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Home My WebLink AboutContract 58566-FP1.FORT WORTH® TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION -FplCity Sec retary No: 58566 Dat e Received: 7 /8/24City Project N!!: 104178 Regarding contract 58566 , 202 3 Asphalt Resurfacing Contract 2 for as required by theTRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 1112912022 through M&C 22-0999 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation & Public Works Department has accepted the project as complete. Original Contract Amount: Amount of Approved Change Orders: Revised Contract Amount: Total Cost Work Completed: Less Deductions: Liquidated Damages: Pavement Deficiencies: Total Deduction Amount: Total Cost Work Com pleted: Less Previous Payments: Final Payment Due � L a!aa4ad .£atrici.a_L. Wadsac_k__(J_ul 3,202416:04 CDT) Recommended for Acceptance Asst. Director, TPW -Capital Delivery Lauren Prieur (Jul 3, 202416:08 CDT) Accepted $ 1,841,526.65 Days 210$ 16,395.90 N9 _1 _ Days Added by co__!Q_$ 1,857,922.55 TotalDays 220 $ 1,564,729.10 Days Charged�__ Days@$ ____ / Day $8,724.64 $ 1,564,729.10 $ 1,486,492.65$ 69,511.81 Jul3,2024 Date Jul3,2024 Date Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT � JulB,2024 Asst. City Manager Date Comments: C-620 Signature Page Contractor's App '�o1VDe`� City of Fort Worth P. O. Number. FW�z'�—��00�9�54 Project: 1 �41 %$ c�ry se��e� co�va�c 58566 Number: ved Change Orders Nnmber 1 2 3 4 5 6 7 8 TOTALS NE7' CHANGE BY CHANGE ORDERS Application For Payment • ' �� 31G,395.90 i 1. ORIGINAL CONTRACT PRICE ............................................................. S 57.841.52G.G5 2. Net chan�e bY Changc Orders ........................................................_.....__. S SI6.395.90 3. Current Contract Price (Line I t 2) .......................................................... S 81.857.92255 4. TOTAL COMPLETED AYD STORED TO DATE (Progress Es6mate, Construcfion Allowance and Chan�e Orders)....... 3 31,564,729.10 5. RETAINAGE: a_ X SI,56372410 WorkCampleted.......... S b. LESS DEDUCTIONS X 58,924.64 Penalty S 58,724.64 c. Total Re[aina�e (Line Sa+ Line 56) ................................. S 58,725.64 6. AMOUNT ELIGIBLE TO DATE (Linc 4- Line Sc) ............................._ S 51.556,009.4G 7. LESS PREVIOUS PAYMENTS (Line 6 trom prior Applicallon)......... S 51,986,492.65 8. AMOUNT DUE THIS APPLICAT[ON ......................_............................ S 569.511.81 9. BALANCE TO FINiSH, PLUS RETAiNAGE (ColumnGonPro�ressEsrimate+CA+COs+LineSabove)........._.... 5 S301,918.10 on for Payment Invoice No. [nvoicing Period (From - To): Invoice Date: 3/1i24-3/31/24 5/2/2� From (Cont�acror): Remit ro( IfNot Auromatic Deposit ): Peachtree Conswction LTD Conttacror s CF W Vendor No.: 0000007231 c°""�" 2023 As halt Resurfacin Contract 2 N�,e. P g $16,395.90 Contractor's Cerrification The Contractor certif;es with the submittal of this docunent and azsociared Payment Reqnest Submittal on the Ciry of Fort Worth Buzzsaw system that to tlie best oftheir knowledce: ( I) alI previous progress payments received from O�vner on accoimt of Work done under the Con[ract have been applied on account to discharge Contractor's leeitimate ebligations incurred in co�nection with Work covered by p�or Applicatio�u for Payment; (2) title of all Work, matenals and equipment inco�porated in said Work or otheewise lisred in or covered by this Application for Payment will pass to Owner at time of payment free and cleaz of all Liens, secunry � teres[s and encwnbrances (escept such as aze covered by a Bond acceptable to Owner indemnifying O�mer against any such Liens, securiry interest or encumbranres): and (3) all Work covered by this Applicztion for Payment is in accordance with the Contract Documznts and is mt defective. , Liquidared Damaces 5650.00 s day �� l0. CONTR.4CT TIME: a DaysAwarded 210 y, Days Added by CO Ip � Total Days ??p d_ Days Charged 98 �, DaysRemaining �ZZ Consent of Surety � Affidavit of Bills Paid This document has been modified from its original form as an EJCDC document and the user did not highlight the modifcations. You are encouraged to read the document carefully and consult Legal Counsel priorto its execution. C-620 Unit Price Progress Esiimate Progress Estimate F°`ccon1J01 2023 Asphalt ResurFacing Contract 2 .4pPlica�ion Pcrio�: 3�1�2¢3�31�Z4 A I�cn Biditcm �o. Dcscription Spccifica�on UniioC B�� Q�� . Stt on No. Mca 1 0135.02�1 REMOEILIZATION 01]000 E/+c 1.00OD00 2 0261.13D0 REMOVE CONC CURB 8 GUTTER �24113 LF 2816.00OD00 3 3216.01D2]"CONCCURBANDGUTTER 3'_IGI_ LF �2260.000000 4 02<1.OGD1 REMOVECONCRETEDRIVEWAV 0?311� SF 36]O.00OOOC 5 3213.0401 6"CONCRETECRIVEWAY 321i20 SF J925.00OOOC 6 0241.0100 REMOVESIDEWFLK 02411� SF 65000000C 7 3213.030� 4"CONCSIDEWALK 321:20 SF 650.0OO�OC 8 32130322 CONCCLIFBATBACKOFSIDEWALK(6to121nchmax) i21�20 LF i]O.00ODOC 9 0241.16CORE�AOVECONCVALLEYGUTTER 0'_411� SY 100.0OOOOC 10 3216.03C1 �" CONC VFLLEY �UTTER 32 IG 13 SY 1]0.00000[ 11 0241.03C0 riEM.OVEADARAMP 024113 SF 4i00.00000( 12 3213.OSCi BARRIER FREE RAMP, iYPE R-1 3? 13 �U SF t500.00000( 13 3213.OSC6 3ARRIER FREE FAN�P, NPE P-1 3? 1320 SF 2]00.0�0�0( � 14 311001C�312"t0"TREEREMOVAL �II[iU[i EA 5.00000( c'"'�"` 58566 Con clNuiu: B UniiPricc BidValnc Si,000.00 si o00 50.15 522,95� 540.00 5490 <00 54.50 516.515 511.50 Sa5.13] 53.45 52.262 59.60 56.3]0 523.00 53,910 566.00 5<600 5110.00 510,'!OD 15 3110.0104 i0"-24" TREEREMOVAL i11�UU EA 5.000000 513D0.00 9999.0000 REMOVECO��CRETEAVDREPtACEWITH'IINCH 9)999(� 16 CONCRET�?AVEMENTHES SV 80000000 53G5.00 1] 3212.0302 3" ASPNALT PAVEMEN'. TYPE D 3? 121L SV 21825.000000 524.60 18 321206�1 HMACTRANSITION � �2121G TN 10.000000 5140.00 19 0261.1'/0011"PAVENENTPULVERIZATION 024115 SY 21825.00OD00 50.65 20 3211.0122 FLEX BASE. TYPE A. GR-2 I2I1 23 CV 100.000000 5110.00 21 3211.0G00 CEMcNT NODIFICA'ION, 261�s1sy 3? I I 33 TN 284.000000 5330.00 22 3123.0101 UNCLASSI=IED EXCAVATION 312� IG CY 150.000000 540.00 23 3292.0100 BLOCK SOD REPL4CENENT 3? 92 13 SV 2200.000000 511.00 2< 321].SOOICUR3ADRESSPAINTING 3�1]?± FA 40.000000 5100.00 25 3291.0100 TOPSOIL 3?9119 CV 135.00000( 26 3232.010000NCRETAININGWALL(2FT-4F� �213?0 SF 200.00�00( 2] 3305.0108 MISCELL4VEOUSADJUSTMENT(UTILITIES) 33051i LS 1.000001 3305.0111 WATER VALVE BOX ADJUSTMENT (WITH STEEL RISER) 3� US 15�� Oi ze i� En i.00000i 3305 0112 WATER VALVE BOX ADJUSTMENT (WITH GONCRETE 33 05 1J!'3 0> 29 COLLAF) 1] EA 2.000001 30 3312.20031- INCH STAN�AR� PLASTIC METER BOX 3i 12I� EA I 10.0OOOOi 31 3312.20031-INCHSTAN�ARDCONCRETEMETER60X 3:1210 EA� t000000i 3349.010] MANHOLEADJUSTMENT(WITHSTEELRISER) 3��516/3305 32 �� Eq 1.0OOOOi 3305.0112 MANHOLEA�JUSTMENT(WITHCONCREfECOLLAR) 3��514/ii�5 33 I'1 EA 2.D0000� 34 3110.0101 SITE CLEARING 31IOU0 SY 100.00000� 35 �9999.0096 PAVINGCONSTRUCTIONALLOWANCE I I �S � 1.00000 � � C � Estim�tcd (1ua . y��uc Prc�'iousl� Insullcd Valuc V,�luc This Pcriod Insullcd nt z.000a0000 sz.000.oa sz,00a.00 9153.00O00000 5�4,596�5 5�<596.95 9296.05000000 53]1842.G0 53]1,842.00 �123.0]000000 532.053.82 532,053.82 _ ._ __ _ ]699.19000000 SB8,540.69 588,540.69 _ __ 4462.15000000 515 39a 42 515,394.42 4�80.59�00�00 540.969.]8 540,969.18 _ 100.10000000 54,60d.60 54,604.60 _ _ 106.30000000 520493G0 520493.00 _ _ 561,600.00 I 1 ] 10.00000000 5118,80000� 1020.20000000 Sa, 500.00 12.00 000000 56,5000� 6.00000000 52I.6�0 00 153.09000000 55<1 260.00 15 � 92.04000000 51 400 oc 5184,421 25 1522].46000000 sii,00aco zzo.00000000 593,"l2D.0� 19].95]00000 56 000.00 524,2J0.00 3575.00000000 s<.000.00 sis,soo.co iza.00000000 sz000.co s � o,000.00 51 OOO.00 52600.OG 2.000OO�OL 54,500.00 55,500.00 51 300.00 53,000 00 4.0000000( SC,500.00 S�o,000.00� Si,000.00 5].800.OD 552,816.05 552,816.05 3]6.]62.59 53]6,�62.59 128,6�2.06 5120,6"l2.04 524.200.00 524,200.00 565.325 61 565 325.81 539,325.00 539.325.00 sn.zzo.00 snzza.00-- - 52.600.00 52.600.0� _ _ _ 56,000.00 56,000.00 This aocument has been motlifetl from its ariginal (orm as an EJCOC tlocument antl �he user tlid not highllgh� �he motlllcations. Vou are encouraged to reatl the document carefully and consull Legal Counsel prior to its execNion. c.szo cnanee ome� Progress Estimate Change Order Number � Contractor's Application ADDITIONS "��"'c��. IOQI7$ '-0?3ASOh:iltRc.urf:�cin¢Con�ract_ �p^ iy.GG p��Numbcr. � n��n��ro�o��: ;n_r_oz� nrru�.,fioi� v.�Ml�. 3/]/243/�I/24 � U It. AJs� i i maicd Qua i-9' � Rn� I uc 1'M1 . . and 5 oretl u (P1 <. 1�..f•M1 `pee' ' COQ�hn _ ndd UniiPna Cl+�nv.Or��r lon�llc� jye In.u. I �en'a� ' f o.inC) �D�C�� o. U..=rp�ion cconNn. i.�rc �uc I Y SI^R56_E tti. SI+�t8. f . <II�?6 a]�.x IFm�o�c�n�nc ur< Itl'W G . uKKitN� `SY9�� -�90I aBOtrolXwpD SJ2 .91�� 51�Sa.Wll I 4_S. t� "tNc . p . SY 9uuuW0 00 �� p u nc � nlo ' � � � II II I� � I II I I� � � � � � � � � �-_ � � � � � _� � � � I II I I� � � II I I I III -- I . I I II I� I � I � III II i I � �. i... _. -- i II I �I . -�__-. _.___�I. �I II � I� I� . II. . . III . . .II ._ - _ _ � I � � I � � � � � � � � � � � II � � I � � � .i_ i i I i II II II I � ._�-- _ I I � � � I III I II . II I . II III II . i i � �_ _ _ � II -- II II� � I� I III� I I i li I I II I � � I� � � I � � � II i i-_. _. II � � � �___. _-� �.. ._- II_. ._ __. I__ I _ _- II i--I_ II �I II I I � � I I � I __ � � I . � � I __-_. --_ ____-_'.-_ _. i � � � � � � � � � �._ - I -�-__�. _ I I � I � � I � � I _I_ -I-___�-_- -_ I I II II.. .i I I II i I._. . II II II --_ _-I-_ __- _-- i i i . II I II II II I I� I ...� � I- ...�I . I � I I I � I � � I � I � � I II � I� � � I � I I � I II I � I � � � I I � � � I S11J9G90 51(.511.IL Si(.<�3.16 SO.W =� �,.d�n�a im�:� ��i:: o�e��,i r��„ o-,� iacoc m��m.�a �e� �,«a�,a �o� e�enrsm n�� inWif�.+iu�v�n'You.in.�� F uRn�ilieJa.��n�cm�.rc:ull��ntl��v�iliLCF�ICouneelyriorioi��e�c�uiion. CiTy Secretary Contract Nwn: I 58566 Application Period: ity of Fort Worth Summ 2023 Asphalt Resurfacing Contract 2 3/1/24-3/31/24 of Charges P'�. FW020-0000009054 ProjectNumbec 104178 ��"""""' I 9 I Application Date: I 5/Z/2024 Number: Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net Original Contract 30"100-0200431-574001D-104978-006280-9999 5"1,548,2'15.94 $293,390.7"I 0 0 0 0 — 0 0 - ---._. . . _. .. . Change Orderl 30"100-02�0431-5740010-'104178-006280-9999 $16,5'13.'16 ($'117.26) ($0.00) (50.00) 0 0 0 0 0 0 Change Order 2 3�100-0200431-5740010-'104'178-006280-9999 0 0 0 0 0 0 City of Fort Worth Summary of Charges Ciry Secretary Contract Nwn: 58566 2023 Asphalt Resurfacing Contract 2 P� FW020-0000009054 Project Number: 104178 A �cationPeriod: 3/1/24-3/31/24 I APP��cation I � I pPP�(ca[ionDate: I J/2/2023 PP° Number Funding Identification (FID) 7otal Completed Amt Remaining Gross Retainage � Net Totals 30100-0200431-5740010-"104'178-006280-9999 51,564,729."10 $293,193.46 ($0.00) _ (S0.00) 0 0 0 0 0 0 0 0 0 0 Grand7otal 5�,564,729.10 $293,�93.46 ($0.00) ($76,236.45) 378,"e36.45 CSC No. 58566-CO1 FORT WORTH;, City of Fort Worth `�� Change Order Request Project Name 2023 Asphalt Resurfacing Contract 2 City Sec # 58566 Client Project #(s) 104178 Project Description Pulverization of existing street and 3" asphalt overlay at various locations. Contractor Peachtree Construction Ltd Change Order # 1 Date 3122/2023 City Project Mgr. Tariqul Islam City Inspector Stephen Barnard Dept. Original Contract Amount Extras to Date Cretlits to Date Pentling Change Orders (in M&C Process) Contract Cost to Date Amount of Proposed Change Order Revisetl Contract Amount Original Funtls Available for Change Orders Remaining Funds Available for this CO Atltlitional Funtling (if necessary) TPW 1,857,922 CHANGE ORDERS to DATE (INCLUDING THIS ONEJ AS % OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%J Contract Time Totals (CD) $1,841,526.65 210 $1,841,526.65 210 $16,395.90 10 $1,857,922.55 220 $100,000.00 $100,000.00 0.89% $2,301,908.31 JUSTIFICATION (REASONS) FOR CHANGE ORDER This change ortler is to atld $16,395.90 antl 10 calendar days to contract # 58566 and with a revisetl contract amount of $1,857,922.55 During construction it was identified that Yuma Ave has concrete base in certain areas that neetl to be removed to compiete pulverization process. Also, a 10 ft inlet top at Belle PI is identifietl broken that needs replacement. These two items were not included in original contract and a quote was receivetl from contractor for these adtlitional works. The quote for these items is verified with recent bids and found reasonable. Contractor's quotes are attachetl to this document as reference. To do this additional work 10 calendar days are proposetl to adtl to the contract. Adequate fund is available in this project to cover the change order cost. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Contractor's Company Name Contractor (Name) Contract Signature Date Peachtree Construciton Ltd Brendan Taylor �'�=�°'�� Mar 28, 2023 Inspector/lnspection Supervisor Date Project and Contract Compliance Manager Date ��wa�� Mar27,2023 --� Mar27,2023 Program Manager Date Senior Capital Project Officer Date �� Mar 28, 2023 ��a�. � Mar 28, 2023 Assistant Director (Dept) Date Director, Contracting Department (Dept) Date �"T � (�a+►�r► Mar 30, 2023 �� Mar 30, 2023 Assistant City Attomey Date Assistant City Manager Date -�� Mar 30, 2023 --- �"'f� Mar 30, 2023 Council Action (if required) M&C Number NIA ATTEST: a ��.� .e � �_ Jannette Goodall, City Secretary 44pU44p b� aoF pORt �� ,� Oo�� Y Od a�. � � � 0 v �`� o89-�dd ovo o=a p�p'f ° �° �` d �� otEXAsop �bnoaa49 M&C Date Approved NIA OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FORr woaTH c�ty ot Fort wortn �� Change Order Additions Project Name 2023 Asphalt Resurfacing Contract 2 City Sec # 58566 ClientProject# 104178 Contractor Peachtree Construction Ltd PM Tariqul Islam Inspector Stephen Barnard Change Order Submittal # �t Date 3/22/2023 ADDITIONS Qty nit nit ost ota 36-New Remove concrete base TPW 380.00000000 SY 31.95 72,141.00 37-New Replace 10 ft inlet top TPW 1.00000000 EA 4,254.90 ,254.90 TPW $16,395.90 Sub Total Additions 16,395.90 Change Order Additions Page 2 of 4 F�R� City of Fort Worth Change Order Deletions Project Name 2023 Asphalt Resurfacing Contract 2 City Sec # 58566 Client Project # 104178 Contractor Peachtree Construction Ltd PM Tariqul Islam Inspector Stephen Barnartl Change Order Submittal # � Date 3122I2023 DELETIONS ITEM OESCRIPTION DEPT Qty Unit Unit Cost Total TPW $0.00 Sub Total Deletions 0.00 Change Order Deletions Page 3 of 4 Previous Change Orders CO # DATE AMOUNT Total $0.00 Islam, Tariqul From: Sent: To: Brendan Taylor <btaylor@peachtreecon.com> Wednesday, March 8, 2023 220 PM Islam, Tariqul Subject: Change Order for Removal of Concrete Attachments: Backhoe 1 day.png; Breaker attachement 1 day.png; Concrete Saw 1 day.png; Munoz Haul off quote.PNG; Remove 6-81N Concrete paving.xlsx; Skidsteer 1 day.png; Remove 6-81N Concrete Paving.docx Follow Up Flag: Flag Status: Follow up Completed 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. Tariq, The price with our markup will be $31.95/ SY. JR West Approximates that there is 380 SY to remove. Attached is their documentation for costs. Please let me know asap if the price is agreed to so that they can continue work on Yuma. Thank You, Brenda� Taylor-Project Manager Peachtree Const�uction, Ltd, 5801 Park Vista Circle Keller, TX 76244 (817) 741-4658 Office (817) 741-4648 Fax (817) 915-7200 Cell JR WEST TEXAS CONCRETE Chan�e Order Derivation Worksheet County: Tarrant Highway: Yuma Ave, Various Project: 2023 Asphalt Project Date: 2/28/2023 Description of Work: Remove 6-8IN Concrete Paving Description Unit Quantitv Rate Amount LABOR labor 1 labor 2 labor 3 Operator Operator Foreman Skid Steer Dump Truck ConcreYe saw Backhoe Breaker attachment HR HR HR HR HR HR HR HR HR HR 20 $20.00 20 $20.00 20 $20.00 20 $25.00 20 $25.00 20 $30.00 5 $35.00 $0.00 I $0.00 $0.00 Base Labor = 25% Labor Premium (O/T) _ 55% Labor Burden = $400.00 $400.00 $400.00 $500.00 $500.00 $600.00 $175.00 $0.00 $0.00 $0.00 $2,975.00 $743.75 $1,636.25 DAY HR DAY DAY DAY HR HR HR HR HR HR HR HR HR HR CY LOAD LS TON LOAD Total Estimated Quantity (SY) _ 2 $512.87 16 $100.00 2 $417.39 2 i $699.99 2 $269.77 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Base Equipment = 15% Equipment Compensation = Base Material= 25% Material Compensation = Grand Total for Sheet = 380.00 Cost Per SY = $1,025.74 $1,600.00 $834.78 $1,399.98 $539.54 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5,400.04 $810.01 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11,565.05 $30.43 From: Brendan Tavlor To: Islam. Tariaul Subject: Inlet Top Adjustment Date: Friday, March 10, 2023 9:29:23 AM Attachments: Inlet Adjusment.xlsx CAUTIOIV: 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. Tariq, Price to Adjust inlet top on Belle Place will be $4254.90 EA Thank You, B�°endan Tayl�r-Project Manager Peachtree Canstructic�n, Lt�. 5801 Park Vista Circle Keller, TX 76244 (817) 741-4658 Office (817) 741-4648 Fax (817) 915-7200 Cell JR WEST TEXAS CONCRETE Change Order Derivation Worksheet County: Tarrant Highway: Yuma Ave, Various Project: 2023 Asphalt Project Date: 3/8/2023 Description of Work: Inlet Adjusment Descrintion Unit Ouantitv Rate Amount LABOR labor 1 labor 2 Operator Foreman UIPMENT Skid Steer Breaker attachment HR HR HR HR HR HR HR HR HR HR DAY DAY DAY DAY DAY HR HR HR HR HR HR HR HR HR HR 12 $20.00 $240.00 � 12 $20.00 $240.00 � 3 $25.00 $75.00 12 $30.00 $360.00 I 3 $35.00 $105.00 $0.00 I $0.00 $0.00 $0.00 $0.00 $0.00 I $0.00 $0.00 $0.00 I $0.00 BaseLabor= I $1,020.00 25% Labor Premium (O/T)� $255.00 I 55% Labor Burden - $561.00 1 1 $512.87 $269.77 $0.00 $0.00 $0.00 $ 0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 15% Eq Concrete Rebar I Farms CY Mini CY 3.00 LS 1.00 LS 1.00 TON LOAD Base Equipment = it Compensation = $151.00 $400.00 $200.00 $512.87 $269.77 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $782.64 $117.40 $453.00 $400.00 $200.00 $0.00 $0.00 Total Estimated Quantity (EA) _ Base Material= I $1,053.00 � 25% Material Compensation = I $263.25 Grand Total for Sheet = I $4,052.29 1.00 Cost Per EA = $4,052.29 Fo��Tx�� Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: 2023 Asphalt Resurfacing Contract 2 M&C: N/A CPN: 104178 CSO: DOC#: Date: 3-22-2023 To: Name Department Initials Date Out 1. Valentina Riera TPW - initial � Mar 27, 2023 2. Brendan Taylor Vendor - signature Mar 28, 2023 3. Stephen Barnard TPW - signature -Sr�- Mar 27, 2023 4. Tariqul Islam TPW - signature � Mar 27, 2023 5. Omar Elbagalati TPW - signature � Mar 28, 2023 6. Leon Wilson TPW - initial �-� Mar 28, 2023 7. Michael Owen TPW - signature �� Mar 30, 2023 8. Lauren Prieur TPW - signature � Mar 30, 2023 9. Doug Black Legal - signature �w Mar 30, 2023 10. William Johnson CMO - signature Mar30, 2023 11. Jannette Goodall CSO - signature ,s� Mar 30, 2023 12. TPW Contracts TPW 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 tal<e 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 Required: ❑ As Requested ❑ For Your Information � Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return To: TPWContracts�a�,FortWorthTexas.� at ext. 7233 for pick up when completed. ��RTV�ORTH�� TRANSPORTATION AND PUBLIC WORI<S May 9, 2024 Peachtree Construction 5801 Park Vista Circle Fort Worth Tx 76244 RE: Acceptance Letter Project Name: 2023 Asphalt Resurfacing Contract 2 Project Type: City City Project No.: 104178 To Whom It May Concern: On June 22, 2023 a final inspection was made on the subject project. There were punch list items identified at that time. The punch list items were completed on April 1, 2024. The final inspection and the corrected punch list items indicate that the worl< meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on April 1, 2024, which is the date of the punch list completion and will extend of two (2) years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance, please feel free to contact me at 817- 392-2481. Sincerely, ic�� QP�m, Tariqul Islam, Project Manager Cc: Stephen Barnard, Inspector Mil<e Glover , Inspection Supervisor Daniel,Roy, Senior Inspector Zelalem Are a, Pro ram Mana er ze(�(e�'1 ��a g g g ZelalemArega(Ju13,202409:13CDT) Clicl< here to enter text., Consultant Peachtree Construction., Contractor , Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 Bond Na. 107709080 coNs��rT o� SURETY COMPANY T4 k'ZNAL PAYMENT Con�'orms rvith the American Institute of Architccts, A[A Documcnt (,707 owN�� cx�T�cT ❑ CONTRFICTOR ❑ SUR�TY � OTH�R ❑ PRO.rEC'�': 2023 Asphait Resurfacing Confract 2, City Project I�o. #104178 Fart Worth, Texas TQ (O�n�uer} City of Fort Worth 200 Texas St. Fort Warth, 7X 76'! 02 ARCI-II"1 �CZ"'S PROJE;CT NO. CONTRACT FOR: Construction CON'3'Rf1CT D�1T�: No�ember 29, 2022 CON"1'RACTOR: Peachtree Gonstrucfipn, LTD„ 5801 Park Vista Gir„ Keller, 7X 76248 [n accordanee witl� tl�e provisions oPtl�e Contract between the Owner ancl the Contractor as above, ihe Travelers Casualty and Surety Company nf America 9601 McAllister Freeway, Suite 7D0, San Antonio, TX 78216 oc� band of Peachtree Construciion, LTD. 68Q1 Park Vista Cir.. Keller. iX 76248 , SURETY COMPAIlT'Y, , C01�iTRACTOR, liereby ap�roves of t�hc final payment to Che Contiractior, a�id agrees lhat �i�al payn�ent to the Contractor shall not rclieve c��e Surety Coanpany of any of its obligations to City of Fort Worth 200 Texas St. Fari Worth, TX 76�42 � pW��,�,� as sei fortf� iu the sasd Surety Campany's bond. W Wl'�`N�SS WHEREOF, th� Sua•ety Co�npany has hea�eunto set its hand tl�is 74th day of June Witnes : inda K Edwards Teresa Ayala Atty-in-Fact ___ - �. NU'['I;: 7'his form is to bc uscd as a compai�ion document to AIA i�QCi1MENT G706, CONTRAC"fOR'S AFF[IIAVIT OF Prl'Ylvn'1vT - OF DIiHTS AND CLACMS, - Current L-;diTion , 2024 . Surety Goii��a�ay � �7 � r�' � � �" Signature of Authorized R reseiitative 0�438 I2l00 O�L� PAGB Tra�elers Casualty and Surety Company of America Tra�elers Casuaity and Surety Cnmpany TRAVFL�ERS � s�. Paul Fire and Mawine Insurance Company POWER OF ATTORNEY KNOW ALL M�N BY THESE PRESENTS; That Travelers Casualiy and Surety Company of America, Trav�lers Casualty and Surety Corrtpany, and Sf. Paul Fire and Marine Insurance Company are corporations duly organized under fhe laws of Ehe 5tate of Connecticut (herein collectively called the "Companies"), and ihaf fhe Companies do here6y make, constitute and appoint Teresa Ayala of FT WORTW , Texas , their true and lawful Attorney(s)-in-Fact to sign, execute, sea! and acknowledge any and all bonds, recagnizances, conditional undertakings and oiher writings obfigatory in Ehe nature thereof on behalf af the Companies in fheir business o# guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing hands and underfakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals fo be hereta affixed, ihis 21st day of Apri[, 2021, .�ei�1l�;.p�, y�y��uarra�,i� �Sq�t+r ahOC4 ti1}A��f . �r�� N 'y rfFLi�Q� � "' y� t� � � �COi'�7i. J� w Naii7FOF?0, .� GJ�i,i.��==Y. �Y f� � CQNf�, o � � �.�•.... �ylN ybdr Fryb� � i4' �� State of Connecticut � By: Ciiy of Martford 55. Robert L. Rane , enior Vice Presidenf On this if�e 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of �ach of the Companies, and that he, as such, being authorized so to do, axecuted ihe foregoing instrumenE for the purposes therein contained by signing on 6ehalf of said Companies by himself as a duly authorized ofTicer. a�'�PPF1p�.,. IN W!1"NESS WHEREOF, I hereunto seE my hand and official seal. � r`'''�'"'" 4'�`•; /�1.� �e�=�'� /1Cf1AAY • My Commission expires the 3Uth day of June, 2026 �,r �+M �€ i��ae�ir, ; — � � Anna P. Nowik, Nolary Pu6[ic �`�°v�v�cltC� This Power of Attorney is granted under and by the auihority oi the fol[owing resolutions adopted by the Boards of Directors o# each of the Campanies, which resoiutions are now in ful! force and effect, reading as follows: R�SOLVED, that the Ghairman, ihe President, any Vice Chairman, any �xecutive Vice President, any Senior Vice President, any Vice Presi[Eent, any 5econd Vice President, Ehe Treasurer, any Assistant Treasurer, the Corporate Secrefary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act ior and on behalf of the Cpmpany and may give such appointee such authority as his or her certificate of auihority may prescribe to sign with the Gompany's name and seal with the Company's seal bonds, recognizances, cantracts of indemnity, and other writings obligatory in the nature of a 6ond, recognizance, or conditional undertaking, and any of said officers or ihe Board of Directars at any fime may remove any such appoin#ee and revoke !he power given him or her; and it is FURTHER RESqLVED, ti�at fhe Chairman, the Presid�:ni, any Vice Chairman, any Execufive Vice President, any Senior Vice President or any Vice Presidenf tnay delegate al! or any part of the foregoing authority to one or more a�cers or employees of this Campany, provided lhat eac� such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLV�D, that any bond, recognizanc�, cantract o# indemniiy, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shalE be valid and binding upan the Company when (a) signed 6y the President, any Vice Chairman, any Executive Vice PresidenE, any Senior Vice President or any Vice Presidenf, any Second Vice President, the Tr�asurer, any Assistant Treasurer, the Corporafe Secretary or any AssisEant 5ecrefary and duly attesfed and seal�d with the Campany's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or mare Attorneysan-Fac# and Agents pursuant to the power prescribed in his or her certifcate or tneir ceriifica#es of autnoriiy or by nne or more Company officars pursuanf fo a written delegation of auihority; and it is FURTMEi2 RESOLVE�, that the signature of each of the followir�g o�cers: President, any Execulive Vice Presidenf, any 5enior Vice President, any Vice President, any Assistant Vice President, any 5ecrefary, any Assistant Secrefary, and ihe seal of fhe Company may be affixed by facsimile to any Power of Attarney or ta any cerfificafe relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in- Faci for purposes only of executing and attesting bonds and undertakings and other writings abliga#ory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shal] be vafid and binqing upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding an the Company in the future wifh respect ta any bond or understanding to which ii is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed hy said Companies, whici� ce�rJ�3i�syin ful[ force and effect. ,:.:.,�..,� . Dated ihis 24th day of June , 2U24 , �`` µ��iy;,aejFr qy„�,r aNa ��Ct� i+ L � k49iFR��$ G HAHTFpRp,�L: .�' '�+]�(�S,F,� - � `J,Y.�OtiH. J L' �' CONH. o � � .. .. J��f urw*°'� W b . h' f,�' }� � � � � . . ^ �-�� L � �� + :` � >,. ' µ � � .�� + e " Kevin E. Hu hes, Assistant _ � �^ g 5ecretary To verify the authenticity of this Power ofAl`torney; pl�ase ca1/ us at 1-800-421-3880. Please refer to ihe a6pve-namedAttorney(sj-in-Factand the details of the 6ond ta which ihis PowerofAttorney is a!`fathed. Affidavit of Compliance with City of Fort Worth Prevailing Wages I, Brendan Tavlor Proiect manager (Name of person signing affidavit) (Title) do hereby certify that the wages paid to all employees of Peachtree Construction, Ltd._ (Company Name) for all hours worked on the 2023 Asphalt Resurfacing Contract 2 (Project name and location) project, during the period from 2/1/23 to 4/1/24 (Project Dates) are in compliance with the requirements of Chapter 2258, Texas Government Code related to paying established City of Fort Worth wage rates per the project bid documents. I further certify that no rebates or deductions have been or will be made, directly or indirectly, from any wages paid in connection with this project, other than those provided by law. � (Signature of Officer or Agent) Sworn to and subscribed in my presence this �� day of , 20��, (Notary Public) P..�..�--�=�•-4� �.�� Janet Lynn Reiter My Commission Expires • 8126/2027 � Notary ID 130350671 �w+r� �� Revised 3/08/2024