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Home My WebLink AboutContract 57664-FP1FORTWORTH, WATER DEPARTMENT NOTICE OF PROJECT COMPLETION -FP1 City Secretary No. 57664 Date Received: 08/29/2024 City Project N!?: 101688 Regarding contract 57664 Water and Sanitary Sewer Replacements for as required by the WATER DEPARTMENT as approved by City Council on 4/26/2022 through M&C 22-0323 the director of the WATER DEPARTMENT upon the recommendation of the Assistant Director of the Water Department has accepted the project as complete. Original Contract Prices: 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 Recommended for Acceptance Asst. Director, WATER DEPARTMENT Cl7Kst0pMef ffgr-der Christopher Harder (AuB 29, 202413:20 CDT) Accepted Director, WATER DEPARTMENT Dana Burghdoff (Aug 9, 2024 0 CDT) Asst. City Manager Comments: $ 5,384,815.20 $ 0.00 Na 0 $ $4,820,665.85 Days @ $650.00/ Day $ $4,820,665.85 $ 4,579,632.56 $ 241,033.29 Aug 2% 2024 Date Aug 29, 2024 Date Aug 29, 2024 Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX C-620 Signature Page Contractor's Application for Payment Invoice No. Retainage Release To (Owner): City of Fort Worth Invoicing Period (From - To): Invoice Date: 7/23/2024 P 0. FW060-00000-18734 From (Contractor): Remit to ( If Not Automatic Deposit): Number: Gra-Tex Utilities Inc Project: 101688 Contractor's CFW Vendor No.: City secretary contrail 57664 Contract Water & SanitarySewer Replacement Contract 2018 WSM- p Number: Name: : Application For Payment Change Order Summary Approved Change Orders Number Additions I 1 2 3 I 4 I 5 I 6 I 7 8 TOTALS NET CHANGE BY CHANGE ORDERS Contractor's Certification 11. ORIGINAL CONTRACT PRICE............................................................. $ $5,384,815.20 Deletions 12. Net change by Change Orders.................................................................... $ 13. Current Contract Price (Line 1 t 2)........................................................... $ 14. TOTAL COMPLETED AND STORED TO DATE (Progress Estimate, Construction Allowance and Change Orders)....... $ $4,820,665.85 15. RETAINAGE: Ia. X $4,820,665.85 Work Completed.......... $ I b. X Not Used $ Ic. Total Retainage (Line 5a + Line 5b)................................. $ 16. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c) ............................... $ $4,820,665.85 17. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)........ $ $4,579,632.56 8. AMOUNT DUE THIS APPLICATION.................................................... $ $241,033.29 9. BALANCE TO FINISH, PLUS RETAINAGE (Column G on Progress Estimate+ CA + Cos + Line 5 above) ............... $ The Contractor certifies with the submittal of this document and associated Payment Request Submittal on the City of Fort Worth Buzzsaw system that to the best of their knowledge: (1) all previous progress payments received from Owner on account of Work done under the Contract have been applied on account to discharge Contractor's legitimate obligations incurred in connection with 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 such as are covered by a Bond acceptable to Owner indemnifying Owner against any such Liens, 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. /!iL (iLUfa/ Jo Crowley (Ju131,202 08 CDT) 10. CONTRACT TIME: a, Days Awarded 380 b, Days Added by CO C. Total Days 380 d. Days Charged 378 e, Days Remaining 2 �7 This document has been modified from its original form as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefully and consult Legal Counsel prior to its execution. Progress Esfimate em,m„x� 57664 Contractor's Application va<.mtr.m Wafer&Slalboy Sewer Replaednefa C-md 2018(WSM-M) ww �mmemm �mmu.m viurzut. eu,m.xo vpypr ,mn sx.mrv® as,®m. ew Gv.mo wnn.. eiay.�m.I ..... v.m. rv..,w4,wwwswi. vw.m�w,oa rammm. az m m e�/ v � � roJf •a••••'••m15o iifilLLl.mml x�i 0000""oo (y'xi'Q'//l'rex dST&o.ELI raad'fd•�1",�_,z �o��1i ;a000 i e°`;�aC 1 , aeo"memPwao� a ;mow 11 �eo�7�emea,e,zwa,e,rna�" s�1. 14 RL�,,,a,� 11 Rem "a•�� e�e�n, P 1�,e��1'1 a oo i�:� ;� 1 Z ,� nm— 3 s� aria°, Iz; _ oM ;.te2. Ms ( )�,s°, —01( � Rv"" W11= M $,°zs 1 „o 1s loo s,m8w o� — emmm me moo ""11 mm ."aa.mn 2- fF °° a"gym a m 121. 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(zs/zsgo) 'ln zA ffi,eximl san,S 'nm� ,dlx esl l3Rml- o000000o bz,000w fz.000.00 I az"mm ,m I I ¢,Wool Ci hIr-Z 1°mn� � 1:°Mm'� �,m� ;aa � fi1,14 o11 Noy EZZ !„z� M7 xi"e'1 .f m °' l — Y --1— ememm ffinem f,.m f,"mm mx� ! � 11 mm lS;�m1— l�;ew a 1Sboo' m _e w.m oo�l I I i I I I I I I *wr simxaml an„um um, mwl um,aum m.x w,us„al C-620 Change Order Progress Estimate Construction Allowance Usage ADDITIONS For(covtracl) 101688 WA- &Sanitary Sew-Repta—t Contract 2018(WSM-M) ApphcaOov Penal: I—Nmvber I[eor DescnPhw 27 Concrete Pavement Removal 44 W—Iane l.owenng 45 oft IDameter Mm4role Cart-htPlace Revwve and salvage 4Ft—hole Sta—o—ffi ]0" 45 Installed Salvage Manhole at Sta 0+21 74 46 Revwve and—rt New 4ft Manhole at Ste 0+4J 0] Totals cry S—Irary 57664 Cm¢ract Num B c Estimated Q—ty sp fcanon Sernon No Um[ofMeaswe Quavhty[o Add U�ul Pnce Add�hw Value huTaOed SY 3500000000 $6850 $2,397 50 26572000000 m11-W— ES 100000000 $I2,00000 $1200000 100000000 -t sewer EA 2(0000000 $'I,850.00 $15,70000 200000000 mt2-Sewer EA 100000000 $4,650.00 $4,65000 100000000 m12-S— EA 100000000 $6,00000 KOM 00 100000000 mt2-%ewer EA ]00000000 $2,350,00 $2,35000 100000000 D E Prevtovsly Valve This Marenals Presently Val- hurzOed Valve Paiod Sta« (.or m C) WIN 82 $18.201 82 Contractor's Application Retainage Release 7/23/2024 F Total Completed % Bar— Pwsh and Staedto Date (F) (B F) (D+E) B $1&20182 7592% -$I5,8043221 $1100000 I000% $15,70000 100.0% $4,650 00 100.0% $6,000 00 I00 0% $2,350 00 100— $58.901.ffi I36 J% -S1S80432� 11vs docmvevt lws been modifiedftom tU wgmal loon as m EICDC docvmmt and We user didwt Ivgbhgbt 0>3 mahficanms. You are evcowagedm read d. document carefully and consult Legal Coumel poor W tft execu0ov Co20 Change Order Progress Estimate Construction Allowance Usage CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED For(wvtract) 101688 Water&Sanitary Sewer Replacement Coat—t2018(WSM-M) Apph-Penod D C um Btd ltevr Nuvil�er —P..SP°''fceh°v llmt ofMeaeme QuaMtyto Delek Umt Pnce Reducttw Value Not Used Section No Covetrurn.n Allowance Not EA 100000000 $2397.5J $239756 Covemcaov Allowance Not EA 100000000 $40,700.0J $4030006 T- $43.097.56 Ap,h—Number Ap,h—Dffi D E Not Used Not Used Not Used Not Used Contractor's Application Retainage Release 7/23/2024 F Not Used Not Used Not Deed 11ve docmvevt 1. bee. modified&.., to ongmal fon. ae s. EICDC document and We veer did not I ,hhgla fl 3 m«hficanors. You are e.comaged to read Ore document cmefully a.d coneelt legal Coumel pour W to execuao. City of Fort Worth Summar�r of Charges City Secretary Contract Nun,: 57664 Water Sanitary ewer Replacement Contract 2018( SM- IP D _ FW060-00000-18714 Project Number �101688 Application Period I 0 I Application I Retainage Release Application Date. 7/18/2024 Number. Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net �� XiMN 15600-0600430-5740010-1 8 - 0 7 9 156002-0700430-5740010- �� 99 1301040200431-5740010- � 99 10 l0 to 10 Io 10 Io 10 I I Changf Order 1 1 � � 1#10 1006688-01785 9999 88-061780-9999 -101 I 5 0688-CO1780-9999 to l0 Io 10 Io 10 Io 10 I I ChanQQP Order 2 15600-0600430-5740010-101688-OD1780.9999 I30100.020041-5740010-101688-01785-9999 9 IO l0 Io 10 Io 10 Io 10 I $2,293,410.82 $74,198.08 $1,522,921.40 $311,543.50 $1,004,333.63 $178,407.77 City of Fort Worth Summary of Charges City Secretary Contract Nun,: 57664 Water Sanitary ewer Replacement Contract 2018 (�CSM- IP C _ F W060-00000-18734 Application Period I 0 I A"tre on I Retainage Relcasc Number. Funding Identification (FID) I Chan g Order 3 15600-0600430-5740010-101688-0�1780-9999 I1878t8i88I8�=7�188100 - 118a888= MOST9 Io 10 Io 10 Io 10 Io 10 I Change Order 4 15600-0600430-5740010-101688-001780-9999 156002-0700430-5740010-18a888=87 879999 130100-0200431-5740010- 8 1y Io 10 Io 10 Io 10 Io 10 I Char 1' Order 5 15600-0600430-5740010-101QQ16gg88-011780-9999 130100-02004311-5740010-101611-MY 93 Io 10 Io 10 Io 10 Io 10 I Project Number 101688 Application Date. 1 7/18/2024 Total Completed Amt Remaining Gross Retainage Net 1 City of Fort Worth Summary of Charges City Secretary Contract Nun,: 57664 Water Sanitary ewer Replacement Contract 2018 (�CSM- IP C _ F W060-00000-18734 Application Period:I 0 I A"tre on I Retainage Relcasc Number. Funding Identification (FID) I Chan g Order 6 15600-0600430-5740010-101688-0�1780-9999 I88�888�88�8�= �88a00-118a888V=939 Io 10 Io 10 Io 10 Io 10 I Change Order 7 15600-0600430-5740010-101688-001780-9999 156002-0700430-5740010-18a888=87 879999 130100-0200431-5740010- 8 1y Io 10 Io 10 Io 10 Io 10 I Char 1' Order 8 15600-0600430-5740010-101QQ16gg88-0111780-9999 130100-02004311-5740010-101611-MY 93 Io 10 Io 10 Io 10 Io 10 I Project Number 101688 Application Date. 1 7/18/2024 Total Completed Amt Remaining Gross Retainage Net 1 City of Fort Worth Summary of Charges Sanitary City Secretary Contract Nun,: 57664 Water ewer Replaement Contract 2018 (�CSM- IP C _ FW060-00000-18734 project Number 101688 Application Period I 0 I Application I Retainage Release Application Date. 7/18/2024 Number. Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net I Totals 15600-0600430-5740010-10116gg88-00117t809999 S2,293,410.82 $74,198.08 S1,522,921.40 $178,407.77 �88a50 0-101611-�7 87�ST" 51,004,333.63 $178,407.77 to I0 10 10 10 10 10 10 I Grand Total I I $4,820,665.851 1 $564,149.351 1 $0.001 1 ($241,033.29)1 1 $241,033.29 CSC No. 57664-AR1 FORT WORTH City of Fort Worth Construction Allowance Request Project Name Water and Sanitary Sewer Replacement Contract 2018, WSM-M City Sec No. 1 57664 Project No.(s)156002-060043010700430-001780 and 30100.0200431-CO2480 ME] 22-0323 1 City Proj. No. 1 101688 Project Description:) Water, Sanitary Sewer, and Storm Water improvements followed by Paving improvement Contractor: I Gra-Tex Utilities, Inc. Allowance No: 1 1 1 Date: 11/14/2022 City Project Mgr.1 Dena Johnson Cily Inspector: I Pedro Hernandez Phone Number: (817) 392-7866 Phone Number: (817) 392-8445 Dept. Unit 1 -Water Unit 2 - Sewer Unit 3 - TPW Totals Contract Time (Calender days) Original Contract Amount $2,367,608.90 $1,834,464.90 $1,182,741.00 $5,384,814.80 380 Previous Allowances Allocated $0.00 $0.00 $0.00 $0.00 )Amount of Proposed Allocation $0.00 $0.00 $2,397.50 $2,397.50 Original Allowance Available for Allocation $100,000.00 575,000.00 $75,000.00 $250,000.00 Remaining funds Available for this Allocation $100.000.00 $75,000.00 $72,602.50 $247,602.50 JUSTIFICATION (REASONS) FOR ALLOWANCE Allowance Request No. 1 provides for the removal and replacement of concrete pavement to facilitate the installation of a gate valve at the Prothrow Street and Lucas Drive intersection. It is understood and agreed that the acceptance of this Construction Allowance Request by the contractor constitutes an accord and satisfaction and represents payment in full for all costs arising out of, or incidental to, the above Construction Allowance Request. Contractor's Company Name Contractor Name _ ` Contractor Si, ature Date Gra-Tex Utilities, Inc. John Crowley i Inspecto , Date Proje-t`I'Man eg_ pr 11-16-2022 %�P�2!L/�/CytddrL Director ater Dept) Date Construction J rvisor (TPW De t) f i • I,- No, 17, 2022 Xg4Za Senior Assistant City Attorney Date Assistant Ci Man a er — Nov 17, 2022 10 n 111 �' - I _q Dana Bur¢hd,ff)NN 17, 202 6:33 CST) Date 11 /15/22 Date 11 /16/22 Date Nov 17, 2022I j FORT WORTH City of Fort Worth Construction Allowance Request Project Name Water and Sanitary Sewer Rehabilitation Contract 2018, WSM-M City Sec No. 1 57664 Project No.(s) 56002-0600430/0700430-CO1780 and 30100-0200431-CO2480 M&C: 1 22-0323 j City Proj. No. 1 101688 Project I Water, Sanitary Sewer, and Storm Water improvements followed by Paving improvement Description Contractor Gra-Tex Utilities, Inc. Allowance No: 1 Date: j 11/14/2022 City Project Mgr. Dena Johnson City Inspector j Pedro Hernandez GUNSTRUCTION ALLOWANGE ITEMS TO BE ADDED ITEM DESCRIPTION DEPT Q Unit Unit Cost Total 27 Concrete Pavement Removal Unit 3 - TPW 5.00 SY $68.50 $2,397.50 (Unit 1 - Water JUnit 2 - Sewer JUnit 3 - TPW $2,397.50 1 Page 2 of 4 lAdditions Sub Total $2,397.50 FCD RT' WO RT H City of Fort Worth Construction Allowance Request Project Name Water and Sanitary Sewer Rehabilitation Contract 2018, WSM-M City Sec No. 57664 Project No.(s) I nnI)AOnVVVYJVIVI VVYJV'VV I I VV PnV JV IVV'VLVVYJI' I M&C: 22-0323 City Proj. No. 101688 Project Description I Water, Sanitary Sewer, and Storm Water improvements followed by Paving improvement Contractor Gra-Tex Utilities, Inc. Allowance No: F T] Date 11/14/2022 City Project Mgr. Dena Johnson City Inspector I Pedro Hernandez CONSTRUCTION ALLOWANCE ITEMS TO BE DELETED ITEM DESCRIPTION DEPT City Unit Unit Cost Total Unit 1 -Water Unit 2 - Sewer Unit 3 - TPW Page 3 of 4 Deletions Sub Total MNVBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders Co# DATE AMOUNT Total $0.00 Page 4 of 4 CSC No. 57664-AR2 'ORT WORTH City of Fort Worth Construction Allowance Request Project Name Water and Sanitary Sewer Replacement Contract 2018, WSM-M City Sec No. 57664 Project No.(s)156002-10600430/0700430-001780 and 30100-0200431-CO2480 M&C] 22-0323 City Proj. No. 101688 ProjectDescripiion:1 Water, Sanitary Sewer, and Storm Water improvements followed by Paving improvement Conlraclod Gra-Tex Utilities, Inc, Allowance No: I 2 1 Date: I 1118/2023 City Project Mgr.l Dena Johnson City Inspector: Pedro Hernandez Phone Number,1 (817) 392-7866 Phone Number: (817) 392-8445 Dept. Unit 1 - Water Unit 2 - Sewer Unit 3 - TPW Totals Contract Time (Calendar days) Original Contract Amount $2,367,608.90 $1,834,464.90 $1,182,741.00 $5,384,814.80 380 Previous Allowances Allocated $0.00 $0.00 $2,397.50 $0.00 Amount of Proposed Allocation $12,000.00 $28,700.00 $0.00 $40,700.00 Original Allowance Available for Allocation $100,000.00 $75,000.00 $76,000.00 $250,000.00 Remaining Funds Available for this Allocation $100,000.00 $75,000.00 $72,602.50 $247,602.50 JUSTIFICATION'.(REASONS); FOR;ALLOWANCE Allowance Request No. 2 provides for the realignment of a segment of sewer lateral L-6182 on Wilhelm Street (south of Wilbarger Street) due to conflict with a previously unknown storm drain line. The realignment necessitates additional pay item quantities. The allowance also provides for the lowering of a conflicting water main. It is understood and agreed that the acceptance of this Construction Allowance Request by the contractor constitutes an accord and satisfaction and represents payment in full for all costs arising out of, or incidental to, the above Construction Allowance Request. Contractor's Company Name Contractor Name % Contractor Sigpature Date, Gra-Tex Utilities, Inc. I John Crowley Ins e�lctor Date ProtedManager I pate. ° F�Z�Z 1-20-2023 D � � 8� 1/18/23 Director (Water Dept) Date, Construction S�jervisor TPW Dept bate \\�i�ir�-odGrev tfaya'ey ?• 5 Jan 26, 2023 ,CQ2.GQ.Y �� 1 /21 /23 1Hs[oph— rd,r i.a i 26,,— 07 15 CST) t8onior Assistant City -Attorney Date Assistant Cily,Manager Date Jan 27, 2023 e Jan 27, 2023 BI-k(-27, 2CI 31113 GST) .na 6urylidoff an 21, 202313:20 CSTI FO RT We R'T H City of Fort Worth . Construction Allowance Request Project Name Water and Sanitary Sewer Replacement Contract 2018, WSM-M City Sec No. 1 57664 Project No.(s) 56002-0600430/0700430-001780 and 30100-0200431-0O2480 M&C: 1 22-0323 1 City Proj. No. 1 101688 1 Project Water, Sanitary Sewer, and Storm Water improvements followed by Paving improvement I Description . Contractor Gra-Tex Utilities, Inc. Allowance No: 2 Date: 1 1117/2023 City Project Mgr. Dena Johnson City Inspector Pedro Hernandez CONSTRUCTION ALLOWANCE ITEMS TO BE ADDED ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total 44 Water Line Lowering Unit 1 -Water 1.00 LS $12,000.00 $12,000.00 45 4 ft Diameter Manhole Cast -in -Place Unit 2 - Sewer 2.00 EA $7,850.00 $15,700.00 Remove and Salvage 4 It Diameter Manhole at Station 0+00 with 10 inch Unit 2 - Sewer 1.00 EA $4,650.00 $4,650.00 46 SS Reconnection 45 Installed Salvaged Manhole at Station 0+21.74 Unit 2 - Sewer 1,00 EA $6,000.00 $6,000.00 46 Remove and Restock New 4 ft Diameter Manhole at Station 0+47.07 Unit 2 - Sewer 1.00 EA $2,350.00 $2,350.00 Unit 1 - Water $12,000.00 Unit 2 - Sewer $28,700.00 Unit 3 - TPW Page 1 of 1 Additions Sub Total $40,700.00 FCo RT WORTH City of Fort Worth Construction Allowance Request Project Name Water and Sanitary Sewer Replacement Contract 2018, WSM-M City Sec No, 57664 Project No,(s) I 4.— VVV4VVIVIvv vv-uV I I VV 011V VV IVV-VLVVgo 1- + M&C: J 22-0323 City Proj, No. 101688 rn�A Project Description I Water, Sanitary Sewer, and Storm Water improvements followed by Paving improvement Contractor Gra-Tex Utilities, Inc. ! Allowance No: 0 Date 1/1712023 City Project Mgr. Dena Johnson City Inspector I Pedro Hernandez CONSTRUCTION ALLOWANCE ITEMS TO BE DELETED ITEM DESCRIPTION DEPT Qty Unit IUnit Cost Total Unit 1 - Water Unit 2 - Sewer 'Unit 3 - TPW Page 3 of 4 'Deletions Sub Total M[ BE Breakdown for this Change Order MWBE Sub Type of Service I Amount for this CO Total $0.00 Previous Change Orders Co# DATE AMOUNT Total $0.00 Page 4 of 4 CSC No. 57664-AR3 FORT WORTH City of Fort Worth Construction Allowance Request Project Name Water and Sanitary Sewer Replacement Contract 2018, WSM-M City Sec No. 57664 Project No.(s)156002-0600430/0700430-001780 and 30100-0200431-CO2480 M&C:1 22-0323 City Proj. No. 101688 Project Description:) Water, Sanitary Sewer, and Storm Water improvements followed by Paving improvement I II Contractor: Gra-Tex Utilities, Inc. Allowance No: 3 Date: 1 11/7/2023 City Project Mgr.1 Dena Johnson City Inspector: Pedro Hernandez Phone Number: (817) 392-7866 Phone Number: (817) 392-8445 Dept. Unit 1 - Water Unit 2 - Sewer Unit 3 - TPW Totals Contract Time (Calender days) Original Contract Amount Previous Allowances Allocated $2,367,608.90 $1,834,464.90 $1,182,741.41 $12,000.00 $28,700.00 $2 397.50 $5'384hh815.21 380 $43�09i.�6 �6.60 JAmount of Proposed Allocation $�10,00ub $6 06 M,bad.66 Original Allowance Available for Allocation 00,000.00 17'6,W.00 25010.d Remaining Funds Available for this Allocation $88,000.00 $46,300.00 $72,602.50 4M6'6sla JUSTIFICATION (REASONS) FOR ALLOWANCE Allowance Request No. 3 provides for adjustments to an existing 16-inch water main vault at the WiIbarger Avenue/ Burke Avenue intersection that is sticking out above the pavement surface and creating a traffic hazard. The allowance will also allow for pavement repairs around the vault once it is lowered. It is understood and agreed that the acceptance of this Construction Allowance Request by the contractor constitutes an accord and satisfaction and represents payment in full for all costs arising out of, or incidental to, the above Construction Allowance Request. Contractor's Compan Name Contractor Name Contractor Signature Date Gra-Tex Utilities, Inc. John Crowley 11 /08/2023 Inspector Date Project Manager Date P fLiaf 11-8-2023 Z�19412 11 /8/23 Director Water Dept) Date Construction Su rvisor TPW Dept) Date �� 4 �'�'- , L I'-Har. ei J 4 '4 5 CSTj - Jan 4 2024 D� 11 /8/23 Senior Assistant City Attorney Date Assistant City Manager Date P, . �(- Jan 5, 2024 b� Jan 7, 2024 F"YZ-r "FZ-F" City of Fort Worth Construction Allowance Request Project Name Water and Sanitary Sewer Replacement Contract 2018, WSM-M City Sec No. 57664 Project No.(s) 56002-0600430/0700430-CO1780 and 30100-0200431-CO2480 M&C: 1 22-0323 City Proj. No. 101688 Project Water, Sanitary Sewer, and Storm Water improvements followed by Paving improvement Description I Contractor Gra-Tex Utilities, Inc. Allowance No: 3 Date: 1 11I712023 City Project Mgr. Dena Johnson City Inspector Pedro Hernandez �K�l►tyl:l�ty1N]►I_1��1h4_1►[yallal'I!►y[�]-i4_1�J�]a�' IItM I utSGKIPIIUN I DEPT I Qty JUnit IUnit Cost I Total 47 Valve adjustments to 16-inch water main vault and pavement repairs Unit 1 - Water 1.00 LS $10,000.00 $10,000.00 around the vault jUnit 1 - Water $10,000.00 jUnit 2 - Sewer jUnit 3 - TPW Page 1 of 1 Additions Sub Total $10,000.00 F"R-' VV0RTH City of Fort Worth Construction Allowance Request Project Name Water and Sanitary Sewer Replacement Contract 2018, WSM-M City Sec No. 57664 Project No.(s) ""'J" VVVYJV/VI VVYJV'VV I1 VV GIIU JV IVV'VLVVYJ I M&C: 1 22-0323 City Proj. No. 101688 Project Description Water, Sanitary Sewer, and Storm Water improvements followed by Paving improvement Contractor Gra-Tex Utilities, Inc. Allowance No: F-3-1 Date 11/7/2023 City Project Mgr. Dena Johnson City Inspector I Pedro Hernandez CONSTRUCTION ALLOWANCE ITEMS TO BE DELETED ITEM IDESCRIPTION I DEPT I Qty JUnit I Unit Cost ITotal Unit 1 - Water Unit 2 - Sewer Unit 3 - TPW Page 1 of 1 Deletions Sub Total MWWBE Breakdown for this Change Order MWBE Sub I Type of Service I Amount for this CO Total $0.00 Previous Change Orders co # DATE I AMOUNT Total I $0.00 I Page 1 of 1 FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Water & Sanitary Sewer Replacement Contract 2018 WSM-M CITY PROJECT NUMBER: 101688 WATER PIPE LAID SIZE TYPE OF PIPE LF 8" PVC 6923 6" PVC 231 FIRE HYDRANTS: 15 VALVES (16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: 1" (172) Copper I SEWER PIPE LAID SIZE TYPE OF PIPE LF 8" SDR-26 2250 8" (Hand Tunnel 570 10" SDR-26 996 8" to 12" Pipe Enl. 130 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: 4" (84) SDR-26 TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS July 23, 2024 Gra-Tex Utilities, Inc. P.0 Box 1038 Kennedale Kennedale, TX 76060 RE: Acceptance Letter Project Name: Water and Sanitary Sewer Replacements Contract 2018 WSM-M Project Type: Water, Sewer, Paving City Project No.: 101688 To Whom It May Concern: On June 25, 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 16, 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 16, 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- 392-7866. Sincerely, a. 9,/,.", Dena Johnson, Project Manager Cc: Pedro Hernandez, Inspector Troy Garner, Inspection Supervisor Ariel Duarte, Senior Inspector Tony Sholola, Program Manager EJES Incorporated, Consultant Gra-Tex Utilities, Inc., Contractor n/a, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 CONSENT OF Owner SURETY COMPANY Architect ❑ TO FINAL PAYMENT Contractor ❑ Surety ❑ Other ❑ Project: Water & Sanitary Sewer Replacement, Contract 2018 (WAM-M) -P.O. #FW060-00000-18734, Project # 101668 TO (Owner) r City of Fort worth Applicable Bond Number: 46BCSIT9176 1000 Throckmorton Street Contract For: Fort Worth, Texas 76102 Water & Sanitary Sewer Replacement, Contract 2018 (WAM-M) - P.O. #FW060-00000-18734, Project No. 101668 L J Effective: 05-04-2022 Contractor: Gra-Tex Utilities, Inc., PO Box 700, Arlington, TX 76004 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the On bond) of Gra-Tex Utilities, Inc. PO Box 700, Arlington, TX 76004 , Contractor, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the of any of its obligations to City of Fort Worth, 1000 Throckmorton, Fort Worth, TX 76102 , Owner as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, The Surety Company has hereunto set its hand this 30th day of July, 2024 , _ _ l Attest:' Hartford Fire Insurance Company Surety Com Jim H.135rr Attorney m-Fact Direct Inquiries/Claims to: THE HARTFORD POWER OF ATTORNEY BO HartfOneord, Connecticut tcut06155 Bond.Claims0thehartford.com calt 888-266-3488 orfax: 860-7575835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Name: INSURICA DFB INSURANCE SVCS LLC Agency Code: 46-512482 0 Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company, a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois, a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana 0 Hartford Insurance Company of the Southeast, a corporation duiv organized under the laws of the State of Florida having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint, up to the amount of Unlimited : Bradley Board, Jim H. Barr, Daniel F. Dacy III, Tracie Garner, Chris Holt, Paula C. Jones of FORT WORTH, Texas their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, 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. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on May 23, 2016 the Companies have caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. a �' � Jplrrrrr.; � _w i<0 A r _ i .• ,s'10� � ycdsaur ��I � _. '`rrrrr°eaw•� • �Nu�• � �>!7o C �S SD79 �� 979 Shelby Wiggins, Assistant Secretary Joelle L. LaPierre, Assistant Vice President STATE OF FLORIDA ss. Lake Mary COUNTY OF SEMINOLE On this 20th day of May, 2021, before me personally came Joelle La Pierre, to me known, who being by me duly sworn, did depose and say: that (s)he resides in Seminole County, State of Florida; that (s)he is the Assistant Vice President of the Companies, the corporations described in and which executed the above instrument; that (s)he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that (s)he signed his/her name thereto by like authority. Jessica Ciccone +;• tvty Commission HH 122280 E..Vires June 20. 2025 I, the undersigned, Assistant Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force effective as of 30th day of July, 2024 Signed and sealed in Lake Mary, Florida. lY+ery 11 r •*tlrr ,• F 1MRe+_ Wi4 ^ - ,!� mil, - R ..��y, � •a,,µrw.r41C a tl V A T �' ,�+� ~ J 4�.cpi°0y'� 3 z I� <j.. :i i•A'r • r • a � -� • =r 1�i • 1. e • - �r - ; �•�rnr°nrPr •alaK 3� to?� ;1SG79w •.:S9N � 64+.,,a,c_:+5��e..,n '� ~�ij :O` • � ''tw�e'� re,u•' `�'�^x.8 '1� � n � Keith D. Dozois, Assistant Vice -President ^�` IMPORTANT NOTICE To obtain information or make a complaint: You may contact your Agent. You may call The Hartford's Consumer Affairs toll -free telephone number for information or to make a complaint at: 1-800-451-6944 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights, or complaints at: 1-800-252-3439 You may write the Texas Department of Insurance: P.O. Box 149104 Austin, TX 78714-9104 Fax: (512) 490-1007 Web: www. tdi. texas. eov E-mail: Consumerfttection@tdi. texas. uov PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim, you should contact the (agent) (company) (agent or the company) first. If the dispute is not resolved, you may, contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not become a part or condition of the attached document. ./TX4275-1 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 John Crowley, The Project Manager, Of Gra-Tex Utilities, Inc., known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; That all persons, firms, associations, corporations, or other organizations furnishing labor and/or materials have been paid in full; That the wage scale established by 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; WSM-M CPN # 101688 BY J?'�Ww" Name or Title Subscribed and sworn before me on this 23rd Day of July, 2024 ►Rr °4g GREG STEVEN HUGDAHL Notary ID #128160988 r+ t My Commission Expires Notary �Pu 1C '4 or April 5, 2026 County, State