HomeMy WebLinkAboutContract 58014-FP1FORT WORTH,
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
-FP1
City Secretary No. 58014
Date Received: 3/4/2024
City Project N!?: 102446
Regarding contract 58014 TPW Proposed Retaining Wall at Vickery Blvd for as required by the
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 6/28/2022 through
M&C 22-0541 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
Pabicia L. WAd san(l
Patricia L. Wad sack (Mar4, 202412:32 CST)
Recommended for Acceptance
Asst. Director, TPW - Capital Delivery
$1,459,328.30 Days 155
$ 55,072.50 Ns Days Added by CO 124
$ 1,514,400.80 Total Days 279
$ 1,487,282.80 Days Charged 279
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX Days @ $
$ 1,487,282.80
$ 1,412,918.66
$ 74,364.14
Lauren Prieur(M a r4, 20241233SST)
Accepted
Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
cvc�
- - -- -- --- -- - -
Asst. City Manager
Comments:
/ Day
Mar 4, 2024
Date
Mar4, 2024
Date
Mar4, 2024
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
C-620 Signature Page
Contractor's Application for Payment
Invoice No. 12 Final
To (Owner) City of Fort Worth Invoicing Period (From - To):
Invoice Date:
October 16, 2023-January
31, 2024
2/5/2024
P. O. FW020-0000008317 From (Contractor):
Remit to ( If Not Automatic Deposit):
Number: Fort Worth Civil Constructors,
LLC
Project: 102446 Contractor's CFW Vendor No.:
7000000372
PO Box 164153, Ft. Worth, TX 76161
City secretaryContractNumber: 58014 Contract
VICKERY BLVD RETAINING WALL
Number: Name:
Application For Payment
Change Order Summary
Approved Change Orders
11. ORIGINAL CONTRACT PRICE............................................................
$ $1,459,328.30
Number Additions Deletions
12. Net change by Change Orders..................................................................
$ $55,072.50
1 $72,610.00 $17,537.50
13. Current Contract Price (Line 1 t 2).........................................................
$ $1,514,400.80
2
14. TOTAL COMPLETED AND STORED TO DATE
3
I (Progress Estimate, Construction Allowance and Change Orders)......
$ $1,487,282.80
4
15. RETAINAGE:
5
I a. X $1,487,282.80 Work Completed..........
$
6
I b. X Not Used
$
7
c. Total Retaina a Line 5a + Line 5b
8
16. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c)..............................
$ $1,487,282.80
TOTALS $72,610.00 $17,537.50
17. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)........
$ $1,412,918.66
NET CHANGE BY $55,072.50
8. AMOUNT DUE THIS APPLICATION...................................................
�9.
$ $74,364.14
CHANGE ORDERS
BALANCE TO FINISH, PLUS RETAINAGE
(Column G on Progress Estimate+ CA + Cos + Line 5 above) ..............
$ $27,118.00
Contractor's Certification
10. CONTRACT TIME:
The Contractor certifies with the submittal of this document and associated Payment Request
a. Days Awarded
155
Submittal on the City of Fort Worth Buzzsaw system that to the best of their knowledge: (1) all
b, Days Added by CO
124
previous progress payments received from Owner on account of Work done under the Contract have
C. Total Days
279
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
d. Days Charged
279
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,
e. Days Remaining
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.
Liquidated Damages $650.00 x day
Affidavit of Bills Paid
Brad Caldwell Consent of Surety
Brad Caldwell (Feb 29, 202411:15 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.
C-620 Unit Pnce Progress Eshmale
Progress Estimate
C,tysmremry
ssola
Contractor's Application
Contract Num:
Fnr(enno-am)
VICKERY BLVD RETAINING WALL
Appli—.Number
12 Final
Apphcaoov Penod
October 16, 2023January 31, 2024
Apphcetmv Date
2/5@024
A
B
C
D
B
F
G
Item
Total Completed
Balanee to Fmish
9paciflcan o n
Bid Quantity
Unit Pace
Bid Value
Esvmeted Quennty
Value
Previously lvstalled Value Valve Th,s Period
Materiels Fresevtly
and Storedto Date (P)
(B-F)
Bid--
Desenpnov
Section No
Umt of Measure
Installed
3mred(not in C)
CD+6) B
BASE BID
1
2
-Rs—lid¢a0on
Remov�P Conc Retains Walls)
'i 1 ]0000
iO4
EA
Sy
1.00000 J
9.00000(1J
$5,000.OLi
$1,800.00�
$5,000.
$16,200.0
90000000
$16,2000�
$16,200
$16,200.OL' 1000%
$5,000.00
3
Removl99PP Cone �klume�
l04
Sy
21.00000(1
$8000
$16,680.
210000000
$1,680.01
$1:680.
$1,680BE 1000%
4
Rxcavation ((SS11jj al>\
110
CV
228000000
$5101
$116,2800
2280.0000009
. $116,28o d
$116,2800
$116,2800L 1000%
5
6
-rerrryryrR� $pL Shonnq
�dlf Sha 36 in)
'103
1116
SF
LF
110000000
136200000
$100
$3620UJ
$11'000.0
$493,0440
1100,000000
1362,000000
$11,0000�
$493,044.0d
$11,0000
$493,0440
$I1,000.0L 1000%
$493,0440L 1000%
7
8
yLACone Flume
Retaining II Dn�l Sha6)(Fasma)
�420
�123
CV
SF
12.80000
228000000
$1,250.jI
$110.OU
$16'000.0
$248,6000
12800000
2260,0000009
$16,0000d
$248,600.0
$16,0000
$248,6000
$I,000.0L 1000%
$248,6000L 1000%
9
�nlelfCorry01 MSE2)
V65
EA
2.000OOJ
$6,000.0�
$12,000.0
2000000
$12,6000
$12,0000
$12,000BC 1000%
10
�511 010 Cleannfl
`31 low
LS
1.00000(fll
$44,900.00
$44,9000
10000000
$44,9000
$44,9000
$44,900.OL 1000%
11
�5110.01026'-12"Tree Removal
�311000
EA
].00000UJ
$638.0�
$4,466. f
]0000000
$4,466. fff
$4,466. fff
$4,466.Wf 1000%
12
-5110.010312"-18"Tree Removal
'311000
EA
3.00000(f
$1,2]].0�
$3,831.0{
30000000
$3,831.
$3,831.
$3,831.OQ' 1000%
13
-5124.0101 Embankment By Plan
�5231.01114'Chani
�12400
'323113
CV
11600010,
$55A
$1]4,5900
3160.0000009
$174,590.0
$174,5900
$174,5900C 1000%
14
15
Link, steel
-5291.0100 Tgr�soil 12"
-5292.0100
'32 91 19
�329213
LF
CV
1.0.0.0
322 00000
$e00C
$60 0yr
$1],100.0
$19,320.0
190000000
140 0000000
$1],1000
$8,400.
$1],1000
$8,400.
$1],100BC 1000%
$8,400.00t 43 5%
$10,920.00
16
1]
Bfo kSad Placement
-5293.0103 Plant 3"Tree
�31 93 43
SV
EA
290000.0
19.00000
$87Y
$]46.0�
$2,53T Jf
$14,1]4.OQJf
f
190000000
f
$14,1]40
f
$14,1]40
$14,1]4.00 1000%
$2,53].50
18
19
-5411.3502 Relowtestreet yy 1Po'a
�5441.4007 Install Alum S yEx Pole Mount
�34 41 20
�1441 30
EA
EA
1.00000
2.00000
$5,733B6
$128.00
$5,]330QJJ
$256.O1J1f
10000000
$5,733.
$5,]33.
$5,]330C 1000%
$256.00
20
-54'! A109 Remove s pp//�� Panel
�3441 30
EA
2.00000
$96 0C
$192 0(1J
$192.00
21
-54]1.000, Traffic Control
'347113
MO
5.00000
$15,500.00
$775000
15/00000
$131,]50.0
$131,7500
$131,7500C 1]00%
-S54,25000
22
�999.0001 Tem?�`(Irtiga0on For Sotl
�99999
SF
869000000
$14C
$12,339.8
8690.000000
$12,3398 ((Wj/(JI
$12,3398 f(u)}/J,I
$12,339.8C 1000%
23
�999.000212"RCP, Class 111
'33nW
LF
20000000
$249.00
549,800.0
200000000
$49,8000
$49,8000
549,800.00 1000%
24
'999.0005 Cona—sin Allowance
-9 9999
LS
1.00000
$80,000.0C
580,0000
J
J
J
$80,000.00
25
�999.0003 Tree Protection
-999999
LS
1.00000
$2,800.
$2,800.
100/00/0
$2,800.
$2,800.
$2,800. 1000%
ALTERNATEA
J
J
J
J
1
�999.0003 Hand Watermq(2 Years)
LS
1.00000C
$29,985.00
$29,%50U�
100000001
$29'%5001
$29,9850U1
$29,985.00 i000%
Totals $1.459.328.301 1 $1,414.672.801 $1,414.672.801 $1,414,672.80 969% $44.655.50
Thus J.etaa nt has been madffied tram as original form as an E3CDC document end the user did not highlight the
mod,fcatioos. You are encouraged 0 read the document carefully and consult Legal Counsel pnor to its execution.
C-620 Change Order
Progress Estimate Construction Allowance Usage
ADDITIONS
Fo,(C0v18ct): 102446 VICKERY BLVD RETAINING WALL
Apphcation Penod:
A
Item
Item Number Description
Totals
City Secretary 58014
C..tmct Nina
October 16, 20234anuary 31, 2024
B
Specdiettu n Unit of Quautity to Add uw Pnce Addition Value
Section No, Measure
C D
Estimated Quanaty Value
Ivsmlled
Contractor's Application
Application Number. 12 Final
Appbcmion Date: 2/5/2024
E F
Total Completed / B.1—to Funs,
Previously Valve 7hie Materials Presently and Stored to Date (F) (B - F)
Installed Value Period Stored (not m C) (D + E) B
This document has bee. modified from it ongival form ae a. EJCDC document aad the user did vut highlight the
modifications. You are e.comaged to read the document carefully and consult Legal Counsel prior to its execution.
C-620 Change Order
Progress Estimate Construction Allowance Usage
CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED
IF., (contract): 102446 VICKERY BLVD RETAINING WALL
Apphcotion Pe d:
October 16, 2023January 31, 2024
A B C
� Item
Bid--, Description Spectficatmn Una of Quantity to Delete Una Pnce Reduction Value Not Used
Section No. Measure
Totals
Application Number.
Apphcation Date:
D E
Not Used Not Used Not Used Not Used
This docume.t has bee. modified from its ongival form as an EJCDC document aad the user did or highlight the
modifications. You are encouraged to read the document carefully and consult Legal Counsel prior to its execution.
Contractor's Application
12 Final
2/5/2024
F
Not Used Not Used Not Used
C-620 Change Order
Progress Estimate Change Order Number 1 1 1
ADDITIONS
For(commGt): 102446 VICKERY BLVD RETAINING WALL City Secretary 58014
Contact Num.
Application Period:
October 16, 2023January 31, 2024
A
Item
Change Order Item Deseriptiov
No.
New-26 Hydromulch
l3 Embankment by Plan
Totals
B
C
D
Addmon
Estimated QUanhty
Previously Value This
Specrficatmn
Umt of
CO Quantity to Add
Uvn Price Change Order
Installed
Value
Installed Value Period
Section No.
Measure
Value
TPW
SY
1100.00000000
$8.75 $9,625.00
1100,00000000
$9,625.00
S9,625.001
TPW
CY
1140,00000000
S55.25 S62,985.00
1140,00000000 I
$62.985.00
$62,985.00
This document has been modified from it original form ae an EJCDC document ead the user did not highlight the
modifications. You are encouraged to read the document carefully aad consult Legal Coaasel prior to its execution.
Contractor's Application
Application Number: 12 Final
Application Date: 2/5/2024
E F
Total Completed / Balance to Finial,
Materials Presently and Stored to Date (P) (B -F)
Stored (not iv C) (D � E) B
$9,625.00 100.0%
$62,985.00 100.0%
$72,610.00 100.0%
C-620 Change Order
Progress Estimate Change Order Number 1 1
DELETIONS
For (contract) 102446 VICKERY BLVD RETAINING WALL
Application Penod:
A
he
Change Order Item Description
No.
16 Block Sod
24 Construction Allowance
I
I
I
I
Totals
October 16, 20234anuary 31, 2024
B C
COD w
nelet on
Speediest —Unit of
etery
Uvn Pnce
Change Order Not Used
Section No. Measure
Value
TPW SY 290 00000000
TPW LS 0.18750000
$8 7i
$80,000.06
$2,537.56
$15,000.0ii
Application Number
Application Date:
D e
Not Used Not Used Not Used Not Used
This document has been modified from its onginal form as an BJCDC document end the near did not highlight the
modifications. You are encouraged to read the document caret Ily and consult Legal Counsel prior to its execution.
Contractor's Application
12 Final
2/5/2024
F
Not Used Not Used Not Used
C-620 Change Order
Progress Estimate Change Order Number 1 2
ADDITIONS
Contractor's Application
For(c .a ,):
102446 VICKERY BLVD RETAINING WALL
City secretary
58014
Applicatmn Number.
12 Final
Contact Nam
Applicatmn Period:
October 16, 2023-January 31, 2024
Applicatmn Date:
2/5/2024
A
B
C
D E F
Item
Balance to Finish
Addition Change
Estimated Quantity
Previously Value Thin Muterials Presently Total Completed
% P
B' )
Change Ordat Item
Description Specification Unit of CO Qoantiry to Add Unit Price
Order Value
Installed
Value Installed Value Period Stored (not in C) and Stored to Date
(F)
No
Section No. Measure
(D+E)
B
Totals
This document has been modified from its original form as an EICDC document and the user did not highlight the
modifications. You are encouraged to read the document carefully and consult Legal Counsel pnor to its execution.
C-620 Change Order
Progress Estimate Change Order Number 1 2
DELETIONS
For (contract): 102446 VICKERY BLVD RETAINING WALL
Applicatmn Period: October 16, 2023-January 31, 2024
A B C
vga
Item CO Quantity to Deletion Cha
Change Order Item Descnphon Specification of Delete Unit Price Order Value Not Used
No. Sect— No. Mea asure
� Totals
Contractor's Application
Applicatmn Number: 12 Final
Applic.— Datc: 2/5/2024
D E F
Not Used Not Used Not Used Not Used Not Used Not Used Not Used
This document has been modified 6om its original form as an EICDC document and the user did not highlight the
modifications. You are encouraged to read the document carefully and consult Legal Counsel poor to its execution.
C-620 Change Order
Progress Estimate Change Order Number 1 3
ADDITIONS
Far hamuscp: 102446 VICKERY BLVD RETAINING WALL
Applicatma Period:
A
Item
Change Order Item Descnptwn
No.
Totals
Contractor's Application
City Secretary
58014
Applicatwn Number:
12 Final
Contract Num:
October 16, 2023-January 31, 2024
Applicatwn Date:
2/5/2024
B
C
D E F
Balance to Finish
Addition
Estimated Quantity
Total Completed
Previously Value This M s Presently
%
(B - F)
Specification Uvrt of CO Quanttry to Add Umt Price
Change Order
Installed
Valve and Stored to Date
Installed Value Perod Shredtmed (not tv C)
(F)
Sectwv No. Measure
Value
� E)
B
This document has been modified from its original form as an EICDC document and the user did not highlight the
modifications. You are encouraged to read the document carefully and consult Legal Counsel poor w its execution.
C-620 Change Order
Progress Estimate Change Order Number 1 3
DELETIONS
For (comma): 102446 VICKERY BLVD RETAINING WALL
(Applicatmn Period: October 16, 2023-January 31, 2024
A B C
Item CO u ti to Deletion
Change Order Item Descriphon Specification Una of Delete Unit Price Change Order Not Used
No. Sect —No. Measure Value
I
I
I
I
Totals
Contractor's Application
Applicatmn Number: 12 Final
Applicatmn Date: 2/5/2024
D E F
Not Used Not Used Not Used Not Used Not Uscd Not Used Not Used
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 poor to its execution.
C-620 Change Order
Progress Estimate Change Order Number 1 4
ADDITIONS
For(cousel): 102446 VICKERY BLVD RETAINING WALL
Application Period:
A
Item
Change Orde11
Item Descnpoon
No.
Totals
Contractor's Application
City Secretary
58014
Applicatwn Number:
12 Final
Contract Num:
October 16, 2023-January 31, 2024
Applicatwn Date:
2/5/2024
B
C
D E F
Balance to Finish
Addition
Estimated Quantity
Total Completed
Previously Value This Matenals Presently
(B _ F)
Specification Uvrt of CO Quantity to Add Unit Price
Change Order
Installed
Valve and Stored to Date
Installed Value Perod Stored (not iv C)
(F)
Section No. Measure
Value
� E)
B
This document has been modified from its original form as an EICDC document and the user did not highlight the
modifications. You are encouraged to read the document carefully and consult Legal Counsel poor w its execution.
C-620 Change Order
Progress Estimate Change Order Number 1 4
DELETIONS
For (comma): 102446 VICKERY BLVD RETAINING WALL
(Applicatmn Period: October 16, 2023-January 31, 2024
A B C
Item CO u ti to Deletion
Change Order Item Descriphon Specification Una of Delete Unit Price Change Order Not Used
No. Sect —No. Measure Value
I
I
I
I
Totals
Contractor's Application
Applicatmn Number: 12 Final
Applicatmn Date: 2/5/2024
D E F
Not Used Not Used Not Used Not Used Not Uscd Not Used Not Used
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 poor to its execution.
C-620 Change Order
Progress Estimate Change Order Number 1 5
ADDITIONS
For(commcp: 102446 VICKERY BLVD RETAINING WALL
Applicatum Period:
A
Item
Change Order Item Descop000
No.
Totals
Contractor's Application
City secretaryry
58014
Applie.om Number:
12 Final
Contract Num:
October 16, 2023-January 31, 2024
Application Date:
2/5/2024
B
C
D E F
Balance to Finish
Addrtlon
Estimated Quantity
Tom] Completed
Previously Value This Matenals Presently
%
B _ F)
Specification Uvrt of CO Quantity to Add Umt Price
Change Order
Installed
Valve and Stored to Date
Installed Value Perod Shred (not iv C)
(F)
Section No. Measure
Value
(DIE)
B
This document has been modified from its original fomr as an EICDC document and the user did not highlight the
modifications. You are encouraged to read the document carefully and consult Legal Counsel poor to its execution.
C-620 Change Order
Progress Estimate Change Order Number 1 5
DELETIONS
For (comma): 102446 VICKERY BLVD RETAINING WALL
(Applicatmn Period: October 16, 2023-January 31, 2024
A B C
Item CO a ti to Deletion
Change Order Item Descnptnon Specification Una of Delete Unit Price Charrge Order Not Used
No. Section No. Measure Value
� Totals
Contractor's Application
Applicatmn Number: 12 Final
Applicatmn Date: 2/5/2024
D E F
Not Used Not Used Not Used Not Used Not Used Not Used Not Used
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 poor to its execution.
C-620 Change Order
Progress Estimate Change Order Number 1 6
ADDITIONS
Contractor's Application
For(contmc0:
102446 VICKERY BLVD RETAINING WALL
City Secretary
58014
Applicatwn Number:
12FInal
Contract Num:
Applicat— Period:
October 16, 2023-January 31, 2024
Applicatwn Date:
2/5/2024
A
B
C
D E F
Item
Balance to Finish
Addition
Estimated Quantity
Total Completed
Previously Value This Materials Presently
(B - F)
Change Ordat Item
Spacificatiov Umt of CO Quantity to Add Unit Price
Deacnphon
Change Order
Installed
Value and Stored to Date
Installed Value Period Stored (vot in C)
(P)
No
Section No. Measure
Valua
(D+E)
B
Totals
This document has been modified from its original form as an EICDC document and the user did not highlight the
modifications. You are encouraged to read the document carefully and consult Legal Counsel pnor to its execution.
C-620 Change Order
Progress Estimate Change Order Number 1 6
DELETIONS
For (comma): 102446 VICKERY BLVD RETAINING WALL
(Applicatmn Period: October 16, 2023-January 31, 2024
A B C
Item CO u ti to Deletion
Change Order Item Descriphon Specification Una of Delete Unit Price Change Order Not Used
No. Sect —No. Measure Value
I
I
I
I
Totals
Contractor's Application
Applicatmn Number: 12 Final
Applicatmn Date: 2/5/2024
D E F
Not Used Not Used Not Used Not Used Not Uscd Not Used Not Used
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 poor to its execution.
C-620 Change Order
Progress Estimate Change Order Number 1 7
ADDITIONS
Contractor's Application
For(contmc0:
102446 VICKERY BLVD RETAINING WALL
City Secretary
58014
Applicatwn Number:
12FInal
Contract Num:
Applicat— Period:
October 16, 2023-January 31, 2024
Applicatwn Date:
2/5/2024
A
B
C
D E F
Item
Balance to Finish
Addition
Estimated Quantity
Total Completed
Previously Value This Materials Presently
B _ F)
Change Ordat Item
Spacificatiov Uvrt of CO Quantity to Add Unit Price
Deacnphon
Change Order
Installed
Value and Stored to Date
Installed Value Period Stored (not m C)
(P)
No
Sectron No. Measure
Value
(D+E)
B
Totals
This document has been modified from its original form as an EICDC document and the user did not highlight the
modifications. You are encouraged to read the document carefully and consult Legal Counsel pnor to its execution.
C-620 Change Order
Progress Estimate Change Order Number 1 7
DELETIONS
For (comma): 102446 VICKERY BLVD RETAINING WALL
(Applicatmn Period: October 16, 2023-January 31, 2024
A B C
Item CO u ti to Deletion
Change Order Item Descriphon Specification Una of Delete Unit Price Change Order Not Used
No. Sect —No. Measure Value
I
I
I
I
Totals
Contractor's Application
Applicatmn Number: 12 Final
Applicatmn Date: 2/5/2024
D E F
Not Used Not Used Not Used Not Used Not Uscd Not Used Not Used
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 poor to its execution.
C-620 Change Order
Progress Estimate Change Order Number 1 8
ADDITIONS
For(cousel): 102446 VICKERY BLVD RETAINING WALL
Application Period:
A
Item
Change Orde11
Item Descnpoon
No.
Totals
Contractor's Application
City Secretary
58014
Applicatwn Number:
12 Final
Contract Num:
October 16, 2023-January 31, 2024
Applicatwn Date:
2/5/2024
B
C
D E F
Balance to Finish
Addition
Estimated Quantity
Total Completed
Previously Value This Matenals Presently
(B _ F)
Specification Uvrt of CO Quantity to Add Unit Price
Change Order
Installed
Valve and Stored to Date
Installed Value Perod Stored (not iv C)
(F)
Section No. Measure
Value
� E)
B
This document has been modified from its original form as an EICDC document and the user did not highlight the
modifications. You are encouraged to read the document carefully and consult Legal Counsel poor w its execution.
C-620 Change Order
Progress Estimate Change Order Number 1 8
DELETIONS
For (comma): 102446 VICKERY BLVD RETAINING WALL
(Applicatmn Period: October 16, 2023-January 31, 2024
A B C
Item CO u ti to Deletion
Change Order Item Descriphon Specification Una of Delete Unit Price Change Order Not Used
No. Sect —No. Measure Value
I
I
I
I
Totals
Contractor's Application
Applicatmn Number: 12 Final
Applicatmn Date: 2/5/2024
D E F
Not Used Not Used Not Used Not Used Not Uscd Not Used Not Used
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 poor to its execution.
City Secretary Contract Num: 1 58014
Application Period:
Funding Identification (FID)
Original Contract
39403-0200431-5740010-102446-003380
0
0
0
0
0
0
0
0
0
0
Change Order 1
39403-0200431-5740010-102446-003380
0
0
0
0
0
0
0
0
0
0
Change Order 2
39403-0200431-5740010-102446-003380
0
0
0
0
0
0
0
0
0
0
City of Fort Worth Summary of Charges
VICKERY BLVD RETAINING WALL P. 0.: FW020-0000008317 project Number: 102446
October 16, 2023-January 31, 2024 Application 12 Final Application Date: 2/5/2024
Number:
Total Completed Amt Remaining Gross Retainage Net
$1,414,672.80 $44,655.50
$72,610.00 ($17,537.50)
City Secretary Contract Num: 1 58014
Application Period:
Funding Identification (FID)
Change Order 3
39403-0200431-5740010-102446- 03380
0
0
0
0
0
0
0
0
0
0
Change Order 4
39403-0200431-5740010-102446- 03380
0
0
0
0
0
0
0
0
0
0
Change Order 5
39403-0200431-5740010-102446- 03380
0
0
0
0
0
0
0
0
0
0
City of Fort Worth Summary of Charges
VICKERY BLVD RETAINING WALL P. p.: FW020-0000008317 project Number: 102446
October 16, 2023-January 31, 2024 Application 12 Final Application Date: 2/5/2024
Number:
Total Completed Amt Remaining Gross Retainage Net
City Secretary Contract Num: 1 58014
Application Period:
Funding Identification (FID)
Change Order 6
39403-0200431-5740010-102446- 03380
0
0
0
0
0
0
0
0
0
0
Change Order 7
39403-0200431-5740010-102446- 03380
0
0
0
0
0
0
0
0
0
0
Change Order 8
39403-0200431-5740010-102446- 03380
0
0
0
0
0
0
0
0
0
0
City of Fort Worth Summary of Charges
VICKERY BLVD RETAINING WALL P. p.: FW020-0000008317 project Number: 102446
October 16, 2023-January 31, 2024 Application 12 Final Application Date: 2/5/2024
Number:
Total Completed Amt Remaining Gross Retainage Net
City of Fort Worth Summary of Charges
City Secretary ContractNum: 58014 VICKERY BLVD RETAINING WALL (P. 0.: FW020-0000008317 Project Number: 102446
Application Period: October 16, 2023-January 31, 2024 Application I 12 Final Application Date: 2/5/2024
Number:
Funding Identification (FID)
Totals
39403-0200431-5740010-102446-003380
0
0
0
0
0
0
0
0
0
0
Total Completed Amt Remaining
$1,487,282.80 $27,118.00
Gross Retainage Net
I Grand Total 1 1 $1,487,282.80 1 1 $27,118.00 1 1 $0.00 1 1 ($74,364.14)1 1 $74,364.14 1
FORT WORTH,
Routing and Transmittal Slip
Transportation and Public Works
Department
DOCUMENT TITLE: Vickery Blvd Retaining Wall, CO 1
M&C CPN 102446 CSO #
DATE: 9/6/2023 INITIALS
To: Alexiz Ramirez
1.
FWCC — Brad Caldwell
25
2.
BC
3.Jason Bradley (Inspector)
4.Tariqul Islam (PM)
5 Omar Elbagalati (PGM)
�
6 Mary Hanna (SCPO)
7�
7. Patricia Wadsack (AD)
PAW
Pew
s Lauren Prieur (Director)
dL
9. Doug Black (ACA)
dwb
10. William Johnson (ACM)
W;
11, Jannette Goodall (CS)
58014 DOC#
DATE OUT
Sep 11, 2023
Sep 7, 2023
Sep 10, 2023
Sep 6, 2023
Sep 11, 2023
Sep 11, 2023
Sep 12, 2023
Sep 12, 2023
Sep 14, 2023
Sep 15, 2023
Sep 15, 2023
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: U Yes❑✓ No
RUSH: ❑Yes ❑✓ No SAME DAY: [:]Yes❑✓ No NEXT DAY: []Yes ❑✓ No
ROUTING TO CSO: ❑✓ Yes [—]No
Action Required:
❑ As Requested ❑ Attach Signature, Initial and Notary Ta
■ Signature/Routing and or Recording
❑ Comment
❑ File
Return to: Please call
at ext. for pick up when completed. Thank you.
CSC No. 58014-COI
FOR- _ TwORTH®
City of Fort Worth
Change Order Request
Project Name Vickery Blvd Retaining Wall
I City Sec # 1 58014
Client Project #(s)l 102446
Project) Construction of New Concrete Retaining wall at Vickery Blvd and Micki Lynn Ave to address slope failure
Description
Contractorl Fort Wortn Civil Constructors, LLC
Change Order #1 1
1 Datel 9/5/2023
City Project Mgr. l Tariqul Islam
City Inspectorl Jason Bradley
Dept.
TPW
Contract Time
Totals (CD)
Original Contract Amount
$1,459,328.30
$1,459,328.30 155
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
$1,459,328.30
$1,459,328.30 155
Amount of Proposed Change Order
$55,072.50
$55,072.50 124
Revised Contract Amount
$1,514,400.80
$1,514,400.80 279
Original Funds Available for Change Orders
$70,000.00
$70,000.00
Remaining Funds Available for this CO
$70,000.00
$70,000.00
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1 3.77%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) $1,824,160.38
JUSTIFICATION (REASONS) FOR CHANGE ORDER
This change order is to add a bid item to install hydro -mulch to control erosion on the sloped area behind the retaining wall. The Staff verified the price as reasonable by
comparing it to recent bids. The CO will also increase the existing embankment quantity by 1140 CY due to revising the temporary special shoring plans for safety
requirements. This change order will add 124 calendar days to contract days due to these delays: (1) Delays due to scheduling conflict (36 days): The project was initially
scheduled to begin on 10/31/2022 but was delayed until 01/09/2023 for the City's alternate traffic control/ramp closure approval to avoid the holiday season. The delayed
start of the project created a scheduling conflict with the drilling subcontractor since they already had another commitment until 2/20/2023. The 36 days were deemed
reasonable for the critical path of the work. (2) Rain/Weather Delays (10 days): Experienced more than average yearly rain days at the start of the project and couldn't do
any work on the following days: 1/23/2023, 1/24/2023, 1/27/2023, 1/30/2023 — 2/3/2023, 2/8/2023, 2/14/2023, 2/22/2023, 2/23/2023, 3/1/2023 — 3/3/2023, 3/10/2023,
3/16/2023, 3/17/2023, 3/20/2023, 3/24/2023, 4/26/2023 and 5/10/2023. (3) Revising the temporary shoring plans (28 days): During construction, it was identified that the
temporary shoring design needed to be revised for safety concerns. This delay included the preparation and the approval of the revised. Work was stopped from
2/28/2023 until 3/16/2023. (4) Additional scope (8 days): Increasing the embankment quantity of the project by 1140 CY. (5) Delays due to access constraints (15 days):
Due to access constraints behind the retaining wall for the embankment to be placed, the retaining wall had to be built in two phases. The two -phased construction of the
retaining wall resulted in the project's loss of efficiency and production by 15 calendar days. (6) Delays due to the need for time for grass and tree establishment (27 days):
Due to the summer's excessively hot weather, the hydro -mulch establishment and tree planting work is proposed to be complete by late September. As a result, after the
completion of all remaining bid items on 9/2/2023, the contractor will have to stop working until 9/28/2023.
it is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full (both time
and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person
responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements.
Contractor's Company Name Contractor Nam IF Contract Signature JW I Date
Fort Worth Civil Constructors, LLC I Brad Caldwell daLVe,,,eJ231,, , I Sep 7, 2023
Inspector/Inspection Supervisor
Date
Project and Contract Compliance Manager
Date
�— p-
Sep 10, 2023
Sep 6, 2023
Program Manager
Date
Senior Capital Project Officer
Date
�_c"K
Sep 11, 2023
//
Sep 11, 2023
sistant Director (Dept)
Date
Director, Contracting Department (Dept)
Date
Sep 12, 2023
Sep 12, 2023
sistant Ci Att6mey Date Assistant City Manager Date
Sep 14, 2023 w^��^ „ M Sep 15, 2023
M&C Number l
ATTEST:
A-y
Jannette Goodall, City Secretary
M&C Date Approved
FORT WORTH
-W.'
Project Name I Vickery Blvd Retaining Wall
Client Project # I 102446
Contractorl Fort Worth Civil Constructors, LLC
I I EM UEJUKIP I IUN
New -26 Hydromulch
13 Embankment by Plan
City of Fort Worth
Change Order Additions
City Sec # 58014 ###
IPMJ Tanqul Islam I Inspectorl Jason Bradley l
O1 Date i 9/5/2023 j
ADDITIONS
UENI U 1 UOIf UOlf host IOlal
I PVV 1,1U .uuuuuuuU by $8.�5 $9,62b.0u
TPW 1,140.00000000 Cy $55.25 $62,985.00
TPW $72,610.00
Sub Total Additions $72,610.00
Change Order Additions Page 2 of 4
FORT WORTH City of Fort Worth
"r Change Order Deletions
Project Name I Vickery Blvd Retaining Wall I City Sec # 1 58014 ###
Client Project # 1 102446 1
Contractorl Fort Worth Civil Constructors, LLC PMI Tadqul Islam Inspectorl Jason Bradley
0 Date 1 9/5/2023 I
DELETIONS
IItivi UtbUKu'IIDIN utrl ury unit unaLost coral
15 blOCK boa IFvv Lul).ulllll)l000 by $8./5 $L,53r.5u'
z4 Construction nllowance I Yvv U.18/bl)UUU L6 $8U,000.UU $15,uuu.uul
IPw $1/,53/.bu
Sub Total Deletions $17,537.50
Change Order Deletions Page 3 of 4
M/SBE for this Change Order
M/SBE Sub Type of Service T Amount for this CO
Total $0.00
Previous Change Orders
co # DATE I AMOUNT
Total I $0.00 1
AM*, FORT WORTH CIVIL CONSTRUCTORS, LLC
f
,
August 16, 2023
Mr. Tariqul Islam
The City of Ft. Worth
Graduate Engineer
TPW / Street Services
5001 James Avenue
Fort Worth, TX 76115
Re: Vickery Retaining Wall
CPN # 102446
Change Order Request #1 - Hydromulch
Mr. Islam,
Per your e-mail dated August 16, 2023, The City of Ft. Worth has agreed to replace the sod on the above
referenced project with hydromulch. Please see below our change order proposal.
Description Quantity UOM Unit Price Total Price
Hydromulch 1,100 SY $8.75 $9,625.00
If you have any questions or would like to discuss in detail, please feel free to contact me at 817.343.2246 or
bra dC(@f�nicivcon.com.
Sincerely,
3,_'J 6
Brad Caldwell
Operations Manager
Cc: Jason Bradley
File 228010
(0) 817. 562. 2292 1 (F) 817. 562. 2293 1 www.FWCivCon.com
Office: 4860 Mark IV Parkway, Fort Worth, TX 76106 1 Mail: P.O. Box 164513, Fort Worth, TX 76161
FORTWORTH.
''no,
TRANSPORTATION AND PUBLIC WORKS
January 2, 2024
Fort Worth Civil Constructors, LLC
4860 Mark IV Pkwy
Fort Worth Texas, 76106
RE: Acceptance Letter
Project Name: Vickery Retaining Wall
Project Type: Parks Retaining Wall
City Project No.: 102446
To Whom It May Concern:
On December 14, 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 15, 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 15,
2023, which is the date of the punch list completion and will extend of two (2) years in accordance with
the Contract Documents.
If you have any questions concerning this letter of acceptance, please feel free to contact me at 817-
392-3486.
Sincerely,
Tariqul Islam (Mar4, 202411:33 CST)
Tariqul Islam, Project Manager
Cc: Jason Bradley, Inspector
Don Watson, Inspection Supervisor
Oscar Aguillon, Senior Inspector
Omar Elbagalati, Program Manager
Transystems, Consultant
Fort Worth Civil Constructors LLC, Contractor
CFW, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared AUSTIN
ALUMBAUGH, PRESIDENT Of FORT WORTH CIVIL
CONSTRUCTORS, LLC, known to me to be a credible person, who being
by me duly sworn, upon his oath deposed and said;
That all persons, firms, associations, corporations, or other
organizations furnishing labor and/or materials have been paid in full;
That the wage scale established by the City Council in the City of
Fort Worth has been paid in full;
That there are no claims pending for personal injury and/or
property damages-,
On Contract described as;
VICKERY BLVD. RETAINING WALL, CITY PR ECT 102446
BY
AUSTIN ALUMBAUG PRESIDENT
Subscribed sworn before me on this date 29TH of FEBRUARY, 2024.
1pPYPGO��i MANDI OLDHAM
Notary Public, State of Texas
4'e: Comm. Expires 08-28-2026
{ rZ
e 0 �'�� P
TA NT COUNTY, " Notary ID 12431710-4
TEXAS
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR ❑
SURE FY ❑
AIA DOCUMENT 6707 OTIII"'R
Bond No. SUR0067431
PROJECT: Vickery Blvd. Retaining Wall, City Project No. 102446
(name, address)
TO (Owner) [ City of Fort Worth ] ARCHITECT'S PROJECT NO:
200 Texas Street
Fort Worth, TX 76102 CONTRACT FOR:
[ ] CONTRACT DATE: .tune 28, 2022
CONTRACTOR: Fort Worth Civil Constructors, LLC
P.O. Box 161727
Fort Worth, TX 76161
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(here insert name and address of Surety Company)
Argonaut Insurance Company
P.O. Box 469011
San Antonio, TX 78246 , SURETY COMPANY,
on bond of (here insert name and address of Contractor)
Fort Worth Civil Constructors, LLC
P.O. Box 161727
Fort Worth, TX 76161 , CONTRACTOR,
hereby approves of the final payment to the Contractors, and agrees that final payment to the Contractor shall not relieve
the Surety Company of any of its obligations to (here insert name and address of owner)
City of Fort Worth
200 Texas Street
Fort Worth, TX 76102
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 26th
Attest:
(Seal):
,OWNER,
day of February 2g24
Argonaut Insurance Company
5 S etS ety Company
Kk%K. !�',-,d
Signature of Autepresentativ_�
e
Andrea Rose Crawford Attornev-In-Fact
Title
NOTE: This form is to he used as a companion document to AIA DOCUMEN'r G706, CONTRAC'rOR'S AFFIDAVIT OF PAYMENT OF m,.wrS AND CLAIMS,
Current Edition
AIA DOCUMiiN'r 6707 • CONSENT OF SURE I'Y COMPANY TO FINAL PAYMENT • APRIL 1970 EDITION • AIA® ONE: PAGE:
OO 1970 • TE IEi AMI.IZICAN INS'I'Il'U'1:1 'OF ARCI IITECTS, 1735 New York Avc., NW, WASHINGTON, D.C. 20006
Argonaut Insurance Company
Deliveries Only: 225 W. Washington, 24th Floor
Chicago, IL 60606
United States Postal Service: P.O. Box 469011, San Antonio, TX 78246
POWER OF ATTORNEY
KNOW ALI. MEN BY TI IESE PRESENTS: 'That the Argonaut Insurance Company, a Corporation duly organized and existing under the laws of the State
of Illinois and having its principal office in the County of Cook, Illinois does hereby nominate, constitute and appoint:
Andrea Rosc Crawford- Trov Russell Kev_ Debra Lee Mnon, .John William Ncwhv. Sandra Lce Roney. Joshua D. Tritt. Suzanne );,j)zabeth Nied7wied7,
Their true and lawful agent(s) and attorneys) -in -fact, each in their separate capacity if more than one is named above, to make, execute, seal and deliver for
and on its behalf as surety, and as its act and deed any and all bonds, contracts, agreements of indemnity and other undertakings in suretyship provided,
however, that the penal sum of any one such instrument executed hereunder shall not exceed the sum of:
$97-550.000.00
This Power of Attorney is granted and is signed and sealed under and by the authority of the following Resolution adopted by the Board of Directors of
Argonaut Insurance Company:
"RESOLVED, That the President, Senior Vice President, Vice President, Assistant Vice President, Secretary, Treasurer and each of them hereby is
authorized to execute powers of attomey, and such authority can be executed by use of facsimile signature, which may be attested or acknowledged by any
officer or attorney, of the Company, qualifying the attorney or attorneys named in the given power of attorney, to execute in behalf of, and acknowledge as
the act and deed of the Argonaut Insurance Company, all bond undertakings and contracts of suretyship, and to affix the corporate seal thereto."
IN WITNESS WHEREOF, Argonaut Insurance Company has caused its official seal to be hereunto affixed and these presents to be signed by its duly
authorized officer on the 19th day of November, 2021. Argonaut Insurance Company
°SEAL by:
S'1'A'1'1i OI: '11-'XAS
COUNTY OF I IARRIS SS:
Gary E. Grose , President
On this 19th day of November, 2021 A.D., before me, a Notary Public of the State of Texas, in and for the County of Harris, duly commissioned and
qualified, came THE ABOVE OFFICER OF'1111i COMPANY, to me personally known to be the individual and officer described in, and who executed the
preceding instrument, and he acknowledged the execution of same, and being by me duly sworn, deposed and said that he is the officer of the said Company
aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and the said Corporate Seal and his signature as
officer were duly affixed and subscribed to the said instrument by the authority and direction of the said corporation, and that Resolution adopted by the
Board of Directors of said Company, referred to in the preceding instrument is now in force.
IN TESTIMONY WHEREOF, I have hereunto set my hand, and affixed my Official Seal at the County of Harris, the day and year first above written.
��„" KATHLEEN M MEF-KS ` lk `tlAn'rn. 'rf-1wxn
/. NOTARY AVBUC 1 ' it7^,� STATE OF T['XAS SS�
"O" MY COMM. EXP. 07J, 5/25
NOTARY ID 567902-8 (Notary Public)
1, the undersigned Officer of the Argonaut Insurance Company, Illinois Corporation, do hereby certify that the original POWER OF ATTORNEY of which
the foregoing is a full, true and correct copy is still in full force and effect and has not been revoked.
IN WITNESS WHEREOF, I have hereunto set my hand, and affixed the Seal of said Company, on the 26th day of February . 2024 .
-_- ,saa r2:
`� .:4rNo�• Y' Austin W. King Secretary
IF YOU IIAVE QUESTIONS ON AUTHENTICITY OF THIS DOCUMENT CALL. (833) 820 - 9137.
IMPORTANT NOTICE
To obtain information or make a complaint:
You may call Argonaut Insurance Company and its affiliates by
telephone for information or to make a complaint:
ARGONAUT INSURANCE COMPANY
Please send all notices of claim on this bond to:
Argo Surety Claims
(413) 773-6359
Deliveries Only: 225 W. Washington, 24t' Floor, Chicago, IL 60606
United States Postal Service: P.O. Box 469011, San Antonio, TX 78246
You may contact the Texas Department of Insurance to obtain
information on companies, coverages, rights or complaints at:
(512) 490-1007
You may write the Texas Department of Insurance:
P. O. Box 149104
Austin, TX 78714-9104
Fax: (512) 475-1771
Web: httt)://www.tdi.state.tx.us
E-mail: Cons umerProtection(&tdi.state.tx.us
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your premium or about a claim
you should contact your agent or Argo Surety first. If the dispute is
not resolved, you may contact the Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR BOND:
This notice is for information only and does not become a part or
condition of the attached document and is given to comply with Texas
legal and regulatory requirements.