HomeMy WebLinkAboutContract 57409-FP1FORTWORTH,
PARK & RECREATION DEPARTMENT
NOTICE OF PROJECT COMPLETION
-FP1
City Secretary No: 57409
Date Received: 9/27/2023
City Project N!?: CO2638
Regarding contract 57409 Fire Station Park for as required by the PARK & RECREATION
DEPARTMENT as approved by City Council on 3/29/2022 through M&C 22-0241 the director of the PARK &
RECREATION DEPARTMENT upon the recommendation of the Assistant Director of the Park & Recreation
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
Recommended for Acceptance Asst. Director,
PARK & RECREATION DEPARTMENT
)Otw �9
Accepted
Director, PARK & RECREATION DEPARTMENT
Cpk(6-�� - - - - - - - -
Asst. City Manager
Comments:
$ 1,499,455.76
$ 1,009,464.00 2V2 1
a_
$ 2,508,919.76
$ 2,508,719.76
Days @ $650.00/ Day
$ 2,508,719.76
$ 2,383,283.77
$ 125,435.99
Sep 18, 2023
Date
Sep 19, 2023
Date
Sep 27, 2023
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
C-620 Signature Page
Contractor's Application for Payment Invoice No. FINAL
To (Owner) City of Fort Worth
Invoicing Period (From - To): Invoice Date:
4-1-2023 to 5-24-2023 5/24/2023
P. O. FW080_0000010076
From (Contractor): Remit to ( If Not Automatic Deposit):
Number:
Dean Electric , Inc
Project: CO2638
Contractor's CFW Vendor No.:
7000001741 ACH only
City Secretary Contract 57409
Contract Fire Station Park
Number:
Name:
Application For Payment
Change Order Summary
Approved Change Orders
1. ORIGINAL CONTRACT PRICE..........................................................
$ $1,499,455.76
Number Additions
Deletions 2. Net change by Change Orders.................................................................
$ $1,009,464.00
1 $1,009,464.00
3. Current Contract Price (Line 1 f 2)........................................................
$ $2,508,919.76
2
4. TOTAL COMPLETED AND STORED TO DATE
3
(Progress Estimate, Construction Allowance and Change Orders).......
$ $2,508,719.76
4
5. RETAINAGE:
5
a. X $2,508,719.76 Work Completed..........
$
6
b. X Not Used
$
7
c. Total Retainage (Line 5a + Line 5b) ...............................
$
8
6. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c).............................
$ $2,508,719.76
TOTALS $1,009,464.00
7. LESS PREVIOUS PAYMENTS (Line 6 from prior Application).........
$ $2,383,283.77
NET CHANGE BY $1,009,464.00 8. AMOUNT DUE THIS APPLICATION .................................................
$ $125,435.99
CHANGE ORDERS
9. BALANCE TO FINISH, PLUS RETAINAGE
(Column G on Progress Estimate+ CA + Cos + Line 5 above) ...............
$ $0.00
Contractor's Certification
The Contractor certifies with the submittal of this document and associated Payment Request Submittal
on the City of Fort Worth Buzzsaw system that to the best of their knowledge: (1) all previous progress
payments received from Owner on account of Work done under the Contract have been applied on
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 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 encumbrances);
and (3) all Work covered by this Application for Payment is in accordance with the Contract Documents
and is not defective.
Greg iireb a h (Sep 7, 202314:40 CDT)
10. CONTRACT TIME:
a, Days Awarded
170
b, Days Added by CO
120
C. Total Days
290
d. Days Charged
269
e, Days Remaining
21
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.
Progress Estimate
JFar(ma )
Fire Station Park
IAee noa Pma4
I
4-1-2023 to 5-24-2023
I�em
Bid llemNo
SPA SYalpuke-BRak .
I 1
Fine Shaoin9
I 2
Metal Fabnca0on
I 3
Preo Cast In Place
I 4
PourCat I. Plac
I 5
Preo Shotcrete
I 6
Pow Shatcrete
I 7
Flahvork
I
Vista Eartbwodcs-Brrakdawn
I 8
MobiImtions
I 9
S-/Stakm¢
I 10
Sbi,/Stockode Site
I 11
Emsron ConenVSWPPP****************
I 12
Sewcuts
I 13
Concrete DemO/Rem.-I
I ]4
Rework Skat-k 5'+5' beyond
I 15
Moieaue ffi Condmon SkateOark/Gade area
I 16
18"Sal-fiI Placement Skateoark/Pumotrack
I 17
Scanf, Reco.- Sidewalks
I 18
on, -
I
T. Dal Ut,ht-,Ltd- Breakdown
I 19
Water-Private-hin5',f BIde
I 20
Samtarv-P-.wDb05'of BI&
I 21
Smim-Pnvahwithin5'of Blde
I 22
TemOorary F-
I 23
Contineencv
I 24
G- I Condmorrs
I 25
Fee
I 2fi
Water -Public
I 27
Sanitary -Public
I 28
I
I
I
Storm -Public
c000-aery 57409
Contractor's Application
Bid Queunry
Uvr Pnae
Bid Value
B
vol-
Y nVisVauTh�ePmod
AwOcm�on Nunber
AwOcm�w gre
� ClTd9ro)u+eW
Swnov No Meesua
Nal®w
SI Im
E
I
$d9.23500
S49.235 DO
$49.235
$49.23500
$69,235 DO
I
$199.320.00
$199.32000
100000000
$19932000 0
$19932000
E19932000
1
$201.10000
$201.1oo no
$201.10000r
:201.10000
DO DO
I
$146 370.00
$146 370 00
1 00000000
$146 370 00
$146 370 00
E146 37D 00
1
$164.30000
$164.30000
1 00000000
$1.4.30000
$164.30000
$166.3DD DO
I I
$150 825.00
$15' 625 00
`1 00000000
$150 625 00
$150 625 00
$150625 00
11
S65.500 00
$65.500 00
00
$65.eoo
$65.50
"5.5DD DO
1
I
$23.518 00
$23.518 00
1 0000 000
$23.5 8 000
$23.51800
V3.519 DO
LS
I
$7-100.00
$7-100.00
_ 100000000
$710000
$710000
$710000
BCYD
8m1
$543
$4.47400
82
$4.47400
$4.47
U.-DO
LS
11
$0.00
345
$3450.00
100000000
$345000
$345000
$345000
LF
1751
$575
$1.00525
175 00000000
$1.00625
$1.00625
$1.00625
SF
L8341
$2.95
$5410.30
183400000000
$5410 SO_
$141030
$541030
BCYD
3.6501
$1113
$4D.638 no
3650 00000000
$40.63800
$40.6360
"0.836 DO
BCYD
L457
$38.32
S52.91024
145700000000
$5291824
$5291824
E5291024
BCYD
1.7341
$6478
$112.33224
173
$112.11224
$112
$112.33226
LS
II
S18.130.33
S18.13033
100000000
$1813033
$1813033
SU 13D 33
SF
7.5361
I
$149
$11.228M
7536 00000000
$11.22864
$11.22864
$11.22686
1
11
$30.75000
$30.75000
1 00000000
$30.7SO 00
$30.75000
$30.75
1
I
$19.175.00
S19.17500
000000000
$1917500
$1917500
$19175 DO
1
II
M3.70500
M3.70500
1 0.00000
$33.70500
$33.]0500
$33.7D
1
I
$5.185.00
$5.18500
100000000
$518500
$518500
$5105 DO
1
1
$8.00000
$8.00000
$8.00000
$3.00000
$BODD DO
1
I
$95.702.67
$95.70267
100000000
$SS 70267
$SS 70267
$9570267
1
I
MB 572 09
MB 572 09
1 00000000
$36.57209
$36.572 09
$36.572 D9
1
1
$7 000 00
$7 000 00
1 00000000
$7 000 00
$7 00000
E7 POP 00
1
1
S5 560 00
$5 560 00
1 0.00000
$5.560 00
$5.560 00
$5.58
1
1
MO 00
I
I
$95000
1000000.
_
$95000
$95000
SPSD DO
Progress Estimate
JFn,(�) Fire Station Park
lAee non E<nnd 4-1-2023 to 5-24-2023
c000-aery 57409
Smnon No Measure Bid Qnennry Uvr Poee Bid Vaue E ��Bl�®"ry
Contractor's Application
Aool��m�on Nnnber FINAL
ADOI""1O°D"B 5/ 023
of Cowl
Va% Bdm�u w F-A
Value Nex Y mllalV lue'1B�aPmod 9�oee1(mte� C)F e 9 (B-F)
M+E) Da, and S
Progress Estimate
JFn,(�) Fire Station Park
lAee non E<nnd 4-1-2023 to 5-24-2023
c000-aery 57409
Smnon No Measure Bid Qnennry Uvr Poee Bid Vaue E ��Bl�®"ry
Contractor's Application
Aool��m�on Nnnber FINAL
ADOI""1O°D"B 5/ 023
of Cowl
Va% Bdm�u w F-A
Value Nex Y mllalV lue'1B�aPmod 9�oee1(mte� C)F e 9 (B-F)
M+E) Da, and S
C-620 Change Order
Progress Estimate
For(contact): CO2638
Application Period:
Item
Change Order Item
Description
No.
.""Concrete and Pavilion Breakdown
29
5" concrete
30
concrete under pavers
31
Concrete mow curb
32
Pavilion foundation
33
Pavilion
34
Stamped Drawings
***SPA Pumptrack breakdown
35
Pumutrack fine shaping
36
Pumutrack metal fabrication
37
Pumutrack prep shotcrete features
38
Pumutrack pour shotcrete features
39
Pumutrack detailing
***Pavepro Breakdown
40
Install recycled pavers
41
Pickup and delivery of pavers
***Irrigation Breakdown
42
Irrigation mobilization
43
Irrigation sleeves
44
Irrigation point of connection
45
Irrigation controller freeze protection
46
Irrigation mainline / valves
47
Irrigation lateral lines / heads
48
lingaton flushing / nozzlina
49
Irrigation Cleanup
***Landscape Breakdown
50
B & B trees
51
Omamental trees
52
Omamental grass
53
Mulch
54
Mobilizations
55
Decomposed granite
56
River Cobble
57
Excavation
***Grade Maintenance Breakdown
58
Grade Maintenance
***C Green Scapina berakdown
59
Tiff419 sod
60
Turf maintenance
61
Temporary irrigation
***Site Amenities Breakdown
62
Trash receptacles
63
Leuders Benches
64
Drinking fountains
65
Site amenities labor
***Site Electrical Breakdown
71
Poles and fixtures
72
Poles and fixture installation
1
ADDITIONS
Contractor's Application
City Secretary contract Num: 57409 Application Numb, FINAL
4-1-2023 to 5-24-2023 Application Date: 5/24/2023
A B C D E F
Materials Total Completed % Balance to Finish
S Station Unit of CO Quanti to Add Unit Price Addition Change Order Value Estimated Quantity Value Previously Value This PresentlStored and Stored to Date B - F)
Section No. Measure ry g Installed Installed Value Period (notnC) (D+E) (B
SF
7.839
$8.00
$62,712 00
SF
3.544
$7.50
$26,58000
LF
150
$30.00
$4,50000
EA
6
$3.217.00
$19,30200
LS
1
$93.006.00
$93,00600
LS
1
$7.580.00
$7,58000
LS
1
$18.300.00
$18,30000
LS
1
$12.025.00
$12,02500
LS
1
$62.450.00
$62,45000
LS
1
$73.100.00
$73,10000
LS
1
$7.450.00
$7,45000
SF
3.543
$16.50
$58,459 50
LS
1
$1.998.50
$1,99850
LS
1
$3.000.00
$3,00000
LS
1
$5.000.00
$5,00000
LS
1
$5.000.00
$5,00000
LS
1
$5.000.00
$5,00000
LS
1
$6.000.00
$6,00000
LS
1
$4.000.00
$4,00000
LS
1
$2.000.00
$2,00000
LS
1
$2.000.00
$2,00000
EA
24
$750.00
$18,00000
EA
7
$750.00
$5,25000
SF
35
$30.00
$1,05000
SF
403
$2.00
$80600
LS
1
$4.437.00
$4,437 00
SF
75
$10.00
$75000
SF
2.504
$10.00
$25,04000
LS
1
$2.705.00
$2,705 00
LS
1
$25.000.00
$25,00000
SF
26,092
$0.58
$15,13336
LS
1
$4.960.64
$4,96064
SF
14,450
$0.18
$2,60100
EA
5
$987.00
$4,935 00
EA
7
$706.00
$4,942 00
EA
1
$4.950.00
$4,950 00
LS
1
$5.073.00
$5,073 00
LS
1
$23.874.00
$23.874,00
LS
1
$9.520.00
$9.520.00
I
7839.00000000 I $62312.00
3544.00000000 $26,580.00
$62,712.00
$26,580.00
150.00000000 S4,500.00
600000000 I $19302.00
100000000 I $93,006.00
100000000 I $7,580.00
I
100000022 $18,300.00
$4,500.00
$19,302.00
$93,006.00
$7,580.00
$18,300.00
100000000 S12,o25.00
100000000 I $62A50.00
100000000 I $73,100.00
100000000 I $7A50.00
I
3543.00000000 I $58A59.50
100000000 I $L998.50
I
100000000 I $3,000.00
100000000 I $5,000.00
100000000 I $5,000.00
100000000 I $5,000.00
100000000 I $6,000.00
100000000 I $4,000.00
100000000 I $1000.00
100000000 I $1000.00
I
24 00000000 I S M000.00
700000000 $5250.00
$12,025.00
$62,450.00
$73,100.00
$7,450.00
$58,459.50
$1,998.50
$3,000.00
$5,000.00
$5,000.00
$5,000.00
$6,000.00
$4,000.00
$2,000.00
$2,000.00
$18,000.00
$5,250.00
3500000000 Sl,,o5o.00
403.00000000 I $806.00
100000000 I $4A37.00
75 00000000 I $750.00
2504.00000000 I $25,040.00
100000000 I $2305.00
I
100000000 I $25,000.00
I
2609200000000 I $15,133.36
100000000 I $4,960.64
14450 00000000 I $1601.00
I
500000000 I $4,935.00
700000000 I $4,942.00
100000000 I $4,950.00
100000000 I $5,073.00
I
100000000 I $23,874.00
100000000 I $9,520.00
$1,050.00
$806.00
$4,437.00
$750.00
$25,040.00
$2,705.00
$25,000.00
$15,133.36
$4,960.64
$2,601.00
$4,935.00
$4,942.00
$4,950.00
$5,073.00
$23,874.00
$9,520.00
This document has been modified from its original f as an E1CDC 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.
$62312.00 100 0%
$26,580.00 100 0%
S,IJ00.00 100 0%
$19302.00 100 0%
$91006.00 100 0%
$7,580.00 100 0%
$18300.00 100 0%
$11025.00 100 0%
$61450.00 100 0%
$73,100.00 100 0%
$7A50.00 100 0%
$58A59.50 100 0%
$L998.50 100 0%
S3,000.00 100 0%
S5,000.00 100 0%
S5,000.00 100 0%
S5,000.00 100 0%
$6,000.00 100 0%
S4,000.00 100 0%
S2,000.00 100 0%
S2,000.00 100 0%
$ M000.00 100 0%
$5250.00 100 0%
$L050.00 100 0%
$806.00 100 0%
$4A37.00 100 0%
$750.00 100 0%
S25,040.00 100 0%
$2,705.00 100 0%
$25,000.00 100 0%
$15,133.36 100 0%
$4,960.64 100 0%
S2,601.00 100 0%
$4,935.00 100 0%
S4,942.00 100 0%
S4350.00 100 0%
$5,073.00 100 0%
1 $21874.00 1000%
I $9,520.00 100 0%
C-620 Change Order
73
Trench
LS
1
$13.689.00
$13.689.00
100000000 I $13.689.00
$13,689.00
I $13.689.00
1000%
74
Wire
LS
1
$13.439.00
$13.439.00
100000000 I $13.439.00
$13,439.00
I $13.439.00
1000%
75
Pipe/conduit
LS
1
$31.606.00
$31.606.00
100000000 I $3L606.00
$31,606.00
I $3L606.00
1000%
76
Switchgem
LS
1
$12.204.00
$12.204.00
100000000 I $12.204.00
$12,204.00
I $12204.00
1000%
77
additional poles and fixtures
LS
1
$20.000.00
$20.000.00
100000000 I $20.000.00
$20,000.00
I $20.000.00
1000%
-Additional Earthwork Breakdown
I
I
78
Mobilizations
LS
1
$6.891.00
$6,89100
100000000 I $6.891.00
$6,891.00
I $6.891.00
1000%
79
Demolition
LS
1
$15.180.00
$15,18000
100000000 I $15,180.00
$15,180.00
I $15.180.00
1000%
80
Export
LS
1
$4.375.00
$4,37500
100000000 I $4.375.00
$4,375.00
I $4.375.00
1000%
81
Bluetov
LS
1
$5.705.00
$5,70500
100000000 I $5.705.00
$5,705.00
I $5.705.00
1000%
82
Backfill
LS
1
$5.195.00
$5,19500
100000000 I $5.195.00
$5,195.00
I $5.195.00
1000%
* Parkin¢ Lot Breakdown
I
I
83
Barricading
LS
1
$8.500.00
$8.500.00
100000000 I $8.500.00
$8,500.00
I W500.00
1000%
84
Paving
SF
4.156
$9.50
$39.482.00
4156.00000000 I $39A82.00
$39,482.00
I $39A82.00
1000%
85
Extra depth concrete
SF
4.156
$3.50
$14.546.00
4156.00000000 I $14J,16.00
$14,546.00
I $14J,16.00
1000%
86
Curb and gutter
LF
585
$15.50
$9.067.50
585urroot000 I $9.067.50
$9,067.50
I $9.067.50
1000%
87
Striping / HC signs
LS
1
$3.200.00
$3.200.00
100000000 I $3200.00
$3,200.00
I $3200.00
1000%
88
Asphalt repair
LS
1
$4.000.00
$4.000.00
100000000 I $4.000.00
$4,000.00
I $4.000.00
1000%
89
contingency
LS
1
$74.844.45
$74.844.45
100000000 I $74.844.45
$74,844.45
I $74.844.45
1000%
Subtotal
I
I
I
I
90
Increased construction scope General
1.00000000
$64.428.98
$64.428.98
100000000 I $64A28.98
$64,428.98
I $64A28.98
1000%
91
Increased construction scope Fee
1.00000000
$24.621.07
$24.621.07
1 0000000o I $24.621.07
I
I
$24,621.07
I $24.621.07
I
I
1000%
I
Totals
I
$1.009A64.00
I
I $1.009.464.00
I
I $1.009.464.00
1000%
$1.009A64.00
Progress Estimate
1
Contractor's Application
DELETIONS
Fmlcmduac0:
CO2638
ApplicaticaNumb,
FINAL
Application Period`
4-1-2023 to 5-24-2023
Application Date:
5/24/2023
A
B
C D
E
F
Item
CO Quantity to
Change Order lam,
No.
Description
I Specification Unit of
Section No. Measure
Delete
UnitPrice
Deletion Change Order Value
Not Used Not Used
Not Used Not Used Not Used
Not Used
Not Used Not Used
This document has been modified from its original f as an E1CDC document and the user did not highlight the
modifications. You are encouraged to read the document carefully and consult Legal Counsel prior to its execution.
C-620 Change Order
Totals
This document has been modified from its original f as an E1CDC document and the user did not highlight the
modifications. You are encouraged to read the document carefully and consult Legal Counsel prior to its execution.
City Secretary Contract Num: I 57409
Application Period:
Funding Identification (FID)
Origqinal Contract
1301008000450574001000263$ C049809999
130110080045057400100O2638CO4980
10
10
10
10
10
10
10
10
10
Chan_ye Order 1
130100800045057400100O2638 C049809999
130110080045057400100O2638CO4980
10
10
10
10
10
10
10
10
10
Chan_ye Order 2
130100800045057400100O2638 C049809999
130110080045057400100O2638CO4980
10
10
10
10
10
10
10
10
10
Chan_ye Order 3
130100800045057400100O2638 C049809999
130110080045057400100O2638CO4980
City of Fort Worth Summary of Charges
Fire Station Park I P. 0.: FW080-0000010076
4-1-2023 to 5-24-2023
Total Completed
$579,448.50
$919,807.26
$682,000.00
$327,464.00
Application I FINAL
Number:
Amt Remaining Gross
($0.00)
Project Number: I CO2638
Application Date: 5/24/2023
Retainage Net
City Secretary Contract Num: I 57409
Application Period:
Funding Identification (FID)
10
10
10
10
10
10
10
10
10
I
I Q 09999 I3o1(JQ$ Change Order 4
1301=5057,�60100O2638C04980
10
10
10
10
10
10
10
10
10
I
Change Order 5
1301(JQ$QQQ45Q05740010CO2638C0498009999 I3o1
10
10
10
10
10
10
10
10
10
I
I Change Order 6
130100800045057400100O2638 C049809999
130110080045057400100O2638C04980
10
10
10
City of Fort Worth Summary of Charqes
Fire Station Park I p. 0.: FW080-0000010076 Project Number: CO2638
Number:
4-1-2023 to 5-24-2023 I Application I FINAL Application Date: 5/24/2023
Total Completed Amt Remaining I I Gross Retainage Net
City Secretary Contract Num: I 57409
Application Period:
Funding Identification (FID)
10
10
10
10
10
10
I
Chan_ye Order 7
130100800045057400100O2638 C049809999
130110080045057400100O2638CO4980
10
10
10
10
10
10
10
10
10
I
1 Chan_ye Order 8
130100800045057400100O2638 C049809999
130110080045057400100O2638CO4980
10
10
10
10
10
10
10
10
10
I
1 Totals
130100800045057400100O2638 C049809999
130110080045057400100O2638CO4980
10
10
10
10
10
10
City of Fort Worth Summary of Charqes
Fire Station Park I p. 0.. FW080-0000010076 Project Number: CO2638
Number:
4-1-2023 to 5-24-2023 I Application I FINAL Application Date: 5/24/2023
Total Completed Amt Remaining I Gross Retainage Net
$1,261,448.50 ($0.00)
$1,247,271.26
City of Fort Worth Summary of Charges
City Secretary Contract Num:
I 57409
I
Fire Station Park
I P. 0.:
FW080-0000010076
Project Number:
CO2638
Application Period:
I 4-1-2023 to 5-24-2023
I Application I
FINAL
Application Date:
5/24/2023
Number:
Total Completed
Amt Remaining
Retainage met
Funding Identification (FID)
Gross
I
H
10
I 1 $0.00
$0.00
$0.00
$0.00
10
I I $0.001 1
$0.001 1
$0.001 1
$0.001 1
10
I I 1 1
$0.001 1
$0.001 1
$0.001 1
I Grand Total
1 1 $2,508,719.76 1 1
($0.00)1 1
$0.00 1 1
($125,435.99)1 1 $125,435.99
CSC No. 57409-A1
AMENDMENT No . 1
TO CITY SECRETARY CONTRACT No. 57409
WHEREAS, the City of Fort Worth (CITY) and Dean Electric, Inc.,
dba Dean Construction (CMAR) made and entered into City Secretary
Contract No. 57409 (the CONTRACT), which was authorized by M&C
22-0241 on the 29th day of March, 2022 for pre -construction
services fee in the amount of $3,500.00 and a construction
services fee of 3.5% of the Guaranteed Maximum Price (GMP)
within a Project Construction Budget of $1,500,000.00; and
WHEREAS, the CONTRACT calls for pre -construction and
construction services for the following project:
Fire Station Park Expansion (CPN CO2638); and
WHEREAS, pursuant to Article 4 of the Contract, the parties
desire to execute Amendment No. 1 to the CONTRACT to establish the
Guaranteed Maximum Price (GMP) for the construction phase of the
Project;
NOW THEREFORE, CITY and CMAR, acting herein by and through their
duly authorized representatives, enter into the following agreement,
which amends the CONTRACT:
1.
The project construction budget is amended to be increased in
the amount of $1,009,464.00, thereby increasing CMAR contract amount
from $1,503,500.00 to $2,512,964.00; and
2.
The GMP for construction of the Project shall be the amount not
to exceed $2,512,964.00, inclusive of the CMAR's 3.5% fee, as
specified in the original agreement. The GMP proposal attached
hereto is within the project budget, and the Staff finds that the
fees and costs are fair and reasonable for the work proposed.
KP
All other provisions of the Contract, which are not expressly
amended herein, shall remain in full force and effect.
City of Fort Worth
CMAR Agreement Amendment
Page 1 of 3
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, T
EXECUTED and EFFECTIVE as of the date subscribed by the City's
designated Assistant City Manager.
APPROVED:
City of Fort Worth
Jesica L. McEachern
Assistant City Manager
DATE: Nov 1, 2022
AP�PROVAL RECOMMENDED:
)Ot ",pfe-,
Dave Lewis
CMAR
Dean Construction
Greg F laugh
CEO/President
DATE:
0
Interim Director, Park & Recreation Department
Contract Compliance Manager:
By signing, I acknowledge that I am the person responsible for the
monitoring and administration of this contract, including ensuring
all performance and reporting requirements.
Jing Yang, Landscape Architect Manager
Park & Recreation Department
APPROVED AS TO FORM AND LEGALITY:
C aw,
Jeremy Anato-Mensah
Assistant City Attorney I
ATTEST:
C 15'ee"
J4iiette S. Goodall (Nov 1, 2022 16: DT)
Jannette S. Goodall
City Secretary
City of Fort Worth
CMAR Agreement Amendment
Page 2 of 3
M& C : 22-0800
Date: 10/11/2022
a� OR
�o °0"�.��
00 0��
d°
j� °000000 IC/
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
GUARANTEED MAXIMUM PRICE PROPOSAL
City Secretary No. 57409
Amendment No. 1
Fund -Account -Center Amount
�30286-0800450-4928604—CO2638-CO4980 $650,000.00
�30110-0800450-4640006—CO2638-CO4980 $359,464.00
Total = $1,009,464.00
City of Fort Worth
CMAR Agreement Amendment
Page 3 of 3
CITY COUNCIL AGENDA
Create New From This M&C
Official site of the City of Fort Worth, Texas
FORTIVORTH
DATE: 10/11/2022 REFERENCE **M&C 22- LOG 80FIRE STATION PARK CMAR
NO.: 0800 NAME: AGREEMENT AMENDMENT NO.1
CODE: C TYPE: CONSENT PUBLIC NO
HEARING:
SUBJECT. (CD 9) Authorize Execution of Amendment No.1 to City Secretary Contract No. 57409, a
Construction Manager at Risk Agreement with Dean Electric, Inc., dba Dean
Construction, in the Amount of $1,009,464.00 for the Fire Station Park Expansion Project,
for a Revised Contract Amount of $2,512,964.00; Accept Funds in the Amount of
$650,000.00 from Tax Increment Reinvestment Zone #4 - Southside Medical District;
Adopt Appropriation Ordinances and Amend the Fiscal Years 2022-2026 Capital
Improvement Program
RECOMMENDATION:
It is recommended that the City Council:
1. Authorize execution of Amendment No.1 to City Secretary Contract No. 57409, a
Construction Manager at Risk Agreement with Dean Electric, Inc. dba Dean Construction, for
the Fire Station Park Expansion project, in the amount of $1,009,464.00, for a revised
contract amount of $2,512,964.00;
2. Accept Tax Increment Reinvestment Zone #4 - Southside Medical District Fund, in the
amount of $650,000.00 for the Fire Station Park Expansion project (City Project No.
CO2638);
3. Adopt the attached appropriation ordinance increasing estimated receipts and appropriations
in the TIRZ General Capital Fund in the amount of $650,000.00, transferred from Tax
Increment Reinvestment Zone #4 - Southside Medical District Fund for the purpose of
funding the Fire Station Park Expansion project;
4. Adopt the attached appropriation ordinance increasing estimated receipts and appropriations
in the PARD Dedication Fees Fund in the amount of $600,000.00, from available funds, for
the purpose of funding the Fire Station Park Expansion project; and
5. Amend the Fiscal Years 2022-2026 Capital Improvement Program.
DISCUSSION:
The purpose of this Mayor and Council Communication (M&C) is to authorize execution of
Amendment No.1 to the Construction Manager at Risk (CMAR) agreement with Dean Electric, Inc.,
dba Dean Construction (Dean Construction), for the Park & Recreation Department's (PARD) Fire
Station Park Expansion project, in the amount of $1,009,464.00, for a revised CMAR contract amount
of $2,512,964.00, accept local funding from Tax Increment Reinvestment Zone #4 - Southside
Medical District (TIRZ 4), appropriate $600,000.00 in receipts and appropriations in the Park and
Recreation (PARD) Dedication Fees Fund, and amend the Fiscal Year 2022-2026 Capital
Improvement Program.
On August 30, 2016, the City Council authorized the acquisition of approximately 1.35 acres of land
located at 1616 Hemphill Street for the expansion of the existing Fire Station Park (M&C L-15946).
On April 26, 2019, an Engineering Services Agreement with Pacheco Koch Consulting Engineers,
Inc. (Pacheco Koch) was administratively executed in an amount of $10,000.00 to prepare Phase I
development of the site (City Secretary Contract No. 52234). On May 6, 2020, the City Council
authorized Amendment No. 1 to the agreement in an amount of $124,828.00 to provide additional
design and construction documents for the site (M&C 20-0321). On August 8, 2022, Amendment No.
2 to the agreement was administratively executed in an amount of $49,300 to provide construction
administration services, for a total contract amount of $184,128.00.
On March 29, 2022, the City Council authorized (M&C 22-0241) the CMAR agreement with Dean
Construction (City Secretary Contract No. 57409) in the amount of $1,503,500.00, for the installation
of 2 skate parks and a market plaza in Fire Station Park.
Amendment No.1 increases the scope to include the installation of a steel pavilion, pump track,
lighting, pedestrian walkway, event lawn turf and angled street parking. The additional scope is
consistent with the park master plan. The project construction cost of Amendment No.1
is $1,009,464.00, which brings the total CMAR contract to $2,512,964.00. The overall project cost,
inclusive of design and construction, is $2,697,092.00.
This project is being funded by City PARD Dedication Fees Fund, private funds raised by Historic
Southside, Inc., dba Near Southside Arts, Inc. (NSA) and TIRZ 4 funds. The total funding increase is
outlined below.
Fund
General
Capital
Projects Fund
TIRZ General
Capital Fund
PARD
Dedication
Fees Fund
PARD Gas
Lease Capital
Project Fund
TOTAL
FUNDING
Original Budget Revised
Source Authority Budget Adjustment Budget
Near M&C 22- $680,000.00 $0.00 $680,000.00
Southside Arts 0241
TIRZ #4 -
Southside
Medical District
Central City
Fees (Near
Southside
Units)
Gas Lease
Bonus
This M&C
M&C 22-
0241; This
M&C
M&C G-
18917
$0.00 $650,000.00 $650,000.00
$1,200,000.00 $600,000.00 $1,800,000.00
$9,446.00 $0.00 9,446.00
$1,889,446.00 $1,250,000.00 $3,139,446.00
Funding for this project was not included in the Fiscal Years (FY) 2022-2026 Capi-al Improvement
Program (CIP) due to unrealized TIRZ 4 funds at the time of CIP submission. The action in this M&C
will amend the FY 2022-2026 CIP.
Funding is budgeted in the Capital Interfund Transfer Out account of the Economic Development
Department's TIRZ 4 Fund and available funds within the PARD Dedication Fees Fund for the purpose
of funding the Fire Station Park Expansion project.
Schedule — Construction services for Fire Station Park Expansion project began in July
2022. Amendment No.1 will extend the completion time of the whole project to March 2023.
Amendment No. 1 will have no impact on the Park & Recreation Department's annual operating
budget when completed.
Business Equity Goal — The City's Business Equity goal on the Amendment No.1 of this CMAR
project is 11\%. Dean Construction is in compliance with the City's Business Equity Ordinance by
committing to 11\% Business Equity participation on this project.
Fire Station Park is located in COUNCIL DISTRICT 9.
FISCAL INFORMATION/CERTIFICATION:
The Director of Finance certifies that funds are currently available in the TIRZ 4 Fund and the Park
Planning District (PPD) 4.7-6 project within the PARD Dedication Fees Fund to support approval of
the above recommendations; and upon adoption of the appropriation ordinances, funds will be
available in the Fire Station Park Expansion project to support the execution of amendment No.1 tc
City Secretary Contract No. 57409. Prior to an expenditure being incurred, the Park & Recreation
Department has the responsibility of verifying the availability of funds.
TO
Fund Department Account Project Program Activity Budget Reference # Amount
ID ID Year (Chartfield 2)
FROM
Fund Department Account Project Program Activity Budget Reference # Amount
ID ID Year (Chartfield 2)
Submitted for Citv Manager's Office bv: Jesica McEachern (5804)
Originating Department Head: Dave Lewis (5717)
Additional Information Contact: Joel McElhany (5745)
ATTACHMENTS
1295 Form.ndf (CFW Internal)
80FIRE STATION PARK CMAR AGREEMENT AMENDMENT NO.1 funds availabilibimcif (CFW Internal)
80FIRE STATION PARK CMAR AGREEMENT AMENDMENT NO.1 Undated FID.xlsx (CFW Internal)
CO2638 Fire Station Park 2022 080 12.1pg (CFW Internal)
CO2638 Fire Station Park Amendment 1 COMPLIANCE MEMO.ndf (CFW Internal)
LOCATION MAP.rndf (Public)
ORD.APP80FIRE STATION PARK CMAR AGREEMENT AMENDMENT NO.1 30110 A022(r3).docx (Public)
ORD.APP80FIRE STATION PARK CMAR AGREEMENT AMENDMENT NO.1 30286 A022(r2).docx (Public)
Fire Station Park Amendment No. 1
Increase construction scopes:
Striping / HC signs
$3,200.00
Barricading
$8,500.00
Demo / earthwork
$61,841.00
Site concrete
$93,800.00
Pavilion foundation
$19,300.00
Pavilion
$93,000.00
Pump Track
$173,325.00
Pavers
$60,458.00
Irrigation
$40,211.00
Landscape
$26,900.00
Grade Maintenance
$25,000.00
Turf Establishment
$24,195.00
River Cobble
$28,495.00
Site Amenities
$19,900.00
Site Electrical
$104,332.00
Vehicular paving / curb
$39,113.00
Asphalt repair
$4,000.00
Total
$825,570.00
contingency $94,844.00
$920,414.00
General Conditions $64,428.98
Fee $24,621.02
GMP $1,009,464.00
Fire Station Park Phase I CMAR
and Amendment No.1 Map
Legend:
0 Phase I CMAR
Phase I CMAR Amendment No.1
I i Future Phase
E
FORT WORTH,
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Fire Station Park
CITY PROJECT NUMBER: CO2638
WATER
PIPE LAID SIZE TYPE OF PIPE
LF
FIRE HYDRANTS: VALVES (16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Taken -Pass
NEW SERVICES: 2" DOM
I SEWER
PIPE LAID SIZE TYPE OF PIPE LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Taken Pass
NEW SERVICES: 6" PVC
TRANSPORTATION AND PUBLIC W KS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
25 LF
7 LF
FORTWORTH.
M,
TRANSPORTATION AND PUBLIC WORKS
April 5, 2023
Dean Constructon
701 Hall St
Cedar Hall, TX 75104
RE: Acceptance Letter
Project Name: Fire Station Park
Project Type: Paving, Water, Sewer, Streetlights
City Project No.: CO2638
To Whom It May Concern:
On April 5, 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 1, 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 1, 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-
215-5609.
Sincerely,
Helen Florez P.M ,Project Manager
Before&After Pictures
Cc: Adrian Aranda , Inspector
Donald Watson , Inspection Supervisor
Aaron Ybarra , Senior Inspector
Victor V, Tornero Jr. , Program Manager
Christopher J. Tatton , Consultant
Dean Construction , Contractor
N/A, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
AIA DOCUMENT G707
OWNER
❑
ARCHITECT
❑
CONTRACTOR
❑
SURETY
❑
OTHER
❑
Bond No. BCD1088349
PROJECT: CMaR — CFW Fire Station Park Expansion Project No. CO2638
(name, address) Fort Worth, TX
TO (Owner)
City of Fort Worth Architect's Project No.:
200 Texas Street
Fort Worth, TX 76102 Contract For: CMaR — CFW Fire Station Park Expansion
Project No. CO2638
Fort Worth, TX
Contract Date: April 7, 2022
Contractor: Dean Electric, Inc. dba Dean Construction, 701 Hall Street, Cedar Hill, TX 75104
In accordance with the provision of the Contract between the Owner and the Contractor as indicated above,
the The Hanover Insurance Company, SURETY COMPANY, on bond of Dean Electric, Inc. dba Dean
Construction, CONTRACTOR, hereby approves 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 City of Fort Worth,
OWNER, as set forth in the said Surety Company' bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set is hand this 6th Day of September. 2023
The Hanover Insurance Company
Surety Company
Si nature of au o�ized rtive
g i�p
Peggy Hogan Attorney -In -Fact
Attest:
(Seal):
Note: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF
PAYMENT OF DEBTS AND CLAIMS, Current Edition
AIA DOCUMENT G707 • CONSENT OF SURETY COMPANY TO FINAL PAYMENT * April 1970 Edition • AIA® One
Page
01970 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave., NW, Washington, D.C. 20006
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWER OF ATTORNEY
THIS Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the
extent herein stated.
KNOW ALL PERSONS BY THESE PRESENTS:
That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations organized and existing underthe
laws ofthe State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a corporation organized and existing underthe laws ofthe State of
Michigan. (hereinafter individually and collectively the "Company") does hereby constitute and appoint.
Steven Lott, David Oxford, Peggy Hogan, Sherrel Breazeale and/or Bart Russ
Of Consolidated Insurance Partners of Dallas, TX each individually, if there be more than one named, as its true and lawful attomey(s)-in-fact to sign, execute,
seal, acknowledge and deliver for, and on its behalf, and as its act and deed any place within the United States, any and all surety bonds, recognizances,
undertakings, or other surety obligations. The execution of such surety bonds, recognizances, undertakings or surety obligations, in pursuance of these presents,
shall be as binding upon the Company as if they had been duly signed by the president and attested by the secretary of the Company, in their own proper persons.
Provided however, that this powerof attorney limits the acts of those named herein and they have no authority to bind the Company except in the manner stated
and to the extent of any limitation stated below:
Any such obligations in the United States, not to exceed Thirty Million and No1100 ($30,000,000) in any single instance
That this power is made and executed pursuant to the authority ofthe following Resolutions passed by the Board of Directors of said Company, and said Resolutions
remain in full force and effect:
RESOLVED: That the President or any Vice President, in conjunction with any Vice President, be and they hereby are authorized and empowered to
appoint Attorneys -in -fact of the Company, in its name and as it acts, to execute and acknowledge for and on its behalf as surety, any and all bonds,
recognizances, contracts of indemnity, waivers of citation and all other writings obligatory in the nature thereof, with power to attach thereto the seal ofthe
Company. Any such writings so executed by such Attorneys -in -fact shall be binding upon the Company as if they had been duly executed and
acknowledged by the regularly elected officers of the Company in their own proper persons.
RESOLVED: That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto, granted and
executed by the President or Vice President in conjunction with any Vice President ofthe Company. shall be binding on the Company to the same extent
as if all signatures therein were manually affixed, ever though one or more of any such signatures thereon may be facsimile. (Adopted October 7, 1981—
The Hanover Insurance Company; Adopted April 14. 1982 — Massachusetts Bay Insurance Company; Adopted September 7, 2001—Citizens Insurance
Company of America and affirmed by each Company on March 24, 2014)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY
OF AMERICA have caused these presents to be sealed with their respective corporate seals, duly attested by two Vice Presidents, this 261h day of April, 2022.
T"E HANOVER INSU E COMPANY
MASSACHUSETTS Y ! URANCE COMPANY
CITIZENS INSURA € C MPANY OP AMERfCA
Vice President
THE COMMONWEALTH OF MASSACHUSETTS )
COUNTY OF WORCESTER ) ss.
THE HANOVER INSURANCE COMPA14Y
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZ NS INSURANCE COMPANY OF AMERICA
t'�.t.�"Y✓IJiJ
J H. Kawiacki. Uce President
On this 261h day of April, 2022 before me came the above named Executive Vice President and Vice President of The Hanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America, tome personally known to be the individuals and officers described herein,
and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company, Massachusetts Bay Insurance
Company and Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and
subscribed to said instrument by the authority and direction of said Corporations.
ARLEEN V. SIMONS
f a Notary Public
ir110DN1EiiTHOF�TS Areen V- Simons. Notary U Ic
My Ga 15Expire
June My Commission Expires June 15. 2023
✓ n• t5, 942.3
I, the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America,
hereby certify that the above and foregoing is a full, true and correct copy ofthe Original Power of Attorney issued by said Companies, and do hereby further certify
that the said Powers of Attorney are still in force and effect.
GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, this _6th_ day of _September 2023
CERTIFIED COPY
THE HANOVEit INSURANCE COMPANY
T:,e
FiU3E7 TS BAY FNSURANCE COMPANY
ON;U Y OF AIMERCA
A. Rowedde,. Vice Pmaidom
IMPORTANT NOTICE
To obtain information or make a complaint
You may call The Hanover Insurance Company/
Citizens Insurance Company of America's toll -free
telephone number for information or to make a
complaint at:
1-800-343-6044
You may also write to The Hanover Insurance Company/
Citizens Insurance Company of America at:
440 Lincoln Street
Worcester, MA 01653
You may contact the Texas Department of Insurance
to obtain information on companies, coverages,
rights or complaints at:
1-800-252-3439
You may write the Texas Department of Insurance
P. 0. Box 149104
Austin, TX 78714-9104
Fax: (512) 475-1771
Web: http://www.tdi.texas.gov
E-mail. ConsumerProtection@tdi.texas.gov
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your premium
or about a claim you should contact the agent or the
company first. If the dispute is not resolved, you may
contact the Texas Depa rtment of Insurance.
ATTACH THIS NOTICE TO YOUR POLICY: This
notice is for information only and does not become
a part or condition of the attached document.
Texas Complaint Notice
Commercial Lines
AVISO I M PO RTANTE
Para obtener informacion o para someter una queja:
Usted puede Ilamar al numero de teiefono gratis de
The Hanover Insurance Company/Citizens Insurance
Company of America's para informacion o para
someterunaquejaal:
1-800-343-6044
Ustedtambien puedeescribira The Hanover Insurance
Company/Citizens Insurance Company of America al:
440 Lincoln Street
Worcester, MA 01653
Puede comunicarse con el Departamento de Seguros
de Texas para obtener information acerca de
companias,coberturas,derechosoquejasal:
1-800-252-3439
Puede escribir al Departamento de Seguros de Texas:
P. 0. Box 149104
Austin, TX 78714-9104
Fax: (512) 475-1771
Web: http://www.tdi.texas.gov
E-mail: ConsumerProtection@tdi.texas.gov
DISPUTAS SOBRE PRIMAS 0 RECLAMOS:
Si tiene una disputa concerniente a su prima o a un
reclamo, debe comunicarse con el agente o la com-
pania primero. Si no se resuelve la disputa, puede
entoncescomunicarse con el departamento(TDI).
UNA ESTE AVISO A SU POLIZA: Este aviso es solo
para proposito de informacion y no se convierte en
parte o condicion del documento adjunto.
The Hanover Insurance Company j 440 Lincoln Street, Worcester, MA 01653
181-1457(12/13) NfleI or r Citizens Insurance Company of America 1 808 North Highlander Way, Howell, MI 48843
hanover.com
1 Document G706l -1994
Contractor's Affidavit of Payment of Debts and Claims
PROJECT: (Nance and address)
Fire Station Park
1601 Lipscomb
Fort Worth, TX 76104
TO OWNER: (Name and address)
City of Fort Worth
4200 South Freeway, Suite 2200,
Fort Worth, TX 76115
STATE OF: Texas
COUNTY OF: Dallas
ARCHITECT'S PROJECT NUMBER:
Pacheco Koch Consulting Engineers,
LLC
CONTRACT FOR: Construction of
Skatepark and Community Park
CONTRACT DATED: June 24, 2022
OWNER:
ARCHITECT: ❑
CONTRACTOR: ❑
SURETY: ❑
OTHER: ❑
The undersigned hereby certifies that, except as listed below, payment has been made in full and all obligations have otherwise
been satisfied for all materials and equipment furnished, for all work, labor, and services performed, and for all known
indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the
Contract referenced above for which the Owner or Owner's property might in any way be held responsible or encumbered_
EXCEPTIONS:
5% Retainage to the following:
Marshal Renee Construction dba PavcPro - S3,182.90
SPA Skateparks - S57,488.74
Vista Earthworks, Inc - S 15,848,48
SUPPORTING DOCUMENTS ATTACHED HERETO:
1. Consent of Surety to Final Payment. Whenever
Surety is involved, Consent of Surety is
required. AIA Document G707, Consent of
Surety, may be used for this purpose
Indicate Attachment ® Yes ❑ No
The following; supporting documents should be attached
hereto if required by the Owner:
1. Contractor's Release or Waiver of Liens,
conditional upon receipt of final payment.
2, Separate Releases or Waivers of Liens from
Subcontractors and material and equipment
suppliers, to the extent required by the Owner,
CONTRACTOR: (Name and address)
Dean Electric, Inc. dba Dean Construction
701 Hall Street
Cedar Hill, TX 75104
BY:
(Sig of authoriz9frepresentative)
Gregory Firebaugh -President
(Printed name and title)
Subscribed and sworn to before me on this date:
accompanied by a list thereof Notary
�% .(�
Nota Public �} r ij[.�h. ` �t1!tlllC� EO ��/,
3. Contractors Affidavit of Release of Liens (AIA My Commission Expires: 5/18/2026 �� +(.
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AIA Document G706 — 1994. Copyright tE' 1970 and 1994. All rights reserved. `The American Institute of Architects," "American Institute of Architects," "AIA," the
AIA Logo. and "AIA Contract Documents' are trademarks of The American Institute of Architects. This document was produced at 14:53:39 ET on OW0612023
under Order No.2114467658 which expires on 0910512024, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA
Contract Documents` Terms of Service. To report copyright violations, e-mail docinfo®aiacontracts.com.
User Note.: (3149ADA6E)
Document G706 A -1994
Contractor's Affidavit of Release of Liens
PROJECT: (Name and address)
Fire Station Park
1601 Lipscomb, Fort Worth, TX
76104
TO OWNER: (Name and address)
City of Fort Worth
4200 South Freeway, Suite 2200
Fort Worth, TX 76115
STATE OF: Texas
COUNTY OF: Dallas
ARCHITECT'S PROJECT NUMBER:
CONTRACT FOR: Construction of
Skatepark and Community Park
CONTRACT DATED: June 24, 2022
OWNER:
ARCHITECT: ❑
CONTRACTOR: ❑
SURETY: ❑
OTHER: ❑
The undersigned hereby certifies that to the best of the undersigned's knowledge, information and belief, except as listed
below, the Releases or Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials
and equipment, and all performers of Work, labor or services who have or may have liens or encumbrances or the right to
assert liens or encumbrances against any property of the Owner arising in any manner out of the performance of the Contract
referenced above.
EXCEPTIONS:
5% Retainage to the following:
Marshal Renee Construction dba PavePro - $3,182.90
SPA Skateparks - $57,488.74
Vista Earthworks - $15,848.48
SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Name and address)
1. Contractor's Release or Waiver of Liens,
Dean Electric, Inc. dba Dean Construction
conditional upon receipt of final payment.
701 Hall Street, Cedar Hill, TX 75104
2. Separate Releases or Waivers of Liens from
If
BY:
Subcontractors and material and equipment
(Sign ur fauthoriz
suppliers, to the extent required by the Owner,
representative)
accompanied by a list thereof.
Gregory Firebaugh - President
(Printed name and title)
Subscribed and sworn to before me on this date:
Notary Public: . �` Wl
My Commissia xp es2026
```\���111t1illllrttt�h,
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AZDocument G706A —1994. Copyright ® 1982 and 1994. All rights reserved, "The American Institute of Architects," "American Institute of Architects," "AIA," the
A Logo, and 'AIA Contract Documents' are trademarks of The American Institute of Architects. This document was produced at 14:50:51 ET on 09/0612023
under Order No.2114467643 which expires on 0910512024, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA
Contract Documents' Terms of Service. To report copyright viclations, e-mail docinfo@aiacontracts.com.
User Notes: (3B9ADA5F)
00
41
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FIRE STATION SKATE PARK
BEFORE & AFTER PHOTOS
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BEFORE & AFTER PHOTOS
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