HomeMy WebLinkAboutContract 57480-FP1Page 1 of 2
City Secretary
Contract No.__________________
Date Received ______________
NOTICE OF PROJECT COMPLETION
(Developer Projects)
The Transportation and Public Works Department upon the recommendation of the Project
Manager has accepted the following project as complete:
Project Name: Broadway Multifamily
City Project No.: 103752
Improvement Type(s): Water Sewer
Developer
Costs City Costs Total Costs
Original Contract Price: Water $134,159.65 $33,035.70 $167,195.35
Original Contract Price: Sewer $139,951.39 $20,066.01 $160,017.40
Amount of Approved Change Order(s): W $26,916.40 $0.00 $26,916.40
Amount of Approved Change Order(s):S $95,297.00 $0.00 $95,297.00
Revised Contract Amount: W $161,076.05 $33,035.70 $194,111.75
Revised Contract Amount: S $235,248.39 $20,066.01 $255,314.40
Total Cost of Work Complete:$396,324.44 $53,101.71 $449,426.15
Contractor Date
Title
Rampart Multifamily
Company Name
Project Inspector Date
Project Manager Date
CFA Manager Date
_______________________________________ __________________________________
TPW Director Date
Asst. City Manager Date
Page 2 of 2
Notice of Project Completion
Project Name: Broadway Multifamily
City Project No.: 103752
City’s Attachments
Final Pay Estimate
Change Order(s):Yes N/A
Pipe Report:Yes N/A
Contractor’s Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 250 WD
Work Start Date: 10/3/2022
Days Charged: 300 WD
Work Complete Date: 5/17/2024
Completed number of Soil Lab Test: 84
Completed number of Water Test: 16
CITY OF FORT WORTH
Contract Name BROADWAY MULTIFAMILY
Contract Limits
Project Type WATER & SEWER
DOE Number 3752
Estimate Number 1 Payment Number 1 For Period Ending 5/17/2024
FINAL PAYMENT REQUEST
City Secretary Contract Number
300
WD
Contract Date
RAMPART MULTIFAMILY, LLC
NA
800 INDUSTRIAL BLVD, SUITE 100
GRAPEVINE TX 76051
G.DEYON J.RUIZ
250WDContract Time
Days Charged to Date
CompleteContract is 100.00
Contractor
,
/Inspectors
Project Manager
City Project Numbers 103752
Wednesday, July 24, 2024 Page 1 of 5
Contract Name BROADWAY MULTIFAMILY
Contract Limits
Project Type WATER & SEWER
DOE Number 3752
Estimate Number 1
Payment Number 1
For Period Ending 5/17/2024
Project Funding
City Project Numbers 103752
UNIT I: WATER IMPROVEMENTS
Item
No.Description of Items Estimated
Quanity Unit Unit Cost Estimated
Total
Completed
Quanity
Completed
Total
1 REMOVE 6" WATER LINE (CO#2)416 LF $100.00 $41,600.00 416 $41,600.00
2 4" WATER VALVE 1 EA $300.00 $300.00 1 $300.00
3 REMOVE 6" WATER VALVE (CO#2)3 EA $300.00 $900.00 3 $900.00
4 SALVAGE FIRE HYDRANT 1 EA $500.00 $500.00 1 $500.00
5 SALVAGE 1" WATER METER 4 EA $1,000.00 $4,000.00 4 $4,000.00
6 TRENCH SAFETY 428 LF $5.00 $2,140.00 428 $2,140.00
7 DUCTILE IRON WATER FITTINGS w/
RESTRAINT (CO#2)
0.27 TN $40,000.00 $10,800.00 0.27 $10,800.00
8 6" PVC WATER PIPE (CO#2)57 LF $150.00 $8,550.00 57 $8,550.00
9 8" PVC WATER PIPE (CO#2)377.5 LF $120.00 $45,300.00 377.5 $45,300.00
10 CONNECTION TO EXISTING 4"-12" WATER
MAIN (CO#2)
6 EA $3,500.00 $21,000.00 6 $21,000.00
11 1" WATER SERVICE, METER RECONNECTION 1 EA $2,000.00 $2,000.00 1 $2,000.00
12 1" WATER SERVICE 1 EA $2,000.00 $2,000.00 1 $2,000.00
13 6" WATER METER AND VAULT 1 EA $33,935.35 $33,935.35 1 $33,935.35
14 6" GATE VALVE (CO#2)3 EA $1,200.00 $3,600.00 3 $3,600.00
15 8" GATE VALVE (CO#2)5 EA $1,500.00 $7,500.00 5 $7,500.00
16 REMOVE 1" WATER LINE 21 LF $100.00 $2,100.00 21 $2,100.00
17 CONNECTION TO EXISTING 6" FIRE LINE
SERVICE (CO#2)
0 EA $1,500.00 $0.00 0 $0.00
18 CONNECTION TO EXISTING 6" DOMESTIC
SERVICE (CO#2)
0 EA $1,500.00 $0.00 0 $0.00
19 REMOVE 8" WATER VAVLE (CO#2)2 EA $300.00 $600.00 2 $600.00
20 8" WATER LOWERING (CO#2)1 EA $7,286.40 $7,286.40 1 $7,286.40
$194,111.75 $194,111.75Sub-Total of Previous Unit
UNIT II: SANITARY SEWER IMPROVEMENTS
Item
No.Description of Items Estimated
Quanity Unit Unit Cost Estimated
Total
Completed
Quanity
Completed
Total
1 REMOVE 6" SEWER LINE 250 LF $100.00 $25,000.00 250 $25,000.00
2 REMOVE 4' SEWER MANHOLE 2 EA $3,706.20 $7,412.40 2 $7,412.40
3 PRE-CCTV INSPECTION 250 LF $10.00 $2,500.00 250 $2,500.00
4 POST-CCTV INSPECTION (CO#3)378 LF $10.00 $3,780.00 378 $3,780.00
Wednesday, July 24, 2024 Page 2 of 5
Contract Name BROADWAY MULTIFAMILY
Contract Limits
Project Type WATER & SEWER
DOE Number 3752
Estimate Number 1
Payment Number 1
For Period Ending 5/17/2024
Project Funding
City Project Numbers 103752
5 MANHOLE VACUUM TESTING (CO#3)4 EA $150.00 $600.00 4 $600.00
6 MANHOLE ADJUSTMENT, MINOR (CO#3)4 EA $1,000.00 $4,000.00 4 $4,000.00
7 TRENCH SAFETY (CO#3)378 LF $5.00 $1,890.00 378 $1,890.00
8 CONCRETE COLLAR 3 EA $500.00 $1,500.00 3 $1,500.00
9 6" SEWER SERVICE 4 EA $2,500.00 $10,000.00 4 $10,000.00
10 8" SEWER PIPE (CO#3)223 LF $120.00 $26,760.00 223 $26,760.00
11 8" SEWER PIPE, CSS BACKFILL 64 LF $130.00 $8,320.00 64 $8,320.00
12 4' MANHOLE (CO#3)(CO#4)5 EA $26,000.00 $130,000.00 5 $130,000.00
13 REMOVE CONCRETE SEWER VAULT 1 EA $1,500.00 $1,500.00 1 $1,500.00
14 6" SEWER PIPE (CO#3)34 LF $178.00 $6,052.00 34 $6,052.00
15 4' DROP MANHOLE 1 EA $26,000.00 $26,000.00 1 $26,000.00
$255,314.40 $255,314.40Sub-Total of Previous Unit
Wednesday, July 24, 2024 Page 3 of 5
Contract Name BROADWAY MULTIFAMILY
Contract Limits
Project Type WATER & SEWER
DOE Number 3752
Estimate Number 1
Payment Number 1
For Period Ending 5/17/2024
Project Funding
City Project Numbers 103752
Contract Information Summary
Change Orders
$274,111.04Original Contract Amount
$449,426.15Total Contract Price
$449,426.15
Less
Total Cost of Work Completed
% Retained $0.00
Net Earned $449,426.15
Plus Material on Hand Less 15%$0.00
Balance Due This Payment $449,426.15
Less Liquidated Damages
Days @ / Day
$0.00
Less Penalty
LessPavement Deficiency $0.00
$0.00
$0.00Less Previous Payment
Earned This Period
Retainage This Period
$449,426.15
$0.00
1 ($33,035.70)Change Order Number
1 ($20,066.01)Change Order Number
3 $95,297.00Change Order Number
2 $26,916.40Change Order Number
4 $0.00Change Order Number
Wednesday, July 24, 2024 Page 4 of 5
Contract Name BROADWAY MULTIFAMILY
Contract Limits
Project Type WATER & SEWER
DOE Number 3752
Estimate Number 1
Payment Number 1
For Period Ending 5/17/2024
Project Funding
City Project Numbers 103752
Line Fund Account Center
Amount
Funded Gross Retainage Net
CITY OF FORT WORTH
SUMMARY OF CHARGES
$449,426.15
Less
Total Cost of Work Completed
% Retained $0.00
Net Earned $449,426.15
Plus Material on Hand Less 15%$0.00
Balance Due This Payment $449,426.15
Less Liquidated Damages
0 Days @ $0.00 / Day $0.00
Less Penalty
LessPavement Deficiency $0.00
$0.00
$0.00Less Previous Payment
Earned This Period
Retainage This Period
$449,426.15
$0.00
City Secretary Contract Number
300
WD
Contract Date
RAMPART MULTIFAMILY, LLC
NA
800 INDUSTRIAL BLVD, SUITE 100
GRAPEVINE TX 76051
G.DEYON J.RUIZ
250
WD
Contract Time
Days Charged to Date
CompleteContract is 100.000000
Contractor
,
/Inspectors
Project Manager
Wednesday, July 24, 2024 Page 5 of 5
CSC No. 57480-CO1
INSPECTOR:
PROJECT h7ANAGER:
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
Nultifamil CHAN6E
iRa Sevrer Pavin and 5[reet Li ht Im roVemenis OROER Nc
14 GTY PARTICIPATION: YES
1
7431-103752-E07fiB5
z„�o
James Ru'¢ Phone No: 817£75-t574
KhalJaafari,P.E. Phone No: 817-392-7872
RECEI VED
By Khal Jaafari at 11:04 am, Jul 15, 2024
Revised' 12-17-2018 � Page 2
RECEI VED
By Khal Jaafari at 11:04 am, Jul 15, 2024
Revlsed:l2-77-2078
Page 3
REASONSFORCHANGEORDEH Achangeorderisiequired(oefgn(heexecufedb'dproposelinlheprojectmenuel�tlhlheexeculedGFA. Thenum6ersreflecledinlhecosfsvmmerylabk,cifypeAicipafionsection,end(hebH
feb in fhe CFA ere correcl. 7lra chenge order is conectv�g en enorvi fhe bid fe6 fhef's m fha execv�edprojecf manuel P�'a chenge order does noI impacf !he fofel conshucGon cosf endlhe fofal
conslrucGon ros! s nol chengng.
RECEI VED
By Khal Jaafari at 11:04 am, Jul 15, 2024
�
r.;I
RECOldlAENOED: APPROVED: APPROVED:
5(anfec Consuk�ng Servi�es Inc. 8ioadi�; ay Acqua�0on LP Rampert h'vtdam,�, LLC
P,i�tG,t( K�i�t . DOjI�lnc I.I50 ��
ea _.._�
gY; � �.,.. .: �. gY. BY:. .. .. .�.:...
Name' Paul Harrus. PE Name: Brian Crouell Name' Ooua Sorey
TNe: Pro;ecllAanaQer TMe: lAanaper TNx'. VP
APPROVALRECOM11h7EN0E0: APPROVALRECOIAt,7EN0E0: APPROVEDASTOFORM1IANOLEGALITY:
CFLY-Sponsor,r,gCe➢3rtm=r,f CFLV-SponsonngOeOartmanf CFVV-Sen'orAssalanfCrF/Attomey
aY :_y.y...�� BY: NIA g . . � .
Y
Name: SubYVaruahese.PE Nanv: NIA Nama�. RichardA!".cCrecken
TNe: EnginxerlAanager-�SWS TNe: _
Titla: Sen:or Assistant Clry AttomeY
REC01,iMEN�EO: APPROVEO: ATTEST:
CFW-'ConNacfComp'iance/Aanag�i CF45'-Ass.;lantC�;yl.fanag=r CFW-CRySenetary
.YaJ�fq�.,: Pf �:.�./.�r -.�«! �..,...�..u.,..
0y: � By. � By:
Name: Khal Jaalari. PE Name�. Oana �urqhdoH, AICP Nart»: Jannette 5. Goodall
TNe: ProfessbnalEnpneer Tnle'. Assistan�CiNhlanaaer TNe; CMSecreary
lAflC Number. N/A
h18CDateApproved�. N/A
' Con[racl Compllance M1lanager (ProJect Manager�:
By signing I acknov.!edge �hat I am he person respansib!e KC
tor ihe monitonng and adrtvmstratian of thls contracl, inGude
ensunng all pxrformance and reporting requiremxnts.
There are NO City Funds aswcia�ed rnih Mis Contract
+ There are City Funtls associated v�ith ihis Contract
Revised�.72-77-2078
Page 4
RECEI VED
By Khal Jaafari at 11:06 am, Ju115, 2024
CSC No. 57480-0O2
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: Broadwa Mullifamil CHANGE
CONTRACT: Waler, Sanilar Sewer, Pavin and Street Li hl Im rovemenls ORDER No:
CFA# CFA22-0004 CITYPARTICIPATION: YES
CITY PROJECT # 103752
CITY SECRETARY CONTRACT # 57480 z
FI D # 30114-0200431-103752-E07685
FILE # W-2807; X-27120
INSPECTOR: James Ruiz Phone No: 817-675-1574
PROJECT MANAGER: Khal Jaafari, P.E. Phone No: 817-392-7872
CONTRACT UNIT
WATER SEWER �RAINAGE PAVING STftEET LIGHTS CONTRACT
Developer �eveloper Developer Developer �AYS
cost ciry cost oeveioper cosc ciry cos[ cosi ciry cosi cos[ cicy cosi cos� ciry cosc
ORIGINALCONTR4CT $134,159.65 $73,OJ570 $179,951.39 SZ0,066.01 $0.00 50.00 $264,911.70 57,866.80 5123,159.00 $D.00 250
EXTRAS TO DATE 50.00 50.00 $O.OD $0.00 50.00 $0.00 $0.00 $0.00 50.00 $0.00 0
CREDITS TO DATE $0.00 50.00 $0.00 $0.00 $0,00 SO.OD So.00 50,00 $0.00 50.00 0
CONTRACTTODATE $194,159,65 533,035.70 $139,951.�9 SZ0,066.01 $0.00 $OAU $264,911.70 $7,866.80 5123,159.00 $0.00 250
AMOUNT OF PROP. CHANGE ORDER $26,916.40 $0.00 $O.OU 50.00 $0.00 SD.00 $6,282.50 50.00 $O.OD $0.00 0
REVISEDCONTRACTAMOUNT $161,076.05 Sa3,036.70 $139,951.59 520,066.01 50.00 50.00 5271,194.20 $7,866.80 $123,159.00 $0.00 250
TOTAL REVISED CONTRACT AMOUNT PER
11NIT $194,111.75 $160,077.40 $0.00 5279,061.00 $123,159.00
REVISE� COST SHARE Dev. Cost: $695,380.64 City Cost: $60,968.51
TOTAI REVISED CONTRACT $756,349.15
Revised: 12-17-2018 Page 2
RECEI VED
By Khal Jaafari at 11:07 am, Jul 15, 2024
You are directed to make lhe following changes in the conlract documents:
REASONS FOR CHANGE ORDER
1) A change order is iequired to show the wnect cos! 62akdotvn (or the project beAveen fhe Developer and City.
2) Revised proposed 6" Fire Line and 6" Domestic Service connections to 8" main in Daggett Ave, due to !he hvo (2) exisfing 6° service lines incor2ctly
shownAocafed on plans. Addi(ional demolition 8 paving added per lhese watei service revisions. Changes correspond fo Revision No. 2 as shown on sheels 4,
10, and 19 0/ the consfrucfion plans.
3) Water line lowedng requiied on existing 8" water line in Galveston Ave as said wafer line is in direct path of proposed WV✓ Line A' at their crossing. Changes
cor2spond to Revision No. 2 as shovm on sheets 4, 5, and 8 0/ the constiuction plans.
4J Revised paving, 92ding due to iequired accessibility (ADA) conformance. Changes correspond fo Revision Na 2 as shown on sheets 11 and 19 0( the
consWction plans.
Revised: 12-17-2018 Page 3
TOTAL UNIT I: WATER IMPROVEMENTS 26 916.40 0.00 5z6,916.40
TOTAL UNIT IV: PAVING IMPROVEMENTS 6 282.50 0.00 56,282.50
GRAND TOTAL $33,198.90
Asterisk (•) indicates New Pay Item
RECEI VED
By Khal Jaafari at 11:07 am, Jul 15, 2024
RECOMMENDED: APPROVED: APPROVED:
Sfanlec ConsWtino Services Inc. Broad�vay Acquisition LP RampaR Multilamily, LLC
➢ad/ kl �{amCs D � Jll S .w�_
By: By: � � By. �_:�
Name: Paul Hames, PE Name: Bnan Crowell Name: Doug Sorey
Tifle: P�oject Manager Tille: Manager Title: VP
APPROVAL RECOMMENDED: APPROVED: APPROVED AS TO FORM AND LEGALITY:
CFW - Sponsonng Department CFW - Sponsonng Departmenf CFW - SeniorAssisfanf City Atfomey
s:s .,�...�.. F� 02_
BY: d By: N/A By: � -.. ., „
� Name: Suby Varughese, PE Name: N/A Name: Richard A. McCracken
rni
Title: Engineer Manager - DSWS Title: N/A Tille: Senior Assistant City Attorney
RECOMMENDED: APPROVED: ATTEST:
CFW -'Confracf Compliance Manager CFW - Assis�ant City Manager CFW - City Secretary
�R�,79 !fYl l�.E _ Snnia Scarlelthlornles For J•��• t.3ak
BY: .. � . „ BY . . , gY: :
Name: Khal Jaafari, PE Name: Dana Burghdoff, AICP Name: Jannette 5. Goodall
Title: Professional Engineer TiUe: Assistant Citv Manaqer Title: Citv Secretary
' Contract Compliance Manager (Project Manager): KC
By signing I acknowledge that I am lhe person responsible
for lhe moniloring and administration of lhis conUact, include
ensunng all pedormance and reporting requirements.
❑ There are NO City Funds associaled vrifh ihis Contract
M&C Number. N/A
�❑+ There are City Funds associated with this Contracl
M&C Date Approved: N/A
Revised: 12-17-2018
Page 4
RECEI VED
By Khal Jaafari at 11:10 am, Jul 15, 2024
CSC No. 57480-0O3
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: Broadwa Multifamil CHANGE
CONTRACT: Waler, Sanita Sewer, Pavin and Slreel Li hl Im rovements ORDER No:
CFA# CFA22-0004 CITY PARTICIPATION: YES
CITY PROJECT # 103752
CITY SECRETARY CONTRACT # 57480 3
FID # 30114-0200431-103752-E07685
FILE # W-2807; X-27120
INSPECTOR: James Ruiz Phone No: 817-675-1574
PROJECT MANAGER: Khal Jaafari, P.E. Phone No: 817-392-7872
CONTRACT UNIT
WATER SEWER �RAINAGE PAVING STREETLIGHTS CONTRACT
Developer �eveloper Developer Developer DAYS
Cost City Cost Developer Cost Ciry Cost Casl City Cost Cost City Cost Cost City Cost
ORIGINALCONTRACT $174,159.65 $J3,035.70 $139,957.39 $20,0fi6.01 $0.00 50.00 $264,911.70 $7,866.80 5123,159,00 50.00 250
EXTRAS TO DATE $26,916.40 $0.00 $�.00 50.00 $0.00 50.00 $6,282.50 50.00 $0.00 $0.00 0
CREDITS TO DATE $0.00 $0.00 50.00 $0.00 50.00 50.00 $0.00 50.00 $0.00 $O.OU 0
CONTR4CTTO�ATE $161,076.05 533,035.70 $139,951.99 $20,066.01 $0.00 SO.OD $271,194.2� $7,866.80 5123,159.00 SO.OD 250
AMOUNT OF PROP. CHANGE ORDER $0.00 50.00 $95,297.00 50.00 $0.00 SD.OD $27,288.06 50.00 $11,241.36 50.00 0
REVISEDCONTRACTAMOUNT $161,076.05 $3J,036.70 $235,248.99 $20,066.01 $0.00 50.00 $298,482,26 57,666.80 5794,400.36 SO.OD 250
TOTAL REVISED CONTRACT AMOUNT PER
UNIT $194,111.75 $255,J14.40 50.00 33�6,J49.06 $194,400.36
REVISED COST SHARE Dev. Cost: $829,207.06 City Cos[: 560,968.51
TOTAL REVISED CONTRACT $890,175.57
Revised: 12-17-2018 Page 2
RECEI VED
By Khal Jaafari at 11:10 am, Jul 15, 2024
You are directed to make the follovnng changes in the contract documents:
REASONS FOR CHANGE ORDER 7J Revised p�oposed 6" sanitary sewe�lines WN/LAT'A2°, WV✓LAT'B7', and N/W LAT'B2' in orderto connect to the pnvate MEP connections which were
constiucted at locafions thaf di//e�ed Gom approved construction plans. Changes wnespond to Revision No. 3 as shown on sbeets 4 and 5 of the cons Wction
plans.
2J Water line lowenng required on existing 8"�vater line in Galveslon Ave as said wateNine is in direct path of proposed WWV'ne 'A' at Iheir crossing. Changes
correspond fo Revision No. 3 as shown on sheets 4, 5, and 8 0/ the construction plans.
3) Revised paving, grading due to required accessibility (ADA) conformance. Changes conespond fo Revision No. 3 as shown on sheets 11 and 19 of the
conslruction plans.
Revised: 12-17-2018 Page 3
TOTAL UNIT IV: PAVING IMPROVEMENTS 27 288.06 0.00 $27,288.06
UNIT V: STREET LIGHT IMPROVEMENTS
3 3441.1408 351 LF No. 6lnsulated Elec Condr 51.50 5526.50 5526.50
10' 2605.3016 117 LF 2" CONDT PVC SCH 80 (8) 591.58 510,714.86 $10,714.66
TOTAL UNIT V: STREET LIGHT IMPROVEMENTS 11 241.36 0.00 $11,241.36
GRAND TOTAL $133,826.42
Asterisk (') indicates New Pay Item
RECEI VED
By Khal Jaafari at 11:10 am, Jul 15, 2024
RECOMMENDE�: APPROVED:
Sfantec Consulfing Services Inc. Broad�vayAcquisition LP
F.�'7r!.y..« ,.
BY_ �.,��. . .,..:_. ,. BY:.
� J -
APPROVED:
Rampart Multi/amily, LLC
,lbl�l:1 r{i��CYC�
Rv. . . . . ., .
Name: Paul Hames, PE Name: Bnan Crowell Name:
Title: ProjectManager TiUe: Manager Title: �
APPROVAL RECOMMENDEO: APPROVED: APPROVED AS TO FORM AND LEGALITY:
CFW - Sponsonng Departmenf CFW - Sponsonng DepadmeN CFW - Senior Assistant City Attomey
sy.:yc.. a; - �.�--
BY: By: N/A By: . ..
� Name: Suby Varughese, PE Name: N/A Name: Richard A. McCracken
�u.
Title: EngineerManager-DSWS Title: NfA Title:SeniorAssistantCityAttorney
RECOMMEN�ED: APPROVED: ATTEST:
CFW -'Contract Compliance Manage� CFW - Assislan( City Manager CFW - City Secrefary
BY K/rnL9nnf++LP.E. gY �..`.S..,t �«T,"•r.l,. BY '•1uw.A_Kv��.,
I
Name: Khal JaaFari. PE Name: Dana Burghdoff, AICP Name: Jannette S. Goodall
Title: Professional Engineer Title: Assistanl Cilv Manaaer Tille: Citv Secretary
M&C Number. N/A
M&C Date Approved: N/A
Revised: 12-17-2018
' Contract Compliance Manager (Project Manager): KC
By signing I acknowledge that I am the person responsible
for lhe monitonng and adminisUation of lhis conUact, include
ensunng all performance and reporting requirements.
❑There are NO City Funds associated with lhis Contract
❑+ There are Ciry Funds associated with this ConVact
Page 4
RECEI VED
By Khal Jaafari at 11:12 am, Jul 15, 2024
CSC No. 57480-004
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
INSPECTOR: James Ruiz Phone No: 817-675-1574
PROJECT MANAGER: Khal Jaafari, P.E. Phone No: 817392-7872
CONTRACT UNIT
WATER SEWER �RAINAGE PAVING STREET LIGHTS CONTRACT
Developer Developer Developer Developer DAYS
Cost City Cost Developer Cost City Cost Cost City Cost Cost City Cost Cost City Cost
ORIGINALCONTRACT 5134,159.65 5�3,035.70 57J9,951.39 520,066.01 50.00 50.00 $264,911.70 $7,B66.BU 5127,159.00 SO.OU 250
EXTRAS TO DATE $26,916.40 50.00 $95,297.00 $0.00 $0.00 50.00 $33,570.56 $0.00 511,241.96 50.00 0
CREDITS TO DATE 50.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 50.00 SO.OU 50.00 0
CONTRACTTODATE 5161,076.05 533,U35.70 $295,248.99 $20,066.01 $0.00 50.00 $298,482.26 57,866.80 $1J4,400.96 50.00 250
AMOUNT OF PROP. CHANGE OROER $0,00 50.00 50.00 50.00 $0.00 $D.00 50.00 50.00 $0.00 50.00 0
REVISE�CONTRACTAMOUNT $161,076.05 $3�,035.70 $235,248.39 520,066.01 $O.OU 50.00 $290,482.26 57,866.80 $194,400.96 $0.00 250
TOTAL REVISED CONTRACT AMOUNT PER
UNIT $194,111.75 5255,314.40 $0.00 $J06,349.06 $134,400.76
REVISED COST SHARE Dev. Cost: 5829,207.06 City Cost $60,968.51
TOTAL REVISE� CONTRACT $890,175.57
Revised: 12-17-2018 Page 2
RECEI VED
By Khal Jaafari at 11:13 am, Jul 15, 2024
You are directed to make lhe following changes in the contract documents:
Revised: 12-17-2018 Page 3
REASONS FOR CHANGE ORDER 1) Revised propsoed 6" sanitary sewer line WW LAT '81'to include a 4' Drop Manhole at Sla. 0+00 ins?ead of a standard manhole in order to connect to the
pnvate MEP connec(ion which was a� a higher elevation oul of the building. Changes conespond to Revision No. 4 as shown on sheefs 4, 5, and 8 of the
construction plans.
RECOMMENDED: APPROVE�: APPROVED:
Stanfec Consulting Services Inc. Bioadway Acquisition LP Rampad Mullilamity, LLC
Patd F'I NameS ...' -i De..,9.+=7rSSa�...
gY; ,. ��.,.-.,.:..;�.:<�.,„�,,, BY: � gY: �., �..:_..., .,r.�.
Name: Paul Hames, PE Name: Brian Crowell Name: Doug Sorey
Title: ProjectManager Tille: Manager Title: VP
APPROVAL RECOMMENDED: APPROVED: APPROVED AS TO FORM AND LEGALITY:
CFW- Sponsonng Department CFW - Sponsonng Department CFW - SeniorAssisfant CityAtfomey
s�lt�.. � .sl �--
By: By: N/A By: �
Name: Suby Varuphese, PE Name: N/A Name: Richard A. McCracken
Title: Engineer Manager - DSWS Title: N/A Title: Senior Assislant Ciry Ariomey
RECOMMENDED: APPROVED:
CFW -'Confrac� Compliance Manager CFW - Assisfant City Manager CFW - City Secretary
Kkal,7o nyi �E. Tanie Scarleft Nlarales foi� 4>t�- A��
BY; ... ... ��.. � By , ,. By: J
Name: Khal Jaafari, PE Name: Dana Burghdoff, AICP Name: Jannette 5. Goodall
Title: Professional Engineer Tille: Assistant Citv Manaaer Ti�e: Cily Secretary
' Contract Compliance Manager (Project Manager):
By signing I acknowledge that I am the person responsible
for lhe monilonng and adminisVation of lhis conlract, include
ensudng all performance and reporting requiremenls.
❑ There are NO Ciry Funds associated wilh this ConVact
M8C Number: N/A
� There are City Funds associated wilh this Contract
M8C Date Approved: N/A
Revised: 12-17-2018 Page 4
1 EA
1EA
LF
LF
SEWER
152
64
PIPE ABANDONED
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
6"NEW SERVICES:SDR-26 2 EA
DENSITIES:
WATER
N/A
ALL DENISTY TAKEN AND PASSED
LF
34
361
SIZE TYPE OF PIPE
N/A N/A
SIZE TYPE OF PIPE
SDR-26 8" SDR-26
SDR-26 8" SDR-26 CSS BACKFILL
PIPE LAID
1" COOPER NEW SERVICE
NEW SERVICES:1" COOPER (RECONNECT)
DENSITIES:ALL DENSITY TAKEN AND PASSED
N/A
FIRE HYDRANTS:1 (SALVAGED)VALVES (16" OR LARGER)
LF
PIPE ABANDONED SIZE TYPE OF PIPE
N/A N/A N/A
TYPE OF PIPE
C900 6" PVC C900
C900 8" PVC C900
PIPE LAID
CITY PROJECT NUMBER:
PROJECT NAME:Broadway Multifamily
103752
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
SIZE
Rev. 8/20/19
TRANSPORTATION AND PUBLIC WORKS
April 23, 2024
Rampart Multifamily, LLC
800 Industrial Blvd Suite 100
Grapevine, TX 76051
RE: Acceptance Letter
Project Name: Broadway Multifamily
Project Type: Water, Sewer, Paving, and Street Lights
City Project No.: 103752
To Whom It May Concern:
On May 17, 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 July 8, 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 July 8, 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-
584-5104.
Sincerely,
Khal Jaafari, Project Manager
Cc: James Ruiz, Inspector
Gary Deyon, Inspection Supervisor
Edward Davila, Senior Inspector
Andrew Goodman, Program Manager
Stantec Consulting, Consultant
Rampart Multifamily, LLC, Contractor
Maverick Development Group, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARR_ANT
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Doug Sorey, VP Of
Rampart Multifamily, LLC, known to ine to be a credible person, who
being by me duly sworn, upon his oath deposed and said;
That all persons, firms, associations, coiporations, or other
organizations furnishing labor and/or materials have been paid in full;
That the wage scale established by the City Council in the City of
Fort Worth has been paid in full;
That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
Broadway Multifamily (CPN 103752, CF
:•
Sorey, VP
Subscribed and sworn before me on tliis date 18th of June, 2024.
l/ ���� /L��G� —
Notary Public 8
Tarrant County, Texas
t��� °�e MATTHEW D RUSH
z�� Notary ID #134207534
�,� � My Commission Expires
�rF oF �'+ February 17, 2027
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
AIA DOCUMENT G707
PROJECT: Broadway Multifamily
(name, address)
TO (Owner)
� Broadway Acquisition, LP
�
CONTRACTOR: Rampart Multifamily, LLC
800 Industrial Blvd, Ste 100
Grapevine, TX 76051
//
■
■
■
■
� ARCHITECT'S PROJECT NO:
CONTRACT FOR: Bond#273961
� CONTRACT DATE: March 23, 2�22
FINAL CONTRACT PRICE: $890,175.57
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)
NGM Insurance Company (formerly known as National Grange Mutual Insurance Company)
55 West Street
Keene, NH 03431 , SURETY COMPANY,
O� bOfld Of (here insert name and address of Contractor)
Rampart Multifamily, LLC
800 Industrial Blvd, Ste 100
Grapevine, TX 76051
,CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve
the Surety Company of any of its obligatlolls t0 (here insert name and address of Owner)
Broadway Acquisition, LP
, OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Company has �e� � '
�,,,"",,, qNDREA BERNHAR •
',?G� �i
j _-'�,�:';,= Notary Pub�iC, State of Texa
�,',`��:+� Comm.Expires05-23-2025
��''�.,,,;;,�:�` Notary ID 131 14058-5
Attest:
{Seal):
�G�,,,�;(_ �?e�--
OWNER
ARCHITECT
CONTRACTOR
SURETY
OTHER
2024.
rance Company (formerly known as National
�J1Ua� �RS�U� A. @ ,CO 2f1 _ _
�any ' f
�.���1 , �'�.; l��__ --
Authorized Representative
Attorney-inFact
Title
NOTE: This form is to be used as a companion document to AIA DOCUMENT, G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT
OF DEBTS AND CLAIMS, Current Edition
Printed in cooperation with the American Institute of Architects (AIA} by the NGM Insurance Company. The language in this document
conforms exacUy to the language used in AIA document G707, April 1970 Edition.
� NGM INSURANCE COMP.AN�I PO WER OF ATTORNEY
A member of The Meln 56sM Ampda Gmup
6�C�- � � �; I � `,:) _; r ; _ ` �
KNOW ALL MEN BY THESE PRES�NTS: That NGM Insurance Company, a Florida corporation having its principal
office in the City of Jacksonville, State of Florida, pursuant to Article IV, Section 2 of the By-Laws of said Company, to
wit:
"Article N, Section 2. The board of directors, the president, any vice president, secretary, or the
treasurer shall have the power and authority to appoint attorneys-ln-fact and to authorize them to execute
on behalf of the company and a�x the seal of the company thereto, bonds, recognizances, contracts of
indemnity or writings obligatory in the nature of a bond, recognizance or conditional undertaking and to
remove any such att4rnays-in-fact at any time and revoke the power and autliority given to them. "
does hereby make, constitute and appoint Bret Tomlinson, Sheri R Allen, David Oxford, Steven Lott, Sherrel
Breazeale, Peggy Hogan -----------------------------------------------__---------
its true and lawful Attorneys-in-fact, to make, execute, seal and deliver for and an its behalf, and as its act and deed,
bo�ids, undertakings, recognizances, contracts of indemnity, or other writings obligatory in nature of a bond subject to the
following Limitation:
1. No one bond to exceed Five Million Dollars ($5,000,000)
and to bind NGM Insurance Company thereby as fully and to the same extent as if such uistruments were signed by the
duly authorized officers of NGM Insurance Company; the acts of said Attorney are hereby ratified and confirmed.
This power of attorney is signed and sealed by facsimile undar and by the authority of the following resolution adopted
by the Directors of NGM Insurance Company at a meating duly called and held on the 2nd day of December 1977.
Voted: That the signature of any officer authorized by the By-Laws and the company seal may be af�ixed by
facsimile to any power of attorney or special power of attorney or certification of either given for the execution of
any bond, undertaking, recognizance or other written obligation in the nature thereof; such signature and seal, when
so used being hereby adopted by the company as the original signature of such office and the original seal of the
company, to ba valid and binding upon the company with the same force and effect as though manually affixed.
!N WJTNESS WHEREOF, NGM Insurance Company has caused these presents to be signed by its Vice Presidant,
General Counsel and Secretary and its corporate seal to be hereto affaced this 7th day of January, 2020.
NGM 1NSURANCE COMPANY By:
�u`� 1����
���� � ��
¢� �a� �
Kimberly K. Law �� �
Vice President, General �''y��,�'9°F,YO"�a�°�
Counsel and Secretary
State of Florida,
County of Duval.
On this 7th day of January, 2020, before the subscriber a Notary Public of State of Florida in and for the County of Duval duly
commissioned and qualified, came ICimberly K. Law of NGM Insurance Company, to me personally lrnown to be the officer described
herein, and who executed the precedrng instrument, and she acl�owledged the execution of same, and Ueing by rae fully sworn,
deposed and said that she is an officer of said Company, aforesaid: that the seal affiaced to flia preceding insmzment is the corporate
seal of said Company, and the said corporate seal and her signature as officer were duly affixed and subscribed to the said instrument
by the authority and direction of the said Company; that Article IV, Section 2 of the By-Laws of said Company is now in force.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal at Jacksonville, Florida this 7th day of January,
2020.
� YIrYhYe�I�Ydifdr
�) jj �` IW �(PRbll
`p¢, F• i'Y!.WIT� r .� � �isn e�a �
I, Nancy Giordano-Ramos, Vice President of NGM Insurance Company, do hereby certify that the above and foregoing is a hue and
correct copy of a Power of Attorney executed by said Company wluch is still in full force and effect.
IN W�N ESS WHEREOF, I have hereunto se my hand and affixed the seal of said Company at Jacksonvi] e, Florida this
� ` _day of ��1�.
lst day of Aug st 2p24 I� a4� =�`;'��,^o�-�
WARNING: My unauthorized reproduction or alteration of this document is prohibited. �� \�1
TO CO1dFIRM VALIDITY of the attached bond please call 1-800-225-5646, �� �
TO SUBMIT A CLAIM: Send all wrzespondence to 55 West Street, Keene, NH 03431 Attn: Bond Claims.
i,,�,: ;. , , . ;,
, . ,, � . „, � , i . , , ,. , f