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Home My WebLink AboutContract 61082FORT WORTH® CSC No. 61082 CONTRACT FOR THE CONSTRUCTION OF E. N orthside Drive Bridge Replacement at Samuels Avenue Mattie Parker Mayor City Project No. 102097 Lauren Prieur David Cooke City Manager Director, Transportation and Public Works Department Prepared for The City of Fort Worth Transportation and Public Works Department 2023 tnp teague nall & perkins 3200 S. Interstate 35E, SUITE 1129 Denton, Texas 76210 (940)383-4177 -TNP No. FTW 19078 TBPE REG# F-230 City of Fort Worth Standard Construction Specification Documents SECTION 00 00 00 00 00 00 STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Page 2 of 6 Technical Specifications which have been modiiied by the Engineer specifically for this Project; hard copies are included in the Project's Contract Documents None Technical Specifications listed below are included for this Project by reference and can be viewed/downloaded from the City's website at: http://fortworthtexas.�ov/tpw/contractors/ or https://apps.fortworthtexas.�ov/ProjectResources/ Division 02 - Existin Conditions 02 41 13 Selective Site Demolition 02 41 14 Utili Removal/Abandonment 02 41 15 Pavin� Removal Division 03 - Concrete Division 26 - Electrical Division 31 - Earthwork Last Revised 03/ll/2022 12/20/2012 02/02/2016 31 00 00 Site Clearin 03/22/2021 31 23 16 Unclassified Excavation O1/28/2013 � i�� n � i�� 31 24 00 Embankments O1/28/2013 31 25 00 Erosion and Sediment Control 04/29/2021 �H-88 � n��,� �� -�rvo �'-a'.,zv�4',�z'-'z Division 32 - Exterior Im rovements 2 ��T n�� -� v i ry nn�� ni �n i�i�ni�ni� �-a-v-r�� r�or�o�z �7�� L'lo� :L.lo �..�o (�,�,,.,�o� i%�z� �rt 32 ll 29 Lime Treated Base Courses 12/20/2012 �� i i �� r�o,�.o��'r,.o„�o,� u.,�o r,,,,,.�o� n�/ini�n�� m� vvrrvr�vza �'��T vrnz��T� 32 12 16 As halt Pavin 12/20/2012 � �� 32 13 13 Concrete Pavin 06/10/2022 CITY OF FORT WORTH E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Project No. 102097 Revised December 9, 2022 00 00 00 STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Page 3 of 6 32 13 20 Concrete Sidewalks, Drivewa s and Barrier Free Ram s 12/09/2022 32 13 73 Concrete Pavin Joint Sealants 12/20/2012 2� tn i� i�i�ni�ni� Tczrro �z 32 16 13 Concrete Curb and Gutters and Valle Gutters 12/09/2022 32 17 23 Pavement Markin s 06/10/2022 � �� n ��T� �� r�t,,,:r �or,.o� .,..a r,,.o� i�i��z ��o �x�:..o �o� o ,.�a �,..o� r �,4?��'-'z 2�� tx�,.,.a �o�,.o� „�a n,.�o� �,�� 32 91 19 To soil Placement and Finishin of Roadwa Ri ht-of-wa s 03/11/2022 32 92 13 Soddin OS/13/2021 32 92 14 Non-Native Seedin OS/13/2021 �� n� n� fr..00� .,�a c�....,�.� i�i�ni�ni� �� Division 33 - Utilities � ��v i�o vi �ro�ri�� 2 2�v7- ✓t v�7iiTi�zi 33 O1 32 Closed Circuit Television (CCTV) Ins ection — Storm Drain 03/ll/2022 � ��n� , � i��n i� n,,z �� nn in i�i�ni�ni� �--�o �-�,z �� nn � � �,.,...��;,.r �,.��..,.1 To�� c�,.�:�� i�/�n/�ni� �-vrTr �z 2 2�i iztz:�/ �ii 2 2�� !1 l / �rr � ��-v�-T�v �o's�.r�novr��T� �� nn cn n�ii i i�n�� --m-�o �z 33 OS 10 Utili Trench Excavation, Embedment, and Backfill 04/02/2021 2 2�v zi n.�� ii 33 OS 13 Frame, Cover and Grade Rin s 09/09/2022 n a• �;., r a �. i T + v a � .,, '2'2 !lG 1 A z=�T.T�T�TIII�oxai:::vxcS��3 ccS�i� V��v�cS��3cr��s c�' ��i'ucca�'eS�6 n2/7 7/'fn'f'f 77--vTrT �, ^ a mr�v�a Fy1-[tttC '2'2�vrry (`,...,...oFo \x7..�o.. tl.,,,l�� 17/'��-�v�iviz 2 2�T f'.,,�,.,-o+o (�'.,11.,,-� v�-�iir� � z � ��v�i�v �zr��zv��z�--�r �� !1C '11 T,,....ol T ;.-,o« Dl.,�o i�i�ni�ni� �zr �z '2'2�nvJ-ZL izY-z:� �ii 2 2�pjiS T?'/��]/ �TL � �jTpTLT T�T07T?�ZL � �T�I�TLA T�n�'1`�.�TL 33 OS 30 Location of Existin Utilities 12/20/2012 �� i i nc u,.i�� 1.r„�� .,�a �,.�i�o�� i��ni�ni� �rr-v� , , �z 2 2�v iz,rb�r� Z � ��- rriT o�rz��rr �� i i i � nninni�n�� a o�ro�zozz '2'27Tri T7 izY-z:� �ii ) t 2 2�T T?]`2.�']/ �TL �� i� in �x�„�o,.co,n,;,.o� i;�,.�.,,� ;..,.� miini�ni� �Q �� T i � i��z �� i��n no�;i;o�+co.,.oar.,�ov.,i.,o ncin�i�nic �o �� i �,�z�,�zo � ° CITY OF FORT WORTH E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Project No. 102097 Revised December 9, 2022 00 00 00 STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Page 4 of 6 � �� i� � ��o nn�� o �� o �� no n�ii�� nn�� i i2 i�i�ni�ni� �� z '2'2�-�i i� vTrza��-�i--ni 22�no � n�i��i D.,1.,. ;. 1/''L.1.,,-:.ao lD�7!''\ /''l.,�o.l D,-..F;lo !'!,-.,..;+. C.,,.:�.,,-., Co...o,- 2 2�T �.��/ �� 22�z r rvr��-�i--�c 2 2�� izYz� �-�i-�i 2 2�Q v�' co��io r� � ��-�i-Tv �zr��zv��rr ��o (-'.,�� ;.-, Dl.,..o /�'l...,,,-o+o AiT.,,-.l,,.lo� 17/7�z�zvriviz '2'2�-T inv D«o,...�� `,...,...o�o T�T...-.L.,�lo� 17/7�v�zviz 2 2�nv iztz:�/ �ii �� n nn �x�,.��o..,,ro„ n,.,.o�� r�.,,,..�.o„i�x nr� i�i�ni�ni� Trmv T-aa�cvs'-ucci�-rccc�.r-�,�rcairvci�rrc� rtrr,vrr,vra � ��nv vi�� T� � z 33 41 10 Reinforced Concrete Storm Sewer Pi e/Culverts 07/O1/2011 � ��--n-iT �,4�� i n��i� �� ,ini�z � i�i�n�ni� r�.rzv�, �z r �� nti ni cl�*+oa C+,.«,�, r�,-.,;�� mini i�ni i �--Tv-vT mrvr�ozT '2'2�� T..o«.,.L. Tl.-..;«.� � lll / �rr '2'2 nn 1 n �`.,�f :.�, nl..,.o l�a...�.l.,.lo� ....,J 7,,.�.,.f:,..-. U,��,o� 17/7n/'�n17 �-�ry �rcvr�v�z 33 49 20 Curb and Dro Inlets 03/11/2022 �� n� nn n�ini i�ni i 77--TTTD �-T,�ZTL�� Division 34 - Trans ortation � n�Q P�,4'�� z �nni inni +n n i�iiQi�nic �vT �rt� i�2i�cT��6�ir�'6rrei' � ii� �� A ��-�-i�vz �� fi �-n-i�v� �� 2 /I� i1�T iirzzr�i� �n ni i� n�iiii�m� �-rrr.� v�-riz r-�zz 34 41 20 Roadwa Illumination Assemblies 12/20/2012 �� ni �n ni n�ii��nic 7 Tl-��l �V1T l�T� � ^ ^�-Ti-zvvi �,4�i�i� � n n�� ,4' ��T� 34 41 30 Aluminum Si ns 11/12/2013 �n ni cn mi��i�ni� �o �a 34 71 13 Traffic Control 03/22/2021 CITY OF FORT WORTH E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Project No. 102097 Revised December 9, 2022 00 00 00 STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Page 5 of 6 TxDOT Speciiications listed below are included for this Project by reference and can be viewed/downloaded from T�OT's website at: https://www.txdot.�ov/business/resources/txdot-specifications.html TxDOT Spec Item 400 Excavation and Backfill for Structures TxDOT Spec Item 403 Temporary Special Shoring T�OT Spec Item 416 Drilled Shaft Foundations TxDOT Spec Item 420 Hydraulic Cement Concrete TxDOT Spec Item 422 Concrete Superstructures TxDOT Spec Item 425 Precast Prestressed Concrete Structural Members TxDOT Spec Item 432 Riprap TxDOT Spec Item 442 Metal for Structures T�OT Spec Item 450 Railing T�OT Spec Item 454 Bridge Expansion Joints TxDOT Spec Item 496 Removing Structures TxDOT Spec Item 512 Portable Traffic Barrier TxDOT Spec Item 536 Concrete Medians and Directional Islands TxDOT Spec Item 545 Removing Structures Crash Cushion Attenuators TxDOT Spec Item 644 Small Roadside Sign Assemblies T�OT Spec Item 5000 Geogrid Reinforcement for Embanktnents Appendix GG4.02 GG4.04 GG6.06.D GC-6.07 � � GR-01 60 00 Subsurface and Physical Conditions Underground Facilities Minority and Women Owned Business Enterprise Compliance Wage Rates ,,,...w.:... ..�., TT.:�:.:..,. �.r..� a:,.,...:...:�,.�:..� Product Requirements END OF SECTION CITY OF FORT WORTH E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Project No. 102097 Revised December 9, 2022 City of Fort Worth, Mayor and Texas Council Communication DATE: 01/23/24 M&C FILE NUMBER: M&C 24-0039 LOG NAME: 20NORTHSIDE BRIDGE RECONSTRUCTION-IBCTX SUBJECT (CD 9) Authorize Execution of a Contract with IBCTX, LLC, in the Amount of $3,714,298.00 for East Northside Drive Bridge Replacement Project, Authorize the Temporary Closure of Samuels Avenue between the Intersections of NE 16th Street and NE 14th Street from March 11, 2024, to January 4, 2025 for Construction Activities (2022 Bond Program) RECOMMENDATION: It is recommended that the City Council: 1. Authorize the execution of a contract with IBCTX, LLC., in the amount of $3,714,298.00 for East Northside Drive Bridge Replacement project (City Project No. 102097); and 2. Authorize the temporary closure of Samuels Avenue between the intersections of NE 16th Street and NE 14th Street from March 11, 2024 to January 4, 2025, for construction activities; DISCUSSION: This Mayor and Council Communication (M&C) is to authorize a construction contract for East Northside Drive Bridge Replacement project, as part of the 2022 Bond Program, which will replace the existing deteriorated East Northside Drive eastbound and westbound bridge decks over Samuels Avenue and authorize specific road closures for the construction work. The City of Fort Worth Transportation & Public Works Department requests the temporary closure of Samuels Avenue befinreen NE 14th Street and NE 16th Street between March 11, 2024 and January 4, 2025. The closure of Samuels Avenue is necessary due to the public safety concerns related to the demolition of the existing bridge structure and the construction of the new bridge. Traffic flow will remain on E. Northside Drive at all times via various lane closures. All residences and businesses along Samuels Avenue will have access to their properties during the closure. The project was advertised for bids on October 5, 2023 and October 12, 2023, in the Fort Worth Star-Telegram. On November 2, 2023, the following bid was received: Bidder � Amount i Time of Completion � IBCTX, LLC $3,714,298.00 300 Calendar Days The construction funds for this project are included in the 2022 Bond Program. In addition to the contract amount, $445,716.00 is required for project management, material testing, and inspection, and $185,715.00 is provided for project contingencies. This project will have no impact on Transportation & Public Works' operating budget when completed. Funding for the East Northside Drive Bridge Reconstruction project is depicted below: Fund Existing Additional project Total � Appropriations Appropriations 2018 Bond Program - Fund $423,076.54� $0.00 $423,076.54I 34018 � 2022 Bond Program - Fund $4,345,729.00 $0.00 $4,345,729.00 34027 Project Total $4,768,805.54 $0.00 $4,768,805.54 Business Equity: IBCTX, LLC., is in compliance with the City's Business Equity Ordinance by committing to 13% MWBE participation on this project. The City's MWBE goal on this project is 13%. This project is included in the 2022 Bond Program. The City's Extendable Commercial Paper (ECP) (M&C 22-0607; Ordinance 25675-08-2022) provides liquidity to support the appropriation. Available resources will be used to actually make any interim progress payments until debt is issued. Once debt associated with a project is sold, debt proceeds will reimburse the interim financing source in accordance with the statement expressing official Intent to Reimburse that was adopted as part of the ordinance canvassing the bond election (Ordinance 25515-05-2022). Funding is budgeted in the 2022 Bond Program Fund for the E. Northside Dr Bridge project. This project is located in COUNCIL DISTRICT 9. FISCAL INFORMATION / CERTIFICATION: The Director of Finance certifies that funds are available in the current capital budget, as previously appropriated, in the 2022 Bond Program Fund for the E. Northside Dr Bridge project to support the approval of the above recommendations and award of the contract. Prior to any expenditure being incurred, the Transportation and Public Works Department has the responsibility to validate the availability of funds. Submitted for City Manager's Office b� William Johnson 5806 Originating Business Unit Head: Lauren Prieur 6035 Additional Information Contact: Monty Hall 8662 CITY OF FORT WORTH Transportation and Public Worlcs Department ADDENDUM NO. 1 to the Plans, Specifications & Contract Documents for E. Northside Dr Bridge Replacement City Project No.102097 ADDENDUM RELEASE DATE: October 26th, 2023 BID RECEIPT DATE: Sealed bids for the consh•uction of CPN 102097 — E Northside Dr Bridge Replacement will be received by the City of Fort Worth Put•chasing Office until 1:30 P.M. CDT, Thursday, November 2nd, 2023. This Addendum, forms part of tl�e Plans, Contract Documents & Specifications for the above referenced Project and modifies the original Specifications and Contract Documents. Bidder shall acknowledge receipt of this addendum in the space provided below, in the proposal (SECTION 00 41 00) and acknowledge receipt on the outer envelope of your bid. Failure to acknowledge receipt of this addendum could subject the bidder to disqualification. The plans and specification documents for E Northside Dr Bridge Replacement, City Project No. 102097 are hereby revised by Addendum No. 1 as follows: 1. PROJECT CONTRACT DOCUMENTS & SPECIFICATIONS a. Cover Page: Replace the cover page with the attached revised cover page. Changes to the Original Include — added signature. b. SECTION 00 00 00 — Replace TABLE OF CONTENTS (TOC) in entirety with the attached revised TOC. Changes to the Original Include: Various (Updated based on COFW, TOC Revision dated October 6, 2023) c. SECTION 00 11 13 — Replace INVITATION TO BIDDERS in entirety with the attached revised INVITATION TO BIDDERS. Changes to the Original Include: Revised Prequalification statement. d. SECTION 00 21 13— Replace INSTRUCTION TO BIDDERS in entirety with the attached revised INSTRUCTION TO BIDDERS. Changes to the Original Include: Revised Prequalification statement (Section 3.1 and Section 3.5) e. SECTION 00 41 00 - Replace BID FORM in entirety with the attached revised BID FORM. Changes to the Original Include: Updated Section 3- Prequalification. f. SECTION 00 42 43 - Replace PROPOSAL FORM in entirety with the attached revised PROPOSAL FORM. Changes to the Original Include: Added pre-bid amount for construction allowance. Page 1 of 3 CITY OF FOR'T WOR'I'H E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONST'RUCTION SP�CIF[CAT[ON DOCUMENTS City Project No. 102097 Revised September 14, 2022 Addendum 1 g. SECTION 00 45 12 - Replace PREQUALIFICATION STATEMENT in entirety with the attached �•evised PREQUALIFICATION STATEMENT. Changes to the Original Include: Updated Prequalification requirements. h. SECTION 00 52 43 - Replace AGREEMENT in entirety with the attached revised AGREEMENT. Changes to the Original Include: Clarified under Section 5.1 A. l. c. use of Insurance Certiflcation Form (ACORD or equivalent) i. SECTION 00 73 00 - Replace SUPPLEMENTARY CONDITIONS in entirety with the attached revised SUPPLEMENTARY CONDITIONS. Changes to the Original Include: Updating SC-6.07 A.., "Duty to pay Prevailing Wage Rates". j. SECTION O1 32 16 - Replace CONSTRUCTION SCHEDULE in entirety with the attached revised CONSTRUCTION SCHEDULE. Changes to the Original Include: Added "Juneteenth" to list of City Holidays. k. 102097-Bid Proposal Workbook - Replace the workbook in entirety with revised Bid Proposal Workbook included in Addenda. Changes to the Original Include: Added pre- bid amount for construction allowance. 2. PROJECT CONSTRUCTION PLANS a. GENERAL NOTES - Replace Sheet 4 with the attached revised Sheet 4. Changes to the Original Include: updated "Park" notes. During the pre-bid meeting on October 17, 2023, the attendees asked the following questions and the City of Fort Worth responded in the following manner: Question 1. Is thei•e a constr°uction estin7ate for this pr•oject? RespoJase 1. Tl�e total estimated corrstraiction cost for• this project is $2, 000, 000. Question 2 Response 2 Questiof7 3 Response 3. Sl�eet 16 note in the middle of the right-1�arrd side of the page states that durirrg Phase 1 const�•uctio» of new bridge t17e abulmef�t caps n�ust remain in place da�r•ing Phase 1 a»d then demolished in Phase 2. Does this mean the abz�h��ef7t in total including back ��alls? O�• ca�� the back x�alls come off dan•irtg Pl�ase 1 cortst�•uctiof�? The�•e ��ill be very limited clearance fi�o�n botto�n of ne�� Phase 1 deck to existi��g crbulnze��ts ar7d a��y re�novals tl�at carr be done in Phase 1 prior to f�ew br•idge cof�stra�ction ��ill help mitigate possible damage to new bridge dan•ing Phase 2�-enaovals. �'es, the existing abum7ent backwalls can be demolished in Phase 1 consb�uction but tl�e aba�tment cap shall ren�ain intact. Does the desigrt engineer• k��oti�� the distance (E-Yit) betwee» the existing abutrnents left i�� place during Phase 1 construction, and tl�e proposed Phase 1 abUtme��ts? On sheet 16 it appea�•s the neti�� abaitme»t 1 is going to be very close to existi��g abuhyzent leavi�ag little room to consd•uct per plans. TNP approximates 9" clear fi-om back of existing abutme�at cap to fr�ont face of pt•oposed �7ew abutmerrt cap. There is ple��t�� of space behvee�� existii�g and ��eia� abuhTaent caps to co»str•uct il�e cap form�-vork, place rebar and place concrete for Page 2 of 3 C17'Y OF FOR'I' WORTf{ E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 102097 Revised September 14, 2022 Addendum 1 ne�� abi�tme�7ts. Question 4. On sheet 17, note 4 states impact nzethods shall not be used for denzo in�less directed Ohzce the Existing bridge is scnv cut completedy across t17e Pl7ase 1 ren�oval lii�e and separate fi•o»� the existing bridge still if� a�se for the�arblic, ivill t1�e ciry allo�� in7pact de»�o nzethods to �•e�nove the existing structures? Or ��ill sai��ir�g be required fo�� all tl�e deck ai�d sarbstrZrctan•e i•e»lovals? Response 4. In7pact denaolitio�� ti��i/Z not be alloti��ed. Existing structzmes can be r•e»zoved ��ithout impacl de»�olitio�� i�7etl�ods. Qtrestio�7 S. TI�e overhead pomer lines tl�at ai�e oi7 tJ7e east side going over thai last bend on tl�e east side, are those bei»g relocated? Response 5. The ove��lzead poti��er� lines are izot being relocated. Tl�e aerial co»7n�z�i�icaiioi� lii�e rtnvaing i��aderrteath the E. Northside Bridge has beef� removed. Questio�� 6. Are t1�e��e any as-baiilts foi• the e�isting bridge? Respoi�se 6. The li��k to the as-bt�ilts drawi�ags for the existi�7g bridge is provided belo��. https://docs. b360.autodesk.com/shares/4ba2ca7a-f844-439a-acc3-b68514967a51 This Addendum No. 1 forms part of the Specifications & Contract Documents for the above- referenced project and modifies the original Project Manual & Contract Documents of the same. Acknowledge your receipt of Addendum No. 1 by completing the requested information at the following locations: (1) In tl�e space provided in Section 00 41 00, Bid Form, Page 3 of 3 (2) Indicate in upper case letters on the outside of your sealed bid envelope: "RECEIVED AND ACKNOWLEDGED ADDENDUM NO. 1" A signed copy of Addendum No. I should be included in the sealed bid envelope at the time of bid submittaL Failure to acknowledge the receipt of Addendum No. 1 could cause the subject bidder to be considered "NONRESPONSIVE," resulting in disqualification. Addendum No. 1 � : Co Lauren Prieui•, P.E. Director, Tran oi-�ation and Public Worlcs By: � � Gr g bins, P.E. � Engineering Manager, TPW Address: S 0 � /��' `` �� 1�. �., � 1 �s �� City: State:_� Page 3 of 3 CITY OF FORT' WORTH E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICA'I'ION DOCUMEN7'S City Project No. 102097 Revised September 14, 2022 Addendum I E Northside Drive Bridge Replacement at Samuels Avenue City Project No. 102097 ADDENDUM NO. #1 CITY OF FORT WORTH Transportationand PublicWorks E Northside Drive Bridge Replacement at Samuels Avenue City Project No.102097 ADDENDUM NO. #1 - END OF SECTION - https://docs.b360.autodesk.com/shares/2fbccb38-ac42-4acb-8440-0d60c600846e https://docs.b360.autodesk.com/shares/60b059ca-d22a-46a4-b6d5-beffebcb705c 00 11 13 INVITATION TO BIDDERS Page 2 of 3 EXPRESSION OF INTEREST To ensure potential bidders are kept up to date of any new information pertinent to this project, all interested parties are requested to email Expressions of Interest in this procurement to the City Project Manager and the Design Engineer. The email should include the company's name, contact person and that individual's email address and phone number. All Addenda will be distributed directly to those who have expressed an interest in the procurement and will also be posted in the City of Fort Worth's purchasing website at http://fortworthtexas.gov/purchasing/ PREBID CONFERENCE — Web Conference A prebid conference will be held as discussed in Section 00 21 13 - INSTRUCTIONS TO BIDDERS at the following date, and time via a web conferencing application: DATE: October 17, 2023 TIME: 10:00 AM to 11:00 AM CST Invitations with links to the web conferencing application will be distributed directly to those who have submitted an Expression of Interest. If a prebid conference is held, the presentation and any questions and answers provided at the prebid conference will be issued as an Addendum to the call for bids. If a prebid conference is not being held, prospective bidders can e-mail questions or comments in accordance with Section 6 of the Instructions to Bidders referenced above to the project manager(s) at the e-mail addresses listed below. Emailed questions will suffice as "questions in writing." If necessary, Addenda will be issued pursuant to the Instructions to Bidders. CITY'S RIGHT TO ACCEPT OR REJECT BIDS City reserves the right to waive irregularities and to accept or reject any or all bids. ..::1� City will award a contract to the Bidder presenting the lowest price, qualifications and competencies considered. INQUIRIES All inquiries relative to this procurement should be addressed to the following: Attn: Sandip Uprety, City of Fort Worth Email: sandip.uprety@fortworthtexas.gov Phone: (682) 362-7367 AND/OR Attn: Christopher Hartke, Teague Nall & Perkins, Inc. Email: chartke@tnpinc.com Phone: (940) 383-4177 ADVERTISEMENT DATES October O5, 2023 October 12, 2023 END OF SECTION CITY OF FORT WORTH T Northsidc Dr Bridge Replacement at Sanmels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMEN�f Project No. 102097 Revised 7/19/2021 00 21 13 INSTRUCTIONS TO BIDDERS Page 1 of 10 CITY OF FORT WORTH E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENT Project No. 102097 Revised/Updated November 2, 2021 SECTION 00 21 13 INSTRUCTIONS TO BIDDERS 1. Defined Terms 1.1. Capitalized terms used in these INSTRUCTIONS TO BIDDERS are defined in Section 00 72 00 - GENERAL CONDITIONS. 1.2. Certain additional terms used in these INSTRUCTIONS TO BIDDERS have the meanings indicated below which are applicable to both the singular and plural thereof. 1.2.1. Bidder: Any person, firm, partnership, company, association, or corporation acting directly through a duly authorized representative, submitting a bid for performing the work contemplated under the Contract Documents. 1.2.2. Nonresident Bidder: Any person, firm, partnership, company, association, or corporation acting directly through a duly authorized representative, submitting a bid for performing the work contemplated under the Contract Documents whose principal place of business is not in the State of Texas. 1.2.3. Successful Bidder: The lowest responsible and responsive Bidder to whom City (on the basis of City's evaluation as hereinafter provided) makes an award. 2. Copies of Bidding Documents 2.1. Neither City nor Engineer shall assume any responsibility for errors or misinterpretations resulting from the Bidders use of incomplete sets of Bidding Documents. 2.2. City and Engineer in making copies of Bidding Documents available do so only for the purpose of obtaining Bids for the Work and do not authorize or confer a license or grant for any other use. 3. Prequalification of Bidders (Prime Contractors and Subcontractors) 3.1. Bidders or their designated subcontractors are required to be prequalified for the work types requiring prequalification as per Sections 00 45 11 BIDDERS PREQUALIFICATIONS and 00 45 12 PREQUALIFICATION STATEMENT. Firms seeking pre-qualification, must submit the documentation identified in Section 00 45 11 on Section 00 45 13 PREQUALIFICATION APPLICATION at least seven (7) calendar days prior to Bid opening for review and, if qualified, acceptance. The subcontractors listed by a Bidder on 00 45 12 must be prequalified for the appropriate work types. Subcontractors must follow the same timelines as Bidders for obtaining prequalification review. Bidders or Subcontractors who are not prequalified at the time bids are opened and reviewed may cause the bid to be rejected. Prequalification requirement work types and documentation are available by accessing all required files through the City’s website at: https://apps.fortworthtexas.gov/ProjectResources/ 3.1.1. Paving – Requirements document located at: 00 21 13 INSTRUCTIONS TO BIDDERS Page 2 of 10 CITY OF FORT WORTH E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENT Project No. 102097 Revised/Updated November 2, 2021 https://apps.fortworthtexas.gov/ProjectResources/ResourcesP/02%20- %20Construction%20Documents/Contractor%20Prequalification/TPW%20Paving %20Contractor%20Prequalification%20Program/PREQUALIFICATION%20REQ UIREMENTS%20FOR%20PAVING%20CONTRACTORS.pdf 3.1.2. Roadway and Pedestrian Lighting – Requirements document located at: https://apps.fortworthtexas.gov/ProjectResources/ResourcesP/02%20- %20Construction%20Documents/Contractor%20Prequalification/TPW%20Roadwa y%20and%20Pedestrian%20Lighting%20Prequalification%20Program/STREET% 20LIGHT%20PREQUAL%20REQMNTS.pdf 3.1.3. Water and Sanitary Sewer – Requirements document located at: https://apps.fortworthtexas.gov/ProjectResources/ResourcesP/02%20- %20Construction%20Documents/Contractor%20Prequalification/Water%20and%2 0Sanitary%20Sewer%20Contractor%20Prequalification%20Program/WSS%20pre qual%20requirements.pdf 3.2. Each Bidder, unless currently prequalified, must submit to City at least seven (7) calendar days prior to Bid opening, the documentation identified in Section 00 45 11, BIDDERS PREQUALIFICATIONS. 3.2.1. Submission of and/or questions related to prequalification should be addressed to the City contact as provided in Paragraph 6.1. 3.3. The City reserves the right to require any pre-qualified contractor who is the apparent low bidder for a project to submit such additional information as the City, in its sole discretion may require, including but not limited to manpower and equipment records, information about key personnel to be assigned to the project, and construction schedule to assist the City in evaluating and assessing the ability of the apparent low bidder to deliver a quality product and successfully complete projects for the amount bid within the stipulated time frame. Based upon the City’s assessment of the submitted information, a recommendation regarding the award of a contract will be made to the City Council. Failure to submit the additional information, if requested, may be grounds for rejecting the apparent low bidder as non-responsive. Affected contractors will be notified in writing of a recommendation to the City Council. 3.4. In addition to prequalification, additional requirements for qualification may be required within various sections of the Contract Documents. 4. Examination of Bidding and Contract Documents, Other Related Data, and Site 4.1. Before submitting a Bid, each Bidder: 00 21 13 INSTRUCTIONS TO BIDDERS Page 3 of 10 CITY OF FORT WORTH E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENT Project No. 102097 Revised/Updated November 2, 2021 4.1.1. Shall examine and carefully study the Contract Documents and other related data identified in the Bidding Documents (including "technical data" referred to in Paragraph 4.2. below). No information given by City or any representative of the City other than that contained in the Contract Documents and officially promulgated addenda thereto, shall be binding upon the City. 4.1.2. Should visit the site to become familiar with and satisfy Bidder as to the general, local and site conditions that may affect cost, progress, performance or furnishing of the Work. 4.1.3. Shall consider federal, state and local Laws and Regulations that may affect cost, progress, performance or furnishing of the Work. 4.1.4. OMITTED 4.1.5. Shall study all: (i) reports of explorations and tests of subsurface conditions at or contiguous to the Site and all drawings of physical conditions relating to existing surface or subsurface structures at the Site (except Underground Facilities) that have been identified in the Contract Documents as containing reliable "technical data" and (ii) reports and drawings of Hazardous Environmental Conditions, if any, at the Site that have been identified in the Contract Documents as containing reliable "technical data." 4.1.6. Is advised that the Contract Documents on file with the City shall constitute all of the information which the City will furnish. All additional information and data which the City will supply after promulgation of the formal Contract Documents shall be issued in the form of written addenda and shall become part of the Contract Documents just as though such addenda were actually written into the original Contract Documents. No information given by the City other than that contained in the Contract Documents and officially promulgated addenda thereto, shall be binding upon the City. 4.1.7. Should perform independent research, investigations, tests, borings, and such other means as may be necessary to gain a complete knowledge of the conditions which will be encountered during the construction of the project. For projects with restricted access, upon request, City may provide each Bidder access to the site to conduct such examinations, investigations, explorations, tests and studies as each Bidder deems necessary for submission of a Bid. Bidder must fill all holes and clean up and restore the site to its former conditions upon completion of such explorations, investigations, tests and studies. 4.1.8. Shall determine the difficulties of the Work and all attending circumstances affecting the cost of doing the Work, time required for its completion, and obtain all information required to make a proposal. Bidders shall rely exclusively and solely upon their own estimates, investigation, research, tests, explorations, and other data which are necessary for full and complete information upon which the proposal is to be based. It is understood that the submission of a proposal or bid is prima-facie evidence that the Bidder has made the investigations, examinations and tests herein required. 00 21 13 INSTRUCTIONS TO BIDDERS Page 4 of 10 CITY OF FORT WORTH E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENT Project No. 102097 Revised/Updated November 2, 2021 4.1.9. Shall promptly notify City of all conflicts, errors, ambiguities or discrepancies in or between the Contract Documents and such other related documents. The Contractor shall not take advantage of any gross error or omission in the Contract Documents, and the City shall be permitted to make such corrections or interpretations as may be deemed necessary for fulfillment of the intent of the Contract Documents. 4.2. Reference is made to Section 00 73 00 – Supplementary Conditions for identification of: 4.2.1. those reports of explorations and tests of subsurface conditions at or contiguous to the site which have been utilized by City in preparation of the Contract Documents. The logs of Soil Borings, if any, on the plans are for general information only. Neither the City nor the Engineer guarantee that the data shown is representative of conditions which actually exist. 4.2.2. those drawings of physical conditions in or relating to existing surface and subsurface structures (except Underground Facilities) which are at or contiguous to the site that have been utilized by City in preparation of the Contract Documents. 4.2.3. copies of such reports and drawings will be made available by City to any Bidder on request. Those reports and drawings may not be part of the Contract Documents, but the "technical data" contained therein upon which Bidder is entitled to rely as provided in Paragraph 4.02. of the General Conditions has been identified and established in Paragraph SC 4.02 of the Supplementary Conditions. Bidder is responsible for any interpretation or conclusion drawn from any "technical data" or any other data, interpretations, opinions or information. 4.2.4. Standard insurance requirements, coverages and limits. 4.3. The submission of a Bid will constitute an incontrovertible representation by Bidder: (i) that Bidder has complied with every requirement of this Paragraph 4, (ii) that without exception the Bid is premised upon performing and furnishing the Work required by the Contract Documents and applying the specific means, methods, techniques, sequences or procedures of construction (if any) that may be shown or indicated or expressly required by the Contract Documents, (iii) that Bidder has given City written notice of all conflicts, errors, ambiguities and discrepancies in the Contract Documents and the written resolutions thereof by City are acceptable to Bidder, and when said conflicts, etc., have not been resolved through the interpretations by City as described in Paragraph 6., and (iv) that the Contract Documents are generally sufficient to indicate and convey understanding of all terms and conditions for performing and furnishing the Work. 4.4. The provisions of this Paragraph 4, inclusive, do not apply to Asbestos, Polychlorinated biphenyls (PCBs), Petroleum, Hazardous Waste or Radioactive Material covered by Paragraph 4.06. of the General Conditions, unless specifically identified in the Contract Documents. 00 21 13 INSTRUCTIONS TO BIDDERS Page 5 of 10 CITY OF FORT WORTH E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENT Project No. 102097 Revised/Updated November 2, 2021 5. Availability of Lands for Work, Etc. 5.1. The lands upon which the Work is to be performed, rights-of-way and easements for access thereto and other lands designated for use by Contractor in performing the Work are identified in the Contract Documents. All additional lands and access thereto required for temporary construction facilities, construction equipment or storage of materials and equipment to be incorporated in the Work are to be obtained and paid for by Contractor. Easements for permanent structures or permanent changes in existing facilities are to be obtained and paid for by City unless otherwise provided in the Contract Documents. 5.2. Outstanding right-of-way, easements, and/or permits to be acquired by the City are listed in Paragraph SC 4.01 of the Supplementary Conditions. In the event the necessary right- of-way, easements, and/or permits are not obtained, the City reserves the right to cancel the award of contract at any time before the Bidder begins any construction work on the project. 5.3. The Bidder shall be prepared to commence construction without all executed right-of- way, easements, and/or permits, and shall submit a schedule to the City of how construction will proceed in the other areas of the project that do not require permits and/or easements. 6. Interpretations and Addenda 6.1. All questions about the meaning or intent of the Bidding Documents are to be directed to City in writing on or before 2 p.m., the Monday prior to the Bid opening. Questions received after this day may not be responded to. Interpretations or clarifications considered necessary by City in response to such questions will be issued by Addenda delivered to all parties recorded by City as having received the Bidding Documents. Only questions answered by formal written Addenda will be binding. Oral and other interpretations or clarifications will be without legal effect. Address questions to: City of Fort Worth 200 Texas Street Fort Worth, TX 76102 Attn: Sandip Uprety, TPW Email: Sandip.Uprety@fortworthtexas.gov Phone: (682) 362-7367 6.2. Addenda may also be issued to modify the Bidding Documents as deemed advisable by City. 6.3. Addenda or clarifications may be posted via the City’s electronic document management and collaboration system at https://docs.b360.autodesk.com/shares/312d64f0-3633- 4382-9a1f-0f238953d510 00 21 13 INSTRUCTIONS TO BIDDERS Page 6 of 10 CITY OF FORT WORTH E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENT Project No. 102097 Revised/Updated November 2, 2021 6.4.A prebid conference may be held at the time and place indicated in the Advertisement or INVITATION TO BIDDERS. Representatives of City will be present to discuss the Project. Bidders are encouraged to attend and participate in the conference. City will transmit to all prospective Bidders of record such Addenda as City considers necessary in response to questions arising at the conference. Oral statements may not be relied upon and will not be binding or legally effective. 7. Bid Security 7.1. Each Bid must be accompanied by a Bid Bond made payable to City in an amount of five (5) percent of Bidder's maximum Bid price, on the form attached or equivalent, issued by a surety meeting the requirements of Paragraph 5.01 of the General Conditions. 7.2. The Bid Bonds provided by a Bidder will be retained until the conditions of the Notice of Award have been satisfied. If the Successful Bidder fails to execute and return the Contract Documents within 14 days after the Notice of Award conveying same, City may consider Bidder to be in default, rescind the Notice of Award and act on the Bid Bond. Such action shall be City's exclusive remedy in the event Bidder is deemed to have defaulted. 8. Contract Times The number of days within which, or the dates by which, Milestones are to be achieved in accordance with the General Requirements and the Work is to be completed and ready for Final Acceptance is set forth in the Agreement or incorporated therein by reference to the attached Bid Form. 9. Liquidated Damages Provisions for liquidated damages are set forth in the Agreement. 10. Substitute and "Or-Equal" Items The Contract, if awarded, will be on the basis of materials and equipment described in the Bidding Documents without consideration of possible substitute or "or-equal" items. Whenever it is indicated or specified in the Bidding Documents that a "substitute" or "or- equal" item of material or equipment may be furnished or used by Contractor if acceptable to City, application for such acceptance will not be considered by City until after the Effective Date of the Agreement. The procedure for submission of any such application by Contractor and consideration by City is set forth in Paragraphs 6.05A., 6.05B. and 6.05C. of the General Conditions and is supplemented in Section 01 25 00 of the General Requirements. 11. Subcontractors, Suppliers and Others 11.1. In accordance with the City’s Business Equity Ordinance No.25165-10-2021 the City has goals for the participation of minority business and/or women business enterprises in City contracts $100,000 or greater. See Section 00 45 40 for the M/WBE Project Goals and additional requirements. Failure to comply shall render the Bidder as non-responsive. Business Equity Ordinance No.25165-10-2021, as amended (replacing Ordinance No. 24534-11-2020), codified at: https://codelibrary.amlegal.com/codes/ftworth/latest/ftworth_tx/0-0-0-22593 00 21 13 INSTRUCTIONS TO BIDDERS Page 7 of 10 CITY OF FORT WORTH E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENT Project No. 102097 Revised/Updated November 2, 2021 11.2. No Contractor shall be required to employ any Subcontractor, Supplier, other person or organization against whom Contractor or City has reasonable objection. 12. Bid Form 12.1. The Bid Form is included with the Bidding Documents; additional copies may be obtained from the City. 12.2. All blanks on the Bid Form must be completed and the Bid Form signed in ink. Erasures or alterations shall be initialed in ink by the person signing the Bid Form. A Bid price shall be indicated for each Bid item, alternative, and unit price item listed therein. In the case of optional alternatives, the words "No Bid," "No Change," or "Not Applicable" may be entered. Bidder shall state the prices for which the Bidder proposes to do the work contemplated or furnish materials required. All entries shall be legible. 12.3. Bids by corporations shall be executed in the corporate name by the president or a vice-president or other corporate officer accompanied by evidence of authority to sign. The corporate seal shall be affixed. The corporate address and state of incorporation shall be shown below the signature. 12.4. Bids by partnerships shall be executed in the partnership name and signed by a partner, whose title must appear under the signature accompanied by evidence of authority to sign. The official address of the partnership shall be shown below the signature. 12.5. Bids by limited liability companies shall be executed in the name of the firm by a member and accompanied by evidence of authority to sign. The state of formation of the firm and the official address of the firm shall be shown. 12.6. Bids by individuals shall show the Bidder's name and official address. 12.7. Bids by joint ventures shall be executed by each joint venture in the manner indicated on the Bid Form. The official address of the joint venture shall be shown. 12.8. All names shall be typed or printed in ink below the signature. 12.9. The Bid shall contain an acknowledgement of receipt of all Addenda, the numbers of which shall be filled in on the Bid Form. 12.10. Postal and e-mail addresses and telephone number for communications regarding the Bid shall be shown. 12.11. Evidence of authority to conduct business as a Nonresident Bidder in the state of Texas shall be provided in accordance with Section 00 43 37 – Vendor Compliance to State Law Non Resident Bidder. 00 21 13 INSTRUCTIONS TO BIDDERS Page 8 of 10 CITY OF FORT WORTH E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENT Project No. 102097 Revised/Updated November 2, 2021 13. Submission of Bids Bids shall be submitted on the prescribed Bid Form, provided with the Bidding Documents, at the time and place indicated in the Advertisement or INVITATION TO BIDDERS, addressed to Purchasing Manager of the City, and shall be enclosed in an opaque sealed envelope, marked with the City Project Number, Project title, the name and address of Bidder, and accompanied by the Bid security and other required documents. If the Bid is sent through the mail or other delivery system, the sealed envelope shall be enclosed in a separate envelope with the notation "BID ENCLOSED" on the face of it. 14. Withdrawal of Bids 14.1. Bids addressed to the Purchasing Manager and filed with the Purchasing Office may be withdrawn prior to the time set for bid opening. A request for withdrawal must be made in writing and delivered to the Purchasing Office to receive a time stamp prior to the opening of Bids. A timely withdrawn bid will be returned to the Bidder or, if the request is within one hour of bid opening, will not be read aloud and will thereafter be returned unopened. 14.2. In the event any Bid for which a withdrawal request has been timely filed has been inadvertently opened, said Bid and any record thereof will subsequently be marked “Withdrawn” and will be given no further consideration for the award of contract. 15. Opening of Bids Bids will be opened and read aloud publicly. An abstract of the amounts of the base Bids and major alternates (if any) will be made available to Bidders after the opening of Bids. 16. Bids to Remain Subject to Acceptance All Bids will remain subject to acceptance for a minimum of 90 days or the time period specified for Notice of Award and execution and delivery of a complete Agreement by Successful Bidder. City may, at City's sole discretion, release any Bid and nullify the Bid security prior to that date. 17. Evaluation of Bids and Award of Contract 17.1. City reserves the right to reject any or all Bids, including without limitation the rights to reject any or all nonconforming, nonresponsive, unbalanced or conditional Bids and to reject the Bid of any Bidder if City believes that it would not be in the best interest of the Project to make an award to that Bidder. City reserves the right to waive informalities not involving price, contract time or changes in the Work and award a contract to such Bidder. Discrepancies between the multiplication of units of Work and unit prices will be resolved in favor of the unit prices. Discrepancies between the indicated sum of any column of figures and the correct sum thereof will be resolved in favor of the correct sum. Discrepancies between words and figures will be resolved in favor of the words. 00 21 13 INSTRUCTIONS TO BIDDERS Page 9 of 10 CITY OF FORT WORTH E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENT Project No. 102097 Revised/Updated November 2, 2021 17.1.1. Any or all bids will be rejected if City has reason to believe that collusion exists among the Bidders, Bidder is an interested party to any litigation against City, City or Bidder may have a claim against the other or be engaged in litigation, Bidder is in arrears on any existing contract or has defaulted on a previous contract, Bidder has performed a prior contract in an unsatisfactory manner, or Bidder has uncompleted work which in the judgment of the City will prevent or hinder the prompt completion of additional work if awarded. 17.2. In addition to Bidder’s relevant prequalification requirements, City may consider the qualifications and experience of Subcontractors, Suppliers, and other persons and organizations proposed for those portions of the Work where the identity of such Subcontractors, Suppliers, and other persons and organizations must be submitted as provided in the Contract Documents or upon the request of the City. City also may consider the operating costs, maintenance requirements, performance data and guarantees of major items of materials and equipment proposed for incorporation in the Work when such data is required to be submitted prior to the Notice of Award. 17.3. City may conduct such investigations as City deems necessary to assist in the evaluation of any Bid and to establish the responsibility, qualifications, and financial ability of Bidders, proposed Subcontractors, Suppliers and other persons and organizations to perform and furnish the Work in accordance with the Contract Documents to City's satisfaction within the prescribed time. 17.4. Contractor shall perform with his own organization, work of a value not less than 35% of the value embraced on the Contract, unless otherwise approved by the City. 17.5. If the Contract is to be awarded, it will be awarded to lowest responsible and responsive Bidder whose evaluation by City indicates that the award will be in the best interests of the City. 17.6. Pursuant to Texas Government Code Chapter 2252.001, the City will not award contract to a Nonresident Bidder unless the Nonresident Bidder’s bid is lower than the lowest bid submitted by a responsible Texas Bidder by the same amount that a Texas resident bidder would be required to underbid a Nonresident Bidder to obtain a comparable contract in the state in which the nonresident’s principal place of business is located. 17.7. A contract is not awarded until formal City Council authorization. If the Contract is to be awarded, City will award the Contract within 90 days after the day of the Bid opening unless extended in writing. No other act of City or others will constitute acceptance of a Bid. Upon the contract award, a Notice of Award will be issued by the City. 17.7.1. The contractor is required to fill out and sign the Certificate of Interested Parties Form 1295 and the form must be submitted to the Project Manager before the contract will be presented to the City Council. The form can be obtained at https://www.ethics.state.tx.us/data/forms/1295/1295.pdf 17.8. Failure or refusal to comply with the requirements may result in rejection of Bid. 00 21 13 INSTRUCTIONS TO BIDDERS Page 10 of 10 CITY OF FORT WORTH E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENT Project No. 102097 Revised/Updated November 2, 2021 18. Signing of Agreement 18.1. When City issues a Notice of Award to the Successful Bidder, it will be accompanied by the required number of unsigned counterparts of the Project Manual. Within 14 days thereafter, Contractor shall sign and deliver the required number of counterparts of the Project Manual to City with the required Bonds, Certificates of Insurance, and all other required documentation. 18.2. City shall thereafter deliver one fully signed counterpart to Contractor. END OF SECTION 00 35 13 CONFLICT OF INTEREST STATEMENT Page 1 of 1 SECTION 00 35 13 CONFLICT OF INTEREST STATEMENT Each bidder, offeror or respondent to a City of Fort Worth procurement is required to complete a Conflict of Interest Questionnaire or certify that one is current and on file with the City Secretary's Office pursuant to state law. If a member of the Fort Worth City Council, any one or more of the City Manager or Assistant City Managers, or an agent of the City who exercise discretion in the planning, recommending, selecting or contracting with a bidder, offeror or respondent is affiliated with your company, then a Local Government Officer Conflicts Disclosure Statement (CIS) may be required. You are urged to consult with counsel regarding the applicability of these forms and Local Government Code Chapter 176 to your company. The referenced forms may be downloaded from the links provided below. Form CIQ (Conflict of Interest Questionnaire) (state.tx.us) https://www.ethics.state.tx.us/data/forms/conflict/CIS.pdf � ❑ ❑ ❑ ❑ ❑ BIDDER: CIQ Form does not apply CIQ Form is on file with City Secretary CIQ Form is being provided to the City Secretary CIS Form does not apply CIS Form is on File with City Secretary CIS Form is being provided to the City Secretary By: Alex Ha es Signature: Title: Vice President END OF SECTION CITY OF FORT WORTH STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS E. Northside Dr Bridge Replacment at Samuels Avenue Revised February 24, 2020 City Project Number 102097- Bid Proposal Workbook-Addendum 1 00 41 00 BID FORM Page 1 of 3 SECTION 00 41 00 BID FORM TO: The Purchasing Manager c/o: The Purchasing Division 200 Texas Street City of Fort Worth, Texas 76102 FOR: City Project No. Units/Sections: E Northside Dr Bridge Replacement at Samuels Avenue 102097 Unit 1 E Northside Drive Bridge Replacement at Samuels Avenue 1. Enter Into Agreement The undersigned Bidder proposes and agrees, if this Bid is accepted, to enter into an Agreement with City in the form included in the Bidding Documents to perform and furnish all Work as specified or indicated in the Contract Documents for the Bid Price and within the Contract Time indicated in this Bid and in accordance with the other terms and conditions of the Contract Documents. 2. BIDDER Acknowledgements and Certification 2.1. In submitting this Bid, Bidder accepts all of the terms and conditions of the INVITATION TO BIDDERS and INSTRUCTIONS TO BIDDERS, including without limitation those dealing with the disposition of Bid Bond. 2.2, Bidder is aware of all costs to provide the required insurance, will do so pending contract award, and will provide a valid insurance certificate meeting all requirements within 14 days of notification of award. 2.3. Bidder certifies that this Bid is genuine and not made in the interest of or on behalf of any undisclosed individual or entity and is not submitted in conformity with any collusive agreement or rules of any group, association, organization, or corporation. 2.4. Bidder has not directly or indirectly induced or solicited any other Bidder to submit a false or sham Bid. 2.5. Bidder has not solicited or induced any individual or entity to refrain from bidding. 2.6. Bidder has not engaged in corrupt, fraudulent, collusive, or coercive practices in competing for the Contract. For the purposes of this Paragraph: a. "corrupt practice" means the offering, giving, receiving, or soliciting of any thing of value likely to influence the action of a public official in the bidding process. b. "fraudulent practice" means an intentional misrepresentation of facts made (a) to influence the bidding process to the detriment of City (b) to establish Bid prices at artificial non-competitive levels, or (c) to deprive City of the benefits of free and open competition. c. "collusive practice" means a scheme or arrangement between two or more Bidders, with or without the knowledge of City, a purpose of which is to establish Bid prices at artificial, non- competitive levels. CITY OF FORT WORTH STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS E Northside Dr Bridge Replacement at Samuels Avenue Revised 9/30/2021 City Project Number 102097- Bid Proposal Workbook-Addendum 1 00 41 00 BID FORM Page 2 of 3 d. "coercive practice" means harming or threatening to harm, directly or indirectly, persons or their property to influence their participation in the bidding process or affect the execution of the Contract. 3. Prequalification The Bidder acknowledges that the following work types must be performed only by prequalified contractors and subcontractors: a. TxDOT Prequalified Contractor b. Roadway and Pedestrian Lighting c. d. - e. - f. - g. - h. - 4. Time of Completion 4.1. The Work will be complete for Final Acceptance within 300 CD days after the date when the the Contract Time commences to run as provided in Paragraph 2.03 of the General Conditions. 4.2. Bidder accepts the provisions of the Agreement as to liquidated damages in the event of failure to complete the Work {and/or achievement of Milestones} within the times specified in the Agreement. 5. Attached to this Bid The following documents are attached to and made a part of this Bid: a. This Bid Form, Section 00 41 00 b. Required Bid Bond, Section 00 43 13 issued by a surety meeting the requirements of Paragraph 5.01 of the General Conditions. c. Proposal Form, Section 00 42 43 d. Vendor Compliance to State Law Non Resident Bidder, Section 00 43 37 e. MWBE Forms (optional at time of bid) f. Prequalification Statement, Section 00 45 12 g. Conflict of Interest Affidavit, Section 00 35 13 *If necessary, CIQ or CIS forms are to be provided directly to City Secretary h. Any additional documents that may be required by Section 12 of the Instructions to Bidders CITY OF FORT WORTH STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS E Northside Dr Bridge Replacement at Samuels Avenue Revised 9/30/2021 City Project Number 102097- Bid Proposal Workbook-Addendum 1 00 41 00 BID FORM Page 3 of 3 6. Total Bid Amount 6.1. Bidder will complete the Work in accordance with the Contract Documents for the following bid amount. In the space provided below, please enter the total bid amount for this project. Only this figure will be read publicly by the City at the bid opening. 6.2. It is understood and agreed by the Bidder in signing this proposal that the total bid amount entered below is subject to verification and/or modification by multiplying the unit bid prices for each pay item by the respective estimated quantities shown in this proposal and then totaling all of the extended amounts. Total Bid 7. Bid Submittal This Bid is submitted on Respectfully s itted, By: ignature) Alex Hammes (Printed Name) $3,714,298.00 by the entity named below. Receipt is acknowledged of the Initial following Addenda: Addendum No. 1: Addendum No. 2: Addendum No. 3: N/A Addendum No. 4: Title: Vice President Company: IBCTX, LLC Address: 507 Main St. Ste. B Lake Dallas, TX 75065 State of Incorporation Texas Email: estimating@ibctx.com I�� .T7T�:L[i�ayi�Ii] END OF SECTION Corporate Seal: CITY OF FORT WORTH STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS E Northside Dr Bridge Replacement at Samuels Avenue Revised 9/30/2021 City Project Number'102097- Bid Proposal Workbook-Addendum 1 ooazas i3n>raovosn�. Pngc I a( i ► -: � No. a2 45 46 47 48 49 50 51 52 55 SG 57 58 59 60 Descnption I10.0101 Site Clearing 24I.1000 Remove Concrete Pmrt 241.1 l00 Remove Asphalt P�mll 241.1300 Remove Conc Curb & Gutter 241.0100 Remove Sidewalk 24 LOI00 Retnove Rip Rap 24 L3013 Remove 18" Stom� Line 241.4005 Remove 5' or Less Curb inlet 3124.0101 EmUankment by Plan 3212.0203 4" Asphatt Pvmt Type C 3213.0105 ]0" Conc Pwnt 321 L0502 8" Lime Treatment 3211.0400 Hydrated Lime (48 LBS/Sl') 3213.031I 4" Conc Sidewalk, Adjacen[ to CurU 3213.0321 Cm�c Sidewalk, Adjacent to Ret \Vall 3216.0101 6" Conc Curb and Gutter SECTION 00 42 43 PROPOSALFORM Projcct Itcm 6iComiation Spccification Scclion No. 31 10 00 0241 IS 0241 IS 0241 IS 02 41 l3 02 4l 13 02 41 14 02 4 t 14 31 24 00 32 12 16 32 13 13 32 11 29 32 ll 29 32 13 20 32 13 20 32 l6 13 Unit of pid Quantiq. �4aisure 1096 209 885 so 2 2 740 18 1464 i24s 362 308 5 Bidder's Application Biddcrs Proposal Unit Pricc Bid Value $200.00 $180,000.00 $6.00 $5,868.00 .. ... .. . . � .. . $24.00 .. ... $23,472.00 . ..._ .. ....._ _...... _ ... ... ... $4.00 $4,384.00 $6.00 $1,254.00 $6.00 $5,310.00 $12.00 $720.00 $600.00 � � $1,200.00 ... .._.... ... ..._.... $600.00 $1,200.00 $2,500.00 $2,500.00 $90.00 $33,300.00 _. ._ ..... _ .. .... __ _.._... _ $90.00 $29,340.00 $80 00 $12,960.00 $180.00 $105,480.00 � $45.00 $33,300.00 $12.00 $17,566.00 $18.00 $22,464.00 $60.00 � $21,720.00 $120.00 $36,960.00 $500.00 $2,500.00 3292.0100 Block Sod Placement 32 92 13 S1' 44 $50.00 $2,200.00 __ _ _ 3349.5001 ]0' CurU Inlet 33 49 20 EA 2 $12,000.00 $24,000.00 3341.0103 18" RCP, Class lIl 33 41 10 LF sfl $120.00 $8,160.00 34413001 Rd�� lllum AssmUly TY 1 34 4I 20 EA � $18,000.00 $18,000.00 3441.1403 NO 6 Tri lex OH Insulated Elec Condr 34 4l 10 L� 110 $5.00 $55D.OD 3217.0103 6" BRK Pvmt �9arkin � HAS (\��) 32 17 23 LF 140 $4.00 $560.00 _ _ _ 3217.0102 6" SLD P��nt Marking HAS (l') 32 l7 23 LP 908 $3.00 $2,72q.00 32U.2104 REFL Raised Marker TY II-GR 32 17 23 EA 12 $10.00 $120.00 32172103 REFL Raised 1�4arker TY lI-A-A 32 17 23 EA t $10.00 $10.00 __ _ . 344t.4004 Fumisl�/Instail Ahnn Sign Es. Pole 1�4ount 34 71 30 EA 2 $1,300.00 $2,600.00 __ _ __ __ 3471.0001 Tra�c Conh'ol 34 71 13 4f0 10 $7,500.00 $75,000.00 3125A101 S\3+PPP > 1 acre 31 2500 LS 1 $60,000.00 $60,000.00 0171.0101 Conshuction Staking Ol 7l 23 LS � $200,000.00 $200,000.00 T�DOT 400-6005 Cement Stabilized Back511 TxDOT 400-6005 CY 191 $450.00 $85,950.00 TsDOT 403-6001 Tem ora � S eciat Shorin � TsDO'P 403-6001 SE 300 $10D.00 $30,000.00 TsDOT 416-6002 Drill Shaft (24 in) TxDOT 416-G002 LF �5so $600.00 $936,000.00 TaDOT 420-6014 CI C Conerete (Abuhnent) HPC TxDOT 420-G014 C1' 38 $3,000.00 $114,000.00 __ __ __.. TaDO'C 420-6030 CI C Concrete (Ca (HPC) TxDOT 420-6030 CY 33 $3,000.00 $99,000.00 __ _ TxDOT 420-6038 CI C Concrete (Column (HPC) TsDOT 420-G038 CY 20 $3,000.00 $60,000.00 TxDOT 422-6008 Reinforeed Concrete S1aU (SIaU Beam (HPC TxDO'1' 422-6008 SP 7128 $28.00 $199,584.00 'i'xD01' 422-6012 Bridge Median (HPC) T�DOT 422-G012 SP 592 $35.00 $20,720.00 TxDOT 422-6014 Brid �e Sidewalk HPC TsDOT 422-6014 SF 2072 $25.00 $51,800.00 TxDOT 422-6016 A roach SIaU (HPC) TsDOT 422-6016 CY 102 $1,100 OD $112,200.00 TsDOT 423-6008 Retaining N'all (Cast-In-Ptace) T�DOT 423-6008 S� 488 $120.D0 $58,560.00 TxDOT 425-6009 Prestressed Conerete Slab Beam (4SB 12 TsDOT 425-6009 LP 1704 $235.00 $q00,440.00 _._ __ _ TxDOT 432-6010 Ri ra � Conc)(CI B)(5 in) TrDOT 432-6010 CY 65 $1,000.00 $65,000.00 TxDOT 442-6007 Stme[ural Steel (Mise Non-B�idge) TxDOT 442-6007 LB 308 $50.00 $15,400.00 TxDOT 450-G034 Rait (T � C402) TxDOT d50-G034 L� z9s $300.00 $88,800.00 T�DOT 450-6048 Rail (Handrail)(T A) TxDOT 450-60J8 LF Z44 $100.00 $24,400.00 TxDOT 454-6004 Annor Joint (Seated TxDOT 454-6004 LF �os $150.00 $15,900.00 _ TaDOT 496-6010 Remove Struchire Brid �e 100' To 499' Len �tl�) TxDOT 496-6010 EA 2 $100,000.00 $200,000.00 TsDOT 512-GOOI Port CTB (Pumish R Instatl (Sin �le Slo e(TY t) 7'xDOT S 1Z6001 LF 330 $80.00 $26,400.OD TaDOT 512-6049 Port CTB (Remove)(Sin �le Slo e(TY I TxDOT 512-G049 LF 330 $40.00 $13,200.00 T�DOT 536-G002 Concmte �ledian "P�D07' S3G-6002 SY 82 � $120.00 �� $9,840.00 TsDO'P 545-G019 Gash Cushion Attenuator(lnstail)(S N) TL3 TsDOT 545-6019 GA 2 $12,50D.00 $25,000.00 TsDOT 545-6005 Crash Cusl�ion Attenuator (Remove TsDOT 545-G005 EA 2 $2,500.00 $5,000.00 9'sDOT 644-60G4 Install Brid �e Mounted Clearance Si m AssemUl �(T ��e N) T�DO'i' 6d4-G0G4 EA 2 $5,000.00 $10,000.00 T�DOT 5000-6001 Geo �rid Reinforce Embankments Tl' A TsDOT 5000-6001 SY t2 $24D.00 $2,880.00 9999.00OI F3rid �e Conshuction Allowance LS t $100,000.00 $100,000.00 Totnl Did $3,714,298.00 END OF SECTION CI Il' OI� F021' \VOIiTIi STANDARI) CONSTHIKTION fiPCCIFICA'IION DOCUAf ENTC [ N�nhnJe Dr B�idge lie�la.<mm� m Samudx A�e�u�e Rc�iuJ'1�302n2i Ciry' Pmj«� Numhr I02097. Did P�op��+l ll'orktnn�k-AddrnAum I 00 43 13 BID BOND Page 1 of 2 SECTION 00 43 13 BID BOND KNOW ALL BY THESE PRESENTS: That we, IBCTX, LLC , known as "Bidder" herein and Merchants Bondinq Companv (Mutual) a corporate surety duly authorized to do business in the State of Texas, known as "Surety" herein, are held and firmly bound unto the City of Fort Worth, a municipal corporation created pursuant to the laws of Texas, known as "City" herein, in the penal sum of five percent (5%) of Bidder's maximum bid price, in lawf.ui money of the United States, to be paid in Fort Worth, Tarrant County, Texas for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid or proposal to perform Work for the following project designated as E Northside Dr Bridge Replacement at Samuels Avenue NOW, THEREFORE, the condition of this obligation is such that if the City shall award the Contract for the foregoing project to the Principal, and the Principal shall satisfy all requirements and conditions required for the execution of the Contract and shall enter into the Contract in writing with the City in accordance with the terms of such same, then this obligation shall be and become null and void. If, however, the Principal fails to execute such Contract in accordance with the terms of same or fails to satisfy all requirements and conditions required for the execution of the Contract, this bond shall become the property of the City, without recourse of the Principal and/or Surety, not to exceed the penalty hereof, and shall be used to compensate City for the difference beiween Principal's total bid amount and the next selected bidder's total bid amount. PROVIDED FURTHER, that if any legal action be filed on this Bond, venue shall lie in Tarrant County, Texas or the United States District Court for the Northern District of Texas, Fort Worth Division. IN WITNESS WHEREOF, the Principal and the Surety have SIGNED and SEALED this instrument by duly authorized agents and officers on this the 2nd day of November , 2023. PRINCIPAL: ATTEST: Witnes o P cipal CITY OF FORT WORTH STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Revised 9/30/2021 �.a�� a��u � �� E Northside Dr Bridge Replacemen[ at Samuels Avenue Project No. 102097 OD 43 13 BID BOND Page 2 of 2 . � ....it/' (,i-!/''�' Witness to Sure Kennedy Bailey Attach Power of Attorney (Surety) for Attorney-in-Fact Address: 507 Main Street Suite B Lake Dallas TX 75065 SURETY: Merchants Bonding Company (Mutual) , BY: Si nature Abigail R. Mohr , Attorney-in-Fact Name and Title Address: P. O. Box 14498 Des Moines IA 50306 Telephone Number: 515-243-8171 *Note: If signed by an officer of the Surety Company, there must be on file a certified extract from the by laws showing that this person has authority to sign such obligation. If Surety's physical address is different from its mailing address, both must be provided. The date of the bond shall not be prior to the date the Contract is awarded. END OF SECTION CITY OF FORT WORTH STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS E Northside Dr Bridge Replacement at Samuels Avenue Revised 9/30/2021 Project No. 102097 .M�Rc��Ts BONDING COMPANYna POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, Abigail R Mohr; Laura Peiffer; Mat DeGroote; Matthew R Fay; Michael L McCoy; Sandy VanOsten their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the foliowing By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutuai) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistani Secretary or any Vice President shail have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." 'The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obiigations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State ofFlorida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shali not relieve this surety company of any of its obligations underits bond. in connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 8th day of March � 2022 • ��........�� : �y� oRp R � �'o': 2''2G -o- ��O�:t�f; , j�: 2003 ;;,�; ': d�•. : �� c. •,�� •. .:rJ .•'� .•"' '•. . • p�N� ,CO,�;o � �o�p�p�9 '9. . • • 'c� '4�•y.c: : t,�.:�_''�' -o- R` : : : y 1933 a��C; • ,� •�ti. . b .a . • 3iW. . �1,� . • � . . MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. By � � � � � � President STATE OF IOWA '''•..�.��.••.'�' •' • .... • • � COUNTY OF DALLAS ss. On this 8th day of March 2022 before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUA�) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. ,`p,�,A� s POLLY MASON o � Commission Number 750576 z ° ° ° ° '� My Commission Expires � + ,oWP � January 07, 2023 a�� "�-5�-� Notary Public (Expiration of notary's commission does not invalidate this mstrument) I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies, which is still in fulf force and effect and has not been amended or revoked. In Witness Whereof, 1 have hereunto set my hand and affixed the seal of the Companies on this 2nd day of November , 2023 . ��..��.�..,�� .. - ..� ��.�Pq 10 Nq � ••.�� . • ��NG Cp�•.� �� :�RPORq��': :��?DAp�A9A9y� s+r/ � �y`c, >'�;:2 • • � �•..�. � -Z'= -o- v:GC ��-y-;Z' -o- R`: ; .Ge'/'v+�a_e'�7 ' S: � Z` : y� 1933 ��c' Secretary ;v. 2003 ;,,�= . ��r: :,I- ' 0 • J�;. . •'�v�/i,•••.�..•��a�i� ��.�G'••�a�'''`1ai �V •Y POA0018 (1/20) �'•�,....�►.•.••• •��...••° 00 43 37 VENDOR COMPLIANCE TO STATE LAW Page 1 of 1 SECTION 00 43 37 VENDOR COMPLIANCE TO STATE LAW NON RESIDENT BIDDER Texas Government Code Chapter 2252 was adopted for the award of contracts to nonresident bidders. This law provides that, in order to be awarded a contract as low bidder, nonresident bidders (out-of-state contractors whose corporate offices or principal place of business are outside the State of Texas) bid projects for construction, improvements, supplies or services in Texas at an amount lower than the lowest Texas resident bidder by the same amount that a Texas resident bidder would be required to underbid a nonresident bidder in order to obtain a comparable contract in the State which the nonresident's principal place of business is located. The appropriate blanks in Section A must be filled out by all nonresident bidders in order for your bid to meet specifications. The failure of nonresident bidders to do so will automatically disqualify that bidder. Resident bidders must check the box in Section B. A. Nonresident bidders in the State of , our principal place of business, are required to be percent lower than resident bidders by State Law. A copy of the statute is attached. Nonresident bidders in the State of , our principal place of business, are not required to underbid resident bidders. B. The principal place of business of our company or our parent company or majority owner is in the State of Texas.O BIDDER: IBCTX, LLC By: AI Hammes ignature) Title: Vice President Date: �ND OF S�CTION CITY OF FORT WORTH STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Revised 9I30/2021 11 /2/2023 E Northside Dr Bridge Replacement at Samuels Avenue City Project Number 102097- Bid Proposal Workbook-Addendum 1 00 45 I 1- 3 BIDDERS PREQUALIFICATIONS Page 3 of 3 d. If a contractor has a valid prequalification letter, the contractor will be eligible to perform the prequalified work types untilthe expiration date stated in the letter. 4 6 7 IND OF SECTION 0 CITY OF FORT WORTH ENorthside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUC'TION SPECIFICATION DOCUMENTS Project no. 102097 Revised August 13, 2021 00 45 12 PREQUALIFICATION STATEMENT Page 1 of 1 SECTION 00 45 12 PREQUALIFICATION STATEMENT Each Bidder for a City procurement is required to complete the information below by identifying the prequalified contractors and/or subcontractors whom they intend to utilize for the major work type(s) listed. Major Work Type Contractor/Subcontractor Company Name Prequalification Expiration Date TxDOT Prequalified Contractor IBCTX, LLC 12/31/2024 Roadway and Pedestrian Mels Electric, L.P. 5/11/2023 Lighting 0 The undersigned hereby certifies that the contractors and/or subcontractors described in the table above are currently prequalified for the work types listed. I 3U7�l�:ii IBCTX, LLC 507 Main St. Ste. B Lake Dallas, TX 75065 0 By: Alex Hamme (Signature) Title: Vice President Date: ( � � p2 END OF SECTION CITY OF FORT WORTH STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS E Northside Dr Bridge Replacement at Samuels Avenue Revised 09/30/2021 City Project Number 102097- Bid Proposal Workbook-Addendum 1 F�RTW�RTH� June 20, 2023 Ms. Cindy Verastequi Mels Electric, LLC. PO Box 40 Wilmer, TX 75172 Re: City of Fort Worth Street Lighting Pre-Qualification Dear Cindy: Please accept this letter as Mels Electric, LLC. approval of pre-qualification for the installation of roadway and pedestrian lighting in the City of Fort Worth beginning today, June 20, 2023 through June 20, 2025. If you need additional information or have any questions, please contact the Transportation & Public Works Department at 817-392-5120. Sincerely, 1�-- � � Clint Hoover, P.E. Engineering Manager Transportation Management Division City of Fort Worth Transportation and Pubtic Works Department Fort Worth � TRANSPORTATION AiVI] PUBi.IC WORKS DEPARTMENT TRAFF{C Ikl:l\,�s;f;��e�•r DivisioN �� ► THE CITY OF FORT WORTH * SQOI JAME5 AVENUE * FORT WORTH, TEXAS 76I IS ` S 17-392-7738 � F.ix 817-392-2533 7%i • 7993 • 2ml Q Prinled on recycled paper 00 45 26 - 1 CONTRACTOR COMPLIANCG WITH WORK�R'S COMPENSATION LAW Page 1 of 1 2 3 4 5 6 7 8 9 lo �� 12 13 14 l5 �6 �� 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 SECTION 00 45 26 CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW Pursuant to Texas Labor Code Section 406.096(a), as amended, Contractor certifies that it provides worker's compensation insurance coverage for all of its employees employed on City Project No. 102097. Contractor further certifies tl�at, puisuant to Texas Labor Code, Section 406.096(b), as amended, it will provide to City its subcontractor's certificates of compliance with worker's compensation coverage. CONTRACTOR: `�� ' � �� e x. ua �•^�� s � r , By: Company (Please Print �4 � ` `�.c�i, �� l 4`, � Signature: Address �.�.� �,��w s �. �� 7s'DG .� T�t�e: � � � �i�e� , � �— City/State/Zip (Please Print) THE STATE OF TEXAS § COUNTY OF TARRANT § BEFORE ME, the undersigned authority, on tl�is day personally appeared }�� [ �-e.� , known to me to be the person whose name is sub rsc ibed to the foregoin instrument, and acknowledged to me that he/she executed the same as the act and deed of l�j� , L(,� for the purposes and consideration therein expressed and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE this � day of '�'�lo�l,�l,l��, 202� � qPR� PUB VERONICA PEREZ _�� Notary ID #132464126 Notary Public in and for the State of Te�as �^�, P My Commission Expires 37 'rEOFj`�'+ May 5, 2024 38 �ND OF SECTION 39 CITY OF FORT WORTH E Northside Dr Bridge Replacement at Samuels Avenue STANDAKD CONSTRUCTION SPECIPICATION DOCUMLNTS Project No. 102097 Revised.luly 1,20] I 00 45 40 - 1 Business Equity Goal Page 1 of 2 CITY OF FORT WORTH E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Project No. 102097 Revised October 27, 2021 SECTION 00 45 40 1 Business Equity Goal 2 APPLICATION OF POLICY 3 If the total dollar value of the contract is $100,000 or more, then a Business Equity goal is applicable.4 A Business Equity Firm refers to certified Minority-, and/or Women-, owned Business Enterprises 5 (M/WBEs).6 7 POLICY STATEMENT 8 It is the policy of the City of Fort Worth to ensure the full and equitable participation of Business Equity 9 Firms when applicable, in the procurement of all goods and services. All requirements and regulations 10 stated in the City’s Business Equity Ordinance No.25165-10-2021, (replacing Ordinance No. 24534-11-11 2020 (codified at: https://codelibrary.amlegal.com/codes/ftworth/latest/ftworth_tx/0-0-0-22593) apply to 12 this bid. 13 14 BUSINESS EQUITY PROJECT GOAL 15 The City's Business Equity goal on this project is 13% of the total bid value of the contract (Base bid 16 applies to Parks and Community Services). 17 18 METHODS TO COMPLY WITH THE GOAL 19 On City contracts where a Business Equity Goal is applied, offerors are required to comply with the City's 20 Business Equity Ordinance by meeting or exceeding the above stated goal or otherwise comply with the 21 ordinance through one of the following methods: 1. Commercially useful services performed by a 22 Business Equity prime contractor, 2. Business Equity subcontracting participation, 3. Combination 23 of Business Equity prime services and Business Equity subcontracting participation, 4. Business 24 Equity Joint Venture/Mentor-Protégé participation, 5. Good Faith Effort documentation, or 6. 25 Prime contractor Waiver documentation. 26 27 SUBMITTAL OF REQUIRED DOCUMENTATION 28 Applicable documents (listed below) must be received by the Purchasing Division, OR the offeror shall 29 EMAIL the Business Equity documentation to the assigned City of Fort Worth Project Manager or 30 Department Designee. Documents are to be received no later than 2:00 p.m., on the third City 31 business day after the bid opening date, exclusive of the bid opening date. 32 33 The Offeror must submit one or more of the following documents: 34 1.Utilization Form and Letter(s) of Intent, if the goal is met or exceeded;35 2. Good Faith Effort Form and Utilization Form, including supporting documentation, if 36 participation is less than stated goal, or no Business Equity participation is accomplished; 37 3. Prime Contractor Waiver Form, including supporting documentation, if the Offeror will perform 38 all subcontracting/supplier opportunities; or 39 4. Joint Venture/Mentor-Protégé Form, if goal is met or exceeded with a Joint Venture or Mentor-40 Protégé participation. 41 42 These forms can be found at: 43 Business Equity Utilization Form and Letter of Intent 44 https://apps.fortworthtexas.gov/ProjectResources/ResourcesP/60 - MWBE/Business Equity Utilization 45 Form_DVIN 2022 220324.pdf 46 47 Letter of Intent 48 00 45 40 - 2 Business Equity Goal Page 2 of 2 CITY OF FORT WORTH E Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Project No. 102097 Revised October 27, 2021 https://apps.fortworthtexas.gov/ProjectResources/ResourcesP/60 - MWBE/Letter of Intent_DVIN 1 2021.pdf 2 3 Business Equity Good Faith Effort Form4 https://apps.fortworthtexas.gov/ProjectResources/ResourcesP/60 - MWBE/Good Faith Effort 5 Form_DVIN 2022.pdf6 7 Business Equity Prime Contractor Waiver Form 8 https://apps.fortworthtexas.gov/ProjectResources/ResourcesP/60 - MWBE/MWBE Prime Contractor 9 Waiver-220313.pdf 10 11 Business Equity Joint Venture Form 12 https://apps.fortworthtexas.gov/ProjectResources/ResourcesP/60 - MWBE/MWBE Joint 13 Venture_220225.pdf 14 15 16 FAILURE TO ACHIEVE THE GOAL OR OTHERWISE COMPLY WITH THE ORDINANCE WILL 17 RESULT IN THE BIDDER/OFFEROR BEING DECLARED NON-RESPONSIVE AND THE BID 18 REJECTED. 19 20 21 FAILURE TO SUBMIT THE REQUIRED BUSINESS EQUTY DOCUMENTATION OR OTHERWISE 22 COMPLY WITH THE ORDINANCE WILL RESULT IN THE BID BEING DECLARED NON-23 RESPONSIVE, THE BID REJECTED AND MAY SUBJECT THE BIDDER/OFFEROR TO SANCTIONS 24 AS DESCRIBED IN SEC. 20-373 OF THE ORDINANCE. 25 26 For Questions, Please Contact The Business Equity Division of the Department of Diversity and 27 Inclusion at (817) 392-2674. 28 END OF SECTION 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 00 52 43 - 1 Agreement Page 1 of 6 CITY OF FORT WORTH E. Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Project No. 102097 Revised December 8, 2023 SECTION 00 52 43 AGREEMENT THIS AGREEMENT, authorized on January 23, 2024, is made by and between the City of Fort Worth, a Texas home rule municipality, acting by and through its duly authorized City Manager, (“City”), and IBCTX, LLC _______________________________________, authorized to do business in Texas, acting by and through its duly authorized representative, (“Contractor”). City and Contractor may jointly be referred to as Parties. City and Contractor, in consideration of the mutual covenants hereinafter set forth, agree as follows: Article 1. WORK Contractor shall complete all Work as specified or indicated in the Contract Documents for the Project identified herein. Article 2. PROJECT The project for which the Work under the Contract Documents may be the whole or only a part is generally described as follows: E. Northside Dr Bridge Replacement at Samuels Ave_______________ Project No. 102097______________________________________________________ Article 3. CONTRACT PRICE City agrees to pay Contractor for performance of the Work in accordance with the Contract Documents an amount, in current funds, of Three Million, Seven-Hundred Fourteen THOUSAND, Two-Hundred Ninety-Eight and 00/100 Dollars ($ 3,714,298.00). Contract price may be adjusted by change orders duly authorized by the Parties. Article 4. CONTRACT TIME 4.1 Final Acceptance. The Work shall be complete for Final Acceptance within 300 days after the date when the Contract Time commences to run, as provided in Paragraph 2.02 of the General Conditions, plus any extension thereof allowed in accordance with Article 12 of the General Conditions. 4.2 Liquidated Damages Contractor recognizes that time is of the essence for completion of Milestones, if any, and to achieve Final Acceptance of the Work and City and the public will suffer from loss of use if the Work is not completed within the time(s) specified in Paragraph 4.1 above. The Contractor also recognizes the delays, expense and difficulties involved in proving in a legal proceeding, the actual loss suffered by the City if the Work is not completed on time. Accordingly, instead of requiring any such proof, Contractor agrees that as liquidated damages for delay (but not as a penalty), Contractor shall pay City Six Hundred Fifty and 00/100 Dollars ($650.00) for each day that expires after the time specified in Paragraph 4.1 for Final Acceptance until the City issues the Final Letter of Acceptance. Article 5. CONTRACT DOCUMENTS 5.1 CONTENTS: A. The Contract Documents which comprise the entire agreement between City and Contractor concerning the Work consist of the following: 00 52 43 - 2 Agreement Page 2 of 6 CITY OF FORT WORTH E. Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Project No. 102097 Revised December 8, 2023 1. This Agreement. 2. Attachments to this Agreement: a. Bid Form 1) Proposal Form 2) Vendor Compliance to State Law Non-Resident Bidder 3) Prequalification Statement 4) State and Federal documents (project specific) b. Current Prevailing Wage Rate Table c. Insurance Certification Form (ACORD or equivalent) d. Payment Bond e. Performance Bond f. Maintenance Bond g. Power of Attorney for the Bonds h. Worker’s Compensation Affidavit i. MBE and/or SBE Utilization Form 3. General Conditions. 4. Supplementary Conditions. 5. Specifications specifically made a part of the Contract Documents by attachment or, if not attached, as incorporated by reference and described in the Table of Contents of the Project’s Contract Documents. 6. Drawings. 7. Addenda. 8. Documentation submitted by Contractor prior to Notice of Award. 9. The following which may be delivered or issued after the Effective Date of the Agreement and, if issued, become an incorporated part of the Contract Documents: a. Notice to Proceed. b. Field Orders. c. Change Orders. d. Letter of Final Acceptance. Article 6. INDEMNIFICATION 6.1 Contractor covenants and agrees to indemnify, hold harmless and defend, at its own expense, the city, its officers, servants and employees, from and against any and all claims arising out of, or alleged to arise out of, the work and services to be performed by the contractor, its officers, agents, employees, subcontractors, licenses or invitees under this contract. This indemnification provision is specifically intended to operate and be effective even if it is alleged or proven that all or some of the damages being sought were caused, in whole or in part, by any act, omission or negligence of the city. This indemnity provision is intended to include, without limitation, indemnity for costs, expenses and legal fees incurred by the city in defending against such claims and causes of actions. 00 52 43 - 3 Agreement Page 3 of 6 CITY OF FORT WORTH E. Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Project No. 102097 Revised December 8, 2023 6.2 Contractor covenants and agrees to indemnify and hold harmless, at its own expense, the city, its officers, servants and employees, from and against any and all loss, damage or destruction of property of the city, arising out of, or alleged to arise out of, the work and services to be performed by the contractor, its officers, agents, employees, subcontractors, licensees or invitees under this contract. This indemnification provision is specifically intended to operate and be effective even if it is alleged or proven that all or some of the damages being sought were caused, in whole or in part, by any act, omission or negligence of the city. Article 7. MISCELLANEOUS 7.1 Terms. Terms used in this Agreement which are defined in Article 1 of the General Conditions will have the meanings indicated in the General Conditions. 7.2 Assignment of Contract. This Agreement, including all of the Contract Documents may not be assigned by the Contractor without the advanced express written consent of the City. 7.3 Successors and Assigns. City and Contractor each binds itself, its partners, successors, assigns and legal representatives to the other party hereto, in respect to all covenants, agreements and obligations contained in the Contract Documents. 7.4 Severability/Non-Waiver of Claims. Any provision or part of the Contract Documents held to be unconstitutional, void or unenforceable by a court of competent jurisdiction shall be deemed stricken, and all remaining provisions shall continue to be valid and binding upon City and Contractor. The failure of City or Contractor to insist upon the performance of any term or provision of this Agreement or to exercise any right granted herein shall not constitute a waiver of City's or Contractor’s respective right to insist upon appropriate performance or to assert any such right on any future occasion. 7.5 Governing Law and Venue. This Agreement, including all of the Contract Documents is performable in the State of Texas. Venue shall be Tarrant County, Texas, or the United States District Court for the Northern District of Texas, Fort Worth Division. 7.6 Authority to Sign. Contractor shall attach evidence of authority to sign Agreement if signed by someone other than the duly authorized signatory of the Contractor. 7.7 Non-appropriation of Funds. In the event no funds or insufficient funds are appropriated by City in any fiscal period for any payments due hereunder, City will notify Vendor of such occurrence and this Agreement shall terminate on the last day of the fiscal period for which appropriations were received without penalty or expense to City of any kind whatsoever, except as to the portions of the payments herein agreed upon for which funds have been appropriated. 00 52 43 - 4 Agreement Page 4 of 6 CITY OF FORT WORTH E. Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Project No. 102097 Revised December 8, 2023 7.8 Prohibition On Contracts With Companies Boycotting Israel. Contractor, unless a sole proprietor, acknowledges that in accordance with Chapter 2271 of the Texas Government Code, if Contractor has 10 or more full time-employees and the contract value is $100,000 or more, the City is prohibited from entering into a contract with a company for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. The terms “boycott Israel” and “company” shall have the meanings ascribed to those terms in Section 808.001 of the Texas Government Code. By signing this contract, Contractor certifies that Contractor’s signature provides written verification to the City that if Chapter 2271, Texas Government Code applies, Contractor: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. 7.9 Prohibition on Boycotting Energy Companies. Contractor acknowledges that in accordance with Chapter 2276 of the Texas Government Code, the City is prohibited from entering into a contract for goods or services that has a value of $100,000 or more, which will be paid wholly or partly from public funds of the City, with a company (with 10 or more full-time employees) unless the contract contains a written verification from the company that it: (1) does not boycott energy companies; and (2) will not boycott energy companies during the term of the contract. The terms “boycott energy company” and “company” have the meaning ascribed to those terms by Chapter 2276 of the Texas Government Code. To the extent that Chapter 2276 of the Government Code is applicable to this Agreement, by signing this Agreement, Contractor certifies that Contractor’s signature provides written verification to the City that Contractor: (1) does not boycott energy companies; and (2) will not boycott energy companies during the term of this Agreement. 7.10 Prohibition on Discrimination Against Firearm and Ammunition Industries. Contractor acknowledges that except as otherwise provided by Chapter 2274 of the Texas Government Code, the City is prohibited from entering into a contract for goods or services that has a value of $100,000 or more which will be paid wholly or partly from public funds of the City, with a company (with 10 or more full-time employees) unless the contract contains a written verification from the company that it: (1) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association; and (2) will not discriminate during the term of the contract against a firearm entity or firearm trade association. The terms “discriminate,” “firearm entity” and “firearm trade association” have the meaning ascribed to those terms by Chapter 2274 of the Texas Government Code. To the extent that Chapter 2274 of the Government Code is applicable to this Agreement, by signing this Agreement, Contractor certifies that Contractor’s signature provides written verification to the City that Contractor: (1) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association; and (2) will not discriminate against a firearm entity or firearm trade association during the term of this Agreement. 00 52 43 - 5 Agreement Page 5 of 6 CITY OF FORT WORTH E. Northside Dr Bridge Replacement at Samuels Avenue STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Project No. 102097 Revised December 8, 2023 7.11 Immigration Nationality Act. Contractor shall verify the identity and employment eligibility of its employees who perform work under this Agreement, including completing the Employment Eligibility Verification Form (I-9). Upon request by City, Contractor shall provide City with copies of all I-9 forms and supporting eligibility documentation for each employee who performs work under this Agreement. Contractor shall adhere to all Federal and State laws as well as establish appropriate procedures and controls so that no services will be performed by any Contractor employee who is not legally eligible to perform such services. CONTRACTOR SHALL INDEMNIFY CITY AND HOLD CITY HARMLESS FROM ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF THIS PARAGRAPH BY CONTRACTOR, CONTRACTOR’S EMPLOYEES, SUBCONTRACTORS, AGENTS, OR LICENSEES. City, upon written notice to Contractor, shall have the right to immediately terminate this Agreement for violations of this provision by Contractor. 7.12 No Third-Party Beneficiaries. This Agreement gives no rights or benefits to anyone other than the City and the Contractor and there are no third-party beneficiaries. 7.13 No Cause of Action Against Engineer. Contractor, its subcontractors and equipment and materials suppliers on the PROJECT or their sureties, shall maintain no direct action against the Engineer, its officers, employees, and subcontractors, for any claim arising out of, in connection with, or resulting from the engineering services performed. Only the City will be the beneficiary of any undertaking by the Engineer. The presence or duties of the Engineer's personnel at a construction site, whether as on-site representatives or otherwise, do not make the Engineer or its personnel in any way responsible for those duties that belong to the City and/or the City's construction contractors or other entities, and do not relieve the construction contractors or any other entity of their obligations, duties, and responsibilities, including, but not limited to, all construction methods, means, techniques, sequences, and procedures necessary for coordinating and completing all portions of the construction work in accordance with the Contract Documents and any health or safety precautions required by such construction work. The Engineer and its personnel have no authority to exercise any control over any construction contractor or other entity or their employees in connection with their work or any health or safety precautions. 00 52 43 - 6 Agrccmenl Page 6 of6 IN WITNESS WHEREOF, City and Contractor have each executed this Agreement to be effective as of the date subscribed by the City's designated Assistant City Manager ("Effective Date"). Contractor: SignatureAlex Hammes (Printed Name) Vice President Title 507 Main St. Suite B Address Lake Dallas, TX 75065 City/State/Zip Feb 23, 2024 Date CITY OF FORT WORTH City ofFort Worth By: � Jesica McEachem Assistant City Manager Date Attest:r"� Mar 11, 2024 Jannette Goodall, City Secretary (Seal) M&C: 24-0039 Date: January 23, 2024 Contract Compliance Manager: By signing, I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Sandip Uprety Project Manager Approved as to Form and Legality: Douglas Black (Mar 8, 2024 17:47 CST) Douglas W. Black Sr. Assistant City Attomey APPROVAL RECOMMENDED: 4,&-n Laui:,,n Prieur (Feb 28, 20241-4:S6 CST) Lauren Preiur, Director, Transportation and Public Works Department STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Revised December 8, 2023 E. Nor//,sid,, Dr Bridge Rep/an•melll at Samuels A,·e1111eProject No. 102097 Bond No. TXC104508 0061 ]3-i PL'RfORMANCG BOND Pa�;e ] of 2 1 2 3 4 5 6 7 8 9 10 ll 12 13 14 t5 16 THE STATE OF TEXAS SECTION 00 61 13 PERFORMANCE BOND § § K1VOW ALL BY TH�SE PRES�NTS: COUNTY OF TARRANT § That we, IBCTX, LLC , known as "PrincipaP' herein and Merchants Bondin� Company (Mutual) , a corporate surety(sui•eties, if more than one) duly authorized to do business in the State of Texas, known as "Surety" herein (whether one or more), a►�e held and firmly bound unto the City of Fort Worth, a municipal corporation created pursuant to the laws of Texas, known as "City" herein, in the penal sum of Tli►•ee Million, Seven-Hundred Fotu�teen THOUSAND, Two-Hundred Ninety-Ei�l�t and 00/100 Dollars ($ 3,714,298.00), lawful money of the United States, to be paid in Fort Worth, Tarrant County, Texas for the payment of which sum well and truly to be made, we bind ourselves, ow� heirs, executors, administrators, successors and assigns, jointly and severally, flrmly by these presents. 17 WHEREAS, the Principal has entered into a certain written co�iri�act with the City awarded 18 the 23rd day of January , 2024, which Contract is hereby referred to and made 19 a pai•t hereof for all purposes as if fiilly set forth herein, to furnish all materials, equipment ]abor 20 and other accessories defined by law, in the prosecution of the Work, including any Change Orders, 2l as provided for in said Contract designated as E. Nortl�side Dr Bridge Replacenzent at Sannrels 22 Avenue, City Project No. 102097. 23 NOW, TH�I2�FOR�, the condition of this obligation is such that if the said Principal 24 sliall faithfully pei•form it obligations under the Contract and shall in all i•espects duly and faithfi�lly 25 perform the Work, including Change Orders, under the Contract, accocding to the plans, 26 specifications, and conti•act documents thecein i•eferred to, and as well during any period of 27 extension of the Contract that may be granted on the part of the City, then this obligation shall be 28 and become null and void, otherwise to remain in full force and effect. +3-'] 30 PROVIDED FURTH�R, that if any legal action be filed on this Bond, venue shall lie in Tarcant County, Texas or the United States District Court for the Northern District of Texas, Fort 31 Worth Division. CI"I'Y O� FOR"I' WOR"1'H E. A'a�drside Dr l3ridge Repincerneirr nt Samuels fh�e�rue S7'ANDARD CONSTRIJC`IION SPGC(I�ICA7'ION DOCUMF:NTS ProjectA�o. 102097 Revised December S, 2023 0061 13-2 PERPORMANCE[30ND I'age 2 of 2 1 This bond is made and executed it� compliance with the provisions of Chapter 2253 of the 2 Texas Government Code, as amended, and all liabilities on this bond shall be determined in 3 accordance with the provisions of said statue. 4 TN WITN�SS WH�R�OF, the Principal and the Surety have SIGNED and SEALED this 5 instrument by duly authorized age�its and officers on this the Ath day of Febi�uaiy 6 , 20 24 . 7 S 9 ]0 ]] 12 13 14 15 16 l7 18 19 20 21 22 23 24 25 26 27 28 29 30 3l 32 33 34 35 36 37 38 39 40 4] 42 43 44 ATTEST: �a� Princi al Secret�i �� ( U) y ' ne s a o rincipal / % Witiies astoSurety PRINCIPAL: IBCTX, LLC BY: S�gnature [JC M� ts �� iCjS � �f Pn%� Name and Title Address: 507 Main Street, Suite B Lalce Dallas, TX 75065 SURETY: Merchants Bonding Company (Mutual) . BY: �gna ure Abigail R. Mohr, Attorney-in-Fact Name �nd Title Addi•ess: P. O. Box 14498 Des Moines, IA 50306 Telephone Number: 515-243-8171 Email Address: abby_mohr@ajg.com *Note: If signed by an officer of the Surety Cotnpany, there must be on file a certified extract fi�om the by-laws showing that this person has authority to sign such obligation. If Surety's physical address is diffecent fi•om its mailing address, both must be provided. The date of the bond sl�all not be prior to the date the Contract is awarded. C1TY OF I�OR7' WOR'I'H E. A�ord�side D�• /3ridge Replacenien� nr Sninuels Aremre S'I'ANDAI2D CONSTRUCTION SPECIPICATION DOCUML'NTS PrrjeaNa. 102097 Rcvised Dcccmbcr 8, 2023 MERCHANT`S� "� BONDING COMPANYT�a POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of lowa, d/b/a Merchants National Indemnity Company (in California only) (herein collectively calied the "Companies") do hereby make, constitute and appoint, individually, Abigail R Mohr; Laura Peiffer; Mat DeGroote; Matihew R Fay; Michael L McCoy; Sandy VanOsten their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and alI bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the pertormance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of MerchantsNational Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship o bligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State ofFlorida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obiigations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 3rd day of February , 2024 • ,o'��P�� IVq� �� •. ., ; :oRPoR•.6' •: :�y. ,q�;.o �2�i2G -o- v��' �vJ':- 2003 ;��' �i�.V'�' : ��'�i • �j/�� J . .•••"••. : �,0�0`RP 9�A9' � . • �V �J�•y.L• :f"...�_ -o- K'� : ' a'•r 1933 b: 3; •y :c. . �. •C'Y. • � �� • • ��. . •�,� . . . . '�.' . MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. d/b/a MERCHANTS NATIONAL INDEMNITY COMPANY By President STATE OF IOWA ��r��.'`��`� •�� •.• • •'� COUNTY OF DALLAS ss. On this 3rd day of February 2024 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. --r=--,. ,`P��A� S� Penni Miller - Z a � v Commission Number 787952 �'��,,,y � • • My Commission Expires k �OWA lanuary 20, 2027 '�.* � '�-,.__�, Nota b r�,z�.� (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies an this Sth day of February , 2024 . ��........., �.•---•.� �.•''q10Nq `••., .• �NG CO '•. '�. P .. .. . < .,� � ��O . • P v . �A � `%j/ �J� : � ?�p�p �Rq eo :. ; c, • p4 9q • �y�, � �%,►' ' � : 2 � c� � • � .� :Zi2 -o- O:d: :�-y.:`�' -o- �^'..,,: o' ' y'• 2003 � z� � Q��' 1933 •' �; Secretary - c� • r,�: o yJ. ��1r. `�.�.��. . ..•:�a;.�� '•b;'�• • ��" ��•' POA 0018 (1/24) •,��"'�"*��• �••••••• Bond No. TXC104508 0061 f4-I 1'AYMGN'I' BOND Page 1 of 2 1 2 3 4 5 6 TH� STAT� OF T�XAS COUNTY OF TARRANT SECTION 00 61 14 PAYM�NT BOND § § KNOW ALL BY TIiES� PRES�NTS: § 7 That we, IBCTX, LLC , Icnown as 8 "Principal" lierein, and Merchants Bonding Company (Mutual) , a 9 corporate surety (sureties), duly authorized to do business in the State of Texas, known as "Surety" 10 herein (whether one or more), are held and firmly bound unto the City of Fort Worth, a municipal 11 corporation created pursuant to the laws of the State of Texas, lcnown as "City" herein, in the penal 12 siun of Three Million, Seven-Hwidred T'otu•teen THOUSAND Two-Hundred Ninetv-Eight 13 and 00/100 Dollars ($ 3,714,298.00), lawful money of the United States, to Ue paid in Fort Worth, 14 Tai•raiit County, Texas, for the payment of which sum well and truly be made, we bind ourselves, 15 16 our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents: 17 WIIER�AS, Principal has entered into a certain written Contract with City, awarded tlie 18 23rd day of January , 2024, which Contract is hereby refe►•red to and made a 19 part hereof for all purposes as if fully set forth herein, to furnish all materials, equipment, labor and 20 other accessories as defined by law, in the prosecution ofthe Work as provided for in said Contract 21 and designated as �. Northside Dr Br�idge Replacentent at San�zrels Avei7ue, Ciry Project No. 22 102097. 23 NOW, THEREFOR�, THE CONDITION OF THIS OBLIGATION is such that if 24 Principal shall pay all monies owing to any (and all) payment bond beneficiary (as defined in 25 Chapter 2253 of the Texas Governmeirt Code, as amended) in the prosecution of the Work under 26 the Contract, then this oUligation shall be and become null and void; otherwise to remain in fi�ll 27 force and effect. 28 29 30 31 This bond is made and executed in compliance with the provisions of Chapter 2253 of the Texas Government Code, as amended, and all liabilities on this bond shall Ue determined in accordance with the provisions of said sYatute. CITY OI" POR1' WOR'Cli G. A�orthsi�le Drl3ridge Replacenaen�nl Smnuelsslre�rue S'I'ANUAILU CONS7'RUCIION SI'LCIPICATION DOCIIMGNTS 1'rojec� Aro. 102097 Revised December 8, 2023 0061 ]4-2 PAYMCN'1' 130ND Page 2 of 2 IN WITNESS WHEREOF, the Principal and Surety have each SIGNED and SEALED 2 this instrument by duly authoi•ized agents and officei•s on this the 8th day of � 4 5 6 7 8 9 10 11 12 Februaiy 2p 24 � _ ATTEST: ATTEST: f� �;�?h,CGI'� '� C�e� (Sui•ety) Secretary � ��,% � Wilne�o Surety PRINCIPAL: IBCTX, LLC BY: ignature ��Jt ��Gh•�F.3 V ��GC �Nt/�a' w..T . Name and Title Add�'esS: 507 Main Street, Suite B Lake Dallas, TX 75065 SURETY: Merchants Bonding ompan� (M � al) � B Y: ignature Abigail R. Mohr, Attorne}�-in-Fact Name and Title Addcess: P. O. Box 14498 Des Moines, IA 50306 Telephoiie Number: 515-243-8171 Cmail Address: abUy_mohr@ajg.com Note: If signed by an officer of the Surety, there must be on file a certified extract fi�om the bylaws showing that this pe�son has authority to sign such obligation. If Surety's physical addi•ess is different fi�om its mailing address, both must be provided. The date of the bond shall not be prior to the date the Contract is awarded. �ND OF S�CTION G'CY O� PORT WORTH G. Norlhside Dr Bridge Repincenien! nl Srunr�els Aremre STANDARD CONSTRUCTION SPGCI�ICATION DOCUMGNTS Projecl No. 102097 Revised December 8, 2023 MERCI�[ANT'S�'� BONDING COMPANYT�. POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of lowa, d/b/a Merchants National Indemnity Company (in California only) (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, Abigail R Mohr; Laura Peiffer; Mat DeGroote; Matihew R Fay; Michaei L McCoy; Sandy VanOsten their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behaif of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-�aws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of MerchantsNational Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final esiimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenti ng to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. . In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 3rd day of February , 2024 . �..•`"'��"'••.,� �.•"""•.� MERCHANTS BONDING COMPANY (MUTUAL) •� P��Nq< ''. .',�O�N.C�..C�/�A •� MERCHANTS NATIONAL BONDING, INC. :�y G�Rp�Rq �02 � ��GpRPOqq�9y�: d/b/a MERCHANTS NATIONAL INDEMNITY COMPANY �• •� . �Q;? -o- vi0: .r—;�' -o- �^: . ;,=j': 2003 ,:��:: � y�` 1933 a� e: BY :d�•. '� : •'�b• '�:' �'. • ••':r��.`� ��ly"';.'�� 1�•� President STATE OF IOWA �'•�.,. %7 .•' '• � •'� COUNTY OF DALLAS ss. •��"""�'�, � � � � � � On this 3rd day of February 2024 , before me appeared larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. o �'A�s Penni Miller ��""� , Z� � � Commission Number 787952 �''•k • � • My Commission Expires k 10WA January 20, 2027 '�.,, ' , *�_�_ Nota b �Tj�`�� (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 8th day of February , 2024 . �.....,.., .••--•. .�'��P��NA�•��'�. •��D��G'��'�.o• y�:ORppjQ,q.��• , �O,.ORPQRq.9y : : �: =c, �'., 2 : • c� .� •. ,c . %�� .�/ :Q:... -o- v�:�: :2:� -o- o;-..� `%Y�t:�%t.C'G2�J'vC� Q/r,��,% . ' 3 ,,/ ' �' '• 2003 r t) ' • `� �' 1933 � c; Secretary - c,� • . � � . y�. ��1�. �•.�dul�.,,. � ,.,; �a��.`� �•�b�i�. , �f . • •�:��: POA0018 (1/24) �''�,.....�....•. ., �,.... Bond No. TXC104508 00 61 19 - 1 MAINTENANCE BOND Page 1 of 3 1 2 3 4 5 G 7 8 9 10 11 12 13 14 15 l6 17 S�CTION 00 61 19 MAINTENANCE BOND TH� STAT� OF T�XAS § § KNOW ALL BY TH�SE PR�SENTS: COUNTY OF TAI2I2ANT § That we IBCTX LLC , la�own as "Pt•incipal" hereiu and Merchants Bonding Company (Mutual) , a corporate surery (sureties, if more than one) duly authorized to do business in the Siate of Texas, known as "Surety" herein (whethe�• one or more), are l�eld and firmly bound unto the City of Fort Worth, a municipal corpocation created pursuant to ttie laws of the State of Texas, known as "City" herein, in the sum of Tliree Million, Seven-Hundred F'ourteen T�-IOUSAND, Two-Hundred Ninetv-Ei�ht aud 00/100 Dollars ($ 3,714,298.00), lawful money of the United States, to be paid in Fort Worth, Tarrant County, Texas, for payment of which sum well and truly be made unto the City and its successors, we bind otn�selves, our heirs, executocs, administrators, successors and assigns, jointly and severally, firmly by tllese presents. 18 WHEREAS, the Principal has entered into a cei•tain written contract with the City awarded 19 the 23rd day of January , 2024, which Contract is hei•eby referced to and a 20 made part hereof for all purposes as if fully set forth herein, to furnish all matecials, equip�nent 21 laboi• and other accessories as defined by law, in the prosecution of the Work, including any Work 22 i•esulting fi•oin a duly authorized Change Oi•dei• (collectively herein, the "Work") as provided for in 23 said contcact and designated as .�. Nortl7side Dr Bridge Replacerne��t a1 San7uels A>>entrc, Ciry 24 Project No. 102097; and 25 26 WH�R�AS, Principal binds itself to use such materials and to so construct the Woj•k in 27 accordance with the plans, specifications and Contract Doclnnents that the Worl< is and will remain 28 fl•ee fi•om defects in matei•ials or woi•lananship for and dui•ing the period of nvo (2) years after the 29 date of Final Acceptance of the Worlc by the City ("Maintenance Period"); and 30 3] WHEREAS, Principal binds itself to repair or reconstruct the Work in whole or in part upon 32 receiving �aotice fi•om the City of the need tllei•efoi• at any time within the Maintenance Pe��iod. 33 CIT'Y OP PORT WORTH E. A�ordrside Dr Bridge Replacemerrl ut Snmuels ih�ei�ue STANDARD CONSTRUCTION SPECI�ICATION UOCUMEN'I'S Projec� A+o. 102097 Revised llecember $, 2023 006119-2 MA1N'PBNANCG BOND Page 2 oY' 3 1 NOW THEREFORE, the condition of this obligation is such that if I'rincipal shall remedy 2 any defective Work, for which timely notice was provided by City, to a completion satisfactory to 3 the City, then this obligation shall become null and void; otherwise to remain in full force and 4 effect. � 6 PROVID�D, HOW�V�R, if Principal shall fail so to repair or reconstruct any timely 7 noticed defective Worlc, it is agreed that ihe City may cause any and all such defective Work to be 8 repaired and/o�• reconstructed with all associated costs thereof being borne by the Principal and the 9 Surety under this Maintenance bond; and 10 11 PROVIDED FURTH�R, that if any legal action be filed on this Bond, venue shall lie in 12 Tarrant County, Texas or tlle United States Disti•ict Court for the Northern District of Texas, Fort 13 Worth Division; and 14 15 PROVIDED FURTH�R, that this obli�;ation shall be continuous in nature and successive 16 recoveries may be had hereon for successive brGaches. 17 18 19 C1TY Ol� �OR7� WORTIi E. Nortlrside Dr 13ridge Repincemeiit nr S�a�nrels Arentre STANDAt2D CONSTRUCI'ION SPECIf ICATION DOCLJMENTS Projec! No. 102097 Revised December 8, 2023 0061 19-3 MAlN7�LNANCL; I30ND Page 3 of 3 1 IN WITNESS WHEREOP', the Principal and the Surety have each SIGNED and S�ALED this 2 instrument by duly authorized agents and officers on this the 8th day of February 3 , 20 24 5 6 7 8 9 l0 I] ia 13 14 ]5 16 t7 18 19 20 2l 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 AT ST• �G��l, , ��)�J� (Surety) Secretary / . �� • , , Witness a to 3urety PRiNC1PAL: IBCTX, LLC BY: Signature E'C ��Cs V ►�c2 ��fr`c�� Name and Title Address: 507 Main Street, Suite B Lake Dallas, TX 75065 SURCTY: Merchants Bonding Coinpany (Mutual) BY: Signatw� Abi�ail R. Mohr, Attorney-in-Fact Name and Title Address: P. O. Box 14498 Des Moines, IA 50306 Telephone Number: 515-243-8171 Email Address: ab y_mo r@ajg.com 38 �`Note: If signed by an officer of the Surety Company, tl�ere must be on file a certified extract 39 fi�om the by-laws showing that this pe��son has authority to sign such obligation. If 40 Surety's physical address is different from its mailing address, both must be provided. 41 The date of the bond shal l not be prior to the date the Contract is awarded. 42 CITY OP PORT VdORTH E. A�o�•dtside Dr Bridge Replucemenl n! Snimrels Arenae S7'ANDARD CONSTRUCTION SYL'GFICA7'ION DOCUMBNTS Projecl A�o. 102097 Revised Deceinber 8, 2023 MERCHANT`� BONDING COMPANYr�a POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of lowa, d/b/a Merchants National Indemnity Company (in California only) (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, Abigail R Mohr; Laura Peiffer; Mat DeGroote; Matthew R Fay; Michael L McCoy; Sandy VanOsten their irue and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seai and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behaif of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the pertormance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of MerchantsNational Bonding, Inc., on October 16, 2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship o bligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenti ng to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 3rd day of February , 2024 . .•`��0 N,q ��'•. . • � � � � � •. MERCHANTS BONDING COMPANY (MUTUAL) .` P . � '. • O�N• • • �/%,p •� MERCHANTS NATIONAL BONDING, INC. �Oh GD(�PO/� �p'� ��0�0(tPOq9. qy � d/b/a MERCHANTS NATIONAL INDEMNITY COMPANY ;Z:Z ��`:d'; •�:'_ �;'`� :a:— -o- v; . •f--. -o- b ; ;�'•. 2003 ,:,�;: �y 1933 :�c: By :d�•. ��: • ��' '. . ..•.�c1.• •.�bd�••�."'�`1,;•� President STATE OF IOWA ��'•�.'. % .�`� '• "� •• COUNTY OF DALLAS ss. ��""'�'�' � � � � � � On this 3rd day of February 2024 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. _..�� ,`Q,��A�s Penni Miller ��~ ��--•ti � Z� � � Commission Number 787952 � '��.� • • MyCommissionExpires � "— IOWA January 20, 2027 �'�-,, _� 1� r�,�� ._ � _ Nota b (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of MERCHANTS BoNDING COMPANY (MUTUA�) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this Sth day of February , 2024 . •`'��10 N +��'•• . •' • � ..' •. .••�p'� . ... q< •,� �• ��N , Cp,t� • •;�y�•Go�PUR�.�o2� :•�O�o�PQ99�qy�• �!Y • , ��' :2:2 -o- d:�t :�:�' -o- o� ; � �v� 2003 ;;��' � y� 1933 ;'�; secretary ';cy' ��; �Jd• �Q:' ;; ��.,, � „� ��. ��,��• ... . . • •l'�'a� .� �. ., 5't �. POA 0018 (1 /24) �''""'•"••�•' • •••• • DATE (MM/DDIYYYY) '4�� CERTIFICATE OF LIABILITY INSURANCE 2isi2o2a THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Arthur J. Gallagher Risk Management Services, LLC Aic" o Ext : 515-457-8849 aic No : 515-457-8964 4201 Westown Parkway E-MAIL Suite 120 ADDRESS: West Des Moines IA 50266 INSURER(S) AFFORDING COVERAGE NAIC # INSURED IBCTX,LLC 507 Main St Lake Dallas TX 75065 COVERAGES CERTIFICATE NUMBER: 1829464718 iNsuReRa: BITCO General Insurance Corporation 20095 INSURER B: NBVI ators Specialt Insurance Compan 36056 INSURER C : INSURER D : INSURER E : REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR IN D POLICY NUMBER MM/DDIYYYY MM/DDMlYY A X COMMERCIALGENERALLIABILITY Y Y CLP3734826 9/30/2023 9/30/2024 EACHOCCURRENCE $1,OOQ000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 300,000 X XCU Coverage MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE $2,000,000 X POLICY � PR� � LOC PRODUCTS - COMP/OP AGG $ 2,000,000 JECT OTHER: $ A AUTOMOBILELIABILITY Y Y CAP3734827 9/30/2023 9/30/2024 COMBINED SINGLE LIMIT g 1,000,000 Ea accident X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ B X UMBRELLA LIAB X OCCUR CH23ECXZ0366TIC 9/30/2023 9/30/2024 EACH OCCURRENCE $ 6,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 6,000,000 DED RETENTION $ $ q WORKERS COMPENSATION Y WC3734825 9/30/2023 9/30/2024 X PER OTH- AND EMPLOYERS' LIABILITY Y� N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 500,000 OFFICER/MEMBEREXCLUDED? � N�A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 A leased/borrowed/rented CLP3734826 9/30/2023 9/30/2024 Limit $750,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: City Project No. 102097, E. Northside Drive Bridge Replacement at Samuels Avenue. City of Fort Worth and all identified entities are additional insureds on a primary basis on the General Liability (GL30860911) and Auto (A29311199) policies on a primary basis with regards to work pertormed by the named insured. Waiver of Subrogation is included on General Liability, Auto Liability and Workers Compensation policies. Umbrella Liability follow form. CERTIFICATE HOLDER City of Fort Worth 200 Texas Street Fort Worth TX 76102 USA ACORD 25 (2016/03) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE �� O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BITCO GENERAL IRtSURANCE CORPORATION BITCO NATIONAL INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BROADENED COVERAGE - AUTOMOBILES The following modifies insurance provided under: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. 1- Broad Form Named Insured 2- Automatic Waiver of Subrogation 3 - Automatic Additional Insured 4- Primary and Noncontributory - Other Insurance Condition 5- Unintentional Failure to Disclose Hazards 6- Extended Notice of Cancellation, Non-Renewal 7- When We Do Not Renew 8- Notice of Knowiedge of Accident or Loss 9 - Employees as Insured 10 - Employee Hired Autos 11 - Bodily Injury Extension 12 - Hired Auto Physical Damage 13 - Enhanced Supplementary Payments 14 - Fellow Employee Coverage for Designated Positions 15 - Physical Damage — Transportation Expenses 16 - Rental Reimbursement Coverage 17 - LoanlLease Gap Coverage 18 - Accidental Air Bag Discharge Coverage 1. BROAD FORM NAMED INSURED SECTION II. A.1. - WHO IS AN INSURED - Paragraph d. is added: d. Any organization you newly acquire or form, except for a partnership, joint venture or limited liability company, and over which you maintain majority ownership or interest (51% or more) or for which you have assumed the active management, will qualify as a Named Insured if there is no other similar insurance available ta that organization. However, coverage under this provision is only afforded until the end of the policy period or the 12-month anniversary of the policy inception date, whichever is earlier. 2. AUTOMATIC WAIVER OF SUBROGATION Section IV — Business Auto CondRions, Paragraph A.5., Transfer of Rights of Recovery Against Others to Us, is deleted and replaced with the following: a. If the insured has rights to recover all or part of any payment we have made under this Coverage Form, those rights are transferred to us. The insured must do nothing after loss to impair those rights. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. b. If required by a written contract executed prior to loss; we waive any right of recovery we may have against any person or organization because of payments we make for damages under this coverage form. AP-0402 (10/i 7) -1- 3. AUTOMATIC ADDITIONAL INSURED SECTION II — WHO IS AN INSURED, Paragraph A.1, is amended to include as an "insured" any person or organization who is required by written contract or agreement to be an additional insured on your policy, but only with respect to liability arising out of operations performed by you or on your behalf for the additional insured. 4. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance - Primary And Excess lnsurance Provisions in the Motor Carrier Coverage Form and supersedes any provision to the contrary: This Coverage Form`s Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that: 1. Such "insured" is a Named Insured untler such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured". 5. UNINTENTIDNAL FAILURE TO DISCLOSE HAZARDS Although we relied on your representations as to existing and past hazards, if unintentionally you should fail to disclose all such hazards at the inception date of your policy, we will not deny coverage under this Coverage Form because of such failure. 6. EXTENDED NOTICE OF CANCELLATION, NON-RENEWAL The COMMON POLICY CONDITIONS, Item A.2.b. is deleted and replaced with the following: A.2.b. 60 days before the effective date of the cancellation if we cancel for any other reason. 7. WHEN WE DO NOT RENEW SECTION IV — BUSINESS AUTO CONDITIONS, is amended to add Item B.9.: a. If we choose to nonrenew this policy, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 60 days before the expiration date. b. If we do not give notice of our intent to nonrenew as prescribed in a. above, it is agreed that you may extend the period of this policy for a maximum additional sixty (60) days from its scheduled expiration date. Where not othenruise prohibited by law, the existing terms, conditions and rates will remain in effect during that extension period. It is further agreed that so long as it is not otherwise prohibited by law, this one-time sixty-day extension is the sole remedy and liquidated damages available to the insured as a result of our failure to give the notice as prescribed in 9. a. above. S. NOTICE OF KNOWLEDGE OF ACCIDENT OR LOSS SECTION IV - BUSINESS AUTO CONDITIONS, Item A.2.a. is deleted and replaced with the following: 2. Duties in the Event of Accident, Claim Suit or Loss: a. You must see to it that we are notified of an "accidenY', "claim", "suit" or "loss" which may result in a claim as soon as practicable after the "occurrence" has been reported to you, a partner, a member, an officer, or an employee designated to give notice to us. Notice should include: (1) How, when and where the "accident" or "loss" occurred; AP-0402 (10/17) -2- (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. 9. EMPLOYEES AS INSURED The following is added to the Section II - Covered Autos Liability Coverage, Paragraph A.1. Who Is An Insured provision: Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. i 0. EMPLOYEE HIRED AUTOS A. Changes In Covered Autos Liability Coverage The following is added to the Who Is An Insured Provision: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. B. Changes In General Conditions Paragraph 5.b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph 5.f. of the Other Insurance - Primary And Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: 1. Any covered "auto" you lease, hire, rent or borrow; and 2. Any covered "auto" hired or rented by your "employee" under a contract in an "employee's" name, with your permission, whife performing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered °auto". 11. BODILY INJURY EXTENSION SECTION V- DEFINITIONS, Paragraph C. is deleted and replaced by the following: C. "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish or death resulting from any of these, at any time. Mental anguish means any type of mental or emotional illness or disease. FY#: f I:l ��1:1�� i•l,:l'� CJ,I ��L�i�L�L SECTION III.a.4. - Coverage Extensions - Paragraph c. is added: c. Hired Auto Physical Damage If Comprehensive, Specified Causes of Loss or Collision coverage is provided under this policy, then Hired Auto Physical Damage is provided for that coverage part subject to the following: (t) The most we will pay for any one "accidenY' or "loss" under this Hired Auto Physical Damage Coverage is the lesser of: (a) The any one "AccidenY' or "Loss" amount of $100,000; AP-0402 (10/17) -3- (b) The actual cash value; or (c) Cost of repair. Our obligation to pay for a loss in c.(1) above will be reduced by a deductible. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. The deductible will be waived for "loss" caused by fire or lightning. (2) Subject to paragraph c.(1). above, we will provide coverage equal to the broadesf physical damage coverage applicable to any covered "auto" shown in the declarations. (3) When you are required by written contract to indemnify a lessor for actual financial Ibss because of loss of use of a hired "auto" resulting from a covered "accidenY' or "loss", we will cover that financial loss subject to the limit specified in paragraph c.(i). 13. ENHANCED SUPPLEMENTARY PAYMENTS SECTION II.A.2.a. COVERAGE EXTENSIONS, Supplementary Payments (2) and (4) are replaced by the following: {2) Up to $2,500 for the cost of bail bonds (including bonds for related traffic laws violations) required because of an "accident" we cover. We do not have to furnish these bonds. {4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $350 a day because of time off from work. 14. FELLOW EMPLOYEE COVERAGE FOR DESIGNATED POSITIONS The Fellow Employee Exclusion contained in Section II.B.S. does not apply to the following positions or job titles: foreman, supervisor, manager, officer, partner or other senior level "employee". Coverage is excess over all other collectible insurance. 15. PHYSICAL DAMAGE - TRANSPORTATION EXPENSES SECTION III.A.4.a. Transportation Expenses, is replaced by the following: a. Transportation Expenses We wilf pay up to $50 per day to a maximum of $1,500 for temporary transportation expense incurred by you because of the total theft of a covered "auto". We will pay only for those covered. "autos" for which you carry either Comprehensive or Specified Cause of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expirations, when the covered "auta" is returned to use or we pay for its "loss". For autos provided with temporary transportation expense, the following physical damage coverage will apply: (1) The most we will pay for any one "accident" or "loss" under the temporary transportation expense physical damage coverage is the lessor of: (a) The any one "Accident" or "Loss" amount of $100,000; (b) The actual cash value; or (c) Cost of repair. Our obligation to pay for a loss in a.(1) above will be reduced by a deductible. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. The deductible will be waived for "loss" caused by fire or lightning. AP-0402 (10/17) -4- (2) Subject to paragraph a.(1). above, we will provide coverage equal to the broadest physical damage coverage applicable to any covered "auto" shown in the declarations. (3) When you are required by written contract to indemnify a lessor for actual financial loss because of loss of use of a hired "auto" resulting from a covered "accidenY' or "loss", we will cover that financial loss subject to the limit specified in paragraph a.(1). 16. RENTAL REIMBUR$EMENT COVERAGE SECTION III.A.4. - Coverage Extensions - Paragraph d. is added. d. If you carry Comprehensive, Specified Causes of Loss or Collision coverage for the damaged covered "auto" as provided under this policy, then Rental Reimbursement Coverage is provided for that coverage part subject to the following: 1. We will pay for rental reimbursement expenses incurred by you for the rental of an "auto" because of "loss" other than theft, to a covered "auto". Payment applies in addition to the otherwise app{icable amount of each coverage you have on a covered "auto". No deductibles apply to this coverage. 2. We will only pay for those expenses incurred during the policy period beginning 24 hours after the "loss" and ending, regardless of the policy's expiration, with the lesser of the following number of days: (a) The number of days reasonably required to repair or replace the covered "auto"; or, (b) 30 days. (c) Our payment is limited to the lesser of the following amounts: (1) Necessary and actual expenses incurred; or (2) $50 per day. 17. LOAN/LEASE GAP COVERAGE Physical Damage Coverage is amended by the addition of the following: In the event of a total "loss" to a covered "auto", we will pay your additional legal obligation for any difference between the actual cash value of the "auto" at the time of the loss and the "outstanding balance" of the loan/lease, not to exceed $2,500 for any one vehicle or $25,000 annually in aggregate. For the purposes of this endorsement, "outstanding balance" means the amount you owe on the loan/lease at the time of loss less any amounts representing taxes, overdue payments, penalties, interest or charges resulting from overdue payments, additional mileage charges, excess wear and tear charges or lease termination fees, costs for extended warranties, credit Life Insurance; Health, Accident or Disability Insurance purchased with the loan or lease; and carry-over balances from previous loans or leases. � 18. ACCIDENTAL AIR BAG DISCHARGE COVERAGE SECTION 111.B.3.a - Exclusions. This exclusion does not apply to the accidental discharge of an air bag. AP-0402 (10/17) -5- COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 12 19 O Insurance Services Office, Inc., 2018 Page 1 of 1 THIS ENDORSE]VENT CHANGES THE POLJCY. PLEASE READ IT CAREFULLY. -. �"•' � • �• '� •'� � � �� .- �� This endorserrie�t modifies insurance provided under the following: CONNEFiqAL GENERAL LJABILJTY OOVERAGE FORM It is agreed that the provisions listed below apply only upon the entry of an OX in the box ne� to the caption of such provision. A � X Partnership and Joint Venture 6ctension N. � Ca�struction Project General Aggregate Limits B. �X Contractors Automatic A�ditional Insured Coverage — Ongoi ng Operations C. U Automatic V1�aiver of Subrogation D. U Extended Notice of Cancellation, Nonrenewal E. �X Unirrtentional Failure to Disdose Hazards F. OX Broadened Nbbile Equipment G. �X Personal and Advertising Injury - Cor�tractual Coverage H. U Nonemployment Discrirrination �. U uquor uaaTty J. �X Broadened Conditions K �X Autorr�aticAdditionallnsureds— Equipmer� Leases L. U Suits Against Dredges and Barges M. �X Insured Cor�tract Extension - Railroad Properry and Construction Cor�racts O. � Fellow Employee Coverage P. U Properry Damage Liability - Elevators Q U Care, �stody or Control R. OX �ectronic Data Liability Coverage S. OX Consdidated Insurance Program Residual Liability Coverage T. OX Automatic Additional Insureds — Managers or Lessors of Premises U. U Automatic Additional Insureds — State or Governmental Agency or Political Subdivisions — Permits or Authorizations V. OX Caitractors Automatic A�dditional Insured Coverage — Completed Operations W. U Additional Insured — Engineers, Architects or �rveyors A P�TNERSI-IP AND JOINT VENTIJRE EXTEJVSION The following provision is added to SECI'ION II - WHO IS AN INSURED : The last full paragraph which reads as follows: No person or organization is an insured with respect to the conduct of any currerrt or past partnership, joir� ver�ure or limited liability company that is not shown as a Named Insured in the Dedarations. GL-3086 (10/19) -1- is deleted and replaced with the following: With respect to the conduct of any past or present joir� venture or partnership not shov�m as a Named Insured in the Declarations and of which you are or vu�ere a partner or member, you are an insured, but only with respect to liability arising out of "your w�ork" on behalf of any partnership or joir� ve�ture not shown as a Narr�ed Insured in the Declarations, provided no other similar liability insurance is available to you for "your w�ork" in connection with your interest in such partnership or joirrt venture. �• '� •'� � • � � �� • � +� '1 � •• '�C • C• •'7'� • � SECI'ION II — WHO IS AN INSURED is amended to include as an additional insured any person or organization who is required by written co�tract to be an additional insured on your policy, but only with respect to liability for "bodily injur�l', "properry damage" or "personal and advertising injur�l' caused, in whde or in part, by: Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the project(s) designated in the written contract. With respect to the insurance afforded to these additional insureds, the following additional exclusions apf�Y� This insuranoe does not apply to "bodily injury" or "properry damage" occurring after: All work, including materials, parts or equiprr�errt furnished in connection with such w�ork, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your w�ork" out of which the injury or damage arises has been put to its ir�ended use by any person or organization other than another ooritractor or subcor�ractor engaged in perforrring operations for a principal as a part of the sarr�e project. This insuranoe is excess of all other insurar�ce available to the additional insured, whether primary, exce.ss, continger� or on any other basis, unless the written cor�ract requires this insurance to be primary. In that event, this insurance will be primary relative to insurance policy(s) which designate the additional insured as a Named Insured in the Declarations and we will not require contribution from such insurance if the written ooritract also requires that this insurance be non-cor�ributory. But with respect to all other insurance under which the additional insured qualifies as an insured or additional insured, this insuranoe will be excess. C. AUfOMAl1C WAIVER OF SUBROGAl10N Item 8. of SEC110N IV - CONNERqAL GENERAL LIABILITY OOI�DITIONS, is deleted and replaced with the following: 8. Transfer af Rights of Recovery Against Others to Us and Autariatic Wai�r af Subrogation. a If the insured has rights to reoover all or part of any payrrier� w�e have made under this Coverage Form, those rights are transferred to us. The insured must do nothing after loss to impair those rights. At our request, the insured will bring "suit" or transfer those rights to us and help us er�orce them. b. If required by a written corrtract executed prior to loss, we waive any right of recovery w�e may have against any person or organization because of payrr�ents we make for injury or damage arising out of "your vu�rk" for that person or organization. GL-3086 (10/19) -2- � ��► �. � ►.��Ti:�i;3.�i;3��_�iC�:��►�'.i ► :, ► a► _ Item A2.b. of the COMVION POLJCY OONDITIONS , is deleted and replaced with the following: A2b. 60 days before the effective date of the cancellation if we car�cel for any other reason. Item 9. of SEC110N IV - CONNERqAL GENERAL LIABILITY OOI�DITIONS , is deleted and replaced with the following: 9. WHEN WE DO NOT RE]VEIN a If we choose to nonrenew this policy, we will mail or deliver to the first Narned Insured shown in the Declarations written notice of the nonrenewal not less than 60 days before the e�iration date. b. If we do not give notice of our irrtent to nonrenew as prescribed in a above, it is agreed that you may e�end the period of this policy for a rr�dmum additional sixty (60) days from its scheduled e�iration date. Where not othervvise prohibited by law, the existing terms, conditions and rates will remain in effect during that e�ension period. It is further agreed that so long as it is not otherwise prohibited by law, this one time sixty day extension is the sole rerr�edy and liquidated damages available to the insured as a result of our failure to give the notice as prescribed in 9. a above. E UVNTENIIONAL FAILURE TO DISCLOSE HAZ�RD6 Although we relied on your representations as to existing and past hazards, if unir�entionally you should fail to disclose all such hazards at the inception date of your policy, we will not derry coverage under this Coverage Form because of such failure. �=.: i _ � ► � ►i i;?I��;I.I�i�i �� Item 12b. of SEC110N V- DEFINTIONS , is deleted and replaced with the following: 12.b. Vehicles rr�air�ained for use solely on or ne� to premises, sites or locations you o�nm, rer� or occupy. Cx PER90NAL AND ADVERTISING INJURY - CONTRACTUAL COVERAGE Exdusion 2.e. of SEC110N I, OOVERAGE B is deleted. H. NONOVPLOYNENT DISCRIMNATION Unless "personal ar�d advertising injury" is exduded from this policy: Item 14. of SEC110N V- DEFINTIONS , is arriended to indude: "Personal and advertising injur�l' also means embarrassmerrt or humiliation, merrtal or emotional distress, physical illness, physical impairmer�, loss of earning capacity or monetary loss, which is caused by "discrimination." SEC110N V- DEFlNTIONS , is amended to indude: "Discrimination" means the unlawful treatment of individuals based on race, color, ethnic origin, age, gender or religion. GL-3086 (10/19) -3- Item 2 F�cdusions of SEC110N I, OOVERAGE B, is amended to include: "Personal and advertising injur�' arising out of "discrimination" directly or indirectly related to the past employmerit, employrrier� or prospective employmer� of any person or class of persons by any insured; "Personal and advertising injur�l' arising out of "discrimination" by or at your, your agents or your "employees" direction or with your, your agerrts or your "employees" 4a�owledge or conser�t; "Personal and advertising injur�l' arising out of "discrimination" directly or indirectly related to the sale, rental, lease or suk�lease or prospective sale, rerrtal, lease or suk�lease of any civUelling, permaner� lodging or premises by or at the direction of any insured. Fnes, penalties, specific performance or injunctions levied or imposed by a governmental entity, or govemmental code, law, or statute because of "discrimination." i. uc�uoR uas�urr F�cdusion 2.c. of SEC110N I, COVERAC� A, is deleted. J. BROADENED OONDIl10NS Items 2a and 2b. of SEC110N N- CONNERqAL GENERAL LJABILJTY CONDITIONS , are deleted and replaced with the following: 2. Duties In The Event Of Oocurrence, Offense, qaim Or Suit: a You must see to it that w�e are notified of an "oocurrence" or an offense which may result in a daim as soon as practicable after the "oca.rrrence" has been reported to you, one of your officers or an "employee" designated to give notice to us. Notice should indude: (1) How, when and where the "oocurrence" or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or darr�age arising out of the "oocurrence" or offense. b. If a claim is made or "suit" is brought against any insured, you must: (1) Reoord the specifics of the daim or "suit" and the date received as soon as you, one of your officers, or an "employee" designated to reoord such information is notified of it; and (2) Notify us in writing as soon as practicable after you, one of your officers, your legal department or an "employee" you designate to give us such notice learns of the claims or "suit." Item 2e. is added to SEC110N IV - CONIVERqAL GENERAL LIABILITY OONDITIONS 2.e. If you report an "oocurrence" to your w�orkers caYpensation insurer which develops into a liability daim for which coverage is provided by the Coverage Form, failure to report such "occurrence" to us at the time of "occurrence" shall not be deemed in vidation of paragraphs 2a, 2b., and 2c. However, you shall give written notice of this "occurrence" to us as soon as you are made aware of the fact that this "occurrence" may be a liability daim rather than a v�orkers corrpensation claim. GL-3086 (10/19) -4 K AUTOMATIC ADDITIONAL INSUF�F_D6- EQUPNEN� LEASES SEC110N II - WFIO IS AN INSURED is amended to include any person or organization with whom you agree in a written equipment lease or rer�al agreemer� to narrie as an additional insured with respect to liability for "bodily injur�l', "properry damage" or "persaial and advertising injury" caused, at least in part, by your maintenance, operation, or use by you of the equipment leased to you by such person or organization, subject to the following additional exdusions. The insurar�ce provided to the additional insured does not apply to: 1. "Bodily injury" or "property damage" occurring after you cease leasing the equipmer�. 2. "Bodily injury" or "properry damage" arising out of the sole negligence of the additional insured. 3. "Property damage" to: a Properry owned, used or oocupied by or rer�ed to the additional insured; or b. Property in the care, custody or control of the additional insured or over which the additional insured is for any purpose exerasing physical contrd. This insuranoe is excess of all other insurar�ce available to the additional insured, whether primary, excess, continger� or on any other basis, unless the written cor�ract requires this insurance to be primary. In that event, this insurance will be primary relative to insurance policy(s) which designate the additional insured as a Named Insured in the Declarations and we will not require contribution from such insurance if the written contract also requires that this insurance be non-cor�ributory. But with respect to all other insurance under which the additional insured qualifies as an insured or additional insured, this insuranoe will be excess. L SUTS AGAINST DREDGES AND BARGE,S We agree that any "suit" in rem against any dredge or barge o�nmed, operated by or for you, and used in your operations, shall in all respects be treated in the same manner as though the "suit" w�ere against you. This ooverage is excess over and above any speafic insurance on any dredge or barge owned, operated by or for you, arid used in your operations. 11 ►+, �17� •.�.►11� � �1 ��1 ►�` �.► � 1 �t� � � rit�.r ��\ 1 ► � ��.►+`�I�t .�11 �.► ��.►I1� � �Jl+ Item 9. of SEC110N V- DEFINITIONS , is deleted and replaced with the following. 9. "Insured Cor�tract" means: a A contract for a lease of premises. However, that portion of the ooritract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rerrted to you or temporarily occupied by you with permission of the o�nmer is not an "insured oontract' ; b. A sidetrack agreemerrt; c. Any easemer� or license agreerrier�; d. An obligation, as required by ordinance, to inderrnify a muniapality, except in oonnection with w�ork for a municipality; e. An elevator maintenance agreemer�; GL-3086 (10/19) -5- f. That part af any other cor�ract or agreemer� pertaining to your business (induding an indemnification of a muniapality in connection with work performed for a municipality) under which you assume the tort liability of another party to pay for "bodily injury" or "properry damage" to a third person or organization. Tort liability means a liability that w�ould be imposed by law in the absenoe of any contract or agreement. Paragraph f. does not include that part of any cor�ract or agreement: (1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: (a) Preparing, approving, or failing to prepare or approve, rr�aps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or darriage; or (2) Under which the insured, if an architect, engineer or surveyor, assumes liability for an injury or darr�age arising out of the insured's rendering or failure to render professional service.s, including those listed in (1) above and supervisory, inspection, architectural or engineering activities. I�L CONSTRUC110N PROJECT GENERAL AGC�REGATE LJMTS This modifies SECT'ION III - I.JI111TS OF INSIJRAINCE . A For all sums which can be attributed only to ongoing operations at a single construction project for which the insured becorr�es legally obligated to pay as damages caused by an "oocurrence" under SEC110N I- OOVERAC� A, and for all medical e��enses caused by accidents under SEC110N I- OOVERAC� C : 1. A separate Construction Project General Aggregate Limit applies to each construction project, and that limit is equal to the amount of the General Aggregate Limit sho�nm in the Declarations. 2 The Construc4ion Project General A�ggregate Limit is the most w�e will pay for the sum of all damages under COVEF;AC� A, except damages because of "baiily injury" or "properry damage" induded in the "products-completed operations hazard," and for medical e�enses under COVERAGE C regardless of the number of: a Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits." 3. Any payments made under OOVERAGE A for darriages or under COVERAGE C for medical e�enses shall reduce the Construction Project General Aggregate Limit for that construction project Such payments shall not reduce the General Aggregate Limit shown in the Dedarations nor shall they reduce any other Construction Project General Aggregate Limit for any other construction project. 4. The limits shown in the Declarations for Each Occurrence, Fire �mage and Medical E��se corrtinue to apply. How�ever, instead of being subject to the General Aggregate Limit sho�nm in the Declarations, such limits will be subject to the applicable Construction Project General Aggregate Limit. GL-3086 (10/19) -C B. For all sums which cannot be attributed only to ongoing operations at a single construction project for which the insured beoomes legally obligated to pay as damages caused by an "occurrence" under SEC110N I- OOVERAC� A, and for all medical e�enses caused by accidents under SEC110N I - COVE}�AGE C : 1. Any payments made under OOVERAC� A for darr�ages or under COVERAGE C for medical e�enses shall reduce the amount available under the General Aggregate Limit or the Products- Completed Operations Aggregate Limit, whichever is applicable; and 2 Such payrrier�s shall not reduce any Construction Project General Aggregate Limit. C. Paymerrts for damages because of "bodily injur�l' or "properry damage" included in the "products- completed operations hazard" will reduce the Products-Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Construction Project General Aggregate Limit. D. If a construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized corrtracting parties deviate from plans, blueprirrts, designs, specifications or timetables, the project will still be deemed to be the same construction project. E The provisions of SEC110N III - LIMTS OF INSIJRAIVCE not othervvise modified by this endorsemer� shall continue to be applicable. O. FELLOW ENPLOYEE OOVERAGE F�cdusion 2.e. Frnplo�rs Liability of SEC110N I, COVERAC� A, is deleted and replaoed with the following: 2.e. "Bodily injury" to (1) An "employee" of the insured arising out of ar�d in the course of: (a) Employmerrt by the insured; or (b) Perforrring duties related to the conduct of the insured's business; or (2) The spouse, child, parer�, brother or sister of that "employee" as a consequence of paragraph (1) above. This exclusion applies: (1) Whether the insured may be liable as an employer or in any other capaaty; and (2) To any obligation to share darr�ages with or repay someone else who must pay damages because of the injury. This exdusion does not apply to: (1) Liability assumed by the insured under an "insured contract"; or (2) Liability arising from any action or omission of a co-"employee" while that co-"employee" is either in the course of his or her employmer� or perforrring duties related to the conduct of your business. Item 2a (1)(a) of SEC110N II - VIA-10 IS AN INSl1RED , is deleted and replaced with the following: 2.a (1)(a) To you, to your partners or members (if you are a partnership or joint venture) or to your members (if you are a limited liability company), or to your "volur�eer w�orkers" while performing duties related to the conduct of your business. GL-3086 (10/19) -7- P. PROPERTY DAMAC� LJABILJTY- ELEVATOFtS "Properry damage" liability is changed as follows: 1. Exdusiais 2j.(3) and 2.j.(4) of SEC110N I, OOVERAGE A, do not apply to the use of elevators. 2. The insurance afforded by reason of this provision is excess over any valid and collectible property insurance (induding any deductible portion thereo� available to the insured whether primary, excess, contingent or on any other basis, and the OTHER INSURANCE condition is changed accordingly. � _ ;, � .y �,. �.: ��.►n:t� Exdusion 2.j.4 of SECI'ION I, OOVERAGE A is deleted and replaced with the following: 2.j.4 Personal property in the care, custody or corrtrol of the insured. Fio�ver, for personal properry in the care, custody or corrtrol of you or your "employees," this exclusion applies only to that portion of any loss in excess of $25,000 per occurrence, subject to the following terms and conditions; (a) lYie m�st that w�e will pay under this provision as an annual aggregate is $100,000, regardless of the number of occurrences. (b) This provision doe.s not apply to "employee" owned properry or any prc�perry that is missing where there is not physical evidence to show what happened to the properry. (c) The aggregate limit for this coverage provision is part of the General Aggregate Limit and SECI'ION III - LJMTS OF INSIJRAIVCE is changed accordingly. (c� In the ever� af damage to or destruction of properry covered by this exception, you shall, if requested by us, replace the properry or furnish the labor and materials necessary for repairs thereto, at actual cost to you, exdusive of prospective profit or overhead charges of any nature. (e) $2,500 shall be deducted from the total arriount of all sums you became obligated to pay as damages on aocou�t of damage to or destruction af all properry of each person or organization, including the loss af use of that properry, as a result of each "occurrence." Our limit of liability under the endorsemer� as being applicable to each "occurrence" shall be reduced by the arraunt of the deductible indicated above; however, our aggregate limit of liability under this provision shall not be reduoed by the arriount of such deductible. The conditions of the policy, including those with respect to duties in the everrt of "occurrence," claims or "suit" apply irrespec4ive of the application of the deductible amount. We may pay any part or all of the deductible arnount to effect settlement of any daim or "suit" and, upon notification of the action taken, you shall promptly reimburse us for such part of the deductible amount as has been paid by us. R ELECTFtONC DATA LJABILITY OOVERAC� A F�cclusion 2.p. of OOVEI�AC� A— BODILY INJURY AND PROPEFt'TY DAMAC� LIABILITY in SEC110N I— COVERAC�S is replaced by the following: 2. Exdusiais This insurance does not apply to: p. A�coess Or Disdosure Of Caifider�tial Or P�ersonal Iriformation And Dat�F�elated uabi�ity Damages arising out of: GL-3086 (10/19) -8- (1) Any access to or disclosure of any person's or organization's oonfider�ial or personal ir�ormation, including pater�s, trade secrets, processing methods, customer lists, finanaal irrformation, credit card i�formation, health irrformation or any other type of nonpublic information; or (2) The loss of, loss of use of, damage to, corruption of, inabiliiy to access, or inability to manipulate "electronic data" that does not result from physical injury to tangible property This exclusion applies even if damages are claimed for notification costs, credit monitoring e�enses, forensic e�enses, public relations e�enses or any other loss, oost or e�ense incurred by you or others arising out of that which is described in Paragraph (1) or (2) above. F�ver, unless Paragraph (1) above applies, this exclusion cbes not apply to damages because of "bodily injury". B. The following is added to Paragraph 2 IXCLUSIONS of SEC110N I— OOVERAC� B— PERSONAL AND ADVEfiTISING INJURY LJABILJTY: 2 F�causions This insurance does not apply to: A�ooess Or Disdosure Of Confiderrtial Or P+ersonal Ir�formation "Personal and advertising injury' arising out of any access to or disclosure of any persai's or organization's confider�ial or personal ir�ormation, induding patents, trade secrets, processing methods, customer lists, finanaal ir�ormation, credit card i�formation, health ir�ormation or any other type of nonpublic ir�ormation. This exclusion applies even if damages are claimed for notification costs, credit rrbnitoring e�enses, forensic e�enses, public relations e�enses or any other loss, oost or e�ense incurred by you or others arising out of any aocess to or disclosure of any person's or organization's cor�fideritial or personal irrformation. C. The following definition is added to Section V— DEFINTIONS : "Dectronic data" means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software (induding systems and applications soft�nrare), hard or floppy disks, CaROMS, tapes, drives, cells, data processing devices or any other media which are used with electronically corrtrolled equipment. D. For the purposes of this coverage, the definition of "properry darr�age" in SECI'ION V— DEFlNTIONS is replaoed by the following: ��PropertY damage" means: a Physical injury to tangible prc�perty, including all resulting loss of use of that properry. All such loss of use shall be deemed to occur at the time of the physical injury that caused it; b. Loss of use of tangible properry that is not physically injured. All such loss of use shall be deemed to ocaar at the time of the "occurrence" that caused it; or c. Loss of, loss of use of, damage to, corruption of, inability to aocess, or inability to properly manipulate "electronic data", resulting from physical injury to tangible property. All such loss af "electronic data" shall be deemed to oocur at the time of the "oocurrence" that caused it. For the purposes of this insurance, "electronic data" is not tangible properry. GL-3086 (10/19) -9- [+��,�'+`'_�. � _ 1�� ►+. � _ ►.�;�;�� r� ', T�1�11�1a►� �. _ _ .' \ �• l�� = rT� With respect to "bodily injur�/', "properry darr�age", or `personal and advertising injur�l' arising out of your ongoing operations; or operations included within the "products-corrpleted operations hazarcf', the policy to which this coverage is attached shall apply as excess insurance over coverage available to `yo�' under a Consolidated Insurar�ce Program (such as an Ov�ner Contrdled Insurar�ce Program or Contractors Coritrdled Insurar�ce Program). Coverage afforded by this endorsemerrt does not apply to any Consolidated Insurance Program involving a "residerrtial projecY' or any deductible or insured reterrtion, specified in the Consolidated Insurar�ce Program. The fdlowing is added to Sectian V— Definitions "Resider�ial project" means any project where 30% or more of the total square foot area of the structures on the project is used or is ir�tended to be used for human residency. This includes but is not limited to single or multifamily housing, apartme�ts, condorryniums, to�nmhouses, co-operatives or planned unit developments and appurtenarit structures (including pools, hot tubs, detached garages, guest houses or any similar structures). A"resider�ial project" does not include military owned housing, college/university owned housing or domiitories, long term care faalities, hotels, motels, hospitals or prisons. All other terms, provisions, exdusions and limitations of this policy apply. T. AUTOMATIC ADDIl10NAL INSIJRED6 - IVIANAGERS OR LESSOFiS OR PREMSE.S SEC110N II — WFIO IS AN INSURED is amended to include: Arry person or organization with wt-iom you agree in a written contract or written agreemerrt to name as an additional insured but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises, designated in the written contract or written agreerrier�, that is leased to you and subject to the following additional exdusions: This insuranoe does not apply to: Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the additional insured listed in the written corrtract or written agreernent. This insurance is excess of all other insurar�ce available to the additional insured, whether primary, exce.ss, contingent or on any other basis, unless the written cor�tract requires this insurance to be primary. In that event, this insurance will be primary relative to insurance policy(s) which designate the additional insured as a Named Insured in the Declarations and we will not require contribution from such insurance if the written ooritract also requires that this insurance be non-cor�ributory. But with respect to all other insurance under which the additional insured qualifies as an insured or additional insured, this insuranoe will be excess. U. AUTOMATIC ADDIl10NAL INSUF;EDS — STATE OR GOVERNNEN�AL AGENCY OR POLJTICAL SUBDIVISIONS — PEF•iIVITS OR AUTHOF•iIZAl10NS SEC110N II — WIiO IS AN INSURED is arriended to include any state or governmental agency or subdivision or political subdivision with whom you are required by written contract, ordinance, law or building code to name as an additional insured subject to the following provisions: This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. GL-3086 (10/19) -1a This insurance does not apply to: "Bodily injury', "properry damage" or "personal and advertising injur�l' arising out of operations performed for the federal governmerrt, state or muniapality; or 2. "Bodily injur�' or "properry damage" induded within the "products-oompleted operations hazard'. This insurance is excess of all other insurance available to the additional insured, whether primary, excess, contingent or on any other basis, unless the written cor�ract requires this insurance to be primary. In that event, this insurance will be primary relative to insurance policy(s) which designate the additional insured as a Named Insured in the Declarations and we will not require contribution from such insurance if the written contract also requires that this insurance be non-cor�ributory. But with respect to all other insurance under which the additional insured qualifies as an insured or additional insured, this insuranoe will be excess. �• - . � -� . � . . � � • � .`' '1 � •• ' � r �• �� •' ' � • . SEC110N II — WHO IS AN INSURED is amended to include as an additional insured any person or organization who is required by written contract to be an additional insured on your policy for completed operations, but only with respect to liability for "bodily injury' or "property damage" caused, in whole or in part, by "your w�ork" at the project designated in the co�tract, performed for that additional insured and included in the "products-completed operations hazard". This insurance is excess of all other insurance available to the additional insured, whether primary, excess, continger� or on any other basis, unless the written cor�ract requires this insurance to be primary. In that event, this insurance will be primary relative to insurance policy(s) which designate the additional insured as a Named Insured in the Declarations and we will not require oontribution from such insurance if the written ooritract also requires that this insurance be non-cor�ributory. But with respect to all other insurance under which the additional insured qualifies as an insured or additional insured, this insuranoe will be excess. 1�i►,�_1 � �. � Zi. ►',►_� � I �:� 1::� � �� ►�,'r' 1► I � �:".`w_1:�,�:I�y �•�i::�� :IJ -i�l a'[i:::� SEC110N II — WFIO IS AN INSURED is arriended to include as an additional insured any architect, engineer or surveyor who is required by written corrtract to be an additional insured on your policy, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injuhl' caused, in whole or in part, by. 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations performed by you or on your behalf. This includes such architect, engineer or surveyor, who may not be engaged by you, but is corrtractually required to be added as an additional insured to your policy. GL-3086 (10/19) -11- With respect to the insurance afforded to these additional insureds, the fdlowing additional exclusion applies: This insurance doe.s not apply to "bodily injur�l', "properry darr�age" or "persa-�al and advertising injur�l' arising out of the rendering of or the failure to render any professional services, including: The preparing, approving, or failing to prepare or approve rriaps, drawings, opinions, reports, surveys, change orders, designs or specifications; or 2. Supervisory, inspection or engineering services. This insurance is excess of all other insurar�ce available to the additional insured, whether primary, exce.ss, contingent or on any other basis, unless the written cor�tract requires this insurance to be primary. In that event, this insurance will be primary relative to insurance policy(s) which designate the additional insured as a Named Insured in the Declarations and we will not require oontribution from such insurance if the written ooritract also requires that this insurance be non-cor�ributory. But with respect to all other insurance under which the additional insured qualifies as an insured or additional insured, this insuranoe will be excess. GL-3086 (10/19) -12- WORKERS COMPENSATION AND EMPLOYERS LIABILITIf INSURANCE POLICY TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT WC4203Q4B (Ed. 6-14) This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A. of the Information Page. We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule where you are required by a written contract to obtain this waiver from us. � This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. The premium for this endorsement is shown in the Schedule. 1 ( ) Specific Waiver Name of person or organization ( X ) Blanket Waiver Schedule Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. . 2. Operations: STREET & ROAD CONSTRUCTION 3. Premium: InCI. The premium charge for this endorsement shall be V RS percent of the premium developed on payroll in connection with work performed for the above person{s) or organization(s) arising out of the operations described. 4. Advance Premium: Incl . This endorsement changes the policy fo which it is attached and is effective on the date issued unless otherwise stated. (The information belowr is required anly when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Insured Insurance Company WC 42 03 04 B (Ed. 6-14) Policy No. Countersigned by Endorsement No. Premium Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved. FURT WORTH�,� Routing and Transmittal Slip Transp,ortation & Public Works Department DOCUMENT TITLE: E Northside Dr Bridae Reolacement at Samuels Ave M&C: 24-0039 Date: 02/26/24 To: 1. 2. Name �onne CPN: 102097 Csp; 61082 Department' Initials Patricia Wadsack 3. Lauren Prieur 4. Priscilla Ramirez 5. Doug Black 6. Jesica McEachern 7 Ronald Gonzales 8 Jannette Goodall 9 Allison Tidwell 10. TPW Contracts TP W-Approver (' TPW-Signer v Legal-Approver �� Legal-Signer �..,� ACM-Signer CSCO-Approver K� CSCO-Signer — CSCO-Form Filler � TP W DOC#: Date Out 2/27/24 2/28/24 M a r 8, 2024 Mar 11, 2024 Mar 11, 2024 Mar11,2024 M a r 11, 2024 CC: Program Manager, Sr. CPO, TPW HSPAP Recon Team, TPW Recorda Room, TPW Contracts DOCUMENTS FOR CTTY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MLTST BE ROLTTED TO THE APPROPRIATE ACM for approval first Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: ❑YES �No RUSH: ❑YES �No SAME DAY: ❑YES ONo ROUTING TO CSO: �YES �No NEXT DAY: ❑YES �No Action Reguired:. ❑ Attach Signature, Initial and Notary Tabs ❑ As Requested ❑ For Your Information � Signature/Routing and or Recording ❑ Comment ❑ Flle File Link to the Project's General Conditions & Specs https://a pp-us3.e-bu ilder.net/pu blic/publicLand i ng.aspx?QS=3aeda4bfd68e4ef8b07cbd 152f8a0d9c Return Ta: Please notify TPWContracts�a fortworthtezas.gov for pickup when complete. Call egt. 7233 or ezt. 8363 with questions. Thankyou! FORTWORTH� �_-..-� = _ - . , ;, . �- � Rotrting anci 'I'a•a�srn�tt�l Slip Z'ranspo�tation � Piiblic Works Depa�•tment DOCUMENT TITLE: E Northside Dr Birdae Replacement at Samueis Ave M3iC: 24-0039 CPN: 102097 D�te: 02/23/24 To: Name 1. Alex Hammes/ IBCTX, LLC 2, Proj Mgi•: Sandip Uprety 3. Micl�elle Hadley-McGllee 4. 5. 6. 7 8 9 10. CSO: Departme�it Vendoc-Signer TPW-Signer TPW-Review Initials DOC#: Date Out 02/23/24 02/23/24 Feb 26, 2024 CC: Progr�m M�n�ger, Sr. CPO, TPW BSPAP Recon Te�m, TPW Records Room, TPW Contracts ]Y�tyt;U1�11�;i'�'f; I�CDI{ �C:l'l��'�' 11'If1NA(:I�IZ'�� ;�IGI'rA7'111tI+;: �II <locuinen(s rcccivccl t�rom uny ond �ill City Departments requesting City M.�nager's signature for approv<ll MUS�I' BL ROU'I'ED'I'O'THL-; nPPItOPIZIA'['G ACn�I 1or appro��al firsL Once ihe ACi��I h�s si�ited tl�e rouling slip, Uavid ��ill revie�v and takc thc next st�c�,s. N��DS TO B� NOTARIZ�D: ❑Y�S �No �;�_r.,��: I-1vl.� (;::j��, ;;�_��; ��,�;��: ❑�'�-� �� ROUTING TO CSO: �YES ❑No Action Required: ❑ As Rec�uested ❑ For Your Inform�tion � Signature/Routing and or Recocding ❑ Comment ❑ File r�i��;;��z� ��.��: �-_1�'i�s C.�� --� !1.f1`71('�1 is1i;Tl�ltUl'C� �Ill�lil� i\ll(� I�i0�111"j'' O:t�)t; Retw•n To: Ple�se notif,y TP\�'Cont�•acts n,forhvorthte�as.��ov for picicup �vhen complete. C�li ext. 7233 or ext. 83G3 with questions. Tl�anlc you! From:Lisa Lawson To:Munoz, Andrea; Kelli Heffernan Cc:Pryor, Barbara M; Hadley-McGhee, Michelle; TPW Contracts Subject:RE: Bond Verification Request [CPN#102097-E Northside Drive Bridge Replacement at Samuels Avenue] Date:Tuesday, February 20, 2024 10:11:22 AM CAUTION: This email originated from outside of the City of Fort Worth email system. Do not click any links or open attachments unless you recognize the sender and know the content is safe. Yes, this is a valid bond. The amount you have is correct. Thank you! Lisa Lawson | Sr. Contract Underwriting Account Specialist Merchants Bonding Company™ street 6700 Westown Parkway, West Des Moines, IA 50266-7754 mailing P.O. Box 14498, Des Moines, IA 50306-3498 direct (515) 558.8765 toll free (800) 678.8171 web www.merchantsbonding.c From: Munoz, Andrea <Andrea.Munoz@fortworthtexas.gov> Sent: Monday, February 19, 2024 4:52 PM To: Kelli Heffernan <kheffernan@merchantsbonding.com>; Lisa Lawson <llawson@merchantsbonding.com> Cc: Pryor, Barbara M <Barbara.Pryor@fortworthtexas.gov>; Hadley-McGhee, Michelle <Michelle.Hadley-McGhee@fortworthtexas.gov>; TPW Contracts <TPWContracts@fortworthtexas.gov> Subject: Bond Verification Request [CPN#102097-E Northside Drive Bridge Replacement at Samuels Avenue] CAUTION:This email originated from outside of Merchants Bonding Company. Do not click links or open attachments unless you recognize the sender and know the content is safe. The City of Fort Worth is in receipt of the following referenced bond(s) – BOND # TXC104508, in the amount of $3,714,298.00 (Three Million, Seven-Hundred Fourteen Thousand, Two-Hundred Ninety- Eight and 00/100 Dollars, from IBCTX, LLC, for City Project 102097 - E Northside Drive Bridge Replacement at Samuels Avenue. Please provide confirmation that both the bond(s) and dollar amount(s) are valid? Thanks,