HomeMy WebLinkAboutContract 57461-FP1FORTWORTH,
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
+P1
City Secretary No: 57461
Date Received: 9/1/2023
City Project N!?: 102842
Regarding contract 57461 8th Ave Safety & Circulation Improvements for as required by the TRANSPORTATION AND
PUBLIC WORKS DEPARTMENT as approved by City Council on 3/8/2022 through M&C 22-0154 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:
$ 1,048,541.07
Amount of Approved Change Orders:
$ 23,741.74 No 1
Revised Contract Amount:
$ 1,072,282.81
Total Cost Work Completed:
$ 977,215.25
Less Deductions:
Liquidated Damages: _ Days @ $ / Day
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed:
Less Previous Payments:
Final Payment Due
Ael- � Z- Gllal lzll .�
Patricia L. Wadsack (Aug 30. 2023 09:48 CDT)
Recommended for Acceptance
Asst. Director, TPW - Capital Delivery
$ 977,215.25
$ 928,354.49
$ 48,860.76
Aug 30, 2023
Date
Aug 30, 2023
Accepted Date
Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
William Johnson (5 1, 202310:22 CDT)
Asst. City Manager
Sep 1, 2023
Date
Comments:
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
C-620 Signature Page
Contractor's Application for Payment
Invoice No. 11 FINAL
To(0%%=r) City of Fort Worth lmnicing Period(Fmm-To);
Imwice Date:
4/l/2023-7/312023
8112023
P.O. FW020-0000007714 From (Contractor):
Remit to(IfNct Automatic Deposit >:
Numbcr. Fain Gmum
Inc.
Project: 102842 Contmetars CFW Vendor No.:
0000027241
city secretary comoretumber: 57461 Contract
8th
Avenue Safety and Circulation Improvements Project
Number: Name:
o—:
Application For Payment
Chance Order Summary
(Approved Chanme Orders
11. ORIGINAL CONTRACT PRICE............................................................ S
S1.048.541.07
Number Additions Deletions
12. Net chance by Change Orden................................................................... S
S23.741.74
1 $120,657.04 $96,915.30
13. Current Contract Price (Line 132).......................................................... S
SI.072.282.81
I 2
14. TOTAL COMPLETED AND STORED TO DATE
I3
I (Progress Estimate, Construction Allowance and Change Orden)....... S
S977.215.25
4
15. RETAINAGE:
I 5
I a X $977.215.25 Work Completed.......... S
I 6
I Is. X Net Used S
I7
I c. Total Retaimee(Lim, 5e+Line 5h)................................. S
I 8
16. AMOUNT ELIGIBLE TO DATE (Line 4-Line 50 .............................. S
S977,215.25
TOTALS $120,657.04 S96,915.30
17. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)......... S
S928.354.49
NEr CHANGEBY S23,741.74
8. AMOUNT DUE THIS APPLICATION................................................... S
S48.860.76
CHANGE ORDERS
9. BALANCE TO FINISH, PLUS RETAINAGE
(Column G on Progress £stimate+CA+ CDs+ Line 5 a bare) ............... S
S95.067.56
Contractor's Certification
10. CONTRACT TIME:
The Contractor certifies with the submittal ofthis document and associated Payment Request Submitml
is. Days Awarded
150
on the City of Fort Worth Bttosaw system that to the best oftheir knowiedge:(1) all previous progress
Is. Days Added by CO
167
payments received from Owner on account of Work, done under the Contract have been applied on
Dint to discharge Contractors legitimate obligations incurred in connection vvith Work covered by
e• Total Days
3)7
PriorApplications for Payment; (2) title of all Wort:, materials and equipment incorporated in said Work
or otherwise listed in orcovered by this Application for Payment will pass to Owner at time of pa)menl
free and clear of all Liens, security interests and encumbrances (except such as arc covered by a Bond
Da Changed
it. Days ge
317
nocepmble to Owner indemnifying 0vmer agaist any such Liens, security interest or encumbrances);
e, Days Remaining
and (3) ell Work covered by rids Application for Payment is in accordance with the Contract Documents
and is not defective.
Liquidated Damages S650.00 x dap
e5'teue.>,A
Sievert Aguirre (AAugif 3, 202315:5:22 CDT)
Consent of Surety
Affidavit of Bills Paid
This document has been modified from its original form as an EJCDC document and the user did not highlight the
modifications. You are encouraged to read the document carefully and consult Legal Counsel prior to its execution.
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Contractor's Application
Contnc, Nnm-
Sth Avenue Safety and Circulation Improvements
Project
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11 FINAL
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4/12023-7/312023
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$1.680.20 130.0%-
-_
86
7/41.13147IC 71 AWG Mu16-Conaudor Cable
344110
LF
210.000000
$3.28
$789,00
812.00000000
$2.073.4E
$2,013A8
52,013.18 255.0%
_ --
3447.131520IC 14 AWG Mu10 Conductor Cable
3441 IO
LF
1115.000000
$7.10
$7.083.40
14115.00000000
$10,131.40
$10,131AO
$10.131.40 128.9%
_ _�87
88
3441 A= 30C 14 AWG Wfltl-Conduclor Cable
344110
LF
2745.000WO
$2.32
$6.368.40
2745.00000000
$6.388.40
$8,368.40
SBASB40 1"
89
3447.7406 NO G Ina,daled Elm, Condr
344110
LF
1135.00ODOD
$3.48
$3.949.00
1135.00000000
$3.949.00
$3,949.80
$3.949.80 1010.0%
70
3441.1409 NO 8 Insulated Eloe Condr
A4110
LF
2150.000000
$2.77
S5,955.50
2150.00000000
$5.95540
$5,95550
$5,95550 100.0%
71
344.1411 NO 12 insulated Elac Condr
M4110
LF
240.000000
$1M
S403.20
240.00000000
$403.20
$40320
S40310 100.0% -
72
3441.1414 NO a Sam, Ebc Condr
3441 10
LF
2B5.000000
$2.77
$788.45
285.00000000
$789AS
$780.45
$78SAS IOU%--
Thu deeumen, hm born modified Oem iU an9ilet form m an FJCDC Jeamcnt wd uo uam did net hi9hliuht the
mod,fodiona You are en-ted to read the docen- cnmlblly and eemul, 1,e Pl Cnunaal prier to i,e.-ion.
Progress Estimate
Iar(`°"""")
8th Avenue S:lfety and Circulation Improvements Project
Apphofmn Pried:
4/1/2023 - 7/31/2023
A
Item
Ilid It,. N.
D..dptien
Sedim No,
73
3441.1502 G-WS=TVP*BW/Aplan _ -
344110
74
3441.1503 Gt-,I Box Type D. WApron
34 41 10
75
M41.1603 FtwtIWo9tmlla-14'Ped Pol9Aw" _...
344110
76
3441.1811 F-WhJl lnl Typn41_Slgnal Pale - ___..
YI 4110
n
3441.1623 Fuml"nelal Mato An A16'-38'
U4110
78
3441.1701 TY 1 SIgnal Foutt6e0on -
_ M 41 10
78
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344110
6D-
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t0
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Connollefcabinet AasemNY-_.__N41
IO
82
34111.1840RRFB6uen"y Single SWM(AC)
_344110
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344110
84
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3441:0
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7441.1804 _Ptmvlo_r CwI Pod Pale _ _
3441 10
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34411W1 SWVWTto Sl0rIW _
344110
87
3441,2003 Dip01o0f Polo 0M M MM81_/w_emEy__ -__
344110
c'yS-,d,t,y 57461
Coot Nom:
"20 Unit Pdco Progress Evllmete
Contractor's Application
A,6.6vn N-1- I 1 HNAL
Applicdinn NO, 9/l2023
B
C
0
0 F G
Tavl ComPlnsd % Mencv lv Fivi.h
Unit or
BidQ ay
Unh Prim
Bid Vdm
Enimmed Qeantiy
Vulua
Prtvivvdylnsmlled Volm Velue7hie Period
Mmedvla Pmcntly
end S(DI la Dam (� (E-F7 Qvami,y ta.mnea This
Memum
InnnIIN
Slortd(mtin C) (D+C) 0 Penal
FA
9.W000U
$1A48.11
$13,072A9
9.00000000
$13,032.99
E13,032.90 _.
513032.99 100.0%_
EA
5400000
$2134,13
$10,870.85
6.00000000
512,804.7E
512,804.7E _ _ _
_ _ _ _ _ $12,804.78 120.0%-$2,134.13
3.0000OD
_
57,829.83
3.0000D000
$3,828.83
-- E3.320.83 _
51.82B93 100.0% -..-
._A_-
4.0=100
.___ 12.0202
..
4A0000000
E57,30E.78
$51,306.76
._ _ _ i5t,308.78 700.0%
_FA
4_000000
__ _$12,E28AB _-.
$4.2117.03 _
_-i61,308.76
S78,BDOb2
4.00000000 _
$16,90042
._.. _ _$16A00.52
51 32 100AnL
_EA __.__-.._..
8_000000
_
61,302.40
57,014AD
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$7974A0
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EA
0-000000
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$0.082_59 ___.__22C,
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9 .38
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FA
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SB aPt.22
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-.--- -- $8.a84.22 1011.0%
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_
$i2,405_73
-
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-_
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.. _
2A00000
_ _
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aj
i13,583.04.___..
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573.583.&
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FA
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$B,5I9J5
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$2. M.02
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$11,000,08
$8,000.08
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s1L347.B4
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.. EA
_ 4_000000
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_ _
511,34].84
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_ $11,3Q.64 ... _ _- _.
- _ i11A47A{ tOD.O% _-
Thu document by been madi5d hom its arigmnl f m m PJCDC dmtment and the -did not highlight Ihv
modiEmti- Yon me e-,cM la rmd Ne demmmt -Ally and mntnit Uvi Cavmel pdar 0 ns vxcemion.
Progress Estimate
(`" u-)- 8th Avenue Safety and Circulation Improvements Project
nnphahen N,ind: 4/12023 - 7/312023
n
hem
Bid Ilea Ne.
Dacdption
Sp-n Non
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3441=7 FumBMmlWd 10'. 14' Washington Standam Light Polo&
as
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344120
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344120
90
3"IA001 FumisMlrmn Alum Sign Moat Arm Mount _
344130
_ 91
3441.4003 FumislAnslall Num Sign Ground Mount City Sid. _ _
344130
_ - 92
U41AO071nomll Alum Sign Ex Polo Mount
344130
-93
3441A110 Remove and Reinstall Sign Pont and Post
344130
W _
34115011 RRFB SMgIo Sltlotl Eltt
3441 IS
95 - _
54415012 RRFB Double Sided Elm
744115
-_OG_ _-_
3471.0001 Ta19c Central
347113
9999.OD01 Yield Triangle, Per City of Fat Wodh Sterltlnd 32172306/3
321723
-_ _07
_ 86
OM.0002 Lon911udlnol Channo0AIzl Mouaatla Cu�Syaltnl___.___ _
999999
9B
9099.0009 B.,Mr Re. Romp. Type, FwRA.W.W..l
321320
100
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999999
101
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999999
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999999
104
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M9999
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999999
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999999
C-620 Unit Pdco Progress Estlmolo
cays-Z' s�4�( Contractor's Application
C-nnlracl Num'
nppmn6n°Nnmhr.II FINAL
ApPlicaion D- 3/l/2023
B
C
D
IS P
C
Tao'Compleud %
B.N,-In Pini:h
Unitof
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Bid l'eluc
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3.000000
3.00000000
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$23.810.67 100100.0%_
-_. -
_ __S7,W6.69
_._ __$23A10_87
$4,6a0.90
3.00000000
. _ __$MMO.67
64.6601A0
$4,660.90
$4.680.90 10D.0%
._._Ell _
EA__._
_ _3.000000._51,wagi
___
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__.
$995.50
50
_
6.00=000
-
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- $4.977.50 100.0%
EA
__. _ _ ____
13.00(1000
_ _
5560.63
_. _ _$4.WI•
$7 8
13.0D00D000
_ _S4.67750
L .WZ09
$7297-09 _
. _ $7.292.09 10D.0%
-
_
EA -
- - - 28000000
_
S599.02
516,769811
-
_
_
_ i18,70Y.38 _
_
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4000000
5578.83
i2,2G532.7
_ _-�
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51,147.86
51,147.66 50.0%
EA
2o0DDD0 _._
2740056
�.i6
-----
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-- _ -.. _..
..._..._.- S1{.40i.ie
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_
-1.000000
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5.000000
55,7733�8
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8.00000000
$32,210.18 _ -
$32240.16
_ _ _ 532240_16 120.0%
=55.373.36 _
EA_-..
22.000000
377.37
$1.702.14
22.00000000
S1,702.14
51,702U
51,70211 100.0%
FA
_
8.000000
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$53656
SIA17.e4
8.00000000
-
$4,31151
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S9.815.55
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$16.35925 __-__--
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- _$470.67
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78.00000000
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$30,71226 -__
_538.712.26 497.5%
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CY
....
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5505.T7
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$595.77 ------ -----
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.----
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4.000OOO .__..__565.11
S3't0.44
_ _ _. {.000OODDD
$340.44
$340.44 _
_ _S340M 100.0%
TON
34.000000
U73.81
$16,103.76
_. 34.00000000
$16.103.76
$16.103.76 ... -_
_. 6,103,7E 100.0%
LS
1.000000
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5100,=AD
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LS
$32.992.06
$32.99208
_ _1.'42,W_.2A6 100.0%
_
This document hes been modihN from ur ai0ind fa,m ea nn C1COC dncumem nrd uhe uam Jid na highlight the
modi6ro'ions. Ynu ore encoumgN to read Ilse document easefully and mncull 1-epnl Ceunsel priorlo is clttu'ion.
Progress Estimate Qiy 57461
g C-- Nom:
8th Avenue Safety and Circulation Improvements Project
IArpuau"" r°d°a: 4112023 - 7/312023
A B C
hem
spe°ifitd Ueil of Did Q°°nrty ❑°it Pric° Bid v°In° ndi ddQ-tiy
Bid Item No. Dmctiplion Salon N, Meawm
Tatar 51.8IRSd1.D]
C-G20 Unit Pdco PioO— E"Ilmntc
Contractor's Application
Applioli°"N°m(. 11 FINAL
A,Iwntl°n Dm°: S/12023
D E F Q
Motoriole Prcamtly
TololCmnyl"cd •/. Dnlnna Finish
V"lue rreviouxly ln;l°Ilcd V"luc Voluc Tiie Period wd Slm�lo Dot° (F) (-F) Quantity, lnnollN Thie
Sfmd (not in C) (D+E) B Pm d
S855.833.22 SU55.833.22 $855A3"2 81.8% 158L787J61
This duct..-' Iw be"i modi0°d fmm its ori0ind Iomr. on MCDC d—.—nml the user did n°I hiUNiBht Ih°
m°dificmionx You om°ncoum8ed to rmd the document cmefolly and —It 1s 1CO-1 prior toitu—mflon.
Progress Estimate Changc Orllcr Nnnfbcr I
i I
Contractor's Application
ADDITIONS
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Progress Estimate Change Order Number 1 1 1 Contractor's Application
DELETIONS
rm'"'bim` 10Z842 enn nxws.rev sa a,..n.u..lwow.wxm.lrek.l n I FINAL
4/l/2020-71312027 """'"0in1b1a. anliaiJ
t m u�w u.nai ne Vx�P4e OnLe NmUW Nm UW NaUH Nx Umd ]a UW Tx UW Nx UW Nm UW
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--
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—.A
Citv of Fort Worth Summary of Charges
000000771a
City Secretary Contract Num: 57461 8th Avenue Safety and Circulation Improvements Project P.O.: FW020- Project Number: �102842
Application Period: 4/1/2023 - 7/31/2023 I Application I 11 TINAL Application Date: 8/1/2023
Number:
Funding Identification (FID) I Total Completed Amt Remaining I Gross Retainage Net
Oriinl Contract
2002480
---I- $855,833.2_I_I $130286-0200431-5740010-10192,707.85
1
JJ I I ul; I I 1
o
o
I I I
o F—r
I
to
-- I
to
o I I I I
io I u I I II I I I.I, I,II i
o
10
I Change Order 1
I
I30286-0200431-5740010-102842-002480
I $121,382.03 ($97,640.29)
o
10
to
o
o
I I
I "IIII I II
o
III
'i ''ll•'i .
to
Change Order 2
'" " '''•"
130286-0200431-5740010-102842- 02480
I'II'I
to
I I I
I I
10
I I I I 1
I I I
o
10
o
10
o
I I I I I
I I I I
i
a
I I it lll,l I I I
I ;l: I I
t0
City of Fort Worth Summary of Charges
City Secretary ContractNum: 57461 8th Avenue Safety and Circulation Improvements Project IP.O.: FW020-0000007714 Project Number: 102842
Application Period: 4/1/2023 - 7/31/2023 I /+PNuumber. mbe on 11 FINAL Application Date: 8/1/2023
Funding Identification (FID)
I Totals
30286-0200431-5740010-102842-002480
0
to
10
D
0
to
0
0
0
I Grand Total
Total Completed Amt Remaining ] Gross I Retainage
I $977,215.25 $95.067.56
I I I I I I I
I I I I I I
I I I I I I I
Net I
I I 1
I I I
I I I
I I I
I I I I I I I I
I I $977.215.25 1 I $95,067.56 I I $0.00 I I ($48,860.76)I I
1
$48,860.761�C ��
FORTWORTH
Routing and Transmittal Slip
Transportation & Public Works
Department
DOCUMENT TITLE: 8t" Ave Safety and Circulation Improvements
M&C
CPN
102842 CSO # 57461
DOC#
DATE: 2/7/2023
TO:
INITIALS
DATE OUT
1.
Ilianisse Figueroa Aponte
- Review
���,A
Feb 9, 2023
2'
Larry Frazier
Ifrazier(a�faingp.com
-sinature
signature
Feb 8, 2023
Liz
3.
Byron McDonald
- signature
sm
Feb 8, 2023
4.
Gary Deyon
- signature
Feb 9, 2023
5.
Jose Orozco
- signature
,�,ao
Feb 9, 2023
6.
Mary Hanna
- signature
NI",
Feb 9, 2023
7.
Leon Wilson
- signature
Feb 9 2023
8.
Michael Owen
- signature-
Feb 9, 2023
9.
Lauren Prieur
- signature
A
Feb 9, 2023
10.
William Johnson
- signature
4�,
Feb 10, 2023
11.
Doug Black
- signature
a�l
Feb 13, 2023
12.
Jannette Goodall
- signature
1 —
Feb 14, 2023
13.
TPW Contracts
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 M No SAME DAY: ❑ Yes ❑ No NEXT DAY: ❑ Yes ❑ No
ROUTING TO CSO: M Yes ❑ No
Action Required: ❑ Attach Signature, Initial and Notary Tabs
❑ As Requested
❑ For Your Information
® Signature/Routing and or Recording
❑ Comment
❑ File
Return To: Please callTPW Contracts at ext. 7233 for pick up when completed. Thank you.
CSC No. 57461-COI
FORT WORTH,
City of Fort Worth
Change Order Request
Project Name 8th Ave Safety and Circulation Improvements
Project City
Sec # l 57461
Client Project #(s)l
Project)
Description
This is
a Pedestrian Safety and traffic Circulation improvements project
Contractorl Fain Group, Inc.
Change Order#1 1 I Datel
21712023
City Project Mgr.l Jose A Orozco
City Inspectorl
Byron McDonald
Dept.
Paving - Unit I
Irrigation- Unit II
Contract Time
Totals (CD)
Original Contract Amount
$1,015,549.01
$32,992.06
$1,048,541.07 150
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
$1,015,549.01
$32,992.06
$1,048,541.07 150
Amount of Proposed Change Order
$23,741.74
$0.00 $0.00
$23,741.74 167
Revised Contract Amount
$1,039,290.75
$32,992.06
$1,072,282.81 317
Original Funds Available for Change Orders
$50,777.45
$1,649.60
$52,427.05
Remaining Funds Available for this CO
$50,777A5
$1,649.60
$52,427.05
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT I 2.26%
MAX ALLOINABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) Ij $1,310,676.34
JUSTIFICATION (REASONS) FOR CHANGE ORDER
IN ACCORDANCE WITH THIS CHANGE ORDER, THE CONTRACTOR SHALL: Furnish all labor and material as per the proposed Change Order. This Change
Order will cover the increase in asphalt material cost and remobilization due to postponing the new pavement improvements at 8th Ave and Cooper until the new
Cook Children's Medical Center Contractor removed the lane closure on 8th Ave on 12/1912022. Fain provided the City with documentation from asphalt
subcontractor pricing at the time of bidding and the new price due to the delays in the project. This change order will also add additional 150 days due to this delay.
It will also add 10 additional days for utility conflict with the gas, and 7 days for inclement weather, which also triggered changing the light street foundation. The
change order will also include the new bid items needed to remove the existing traffic signal cabinet located at 8th and Terrell Ave to transfer service to the newly
installed traffic poles. The 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 fluctuates on a monthly basis due to price escalation and inflation. The City
finds that the prices that the contractor is proposing are fair and reasonable. The average pricing was compiled from similar items from the 2022 Traffic Signal and
Street Lighting Improvements Unit Price Construction Contract bid tabs.
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
Fain Group, Inc. I Larry Imo, I Feb 8, 2023
1Inspectorlinspection Supervisor'"
I,,--7,r-a„mot 10
Program Manager
jtAss'istant Director (De tp )
JAssistant City Attorney
,WNW
ATTEST:
Jannette Goodall, City Secretary
Date
Project and Contract Compliance Manager
Feb 8, 2023
.v. n r
Date
Senior Capital Project Officer
Feb 9, 2023
-uc— 9'
Date
Director, Contracting Department (Dept)
Feb 9, 2023
A—•Z-
Date
Assistant City Manager
Feb 13, 2023
Council Action (if required)
M&C Number I N/A
Feb 9, 2023
Date 0
Feb 9, 2023
M. Date
Feb 9, 2023
Feb 10, 2023
M&C Date Approved NIA
FORTWORTH City of Fort Worth
T Change Order Additions
Project Name 181h Ave Safety and Circulation Improvements Project I CitySec # 1 57461 1
CllentProject# I I
Conbactorl Fain Group, Inc. I PMI Jose A Orozoo I Inspectorl Byron McDonald I
Change Order Submittal # = Dale I 2f712023 I
ADDITIONS
IItM ' UESCRIPIION
DEPI
City
Unit
Unit Cost
total
21H
3212.0302 2' Asphalt Base I ype U
Paving - Unit 1
4,600.00000000
SY
$19.14
$88,044.00
22R
3212.0401 HMACTransition
Paving - Unit 1
5.00000000
TN
685.OU
$1,925.W
23R
3212.0503 6' Asphalt Base Type B
Paving - Unit 1
250.00000000
SY
$50.6U
$12,650.001
r-2417-1212.0600
HMAC Pavement Level Up
avtnP g Onit I
----7bbDWM
TN
$385.00
$1,926.001
1 106
0170.0101 Remobilization
Paving - Unit 1
1.00000000
EA
$2,600.00
$2,600.W 1
107
9999.021 Remove Existing Cables From Traffic Signal Cabinet & Reterminale
awns
— — — — — T.D00OWN
LS
$1,725.W
M25.001
108
3441.1507 Remove Ground Box
Paving - Unit I
2.000WOOU
EA
$402.50
$805.001
109
3441.1709 Pad Pole 510-14') Spread Footing Foundation
Paving - Unit I
1.00000000
EA
$2,452.40
$2,452.401
110
3441.1749 Remove Signal Controller Cabinet Assembly
Paving - Unit I
1.00000000
EA
$2,025.W
$2,025.001
1 111
3441.2011 Remove signal cabinet foundation
Paving - Unit I
1.00000000
LS
$2,000.00
$2,000.001
112
9999.0018 Miscellaneous adjustments (Irrigation)
Paving - Unit 1
1.00000000
LS
$1,725.OU
$1,725.001
113
9999.0019 Flags over RRFB's
Paving - Unit 1
6.00000000
EA
$88.44
$530.641
114
9999.0020 Additional Cost for modified TY 7 Foundation
Paving - Unit 1
3.00000000
EA
$750.00
$2,250.001
1
I 1
I 1
I I
I I
1
I 1
I 1
I 1
1 I
1
1
I
1
1
1
I I
I 1
1
1
1
1
I 1
I 1
I I
I
1
I
1
Paving - Unit 1 $120,657.041
Irrigation- Unit 11 $0.001
I
$0.001
Sub Total Additions $120,657.041
Change Order Additions Page 2 of 4
FOR�H City of Fort Worth
Change Order Deletions
Project Name 18th Ave Safety and Circulation Improvements Project I CitySec # 1 57461 1
Client Project # I I
Contractorl Fain Group, Inc. I PMl Jose A Orozoo I Inspeclorl Byron McDonald l
Change Order Submittal If 0 Date 1 2/712023 1
UtLtIIUNS
ITEM
DESCHiP1ION
UtPI
C!ty
Unit
21
3212.0302 2" Asphalt 8ase I ype 0
Paving - Unit 1
4,60(j00000000
SY
22
3212.0401 HMAC Transibon
Paving - Unit 1
5.00000000
TN
23
3212.0503 6" Asphalt Base Type B
Paving - Unit I
250.00000000
S
24
3212.0600 HMAC Pavement Level Up
Paving - Unit 1
6.00000000
TN
78
3441.1 /01 I Y 1 Signal FOundabon
Paving - Unit I
1.00000000
EA
Unit Cost total
$17.61 $81,282.00
$296.59 $1.482.95
$45.46' ST�36500
$296.59 —$9 482 g5
$1,302.40 �302-01
t
■
Paving - Unit 1 $96,915.301
Irrigation- Unit 11 $0.001
I
$0.001
Sub Total Deletions $96,915.301
Change Order Deletions Page 3 of 4
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: 8th Ave Safety and Circulation Improvements
CITY PROJECT NUMBER: 102842
WATER
PIPE LAID SIZE TYPE OF PIPE
N/A
FIRE HYDRANTS: N/A VALVES (16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE
N/A
DENSITIES: N/A
NEW SERVICES: 1
I SEWER
PIPE LAID SIZE TYPE OF PIPE
N/A
PIPE ABANDONED SIZE TYPE OF PIPE
N/A
DENSITIES: N/A
NEW SERVICES: N/A
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
LF
LF
LF
LF
1
FORTWORTH.
M,
TRANSPORTATION AND PUBLIC WORKS
August 23, 2023
The Fain Group
2500 Great Southwest Pkwy
Fort Worth, TX. 76106
RE: Acceptance Letter
Project Name: Bch Ave. Safety and Circulation Improvements
Project Type: Paving, Irrigation
City Project No.: 102842
To Whom It May Concern:
On April 13, 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 August 17, 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 August 17, 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 682-
329-6637.
Sincerely,
C1- A OtTe
Jose Orozco, Project Manager
Cc: Byron McDonald, Inspector
Gary Deyon, Inspection Supervisor
Edward D'avila, Senior Inspector
Mary Hanna, Program Manager
Dunaway, Consultant
The Fain Group, Contractor
City of Fort Worth, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
AIA DOCUMENT G707
OWNER
X
ARCHITECT
❑
CONTRACTOR
❑
SURETY
❑
OTHER
❑ Bond 9 204920C
PROJECT: 8th Avenue Safety and Circulation Improvements CPN 102842
(name, address)
TO (Owner)City of Fort Worth
200 Texas Street
Fort Worth, TX 76102
CONTRACTOR: The Fain Group, Inc.
ARCHITECT'S PROJECT NO: 102842
CONTRACT FOR:
CONTRACT DATE: March 8, 2022
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)
Westfield Insurance Company
P O Box 5001
Westfield Center, OH 44251-5001
on bond of
(here insert name and address of Contractor)
The Fain Group, Inc.
P O Box164308
Fort Worth, TX 76161
,SURETY COMPANY,
,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
200 Texas Street
Fort Worth, TX 76102
,OWNER,
as set forth in the said Surety Company's bond
IN WITNESS WHEROF,
The Surety Company has hereunto set its hand this 1st day of August, 2023
WestfielATnsurance
toCmpany /,Z
Signa re of Authorizegtepresentative
Attest
(sl?ah:- ` • - , Johnny Moss, Attorney -in -Fact
Title
t `--
r NOTE- This tone is -to b@ a;ed as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBT AND CLAIMS,
Current Editign
AIA DOCUMENT G707 * CONSENT OF SURETY COMPANY TO FINAL PAYMENT *APRIL 1970 EDITION *AIA
1970 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE. NW WASHINGTON, D.C. 2006
WARNING: Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution.
THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING THIS SAME
POWER # AND ISSUED PRIOR TO 05/25/22, FOR ANY PERSON OR PERSONS NAMED BELOW.
General POWER NO. 4220012 14
Power Westfield Insurance Co.
of Attorney Westfield National Insurance Co.
CERTIFIED COPY Ohio Farmers Insurance Co.
Westfield Center, Ohio
Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO
FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a "Company" and collectively as "Companies," duly
organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Medina County, Ohio, do by these
presents make, constitute and appoint
TONY FIERRO, JOHNNY MOSS, JAY JORDAN, MISTIE BECK, JEREMY BARNETT, JADE PORTER, ROBERT G. KANUTH,
JARRETT WILLSON, JACK NOTTINGHAM, BRADY WILSON, BRENNAN WILLIAMSON, JOINTLY OR SEVERALLY
of ROCKWALL and State of TX its true and lawful Attorney(s)-i n- Fact, with full power and authority hereby conferred in its name,
place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instruments or contracts of
suretyship in any penal limit. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE
GUARANTEE, OR BANK DEPOSITORY BONDS.
and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate
seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney(s)-i n- Fact may do in
the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the
WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY:
"Be It Resolved, that the President, any Senior Executive, any Secretary or any Fidelity & Surety Operations Executive or other Executive shall
be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for
and on behalf of the Company subject to the following provisions:
The Attorney -in -Fact. may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and
deliver, any and all bonds, recognizances, contracts, agreements of indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney -in -Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary."
"Be it Further Resolved, that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any
power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signatures or facsimile
seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." (Each adopted at a meeting
held on February 8, 2000).
In Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE
COMPANY have caused these presents to be signed by their National Surety Leader and Senior Executive and their corporate seals to be hereto
affixed this 25th day of MAY A.D., 2022 .
Corporate ........... a1a,,.',«.............
asUfl,(�•. \�ONAC i �MSiI WESTFIELD INSURANCE COMPANY
� '�' •�� - 1% OCR �SGp ,',�` '' 4 �'n WESTFIELD NATIONAL INSURANCE COMPANY
Affixed acOHIO FARMERS INSURANCE COMPANY
'•.�J7GMxat=ro} '=r' SEAL 'CNI►itiEREp a
:" : _o•
sS�i'•.,y. 17Pr rrf �Y ; ,� •. : (j ; : •8 : 4e
State of Ohio """ By:
County of Medina ss.: Gary Wftumper, Nations Surety Leader and
Senior Executive
On this 25th day of MAY A.D., 2022 , before me personally came Gary W. Stumper to me known, who, being by me duly sworn,
did depose and say, that he resides in Medina, OH; that he is National Surety Leader and Senior Executive of WESTFIELD INSURANCE
COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which
executed the above instrument; that he knows the seals of said Companies; that the seals affixed to said instrument are such corporate seals; that
they were so affixed by order of the Boards of Directors of said Companies; and that he signed his name thereto by like order.
Notarial
Seal ,••`��R\ A L '•
Affixed
Zip; A
State of Ohio N a/o David A. Kotnik, Attorney at Law, Notary Public
County of Medina ss.: ':, p �5�;- My Commission Does Not Expire (Sec. 147.03 Ohio Revised Code)
Tf OF
I, Frank A. Carrino, Secretary of WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS
INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said
Companies, which is still in full force and effect; and furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are
in full force and effect.
In, Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 1 St day of
/AU�IlSt
^ 2023-
�rP \t�=U
7-
SEAL m
NI►RiE1PEp�� � f� '
i:, 18413 Secretary
+' ... ' a�:' Frank A. Carrino, Secretary
BPOAC2 (combined) (03-22)
AFFIDAVIT
STATE OF Texas
COUNTY OF Tarrant
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Larry Frazier,
President Of The Fain Group,Inc., 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;
Contract Description
BY _,
J Tarry Frazier, President
Subscribed and sworn before me on t s date 21 st of August, 2023.
KRISTI TREES
i�'tY Pie( _
Notary Public, State of Texas _
N=� Comm. Expires
Notary Public 04 15 2027
'9 'oF +' 7334
County, State Y
Notar ID 12442