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Home My WebLink AboutContract 58704-FP1FORT WORTH, TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION -FP1 City Secretary No. 58704 Date Received: 03/01/2024 City Project N!?: 104179 Regarding contract 58704 2023 Concreate Restoration Contract 2 for as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 11/29/2023 through M&C 22-0983 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 Amount: 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 Pair6ci L. WaA: Patricia L. Wadsack (Feb 29, 202417:37 CST) Recommended for Acceptance Asst. Director, TPW - Capital Delivery A. — Lauren P ri e u r ( Feb 29, 202417:55 CST) $1,449,450.00 Days 180 $ 184, 750.00 Ns 2 Days Added by CO 35 $ 1,634,200.00 Total Days 215 $ 1,217,005.29 Days Charged 215 Days @ $ / Day $ 1,217,005.29 $ 1,156,155.03 $ 60,850.26 Feb 29, 2024 Date Feb 29, 2024 Accepted Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT Asst. City Manager Comments: Date Mar 1, 2024 Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX C-620 Signature Page Contractor's Application for Payment Invoice No. 11-FINAL To (Owner) City of Fort Worth Invoicing Period (From - To): Invoice Date: 1/1/2024-1/30/2024 1/30/2024 P. O. FW020-009160 From (Contractor): Remit to ( If Not Automatic Deposit): Number: Makou Inc Project: 104179 Contractor's CFW Vendor No.: 7000000265 City secretary Contract 58704 Contract 2023 Concrete Restoration 2 Number: Name: me: Application For Payment Change Order Summary (Approved Change Orders 11. ORIGINAL CONTRACT PRICE.......................................................... $ $1,449,450.00 Number Additions Deletions 12. Net change by Change Orders................................................................. $ $184,750.00 1 $634,750.00 $450,000.00 13. Current Contract Price (Line 1 t 2)........................................................ $ $1,634,200.00 2 $8,730.00 $8,730.00 14. TOTAL COMPLETED AND STORED TO DATE 3 I (Progress Estimate, Construction Allowance and Change Orders)....... $ $1,217,005.29 4 15. RETAINAGE: 5 I a. X $1,217,005.29 Work Completed.......... $ 6 I b. X Not Used $ 7 I c. Total Retainage (Line 5a + Line 5b)................................ $ 8 16. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c)............................. $ $1,217,005.29 TOTALS $643,480.00 $458,730.00 17. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)........, $ $1,156,155.03 NET CHANGE BY S184,750.00 8. AMOUNT DUE THIS APPLICATION ................................................. �9. $ $60,850.26 CHANGE ORDERS BALANCE TO FINISH, PLUS RETAINAGE (Column G on Progress Estimate+ CA + Cos + Line 5 above) .............. $ $417,194.71 Contractor's Certification 10. CONTRACT TIME: The Contractor certifies with the submittal of this document and associated Payment Request Submittal a. Days Awarded 180 on the City of Fort Worth Buzzsaw system that to the best of their knowledge: (1) all previous progress b, Days Added by CO 35 payments received from Owner on account of Work done under the Contract have been applied on Total Days account to discharge Contractor's legitimate obligations incurred in connection with Work covered by C. 215 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 d Days Charged 215 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); e, Days Remaining and (3) all Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective. Liquidated Damages $650.00 x day Consent of Surety vtAAS�C� � Affidavit of Bills Paid magsoodthan (Feb 28, 202409:45 CST) 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 IFor (contact) 2023 Concrete Restoration 2 AppfiounmPeriod 1/1/2024-1/30/2024 A (teen Bid Item No Descnptmn Specification Unit of Section No. Measure 1 0135.0201 Remobilimbon 017000 EA 2 3471.0002 Portable Message Sk 3411 13 W K 9999.0000 Remove and Replace E" Concrete Dnveway 02411N 1213 3 20 SF 9999.0000 Remove and Replace 7" Concrete Pavement HES 024115/3213 4 13 SY 5 3123.0101 Unclassified 31 2316 CY yExxcavation GR-2 32 It 23 CY 7 .3�{2jg�1l11.01JJ2�2Corx0�pBretPpeHES (extra deoth) 32 13 13 CY 8 379R.8100 b'odre lacement 329213 SY 9 3211.0100 Toj�aan 329119 CV 10 3213.0700 Joint Sealant 32 13 73 LF 11 3305.111, Miscellaneous A stment/UhlNes) '71A5') 3305 14 LS I 12 9999.0000 GeSg Tensor Rl 1 or ADoroved equal 999900 BY 1 13 3217.2102 REFL Relsed suer TY l-C 321723 EA 14 3217.2103 REFL Relsed Marker TY II -A -A 3217 23 EA 15 3217.0002 8" White Solid Thermoplastic Lane Line 32 1723 LF 16 3441.1301 Loonn``°°..°D�etector, Cable S-ut 344110 LF etect ble 3441 10 LF 18 3217.0001 44Double SolidDThermojaj'ashc IHAS) Center Lane Line 32 l7 23 LF 19 3217.0401 18" SLD Pvmt MmlldnNAE 32 l7 23 LF 1 20 3217.0501 24" SLD Pvml Marid HAE 32 1723 LF 1 21 3217.1001 Lane Legend RR 32 1723 EA 1 22 3217.1002 Lane Legend Arrow 32 1723 EA 3213.0501 Remove and Replace Banner Free Ramp, Type P-1/P-2 02 41 13/ 32 13 23 20 EA 3213,0501 Remove and Replace Banner Free Ramp, Type R-1 02 41 13/ 32 13 24 20 EA 9999.0000 Remove and Replace 4" Sdewalk 024113/32 13 25 20 SF 26 `3305.0106 Manhole Adiustment 3305 14 EA 27 '3217.5001 Curb Address Painting 321725 EA 28 3999.0096 Consbuclion Allowance EA City senretary 58704 Contract Nam: Bid Quantity Unat Pnce 1.000000 $500.00 25.000006 $500.00 4500.000000 $13.00 10500.000000 $100.00 2511.000006 $30.00 3s0.000006 $65.00 wo 1/110006 $200.00 2000.000006 $10.00 120.000006 S40 00 3500.000006 $500 1.o00o06 $10.00000 1500.o00006 $500 150.000006 $700 150.000006 $700 150.000006 $1000 100.o00006 $3000 100.000006 $1500 4780 000006 $10 00 200.000006 $1500 200.000006 $1800 2.000006 $1.00000 2.000006 $1.00000 iQZZLLL�i3Ff if�ZZLLL�3r7 27s0.000000_ $11 00 20.00000' $500 00 30.00000(f $75 00 1.00000(Z $30.000 00 B C D Bid Value Estr...it Quantity Value Installed $1.050.000.00 4998. $7.500.00 497. $22.750.00 $20.000.00 497. $20.000.00 529. $4.600.00 $17 00 .00 $10.000.00 0. $7.500.00 $1.050.00 $1.050.00 $1.500.00 $3.000.00 $1.500.00 $47.800.00 2634. I M This do-. has been modified from its ongrual form as an E3CDC document and tic user did not highlight the modificatrons You are encouraged m read the document carefully and consult Legal Counsel prior tons execu - C-620 Unit Price Progress Estimate Contractor's Application Application Namber 11-FINAL Applieation Date 1/30/2024 E F G Total Completed % Balance ro Fr uch Previously hsstalled Value Msently Value TkNord rod Stored in Date (F) (B - F) (Pre Shredtored (not to C) (D+H) B $500.00 $12,500.00 $7.387.38 $7,387.38 12.6% $51,112.62 $499``�879.00 $499.879.00 47.6% $550,12100 $14.925.90 $14.925.90 199.0. $7,425.90 $22.750.00 $99�506.00 $99,506.00 497.5% �79,50800 5 294.00 $5,294.00 26.5% $14,706.00 $4,800 00 $17,500 00 $1.046.4 $1,04646 105% $8,95354 $7,500 00 $1.050 00 $1.050 00 $1.500 00 $3.000 00 $1.500 00 $26.345.90 $26,34590 551% $21.45410 $3.000 00 $817.d $817 56 22 7% $2.782 44 $2.000 00 $1.000.00 $1,00000 500% $1,00000 $40.500.00 $40,50000 882% $5,40000 $21.000.00 $21,00000 636% $12,00000 $26 25.98 $26,225 98 86 7% $4,024 02 si�bo.gJ $2,1OO.dd $1,50000 150% $2, 10000 933% $8,50000 $15000 $30,000 00 Progress Estimate Fer (eOntlaC1) 2023 Concrete Restoration 2 Application Period 1/1/2024-1/30/2024 Item Bid Item No Description City Secretary 58704 Contract N— A B Specification Umt of Bid Quantity Umt Price Bid Value Section No. Measure C-620 Unit Price Progress Esfimate Contractor's Application Apphca[ion Number 11-FINAL Application Date 1/30/2024 C D E F G Total Completed / Balance m Fmish Estimated Quantity Matenale Presently Installed Value Previously h�stalled Value Value TkaPcriod Stored (not iv Q Stored to Date (B - F) (D+E) B B I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I This documem has been modified from its original form as an EJCDC document and the user did not highlight the modifications You are encouraged m read the document carefully and consult Legal Counsel prior m ns execution. Progress Estimate Fnr (`nntlaC1) 2023 Concrete Restoration 2 AppficationPeriod 1/1/2024-1/30/2024 Item Bid I[em No Descnption city secretary 58704 Contract Num: A B Specification Umt of Bid Quantity Umt Pnce Bid Value Section No. Measure C Estimated Quantity Installed This documem has been modified from its ongival form as an EJCDC document and the user did not highlight the modifications You are encouraged m read the document carefully and consult Legal Counsel prior tons execution. Previously h�stalled Value C-620 Unit Price Progress Estimate Contractor's Application Application Number 11-FINAL Application Date 1/30/2024 E F G Total Completed / Balance to Fmish Value Tlns P—d M.,Presently and Stored to Date (F) (B - F) Shred (mtm C) (D+E) B Progress Estimate Fet (eOntlaC1) 2023 Concrete Restoration 2 Appfication Period 1/1/2024-1/30/2024 Item Bid I[em No Descnptton Totals City Secretary 58704 Contract N— A B Specification Umt of Bid Quantity Umt Pnce Bid Value Section No. Measure $1.449.450.00 C Estimated Quantity Installed C-620 Unit Price Progress Esfimate Contractor's Application Application Number 11-FINAL Application Date 1/30/2024 D E F G Total Completed % Balance m Fmish Matenals Presently Value Previously hsstalled Value Value Tks Perod Stored(not,Q Storedto Date (B B-P) (D+H) This document has been modified from its onginal form as an EJCDC doemnent and the user did not highlight the modifications You are encouraged to read the document carefully and consult Legal Counsel prior to ns execution. $747.528.18 516% $701.921.82 C-620 Change Order Progress Estimate Construction Allowance Usage ADDITIONS For (contract) 104179 2023 Concrete Restoration 2 Application Penod: Item Item Number Description 34 3217.4306 Remove 24" Pvmnt Markine 35 3217.0101 4" BRK Pvmvt Markine HAS (W) Totals A Contractor's Application City Seeretary 58704 Application Number 11-FINAL Contact Num: 1/1/2024-1/30/2024 Application Date: 1/30/2024 B C D E F Speoifioanon Unit of Sectiov No. Measure Quantiry to Add Unit Price AddiKov Value estimated Qoavtity Installed Valve Previoasly Valve This Installed Value Period Materials Presently Stored (not in C) Total Completed % suit Stored to Date (F) (D I E) B LF 117.00000000 $4.65 $544.051 117.00000000 $544.05 $544.05 1 $544.05 100.0% $2.144A 320.00000000 $1600.00 $1,600.00 This document has been modified from ns original form as an E1CDC document and the user did not highlight the modifications Yon are encouraged to read the document carefully and consult Legal Counsel prior to its execution $2,144.05 100 0% Balance to Finish (B - F) C-620 Change Order Progress Estimate Construction Allowance Usage Contractor's Application CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED Fm (contract): 104179 2023 Concrete Restoration 2 Application Number: 11-FINAL Application Period: I/I/2024-1/30/2024 Application Date: 1/30/2024 A B C D E F Item Bid Item Number Description Specification Unit of Quantity to Delete Unit Price Reduction Value Not Used Not Used Not Used Not Used Not Used Not Used Not Used Not Used Section No. Measure 28 9999 0096 Construction Alloaznw EA 007146830 $30,000.00 $2,144 OS Totals $2.144.04 This document has been modified from ns onginal form as on E1CDC document and the user did not highlight the modifications Yon are encouraged to read the document carefully and consult Legal Counsel prior to its execution C-620 Change Order Progress Estimate Change Order Number 1 1 ADDITIONS (Fen (comma d): 104179 2023 Concrete Restoration 2 (Application Period: Item Change Order Item Desenption No 29 3213.0205 Remove and Replace 10" Cone Pvmt HES 30 3212.0401 HMAC Transition Totals A Contractor's Application City Secretary gg704 Application Number: 11-FINAL Contract Nam: 1/1/2024-1/30/2024 Application Date: 1/30/2024 B C D E F Section No. Unit of Section No. Measure CO Quandty to Add Addition Unit Price Change Order Value Estimated Quantity Installed Valac Previously Valnc This Installed Value Pored Materials Presently Stored (not to C) Total Completed and Stored to Data � � E) % (F) B SY 5300.00000000 $119.00 $630.700.00 3803 1 $452.645.06 71.8% TN 30.00000000 $135.00 $4.050.go 1 $3.780.00 93.3% $634.750.01 .74000000 $452 645.06 $452,645.06 28.00000000 $3 780.00 $3,780.00 $456.425.06 $456,425.06 This document has been modified from ns original form 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 S456,425.06 71.9% Balance to Finish (B - F) $178.054.94 $270.00 6i"M1F. C-620 Change Order Progress Estimate Change Order Number 1 1 DELETIONS Contractor's Application For (commeh: 2023 Concrete Restoration 2 104179 Application Number: 11-FINAL Apptieation Period 1/1/2024-1/30/2024 Amficaoon Date 1/30/2024 A B C D E F Item Deletion Change Order It Specification Unit of CO D �ety to Unit Price Change Order Not Used Not Used Not Used Not Used Not Used Not Used Not Used Not Used No. Descxipfion Section No. Measure Value 4 9999 0000 Remove and Replace 7" Concrete Pavement IES SY 4500 00000000 $100.00 $450,000 00 Totals This document has been modified from its ongin d form as an EJCDC document and the user did not highlight the modifications You are encouraged m read the document carefully and consult Legal Counsel prior to its execution C-620 Change Order Progress Estimate Change Order Number 1 2 ADDITIONS Contractor's Application IFor (contmcl): 104179 2023 Concrete Restoration 2 City Secretary: 58704 Appheapon Nnmber: 11-FINAL Contract Num IApphcmon Period. 1/1/2024-1/30/2024 Apphcanon Date: 1/30/2024 A B C D E F Item Balance to Finish Addition Change Estimated Quantity Previously Value This Materials Presently Total Completed % B ( P) Change Order Item Desch lion p Spem1—on Una of CO Quantity to Add Unit Rice Order Value InsW led Value Installed Value Period Stored (not in C) and Stored to Date (P) No. Swim No. Measure (DIE) B I 31 3217 0501 Famish/h ata1124" Pref ed The a -lactic Contrast LF 180.00000000 $22.00 $3.960.00 I 32 3213.0501 Remove and Replace bamer Free Ramp. Tvee M-3 EA 1.00000000 $3000.00 $3000.00 I 33 Rml—one. of IiAererouod Enclo ure of T affic Sienel Assembh LS 1 00000000 $1.770.00 $1.770.00 Addine 35 it — Totals $8,730.00 279.00000000 $6138.00 $6,13800 1.00000000 $3,000.00 $3,000.00 100000000 $1770.00 $1,77000 S10,908.00 $10.908.00 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 $6.138.00 155 0% 42,178, $3.000.00 100.0% I $1.770.00 1000% I I I I I I I I I I I I I I I I I I I I I I I I I � � � � � � � � � � $10.908.00 1249% I I I I I I I I I I I I I I I I I I I I I I I I -$2,178.001 C-620 Change Order Progress Estimate Change Order Number 1 2 1 Contractor's Application DELETIONS For greamac0: 104179 2023 Concrete Restoration 2 Apphcatmn N—bec 11-FINAL Application Period: I/1/2024-1/30/2024 Applicatmn Date: 1/30/2024 A B C D E F Item CO Quantity to Deletion Change Change Order Item Desorption Specification Specification Unit of Delete Unit Price Order Value Not Used Net Used Not Used Net Used Not Used Not Used Not Used Not Used No. 18 3217.0001 4" Double Solid Thermoplastic, (HAS) Center Lane Line Section No. Measure LF 213.00000000 $10.0d $2,130.0d 20'217.0501 24" SLD Pvmt marking HAE LF 200.00000000 $18.00 $3,600.00 24 �213.0501 Remove and Replace Barter Free Ramp, Type R-1 EA 1.00000000 $3,000.00 $3,000.00 Totals S8.730.00 This document has been modified from its original form as an EJCDC document and the user did not highlight the modifications Yon are encouraged to read the document carefully and consult Legal Counsel prior to its execution C-620 Change Order Progress Estimate Change Order Number 1 3 Contractor's Application ADDITIONS IFar (contrect): 104179 2023 Concrete Restoration 2 City Secretary 55704 Application Number: 11-FINAL Contract Num: Appheation P-od: 1/1/2024-1/30/2024 Application Data 1/30/2024 A B C D E F Item Balance to Finish Addition estimated Quantity Previously Value This Materials Presently Total Completed % (B - F) Change Order Item Descn tlon Specification Unit of CO Quantity to Add Unit Price Change Order Installed Valuo Installed Value Period Stored (mt in C) and Stored to Date (F) No. P SwimNo. Measure Valne (D+E) B Totals 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 Comsel prior to its .....firm C-620 Change Order Progress Estimate Change Order Number 1 3 Contractor's Application DELETIONS For (commc0: 104179 2023 Concrete Restoration 2 Application Number 11-FINAL Application Period: I/1/2024-1/30/2024 Application Date: 1/30/2024 A B C D E F Item I CO to Deter - Change Order Item Deletety Description Specification Unit of Unit Price Change Order Not Used Not Used Not Used Not Used Not Used Not Used Not Used Not Used No. Section No. Measure Value Totals 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 C-620 Change Order Progress Estimate Change Order Number 1 4 Contractor's Application ADDITIONS IFm (tramact): 104179 2023 Concrete Restoration 2 City Secretary 55704 Application Number: 11-FINAL Contract Num: Application Period: 1/1/2024-1/30/2024 Application Dale: 1/30/2024 A B C D E F Item Balance to Finish Addition EstimatedQuantity Previously Valueod Materials Presently Total Completed (g_p) Change Order Item Specification Unit of CO Quantity to Add �Gf1pt1O° Unit Pnce Change Order installed nsta Value installed Value Period Stored (not m C) and Stored to Date (F) No Section No Measure Value (D I E) B Totals 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 C-620 Change Order Progress Estimate Change Order Number 1 4 Contractor's Application DELETIONS For (commc0: 104179 2023 Concrete Restoration 2 Application Number 11-FINAL Application Period: I/1/2024-1/30/2024 Application Date: 1/30/2024 A B C D E F Item I CO to Deter - Change Order Item Deletety Description Specification Unit of Unit Price Change Order Not Used Not Used Not Used Not Used Not Used Not Used Not Used Not Used No. Section No. Measure Value Totals 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 C-620 Change Order Progress Estimate Change Order Number 1 5 Contractor's Application ADDITIONS IFm (tramact): 104179 2023 Concrete Restoration 2 City Secretary 55704 Application Number: I l-FINAL Contract Num: Application Period: I/I/2024-I/30/2024 Application Dale: 1/30/2024 A B C D E F Item Balance to Finish Addition EstimatedQuantity Previously Value This Materials Pre sently Total Completed (g_p) Change Order Item Specification Unit of CO Quantity to Add �Gf1pt1O° Unit Pnce Change Order Installed nsta Value Installed Value Period Stored (not m C) and Stored to Date (F) No Sodium No Measure Value (D I E) B Totals 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 C-620 Change Order Progress Estimate Change Order Number 1 5 Contractor's Application DELETIONS For (commc0: 104179 2023 Concrete Restoration 2 Application Number 11-FINAL Application Period: I/1/2024-1/30/2024 Application Date: 1/30/2024 A B C D E F Item I CO to Deletion Change Order Item Deletety Desm 0° Specification Unit of � Unit Price Change Order Not Used Not Used Not Used Not Used Not Used Not Used Not Used Not Used No. Section No. Measure Value Totals 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 C-620 Change Order Progress Estimate Change Order Number 1 6 Contractor's Application ADDITIONS IFar (contrect): 104179 2023 Concrete Restoration 2 City Secretary 55704 Application Number: 11-FINAL Contract Num: Appheation P-od: 1/1/2024-1/30/2024 Application Data 1/30/2024 A B C D E F Item Balance to Finish Addition estimated Quantity Previously Value This Materials Presently Total Completed % (B - F) Change Order Item Descn tlon Specification Unit of CO Quantity to Add Unit Price Change Order Installed Value Installed Value Period Stored (mt in C) and Stored to Date (F) No. P Swim No. Measure Valne (D+B) B Totals 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 Comsel prior to its .....firm C-620 Change Order Progress Estimate Change Order Number 1 6 Contractor's Application DELETIONS For (commc0: 104179 2023 Concrete Restoration 2 Application Number 11-FINAL Application Period: I/1/2024-1/30/2024 Application Date: 1/30/2024 A B C D E F Item I CO to Deter - Change Order Item Deletety Description Specification Unit of Unit Price Change Order Not Used Not Used Not Used Not Used Not Used Not Used Not Used Not Used No. Section No. Measure Value Totals 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 C-620 Change Order Progress Estimate Change Order Number 1 7 Contractor's Application ADDITIONS IFar (contrect): 104179 2023 Concrete Restoration 2 City Secretary 55704 Application Number: 11-FINAL Contract Num: Appheation P-od: 1/1/2024-1/30/2024 Application Data 1/30/2024 A B C D E F Item Balance to Finish Addition estimated Quantity Previously Value This Materials Presently Tots] Completed % B _ ( F) Change Or d« Item No. Spemfic N.. Una of CO Quandry to Add Desmptton Seaton No. Measure unit Price change order Valve Installed valve Installed Valve Period Stored (not in C) and Stored to Date (F) (p+B) B Totals 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 .....firm C-620 Change Order Progress Estimate Change Order Number 1 7 Contractor's Application DELETIONS For (commc0: 104179 2023 Concrete Restoration 2 Application Number 11-FINAL Application Period: I/1/2024-1/30/2024 Application Date: 1/30/2024 A B C D E F Item I CO to Deter - Change Order Item Deletety Description Specification Unit of Unit Price Change Order Not Used Not Used Not Used Not Used Not Used Not Used Not Used Not Used No. Section No. Measure Value Totals 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 C-620 Change Order Progress Estimate Change Order Number 1 8 Contractor's Application ADDITIONS IFm (tramact): 104179 2023 Concrete Restoration 2 City Secretary 55704 Application Number: 11-FINAL Contract Num: Application Period: 1/1/2024-1/30/2024 Application Dale: 1/30/2024 A B C D E F Item Balance to Finish Addition EstimatedQuantity Previously Valueod Materials Presently Total Completed (g_p) Change Order Item Specification Unit of CO Quantity to Add �Gf1pt1O° Unit Pnce Change Order installed nsta Value installed Value Period Stored (not m C) and Stored to Date (F) No Section No Measure Value (D I E) B Totals 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 C-620 Change Order Progress Estimate Change Order Number 1 8 Contractor's Application DELETIONS For (commc0: 104179 2023 Concrete Restoration 2 Application Number 11-FINAL Application Period: I/1/2024-1/30/2024 Application Date: 1/30/2024 A B C D E F Item I CO to Deter - Change Order Item Deletety Description Specification Unit of Unit Price Change Order Not Used Not Used Not Used Not Used Not Used Not Used Not Used Not Used No. Section No. Measure Value Totals 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 City of Fort Worth Summary of Charqes City secretary Contract Num: 58704 I 2023 Concrete Restoration 2 I P. 0.: FW020-009160 Number: pl Application Period: 1/1/2024-1/30/2024 I Apumbr: I 11-FINAL Funding Identification (FID) Total Completed Amt Remaining Gross Original Contract 130100-0200431-5740010-104179-E03380-9999 to 10 10 10 10 10 10 10 10 10 I I Change Order 1 130100-0200431-5740010-104179-E03380-9999 10 10 10 10 10 10 10 10 10 10 I I Change Order 2 130100-0200431-5740010-104179-E03380-9999 10 10 10 10 10 10 10 10 10 10 I $749,672.23 $456,425.06 $10,908.00 $699,777.77 ($271,675.06) ($10,908.00) Project Number: 104179 Application Date: 1/30/2024 Retainage Net City Secretary Contract Num: 58704 Application Period: Funding Identification (FID) I Change Order 3 I30100-0200431-5740010-104179-E03380-9999 Io to Io to Io to Io to Io 10 I I Change Order 4 I30100-0200431-5740010-104179-E03380-9999 Io 10 Io 10 Io 10 Io 10 Io 10 I I Change Order 5 I30100-0200431-5740010-104179-E03380-9999 Io 10 Io 10 Io 10 Io 10 Io 10 I City of Fort Worth Summary of Charqes 2023 Concrete Restoration 2 I P. 0.: FW020-009160 Number: pl 1/1/2024-1/30/2024 I Apumb r: I 11-FINAL Total Completed Amt Remaining Gross $0.0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 r $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Project Number: 104179 Application Date: 1/30/2024 Retainage Net City Secretary Contract Num: 58704 Application Period: Funding Identification (FID) I Change Order 6 I30100-0200431-5740010-104179-E03380-9999 Io to Io to Io to Io to Io 10 I I Change Order 7 I30100-0200431-5740010-104179-E03380-9999 Io 10 Io 10 Io 10 Io 10 Io 10 I I Change Order 8 I30100-0200431-5740010-104179-E03380-9999 Io 10 Io 10 Io 10 Io 10 Io 10 I City of Fort Worth Summary of Charqes 2023 Concrete Restoration 2 I P. 0.: FW020-009160 Number: pl 1/1/2024-1/30/2024 I Apumb r: I 11-FINAL Total Completed Amt Remaining Gross $0.0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 r $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Project Number: 104179 Application Date: 1/30/2024 Retainage Net City of Fort Worth Summary of Charges City Secretary ContractNum: 58704 2023 Concrete Restoration 2 �p. o.: FW020-009160 Project Number: 104179 Application Period: 1/1/2024-1/30/2024 Application 11-FINAL Application Date: 1/30/2024 Number: Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net Totals 30100-0200431-5740010-104179-E03380-9999 $1,217,005.29 $417,194.71 0 0 0 0 0 0 0 0 0 0 Grand Total $1,217,005.29 $417,194.71 $0.00 1 ($60,850.26)1 1 $60,850.26 FORTWORTH Routing and Transmittal Slip Transportation and Public Works Department DOCUMENT TITLE: 2023 CONCRETE RESTORATION CONTRACT 2 M&C; 23-0588 CPN; 104179 CSO # 58704 DOC# 1 Date: To: Name Department Initials Date Out 1 Ann Estes BSP 7#- Jun 29, 2023 2 Magsood Khan Vendor k Jun 29, 2023 3 Travis Strang TPW � r5 . Jul 5, 2023 4 Iretomiwa Otuyelu TPW 4-5. Jun 29, 2023 5 Omar Elbagalati TPW ilk- Jul 5, 2023 6 Mary Hanna TPW m/r Jul 6, 2023 6 Patricia Wadsack TPW 1_w Jul 6, 2023 7 Lauren Prieur TPW Jul 7, 2023 7 Doug Black Legal Jul 7, 2023 8 William Johnson CMO Jul 10, 2023 9 Janette Goodall CSO ?- Jul 13, 2023 10 TPW Contracts TPW CC: Program Manager, Sr. CPO, TPW BSAP Recon Team, TPW Records Room, TPW Contracts -Bus Sppt: Ann Estes; -Prg Mgr• Omar Elbazalati; -Sr. CPO: Mary Hanna. DOCUMENTS FOR CITY MANAGER'S SIGNTURE: 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 X No RUSH: ❑ Yes X No SAME DAY: ❑ Yes X No NEXT DAY: ❑ Yes X No ROUTING TO CSO: ❑ Yes ❑ No Action Reauired: ❑ As Requested ❑ Attach Signature, Initial and Notary Tabs ❑ For Your Information X Signature/Routing and or Recording ❑ Comment ❑ File Return to: Please notify TPWContracts(a),fortworthtexas.gov for pickup when complete. Call ext. 7233 or ext. 8363. Thank you! CSC No. 58704-COI FURT 1�4'O RTH City of Fort Worth Change Order Request Project Name 2023 Concrete Restoration Contract 2 I City Sec # l 58704 Client Project #(s)l 104179 Project Repair and replacement of select concrete pavement panels on Meadowbrook Dr. Description Contractorl Makou Inc. Change Order#1 1 1 Date 6/29/2023 City Project Mgr.l Iretomiwa Otuyelu City Inspectorl Travis Strang Dept. TPW Contract Time Totals (CD) Original Contract Amount $1,449,450.00 $1,449,450.00 180 Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $1,449,450.00 $1,449,450.00 180 Amount of Proposed Change Order $184,750.00 $184,750.00 Revised Contract Amount $1,634,200.00 $1,634,200.00 180 Original Funds Available for Change Orders $200,000.00 $200,000.00 Remaining Funds Available for this CO $200,000.00 $200,000.00 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 12.75% MAXALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST + 25%) $1,811,812.50 JUSTIFICATION (REASONS) FOR CHANGE ORDER This Change Order is to increase the contract amount in Construction Contract 58704. During construction on Meadowbrook drive, it was discovered that the pavement thickness ranges from 8.5 inches to 11 inches, while the contract specifies 7 inches. Staff negotiated an average of 10" with the contractor. Staff proposes to add 5300 SY of 10 inches concrete pavement (line item 29), and delete 4500 SY of 7 inches concrete pavement (line item 4). The concrete pavement transitions to asphalt pavement at varius sections on Meadowbrook Dr., the addition of HMAC Transition wil allow staff to repair asphalt pavement, beyond the subsidiary 9 inches asphalt transition. 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. OWContractor's Company Name ir Contractor Name Contract Signature Date Makou Inc. Macsood Khan q d-„ ,g,,�,,,,, p, Jun 29, 2023 TMector/InspM ass o Date Jul 5, 2023 Project and Contract Compliance Manager Date Jun 29, 2023 Program Date Senior Capital Project Officer Date Jul 5, 2023 Jul 6, 2023 Assistant Director (Dept) Date Director, Contracting Department (Dept) Date PafriciaL waAsacK Jul 6, 2023 Jul 7,2023 Assistant City Attorney Date Assistant City Manager Date 9B t Jul 7, 2023 Jul 10, 2023 Council Action if required M&C Number l 23-0588 M&C Date Approved l 6/27/2023 ATTEST: q- A ..&-- Jannette Goodall, City Secretary TOM 4 W4014.1.31 City of Fort Worth Change Order Additions Project Name 1 2023 Concrete Restoration Contract 2 City Sec # 58704 Client Project# 1 104179 1 Conlractorl Makou Inc. I PMI Iretomiwa Otuyelu I Inspectorl Travis Strang l Change Order Submittal # 0 Date j 6/29/2023 ADDITIONS IIEM UESCHIPIION ULPI Uty Unit Unit Cost total 29 3213.020S Remove and Replace 10" Conc Pvmt HFS I PW S,JUU.000UUUUU 5y $119.UU $53U,/00.001 30 3212.0401 HMAC Transition TPW 30.00000000 TN $135.00 $4,050.001 TPW $634,750.001 1 1 1 Sub Total Additions $634,750.001 Change Order Additions Page 2 of 4 Krwuet"rl City of Fort Worth Change Order Deletions Project Name 1 2023 Concrete Restoration Contract 2 1 City Sec # 1 58704 1 Client Project # 1 104179 1 Contractorl Makou Inc. PMI Iretomiwa Oluyelu I Inspectorl Travis Strang Change Order Submittal # Date 1 6/29/2023 1 DELETIONS 11 tM UtSl:Kll I IUN ULV 1 4 9yyy.000U Kemove and Keplace /" Uoncrele Pavement HL6 I Vvv Unit Unit cost total 4,bUU. UUUUUUU JY y1UU.UU $45U,000.UU1 I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I I I I I I I I I 1 1 1 1 1 1 1 I I 1 1 I I 1 1 I I I I I I 1 1 I I I I 1 1 1 1 1 I I TPW $450,000.001 I I Sub Total Deletions $450,000.001 Change Order Deletions Page 3 of 4 MISBE for this Change Order M/SBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders co# DATE I AMOUNT Total I $0.00 I City of Fort Worth, Texas Mayor and Council Communication DATE: 06/27/23 M&C FILE NUMBER: M&C 23-0588 LOG NAME: 202023 CONCRETE RESTORATION CONTRACT 2 CHANGE ORDER 1 SUBJECT (CD 11) Authorize Execution of Change Order Number 1 in the Amount of $184,750.00 to a Construction Contract with Makou Inc. for the 2023 Concrete Restoration Contract 2 Project for a Revised Contract Amount of $1,634,200.00 G7 X0101 di I Lyi l=1 0 U7_1111I:el Z A It is recommended that the City Council authorize the execution of Change Order Number 1 to a construction contract with Makou Inc. (City Secretary Contract Number 58704) in the amount of $184,750.00 for the 2023 Concrete Restoration Contract 2 project at various locations on Meadowbrook Drive for a revised contract amount of $1,634,200.00 (City Project No. 104179). DISCUSSION: On November 29, 2022, via Mayor & Council Communication (M&C) 22-0983, the City Council authorized execution of a contract with Makou Inc., in the amount of $1,449,450.00 for 2023 Concrete Restoration Contract 2 at various locations on Meadowbrook Drive. Change Order Number 1 will provide for an additional 5300 square yards of 10 inch thickness concrete pavement to the contract and deletion of 4500 square yards of 7 inch thickness concrete pavement from the contract. During construction on Meadowbrook Drive, it was discovered that the pavement thickness ranges from 8.5 inches to 11 inches, while the contract specifies replacement to 7 inches of concrete. Staff negotiated an average of 10 inches of concrete pavement with the contractor. The concrete pavement transitions to asphalt pavement at various sections on Meadowbrook Drive. Staff recommends the addition of Hot Mix Asphalt Concrete (HMAC) transitions which will allow staff to repair asphalt pavement beyond the subsidiary 9 inches of asphalt transition. Staff has reviewed and verified the quantities for the additional work under this change order. The following table summarizes previous contract action and change orders: Construction Contract Date Amount Original Contract Amount (M&C 22-0983) 11/29/2022 $1,449,450.00 Change Order No. 1 IThis M&C 1 $184,750.00 Revised Contract Amountll - I $1,634,200.00 This change order will have no impact on the Transportation and Public Works Department's annual operating budget. Funding is budgeted the Transportation and Public Works Department's General Capital Projects Fund for the purpose of funding the 2023 Concrete Restoration Contract 2 project, as appropriated. M/WBE OFFICE — Makou Inc. agrees to maintain its initial M/WBE commitment of 100% that it made on the original contract and extend and maintain that same M/WBE commitment of 100% to this first change order. Therefore Makou Inc. remains in compliance with the City's M/WBE Ordinance and attests to its commitment by its signature on the Acceptance of Previous M/WBE Commitment form executed by an authorized representative of its company. FISCAL INFORMATION / CERTIFICATION: The Director of Finance certifies that funds are available in the current capital budget, as previously appropriated, in the General Capital Projects Fund for the 2023 Concrete Restoration 2 project to support the approval of the above recommendation and execution of the change order. Prior to any expenditure being incurred, the Transportation & Public Works Department has the responsibility to validate the availability of funds. Submitted for Citv Manaaer's Office bv: William Johnson 5806 Oriainatina Business Unit Head: Lauren Prieur 6035 Additional Information Contact: Monty Hall 8662 104179-CNCO-2023 Concrete Restoration Contract 2 Interim Agreement Report 2023-07-13 Created: 2023-06-29 By: Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) Status: Out for Signature Transaction ID: CBJCHBCAABAA7raokGrnOSOo8o-ag2zOtgUO8cPVB441 Agreement History Agreement history is the list of the events that have impacted the status of the agreement prior to the final signature. A final audit report will be generated when the agreement is complete. "104179-CNCO-2023 Concrete Restoration Contract 2" History Document created by Andrea Munoz (Andrea. M u noz@fortworthtexas.gov) 2023-06-29 - 6:22:11 PM GMT- IP address: 204.10.90.100 Document emailed to ann.estes@fortworthtexas.gov for filling 2023-06-29 - 6:39:57 PM GMT Document emailed to makouinc@gmail.com for signature 2023-06-29 - 6:39:57 PM GMT Document emailed to travis.strang@fortworthtexas.gov for signature 2023-06-29 - 6:39:58 PM GMT Document emailed to Iretomiwa.Otuyelu@fortworthtexas.gov for signature 2023-06-29 - 6:39:58 PM GMT Email viewed by makouinc@gmail.com 2023-06-29 - 6:40:02 PM GMT- IP address: 66.249.80.234 Email viewed by travis.strang@fortworthtexas.gov 2023-06-29 - 6:40:13 PM GMT- IP address: 166.205.54.26 Email viewed by Iretomiwa.Otuyelu@fortworthtexas.gov 2023-06-29 - 6:40:14 PM GMT- IP address: 138.229.172.23 Signer makouinc@gmail.com entered name at signing as maqsood khan 2023-06-29 - 6:41:37 PM GMT- IP address: 68.206.95.156 FDRTWORTHs I Paw m"Y Adobe Acrobat Sign Document e-signed by maqsood khan (makouinc@gmail.com) Signature Date: 2023-06-29 - 6:41:39 PM GMT - Time Source: server- IP address: 68.206.95.156 &o Signer Iretomiwa.Otuyelu@fortworthtexas.gov entered name at signing as Iretomiwa Otuyelu 2023-06-29 - 6:42:44 PM GMT- IP address: 138.229.172.23 Document e-signed by Iretomiwa Otuyelu (Iretomiwa.Otuyelu@fortworthtexas.gov) Signature Date: 2023-06-29 - 6:42:46 PM GMT - Time Source: server- IP address: 138.229.172.23 Email viewed by ann.estes@fortworthtexas.gov 2023-06-29 - 6:45:02 PM GMT- IP address: 204.10.90.100 Signer ann.estes@fortworthtexas.gov entered name at signing as Ann Estes 2023-06-29 - 6:47:58 PM GMT- IP address: 204.10.90.100 Form filled by Ann Estes (ann.estes@fortworthtexas.gov) Form filling Date: 2023-06-29 - 6:48:00 PM GMT - Time Source: server- IP address: 204.10.90.100 Email viewed by travis.strang@fortworthtexas.gov 2023-07-05 - 1:54:53 PM GMT- IP address: 166.205.54.12 AQ Signer travis.strang@fortworthtexas.gov entered name at signing as Travis Strang 2023-07-05 - 1:56:22 PM GMT- IP address: 107.77.196.55 Jc Document e-signed by Travis Strang (travis.strang@fortworthtexas.gov) Signature Date: 2023-07-05 - 1:56:24 PM GMT - Time Source: server- IP address: 107.77.196.55 Document emailed to omar.elbagalati@fortworthtexas.gov for signature 2023-07-05 - 1:56:26 PM GMT Email viewed by omar.elbagalati@fortworthtexas.gov 2023-07-05 - 2:11:54 PM GMT- IP address: 172.59.233.117 Signer omar.elbagalati@fortworthtexas.gov entered name at signing as Omar Elbagalati 2023-07-05 - 2:22:09 PM GMT- IP address: 172.59.233.117 Document e-signed by Omar Elbagalati (omar.elbagalati@fortworthtexas.gov) Signature Date: 2023-07-05 - 2:22:11 PM GMT - Time Source: server- IP address: 172.59.233.117 Document emailed to Mary.Hanna@fortworthtexas.gov for signature 2023-07-05 - 2:22:13 PM GMT Email viewed by Mary.Hanna@fortworthtexas.gov 2023-07-06 - 4:20:55 PM GMT- IP address: 204.10.90.100 Signer Mary.Hanna@fortworthtexas.gov entered name at signing as Mary Hanna 2023-07-06 - 4:23:52 PM GMT- IP address: 204.10.90.100 FoRTWORTHs I Paw m"Y Adobe Acrobat Sign Document e-signed by Mary Hanna (Mary.Hanna@fortworthtexas.gov) Signature Date: 2023-07-06 - 4:23:54 PM GMT -Time Source: server- IP address: 204.10.90.100 Document emailed to patricia.wadsack@fortworthtexas.gov for signature 2023-07-06 - 4:23:56 PM GMT Email viewed by patricia.wadsack@fortworthtexas.gov 2023-07-06 - 9:53:01 PM GMT- IP address: 204.10.90.100 Signer patricia.wadsack@fortworthtexas.gov entered name at signing as Patricia L. Wadsack 2023-07-06 - 9:54:44 PM GMT- IP address: 204.10.90.100 Document e-signed by Patricia L. Wadsack (patricia.wadsack@fortworthtexas.gov) Signature Date: 2023-07-06 - 9:54:46 PM GMT - Time Source: server- IP address: 204.10.90.100 Document emailed to Lauren.Prieur@fortworthtexas.gov for signature 2023-07-06 - 9:54:48 PM GMT Email viewed by Lauren.Prieur@fortworthtexas.gov 2023-07-07 - 3:14:45 PM GMT- IP address: 108.209.194.42 AQ Signer Lauren.Prieur@fortworthtexas.gov entered name at signing as Lauren Prieur 2023-07-07 - 3:15:14 PM GMT- IP address: 108.209.194.42 Jo' Document e-signed by Lauren Prieur (Lauren.Prieur@fortworthtexas.gov) Signature Date: 2023-07-07 - 3:15:16 PM GMT - Time Source: server- IP address: 108.209.194.42 Document emailed to Priscilla.Ramirez@fortworthtexas.gov for approval 2023-07-07 - 3:15:18 PM GMT Email viewed by Priscilla.Ramirez@fortworthtexas.gov 2023-07-07 - 3:29:29 PM GMT- IP address: 174.207.105.142 Signer Priscilla.Ramirez@fortworthtexas.gov entered name at signing as Priscilla Ramirez 2023-07-07 - 3:29:44 PM GMT- IP address: 174.207.105.142 Document approved by Priscilla Ramirez (Priscilla.Ramirez@fortworthtexas.gov) Approval Date: 2023-07-07 - 3:29:46 PM GMT - Time Source: server- IP address: 174.207.105.142 Document emailed to Douglas.Black@fortworthtexas.gov for signature 2023-07-07 - 3:29:48 PM GMT Email viewed by Douglas.Black@fortworthtexas.gov 2023-07-07 - 9:55:23 PM GMT- IP address: 204.10.90.100 Cio Signer Douglas.Black@fortworthtexas.gov entered name at signing as DBlack 2023-07-07 - 9:56:20 PM GMT- IP address: 204.10.90.100 FDRTWORTHs I P°'"Y Adobe Acrobat Sign Document e-signed by DBlack (Douglas.Black@fortworthtexas.gov) Signature Date: 2023-07-07 - 9:56:22 PM GMT -Time Source: server- IP address: 204.10.90.100 Document emailed to William.Johnson@fortworthtexas.gov for signature 2023-07-07 - 9:56:23 PM GMT Email viewed by William.Johnson@fortworthtexas.gov 2023-07-10 - 7:53:49 PM GMT- IP address: 204.10.90.100 Signer William.Johnson@fortworthtexas.gov entered name at signing as William Johnson 2023-07-10 - 7:54:12 PM GMT- IP address: 204.10.90.100 Document e-signed by William Johnson (William.Johnson@fortworthtexas.gov) Signature Date: 2023-07-10 - 7:54:14 PM GMT - Time Source: server- IP address: 204.10.90.100 FDRTWORTHs I P°`4'y Adobe Acrobat Sign FORTWORTH Routing and Transmittal Slip Transportation and Public Works Department DOCUMENT TITLE: 2023 CONCRETE RESTORATION CONTRACT 2 M&C; 23-0588 CPN. 104179 CSO # 58704 DOC# 2 Date: To: Name Department Initials Date Out 1 Ann Estes BSP 11�< Oct 6, 2023 2 Magsood Khan Vendor kWk Oct 5, 2023 3 Travis Strang TPW Oct 9, 2023 4 Iretomiwa Otuyelu TPW Oct 5, 2023 5 Omar Elbagalati TPW- Oct 9, 2023 6 Mary Hannah TPW Oct 9, 2023 6 Patricia Wadsack TPW PI-W Oct 10 2023 7 Lauren Prieur TPW 2 Oct 10, 2023 7 Doug Black Legal ,�� Oct 11, 2023 8 William Johnson CMO Oct 15, 2023 9 Jannette Goodall CSO Z154 Oct 16, 2023 10 TPW Contracts TPW CC: Program Manager, Sr. CPO, TPW BSAP Recon Team, TPW Records Room, TPW Contracts -Bus Sppt: -Prg Mgr: -Sr. CPO: DOCUMENTS FOR CITY MANAGER'S SIGNTURE: 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 X No RUSH: ❑ Yes X No SAME DAY: ❑ Yes X No NEXT DAY: ❑ Yes X No ROUTING TO CSO: ❑ Yes ❑ No Action Reauired: ❑ As Requested ❑ For Your Information X Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return to: Please notify TPWContractsra),fortworthtexas.uov for pickup when complete. Call ext. 7233 or ext. 8363. Thankyou! CSC No. 58704-CO2 Fom- oR'rl-l= City of Fort Worth Change Order Request Project Name 2023 Concrete Restoration Contract 2 I City Sec # l 58704 Client Project #(s)l 104179 Project Description) Repair and replacement of select concrete pavement panels on Meadowbrook Dr. Contractorl Makou Inc. Change Order#1 2 1 Datel 9/25/2023 l City Project Mgr.l Iretomiwa Otuyelu City Inspectorl Travis Strang Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date Amount of Proposed Change Order Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) TPW $1,449,450.00 $184,750.00 Contract Time Totals (CD� $1,449,450.00 80 $184,750.00 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1 12.75% MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $1,811,812.50 JUSTIFICATION (REASONS) FOR CHANGE ORDER This change order is to add new bid items identified by staff, which require an additional scope after substantial completion of work. The new items are: (1) Crosswalk pavement markings to include the black contrast markings. (2) ADA ramp type M-3 at the intersection of Meadowbrook & Stark due to the location of the bus shelter directly across the ADA Ramp. (3) Replacement of underground enclosure of the traffic signal assembly. This change order will also add 35 calendar days to contract days due to these delays: (1) Delays due to scheduling conflict (15 days): The Contractor sent the notice of substantial completion on 08/2512023, but due to scheduling conflicts, the pre -final inspection was not scheduled until 09/07/2023. (2) Additional scope (21 days): the additional scope that was added after substantial completion, which included the installation of two R-1 Ramps, one M-3 Ramp, the revised crosswalk pavement markings, and a driveway removal and replacement at 5160 Meadowbrook Dr. This delay includes the time it took to make the decisions (which was ongoing till 09/13/2023) and the time to execute this change order. 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 Fontractor Name 1111W jr Contract Si nature Date Makou Inc Maqsood Khan t oodz Oct 5, 2023 Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date a - Oct 9, 2023 Oct 5, 2023 Program Manager Date Senior Capital Project Officer Date r— Oct 9, 2023 Oct 9, 2023 Assistant Director (Dept) Date Director, Contracting Department Dept Date v Oct 10, 2023 XR� Oct 10, 2023 sistant City Attorney Date lAssistant City Manager Date Oct 11, 2023 w Oct 15, 2023 Council Action if required) M&C Number l I M&C Date Approved l ATTEST: Jannette Goodall, City Secretary Kr'ile' �r City of Fort Worth Change Order Additions Project Name 1 2023 Concrete Restoration Contract 2 City Sec # 58704 Client Project# 1 104179 1 Contractorl Makou Inc. I PMI Iretomiwa Otuyelu I Inspectorl Travis Strang Change Order Submittal # 0 Date j 9/25/2023 ADDITIONS I I EM UESCRIP I ION UEP I Oty Unit Unit Cost I otal 31 3211.001 Furnish/Install 24" Preformed I hermoplasbc Contrast I PW 18U.000UUUUU LF $22.UU $3,98U.UUl 32 3213.0501 Remove and Replace barrier Free Ramp, Type M-3 TPW 1.0000000U EA $3,000.UU $3,000.001 33 Replacement of Underground Enclosure of Traffic Signal Assembly TPW 1.00000000 LS $1,770.00 $1.770.001 TPW $8.730.001 1 1 1 Sub Total Additions $8,730.00 1 Change Order Additions Page 2 of 4 Krwuel"rl City of Fort Worth Change Order Deletions Project Name 1 2023 Concrete Restoration Contract 2 1 City Sec # 1 58704 1 Client Project # 1 104179 1 Contractorl Makou Inc. PMI Iretomiwa Oluyelu I Inspectorl Travis Strang Change Order Submittal # Date 1 9/25/2023 1 DELETIONS 11 LM UL6UKll I IUN UtV I 18 321 /.0007 4' Uouble 6010 1 hermoplastic (KAJ) Center Lane Line I Vvv 2u M t.USU1 24" SLU Pvmt marlang HAt I PNl 24 3213.0501 Remove and Replace Barrier Free Ramp, Type R-1 TPW Unit unit cost total I 213. UUUUUUU LF $1U.UU $2,'13U.UU1 200.0001JUUUU LF $18.0u $3,Uuu.UU1 1.00000000 EA $3,000.OU $3,000.001 TPW $8,730.001 1 1 Sub Total Deletions $8,730.001 Change Order Deletions Page 3 of 4 MISBE for this Change Order M/SBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders co# DATE I AMOUNT 6/29/2023 $184, 750.00 Total I $184,750.00 FORT WORTHe ald TRANSPORTATION AND PUBLIC WORKS February 7, 2024 Makou, Inc 7100 S Cooper st Suite #15 Arlington TX 76001 RE: Acceptance Letter Project Name: 2023 Concreate Restoration Contract 2 Project Type: Paving City Project No.: 104179 To Whom It May Concern: On December 1, 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 December 18, 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 December 19, 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 Otuyelu, Iretomiwa S (817)392-7372. Sincerely, Iretomiwa Ctuyelu (Feb 29, 202413:48 CST) Otuyelu, Iretomiwa S, Project Manager Cc: Travis Strang, Inspector Don Watson, Inspection Supervisor Aaron Ybarra, Senior Inspector Omar Elbagalati , Program Manager Click here to enter text., Consultant Makou, Inc, Contractor Click here to enter text., Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 [;p;,,[p t+: 1024222 CONSENT OF SURETY TO FINAL PAYMENT Afro Document G707 �lnsiruction.5gn mvcrse side) TO VIX ER: !A'unir andwmGr.,sr City of Fud Worth 1000 Tl mokinortoil St. Fort Worth, TX 76102 PROJECT. f-vuRw ondAkrr—) 2023 Cancrelc restoration contract 2 0WNER ARCHITECT C� CONTRACTOR ❑ SURETY d OTHER 13 ARCIUTECrS PROJECT NO - CONTRACT FOR: CONTRACP DATED: In nccardamee with the provisions of the Comma beta rrn the Ovbmer and the Contractor as ind kited above, i4c - (Insert namr and address of Surety) Oklahoma $tu'etycompany 1437 SUltih Boulder, Suite 200 Tulsa, OK 741151 - SURETY, on bond of fjr,—rRa—d.&&—f{." rynyor� Makots, Irlc- 833 Simi ❑r Arlington, TX 76001 - hereby appruvtm of the final payment to the Contractor, and arcs that final payment to ibr ContractoT shall not relieve the surety of any of itsobhgalinm to frmj jl"e ao-d ad wimFf7n,rrN City of Fort Worth I OOD Throckmu ton St. Fart Worth, TX 76102 OWNER, as set forth in said surety's hand, IN W"ESS WHEREOF, the SUreiy has hcrcunta sot its hand o11 this date: Januaw 16. 2024 {h—Y k,• &ig Me on anrrr fodonwrd fntAe mi—fe abre rruoF-�z.vJ Oklahoma Surety Company fSPTh1 - {try raturr ofrr�orL�ref r prcrr�irari,r� Ancl; � -~ - X-5 (Seal): Angie s >7 _ -- Brent M. Blonigan, Attorney -in -fact fJ'rr,arr.! Rowe aniflrh'r} CAUTION; You should sign an original AIA document Unit has this cautlon printed to red. An' t + original assures that changes will not be obscured as may occorwhen documents are reproduced. See lnstructian Sheet for Limited Ucanso for Reproduction of this document. AIA DOCUMENT 1371?7 • CuNSENT UP 3UkETY TO FINAL PAYVEw7- 19M EVITION - AL-L P.S. 1 nr2 Iv7a-T}. xt.WrCA'v R%'STTTUTE OF ARCNITE.Cr3, i 735.1"M Vokle AVRA-F,Kw, Wr%511- MOTO'%. Q.C. 29066-5292-WARMIN13: Unti...—1 phol—p&g y1n14tes U.B. Copy- G747-1994 dphl 61w! end will suDjnot th* vlolalal tb repel praseGujion. INSTRUCTION SHEET FOR AIA DOCUMENT G707, CON OF SURETY TO FINAL PAYMENT A. GENERAL INFORMA71ON 7, Purpose 'this docunicrLt is in[ended Fur use as a cotttpanion to AIA Por;ument G706, Contrntot'g Affidavit of Payinerki ofDobts end Claims, on cumstruction projects where the Contractor 3s required tO furnish a bond. 8y ObtAjning the StLect} s approval of final paymem to the Conrraetnr and its agreement that final payment will not relieve the Surety of any of its obligations, the Owner may praxerve itS nghis under the bond. 2. Related Documents "Phis document may be w&cd with most of the AWs Owner.ContructoT agreenwje Wand general conditions, such as A201 a.7d its re liocd family of daCulne]]78. As noted abate, M Isis a compen.ion dW Urnent to AIA Does injetYt G706. 3. Use ofCurrenk Documents Prior to using Alley ALA document, the user should consult the AIA, un AIA component chapter or a current AIA Documents List to determine the currerlc edi7ion of each doeuiTkonL. 4. Limited license for Reproduction ALA Document G707 is a copyrighted work and may not be reproduced or excerpled from i n substitrttial Pais without the expross wPjtfeTt permission of III A.IA. The G107 document is inlended te. be used as A 4;Qr1S1LmabIc-tIjat is, the original dOCUITIent pLLr- chased by the user is iniendcd to be consumed in the ccmrsc of being aged. There is no hilplied permission to rgvrodttte this docitlne-nk. nur dues mmnbership in The Ameriran Institute of Architects confer any fUtiher rights to re prnduCe G 707. A catilionary notice is printed in red on the origina I of this document. This notice distitlgtLishes an original ATA document from copies end cougterreits. To ensure accuracy attd uniformity of Isnguagc. punhawra should use Only au original AIA document or one that huts been reproduced from nil original under a spec ial limiled license froFn the ALA. A I imiled liceme is heresy gvinted to retail pure hasers to reproduce a maximum of ten tupics of a campleted Ot executed G707, but only for use in Connection with a partictltar project. Further reprp$ucliOng are prohibiled without the expre" permission of the AIA_ B_ CHANGES FROM THE PREVIOUS EDITION chnuges in Lhc location ofvatioua items of infotnwvon were madq, without revision No the sukstanec of the document. C. COMPLETING THE G707 FORM GENERAL; The bund form is the usual gonrca of required information sucl4 qc the con1=1 date and the names Ind addresses of the SLIFety, iDWnor, ContTaCtGr and Project_ ARCELITECT'S PkOJECY No.: Ibis infonttation is lypivatly supplied by the Architect and entered on the form by the Contractor. CONTRACT FOR: This refers w the scope vfthe contract. Such as "General Construction" or "Mechanical. Work". D. EXECUTION OF THE DOCUMENT I"Ito 0707 fonn requires bnlls the Surety's sonl and the signature of the Surety's aurl,prtgd Toptrsentativc. 4194 INSTRUC HON SHEET FIDR AIA DOCI' wiENT CM ::CON3104T CW S RETYTo FTNAL PAYMEVF -.19N Page 2 Of 3 1:OITICIK.:AJA$K THE AMERICAN INSTITUTE OF ARCHITECT'S, L735 NER' YORK AVENUE, N..W., \YASHINGTON. Q.C. 2DO06-1292 G707- L?04 OKLAH MA SURETY COMPANY 1437 South Boulder, Suite 200, Tulsa, Oklaharnal 74119 - Ph: 91B-597-72211 ' Fax: 918-5$8.1236 POUTER OF ATTQRNr:Y 11NONALL MEN BV THESE PRESENTS: Tnaa Ir:a Gkrahama Surety Company. a ccra,r ;.or or3ar:iregand ams�ng �-ce• =-3 uy ,rir;,,e or the larr5 Of the Ssa-e of 106 . dcea hereby norrinate. cor,surule ara appertt 3.s persnr, c- _ =--sons M1amed below. earlh inJw v',tI more lean Orlt is named. its L+ue and lawful at crnef- r!-,2ri fwr , ara i. As narr.$ pace and Srea 7 c .USR Ln teh aK 4f L'te s24 GCr g-} t wety. an-y arr}all! bar4s. uldertakir Ua?-rd CBntraC tS -,f Sure4y cr OIhOr'r, ver owicia#,jnr �� -_ -r-s;; re 1r.erec:: Brent M alonigan P�..: F Carnpa Rob breifing. Debbie Palmer Kara Pierze all ofRICHARDSON TX. IN k3MIESS WHEREthe Oklaharrra Surety Company ra5 caused ah.ese PresertS ro Ce srgna,a and nested its applopfiars ifricars R410 its crrporB;o seal hPi-eur.I:r af='r<ed this 20 day of September 2021 :4= JSEAL ;t? ATTEST fr SharGn Hackl, Assistant Secretary OKLAHOMA SURETY COMPANY T.... Todd Baaata,Vlce Peesiderlt On Ibis 2f} dar of September, 2021 oefara ma persarlally 3t:Aeared Todd 6aiata to me known, Being duty iwom. deposes and sayg Iha! she resides In DrcAen Arrow--, Nlahglria, ihat she IS a YIC9 Presidani of Oklahoma Surety Cor parry the company dsscnbed In arid whio exgeuted the aln-we instrument that 9r'ha knows the seal of tnB s317 Gonkp5r%y that the seal affr2d to the Said instrunwj vs Bush corlmi-ate seal; that it was sa affirred by auirprity of herrhi9 OmFe under the Sy -Laws of s --e C.arap-apy and that sfhe Signed hps name theretu ty like aurhrlity N*[Zr ,"Ac Commission b 1 1008 53 STATE OF OKLAHOddh y Sara aI Oklahoma — -- JUVE CALLAHAN TUL&A CUUHrr F.i r C, Aii 3n Err;•rss COUNTY OP Ti,ILSS COW WON I-I30{7S] — �x CPU 2M Juhp Callahsr, Nr}tarr pul;lii Tni, P—mar al Attorney s gr8,+!ad by 3-1I000ty Qf 1116 i]If4rrr :, ur",rl 3:190+ 4: , Te 6oa'd f O,ra.^.t rs rl 0kI.1hOr'na Surety Company 6y Ln3ri-mi;US-A'rtter CCrsiiihi3fed Septerrhh•er 25 Zug PCSOLti,ED That this Pxes:drat thBE *cut`je V'C: PresiC6r•; I -- .. - -=x,d9rtt5 and- tr� re a-d rereby iS a. lheezed from tore to tlrrg to appitwl One w ----lore ' `sct : - =w,,te on Mlhalf of tt,, ens drld al brines undbmak•ngs and -❑ntraGt49f sclreryship, Mr other wrill1w: n; L TO C2i.7e 4herecf la prer--r1[� - and the rasprrcriva lirpils of Mew au!hnnty, and to reuGka any such appcmtm,�: _ an, ! :e RESOLkoED FURTHER That IM Cgrnpany seal' and the Sigivilur- : ! ,ny or the afaFeaa: OffiCr'r5 Fl . . �!KrVt-]ri 24 the CCr;pknV ma{ b•a arfrxed by facsimile to any por«er sf att F z : cerl-ricaie ``--i"er grtisn Irr _ .,... k.ri4q GTkirg Cunha[[jf svr"j.g1,rG. err other h,lteDobItgarK:n it me n3lure thereFi ::`h ei,•� : .. -.-,d gdNN1 near, s� t}y thi- 1*cm;>xny as !FA cr,ginal s gralure cf sur.h :r i ..,,, arcs rrF� ,r nor ggai nt r rre ;.3 ••.. f:..> >r•a elfact ds though r��nua�{i = - __.. ' CERTIFICATION I Sharon Hackl Assistant SeCretafy Uf Oklahoma Surety Comj,any d ing f r2g=i: F._titie' f z=, x -,2 a arl or of SLan!Bri,f L.. r'25 P -- _.. - r:. 71 LL-d :t v'hg off/ &Karon Hacki As;5i32an1 Secretary /kill\ MID-CONTINENT ONTINENT ROUP Surety Bond Seal Addendum Mid -Continent Gasualty I Wallow surety. Oklahoma Surety Company During the COVID-19 pandemic, the use of traditional raised corporate seals has been made impractical due to government stay-at-home Qfders and social distancing guidelines. As a resu It, Oklahoma Surety Company has authorized its Attorneys -in -Fact to affix Oklahoma Surety Company's corporate seal to any bond or related wstrurnents executed on behalf of Oklahoma Surety Company by any such Attorney -in -Fact by attaching this Addendum to said bond or related instrument. To the extent this Addendum Is attached to a bond or related instrument that is executed on behalf of Oklahoma Surety Company by its Attorney -in -Fact, Oklahoma Surety Company agrees that the seal below shall be deemed affixed to said bond or related instrument to the same extent as if its ra45ed corporate seal were physically affixed to the face of the bond or related instrument Dated this 1' day of April, 2020 t5'6- =L.•,.' :,.,fir' :_ LA�f j �l �ll•� iyx•r Todd 8aza'a VjC2 Presilenr MID- NTI_E,n1- CASUALTY COMPA-Ny OKLAHOMA SLI ETV CONIPANY STATE; OF TEXAS in ar-ccrdancc With 5eeiiut[ 2253.02r (1) of the Te.Nas CFOs=ment Code diid SeCL10t: 53.20 (6) of the Tex a, Pmpert% Code. any noticlam to the narrt4ci ;urc[} undGf tEtiis bu;3d(s) s}; juid be sett to: P f a. 90X, 11[)t3 F-4IMI FI 1l1,4.= %U,G]N5 "o11i I'h►sitial, 1-4;— S B01 I DFri SUITE 21-0 T[ 1 1 i W t o Y.(Ik$ 4 1 XV1 Ali -1 EIES NOTICE: TO YM_R BOND ITON ExF,cu CIDN OF `1-11F BOND AFFIDAVIT STATE OF TEXAS COUNTY OF TA.RRANT Before me, the undersigned authority, a notary public in the State and County aforesaid, on this day personally appeared Magsood Khan, Owner of MAKQU INC., known to me to be credible person, who being 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, for City of Fort Worth Conc. Rest. 2023-2 Project# 104179 That the wage scale established by the City Council in the City of Fort Worth has been paid in full. That there are no clairns pending for personal injury and /or property damages BY--------- -------------------_------------�--- MAQSDDD , PRICIPAL, MAKOU INC. SUBSCIBED & SWORN BY ME ON THIS DATE NOTARY PUBLIC TEXAS •`""Yr"''r CeSAR SAAVMRA Notary?ubho, State of Yaxas Cpmm- Exp,res 0E-20-Z027 f'�er";yti x� Notary ID 93205$262 MAKOU Inc, 7100 S. Cooper St. Sure 015 Arlington, TIC 76001 makouinc@%mail.com f 817-799-5426