HomeMy WebLinkAboutContract 57800-FP1FORT WORTH.
-, "'o
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
CSC No. 58700-FP1
City Secretary No: 58700
Date Received: 04/29/24
City Project Ns: 104269
Regarding contract 58700 2023 Asphalt Resurfacing Contract for as required by the
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 11/29/2022 through
M&C 22-0982 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the
recommendation of the Assistant Director of the Transportation & Public Works Department has accepted the project as
complete.
Original Contract Amount:
Amount of Approved Change Orders:
Revised Contract Amount:
Total Cost Work Completed:
Less Deductions:
Liquidated Damages:
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed:
Less Previous Payments:
Final Payment Due
.Patricia L. wadsack
.rya L. Wadsack japr 29, 2024 08:45 CDT)
Recommended for Acceptance
Asst. Director, TPW - Capital Delivery
$ 2,005,975.00 Days 210
$ 98,567.45 N9 1 Days Added by CO 15
$ 2,104,542.45 Total Days 225
$ 1,608,642.87 Days Charged 215
Days @ $ / Day
$
$ 1,608,642.87
$ 1,528,210.73
$ 80,432.14
Apr 29, 2024
Date
A. -I :o
Lauren P ri e u r (Apr 29, 2024 08:50 CDT)
Accepted
Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
C�L�
Asst. City Manager
Comments:
Apr 29, 2024
Date
Apr 29, 2024
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
C-620 Signature Page
Contractor's Application for Payment
Invoice No. 10-FINAL
To (Owner) City of Fort Worth Invoicing Period (From - To):
Invoice Date:
3/1/24-4/1/24
4/1/2024
P.O. FW020-009070 From (Contractor):
Remit to( If Not Automatic Deposit):
Number: Peachtree Construction Ltd
Contractor's CFW Vendor No.:
Project: 104269
0000007231
City secretary contract 58700 Resurfacing
Contract 2023 Asphalt
p Contract 1
Number: Name:
Application For Payment
Change Order Summary
Approved Change Orders
1. ORIGINAL CONTRACT PRICE..........................................................
$ $2,005,975.00
Number Additions Deletions
2. Net change by Change Orders.................................................................
$ $98,567.45
1 $98,567.45
3. Current Contract Price (Line I t 2).......................................................
$ $2,1049542.45
2
4. TOTAL COMPLETED AND STORED TO DATE
3
(Progress Estimate, Construction Allowance and Change Orders).....
$ $1,6089642.87
4
5. RETAINAGE:
5
a. X $1,608,642.87 Work Completed..........
$
6
b. X Not Used
$
7
c. Total Retainage (Line 5a + Line 5b) ...............................
$
8
6. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c).............................
$ $1,608,642.87
TOTALS $98,567.45
7. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)........
$ $1,5289210.73
NET CHANGE BY $98,567.45
8. AMOUNT DUE THIS APPLICATION .................................................
$ $80,432.14
CHANGE ORDERS
9. BALANCE TO FINISH, PLUS RETAINAGE
(Column G on Progress Estimate+ CA + COs + Line 5 above) .............
$ $495,899.58
Contractor's Certification
10. CONTRACT TIME:
The Contractor certifies with the submittal of this document and associated Payment Request
a. Days Awarded
210
Submittal on the City of Fort Worth Buzzsaw system that to the best of their knowledge: (1) all
b. Days Added by CO
15
previous progress payments received from Owner on account of Work done under the Contract have
been applied on account to discharge Contractor's legitimate obligations incurred in connection with
C. Total Days
225
Work covered by prior Applications for Payment; (2) title of all Work, materials and equipment
incorporated in said Work or otherwise listed in or covered by this Application for Payment will pass
to Owner at time of payment free and clear of all Liens, security interests and encumbrances (except
d. Days Charged
215
such as are covered by a Bond acceptable to Owner indemnifying Owner against any such Liens,
e, Days Remaining
10
security interest or encumbrances); and (3) all Work covered by this Application for Payment is in
accordance with the Contract Documents and is not defective.
Liquidated Damages $650.00 x day
Consent of Surety
B igvlor
B Taylor (Apr24,2024 16:55 CDT) Affidavit of Bills Paid
This document has been modified from its original form as an EJCDC document and the user did not highlight the
modifications. You are encouraged to read the document carefully and consult Legal Counsel prior to its execution.
C-620 Unit Pnce Progress Esh-n
Progress Estimate
IPnr(eO1h8Ct)
2023 Asphalt Resurfacing Contract 1
Appbcaaon Penod,
3/1/24-4/1/24
A
Item
Specficaaon
Urdtof
Bid Item No
Desuipaon
Section No
Measure
1
0135.02W REMOBILIZATION
017000
EA
2
0241.1300 REMOVE CONC CURB&GUTTER
024115
LF
3
3216.01027"CONIC CURB &GUTTER
321613
LF
4
0241.1 1 REMOVE & REPLACE 6-CONCRETE DRIVEWAY
0241 13
SF
5
0241.0100 REMOVE SIDEWALK
321320
SF
6
321 .03014- CONCRETE SIDEWALK
024113
SF
7
0241.1400 REMOVE & REPLACE CONCRETE VALLEY GUTTER
321330
SY
8
0241.0300 REMOVE ADA RAMP
024113
EA
9
321133.0501 BARRIER FREE RAMP, TYPE R-1
321320
EA
10
32.0506 BARRIER FREE RAMP, TYPE P-1
321320
EA
11
0241.17008- PAVEMENT PULVERIZATION
024115
SY
12
3212.03023-ASPHALTPAVEMENT,TYPED
321616
SY
13
3211.0600 CEMENT MODIFICATION, 26 IWe Y
32 1133
TN
14
3110.0102 24" AND LARGER TREE REMOVAL
31 1000
EA
15
3110.0102 6%12" TREE REMOVAL
31 1000
EA
16
3123.0101 UNCLASSIFIED EXCAVATION
322316
CY
17
3292.0100 BLOCK$OD REPLACEMENT
329213
SV
18
3217.0305STOP BAR$ PAVEMENT MARKING CROSSWALK LINES
321723
LF
19
3217.00016- SOLID THERMOPLASTIC IHASI LANE LINE
321723
LF
20
3217.00016"SOLID THERMOPLASTIC IHASI CENTER LINE
321723
LF
3217.050124"SOLID WHITE THERMOPLASTIC(HAE) CROSSWALK
21
LINE$
321723
LF
22
3217.5001 CURB ADDRESS PAINTING
321725
EA
23
3291.0100 TOPSOIL
329119
CY
24
3211.0122 FLEXBASE, TYPE A, GR-2
3217 23
CY
25
3305.0108 MISCELLANEOUSADJU$TMENT$
000508
LS
26
3305.0112 MANHOLE ADJUSTMENT
330514
EA
27
3305.0111 WATER VALVE BOX ADJUSTMENT
330514
EA
28
9999.0000SITECLEARING
SY
29
9999.0096 PAVING CONSTRUCTION ALLOWANCE
LS
Totals
cnyseer 58700
Contract Num
Brd Quantity Umt Pnce
1 $1,000.001
3,500 $1.151
6,250 $57.001
3,500 $18.001
6,000 $1.151
6,000 $10.001
150 $175.001
25 $170.001
g $5,400.001
17 $5,150.001
32,300 $9.001
32,300 $24251
420 $255.001
2 $2,500.001
2 $600.001
400 $34.001
700 $17.001
200 $17.001
3,000 $2.101
7,500 $2.101
350 $16.001
20 $65.001
250 $85.001
135 $105.001
1 $5,000.001
15 $1,100.001
10 $850.001
150 $20.001
1 S40,000.001
B C
Bid Value Esmna"Qu 1
Installed
Contractor's Application
APplmatioa Nn Ib . 10-FINAL
APPI-ion Date. 4/1/2024
D
E F
G
Tonal Completed % Balarrcz
to Frmsh
Value
Previously Metalled Value Value'Tms Penod
Materials Presently ®d Smred m Date (F)
(B - F)
Smred (notmC> (DIF) B
$1,owooll
$1,000.001
$1.000.00 1000%
$2,540.41
$2,540.411
$2,540.41 631%
$1,484.591
$125,915.851
$125,915.851
$125,915.�5 353%
$230,334.151
$62,217.721
$62,217.721
$62'217.72 988%
$782281
$3,398.641
$3,398.641
$3,398.6Q 493%
$3,501.36
$23,223.401
$23,223.401
$23,223.40 38 ]%
$36,776.60
$47,612.251
$47,612.251
$47,612.�� 1814%
-$21,362.25
$3,400.001
$3,400.001
$3,400.00 80 0%
$850 001
$43,200.001
$43,200.001
$43,200.00 1000%
1
$61,800.001
$61,800.001
$61,800.00 706%
$25,750.001
$266,034.421
$266,034.421
$266,034.42 915%
$24,665.58
$711,301.001
$711,301.001
$711,301.00 908%
$71,974.001
$95,800.951
$95,800.951
$95,8OO.0 895%
$11,299.05
$2,500.001
$2,500.001
$2,500.00 500%
$2,500.0
I
$1,200.0001
I
$13,600.001
$10,857.901
$10,857.901
$10,857.90 912%
$1,042.10
1
1
$3,400.001
$27,274.801
$27,274.801
$2],214710 4329%
-$20,974.801
$27,881.701
$27,881.701
$27,881.70 1770%
-$12, 131.70
$320.001
$320001
$320.00 57%
$5,280.00
$520.00
$520001
$520.00 400%
$780001
$6,800.001
$6,800.001
$6,800.00 320%
$14,450.00
1
1
$14,175.001
I
$5,000.00
$17,600.001
$17,600.001
$17,600.00 1067%
$1,100.001
$14,450.001
$14,450.001
$14,450.00 1700%
$5,950.001
I
$3,000.00
I
I
I
I
I
I
I
I
I
I
I
I
I
$40,000.001
I
I
I
I
$1,555,649.04
$1,555,649.041
$1,555,649.04 776%
$450,325.961
This document ties been modified from its onguial form as an E1CDC document arW Ne user did not IugNigN Ne
modrficaaons. You are encouraged m read the document carefully and consult Legal Courrsel poor I-, execuaon.
C-620 Change Order
Progress Estimate Construction Allowance Usage
ADDITIONS
For (contract):
2023 Asphalt Resurfacing Contract 1
104269
City Secretary
ss�oo
Cone Num.
IApplicaeon Period:
3/1/24-4/1/24
A
B
C
D
Item
Estimated Quantity
Previously Value This
Specification
Unit of
Quantity to Add
Unit ft.Addrtmn
Value
Installed
Value
Installed Value Period
Ile", Number
Description Section No.
Measure
33
Preformed Thermoplastic Markings - Legend Single Head Curve An
EA
2.00000000
$288.75
$577.50
2,00000000
$577.50
$577.50
39
Elechical Conduit Aeparr
LS
1.00000000
$10.804.50
$10,804.50
1,00000000
$10,804.50
$10.804.50
40
Sprinkler System
LS
1.00000000
$626,13
$126.13
1,00000000
$626.13
$626.13
41
Elections: Message Panels(x2)
CD
20.00000000
$136.50
$2,730.00
20,00000000
$2,730.00
$2.730.00
Contiafire Allowance 2
40
Sprinkler System
LS
1.00000000
$1.654.25
$1,654.25
1.00000000
$L654.25
$1.654.25
This document has been modified from its original f as an E7CDC document and the user did not highlight the
modifications. You are encouraged to read the document carefully and consult Legal Counsel prior torts execution.
Contractor's Application
10-FINAL
4/1/2024
E F
Total Completed
Material' Presently
and Stored to Date
(F)
Stored (not in C)
D+E)
B
$577.50
100.0%
$10.804.50
100.0%
$626.13
100.0%
$2.730.00
100.0%
$1.654.25
100.0%
Balance to Finish
(B -F)
C-620 Change Order
Totals 516,392.38 $16,392.1a $16392.38
Progress Estimate Construction Allowance Usage
CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED
IFor(co -O). 104269 2023 Asphalt Resurfacing Contract 1 Application Number:
IApplicauen Period: 3/1/24-4/1/24 Application Date:
A B C D E
� Item
&d Item Number Descnpbon Specification Unit of Quantity to Delete Umt Price Reduction Value Not Used Not Used Not Used Not Used Not Used
Section No. Measure
29 1111//11 PAVING CONSTRUCTION ALLOWANCE LS 0.36845325 $40,000.00 $14,738.13
29 11110011 PAVING CONSTRUCTION ALLOWANCE LS 0.04135625 $40,000.00 $1,654.25
Totals $16.392.38
This document has been modified from its original f as an E7CDC document and the user did not highlight the
modificatmns. You are encouraged to read the document carefully and consult Legal Counsel prior torts esecutmn.
el M.1463M
Contractor's Application
10-FINAL
4/1/2024
F
Not Used Not Used Not Used
C-620 Change Order
Progress Estimate Change Order Number I
ADDITIONS
IFor (cantina): 104269 2023 Asphalt Resurfacing Contract 1
1Application Period: 3/1/24-4/1/24
A
Item
Change Order Item
No.
Description
2
0241.1300 REMOVE CONIC CURB & GUTTER
3
3216.0102 7" CONIC CURB & GUTTER
4
0241.0401 REMOVE & REPLACE 6' CONCRETE DRIVEWAY
5
0241.0100 REMOVE SIDEWALK
6
3213.03014' CONCRETE SIDEWALK
17
3292.0100 BLOCK SOD REPLACEMENT
23
3291.0100 TOPSOIL
30
Mill & Gverlay Transition
31
3349.5007 Remove & Replace 15' Inlet Top
32
3213.0322 4" Core Sidewalk With Curb At The Back (6"-12")
33
3217.1010 Preformed Thermoplastic Markings - Legend Single Head Can
34
3217.1011 Prelboand Thannotilastic Contrast Markings - Legend Only
35
3217.0201 8" SLD P-t Markings HAS (W)
36
3217.4201 Fire Lane Marking
37
3217.2103 REFL Raised Marker TY II -A -A
38
3217.0502 Preforined Themroplastic Contrast Markings - 24" Crosswalk
1
City Secretary 58700
Contract Nam:
B
C
Addition
Speedication Unit of
CO Quantity to Add
Unit Price
Change Order
Estimated Quantity
Section No. Measure
Value
Installed
LF
350,00000000
$1.15
$402.50
LF
350,00000000
$57.001
$19,950.00
SF
2350,00000000
$18.001
$42,300.00
SF
200,00000000
$1.151
$230.00
SF
350,00000000
$10.001
$3,500.00
SF
90.00000000
$17.001
$1,530.00
CY
5.00000000
$85.001
$425.00
SF
1950,00000000
$9.451
$18,427.50
1886.00000000
EA
1.00000000
$7.875.001
$7,875.00
1,00000000
SF
120,00000000
$13.651
$1,638.00
633.00000000
EA
1.00000000
$288.75
$288.75
1.00000000
EA
1.00000000
$414.75
$414.75
1.00000000
LF
170.00000000
$2.42
"'1 40
170.00000000
LF
175,00000000
$6.04
$L057.00
175.00000000
EA
15.00000000
$4.57
$68.55
20.00000000
LF
20.00000000
$2.45
$49.00
D
Value
$17,822
$7,875
$&640
$288
$414
$411
$L057
$91
Previously Value This
Installed Value Period
This document has been madified from its original f as an E7CDC document and the user did act highlight the
modifications. You are encouraged to read the document carefully and consult Legal Counsel prior torts execution.
$17.822.70
$7.875.00
$8.640.45
:281.71
414.7,
$411.40
$1,057.00
$91.40
Contractor's Application
Application Number:
10-FINAL
Application Date.
4/1/2024
E
F
Total Completed
% Balance
to Finish
Materials Presently
and Stored to Date
(F)
(B - F)
Stored (not m C)
(f) I E)
B
$402.50
$19.950.00
$42.300.00
$230.00
$3.500.00
$1.530.00
$425.00
$17,822.70
96.7%
$604.80
$7,875.00
100.0%
$8,640.45
527.5%
-$7.002.45
$288.75
100.0%
$414.75
100.0%
9411.40
100.0%
$L057.00
100.0%
$91.40
133.3%-$22.85
$49.00
C-620 Change Order
Totals $98,567.45 $36,601.45 S36,601A5 S36,601.45 37.1%
Progress Estimate Change Order Number I 1
DELETIONS
gor(contrac), 104269 2023 Asphalt Resurfacing Contract 1 Application Number:
IApplica ion Period: 3/l /24-4/1/24 Application Date:
A B C D E
Item Delete Deletion
Change Order Item Description Specification Unit of CO _rety to Unit Price Change Order Not Used Not Used Not Used Not Used Not Used
No. Section No. Measure Value
This document has been modified from its original f as an E1CDC document and the user did not highlight the
modificatmns. You are encouraged to read the document carefully and consult Legal Counsel prior torts esecutmn.
$61,966.00
Contractor's Application
10-FINAL
4/l/2024
F
Not Used Not Used Not Used
City of Fort Worth Summary of Charqes
City Secretary Contract Num: I 58700 I 2023 Asphalt Resurfacing Contract 1 I P. D FW020-009070 Project Number: 104269
Application Period: I 3/1/24-4/1/24 I Application I 10-FINAL Application Date: 4/1/2024
Number:
Funding Identification (FID)
Original Contract
30100-0200431-5740010-104269-006280-9999
0
0
0
0
0
0
0
0
0
0
Change Order
30100-0200431-5740010-104269-006280-9999
0
0
0
0
0
0
0
0
0
0
Change Order 2
30100-0200431-5740010-104269-006280-9999
0
0
0
0
0
0
0
0
0
0
Change Order 3
30100-0200431-5740010-104269-006280-9999
Total Completed
$1,572,041.42
$36,601.45
Amt Remaining
$433,933.58
$61,966.00
Gross Retainage Net
City of Fort Worth Summary of Charqes
City Secretary Contract Num: I 58700 I 2023 Asphalt Resurfacing Contract 1 I P. D FW020-009070 Project Number: 104269
Application Period: I 3/1/24-4/1/24 I Application I 10-FINAL Application Date: 4/1/2024
Number:
Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net
0
0
0
0
0
0
0
0
0
0
Change Order 4
30100-0200431-5740010-104269-006280-9999
0
0
0
0
0
0
0
0
0
0
Change Order 5
30100-0200431-5740010-104269-006280-9999
0
0
0
0
0
0
0
0
0
0
Change Order 6
30100-0200431-5740010-104269-006280-9999
0
0
City of Fort Worth Summary of Charqes
City Secretary Contract Num: I 58700 I 2023 Asphalt Resurfacing Contract 1 I P. D FW020-009070 Project Number: 104269
Application Period: I 3/1/24-4/1/24 I Application I 10-FINAL Application Date: 4/1/2024
Number:
Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net
0
0
0
0
0
0
0
0
Change Order 7
30100-0200431-5740010-104269-006280-9999
0
0
0
0
0
0
0
0
0
0
Change Order 8
30100-0200431-5740010-104269-006280-9999
0
0
0
0
0
0
0
0
0
0
Totals
30100-0200431-5740010-104269-006280-9999 $1,608,642.87 $495,899.58
0
0
0
0
0
0
0
0
0
0
City of Fort Worth Summary of Charqes
City Secretary Contract Num: I 58700 I 2023 Asphalt Resurfacing Contract 1 I P. D: FW020-009070 Project Number: 104269
Application Period: I 3/1/24-4/1/24 I Application I 10-FINAL Application Date: 4/1/2024
Number:
Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net
Grand Total $1,608,642.87 $495,899.58 $0.00 1 ($80,432.14)1 1 $80,432.14
FORT WORTH
Routing and Transmittal Slip
Transportation and Public Works
Department
DOCUMENT TITLE: Change Order # 1 — 2023 Asphalt Resurfacing Contract 1
Ji `► IKi[1Ly1:167
Date: 0312812023 AE
To:
1. J. Barry Clark (Contractor)
2. Curtis Hollingsworth (Inspector)
3. Iretomiwa Otuyelu (PM)
4. Omar Elbagalati (PgM)
5. Leon Wilson (Sr CPO)
6. Michael Owen (AD)
7. Lauren Prieur (Director)
8. Doug Black (A CA)
9. William Johnson (ACM)
10. Jannette Goodall (CSO)
;•��•�;:�LiI���Z•Z•I:�K•SI
Department
Initials
Date Out
Peachtree Construction LTD
�,�/�
ibdark(cDoeachtreecon.com
zLL
Mar 28, 2023
JBC
TPW-Signature
Mar 28, 2023
TPW-Signature
,s
Mar 29,2023
TPW-Signature
oP
Mar29,2023
TPW-Reviewer
Mar30,2023
TPW-Signature
Mar30,2023
TPW-Signature
Mar 30, 2023
LAW -Signature
'dot i
Apr 3, 2023
CMO-Signature
4—
Apr 3, 2023
CSO-Signature
4—
Apr4,2023
DOCUMENTS FOR CITY MANAGER'S SIGNTURE: All documents received from any and all City
Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE
APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review
and take the next steps.
NEEDS TO BE NOTARIZED: ❑ Yes X No
RUSH: ❑ Yes X No SAME DAY: ❑ Yes V No NEXT DAY: ❑ Yes X No
ROUTING TO CSO: ❑ Yes ❑ No
Action Reauired:
❑ As Requested
❑ For Your Information
X Signature/Routing and or Recording
❑ Comment
❑ File
❑ Attach Signature, Initial and Notary Tabs
Return to: Please call Iretomiwa Otuvelu at ext. 6747 for pick up when completed. Thank you.
CSC No. 58700-COI
Fox_ T�W�oRTH ,
City of Fort Worth
Change Order Request
Project Name 2023 Asphalt Resurfacing Contract 1 I City Sec # I 58700
Client Project #(s)I 104269
Project Description Asphalt pulverization and overlay, repair of curb & gutter, driveways, sidewalks at various locations
Contractor
City Project Mgr.1
Peachtree Construction Ltd
Iretomiwa Otuyelu
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date
Amount of Proposed Change Order
Revised Contract Amount
Original Funds Available for Change Orders
Remaining Funds Available for this CO
Additional Funding (if necessary)
TPW
$2,005,975.00
Change Order#I 1 1 Date 3/23/2023
City Inspector Curtis Hollingsworth
Contract Time
Totals (CD)
$2,005,975.00 210
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 4.91 %
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) $2,507,468.75
JUSTIFICATION (REASONS) FOR CHANGE ORDER
This Change Order is to increase the scope of work in the Construction Contract 58700.
The additional work will be performed at the following locations:
Remove and replace driveways at 3851 and 3855 Clayton Rd
Remove and replace driveway and sidewalk at 3437 W 5th St
Asphalt transition repair at intersection of 7th Ave and W Terrell by Cook's Children Hospital
Repair of curb, gutter and driveways at 1413 Sharondale St.
This change order will add quantities to existing line items and introduce new line items to the contract. Prices for the new line items have been compared with prices from
similar contracts and deemed to be reasonable. Staff also recommends the addition of 15 days to the contract duration.
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full
(both time and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below acknowledges that
he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements.
ontractor's Company Name
Contractor (Name) Contract Signature
Date
Peachtree Construction, Ltd.
J. Barry Clark 4 615 11111-
Mar28, 2023
Inspectodlnspection Supervisor
Date
Project and Contract Compliance Manager
Date
—i[ a �� a pr -
Mar 28, 2023
M a r 29, 2023
Progra
0— r
Date
Mar29,2023
Senior Capital Project Officer
---1--y
Date
Mar30,2023
Assistant Director (Dept)
Date
Director Contracting Department (Dept)
Date
?�'� �M►vlrei
Mar 30,2023—•Z--_
30
Mar30,2023
Assistant City Attorney
Date
san' i Man
sis
Date
Apr 3, 2023
„ „
Apr 3, 2023
Council Actio
M&C Number M&C Date Approved
ATTEST:
4— A .A —0—
Jannette Goodall, City Secretary
FORT WORTH
--
City of Fort Worth
Change
Order Additions
Project Name 1 2023 Asphalt Resurfacing Contract 1
City Sec # 1
58700
Client Project# 1 104269
1
Contractor) Peachtree Construction Ltd I
PMI
Iretomiwa Otuyelu
Inspectorl Curtis Hollingsworth
Change Order Submittal # O1
Date 1 3/23/2023
ADDITIONS
I I EM
UESCRIP I ION
UEP I City
Unit Unit Cost
I otal 1
2
0241.1300 REMOVE GONG CURB & GUTTER
TPW
360.00000000
LF $1.15
$402.501
3
3216.0102 7' GONG CURB & GUTTER
TPW
350.000OOOOU
LF $57.00
$19,950.001
4
0241.0401 REMOVE & REPLACE 6' CONCRETE DRIVEWAY
TPW
2,350.00000000
SF $18.00
$42,300.001
5
0241.0100 REMOVE SIDEWALK
TPW
200.000OOOOU
SF $1.15
230.001
6
3213.0301 4" CONCRETE SIDEWALK
TPW
350.00000000
SF $10.00
$1600.001
17
3292.0100 BLOCK SOD REPLACEMENT
TPW
90.00000000
SY $17.00
1,53U.001
23
3291.0100 TOPSOIL
TPW
5.00000000
CY $85.00
425A01
30
MILL & OVERLAY TRANSITION
TPW
1,950.000OOOOU
SF $9.45
18,427.5U1
T,875.001
31
3349.5007 REMOVE & REPLACE 15' INLET TOP
TPW
1.00000000
EA $7,875.00
32
3213.0322 4' GONG SIDEWALK WITH CURB AT THE BACK (6'-12")
TPW
120.000OOOOU
SF $13.65
1,638.001
33
3217.1010 Preformed Thermoplastic Markings - Legend Single Head Curve Arrows TPW
1.00000000
EA $288.75
288.751
34
3217.1011 Preformed Thermoplastic Contrast Markings -Legend Only
TPW
1.00000000
EA $414.75
$414.751
35
3217.0201 8" SLD Pvmt Marking HAS (W)
TPW
170.00000000
LF $2.42
$411.401
36
3217.4201 FIRE LANE MARKING
TPW
175.000OOOOU
LF $6.04
$1,U57.UU1
37
3217.2103 REFL Raised Marker TY II -A -A
TPW
15.00000000
EA $4.5-1
$68.651
38
3217.0502 Preformed Thermoplastic Contrast Markings - 24" Crosswalk
TPW
20.000OOOOU
LF $2.45
$49.1.101
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$98,567.45
Sub Total Additions
$98,567.45
Change Order Additions Page 2 of 4
ITEM
FORT WORTH City of Fort Worth
—"— Change Order Deletions
Project Name 1 2023 Asphalt Resurfacing Contract 1 City Sec # 58700
Client Project # 1 104269 1
Contractorl Peachtree Construction Ltd PMI Iretomiwa Otuyelu Inspector) Curtis Hollingsworth
Change Order Submittal # O1 Date 1 3/23/2023
DELETIONS
DESCRIPTION DEPT Oty Unit Unit Cost Total
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Sub Total Deletions $0.00
Change Order Deletions Page 3 of 4
M/SBE for this Change Order
M/SBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
Co# DATE I AMOUNT
Total I $0.00 I
FORTWORTH.
do
TRANSPORTATION AND PUBLIC WORKS
March 27, 2024
Peachtree Contruction
5801 Park Vista Circle
Keller, TX
RE: Acceptance Letter
Project Name: 2023 Asphalt Resurfacing Contract 1
Project Type: Paving
City Project No.: 104269
To Whom It May Concern:
On February 2, 2024 a final inspection was made on the subject project. There were punch list items
identified at that time. The punch list items were completed on March 15, 2024. The final inspection
and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and
is therefore accepted by the City. The warranty period will start on March 15, 2024, which is the date of
the punch list completion and will extend of two (2) years in accordance with the Contract Documents.
If you have any questions concerning this letter of acceptance, please feel free to contact me at 817-
392-6747.
Sincerely,
____&0
Iretomiwa Ctuyelu (Apr 25, 202414:55 CDT)
Iretomiwa Otuyelo, Project Manager
Cc: Curtis Hollingsworth, Inspector
Donald Watson, Inspection Supervisor
Aaron Ybarra, Senior Inspector
Mary Hanna P.E., Program Manager
N/A, Consultant
Peachtree Construction, Contractor
N/A, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
Conforms with the American Institute of
Architects, AIA Document G707
Bond## 107709081
OWNER
ARCHITECT
❑
CONTRACTOR ❑
SURETY
OTHER
❑
PROJECT: 2023 Asphalt Resurfacing Contract 1 Project #104269
TO (Owner) City of Fort Worth
ARCHi,rECT'S PROJECT NO.
CONTRACT FOR: Construction
CONfRACf DATE: November 29, 2022
CONTRACTOR: Peachtree Construction, Ltd.
In accordance with the provisions of the Contract between the Owner and the Contractor as above, the
Travelers Casualty and Surety Company of America
9601 McAllister Freeway, Suite 700, San Antonio, TX 78216
SIJRE'rY COMPANY,
on bond of
Peachtree Construction, LTD.
5801 Park Vista Cir., Keller, TX 76248
,CONTRACTOR,
hereby approves of the Final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve
the Sure& Company of any of its obligations to
GYity of Fort Worth
200 Texas St.
Fort Worth, TX 76102 .OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 28 day of March 2024
Witness: f l'
Linda K Edwards
Sur ty Company
Signature of Authorized Repre c nlative -
Teresa Ayala Atty-in-Fact
NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT
OF DEBTS AND CLAIMS,
Current Edition
00438 12/00 ONE PAOL
Travelers Casualty and Surety Company of America
Travelers Casualty and Surety Company
TRAVELERS J St. Paul Fire and Marine Insurance Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety Company, and
St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connecticut (herein
collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Teresa Ayala of
FT WORTH , Texas , their true and lawful Attorney(s)-in-Fact to sign, execute, seal and
acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory 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.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 21st day of April,
2021.
�n. ,e RNC 'Jp�\Y .1Nd u`9 _y,VlVtgi_`
rlhNiFOiii), I [/
' >� GQIil, rl � a r
State of Connecticut
City of Hartford ss.
By: l'G'
Robert L. Rane'� enior Vice President
On this the 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior
Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the
purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
My Commission expires the 30th day of June, 2026
rlorner �`s
3
Anna P. Nowik, Notary Public
�''a�4kpG�
xS
This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of
the Companies, which resolutions are now in full force and effect, reading as follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice
President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint
Attorneys -In -Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority
may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings
obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may
remove any such appointee and revoke the power given him or her; and it is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or
any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided
that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance,
or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive
Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the
Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;
or (b) duly exectted (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her
certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President,
any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to
any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -
Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of
Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed
and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or
understanding to which it is attached,
I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a
true and correct copy of the Power of Attorney executed by said Companies, which remains in full force and effect.
Dated this 28 day of March , 2024
ip•—"LLa`^!�j\
N � • tUgiFOfq� �i J rraurFor�o, = �� 6:IFY,3rKCl
��Cix2t. c cau
GGG Kevin E. Hughes, AssiSecretary
To verify the authenticity of this Power ofAttorney, please call us at 1-sOO-471-3880,
Please refer to the above -named Attorney(s)-in-Factand the details of the bond to which this Power ofAttorney is attached.
AFFIDAVIT
STATE OF TEXAS
COUNTY OF Tarrant
Before me, the undersigned authority, a Notary Public in the state and county
aforesaid, on this day personally appeared Brendan Tavlor (name), Proiect Manager
(title), of Peachtree Construction, Ltd.. known to me to be a credible person, who being
by me duly sworn, upon his oath deposed and said;
That all persons, firms, associations, corporations, or other organizations
furnishing labor and/or materials have been paid in full;
That the wage scale established by Citv of Fort Worth has been paid; and
That there are no claims pending for personal injury and/or property damages;
On Contract described as;
2023 Asphalt Resurfacing Contract 1
Subscribed and sworn before me on this 2(U' day of M(' ,20A
Notary Ptyc in Tarrant County, Texas
Janet Lynn Reiter
My Commission Expires
* 8/28/2027 ,
Notary ID130350671