HomeMy WebLinkAbout060740-FP4 - Construction-Related - Contract - Western Municipal-FP4
FORTWORTHo
Sewer ❑
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: Buttercup & Boswell 16" Water Main Rehab
City Project No.: 105037
Improvement Type(s): Water �
Original Contract Price:
Amount of Approved Change Order(s)
Revised Contract Amount:
Total Cost of Work Complete:
Clint wilson
CLnt Wilson !Dec 1J, 2025 15�.2G:06 CST1
Contractor
Project Manager
Title
Western Municipal
Company Name
�o..
Russell Rogers (Dec 19, 2025 16�.13:10 CST)
Project Inspector
�
Project Manager
���
CFA Manager
.:"�'"""""7': ,
TPW Director
Developer Cost
$98,221.29
$22,738.14
$120,959.43
$120,959.43
12/19/2025
Date
City Secretary 60740
Contract No.
Date Received 12/23/2025
AT
City Cost
$1,228,942.19
$114,989.37
$1,343,931.56
$1,343,931.56
12/19/2025
Date
12/22/2025
Date
12/23/2025
Date
12/23/2025
Date
Total Cost
$1,327,163.48
$137,727.51
$1,464,890.99
$1,464,890.99
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX Page 1 of 2
This greensheet has been revised to reflect an adjustment to the total number of working days, now 128 days.
Notice of Project Completion
Project Name: Buttercup & Boswell 16" Water Main Rehab
City Project No.: 105037
City's Attachments
Final Pay Estimate �
Change Order(s): 0 Yes ❑ N/A
Pipe Report: x❑ Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid ��
Consent of Surety ��
Statement of Contract Time
Contract Time: 120 WD Days Charged: 128 WD Work
Work Start Date: 2/5/2024 Complete Date: 1/7/2025
Completed number of Soil Lab Test: 370
Completed number of Water Test: 36
Page 2 of 2
F���r ���Tx
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name BUTTERCUP LANE & BOSWELL DRIVE 16"
Contract Limits
Project Type WATER
City Project Numbers 105037
DOE Number 5037
Estimate Number 1 Payment Number 1 For Period Ending
City Secretary Contract Number
Contract Date
Project Manager NA
Contractor WESTERN MiJNICIPAL
402 GULF AVENUE
JUSTIN � TX 76247
Inspectors G.DEYON / R. ROGERS
Contract Time
Days Charged to Date
Contract is 100.00
1/7/2025
WD
128JD
128
Complete
Monday, November 24, 2025 Page 1 of 5
City Project Numbers 105037
Contract Name BUTTERCUP LANE & BOSWELL DRIVE 16"
Contract Limits
Project Type WATER
Project Funding
UNTI' I: WATER IMPROEMENTS
DOE Number 5037
Estimate Number 1
Payment Number 1
For Period Ending 1/7/2025
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
1 WATER LINE GROUTING 139 CY $251.35 $34,937.65 139 $34,937.65
2 REMOVE AND SALVAGE 6" GATE VALVE 4 EA $770.98 $3,083.92 4 $3,083.92
3 REMOVE AND SALVAGE 12" GATE VALVE 3 EA $747.81 $2,243.43 3 $2,243.43
4 REMOVE AND SALVAGE FIRE HYDRANT 4 EA $5,286.86 $21,147.44 4 $21,147.44
5 6" PVC WATER PIPE 105 LF $129.02 $13,547.10 105 $13,547.10
6 8" PVC WATER PIPE 230 LF $158.16 $36,376.80 230 $36,376.80
7 12" PVC WATER PIPE 28 LF $175.80 $4,922.40 28 $4,922.40
8 16" PVC C905 WATER PIPE 2547 LF $226.74 $577,506.78 2547 $577,506.78
9 12" PVC WATER PIPE, CLSM BACKFILL 20 LF $393.14 $7,862.80 20 $7,862.80
10 ] 6" PVC C905 WATER PII'E, CLSM BACKFII.L 40 LF $397.88 $15,915.20 40 $15,915.20
11 16" DIP WATER 24 LF $275.81 $6,619.44 24 $6,619.44
12 16" DIP WATER, CLSM BACKFILL 33 LF $475.22 $15,682.26 33 $15,682.26
13 TRENCH SAFETY 3027 LF $1.00 $3,027.00 3027 $3,027.00
14 30" CASING BY OPEN CUT 33 LF $598.22 $19,741.26 33 $19,741.26
15 1" WATER SERVICE 5 EA $4,643.56 $23,217.80 5 $23,217.80
16 2" WATER SERVICE 5 EA $5,754.26 $28,771.30 5 $28,771.30
17 REMOVE 8" WATER VALVE 1 EA $90737 $907.37 1 $90737
18 SALVAGE 16" WATER VALVE 3 EA $2,366.95 $7,100.85 3 $7,100.85
19 REMOVE 2" AIR RELEASE VALVE AND VAULT 1 EA $1,872.53 $1,872.53 1 $1,872.53
ASSEMBLY
20 16" CUT IN-GATE VALVE W/ VAULT 1 EA $27,023.90 $27,023.90 1 $27,023.90
21 16"Xl6" CUT iN TEE 1 EA $19,675.85 $19,675.85 1 $19,675.85
22 6" GATE VALVE 4 EA $2,671.69 $10,686.76 4 $10,686.76
23 8" GATE VALVE 10 EA $3,577.91 $35,779.10 10 $35,779.10
24 12" GATE VALVE 1 EA $6,798.69 $6,798.69 1 $6,798.69
25 16" GATE VALVE W/ VAULT 11 EA $23,403.90 $257,442.90 11 $257,442.90
26 4"-12" PRESSURE PLUG 10 EA $926.36 $9,263.60 10 $9,263.60
27 16" PRESSURE PLUG 1 EA $4,624.75 $4,624.75 1 $4,624.75
28 2° COMBINATION AIR VALVE ASSEMBLY FOR 1 EA $14,192.38 $14,192.38 1 $14,192.38
WATER
29 6" BLOW OFF VALVE 1 EA $10,886.86 $10,886.86 1 $10,886.86
30 FIRE HYDRANT 4 EA $8,404.48 $33,617.92 4 $33,617.92
Monday, November 24, 2025 Page 2 of 5
City Project Numbers 105037
Contract Name BUTTERCUP LANE & BOSWELL DRIVE 16"
Contract Limits
Project Type WATER
Project Funding
31 CONNECTION TO EXISTING 4"-12" WATER
MAIN
32 CONNECTION TO EXISTING 16" WATER MAIN
33 DUCTILE IRON WATER FITTINGS W/
RESTRAINT(CO#1)(CO#3)(CO#7)
47 SPECIFIED REMOBILIZATION (CO#1)
38 SPECIFIED REMOBILIZATION (CO#2)
39 2" TAPPING SADDLE (CO#2)
40 CUT & PLUG SADDLE AT THE MAIN (CO#2)
41 SPECIFIED REMOBILIZATION (CO#3)
42 IMPORTED EMBEDMENT/BACKFILL, CSS
(CO#3)
43 6" TRENCH DRAIN(CO#3)(CO#6)
44 SPECIFIED REMOBILIZATION (CO#4)
45 4" ASPHALT BASE. TYPE B(CO#4) (CO#7)
46 FINE GRADE EXISTING SUBGRADE(CO#4)
(CO#7)
DOE Number 5037
Estimate Number 1
Payment Number 1
For Period Ending 1/7/2025
2 EA $7,164.86 $14,329.72 2 $14,329.72
2 EA $10,479.86 $20,959.72 2 $20,959.72
3.4140035 TN $12,063.87 $41,186.09 3.4140035 $41,186.09
1 EA
1 EA
1 EA
1 EA
1 EA
10 CY
$32,409.11 $32,409.11
$8,000.00 $8,000.00
$2,500.00 $2,500.00
$1,158.24 $1,158.24
$13,62335 $13,623.35
$155.00 $1,550.00
1 $32,409.11
1 $8,000.00
1 $2,500.00
1 $1,158.24
1 $13,62335
10 $1,550.00
0 LF
1 LS
6802.16 SY
6802.16 SY
$104.00 $0.00
$8,021.55 $8,021.55
$3.20 $21,766.91
$7.00 $47,615.12
0 $0.00
1 $8,021.55
680216 $21,766.91
6802.16 $47,615.12
36 2" ASPHALT PVMT TYPE C(CO#7) -101.84 SY $26.56 ($2,704.87) -101.84 ($2,704.87)
SUb-TOtal Of PCOVIOUS Ulllt $1,464,890.99 $1,464,890.99
Monday, November 24, 2025 Page 3 of 5
City Project Numbers 105037
Contract Name BUTTERCUP LANE & BOSWELL DRIVE 16"
Contract Limits
Project Type WATER
Project Funding
Contract Information Summary
Original Contract Amount
Chan�e Orders
Change Order Number 1
Change Order Number 2
Change Order Number 3
Change Order Number 4
Change Order Number 5
Change Order Number 6
Change Order Number 7
DOE Number 5037
Estimate Number 1
Payment Number 1
For Period Ending 1/7/2025
$1,327,163.48
$33,509.11
$11,658.24
$17,861.44
$9,880.00
$78,452.55
($9,880.00)
($3,753.83)
Total Contract Price $1,464,890.98
Total Cost of Work Completed $1,464,890.98
Less % Retained $0.00
Net Earned $1,464,890.99
Earned This Period $1,464,890.99
Retainage This Period $0.00
Less Liquidated Damages
Days @ / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$0.00
$0.00
$0.00
$0.00
$0.00
$1,464,890.99
Monday, November 24, 2025 Page 4 of 5
City Project Numbers 105037
Contract Name BUTTERCUP LANE & BOSWELL DRIVE 16"
Contract Limits
Project Type WATER
DOE Number 5037
Estimate Number 1
Payment Number 1
For Period Ending 1/7/2025
Project Funding
Project Manager NA
Inspectors G.DEYON / R. ROGERS
Contractor WESTERN MLTNICIPAL
402 GULF AVENUE
JUSTIN � TX 76247
City Secretary Contract Number
Contract Date
Contract Time 120 WD
Days Charged to Date 128 WD
Contract is .000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
Total Cost of Work Completed
Less % Retained
Net Earned
Earned This Period $1,464,890.99
Retainage This Period $0.00
Less Liquidated Damages
� Days @ $0.00 / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$1,464,890.98
$0.00
$1,464,890.99
$0.00
$0.00
$0.00
$0.00
$0.00
$1,464, 890.99
Monday, November 24, 2025 Page 5 of 5
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME:
CONTRACT:
C FA #
CITY PROJECT #
FID #
x#
CITY SECRETARY CONTRACT #
FILE #
INSPECTOR:
PROJECT MANAGER:
Buttercup Lane 8 Boswell Drive 16-Inch Water Main Rehabilitation
(A) Water (B) Paving
CFA23-0166 � CITY PARTICIPATION:�
105037
30114-0200431-105037-E07685
X-27912
60740
N/A
CHANGE
ORDER No:
YES
1
Russell Rogers Phone No:
Sandip Adhikari Phone No: 817-392-8424
WATER SEWER
Developer
Cost City Cost Developer Cost C
ORIGINAL CONTRACT §98,22129 §7,228,942.19 I $0.00
EXTRAS TO DATE $0.00 $0.00 I $0.00
CREDITS TO DATE $0.00 $0.00 I $0.00
CONTRACT TO DATE $98,221.29 $1,228,942.19 I 50.00
AMOUNT OF PROP. CHANGE ORDER $18,867.75 $14,621.36 I $0.00
REVISEDCONTRACTAMOUNT $117,109.04 $1,243,563.55 I $0.00
TOTAL REVISED CONTRACT AMOUNT PER
UNIT $1,360,672.59 $0.00
REVISED COST SHARE DOv. COSt: $117,109.04
TOTAL REVISED CONTRACT
CSC No. 60740-CO1
CONTRACT UNIT
DRAINAGE PAVING STREET LIGHTS
Developer Developer Developer
ty Cost Cost City Cost Cost City Cost Cost City Cost
$0.00 I $0.00 50.00 $0.00 b322,315.48 I $0.00 $0.00
$0.00 I 50.00 50.00 $0.00 I $0.00 I $0.00 $0.00
bo.00 I go.00 SO.00 Sa.00 � So.Oo I So.00 So.Oo
$0.00 I $0.00 $0.00 $0.00 I $322,315.48 I $0.00 $0.00
so.00 I so.00 so.00 So.00 � go.00 I go.00 So.00
50.00 I $0.00 $0.00 $0.00 $322,315.48 I $0.00 $0.00
I$0.00 $322,315.48 I $0.00
City Cost: $1,565,879.03
$1,682,988.07
CONTRACT DAYS
120
120
3
123
Revised: 12-17-2018 Page 1
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CSC No. 60740-0O2
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME:
CONTRACT:
CFA #
CITY PROJECT #
FID #
X#
CITY SECRETARY CONTRACT #
FILE #
INSPECTOR:
PROJECT MANAGER:
Buttercup Lane & Boswell Drive 16-Inch Water Main Rehabilitation
(A) Water (B) Paving
CFA23-0166 I CITY PARTICIPATION:
105037
30114-0200431-105037-E07685
X-27912
60740
N/A
CHANGE
ORDER No:
YES
�
Russell Rogers Phone No:
Sandip Adhikari Phone No: 817-392-8424
CONTRACT UNIT
WATER SEWER �RAINAGE PAVING STREET LIGHTS
Developer Developer Developer Developer
Cost City Cost Developer Cost City Cost Cost City Cost Cost City Cost Cost City Cost
ORIGINAL CONTRACT $98,221.29 31,228,942.19 $0.00 $0.00 $0.00 50.00 $0.00 5322,315.48 $0.00 $0.00
EXTRAS TO DATE $18,887.75 $14,621.36 $0.00 b0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
CREDITS TO DATE $0.00 $0.00 $0.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00
CONTRACT TO DATE $117,109.04 $1,243,563.55 $0.00 $0.00 $0.00 $0.00 $0.00 $322,315.48 $0.00 $0.00
AMOUNT OF PROP. CHANGE ORDER $7,520.64 a10,137.60 $0.00 30.00 $0.00 E0.00 $0.00 $0.00 $0.00 $0.00
REVISEDCONTRACTAMOUNT $118,629.68 $1,253,701.15 $0.00 E0.00 $0.00 $0.00 50.00 $322,315.48 $0.00 $0.00
TOTAL REVISED CONTRACT AMOUNT PER
UNIT $1,372,330.83 $0.00 50.00 $322,315.48 $0.00
REVISED COST SHARE Dev. COst: $118,629.68 City COSt: $1,576,016.63
TOTAL REVISED CONTRACT $1,694,646.31
Revised: 12-17-2018
CONTRACT DAYS
120
3
123
5
128
Page 1
You are directed to make the following changes in the contract documents:
PAY ITEM #
0170.0101
`g999.0003
`9999.0004
Asterisk (*) �ndicates Nsw Pay Item
CITY BID ITEM
# QUANTITY
38` �
39" 1
40` S
UNIT 1: WATER IMPROVEMENTS
CPW Unit
iTEM D�SCRIPT{ON P«�
UNII �
�q Specifie�Remobil'¢ation �
� 2" 7apping Saddle
Eq Cut and Plug Saddle at the main
TOTAL UMIT 1: WATER IMPROVEMENTS
UNIT PRICE
g8,000.00
$2,500.00
$1,15824
Developer
Cost City Cost
$1,520.sa $6,479.36
$0.00 $2,500.00
$0.00 $1,158.24
$1.520.64 $10,137.60
TOTAL
$8,000.00 ,
$2,500.00 ,
$1,158.24
11$ •658�24
Page 2
Revised: 12-17-2018
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23.10�3
M�`C �umbef ' 1211212�23
M&G Date Appraved
Ryv�sed� 12.17-2p18
CSC No. 60740-0O3
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME:
CONTRACT:
CFA #
CITY PROJECT #
FID #
xu
CITY SECRETARY CONTRACT #
FILE #
INSPECTOR:
PROJECT MANAGER:
Buttercup Lane & Boswell Drive 16-Inch Water Main Rehabilitation
(A) Water (B) Paving
CFA23-0166 � CITY PARTICIPATION
105037
30114-0200431-105037-E07685
x-27912
60740
N/A
Russell Rogers Phone No:
Sandip Adhikari Phone No:
CHANGE
ORDER No:
YES
3
817-392-8424
CONTR.4CT UNIT
WATER SEWER DRAINAGE PAVING STREET LIGHTS
Developer Developer Developer Developer
Cost City Cost Developer Cost City Cost Cost City Cost Cost City Cost Cost City Cost
ORIGINAL CONTRACT $98,221.29 $1,228,942.19 $0.00 50.00 $0.00 50.00 $0.00 $322,315.48 $0.00 $0.00
EXTRAS TO DATE $20,408.39 $24,758.96 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
CREDITS TO DATE $0.00 $0.00 $0.00 E0.00 $0.00 30.00 $0.00 $0.00 $0.00 $0.00
CONTRACTTODATE $118,629.68 $1,253,701.15 $0.00 $0.00 $0.00 E0.00 $0.00 $322,315.46 $0.00 50.00
AMOUNT OF PROP. CHANGE ORDER $2,329.75 $15,531.69 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00
REVISEDCONTRACTAMOUNT $120,959.43 $1,269,232.84 $0.00 50.00 $0.00 50.00 $0.00 $322,315.48 $0.00 $0.00
TOTAL REVISED CONTRACT AMOUNT PER
UNIT $1,390,192.27 $0.00 $0.00 $322,315.48 $0.00
REVISED COST SHARE Dev. Cost: $120,959.43 City Cost: $1,591,548.32
TOTAL REVISED CONTRACT $1,712,507.75
CONTRACT DAYS
120
8
128
0
128
Revised: 12-17-2018 Page 1
page 2
Revised:l2-�7-2��8
REASONSFOR CHANGE ORDER
1 While hand digging around the existing waterline on LancasterAve. a joint on the existing line failed once the surrounding area was excavated. Afterthe initial assessment with
the CoFW Inspector and valve crews it was determined that additional fittings are needed to repair the pipe, but this repair could be completed during normal buisness hours.
However, the CoFW later received a call that residents of the surrounding area were without service and requested that WMC work to repair the failed joint and complete the tiein
as soon as possible. The above pricing is forthe labor, equipment, fuel, and additional material needed to complete the repair & tie-in on Lancaste�Ave.
Tl�is change order impacts Ciry Cost Participation
GMcivil
By � �
Name: Ryan Spears
T;tie: Project Engineer
APPROVAL RECOMMENDED:
CFW - Wate� DepaRment
Su6� �/a..,�e P�
By:
Neme: Suby Varughese
Title: Engineering Manager
RECOMMENDED:
CF,qW,���_-.'�Cont�acf Compliance Manager
By: `i
Name: Sandip Adhikari
Title: Sr Professional Engineer
M&C Number: 23-1073
M&C Date Approved: 12/12/2023
Western Municipal Construction
Mid-Cities Logistics Owner, LLC of Texas, LLC
- -• � _
i
,'�� � _��,., ___
ey: � _� � � � By:
Name: � � ieffKnowles Name: Clint Wilson
Title: � �EhQrized Signatory
Titie: Project Manager
APPROVED:
CFW - Assistant City Manager
�rha �c��kdo�
gy. � ��� _.
Name: Dana Burghdoff
Title: Assistant City Manager
APPROVED AS TO FORM AND LEGALITY:
CFW - Assistanf City Attomey
By. � �— , _ , �_.�
Name: Richard McCracken
Title: Sr. Assistant Ciry Attorney
ATTEST ' Contract Compliance Manager (Project Manager):
�� ��� By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, include
` ensuring all performance and reporting requirements.
Jannette S. Goodall
City Secretary ❑There are NO City Funds associated with this Contract
�There are City Funds associated with this Contract
Revised: 12-17-2018 Page 3
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME:
CONTRACT:
C FA #
CITY PROJECT#
FID #
xu
CITY SECRETARY CONTRACT #
FILE #
INSPECTOR:
PROJECT MANAGER:
Buttercup Lane & Boswell Drive 16-Inch Water Main Rehabilitation
(A) Water (B) Paving
CFA23-0166 I CITY PARTICIPATION:I
105037
30114-0200431-105037-E07685
X-27912
60740
N/A
CHANGE
ORDER No:
YES
4
Russell Rogers Phone No:
Sandip Adhikari Phone No: 817-392-8424
CSC N o. 60740-004
CONTRACT UNIT
WATER SEWER DRAINAGE PAVING STREET LIGHTS
Developer Developer Developer Developer
Cost City Cost Developer Cost City Cost Cost City Cost Cost City Cost Cost City Cost
ORIGINAL CONTRACT $98,221.29 b1,228,942.19 $0.00 $0.00 $0.00 ba•DO $0.00 5322,315.48 $0.00 $0.00
EXTRAS TO DATE $22,736.14 $40,290.65 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0,00 $0.00
CREDITS TO DATE $0.00 $0.00 50.00 30.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
CONTRACTTO DATE $120,959.43 51,269,232.84 $0.00 $0.00 $0.00 50.00 $0.00 $322,3'15.48 $0.00 $0.00
AMOUNT OF PROP. CHANGE ORDER $0.00 $9,880.00 $0.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00
REVISED CONTRACT AMOUNT $120,959.43 $1,279,712.84 $0.00 50.00 $0.00 50.00 $0.00 $322,315.48 $0.00 $0.00
TOTAL REVISED CONTRACT AMOUNT PER
UNIT $1,400,072.27 $0.00 $0.00 5322,315.48 $0.00
REVISED COS7 SHARE Dev. Cost: $120,959.43 City Cost: $1,601,428.32 �,
�
TOTAL REVISED CONTRACT $1,722,387.75
CONTRACT DAYS
120
8
128
1
129
Revised: 12-17-2018 Page 1
-�' U�it
CF`N _
t do�uments'
�ake ihe fO\iowi� �han9P^
in the �Ont�ac
G't�g1Dt'tEM aup,95,"('t
d t° # ..-.^
�oU a�e di�ecte 43 ,.�..---"..
�y�eloPet
page 2
ReV\sed'.12.1i-2p18
ch ��am a�� �O�pect'd to the eX�sti�n9
� IWMG� �d\h the`�a\ e sie�n 9u�de.
W esYem Mu�d Water from flOW�n9 �p th��u9
stem 9uid at �te`\ ih�s ��5a\\e�iate 9�0u
26
e
u�d Wate� +s a� tihe �te�s ci on o`f �a�`caSYet � B�s
ER Where 9r0 a e System U� c\pa� Constrv�t1on
EORCyiANC'�' � 1 stormd�a�n 9 eSteCC1 C'�
OR
REP�S�NS ��<Y GOSt P aei � pat�o� W qS ��-�'C
ts 0� � eX
T\i�s chan9z °�d
e� 1mP�� �er �LG
Og�St\GS ��
M\d,C�t�25� ,-�"��BY� tNJ\\son
�'°. �„� . Gin
'.- , k�r ; , ` �� - Name. Managet
.=;� �X,, ,_ :
owles Project
VyA - ` �e�Y'�'- 1<<ve: p�����a��t�:
GM�` Bv� $�d��� ' M
p��3 � FpR
Name� pVE� AS�
SPears T'�tie: APPR �istant �!Y
ev Rya� er �Fw.as , ,,
n �re
NaTne: ��O eC� E a McC�aOken
��Ep: BY".
PpPR t �itY Mana9e� R�chard
T�t\e: Name �lty p,tt°rneY
�MMEN�E�; CFw, p,ssistan ,,.: * g�. A55`Siant
pPP�������� jeni 8Y ��„�e a„� �F-" �doif 1it1e�
pePaitn �ana g�r8 �a0e��' .
r ana er
�FvV-��{e �` Name' Gri M oectMa ns�b\e
s,.��va�°" Psslstant M��a9a�ph��pe�son resp�t.'�n�
Wde
Cort�P�ian� 15 �pni�e^ts
T�t�e. � Cant�a� \ a�knov��ea9 o fi�n9 �eQ�icem
8Y Sub �a�� hese s�9��n9 �in9 a�d admnd YeP on o41h �uact
Nam�: anyge� 64 moniYo ce
En��neet\n9 M fio� the e�orm Fu^ds assoc`ated w�th th15 �o
� a1\ P
�i0e P.(.(Eg"( ensutln9 �o�t�act
's�' � O1he�e a�e Np C�tY ds So�\atea w�th th�s
��E�� �r �
REC�MM liance Man 9 Fun as
a
GFw - xGOntraG� �ornP �an�ette ��e atY a\\ O1he{e are C�tY
� G�tY $e
8Y' p,dti�kar�
S�nd1P
P1ame sro�a� En
�neer Pa9e 3
5� p�ofes
-('�t\e'.
23.10�3
M&C NUmbet' 1211212�23
M&G Date PpProved'
Revlsed �2_11-2�18
CSC N o. 60740-005
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME:
CONTRACT:
C FA #
CITY PROJECT #
FID #
xu
CITY SECRETARY CONTRACT #
FILE #
INSPECTOR:
PROJECT MANAGER:
Buttercup Lane & Boswell Drive 16-Inch Water Main Rehabilitation
(A) Water (B) Paving
CFA23-0166 I CITY PARTICIPATION:I
105037
30114-0200431-105037-E07685
X-27912
60740
N/A
CHANGE
ORDER No:
YES
5
Russell Rogers Phane No:
Sandip Adhikari Phone No: 817-392-8424
CONTRACT UNIT
WATER SEWER DRAINAGE PAVING STREET LIGHTS
Developer Developer Developer Developer
Cost City Cost Developer Cost City Cost Cost City Cost Cost City Cost Cost City Cost
ORIGINAL CONTRACT $98,221.29 $1,226,942.19 $0.00 50.00 $0.00 $0.00 $0.00 $322,315.48 $0.00 50.00
EXTRAS TO DATE $22,738.14 E50,170.65 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00
CREDITS TO DATE $0.00 $0.00 $0.00 �0.00 $0.00 E0.00 $0.00 $0.00 $0.00 50.00
CONTRACTTODATE $120,959.43 $1,279,112.84 $0.00 $0.00 $0.00 $0.00 $0.00 $322,315.48 $0.00 $0.00
AMOUNT OF PROP. CHANGE ORDER $0.00 §78,452.55 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
REVISED CONTRACT AMOUNT $120,959.43 $1,357,565.39 $0.00 50.00 $0.00 $0.00 $0.00 $322,315.48 $0.00 $0.00
TOTAL REVISED CONTRACT AMOUNT PER
UNIT $1,478,524.82 $0.00 $0.00 $322,3'15.48 $0.00
REVISED COST SHARE Dev. Cost: $120,959.43 City Cost: $1,679,880.87 �
TOTAL REVISED CONTR.4CT $1,800,840.30
Revised:l2-17-2018
CONTRACT DAYS
120
9
129
5
134
Page 1
vou are directed to make the followin9 �hanges �n the coniract documents
PAY ITEM #
ggg9.0007
g212.0541
0170.4�01
Asterisk (') �ndicates New PaY titem
GITY BVD {1EM QUAP1TiTY
# 6905
46� fi905
45" �
q0.•
CFUV Unit
UNIT t: WA7ER iMPROVEN�ENT Piice
1?EM DESCRlPsubg�ade �
���T Fire Gssde Existing
SY q„ psphatt Sase. TYPe B
SY gpecified Ftemob���ation v�p�ENTS
ts 707AL UNiT 1: WATER iMPRO
DeveloPe� ���, Cost
�y�y�-� pRtc� cost �$ 335.00
$� � $0.00
g3 2p �4.00 $22,096.00
g0.o0 $8,021.55
$8,�1.55 , 0 0�78�2'55
TOTA1-
$48,335.00
$22,096.00
$8.025.55 �
78�. as-� _
Page 2
Revised: 12�17`20� $
REASONS FOR CHANGE ORDER act the existing subgrade prior to 2" pavement repair
1 This is the cost to grade and comp
GMcivil
By: ! '� �
Ryan Spears
Name:
Projecfi Engineer
Title:
ppPROVA� RECOMMENDED:
CFW - Water Department
s,.�� ��,� Pc`
By:
Name:
TiCle:
Suby Varughese
Enginaerfng Managar
RECOMMENDED:
CFW-'�oniract Comp��ance Manager
BY ��
Name: Sandip Adhikari
Title: Sr Professional Engineer
M&C Number:
25-0084
M&C Date App
roved: 01l28/2a25
Western Municipal Construction
Mid-Cities Logistics Owner, LLC of Texas, LLC
�; �,� �
�- ��� ,�.1cy�J��_�gy:
sy:
! g Je�fKnowles Name: Clint Wilson
Name: —��c1.....�
Title: Project Manager
Title:
ppPROVED:
GFW-Assistant City Manage�'
By_ ._���1`l �`< ,.;
Name: Jesica McEachern
Titfe: Assistant City Manager
a2/2e/zozs
Date:
APPROVED AS TO FORM AND LEGALITY:
CFW - Assistant Crry Attorney
By �' � „_
Natne: Richard McCracken
TiUe: S�� Assistant City Attorney
* Contract Comp��ance Manager (Project Manager):
ATTEST gy S�g�i�g I acknowledge that I am the person responsib�e
�� ;�;� for the monitoring and administration ofre � uiremen{5_ include
�, ensuring ail performance and repoRia9 q
Jannette S. Goodall �There are NO City Funds associated with this Contract
Gity Secretary
OThere are City Funds associated with this Contract
Page 3
Revised: 12-17-2018
CSC No. 60740-006
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME:
CONTRACT:
CFA #
CITY PROJECT#
FID#
X#
CITY SECRETARY CONTRACT #
FILE #
INSPECTOR:
PROJECT MANAGER:
ORIGINAL CONTRACT
EXTRAS TO DATE
CREDITS TO DATE
CONTRACTTO DATE
AMOUNT OF PROP. CHANGE ORDER
REVISED CONTRACTAMOUNT
TOTAL REVISED CONTRACT AMOUNT PER
UNIT
REVISED COST SHARE
TOTAL REVISED CONTRACT
Buttercup Lane & Boswell Drive 16-Inch Water Main Rehabilitation
(A) Water (B) Paving
CFA23-0166 I CITY PARTICIPATION
105037
30114-0200431-105037-E07685
X-27912
60740
N/A
Russell Rogers Phone No:
Sandip Adhikari Phone No:
CHANGE
ORDER No:
YES
6
817-392-8424
CONTRACT UNIT
WATER SEWER DRAINAGE PAVING STREET LIGHTS
Developer Developer Developer Developer
Cost City Cost Developer Cost City Cost Cost City Cost Cost City Cost Cost City Cost
$98,221.29 $1,228,942.19 $0.00 $0.00 $0.00 $0.00 $0.00 $322,315.48 $0.00 $0.00
$22,738.74 $128,623.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$120,959.43 $1,357,565.39 $0.00 $0.00 $0.00 $0.00 $0.00 $322,315.48 $0.00 $0.00
$0.00 (59.8&0.00) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00
$120,959.43 $1,347,685.39 $0.00 $0.00 $0.00 $0.00 $0.00 $322,315.48 $0.00 $0.00
$1,468,644.82 $0.00 $0.00 $322,315.48 $0.00
Dev. Cost: $120,959.43 City Cost: $1,670,000.87
$1,790,960.30
CONTRACT DAYS
120
14
134
-1
133
Revised: 12-17-2018 Page 1
changes in 1he contract documents:
Yo� are directed to make the folbwin9 M
PAY iTEM #
3346.300'1
Asierisk (") snd�cates New PaY �tem
ICITY BID ITE I QUAN717Y
# -95
43'
UN�T� �MPROV� CFW Unit I UNIT PRICE I
price g104.00
ITEM DESCRIPTION I
UNIT g^ Trench Drain VEp��pTS
�F T07AL LNIT I: WATER IMPRO
Developer I C.� Cost
Cost
g000 ($9,880A�)
0.00 9 880.00�
TOTAL �
($9 880.00)
g g80.00
Page 2
Revised: 12-� T-2018
� 5`��e'it was �D�'��Sta��ed'
as added `o ��e Gont�a��,ril�h GO
(emo�y �he 6� ��er�h d�a�n �hat W
ange otdec '�s �o
G
G� oRQ�R � jti�s �h S�Ncti�o� �� j e"as.
��
Ep5�N5 f�� GµAN � estiet� N`un�c�pa� �On 3 �
R O
p�et.l4G i - BY. � ��S'� 1(
;s �s ::� Gl.
<,
� d,G�f�es �o9 ; f �'�/� NaTr`e �
� �e� � L
, —+. ow � �p
' -'', � 6.3e�� ti�4a p� "C��le ``.�y:
By. ' ' �. ���ban2e PNp �EGA
��v�� g'!� F�RM
c''M Nanje' APpRO�E� A AttorneY
e(j!5 'C'�Lie C�w Assista�� ��y
ev�• ar 5 et �_�,, �� � en
G K
\C�P, < � • � ra�
�a���: G� EC�� gY. ,<��� d M
P(Oie APpR��ti�� FC�char p,tto�ey
�i8e A nt G�Y Ma�a9e� Name T P55ista�'� C�ty
Ssista
D P�" � ` S .
MMENpE � G � � T�t�e
� RE�o a�hetn
PpP¢OVP pePa�ment 8Y �esic�M�� Mana9e� ecfMa�a9�o�s,b�e
�FW yVatE( P� Na�ne Pss�sta�`t G�hJ e Mana98r IP�eSPe�s��o�tra�t. +n�w`�e
�� �l ese S�<�e: ��� 1412p25 � contra�t COrnP�o�ed9e th ^�stra °p �f reQ�iceR1en�s
eY SubY varu9�' a9ec pa�e: BY 5�0��manaokn9�anGe a�d reP°��n9 �hth\5 Go�t�act
N2rt,e. Mar fo� the o vr
��g\�eer�n9 e�s�ri�9 a\� Perf FunaS asso��a<ea
��5� �t� t�`5 Gonlract
1R�e p, -�`� QihBre aie�p C�t`J
EGoMMEN9��. iia��e Mana9sr ��� da�\ �e ase G�� Funds assoc`atea
R �omP � G 4The
ci S °�
C�� «�ontra �aGdy $e�CetiarY
8Y 5a�a`p p,dh�Ka�� i�eer pa�y 3
a� Eng
Name pro�ess��n
S�
z�t�e: �
�IP
�&GNumbe`" �
M&c Oa�e PPPfoved' ./
Rev\sed� 12.h7'2���
CSC No. 60740-007
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME:
CONTRACT:
C FA #
CITY PROJECT #
CITY SECRETARY CONTRACT #
FID #
X#
FILE #
INSPECTOR:
PROJECT MANAGER:
Buttercup Lane & Boswell Drive 16-Inch Water Main Rehabilitation
(A) Water (B) Paving
CFA23-0166 � CITY PARTICIPATION:
105037
60740
30114-0200431-105037-E07685
X-27912
CHANGE
ORDER No:
YES
7
Russell Rogers Phone No: 214-980-2068
Sandip Adhikari Phone No: 817-392-8424
WATER
Developer
Cost City Cost
ORIGINAL CONTRACT $98,221.29 $1,228,942.19
EXTRAS TO DATE $22,738.14 $128,623.20
CREDITS TO DATE $0.00 $9,880.00
CONTRACT TO DATE $12Q959.43 $1,347,685.39
AMOUNT OF PROP. CHANGE ORDER $0.00 ($3,753.83)
REVISED CONTRACT AMOUNT $120,959.43 $1,343,931.56
TOTAL REVISED CONTRACT AMOUNT PER
UNIT $1,464,890.99
REVISED COST SHARE Dev. Cost:
TOTAL REVISED CONTRACT
CONTRACT UNIT
SEWER DRAINAGE PAVING STREET LIGHTS
Developer Developer Developer
Developer Cost City Cost Cost City Cost Cost City Cost Cost City Cost
$0.00 $0.00 $0.00 $0.00 $0.00 $322,315.48 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $322,315.48 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $322,315.48 $0.00 $0.00
$0.00 $0.00 $322,315.48 $0.00
$120,959.43 City Cost: $1,666,247.04
$1,787,206.47
CONTRACT DAYS
120
14
133
Revised: 12-17-2018 Page 1
You are directed to make the folbwing changes in the contract documents:
PAY ITEM #
3212.0201
3311.0001
Asterisk (*) indicates New Pay Item
CITY BID ITEM
#
36
46
45
33
UNIT 1: WATER IMPROVEMENTS
CFW Und
ITEM DESCRIPTION Price
QUANTITY UNIT
-101.84 SY #36 3212A201 2" Asphalt Pvmt Type C
-102.84 SY #46 Fine Grade Existing Subgrade
-10284 SY #45 4" Asphalt Base, Type B
0.0000005 TON #33 Ductile Iron Water Fittings with Restraint
TOTAL UNIT 1: WATER IMPROVEMENTS
Developer
UNIT PRICE Cost
$26.56 $0.00
$7.00 $0.00
$3.20 $O.OD
$12,063.87 $0.00
City Cost
($2.704.87)
($719 88)
($329 09)
$0.01
TOTAL
($2,704.87)
($719.88)
($329.09)
$0.01
j $3,753.831_
Page 2
Revised: 12-17-2018
REASONS FOR CHANGE ORDER
7 This CO is to reconcile ihe paving reconstmction quantilies to malch feld installation.
GMcivil
By: � �
Name: Rvan Soears
Tille: Proiecl Enqineer
8/1/2025
APPROVALRECOMMENDED:
CFVI�- lNaler Depar�me.nt
BY. a.,,. . .�,.�...-
Name: Subv Varuahese
Title: Enpineerinp Manaqer
oa�e. os/1a/2o25
RECOMMENDED:
CFW - 'Confracf Cumpliance Manayer
By: �
Name: Sandio Adhikari
Title: Sr Pro(essional Engineer
Date: �Aiisn�,s
M&C Number.
M&C Date Approved:
Mid-Cities Logis�ics Ovmer, LLC Weslem Municipal Conslmction of Texas, LlC
ey: �'�� ��"� Y ��!GC�'G'�
Name: 6. Je po les Name: Clint Wilson
Title: Develooer Title: Contractor
Date: B/1/2025 Date: AnnroS
APPROVED: APPROVED AS TO FORM AND LEGALITY:
CFW - Flssisfanf Cil y Manayer CFW - Assisfant Cil y Atloiney
By: iA-C' � By:
Name: Jesica McEachern Name: Richard McCracken
Title: Assistant Citv Manaaer Title: Sr. Assisfanl Citv Atlome4
Date: 08/25/2025 Date: 08/18/2025
ATTEST
�w,,.� A .,�a ��.s-
Jannetle S. Goodall
City Secretary
Date: OS/26/2025
' Contrect Compliance Manager (Project Manager�:
By signing I acknowledge lhat I am the person responsible
(or the moniforing and administralion of ihis coNracl, indude
ensuring all performance and reporting requiremenis.
❑There are NO City Funds associated wilh this Con�ract
�There are City Funds associated with this Contract
Revised: 12-17-2018 Page 3
From:
To:
Cc:
Subject:
Date:
Attachments:
Adhikari. Sandio
Valdes, Natalie; Pitts. Lorrie R; Harris. Melissa
Devon. Garv; Roqers, Russell; Mvers. Michael A; Haaen. Ashlev N
RE: Green sheet Packet 105037 Buttercup & Boswell Water Main
Thursday, November 6, 2025 4:33:36 PM
CSN60740 CPN105037 Buttercuo Lane Chanae Order #7 (21.odf
imaae002.ona
imaae003.ona
imaae004.ona
imaaeQ05.n�
imaae006.ona
CPN 105037 Buttercup Lane - EwPr�rtari Pr�;Pct Maniaal - 1fi-Tnch ��later Main Rehabilitation .odf
Natalie,
We discussed this with water and decided there is no need to do correction change order since
city cost, developer cost and final cost of contract is not impacted. As Natalie mentioned since
line item 36 was not part of water improvement and a deduction is applied in water
improvements, a footnote as below in final payment request needs to be added in both water
and pavinggreen sheets.
Water Green sheet: City bid item 36 shown above is to be read in conjunction with final
payment shown in paving green sheet city bid item 36.
Pavin� Green sheet: City bid item 36 shown above is to be read in conjunction with final
payment shown in water green sheet city bid item 36.
***To better assist, please provide your project CPN or IPRC Record Number in
the subject line.
Thank you,
Sandip Adhikari, P.E.
Sr. Professional Engineer, Infrastructure Plan Review Center (IPRC)
Development Services Department
City of Fort Worth
T: 817.392.8424
C: 682.432.5559
F: 817.392.7854
100 Fort Worth Trail, Fort Worth, TX 76102
sandip.adhikariC�fortworthtexas.�ov
'�Notice: Starting Oct. i, zoas, customers who choose to pay by Credit Card or Debit Card will
incur a service fee of z.s%. There is no fee to pay by check, ACH, cash, or money order. *
����r ���T� .
Working together to bui(d a strong community.
PROJECT NAME:
PROJECT NUMBER:
DOE NUMBER:
PIPE LAID
C 900 PVC
FIRE HYDRANTS: yes
PIPE ABANDONED
16" ductile iron
DENSITIES:
NEW SERVICES:
PIPE LAID
PIPE ABANDONED
DENSITIES:
NEW SERVICES:
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
Buttercup & Boswell 16" water main rehab
105037
SIZE
16"
SIZE
16"
2��
1"
SIZE
SIZE
WATER
TYPE OF PIPE
C900 pvc
VALVES (16" OR LARGER)
TYPE OF PIPE
Ductile iron
yes
Copper Irrigation
copper mesticdo
SEWER
TYPE OF PIPE
TYPE OF PIPE
TRANSPORTATION AND PUBLIC WORKS
�i�� The City of Fort Worth • 1000 Thxockmoxton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
LF
2790
yes
LF
2790
LF
LF
3
3
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TRANSPORTATION AND PUBLIC WORKS
October 30, 2025
Western Municipal
402 Gulf Ave
Justin Tx 76247
RE: Acceptance Letter
Project Name: Buttercup Lane & Boswell 16" water nain rehab
Project Type: water
City Project No.: 105037
To Whom It May Concern:
On February 24, 2025 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 March 6, 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 March 6, 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-
392-8424.
Sincerely, �
Adhikari Sandip, Project Manager
Andrew Goodman, Program Manager
Cc: Ryssell Rogers, Inspector
Gary Deyon, Inspection Supervisor
Lorri Pitts, Senior Inspector
Andrew Goodman, Program Manager
GM civil Engineering &Survey, Consultant
Western Municipal, Contractor
Transwestern, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 8/20/19
AFFIDAVIT
sTATE o�
COUNTY OF
/Qi�' a'.J
��,,�'�"D ►�-
BeEore me, the undersigned authority, a notary public in the state and
county afaresaid, on this day personally appeared Clint Wilson, Proiect Mana�er
Of Western Municipai Construction of Texas LLC, known to me to be a credible
person, who being by me duly sworn, upon his oath deposed and said;
That all persons, ftrms, associaiions, corparations, 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 Fart
Worth has been paid in full;
That there are no claims pending for personal injury and/or property
darriages;
On Contract described as;
Buttercup Lane & Baswell Drive 16-In Water Main Reha6ilitation
BY ����ri C 1»►� �J� I sav�. 1�/U�
,
Name or Title
Subscribed and sworn before me on this date �__of D.�G�..�,�.. ZO?�
Notary Public
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CONSENT (�F SURETY
TO FINAL PAYMENT
.AIA Docua�7ent G707
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CON1`RAC7'OF
SUR�:'�'Y
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ARCHTTEC'�'S T'120J�CT �VO.:
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Mid-Cities Logistics Owner, LLC & City of Fort Worth Community Facilities Agreement No. 23-0166:
1900 W Loop S#1300 C4v�'RAC'!' FQR: �u�e�G�� I�n & Boswell Dr 16" water Ma�n
e a i i ahon
Houston, TX 77027
k'1ZO,��C.T: GONTi2ACT DA'I'�U;
(A'cu��e a�ret adrh�.�
Community Facilities Agreement No. 23-0166: Buttercup Ln & Boswell Dr 16" Water Main Rehabilitation
Tn �ecanianc�e vrith che provlsians c�f t):e Contraec bec�veen clle Owner and the Ce>ntraecc>r as i�xiirateti above, tlie
(Ar,se�i ira�uruud ntld�x� nJSurr.rl9
Colonial American Casualty and Surety Company
1299 Zurich Way
Schaumburg, IL 60196-1056
on laond oi'
(lnse>t rramr tr�rrl addre..s q(t;arl�rrctui )
, SURis'.('X,
Western Municipal Construction of Texas, LLC
402 GulfAvenue
Justin, TX 76247 � C�N���p�i
)�e�•eby appi�ves of the final payment to the Contractor, and agrees tliat ftnal payment tU the Ct>ntractor shall ne�t relleve tlte Sui•ery t�f
any of ics ol�Jigacions to
([�L� tr r:ut»e u�rd ud�G e.h o/Qu�nur)
Mid-Cities Logistics Owner, LLC & City of Fort Worth
1900 W Loop S #1300
Houston, TX 77027
zs set f�rch in said Surery's Uond.
Ilv �Y/iTNGSs �'vFi�it�0�, the 5ut�cty has hereunto sei its hand tm this date: December 5, 2025
(l�uurt Li u�i111i�,� dx ��ranrb fo/lourd ht� tlx� �rruireric drrrcc�nr! ie�ar,l
Atte3i: �,! �_`
{5e&��: �� . _ �,t-ti.�i.�� -� %' ��� � �_�.� ,
Sami E3enst�n
`���a�Gysualty.ana�.,�.
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:���'''�; ,/„no1 ""`````�:
, O�VN�ilt,
Colonial American Casualtv and Suretv Companv
(Ravl y )
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!S{S„taat�r ofura�a�zra itr,r��,�«uer�
Naomi Gerber, Attorney-in-Fact
(P�yivari rluu+e unclli�la)
C�707�--1994
t3ond Numbc►: 9437465
Obii�ce: Mid-Cities Logistics Owner, LLC & City of Fort Worth
ZURICH AAIERICAN INSDR�i�`CE CO��tPANY
C(}WNIAL AMERICAN CASUAL`I`Y AND SURE'I'Y CO(11PAN1'
FIDE(,I'i'1' AND bEl'OSIT CON1PANY O!� MAI'21'L�1ND
POt�'[:R OI`A'i'1`012NI�.Y
KNOW ALL MCN I3Y T'HI;56 PRESGNI'S: 7'hat th� IUItICl1 AM�RICAN INSURANCr COMPANY, a eoiporati�n of the State al'N�w
York, the COLONL�L AMGRICAN CASUALTY AND SURrTY COMPANY, a corparatioi� of the State of Illinois, and the PID�LI"I'Y
AND DGPOSI'I� CC�MPANY Oi' MARYLANI> i� corporation ofthe State of tllinois (herein collectively called the "Companies"), by Rabert
D. Murray, Vice President, in pursuzmce of authority gr�inted by Artiele V, Sectio�i 8, of th� By-[,tnvs of said Comphnies, which are set i'oi�th on
tl7e rvverse si�ic hereof �nd t+r� hcreby certiticd ta be in liall Porce and elTect �n the dtitu hcreof, do hcr�b}� nominate, constitutc, and i�ppoint
Naomi Gerber , its true 1nd lawl'ul agent and Attorney-in-[�act, to m�ke, esectrte, seal and deliver, for,
and on ils bchalf as surety, and as iis act and dced: any anci all bonds nnd undertnkings, and thc cxecution ot'sueh bonds or undcrtakings in
pursuanee of (hesC �resents, shall bc as binding upon said Companics, as tully and amply, to all intents and purposes, as if the}� Isad been duly
executed and ackno�vledged by O�c regularly elcctcd of'licers of thc LUI2ICh1 AMEf21CAN 1NSUItANCE COMPANY at its office in Ne�a York,
Nc�v York., thc rcgul�riy cicctctl of'ficcrs of thc COLON[AL AMrR1CAN CASUA[.9'Y nND StJRr'i'Y COMPANY at its officc in Q�vings
Mills, Marylflnd., and the rcgularly electcd c�fficers of th� F[DLLiTY AND DF,POS[T COMPANY OP MARYLAND at its office in O�vings
Mills, Maryland., in lheir a�vn proper persons.
'1'he stiid Vice Presidcnt does hereby ccrtify that thc cxtract set 1'arlh on the revene side here�>f is a true copy ol'Article V, Sc;ction $, of the
By-Laws of said Companics, and is now in forcc.
IN �VCI'NESS WHFREQF, iha said Viea-President has haraunto subscribed hislher names and a1'fixed the Corporate Seals of the s�id
ZURICH AMERICAN INSUIiANCE COIYiPANY, COLONIAL Ai�1�,RICAN CASUAL'TY AND SURE7'Y COb�IPANY, and
FtDELITY AND DI:P091T' COMPANY OF RiARI't1ANU, lhis IOth da,y uf October, A.t). 2023.
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,.�`fi�,asu'+rrary .,� `�.�` �Grisu ,,�`"o �+ca� ,,
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r P�'�R'••:r 's :` wP`:' vo ", � . �,�;........,, h ,,s
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- �{�SEAL"'JC7��;��SEAL�`E;;y=n "SEAI"� �-
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1111������`\`` ��il��llll��1����`� ���l�������N���•,,
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By: Roberl D. A2ut��nv
Vice President
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Bp: Dm��ta E. Broien
Secr•etm>>
Statc of Nlnryland
('nunty of tialtiniore
ATTEST:
`I,URICH r1i�IGR1CAN INSURA\CG C01U'ANY
CULONI��L,111ERlC�iN CASI�:U..TI' AND SURL7'1' C011PAVY
I�II)ELl'I'1' r1Nll DL';POSIT CO�[I',INY OF M�1R1'LANU
On this IOth day of (7etober, A.l�. 2023, befare the subseriber, n Notap� PuUlie of the Siate of Maryland, dullr conunissioncd and qunlified,
Robcrl D. Alurray, Yice Ni•esidem an�l i)r��rn F,. 13rotvn, Sccre�i�r1� ol�the Cotnpanics, to mc persontdly known to bc thC individutils and ofliccrs
deseribed in and �vho exeeuted Uie preeeding instrument, find �ckno�viedged ihe exeeutic�n of sFune, and being by me duly s�v�rn, dcposeth �nd snith, th��t
helshe is !he s�id ol7kcr of thc Company tiForesi3id, i�nd Ihul the seals z�f�ixed to the preceding instrumenl t�re fhe Corporiiiu 5eals of suid Compt�nics, smd Uiat
ihe stiiJ Corporate Seals and the signiuure as such <�liicer ���cre duly ailTiaeJ zmd subscribed tu the said instrumenl by Ihe authority and direclion af the said
Corporz�tinns.
1N'1'I:S'I'IMONI' �t�! I�I2GOf, 1 hnvc hcrcunto sct my hand and nftixcd my O(iicial Scal thc dny and ycar hrst abovc writtcn.
Ce►�evieve M, Nlc�ison
v`e"ef �,
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GENEVIEVEM.MAISON � ="' Nu�u���,t,;'��
NOTN2Y PUBLIC ' `9'�'A '� �
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UAL11t�1C1iCCO.JNiY.A"U �%��'CNFCGU'K�.��•
LlyCcrrmis+ionc.Fi`es.�AYUARy27.10?� �������+"��
Authentieity of this bond can be eonfirmed at bondvalids�tor.zu►•iehna.eom or �110-559-3790
EXTRACT FROM BY-LAWS OF THE COMPANIES
°Article V, Section 8, Attorneys-in-Fact. The Chiet' �xecutivc Officer, the President, or any Executive Vice Presidcnt or Vice President
m:ry, by written instrument under the attested corporate senl, appoint attorneys-in-fact �vith authority to execute bonds, policies,
recogniu�nces, stipultitions, undertakings, or other like instruments on beh�if of the Company, and may authorize any officer or any such
attarney-in-fact to uffix the eorporate sezl thereto; and may with or without causc modi(y af revoke any sueh appoinm�ent or authority at �ny
time."
CERTIFICATE
I, the undersigned, Vice President af the LURICII AMERICAN INSURANCE COMl'ANY, the COLUNIAL AMGRICAN
CASUAI;I'Y AND SU[Zf'I'Y COMPANY, and the rIDELITY AND DEPOSIT COMPANY OI� MARYLAND, do hereby certify that t(ie
foregoing Po�ver of Attarney is stiU in fult force and etilect on the dat� of this certific�te; and I do fiirthcr certify that Article V, Section 8, of
thc By-Luws of the Companies is still in forec.
'I'hLs }'o���er of Attomey �u�d Certific�te tnay be signed by facsimile under �nd by nuthority af thc; follawin� resolution o£thc 13onrd of
C�irectors of the 'I_UI2ICH AMERICAN 1NSURANCL COMPANY at a meeting duly called ttnd held on the (Sth day of December t998.
IZESOLVL'•D: "'1'h�t the signature oCthe I'resident or t� Vice 1'residcnt nnd the �tiesting signature of a Secretary or an Assistant Secretary
tind Qfe Seal af the Compuny m�y be stffixed by facsimil� on any Power of Attorney...Any such Po�ver or amy certificate thereof ber�ring such
facsimilc signature nnd scal shall be vAlid and binding on the Comp�ny."
"1'his Po�<<er of Attamcy nnd Certiticnte m�y be signed by fncsimile under and by nutharity of the fallowing resolutian of the Ba�rd of
Directors of'the COLONIAL AMERICAN CASUALTY AND SURE'T'Y COMPANY at � meeting duly catled and held on the Sth day of
May, 1994, and the following resolution of the Board of Directors of the FIDELI"1'Y ANU DEf'OSI'T' COMPANY (�r MARYI,AND at a
meeting duly cfllleci and hcld on the lOth day of May, 19)0.
IZI;SOI�VGD: "7'hat the facsimile or mechlnically repraduced sefll of the company �nd facsimile ar mechnnically reproduced signature
of s�ny Vice-President, Secretary, or Assistant Secretary nf the Company, �4�hether made heretofore ar herealier, �aherever appearing upon a
cerli�ed copy of any power of nttomey issued by the Gompany, shall be valid and binding upon tltc Cornpany ���ith the snme force und effect
ns though manuall�� affixed.
IN TL'•S"CIMONY WHGREOF, 1 have hereunto subscribed my name nnd aftixed the eorporate seals of the said Comptinies,
this 5th day of December , 2025 ,
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'TO REPOl2T A CLAIM W1TH I2EGARD 7't) A SURETY 130Nll, YLGASG SllI3M1T A COMI'LE'TE UGSCRIPTION
OF 7'HG CLAIM 1NCLUDING 'I'HE I'RINC11'AL ON THE BOND, 7'HE BONll NUMBEft, ANll YOUI2 CONTAC7'
INFORMATION TO:
'Ltn•ich Surety Claims
1299 Iurich Way
Schaumburg, I1.60196-105G
renortsfclaims�t?zurichna.com
500-(>2C-4S77
Authenticity of tlais bond cAn bc canfirn�eu at bondvt�fidt�tor,zurichna.com or d10-SS9-879[)