENCE REMOVE CONC PVMT REMOVE CONC CURB & GUTTER SITE CLEANING 6"-12" TREE REMOVAL 12"-18" TREE REMOVAL 18" -24" TREE REMOVAL UNCLASSIFIED EXCAVATION BY PLAN (CUT: 37898,FILL:25001) LARGE STONE RIPRAP, DRY 6' LIME TREATMENT 8' LIME TREATMENT 8' CONC PVMT 9' CONC PVMT (CO C1, El, F1, 3) 4" CONC SIDEWALK (CO #C1,E1,F1, 3) BARRIERFREE RAMP (CO #C1,E1,F1, 3) 6" CONC CURB AND GUTTER (CO #C1,E1,F1,3) 4" SLD PVMT MARKING HAS (W) 4" SLD PVMT MARKING HAS (Y) 4" BRK PVMT MARKING HAS (Y) 8' SLD PVMT MARKING HAS (W) 12" SLD PVMT MARKING HAE (W) 24" SLD PVMT MARKING HAE (W) (CO #C1,E1,F1,3) LANE LEGEND ARROW (CO #3) LANE LEGEND DBL ARROW LANE LEGEND ONLY RAISED MARKER TY Y REMOVE LANE LEGEND ARROW (CO #3) REMOVE LANE LEGEND ONLY REMOVE 12" PVMT MARKING (CO #3) REMOVE HATCHED STRIPING (CO #3) FURNISH/INSTALL ALUM SIGN EX. POLE MOUNT (CO #3) 3451 LF $1.00 $3,451.00 3451 $3,451.00 499 SY $10.18 $5,079.82 499 $5,079.82 1077 LF $9.00 $9,693.00 1077 $9,693.00 1 LS $7,650.00 $7,650.00 1 $7,650.00 86 EA $150.00 $12,900.00 86 $12,900.00 40 EA $350.00 $14,000.00 40 $14,000.00 12 EA $750.00 $9,000.00 12 $9,000.00 62899 CY $2.46 $154,731.54 62899 $154,731.54 661 SY $66.00 $43,626.00 661 $43,626.00 720 SY $15.00 $10,800.00 720 $10,800.00 16800 SY $5.66 $95,088.00 16800 $95,088.00 15223 SY $41.62 $633,581.26 15223 $633,581.26 627 SY $55.20 $34,610.40 627 $34,610.40 53814 SF $5.63 $302,972.82 53814 $302,972.82 17 EA $1,914.00 $32,538.00 17 $32,538.00 7787 LF $2.10 $16,352.70 7787 $16,352.70 1092 LF $1.22 $1,332.24 1092 $1,332.24 4782 LF $1.22 $5,834.04 4782 $5,834.04 4782 LF $0.52 $2,486.64 4782 $2,486.64 300 LF $2.32 $696.00 300 $696.00 388 LF $4.64 $1,800.32 388 $1,800.32 132 LF $6.96 $918.72 132 $918.72 11 EA $150.80 $1,658.80 11 $1,658.80 6 EA $185.60 $1,113.60 6 $1,113.60 7 EA $150.80 $1,055.60 7 $1,055.60 150 EA $4.64 $696.00 150 $696.00 4 EA $104.40 $417.60 4 $417.60 3 EA $104.40 $313.20 3 $313.20 125 LF $3.20 $400.00 125 $400.00 266 LF $2.60 $691.60 266 $691.60 2 EA $425.00 $850.00 2 $850.00 Sub -Total of Previous Unit $1,406,338.90 $1,406,338.90 Tuesday, November 1, 2022 Page 3 of 5 City Project Numbers 102575 DOE Number 2575 Contract Name ALTAMESA BOULEVARD EXTENSION FOR 46 RANCH ADDITION Estimate Number I Contract Limits Payment Number I Project Type DRAINAGE & PAVING For Period Ending 9/7/2022 Project Funding Contract Information Summary Original Contract Amount $2,005,946.46 Change Orders Change Order Number 1 $1,307.10 Change Order Number 3 ($1,701.66) Total Contract Price $2,005,551.90 Total Cost of Work Completed $2,005,551.90 Less % Retained $0.00 Net Earned $2,005,551.90 Earned This Period $2,005,551.90 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 $2,005,551.90 Tuesday, November 1, 2022 Page 4 of 5 City Project Numbers 102575 Contract Name ALTAMESA BOULEVARD EXTENSION FOR 46 RANCH ADDITION Contract Limits Project Type DRAINAGE & PAVING Project Funding Project Manager NA Inspectors CORDOVA, R / CAIN Contractor RIDGEMONT COMPANY 1520 W. WALNUT HILL LANE IRVING, TX 75038 DOE Number 2575 Estimate Number 1 Payment Number 1 For Period Ending 9/7/2022 City Secretary Contract Number Contract Date 9/23/2020 Contract Time 180 WD Days Charged to Date 308 WD Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded ------------------------ Total Cost of Work Completed $2,005,551.90 Less % Retained $0.00 Net Earned $2,005,551.90 Earned This Period $2,005,551.90 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 $2,005,551.90 Tuesday, November 1, 2022 Page 5 of 5 Revised: 10-12.2011 DEVELOPER -AWARDED -PROJECT CHANGE ORDER ] PROJECT NAME: IAltalnesa Boulevard (to serve 46 Rand, Addition) CONTRACT: (A) Water, (B) Sewer CHANGE ORDER No: jCFA# CFA20-0053 I CITY PARTICIPATION: No CITY PROJECT # 102575 �(OOE # -N/A Al, 81 WATER PROJECT # ISEWER PROJECT # FILE # I W-2694 INSPECTOR: John Robinson Phone No: 817-392-8306 PROJECT MANAGER: Fred Ehia Phone No: 682-432-5559 CONTRACT U IT I WATER SEWER PAVING DRAINAGE STREETLIGHTS TRAFFIC SIGNAL (CONTRACT DAYS OswAewr Ca+t Desebosr Coat wc'" pwloest Cost Gf9 I3ewlelavrC---r _CyCos: pA-I—,Coat lover Coat ORIGINAL CONTRACT V117.511170 S4D0.37500 51Ada.733.46 5599.213-00 sna'731I 5410.168.60 180 EXTRAS TO DATE So o0 SD.00 CREDITS TO DATE S000 50.00 CONTRACT TO DATE S317.507.65 1400,375.00 $400 $1.406.733.46 _ �Jp ,J 5599.213.00 _ IV S=8.71550 _ S 30.168.60 180 AMOUNT OF PROP CHANCE ORDER S 4.51096 a 4.M.07 REVISED CONTRACT AMOUNT 5322.09fl 01 S405.14807 1111 ._�...I.� =Do S1.406,T33A8 FIwZAmeNi i SDAO 5226.73850 SO-00 5430.168.W 180 TOT/LLREVISEDCONTRACT AMOUNT PER VNIT 5372090.61 5405148L7 St �oe731.A6 399.213.00 f228.738.50REVI.COSTSHARE Day. Cost. $3,332,100.24141529.21,1'. : e,. il..11. ni�IHil laY w.. Il Oalll J� TOTAL REVISED CONTRACT $3,392.100.24 VDU ore direOM 10 ..ko I" fo;L -Ina ^nllee: In tee f m'a (0pa�mon�.- l PAY ITEM 0 CIT1' BID ITEM a OUAMRV UNR ITEM DESCRIPTION I 1 UNIT PRICE TOTAL 1 5 3311.0001 00875 TON 1 Du .. Iron Water Flor w/ Reetrawl S 1433'..00 S 1.253 96 733110141 10 LF fj 6'Weter Line 5 29.00 5 290D0 14 3312 3002 1 EA 6' Gate Valve 5 1 059.00 S 1 059.00 _ 18 3312.MOI 1 EA Fire HWrant 5 1.908.130 S 190300 19 3305.0106 1 1 EA { Manhole - Maor Adiustment wlf l Frame and Cover S 4.Til S 4773.07 TOTAL 5 9.284.0 1 REASONS FOR CHANGE ORDER Replace —.1— 24-sanhary --ewer cone with Cdy approved 30^ opening Additional Fire hydanl to be installed on Water Lateral ''-2' along ARamosa Boulevard RECOMMENDED_ APPROVED: APPROVED: Halfl Asso—les, Inc Jackson-Shaww/46 Ranch, L L C THE RIDGEMONT COMPANY, G/bb RIOGEMONT COMMERCIAL CONSTRUC71ON By. .. D�ni W W J011Id �ift-1 By 2Rc Meeulre By. %V?' Be I ,J� Name: _// '//E6� Name: r /� �— Name:'.. /I .(1� Title: Senior Vice President 711je- Dire[9[ Cenrtn¢Y.an Tito: S-n,nr PeliM M— Page 1 DocuSign Envelope ID: C51D357F-16FO-41AE-9A1D-2968FD5D7A3F DEVELDPER-AWARDED-PRO.IECT CHANCE ORDER REVIEWED J lBy Andrew Goodman at 7:46 am, Jul 09, 2021 J PROJECT NAME 1Alnmem RONevord /,o serve 46 RencN Addlbnl I CNANOE CONTRACT' ICl Povino fE161ree1lAMs. fF3 Trollic SYnDI (ORDER No: CFAE ICFA20 0053 I CITY PARTICIPATION:] Vv. CITY PROJECT 4 I111115 I DOE fi (NIA ICI E1, F1 WATER PROJECT R SEW ER PROJECT C FILE % W- . INSPECTOR: John RODlnson Ph NO: 817-392-R3D6 PROJECT MANAGER: And— Gond-1, P.E. Phone No: 817-392-6251 ' CDNIRAC "NI 1 OB.IDIAi YYm — R RArnNO 1M_E BSAllE1.IO.S.B .TR.STtrB..+A LANOSCYFIYMOYENEI,l3 CONTRACT CI Ia.lO.a DAYS ]OMfAYy CO„n.ACT O.v. t,rs.lv... p,lLTW�S` imeal3m � M,w..n1..3 �. �rM-t �irii f.a.frm vY4Y _ U. I saE1Ar KmE1 I CREDITS TO DATE 1i.3B SLL.m _ I �1 3 R]CTTOf1Att NKTp.OB 33]amu, SYSHApI KU'• it..ii.>v nl mm siEavain i.]A1Km 6"J" 1B0 I t 1!P• E DftlN S Y/ELTE t IRENSEDCa1TMLTAC1eu amen 31— siss.m.a, imsuv.vl SLWReca. I •MA tWa,Am B Tx "Ia3LM few ,BD TDTALREM3EDCONTRACTAYODMr _ •vy,9m., vc +.em s,Am.euJi .N vER urR H.s.13]..ye .fE..13A1/ 3>1B.d IroAiw DOar MSN1E Dev-Cmt S]•nd,taa.]] TOTALR MM—RACT I I 5361d2N.13 ae dhmbd m mvkp Ine InbMn9 �anevf In Din vnnNRd PcumaHr � I Vm PAV ITEM p C-... 1EM a GDMSf1Tv IAS! ITEM DEBCRIPTION U—FlCE J TOTAL 3213.1. 30 SY B-Cont Pvml S 55IifU/ S 1.10/.001 c. II S 3213DSN, ,;0 FA /eyo�mm�nqfff, ;'k f{ 1.B17d 001S (,$td.W)I 1.2 V 22 32t)DSIn 1m F 24`BA2o)1111.530ALIjj`SCNffff6� t v.00 3 IS 15000I �I� T �i1.1 0� ; 110 A SSbcl $f �,.050 W S D.S. EA 1 B 3N1.t00.1 i EA SSen �IHvm Am S TfsU� S �B.250.WW � S 1.850.0011 1 O 3M1.tO011 3 EA POCn$$'1y� jyeolNmnqq��uu 19%8�0 Q0�0Js �D. sso oo ]. ]a411229 �m LF FumlchhriflNI Pr..�2f n i:Eply 1 '1 , S' 1992AOI �I D —1t31D I dD F NC 14AWG MUISLoM+cbr Cnply � 1.)5 f 5fI6�M e ]a�11 333 ]et LF `JC I4 AWG MUIIICvrNucur Cnply 1312 61, F ]IC td AWG MW9LOMucbr Cnpl. f 20015 .222.Om 33t2 I J22 F 2WNC td AWG MWe{amucbrC— f 135 5 I�HM tO LF {(yl 'JJ ]N1.1d0Y I m2 F NOB(—Ad—C.— f It S ,.-1. —1.1413 \� 26 3K1./E01 ' J EA ,mthnmo 5 S P-1 n P.Ah Bun;;onPIyTM jjS 9��0yy01�JJA��D I S ]00.001II 3N1�d001 1D EA Y Fumn9le'�N(l(nIa{NIII�NpuIm14 PM ep1Arylm MdJA1 3 �d5BJ101 5B5000I ,j `� BB89.OD,B , TOTRI =N"VdI118E NI11BIM115"iron SlHnei Men: Bf2lElaiu f :I S -' ..��1111-= 9BBB.0010 EA II 3 21,5)dJNI REASONS FOR CHANCE ORDER Trvl/c Fngnavhy laerimfbn Revllbn3 (SnesL ]].76. df, d3. dT. 52A. TA HS B8, 8S 102. t0.. 105 f05 f0) tOB 109. 1f0 11f. 112. 1]3, ]IJ, 115) RECOMMENDED: APMOYED: APPROVED: H.a IJC INC R�EEN CWT .NY,dM 9Y.,DvnW w. WMI.15 By. Nam: Nnmv: TXIo: SANervmn PrnaNnnl 'Mn: d.,kly. e, GeminRien U Tm, VP of Ops EF9D.iF5e]RCECB..r R—ed: 10 124011 PvpI REVIEWED By Andrew Goodman at 2:08 pm, May 11, 202; DEVELOPER -AWARDED -PROJECT CHANGE ORDER I PROJECT NAME: (CONTRACT: I CFA 17 ICITY PROJECT O I DOE # WATER PROJECT C SEWERPROJECTO FILE INSPECTOR: PROJECT MANAGER: ORIGINAL CONTRACT E%RUS TO DATE CREDRS TO DATE CONTRACT TO DATE qA■MOUENNTTy�O�.��Fryy,PRROP... CHANGE ORDER TAL Vd% >CD�RACT AMDUNT 'etUNIT REVISED COST SHARE TOTAL REVISED CONTRACT Altamesa boulevard (to Some 46 Ranch Addition) CHANGE (C) Paving. (E) Street Lights.(F) Traffic Signal ORDER No CFA20-0053 I Cl7Y PARTICIPATION: Yes 102575 NIA 3 W-2694 John Robinson Phone No: 817-392-8306 Andrew Goodman, P.E. Phone No: 817-392-6251 CONTRACT UNIT GENERAL I WATER SEWER PAVING DRAINAGE STREETLIGHTS TRAFFIC SIGNAL LANDSCAPEIMPROVEMENTSI CONTRACT rf1 DAYS Dvv-Cost UV Cw[ el.wr C-u I GJrr f,u Dovcl-Dar CRet D...-ar CAu CIy C9M Dovola a CI %e 0-v-b c- cyCeu out LI Lou IDevolAurCw[ S1e5,TB].OL kf]1T,58T,65 3400.])Sp0 st4oe.rv.4e 5599.21r].00telr�.` 054]0.16a.B0 592.a25.� t80 34.51006 id T3.OT 1.3011r rS221.90r 2r..1BTT 5165,Te].Oe f0 iJ]2,098.61 SO.W 5105 i-01 514D6..1.31 SOAO 1011J.OD F2B,613.fA 50.00 44,661.]7 592,931N ISO f S 11.T01.6A S ta.fiff I, 3+LS.le].Oe +T+10e.41 me 5105.t48.0) 51 A06.J]eAD WAO 559931]AO / 5242494.63 50.00 `II 34A 661.]) I f0.00 S02.e]SA4 1B0 StGS.M].OB m $=.,B.G1 f405,14e.01 51.4aL.]]Ba03/ SSM,21]A01/ Std2AB0.65 1 S45].6L1.]T SB2s]S4' D., COSD $3,686.573.52 City $3.686.S73.S2 YoU are dkected to make the follDwbg charges In the contracl �owm6Wft PAYIiFIAs Y BID I1 �A8 UNI ITEMDESCRIPTION UNIT PRICE)0UJS OTAL TJ,93Z00) Its 241/3100 SFT Rom-�11c. PvmCulbaGutter 21(lJ S r 1,10d.001 3213.0Wl 1 24 SF I Conc. Sldew-Ik S 5.6lJ S 135.12 15 16 3213.OSIX i 3216.0101 1 -t S5 EA LF Barrier Free R-uq 6- Con.. CYlI and GuYor S 1,914.0d1 S S 2.1(/ S If 914.001 115.50) 22 3217.0501 1 -3. LF 24' SLD Pvml MorklnqQ MAE Mil S 6.96S• %48) 23 3217.1002 I 1 EA Wn-Legend Ai JI' $ 150.BO S 50.80 II 3217.4402 I 1 EA R-rrove WroL(� dArrow S 104.4 JJ 5 104.40 31 330 ��1) j10A gB98 d�9- I 125 266 LF LF Remove 12" Pvmt Markl9'� Re --Hatched SByI/q S 3.2d C S 2.60/111S 400.00 691.60 31 3441.4004 2 EA Fuml'101-ll Alum SDn Ex Pole Mount S 42SOOI S 850.00 2 2605.3015 137 LF 2-CONDT PVC SCH'061r1rT'1` S 15.0 S. 2055.OD 3 3441.1502 3 EA Ground Bok T re B. wl ACrofr S 900.0 i 2.700.0D 6 3441. 02 1 EA Rdwyy Ileum Four onF7Y 3.5.6.ond 8 S 1.SB0 �580.00I 8 3441,1411 411 LF ND, a Insulated Elec Conduct S 1.55 S 637.051 11 I 1 EA R.-Eki-.Rd- lllum Foundation I 5 5503.00 S 5.503.001 I I ``I I iGTla S 12279.391 REASONS FOR CHANGE ORDER Ranwvel of Medrnn RAnrp, Mrrdsn Nosre.a,rd Crosswa/k Shro-V(sh.els 33. 3643879); Refoeellon o1 Simal LVI Along Campus Omo Meet- 87 B 89) Reloc000n of P-1,1an Push S-(sheets X-13 47.52A IN. 107. 110 4 112) Aokmd Slgnag- Md Shrprng for Now Lrn- A-gnm-nts (shoats 33 a 79) RECOMMENDED: APPROVED: APPROVED; HeIP As .blos, I- JsckswSMwL6 R-ch.. LLC TNERIDGEMONTCOMPANY,W RIDGEMONTCOAWERCIAL CONSTRUCTION By: Oonld W. Warold Bv: Zec Mco.k. 0, Damon Norman Namc II1 - I I D.kL WAVf Lµ NemD- �°/ie�� 7' � Namo "mot^ti �e4e... N. ,. 1 ille: Senor Vic. Pmt,!dont 710e: Director of Constmolon TWO. Director of Office 8 Industrial Smic-s Revised: 10-122011 DocuSign Envelope ID: B52A375F-856E-40DB-985A-70BCC7EC7DD1 PROJECT NAME CONTRACT: CFA # CITY PROJECT # FID # FILE # INSPECTOR: PROJECT MANAGER: DEVELOPER -AWARDED -PROJECT CHANGE ORDER Altamesa Boulevard (to serve 46 Ranch Addition) Water. Sewer. Orainaae, Pavin/p. Street Liahtina. and Landscape CFA2-0053 I CITY PARTICIPATION:1 102575 30114-0200431-102575-EO7685 W-2694 CHANGE ORDER No: No 4 Jahn Robinson Phone No: (817)392-8306 Andrew Goodman Phone No: (817)392-6251 CONTRACT UNIT GENERAL WATER SEWER DRAINAGE PAVING Developer Developer Developer Developer Developer Cost City Cort Cost Clry Cost Cost Clry Cost Cost City Cost Cost 5165783.� $317.1.7.65 S400.37500 S599.213.00 $4.510.9fi S4,773.07 EXTRAS TO DATE CREDITS TO DATE CONTRACT TO GATE OF PROP. CHANGE ORDER6 �167.AMOUNT rISED CONTRACT AMOUNT TOTAL REMISED CONTRACT AMOUNT PER UNIT $16S783.06 REVISEDCOSTSHARE De, Cost: $3.686.S68.85 TOTAL REVISED CONTRACT S322093.96 1 $405148.07 1 SS99,213.00 1 $1.408338.90 $0.00 $3,686,568.85 STREETLIGHTING TRAFFIC SIGNAL LANDSCAPE CONTRACT Developer Developer - Developer GAYS Cost City Cost Cost ' CiN Cost CostCr S228738.50 $430.168.60 $92.335.54 160 S13.756.15 _ S22.492.77 124 49A65.145,2661.37 592835.84 180 522490 (IL43 524271 — t � $452436.4955 7 4 192835.84 S242719.SS S452,436.47 $92.835.04 -7 "iou are directed to ne-a Tne ioiiovlela dnanaes in the contract documents - SECTION I: GENERAL PAV ITEM# CITY BI DITEM# DUAN11Y UNIT ITEM DESCRIPTION 1-3 1471.0001-2.52427E.06 MO Traffic Control I I I I I TOTAL SECTIO I: GENERAL I SECTION If: WATER PAV ITEM# IC.IYBIDI-M.1 DUANTITY I UNIT ITEM DESCRIPTION 2-8 3311.0241 .0.15 LF 8' Water Pipe f TOTAL SECTION II: WATER IMPROVEMENTSI REASONS FOR CHANGE ORDER C—live Change Ortfer NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO REIMBURSEMENT FROM THE CITY WILL BESOUGHT BY THE DEVELOPER. ME APPROVED: APPROVED: RE allllll Essona es JacksonShaw,146 Ranch. LLC The Ridgemont Company, &h/a/ Ridgemonf Commercial Conshuchon P . �of W. --W—/W. ayI L.7..7lFs�aw. o q Bvf cnCwoe7eera Name:.Joseph Buchanan P F Name: Zee Mcauire Name: Damon Norman T10e:.Proiect Manager Ti8¢,.Difpc'10 2LOWEVCH n Title' nimetnr of Office R Indudrial Senrires Revised: 10-12-2011 UNIT PRICE Tj�TAL S7.923.07 IgT.AL, tie nu ( UNIT PRICE I TOTAL 531.00 (54.85) I /54.65)I Page 1 FORT WORTH. TRANSPORTATION AND PUBLIC WORKS October 18, 2022 Ridgemont Commercial Construction 1520 W. Walnut Hill Ln. Irving, TX. 75038 RE: Acceptance Letter Project Name: Altamesa Blvd.-46 Ranch Addition Project Type: Developer City Project No.: 102575 To Whom It May Concern: On September 7, 2022 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 October 18, 2022. 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 October 18, 2022, 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)392-6251. Sincerely, CJ, AJ., P �. Andrew Goodman, Project Manager Cc: Matt Cain, Inspector Ron Cordova, Inspection Supervisor Edward D'Avila, Senior Inspector Victor Tornero, Program Manager HALFF, Consultant Ridgemont Commercial Construction, Contractor Jackson-Shaw/46 Ranch, LLC., Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 AFFIDAVIT STATE OF TEXAS COUNTY OF TARANT Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Damon Norman, Director of Office and Industrial Servises Of Ridgemot Commercial Construciton, known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; That all persons, firms, associations, corporations, or other organizations furnishing labor and/or materials have been paid in full; That the wage scale established by the City Council in the City of Fort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; Altamesa Boulevard Extension for 7CtALJp ch Addtion BY0 C D�eil�!j Maureen McDonnell - Project Coordinator Subscribed an sworn before me on this date 1 of November, 2022. Nota Publi a� Dallas Count xas "�~ 4tAJREEN ° MCDONNELL .3 Notary Pubic s�.✓�7,� STATE OF TEXAS i '.',;r`,:;.:•� 'C# 12973278.9 " 1!t Comm. UP Mar. 3 2026 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ OTHER ❑ Bond No. SU61878 PROJECT: (Name, Address) Northeast and Southeast Comer of E. Altamesa Blvd and Oak Grove Road TO: City of Fort Worth, Texas 200 Texas Street ARCHITECT'S PROJECT NO.: Fort Worth, TX 76102 CONTRACT FOR: Water, Sewer, Paving, Storm Drain, Street Lights and Signals CONTRACT DATE: CONTRACTOR: Jackson Shaw/46 Ranch, LLC 4890 Alpha Road, Suite 100, Dallas, TX 75244 In accordance with the provisions of the Subcontract between McCarthy and the Subcontractor as indicated above, the (here insert name and address of Surety as it appears in the bond) United States Fire Insurance Company, 305 Madison Avenue, Morristown, NJ 07960 on bond of (here insert name and address of Subcontractor as it appears in the bond) Jackson Shaw/46 Ranch, LLC, 4890 Alpha Road, Suite 100, Dallas, TX 75244 , SURETY COMPANY , SUBCONTRACTOR, 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, 200 Texas Street, Fort Worth, TX 76102 as set forth in the said Surety Company' IN WITNESS WHEREOF, the Surety has hereunto set its hand this 11'" day of November 2022. Attest: (Seal): United States Fire Insurance Company Surety Signature of Authorized Representative Alicia Grumbles. Attornev-in-Fact Title OWNER, NOTE: This forms is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition. surety.doc-1211l94 POWER OF ATTORNEY UNITED STATES FIRE INSURANCE COMPANY PRINCIPAL OFFICE - MORRISTOWN, NEW JERSEY KNOW ALi. NiEN BYTHESE PRESENTS: That United States Fire Insurance Company, a corporation duly organized and existing under the laws of the state of Delaware, has made, constituted and appointed, and does hereby make, constitute and appoint: Alicia Grumbles; KJ Wagner; Sam Siddons; Eric S. Feighl; Vincent Tran each, its true and lawful Attomey(s)-In-Fact, with bill power and authority hereby conferred in its name, place and stead, to execute. acknowledge and deliver: Any and all bonds and undertakings ol' surety and other documents that the ordinary course of surety business may require, and to bind United States Fire Insurance Company thereby as fully and to the same extent as if such bonds of' undertakings had been duly executed and acknowledged by the regularly elected officers of United States Fire insurance Company at its principal office, in amounts or penalties not exceeding: One Hundred Twenty Five Million Eight Hundred Dollars ($125,800,000) This Power of Attorney limits the act of those named therein to the bonds and undertakings specifically named therein, and they have no authority to bind United States Fire insurance Company except in the manner and to the extent therein stated. This Power of Attorney revokes all previous Powers of Attorney issued on behalf of the Attorneys -In -Fact named above and expires on January I, 2023. This Power of Attorney is granted pursuant to Article IV of the B)•-Laws of United States Fire Insurance Company as now in full force and effect, and consistent with Article III thereof, which Articles provide, in pertinent part: Article IV. Execution of Instruments - Except as the Board of Directors may authorize by resolution. the Chairman of the Board. President, any Vice -President, any Assistant Vice President, the Secretary, or any Assistant Secretary shall have power on behalf of the Corporation: (a) to execute, affix the corporate seal manually or by facsimile to, acknowledge, verify and deliver and contracts, obligations, instruments and documents whatsoever in connection with its business including, without limiting the foregoing, any bonds, guarantees, undertakings, recognizances, powers of attorney or revocations of any powers of attorney, stipulations, policies of insurance, deeds, leases, mortgages, releases, satisfactions and agency agreements; (b) to appoint, in writing, one or more persons for any or all of the purposes mentioned in the preceding paragraph (a), including affixing the seal of the Corporation. Article III, Officers, Section 3.11, Facsimile Signatures. The signature of any officer authorized by the Corporation to sign any bonds, guarantees, undertakings, recognizances, stipulations, powers of attorney or revocations of any powers of attorney and policies of insurance issued by the Corporation may be printed, facsimile, lithographed or otherwise produced. In addition, if and as authorized by the Board of Directors, dividend %varants or checks, or other nunnerous instnnnents sinnilar to one another in form, may be signed by the facsimile signature or signatures, lithographed or otherwise produced, of such officer or officers of the Corporation as from time to time may be authorized to sign such instruments on behalf of the Corporation. The Corporation may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Corporation, notwithstanding the fact that he may have ceased to be such at Ilse time when such instruments shall be issued. iN WITNESS WHEREOF. United States Fire Insurance Company has caused these presents to be signed and attested by its appropriate officer and its corporate seal hereunto affixed this I I ' day of March, 2021. UNITED STATES FiRE INSURANCE COMPANY Anthony R. Shinowicz, Executive Vice President State of New Jersey) County of Morris ) On this l I` day of March 2021, before ne, a Notary public of the State of New Jersey, came the above named officer of United States Fire Insurance Company, to me personally kno-.Nn to be the individual and officer described herein, and acknowledged that he executed the foregoing instrument and affixed the seal of United Slates Fire Insurance Connpany thereto by the authority of his office. // SONIA SCALA /_.1_Au.� a ,Id_CIG._ NCYFARY PUBLIC OF NE%V3ERSEY Sonia Scala, (Notary Public) t►IY COMMISSION EXPIRES 3/25/2024 No. 2163686 I. the undersigned officer of United States Fire Insurance Connpany, a Delaware corporation, do hereby certify that the original Power of Attorney of which the toregoing is a fiull, true and correct copy is still in toree and effect and has not been revoked. iN WITNESS WHEREOF, 1 have hereunto set iffy hand and affixed the corporate seal of United States Fire insurance Company on thei 1 day of NoVeMnU20 1N1 T EllTAT S ES TIRE INSURANCE CO A \IP NY' �O� Daniel Sussman, Senior Vice President *For verification of the authenticity c,f the Power of Attomey. please contact Pat Taber at 860-956-3424 or email: Suretvinnuiriesr,annmtaeroun.com APPENDIX 1 Final Inspection and Testing Fee Worksheet City of Fort Worth Project Name: Altamesa Blvd. Date: 7/26/2023 Developer Name: Jackson -Shaw Estimator: Mike Weiss IPRC Record No.: 20-0023 TPW Construction City Project No.: 102575 Signed Bid Proposal Working Days: 180 Construction Inspection Services Fee Description Rate Construction Inspection $ 245.00 Administrative Material Testing Services Fee Description I Rate Administrative Material Testing 1 $ 24.50 Water Testing Lab Fee Total ,uantity Amount $ 1 Notes 231 $ 56,595.00 Subtotal: $ 56,595.00 ;uantity Amount $ Notes 940 $ 23,030.00 Subtotal: $ 23,030.00 1 Total Amount:) $ 79,865.00 1 1 Notes 1. The construction Inspection Service fee is based on the number of working days as denoted above. The Rate ($/Day) for Construction Inspection Services is inclusive of inspection services labor, supervision and mileage, and applies to all working days based on information provided by Design Engineer. 2. Should the construction duration exceed the Design Engineer's Estimated Working Days defined above, the City will invoice the Developer at the stated daily rate, for all working days in excess of the denoted days above. 3. The Administrative Material Testing Fee Amount is based on the quantity of Tests to be performed on the project. The Material Testing Services Rate ($/Test) is inclusive of the City's labor and other incidental costs associated with the City's role in this service. The Developer must separately contract with one of the City's approved material testing labs and pay the lab for the actual cost of material testing. 4. The Water Testing Lab Fee is based on the quantity of Bacterial Tests to be performed by the City's Lab. The testing rate ($/Test) is inclusive of the City's labor and other incidental costs associated with the City's role in this service. Two consecutive passing bacterial water tests are required per 1,000 feet of line, for each dead-end on a project, fire lines, fire hydrants, branch at a minimum of one joint of water mains. A minimum of four tests will be estimated for a project. 5. In the event the number of tests performed during the project exceed the Quantity noted above, the City will invoice the Developer (at the rate stated above) for the number of tests in excess of the Quantity noted above. Payment of the "Total Amount" denoted above is due to the City of Fort Worth as part of the CFA process. Any payments due to the City pursuant to the above must be paid to the Development Coordination Office beore the CFA is executed. This is an estimate in accordance with the CFA Ordinance. The project will be reconciled at closeout when accepted, developer may be required to pay additional fees or be entitled to a refund.