HomeMy WebLinkAboutContract 58871-FP1.FORT WORTH® TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION -FPl
City Secretary No: 58871
D R . d 03/07/2025 ate ecetve : _____ _
City Project N!!: 1 02930
Regarding contract 58871 , 2022 Bond Year 1 -Contract 4 for as required by the
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 1/10/2023 through
M&C 2 3-001 9 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
Pqjriuiq I-. wadsaut-
Patricia L. Wadsack (Mar 4, 202519:47 CST)
Recommended for Acceptance
Asst. Director, TPW -Capital Delivery
Accepted
$ $7,512,715.00 Days 390
$ $74,882 .8 5 N9� DaysAdde dbyco 2 19
$ $7 ,587 ,597 .85 TotalDays 609
$ $6,778 ,285 .1 9 Days Charged 600
__ Days@$ ____ / Day
$ $ $1,140.50
$ $6,777,144.69
$ $6,439,370.93
$ $337,773.76
Mar 4, 2025
Date
Mar 4, 2025
Date
Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
Mar 4, 2025
Asst. City Manager Date
Comments:
G620 Signature Page
Contractor's App
7o(O�vuer) Ql� Of �OCt wO1Tt�1
P ° FW020-009253
Number:
P��ie��: 102930
Citt� Secretar} Con[rnc[ 5gg,�1
Number:
Numbcr
1
2
4
5
G
7
S
TOTALS
NET CHANGE BY
CHANGE ORDERS
Applica[ion For Paymen[
Chan¢e Order Summary
AddiLions
$9.77N.R�
$2� 450.00
�asv. iaz.x�
$52137170
Invoice No.� 22-Final
oice Da[e:
Feb. 10, 2025
Rcmi[ m( If Not Aumn�atic Dcposi� )�.
on for Payment
Inroicing Paciod (F'rom - 7'0)_
Jan. 1, 2025 thru Jan. 31, 2025
Pmm (Contracto�)-
Stabile & Winn Inc
Contrac[or'sCFW VendocNo.:
0000007645
Contract 2022 Bond Year 1- Conh-act 4
Name.
Contractor's Cerfificafion
The Contractor certifies «•ith the submittal of this document and associated Pa��ment Request
Submittal on tlie Cih- of Fo�t Wo�tli Buzzsaw spstem that to the best of tlieir I�oHledge: (1) all
p�e�-ious prog�ess payments receioed from OHner on account of Work done under t6e Contract
hace been applied o� unt to discharge Conhactor's legitimate obligatians inwrred in
connection with Work coceced by prioc Applications for PaY��enC (2) title of all Wock materials
and equipment incorporated in said Work or o[hero�ise listed in or co��ered by Ihis Application for
Pucnren[ �j�ill pass [o O�j�ner n[ [inre of pa}°men[ free and denr of nll Lfens. seourih- in[erests nnd
enoumbranoes (escept suoh ;is are oocered by a Bond nccep[able [o O�j�ner inderrwif}•ing O��+iec
against any such Liens, securih� inteeest oe encumbrances): and (3) all Wod: coceeed by this
Application for Pa��ment is in acco�dance eith the Contract Documents and is not defectice.
Liquida[ed Damages $650.00 x day
�/� _ _
a, Days Awarded 3yp
b, Days Added by CO 2 �q
�, Total Days 609
d, Days Charged (00
e, Days Remaining q
�
ti/
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.
10. CONTRACT TIME:
1. ORIGINAL CONTRACT PRICE .............................................................. $ $7,512,715.00
Dcictions 2. Ne[ change by Change Orders .................................................................... $ P74,RR2.R5
S977R.R5 3. Curren[ Con[raU Price (Line 1 t 2) ........................................................... $ �7,587,597.R5
$2i,4i400 4. TOTAL COMPLETED AND STORED TO DATE
$d11,260 00 (Progress Esfimate, Construcfion Allowance and Chpnge Orders)....... $ $6,778,285.19
5. RETAINAGE:
a. X $677�285_19 WorkCompleted........... $
b. X 51,14U.5U Pcnalt�•(asphalt) $ 51,140.50
c. Total Re[ainage (Line Sa + Line 56) .................................. $ $1,140.50
6. AMOUNT ELIGIBLE TO DATE (Line 4- Line Sc) ................................ $ $6,777,144.69
$d46,488_85 7, LESS PREV[OUS PAYMENTS (Line 6 from prior Applicafion).......... $ $6,439,370.93
$74�582.85 8. AMOUNT DUE THIS APPLICATION ..................................................... $ 5337,773J6
9. B.4L.4NCE TO FINISH, PLUS RETAINAGE
(Column G on Progress Estimate+ CA+ COs + Line 5 above) ................ $ $81Q453.16
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Progress Estimate Change Order Number 0 Conh•actor's Application
ADDITIONS
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G620 CM1anye Order
Progress Estimate Change Order Number 0 Conh-actor's Application
DELETIONS
`°°��°"' 102930 wzzuondvrnrt-cono-na� ° "°°N"'""u 22_Final
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ADDITIONS
°`("°e."�' 102930 2uzSB�a1'earl-cuno-a�tJ 586�1 v��oow�mce� 22-Finul
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Progress Estimate Change Order Number 0 Conh-actor's Application
DELETIONS
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DELETIOIVS
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Progress Estimate Change Order Number 0 Contractor's Application
ADDITIONS
°`("°tr.fp' 102930 2uzSB�a1'earl-cunna�tJ ;88�1 e ��oow��no.� 22-Fin�l
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Progress Estimate Change Order Number 0 Contractor's Application
DELETIONS
�`(`�°ee1� 102930 zoxze�ave..�-cu���.ua e °o"NiunbP1. 22-Fiml
° °o°eanoJ. Jan.1,2025tNruJan.31,202i e °o°Da1 Feb.lo,2025
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Progress Estimate Change Order Number 0 Contractor's Application
ADDITIONS
°`("°tr.fp' 102930 2uzSB�a1'earl-cunna�tJ ;88�1 e ��oow��no.� 22-Fin�l
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Progress Estimate Change Order Number 0 Contractor's Application
DELETIONS
�`(`�°ee1� 102930 zoxze�ave..�-cu���.ua e °o"NiunbP1. 22-Fiml
° °o°eanoJ. Jan.1,2025tNruJan.31,202i e °o°Da1 Feb.lo,2025
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II - II - II - II - II - II - I II II
I II II II II II I II I
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Progress Estimate Change Order Number 0 Contractor's Application
ADDITIONS
°`("°tr.fp' 102930 2uzSB�a1'earl-cunna�tJ ;88�1 e ��oow��no.� 22-Fin�l
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Progress Estimate Change Order Number 0 Contractor's Application
DELETIONS
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ADDITIONS
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Progress Estimate Change Order Number 0 Contractor's Application
DELETIONS
�`(`�°ee1� 102930 zoxze�ave..�-cu���.ua e °o"NiunbP1. 22-Fiml
° °o°eanoJ. Jan.1,2025tNruJan.31,202i e °o°Da1 Feb.lo,2025
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Progress Estimate Change Order Number 0 Contractor's Application
ADDITIONS
°`("°tr.fp' 102930 2uzSB�a1'earl-cunna�tJ ;88�1 e ��oow��no.� 22-Fin�l
� w�e���d. Jou. 1, 2U25 H�ru Jan. 31, 2U25 � ���"'�`". Feb. lU.2U2�
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DELETIONS
�`(`�°ee1� 102930 zoxze�ave..�-cu���.ua e °o"NiunbP1. 22-Fiml
° °o°eanoJ. Jan.1,2025tNruJan.31,202i e °o°Da1 Feb.lo,2025
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Cil� Secietary Contract Num�. � 58871
npplicalion Pcriod:
� of Fort Worth Summa
2U22 Bond Year 1- Contract 4
Jan. 1, 2025 thru Jan. 31, 2025
y of Charges
� o.
Fwozo-oo9zsa
Application ZZ_Final
Number
Yrojecl Number. 102y3U
Application Datc. Feb. 10, 202J
Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net
Original Contract
56002-0600430.5740010-102930-001780-9999 $1,666,879.58 $351,359.93
56002-0700430.5740010-102930-001780-9999 $1,307,710.83 $318,775.68
34027-0200431-5740010-102930.002480-9999-22010199 $3,353,448.70 $514,540.30
0 i
0
0
0 � �
0
D
0
Change Order2
56002-0600430-5740010-102930-001780-9999
56002-0700430-5740010-102930-001780-9999 $24,200.00 ($24,200.00)
34027-0200431-5740010-102930.002480-9999-22010199 $200.00 ($200.00)
Change Orderl
56002-0600430-5740010-102930-001780-9999 $9,778.85 ($9,778.85)
56002-0700430.5740010-102930-001780-9999
City of Fort Worth Summary of Charges
Cit� Secietary Contract Num�. 58871 2022 Bond Year 1- Contract 4 P� �� FW020-009253 Project Number. 10293U
npplicalion Pcriod: Jan. 1, 2025 thru Jan. 31, 2025 Appllcatlon ZZ_Final Application Datc. Feb. 10, 202�
Number
Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net
Change Order3
56002-0600430.5740010-102930-001780-9999 $198,342.10 ($188,909.00)
56002-0700430.5740010-102930-001780-9999 $153,927.50 ($100,823.00)
34027-0200431-5740010-102930-002480-9999-22010199 $63,797.65 ($51,452.40)
0
0
0
0
0
0
0
0
0
Change OrderS
56002-0600430-5740010-102930-001780-9999
sanm_mnnn ¢rtis�n nn� n_� mozrtinn� �an_0000
0
Change Order4
56002-0600430.5740010-102930.001780-9999
City of Fort Worth Summary of Charges
Cit� Secietary Contract Num�. 58871 2022 Bond Year 1- Contract 4 P� �� FW020-009253 Project Number. 10293U
npplicalion Pcriod: Jan. 1, 2025 thru Jan. 31, 2025 Appllcatlon ZZ_Final Application Datc. Feb. 10, 202�
Number
Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net
Change Order6
56002-0600430.5740010-102930-001780-9999
56002-0700430.5740010-102930-001780-9999
34027-0200431-5740010-102930-002480-9999-22010199
0 I
0
Change Order8
56002-0600430-5740010-102930-001780-9999
0
0
0
Change Order7
56002-0600430.5740010-102930.001780-9999
0
City of Fort Worth Summary of Charges
Cit� Secietary Contract Num�. 58871 2022 Bond Year 1- Contract 4 P� �� FW020-009253 Project Number. 10293U
npplicalion Pcriod: Jan. 1, 2025 thru Jan. 31, 2025 Appllcatlon ZZ_Final Application Datc. Feb. 10, 202�
Number
Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net
Totals
56002-0600430.5740010-102930-001780-9999 $1,875,000.53 $152,672.08
56002-0700430.5740010-102930-001780-9999 $1,485,838.33 $193,752.68
34027-0200431-5740010-102930-002480-9999-22010199 $3,417,446.34 $462,887.91
� I I
n —
0
p �
0
0
0
Grand Total $6,77$285.19 $809,312.66 $0.00 (5337,77376) $337,773.76
FORTWORTH�
Routing and Transmittal Slip
Transportation & Public Works Department
DOCUMENT TITLE: Cliange oi�dei• #1— 2022 Bond Year 1— Contract 4
M&C:
CPN: 102930 CSO: 58871 DOC#:
Date:
To: Name Department Initials Date Out
1. Filogonio Munoz TPW - signature ;,,—� Aug 3, 2023
2. Jeriy Henderson Stabile & Winn, Inc -� AU 4 2023
si nature �H g '
3. Cod Horton TPW - si natui�e �✓� Aug 3, 2023
4. Clu•istian Cardona TPW - signature <<�� Aug 3, 2023
5. Gregory RobUins TPW - signature � Aug 4, 2023
6. Maty Hamia TPW - signature ����' Aug 7, 2023
7. Patricia Wadsacic TPW - signatw�e ,�w Aug 16, 2023
��::
8. Lauren Prieur TPW - signature ,,,, Aug 16, 2023
9. Doug Blacic Legal - signature a,,,, wb Aug 17, 2023
10. William Jolmson CMO - signature .�,�— Aug 17, 2023
11. Jannette Goodall CSO - signature ,-,�--�- Aug 17, 2023
12. TPW Contracts
DOCUI�ZENTS FOR CITY 1��IANAGER'S SIGNATURE: All documeuts received frou� any
aiid all City Depai•tments requesting City Managei•'s signatuce foi� appi•oval MUST BE ROUTED
TO TH� APPROPRIATE ACM for approval first. Once tlie ACM l�as signed tlie routitig slip,
David ��vill revie�w and tal<e lhe next steps.
NEEDS TO BE NOTARIZED: ❑YES �No
RUSH: �YCS ❑No SAl�1E DAY: ❑YES ❑No NC\T DAY: ❑YES �No
ROUTING TO CSO: �YES ❑No
Action Required:
❑ As Requested
❑ For Your Information
� Signature/Routing and or Recording
❑ Comment
❑ File
❑ Attacli Signature, I»itial and Notary Tabs
Return To: TPWContracts�FortWorthTexas. o�v at ext. 7233 for pick up when completed.
Thanlc you!
CSC No. 58871-CO1
FOR_ T�WORT_H City of Fort Worth
t Change Order Request
Projecl Name 2022 Bond Year 1- Conlract 4 City Sec # 58871
Client Project #(s) 102930
Project Descripfion Reconstruction of existing pavemeni with proposed water & sanitary sewer on Burton Avenue, Chickasaw Avenue, Crouch Avenue and Quails Lane.
Contracto Slabile & Winn, Inc Change Order# 1 Date 7/612023
City Project Mgr. Gregory Robbins City Inspector Cody Horion
Dept. � Unit 1: Water
Onginal Contract Amounl
Extras to Dale
Credits to Date
Pending Change Orders (in M&C Process)
Conlract Cost to Date
Onginal Funds Available for Change Orders $100,912.00
Remaining Funds Available for this CO �100,912.00
Additional Funding (if necessary)
Unit 2: Sewer Unit 3: Paving
�1,626,486.50 $3,867,989.00
$1,62G,486.50 $3,867,989.00
So.00 So.00
$1,626,486.50 $3,867,989.00
�81,324.00 �193,399.00
Contract Time
Totals (CD)
,512,715.00 390
'.512.715.00 390
$7,512,715.00 � 390
CHANGE ORDERS to DA7E (INCLUDING THIS ONEJ AS % OF ORIGINAL CONTRACT 0.00%
MAX ALLOWABLE CONTRACT AMOUNT (ORI�INAL CONTRACT COST + 25%) $9,390,893.75
JUSTIFICATION (REASONS) FOR CHANGE ORDER
ACCORDANCE WITH THIS CHANGE ORDER REQUEST, THE CONTRACTOR SHALL: Fumish all labor and material as per the attached proposed Change Order �
is change order provides lhe necessary pay item quantities to allow for the installation of 6° concrete pavement to match Ihe existing pavement ihickness on Crouch
aet subsequent to water rnain connection on the street Cost -
ntractor will use unit prices as bid in Unit 3: Paving
ne - There will be no addtional time for the work.
It is understood and agreed that the acceptance of this Change Order 6y the contractor constitutes an accord and satisfaction and represents payment in
full (6oth 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.
Contractors Company Name Contractor (Name) Contract Signalure Date
Stabile & Winn, Inc Jerry Henderson - Aug 4, 2023
ATTEST:
-.a..,... A _�:...,.,
Jannette Goodall, City Secretary
M&C Number M&C Dale Approved 0
�
City of Fort Worth
Change Order Additions
Project Name 2022 Bond Year 1- CoNract 4 Cily Sec # 58871
Client Project # 102930
Contracror Slabile & Winn, Inc PM Gregory Rob6ins Inspeclor Cody Horton
Change Order Submittal # O Date 71612023
AD�ITIONS
ty nV mt ost ota
onc avement mt : ater
47 321 .0502 8" Lime Treatment Unil 1: Water 105.00000000 SY 4.80
48 3211.0400 Hydrated Lime Unit 1: Water 2.00000000 TN 323.50
Unit 1: Wa�er $9,778.85
Unit 2: Sewer �0.00
Unil 3: Paving �0.00
Change Order Additions Page 2 of 7
ub Tola Addi�ions 9,778.85
Change Order Additions Page 3 of 7
FORT WORTH City of Fort Worth
-�— Change Order Deletions
Projecl Name 2022 Bond Year 1- Coniract 4 City Sec # 58871
ClientProjectt! 102930
Contractor Sta6ile 8 Wnn, Inc PM Gregory Rob6ins Inspecto Cody HoRon
Change0rderSubmittal# �1 Date 71612023
�ELETIONS
ty mt mt st ola
45 . 0 ater nsWchon owance mt1: aler . 77 5 1, ,77 . 5
Unit 1: Water 59,770.85
Unit 2: Se�ver 50.00
Unit 3: Paving 50.00
Change Order Deletions Page 4 of 7
u ota e etions 9,778.�5
Change Order Deletions Page 5 of 7
FORT WORTHo
Routing and Transmittal Slip
Transportation & Public Worl�.s Department
DOCUMENT TITLE' Change order #2 — 2022 Bond Yeai� 1— Contract 4
M&C:
CPN: 102930 CSO: 58871 DOC#:
Date:
To: Name Department Initials Date Out
1. Filogonio Munoz TPW - signature �t Feb 26, 2024
2. Jer•ry Henderson Stabile & Winn, Inc -� Feb 27, 2�24
si nature �N
3. Pedro Hernandez TPW - si nature Feb 27, 2024
4. Dena Johnson WD - si nature �T Mar lo, 2024
5. Christian Cardona TPW - signat�u�e —� Mar 11, 2024
6. Gregoiy Robbins TPW - signature �� Mar 11, 2024
7. Maiy Hanna TPW - signature �t�' Mar 18, 2024
8. Patricia Wadsack TPW - signature �L,� Mar 20, 2024
9. Lauren Prieur TPW - signature � Mar 20, 2024
10. Doug Blacic Legal - signature f—L Mar 28, 2024
11. Jesica McEachern CMO - signature �` Apr 1, 2024
12. Jannette Goodall CSO - signature ,-;-� Apr 1, 2024
13. TPW Contracts
DOCUMCNTS TOR CITY MANAGER'S SIGNATURE: All documents received fcom any
and all Cit}� Departments requesting City Managec's signature for appcoval MUST BE ROUTED
TO THE APPROPRIATE ACM for approval fii•st. Once the ACM has signed the routing slip,
David will review and take the next steps.
NEEDS TO B� NOTARIZED: ❑Y�S �No
RLJSH: �l'ES ❑No SAM� DAY: �YES ❑No NCXT DAY: ❑YES �No
ROUTING TO CSO: �YES ❑No
Action Required:
❑ As Requested
❑ For Your Information
� Signature/Routing and or Recording
❑ Comment
❑ File
❑ Attach Signat�u•e, Initial and Not��y Tabs
Retui•n To: TPWContracts a,FortWorthTexas.gov at ext. 7233 for picic up when completed.
Thanlc you!
CSC No. 58871-0O2
FORT�VORTH,.. City of Fort Worth
`�� Change Order Request
Project Name 2022 Bond Year 1- Contract 4 Cify Sec # 50871
Clienl Projecl #(s) 102930
Projecl Descriplion� Reconstruclion of existing pavemenl with proposed water & sanitary sewer on Burton Avenue, Chickasaw Avenue, Crouch Avenue and Quails Lane.
Contraclor Stabile & Winn, Inc Change Order# 2 Dale 2/26/2024
City Projecl Mgc Chrislian Cardona City Inspeclor Pedro Hemandez
Dept.
Onginal Contract Amount
Exlras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Confracl Cost to Dale
Unit 1: Water � Unit 2: Sewer � Unit 3: Paving
Totals
Contract Time
Revised Contract Amount
Onginal Funds Available for Change Orders
Remaining Funds Available for lhis CO
Additional Funding (if necessary)
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 0.00%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) $9,390,a93.75
IN ACCORDANCE WIT}i THIS CHANGE ORDER REQUEST, THE CONTRACTOR SHALL: Inslall hydraulic slides al �he Quails LnlGarrison Ave and Quails Ln/Burke Rd intersections to albw for Ihe conneclion (rom
ihe new sewer line lo the existing sewer main. Remove and replace existing 6" concrele sev:er pipe at the Quails/Garrison pipe connection vAth 6° PVC pipe. Gmul and a6andon ezisting 70° sewer along Quails Lane.
�,Remove and replace concrete steps in order lo fl ADAcomplianl ramps abng Quails Lane. Based on comparison vrilh similar projecls, ihe City agrees lhat price for additional work is fair and reasonable.
Staff concurs vrith conlraclor's request for addilional days as folbwed:
3 days for the installafion of hydraulic slides at the Quails Ave/Gamson Ave and Quails AvelBurke Rd intersecfions lo allmv (or the connection from the new sewer �ne to the existing sewer main
3 days for �te removal and replacemenl of an ezisting 6" concrele sevrer pipe at ihe Quails/Gamson pipe connection vnih 6° PVC pipe.
5 days (or lhe insiallation of new 8" watedine thmugh inlersecfions of Quaiis LnlEaslover Ave and Quails LnlGarrison Ave (Ufilized with existing bid items).
2 days of Grouting and abandoning the existing 10-inch sewer along Q�ails Lane.
10 days for ihe replacement of the west inlersection of S Edgewood TedBudon Ave in order to meel ADA requiremenls for new ramps (Ufilized vnth existing bid ilems).
2 days for price research and negotlation.
5 days for Atmos delays and expbratory excavation of old gas main along Quails Lane.
It is understood and agreed thaY 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.
Contraclors Com an Name Contractor Name Confract Si nature Dale
Stabile & Winn, Inc Jerry Henderson
� Feb 27, 2024
ATTEST:
Y..�..1. iU�
Jannette Goodall, City Secretary
M&C Number M&C Date Approved
City of Fort Worth
Change Order Additions
Projecl Name 2022 Bond Year 1- ConUacl 4 City Sec # 58871
ClienfProjecl# 102930
Contractor Stabile & Winn, Inc PM Chrislian Cardona Inspector Pedro Hernandez
Change Order Submilfal #�2 Dale 212612024
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111'
-
� 1 11
Change Order Additions Page 2 of 4
Foar� rs��i City of Fort Worth
Change Order Deletions
Project Name 2022 Bontl Year 1- ConUacl4 City Sec # 58871
Client Projecl k 102930
Contractor Slabile S Wnn, Inc PM Christian Cardona Inspector Pedro Hernandez
Change Order Submitial # �2 Dale 2/2612024
UtLEIlONS
y m m s oa
ani ary ev�er ons uc on owance ni : evrer
av�ng onsWction owance mt : aNng
Unit 1: Water SD.00
Unit 2: Sewer 524,200.00
Unit 3: Paving 51,250.00
u ota e elions 5, 5.
Change Order Deletions Page 3 of 4
MISBE for this Change Order
MISBE Sub Type of Service Amount for this CO
NOT APPLICABLE I NOT APPLICABLE I NOT APPLICABLE
Total � $0.00
Previous Change Orders
co# DATE AMOUNT
1 8/17I2023 $0.00
Total $0.00
FORTWORTHo
Routing and Transmittal Slip
Transportation & Public Works Department
DOCUMENT TITLE' Change order #3 — 2022 Bond Year 1— Contract 4
M&C:
CPN: 102930 CSO: 58871 DOC#:
Date:
To: Name Depai•tment Initials Date Out
1. Filogonio Munoz TPW - signature � Aug 22, 2024
2. Jerry Henderson Stabile & Winn, Inc - n� /�U 21 2024
si nature 7'� g '
3. Pedro Hernandez TPW - si nature Aug 26, 2024
4. Dena Johnson WD - si nature Aug 21, 2024
5. Christian Cardona TPW - signatui•e �� Aug 21, 2024
6. Gregoiy Robbins TPW - signature � Aug 26, 2024
7. Mary Hanna TPW - signature ��L�' Aug 26, 2024
8. Patricia Wadsacic TPW - signature �(.,� Aug 26, 2024
9. Lauren Prieur TPW - signature � Aug 26, 2024
10. Doug Blacic Legal - signature „�� Aug 28, 2024
11. Jesica McEachern CMO - signature „a` Sep 3, 2024
12. Jannette Goodall CSO - signature ,-�- Sep 4, 2024
13. TPW Contracts
DOCUMCNTS FOR CITY MANAG�R'S SIGNATtIRti: All documents received from any
and all City Depai•tments requesting City Managei•'s signatuce foi• appi•oval 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 SAMC DAY: ❑YF.,S ❑No NEXT DAl': ❑l'ES �No
ROUTING TO CSO: �YES ❑No
Action Required:
❑ As Requested
❑ For Your Infoi•mation
� Signature/Routing and or Recording
❑ Comment
❑ File
❑ Att��ch Signahu•e, Initial �nd Nota►-�� T�bs
Return To: TPWContracts(a�FortWorthTexas.� at ext. 7233 for picic up when completed.
Thank you!
CSC No. 58871-0O3
FOR1' WORTH„ City of Fort Worth
—�— Change Order Request
Project Name 2022 Bond Year 1- Contract 4 Ciiy Sec # 58871
Client Projecl #(s) 102930
Project Reconstruction of existing pavement with proposed water & sanitary sewer on Burton Avenue, Chichasaw Avenue, Crouch Avenue and Quails Lane.
Description
Contractor Slabile & Winn, Inc Change Order# 3 Date 8/19/2024
City Project Mgc Chnstian Cardona City Inspector Pedro Hemandez
Dept. Unit 1: Water Unit 2: Sewer Unit 3: Paving Contract Time
Totals ICDI
Original Conlract Amount
Exlras to Date
Credits to Dale
Pending Change Orders (in M&C Process)
Contract Cost to Date
Amount ot Proposetl Ghange Urtler y9,a'ss.7u �93,1u4.5u ��z,�as.zs �ia,aaz.ua
Revised Contract Amount $2,027,672.60 $1,679,591.00 $3,8a0,334.25 �7,587,597.a5
Original Funds Available for Change Orders $100,912.00 $81,324.00 $193,399.00 $375,635.00
Remaining Funds Available for this CO $100,912.00 �81,324.00 $193,399.00 $375,635.00
Additional Funding (if necessary)
CHANGE ORDEftS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1.OD%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) $9,390,893.75
390
420
609
JUSTIFICATION (REASONS) FOR CHANGE ORDER
CCORDAIICE 141i}1 TF{IS CfIAIlGE OR�ER REOl1ESi, THE CO)dTRACTOR SHpLL InstaO ne�i a�pha9 paeemerd end <ub 8 9Nte on Gn9y Caa� lo re:eNt thz e+isling pondy issu� al Ihe inl�seclion ol Qua Is Larre and Gnggs CauL Oue lo the a� and condSon al lhz vs
iu p pe on Gng}; CouM1, Ihe &.:is!on is also to ircluda replac�ng Ihe cnt�re 6' �asl'von v�irr I� aM 1h:6' �oncr<le se�w (ne on Gri_� Cwrt, Iivlud ng lu7 pa;zm�rR reh�lta:'� Cayg. Coirt is no.v Inr.Wb'a1 in Ih'�s po;Kl, end the ewi;Gng Aens vi9 <a.a mozl ot lhe vMt
slaRhasv�cdlMnthzrzma'nr�Iwdsinlhtpro;ecicancovvlhaaddtlonzlvnrkanGrigyC urL
Ihe con]actv's ryvest la eddtimal da fi as IMo:�s:
da�s fiom Ihe mignal pra;a�'s aM to Ihe star� d crosWctian on Caig� Caut (Ju�112024 —0811320tQ_ The treakdr�n o� vuk is es lo9av,_
39 da�s to gaNa sw-r� iNamalim end produce mnsiructim plans la Ihe contraclor
i6 da�s lo rer�ex pWns, price reseanl� ncgot�aGwS aiM enswe a7 Rsms arx caplvtd in Ihe thangz md's rcqus�
9 days lu toudnatim aM resr�ch d hancli:e uGflics on Gng7s Cart
45ldal d�21v consWNm d Gngp CcM (OJ7 42024-14/17RJ24). The hrea4da.tn d conswctbn ��uk a�a asla9nns:
70 days �a vsie aM se.�rs ppe insia0atiun (eaistsg b'd I!ems cv.v the mapn�y ol �he vnrMJ
30 days lu ualk/ g�A�rr, c�ab and 9N�e, and drit�e.�s/ r.pla:cmrnts (er'�Gng b',d Aens cmv Ihe ma�aity of Ilw vak)
18 dayslv puNe¢atlon aM esphdt v:dWy (e�dst�:ng b!d Aens cmv Ihe ma�ority ol lhe \Yotk)
7 days Itt (nal e3,irsMeAs. dramq aM pUreir� atbuw� irdamalbn
It is understood and agreed that the acceptance of this Change Order by tlie 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
reportin� requirements.
Contraclors Com any Name Contractor Name Contract Si natvre Date
Stabile & Winn, Inc Jer Henderson �' Aug 21, 2024
ATTEST:
>,vureNr� ,�lL
Jannette Goodall, City Secretary
M&C Number NIA M&C Date Approved �
�
City of Fort Wotth
Change Order Additions
Project Name 2022 Bond Year 1- Conlract 4 City Sec # 58871
ClientProject# 102930
ConUactor Stabile & Wnn, Inc PM Chrislian Cardona Inspector Pedro Hernandez
Change0rderSubmittal# 03 Dale 811 912 0 2 4
ADDI710N5
Change Order Additions Page 2 of 4
Poar Wor:i ti City of Fort Worth
—�'T'� Change Order Deletions
Projecl Name 2022 Bond Year 1- ConUacl4 City Sec # 58871
ClientProjec[# 102930
Contractor Stahlle 8 Wnn, Inc Pld Chnstian Cardona Inspector Pedro Hemandez
ChangeQrderSubmittal# � �ate 811 9120 2 4
UtLtIlUNS
Change Order Deletions Page 3 of 4
MISBE for this Change Order
MISBE Sub Type of Service Amount for this CO
NOT APPLICABLE I NOT APPLICABLE I NOT APPLICABLE
Total � $0.00
F�RT WURTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: 2022 Bond Year 1 Contract 4
CITY PROJECT NUMBER: 102930
PIPE LAID
OPEN CUT
OPEN CUT
OPEN CUT
SIZE
16"
g��
6"
WATER
TYPE OF PIPE
PVC
PVC
PVC
LF
760 LF
3,957 LF
61 LF
FIRE HYDRANTS: 7
PIPE ABANDONED
N/A
DENSITIES:
NEW SERVICES:
SIZE
1"
VALVES (16" OR LARGER)
TYPE OF PIPE
YES - ALL PASSED
COPPER
99 EA
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
OPEN CUT 10" PVC 510 LF
OPEN CUT 8" PVC 3,673 LF
PIPE ABANDONED
N/A
DENSITIES:
NEW SERVICES:
SIZE
4"
TYPE OF PIPE
YES - ALL PASSED
PVC
LF
2 EA
LF
98 EA
TR�NSPORT:�TION 1�ND PUBLIC `��ORI�S
The City- of Fort ��'orth • 1000 Thxockmarton Stxeet • Fort ��'orth, T� 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
��������x�
TRANSPORTATION AND PUBLIC WORKS
February 11, 2025
Stabile & Winn, Inc.
P.O. Box 79380
Saginaw, TX 76179
RE: Acceptance Letter
Project Name: 2022 Bond Year 1-Contract 4
Project Type: Water, Sewer, Paving
City Project No.: 102930
To Whom It May Concern:
On December 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 February 4, 2025. 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 February 4, 2025, 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-
392-5498.
Sincerely,
��� C��
Christian Cardona, Project Manager
Cc: Cody Horton, Inspector
Troy Gardner, Inspection Supervisor
Emanuel Nieto, Senior Inspector
Gregory Robbins, Program Manager -�7'���
Criado & Associates, Consultant
Stabile & Winn Inc., Contractor
CFW, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
AFI�'ID�1VI'I'
ST11Tr Ol� '1'eYas
COUN`l�Y OF Tarz•ai�t
�3efore n�e, ihe uizde�signcd authority, a notary public in thc statc
a�id couiliy aforesaid, an tltis day pe�'sonally appeaz•ed Tcrxy HGz�dcrsot�,
Vice President C)CStabilc & Winn; Zzac., k�.�own to me to be a c��ec3ibic
pe��son, ��ho bciilg by ine duly swoi•��, upon llis oath cie}�osed and said;
1'hat all persons, firins, associations, carpor�tions, or ather
o3�ganiraiiotas Cuxzlishii�g labor and/or matcrials havc bccn paid in iull;
�I�haf the wage scalc cstablishcd by thc Ci�y Council in thc City of
Fort Worth has beez� paid in �ull;
l�iat thei•e a1•e no claims pending for persoi7al injtiu•y andloi•
�ro��crty damagcs;
On Contract c�escribed as;
2022 �3oz�d Ycar 1 Cozitract 4- City Proje #102 ��
I3Y
Jcrry IIcnderson, Vicc Presidc�lt
Subscribed a��d swor�� bc�{�o� ���e on this ciate 25t�� o�')�ebruary, 2025.
r�rna�y :t�t�t��ic
"l�arrant, Texas
��,�``" ���
��'� fd�,
��''���
�
JC1WN W. STABILE
NpTARY PUBLfC
STAT�; OF TEXAS
MY Cp[���, �XP d7/D1/27
NCJ7AI�Y IC] 403937-4
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
Bond #8050120
Project: Water, Sanitary Sewer, and Paving Improvements, 2022 Bond Year 1—
Contract 4, City Project Number 102930
To (Owner):
City of Fort Worth, Texas
200 Texas Street
Ft Worth, TX 76102
Contract For: See above
Contract Date: January 10, 2023
Contractor:
Stabile & Winn, Inc.
P O Box 79380
Saginaw, TX 76179
In accordance with the provision of the Contract between the Owner and the Contractor as
defined above, the
Amerisure Mutual Insurance Company
P.O. Box 9098
Farmington Hills, MI 48333-9098
,Surety Company,
on bond of
Stabile & Winn, Inc.
P O Box 79380
Saginaw, TX 76179
,Contractor
hereby approves of the final payment to the contractor and agrees that final payment to the
contractor shall not relieve the Surety Companies of any of their obligations to the
City of Fort Worth, Texas
200 Texas Street
Ft Worth, TX 76102
as set forth in the said Surety Company's bond.
,Owner
IN WITNESS WHEREOF,
the Surety Companies have hereunto set their hand this 25th day of February, 2025.
Witness:
iL/ s I_�/ �
Amerisure Mutual Insurance Com any
Surety Company
� --
Tracy Tu �er, Attorney-tri-Fact
AMERISURE MUTUAL INSURANCE COMPANY
AMERISURE INSURANCE COMPANY
AMERISURE PARTNERS INSURANCE COMPANY
POWER OF ATTORNEY
AMERISURE
'�SVRETY
I{NOW ALL MEN BY THESE PRESENI'S: That Amerisure Mutual lnsurance Company, Amerisure Insurance Company and Amerisure Partners Insurance
Company are corporations duly organized under the laws ofthe State of Michigan (herein collectively the "Companies"), and that the Companies do hereby
make, constitute and appoint:
TRACY TUCKER, STEVEN TUCKER, KEVIN J. DUNN, W. LAWRENCE BROWN
BENNETT BROWN AND ROBERTA H. ERB
of Tucker Agency, Ltd. , its true and lawful Attorney(s}-in Fact, each in their separate capacity if more than one is named above, to sigq execute,
seal and acknowledge, for and on its behalf and as its act and deed, bonds or others writings obligatory in the nature of a bond on behalf of each of said Companies,
as surety, on contracts or sureryship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or
contract or suretyship executed under this authority shall exceed the amount af�
ONE HUNDRED MILLION ($100,000,000.00) DOLLARS
This Power of Attorney is granted and signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of
Amerisure Mutual Insurance Company, Amerisure Insurance Company and Amerisure Partners Insurance Company at meetings duly called and held on February
17, 2022.
"RESOLVED, that any two ofthe President & Chief Executive Officer, fhe Chief Financial Officer & Treasurer, the Senior Vice President Surety, the
Vice President Surety, orthe General Counsel & Corporate Secretary Ue, and each or any of them hereby is authorized to execute, a Power of Attomey quatifying
the attorney-in-fact named in the given Power of Attomey to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that
President & Ch ief Executive Officer, Chief Financial Officer & Treasurer or General Counsel & Corporate Secretary each or any of them hereby is authorized
to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company;
FURTHER RESOLVF,D, that the signature of such officers and the seal of the Co�npany may be affixed to any such Power of Attorney or to anycertificate
relating thereto electronically/digitally or by facsimile, and any such Power of Attorney or certiticate bearing such electronic/digital or facsimile signatures or
electronic/digital or facsimile seal shall be binding upon the Coinpany when so affixed and in the future with regard to any bond, undertaking or contract
ofsurety to which it is attached;
FURTHER RESOLVED, that any work carried out by the attomev-in-fact nursnant to this resolution shall be valid and binding upon the Company,'
h �� "�"'f �o...
"`PL!�INS''. ,,o�"°�URq�' ��� .•':�t>ti?�,....t",��5'!J'�"•.
�:�J. p� U�Q'',,,, �N,.Qo '1r�+'°,, By: C o-'Q-; gPa�.q..''�y•a
. J:'µ R,q'• 9 'ii,,,: FZ �tq��.,� : c 4• O T•..ry :
=�,�a r�.Z�;. �,� Gu �;_ �; Michael A. Ito, Senior Vice President Surety e¢ �v M�.,� :
=�: SEAL �`�= =y� SEA� ��- €�� S�A� ��'=
:n; �j ��_
5c�n; 20Q0 :y>�; : ��.. 1988 :�a = B fj�,.•- � ��"--- �i,n.'., 2D(DO ;� `
`••�',��y �cHi�e?aaa=' '�,`� �'�cH��e"'•*a,., y �, ':�^,���%cHs�?��aa;
Aaron Green, Vice President Sure � h
' �„*;,� *"� *.� ,�`"' „*„ „s
IN WITNESS WHEREOF, Amerisure Mutual Insurance Company, Amerisure Insurance Company and Amerisure Partners Insurance Company
have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 26th day of APril ZQ 23
Amerisure Mutual Insurance Company
Amerisure Insurance Company
Amerisure Partners lnsurance Company
State of Illinois
County of Kane
On this 26th day of April 20 23, before me, a Notary Publie personally appeared Michael A. Itq of Amerisure Mutual lnsurance Company, Amerisure
Insurance Company and Amerisure Pariners Insurance Company and Aaron Green of Amerisure Mutua] Insurance Company, Amerisure Insurance Company
and Amerisure Pariners insurance Company, personally known to me, who being by me duly swom, acknowledged that they signed the above Power ofAttomey
as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies.
o�au sFru. `./O \ ? • �
M KENHY
Hor�rraueuc,erKrfoF�oia M.Kenny, Notary Public
rav cwatinaeron s�r�ea �vou:n�
1, Christo�her M. Spaude, the duly elected Chief Financial Officer & Treasurer of Amerisure Mutual lnsurance Company, Amerisure Insurance Company and
Amerisure Partners Insurance Company, do hereby certify and attesY Yhat the above and foregoing is a true and correct copy of a Power of Attorney executed by
said Companies, which remains in full force and effect.
IN WITNESS WHEREOF, I have set my hand and affixed the seals ofthe Companies this 25th day of February 20 25
(/ � � � / . ��5a'?rr`''—
Christopher M. Spaude, ChiefFinancial Officer & Treasurer