HomeMy WebLinkAboutContract 57449-FP3-FP3
City Secretary
Contract No. 57449
FORT WORTH.
Date Received 9/13/2023
AT
NOTICE OF PROJECT COMPLETION
(Developer Projects)
The Transportation and Public Works Department upon the recommendation of the Project
Manager has accepted the following project as complete:
Project Name: The Blue Lagoon Dream Addition
City Project No.: 103231
Improvement Type(s): Water ❑x Sewer ❑x
Original Contract Price:
$423,829.00
Amount of Approved Change Order(s):
$11,403.75
Revised Contract Amount:
$435,232.75
Total Cost of Work Complete:
$435,232.75
LSep 7, 2023
Luis Saavedra (Seo 7. 2023 12:48 CDT)
Contractor Date
Project Manager
Title
Pennington Utilities
Company Name
'0 'k/—
Donald Watson (Sep 11, 2023 08:41 CDT)
Sep 11, 2023
Project Inspector
Date
KhalJ�.(Se ,202310:38C/DT)
Sep 13, 2023
Project Manager
Date
B1chsonN lonA �`V/e�CDT)
Sep 13, 2023
CFA Manager
Date
Lauren Prieur (Sep 13, 202317:45 CDT)
TPW Director
Sep 13, 2023
Date
i—inn
Will— (c la 7fD30735 cDT)
Sep 14 2023
7
Asst. City Manager
Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: The Blue Lagoon Dream Addition
City Project No.: 103231
City's Attachments
Final Pay Estimate x❑
Change Order(s): ❑x Yes ❑ N/A
Pipe Report: x❑ Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
irk
Statement of Contract Time
Contract Time: 120 WD
Work Start Date: 6/21/2022
Completed number of Soil Lab Test: 304
Completed number of Water Test: 8
Days Charged: 256
Work Complete Date: 8/7/2023
Page 2of2
FoRTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name THE BLUE LAGOON DREAM ADDITION
Contract Limits
Project Type WATER & SEWER
City Project Numbers 103231
DOE Number 3231
Estimate Number 1 Payment Number 1 For Period Ending
City Secretary Contract Number
Contract Date
Project Manager NA
Contractor PENNINGTON UTILITY CONSTRUCTION, LLC
13350 EULESS ST
EULESS , TX 76040
Inspectors O.AGUILLON / S. GARCIA
Contract Time
Days Charged to Date
Contract is 100.00
8/7/2023
WD
12WD
256
Complete
Thursday, August 31, 2023 Page 1 of 5
City Project Numbers 103231
Contract Name THE BLUE LAGOON DREAM ADDITION
Contract Limits
Project Type WATER & SEWER
Project Funding
UNIT I: WATER IMPROVEMENTS
Item
Description of Items
Estimated Unit
No.
Quanity
1
8" PVC WATER PIPE
2685 LF
2
8" GATE VALVE
6 EA
3
FIRE HYDRANT
7 EA
4
DUCTILE IRON WATER FITTINGS
2 TN
W/RESTRAINT
5
1" WATER SERVICE (CO #3)
59 EA
6
1" WATER SERVICE BULLHEAD (CO #3)
0 EA
7
1" PRIVACY WATER SERVICE
10 LF
8
TRENCH SAFETY
2748 LF
9
TRAFFIC CONTROL
l MO
10
8" PVC WATER PIPE
128 LF
11
8" GATE VALVE
4 EA
12
CONNECTION TO EXISTING 4"-12" WATER
2 EA
MAIN
13
CONC PVMT REPAIR, HES,
300 SY
ARTERIAL/INDUSTRIAL
14
TRENCH SAFETY
128 LF
15
TRAFFIC CONTROL
1 MO
Sub -Total of Previous Unit
-------------
UNIT 11: SANITARY SEWER IMPROVEMENTS
DOE Number 3231
Estimate Number 1
Payment Number 1
For Period Ending 8/7/2023
Unit Cost
Estimated
Completed
Completed
Total
Quanity
Total
$35.00
$93,975.00
2685
$93,975.00
$1,200.00
$7,200.00
6
$7,200.00
$4,000.00
$28,000.00
7
$28,000.00
$4,000.00
$8,000.00
2
$8,000.00
$850.00
$50,150.00
59
$50,150.00
$1,100.00
$0.00
0
$0.00
$800.00
$8,000.00
10
$8,000.00
$1.00
$2,748.00
2748
$2,748.00
$1,800.00
$1,800.00
1
$1,800.00
$35.00
$4,480.00
128
$4,480.00
$1,200.00
$4,800.00
4
$4,800.00
$3,000.00
$6,000.00
2
$6,000.00
$85.00 $25,500.00
$1.00 $128.00
$1,800.00 $1,800.00
$242,581.00
300 $25,500.00
128 $128.00
1 $1,800.00
$242,581.00
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
8" SEWER PIPE (SDR-26 ASTM D3034) (CO #1)
2258 LF
$34.00
$76,772.00
2258
$76,772.00
2
4' MANHOLE (CO #1)
10 EA
$3,200.00
$32,000.00
10
$32,000.00
3
EPDXY MANHOLE LINER
70 VF
$305.00
$21,350.00
70
$21,350.00
4
4" SEWER SERVICE
59 EA
$500.00
$29,500.00
59
$29,500.00
5
8" SEWER SERVICE
1 EA
$700.00
$700.00
1
$700.00
6
TRENCH SAFETY
2373 LF
$1.00
$2,373.00
2373
$2,373.00
7
POST -CCTV INSPECTION
2373 LF
$1.00
$2,373.00
2373
$2,373.00
8
MANHOLE VACUUM TESTING
9 EA
$250.00
$2,250.00
9
$2,250.00
9
8" SEWER PIPE (SDR-26, ASTM D3034)
174 LF
$34.00
$5,916.00
174
$5,916.00
Thursday, August 31, 2023 Page 2 of 5
City Project Numbers 103231 DOE Number 3231
Contract Name THE BLUE LAGOON DREAM ADDITION Estimate Number I
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 8/7/2023
Project Funding
10 T MANHOLE
1 EA
$3,200.00
$3,200.00
1
$3,200.00
11 T DROP MANHOLE (CO# 1)
0 EA
$5,000.00
$0.00
0
$0.00
12 EPDXY MANHOLE LINER
24 VF
$305.00
$7,320.00
24
$7,320.00
13 TRENCH SAFETY
174 LF
$1.00
$174.00
174
$174.00
14 POST -CCTV INSPECTION
174 LF
$1.00
$174.00
174
$174.00
15 MANHOLE VACUUM TESTING
2 EA
$250.00
$500.00
2
$500.00
16 CONNECT TO EXISTING SEWER MAIN
I EA
$1,500.00
$1,500.00
1
$1,500.00
17 8" SEWER PIPE (DIP) (CO #1)
71 LF
$92.25
$6,549.75
71
$6,549.75
Sub -Total of Previous Unit
$192,651.75
$192,651.75
Thursday, August 31, 2023 Page 3 of 5
City Project Numbers 103231
Contract Name THE BLUE LAGOON DREAM ADDITION
Contract Limits
Project Type WATER & SEWER
Project Funding
Contract Information Summary
Original Contract Amount
Chanhe Orders
Change Order Number 1
Change Order Number 3
Total Contract Price
DOE Number 3231
Estimate Number 1
Payment Number 1
For Period Ending 8/7/2023
$423,829.00
$2,403.75
$9,000.00
$435,232.75
Total Cost of Work Completed $435,232.75
Less % Retained $0.00
Net Earned $435,232.75
Earned This Period $435,232.75
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
$435,232.75
Thursday, August 31, 2023 Page 4 of 5
City Project Numbers 103231 DOE Number 3231
Contract Name THE BLUE LAGOON DREAM ADDITION Estimate Number I
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 8/7/2023
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors O.AGUILLON / S. GARCIA Contract Date
Contractor PENNINGTON UTILITY CONSTRUCTION, LLC Contract Time 120 WD
13350 EULESS ST Days Charged to Date 256 WD
EULESS, TX 76040 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 $435,232.75
Less % Retained $0.00
Net Earned $435,232.75
Earned This Period $435,232.75
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
$435,232.75
Thursday, August 31, 2023 Page 5 of 5
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME: Blue Lagoon Dream Addition CHANGE
CONTRACT: ORDER No:
CFA # CFA #21-0147 1 CITY PARTICIPATION: No
CITY PROJECT # CPN 4103231
FID # 30114-0200431-E07685
FILE # W-2767 I X-26870
INSPECTOR: Oscar Aguillon Phone No: 817 992 2600
PROJECT MANAGER: Khal Jaafari, PE Phone No: 817 392 7872
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREET LIGHTS CONTRACT
Developer Developer Developer Developer Developer DAYS
Coat City Cast Cost CI# Cott Cost Cl Cost Cost -T CICost Coat C Coat
ORIGINAL CONTRACT $233,581.00 - $0.00 i190,246-00 $0.00 $0.00 $160,424.00 $0.00 _ $0.00 120
EXTRAS TO DATE
CREDITS TO DATE
CONTRACT TO DATE $233,581.00 $0.00 $190,249.00 I , 30.00 $0.00 _ $0.00 I $160.424.00 $0.00 $0.00 $0.00 120
AMOUNT OF PROP CHANGE ORDER SQ,OQ $2,403.75 i0.00 $0.00 y $O.DO 50.00�
REVISED CONTRAfT AMOUNT $233,581.00 50.00 $192,651.75 So 06 $0.00 f0.00 $160,424.00 50.00 $0.00 U.00 120
TOTAL REVISED CONTRACT AMOUNT
PER UNIT $233,581.00 $192,651.75 f0.00 $160,424.00 50.00
REVISED COST SHARE Dev. Cost: $586,656.75 City Cast: 50.00
TOTAL REVISED CONTRACT $586,656.75
Revised: 10-12-2011 Pign 1
You are directed to make the following changes in the contract documents:
CITY BID ITEM
PAY ITEM #
# QUANTITY UNIT ITEM DESQRIPTION
UNIT PRICE
TOTAL
Unit 11 - Item 1
3331-4115 -69 L.F. S" Sewer Pipe (SDR-26 ASTm 03034)
$34.00
-$24346.00
3331-4119 71 L.F. 8" Sewer Pipe (DIP)
$92.25
$6,549.75
Unit 11- Item 2
3339-1001 1 EA 4' Manf�Ole
$3,200,00
$3,200.00
Unit It - Item 3
339-1002 -1 EA 4' Drop Manhole
$5,000.00
-$5 400.00
TOTAL
�2,403.751
REASONS FOR CHANGE ORDER
Location of existing sanitary stubout varied from anticpated location. Sanitary afign�ustad to accommodate the change and pipe has been charrgad from
PVC to Ductile iron due to only 1.0 foot separation between proposed storm crossing and sanftary pipe.
NO CITY FUNDS INVOLVED IN THIS CONTRACT, DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED:
Thom Gov Engi ring., Li
By:
Name; Thomas Hoover
Title: Manager
APPROVED:
707 AVENUE, LLC
Name: ,tamai Alaffs
Tit1w Gamer
APPROVED:
Penn Utility Constrzlctfon, LLC
Narne; f7anr,„Sa sv�dr��_
Titlo:
Revised: 10-12-2011 P;Ig D
THE CITY OF FORT WORTH, TEXAS
FORT WORTH PLANS FOR THE CONSTRUCTION OF
WATER, SEWER, PAVING, DRAINAGE
& STREET LIGHT IMPROVEMENTS
TO SERVE
THE BLUE LAGOON DREAM ADDITION
(EAST CHASE CORRECTION PLAT, LOTS 1, 2 & 3, BLOCK 13)
BETSY PRICE
MAYOR
DAVID COOKE
CITY MANAGER
MICHAEL OWEN, P.E.
CITY ENGINEER, TRANSPORTATION AND
PUBLIC WORKS DEPARTMENT
CHRISTOPHER P. HARDER, P.E.
DIRECTOR, WATER DEPARTMENT
IPRC RECORD NO. IPRC21-0015
CITY PROJECT NO. #103231
FID NO. 30114-0200431-103231-E07685
FILE NO. W-2767
NOVEMBER 4, 2021
d
LOWERY RD.
A PROJECT Ro
�D LOCATION
JOHN T. VHItL R /
ANDERSON BLVD
0�i
LOCATION MAP
6 - 1-1000'
MAPSCO NO. 67-T
COUNCIL DISTRICT #5 ezg8".aP; rlll��L FD �`
OWNED/DEVELOPED BY: PREPARED BY:
THOMAS HOOVER ENGINEERING, LLC
P.O. BOX 1808
KEL.LER, TEXAS 76244
((817 913-1350 PHONE
t.B..E. FIRM REGISTRATION NO. 006009
SHEETINDEX
SHEET NO. DESCRIPTION
UNIT 1. WATER AND SANITARY SEWER IMPROVEMENTS
I "'ER SHEET
4 CRY STANOARDGENERAL NOTES
5 OVERALL —PLAN
8 SITE PLAN ENIARGED(1 OF 2)
GED(2 OF 2)
WATE PLAN
1"11
1
SANI YS LNi "
13 SANITARY SEWER LINES S28 SS
ER
GSION CONTROL DETAILS
1] OVERALL EXISTING DRAINAGE AREA MAP
18 ONSITE EXISTING DRAINAGE AREA MAP
PROPOSEDDRAINA AAREALMAP
21 C 22-28 PAVING PLAN
29 3 GNAGE AND LIGHTING PIAN
30 SIDEWALK PLAN
Vi6EW' V. T~,h. T.E.
Dec 7, 2021
DIRECTOR'S DESIGNEE FOR CONSTRUCTION PLAN APPROVAL '
RESOLUTION NO.01-10-2020
Dec 6, 2021
REVIEWED: DATE:
PROJECT MANAGER
X-26870
3
z
$_
v v v v v I� r
F
S` AS GAS— S— GAS— CAS —CAS —GAS —GAS— GAS —SY0)—�lo tl0—CAS—CAB—CAS—GAS—GAB
— m W-O(.8'W W W W-3653.86 W W W IX.B1Y— W
CFW )'W-042]
PROPOSED 313'42
VARIABLE WIDTH -205.8]' I-y
UBLIC SANITARY G '102.96' 4 XOA LI
DRAINAGE BSXT. B�NI'25'10' (PUHOABLIC)
LOT I
I:BLrc) b dOHN T. WHITE ROAD NORT (PUBI
0+89.10 rau
PF 1188_13� .m = /595 SP Y� (VARIABLE WHIS RO.R'.) 2.726
SW3,95.6
R STUB 717
I \8"38_ - ----__
%-09402 B
I TA a+2J.61 55- • —_-^-- -I1NSTALL 4.0' DIA. M
RIM-5
A-
52 yy11;;1,xF i I I I
N I LI F IN=53�.99 61N I { I LU 3 -P R + �- I \ _5- LOT I LOT P I LOT 3
TA 0+00.00 SB-4
X NSTALL 4.0' DIA. MH \ 1 Ilitm-mi.so
A S+J2.23 55-
P. .C. 96 YI IM=542.73 I LOT 3 g TA 0+00.00 SS-2
NSTALL 45 IF - - _ STALL 4.0' MA I
I
I SSNR STUBWT (EAS I` � J �T D I
IN=535.41 L /I IIN-541.21
TANEWMANHOLEIN=535.41i1 LOT 4 LJ I_1R.21
VER EXISTING STUBOV OUT=saS. ,ONT=541.11 TII
IMIN5+0.(N 0 la 0+ae 00�i + }L
IN T (S)=534.43 NSTALL 45 LF 8' SSWR I I_ 1 111
OUT (5)=534.43 ND O PLUG - LOT SLOT 5 "f
H FUTURE INSTALLED I I.0 I�
o£ uI \ RPHASE I3—
Cu_'_- I I
C p i- ` a LOT 6 --
r r
01
b„1 ml �LOT 7
LOT / � LOT P � LOT 9
mR 11 \•\ I —� J i I
L°T
1. YD3L0 GRANGE REVLSION BASED ON SI UBOOT LOCATION OT/Pe/PP
1 2. REVLSBD Pot CITY COMMeNTS l0/Oe/Pl
1 1. REVLS6D PER CITY GOMIRff1T3 o4/oe/81
1 No. REVISIONS/ SUBMISSIONS hate
0 Op1E CAL( �-
�l
R_ BOA �i
O
BEFORE y
f :•
ix9u�s L iioo�T'A"•
�, i 82493 I
w, ._-
SANITARY SEWER NOTES
MANHOLE FLOWLINES
6.9.4.1. MANHOLES SHALL BE DESIGNED WITH A 0.10-FOOT DROP FROM THE INLET
EIEVATON TO THE OUTLET ELEVATION FOR ANY FLOW DIRECTION CHANGES
EXCEEDING 60 DECREES.
6.9.4.2. FLOWLNE ELEVATION DIFFERENCES OF 24-INCHES, OR LESS, A HDRAUUC
SLIDE IS REQUIRED IN ACCORDANCE WITH THE CITY'S STANDARD
CONSTRUCTION SPECIFICATIONS AND DETAILS.
CORROSION PREVENTION
6.9 &1 MANHOLES ARE REQUIRED TO BE LINED IN ACCORDANCE MTH THE CITYS
STANDARD CONSTRUCTION SPECIFICATIONS AND DETAILS WHEN ANY OF THE
FOLLOWING CONDITIONS EXIST:
-MANHOLES TRANSITIONING FROM FORCE MAINS TO GRAVITY MAINS;
-DROP MANHOLES:
-MANHOLES CONSTRUCTED WITH A HYDRAULIC SLIDE
mTHOMAS HOOVER ENGINEERING, LLC
P.O. BOX 1808
KELLER, TEXAS 11144
(817) 913-1350 PH.
T.B. P.E. FIRM REGISTRATION NO. 006009
0 40
THE BLUE LAGOON DREAM ADDITION
Scale m Feet
LOTS 1, 2 & 3, BLOCK 13
OWNER/APPlXANf EASTCHASE CORRECTION PLAT
707 AVENUE, LLC IN THE CITY OF FT. NORTH,
4148 SUCK ROCK CHASE TARRANT COUNTY, TEXAS
EULESS,
9-3285 TX. ISO
ao 13.04 ACRES OF LAND
9]2/9]
'"Y�OFE PREPARER/EN6INEER THE BLUE LAGOON DREAM ADDITION
THOMHOOVER ENGINEERING. LLC
BO
P.O. BOX SANITARY SEWER — LINE S1
76
KELLER, -1 50 P JRM scNi LLT no. LLT
81]/913-1350 PHONE m JRM
CONTACT: THOMAS HOOVER "" 103231 C10
tom.BlengOy9M1oo.rnm ECX m TlN 07/2S/22
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
Blue Lagoon Dream Addition
CHANGE
CONTRACT:
Street Lights (Unit V)
ORDER No:
CFA #
CFA921-0147
CITY PARTICIPATION:I
No
I CITY PROJECT #
CPN #103231
IFID #
30114-0200431-EO7685
2
FILE #
W-2767 IX-26870
INSPECTOR:
Oscar Aguillon
Phone No:
817 992 2690
PROJECT MANAGER:
Khal Jaafari, PE
Phone No:
817 392 7872
CONTRACT UNIT
l
WATER
SEWER
PAVING
DRAINAGE I
STREET
LIGHTS
I CONTRACT
Developer
Developer
Developer
Developer
IDoveloper
DAYS
Cost CityCost
Cost
Ci Cost
Coat City Cost
Cost
City Cost
Cost
City Cost
I
IORIGINAL CONTRACT
$0.00
$0.a0 I
$0.00
) $0.00
$61,786.00
$0.0o l
120
(EXTRAS TO DATE
CREDITS TO HATE
�
I�
IGONTRACT TO DATE
$0.00 $0.00 $0.00
A
$0.00 $0.00
$0.00
$0.00
$61,785.00
$Uxo
120
IAMOUNT OF PROP. CHANGE ORDER
$0.00
$0.08
$0.00
$4,063,50
$0.00
REVISED CONTRACT AMOUNT
$0.00 $0.00 $0,00
$0.00 $0.00
$0.00
$q,p#3
$65,848.50
$0.00
I 120
TOTAL. REVISED CONTRACT AMOUNT
PER UNIT
$0.00
$a.00
$0.00
$0.00
$65,848.50
REVISED COST SHARE
Dev. Cost: $65,848.60
:City Cast:
TOTAL REVISED CONTRACT
$65,848.5a
Revised: 10-12-2011 Page 1
You are directed to make the following changes in the contract documents
CITY BID ITEM
PAY ITEM #
# QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE
TOTAL
Unit V - Item 1
2605-3015 189 LF - 2" Conduit PVC Schedule 80 (T) $18.50
$3,496,50
k Unit V - Item 6
3441-1410 _ _ 567 _ _LF No. 10 Insulated Electric Condr. $1.00
$567.00
TOTAL _ .. - -
$4.063.501
REASONS FOR CHANGE ORDER
The existing street light at the intersection of Nadeel and John T. White North was determined to stay and that the conduit/wiring to R9 would be run to a new
handhole. The light R2 was in conflict with the Fire hydrant and was subsequently moved across to the northeast corner of Nadeel and Arkan.
NO CITY FUNDS INVOLVED IN THIS CONTRACT. 0EVELCPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE 80UGHT BY THE DEVELOPER.
RECOMMENDED: APPROVED:
Thomas er Engineen LLC 707 AVENUE, LLC
By: By:
Name: Thomas Hoover Name: Jamal Aloffe
Title: Manager Title: Owner
APPROVED:
C & S Utifi c!or7, ;nc. _.
By:
Name:
Title: Of rllth v��4 t_
Revised: 10-12-2011 Page 2
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
PROJECT NAME:
Blue Lagoon Dream Addition
I CHANGE
CONTRACT:
ORDER No:
CFA #
CFA #21-0147 I CITY PARTICIPATION:I No
CITY PROJECT #
CPN #103231
DOE #
30114-0200421-E07685
I 3
WATER PROJECT #
SEWER PROJECT #
FILE #
W-2767 / X-26870
INSPECTOR:
Oscar Aguillon Phone No:
817 992 2600
PROJECT MANAGER:
Khal Jaafai, PE Phone No:
817 392 7872
CONTRACT UNIT
WATER SEWER
PAVING DRAINAGE
STREET LIGHTS
CONTRACT
Developer Developer
Developer Developer
Developer
DAYS
Cost City Cost Cost City Cost
Cost City Cost Cost
City Cost Cost City Cost
ORIGINAL CONTRACT
$233,581.00 $190,248.00
$160,424.00
120
EXTRAS TO DATE
$2,403.75
CREDITS TO DATE
CONTRACT TO DATE
$233,581.00 $0.00 $192,651.75 $0.00
$0.00 $0.00 $160,424.00
$0.00 $0.00 $0.00
120
AMOUNT OF PROP. CHANGE ORDER
$9,000.00
($210.00)
REVISED CONTRACT AMOUNT
$242,581.00 $0.00 $192,651.75 $0.00
$0.00 $0.00 $160,214.00
$0.00 $0.00 $0.00
120
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
$242,581.00 $192,651.75
$0.00 $160,214.00 $0.00
REVISED COST SHARE
Dev. Cost: $595,446.75
City Cost:
$0.00
TOTAL REVISED CONTRACT
$595,446.75
Revised: 10-12-2011 Page 1
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FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: The Blue Lagoon Dream Addition
CITY PROJECT NUMBER: 103231
1 WATER
PIPE LAID SIZE TYPE OF PIPE
Open Trench 8" PVC C-900 DR-14
LF
2685' LF
FIRE HYDRANTS: 7 VALVES (16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Taken PASSED
NEW SERVICES: 1" DOM Copper 270' LF
I SEWER I
PIPE LAID SIZE TYPE OF PIPE LF
8" PVC SDR-26 2501' LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Taken PASSED
NEW SERVICES: 4" PVC SDR-26 885' LF
8" PVC SDR-26 15' LF
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
FORTWORTH.
M,
TRANSPORTATION AND PUBLIC WORKS
July 26, 2023
Pennington Utilities
13350 Euless Street
Euless, TX 76040
RE: Acceptance Letter
Project Name: The Blue Lagoon Dream Addition
Project Type: T/PW — Water, Sewer and Drainage Improvements
City Project No.: 103231
To Whom It May Concern:
On August 9, 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 23, 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 23, 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-
392-7872.
Sincerely,
Kh al JaafariP .(Sep�0, 202310:38 CDT)
Khal Jaafari, P.E., Project Manager
Cc: Sergio Garcia, Inspector
Donald Watson, Inspection Supervisor
Oscar Aguillon, Senior Inspector
Victor Tornero, P.E., Program Manager
Thomas Hoover Engineering, LLC, Consultant
Pennington Utilities, Contractor
707 Avenue, LLC, Developer
File
E-Mail: TPW—Acceptance@fortworthtexas.gov
Rev. 8/20/19
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 Jeffrey Maddox,
Owner Of Pennington Utility Construction, LLC., 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;
Blue Lagoon Dream Addition - CPN103231 / IPRC -0015
BY
Jeffrey Maddox, Owner
Subscribed and sworn before me on this date 5th of September, 2023.
40t Public
Tarrant, Texas
LAUREN THOMPSON
Notary Public, State of Texas
Comm. Expires W22-2026
Notary ID 131616269
nn+a
MERCHANTSS�
BONDING COMPANY,,,
MERCHANTS BONDING COMPANY (MUTUAL) P.O. BOX 14498, DES MOINES, IOWA 50306-3498
PHONE: (800) 678-8171 FAX: (515) 243-3854
OWNER
CONSENT OF SURETY
TO FINAL PAYMENT
CO TIRACTOR
SURETY
OTHER
Bond No. TXC613899
TO OWNER:
City of Ft. Worth
200 Texas St.
Fort Worth, TX 76102
PROJECT:
BLUE LAGOON DREAM ADDITION
ARCHITECT'S PROJECT NO.:
CONTRACT FOR: Site Utilities
CONTRACT DATED: May 3, 2023
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(Insert name and address of Surety)
Merchants Bonding Company (Mutual)
P.O. Box 14498
Des Moines, Iowa 50306-3498
, SURETY,
on bond of
(Insert name and address of Contractor)
Pennington Utility Construction, LLC
13108 Euless Street
Euless, TX 76040
,CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not
relieve the Surety of any of its obligations to
(Insert name and address of Owner)
City of Ft. Worth
200 Texas St.
Fort Worth, TX 76102
, OWNER,
as set forth in said Surety's bond.
IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: September 6, 2023
(Insert in writing the month followed by the numeric date and year.)
Merchants Bonding Company (Mutual)
(Surety
Attest:I-Cv��%1'�'; za,/ Q �4zvv
(Seal): Kim Bracamonte (Signature ofauthorized representati\V
Crystal Langhorn Attornev-In-Fact
(Printed name and title)
Printed in cooperation with American Institute of Architects (AIA). The
language in this document conforms exactly to the language used in
CON 0405 (4/15) AIA Document G707-1994 Consent Of Surety to Final Payment.
MERCHANT-Nk
BONDING COMPANYr.
POWER OF ATTORNEY
Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.,
both being corporations of the State of Iowa, d/b/a Merchants National Indemnity Company (in California only) (herein collectively called the
"Companies") do hereby make, constitute and appoint, individually,
Adam Syswerda; Andrea Nix; Brad Johnson; Crystal Langhorn; Kim Bracamonte; Steven W Lewis
their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings,
contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of
persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions
or proceedings allowed by law.
This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board
of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of
Merchants National Bonding, Inc., on October 16, 2015.
"The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and
authority to appoint Attorneys -in -Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto,
bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof."
"The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney
or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the
Company, and such signature and seal when so used shall have the same force and effect as though manually fixed."
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the
Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction
contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department
of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of
its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given
to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner -
Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 25th day of July 2023 .
.. •.. .• •. MERCHANTS BONDING COMPANY (MUTUAL)
,..•••.'qL �.� ••�Q\NG Cq/j�A.• MERCHANTS NATIONAL BONDING, INC.
GoR OR,' Z ;•m4�o%POg*-.-f d/b/a MERCHANTS NATIONAL INDEMNITY COMPANY
v 2003 1933 : c: By
' d�•. •�• may• O:'
•.'•.`i/ ••.......•:.t1�.`♦ •'••�iy it ��\�� President
STATE OF IOWA •.•••••%�����..• • • • • • • • . •
COUNTY OF DALLAS ss.
On this 25th day of July 2023 before me appeared Larry Taylor, to me personally known, who being by me duly sworn
did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the
seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf
of the Companies by authority of their respective Boards of Directors.
r"4,y Kim Lee
Q v Commissar ission er p res 7
My Commissar Expires
/Emo-. April 14, 2024 4�n &u,,,
Notary Public
(Expiration of notary's commission does not invalidate this instrument)
I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby
certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full
force and effect and has not been amended or revoked.
In Witness Whereof, I have hereunto set my hand and affixed the sea! of the Companies on this 6th day of September 2023
.......... •••.....
f �, • ' A .
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2003 v L�; ` 1933 Q' c� ' Secretary
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