HomeMy WebLinkAboutContract 61577FORT WORTH..
CSC No. 61577
CONTRACT
FOR
THE CONSTRUCTION OF
Park Vista Boulevard Improvements
City Project No. 103281
Mattie Parker
Mayor
David Cooke
City Manager
Lauren Prieur
Director, Transportation and Public Works Department
Prepared for
The City of Fort Worth
��P�E• OF •
2024
PREPARED BY:
BGE, Inc.
777 Main Street, Suite 1900
Fort Worth, TX 76102
TBPE Registration No. F-1046
CARL J. KROGM
91869
'l►SS�ONe ••EC��'�
� "" V' o2/b7/z0z4
BnC
F-1046
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FORTWORTH.
City of Fort Worth
Standard Construction Specification
Documents
Adopted September 2011
00 00 00
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Page 1 of 6
SECTION 00 00 00
TABLE OF CONTENTS
Division 00 - General Conditions
Last Revised
0005 10
Mayor and Council Communication
07/01/2011
0005 15
Addenda
07/01/2011
00 11 13
Invitation to Bidders
01/17/2024
0021 13
Instructions to Bidders
01/17/2024
0035 13
Conflict of Interest Statement
02/24/2020
00 41 00
Bid Form
09/30/2021
00 42 43
Proposal Form Unit Price
01/20/2012
0043 13
Bid Bond
09/11/2017
00 43 37
Vendor Compliance to State Law Nonresident Bidder
06/27/2011
0045 11
Bidders Prequalifications
08/13/2011
0045 12
Prequalification Statement
09/30/2021
0045 13
Prequalification Application
08/13/2021
00 45 26
Contractor Compliance with Workers' Compensation Law
07/01/2011
00 45 40
Business Equity Goal
10/27/2021
00 52 43
Agreement
12/08/2023
0061 13
Performance Bond
12/08/2023
0061 14
Payment Bond
12/08/2023
0061 19
Maintenance Bond
12/08/2023
00 61 25
Certificate of Insurance
07/01/2011
00 72 00
General Conditions
08/23/2021
0073 00
Supplementary Conditions
10/06/2023
Division 01-
General Requirements
Last Revised
01 1100
Summary of Work
12/20/2012
01 25 00
Substitution Procedures
07/01/2011
01 31 19
Preconstruction Meeting
08/17/2012
01 31 20
Project Meetings
07/01/2011
0132 16
Construction Schedule
10/06/2023
01 32 33
Preconstruction Video
07/01/2011
0133 00
Submittals
12/20/2012
01 35 13
Special Project Procedures
03/11/2022
01 45 23
Testing and Inspection Services
03/09/2020
01 5000
Temporary Facilities and Controls
07/01/2011
01 5526
Street Use Permit and Modifications to Traffic Control
03/22/2021
01 57 13
Storm Water Pollution Prevention Plan
07/01/2011
0158 13
Temporary Project Signage
07/01/2011
01 60 00
Product Requirements
03/09/2020
01 66 00
Product Storage and Handling Requirements
07/01/2011
01 70 00
Mobilization and Remobilization
11/22/2016
01 7123
Construction Staking and Survey
02/14/2018
01 74 23
Cleaning
07/01/2011
01 77 19
Closeout Requirements
03/22/2021
01 78 23
Operation and Maintenance Data
12/20/2012
01 78 39
Project Record Documents
07/01/2011
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised December 8, 2023
00 00 00
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Page 2 of 6
Technical Specifications which have been modified 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:
httu://fortworthtexas.,aov/ti)w/contractors/
or
httus://aups.fortworthtexas.LFov/Proi ectResources/
Division 02 - Existing Conditions Last Revised
0241 13 Selective Site Demolition 03/11/2022
0241 14 Utility Removal/Abandonment 12/20/2012
0241 15 Paving Removal 02/02/2016
Division 03 - Concrete
03 30 00 Cast -In -Place Concrete 03/11/2022
03 8000 Modifications to Existing Concrete Structures 12/20/2012
Division 26 - Electrical
26 05 1 rn 1 � i�ia
ao-�v OOtl^lOQl E��H}S
26 05 33 Raceways and Boxes for Electrical Systems 12/20/2012
2605 43 Undefgfound Duets and Raee..,ays f «L'1ootrljal Syzt-ams n�ino�0142011--
av-v�✓v ..'�°°l�llal�ll�" •,•Moki Poet Geffdtlit vrrsvrsv�v
Division 31- Earthwork
31 1000 Site Clearing 03/22/2021
3123 16 Unclassified Excavation 01/28/2013
31�7 Beffe n 11 i� 013.
31 24 00 Embankments 01/28/2013
31 25 00 Erosion and Sediment Control 04/29/2021
313600 GabienS 12,42042012
3 i 37 00 Ripfap 1 i�12
Division 32 - Exterior Improvements
3201 18
Temporary Asphalt Paving Repair
12/20/2012
32 01 29
Concrete Paving Repair
12/20/2012
32 1123
Flexible Base Courses
12/20/2012
32 1129
Z7�3
Lime Treated Base Courses
ref er4 Tfea4ed Base /''o
12/20/2012
n6i1�22
Z7�T
32 12 16
Liquid -r,.,.a4ed Soil Stabil:"..
Asphalt Paving
0842 Qn115
12/20/2012
32 Q �3
AWkiGalt g Gfaek Seala
zzrwraozz
32 13 13
Concrete Paving
06/10/2022
32 1320
Concrete Sidewalks, Driveways and Barrier Free Ramps
12/09/2022
CITY OF FORT WORTH Park Vista
Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
City Project No. 103281
Revised December 8, 2023
00 00 00
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Page 3 of 6
32 13 73
Concrete Paving Joint Sealants
12/20/2012
12/7
32 14
32 16 13
B -iek Unit Paving
Concrete Curb and Gutters and Valley Gutters
i
12/09/2022
32 1723
37�5
3231 13
Pavement Markings
Curb Address Painting
Chain Fenees and Gates
06/10/2022
1 11 /nr=r'v442vi3
12,42042012
323126
Z'1�9
3232 13
��
W .e > enees and Gates
Wood Fe,.ees and Gate„
. t reefete Retaining Ala
�ir. Ill�e ,.
1242i
172z
06/0$
3291 19
Topsoil Placement and Finishing of Roadway Right-of-ways
03/11/2022
32 92 13
Sodding
05/13/2021
3292 14
Non -Native Seeding
05/13/2021
3292 15
Native Grass and Wildflower Seeding
10/06/2023
32 93 43
Trees and Shrubs
12/20/2012
Division 33 - Utilities
33 01 30
33 0 i 3 i
Sewer and Manhole Testing
Closed Gireuit Television (rC;TV) inspee ien—Sanitafy Sewer
09/07/2018
n� /��
33 01 32
Closed Circuit Television (CCTV) Inspection — Storm Drain
12/08/2023
33 03 io
33 nn 1n
T✓--vnv
33 nA 11
Bypass n1.xTlr.,.- g e f Existing Sewef Cry 4e..-...
Ge, tfol 'Test S-t-a :e
Gef
12/'frz 2042012
12/2042n1�
r�-avraozz
17 20420 7
T✓--vnT
33 nn 12
T✓--vn
33 nn nn
77--v�-Tv
fesion fiS
rRag es:,,. n�ede Ga4 ed e P feteef:e� Systefn
Gle,,.:..,. aff ne pte�ee Testing efWate.. na.,:es
r�-avraozz
1242042n1.1
�z
02/n�/2n1�
vz�-vvrzvz�
33 nn 50
3305 10
Gleaning of Pipes
Utility Trench Excavation, Embedment, and Backfill
e r e.. efiar.
03 /1 1 L202
04/02/2021
T✓--v�-Ta
33 05 12
3305 13
Wale« Line
Frame, Cover and Grade Rings
�
12,42042012
09/09/2022
Adjusting Manholes, Inlets, Valve Boxes, and Other Structures to
3305 14
2 2�0
Grade
en a t1I
03/11/2022
3305 17
770520
T33 0521
T33 0522
C fete
ale f Vaults
Concrete Collars
Augef Be fifg
Tunnel Ti of Dla4e
Steel Gasin. Pi e
12,42042 z
03/11/2022
r12/20,Qnz
r1220,QQz
r12/20,Qnz
33 05
T✓--v�-z23 �
33 05 2n
77--v�-aT
77--07-26
33 05 30
r�stal eA:er efGaf..:ef Pipe i Casing of T..veel r F nla4e
Location of Existing Utilities
1�42042�zn1.1
12/09420 2
rrr�vT-svzz
r2-20raozz
12/20/2012
33 11 05
Bolts, Nuts, and Gaskets
12/20/2012
33 11 10
Ductile Iron Pipe
12/09/2022
33 11 11
Ductile Iron Fittings
09/20/2017
33 11 12
3T3-ii i3
Polyvinyl Chloride (PVC) Pressure Pipe
enefete Pfessufe Pipe Ba f W...,pped Steel !`.,1inde f Type
09/09/2022
172z
33 1 1 1 A
� J--r-r-rT
33 i2 ino
33 i2 i i
33 12 nn
�zzv
ZZ�T
>?ef e,l Steel Pipe ..n«.,t., d Fitt
WpAe f Se,..,:veg 1 ing1k tali
T afge WeAef Mete«s-
Resilient Sea4ea Gate v,.l.,e
n VPAL Rubbef Sea4ed Bu4ef f1 y 3y1
174204201-
�Z
m/1vz� ^x�vi-7r
171 /7 z
nv06,L20 c
v�rvvrzoZ�
nn /�9
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised December 8, 2023
00 00 00
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Page 4 of 6
2,31 12 —",'z Gerreetio to Existing Water- Mains mine
33 Q 30 Combination A:n,Valve Assemblies for Potable Water- Systems 12/2W20r12
33 1240 FiiTre Hydrants 01/03/2014
33 Q so
�z ,z
33 2 1 is High Density Del„ethyle,.e (14DP ) Pipe f Cann.,,.,, Se„ e nA 23,9019
ZZ�v Del,,,,iny C le fi a (PVC) !`_...,,,i„ S fltw Se, Pipe nn/n�22
33 31 21 Polyvinyl Chloride (PVC) Closed Pfefile Gfavity Sanitary Sewef 1242ni2012
Ripe
33 31 �z �n /.r, 1/ffGlig �-2
2Z�v Suite..,, Sewe,. Sef-yiee rerreetions effia Se,.,,:ee Li 04,42642013
77-3r70 r2r2042012
3339 10 Cast -in -Place Concrete Manholes 12/20/2012
33 39 20 Precast Concrete Manholes 12/20/2012
33 3930 1242042n1.1
�v iv�ne�-�/� �z
3341 10 Reinforced Concrete Storm Sewer Pipe/Culverts 7� 07/01/2011
ZZ�,.
T High Density Po ,e�hylee (14DPE) Pipe f « Sta DF&T. 172z
2 2�i D ein f feed Polyethylene (URPE) nirr 1 11 /1 5
3 3 n 6 nn Stibd .ainage 12 i20,9n 12
77--�v-4v �c r�-avraozz
33 46 01 Slotted 1 moll
Or4ii ��FC�riS 07in
�T
33 4602 /ten11n �@rr� DF�rr n7in1 ,
3349 10 Cast -in -Place Manholes and Junction Boxes 12/20/2012
33 49 20 Curb and Drop Inlets 03/11/2022
39 nn nn Ste,..f, r,,,.,.:�age ueva,,,,.11,, an \i ifigm�Tn1 .,, ll� nii�n11
�v v�vzT
Division 34 - Transportation
3441 10
34 A�-n-i 0.011
n A�v2
Traffic Signals
At etehffieot A Gentfollef rGabiffe
03/11/2022
12/1r�-18,9015
o-
3
3 n n�03
34 n-i 1
ZArtt-&eliffient B GentFelle-i vpvCif eatieii
ZArttaeliment CSo t,,vafe Specif eatien
ora _ j TrGf signals
04lgoi2
1 1 inn
2 n�3
n e fneyi ffg T+e&. 3 Cl. gm3
03,11 1Q02z
34 41 20
Roadway Illumination Assemblies
12/20/2012
34 41 20.01
Arterial LED Roadway Luminaires
06/15/2015
3 n n�02
Ffee,, ay I Erg Road ,, ,, L1dminchr-es
06,115 QQ 1-5
34 4120.03
Residential LED Roadway T
�1..1��lc�F39
nti /1 G /'ln 1 G
vvrra7zv��
34 41 30
Aluminum Signs
,le e
11/12/2013
34 4150
3471 13
Me,e
Sifibef Opt Cable
Traffic Control
02r26, 0zv
03/22/2021
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised December 8, 2023
00 00 00
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Page 5 of 6
Appendix
GG 4.01 4-it i?it<,, o
GC-4.02 Subsurface and Physical Conditions
GC-4.04 Underground Facilities
GG 4.-06 F4azar-dcu3 at Eite
GC-6.06.D Minority and Women Owned Business Enterprise Compliance
GC-6.07 Wage Rates
GG 6.-09 go a T Tomes
GG 6.24
GR-01 60 00 Product Requirements
END OF SECTION
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised July 1, 2011
City of Fort Worth, Texas
Mayor and Council Communication
DATE: 05/14/24 M&C FILE NUMBER: M&C 24-0388
LOG NAME: 20PARK VISTA BOULEVARD CONSTRUCTION
SUBJECT
(CD 10) Authorize Execution of a Construction Contract with McClendon Construction Company, Inc. in the Amount of $3,881,916.75 for the Park
Vista Boulevard from Keller Haslet Road to Timberland Boulevard Project (2022 Bond Program)
RECOMMENDATION:
It is recommended that the City Council authorize execution of a contract with McClendon Construction Company, Inc. in the amount of
$3,881,916.75 for the construction of the Park Vista Boulevard from Keller Haslet Road to Timberland Boulevard project (City Project No.
103281).
10R1411*1[a]ZFi
The purpose of this Mayor and Council Communication (M&C) is to authorize execution of a contract with McClendon Construction Company,
Inc. in the amount of $3,881,916.75 for the construction of Park Vista Boulevard from Keller Haslet Road to Timberland Boulevard. The project will
construct the 2 southbound lanes of the 4-lane concrete road, which will include a concrete median, drainage and illumination improvements, ten -
foot shared use paths, and Americans with Disabilities Act improvements.
The following table demonstrates the total budget for the project:
Capital Fund Project Current This Total Project
Name Name Appropriations M&C Budget
34027-2022 Bond 103281-
Program Fund Park Vista
Boulevard
30108- 103281-
Transportation Park Vista
Impact Fee Cap Boulevard
Fund
30104-Developer 103281-
Contribution Park Vista
Boulevard
(Project Total
$4,950,000.00 $0.00 $4,950,000.00
$1,650,000.00 $0.00 $1,650,000.00
$250,000.00 $0.00 $250,000.00
$6,850,000.00 $0.00I$6,850,000.00
The project was advertised for bid on February 8, 2024 and February 15, 2024 in the Fort Worth Star -Telegram. On March 14, 2024, the following
bids were received:
Bidders
McClendon Construction Company, Inc.
McMahon Contracting, LP
DDM Construction Corp.
GRod Construction, LLC
XIT Paving and Construction Inc.
Jackson Construction, Ltd.
Ragle Inc.
Mario Sinacola & Sons Excavating, Inc.
Amount
$3,881,916.75
$3,909,771.51
$4,280,382.50
$4,410,862.50
$4,414,433.00
$4,613,433.00
$4, 942, 004.45
$5,520,908.67
Construction of Park Vista Boulevard from Keller Haslet Road to Timberland Boulevard is anticipated to begin in early Fall 2024. Funding is
budgeted in the 2022 Bond Program Fund for the TPW DEPT Highway & Streets Department for the purpose of funding the Park Vista Blvd
project.
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).
DVIN-BE: McClendon Construction Company, Inc. is in compliance with the City's Business Equity Ordinance by committing 19% MWBE
participation on this project. The City's MWBE goal on this project is 19%.
The project is located in COUNCIL DISTRICT 10.
19610Y_ WN11101:1dJ_110Is7:WL03:1:AFIdDf-A0Is]k,F
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 Park Vista Blvd project to support the approval of the above recommendation and execution of the contract. Prior to any expenditure being
incurred, the Transportation & Public Works Department has the responsibility to validate the availability of funds.
Submitted for Citv Manaaer's Office bv: Jesica McEachern 5804
Oriainatina Business Unit Head: Lauren Prieur 6035
Additional Information Contact: Monty Hall 8662
000515-1
ADDENDA
Page l of 2
1 SECTION 00 05 15
2 ADDENDUM NO. 1
3
4 PARK VISTA BLVD
5 City Project No.103281
6
7 Issue Date: February 23, 2024
8 Bid Receipt Date: March 14, 2024
9
10 This addendum forms part of the Contract Documents referenced above and modifies the
11 original Contract Documents. Attach this Addendum inside the Contract Documents and
12 note receipt of this Addendum in the Bid Proposal. The submission instructions have
13 been updated to include Addendum No. 1 under the Requested Information section.
14
15 1) Summarized below are responses to questions asked during the pre -bid meeting:
16 a) Q: What is the MBE goal?
17 A: 19%
18 b) Q: Is there a plan holder list or prebid meeting attendee list?
19 A: There is a subcontractor listing option on the bonfire listing that anyone that
20 wants to be listed as a plan holder can enter their information.
21 c) Q: Is the max spacing of 55 feet for contraction joints shown on detail D508
22 on sheet 100 correct?
23 A: Detail D508 updated to show a maximum spacing of 30 feet for the contraction
24 joints.
25 d) Q: What depth is the existing asphalt on the project?
26 A: Sheet 11 -- 4" Type D on 8" Type B on 8" Lime Stabilized Subgrade
27 & Sheets 14,15 — 3" Type D on 6" Type B on 12" Flex Base
28 e) Q: Can you clarify if the 360 Days listed on Bid Form page 2 of 3 is working
29 days or calendar days?
30 A: Calendar days.
31 f) Q: Can you please clarify who is responsible for testing on the project?
32 A: City will provide testing for pavement and subgrade.
33 g) You are showing three items for Construction Allowance and Irrigation
34 Allowance. Can you please provide a dollar amount for the allowances?
35 A: Removed bid item no. 72 and 89. The construction allowance amount for bid
36 item no. 71 is $300,000.
37
CITY OF FORT WORTH Park Vista Bivd/Keller Haslet Rd
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised December 20, 2017
0005 15-2
ADDENDA
Page 2 of 2
1 2) The Following Bid Items have been impacted:
2 a) Bid Table (BT-67BW) —The bid table has been revised in Bonfire to reflect the
3 changes made to the proposal form.
4 b) Bid Item 71 included $300,000 for the unit price.
5 c) Bid Item 72 removed.
6 d) Bid Item 89 removed.
7 3) The following modifications to the Project Manual:
8 a) Delete section 00 42 43 of the Project Manual and replace it with the attached
9 revised section 00 42 43.
10 4) The following modifications to the Plan Set:
It
12
13
14
15
16
17
18
19
20
21
22
a) Replace sheet 100 with the attached to reflect the maximum spacing between
contraction joints correction.
END OF SECTION
RECEIPT ACKNOWLEDGED TRANSPORTATION & PUBLIC WORKS
DEPARTMENT
Dlgilally signetl by %`i 'efl Albn
B Bv: Mitchell Aiton ON; .aMAI�3';;29 oo"°�`° 5�
�/' / "� Mitch Aiton, P.E., P.M.P.
Com an : Ct 1p(/li(a>r1 LOPS Project Manager
CITY OF FORT WORTH Park Vista Avd/Keller Haslet Rd
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised December 20, 2017
CITY OF FORT WORTH
Transportation and Public Works
Park Vista Blvd Improvements
City Project No. 103281
ADDENDUM NO. #1
- END OF SECTION -
Park Vista Blvd Improvements
City Project No. 103281
ADDENDUM NO. #1
000515-1
ADDENDA
Page 1 of2
I SECTION 00 05 15
2 ADDENDUM NO.2
3
4 PARK VISTA BLVD
5 City Project No. 103281
6
7 Issue Date: March 8, 2024
8 Bid Receipt Date: March 14, 2024
9
io This addendum forms part of the Contract Documents referenced above and modifies the
1 I original Contract Documents. Attach this Addendum inside the Contract Documents and
12 note receipt of this Addendum in the Bid Proposal. The submission instructions have
13 been updated to include Addendum No. 2 under the Requested Information section.
14
15 1) Summarized below are responses to questions asked during the pre -bid meeting:
16 a) Q: The Traffic Control phasing sheets show temporary asphalt paving in
17 three locations. I don't see any bid items for temporary asphalt paving. Will
18 a bid item be added for this?
19 A: Added bid item no. 74 — 6" Flexible Base, Type A, GR-1, and bid item no. 75
20 — 4" Asphalt Base Type B to account for temporary asphalt paving on phasing
21 sheets.
22 b) Q: Can any additional information regarding bid item 70 Misc Utility
23 Relocation be provided? Are there any anticipated utilities to be relocated?
24 Is this item more of a contingency item? Can a bid item description be
25 provided?
26 A: Removed bid item no. 70 — Misc Utility Relocation as it is not required.
27
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised December 20, 2017
CITY OF FORT WORTH
Transportation and Public Works
Park Vista Blvd Improvements
City Project No. 103281
ADDENDUM NO. #2
- END OF SECTION -
Park Vista Blvd Improvements
City Project No. 103281
ADDENDUM NO. #2
000515-2
ADDENDA
Page 2 of 2
1 2) The Following Bid Items have been impacted:
2 a) Bid Table (BT-67BW) — The bid table has been revised in Bonfire to reflect the
3 changes made to the proposal form.
4 b) Bid item 70 — Misc Utility Relocation removed.
5 c) Bid Item 74 — 6" Flexible Base, Type A, GR-Iadded.
6 d) Bid Item 75 — 4" Asphalt Base Type B added.
7 3) The following modifications to the Project Manual:
8
9
10
11
12
13
14
15
16
17
18
19
a) Delete section 00 42 43 of the Project Manual and replace it with the attached
revised section 00 42 43.
END OF SECTION
RECEIPT ACKNOWLEDGED TRANSPORTATION & PUBLIC WORKS
DEPARTMENT
Digitslty sq-d by Mitchell Aiwa
DNf G-US,
Mitchell Aiton E=MNchell.[nn�fortxo h[exas gay.
CN=Mftche, Aiton
Bv: Data: 2024.630615:37:12-06'00'
Mitch Aiton, P.E., P.M.P.
Comnanv: C[ (.�'lGi �Gt cS Project Manager
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised December 20, 2017
0011 13
INVITATION TO BIDDERS
Page 1 of 3
SECTION 00 11 13
INVITATION TO BIDDERS
RECEIPT OF BIDS
Electronic bids for the construction of Park Vista Boulevard Improvements, City Project
No. 103281 ("Project") will be received by the City of Fort Worth via the Procurement
Portal httDs:Hfortworthtexas.bonfirehub.com/aortal/?tab=oi)en0i)portunities, under the
respective Project until 2:00 P.M. CST, Thursday, March 14, 2024.
Bids will then be opened publicly and read aloud beginning at 2:00 PM CST in the City
Council Chambers.
Your submissions must be uploaded, finalized and submitted prior to the Project's posted due
date. The City strongly recommends allowing sufficient time to complete this process (ideally a
week prior to the deadline) to begin the uploading process and to finalize your submission.
Uploading large documents may take time, depending on the size of the file(s) and your Internet
connection speed. The Bonfire portal can be accessed using Microsoft Edge, Google Chrome, or
Mozilla Firefox. Javascript must be enabled. Browser cookies must be enabled.
Electronic submission is subject to electronic interface latency, which can result in transmission
delays. All bidders or proposers assume the risk of late transmission/ submission. The City shall
not be held liable if an interested bidder or proposer is unable to submit a complete bid/response
before the published deadline due to transmission delays or any other technical issues or
obstructions. The City strongly recommends allowing sufficient time to complete the submission
process (ideally a week before the deadline) to begin the uploading process and to finalize your
submission to give adequate time in the event an issue arises.
All submissions must be submitted electronically prior to the close date and time under the
respective Project via the Procurement Portal:
https://fortworthtexas.bonfirehub.com/Dortal/?tab=ODenODDortunities
Failure to submit all completed required information listed in the respective Solicitation will be
grounds for rejection of a bid as non -responsive. No late bids/proposals shall be accepted. Bids
delivered in any other manner than using the Bonfire Platform (Procurement Portal) will not be
accepted or considered.
If, upon being opened, a submission is unreadable to the degree that material conformance to the
requirements of the procurement specifications cannot be ascertained, such submission will be
rejected without liability to the City, unless such bidder provides clear and convincing evidence
(a) of the content of the submission as originally submitted and (b) that the unreadable condition
of the Electronic Bid was caused solely by error or malfunction of the Bonfire Platform
(Procurement Portal). Failure to scan a clear or readable copy of a bid into the system does not
constitute and shall not be considered an error or malfunction of the Bonfire Platform
(Procurement Portal). Bidders are encouraged to fully review each page of every document within
their submission prior to submitting to ensure all documents are clear, legible, and complete.
SUPPORT
For technical questions, visit Bonfire's help forum at https://vendorsupport.gobonfire.com/hc/en-
us
Contact the Bonfire support team at Support@GoBonfire.com or by calling 1-800-354-8010.
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 103281
Revised 2/08/24
0011 13
INVITATION TO BIDDERS
Page 2 of 3
To get started with Bonfire, watch this five-minute training video:
Vendor Registration and Submission [VIDEO] — Bonfire Vendor Support (gobonfire.com)
GENERAL DESCRIPTION OF WORK
The major work will consist of the (approximate) following:
10,000 SY of 11" Concrete Pavement
11,000 SY of 8" Lime Treatment
51,000 SF of 4" Concrete Sidewalk
PREQUALIFICATION
Certain improvements included in this project must be performed by a contractor or designated
subcontractor who is pre -qualified by the City at the time of bid opening. The procedures for
qualification and pre -qualification are outlined in the Section 3 of 00 21 13 — INSTRUCTIONS
TO BIDDERS.
DOCUMENT EXAMINATION AND PROCUREMENTS
The Bidding and Contract Documents may be examined or obtained via the Procurement Portal
httDs://fortworthtexas.bonfirehub.com/aortal/?tab=oDenOnnortunities. under the respective
Project. Contract Documents may be downloaded, viewed, and printed by interested contractors
and/or suppliers.
EXPRESSION OF INTEREST
To ensure potential bidders are kept up to date of any new information pertinent to this project, all
interested parties should indicate their intent to bid in the Procurement Portal by selecting "yes"
under the Intent to Bid section. All Addenda will be posted in the Procurement Portal
httDs://fortworthtexas.bonfirehub.com/aortal/?tab=oDenOnnortunities. under the respective
Proj ect.
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: Tuesday, February 20, 2024
TIME: 2:00 PM
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 should direct all questions about the meaning and intent of the
Bidding Documents electronically through the Vendors discussions section under the respective
Project via the Procurement Portal. 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.
AWARD
City will award a contract to the Bidder presenting the lowest price, qualifications and
competencies considered.
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 103281
Revised 2/08/24
0011 13
INVITATION TO BIDDERS
ADVERTISEMENT DATES
February 8, 2024
February 15, 2024
END OF SECTION
Page 3 of 3
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 103281
Revised 2/08/24
0021 13
INSTRUCTIONS TO BIDDERS
SECTION 00 2113
INSTRUCTIONS TO BIDDERS
1. Defined Terms
Page 1 of 9
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 electronic 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:
httDs://aDDS.fortworthtexas.gov/ProiectResources/
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 103281
Revised/Updated 1/17/24
0021 13
INSTRUCTIONS TO BIDDERS
Page 2 of 9
3.1.1. Paving — Requirements document located at:
httDs://aDDs.fortworthtexas. aov/ProiectResources/ResourcesP/02%20-
%20Construction%2ODocuments/Contractor%2OPreaualification/TPW%2OPavina
%20Contractor%2OPreaualification%2OProaram/PREQUALIFICATION%20REO
UIREMENTS%20FOR%2OPAVING%2000NTRACTORS.Ddf
3.1.2. Roadway and Pedestrian Lighting — Requirements document located at:
httbs://aDDS.fortworthtexas. aov/ProiectResources/ResourcesP/02%20-
%20Construction%2ODocuments/Contractor%2OPreaualification/TPW%2ORoadwa
v%20and%2OPedestrian%2OLiahtina%2OPreaualification%2OProaram/STREET%
20LIGHT%20PREQUAL%20REQMNTS.Ddf
3.1.3. Water and Sanitary Sewer — Requirements document located at:
httbs://aDDS.fortworthtexas. aov/ProiectResources/ResourcesP/02%20-
%20Construction%2ODocuments/Contractor%2OPreaualification/Water%2Oand%2
OSanitarv%2OSewer%2OContractor%2OPreaualification%2OProaram/W S S%2ODre
aual%20reauirements.Ddf
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:
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 103281
Revised/Updated 1/17/24
0021 13
INSTRUCTIONS TO BIDDERS
Page 3 of 9
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.
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 103281
Revised/Updated 1/17/24
0021 13
INSTRUCTIONS TO BIDDERS
Page 4 of 9
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.
4.1.10. Indicate their intent to bid by selecting "yes" in the Procurement Portal
under the Intent to Bid section. You must indicate your intent to bid to be able
to submit a bid to the City.
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.
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 103281
Revised/Updated 1/17/24
0021 13
INSTRUCTIONS TO BIDDERS
Page 5 of 9
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 electrically through the Vendor Discussions section under the respective Project via
the Procurement Portal
httK)s://fortworthtexas.bonfirehub.com/portal/?tab=oDenOaaortunities 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. Only questions answered by formal
written Addenda will be binding. Oral and other interpretations or clarifications will be
without legal effect.
6.2. Addenda may also be issued to modify the Bidding Documents as deemed advisable by
City.
6.3. Addenda or clarifications shall be posted under the respective Project via the
Procurement Portal
httDs://fortworthtexas.bonfirehub.com/Dortal/?tab=oDenODDortunities
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.
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 103281
Revised/Updated 1/17/24
0021 13
INSTRUCTIONS TO BIDDERS
Page 6 of 9
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 0125 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:
httDs://codelibrarv.amle2al.com/codes/ftworth/latest/ftworth tx/0-0-0-22593
11.2. No Contractor shall be required to employ any Subcontractor, Supplier, other person
or organization against whom Contractor or City has reasonable objection.
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 103281
Revised/Updated 1/17/24
0021 13
INSTRUCTIONS TO BIDDERS
Page 7 of 9
12. Bid Form
12.1. The Bid Form is included with the Bidding Documents.
12.2. All blanks on the Bid Form must be completed and the Bid Form signed
electronically or signed in ink and scan. 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.
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.
13. Submission of Bids
Bids shall be submitted electronically in the Procurement Portal on the prescribed Bid Form,
provided with the Bidding Documents, prior to the time indicated in the Advertisement or
INVITATION TO BIDDERS.
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 103281
Revised/Updated 1/17/24
0021 13
INSTRUCTIONS TO BIDDERS
Page 8 of 9
14. Withdrawal of Bids
14.1. Bids submitted electronically may be withdrawn prior to the time set for bid opening
via the Procurement Portal
httDs://fortworthtexas.bonfirehub.com/DortaV?tab=ODenODDortunities.
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.
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.
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 103281
Revised/Updated 1/17/24
0021 13
INSTRUCTIONS TO BIDDERS
Page 9 of 9
17.4. Contractor shall perform with his own organization, work of a value not less than
3 5 % 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 httDS://www.ethics.state.tx.us/data/forms/1295/1295.Ddf
17.8. Failure or refusal to comply with the requirements may result in rejection of Bid.
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
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENT City Project No. 103281
Revised/Updated 1/17/24
003513
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)
hftos://www.ethics.state.tx.us/data/forms/conflict/CIS.c)df
❑ 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
BIDDER:
McClendon Construction Company Inc By:
PO Box 999
Burleson, TX 76097 Signature:
Title:(ie
I4ZIIZS1 O L
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Park Vista Boulevard Improvements
Revised February 24, 2020 City Project No. 103281
0041 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: Park Vista Boulevard Improvements
City Project No.: 103281
Units/Sections: UNIT 1 - PAVING IMPROVEMENTS
UNIT 2 - STORMWATER IMPROVEMENTS
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 Park Vista Boulevard Improvements
Revised 9/30/2021 City Project No. 103281
0041 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. Concrete Paving Construction/Reconstruction (LESS THAN 15,000 square yards)
b. Roadway and Pedestrian Lighting
4. Time of Completion
4.1. The Work will be complete for Final Acceptance within 360 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
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Park Vista Boulevard Improvements
Revised 9/30/2021 City Project No. 103281
0041 00
BID FORM
Page 3 of 3
h. Any additional documents that may be required by Section 12 of the Instructions to Bidders
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.
6.3. Total Bid
7. Bid Submittal
This Bid is submitted on 3/14/2024
Respectfully submitted,
By: '�Q�U66kv-RL
(Signature)
(Printed Name)
Dan McClendon
Title: President
$0.00
by the entity named below.
Company: McClendon Construction Company, Inc
Address: PO Box 999, Burleson, Texas 76097
State of Incorporation: Texas
Email: dan@mcclendonconstruction.com
Phone: 817/295-0066
END OF SECTION
Receipt is acknowledged of the Initial
following Addenda:
Addendum No. 1: DM
Addendum No. 2: DM
Addendum No. 3: NIA
Addendum No. 4:
Corporate Seal:
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Park Vista Boulevard Improvements
Revised 9/30/2021 City Project No. 103281
00 42 43
BID PROPOSAL
Page 1 of 2
SECTION 00 42 43
PROPOSAL FORM
UNIT PRICE BID
Bidder's Application
Project Item Information
I
Bidder's Proposal
Unit 1 - Paving Improvements
Bidlist
Description
Specification Section No.
Unit of
Bid Quantity
Unit Price
Bid Value
Item No.
Measure
1
Mobilization
01 7000
LS
1
$29,550.00
$29,550.00
2
Construction Staking
01 71 23
LS
1
$25,950.00
$25,950.00
3
Remove Sidewalk
0241 13
SF
11610
$1.50
$17,415.00
4
Remove ADA Ramp
0241 13
EA
4
$400.00
$1,600.00
5
Remove Conc Pvmt
0241 15
SY
1900
$24.00
$45,600.00
6
Remove Asphalt Pvmt
0241 15
SY
990
$20.00
$19,800.00
7
Remove Conc Curb&Gutter
0241 15
LF
233
$7.00
$1,631.00
8
Salvage Fire Hydrant
0241 14
EA
1
$900.00
$900.00
9
Remove 21" Storm Line
0241 14
LF
171
$30.00
$5,130.00
10
Remove 48" Storm Line
0241 14
LF
36
$85.00
$3,060.00
11
Remove 10' Curb Inlet
0241 14
EA
2
$1,500.00
$3,000.00
12
Remove 4' Drop Inlet
0241 14
EA
5
$1,300.00
$6,500.00
13
Remove 5' Drop Inlet
0241 14
EA
5
$1,500.00
$7,500.00
14
2" A
C SCH 80 T)
26 05 33
LF
2655
$33.00
$87,615.00
15
2" �
Vt SCH 80 B)
26 05 33
LF
390
$42.00
$16,380.00
16
17
4" +
3" a!Vemoval
SCH 80 )
SCH 80 )
26 05 33
26 OS 33
LF
LF
60
100
$40.00
$45.00
$2,400.00
$4,500.00
18
4" n
SCH 80 B)
26 05 33
LF
315
$55.00
$17,325.00
19
6"-12'ree
31 1000
EA
1
$1,800.00
$1,800.00
20
Unclassified Excavation by Plan
31 2316
CY
8159
$47.50
$387,552.50
21
Embankment by Plan
31 2400
CY
851
$35.50
$30,210.50
22
Conc Pvmt Repair. Arterial
3201 29
SY
91
$140.00
$12,740.00
23
8" Flexible Base. Tvoe A. GR-1
3211 23
SY
473
$20.00
$9,460.00
24
Hydrated Lime
3211 29
TN
258
$400.00
$103,200.00
25
8" Lime Treatment
3211 29
SY
10560
$9.50
$100,320.00
26
11" Conc Pvmt
32 13 13
SY
8615
$99.00
$852,885.00
27
11" Conc Pvmt HES
32 13 13
SY
1342
$103.00
$138,226.00
28
4" Conc Sidewalk
32 13 20
SF
50155
$7.00
$351,085.00
29
Conc Curb at Back of Sidewalk
32 13 20
LF
210
$16.00
$3,360.00
30
Barrier Free Ramp Tvr P-1
32 13 20
EA
14
$3,350.00
$46,900.00
31
6" BRK Pvmt Marking HAS (W)
32 17 23
LF
1200
$2.00
$2,400.00
32
8" SLID Pvmt Marking HAS (W)
32 17 23
LF
724
$3.00
$2,172.00
33
Preformed Thermoplastic Contrast Markings - 24" Stop Bars
32 1723
LF
78
$15.00
$1,170.00
34
Preformed Thermoplastic Contrast Markings - 24" Crosswalk
32 17 23
LF
360
$15.00
$5,400.00
35
Lane Legend Arrow
32 17 23
EA
16
$200.00
$3,200.00
36
Lane Legend OnIX
32 17 23
EA
5
$250.00
$1,250.00
37
REFL Raised Marker TY II-C-R
32 17 23
EA
112
$5.00
$560.00
38
Remove 4" Pvmt Marking
32 17 23
LF
1405
$1.00
$1,405.00
39
Remove 8" Pvmt Marking
32 17 23
LF
185
$1.00
$185.00
40
Remove Raised Marker
32 17 23
EA
950
$1.50
$1,425.00
41
Remove Lane Legend Arrow
32 17 23
EA
2
$75.00
$150.00
42
6" Toy Soil
3291 19
CY
1569
$30.00
$47,070.00
43
Block Placement
32 92 13
SY
9389
$6.50
$61,028.50
44
Explorato((K Excavation of Existing Utilities
33 05 30
EA
2
$2,000.00
$4,000.00
45
Manhole Ai ustment. Maior
33 05 14
EA
2
$5,000.00
$10,000.00
46
Valve Box Adiustment
33 05 14
EA
1
$600.00
$600.00
47
6" Water Pipe
3311 10, 33 11 12
LF
8
$300.00
$2,400.00
48
Fire Hydrant
33 12 40
EA
1
$7,750.00
$7,750.00
49
6" Gate Valve
33 12 20
EA
1
$3,750.00
$3,750.00
50
Relocate S)'' al Head Assembly
3441 10
EA
2
$950.00
$1,900.00
51
7/C 14 AWG Multi -Conductor Cable
3441 10
LF
150
$3.75
$562.50
52
NO 2 Insulated Elec Condr
3441 10
LF
7965
$7.00
$55,755.00
53
NO 10 Insulated Elec Condr
3441 10
LF
580
$1.75
$1,015.00
54
NO 8 Bare Elec Condr
3441 10
LF
765
$2.75
$2,103.75
55
Furnish/Install Ground Box TyQ� B. w/Apron
34 41 10
LF
18
$2,000.00
$36,000.00
56
Furnish/Install Tvpe 45 Sj pal Pole
3441 10
EA
2
$22,750.00
$45,500.00
57
Furnish/Install TygP 331 �rm
3441 20
EA
28
$700.00
$19,600.00
58
TY 5 Signal Foundation
3441 10
EA
2
$10,500.00
$21,000.00
59
Furnish/Install 120-240 Volt Sinq�e Phase Metered Pedestal
3441 20
EA
1
$10,250.00
$10,250.00
60
Furnish/Install 240-480 Volt Single Phase Transocket Metered Pedestal
3441 20
EA
1
$10,950.00
$10,950.00
61
Furnish/Install LED Liahtigy Fixture Q37 watt ATB2 Cobra Head)
3441 20
EA
28
$1,000.00
$28,000.00
62
RdwY Ilium Foundation TY 3 5 6. and 8
3441 20
EA
13
$2,650.00
$34,450.00
63
Furnish/Install Rdwa�(Ilium TV18 Pole
3441 20
EA
13
$3,800.00
$49,400.00
64
Salvage Street Light Pole
3441 20
EA
1
$850.00
$850.00
65
Furnish/Install Alum Sign Ground Mount City Std.
3441 30
EA
1
$800.00
$800.00
66
Remove Sian Panel and Post
3441 30
EA
10
$200.00
$2,000.00
67
Remove and Reinstall Sign Panel and Post
3441 30
EA
3
$1,250.00
$3,750.00
68
Traffic Control
3471 13
MO
12
$6,450.00
$77,400.00
69
5" Colored Textured Concrete
99 99 99
SF
4961
$15.00
$74,415.00
70
Construction Allowance (Please enter $300.000.00 for the Unit Price.)
99 99 99
LS
1
$300,000.00
$300,000.00
71
Relocate Mast Arm Sign
99 99 99
LS
1
$850.00
$850.00
72
Tree Protection
99 99 99
EA
7
$350.00
$2,450.00
73
6" Flexible Base Tvoe A. GR-1
99 99 99
SY
600
$12.50
$7,500.00
74
4" Asphalt Base�voe B
99 99 99
SY
600
$56.00
$33,600.00
Unit 1 Total
$3,309,611.75
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Revised 9/30/2021
Park Vista Boulevard Improvements
City Project No. 103281
00 42 43
BID PROPOSAL
Page 2 of 2
UNIT PRICE BID
Project Item Information
Unit 1 - Paving Improvements
Bidlist
Description
Item No.
Unit 2 - S rmwater Improvements
75
21" Storm Abandonment Pluq
76
48" Storm Abandonment Pluq
77
Tem ora�( Asphalt Paving Repair
78
21" RTP, Class III
79
24" RCP, Class III
80
48" RCP, Class III
81
8x5 Box Culvert
82
4' Storm Junction Box
83
5' Storm Junction Box
84
6' Storm Junction Box
85
10' Recessed Inlet
86
20' Recessed Inlet
87
SWPPP >_ 1 acre
88
3' Drop Inlet (No Apron)
SECTION 00 42 43
PROPOSAL FORM
Specification Section No. Unit of Bid Quantity
Measure
Bidder's Application
Bidder's Proposal
Unit Price I Bid Value
0241
14 EA
1
$510.00
$510.00
0241
14 EA
1
$775.00
$775.00
3201
18 LF
136
$50.00
$6,800.00
3341
10 LF
409
$175.00
$71,575.00
3341
10 LF
522
$185.00
$96,570.00
3341
10 LF
61
$325.00
$19,825.00
3341
10 LF
12
$5,250.00
$63,000.00
33 49
10 EA
2
$15,000.00
$30,000.00
33 49
10 EA
2
$20,500.00
$41,000.00
33 49
10 EA
1
$25,500.00
$25,500.00
33 49
20 EA
14
$11,700.00
$163,800.00
33 49
20 EA
1
$16,200.00
$16,200.00
31 2500
LS
1
$23,250.00
$23,250.00
33 49
20 EA
1
$13,500.00
$13,500.00
Unit 2 Total
4i5/2,;su5.uU
END OF SECTION
Total Bid' w'dal,976.75i
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Revised 9/30/2021
Park Vista Boulevard Improvements
City Project No. 103281
3 t �
Conforms with The American Institute of
Architects, A.I.A. Document No. A 310
KNOW ALL BY THESE PRESENTS, That we, McClendon Construction Company, Inc.
548 Memorial Plaza, Burleson, Texas 76024
and the Merchants Bonding Company (Mutual)
of P.O. Box 14498, Des Moines, IA 50306-3498
as Principal, hereinafter called the Principal,
, a corporation duly organized under
the laws of the State of Iowa , as Surety, hereinafter called the Surety, are held and firmly bound unto
City of Fort Worth, Texas, 200 Texas Street, Fort Worth, TX 76102 as Obligee, hereinafter called the Obligee,
in the sum of Five Percent of the Greatest Amount Bid by Principal
Dollars ( 5% GABP ) , for the payment of which sum well and truly to be made, the said Principal and the said
Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, the Principal has submitted a bid for
Park Vista Blvd. Improvements, CPN 103281
NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in
accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with
good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in
the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal
shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount
for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall
be null and void, otherwise to remain in full force and effect.
Signed and scaled this
14th day of
March
2024
MCC n Construction Com (Seal)
rincippl
Witness
Title
�, Mercha Bonding C pfi y (Mutual)
MERCHANTS N
BONDING COMPANY,.
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, dlbla Merchants National Indemnity Company (in California only) (herein collectively called the
"Companies") do hereby make, constitute and appoint, individually,
Allyson W Dean; Ana Owens; Andrea Rose Crawford; Andrew Addison; Betty J Reeh; Bryan Kelly Moore; Colin E Conly; Debra Lee Moon;
Elizabeth Ortiz; Emily Allison Mikeska; John R Ward; Michael D Hendrickson; Monica Ruby Veazey; Patrick Coyle; Sandra Lee Roney; Thomas
Douglas Moore; Troy Russell Key
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 following By -Laws adapted 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
Merchants National 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 hand, 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 estimates on engineering and construction
contracts required by the State of Florida Department of Transportation. It is fully understood that consenting 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 .
.+ `C►BONA • . "�tG " . .
.+ •. MERCHANTS BONDING COMPANY (MUTUAL)
C
++��,..•••••.. � �'., .*�Q�.•••. q',• MERCHANTS NATIONAL BONDING, INC.
:may GOB Rq�� Z ' 1c�RPO�'9y� • dlbla MERCHANTS NATIONAL INDEMNITY COMPANY
;vE 2003 1933 �•'c, By
�Y 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,
,,4-RIAZs Penni Miller
lhl�l l Commission Number 787952
• #LIW • My Commission Expires
!WO, January 20, 2027
(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. J
In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this `�ay of
�, j
�Q." ,Z�`'`.'I
++ PAION,g40,
C�,A•
r.•Q�NG
�4
-0-
tit 0
jZ
2003 ;
=��y
' y 1933
Secretary
,�;
r;:
POA 0018 (1124) •+••,+•"•„',•�°
•'• • : •" • `
MERCHANTS_
BONDING COMPANY,,
MERCHANTS BONDING COMPANY P.O. Box 14498 DES MOINES, [A 50306-3498
PHONE: (800) 678-8171 FAX: (515) 243-3854
Have a complaint or need help?
If you have a problem with a claim or your premium, call your insurance company or HMO
first. If you can't work out the issue, the Texas Department of Insurance may be able to help.
Even if you file a complaint with the Texas Department of Insurance, you should also file a
complaint or appeal through your insurance company or HMO. If you don't, you may lose
your right to appeal.
To get information or file a complaint with your insurance company or HMO:
Merchants Bonding Company
Call: Compliance Officer at (800) 671-8171
Toll -free: (800) 671-8171
Email: regulatory@merchantsbonding.com
Mail: P.O. Box 14498, Des Moines, Iowa 50306-3498
The Texas Department of Insurance
To get help with an insurance question or file a complaint with the state:
Call with a question: 1-800-252-3439
File a complaint: www.tdi.texas.gov
Email: ConsumerProtection@tdi.texas.gov
Mail: Consumer PrntPrtinn MC• CCU-CP Texas npp;;rtmpnt r)f losuranrP,
r em Mr. XWQ1 Ir r
Si tiene un problema con una reclamation o con su prima de seguro, Ilame primero a su
compania de seguros o HMO. Si no puede resolver el problema, es posible que el
Departamento de Seguros de Texas (Texas Department of Insurance, por su nombre en
ingles) pueda ayudar.
Aun si usted presenta una queja ante el Departamento de Seguros de Texas, tambi6n debe
presenter una queja a traves del proceso de quejas o de apelaciones de su compania de
seguros o HMO. Si no to hate, podria perder su derecho para apelar.
SUP 0032 TX (7/23)
Para obtener informaci6n o para presenter una queja ante su compania de seguros o
HMO: Merchants Bonding Company
Llame a: Compliance Officer al (800) 671-8171
Telefono gratuito: (800) 678-8171
Correo electronico: regulatory@merchantsbonding.com
Direcci6n postal: P.O. Box 14498, Des Moines, Iowa, 50306-3498
El Departamento de Seguros de Texas
Para obtener ayuda con una pregunta relacionada con los seguros o para presentar una
queja ante el estado:
Llame con sus preguntas al: 1-800-252-3439
Presente una queja en: www.tdi.texas.gov
Correo electronico: ConsumerProtection@tdi.texas.gov
Direcci6n postal: Consumer Protection. MC: CO-CP. Texas Department of
Insurance, PO Box 12030, Austin, TX 78711-2030
SUP 0032 TX (7/23)
MERCHANT�S�
BONDING COMPANY?>a
MERCHANTS BONDING COMPANY (MUTUAL) • P.O. BOX 14498 • DES MOINES, IOWA 50306-3498
PHONE: (800) 678-8171 • FAX: (515) 243-3854
ADDENDUM TO BOND
This Addendum is in reference to the bond(s) to which it is attached.
Merchants Bonding Company (Mutual) ('Merchants_) deems the digital or electronic image of
Merchants`"corporate seal below affixed to the bond(s) to the same extent as if a raised corporate seal was
physically stamped or impressed upon the bond(s). The digital or electronic seal below shal l have the same
force and effect as though manually fixed to the bond(s).
A I I term of the bond(s) remai n the same.
Signed and effective March 23, 2020.
MERCHANTS BONDING COMPANY (MUTUAL)
• pi1�G Cp,,•,.
ea: �
y 1933 ; c;
• J .may,
7sy=------------—�`---------------
Larry Taylor, President
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
are not required to underbid resident bidders.
, our principal place of business,
B. The principal place of business n# our company or our parent company or majority owner is
in the State of Texas. L)(J
BIDDER:
END OF SECTION
(Signature)
Title: Dan McClendon, President
03/14/2024
Date:
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS Park Vista Boulevard Improvements
Revised 9/30/2021 City Project No. 103281
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00 45 12 - 1
PREQUALIFICATION STATEMENT
Page 1 of 1
SECTION 00 4512
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
Concrete Paving
Construction/Reconstruction
(LESS THAN 15,000
square yards)
Roadway and Pedestrian
Lighting
i
Contractor/Subcontractor Company Name Prequalification
Expiration Date
McClendon Construction Company Inc 07/01/2025
Bean Electrical
The undersigned hereby certifies that the contractors and/or subcontractors described in
the table above are currently prequalified for the work types listed.
BIDDER:
McClendon Construction Company Inc
Company
PO Box 999
Address
Burleson, TX 76097
City/State/Zip
By:
Dan McClendon
Signature:
Title: President
(Please Print)
Date: 03/ 14/2024
END OF SECTION
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Revised September 30, 2021
Park Vista Boulevard Improvements
City Project No. 103281
00 45 26 - 1
CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW
Page I of I
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. 103281. Contractor further certifies that, pursuant 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:
McClendon Construction Co Inc
Company
PO Box 999
Address
Burleson, Texas 76097
City/State/Zip
THE STATE OF TEXAS §
COUNTY OF TARRANT §
By: Dan McClendon
(Please Print)
Signature: 2&1�6&1-1�
Title: President
(Please Print)
BEFORE ME, the undersigned authority, on this day personally appeared
Dan McClendon , known to me to be the person whose name is
subscribed to the foregoing instrument, and acknowledged to me that he/she executed the same as
the act and deed of McClendon Construction Co Inc for the purposes and
consideration therein expressed and in the capacity therein stated.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this
March , 20 24
12th day of
Ite of Texas
MISTY WEBB
`�•S�LY PUe/i
ENT? OF SECTION " Notary Public, State of Texas
+r` Comm. Expires 01-W2026
Notary ID 126838467
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised July 1, 2011
00 45 40 - 1
Business Equity Goal
Page 1 of 2
1 SECTION 00 45 40
2 Business Equity Goal
3 APPLICATION OF POLICY
4 If the total dollar value of the contract is $100,000 or more, then a Business Equity goal is applicable.
5 A Business Equity Firm refers to certified Minority-, and/or Women-, owned Business Enterprises
6 (M/WBEs).
7
8 POLICY STATEMENT
9 It is the policy of the City of Fort Worth to ensure the full and equitable participation of Business Equity
10 Firms when applicable, in the procurement of all goods and services. All requirements and regulations
11 stated in the City's Business Equity Ordinance No.25165-10-2021, (replacing Ordinance No. 24534-11-
12 2020 (codified at: httDs:Hcodelibrarv.amle2al.com/codes/ftworth/latest/ftworth tx/0-0-0-22593) apply to
13 this bid.
14
15 BUSINESS EOUITY PROJECT GOAL
16 The City's Business Equity goal on this project is 19% of the total bid value of the contract (Base bid
17 applies to Parks and Community Services).
18
19 METHODS TO COMPLY WITH THE GOAL
20 On City contracts where a Business Equity Goal is applied, offerors are required to comply with the City's
21 Business Equity Ordinance by meeting or exceeding the above stated goal or otherwise comply with the
22 ordinance through one of the following methods: 1. Commercially useful services performed by a
23 Business Equity prime contractor, 2. Business Equity subcontracting participation, 3. Combination
24 of Business Equity prime services and Business Equity subcontracting participation, 4. Business
25 Equity Joint Venture/Mentor-Protege participation, 5. Good Faith Effort documentation, or 6.
26 Prime contractor Waiver documentation.
27
28 SUBMITTAL OF REOUIRED DOCUMENTATION
29 Applicable documents (listed below) must be received by the Purchasing Division, OR the offeror shall
30 EMAIL the Business Equity documentation to the assigned City of Fort Worth Project Manager or
31 Department Designee. Documents are to be received no later than 2:00 p.m., on the third City
32 business day after the bid opening date, exclusive of the bid opening date.
33
34 The Offeror must submit one or more of the following documents:
35 1. Utilization Form and Letter(s) of Intent, if the goal is met or exceeded;
36 2. Good Faith Effort Form and Utilization Form, including supporting documentation, if
37 participation is less than stated goal, or no Business Equity participation is accomplished;
38 3. Prime Contractor Waiver Form, including supporting documentation, if the Offeror will perform
39 all subcontracting/supplier opportunities; or
40 4. Joint Venture/Mentor-Protege Form, if goal is met or exceeded with a Joint Venture or Mentor-
41 Prot6g6 participation.
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CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised October 27, 2021
004540-2
Business Equity Goal
Page 2 of 2
1 These forms can be found at:
2 Business Equity Utilization Form and Letter of Intent
3 httbs://apes.fortworthtexas.2ov/Pro_iectResources/ResourcesP/60 - MWBE/Business EQ_uit_v Utilization
4 Form_DVIN 2022 220324.bdf
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6 Letter of Intent
7 httbs://abbs.fortworthtexas.sov/ProiectResources/ResourcesP/60 - MWBE/Letter of Intent_DVIN
8 2021.bdf
9
10 Business Equity Good Faith Effort Form
11 httbs://anus.fortworthtexas.gov/ProiectResources/ResourcesP/60 - MWBE/Good Faith Effort
12 Form DVIN2022.bdf
13
14 Business Equity Prime Contractor Waiver Form
15 httbs://anus.fortworthtexas.aov/ProiectResources/ResourcesP/60 - MWBE/MWBE Prime Contractor
16 Waiver-220313.ndf
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18 Business Equity Joint Venture Form
19 httbs://anus.fortworthtexas.aov/ProiectResources/ResourcesP/60 - MWBE/MWBE Joint
20 Venture 220225.Ddf
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23 FAILURE TO ACHIEVE THE GOAL OR OTHERWISE COMPLY WITH THE ORDINANCE WILL
24 RESULT IN THE BIDDER/OFFEROR BEING DECLARED NON -RESPONSIVE AND THE BID
25 REJECTED.
26
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28 FAILURE TO SUBMIT THE REOUIRED BUSINESS EOUTY DOCUMENTATION OR OTHERWISE
29 COMPLY WITH THE ORDINANCE WILL RESULT IN THE BID BEING DECLARED NON-
30 RESPONSIVE. THE BID REJECTED AND MAY SUBJECT THE BIDDER/OFFEROR TO SANCTIONS
31 AS DESCRIBED IN SEC. 20-373 OF THE ORDINANCE.
32
33 For Questions, Please Contact The Business Equity Division of the Department of Diversity and
34 Inclusion at (817) 392-2674.
35 END OF SECTION
giol
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised October 27, 2021
00 52 43 - 1
Agreement
Page 1 of 6
SECTION 00 52 43
AGREEMENT
THIS AGREEMENT, authorized on 05/14/2024, 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 McClendon Construction Comnanv Inc., 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:
Park Vista Boulevard Improvements
Citv Proiect No. 103281
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 Eight Hundred Eighty -One Thousand
Nine Hundred Sixteen and 75/100 Dollars ($3,881,916.75). 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 360 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 Fiftv 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:
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
A.The Contract Documents which comprise the entire agreement between City and
Contractor concerning the Work consist of the following:
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Revised March 3, 2024
Park Vista Boulevard Improvements
City Project No. 103281
00 52 43 - 2
Agreement
Page 2 of 6
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 Drovision is specifically intended to ouerate
and be effective even if it is alleged or Droven that all or some of the damages being
sought were caused. in whole or in Dart. by anv act. omission or negligence of the citv.
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.
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised March 3, 2024
005243-3
Agreement
Page 3 of 6
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 Drovision
is specifically intended to ouerate and be effective even if it is alleged or Droven that all
or some of the damages being sought were caused. in whole or in Dart by anv act.
omission or negligence of the citv.
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.
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised March 3, 2024
00 52 43 - 4
Agreement
Page 4 of 6
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.
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised March 3, 2024
005243-5
Agreement
Page 5 of 6
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.
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised March 3, 2024
005243-6
Agreement
Page 6 of 6
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:
Signature
Dan McClendon
(Printed Name)
President
Title
PO Box 999
Address
Burleson, TX 76097
City/State/Zip
May 28, 2024
Date
City of Fort Worth
By: op�
Jessica McEachern
Assistant City Manager
Jun 18, 2024
Date
na
� Fogr °ao
-Vo
Attest:
� tea
� �
aaddn�a
V
os44
Jannette Goodall, City Secretary
(Seal)
M&C: 24-0388
Date: 5/14/2024
Approved as to Form and Legality:
Woe —
Douglas Black (Jun 11, 202410:51 CDT)
Douglas W. Black
Sr. Assistant City Attorney
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised March 3, 2024
Bond #100359635
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SECTION 00 6113
PERFORMANCE BOND
0061 13- 1
PERFORMANCE BOND
Page 1 of 2
THE STATE OF TEXAS §
§ KNOW ALL BY THESE PRESENTS:
COUNTY OF TARRANT §
That we, McClendon Construction Comnanv Inc. known as
"Principal" herein and Mprrhnnt- RQnding Company [MutUall , a corporate
surety(sureties, if more than one) duly authorized to do business in the State of Texas, known as
"Surety" herein (whether one or more), 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, Three Million Eiaht Hundred Eiumhty-One Thousand Nine Hundred Sixteen and 751100
Dollars ($3,881,916.75), 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, our
heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these
presents.
WHEREAS, the Principal has entered into a certain written contract with the City awarded
the 14 day of Mav , 20 24 , which Contract is hereby referred to and made a part hereof
for all purposes as if fully set forth herein, to furnish all materials, equipment labor and other
accessories defined by law, in the prosecution of the Work, including any Change Orders, as
provided for in said Contract designated as Park Vista Boulevard Improvements, City Project No.
103281.
NOW, THEREFORE, the condition of this obligation is such that if the said Principal
shall faithfully perform it obligations under the Contract and shall in all respects duly and faithfully
perform the Work, including Change Orders, under the Contract, according to the plans,
specifications, and contract documents therein referred to, and as well during any period of
extension of the Contract that may be granted on the part of the City, then this obligation shall be
and become null and void, otherwise to remain in full force and effect.
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.
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 be determined in
accordance with the provisions of said statue.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Revised December 8, 2023
Park Vista Boulevard Improvements
City Project No. 103281
0061 13 - 2
PERFORMANCE BOND
Page 2 of 2
1 IN WITNESS WHEREOF, the Principal and the Surety have SIGNED and SEALED this
2 instrument by duly authorized agents and officers on this the 17th day of Mav
3 2024 .
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36 Witness as to Surety
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PRINCIPAL:
McCleadctn Construction Companv, Inc.
BY _
Signatur
bO(\ MbNMCJ0rN
Name and Title
Address:
PO Box 996
Burleson, TX 76028
SURETY•
Merchan Bonding Corp nv rMutuall
BY:
Betty J. Reeh. Attorney -in -Fact
Name and Title
Address:
PO Box 14498
Des Moines. IA 50306
Telephone Number: 210.697.2230
Email Address: breeh acrisure.com
39 *Note: If signed by an officer of the Surety Company, there must be on file a certified extract
40 from the by-laws showing that this person has authority to sign such obligation. If
41 Surety's physical address is different from its mailing address, both must be provided.
42 The date of the bond shall not be prior to the date the Contract is awarded.
43
CITY OF PORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised December 8, 2023
Bond #100359635
0061 14- 1
PAYMENT BOND
Page I of 2
1 SECTION 00 6114
2 PAYMENT BOND
3
4 THE STATE OF TEXAS §
5 § KNOW ALL BY THESE PRESENTS:
6 COUNTY OF TARRANT §
7 That we, McClendon Construction Comnanv Inc. known as
8 "Principal" herein, and Merchants Bonding Company [Mutuall , 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, known as "City" herein, in the penal
12 sum of Three Million EiL-ht Hundred Eighty -One Thousand Nine Hundred Sixteen and 75/100
13 Dollars ($3,881,916.75), lawful money of the United States, to be paid in Fort Worth, Tarrant
14 County, Texas, for the payment of which sum well and truly be made, we bind ourselves, our heirs,
15 executors, administrators, successors and assigns, jointly and severally, firmly by these presents:
16 WHEREAS, Principal has entered into a certain written Contract with City, awarded the
17 14 day of May , 20 24 , which Contract is hereby referred to and made a part hereof
18 for all purposes as if fully set forth herein, to furnish all materials, equipment, labor and other
19 accessories as defined by law, in the prosecution of the Work as provided for in said Contract and
20 designated as Park Vista Boulevard Improvements, City Project No. 103281.
21 NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that if
22 Principal shall pay all monies owing to any (and all) payment bond beneficiary (as defined in
23 Chapter 2253 of the Texas Government Code, as amended) in the prosecution of the Work under
24 the Contract, then this obligation shall be and become null and void; otherwise to remain in full
25 force and effect.
26 This bond is made and executed in compliance with the provisions of Chapter 2253 of the
27 Texas Government Code, as amended, and all liabilities on this bond shall be determined in
28 accordance with the provisions of said statute.
29
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Revised December 8, 2023
Park Vista Boulevard Improvements
City Project No. 103281
0061 14-2
PAYMENT BOND
Page 2 of 2
1 IN WITNESS WHEREOF, the Principal and Surety have each SIGNED and SEALED
2 this instrument by duly authorized agents and officers on this the 17th day of
3 Mav , 2024
4
6
7
8
9
10
II
12
ATTEST:
ATTEST:
(Surety) Secretary
Witness as to Surety
PRINCIPAL.
McClendon Construction Companv, Inc.
BP4iae
bon ffl(TA-aA r, * ;��, &
Name and Title
Address:
PO Box 996
Burleson, TX 760?R
SURETY:
Merchants ondina Compa v [Mutuall
s
BY:
Signature
Betty J. Reeh, Attorney -in -Fact
Name and Title
Address: PO Box 14498
Des Moines, IA 50306
Telephone Number: 210.Fi972230
Email Address: hreehna acri5ure.com
Note: If signed by an officer of the Surety, there must be on file a certified extract from the bylaws
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 Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103291
Revised December 8, 2023
Bond #100359635
0061 19 - 1
MAINTENANCE BOND
Page I of 3
I SECTION 00 6119
2 MAINTENANCE BOND
3
4 THE STATE OF TEXAS §
5 § KNOW ALL BY THESE PRESENTS:
6 COUNTY OF TARRANT §
7 That we McClendon Construction Company Inc. known as
8 "Principal" herein and Merchants Bondina Comnanv [Mutuall , a corporate surety
9 (sureties, if more than one) 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, known as "City" herein, in the sum
12 of Three Million Eight Hundred Eighty -One Thousand Nine Hundred Sixteen and 75/100 Dollars
13 ($3,881,916.75), lawful money of the United States, to be paid in Fort Worth, Tarrant County,
14 Texas, for payment of which sum well and truly be made unto the City and its successors, we bind
15 ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly
16 by these presents.
17
18 WHEREAS, the Principal has entered into a certain written contract with the City awarded
19 the 14"' day of Mav , 20 24 , which Contract is hereby referred to and a made part
20 hereof for all purposes as if fully set forth herein, to furnish all materials, equipment labor and other
21 accessories as defined by law, in the prosecution of the Work, including any Work resulting from a
22 duly authorized Change Order (collectively herein, the "Work") as provided for in said contract
23 and designated as Park Vista Boulevard Improvements, City Project No. 103281; and
24
25 WHEREAS, Principal binds itself to use such materials and to so construct the Work in
26 accordance with the plans, specifications and Contract Documents that the Work is and will remain
27 free from defects in materials or workmanship for and during the period of two (2) years after the
28 date of Final Acceptance of the Work by the City ("Maintenance Period"); and
29
30 WHEREAS, Principal binds itself to repair or reconstruct the Work in whole or in part upon
31 receiving notice from the City of the need therefor at any time within the Maintenance Period,
32
CITY OF PORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised December S. 2023
0061 19 - 2
MAINTENANCE BOND
Page 2 of 3
1
2 NOW THEREFORE, the condition of this obligation is such that if Principal shall remedy
3 any defective Work, for which timely notice was provided by City, to a completion satisfactory to
4 the City, then this obligation shall become null and void; otherwise to remain in full force and
5 effect.
6
7 PROVIDED, HOWEVER, if Principal shall fail so to repair or reconstruct any timely
8 noticed defective Work, it is agreed that the City may cause any and all such defective Work to be
9 repaired and/or reconstructed with all associated costs thereof being borne by the Principal and the
10 Surety under this Maintenance bond; and
11
12 PROVIDED FURTHER, that if any legal action be filed on this Bond, venue shall lie in
13 Tarrant County, Texas or the United States District Court for the Northern District of Texas, Fort
14 Worth Division; and
15
16 PROVIDED FURTHER, that this obligation shall be continuous in nature and successive
17 recoveries may be had hereon for successive breaches.
18
19
20
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised December 8, 2023
0061 19 - 3
MAINTENANCE BOND
Page 3 of 3
1 IN WITNESS WHEREOF, the Principal and the Surety have each SIGNED and SEALED this
2 instrument by duly authorized agents and officers on this the t 7th day of
3 May , 20 24 .
4
5 PRINCIPAL:
6 McCle nstruction Company, I nc.
7
8
9 BY:
10 Signature
11 ATTEST:
12�'i`T
13-
14 (P cip 1) ecretary Name and Title
15
16 Address:
17 PO Box 226
18 Al
1" _Burleson. TX 76028
19�+'`
20
21 itnc s s to rincipal
22 SURETY:
23 Merch s Bondingn lMutuall
24 - -
25
26 BY:
27 Signature
28
29 Betty J. Reeh. Attorney_ -in-Fact
30 ATTEST: Name and Title
31
32 Address: PO Box 14498
33 (Surety) Secretary Des Moines. iA 50306
34
35
36 Witness as to Surety Telephone Number: 210.697.2230
37 Email Address: breehanacrisure.com
38
39 *Note: If signed by an officer of the Surety Company, there must be on file a certified extract
40 from the by-laws showing that this person has authority to sign such obligation. If
41 Surety's physical address is different from its mailing address, both must be provided.
42 The date of the bond shall not be prior to the date the Contract is awarded.
43
CITY OF FORT WORTH Park Vista Boulevard Improvements
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS City Project No. 103281
Revised Dcccniber 8, 2023
MERCHANTS
BONDING COMPANY-,
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, dlb/a Merchants National Indemnity Company (in California only) (herein collectively called the
"Companies") do hereby make, constitute and appoint, individually,
Allyson W Dean; Ana Owens; Andrea Rose Crawford; Andrew Gareth Addison; Betty J Reeh; Bryan Kelly Moore; Colin E Conly; Debra Lee Moon;
Elizabeth Ortiz; Emily Allison Mikeska; Faith Ann Hilty; John R Ward; Michael Donald Hendrickson; Monica Rub Veazey; Patrick Thomas Coyle;
Sandra Lee Roney; Thomas Douglas Moore; Troy Russell Key
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 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
Merchants National 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 estimates on engineering and construction
contracts required by the State of Florida Department of Transportation. It is fully understood that consenting 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 11th day of April 2024 .
..I ... •,•A10� '•., .•• "••. MERCHANTS BONDING COMPANY (MUTUAL)
.. ' % • �Q�N AilfA.• MERCHANTS NATIONAL BONDING, INC.
�•� t �•� • 0 +li'� 9 . dtbla MERCHANTS NATIONAL INDEMNITY COMPANY
a.2 •-a- 01 :1--:� -o- o:
v 2003 1933 : e: By
. �7 .••�,. •••a>�.......•L"�'�•• STATE OFIOWA President
� •.,., �' .,J'''`•....•'�•
COUNTY OF DALLAS ss. '••....a
On this 11th day of April 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.
s Penni Miller
Z ? Commission Number 787952
• rc=o My Commission Expires
tovvA January 20, 2027
(Expiration of notary's commission does not invalidate this instrument)
` �• - � Nota�3�bl�jC
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,whfch 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 thisIrPkday of
It AWN4
• • 4tP OR • '. � off• �Fa q •'°s'. G� � �=�'
a 1933 ¢ c' Secretary
2003 ;�� : y 1r:
POA 0018 (1124) �'•'....... •'
MERCHANT
BONDING COMPANY,.
MERCHANTS BONDING COMPANY P.O. BOX 14498 DES MOINES, [A 50306-3498
PHONE: (800) 678-8171 PAX: (515) 243-3854
Have a complaint or need help?
If you have a problem with a claim or your premium, call your insurance company or HMO
first. If you can't work out the issue, the Texas Department of Insurance may be able to help.
Even if you file a complaint with the Texas Department of Insurance, you should also file a
complaint or appeal through your insurance company or HMO. If you don't, you may lose
your right to appeal.
To get information or file a complaint with your insurance company or HMO:
Merchants Bonding Company
Call: Compliance Officer at (800) 671-8171
Toll -free: (800) 671-8171
Email regulatory@merchantsbonding.com
Mail: P.O. Box 14498, Des Moines, Iowa 50306-3498
The Texas Department of Insurance
To get help with an insurance question or file a complaint with the state:
Call with a question: 1 -800-252-3439
File a complaint: www.tdi.texas.gov
Email: ConsumerProtection@tdi.texas.gov
Mall: C'nncLjmPr PrntPrtinn mc. cn-f P Taxag Ida an rtmQnt of In mrance,
TIPIIP I lrla r7l1PIa o nPr PS 7
Si tiene un problema con una reclamaci6n o con su prima de seguro, [lame primero a su
compania de seguros o HMO. Si no puede resolver el problema, es posible que el
Departamento de Seguros de Texas (Texas Department of Insurance, por su nombre en
ingles) pueda ayudar.
Aun si usted presenta una queja ante el Departamento de Seguros de Texas, tambi6n debe
presenter una queja a traves del proceso de quejas o de apelaciones de su compania de
seguros o HMO. Si no to hace, podria perder su derecho pars apelar.
SUP 0032 TX (7123)
Para obtener informaci6n o para presentar una queja ante su compania de seguros o
HMO: Merchants Bonding Company
Llame a: Compliance Officer al (800) 671-8171
Tei6fono gratuito: (800) 678-8171
Correo electr6nico: regulatory@merchantsbonding.com
Direcci6n postal: P.O. Box 14498, Des Moines, Iowa, 50306-3498
El Departamento de Seguros de Texas
Para obtener ayuda con una pregunta relacionada con los seguros o para presentar una
queja ante el estado:
Llame con sus preguntas al: 1-800-252-3439
Presente una queja en: www.tdi.texas.gov
Correo electr6nico: ConsumerProtection@tdi.texas.gov
Direcci6n postal: Consumer Protection, MC: CO-CP, Texas Department of
Insurance, PO Box 12030, Austin, TX 78711-2030
SUP 0032 TX (7/23)
MERCHANTS�
BONDING COMPANY,,,
MERCHANTS BOND I ING COMPANY (MUTUAL) • PO. BOX 14498 • DES MOINES, IOWA 50306-3498
)'HONE: (800) 678-8171 • FAk (515) 243-3854
ADDENDUM TO BOND
This Addendum is in reference to the bond(s) to which it is attached.
Merchants Bonding Company (Mutual) (`Merchants_) deems the digital or electronic image of
Merchants" corporate seal below affixed to the bond(s) to the same extent as if a raised corporate seal was
physically stamped or impressed upon the bond(s). The digital or electronic seal below shall have the same
force and effect as though manual I fixed to the bond(s).
A I I terms of the bond(s) remai n the same.
Signed and effective March 23, 2020.
MERCHANTS BONDING COMPANY (MUTUAL)
p1NG Co,�� •.
• d'• 1933 ; e •
By:-------{'/--- ---------------------
LarryTayfor, President
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTOR'S BLANKET FLEX ADDITIONAL INSURED
ENDORSEMENT - FORM A
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Policy Number Agency Number Policy Effective Date
CPP 2119886 1/31/2024
Policy Expiration Date Date Account Number
1 /31 /2025 1 /31 /2024
Named Insured Agency Issuing Company
McClendon Construction Company, Inc. IBTX - Acrisure Amerisure Insurance Company
A. SECTION II - WHO IS AN INSURED is amended to add as an additional insured:
1. Any person ororganization with whom you have agreed in a "written agreement' that such person or
organization be added as an additional insured on this policy, and any other person or organization
you are required to add as an additional insured under such "written agreement'.
2. If "your work" began under a written letter of intent or written work order, any person or organization
who issued the written letter of intent or written work order, but:
a. such coverage will apply only for 30 calendar days following the date the written letter of intent
or written work order was issued; and
b. the person or organization is an additional insured only for, and to the extent of, liability arising
out of "bodily injury", "property damage", or "personal and advertising injury" caused, in whole
or in part, by your negligent acts or omissions, or the negligent acts or omissions of others
working on your behalf, in the performance of your work as specified in the written letter of
intent or written work order. This coverage does not apply to liability arising out of the
independent acts or omissions of the additional insured.
For the purposes of the coverage provided by this endorsement, a "written agreement' means a written
contract or written agreement that:
1. requires you to include a person or organization as an additional insured for a period of time during
the policy period; and
2. is executed prior to the occurrence of "bodily injury", "property damage", or "personal and
advertising injury" that forms the basis for a claim under this policy.
The insurance provided by this endorsement does not apply to any person or organization that is
specifically listed as an additional insured on another endorsement attached to this policy.
CG 73 24 03 23 Includes copyrighted material of the Insurance Services Office, Inc., with its permission Page 1 of 3
B. The coverage provided to any person or organization added as an additional insured pursuant to Paragraph
A.1 is limited as follows:
1. If the "written agreement" specifically and exclusively requires you to name the person or organization
as an additional insured using the ISO CG 20 10 endorsement with edition dates of 11 85 or 10 01,
or the ISO CG 20 37 10 01 endorsement, that person or organization is an additional insured, but
only with respect to liability for "bodily injury", "property damage", or "personal and advertising injury"
arising out of "your work" for that insured by or for you.
2. If the "written agreement" requires you to name the person or organization as an additional insured
using the ISO CG 20 10 and or CG 20 37 endorsements without specifically and exclusively requiring
the 11 85 or 10 01 edition dates, that person or organization is an additional insured, but only with
respect to liability for "bodily injury", "property damage", or "personal and advertising injury" caused,
in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf.
3. If the "written agreement" requires you to name the person or organization as an additional insured
for operations arising out of your work and does not specify an ISO additional insured endorsement,
that person or organization is an additional insured, but only with respect to liability for "bodily injury",
"property damage", or "personal and advertising injury" arising out of your acts or omissions, or the
acts or omissions of others working on your behalf, in the performance of your work as specified in
the "written agreement". This coverage does not apply to liability arising out of the sole negligence of
the additional insured unless specifically required in the "written agreement".
4. If none of the above paragraphs apply, then the person or organization is an additional insured only
for, and to the extent of, liability arising out of "bodily injury", "property damage", or "personal and
advertising injury" caused, in whole or in part, by your negligent acts or omissions, or the negligent
acts or omissions of others working on your behalf, in the performance of your work as specified in
the "written agreement". This coverage does not apply to liability arising out of the independent acts
or omissions of the additional insured.
However, the insurance afforded to such additional insured only applies to the extent permitted by law.
C. The insurance provided to an additional insured under this endorsement does not apply to:
1. "Bodily injury" or "property damage" included in the "products -completed operations hazard" unless
the "written agreement" specifically requires such coverage (including by specifically requiring the
CG 20 10 11 85). To the extent the "written agreement" requires such coverage for a specified
amount of time, the coverage provided by this endorsement is limited to the amount of time required
for such coverage by the "written agreement".
2. "Bodily injury", "property damage", or "personal and advertising injury" arising out of an architect's,
engineer's, or surveyor's rendering of, or failure to render, any professional services, including but
not limited to:
The preparing, approving, or failing to prepare or approve:
(1) Maps;
(2) Drawings;
(3) Opinions;
(4) Reports;
(5) Surveys;
(6) Change orders;
CG 73 24 03 23 Includes copyrighted material of the Insurance Services Office, Inc., with its permission Page 2 of 3
(7) Design specifications; and
b. Supervisory, inspection, or engineering services.
D. The limits of insurance that apply to the additional insured are the least of those specified in the "written
agreement" or declarations of this policy.
Coverage provided by this endorsement for any additional insured shall not increase the applicable Limits
of Insurance shown in the Declarations. The limits of insurance that apply to the additional insured are
inclusive of, and not in addition to, the Limits of Insurance shown in the Declarations.
E. With respect to the coverage provided by this endorsement, SECTION IV— COMMERCIAL GENERAL
LIABILITY CONDITIONS, Paragraph 4. Other Insurance is deleted and replaced with the following:
4. Other Insurance.
a. Coverage provided by this endorsement is excess over any other valid and collectible insurance
available to the additional insured whether:
(1) Primary;
(2) Excess;
(3) Contingent; or
(4) On any other basis.
In addition, this insurance is excess over any self -insured retentions, deductibles, or captive
retentions payable by the additional insured or payable by any person or organization whose
coverage is available to the additional insured.
However, if the "written agreement" requires primary and non-contributory coverage, this insurance
will be primary and non-contributory relative only to the other insurance available to the additional
insured which covers that person or organization as a Named Insured, and we will not share with
that other insurance. For any other insurance available to the additional insured where that person
or organization is not a Named Insured, this policy will share coverage with that other insurance
based on the terms specified in Paragraph b. Method of Sharing below.
b. Method of Sharing
If all the other insurance permits contribution by equal shares, we will follow this method also. Under
this method, each insurer contributes equal amounts until it has paid its applicable limit of insurance
or none of the loss remains, whichever comes first.
If any of the other insurance does not permit contribution by equal shares, we will contribute by
limits. Under this method, each insurer's share is based on the ratio of its applicable limit of
insurance to the total applicable limits of insurance of all insurers.
CG 73 24 03 23 Includes copyrighted material of the Insurance Services Office, Inc., with its permission Page 3 of 3
NAMED INSURED: McClendon Construction Company, Inc.
POLICY NUMBER: CPP 2119886
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
TEXAS
CONTRACTOR'S GENERAL LIABILITY EXTENSION ENDORSEMENT
TABLE OF CONTENTS
Page 1
1. Additional Definitions
9
1 2. Aggregate Limits Per Location
7 1
1 3. Aggregate Limits Per Project
6 1
1 4. Blanket Contractual Liability — Railroads
3 1
1 5. Broadened Bodily Injury Coverage
10 1
1 6. Broadened Knowledge Of Occurrence
8 1
1 7. Broadened Legal Liability Coverage For Landlord's Business Personal Property
7 1
1 8. Broadened Liability Coverage For Damage To Your Product And Your Work
10 1
1 9. Broadened Who Is An Insured
3 1
10. Co -Employee Bodily Injury Coverage for Managers, Supervisors, Directors or Officers
4
[see provision 9, Broadened Who Is An Insured, paragraph 2.a.(1)1
1 11. Contractual Liability — Personal And Advertising Injury
3 1
1 12. Damage To Premises Rented To You — Specific Perils and Increased Limit
7 1
1 13. Desiqnated Completed Projects — Amended Limits of Insurance
11 1
1 14. Extended Notice Of Cancellation And Nonrenewal
8 1
1 15. Incidental Malpractice Liabilit_
6 1
1 16. Increased Medical Payments
7 1
1 17. Mobile Equipment Redefined
9 1
1 18. Nonowned Watercraft
3 1
1 19. Product Recall Expense
2 1
1 20. Property Damage Liability — Alienated Premises
2 1
1 21. Property Damage Liability — Elevators And Sidetrack Agreements
2 1
22. Property Damage Liability — Property Loaned To The Insured Or Personal Property In The Care,
2
Custody And Control Of The Insured
1 23. Reasonable Force — Bodily Injury or Property Damage
10 1
1 24. Supplementary Payments
3 1
1 25. Transfer Of Rights (Blanket Waiver Of Subroqation)
8 1
26. Unintentional Failure To Disclose Hazards
8
Includes copyrighted material of Insurance Services Office, Inc.
CG 70 63 0417 Page 1 of 11
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
Under SECTION I — COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY, paragraph 2.
EXCLUSIONS, provisions 1. through 6. of this endorsement are excess over any valid and collectible insurance
(including any deductible) available to the insured, whether primary, excess or contingent (SECTION IV —
COMMERCIAL GENERAL LIABILITY CONDITIONS, paragraph 4. Other Insurance is changed accordingly).
Provisions 1. through 6. of this endorsement amend the policy as follows:
1. PROPERTY DAMAGE LIABILITY— ALIENATED PREMISES
A. Exclusion j. Damage to Property, subparagraph (2) is deleted.
B. The following paragraph is deleted from Exclusion j. Damage to Property;
Paragraph (2) of this exclusion does not apply if the premises are "your work" and were never occupied,
rented or held for rental by you.
2. PROPERTY DAMAGE LIABILITY — ELEVATORS AND SIDETRACK AGREEMENTS
A. Exclusion j. Damage to Property, paragraphs (3), (4), and (6) do not apply to the use of elevators.
B. Exclusion k. Damage to Your Product does not apply to:
The use of elevators; or
2. Liability assumed under a sidetrack agreement.
3. PROPERTY DAMAGE LIABILITY — PROPERTY LOANED TO THE INSURED OR PERSONAL PROPERTY
IN THE CARE, CUSTODY AND CONTROL OF THE INSURED
A. Exclusion j. Damage to Property, paragraphs (3) and (4) are deleted..
B. Coverage under this provision 3. does not apply to "property damage" that exceeds $25,000 per
occurrence or $25,000 annual aggregate.
4. PRODUCT RECALL EXPENSE
A. Exclusion n. Recall of Products, Work or Impaired Property does not apply to "product recall
expenses" that you incur for the "covered recall' of "your product'. This exception to the exclusion does
not apply to "product recall expenses" resulting from:
1. Failure of any products to accomplish their intended purpose;
2. Breach of warranties of fitness, quality, durability or performance;
3. Loss of customer approval or any cost incurred to regain customer approval;
4. Redistribution or replacement of "your product', which has been recalled, by like products or
substitutes;
5. Caprice or whim of the insured;
6. A condition likely to cause loss, about which any insured knew or had reason to know at the
inception of this insurance;
7. Asbestos, including loss, damage or clean up resulting from asbestos or asbestos containing
materials;
8. Recall of "your product(s)" that have no known or suspected defect solely because a known or
suspected defect in another of "your product(s)" has been found.
B. Under SECTION III — LIMITS OF INSURANCE, paragraph 3. is replaced in its entirety as follows and
paragraph 8. is added:
3. The Products -Completed Operations Aggregate Limit is the most we will pay for the sum of:
Includes copyrighted material of Insurance Services Office, Inc.
Page 2 of 11
CG 70 63 0417
a. Damages under COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY
because of "bodily injury" and "property damage" included in the "products -completed
operations hazard" and
b. "Product recall expenses".
8. Subject to paragraph 5. above [of the CGL Coverage Form], $25,000 is the most we will pay for all
"product recall expenses" arising out of the same defect or deficiency.
5. NONOWNED WATERCRAFT
Exclusion g. Aircraft, Auto or Watercraft, paragraph (2) is deleted and replaced with the following:
[This exclusion does not apply to:]
(2) A watercraft you do not own that is:
(a) Less than 75 feet long; and
(b) Not being used to carry any person or property for a charge;
6. BLANKET CONTRACTUAL LIABILITY — RAILROADS
Under SECTION V — DEFINITIONS, paragraph c. of "Insured Contract' is deleted and replaced by the
following:
c. Any easement or license agreement;
Under SECTION V — DEFINITIONS, paragraph f.(1) of "Insured Contract' is deleted.
7. CONTRACTUAL LIABILITY — PERSONAL AND ADVERTISING INJURY
Under SECTION I — COVERAGE B., paragraph 2. Exclusions, paragraph e. Contractual Liability is deleted.
8. SUPPLEMENTARY PAYMENTS
Under SECTION I — SUPPLEMENTARY PAYMENTS — COVERAGES A AND B, paragraph 1.b. is deleted
and replaced with the following:
1. b. Up to $5,000 for cost of bail bonds required because of accidents or traffic law violations arising out
of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to
furnish these bonds.
9. BROADENED WHO IS AN INSURED
SECTION II — WHO IS AN INSURED is deleted and replaced with the following:
1. If you are designated in the Declarations as:
a. An individual, you and your spouse are insureds, but only with respect to the conduct of a business
of which you are the sole owner.
b. A partnership or joint venture, you are an insured. Your members, your partners, and their spouses
are also insureds, but only with respect to the conduct of your business.
c. A limited liability company, you are an insured. Your members are also insureds, but only with
respect to the conduct of your business. Your managers are insureds, but only with respect to their
duties as your managers.
d. An organization other than a partnership, joint venture or limited liability company, you are an
insured. Your "executive officers" and directors are insureds, but only with respect to their duties as
your officers or directors. Your stockholders are also insureds, but only with respect to their liability
as stockholders.
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CG 70 63 04 17 Page 3 of 11
2. Each of the following is also an insured:
a. Your "volunteer workers" only while performing duties related to the conduct of your business, or
your "employees," other than either your "executive officers," (if you are an organization other than a
partnership, joint venture or limited liability company) or your managers (if you are a limited liability
company), but only for acts within the scope of their employment by you or while performing duties
related to the conduct of your business. However, none of these "employees" or "volunteer workers"
are insured for:
(1) "Bodily injury" or "personal and advertising injury":
(a) To you, to your partners or members (if you are a partnership or joint venture), to your
members (if you are a limited liability company), to a co -"employee" while in the course of
his or her employment or performing duties related to the conduct of your business, or to
your other "volunteer workers" while performing duties related to the conduct of your
business;
(b) To the spouse, child, parent, brother or sister of that co -"employee" or volunteer worker as
a consequence of paragraph (1)(a) above;
(c) For which there is any obligation to share damages with or repay someone else who must
pay damages because of the injury described in paragraphs (1)(a) or (b) above; or
(d) Arising out of his or her providing or failing to provide professional health care services
except as provided in Provision 10. of this endorsement.
Paragraphs (1)(a), (1)(b) and (1)(c) above do not apply to your "employees" who are:
(I) Managers;
(N) Supervisors;
(III) Directors; or
(N) Officers;
with respect to "bodily injury" to a co -"employee".
(2) "Property damage" to property:
(a) Owned, occupied or used by;
(b) Rented to, in the care, custody or control of, or over which physical control is being
exercised for any purpose by
you, any of your "employees," "volunteer workers", any partner or member (if you are a
partnership or joint venture), or any member (if you are a limited liability company).
b. Any person (other than your "employee" or "volunteer worker"), or any organization while acting as
your real estate manager.
c. Any person or organization having proper temporary custody of your property if you die, but only;
(1) With respect to liability arising out of the maintenance or use of that property; and
(2) Until your legal representative has been appointed.
d. Your legal representative if you die, but only with respect to duties as such. That representative will
have all your rights and duties under this Coverage Form.
e. Your subsidiaries if:
(1) They are legally incorporated entities; and
(2) You own more than 50% of the voting stock in such subsidiaries as of the effective date of this
policy.
If such subsidiaries are not shown in the Declarations, you must report them to us within 180 days of
the inception of your original policy.
Includes copyrighted material of Insurance Services Office, Inc.
Page 4 of 11
CG 70 63 0417
f. Any person or organization, including any manager, owner, lessor, mortgagee, assignee or receiver
of premises, to whom you are obligated under a written contract to provide insurance such as is
afforded by this policy, but only with respect to liability arising out of the ownership, maintenance or
use of that part of any premises or land leased to you, including common or public areas about such
premises or land if so required in the contract.
However, no such person or organization is an insured with respect to:
(1) Any 'occurrence" that takes place after you cease to occupy or lease that premises or land; or
(2) Structural alterations, new construction or demolition operations performed by or on behalf of
such person or organization.
g. Any state or political subdivision but only as respects legal liability incurred by the state or political
subdivision solely because it has issued a permit with respect to operations performed by you or on
your behalf.
However, no state or political subdivision is an insured with respect to:
(1) "Bodily injury", "property damage", "personal and advertising injury" arising out of operations
performed for the state or municipality; or
(2) "Bodily injury" or "property damage" included within the "products -completed operations
hazard."
h. Any person or organization who is the lessor of equipment leased to you, to whom you are obligated
under a written contract to provide insurance such as is afforded by this policy, but only with respect
to their liability arising out of the maintenance, operation or use of such equipment by you or a
subcontractor on your behalf with your permission and under your supervision. However, if you
have entered into a construction contract subject to Subchapter C of Chapter 151 of Subtitle C of
Title 2 of the Texas Insurance Code with the additional insured, the insurance afforded to such
person(s) or organization(s) only applies to the extent permitted by Subchapter C of Chapter 151 of
Subtitle C of Title 2 of the Texas Insurance Code.
No such person or organization, however, is an insured with respect to any 'occurrence" that takes
place after the equipment lease expires.
i. Any architect, engineer, or surveyor engaged by you under a written contract but only with respect to
liability arising out of your premises or "your work." However, if you have entered into a construction
contract subject to Subchapter C of Chapter 151 of Subtitle C of Title 2 of the Texas Insurance Code
with the additional insured, the insurance afforded to such person only applies to the extent permitted
by Subchapter C of the Chapter 151 of Subtitle C of Title 2 of the Texas Insurance Code.
No architect, engineer, or surveyor, however, is an insured with respect to "bodily injury," "property
damage," or "personal and advertising injury" arising out of the rendering of or the failure to render
any professional services by or for you, including:
(1) The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports,
surveys, change orders, designs or specifications; or
(2) Supervisory, inspection, or engineering services.
This paragraph i. does not apply if a separate Additional Insured endorsement providing liability
coverage for architects, engineers, or surveyors engaged by you is attached to the policy.
If the written contract or written agreement requires primary and non-contributory coverage, the insurance
provided by paragraphs f. through i. above will be primary and non-contributory relative to other
insurance available to the additional insured which covers that person or organization as a Named
Insured, and we will not share with that other insurance.
3. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability
company and over which you maintain ownership or majority interest, will qualify as a Named Insured if
there is no other similar insurance available to that organization. However:
a. Coverage under this provision is afforded only until the end of the policy period;
b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired
or formed the organization;
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CG 70 63 0417 Page 5 of 11
C. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed
before you acquired or formed the organization.
d. Coverage A does not apply to "product recall expense" arising out of any withdrawal or recall that
occurred before you acquired or formed the organization.
4. Any person or organization (referred to below as vendor) with whom you agreed under a written contract
to provide insurance is an insured, but only with respect to "bodily injury" or "property damage" arising out
of "your products" that are distributed or sold in the regular course of the vendor's business.
However, no such person or organization is an insured with respect to:
a. "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of
the assumption of liability in a contract or agreement. This exclusion does not apply to liability for
damages that the vendor would have in the absence of the contract or agreement.
b. Any express warranty unauthorized by you;
c. Any physical or chemical change in "your product" made intentionally by the vendor;
d. Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or
the substitution of parts under instructions from the manufacturer, and then repackaged in the
original container;
e. Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to
make or normally undertakes to make in the usual course of business, in connection with the
distribution or sale of "your products";
f. Demonstration, installation, servicing or repair operations, except such operations performed at the
vendor's premises in connection with the sale of the "your product";
g. "Your products" which, after distribution or sale by you, have been labeled or relabeled or used as a
container, part or ingredient of any other thing or substance by or for the vendor.
h. "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts
or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion
does not apply to:
(1) The exceptions contained in subparagraphs d. or f.; or
(2) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally
undertakes to make in the usual course of business, in connection with the distribution or sale
of the products.
This paragraph 4. does not apply to any insured person or organization from which you have acquired
"your products", or any ingredient, part, or container, entering into, accompanying or containing "your
products". This paragraph 4. also does not apply if a separate Additional Insured endorsement, providing
liability coverage for "bodily injury" or "property damage" arising out of "your product" that is distributed or
sold in the regular course of a vendor's business, is attached to the policy.
No person or organization is an insured with respect to the conduct of any current or past partnership, joint
venture or limited liability company that is not shown as a Named Insured in the Declarations.
10. INCIDENTAL MALPRACTICE LIABILITY
As respects provision 9., SECTION II — WHO IS AN INSURED, paragraph 2.a.(1)(d) does not apply to any
nurse, emergency medical technician or paramedic employed by you to provide medical or paramedical
services, provided that you are not engaged in the business or occupation of providing such services, and
your "employee" does not have any other insurance that would also cover claims arising under this provision,
whether the other insurance is primary, excess, contingent or on any other basis.
Under SECTION III — LIMITS OF INSURANCE, provisions 11. through 14. of this endorsement amend the policy
as follows:
11. AGGREGATE LIMITS PER PROJECT
The General Aggregate Limit applies separately to each of your construction projects away from premises
owned by or rented to you.
Includes copyrighted material of Insurance Services Office, Inc.
Page 6 of 11 CG 70 63 0417
12. AGGREGATE LIMITS PER LOCATION
The General Aggregate Limit applies separately to each of your locations, but only when required by written
contract or written agreement. As respects this provision 12., your locations are premises you own, rent or
use involving the same or connecting lots or premises whose connection is interrupted only by a street,
roadway, waterway or right-of-way of a railroad. However, your locations do not include any premises where
you, or others acting on your behalf, are performing construction operations.
13. INCREASED MEDICAL PAYMENTS LIMITS
A. SECTION III — LIMITS OF INSURANCE, paragraph 7., the Medical Expense Limit, is subject to all the
terms of SECTION III — LIMITS OF INSURANCE and is the greater of:
1. $10,000; or
2. The amount shown in the Declarations for Medical Expense Limit.
B. This provision 13. does not apply if COVERAGE C MEDICAL PAYMENTS is excluded either by the
provisions of the Coverage Form or by endorsement.
14. DAMAGE TO PREMISES RENTED TO YOU — SPECIFIC PERILS AND INCREASED LIMIT
A. The word fire is changed to "specific perils" where it appears in:
1. The last paragraph of SECTION I— COVERAGE A, paragraph 2. Exclusions;
2. SECTION IV, paragraph 4.b. Excess Insurance.
B. The Limits of Insurance shown in the Declarations will apply to all damage proximately caused by the
same event, whether such damage results from a "specific peril" or any combination of "specific perils."
C. The Damage To Premises Rented To You Limit described in SECTION III — LIMITS OF INSURANCE,
paragraph 6., is replaced by a new limit, which is the greater of:
1. $1,000,000; or
2. The amount shown in the Declarations for Damage To Premises Rented To You Limit.
D. This provision 14. does not apply if the Damage To Premises Rented To You Limit of SECTION I —
COVERAGE A is excluded either by the provisions of the Coverage Form or by endorsement.
E. "Specific Perils" means fire; lightning; explosion; windstorm or hail; smoke; aircraft or vehicles; riot or civil
commotion; vandalism; leakage from fire extinguishing equipment; weight of snow, ice or sleet; or "water
damage".
"Water damage" means accidental discharge or leakage of water or steam as the direct result of the
breaking or cracking of any part of a system or appliance containing water or steam.
15. BROADENED LEGAL LIABILITY COVERAGE FOR LANDLORD'S BUSINESS PERSONAL PROPERTY
Under SECTION I — COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2.
Exclusions, j. Damage to Property, the first paragraph following paragraph (6) is deleted and replaced with
the following:
Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire) to
a landlord's business personal property that is subject to, or part of, a premises lease or rental agreement with
that landlord.
The most we will pay for damages under this provision 15. is $10,000. A $250 deductible applies.
Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, provisions 16. through 18. of this
endorsement amend the policy as follows:
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CG 70 63 0417 Page 7 of 11
16. BROADENED KNOWLEDGE OF OCCURRENCE
Under 2. Duties In The Event Of Occurrence, Offense, Claim, Or Suit, paragraph a. is deleted and replaced
and paragraphs e. and f. are added as follows:
a. You must see to it that we are notified as soon as practicable of an 'occurrence" or an offense,
regardless of the amount, which may result in a claim. Knowledge of an 'occurrence" or an offense by
your "employee(s)" shall not, in itself, constitute knowledge to you unless one of your partners, members,
"executive officers," directors, or managers has knowledge of the 'occurrence" or offense. To the extent
possible, notice should include:
(1) How, when and where the 'occurrence" 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 damage arising out of the 'occurrence" or offense.
e. If you report an "occurrence" to your workers compensation carrier that develops into a liability claim for
which coverage is provided by this Coverage Form, failure to report such an "occurrence" to us at the
time of the "occurrence" shall not be deemed a violation of paragraphs a., b., and c. above. However,
you shall give written notice of this "occurrence" to us as soon you become aware that this "occurrence"
may be a liability claim rather than a workers compensation claim.
f. You must see to it that the following are done in the event of an actual or anticipated "covered recall' that
may result in "product recall expense":
(1) Give us prompt notice of any discovery or notification that "your product" must be withdrawn or
recalled. Include a description of "your product" and the reason for the withdrawal or recall;
(2) Cease any further release, shipment, consignment or any other method of distribution of like or
similar products until it has been determined that all such products are free from defects that could
be a cause of loss under the insurance.
17. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS
Paragraph 6. Representations is deleted and replaced with the following:
6. Representations
By accepting this policy, you agree:
a. The statements in the Declarations are accurate and complete;
b. Those statements are based upon representations you made to us; and
c. We have issued this policy in reliance upon your representations.
We will not deny coverage under this Coverage Form if you unintentionally fail to disclose all hazards
existing as of the inception date of this policy. You must report to us any knowledge of an error or
omission in the description of any premises or operations intended to be covered by this Coverage
Form as soon as practicable after its discovery. However, this provision does not affect our right to
collect additional premium or exercise our right of cancellation or nonrenewal.
18. TRANSFER OF RIGHTS (BLANKET WAIVER OF SUBROGATION)
Paragraph 8. Transfer of Rights Of Recovery Against Others To Us is deleted and replaced with the
following:
8. 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 them. At our request,
the insured will bring "suit" or transfer those rights to us and help us enforce them. However, if the
insured has waived rights to recover through a written contract, or if "your work" was commenced under a
letter of intent or work order, subject to a subsequent reduction to writing with customers whose
customary contracts require a waiver, we waive any right of recovery we may have under this Coverage
Form.
19. EXTENDED NOTICE OF CANCELLATION AND NONRENEWAL
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Page 8 of 11 CG 70 63 0417
Paragraph 2.b. of A. Cancellation of the COMMON POLICY CONDITIONS is deleted and replaced with the
following:
b. 60 days before the effective date of the cancellation if we cancel for any other reason.
Under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 9. When We Do Not
Renew is deleted and replaced with the following:
9. When We Do Not Renew
a. We may elect not to renew this policy except, that under the provisions of the Texas Insurance
Code, we may not refuse to renew this policy solely because the policyholder is an elected official.
b. If we elect not to renew this policy, we may do so by mailing or delivering to the first Named Insured,
at the last mailing address known to us, written notice of nonrenewal, stating the reason for
nonrenewal, at least 60 days before the expiration date. If notice is mailed or delivered less than 60
days before the expiration date, this policy will remain in effect until the 61 st day after the date on
which the notice is mailed or delivered. Earned premium for any period of coverage that extends
beyond the expiration date will be computed pro rata based on the previous year's premium.
c. If notice is mailed, proof of mailing will be sufficient proof of notice.
d. The transfer of a policyholder between admitted companies within the same insurance group is not
considered a refusal to renew.
20. MOBILE EQUIPMENT REDEFINED
Under SECTION V — DEFINITIONS, paragraph 12. "Mobile equipment", paragraph f. (1) does not apply to
self-propelled vehicles of less than 1,000 pounds gross vehicle weight that are not designed for highway use.
21. ADDITIONAL DEFINITIONS
1. SECTION V — DEFINITIONS, paragraph 4. "Coverage territory" is replaced by the following definition:
"Coverage territory" means anywhere in the world with respect to liability arising out of "bodily injury,"
"property damage," or "personal and advertising injury," including "personal and advertising injury"
offenses that take place through the Internet or similar electronic means of communication provided the
insured's responsibility to pay damages is determined in a settlement to which we agree or in a "suit" on
the merits, in the United States of America (including its territories and possessions), Puerto Rico and
Canada.
2. SECTION V — DEFINITIONS is amended by the addition of the following definitions:
"Covered recall" means a recall made necessary because you or a government body has determined that
a known or suspected defect, deficiency, inadequacy, or dangerous condition in "your product" has
resulted or will result in "bodily injury" or "property damage".
"Product Recall expenses" mean only reasonable and necessary extra costs, which result from or are
related to the recall or withdrawal of "your product" for:
a. Telephone and telegraphic communication, radio or television announcements, computer time and
newspaper advertising;
b. Stationery, envelopes, production of announcements and postage or facsimiles;
c. Remuneration paid to regular employees for necessary overtime or authorized travel expense;
d. Temporary hiring by you or by agents designated by you of persons, other than your regular
employees, to perform necessary tasks;
e. Rental of necessary additional warehouse or storage space;
f. Packaging of or transportation or shipping of defective products to the location you designate; and
g. Disposal of "your products" that cannot be reused. Disposal expenses do not include:
(1) Expenses that exceed the original cost of the materials incurred to manufacture or process
such product; and
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CG 70 63 0417 Page 9 of 11
(2) Expenses that exceed the cost of normal trash discarding or disposal, except as are necessary
to avoid "bodily injury" or "property damage".
22. REASONABLE FORCE — BODILY INJURY OR PROPERTY DAMAGE
Under SECTION I — COVERAGE A., paragraph 2. Exclusions, subparagraph a. Expected Or Intended
Injury is deleted and replaced with the following:
[This insurance does not apply to:]
a. Expected Or Intended Injury
"Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This
exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force
to protect persons or property.
23. BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WORK
A. Under SECTION I — COVERAGE A., paragraph 2. Exclusions, exclusion k. Damage to Your Product
and exclusion I. Damage to Your Work are deleted and replaced with the following:
[This insurance does not apply to:]
k. Damage to Your Product
"Property damage" to "your product' arising out of it or any part of it, except when caused by or
resulting from:
(1) Fire;
(2) Smoke;
(3) "Collapse"; or
(4) Explosion.
For purposes of exclusion k. above, "collapse" means an abrupt falling down or caving in of a
building or any part of a building with the result that the building or part of the building cannot be
occupied for its intended purpose.
Damage to Your Work
"Property damage" to "your work" arising out of it or any part of it and included in the
"products -completed operations hazard". This exclusion does not apply:
(1) If the damaged work or the work out of which the damage arises was performed on your behalf
by a subcontractor; or
(2) If the cause of loss to the damaged work arises as a result of:
(a) Fire;
(b) Smoke;
(c) "Collapse"; or
(d) Explosion.
For purposes of exclusion I. above, "collapse" means an abrupt falling down or caving in of a
building or any part of a building with the result that the building or part of the building cannot be
occupied for its intended purpose.
B. The following paragraph is added to SECTION III — LIMITS OF INSURANCE:
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Page 10 of 11
CG 70 63 0417
Subject to 5. above [of the CGL Coverage Form], $100,000 is the most we will pay under Coverage A for
the sum of damages arising out of any one "occurrence" because of "property damage" to "your product'
and "your work" that is caused by fire, smoke, collapse or explosion and is included within the
"product -completed operations hazard". This sublimit does not apply to "property damage" to "your work"
if the damaged work, or the work out of which the damage arises, was performed on your behalf by a
subcontractor.
24. BROADENED BODILY INJURY COVERAGE
Under SECTION V — DEFINITIONS, the definition of "bodily injury" is deleted and replaced with the following:
3. "Bodily injury"
a. Means physical:
(1) Injury;
(2) Disability;
(3) Sickness; or
(4) Disease;
sustained by a person, including death resulting from any of these at any time.
b. Includes mental:
(5) Anguish;
(6) Injury;
(7) Humiliation;
(8) Fright; or
(9) Shock;
directly resulting from any "bodily injury" described in paragraph 3.a.
C. All "bodily injury" described in paragraph 3.b. shall be deemed to have occurred at the time the
"bodily injury" described in paragraph 3.a. occurred.
25. DESIGNATED COMPLETED PROJECTS — AMENDED LIMITS OF INSURANCE
When a written contract or written agreement between you and another party requires project -specific limits of
insurance exceeding the limits of this policy;
A. for "bodily injury" or "property damage" that occurs within any policy period for which we provided
coverage; and
B. for "your work" performed within the "products -completed operation hazard"; and
C. for which we previously issued Amendment Of Limits Of Insurance (Designated Project Or Premises) CG
71 94 either during this policy term or a prior policy term; and
D. that designated project is now complete;
the limits of insurance shown in the CG 71 94 schedule will replace the limits of insurance of this policy for the
designated project and will continue to apply for the amount of time the written contract or written agreement
requires, subject to the state statute of repose of the project location. These limits are inclusive of and not in
addition to the replaced limits.
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CG 70 63 0417 Page 11 of 11
NAMED INSURED: McClendon Construction Company, Inc.
POLICY NUMBER: CA 2119885
COMMERCIAL AUTO
CA 71 65 09 11
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED - PRIMARY NON-CONTRIBUTORY
COVERAGE WHEN REQUIRED BY INSURED CONTRACT OR
CERTIFICATE
This endorsement modifies insurance provided under the
BUSINESS AUTO COVERAGE FORM
The provisions of the Coverage Form apply unless changed by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insured" under the Who Is An Insured
Provision of the Coverage Form.
This endorsement changes the policy on the inception date of the policy, unless another date is shown below.
Endorsement Effective: Countersigned By:
1 /31 /2024
Named Insured:
McClendon Construction Company, Inc. (Authorized Representative)
(No entry may appear above. If so, information to complete this endorsement is in the Declarations.)
1. Section II — Liability Coverage, A. Coverage, 1. Who Is An Insured is amended to add:
Any person or organization with whom you have an "insured contract' which requires:
i. that person or organization to be added as an "insured" under this policy or on a certificate of
insurance; and
ii. this policy to be primary and non-contributory to any like insurance available to the person or
organization.
Each such person or organization is an "insured" for Liability Coverage. They are an "insured" only if that person
or organization is an "insured" under in SECTION II of the Coverage Form.
The contract between the Named Insured and the person or organization is an "insured contract'.
2. Section IV — Business Auto Conditions, B. General Conditions, 5. Other Insurance, paragraph d. is deleted
and replaced by the following for the purpose of this endorsement only:
d. When coverage provided under this Coverage Form is also provided under another Coverage Form or
policy, we will provide coverage on a primary, non-contributory basis.
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
NAMED INSURED: McClendon Construction Company, Inc.
POLICY NUMBER: CA 2119885
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ ITCAREFULLY,
TEXAS ADVANTAGE
COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT
This endorsement modifles Insurance provided under the
BUSINESSAUTO COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified
by the endorsement.
The premium forihis endorsement is '; $250.00
1. BROAD FORM INSURED
SECTION Il - LIABILITY COVERAGE, A.1. Who Is An Insured is amended bythe addition of the following:
d. Any organization you newly acquire orformr other than a partnership, joint venture or limited Ilab lllty
company, and over which you maintain ownership ora majority interest, will quality as a Named Insured.
However,
(1) Coverage under this provision Is afforded only until the end of the policy period;
(2) Coverage does not apply to "accldents" or "loss" that occurred before you acquired or Formed the
organization; and
(3) Coverage does not apply to an organization that Is an "Insured" under any other policy or would bean
"insured" but for its termination or the exhausting of Its limit of insurance.
e. Any "employed" of yours using:
(1) A covered "auto" you do not own, hire or borrow, or a covered "auto" not owned by the "employee" or
a member of his or her household, while performing duties related to the conduct of your business or
your personal affairs; or
(2) An "auto" hired or ranted under a contract or agreement In that "employee's" name, with your
permission, while performing duties related to the conduct of your business. However, your
"employee" does not qualify as an insured under this paragraph (2) whlfe using a covered "auto"
rented from you or from any member ofthe "employee's" household.
f. Your members, if you are a limited liability company, while using a covered "auto" you do not own, hire or
horrow and while performing duties related io the conduct of your business or your personal affairs.
g. Any person or organization with whom you agree in a written contract, written agreement or permit, to
provide Insurance such as is afforded under this policy, but only with respect to your covered "autos".
This provision does not apply:
(1) Unless the written contractor agreement is executed or the permit Is Issued prior to the "bodily Injury"
or "property damage";
(2) To any person or organization Included as an Insured by an endorsement or in the Declarations; or
(3) To any lessor of "autos" unless:
(a) The lease agreement requires you to provide direct primary insurance for the lessor;
(b) The "auto" Is leased without a driver; and
Includes copyrightedmaterlal of Insurance Services Office, Inc.
CA 71181109 Page 1 of 5
(c) The lease had not expired.
Leased "autos" covered under this provision will be considered covered "autos" you own and not covered
"autos" you hire.
h. Any legally incorporated organization or subsidiary in which you own more than 54% of the voting stock on
the effective date of this endorsement.
This provision does not apply to "bodily injury" or "properly damage" for which an "insured" is also an
insured under any other automobile policy or would be an Insured under such a policy, but for Its
termination or the exhaustion of its limits of Insurance, unless such pollcy Was written to apply specifically
In excess of this pollcy.
2. COVERAGE EXTENSIONS -SUPPLEMENTARY PAYMENTS
Under Section II - LIABILITY COVERAGE, A2.a. Supplementary Payments, paragraphs (2) and (4) are
deleted and replaced as follows:
(2) Up to $2,500 for the cost of bail bonds (Including bonds for related traffic law violations) required because
of an "accident" we cover. We do not have to furnish lhase bonds.
(4) All reasonable expenses incurred by tho "Insurod" at our request, including actual loss of earnings up to
$500 a day because of time off from work,
3. AMENDED FELLOW EMPLOYEE EXCLUSION
Under SECTION II -LIABILITY COVERAGE, B. EXCLUSIONS, paragraph 5. Fellow Employee Is deleted
and replaced bythe following:
5. Fellow Employee
"Bodily injury" to:
a. Any fellow "employee" of the "insured" arising out of and In the course of the fellow "employee's"
employment or while performing duties related to the conduct of your business. However, this
exclusion does not apply to your "employees" that are officers, managers, supervisors or above.
Coverage is excess over any other collectible Insurance.
b. The spouse, child, parent, brother or sister of that fellow "employee" as a consequence of paragraph
a. above.
4. HIRED AUTO PHYSICAL DAMAGE COVERAGE AND LOSS OF USE EXPENSE
A. Under SECTION III -PHYSICAL DAMAGE COVERAGE, A. COVERAGE, the following is added:
Ifanyof your owned covered "autos" are covered for Physical Damage, we will provide Physical Damage
coverage to "autos" that you or your "employees" hire or borrow, underyour name or the "employee's"
name, for the purpose of doing your work.
We will provide coverage equal to the broadest physical damage coverage applicable to any covered
"auto" shown In the Declarations, Item Three, Schedule of Covered Autos You Own, or on any
endorsements amending this schedule.
B. Under SECTION III -PHYSICAL DAMAGE COVERAGE, A.4. Coverage Extensions. paragraph b. Loss
Of Use (Expenses is deleted and replaced with the following:
b. Loss Of Use Expenses
For Hired Auto Physical Damage, we will payexpenses forwhich an "insured" becomes legally
responsible to payfor loss of use of a vehicle rented or hired without a driver, under awritten rental
contract or agreement. We will pay for loss of use expenses if caused by:
(1) Other than collision, only If the DeclaralIons indicate that Comprehensive Coverage Is provided
for any covered "auto';
Includes copyrighted material of Insurance Services Office, Inc,
Page 2 of 5 CA 71181109
(2) Specified Causes of Loss, only If the Declarations indicate that Specified Causes Of Loss
Coverage is provided for any covered "auto"; or
(3) Collision, only if the Declarations indicate that Collision Coverage is provided for any covered
"auto".
However, the most we will payfor any expenses for loss of use Is $30 per day, to a maximum of
$2, 000.
C. Under SECTION IV —BUSINESS AUTO CONDITIONS, B. General Conditions, 5, Other Insurance,
paragraph b. Is replaced bythe following:
b. For Hired Auto Physical Damage, 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"employees" under a contract in that Individual
"employee's" name, with your permission, while 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", nor
Is any "auto" you hire from any of your "employees", partners (if you are a partnership), members (If
you are a limited liability company), or members of their households.
5. LOAN OR LEASE GAP COVERAGE
Under SECTION 111— PHYSICAL DAMAGE COVERAGE, A. COVERAGE, the following is added:
If a covered "auto" is owned or leased and if we provide Physical Damage Coverage on it, we will pay, In the
event of a covered total "loss", any unpaid amount due on the lease or loan for a covered "auto', less:
(a) The amount paid under the Physical Damage Section of the pollcy; and:
(b) Any;
(1) Overdue lease or loan payments Including penalties, interest or other charges resulting from overdue
payments at the time of the "loss";
(2) Financial penalties Imposed under a lease for excessive use, abnormal wear and tear or high
mileage;
(3) Costs for extended warranties, Credit Llfe Insurance, Health, Accident or Disability Insurance
purchased with the loan or lease;
(4) Security deposits not refunded by a lessor; and
(5) Carry-over balances from previous loans or leases,
6. RENTAL REIMBURSEMENT
UnderSECTION III - PHYSICAL DAMAGE COVERAGE, A.4. Coverage Extensions, paragraph a..
Transportation Expenses is deleted and replaced by the following:
a. Transportation Expenses
(1) We will pay up to $75 per day to a maximum of $2,000 for transportation expense Incurred by you
because of covered "loss". Wa will pay only for those covered "autos" for which you carry Collision
Coverage or olthor Comprehensive Coverage or Specified Causes of Loss Coverage. We will pay
for transportation expenses Incurred during the period beginning 24 hours after the covered "loss"
and ending, regardless of the policy's expiration, when the covered "auto' is returned to use or we
payfor its "loss This coverage Is In addition to the otherwise applicable coverage you have on a
covered "auto". No deductibles apply to this coverage.
Includes copyrighted material of Insurance Services Office, Inc.
CA 71181109 Page 3 of 5
(2) This coverage does not apply while there Is a spare or reserve "auto" available to you for your
operation.
7. AIRBAGCOVERAGE
Under SECTION III -PHYSICAL DAMAGE, B. EXCLUSIONS, paragraph 3. is deleted and replaced by the
following:
3, We will not pay for"loss" caused by or resulting from any of the following unless caused by other "loss"
thatis covered bythls insurance:
(1) Wear and tear, freezing, mechanical or electrical breakdown. However, this exclusion does not
include the discharge of an airbag.
(2) Blowouts, punctures or other road damage to tires.
S. GLASS REPAIR --WAIVER OF DEDUCTIBLE
Section ill — PHYSICAL DAMAGE COVERAGE, D. Deductible Is amended to add the following:
No deductible applies to glass damage if the glass Is repaired ratherthan replaced.
9. COLLISION COVERAGE —WAIVER OF DEDUCTIBLE
Under Section III - PHYSICAL DAMAGE COVERAGE, D. Deductible is amended to add the following:
When there Is a loss to your covered "auto" Insured for Collision Coverage, no deductible will apply if the loss
was caused by a collision with another "auto" Insured by us.
10. KNOWLEDGE OF ACCIDENT
Under SECTION IV -BUSINESS AUTO CONDITIONS, A. Loss Conditions, 2. Duties In The Event Of
Accident, Claim), Suit Or Loss, paragraph a, is deleted and replaced by the following:
a. You must see to itthatwe are notified as soon as practicable of an "accident", claim, "suit" or "loss".
Knowledge of an "accident", claim, "sull"or "loss" byyour "employees" shall not, in itself, constitute
knowledge to you unless one of your partners, executive officers, directors, managers, or members (if you
are a limited Ilability company) has knowledge of the "accident", claim, "suit" or "loss". Notice should
include:
(1) How, when and where the "accident" or "loss' occurred;
(2) The "Insured's" name and address; and
(3) To the extent possible, the names and addresses of any injured persons and witnesses.
11. TRANSFER OF RIGHTS (BLANKET WAIVER OF SUBROGATION)
Under SECTION 1V - BUSINESS AUTO CONDITIONS, A. Loss Conditions paragraph 5. Transfer Of Rights
Of Recovery Against Others To Us Is deleted and replaced by the following:
5. Transfer Of Rights Of Recovery Against Others To Us
If any person or organization to orfor whom we make payment underthis Coverage Form has rights to
recover damages from another, those rights are transferred to us. That person or organization must do
everything necessary to secure our rights and must do nothing arter "accident" or "loss" to Impair them.
However, if the "Insured" has waived rights to recover through a written contract, or If your work was
commenced under a letter of intent or workorder, subject to a subsequent reduction in writing with
customers whose customary contracts require a waiver, we waive any right of recovery we may have
underthis Coverage Form.
Includes copyrighted material of Insurance Services Office, Inc.
Page 4of5 CA71181109
12. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS
Under SECTION IV - BUSINESS AUTO CONDITIONS, B. General Conditions, paragraph 2.
Concealment, Misrepresentation Or Fraud is amended by the addition of the following:
We will not deny coverage under this Coverage Form If you unintentionally fall to disclose all hazards
existing as of the inception date of this policy. You must report to us any knowledge of an error or omisslon
in your representations as soon as practicable after Its discovery. This provision does not affect our right to
collect additional premium or exercise our right of cancellation or non -renewal.
13. BLANKET COVERAGE FOR CERTAIN OPERATIONS IN CONNECTION WITH RAILROADS
When required by written contract or written agreement, the definlllon of "Insured contract" is amended
as follows:
The exception contained in paragraph H.3. relating to construction or demolition operations on or within
50 feet of a railroad; and
Paragraph Hai.
are deleted with respect to the use of a covered "auto" in operations for, or affecting, a railroad,
Includes copyrighted material of Insurance Services Office, Inc.
CA 71 181109 Page 5 of 5
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 42 03 04 B
(Ed. 6-14)
TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
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.
Schedule
1. () Specific Waiver
Name of person or organization
(X) Blanket Waiver
Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver.
2. Operations:
3. Premium:
The premium charge for this endorsement shall be @@@ 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:
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
Endorsement Effective 1/31/2024 Policy No. WC 211988801 Endorsement No. WC 42 03 04 B
Named Insured:' McClendon Construction Company, Inc. Premium
Insurance Company
-Amerisure Insurance Company
WC420304B
(Ed. 06-14)
Countersigned by
Copyright 2014 National Council on Compensation Insurance, Inc. All Rights Reserved.
NAMED INSURED: McClendon Construction Company, Inc.
POLICY NUMBER: WC 211988801
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EARLIER NOTICE OF CANCELLATION
PROVIDED BY US
Number of Days Notice 30
For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of cancellation is
increased to the number of days shown in the Schedule above.
If this policy is cancelled by us we will send the Named Insured and any party listed in the following schedule notice of cancellation
based on the number of days notice shown above.
SCHEDULE
Name of Person or Organization
The Name of Person or Organization is any person or organization holding a certificate of insurance
issued for you, provided the certificate:
1. Refers to this policy;
2. States that notice of.
a. Cancellation;
b. Nonrenewal; or
c. Material change reducing or restricting coverage;
will be provided to that person or organization;
3. Is in effect at the time of the:
a. Cancellation;
b. Nonrenewal; or
c. Material change reducing or restricting coverage; and
4. Is on file at your agent or broker's office for this policy.
Mailing Address
The Mailing Address is the address shown for that person or organization in that certificate of
insurance.
IL 70 45 05 07 - BLKT
NAMED INSURED: McClendon Construction Company, Inc.
POLICY NUMBER: CPP 2119886, CA 2119885 & CU 2119887
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION, NONRENEWAL OR MATERIAL
CHANGE -THIRD PARTY
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
COMMERCIAL UMBRELLA LIABILITY COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM
TRUCKERS COVERAGE FORM
Subject to the cancellation provisions of the Coverage Form to which this endorsement is attached, we will not:
1. Cancel;
2. Nonrenew; or,
3. Materially change (reduce or restrict)
this Coverage Form, except for nonpayment of premium, until we provide at least 30 days written notice of
such cancellation, nonrenewal or material change. Written notice will be to the person or organization named in
the Schedule. Such notice will be by certified mail with return receipt requested.
This notification of cancellation, nonrenewal or material change to the person or organization named in the
Schedule is intended as a courtesy only. Our failure to provide such notification will not:
1. Extend any Coverage Form cancellation date;
2. Negate the cancellation as to any insured or any certificate holder;
3. Provide any additional insurance that would not have been provided in the absence of this endorsement;
or
4. Impose liability of any kind upon us.
This endorsement does not entitle the person or organization named in the Schedule to any benefits, rights or
protection under this Coverage Form.
SCHEDULE
Name Of Person Or Organization Mailing Address
Any person or organization holding a certificate of insurance issued The address shown for that person or organization in
for you, provided the certificate: that certificate of insurance
1. Refers to this policy;
2. States that notice of:
a. Cancellation;
b. Nonrenewal; or
c. Material change reducing or restricting coverage;
will be provided to that person or organization;
3. Is in effect at the time of the:
a. Cancellation;
b. Nonrenewal; or
c. Material change reducing or restricting coverage; and
4. Is on file at your agent or broker's office for this policy
IL70660714
FORT WORTH,..,
Routing and Transmittal Slip
Transportation & Public Works
Department
DOCUMENT TITLE: Park Vista Blvd Improvements
M&C: 24-0388 CPN: 103281 CSO: 61577
Date: 06/03/24
To:
Name
1.
Donnette Murphy
2.
Patricia Wadsack
3.
Lauren Prieur
4.
Priscilla Ramirez
5.
Doug Black
6.
Jesica McEachern
7
Ronald Gonzales
8
Janette Goodall
9
Allison Tidwell
10.
TPW Contracts
Department
Initials
Risk -Approver
r.1
TPW-Approver
pL
TPW-Signer
Legal -Approver
Legal -Signer
ACM -Signer
CSCO-Approver
P
CSCO-Signer
G 'Ta
CSCO-Form Filler
!J-
TPW
DOCM
Date Out
06/04/24
06/11 /24
06/11 /24
06/11 /24
36/11 /24
36/18/24
)6/18/24
06/18/24
06/20/24
CC: Program Manager, Sr. CPO, TPW BSPAP Recon Team, TPW Records Room, TPW
Contracts
DOCUMENTS FOR CITY MANAGER'S SIGNATURE: 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 ®No
RUSH: ❑YES ®No SAME DAY: []YES []No NEXT DAY: []YES ❑No
ROUTING TO CSO: ®YES ❑No
Action Re aired:, ❑ Attach Signature, Initial and Notary Tabs
❑ As Requested
❑ For Your Information
® Signature/Routing and or Recording
❑ Comment
❑ File Link to the General Conditions and Technical Specifications
Return To: Please notify TPWContracts a@fortworthtexas. oovv for pickup when complete. Call eat.
7233 or ext. 8363 with questions. Thank you!
From: Betty Reeh
To: svc. Agiloft; Hadlev-MMhPP, Michelle; TPW Contracts
Subject: RE: PLEASE REPLY _BOND VERIFICATION REQUEST [CPN 103281 (Park Vista Blvd)] ID:[fi7y3k/4912/1032]
Date: Friday, May 31, 2024 11:18:49 AM
Attachments: imaoe001.Dno
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.
This is a valid bond and the information shown is correct. Any other questions, let me know.
Betty J. Reeh
Surety Account Executive
ACRISURF
32335 US Hwy 281 N, Suite 1201
Bulverde, TX 78163
Email: breeh(cbacrisure.com
Direct: 210-697-2230
Cell: 210-273-4934
This email, including any attachments or subsequent replies thereto or forwards thereof, (a) may include confidential, proprietary or other protected information; (b) is sent
based upon a reasonable expectation of privacy; and (c) is not intended for unauthorized persons. If you are not the intended recipient of this email, you must not use,
disclose or disseminate it or any information contained herein, including attachments. If you are not the intended recipient of this email, please immediately notify its sender
and permanently delete it, including any attachments or replies thereto or any forwards, copies or portions thereof. Any unauthorized review, use, disclosure or distribution
of this email is prohibited and may be a violation of law or regulation. It is the responsibility of the recipient of this email to take steps to protect against viruses and to
ensure that this email (and any attachments hereto) does not adversely affect any computer system into which it is received or in which it is opened.
From: agiloftsvc@fortworthtexas.gov <agiloftsvc@fortworthtexas.gov>
Sent: Friday, May 31, 2024 10:19 AM
To: Betty Reeh <breeh@acrisure.com>; Michelle. Had ley-McGhee@fortworthtexas.gov; TPWContracts@fortworthtexas.gov
Subject: PLEASE REPLY —BOND VERIFICATION REQUEST [CPN 103281 (Park Vista Blvd)] ID:[fi7y3k/4912/1032]
IYou don't often get email from anilnfttvr(c)fnrtwnrthtPxas nnv I Parn why this it imnnrtant
05/31/2024
Good morning Betty.
The City of Fort Worth is in receipt of the following referenced bond(s) — BOND #100359635, in the amount of $
3,881,916.75 (Three Million Eight Hundred Eighty -One Thousand Nine Hundred Sixteen and 75/100
Dollars), from McClendon Construction Co., Inc., for City Project #103281 (Park Vista Blvd. Improvements).
Please provide confirmation that both the bond(s) and dollar amount(s) are valid. Your prompt attention to this matter
is greatly appreciated!
If there are additional questions or concerns, please do not hesitate to contact me at, michelle.hadlev-
mcohee(&fortworthtexas.aov, or by phone, 817-392-7233.
Should this request have reached you in error, or needs to be directed elsewhere, please be so kind to provide the
name of the contact, with both an email address & phone number of the person or department being referenced. It is
appreciated.
�ookl� fntwatd � pg�v�otaclative,
Michelle Hadley -McGhee
Contract Compliance Specialist
City of Fort Worth
Transportation & Public Works (TPW)
200 Texas Street, Fort Worth, TX 76102
Direct: 817-392-7233
Michelle.Hadlev-McGhee(@fortworthtexas.eov