Loading...
HomeMy WebLinkAbout048736-FP2 - Construction-Related - Contract - William J Schultz Inc Circle C Construction CompanyFORT WORTH, WATER DEPARTMENT NOTICE OF PROJECT COMPLETION -FP2 City Secretary No: 48736 Date Received: 1/9/2026 City Project Ns: 100435 Regarding contract 48736 Water Main Replacement Contract 2016 1 st Renewal for as required by the WATER DEPARTMENT as approved by City Council on 1 /9/201 g through M&C C-28530 the director of the WATER DEPARTMENT upon the recommendation of the Assistant Director of the Water Department has accepted the project as complete. Original Contract Prices: Amount of Approved Change Orders: Revised Contract Amount: Total Cost Work Completed: Less Deductions: Liquidated Damages: Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: Less Previous Payments: Final Payment Due Recommended for Acceptance Asst. Director, WATER DEPARTMENT C%i:R� HAI-dl-r Christopher Har er (Jun 26, 2024 09:01 CDT) Accepted Director, WATER DEPARTMENT Dghg 3ULghdoff Dana Burghdoff(Jul 9, 2407:59 CDT) Asst. City Manager Comments: $ 1,000,000.00 $ Ne $ 797,509.77 Days @ $650.00/ Day $797.509.77 $ 797,509.77 $ 0.00 Jun 26, 2024 Date Jun 26, 2024 Date Jul 9, 2024 Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Contractor's Application for Payment To (Owner) City of Fort Worth Invoicing Period (From -To): 2/16l23 to 6112/24 Invoice No. Five (Final) Invoice Date: N12Q024 P.G. FW060-0000016817 From (Contractor): Remit to(IfNot Automatic Deposit): Number. Project, City Secretary Contract Number. (Approved Change Orders Number 1 I 2 3 I 4 I 5 I 6 I 7 I g TOTALS NE'r CHANGE BY CHANGE ORDERS Contractor's Certification 100435-2 48736-R1 Application Per Payment Change Order Summary Additions, William.1 Schultz Inc Circle C Construction Company Contractor's CFW VendorNo.: 0000007744 Name: Water Main Replacement Contract 2016 1 st Renewal Deletions The Contractor certifies with the submittal of this document and associated Payment Request Submittal an the City of Fort Worth Buzzsaw system that to the best of their knowledge: (1) all previous progress payments received from Owner on account of Work done under the Contract have been applied on account to discharge Contractor's legitimate obligations incurred in connection with Work covered by prior Applications for Payment, (2) title of all Work, materials and equipment incorponted in said Work or otherwise listed in or covered by this Application for Payment will pass to Owner at time of payment free and clear ofall Liens, security interests and encumbrances (except such as are covered by a Bond acceptable to Owner indemnifying Owner against any such Liens, security interest or encumbrances): and (3) all Work covered by this Application for Payment is in accordance with the Contract Documents and is not detective. Teresa Skelly (Jun 25, 202 11:39 CDT) C-620 Signature Page It,. ORIGINAL CONTRACT PRICE.......................................................... $ S1,600,000.00 12. Net, change by Change Orden................................................................. S 13. Current Contract Price (Line 14:2)........................................................ S 14. TOTAL COMPLETED AND STORED TO DATE (Progress Estimate, Construction Allowance and Change Orden)....... S 5797,509.77 15. RETAINAGE, a. 5.0 % X Work Completed........- S b. X Not Used S Ic. Total Relainage(Line Sa+Line 5h)......................... _..... S 6. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c)............................. S $797,509.77 7. LESS PREVIOUS PAYMENTS (Line 6 from prior Application)......... 5 $797,509.77 S. AMOUNT DUE THISAPPLICATION................................................. 5 9. BALANCE TO FINISH, PLUS RETAINAGE (Column G on Progress Esdmnte+ CA + Cos + Line 5 above) ............... S 10. CONTRACT TIME, a. Days Awarded b. Days Added by CO 365 c. Total Days 365 d, Days Charged 300 r, Days Remaining 65 This document has been modified from Its original form as an EJCOC document and the user did not highlight the modifications. You are encouraged to read the document carefully and consult Legal Counsel prior to its execution. Progress Estimate am,-. Waterlflaln Replacemeat Contract 20161st Renewal 3116413 to Q12124 Cali-ezN.z 48116bR1 �� L1tMN+u.I zeQal. lvthn fmpioxa - I umpu�- _ N'azrlbe 16'RCWYa Eu I Preweo-0.oe lrwcw%elsq 11{•PCWatrvme ICWW]tr. la•gvY]3bz v]xu IS plWmm Ea LL 1 m LL ( � If t. an v. 1 Wbll L1. I, � It Lt 1 W LL tf L Im Warn 'mom Im bmn.m U3m SnW Ib.W 4nm Smm tom fam fiuw gvwzs Iif gyWzn I$'N� �Mtla Met Iraq f� �Ip N'Sm 1Y'0a1 'Ovnt P NYs4eM SOYm uce<r. Doe�rmlNuse�el MDem (n�tSbtll �o..e ��f ..d1d LL Yl tf �= Nb u � mapf LL m33m �f_ 1 u YAmmOp _mRm m mmzm mmmmm fam I43W f4sm srsm �.W tfmm ftpm pour IImW Icf /hD� ��Mrrw) #d+fa tlne(bM rm[ x� rabDem� f3�V _h TI�zt4mr+11vM1e15tn1 x/G6fV 35'rY' hLtivRi�� Dz lA4Ual tEtl wlGwn I+'aYF� 6 456 to1.a no- E.m w. -- roves f. ; ma)Os L macs 1 maez WafS i ma,f a I Fa I E m.aa000 U� m m.®oE mmaac fs� Roam Umm sivw y m bur f m0.m mxm rnu va.< 1 w)aau E� s]pW.m f13�m {IAmm yy Isutama#ya'.e __� IIP �rf�Vm IX oaf] mod_ mall Ea I mapfi Fa E. fx Ez � 1[mom umom 4mpm bmpm pmnm ii3mam fulnl� M x�e�a.�w.<•6ca�w3�Wmt�vi.e Ilydal143Fttrvaea OOatx Ea Ea �m t�um� E. 1 f.mWW )mYm 3])pWW fp3m femur sm3m Ihm<IY W%aw.e Eean<a5i 11'WYr It,lm6 11l.fal flour lLemm Re. !snipe N•Wrawre if rmGi�W11faC1 mtt ibl 1 matt L^ f;aaaW He.maW I Nrt $hp.f V3AezrzhbNvu 1 oaf E p � xinmmal 3mWWI p�m poem HmaW L f CaKt bVa.e4aY1e�� p.�m IPm\we 1 pPpO W a w Sxmpm Jcpps y� e 1'ia5� l9eee�w.e � m pAmm l).ppm 9�kr..e 1K4V.ee cam. I m i m 3Lfm.ae up�ooro I(6':e p.pom Yzl'n�v�¢e.e ISYz6')an.nlleeed Vte mafx Lmvm 1 0.m3m pmpm xmnmm p)mpm pmpm plmo.m uopmm 41im W M]m0m ffpPmm N$mPo wmpm b];mam fAOpm uzom u�Wm pimm HSfpm 4,]mm f;fimm umam {3m¢m bnmm i epam tpmpW ury]m mLmaD] NpFpm IUmoPo uumm wm)m empm 'Wmpm U,omm ,Ili W lapmm slsmom IfLAOm gaoom 1x;0Am KwOW 4mpm Hmpm i3ppm i+,mp Po K—. ifCapmPo H;mnm fymm i;omW SLpmm aLWo.m amour amour umm umm now p;mm ti;}D.m i15m.m J3.Stlm Contractor's Application — %.R� Flve lFlnaQ f. D MW014 E �WTN 3.L P.+ 1 ut.fa VJallr.ib�f oW�3.� gLabfHA ) n n IB le.it ;a000mar .ncmofti- I+opmm 5aw1aV(�mn nacmm sn 37 _ 31Amd0 IpDGWmpp Ilfl,lwm pnmmmm—"u;xcao 4.¢p.m {1]t.,wm fum].m tr,OALO AL!i iriAmA sfif,lwm fsfs% Hf tHm Ip]po m bsanao x�a% w.]pm sw o.w flrmim umom 54emm f),m3m f]mpaN) ff,IHm 31.1I1m f1.l xlm il.)% i}oom amour fln.smm i1I.D]pm W H];m3 ;m]m mppnraoe bxmm bffim ap.W Imo% p;]m Eo Im.lmmlm {4maet 4.emU Hmpm xmx% s;]mm 'is.paropw aam W ___ m PA000W ULlmip 4imam .— p.nGx04 paamm bxamW ftun% itxemm _ almm tm.lmmom _ilSppm W.mfm w.mpm 4fmsm ]uric 39,Hfm a0m0pma frmnm i]p3om f!m).m ax 313pmm apoomam pnmm _ bmp.m Umam pale uamcm _ amapc i4mWxm w.gom 4Aoam -Foam bn14 3f;mam �mam { W4pmm 31 mm Il;amm fpAOxm IVOpm —fLaoio rmmmm p,mom /IAmm —{ipwm an% Swam tamam Ulmm] p1.pe0.m blmpm ,_ flm)m \ b].maW �L1% wvpm iHLmam a mAVm UlpmcO ss�m 3i0xbJk0 IIADm p+ponm bsmm 4mpm lEfpOpm bp% Llapmm sumo nzs {tAOpm p _ ulmm mpm i;300m f4amm Hmam ti00pm pPmm fUpom uamm pmpm 0.mm ,mPo UAppm Wei4tth zo3E�6aalwn�m��pl nrnfa�a 6Y]nen�vzlepl G•mipvulzne..a Progress Estimate c.af ,, 42716-a1 ra(emaf Water Maln Repla ment Contract20161st Renewal V16413tob12114 e'dlmwz Wb lV enin.r 6lQ�+a fb'~ of —� Jwmm umneJ +mum )4 VY,r_ a i ai suiz�ow ue�oow :v.�a i a Gmam NpOom i� fA � m 1 vno3m Go9mm w 1YE }r.rra� —i m � ms, [10ymm {wmam Sn4Am flamOm Wi- �m lj'ir K �4•J 1 m Ss•.JrT�.a,y� far.v — )N»a•1 mNl2 � E. Fa 1�(M)C 3}s,mOm $0.0.v]c0 u3m )A.OA000 iWOm In em 11•na�fewmlre II'MwteWYa 3aAm I}lliaml u LL /bm ;m N )) n/drmwx.[.Msa.:Mr((� tI �YY IXSVe•1'vsn lR Ivnm) � u u Nfm iS Udm l yr r%xev}%,rs},xu Ifrie.mwms..l,. Ivw]1m tt Imm ».auoocc lmmooao w) rw%vnamroie .__' i � fwm v.'nxm )» Irfgac SaNzu+e LL 1mOmm0 ito PfiaeWrEasaMm r Mn W%vSaM¢ I!!I]]]� )!1S]»1 LL LL Immmtt fmm m,woma tmm ],MriOvfta (wra. av) 1�gtf%zrlbi(artJ+a3n1 � f]mm I Gm.m nl e e }yye,. (n,1w asm r»n w.,al E. Isom 1>R IVSye SaISMV W UOom Iw rf3n sva� tmzm wa 10 i cgrarWd¢vMm ?w+6�Hd6Rt u. e. fcoomma Gm ]lamo,m f�l0.Llfev Ibl]]{OS Fa { {Ilpmm fss fiyfy�yvy��z+IVSJ[ �)>I:Jfu � E. swmic Ilc rmvnnfta%Vwh n1fE]iN � f1`�m spmm iwm)m 1]I Wrassiprg 5ulm-�)nllJm] 1 zm0oc0 if S:W,wmmcmc f]S SSW— 1 E. OoOm Gffm. nm Ilovi l'WaV+rk'ar [Yem 12. adamlurw,ma+« 4 Nm.W fmo.m rmaerwmlfra. ) � foam i]I Otl M1g3nvlWmsa%z (YI-mrl 10$IIJ)11 IO.00W)0 {mJ00 1. IT-lrwan nev.e x,q �ml {Imam lu 34 rmmsxr n�a w>a i«wlf 1Gla)m u vmxm Im0.000o0c am vI wdrad. p�1� rc..d�,dremrvlamesm•S) )Jmelm u. s,nm fb f)r fb , 1 riBav a[s"bgl.iea'e(s-Iv) a urea In-ls p»u)m bnaua � ifmam am0000 sfm!m vmam tmem �y�yp�pmwjalaavw,. fa66i5o1A6.aei �Jmbq,nwa� �]»)Nm I]muua 6% vom loin lal IJ�agzm l,eacmnr]w 1!»]aw0 gt »e000Ce Nom Ifl 41 MUM. �)n}aln }n)a10] h {linen momm0 IN 11> SRd �E LAwStleap lnla)m h ef. i}'Am fmmmm .RW E faWW3cOt ,>)na») Om+ h GOm ersmte aaoo q. t>em ��Erwd�Gsm��baf a•cacswmxa �>]na>JI uem "mreGooJ ] IPfrtesO.•a],.Emstlbaeaa 6'fuvRa ))]I)M)] h Nzm IN Sren.nw��ama'• Inf I h. mmmm mfm Contractor's Application _ 'rn•.�a n�-ea. FIn tF7nap — µf�3rowt vl]no]a f.5 r,..;sy M,.w3•.3. lJ:)n,r..d(In�} M °�.da +B msi e�ae 6e } I...ml° uamm N1D ilt c�c}m i�SOW an�oow N3ro.m N.mo?0 G,SOO.m Gmxm N.smm N.mOm AoOm smOn 1mm)m] �S.mO.m Gmfm Is}oam )ma% NOAVm ilOAa)]4 tt]AOOm tbmOm if;mOm i+;tmm {1fJmm f,e,Gam SIs.Om.W f1amJ.m Gl)mm inamm uxmom fn.mom sxs.xoom i».oe0m R,mm NimJm lY.tmOb tsl om b,�m NISOm NO% .femam U.soOm Ommm00m Rmfm UfWrS) Ulmsm UIpGm OOO P% -WAG.m axfmm v,]vm waamn fmimmmm faosm vm+m mmsm me ml -sausm fmt�n,m Is.wOm U}o0.m {IAIm 20% 150.m0-m GmOm {xmOm Rim {e0lo0m em000m U?mm v.xam G]mm tamow HFOOW _ 10.1mm m.mam �m +.ew N.mOm .RUDmI xmcomof fee3c3 tmem vem.m Ra00.m t amm uwom a.m).m ..-.. u.Go.m _ s1Anm {I;mJm O>al4^Rafm Sm.smm W.mOm iw,bOm au% •fl0.smm amm)m Im ham SSOp00m IN mOm f]Jmom — fmTtlm -""-ilxmom tw,e0a.m _ 4f0,mlm fw OoOm µ.Omm { mum ssym m v,sao.m txam m fl.vnm RmOm Gpmm RmOm ufo3.m G.000m GLS0.00 3w.maw �ifepmaa s,amam - - 1=.12 amain If3vlmmm auv] i af.NmOM ._ Nue vua alas IRx% _ sntw SS.000,m ssmOm venom Gtmm OSA00m Rmam sso.m uoccamw _— _—N»tn Nwm — ucsm »Soa sbmom Ispmm -wam Gmm «axaoun Rarl.m uar,.w Ra)IJO »rf.s% vmm aamx pPm.m {m]m G.mOm Gpeen umOm pmm »RmO.m f p00.n bl]mmtm sfmom im,emm 1m,emm im.emm J>rJ% ;nnpnm u.fvom fzxom um3m uma3o UmOm a0.11mmm sl.>mm tx USm Kt])m H.wIG IAs% �ffptss v,»am Nimm zl mYOw Rmem N.mOm NAm00 1 {sOmm Progress Estimate r %Q R.f�a.bt \Voter Mato Rephcewnt Conlraet 20161%tRenewd VIGM to NlSR% 15a a•��EEQq11�p//�� �� )DlIaA1O1 Ib ,a�KWit�6 pd �7.TIDg1b CWCPrt(fpum) 1m �� rveYilryr�b%edlvtld IIL�CmcVY{{}} ,IMwlnmVl pil 1N IAwx P,OQe, Wvty SCAz 3O1A151 S•.1dAf.... LL LL u Haa.•se) IW [4%W IWHomO WW NWekMp%fAPmta'i�+ePefb4d �;AlAlll U. Im [AO0oO imm IT%w Avya[Potivp.+',%da.eus l u. feo issW '6 W:Y Af NtPrt PdJ tlel D3OIfl I 1.al U, Imm TWW Afgat Pat%gr,/fy�/ Imil rnueAwwpwpf�g?e?.ryuryvgg.P./L�KpiyTl� les '<y\m)�jAy�+pC�wyyyp^H' tt u, 1OOmmA .oAWO s5am �o,'.,+c• •.•. Doll", w Is))C(ef lfcAS4 Imo,.'., var+d fAlAn) u LL w m Nam Ix %tle�Ayryry/j�#ur�,,,{{{{aplQP�ent 0.eµ'a, Wymyl}t�y � � H!W m � IOxI s�, U+ )VOA,eN.mYl IjMFi'`{�d-Mom%}}1IEE�dlFii IA j`ll�id�� I.YIOAH. }AlmTi 57 e ImW fA W 3 UO i pp T1:%4rR-I b'�TNe0. Of-3 }A .Af IDfld Y EY LL sY am f)f� { imml iApmp Imeemt%Vw.Idfend A oa}. IWf6 g S) Den Faro (Wq�CP%+1ujPa�{up'r�,pMym�Y/feyv(tm_�W fN CGiLllif7ip8:6e,1fe61.e1\\'M�)A fu %naP+elvnK. Ivu� sr 00 �m biYRvtllpvtGiYS90� ww) I I]1 sr fmW 16'Iw Sawflsp.HVPglOamCl) �H�SK.tr(pgf. kYYYUlpplfj) fI SSwwv lliladD.KA!(/,�e�16s1 I u IL u men WW smW Im,m s«,m(Kma Alva%uaomin> _l LL II! �Swc/%M. HVfrIYlellgKn) LL f�mm +m w•Inesnwrl%y;uvwueJ� 1 ov ;Eat I •ncsowtwxv���wi +W POR sf>,v[).W.uvm+%.Ilwln) � 1t'MSpc AVaIeUl G6la) I �Oi ¢ u, u ww��moI� m%ml NOW slAm {+WW O'�l8n vsw�Qwe%gt. � U. am>mq ^",•---•JI sour fur la-.vtsn Smin RWt. u, issm +b rrns.�.ys}e�ewsewAllye I ssmam smm Iw �rs"6d IIH>IAom E. m ocean HW.W f mnm RFAW)EEfati PAVElFM eRFP1ACEWRBASEa rCglOtEfE 8F N PATTFAR &U65N0.(1)STRIWFn mv.a^WRE pUOu U A -Ye TON a}EEIeCLLABpS.CCNC✓ETEF{I88PAVRED I£LL(lVI7FA. EA a+Ere SETFA [q%(IAA) Mrof CUa89'CORCPETEf£IERBn%(ItPAI nK110 EA) /f A -SW A -AO FAFRGERCY WATER PEPAR E.f 48776111 Contractor's Application ARta[AvWQ FIYo IFinvl) Bd\.te r�"t9,�V"� VVF� iwvbvplea.6lVJw Vdw'(E'Srdd Tw c-0. WwbrdA lSav�l(il�'aCyi WSbefblFt B fe-fl N`fl b.Mm 1H llO.O.N - _00 NpAW __ N,aAW INm'. -i1ROm aaamm nmm:KW a s+Am {IAm pAm %W: tisom s1amW 11, men H,WOW A.mmmm _ _SI,tAm i fAm _ fllmm 1f,111m bO% fAtlpm •— f0.mlm {amAm W slamem alasW aamm {lumen s1aMm �um)m Hamlin s+am)m mmm000a HMm Hmam +no% Halmm f+O Snm _ Ha.Mm NI.000W µ.me aN.pAm KAmm ;10.am.W fmJ% ff}.fOsm Hfynm Hamm WM I b)}Am 1N 1% iWlOAmm eom. broom _ _ _µooOm a)}mro amTvfn iM.W NWm fAO.m eJ% HSWm fl�m maoO il.lmW 41, amour uWem uamm umom ff,%OW a]eDCmMA _ _H;sAm H;IAAo N;lmm SI %-{Il,fxm faOOro 1Men IaOOm tlWm N;lm.W _ _ SSl,mJm H1mom leu)oman SHsac W _ {a,ul.m µlalm b.Nlm H.Ix slf,a - ifamo m mom - xlmm N.00l.ro roam W NmOm iaOgam NmnW - U� NmDm af,W.W fsAoOW - H tatm saOoOne H.KWW µOW.W OWm Xl bAoom fepmm b.KCOW -- fSmO.m t+Jmm Hzwm. HJ)am H,vnm _ slrlm to mom amWlmO _ {TAm Smm 4 Om 10.0% Ndmm {b OOOm lm+mmW {S}Yam taOOOm tS,OOOm 1nO% NatWm MAI rWuem IfYAW tiimm WAm iY,]bm Imo% Y WATER H0.mam afs�fmOm tfanmm Hnomw Im0% A-:OT /eP.EGfIgAATfRWKMPaAlaARclOEa EA 1.mRA {+1mm ilaAm I.aOmaXA Il,fmm {+}am f,f m IWA1{ H>.d.1Pw.Ifl.rlvc ..f:{%afs%. .ea}ma.Yw.e wv.H bmSt+e O.e«:vo<Ity W mntaa wr yrea..ms,. Progress Estimate �' 48736-R1 Contractor's Application rKe�. Water Mal. R<pla—tContact 20161tt Remmml L16123 to 6l12R4 ^ Wiwntb. l�fe� lti.etSw.s� e:f p.aip �.d� n�sL.l i.a n..'p.a S.:uu�fimebmmwlerramvplW a. wRs.p r...«...Nom W eas.a.dll.a�� Wa [.w� eae.msa. .la.4.Rel.: rlrc(tOnal) "w"b•"" vnnau n..t..yn.uiavas .,. Nxatmuc7 y (a-� to.p Progress Estimate � Is� 48736at Contractor's Applicntion Water Alain Replace went Contmcl2pl61st Renewal mxaf Fbe tFlnop He'etiee 2116/23 to 6112124 nr 6 =24 umm�. _.--__.— la Yap.as adOST amFh� aat.c w�`� l.t< n.....dF �.M vd: ♦a.'Fe. t=d a.�a1:� � X.d�eodsws e a�(e. n•+a y lu•fl iwe�ew�.esedse�h✓ri.Ie.n., Eemcd�ede.�u�al:yf je h mEsax..1 oa u� em..t.1 u nY a trm onf aI"d ®a 4y U:.d e.:f n b my Progress Estimate 49736-RI Net.,W h. Replacemcot Contnet 20161sl Renewal 2116W tD W2124 � F6uWC`.sq F31D..Y> �� (.-a.rrm„ Dawwo w.am eYvti u.rm een u•rt vte rao... E r s_.r. Contractor's Application 4 r.sw� r.e lrtaen ,y.c.s.n� Enan4u n � E �JIC�kW Y (B-n a•+• • v.h. Im.+�r(�uWVY Va>Th'•taw faa(ghC�l pdYPk ^ (6-l1 tD•D u FKtiams.w W k®N•uHar+�. k rsa�rw a:aca..yin•aem na...aeNy.•s w•+.Rr.yr c...r Mweu u.,... ClM UrAPrwinpnf EYeW Progress Estimate +w-r 41736-RI Contractor's Application °etlaA'Oj WaterWaRcplacemeat CM... CON Jst Renewal "^s'a Flle(FlDiQ 2116/13106/11/11 us NILIDH A C D E it ap B�f.abfiM BNiw14 31mU� lblHHvn W�ib 0.1eds 6/vJs �bQ�r rJ.� a�i+�IAWAJV.Y Nte abeeid iibYhe, y .dl� (a la.rl Spwas - Ddoltvkcl ry�E) 6 xx..3Edbaau.�y.l i.en..FFMda..n w/ertle�rlyrlhh sSn4sYst...Q.r�bw MA+ee.i �Wuvn�W 4+e11�bi4omLa Gcv U.itvnv Rq+.0 E.�� Progress Estimate Cantractor'sApplication eaj""'Of Water MaInReplact—tConlmce 2016 ist Renewal a»_.. F1ro/Flail) e.nbt'ee�.f 711&731a6117120 nwaafs.o-< 6'ILI031 SeeNa UMNe1��f ~4WV Uiih'x eJY.be eiepf�y� vYr t^.e YYanaNTe vuuTY'.Ab ',fb.flmie q' ufflo fl� f� Rfl reaaf -- fzmenm mrfefn fm,enn mlmxr x—ex sexaxcn la.sn�atupm�+av6ro�n.�y-J �.uuFloCmwn.w.timadm Nf'�yf k ..Afau+Y...� ve�..rebr+f kdv..wa+.MfNw.l�i¢Caetl p+blaom.'m Citv of Fort Worth Summary of Charges F�V060-0000016817 CitySecretary Contract xum: 48736-R1 Water Main Replacement Contract 20161st Renewal IP.O.: Projectxumber: 100435-2 Application Period: I 2/16/23 to 6/12/24 I Application I Five (Final) Number. Application Date: 6/1212024 Funding Identification (FID) Total Completed Amt Remaining Gross Net — -_. ---Original Coniract `-- -- 6800206004305740010-100435-001580-9999 $7917,609.77 $2,202,065.23 0 0 0 ----- ---- - - - --.. - 0 -- -- 0 0 0 Change Order 1 66002 0600430.5740010-100435-001680-9999 0 0- 0 0 0- 0 0 —- 0 Cliarige 6rder 2 560020600430-5740010-100435-001680-9999 0 _ 0 0 0 D 0 --- - City of Fort Worth Summary of Charqes FN060 000001681 . City secretary ContractNum: 48736-R1 VVaterMainReplacementContract20161stRenewal IP.O.: ProlectNumber. 100435-2 Application Period: I 2/16/23 to 6/12/24 I Nurnl r: I Five (Final) Application Dam: - 6/12/2024 Number: Funding IdantiRcatlon (FID) Total Completed 'Ami Remaining Gross ^ Retalnaga Net Change Order 3 56002 0600430-5740010-100435-001580-9999 0 --- 0 0 - -- - - -- - -- 0 --- - - ------ —. - --..------- 0— Chan,�(e Order 4 56002 0800430-5740010-1004350IM580-9999 0 --- — 0 - --- U- - - — - - 0 --------- - ------------- 0 - ---- — -- - -- -- 0 0 - - - - - -- - -- D Change Order 5 560020600430-5740010-100435-001680-9999 0 -- - - - -- 0 0 -- -- .0 -- -- - - -.. .D --- -- -- - - - -- -- 0 - --- --. - - - -- - -- 0 - Citv of Fort Worth Summary of Charges City Secretary ContractNum: 48736-R1 Water Main Replacement Contract 20161st Renewal P.O.: FW060-0000016817Pmjxt Number. 100435-2 - Application Period:- I 2/16/23 to 6/12/24 I Application I Five (Final) Application Date: 6/12/2024 Numlxr. I Funding Idanti8cation (Fib) Total Completed Ant Ramalning -'dross Reta)nage Net Change Order 660020600430-5740010-100435-001680-9999 0 -- -- 0 ----- 0 - - —------- — ----- 0 -- Q----- - - - - ..-- - -- - -- --- 0 - - Change Order 7 560020600430-5740010-100435-001580-9999 0 -- -- - - -- - - - -- -- - -- - -- - -- --- -- 0 -- --- 0 - - 0 - -- - - -- - -- - - 0_..-.-- 0 0 Change Order 8 560020600430.5740010-100435-001580-9999 0 -- ----- 0 - - 0 0 — ---------_. - 0 - 0 City of Fort Worth Summary of Charges City Secretary ContractNum: I 48736-R1 I Water Main Replacement Contract 20161st Renerval P.O.: FNV060-0000016817 Project Number. 100435-2 Application Period: I 2/16123 to 6/12/24 I Application I Five (Final) Application Date: 6/12/2024 Number: Funding Identification (FIDj Total Completed AintAsim i ing Gross Retainage Net Totals 560020600430-5740010-10043"01580-9999 0 0 0 0 - - - -- ---.. 0 0 -- I Grand Total $.797,509.77 $2,202.065.23 1 1 $797,509.771 1 $2,202,065.231 1 $0.001 1 $0.001 1 $0.001 FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Water Main Replacements Contract 2016 1 st Renewal CITY PROJECT NUMBER: 100435 WATER PIPE LAID SIZE TYPE OF PIPE LF PVC 6" C-900 PVC 188.90' PVC 8" C-900 PVC 2423.889' PVC 12" C-900 PVC 974.20' DIP 8" DIP 17.3 FIRE HYDRANTS: 1 VALVES (16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Densities Passed NEW SERVICES: 1" Copper 999.90, I SEWER PIPE LAID SIZE TYPE OF PIPE LF PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS June 14, 2024 Circle C Construction Company PO Box 40328 Everman, Tx 76140 RE: Acceptance Letter Project Name: Water Main Replacements Contract 2016 15t Renewal Project Type: Water City Project No.: 100435 To Whom It May Concern: On June 14, 2024 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 June 14, 2024, 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- 392-2626. Sincerely, taw -vice flaw lW ii Lawrence Hamilton (Jun 25, 202414:39 CDT) Lawrence Hamilton, Project Manager Cc: Cristobal Fuentes, Inspector Mike Glover, Inspection Supervisor Randy Horton, Senior Inspector Lawrence Hamilton, Program Manager City Of Fort Worth, Consultant Circle C Construction Company, Contractor City, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 08/20/19 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 Replacements 2016 111 Renewal CPN 100435 BY �Q�'/ Subscribed and sworn before me on this .Z b 441 Day of,� L) r� P , 2024. e�^�av a e� ARICIiBi.$ $ LANKFORD Notary Public STATE OF TEXAS Notary Public in Tarrant County, 77 CONSENT OF SURETY TO FINAL PAYMENT AIA Document G707 Bond No. TXC608550 TO OWNER: City of Fort Worth 1000 Throckmorton Street Fort Worth, TX 76111 PROJECT: (name, address) First Renewal - Water Main Replacements Contract 2016 in the City of Fort Worth, TX OWNER ARCHITECT CONTRACTOR SURETY OTHER ARCHITECT'S PROJECT NO.: City Project No. 100435 CONTRACT FOR: Utility Improvements CONTRACT DATED: January 9, 2018 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) 2100 Fleur Drive Des Moines, IA 50321-1158 ,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 final 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: June 21, 2024 (Insert in writing the month followed by the numeric date and year.) Merchants Bonding Company (Mutual) (Surety) (Signature of autho9zed representative) itness as to Suret Sheryl A. Klutts, Attorney -in -Fact 7(Seal . (Printed name and title) John A. Miller, Witness 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 • AIA® One Page ©1970 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave., NW, Washington, D.C. 20006 MERCHA T'S BONDING COMPANYT. 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 Iowa, 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 performance 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 adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2015. "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 consenting 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 20th day of March 2023 .••""""'•. . • • "' • • . MERCHANTS BONDING COMPANY (MUTUAL) `�••�P�,PO A� •� • .�D�NG C. A BONDING,MERCHANTS NATIONAL d/b/a MERCHANTS NATIONAL INDEMNITY COMPANY :y:•oR R.q•.o .mo•oaP09''9y: :a:2 -o- G:�: .r—:2 -o- C3:- 2003 1933 By •'.�.Jl•' ���� ••J�Ji \;\ate:• President STATE OF IOWA •� .• .• COUNTY OF DALLAS ss. •��"""'��• On this 20th day of March 2023 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. ti�a�u s Kim Lee a° e ' Commission Number 702737 My Commission Expres juwf, Apnl 14, 2C24 Notary Public (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., 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 21st day of June, 2024. ....... ' iG��tPO%pq �pv;. �OvpRPOCID Aggy�• a — -o- 0: = o 0 3: 2003 ; �; • y 1933 'y secretary � : mod. .ate.•