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Contract 57251-FP1
FORT WORTH, TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION -FP1 City Secretary No. 57251 Date Received: 8/2/2024 City Project N!?: 101567 Regarding contract 57251 North Riverside Golden Triangle for as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 2/8/2022 through M&C 22-0104 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation & Public Works Department has accepted the project as complete. Original Contract Amount: Amount of Approved Change Orders: Revised Contract Amount: Total Cost Work Completed: Less Deductions: Liquidated Damages: Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: Less Previous Payments: Final Payment Due r� Lissette Acevedo (Aug 1, 202416:43 CDT) Recommended for Acceptance Asst. Director, TPW - Capital Delivery $4,125,601.45 Days 480 $ Ns 1 Days Added by CO 43 $ 4,125, 601.45 Total Days 523 $ 3,841,752.34 Days Charged 477 Days @ $ / Day $ 3,841,752.34 $ 3,649,664.72 $ 192,087.62 Aug 1, 2024 Date Lauren Prieur (Aug 1, 202417:06 CDT) Accepted Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT cv� Asst. City Manager Aug 1, 2024 Date Aug 2, 2024 Date OFFICIAL RECORD Comments: CITY SECRETARY FT. WORTH, TX C-620 Signature Page Contractor's Application for Payment Invoice No.21-FINAL To (Owner) City of Fort Worth Invorcing Penod (From - To): Invoice Date: 6-27-24 to 7-22-24 7/22/2024 P.O. FWO2O-0000007524 From (Contractor): Remit to(IfNotAutomatic Deposit >: Number: McClendon Construction, Co Project: 101567 Contractor's CFW Vendor No.: 0000007403 City Secretary Contracme 57251 N. Riverside Dr. from Golden Triangle Blvd to Keller Hicks Rd. g Number: : NuName: Application For Payment Change Order Summary (Approved Change Orders 1. ORIGINAL CONTRACT PRICE.......................................................... $ $4,125,601.45 Number Additions Deletions 2. Net change by Change Orders................................................................ $ 1 $27,642.63 $27,642.63 3. Current Contract Price (Line 1 t 2).. ..................................................... $ $4,125,601.45 2 4. TOTAL COMPLETED AND STORED TO DATE 3 (Progress Estimate, Construction Allowance and Change Orders)......, $ $3,841,752.34 4 5. RETAINAGE: 5 a. X $3,841,752.34 Work Completed........., $ 6 b. X Not Used $ 7 c. Total Retainage (Line 5a + Line 5b) ............................... $ 8 6. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c)............................ $ $3,841,752.34 TOTALS $27,642.63 $27,642.63 7. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)........ $ $3,649,664.72 NET CHANGE BY S. AMOUNT DUE THIS APPLICATION ................................................. $ $192,087.62 CHANGE ORDERS 9. BALANCE TO FINISH, PLUS RETAINAGE (Column G on Progress Estimate+ CA + Cos + Line 5 above) .............. $ $283,849.11 Contractor's Certification 10. CONTRACT TIME: The Contractor certifies with the submittal of this document and associated Payment Request a. Days Awarded 480 Submittal on the City of Fort Worth Buzzsaw system that to the best of their knowledge: (1) all b. Days Added by CO 43 previous progress payments received from Owner on account of Work done under the Contract have been applied on account to discharge Contractors legitimate obligations incurred in connection with c. Total Days 523 Work covered by prior Applications for Payment, (2) title of all Work, materials and equipment incorporated in said Work or otherwise listed in or covered by this Application for Payment will pass to Owner at time of payment free and clear of all Liens, security interests and encumbrances (except d. Days Charged 477 such as are covered by a Bond acceptable to Owner indemnifying Owner against any such Liens, e, Days Remaining 46 security interest or encumbrances); and (3) all Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective. Liquidated Damages $650.00 x day Affidavit of Bills Paid Consent of Surety Progress Estimate N. RW—id< D, uom com<o —k BWd I Kdl., - Hltea ::2: 2 C-t ... W,', Application Zi Ml -zl Jr.. Progress Estimate <a„q„ nzsi N. RW—id< D, uom com<o —k BWd I Kdl., Hl- Contractor's Application 0-620 Gn.n Omer Progress Estimate Construction Allowance Usage ADDITIONS 101567 N. Riverside W. from G.Id- Triangle Blvd to Keller Hide Rd. Cary Sa , 57251 C— Nvm Contractor's Application Appl—N.— 21-FINAL Appl--- 7/22/2024 b m aal —m-" a meme eo�ero ��oudy vzlue,>oa msem.�ny e slat m�a i a �T�on sv�0o.um u�rtotwe�re QnmerymAda u�rte�rr Mm(m�velm m,vura vem` mmllea veWe eonod swma(Z Cl •"e s�meamOv� tFl /a-e) S.—No (0«e/ e C-620 Cn.n Omer Progress Estimate Fo<(0000-aa> ryryl�aauor,Pmod. I Bid lmm Nwnbm I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Construction Allowance Usage CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED 101567 N. Rive.ide Dr. from Golden Triangle Blvd to Keller Hick Rd. 6-27-24 to 7-22-24 Sxe . UnrtotMemore Q"NryloO11 -1 Pace Redua�m Valoc G620 Gn.n Omer Contractor's Application o Na�Uacd Nw Uacd Nw Uacd N. Uacd Appba21-FINAL Appeaauor, Oem 7/22/2024 e F Nar Uacd I Nal UeCd Progress Estimate Change Order Number 1 1 1 ADDITIONS 101567 N. Riverside M. from G.Id- Triangle Blvd to Keller Ricks Rd Cary Sccrc(vy 57251 6-27-24 to 7-22-24 BcacnT�m A 1110 R.wnovc ea[Rcloralc unm'[c Bcmu&BTA 16t50 R.wnoa. Rrnlea. Rclora�c IX 2" Wah� Sm�cc & BTA 16+50 2" CaMon PVC SCM1 � fPl "co . PVC ecA 80(B) 0 olatad elaccondr Gwnd Box Twe B TralRCc— $tral11. Cwarac(m Rsmob�0muon B AdNum mead Quanury S eonp(,o Unrt ofMeaaurc CO Queudy to Add Unrt P. Chengc6pda ' Wmlkd IS Io—.00 $1.10000 45 1.00000000 33.60000 45 1.00000000 34.90000 100011 5131 46 ddR3003d $2300 5400 EA 11.00000000 31.20000 MO 1.00000000 $8.95000 u 1.00000000 33.50000 IS I.00W0000 $2,71763 Contractor's Application Appl. oa>vaad , 21-FINAL APPI"'"°o Dal` 7/22/2024 M.— Prcam(g aM S wM Ialda (� I $I.lad od 1 8360000 100.0°/ 549.W 100.0•/ 365 00 100.0°/ $1,05800 I . $112 ao I sl.zoo od loo.ar, I 8895000 100.0°/ 5350000 MWZ.. $2,717 63 10) M I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I C-020 Cnange Omer C-620 Cn.n Omer axzeax.�l sxzaazax axzeaz.�r 1 axxeax- mo Dole Progress Estimate Change Order Number 1 1 1 DELETIONS aor (m�trad) 101567 N. Ri—ide Dr. from Golden Triangle Blvd ro Keller Hick Rd. "pphC8—P— 6-27-24 to 7-22-24 e lmm Oolniou Change ONm l�em Oe mp uu aifineo Unn o[Meeeure CAO �a9 ao Unrt Pna Change ONm Va ue 63 CONSIRUCDON CONiEJGENCY 000000 EA 009214210 $300.00006 $3].6936� I I I I I I I I I I I I I I I I I I I I I I I I I I I rdab $a7.4a24 Contractor's Application 21-FINAL 7/22/2024 Nd Uac4 Nd -d Noy Uac4 G-620 Gn.n 0— Progress Estimate Change Order Number 1 2 ADDITIONS For (m"tract) 101567 N.Hiverside D,from Golden Triangle Bl,d.Keller Hkk M. APPI�w°°"Pe,;°a 6-27-24 to 7-22-24 cm�tra rvt m 57251 B ClmaBe Order Item D O" Spemficanon MmtI COQ.-D Add U"rt P— S.— Ado "on CM1m�B< N m' N° mervaluc B mme�Q�°�ar .�amq Tm a" uea v'm` mr�miea v.me Per�oa < Contractor's Application 21-FINAL 7/22/2024 e"1a"a m Fm�sh fatal Cw"Pleted rd 8(DI t°Dak B (B-F) fw) G-620 G0a"ge Omer C-620 Cn.n Omer G520 Gnange Omer Progress Estimate Change Order Number 1 2 Contractor's Application DELETIONS For(aono-aa) 101567 N.Riverside D,.trnm Golden Triangle Blvd.Keller Hicla Rd. 21 MAL IAppL«nane«iad 6-27-24 to 7-22-24 AQOE-- 712V2024 A E p E F m Cbenge Order Item p mp[ion Sce«fi«tiara Menem Cp Rlemryw Unn en« pa� Q�Be Nd Used Nd used —U«d NmU«d Nd used NmU«d NmU«d rvo�Uaad N Sara No I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Progress Estimate Change Order Number 1 3 ADDITIONS F°r (<anvam/ 101567 N. Riversitle Dr. from Goltlen TsianRle Blvtl [o Keller Hicks Rd. C�&ae 57MI naahw°°"Fe„°d 6-27-24 to 7-22-24 B � Isom Chang<Ud<rh<m D rnPaon Saeon No. Meamre Co Qua Y Add Umt Pnce Chen�e Order Inesl Contractor's Application ACEl.—Namxr 21-FINAL Aaali-i I 7/22/2624 E Ealaoce re F'n,sh mek R<amlq To(al Compl<I<d % d n (DIE) S m<d(nm rn Ianetored to Duce 6 (E- Q-620 Qhangn Omer C-620 Cn.n Omer G-620 Gn.n Omer Progress Estimate Change Order Number 1 3 Contractor's Application DELETIONS Por(aouo-aa) 101567 N.Riverside D,.trnm Golden Tri..gleBlvd.KeHl,Ride Rd. on<.Nnmbcr 21FINAL JAPPi—°°"Pe<i°d 6-27-24 to 7-22-24 aPPi1-i—I 7/22/2024 n B D E E irem CO Q Dory m Bcic �m Clm�ge Order Item U aip[ion Scemficatian Menem iete Unn Pnce Clm�geoOrder Not Uud NI—d Nd Used Not Uud Nm Uced Not Uud Nd.—d No�llud N Sauon No Vel I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Progress Estimate Change Order Number 1 4 ADDITIONS aw (<anva<p 101567 N. Riversitle Dr. from Goltlen TsianRle Blvtl [o Keller Hicks Rd. C�&ae 57MI naaEw°°"Fn'°d 6-27-24 to 7-22-24 A B � Isom o D Seceon o. Meamue AdAaon nmc�Q ClmnBe Order Item urnPnon pemficaean nit aF COQun DWAdd Umt Pnce ClmnBe Order esIles Contractor's Application AaEl.—Nnmlwv 21-FINAL APel1C"1—I 7/22/2624 E Enlam<m Fmisa mels R<smtq owl Cwopkhd % (B-F) scared (nm i. C, and S[med tO Date 6 (DIE) 0-620 Oeangn Omer C-620 Cn.n Omer G-620 Gn.n Omer Progress Estimate Change Order Number 1 4 Contractor's Application DELETIONS Por(aouo-aa) 101567 N.Riverside D,.trnm Golden Tri..gleBlvd.KeHl,Ride Rd. on<.Nnmbcr 21FINAL JAPPi—°°"Pe<i°d 6-27-24 to 7-22-24 aPPi1-i—I 7/22/2024 n B D E E irem CO Q Dory m Bcic �m Clm�ge Order Item U aip[ion Scemficatian Menem iete Unn Pnce Clm�geoOrder Not Uud NI—d Nd Used Not Uud Nm Uced Not Uud Nd.—d No�llud N Sauon No Vel I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Progress Estimate Change Order Number 1 5 ADDITIONS apr l<pnvn<p 101567 N. Riversitle Dr. from Goltlen Triangle Blvtl [o Keller Hicks Rd. C�&ae 57MI 6-27-24 to 7-22-24 B � Isom o O S M<Umt Fn« AdAaon esnm c�Qr ClmnBe Order Item ��� penficaz�an nit aF eannry tO Add C 1- CO QlmnBe Order Iles N S.—No Val Contractor's Application Appl.—Npmlwr 21-FINAL Apelieai°" I 7/22/2624 E Bala"', Fmisa mels R<smtq owl Cwopkhd % (B-F) Stared (nm i. C, and S<ared tO Date 6 DIE) 0-820 Onange Omer C-620 Cn.n Omer G-620 Gn.n Omer Progress Estimate Change Order Number 1 5 Contractor's Application DELETIONS Poe(aouo-aa) 101567 N.Riverside D,.trnm Golden Tri..gleBlvd.KeHl,Ride Rd. on<.Nnmbce 21FINAL JAPPi—°°"Pe<i°d 6-27-24 to 7-22-24 aPPi1-i—I 7/22/2024 n B D E P irem CO a nary m Dcic �m Clm�ge Order Item D aip[ion Scemficatian M�n� iete Unn Pnce Clm�geoDrder Not Used Nd Used Nd. Used Nm Used Nm Uced Nm Uced Nd Used No,llud N Sauon No Vel I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Progress Estimate Change Order Number 1 6 ADDITIONS F°r l«nvaw/ 101567 N. Riversitle Dr. from Goltlen Triangle Blvtl [o Keller Hicks Rd. C�&«e 57MI 6-27-24 to 7-22-24 c o-aary B c � Isom AdAnon aced Qr Caang<Ud<rh<m D<«ipion Sp<<on o oeamre co Quannrya Add Um[Pnce eLease order '� Irswlk� Contractor's Application Acelwamnrrame<r 21-FINAL Apal1eii—I 7/22/2624 E Balao« w P�n�sa mials FrearnnY owl Cwopkhd % (o -F) —dfool ro C) and S(DIE)Wta B (DIE) 0-620 Cnangn Omer C-620 Cn.n Omer G-620 Gn.n Omer Progress Estimate Change Order Number 1 6 Contractor's Application DELETIONS Por(aouo-aa) 101567 N.Riverside D,.trnm Golden Tri..gleBlvd.KeHl,Ride Rd. on<.Nnmbcr 21FINAL JAPPi—°°"Pe<i°d 6-27-24 to 7-22-24 aPPi1-i—I 7/22/2024 n B D E E irem CO Q Dory m Bcic �m Clm�ge Order Item U aip[ion Scemficatian Menem iete Unn Pnce Clm�geoOrder Not Uud NI—d Nd Used Not Uud Nm Uced Not Uud Nd.—d No�llud N Sauon No Vel I I I I I I I I I I I I I I I I I I I I I I I I I I I I I G-620 Gn.n Omer Progress Estimate Change Order Number 1 7 1 Contractor's Application ADDITIONS 101567 N. Riversitle Dr. from Golden Triangle Blvtl [o Keller Hicks Rd. C�&«e 57MI Applrcenm N.— 21FINAL nppE<ee.. E«;.a 6-27-24 to 7-22-24 c tre«N Appli-i—I 7/22/2024 A CLeuBa NDord. aa Item Daiuen, S«aon No M<esurc COQu�ttAda aB.a a«�eNE CAinmR <smtty avC«md e.« w a1.,sa Qa(B-)N BU.-- oonD po) (DIE) C-620 Cn.n Omer G-620 Gn.n Omer Progress Estimate Change Order Number 1 7 Contractor's Application DELETIONS Por(aouo-aa) 101567 N.Riverside D,.trnm Golden Tri..gleBlvd.KeHl,Ride Rd. on<.Nnmbcr 21FINAL JAPPi—°°"Pe<i°d 6-27-24 to 7-22-24 aPPi1-i—I 7/22/2024 n B D E E irem CO Q Dory m Bcic �m Clm�ge Order Item U aip[ion Scemficatian Menem iete Unn Pnce Clm�geoOrder Not Uud NI—d Nd Used Not Uud Nm Uced Not Uud Nd.—d No�llud N Sauon No Vel I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Progress Estimate Change Order Number 1 8 ADDITIONS aw (<anva<p 101567 N. Riversitle Dr. from Goltlen TsianRle Blvtl [o Keller Hicks Rd. C�&ae 57MI naaEw°°"Fn'°d 6-27-24 to 7-22-24 A B � Isom o D Seceon o. Meamue AdAaon nmc�Q ClmnBe Order Item urnPnon pemficaean nit aF COQun DWAdd Umt Pnce ClmnBe Order esIles Contractor's Application AaEl.—Nnmlwv 21-FINAL APel1C"1—I 7/22/2624 E Enlam<m Fmisa mels R<smtq owl Cwopkhd % (B-F) scared (nm i. C, and S[med tO Date 6 (DIE) 0-620 Oeangn Omer C-620 Cn.n Omer G-620 Gn.n Omer Progress Estimate Change Order Number 1 8 Contractor's Application DELETIONS Por(aouo-aa) 101567 N.Riverside D,.trnm Golden Tri..gleBlvd.KeHl,Ride Rd. on<.Nnmbcr 21FINAL JAPPi—°°"Pe<i°d 6-27-24 to 7-22-24 aPPi1-i—I 7/22/2024 n B D E E irem CO Q Dory m Bcic �m Clm�ge Order Item U aip[ion Scemficatian Menem iete Unn Pnce Clm�geoOrder Not Uud NI—d Nd Used Not Uud Nm Uced Not Uud Nd.—d No�llud N Sauon No Vel I I I I I I I I I I I I I I I I I I I I I I I I I I I I I City of Fort Worth Summary of Charqes City Secretary Contract Nam: I 57251 I N. Riverside fir. from Golden Triangle Blvd to Keller flicks P. p FW020-0000007524 Application Period: I 6-27-24 to 7-22-24 I Application I 21-FINAL Number: Funding Identification (FID) I Orijj��'llnal Contract 134018-0200431-5740010-10158-002380-9999-18010199 10 10 10 10 10 10 10 10 10 10 I Chan Order 1 ,34018-0200431-5740010-101567�02380-9999-18010199 10 10 10 10 10 10 10 10 10 10 I I Charq � Order 2 134018-0200431-5740010-101567-002380-9999-18010199 10 10 10 10 10 10 10 10 10 10 I Total Completed Amt Remaining I Gross $3,814,109.71 $311,491.74 $27,642.63 ($27,642.63) Project Number: 101567 Applica on Date: 7/22/2024 Retainage - Net City of Fort Worth Summary of Charqes City Secretary Contract Nam: I 57251 I N. Riverside fir. from Golden Triangle Blvd to Keller hicks P. o FW020-0000007524 Application Period: I 6-27-24 to 7-22-24 I Application I 21-FINAL Number: Funding Identification IFID) I Chang F Order 3 134018-0200431-5740010-101567-002380-9999-18010199 10 10 10 10 10 10 10 10 10 10 I I Chan a Order 4 134018-0200431-5740010-101567%02380-9999-18010199 10 10 10 10 10 10 10 10 10 10 I I Chan a Order 5 134018-0200431-5740010-101567%02380-9999-18010199 10 10 10 10 10 10 10 10 10 10 I Total Completed Amt Remaining I Gross Project Number: 101567 Applica on Date: 7/22/2024 Retainage - Net City of Fort Worth Summary of Charqes City Secretary Contract Nam: I 57251 I N. Riverside fir. from Golden Triangle Blvd to Keller hicks P. o FW020-0000007524 Application Period: I 6-27-24 to 7-22-24 I Application I 21-FINAL Number: Funding Identification IFID) I Chang F Order 6 134018-0200431-5740010-101567-002380-9999-18010199 10 10 10 10 10 10 10 10 10 10 I I Chan a Order 7 134018-0200431-5740010-101567%02380-9999-18010199 10 10 10 10 10 10 10 10 10 10 I I Chan a Order 8 134018-0200431-5740010-101567%02380-9999-18010199 10 10 10 10 10 10 10 10 10 10 I Total Completed Amt Remaining I Gross Project Number: 101567 Applica on Date: 7/22/2024 Retainage - Net City of Fort Worth Summary of Charqes City Secretary Contract Nam: I 57251 I N. Riverside br. from Golden Triangle Blvd to Keller flicks P. o FW020-0000007524 Project Number: �101567 Application Period: I 6-27-24 to 7-22-24 I Application I 21-FINAL Application Date: 7/22/2024 Number: Funding Identification (FID) I Totals 134018-0200431-5740010-101567-002380-9999-18010199 10 10 10 10 10 10 10 10 10 10 Total Completed Amt Remaining Gross $3,841,752.34 $283,849.11 Retainage I I Net I Grand Total 1 1 $3,841,752.34 1 1 $283,849.11 1 1 $0.00 1 1 ($192,087.62)1 1 $192,087.62 1 FORTWORTH. Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: N. Riverside Drive (Golden Triangle to Keller Hicks Road) Change Order #1 M&C: N/A CPN: 101567 CSO: 57251 DOC#: N/A Date: 2/29/2024 To: Name Department Initials Date Out 1. Ann Estes TPW - Review qh- Jun 4, 2024 2. Bereket Birhane TPW - Signature 88 as Jun 4, 2024 3. Justin Blair McClendon - Sign �O Jun 5, 2024 4. Stanley Sutterfield TPW - Signature HSSHSS Jun 5, 2024 5. Raul Lopez TPW - Signature Jun 5, 2024 6. Lissette Acevedo TPW — Signature o�v Jun 6, 2024 7. Patricia Wadsack TPW — Signature PLW Jun 11, 2024 8. Lauren Prieur TPW — Signature ?� Jun 11, 2024 9. Doug Black Legal — Signature �a Jun 12, 2024 PB 10. Jesica McEachern CMO — Signature Jun 18, 2024 11. Jannette Goodall CSO - Signature J-G-u- Jun 18, 2024 12. TPW Contracts 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 Reauired: ❑ Attach Signature, Initial and Notary Tabs ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File Return To: Please notify TPWContracts(i�fortworthtexas.eov for pickup when complete. Call ext. 7233 or ext. 8363 with questions. Thank you! CSC No. 57251-COI City of Fort Worth Change Order Request Project Name N. Riverside Drive from Golden Triangle to Keller Hicks Road Client Project #(s)1 101567 Project Description Contractor City Project Mgr.1 I City Sec # 1 57251 Widen approx. 2400 LF to 4lane divide thoroughfare including traffic signal at Keller Hicks Rd., shared used paths, street lights, and drainage improvements. McClendon Construction Bereket Birhane Dept Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date Amount of Proposed Change Order Revised Contract Amount Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) TPW $4,125,601.45 Change Order#1 1 1 Datel 4/24/2024 City Inspectorl Stanley Sutterfield Contract Time Totals (CD) $4,125,601.45 480 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.00% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) $5,157,001.81 JUSTIFICATION (REASONS) FOR CHANGE ORDER - A 1" Water Service not in use at STA 16+50 was encountered during construction and removed. Additionally, a 1" Water Service and a 2" Water Service had to be removed, replaced, and relocated at STA 18+50. These services were found during the excavation and were not shown on the construction plans. A street light pole near Golden Triangle was relocated from parkway to median due to utility conflict. Reimbursement to McClendon Construction for activation fee paid to Tri County Electrical to supply electricity to newly installed traffic signal at N Riverside and Keller Hicks Parkway. - Furthermore, a time extension of 14 days for the water work and 29 days for the street light relocation, totaling 43 days, will be added to the contract. City of Fort Worth staff and consultant team have evaluated proposed quantities and unit prices using recent City and other sources and found them to be acceptable. - The total cost of $27,642.63 for the scope being added is being offset by an equal reduction in the Construction Contingency bid item, therefore the net contract amount increase is $0.00. 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 Com an Name Contractor Name Contract Signature McClendon Construction Co., Inc. Justin Blair — Jun 5, 2024 Inspector/inspection Supervisor Date Project and Contract Compliance Manager Date Jun 5, 2024 '_ Jun 4, 2024 Program Manager Date Senior Capital Project Officer Date Jun 5, 2024 Jun 6, 2024 Assistant Director (Dept) Date Director, Contracting Department (Dept) Date P Jun 11, 2024 Jun 11, 2024 Assistant City Attorney Date lAssistant Citv Mana er Date Jun 12, 2024 (� Jun 18, 2024 M&C Number l M&C Date Approved I l ATTEST: A . .. Jannette Goodall, City Secretary FORT WORTH City of Fort Worth Change Order Additions Project Name j N. Riverside Drive from Golden Triangle to Keller Hicks Road City Sec # j 57251 Client Project# j 101567 1 Contractoi McClendon Construction PMJ Bereket Birhane Inspector" Stanley Sutterfield Change Order Submittal # Date 1 4/24/2024 1 ADDITIONS IIEM UE5URIPIIUN ULHI Uty ' Unit Unitl:ost total C1.1 Remove 1" Water Service not in use at 8IA 16+50 I PW 1.000UUUOU LS $1,1Out; $1,10umul C1.2 Remove, Replace, Relocate EX 1" Water Service at STA 16+5C TPW 1.00000000 LS $3,600.0C $J,bUU.UUI C1.3 Remove, Replace, Relocate EX 2" Water Service at STA 18+5C TPW 1.00000000 LS $4,900.O1] $4,90U.UUI C1.4 2" Conduit PVC Sch *) (T) TPW 5.00000000 LF Sum $bb.UUI C1.5 2" Conduit PVC Sch 80 (B) TPW 46.00000000 LF $23.00 $1,U58.UOI C1.6 No 6Insulated Elec Condr TPW 138.000OO000 LF $4.01J $bumul C1.7 Ground Box Type B TPW 1.00000000 EA $1,200.00 $1,20U.U01 C1.8 Traffic Control TPW 1.00000000 MO $8,950.00 $6,95U.UUl C1.9 Street Light Contractor Remobilization TPW 1.000OO000 LS $3,500.00 $3,50U.UOI C1.10 Tri County Service Activation Fee TPW 1.00000000 LS $2,717.61 $2,11 /.bJJ TPW $27,642.63 Sub Total Additions $27,642.63 Change Order Additions Page 2 of 4 FORT WORTH City of fort Worth 1 V` — Change Order Deletions Project Name N. Riverside Drive from Golden Triangle to Keller Hicks Road City Sec # j 57251 Client Project# 101567 1 Contractor McClendon Construction I PMI Bereket Birhane Inspectorl Stanley Sutterfeld Change Order Submittal # Date 1 4/24/2024 j DELETIONS I I LM UtSGRIP I ION ULP I Uty unit unit Gost I otal 99UU.UU1b GON5IHUGHUNGUNIINUENGY IPtN U.UU21421U to $3UU,000.UU $2/,b42.b3 TFW $27,642.63 Sub Total Deletions $27,642.63 Change Order Deletions Page 3 of 4 M/SBE for this Change Order M/SBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders co# DATE I AMOUNT Total I $0.00 I McCLENDON CONSTRUCTION CO., INC. Burleson, Texas 76097 (817) 295-0066 Fax (817) 295-6796 July 14, 2022 City of Fort Worth Attn: Alex Ayala Re: N Riverside Drive Change Order Request Alex, There is a discrepancy between the plans and pay items related to the private service relocation. Work will also be required on the public side of the meter and that requires a new pay item. In addition, one of the services that was anticipated to be P is a 2" line/meter and no pay item exists to cover this condition. Lastly additional investigation, clearing, and grading of the channel well beyond what was outlined in the plans was required to drain/dry the creek section through our project that was holding water. Below are the prices to complete this work. Description Remove 1" Water Service not in use at Station 16+50 Remove, Replace, Relocate Existing 1" Water Service at Station 18+50 Remove, Replace, Relocate Existing 2" Water Service at Station 18+50 Quantity I Unit I Unit Price I Total Price 1 LS $1,100.00 $1,100.00 1 LS $3,600.00 $3,600.00 1 LS $4,900.00 $4,900.00 Total Cost $9,600.00 We ask that 14 CD be added to the contract to complete this work and for other delays experienced on the project due to franchise utilities. Respectfully, Justin Blair McCLENDON CONSTRUCTION CO., INC. Burleson, Texas 76097 (817) 295-0066 Fax (817) 295-6796 January 11, 2024 City of Fort Worth Attn: Bereket Birhane Re: N Riverside Drive Change Order Request Bereket, Below is the price to relocated the final Street Light Pole (#12) form the West Parkway to the center median per plan revisions. Justifications: - Plan revisions require additional pay item quantities needed to change the location of the street light pole form the parkway to the median which will require boring under the completed concrete pavement. Remobilization is necessary because we received the plan revisions after all other work on the project was complete and lighting contractor had demobilized form the site. - At the direction of Mark McCoy; McClendon Construction paid for, and will be reimbursed, the activation fee to Tri County Electrical to supply electricity to the electrical pedestal servicing the newly installed traffic signal at N Riverside and Keller Hicks Parkway. Description Existing Pay Items 2" Conduit PVC Sch *) (T) 2" Conduit PVC Sch 80 (B) No 6 Insulated Elec Condr Ground Box Type B Traffic Control New Items Quantity Unit Unit Price Total Price 5 LF $13.00 $65.00 46 LF $23.00 $1,058.00 138 LF $4.00 $552.00 1 Ea $1,200.00 $1,200.00 1 Mo $8,950.00 $8,950.00 Street Light Contractor Remobilization 1 LS $3,500.00 $3,500.00 Tri County Service Activation Fee 1 LS $2,717.63 $2,717.63 Total $18,042.63 If contract time was not stopped previously, all days that have past while we were waiting on this answer will need to be added to the contract. Respectfully, Justin Blair Birhane, Bereket B From: Justin Blair<jblair@mcclendonconstruction.com> Sent: Wednesday, March 20, 2024 3:22 PM To: Birhane, Bereket B; Lopez, Raul Cc: 'BJ Blair' Subject: RE: N Riverside Power by TCEC Attachments: FW: N Riverside Power by TCEC; FW: N Riverside Drive - Electrical Service; RE: DSI 223.06082023 LUM RFI - 1; RE: N Riverside Drive - Electrical Service 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. Bereket, Attached are a handful of emails dating back to May 2023 discussing the light pole conflict, power supply to the signal, and another lighting quantity overrun. This was the RFI process for this project, emailing the PM Mark McCoy. I think this should be what you need. Also after today I will be out of town until Tuesday March 26, so I will not be able to respond again before then. Here is a summary of the dates 5-25-23 — initial email to Mark McCoy with lighting conflict and quantity discrepancy 6-9-23 — email Mark Asking for a response to the lighting conflict and quantity discrepancy 6-23-23 — email Mark Asking for a response to the lighting conflict and quantity discrepancy 6-23-23 — Mark responded he hoped to have the answer by the end of the day, but did not 6-29-23 — email Mark McCoy with detail of how he needs to set up an account for the electrical service, He responded he would handle setting up the account and payment to get the electrical meter set 6-29-23 8-31-23 — email Mark for Status of the electrical service 10-31-23 — McClendon Construction Paid the invoice from the electrical service 11-22-23 — Plans provided for street light relocation 12-19-23 — electrical meter set by Tri County for Keller Hicks Intersection signal 1-11-24 — McClendon provided pricing for the relocation, delay in pricing was due to holidays and original subcontractor did not want to re mobilize for this work so a new electrical contractor was needed Approval Date of light pole relocation — Unknow Time between 1-11-24 and present was to incorporate this work into my sub -contractor existing schedule and then 3-4 week to phase this work. Thanks, Justin Blair McClendon Construction 817-295-0066 From: Birhane, Bereket B <Bereket.Birhane@fortworthtexas.gov> Sent: Wednesday, March 20, 2024 9:53 AM Riverside I Claaac Schedule Layout 06-Feb-2410 08 AMVID ACWRy Name gmal ing l chedub Sort (Finish 1I022-2,2022-3,2022 Qe4,2022 Qtr ,2023 Qt2,2023 Qt3,2023 QtrNov I Dec Jan4,2023 Qtr 1,2024 ID'2,2024 % b Mar I APr MaY Jun JJ Aug SeP Nov I Dec Jan Feb I Mar Apr I May Jun I Jul Aug I SeP I l Feb I Mar I Apr Jay ®1 1 1 n9 ar-24 W Al 000 InNal Survey,SVPPP,Startap 5 5 100% 3War-22 05-Apr-22 ■ hbal Suney,3N?PP,Startup W A10f0 Stage2&3A-Sbnn Qan Channel Cut✓erl Pavng 1MM 100%05-Apr-22 30Nov-22 Sbge2&3A-Sbnn Gan,Channel,OWe(P g W Al 020 Stage 3B&4A North Keler H:.)- Eanvahon Pan 31 31 100% 02 cQ2 I3 an-23 (� Stage3B&4ANoih(@KelbrHWs) Ex f n,P g Stl 11,a �. A1050 Stage 6-Pavng Stlevsllq Taff MaRongs fig f00% ifiJan-23 21-Aprv23 Stage P ng Stl Iks, T_ifisM Jlongs W A1030 Stage 4BSoulh(@Goltlen Tnangle)-Eanvabon,Pan 2] 2] f00% 1]Jan-23 22FebQ3 - - - - - - - 0 Sbge4BSouh (@Goltlen Tnangle)-Eacavahon,Panng W A1040 Stage S(@KelerH la) 29 29 100% 23 .!,Q3 04-Apr23 O SbgeS(@Kellar Hchs) W A1060 StreetLgh6,Sgnab SO 50 100% 01-May-23 0].IuM O SheetLights,Sgnals AA1010 AC tSgnal,i rTn County0eby 5 5 100% 19 cQ3 2fi43eo-23 ❑ ACMal ,gnalalkr Tn CauntyC W A1080 CO-Bore,I..e,.und Boa,hstallb.I.htpobdue 22 22_0% I I Fe!,Q4 I9MarQ4 EIIIIIIIIIIIIII CO -Bore, aaaaaar. Acbal Levelof EfioR 0 Reaainm9 NbM ♦ ♦Miesbne Pag et oft TASK Ilter All ACMRies Actualmd, O IR—uungWbrk V_/waaary I ® Oracle Corporal— FORTWORTH. TRANSPORTATION AND PUBLIC WORKS July 24, 2024 McClendon Construction Co. Inc P.O. Box 999 Burleson, TX 76097 RE: Acceptance Letter Project Name: N. Riverside from Golden Triangle to Keller Hicks Project Type: pavement, drainage, sewer street lights City Project No.: 101567 To Whom It May Concern: On April 23, 2024 a final inspection was made on the subject project. There were punch list items identified at that time. The punch list items were completed on May 10, 2024. The final inspection and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on May 10, 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- 392-7862. Sincerely, 8e"ekef 8�-Aa a - Bereket Blrhane (Jul 31, 202414:15 CDT) Bereket Birhane , Project Manager Cc: Hershel Stanley Sutterfield, Inspector Troy Gardner, Inspection Supervisor Cody Horton, Senior Inspector Raul E. Lopez, Program Manager Parkhill Smith & Cooper, Consultant McClendon Construction, Inc, Contractor City of Fort Worth , Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me, the undersigned authority, a Notary Public in the state and county aforesaid, on this day personally appeared Justin Blair, Vice President of McClendon Construction Company, Incorporated, known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; That all persons, firms, associations, corporations or other organizations furnishing labor and/or materials have been paid in full; That there are no claims pending for personal injury and /or property damages; On Contract described as; CPN 101567 — N Riverside Drive Subscribed and sworn before me on this MISTY WEBB rar n-Notary Public, State of Texas Comm. Expires 01-09-2026 Notary ID 126838467 20 Z� y u 1c in Tarrant C unty, Texas CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ AIA DOCUMENT G707 OTHER Bond No. TXC614173 PROJECT. N. Riverside Drive from Golden Triangle to Keller -Hicks - City Project #101567 (name, address) TO (Owner) [ City of Fort Worth, Texas 200 Texas Street Fort Worth, TX 76102 ] ARCHITECTS PROJECT NO: CONTRACT FOR: ] CONTRACT DATE: February 8, 2022 CONTRACTOR: McClendon Construction Company, Inc. 548 Memorial Plaza Burleson, TX 76024 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Company) Merchants Bonding Company (Mutual) P.O. Box 14495 ,SURETY COMPANY, Des Moines, IA 50306-349$ on bond of (here insert name and address of Contractor) McClendon Construction Company, Inc. 548 Memorial Plaza Burleson, TX 76024 , CONTRACTOR, hereby approves of the final payment to the Contractors, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (here insert name and address of Owner) City of Fort Worth, Texas 200 Texas Street Fort Worth, TX 76102 ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto sc-t its hand this 18th Attest &-,Q (Sea]): day of July 2Q24 ants Bonding Company (Mutual) :ompany _ Signature o4uthori%ea Representative Betty J. Roh Attornev-In-Fact Title NOTE: This form is to be used as a companion d )cument to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition AIA DOCUMENT G707 • CONSENT OF SURETY COMPANY TO FINAL PAYMENT • APRIL 1970 EDITION • AIA® ONE PAGE © 1970. THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave., NW, WASHINGTON, D.C. 20006 MERCHANT'7'11�, 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 lov. a, dlbla Merchants National Indemnity Company (in California only) (herein collectively called the 'Companies") do hereby make, constitute and appoint, individually, AI[yson W Dean; Ana Owens; Andrea R )se Crawford; Andrew Gareth Addison; Betty J Reeh; Bryan Kelly Moore; Colin E Con[y; Debra Lee Moon; Elizabeth Ortiz; Emily Allison Mikeska: =aith 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, o 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 Comp any (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, o - 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 it a 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 cc isents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of FloridL 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 tho 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 Commonw -alth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have c aused this instrument to be signed and sealed this 11th day of April 2024 .•' Pt 1 O,Nq � ' . -pFLPOR ' O°t c. 9f ra i2 -o- o p.0 2003,= '% MERCHANTS BONDING COMPANY (MUTUAL) MERCHANTS NATIONAL BONDING, INC. dlbla MERCHANTS NATIONAL INDEMNITY COMPANY By President 77 STATE OF IOWA '•.,,�, L`r •' • ..`.. •'� COUNTY OF DALLAS ss. On this 11th day of April 2024 , before me appeared Larry Taylor, to me personally known, who being by me duly swom 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 � re the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Comnanies by authority of their resrective Boards of Directors. o�O�N P 0 :? -o- a 1933 ` �PR4A<0 Penni Miller Commission Number 787952 • t=• My Corn mission Expires IOWA January20, 2027 (Expiration of notary's commission toes not invalidate this instrument) r ti JZ Note bl I, William Warner, Jr., Secretary of MERCI IANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a tr,ie and correct copy of the POWER -OF -ATTORNEY executed by said Companies, which is still in full force and effect and has not been amende J or revoked. ,ii ,I - In Witness Whereof, I have hereunto se my hand and affixed the seal of the Companies on this day of _.1Lt- �� zP2 . �. p'tj .0�.P0 9• A\ - % .0. 0- 0; 20U3 a 1933 : c • Secretary POA 0018 (1124) , f - ♦i MERCHANTS BONDING COMPANY,. MERCHANTS BONDING COMPANY P.O. BOX 14498 DES MOINES, IA 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: Cnncimar Prot inn MC- f n-C'P Taxac nppqrtmpnt of Inraimnrp, IN.To 1 1 MMUMN351 1 jIPr1P Ilrla (711P1r7 Ca ninrprit [U 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, tambien debe presentar 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 (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 Telefono 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 Der)artment of Insurance, PO Box 12030, Austin, TX 78711-2030 SUP 0032 TX (7/23) MERCHANTS BONDING COMPANY. 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 i mpressed upon the bond(s). The digital or electronic seal below shall have the same force and effect as though manually fixed to the bond(s). A I I terms of the bond(s) remain the same. Signed and effective March 23, 2020. MERCHANTS BONDING COMPANY (MUTUAL) �O��pRPOq�A9' a •� 1933 •y • �j •Cy. • b •d . By. ----- —Larty Taylor,2-:7