HomeMy WebLinkAbout059064-FP1 - Construction-Related - Contract - William J. Schultz Inc. dba Circle C ConstructionFORTWORTHo
�
WATER DEPARTMENT
NOTICE OF PROJECT COMPLETION
-FP1
City Secretary No: 59064
Date Received: 12/26/2025
City Project N�: 104265
Regarding contract 59064' ,Water Main Replacements Contract 2022for as required by the WATER
DEPARTMENT as approved by City Council on 2/14/2023 through M&C 23-0130 the director of the WATER
DEPARTMENT upon the recommendarion 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:
$ 1,000,000.00
$ Ns
$
$ 999,052.48
Less Deductions:
Liquidated Damages:
Days @ $650.00/ Day
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed:
$
$ 999,052.48
Less Previous Payments:
Final Payment Due
iB� Slr���
Recommended for Acceptance
Asst. Director, WATER DEPARTMENT
� ��� o� �� .o�
ChnstopherHarder(De Z202506:47:17 ST,
Accepted
Director, WATER DEPARTMENT
Comments:
$ 999,052.48
$ 0.00
12/20/2025
Date
12/22/2025
Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contractor's Application for Payment
To (Owncr): C1�T Of FOit WOit�l �voicing Pcriod (From - To):
5/31/25 to 6/23/25
P ° FW060-0000021973 From (Co�tractor):
Numbcr: � � ��� J Schultz Inc dba Circle C Con
r:e, -�»�- a:- ��
Projcct: 1�4265 Contract VcndorNo.:
0000007744
ICity Secretary Contract ��aans �o ��'a�� �''�
N�mber: 59064 Na,,, �r er Main Replacement 2022
Application For Payment
Chan�c Ordcr Summary
Approved Cl�ange Orders
Number I Additions
I 1
I �
I '
I 4 I
I 5
I 6
I s I
TOTALSI
NET CHANGE BY
CHANGE ORDERS
Invoice No. � Si� (Final)
Invoice Date:
6/23/2025
Rcmit to ( If Not Automatic Dcposit ):
PO Box 40328 Fort Worth, Texas 76140
I1. ORIGINAL CONTRACT PRICE ............................................................. $
Deletions I2. Net change by Change Orders ................................................................... $
I3. Current Contract Price (Line 1 f 2) .......................................................... $
I4. TOTAL COMPLETED AND STORED TO DATE
(Progress Estimate, Construction Allowance and Change Orders)....... S
5. RETAINAGE:
a. X 5999,052.43 Work Completed........., $
b. X Not Used $
c. Total Retainage (Line Sa + Line Sb) ................................. $
6. AMOUNT ELIGIBLE TO DATE (Line 4- Line Sc) ............................... $
7. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)........_ $
8. AMOiJNT DUE THIS APPLICATION .................................................... $
9. BALANCE TO FINISH, PLUS RETAINAGE
(Column G on Progress Esrimate+ CA + COs +Line 5 above) ............... $
Contractor's CerrificaRon
The Contractor certifics with thc submittal of this document and associatcd Paymcnt Request
Submittal on thc City of Fort Worth Buzzsaw system that to the bcst of thcir lmowledgc: (1) all
prcvious pro;ress paymcnts rcccivcd from Owner on account of Work done undcr the Contract
have been applied on account to dischargc Contractor's legitimatc obligations incurred in
connection with Work covercd by prior Applications for Paymcnt; (2) title of all Work, materials
and cquipmcnt incorpor2tcd in said Work or otherwisc listed in or covcrcd by this Application for
Payment will pass to Owncr at time of payment frce and cicar of all Liens, sccurity intcrests and
cncumbrances (cxccpt such as are covcrcd by a Bond acccptablc to Owncr indemnifying Owncr
against any such Liens, sccurity interest or cncumbrances); and (3) all Work covered by this
Applicarion for Payment is in accordancc wit(i the Contract Documents and is �ot dcfcctivc.
Liquidatcd Damages $650.00 x day
x��e� s���y
Teresa Skelly (Nov 19, 2025 12:10:� CST)
10. CONTRACT TIME:
a, Days Awarded
b, Days Added by CO
�, Total Days
d, Days Charged
e, Days Remaining
$1,000,000.00
$1,000,000.00
$999,052.48
$999,052.48
$999,052.48
5947.52
365
365
365
Thic rinn imont hac hoam m�rlifiari frnm itc nrininal fnrm ac an F.IRfI(: Anciimant anri tha i icar riiri nnt hinhlinht tha
CL2� llnil Prlce Progress Estimata
Progress Estimate
r°`"°°�""� Water Main Replacement 2022
n�Piv�,��o� r�dw: 5/31R5 to 6/23/25
A
Itcm
Hid I�c�n l:o. D�zcnp�ion
1 Work OrdarMo�illza�lon
2 � Work OrOer Emergency Mablll:ation _ _ ___
s I a• avc waier a�Pa _. _
4 �6'PVCWa�crPipe __
5 �6'PVCWatcr?ipe
6 I�0' PVC Water Plpe _
"! 12' PVC Watcr Plpc
8 I 16" PVG Watcr Pipe __
9 �?4' PVC WaterPlpe
�0 �4'DIPWater .
� 11 � 6' DIP Watcr _ _
12 �8'DIPWata� _
13 � 10" DIP Walcr ._ .... .
14 �12'DIPWater _ _ _ _ _
15 �16"DIPWatcr
i6 �?4'DIPWeter _ . _
1] �16'Prc��cnsonetlConc Cyl'ntle PPe . . __. .
iB Iz4�PretonsloncOConc CNlndc Pp _
19 I4'Wa�arCarrerPlpe�DIwI55C� gSp� ) _
20 �6'WaterCarrerPpe(�IwI55C g5p� s) _ _
21 �8'W��erCart-crPpc�Dlw/SSC -gSp 5) _ _
zz �ia-wam�c�Re.PiPe�oiwrssco.nasPo�F�
23 12' Wa�cr Carr er P pc (DI wl SS Casing Spaccrs)
24 I t 6' W� er C�rt cr P pe (DI wl SS Cas nq Sp�cers)
25 4 W t Cart er Plpe (�I w/ SS Casing Spacers)
26 16 C I g By Opnn Cut (Welded Steel)
2] � 20 C� g°y Open Cut �Wcltletl Stcel)
28 �24 C� � _9yOpenCu�(Wcltle�Sleci)
29 � 30 Cas ng By Open Cut (Waltlatl Sieel)
30 � 36' Ca�ing By Open Cu� (WCItleC SleelJ
31 � 16' C�.Ing By Ot�er Than Open Cu� (Welactl Steel wl 6rout)
32 �'_0' Casing Hy Other Thnn Open Cu1 (Weltled Steel w/ Groul)
�3 �?a' Casinp By Otncr Than Open Cu� (Wcltletl Steel wl Grou�)
3A � 30' C�sing Hy Olhcr 7han Open Cul (welCetl S�ecl �+l Grout)
35 � 36' Casing 6y Ot�er Then Open Cut (weltletl Steel wl Grout)
36 � 4' Ga�a Valve
37 � G Gote Volvc
38 �I B' 6eta Valve
39 10' Gate VaNc
40 � 12' 6ate Valve _ _
41 � 16 G Valvo wl vaNt _ .
42 ItG G� vaWc-oroqaury -
43 24 G� l Valvc wI VaW[
aa � 2a �aia vame - oireai eury
45 �4' Cul-in Gate Valve _ ...
a6 � 6' Cul-in Galc Valvc _.
a� I s- cm-�� cme vame __
ae I�o� cm-m �a�e vai�o
49 � 12' C�t-in Gate Valvo __
so I�s-c��-��c�tev,i�ewrvaw� __
51 � 16' Cu�-in Gate Valva - Diract Bury � _, ._
sz Iza'cm-���aiev�i��wrv��n __ __
53 � 24' Cu�-In G�te Valvc - Dircct 8ury _
54 � Femove 4' W�Lar Valve _. __
55 � Remove 6' W.Icr V�lvc _ _.._
56 � Rcmove 8' Wa:cr Volvc _ __ _
5] � Remove 10' Water Valve
58 IRemovcl2"WaterValve _ .
59 � Romovo 8 Salv�ge 16' Walcr Valve .__. __._ _
60 I Remove d 5alvage 24' Wvter Valve __ __--
fit Duc�IlelronWaterFHtings<16'Dla.
G2 � D�ctilc Iron W��cr F'ittings 16' �'ia. 8 Larocr _
ti3 � 16' Conc. Cyl. Plpe Flttln9s (Per Attachetl Lis[) _
6a � 2t' Conc. Cyl. Plpe Flttings (Per n��ochatl List) .
65 I Flrc Hyaram . . .
66 � Flrc Hytlrant Stem Ex�ension
67 � Salvage Fire Hydrant .
68 � 1' Combination Air V�Ive ASsembly for Waler
69 �'_' ComDln�tion Air VOIvo Assembly for Wator
]0 � �' Combination Air Valve Assemblylor Water
]1 �4'BlowOflVaNc
]2 I6' Blow Oif valve
]3 �B'6lowOf/Valve
]4 � 6' x 6' Tappinp Sleeve 8 Valva
�s � e•. s• raoo��v siee�e z v�we . .. .. .
]6 � B' x B' Tapping Sleeve 8 Valve __ _
77 � 10' x 6' Tapping Sloeve 8 Valve _
]8 I 10' x 8' T�pping Sleeve S Valve __
]9 10' n 10' Tapping Sleeve 8 Valvo
BO � 12 x 6' Tappinq Slaeva 8 V�Ive _ _
:��ilicn�ion
ciian 1.'0.
0.0102
i.am� �
I.ouS� �
I.filGl �
I11?til I
I.11]GI II
I.W61
I Wtil
I.u5ti1 I
I.0051 I
i.o�si I
I.0?51
I.U:�I I
i.asi I
i.ossi II
I.USs� I
�'00_' I
�nu� I
>wu_ I
s zuu:
20�4 I
2D05
52f111S �'.
S.IpO'_
s. i uo;
G.IDD`
�.10�_
s.lUUG
S.IItI?
S,��UJ
5.1�(14
s.i ios
S.I I OL
z.;uoi
±.inoz
z.,00,
"_.3[�OC
' 3U05
: i0U6
� �uuc
' tDUf�
z.}uoo
_SIUI
'_.310?
��u�
�;ioa
'_.31 [IS
_31�4
viva
'_.�IOG
_:IUG
i.um
1.1�p2
i.oum
I.pu01
o2a�.ism
ill'_.IUU?
�ac.muz
1112.1U0:
lU2
IU3
IW
Measurlc
Ea.
Ea.
Lf.
Lf.
Lf.
Lf.
Lf.
Lf.
LI.
Lf.
Ll.
Lf. .
L(.
Lf.
u.
Lt.
Lf.
Lt.
L(.
L1.
L1.
Lf.
Lf.
Lf.
Lf.
Lf.
Lf.
LI.
Lf.
Lf.
L1.
L1.
ll.
L1.
L1.
Ea.
E
E�.
�o
E�
Ea.
Ee.
Ea.
E�.
Ea.
Eo.
Ea.
Ea.
Eo.
Ea.
Ea.
Ea.
Ea.
Ea.
Ea.
Ea.
Ea.
Ea.
m.
Tn.
�.
Lf.
Ea.
w.
Ea.
Ea.
Ea.
Ee.
Ea.
Ea.
Ea.
Eu.
E�.
Ea.
Ea.
Ea.
Ea.
Ea.
nys�«��n 59064
a������ N�m:
9Id G�o . unl� Pdn
100.0�0000 $3,500.
io.0000ao �� ss,000.
200.OG0000 � 57�.
800.000000 � $B4.
1600.000000� sioo.
a00.000000� 51�6.
aoo.000000 sias.
500.000000 5165.
SOO.00OOOOI $195.
100.000000� 5100.
ioa.000000� s+oo.
mo.00000a � si2o.
100.000000 � 5130.
ioa.00000a � siso.
100.0�0000 � 5210.
100.000000 � 3'_50.
- sao.00000a � 52ao.
500.000000 � 526D.
50.000000 � $150.
50.000000 � 52�0.
50.000000 � 52'S.
so.00aoao � s�so.
50.00000� � 5300.
m.000000 � � ssso.
- so.000000 I >aso.
so.oa0000 szso.
50.000000 � 535�.
54.000000 � $350.
50.000000 � 5400.
50.000a�� 5500.
50.0000�0I S100.
��. 50.000000 � 5800.
j 50.000000 � $900.
i so.000000 � s�.000.
I SO.00OOOOI $1.2�0.
I 20.000000 � 51.300.
zs.000000 � s>?oo.
I zs.00aoao � sz.000.
I io.00aaoo� szaoo.
io.00aaao � s3,000.
I s.000aaa � sza,000.
I 5.00000� 520,000.
s.00a000 sas,000.
I 5.000000 � 540,000.
I 5.000000 � 53.�0�.
I 5.000000 I 53.50�.
I s.0000ao � sa soo,
I s.000000 � ss,soo.
I 5.0�0000 � 56.000.
I i.000aoa I sao,000.
I 1.0000�0 I 535.000.
i.000aoo � ssa 000.
II i.000000�� sas.000.
s.000000 � ssoo.
� 5.000000 � S6C0.
I 5.0�0000 � 5600.
I 5.000000 � 5600.
� 5.000000 � 5900
z.000000 � sz.000
i z.oaaoao I Sz.soo.
io.00aoao sis,000
10.000000 � 524.000
I 1.000000 � 589.5D0
� 1.00�000 � 5113.000
�� zo.00aaoa� se,soo
� zo.000aoa I ssoo
� 5.000000 � 51,0�0
�� i.000aoo � sio,000
I 1.000000 � 515,000
� iooaooa � s2o,000
� tooaoao � sio.000
� i.00aoao � - sis,000
� i.00aoao � Szo,000
�- i.00aoao � s3,sao
� i.000000 � sa,oao
� -� i.0000ao � s< soo
� 1.000000 � SS,DO�
I i.000000 ss,soo
1.000000 56.000
� � 1 000000 55,500
6
eie vaiue
b350.00U.
sso,aac.
sia.000.
$6� �00.
Si 6D.000.
546400.
$SB.000.
582500.
591,500.
510.000.
sio.000.
s�z,000.
$13,000.
sis.000.
szi.aoo.
525,000.
5120,000.
$130.000.
5],500.
sio.aoo.
S>>?5o.
s�z soo.
315 000.
sn soo.
szz soo
S12 500
sn soo.
$17 500.
5?0 000.
525,000.
535,000.
5ao.aoa.
545,000.
sso,000.
SE0.000.
526.000.
snz soo.
Sso,000.
524,000.
sso.000.
siao,aoo.
s�oo.000.
szzs.000.
szao,000.
q15.000.
51�.500.
sz�,soo.
ss�,soo.
530.0�0.
sao.000.
$35.000.
5sa.000.
sns,aoo.
33,000.
53.000.
53.000.
53 00�.
sa.aoo.
sa,000.
55.000.
b160,000
5240.000.
589.500.
3113,000.
si3o.000.
s�o.000.
55,000
sio.aoo
$15.000
szo,aao
sm,00a
sis.000
S2o,aoo
59.500
sa.000
sa.soo
55,000
55.500
$6,000
55.500
C D
Liimntcd Quanti�Y Valuc
WUIIeJ
3fi.�00�0000 51'6.000.00
124.00000000 � 58.6fl0.00
59�.1]000000 � Sa9.5]420
ases0000000� sas.eso.00
104.000000�0 I 515.030.00
�
i_ _
__-...I_._-_ -. ..
---I -
__ _ I . . . __ .
� �
�
I
-_- �
I_
�--
. _ -�-_- ...
�
i-- _ __
I
� _
6.00OOD000 � 510200.00
a.00000000 � se,00a.oc
1.�0000000 I 53,0OO.00
�
5600.0(
5600.0(
539,BOBA(
- ssz.000.o�
sz,000.oc
Sfi,000.0(
szi,000.oi
ssa.000.oi
sa.soo.oi
sssoo.oi
527,500 01
Contractor's Applicarion
�nr���o����N���b�= Six (Final)
nni����mm� om�: 6rz3n_o2s
E F G
'(u�al Complcied ^/„ ����ncc iu Fini.h
PrcviouslV Inc�allcd Voluc Vnli�c Tl�is Pcriud �"�cnal: Prescn�ly ����J Siorcd ia Da�c 1�1 ��- F)
S�orcd(no�inC� �p+E� II
$126,00�.00 5126.�00.00 36.0% �?2<,OJO.OU
I I I I s�o,000.00
SB,fiB�.00 I � 58.680.00 � fi2.0°:0 � 55.320.00
� 549.5]4.28 � ._�_". I 549.5]6.2C �]�.8% � St].625.]2
� sas.eso.00 � _�___ I sas.eso.00 � se.�i � s��a,iso.00
I � �_. . � � � 516400.00
I515,OB0.00 I � ____ _ I $15.080.00 I'-'6.� % I 502.5 0 00
I I I � � 591,500.00
S10.00U.00
� � _ � �
S10 000.00
I I � � � � � 512.000.00
I I �_ I _�._ � 519.000.00
I I__ ___I I I sis,000.00
I _I _I_ _ I __I I r_�000.00
.I ___"-I I- ._-I --i. i 525.�J00.0�
s;zo.000.00
I � I � 5130,000.0�
I � � � 5] 500.00
I _I __� .� � � � 510,000.00
I . .. - � � � � 511 �50.00
I I I I I I s+zsoo.ao
I I_ __ ___ � I � � 515,000.00
I I I I I I snsco.00
szz.soo.00
siz,soo.00
I I I I I I sn.soo.co
I I I I � � St].5'J0.00
I I- __I__. � � � 52000�.00
I �_ I__ . � � � 525.000.00
� I I_ _ I � � 535.000.00
I I _I_ . I I � 540 �00.00
I I I_ . I I I $45.000.00
I I I_ I I I sso.000.00
I I ._ I_ � � I 560.000.00
I � � � � � 526.000.00
� s�o.soo.ao I I I s�o.zoo.00 � za.oi � 532,300.OD
� se.00a.aol_ I_ I se.000.00� is.or � saz.oao.00
I I I I I I 52a,000.00
� s3.000.00 I I I sa,000.00 � io.oi � sz�.000.00
si<o 000.00
I I � � I I I g�oo.000.00
szs,oco.00
I I �_ � � � 5^_00,000.00
sis.000 00
I I I I I I s»soo.00
I I I_ __ I I I szzsoo.00
I I I I I s'vsoo.00
I I -I I I I 530.000 00
I I _I_ I I I sao.000.00
I I I I � 535,C0�.00
I I -I I � � SSC.D00.00
I I I___ I I I s�s,000.00
I I _I_ _ I I I $3.000.00
� ssoo.aa � I � I ssoo.oa � za.or -�� sz <oa.00
� saoo.oa I I I ssoo.00 � zo.o r � sz noo 00
I I I � � SJ.000.00
54 000.00
I I I I � � Sd.000.00
I539.B�B.00I � I I ffJ9,e0B.001 ?4.9°/ I 5120.�19 .00
I � . �_ � � � 52<0.000.00
I I - I I � � 599.50�.00
I I I � � 511J000.00
� ssz.000.00 I -� -I - I ssz,000.00 � ao.o i �� se.000.00
sz.000.00 I - I_ _ � I s2.000.00 � zo.oi �- so 000.ao
� - -
� ss,000.00 I I I se,000.00 � vo.o o � -st000.00
I I _I_ _.__. I I I si000000
I I _I_ _ � � � 515.000.00
I I _I_ __ I I I szo,000.ao
I I - __I_ _ I I I s�o,000.00
sis,000.00
I I � I � � I� I I szo 000.00
-� sz�.00a.00l I I sz�,000.00�soo.oi � -snsoo.00
� ssa,000.00 � � � ssa.000.00 ��soo.oi � -sso.000.ao
i sa.soo.00 I� -� I - I � sasoa.00 � ioo.o o � �
� 55,0�0.00
55,500.00 SS.SO�oa 100.0 o I 56.000.00
52],500.00 � 527,SOD.00 500.0°/ � -S?2 000.00
Tni: document ha. Ceen matli(etl !rom ils original fortn as an EJCDC document antl t�e user tlid not hig�ligN thc
motlifcatlons. You are enwuraBed m reatl the document carefully and consNt LeBal Co�nsel prlor b iLs execu0on.
CE20 UNl Price Progress Estimete
Progress Estimate
r°`"°"'�"': Water Main Replacement 2022
'�pp0cuton v"'°�: 5/31/25 [0 6/?325
licm
Bid itcm No. Descripcion
81 12' x B` Tapping Sloevc S Valve
92 � 12' x 10" Tapping Sleove 8 Valvc __ _ .
83 � 12' x 12' Tapping Slceve 8 Valve _
ea � is-. s� mvama siee�r s v�we
95 � 16' x 8' TappinQ Slcevc 8 Valve
86 � 16' x 10' Tapping Sleeve & V�Ivc _
e] �i6'x12'ToppingSleeveBValve
98 � 16' x i6' Tappinq Sleeve G Valve _ .
89 �zo�+e•raPomasioe�esvai�� _ _
9a � 21 x 8' Tappin9 Sicwc & VaNc
g1 � 24' x 6' T�pping Sineve S Valve ,_
92 � 24' x 8' T�pping Slcevc 8 Val�a _
93 � 2A" x 10' Tappin� Sleeve & Valve
s� �za-.iz-moamssiae�ecvame _
ss a•. ie• r�PPma si�o�o s v,i��
96 I24' x 24' Tapping Slceve 8 V�Ive _ _
97 �3�4'WeterTaproMain _
99 � 3/6' Copper Service Llna
99 � 1' Watcr T�p lo Main _
100 � 1' Copper Scrvlra Llne _
101 � 1' Priva�e Wa�ar Service __
ioz I�' eo,�a w,m� s��me
103 � 1 1l?" Walur Tap la M�in __
104 � 1 11Y Copper Service Llna _
ias I� v'' ad�am w�m� servmo __
iae I� v" 9o«d w,m� se���e _
101 �?'WaterTaptoMain _ .
108 �2'Copper5arvi�eLlna ____
iw Iz'ar��amw�ierse�mo - _
110 �2'BorcdWvtcrScrvico ___
111 � Class n PVC Maior Bax (Furnish S Sel) _
��z I a�ss a avc Mem� eox �F���i.n z s��) _
113 I Glass C PVC Meter Box (Fumish 8 Set) _-
11a i' Mulliple Service Branc�
1'IS � 1 12' Multiple Service Branch _
116 �?' Mulliple Scrvicc Branch __
it7 �YTemporarywa;erServires __
11B �3'WalerMeterandVault ___
119 �4'WalerMctcr�ntlVault _ _
120 6' Wa�cr Meter antl Vault _
121 I� 9' W ater Molor and Vault
122 10' Watcr Mcicr3nd Vaulf
123 � Water S�mpling 5lation
iza �aemo�ecoo�reizw�re�va�¢
125 �Sorinkler5yslemBackOowPrevenlerRelou�tlon
126 � Relocale 3l4' Walcr Me1er
12] �Reloca!e 1'Water Meter
128 � Reloc�te 1 1/2' Water Melar _
129 � Relora�c 2' Watcr Meicr
130 ICutSPlugSmallW��erService(Jl4'to2') _-_
131 4' - 12' Weter Prassure Plug
132 �16'-24'W��erPressurc Plug
133 �TrenchSalcry
134 � Wa�er Ma'in Exira DepN (> �han 1')
135 �Explor��ory Escav3tion ofExi.ting Uiil'itios (0'-5')
,3e � e=Pm��mry ex��ouo� or �is�ma ueimas (s• -'o' )
13] � Exploratory Excavation of Etisting Utill�ies (10'-?0' )
13B � Concrote Enwscmen� lor Utilily PiOes
139 � Importetl EmpcamenVBackl�ill. CLSM (Flowablo Fill)
140 � Impohatl EmbedmenV9ackllll, Type B
iai �co�uomRiP�aP
142 � L�r9c Stonc R�ipr�P. tlry
143 �Large Stone Riprap, grouted _
�aa � em�k sod ai,�emem _ .
�<s Is�m��9.e�oad���� _-
146 � Scetling, Hytlromulch _._ _
14'/ � Seeeing, 5oil Ratenuon Blankat __
iae IryPo e co���om �nzsoo� . _ - _
in5 rypceco�cm�ef���soo)
�so �a-co��s�mew�ik __
isi �n-co��smew:,ik,exvo.eanaa,eaai� _
152 � fi' Concretc Drivcway . _
153 � 6' Concrete �nveway, Exposee Aggregate
154 � 6' Conc Curb and Gutler (Replaced)
155 � 6' Conc Curb antl GUIterAttacheC to Conc. Pvml (Replacetl)
156 � 9' Conc Vallcy Guncr. Rc.itlen!ial
15'! � 11' Conc Valloy Gulter, AnerialllndusVlal
158 �Asphal�PvmlRepalr,WalerService
159 � 4' Witle Asph�it Pvml Repair, Resitlential
160 � 5' Wltle Asphalt Pvmt Repvlr, Residential ___
5 ction No^
3t1�.J10]
. .�Ji1=alUS �
�331'_.a10� I
�JJI'_.�III �
I3�1�.4112 I
�3J1�.41Ii �
I111?.illa I
�3�I'_ylly �
. .�131_420i �
� �
�J112.i?a� �
�l�l'_.4�11'1 �
3Jw.mu?
�SI:2601
il^._s'02
:. 1'.36U�
;;i�.�ew
�3c.znus
331'_.tiUu?
U_'a1.16U2
�VI.I?IS
ozai_uie
U'_41.1?Ik
a3u;.mov
�3us.mm
�305 u�o;
aia.oim
3lUS.U114
3lOS.�'0:
}a�t U_U3
;u;.oim
3uzamz
tlt].UIU:
n�.pioo
r_<c.iwou
1^_9? W�U
12�J?.WOD
�ai3.u3m
3?Ii.0�51
l?13.D4D1
t?I�.W51
i? 6.Ui01
n�e.u:ai
1?Io.U30'_
l_'UI.ti151
3'_`(�I ulil
r_m.unz
CirySccreWry 59D�
Cuninict Num:
Un'ii ol' I Bid Quunti�y llni� Price
Meaaure
Ea. 1.000000 56,�00.
Ea. � �.000000 � 56,50�.
Ea, � 1.000000 � 5�.000.
Ea. � 1.000�00 � 56,500.
Ee. � 1.0�0000 � S],00�.
E�. � 1.000000 � 58.000.
Ea � 1.000000 � 58,500.
Eo. � i.000000 � sis,000.
ea. I i.oaooao � s�.soo.
e,. � i.000000 � sis,000.
�Ee. � t000000� sesoo.
Ea. � 1.00000� � 59.000.
Ea. � 1.000000 � 510.�00.
e�. � i.000000 � sv.000.
Eo. 1.000000 530 �00.
E�. I 1.000000 SSS.000.
e,. � eo.000aoa � s� zoo.
L1. � 100.000000 � 535.
e�. � sa.000000 II si.eoo.
LI. I 100.000000 540.
Lt. � 100.0000�0 � 5100.
u. �� so.a000aa � siso.
e,. � eo.00aooa � s>?oo.
� u. �� iao.00000a �� seo.
u. � ioo.000aoa�-� s�io.
u. � so.000aoa � sieo.
e�. � so.000000 ( s�.eoo.
LI. � 140.000000 � SBO.
�c �- iao.000000 �� sizo.
L(. � 50.000000 � 5130.
Eo. � zs.oaoaoo� ssoo.
ea. � zs.oa0000l ssoo.
e�, I �o.oa0000 I ssoo.
Ea. 2.000000 $1000.
Ea. � 2.000000 � 51.000.
ea. � 2000000 �� S� 000.
u. � iaoo.00a000� sis.
eo. � io.000000 � s�s.oao.
ea. � +o.000000 � sv.soo.
Ea. � 10.000000 � 520,000.
Eo. � s.00a000 � szs,000.
ea. I s.000000 � sz.�so.
e�. � s.000000 � si.soo.
eo. � s.a00000 � sz ooa.
Ea. � 5.000000 � 52,500.
Ea. � S.D00000 � 51.000.
Ea. I 5.000000 � S1 000.
e�. � s.00aooa � si.soo.
Ea. � 5.000000 51.500.
Eo. I t0.0000001 51.000.
eo. ia.00aaoa sz.000.
- ea. � s.00aaoo I s3 000.
u. � � �ooa.000aoo I s�o.
LI. � SO.00�OOOI i10.
e�, - � s.a0000a I sisoo.
e�. � s.000000 � sz.000.
Ea. � 5.000000 � 53,OD0.
cy. I zs oaoaoo � szoo.
Cy. � 100.000000� S?00.
Cy. � 50.000000 � 340.
cy. � 2o.oa000a I ssso.
cy. � zo.000000 �� saoo.
cv. I zo.0000aa� s3oo.
sy. � zo.00a000 � sis.
sy. � zo.000000 � sio.
sy. � so.000000 � s�o.
sy. � 2o.aoa000 � szo.
cy. I sa.000000l 5zoo.
cy. sa.aooaoo szoo.
sy. � ao.00aaoa s�so.
sy. I � 2o.aooaoa-� szao.
Sy. � 50.000000� 5200.
.$y . . I 2a.0o0ao0 � 5?25.
Lf. � 100.000400 � 555.
Lf. � 100.0OOO�a I 555.
sy. I zo.000aoo � szoo.
$y, I 20.000000 � 5200.
Lf, � 100.000000 � 565.
LI. � 100.00�000 � $B5.
L7. � 300.�00000 � 595.
s
0id Vvliie
56.000.00
$6,500.00
szooc.00
56,soo.00
51.000.00
$8,000.00
38.SOD.00
515,000.00
57.500.00
sis.000.oa
58,500 00
59.000.00
510.000.00
siz.000.oa
`30,000.00
�55.000.00
560.000.00
53,500.00
580.000.00
54.000.00
510,000.00
s�sao.oc
$BS.00O.00
Sfi OOO.00
sn,000.ac
se,000.oc
$95,000-0C
SB,OOO.00
Siz.000.oc
S6,SOO.00
312,SOO.�C
-si2.soo o�
55.000 OC
sz.aoa.oc
52.000 CL
s2.000 oc
522.SOO.00
suo,oao.oc
$175.0OO.00
s�oo,000.oc
5125,0O�.00
513.]SO.00
s�.soo.oc
sio,000.oc
512.SOO.00
$S.00O.00
�Ss.000.ac
- s�.sao.ac
$].SOO.00
510.0OO.00
szo.aoo.oc
sis.aoo.oc
sio.000.oc
5500.0C
s�soo.ac
sio.000.oc
b15,0o0 0(
ss.aoo.ac
$20 000 O(
52,OOOA(
9s,000.o�
ss.000.oc
56.000.0(
s�oo.oc
szoo.oc
szoo.oc
5400.0(
sm.000.oc
sio,000.oc
Ss,aoo.ac
sa.aoo.oc
510,000.0(
$4,500.0:
$S,SOOA(
55,500.0(
sa,000.oc
$4,000.0[
56,500.0(
58.500Af
528,500.0(
c
Ls:imnlcd �vanliry
InaulleJ
3.00OD00
z.00000c
1.0OOOOC
1.000000
1.0OOOOC
ia.000000ao �
224.0000�000 �
�
SA�000000�
izi.00000000 �
20.00000000 �
za.0000000o I
4B].00000000 �
I
i6.00000D00 �
ia.a0000aoo �
is.00000000 �
�I
3�I
4A�OO�ODO I
isa.00a00000 I
51.38000000 IIII
3.SOD00�00 I
'l0.20000000 II
7820000000I
126.00000000
311.06000000
Contractor's Application
APPlicvtionNumbn: SIC (Final)
n�pi�rm�o� o,i�: 6/?32025
o e F c
r���i c��mri.�m .� ow�„« <o F���.i� �
Mnicnal::Prc:cn�ly
Value PrcviowlylnzulledValue VnliieTl�isPenoE S�oreJ(nu�inC� ��nJSiuR�iuDa�e �I�� (�-F)
(D+E� B
518.000.00 $18,000.00 518,00�.00 J00.0% -512000.00
� � � � 56,500.00
I � � � � � S],0�0.00
5�3.000.00 � sia,000.00 I� � - I I sia,000.00 � zoo.o o � -ss.soo.00
sz000.00 � s�,000.00 � --- I s�.000.00 � ioo.o i �
� I I I I I I se,oco.00
I � I I � � 585D�.00
� � ...�_ � � I 515.000.00
s�soo.00 � nsoo.00 I I I szsoo.00 � ioo.oi �
I I � � � 515,000.00
II I ._I__ � I � SB500.00
ss.000.00 � ss,oao.00 I I I ss.000.00 � ioa.o^�e �
� � _�_.. � I � S�o.000.00
I I _ I___ ___ I I I 5'z'000.00
_ sao,000.00
555.COC.00
560.000.00
I � � � � � 5�.500.00
szz.aoo.00 � szz.aoo.00 I I I r_� aoo.00 I'e.a i � 5n.soo.00
$8,960.00 � $8,960.0� � � SB.960.00 � 224.0°�0 � -5<,960.00
I I � � � 510 000.00
� � � � � 5].500.00
se,soo.00 � sesoo.00 I I sesoo.00 � io.a i � 5�6.500.00
s� zso.00 � szzso.00 �� � � szzso.00 � izi.o i � -s� zsaao
I I -- � � � � 511000.00
s3 �oo.00 � s3,soo.00 I I I sazoo.00 � aa.o o I u.eoo.00
sas,soa.00 � sas.soo.ao � -- -- I I sas,soo.00 � aeai � s<�aco.00
538.960.00 � 538.960.00 � � � 316,960.00 � 461.0% � -5�0.900.00
� � � � � I Siz.000.00
I I I I I I sssoo.00
se,000.00 � sa,000.00 I - � I I se.000.00 I sa.oi � sasoo.00
��-ss,000.00�� Ss,000.ao I_ � I I ss,000.00 � ao.oi �� s�.soo.00
�-se ooaoo I se,000.ao I_ _ I I se,000 0o I iso.o o I sz,000 00
� � � �
52.000.00
I I I I I I sz000.00
I I I I I � $22,500.00
I I I � � � 515�.00`J.00
s3s.00a.ob � Sss.000.ao � - -�- � s3s,000.oa � zo:or � � s�<c.000.00
. ..� �� ..._. .. .�__I_.____' I I I 5200.�OD.00
I I � L-___ I I I sizs,oco.00
I I I__ _ I � � 513,150.00
I I _I__ ._ I I I $].500.00
sn,aoo.00 � sa.000.oa I _I_ _ I s< oao.00 � Qo.o i � ss 000.00
I I � .-I__ I I I sysoo.00
SS.CDO.DO
I � - I II � � SS.OD0.00
I I � � � � � 5)..500.00
I � � � � � 5].500.00
554,000.00 I 554,000.0� I -I I 554,0�0.00I ' 0.0% I $56.000.00
I I I I �' I 515.000.0�
si,oss.00 I s�.oss.00 I I I si,oss.00 ��o.s°r< � se.sas.00
� I I� I I I I ssoo.00
s3.000.00 � sa.000.00 I I I sa.000.00 � ao.o i � s<soo 00
sa;000.00 � sa.000.ao I � I I sn.000.00 � no.a i � ss.000.00
I I- -� I � I I I s�s.000.00
I I I I I I ss.000.00
SB,OD0.00 � 58.00�.00 � � � 58.000.0� � 40.0 % � 51� OD0.00
1 I � I I � 52.000.00
I I I I I I ss.000.oa
I I I I I I ss,000.00
S6,000.00
sso.00 j sso.00 I I � I sso 0o j zo.o i j szao.00
I I I I I I szao.00
si,sao 00 � si.sao.00 I - � � I I 51.9a0.00 � 9]0.0% � -s�.�.o.00
5400.0�
sio,oco.00
s�o,000.00
s�,�ozoo I s� �ozao I ��.- I I snozoo I izes i I -s ��ozoo
s<,oeo.00
s�oo.00 j s�oo.00 j _= II_ I s�oo.00 j zo i j s9 �oo.00
I I I � � � 54.500.00
53,861.00 � 53,061.00 � � � S],861.00 � 10.2% � $1,639.00
54,301.00 � 54,301.00 � � 54,301.00 � 18.2% I St,199.00
I I I I � I 54,000.00
I I _�_. � I � $4D00.00
SB.190.00 � 58,190.a0 � .__ �_ . � 58,190.00 � 12G 0% � -51 690.00
I I I_ .. � � � $B.SD0.00
szs,ssa.;o � szs.sso.�o I -1___ ___ I szs.sso.�a � io3� o � -s� oso.�o
Thi: documont ha. beon motlifetl fmm iL^ originy fortn as an EJCDC tlocument and the user aitl not h'ig�light lhe
modlllcatlons. You are encouragetl m read �he tlocument carelully antl consult Legal Counsel prlor lo iLt exacutlon.
C-620 Unit Price Progress Eslimale
Progress E
ro.c�a��+�u:
Applic:ilinn Pcnud'
Bi� Icrm No.
161
162 �
163 �
+�+ I
165 �
166 I i s�
168 �
169 �
1]0 �
+�� I
»= I
na �
na �
1]5 �
ns �
+�� I
na �
179 �
iB0 �
iei �
182 �I
183
184
185
186 I
18] I
188 �
189 I
190 I
191 I
192
193 II
194
195
196
19]
19B
A-202 II
A-203
A-205
asos
AW-181
A-185 II
sfimate
Water Main Replacemen[ 2022
5/31/25 to 6/2325
Itcm
ll�un��inn
6' Wida Asphal! Pvml Repalr, Resltlantlal
0' Witic Asphall Pvml Repalr, Artorlal
5' Widc Asphalt Pvmt Rop�ir. AMnal
6' Wi�e Asphalt Pvml Fepai�, Artanal
4' NJitle Asphalt Pvml Rco:+i�. InCwlrial
5' Wida Aspn�ll Pvml Repair. InCustri�l
s' w�ae nspnau avmi Feoa�r. ineusmai
0.spnalt Pvmt Fepalr BayonO Dafnad Wltlth. FeslEential
Asp�all Pvmt Fcpair Beyontl Oefnetl Wi�t�, Artenal
Aspnalt Pvm[ Fep�'ir Beyona Oc.inetl wltl:n, InCustrial
2" Thlck ExVa Width Asphall Ovar Exlsting B�se
3' Thick ExV� Width Asphalt Over Fxisting 9asc
0' Thick EKVa Witlih Asph�lt Over E.risting Base
Temporary Asph�lt Paving Repair
6' Flexiblc 6asa. Type 9. GR-1
G' Flexiblc 6ase. Type 0, GR �
Hign Early ShengVi Conc.
Conc Pvmt Fepair, F�sitlential
Conc Pvmt Fepait. Arteri�l/lntlu.tnal
Conc. Pvm� Bcyond Definetl Wltllh, Resldentlel
co��, a�mi FaPai� aayo�d oar��ae wmin, n«a�i�umduso-�ai
Briek Pvm; Fe�alr
B�iCk Pvm� Repair (Cily Suppl�ic�tl 9rick)
6' DIP Sewer (Feplc. At V�ria�le Dep(h)
6' PVC Se�wer (Replc. At Vana�le Depth)
9' OIP Sewer(Reple. AtVarlablc �epth)
B' PVC Sewe� (ReO��� A� Variable Dept�j
10' DIP Sewer (Repic AI Varla�le DeON) _
10' PVC Sewer (Replc. At Vario�le Dep�h)
12 o�P sowor (Rca�a n� vor oom oov�n)
12' PVC Sewcr (Rc�plc Al Vanablc Deplh) _
�6'DIP Sewer(Replc AIVarlaCle Ocplh) _
15' PVC Sewer (Feplc. AI Varable �epU) _
4'S�RS�n.SewerSarvicoFaplc. _
6' S�R San.SewerService Replc. _ _
fi' S�R S�n. Sewer Service Replc. _
Slreet Usa Perm�it
r�rro co��mi
v�mo na1�-�mo�i.
Valve Atlfustmants
Class C Concreta Meter Box
42' x B' TopPing Sleeve & Velve
48' x 8' Tap Sleevc
54' x 8' Tap Sleovc
Totals
m
sr=dronro�
Scc�im No.
3]01.0113
- -��3'_�I.UI'1
Il^_�1_DIl2
Il_�I.U123
�7'_O1.01i1
r_m.ouz
: zu i.0 u
�;^_oi.omi
�i'_UI.U_'[i2
�.'_U1.0_'U:
�_:.OI.O3U'
�3'u�.u1u_
��i^_oi.uioi
I }+I11.UlUu
. . ..�3"_11.02t'
I3_'II U21_
�I]'_OI.OfiI�
_ I}'_III.ULIG
u��i �r
�Ica.wc
Ll.
Lf. I
L1. I
LI. �
Lf. �
Lf. IL7.
sy. �
Sy. �
SY. I
Sy. �
sy. �
sy. iu.
Sy. iSy.
Sy. �
sy. �
Sy. �
Sy. �
SY.. I
sy. II
sy.
Li.
Lf. II
Lf.
Lf. I
Lf.
Ll. I
�r.
Lf. II
Lf. I
L7. II
Lf.
lf. I
Lf. I
Ea. I
Ea.
Eo. I
Eo. I
E,. I
Ea.
Ea.
Ea.
H�� Gu�nuq�
aoo.000000
300.000000
300.000000
3oo.aoaooa
300.0�00�0
300.000000
3oo.a00000
300.000000
300.000000
300.000000
ma.aoa000
ioa.aoaaoo
100000000
�s ooaooa
40.000000
aa.a00000
zoo.0000co
�00.000000
300.000000
300.000000
iao.000000
iao.00aoaa
ioo.00aoao
So.0000a�
50.�00000
so.oaaoao
so.oaaoao
so.000000
so.0000ao
sa.aoa000
50.000000
50.000000
sa.000000
25.000000
25.000000
25.000000
50.000000
50.000000
s.a0000a
i.0000ao
1.000000
�.00000a
1.000000
1.000000
nrys�����v 590G4
Co nc Num:
�
11ni�Pni�c �idValuc
3105.00 531500.00
� 585.00 � 525.500.00
595.00 � SZB.500.00
5125.00 �I 53"l.500.00
595.00 528,500.00
5105.00 II 531,500.00
5izs.00 ss�.soo.00
sas.00 s�a.soo.00
555.00 I 516.500.00
565.00 519.500.00
530.0� � $3,0�0.00
540.0� I $4.000.0�
sso.00� ss,a0000
sao.00 s=zso.00
530.00 � 51,20�.00
53o.ao � S1,2oo.00
5300.0� � $E0.000.00
5150.00 � 545,000.00
S1]0.00 � 551 000.00
5150.�0 � 545,000.00
5150.00 � 515,000.00
siso.00 � sis.aoo.aa
s�as.00 I siz.soo.00
5200.00 $10.00000
5�5�.00 � S].500.�0
5250.00I $12,500.�0
szoo.ao � sio,000.00
ssoo.oa � sis,000.00
yzso.00 � s�z.sao.oa
saso.00 � s» sao.oa
5300.00 I 515 000.00
3400.00 I S20 000.00
$400.00 I 5?0,000.00
>85.00I $2.125.00
595.00 I 5'-.3]5.00
5105.00I 52.625.00
5100.00 I 35.000.00
szsoo.00 � sizs.000.00
si �so.00 � ss.2so.ao
sa,soo.00 � s? soo.ao
scoo.00 ssoo.00
s�z.soo.00 szz.sao.ao
519.SOO.00I S'19,500.00
523,5�0.00 I 523,500.00
C
r,rmmm0ua i�ry
[ncmllcJ "
29.0OOO�f
�.00000c
zs.a0000c
�ss0000c
199.65000f
aa.a0000c
za.00000i
30.000001
e.0000ai
1.000001
�.00000i
�.00000i
'�"
D
Value I'rcviouelylns�alleJValuc ViilucTi�isPeriod
. _ ._.. I.. _ ..._ ..
52,]SS.DO 82,755.00 �
� �
S]35.�Q � $]35.00 I . .. _
st000 00 � si.000.ao �
� �
si i.azs.oc
533,940.5(
56,660.0(
sz.aoo.ac
� s�s.000.ac
sio,000.ac
53,SOOD(
ssoo.oc
su.soo.oc
5999,�52.4F
�
--
�
I -- -
I _ -
�
i . "-_
52,40�.00
575,00�.00 II
S10,OO�.00I _
sa,soo.00 �
seoo.00
szz,soo.00 I __
I---
i-. _ -_
�
5999,05248 I
This documont has bcon motlifiea Irom IL^ origin�l lorm as an EJCDC tlocument and �he u^.cr tlitl not highlighi I�e
modlllcallons. You are ancouragstl m read Ne documem carefully antl consWt Lagal Counsel prlor lo Ils executlon.
Contr:
Applic��iov Numbcr.
npp�kailm oum:
E }
M:i�cnal. Prccenily Tulal Cum�Ic�cJ
S�ortd (no in C� ��nJ S�orcA io �aie
(D+E�
�
� 52.]55.00
�
IS]35.0�
�
�
� 51,000.00
�
�
�
�
� 511,325.�0
� $33,940.50
�
� 56,660.00
I
I
I
�
�
�
I
�
I
I $2 400.00
� s�s.000.00
� sio.000.00
� sa,soo.00
I ssoo.00
522.500.00
�
�
_ �
.. -I 4999.05248
ctor's Application
Six (Fina])
6/23/2025
G
t3alance �o Fini.l�
(�l (�-Fl
�
$31 500.00
525.500.00
9.]°0 525,�a5.00
� 5J1.500.00
� 529.500.00
2.3% I 530]E5.00
s��.soo.00
� 5i3soo.00
� $1G.500.00
� 519,500.00
� 5] 000.0�
25.0 % � 59.000.00
� 55,000.00
� 52.250.00
� 51 _00.00
� 51 2C0.00
� S6C,D00.00
25.2% � 533,6]5.00
66.G% � 51I,059.50
� 545.000.00
4G.J`/o � $B 3:0.00
� sis�ao.ao
I si2,soo.00
S�o,00D.00
� S].500.00
I 512,SC0.00
� sio.oco.00
� s+s,000.00
� sizsoo.ao
� sn.soo.00
I $15,000.00
I 520,000.00
I 520 000 00
I 52.1z5.00
I 52,3]5.�0
I 52.625.00
49.�% I 52.600.00
60.0% I 350,000.00
iso.o a � -sa,�so.00
�oa.o^r I
�oo.o°i I
100.0°/
� sis.soo.00
� $23,500.00
�
�
C-620 Changc Order
Progress EStimate Construction Allowance Usage
ADDITIONS
For(�onU�cu: 104265 W��erMainRcplacement2022
�o�r����o� a�dod: 5/31/25 to 6/23/ZS
7tnn Numbcr
Itcm
Descnp[ion
A
�
Contractor's Application
CirySecrelary 59�6� Application�wnber: sia (Final)
Conmct Num:
Applica[ion Dare: 623/202$
B C D E }
Toul Completed �, d:�lance to finisU
Es�immcd Quuntity Prcviouvly Valuc Tliis M:ncrials Prescntly �nd S�omd �o Da�c (F) (� - F1
Valuc �n.ullcd V'��` In.lallcd Value Penod Siorcd (notin C)
(D � Gl II
.. _ _.__ '_ — _ ..
�I � � _. —�._. _ � I—__ � —_ .
�_ � I � . �I._ I __—i_" . i . .._ —i- i —..
— . .. . __.I I I—_.. I. .___.
. .._I I_ . -I I I I . --I—� I. _ _
I I I I I I_ ._ _.. _ � I —
I I - _ _ _ I I I _. I — _ _ . _ I I _ _
I I _._I I. . I . __ I I . —..
I I I I —
..� I � I �— I � I � I ._— _
I � I I I I I I ._—
._ _. I I ..I I_ . ..._ I _ I_ _ _ I I —..
I I
I I
._... _ __I I ._ . __
I I _
I I
I I_ —_
I - —I— _
I — —I—
I _ —I__
I I _ _
I I
I I
I I
� I ._
I I
I I
I I —
I __ I. _____� _ _
I____ I--"_ _—
I ___".I—_--
I.. ._ I..... __— —
_I I
_ ._—I___�"._. . I
I I.
I_..._—I" ___..
I_.__ _ _ '_ _'— _
_.__ I "__ — _'_ _ ..
_ I_".__ . . _ _ ._— ..
i__ .__ ._.—I""-_..
I I '_ '
I ...—"I— _ _
I —I_
I _'—I___'_.
I —I,—. _
I—I" " _ _ _
I__ _-- _—..
I_
II__ --_I—_._
I I
I
�_- .. . I. __'._ ._..
I
I I
I I
I _I__.—__ _.
I
i. .I_._.. —�_
i i � _ .
I I _ _
I I —
I I _._
— _I I _ —
— __"I- I
. .. _-._.I_ �.___I_ —�
This docwtrnt has bcen modilied Gom i¢ uri6�nal lurm as an F1CDC document anJ die user did nol hi6hliFhllhe
modifcuions. You nre cncoungcd �o read thc documcnl eurcfully and convult Lcgnl Counsel pnor �o i� crccution.
�-620 Cnan9e Order
�
� I
� _
�
�
To�ot�
EJ�DC ducumetic y'd t�" user d�d n°i iv6h�'�'� �hc
Tlus documen� hus been modiial W+n i" o�ig�n:+l lonn os an
I� L,;Sni Coun��l prior io iu c.cca�;on.
cd m c:+d 4�c dacuma`
t cnrefully .+� co"`u
modifcn<ions.Yw�mcnco,��•�S T o�J �
�'.
C-fi20 Change Order
Progress Estimate Construction Allowance Usage
CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED
F°`�`°"""`° 104265 H'atcrMainRcplaccmcnt2022
'1pp°""°" YC1°�: 5/31l25 to 6/23/25
� ¢ c
nc��
�id I[em Numbcr Dcscription Sp<cific:tlion I Uni[ o( Quantiry to Delelc Uvi� Pricc Rcducvnn Value Nnt U��
Sccaon No. Mcasurc
�
--..- _ i . . . _—_'. . - --_ � _�. . _ �__ _ . _ . �_. � �
� I � �—__ — �—. . � �
' � _ " � —�--_ _ _.__"�_—_ _.___ '—�_" . � �
- � .�' � __—�—__.'_ ' �— . � �
- . _ _�—_ . . — .I______ _ — _�_ . � �
I . .� I � I _' __—I—_ .. I I
_ . - -'- - - - -
� ._ _. � .__—�. _ . � ..__ _-- � _ � .
� I� _—�._ � � ._ �_ . �
'_. I _ _ � ..—I_ . � i .__�___. . � .
_ _� _ _ ._.�. _ — _— I . __�—_ —__�__ ___ __
_... _ � .._. "' ___.—�_ _—._. __I__ _ � _ _—� _�—""..
__ ."I . _ —_—i— --I" _ � � � _ �__ —_
IIII . . _
� ,_ _
I . —
I_ _ .._. .._—
I _
�
�
�. _
Totals
I—_ I.
.. .i .. .. _I..
� �
.I .. ___ — -_�
- _—I_._ . __ __ _.
____'.—i—_ .. .. "i__
__�--__" —�—
_._ - I--. .._-.I__.
�. —�_
.I._ _. ._ �I_..
_ _ �.. . —l—.
� �
__ . __. I _I_
� �
_. �
—... __I — --.
— � -_�-
__. . _.�_..__—__I__. . .
i_.-�—"—_._
I _I— _
� �
. .. i. i ... _ .
...�- _ . . I— _. ... I.
�
_I -
�
Contractor's Application
Fina])
R025
:d N�� u.ed
� —.
� —
� __ ..
� __
� —_"
� _.—.
I —" —
i _— . .
� —_.
� _
� _—
�
I =_"
� —_"
� _—
� _ .
� --
� _—.
I --_ .
� — _
� __—
� _— _.
�
� _
� _—_
�
I_ _ __
_�—'____.
� _—_
�
i '—_
�
I _
�
I '— _
�
This doc ent h� ban modilied Gum iu ori6�al tonn u an F1CDC doc en[ and Ne user did nol highliEht Ihe
modi����ions. You arc cncoungcd m rcad Ihc documcn� cnrcfully and con ult Lcgnl Counscl prior Io iu crccwion.
C-620 Change Order
Progress Estimate Change Order Number � 1 � Contractor's Application
ADDITIONS
For(convacig Wa[crMainAcplacement2022 CirySccrcmq- 590G4 Arr�"°°°°N°mb" Sis (Final)
104265 c������ N�m:
,�Poc���oor«�oa: 5/31/25 to 6/23/25 ApplicaiionDatc: 6/23R025
� o c � t r
o-�m I ro„ico� i�,�a �a a.,i�^�<<or���i� '
nda;��o� r
' EstimmcdQuuntiry Prcviouaiy ValucThi. MarerialsPrcscntly �ndStorcdloDa�c F (g-F�
Changc Ordcr irem Spccifirntion Unit of I CO Quantity to Add Unil Pricc Changc Ordcr �n,mllcd Value �nstallcd Vaiuc Pcriod Stored (not in Cl (�
No. Description Scction No. Mcasure Valuc ��' F� B
�
I I I I_ .. —�- _ I I I ._._ .I..—I_ .. —
I I I I .. I_ ___ _ I I I _ — I _
_ _ - —'"'—.- _ . I .I_ -___ ... I—__ I I . I ___ .I—_ I _.. __ .
— . � —_—___—_ .. ._. I I . _. . __. — �__ I_. . . . I _. I_ . I _ . _
I .�_--_ _' _ _ I I . .. — ._...'_I _ _ _ . __ _. '_ I_ _ I . . I .. I I _ '_
_'�-- '—I—__. . I— .'"_ I I I._ I � _ _.
� ...— _—""�_ I .II I .—I _ . ...I—_.._ —I . I � I I � ..
I I I I I _.I. -_— I � . � I I I __
..__. _I —'— "— —_. I � I I � I —. __—I.- - . � I � I I ._ .
I — ___ _— � � I I . _ I — _ —I .. _ _ I I I I I _ . __
_ I —__ I I I ._ _'I ___"_ � .._. . --__ . I_ I I __ I I _ "_
� -- -- i I �I i ___ I _�-- � � � _ � �
1b[aIs
--�
- - - -I-
- --�-
-- --I
i - --�-- -
_ I- -
i _ _ _- i_
�
_ - - --I _
-- I _
_ -- I- _
I
-I
--__ - I
-- I
�
— _ �
— I-
- - � -
__ �
--�--
-- — _-
�-
I__
- I
�__ � �
I - - I
� � _ �
-�- � �
i_ _ � _ � -
� � �
� � I-- _
� � -�_ _
I I --I -
�_ � �_ __
I I _ -�—_
� � — �--
—
I _ I _I__
I I _ _I_ . .
� I _ _I_
I _ . ._ I I_
- �__
--. ... � _
-- I
_ �
�
�
�
i
� —
� � �
� --�-- �
� --�-- _ �
� - �- �
i --�- �
i - �-- _i
- --I-- �
I I_ I
� �_ _ �
� �_ �
Thic documeni hns been moditicd Gom iu uriginal 1'orm as an E1CDC ducument and the user did no� hi6����6��� �he
modifr.nions. You are rncoungcd lo read ihc dowment carcfuily and consult lc�nl Counsci p�or io its crccution.
c-szo cna�q� oro�r
Progress EStimate Change Order Number �
DELETIONS
r°`"°"""0 104265 WOfcr Main Rcplacemcnt 2022
nPpr ,��o� r�dod: 5/31/25 to 6/23/25
n
i���,
Chungc Or�cr I¢m p`l . Spccifcatian Uni� of
�o pcion Sec�ionno. Meosur�
. � . _—' . . . . � �
ITo�nls
� ___�'_
� _ �—
� �_ .
� �
1
nppc�a�so� N�mb�r.
,���r��no� ��m:
Contractc
r
r's Application
Sis (Final)
6/23/2025
Not Uscd Nol Usetl
�
� _
�
I — _
�
�
I -
� __
� _.
�
�
�
� —
�
� _._
�
I __
�
� _
� — _
� — .
I _
I __
�
�
I __
� _
�
�
�
_ i —'
� __
� _ _'
�
I
� _
I
� _
I� —
This Jocumrnt ha� been inodilied Gom its uri6��al lorm:a an EICDC documenl a�id tLe u�er did na hiFhlight Iltc
modilirations. Vou are enrour�6cd to rwd tlie documcm carclully and consul� Lcgnl Counvel pnor to iLs crccution.
aazo cna�ge ome�
Progress Estimate Change Order Number � 2 � Contractor's Applicafion
ADDITIONS
For(�onr�ci): WaterMainReplacemen[2022 Cnys�crcrary 59064 ApplkanonNumbev SiC (Final)
104265 co��m�� Nu��,:
Appiicanon Pcnod: �PPlication Datc: 6/23/202$
5/31/25 to 6/23/25
A o I c D L r
�� ��� � 73nlance ro Fini<h
Addition Clian �e LsiimatcJ u Previou�l Valuc This Matcrinls Ptcsentl Total Compleied
"o
6 Q°���ry Vulue Y Y nnd Smred to Date (F) (6 - �)
Chan �e Order Itnn Desenp�ion Specilieation Unit ol' CD Quvn[iry m AJJ Slnit Pcice m[ in C
6 OrdcrVoluc Incmllcd InsmllcdVvWc Pcriod Srorcd( ) �p+E) �
No. Sectiuo No. :.Acasure
__.__" __..._ . i I._ I I I �I I I I I___-- _..._
._ _ __ _ . . . . ._
—� I
I I___.. I I._ I I I I_ I �— .__I . —I—_ � I
—
._ .I I__ .. I I I� I I I I . I_.. I _.—. I I
—
. .. _ I ._.— ._.__ I- I � I I _ ___ __ ....I I . I ..__. .'—_ __'."_I __ . _._.I__-- I I _—
_I . ____ ._._—_". I— I I I ._-- _. I I I .. _ ..I I I I
_I_ . I I I I I . I I I —
I _ _.' ' — — —_ — I I � . �
.__i .. _ "_ — . I I I _. . —�— - _I_ I I . I I. _ _I. . ... I.. I .I.. ."—
I I I I .I_— _I I I I I _I I_ I I _.—
__ ."_ ...— —_— .--' I I � I � � � � � � � I
Totnls
I
__ —I_'_"_ I—
__ ._— .—I_'_ --"
__'_I__ -- _..
__—_"_— —___—_ -
._ ._'""__ I— _ . . . I
_— __"__--I I
__ _I. _ . I_ . _ _�_ _. _ _ _
_ i . ._i— -�_ -
I I
I I
_'—I— .. .I .
_ . — —I — _ . _ i _ . ..
_ .. . ' I �� I .
I
I I
I I__
� I_
I. . I—'—_ _.
I _.. I—
I._I__"_ ..
I . . ... I __._ . _
I I
� I
i.. _.... i .
I I
I I__ .
I I— .
I I__ ._
I I_
I I
.._.__ .—i- . - i
_.__. __ I_ .. .._I__..__._
I _I _ _ ,
I
�
—I _
—I
_I _.
I.
I --._
I ___
I —
I_ _— .—_—
I
I —"—
I
I
I __
I —_
I _ _
I. . _.
�
I —..
I
I _
I —.
I _—._
I _ _
I
I
I —
I
'I'his documrnt hus bccn modi�ictl from il> onginul lomi us an C1CDC documrnt nnd the us'cr did no� highlight thc
madiGcu�ons'. You arc rnroumged lu rud thc documcn� rorcCully nnJ consult Lcgal Counscl prior �o i� cxecWion.
City of Fort Worth Summary of Char�es
P' �' Pro ect Number: 104265
C9ty Secrecary ContractNum: 59064 Water Main Replacement 2022 � FW060-0000021973 1
Application Period: 5/31/25 to 6/23/25 Applicarion Sis (Final) Application Date: 6/23/2025
Number:
- _ -
Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net
- --
Original Contract
56002-0600430-5740010-104265-001780-9999 $999,052.48 $5,236,272.52
0
0
0
0 '
0
0
0
0
0
0
Change Order 1 �
56002-0600430-5740010-104265-001780-9999
0
0 �
0 � � 1 � �
0 ' ,
0 ,
0 �
0 �
0 {
0
0 ;
_- — —
Change Order 2 , ',
56002-0600430-5740010-104265-001780-9999
0
0
0
0
0
0
0
0
0
0
City Secretary Contract Num: $9064
Application Period:
Funding Identification (FID)
Change Order 3
56002-0600430-5740010-104265-001780-9 999
0
0
0
0
0
0
0
0
0
0
Change Order 4
56002-0600430-5740010-104265-001780-9999
0
0
0
0
0
0
0
0
0
0
Change Order 5
56002-0600430-5740010-104265-001780-9999
0
0
0
0
0
0
0
0
0
0
Citv of Fort Worth Summary of Charqes
P' �' Pro ect Number: 104265
Water Main Replacement 2022 � : FW060-0000021973 �
5/31/25 to 6/23/25 Application Sis (Final) Application Date: 6/23/2025
Number:
Total Compieted Amt Remaining Gross Retainage Net
i �
;
I
i
� i
1
I
1
�
�
i
i
�-
I
I '
; i
i,
City Secretary Contract Num: 59064
Application Period:
Funding Identification (FID)
Change Order 6
56002-0600430-5740010-104265-001780-9999
0
0
0
0
0
0
�
0
�
�
Change Order 7
56002-0600430-5740010-104265-001780-9999
0
0
0
0
0
�
�
�
�
0
Change Order 8
56002-0600430-5740010-104265-001780-9999
0
0
0
0
0
0
0
0
0
0
City of Fort Worth Summary of Charges
P' �' Pro ect Number: 104265
Water Main Replacement 2022 � FW060-0000021973 )
5/31/25 to 6/23/25 Applicat�on Six (Final) Application Date: 6/23/2025
Number:
Total Compieted Amt Remaining Gross Retainage Net
i
I . i
.. . �, . _ . . li . ' � � ,
� ; I
_ _ I
. , i _... I� . �
.. .. . . ' .- i . . .. , �. i
I
_.. . ... _ , �. . i . ''�,
?
I !
,I
i �
j �
I i ,
i i i
�, �I , i . . � �. � �. .
i
Ciry Secretary Contract Num: 59064
Application Period:
Funding Identification (FID)
Totals
56002-0600430-5740010-104265-001780-9999
0
0
0
0
0
0
0
0
0
0
� Grand Total
City of Fort Worth Summary of Charges
P' �' Pro ect Number: 104265
Water Main Replacement 2022 : FW060-0000021973 �
5/31/25 to 6/23/25 Applicanon Six (Final) Application Date: 6/23/2025
Number:
_
Total Completed Amt Remaining Gross Retainage Net
$999,052.48 $5,236,272.52
i
� � $999,052.48 � � $5,236,272.52 � � $0.00 � � $0.00 � � $0.00 ,
PROJECT NAME:
PROJECT NUMBER:
DOE NUMBER:
PIP� LAID
PVC
PVC
PVC
PVC
FIRE HYDRANTS: 8
PIPE ABA1�iDONED
DENSITI�S:
NEW SERVICES:
PIPE LAID
PIPE ABANDONED
DENSITIES:
NGW SERVICES:
FORTWORTH
Y � �
,} .
4 -
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
Water Mains Replacement Contract 2022
]04265
SIZE
4"
���
g��
12"
SIZE
1"
1.5"
2��
SIZE
SIZE
WATER
TYPE OF PIPE
C-900
C-900
C-900
C-900
VALVES (16" OR LARG�R)
TYPE OF PIPE
YES
COPPER
COPPER
COPPER
SEW�R
TYPE OF PIPE
TYPE OF PIP�
LF
LF
111 �1
LF
105
587
459
104
224
121
487
� TRANSPORTATION 11ND PUBLIC ���ORKS
FORTWORTHo
TRANSPORTATION AND PUBLIC WORKS
July 2, 2025
Circle C Construction
P.O. Box 40328
Fort Worth, Tx 76140
RE: Acceptance Letter
Project Name: Water Main Replacements Contract 2022
Project Type: Water
City Project No.: 104265
To Whom It May Concern:
On July 2, 2025 a final inspection was made on the subject project. There were no punch list items
identified at that time. The final inspection indicates that the work meets the City of Fort Worth
specifications and is therefore accepted by the City. The warranty period will start on July 2, 2025,
which is the date of the final inspection 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
392-8213.
Sincerely,
Scott la�Feri�
s<�«��«r�_v,�e�,,.«zs ��b��t,�,
Scott Lafferty, Project Manager
Lawrence Hamilton, Program Manager
Law�rence- fi'a�vc�Ctvv�
��w����e � ��,�r���o�„�e<�� �o�s �o�a, sz �s ;
Cc: Steve Cisneros, Inspector
Mike Glover, Inspection Supervisor
Randy Horton, Senior Inspector
Lawrence Hamilton, Program Manager
CFW, Consultant
Circle C, Contractor
N/A, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev. 08/20/19
CONSENT OF SURETY
TO FINAL PAYMENT
AIA Document G707
Bond No. TXC615592
TO OWNER:
City of Fort Worth
1000 Throckmorton Street
Fort Worth, TX 76ll1
PROJECT:
(name, address)
Water Main Replacement Contract 2022
in the City of Fort Worth, TX
OWNER
ARCHITECT
CONTRACTOR
SURETY
OTHER
ARCHITECT' S PROJECT NO.:
City Project No. 104265
CONTRACT FOR: Utility Improvements
CONTRACT DATED:
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(Insert name and address of Surety)
Merchants Bonding Company (Mutual)
6700 Westown Parkway
West Des Moines, IA 50266-7754
SURETY
on bond of
(Insert name and address of Contractor)
William J. Schultz, Inc. dba Circle C Construction Company
P. O. Box 40328
Fort Worth, TX 76140
//
■
■
�
�
,CONTRACTOR,
hereby approves of the iinal payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety
of any of its obligations to
(Insert name and address of Owner)
City of Fort Worth
1000 Throckmorton Street
Fort Worth, TX 76111 , OWNER,
as set forth in the said Surety's bond.
IN WITNESS WHEREOF, the Surety has hereunto set its hand this date: November 7, 2025
(Insert in writing the month fo[lowed by the numeric date and year.)
�, :�
�: Witness as to Surety:
:a• � ��
(5.�1 �� � � , .� �� -
John A. Miller, Witness ��
Merchants Bonding Company (Mutual)
�Surety� �
(Signature of'authori�ed representat�ve)
Sheryl A. Klutts, Attorney-in-Fact
(Printed name and title)
NOte: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND
CLAIMS, Current Edition
AIA DOCUMENT G707 � CONSENT OF SURETY COMPANY TO FINAL PAYMENT � April 1970 Edition � AIAO One Page
O 1970 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave., NW, Washington, D.C. 20006
MERCHAI�TTS
BONDING COMPANY,.,
POWER OF ATTORNEY
Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.,
both being corporations of the State of lowa, d/b/a Merchants National Indemnity Company (in California only) (herein collectively called the
"Companies") do hereby make, constitute and appoint, individually,
John A Miller; Sheryl A Klutts
their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings,
contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of
persons, guaranteeing the pertormance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions
or proceedings allowed by law.
This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of
Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and April 27, 2024 and adopted by the Board of
Directors of Merchants National Bonding, Inc., on October 16, 2015 and amended on April 27, 2024.
"The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and
authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto,
bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof."
"The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney
or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the
Company, and such signature and seal when so used shall have the same force and effect as though manually fixed."
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the
Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction
contracts required by the State of Florida Department of Transportation. It is fully understood that consenti ng to the State of Florida Department
of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of
its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given
to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner-
Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 2gth day of July , 2024 •
'��� .............
.�' P'���,NA� •.
�� v��P�Rq �2
:=:2 'o v'z'
- v•. 2003 ;�„�;
'. d�•. .•�` .•'
•,�� �•. .; � .•'�
��.•---••..
.• 0��� • ���h '•
. � � 'oy •
.�0.0 POq,� •
• � G J�'.t.t:
: �: _ -o- � � :
'Z� �:3•
' Q' 1933 '
. y. : c.
. J. •�ti.
. d •d .
. �;• . •�,� .
. •• .
. W" �: .
MERCHANTS BONDING COMPANY (MUTUAL)
MERCHANTS NATIONAL BONDING, INC.
d/b/a MERCHANTS NATIONAL INDEMNITY COMPANY
BY �
�
�
President
STATE OF IOWA '•.,����%f ����..•' '•. � � � � . . •
COUNTY OF DALLAS ss.
On this 2gth day of July 2024 before me appeared Larry Taylor, to me personally known, who being by me duly sworn
did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the
seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf
of the Companies by authority of their respective Boards of Directors. ---�
�p-��A�s Penni Miller �� +
� � � Commission Number 787952 'k -
• � • My Commission Expires � �� �
�-
�OWA January 20, 2027 Notary Public
(Expiration of notary's commission does not invalidate this instrument)
I, Elisabeth Sandersfeld, Secretary of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., 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 and effect and has not been amended or revoked.
In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 7th day of November , 2025
���.........,� �.•---••.
�.••P�10Nq�••., .•��N�_Cp,y�••�
. t:•' 'G •
'y ' �' � �O P U '
: �' p(�P UR,q •�O : � •' OR Aq' qy .
:h 'G �' :'t � ; � G �•.,t•
:z:2 _o_ �';G: .f."�.:_ -o- o;....:
-Q�� — .Z.— �
:_': ' a' 1933 ' 3' Secretary
:v . 2003 :'��. : yJ. � �ti:
, ; cy�., ,.a� ;� •, d;�;. ,\;�,a� .
��'•.yi�''�' .•'•� •••�y � .•.
.•,7
POA0018 (6/24) •�''''•••••••••'� ' • • •••••
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 TERESA S SKELLY, PRESIDENT
of CIRCLE C CONSTRUCTION, known to me to be a credible person, who being by
me duly sworn, upon his oath deposed and said;
That all person, firms, associations, corporations or other organizations
furnishing labor and/or materials have been paid in full;
That there are no claims pending for personal injury and/or property damage;
On Contract described as;
Water Main Replacement 2022
City Project Number 104265
.�
BY ���``G
Subscribed and sworn before me on this I$�' Day of ��p
= ip'pY PV�..` �� S i+/11�i16'O �
o; ,;
� a, � ; 1Vote�y Pnbhe �;
�+a��;q� STATE OF TEXAS ,�•
a�f 'rF NOtery ID �! 117b948�i �,
�'w,h",°F,M�`� M1ICamn.6�.Oct�ber?.2027 i�
'� �sv�J • ��n ` C71 C.�—
Notary Public in Tarrant Count TX