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Home My WebLink About060068-FP1 - Construction-Related - Contract - Gra-Tex UtilitiesFORTWORTHo WATER DEPARTMENT NOTICE OF PROJECT COMPLETION Regarding Contract 60068 Water & Sanitary Sewer Contract 2019 WSM-O, Part 2 for as required by the Water Department as approved by City Council on $�8�23 through M&C 23-0652 the Director of the Water Department, upon the recommendation of the Assistant Director of the Water Department, has accepted the -FP1 City Secretary No: 60068 Date Received: 3/4/2026 City Project No: 103381-2 project as complete. Original Contract Amount: Amount of Approved Change Orders: Revised Contract Amount: Total Cost of Work Completed: Less Deductions: Liquidated Damages: Pavement Deficiencies: $7,096,879.00 $0.00 $7,096,879.00 $6,729,429.77 Days 540 No � Days Added by CO 1� Total Days 550 Days Charged 391 Total Deduction Amount: Total Cost of Work Completed: Less Previous Payments: Final Payment Due: �a� s�� Recommended for Acceptance Assistant Director, Water Department CGc�rJto,�Gce� ttaY�e� ,��.,,. �� , , 3 � �a ,� _� � Accepted Director, Water Department Days @ $ 0.00 $6,729,429.77 ($ 6,392,958.32) $ 336,471.45 /Day = $0.00 03/02/2026 Date 03/03/2026 Date 4FFICIAL RECORD CITY SECRETARY FT. WORTH, TX G620 Signature Page Contractor's Application for Payment Invoice No.� 18 (Release Retainage ) To �oWner>: City of Fort Worth �n�o��;n� �er�oa �Fro,» - To>: �n�o��e oare: 9/Ol/2025 to 9/30/2025 LO/8/2025 P O �,tx��-��,�� From (Contractor): Remit to ( If Not Automatic Deposit ): Numbcr. �� Gra-Tex Utilities Project 103381-2 Contractor's CFW Vendo� No.: 0000031786 c�� s��«tary coat�a�t 60068 c°°``a°` Water & Sanitary Sewer Contract 2019 WSM-O Part 2 Number: Name: � Application For Payment Change Order Summary Approved Change Orders Number 1 2 3 4 5 6 7 8 TOTALS� NET CHANGE BY CHANGEORDERS Additions $29,700.00 $29,700.00 l. ORIGINAL CONTRACT PRICE ............................................................. $ $7,096,879.00 Deletions 2. Net change by Change Orders ................................................................... $ $29,700.00 3. Current Contract Price (Line 1 t 2) .......................................................... $ $7,096,879.00 4. TOTAL COMPLETED AND STORED TO DATE (Progress Estimate, Construction Allowance and Change Orders)....... $ $6,729,429.77 5. RETAINAGE: a. X $6,729,429.77 Work Completed.......... $ b. X Not Used $ c. Total Retainage (Liue Sa + Line 56) ................................. � 6. AMOUNT ELIGIBLE TO DATE (Line 4- Line Sc) ............................... $ $6,729,429.77 $29,70Q00 7,LESS PREVIOUS PAYMENTS (Line 6 from prior Applicafion) ..............$ $6,392,955.32 S.AMOUNT DUE THIS APPLICATION .........................................................$ $336,471.45 9. BALANCE TO FINISH, PLUS RETAINAGE (Column G on Progress Estimate+ CA + COs + Line 5 above) ............... $ $367,449.23 Contractor's Certification 10. CONTRACT TIME: Thc Contractor ccrtifics with thc submittal of this documcnt and associatcd Paymcnt Rcqucst Submittal on thc City of Fort Worth Buzzsaw systcm that to thc bcst of thcir knowlcdga (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 incoxporated in said Work or otherwise ]isted in or covered by this Application for Payment will pass to Owner at time of payment free and clear of all Liens, security interests and encumbrances (except such as are covered by a Bond acceptable to Owner indemnifying Owner against any such Liens, security interest or encumbrances); and (3) all W ork covered by this Application for Payment is in accordance with the Contract Docaments and is not defective. Liquidatcd Damagcs $650.00 x day �:i. � � Affidavit of Bills �� Consent of Surety a, Days Awarded Sqp b, Days Added by CO � p �, Total Days 550 d, Days Charged 391 e, Days Remaining 159 #VALUE! 10/8/2025 This document has been modified from its original form as an EJCDC document and the user did not highlight the modifications. You are encouraged to read the document carefully and consult Legal Counsel prior to its execution. G620 Unit Price Progress Estimate Progress Estimate P°` �`°°"°"�` Water & Sanitary Sewer Contract 2019 WSM-O, Part 2 nOP�""10° "`°O`�. 9/Ol/2025 to 9/30/2025 A I�eni 6id Itcm No. Dcscri�tian 1 3311.0261 8" PVC �/Ja�el[` N�(�TE�j INjPROXFMF.NT$flll P 1Rid/ /�Ibl 8 k 2 3311.0251 8" DIP Wa�er. Acce able Backfill 3 3311.0161 6" PVC Wa�er Rp,e�-14. Acceo�able Backflll 4 0241.0100 Remove Sidewalk SOI50' s ozai.oaoi Remo�ec000re�e� e lbizsrsoi 8 0241.1400 RemoveConcValle�G�tter5�2�525550�1, 9 0241.1001 WalerLlneGrou�i 10 0241.1118 4"-12" Pressure P�(�nmen� Plu 11 0241.1218 4"42" WaterAband {� 12 0241.1301 Remove and Salvaae 4"-12" Wa1er Valve 13 0241.1510 Remove and Salvaae Fire HN�jrant 14 0241.1511 Remove and Salvaae 3/4" Wa`er Me�er 15 0241.1512 Remove and Salvaae 1" Water Me�er 16 0241.1513 Remove and Salvaae 1 1/2" Water Meter 17 0241.1514 Remove and Salv(j� 2" Water Me�er �8 0241.1506 2" Surface Mllllnq (50/50) 19 0241.1700 11" Pavemen� Pulvenza�ion/25/25I50\ 20 3123.0107 Unclassl(led Slree� Excavation 125/25l$Ol 21 3125.0101 SWPPP 21 acre 22 3201.0113 6' Witle As hal� Pvml Reoair. Residen�ial 23 3201.0123 6' Witle As�qal� Pvml Reoair. Arlerlal 24 3201.0201 As hal� Pvml Reoqair Bevo�n1tl DeMetl Wid�h. Resitlen�lal 26 3201.0400 Te�olrarvAsohal�IPavinaReoa�r(2"HMACon�6�'Flexbasel 27 3201.06'14 Conc Pvm� Repair, Resitlential Z$ 3201.06'I6 Conc Pvm� Repair, Ar�erial/IndusVial 29 3211.0601 CemLime Stabiliza�ion o 32Lbs/SY (25/25/501 30 3212.0302 2" As halt Pvm� Tvoe \D�50/50) 31 3212.0303 3" As It Pvm� Tyyypp o 25/2$(501 32 3212.0401 HMA�ransihon �2512 /l501 34 3213.0401 6" Concrete Dr vle ao 52$I25/50 36 3216.0301 T' Conc Valle`a(Gutt �Res den�al��5/25/501 3� 3217.5001 Curb Address Pain�ino (25/25/501 38 3291.0100 Tg�iPSodSPlacem,en� 25/25/50 39 3292.0100 BI k ( 40 3292.0400 Seedinq. HYdromulch �25/25/SO�emp 41 3304.0101 TemnpraY Waler Services (2 orary Srze) 42 3305.0003 8" Water' Lowen� 43 0. x lo �or ava('ion of Exis�inq Utihbes ��a� �� ar�.� 44 � 45 3305.0111 Valve Box Qdjuslmen� W/ Conc Collar (SOI50) qg 3305.0202 Impohed Embetl/C55 47 3305.0203 Impohed EmbetlmenVBackfill, CLSM 48 3311.0007 Ductile Iron Water Fl��ings 49 33120007 Fire H`�drant 50 33120117ConnecllontoExis�inj� 4"-1Y'WaterMain 51 33122001 1" Water Service. Meier Reconnec�ion 52 33122003 1" Water Service 53 33122003 1" Water Service �Assessment Tao With Emo�v Meter Boxl 54 3312210111/2"WalerService.Me�erReconnechon 55 33122103 11/2" WaterService 56 33122201 2" Water Service. Meter Reconnec�ion 5� 33122203 2" Water Service 58 3312.3002 6" Gate Valve 59 3312.3003 8" Gate Valve 60 0171.0101 Construc�ion Stakma 61 0171.0102 Redline As-Butll Survev 62 3471.0001 Traffic Control 63 9999.0001 8"x8" Cuhin-Tee 64 9999.0002 8" Cuhin Ga�e Valve 65 9999.1000 Irnqabon Adiuslmen� 8 Landscape Reoar Allowance Spcciticetion Scc��on No 33 11 12 34 11 12 33 11 I Z 02 41 13 02 41 13 02 41 I S 02 41 I S 02 41 I S 02 41 14 o�ai ia 02 41 14 02 41 14 02 41 14 02 41 14 02 41 14 02 41 14 02a1 la 0241 IS 0241 IS 31 23 16 31 25 �0 32UII] 32UII] 3�U11] 3� 01 1� 3201 IN 32 01 29 32 01 2Y 32 11 33 321216 32 12 I6 3z iz ia 3z i3 zo 32 13 20 32 16 13 32 16 13 32 1 ] 25 32 91 19 32 92 13 32 92 13 33 04 30 33 OS 12 33 OS 30 33 OS 10 33 05 14 33 US IU 33 US IU 33 11 I 1 33 12 40 33 1225 33 12 10 33 12 10 33 12 10 33 12 10 33 12 10 33 12 10 33 12 10 33 12 20 33 12 20 oi n za oi n za 34 J I 13 33 12 _'± 33 12?0 99 99 00 Unit af Mcatiwc LF LF LF sF SF SY LF SY CY EA EA EA EA EA EA EA EA SV SV CV LS LF LF SV SV LF SY SV TN SV SV TN SF SF LF SV EA CY SY SY LS EA EA LF EA CY CV TON EA EA EA EA EA EA EA EA EA En En LS LS MO EA EA LS City Secretury 60068 Contr.�ctNum D B u�a Q�a�,ary uon rd<e u�n vewe 7529.000000 294.000000 401.000000 ss.000000 1419.000000 250.000000 362.000000 25.000000 4.000000 1.000000 3.000000 11.000000 6.000000 1.000000 140.000000 2.000000 1.000000 151.000000 fi311.000000 63.000000 1.000000 87.000000 430.000000 25.000000 25.000000 9710.000000 25.000000 �am.00000a mi.000000 151.000000 6311.000�00 is 0000aa ss 0000aa noo.0000aa sao.000000 25.000000 11.000000 36.000000 330.00�000 so 000000 1.000000 13.000000 12.000000 8224.000000 16.000000 15.000000 237.000000 3.000000 10.000000 20.000000 1]0.000000 1]0.000000 2.000000 1.000000 1.000000 1.000000 1.000000 10.000000 zs.0000aa i 0000aa i 0000aa s.0000aa i.0000aa 1.000000 1.000000 $105.00 $110.00 $90.00 aio.00 $6.00 $10.00 $1300 $38 00 $750 00 $750 00 $500 00 $375 00 $500 00 $250 00 $300 00 $300 00 $300 00 $52 00 $1300 $85 00 $2,500 00 $90 00 $110 00 $120 00 $140 00 $33 00 5200.00 5245 40 saoe aa $41.00 $33.00 $354.00 $18.00 $1� 40 $28 40 $160.00 $90.00 $50.00 $20.00 $ia.00 $150,000.00 $14,000.00 $1,500.00 $1.00 $1,500.00 $155.00 $195 00 $8.500.00 $6 400.00 55,000.00 56�5.00 sz,aoo aa sz,aoo aa si,soo aa ss,soo aa si,soo aa ss,soo aa si,soo aa sz,aso aa $18,000 40 58,500.4a sz,�saaa sa,�saaa ss,soo.ao $20,000.00 I $790,545.00 � $32.340.00 � $3fi,090.00 � $650.00 � $8.514.00 � $2,500.00 � $4,706.001 $950.001 $3,000.001 $750.001 $1,500.001 $4.125.001 $3.000.001 $250.001 $42.000.001 $600.001 $300.001 $7.852.001 $82.043.001 $5.355.001 $2.500.001 $7.830.001 $47,300.001 $3.000.001 $3.500.001 $320.430.001 $S,OOO.00 I $344,]i5.001 $a�,zoa.00 � $6,191.0� � $208.263.0� � $s�aio.00� $�..no.00� $28,900.0� � $ i s,soo.00 � $a,000.00 � $990.0� � $z,sao.00 � $s,soo.00 � $�oo 00 � $150.000.00 � $182.000.00 � $18,000.00 � $8,224.00 � $24,000.00 � $2,325.00 I $46215.00I $25,500.00 I $64,000.001 $�00,000.001 $114,]50.001 $391,000.001 $a,soo.00 � $�,soo.00� $s,soo.00 � $� soo 00 � $ssoo 00 � $ i s.000.00 � $��,zso.00 � $ i a,000.00 � $e,soo.00 � $ i s,soo.00 � $s,�so.00 � $s.soo.00 � $20,000.00 � 6 es��neienQ�a„�a � Insmlled I �sss.00000000� zsa.00000000� ao�.00000000� I 3111.�0000000� 658.�0000000� 1162 �00000001 24 000000001 a o0000000i � o0000000i 3 000000001 11 000000001 6 000000001 1 000000001 140 000000001 I I 183 000000001 7655 330000001 I 1 000000001 I I I I 9710 000000001 33.�000OOOOI ian.oaa00000� ioi.oaa00000l 183.�4000000� saii.oaaa0000l � 209.�0000000� 46326]000000� iaoi.oaaaa000� as.oaaaa000� � as.oaa00000� aao.oaa00000� I �.oaa00000� 13.�4000000� s.oaa00000� ��s.00000000� 21.00000000� � I 3.�000OOOOI io.oaa00000� is.oaa00000� no.oaa00000 I no.oaa00000 � zoaa00000l I I i.oaaa0000l �.oaa00000� io.oaa00000� zs.oaaoa000� �.oaaoa000� �.oaa00000� s.oaa00000� �.oaa00000� �.oaa00000� I $�93,695.00 $32,340.00 $36,090.00 $18,66fi.00 $6,580.00 $15,10fi 00 $912 00 $3,000 00 $�so 00 $1,500 00 $4,125 00 $3,000 00 $250 00 $42,000 00 $]93,695.00 532,340.00 536,090.00 518,66fi.00 $6,580.00 $15,10fi 00 $912 00 $3,000 00 $�50 00 $1,500 00 $4,125 00 53,000 00 $250 00 542,000 00 � $320,430 00 $6,600.00 $341,165 00 5ai,zas o0 $],503 00 $208,263 00 $3,]62 00 $�8,]55 39 $39.228 00 S�.saa ao $2.880.00 $s,soa.00 $iso,000.00 $182,000.00 s�z000.00 $�,ns.00 531,500.00 .. ' �' $320,430 00 56,600.00 $34�,165 00 sai,zoa ao 5�,5�3 00 $208,263 00 53,�62 00 5�8,�55 39 539 228 00 5�,eaa aa 52,884.00 ss,soa.ao $150,000.00 $182,000.00 siz,000.00 $�,��s.00 $31,500.00 $25,500.00 I 525, 500.00 $64, 000.00 I 564, 000.00 $�5,000 OO I 5�5,000.00 $114,]SOOOI $114,�50.00 $381,QOOOOI $391,0�400 $a,saa oo � sa,soa ao S�saaool si,soaaa Ss,saa oo I ss,soa aa sis,aaaool s�s,00aao s�i2saaol s�i,zsaao sie.aaaao sia,00aao Se,saa.00l sa,soaao sia,�sa.00l sia,�saao $3,]SO.00 I 53,�54.00 $S,SOO.00I 55,5�4.00 ,Z Contractor's Application APPr`a��°° N°�"n". 18 (Release Retainage ) npplicauon oa�c �0/R/2025 E F Mate�ials P�esemly 'folnl Coin0le�ed % S[ored (iiol in C7 +'nd SIorPA lo Dale (P) (U+�) y $]93,695.00 1004% $32,340.00 100.0 % $36,090.00 100.0 % $18,666.00 2192°0 $6,580.00 2632 % $15,10600 3210% $91200 960% $3,000 00 100 0 % a�s000 i000i $1,500 00 100 0 % $4,125 00 100 0 % $3,000 00 100 0 % $250 00 100 0 % $42,000 00 100 0 % 1 11 11 ' $320,430 00 100 0 % $6,600.00 132.0 % $34�,185 40 100 ] % $ai.zoeaa ioaa� $�.503 40 1212% $208,263 40 1 �0.0% $3,�6240 321.5% $]8,�5539 2]2.5% $39,228.40 233.5% $�.sao.00 iss.a% $2,880.00 100.0% $s.soo.00 ioo.ai $iso.000.00 ioo.oi $182,000.00 100.0 % siz000.00 ss.�i $�.ns.00 sa.si $31,500.00 131.3% (i Nalance�o Finish t�-r�> -$3,150.00 $sso.00 -$10,152.00 -$4,080.00 -$10,400.00 $38.00 $fi00.00 $soo 00 -$1,fi64.00 -$17.476.29 $5,355.00 $7,830.00 sa7,soo.00 $3,000.00 $3,500.00 -$1,fi00.00 -$2,450.00 -$�,312.00 $5,3�0 00 -$2,592.00 -$48,855.39 -$22,428.00 $3 840 00 $990.00 $�ao.00 $s,000.00 $aas.00 -$7,500.00 $2,325.00 $46,215.00 $za,000-oo $�,soo.00 $s,saa.00 $s.�so.00 $20,000.00 This document has been modifled from i�s original form as an EJCDC tlocument and the user tlid no� highlight �he modrfica�ions. Vou are encouraged to read �he dacumen� carefully and consul� Legal Counsel prior to I�s execuhon. G620 Unit Price Progress Estimate Progress Estimate P°` �`°°"°"�` Water & Sanitary Sewer Contract 2019 WSM-O, Part 2 nOP�""10° "`°O`�. 9/Ol/2025 to 9/30/2025 A I�eni 6id Itcm No. Dcscri�tian Spcciticetion Scc��on No 66 9999.1001 Construc�ionAllowance 999900 UNIT II: SEWER IMPROVEMENTS 3331.4115 8" Sewer Pipe PVC SDR-26. Accep�able Backfill l3 11 10. 9l 31 1 12.33J120 3331.4115 8" Sewer Pipe Class 180 Pressure Re�etl Green, Acceptable 33 11 10.91 31 Z Backfill 12,333120 3 3331.2101 6"CIPP 333112 3331.4115 8" Sewer Pipa B O.T.O C(Per D204) J] 11 IO.IJ 31 4 12,33J1?0 3331.5747 8" Sewer Pipa PVC SDR-26, CLSM Backfill l3 11 10. ll 31 5 12, 33 31 20 3331.4119 8" DIP Sewer Pipe, Accep�eble Backflll (W/ Epoxy Lining Pro�ecto 33 11 10 6 401orE(��ell 3331.57d8 8� DIP Sewer Pipe, CLSM BecMill (WI Epoxy Llning Prolec�o 401 33 11 10 � orEqual) g 0241.0401 Remove Concre�e Drlve (25/25I50) 02 41 13 9 0241.0500 Remove Fence (Prlva�e Servwe Re-RONe) 02 41 13 �p 0241.1000 RemoveConcPvm��25/25/50) 0241IS 11 0241.1300 Remove Conc Curb & Gutter (26I25/50) 02 41 IS �Z 0241.1400 Remove Conc Valley Gutter (25I25/50) 02 41 IS 13 02412101 4"SewerAbandonmen�Plug 024114 14 0241.21026"SewerAbantlonmen�Plug 024I14 15 024121038"SewerAbendonmen�Plug 024114 16 0241.210410"SewerAbantlonmen�Plug 024I14 1� 0241.2001 SanRarvLineGrou�inq 024114 18 02412201 Remove 4' Sewer Manhole 0241 14 19 0241.1700 11" Pevemen� Pulvenzatlon�25(25I50\ 0241 IS 20 3123.0101 Unclessifled Stree� Excevehon (25I25/$b) 31 23 16 Z� 3201.01138'WideAsqheltPvmtReoeir.Residenhel 32011'] 22 3201.0241 Asphel� Pvmt Repair Beyond Oefinetl Wid�h, Reeiden�lal 3201 I'] 23 3201.0400 Tem�1orary' As/)hal� Pevin{j Re{� I�I2" HMAC on fi"Flexbasel 32 01 18 24 3211.0841 CemL�mes'ka6Tze�lon�o'32W�/V[25/25I50) 321133 25 3212.0343 3" Aephall Pvmt Type 0(25/25/50) 32 12 I6 26 3212.0401 HMAC Transhon f25125/SOj 32 12 IG 2� 3213.0401 6" Concrele Drivewa`( (2512$/50) 32 13 20 28 3216.0101 6" Canc Curb end Gul�er 125/2$/50 32 16 13 29 3216.0301 7" Conc Valle`(Gutter, Residenhal ��5/25/501 32 16 13 30 3217.5001 CurbAddressPain�lno(25/25/501 321]25 31 3291.0100 Tg�5pil(25/25/501 329119 32 3292.0100 Block Sod Placemen� (25/25/501 32 92 13 33 32920400 Seetling Hytlromulch (25/25/60) 32 92 13 34 3301.0001 Pre-CCTV Inspec�lon 33 01 31 35 3301.0002 Pos4CCTV Inspec�lon 33 01 31 36 3301.0101 Manhole Vecuum Teshng J3 01 30 37 3331.01038"SewerPipe,PomtRepair 333122,3331 38 3305.010� Manhole Atljuslmem, Minor WI Concrele Collar (50/50) 33 OS IJ 39 3305.0109 Trench Sa(ery 33 OS 10 40 3305.0110 Utihty Markers 33 OS 26 q� 3305.0112 Concre�eCollar 33051] qp 3305.0113 Trench Weter Stops 33 OS 10 43 3305.02a2 Impohed EmbedICSS l} Os 10 qq 3305.0243 Imporletl EmbedmanV6ackfill, CLSM 33 OS 10 45 3305.020] ImPorled Embedmen�/Backflll, Select FIII 33 05 10 46 3231.0121 4' Chaln Link, Aluminum (Private SarNce Re-Rou�e) 32 31 13 q7 3231.0132 5' Wrou9h� Iron Fence (Private Service Re-Rou�e) 32 31 13 qg 3231.0412 6' Fences, Wood (Pnva�e Service RaRaute) 32 31 29 qg 3331.3101 4" Sewer Service J} � � 50 3331.3101 4" Sewer Service (Pnve�e Service RaRoute) " 33 31 50 50 City Secretury Contr.�ctNum 60068 B c u�nvewe es��neien�2�a�,�ry Insmlled $�00.000.0 I I I I $659,250.00I 52�4.0000OOOOI $23,880.00 I 199.00000000 I saz �ze oo l ne o0000000 l $9,000.00 I 20.00000000 I $2,SOO.00 I 10.00000000 I St,aso.00l io.oaa00000l $3,00O.O�I 10.�000OOOOI Ss,iss.00� zgas.oaa00000� $2,500.00� � $2,500.00 I 219.33000000I sa,�os ool >>sz00000000l $950.00I 24 OOOOOOOOI $s,soo.00� �s.00000000� ss,soo.00� is.oa000000� $1,200.00 I 2 OOOOOOOO I b�,zoo.00� zoaa00000� $14,500.00� 29.�4000000� gia,zso.00l ig.oaa00000� $82,043.0�� 655.33000000� gs,ass.00 I I ga,�so.00 I I $3,000.0�� gsez.soo.00l �azo.oaaa0000� ga��,zoa.00l ioi.oaaa0000� $zos,zsa.00l �sss.aa000000� $5,310.0�� $28,900.0�� 445�.6]000000� $16,800.0�� 1391.�4000000� ga,000.00l as.oaaa0000� g�,ioo.00l I $8,640.001 108.00000000 � $75,160.001 �58.�0000000� $]00.00� � szwo.00l iaaz00000000l $sz,aae.00l a�aa.i0000000l ss.zeo.00l a�oaa00000l $2.800.00 � � $iis,�oo.00l �e.00000000l $5,66�.00� 54�3.�0000000� $10,000.00� � $37,000.00� 37.�0000000� s�,aoo.00l iooa000000l $2.325.00 � � $4fi,215.00� � $600.00� � $2,500.00� � $1,950.00� � $800.00� � $zsa.00000l �i�oa000000l $36,00O.O�I 9.�000OOOOI u�n ov u�a Q��,nry uo�� rd<e Mcatiwc LS 1.000000 $100.000.00 LF LF LF LF LF LF LF SF LF SV LF SV EA EA EA EA CV EA SV CV LF SV LF TN sv TN SF LF SY EA cv SY SV LF LF EA LF EA LF LS EA EA CV CY CV LF LF LF EA EA 52]4.000000 199.000000 1]5.000000 20.000000 10.000000 10.000000 10.000000 1366.000000 50.000000 250.000000 362.000000 25.000000 16.000000 16.000000 2.000000 2.000000 29.000000 19.000000 6311.000000 sa.000000 zs 0000aa zs 0000aa �azo.0000ao �oi.0000aa 6311.000000 15.000000 7]00.000000 600.000000 25.000000 11.000000 �O8D00000 ]58.000000 50.000000 500.000000 5668.000000 37.000000 8.000000 19.000000 566].000000 1.000000 37.000000 10.000000 15.000000 237.000000 15.000000 50.000000 30.000000 16.000000 117.000000 8.000000 $125.00 $120.00 $18�.00 $450.00 $250.00 $185.00 $300.00 $6.00 $50.00 $10.00 $13.00 $38 00 $600.00 $600.00 $600 00 $600.00 5500.00 s�so aa 513 40 585 Qa siso aa si zo aa sao aa 5408 40 533 40 $354.00 $1].00 528.40 si so.ao si oo.ao $50.00 $20.00 $14.00 $5.00 $11.00 $250 00 $350 00 $6,300.00 $1.00 $10,000.00 $1,000.00 $750 00 $155 00 $195 00 $40.00 $50.00 $65.00 $50.00 $2,000 00 $4,500.00 ,Z Contractor's Application APPr`a��°° N°�"n". 18 (Release Retainage ) npplicauon oa�c �0/R/2025 D E F (i 'folnlCom0le�ed ^� Halavce�oPinish Mate�ials P�esen�ly VAlne PreviouslvlvsullcdValue ValueTlusPcriod S[ored(no�inC) +'ndSloreAloDa�e (Y) (B-h') (D+�) y I I I $100.000.00 $65H,250-00 $23,880-00 $32,]25-00 $8,000-00 $2,500-00 $1,850 00 $3,000 00 $1],616 00 $2,�93 30 $14,9]6-00 $912 00 $9,600.00 $9,600.00 $1,200 00 $1,200 00 $14,500 00 S�a,ssa o0 $9H,519 29 $292,800 00 $41 208 00 $252,625 89 $�5.]80.39 $38,948.00 $�.saa.00 $8,640.00 $15,'Ifi0.00 $7,235-00 $52,669.10 $9,250 00 $113,400.00 $5,4]3 00 $37,000.00 $7,500 00 �'�� $659,250.00 $23,880.00 $32,125.00 59,000.00 $2,500.00 $1,854 00 Sa.00a aa $1�,616 00 $2,193 30 514,916.00 $912 00 59,600.00 S9,600.00 51,200 00 51,200.00 514,500.00 sia,zsa ao 599,519 29 $zgz,eoa aa sai,zoa aa $252,625 89 5�5,�84.39 538,948.00 s�,eaa.aa 58,640.00 $15,160.00 5�,235.00 552,669.10 S9,250 00 $113,400.00 $5 4]3 00 $a�.000.00 $7,500 00 .� ��' $659.250.00 100.0 % $23.880.00 100.0 % $3? �25.00 100.0 % $9.000-00 100-0 % $2.500.00 100.0 % $1.850.00 100.0 % $3.000.00 100.0 % $1].61600 2�4.9% $2.193.30 8].]% $14.9�6.00 3'182% $91200 960% $9,600.00 100.0°0 $9,600.00 100.0 % $1,200 00 100 0 % $1?00.00 100.0 % $14,500.00 100.0 % $ia,zsoaa ioaa� $99,519 29 121 3% . 11 $zsz,aooaa ioaa� $ai.zoeaa ioa.a� $252,625.89 121.3% -$44,362.89 $5,3�0 00 $]5,�80.39 262.2% -$4fi,880.39 $38.948.00 237.8% $22.'148.00 $�,840.00 196.0% -$3,840.00 Stmo 00 $8,640.00 100.0 % $15,160.00 100.0 % $]00.00 $7,235.00 2894% -$4,]35.00 $52,669.10 84.5% $9,678.90 $9,250 00 100 0 % $2,800.00 $113,400.00 94.7% $6,300.00 $5,4�3.00 96.6% $194.00 $10,000-00 $37,000.00 100.0 % $7,500 00 100 0 % $2,325.00 $46,215.00 $600.00 $2,500-00 $1,950.00 $800.00 $234,000 00 100 0 % $40,500.00 1�2.5% -$4,500.00 This document has been modifled from i�s original form as an EJCDC tlocument and the user tlid no� highlight �he modrfica�ions. Vou are encouraged ta read �he dacumen� carefully and consul� Legal Counsel prior to I�s execuhon. G620 Unit Price Progress Estimate Progress Estimate P°` �`°°"°"�` Water & Sanitary Sewer Contract 2019 WSM-O, Part 2 nOP�""10° "`°O`�. 9/Ol/2025 to 9/30/2025 A I�eni 6id Itcm No. I Dcscri�tian Spccificetion Unit af Scc��on No Mcvsum 3331.3103 4" Bored Sewar Service (Prrvale Service Re-Rou�e, 1601 & 1809 33 31 50 51 Garl SLl `� EA 5Z 3331.3102 4" 2-Way Cleenaut (Pnvete Service Re-Route) "* 33 11 50 EA 53 3331.3102 B" Sewer Service 3311 50 EA Sq 3339.0001 Manhole Interlor Pro�ecting Coa�ing (Warren or A W. Chesterton J} �9 60 VF 55 3339.1�01 4'Manhole 333Y10,333Y Eq 58 3338.10024'OropManhole 333910,3339 Eq 5� 3339.1003 4' Extra Dep�h Manhole 33 39 10, 33 39 VF 58 3339.1004 4' Shallow Manhole 3319 10, lJ 39 Eq 59 3125.0101 SWPPP >_ 1 acre 31 25 00 LS 60 0171.0101 Construc�ion Steking 01 �1 23 LS 61 01�1.0102 RedlineAs-BuiltSurvey lll']121 LS 62 3471.0001 Trefllc Control 34 �I 13 MO 63 9999.1001 ConsVuc�lonAllowance 999900 LS UNIT III: PAVING IMPROVEMENTS � 0241.0100 Remove Sidewalk (50/50) 0241 13 SF 2 0241.0300 Remove ADA Ramp 0241 13 EA s oza�.oaoi Ramo�aco��eca�d�a�zsizsiso� ozaiia sF 4 0241_1000 Remova Gonc Pvm� (25/25/50) 0? 41 IS SY 5 0241.1300 Remove Conc Curb & Guller (25125/50) 02 41 IS LF 6 0241.1400 Remove Conc Valley Gutter (25125/50) 02 41 IS SY � oza�.isos z•s�rta�eM��ir�9�soiso� ozai is sv g 0241.1700 11" Pavemen� Pulvenza�ion (25/25I50) 0241 IS SV g 0241.1800 RemoveSpeetlCushion 0241IS EA 10 3123-0101 Unclasaifietl Stree� Excavallon (25I25/50) 31 2l Ifi CY 11 3125.0101 SWPPP _> 1 ac�e 31 2500 LS 12 3211.0601 CemLime Stabibza�lon � 32LbsISV (25/25/50) 32 11 33 TN 13 32120302 2" Asphal� Pvmt Type D(50/50) 32 12 16 SV �q 3212.0303 3" Asphelt Pvmt Type D(25/25/50) 32 12 I6 SV 15 32120401 HMAC Trensition (25/25/50) J21216 TN 16 3213.0301 4" Conc Sitlewalk (SOIS�) 321120 SF 1� 3213.0401 6" Goncre�e Drlveway (25125/50) 3213 20 SF ig 3216.0101 6" Conc Curb and Gul�er (25/25/50) 32 16 13 LF 19 3216.0301 7" Conc Vallay Gutter, Rasidenlial (25125/50) 32 16 13 SY 20 3217.0111 Preformed Thermoplestic Con�rest Markings-6" SLD �Y) 32 I] 23 LF 2q 3217.0113 PrePormedThermopleshcCon�restMerkings-6"Dashed(W) 321�23 LF zz 3217.0203��S��vm�iv�arking�ape(W)-Pre(ormedThermoplas�lc 321�23 LF 23 321�.0502 Preformetl Thermoplastic CONrast Markings - 24" Crosswalk 32 I] 23 LF 24 3217.0504 PreFormed Thermoplastic Con�rast Markings - 24" S�op Bars 32 1] 23 LF 25 3217.2103 REFL Ralsed Marker TY II-A-A 32 1] 23 EA 26 32172104 REFL Relsed Merker TV II-GR 32 IJ 23 EA 27 3217.5001 CurbAddressPem�ing(25/25/50) 321]25 EA ?g 3291.0100 Topeoil(25I25/50) 329119 CY 29 32920100 Block Sotl Placemem (25/25/50) 3292 I1 SY 30 3292.0400 Seetling Hytlromulch (25/25/60) 32 Y2 13 SV 31 3305.0107 Manhole Ad�uslmen�, Minor WI Concre�e Collar (50/50) 33 05 la EA 32 3305.0111 Valve Box Ad�uslmen� W/ Conc Collar (SOI50) 33 OS 14 EA 33 3346.0008 4" Pipe Underdrain, Type 8 33 4/ 00 LF 34 34�1.0001 TrafficControl J4�113 MO 35 9999.0002 RemovaantlReplacelnletTop 000000 EA 38 9999.0�0� Barrler Free Ramq Motlifed Type R-1A 32 I3 20 EA 3� 3305.0108 Miscellaneous Ulib�y Irrigation (60/50) 33 OS la LS 38 9999.1001 PavingConstrucbonAllowance 999900 LS City Secretury 60068 Contr.�ctNum B c u�a Q�a�,a�y w�� rd<e u�n vewe es��neien �2�a„nry Insmlled 2.000000 25.000000 1.000000 194.000000 37.000000 1.000000 53.000000 1.000000 1.000000 1.000000 1.000000 6.000000 1.000000 65.000000 2.000000 2265.000000 500.000000 1224.000000 50.000000 151.000000 9558.000000 1.000000 125.000000 i.000000 153.000000 151.000000 9558.000000 30.000000 65.000000 3]00.000�00� 1]00.000000 50.000�00 1275.000000 625.000000 115.000000 �o.000000 42.000000 16.000000 27.000000 21.000000 45.000000 500.000000 50.000000 18.500000 16.000000 120.000000 6.000000 3.000000 z.0000aa 1.000000 1.000000 $6,600 00 $650.00 $2,750 00 $525 00 $6,950 00 s�,soo.00 $225.00 $5,750.00 $2,500.00 $18,000 00 $8,500 00 $2,�50.00 $]5,000.00 $10.00 $500 00 $s o0 $10.00 $13.00 $38.00 $52.00 $1300 $1,00000 $85.00 $z,soo.00 $408.00 $41.00 $33.00 $354 00 $1700 $16.00 521.00 $150.00 $5.00 $8 00 $1000 $23.00 $23.00 $15.00 $12.00 $90 00 $80 00 $20.00 $14.00 $6,300.00 $1,500.00 $20 00 $2,750 00 $1,000.00 $s,aoo 00 $20,000.00 $50.0OO.OP $13,600.00 I 2 OOOOOOOO I $16,250.00 I 25. �OOOOOOO I $2,750.00� � $101.850.00� � $zs�,iso.00l a�00000000l S�,soo.00l z.oaa00000l S>>,szsool szai000000l ss,�eo.00l z00000000l sz,aoo.00l i.oa000000l $is.00000l i oaa00000l $8,500.00� � S�s,soo.00l s.000a0000l $]S,OOO.00 I I � � $650.00� � $1.000.00� � $issso.00l s�� oa000000l $s,000.00l z�s.aa000000l Sts,sizool iiszoaaa0000l si,soo.00l za00000000l s�,aez.00l iaa.oa000000l $iza.zea.00l �sss a3a00000l $1.000.00� � $10,625.00� � $2,500.00� � Sszazaool �ssm000000l $6,191.00� 183.00000000� $315,414.00� 10344 00000000� $10b20.00� � $1,105.00� 20900000000I $59,200.00� 4632.6]000000 $45,900.00� 1401.�0000000� $7,500.00� 49.�0000000� $6,375.00� � $5.000.00 � � $1,150.00� � $1,610.00� � $966.00� � $240.00� � $324.00� � $1.890.00� � $3.600.00 � � $10,000.00� � $]00.00� � s��s,se000l n o00000001 sza,000.00l zi.oa000000l $2.400.00� � $16.500.00I aoaa00000l $3,000.00� � $71,600.00� � $zo,000 0o I I $SO.00O.00I I � ,Z Contractor's Application APPr`a��°° N°�"n". 18 (Release Retainage ) npplicauon oa�c �0/R/2025 D Valne $13,600 OO I $16,250.00 azs�, � so 0o I $i5,000.001 $11,�92 25I $11,600-00 $2.SOO.00 I $18,000 OO I $16,500.00 $18,66fi OOI $2.193.30I $15,�06 OO I $912.00 I $9,616.00I $99.519 29I $6],�56-56 $7,603-00 $341,352 OO I $3,553 OO I $�4,'122 ]2 531,82] OO I $7,350-00 I E F Mate�ials P�esemly 'folnlConi0le�ed "� I'rcviousl� I�is�allcJ Valuc \'�iluc��liis I'criod S[ored (iio�in C) +'nd SloreAlo Da�e (Y) (D + �) y $13,60000I I $13,60000 1000% $16,250.00I I $16,250.00 100.0% 11 . � 111, 111, . 111 11 11 1' . sim,�oo.00l sim.ioo.00 $31,SOO.00I $31,500.00 $11,000 OO I 511,000 00 :1 ' ' 11 1• • $10�.100.00 9�.9% $31,500.00 131.3 % $11,00000 667% (i Nalance�o Finish (B-h') 1 11 $8,500.00 $�5,000.00 $650.00 $1,000.00 -$5,076.00 $2,806.70 $806.00 $988.00 -$1,664.00 $24.734.71 $1,000.00 $10,fi25.00 Szsaa.00 -$5,33256 -$'1,312.00 $25,938.00 $10,fi20.00 -$2.448.00 -$14,922.�2 $8,0]3-00 $150.00 $6,375.00 $5,000.00 $1,150.00 $i,eio.00 $966.00 $240.00 $324.00 $1,890.00 $3,fi00.00 $10,000.00 $]00.00 $9,450-00 -$7,500.00 $2,400.00 $5,500.00 $3,000.00 S>> saa.00 $20,000-00 $50.000.00 This document has been modifled from i�s original form as an EJCDC tlocument and the user tlid no� highlight �he modrfica�ions. Vou are encouraged ta read �he dacumen� carefully and consul� Legal Counsel prior to I�s execuhon. Gg2oUnAPr� pro9cees Esd`�� . ..n�1CaCl�T1 e�� e�efo��v ena ��on �9a� �oo�� oa�` m ns exsoueon. � �p �eadthe d oc�m ser d�d rw� M9hG9�tihe mod�ficaGa�s, You are enwu�a9 �0� oocumen\ and the u �rf�ed icam ns oi�v`^s� to<n' es a� � '(hisd� my�tVrdsbee�n` City of Fort Worth Summary of Char�es Ciry Secrerary Connact tvun,: 60068 Water & Sanitary Sewer Contract 2019 WSM-O, Part 2 � P� � FW060-0000024673 projecr Nun,ber: 103381-2 Application Period: 9/Ol/2025 to 9/30/2025 APPlicat�on 18 (Release Retainage ) Application Date: 10/8/2025 Number: Funding Identification (FID) Original Contract 56002-0600430-5740010-103381-001780-9999(water) 56002-0700430-5740010-103381-001780-9999 (sewer) 30100-0200431-5740010-103381-002480-9999(paving) 0 0 0 0 0 0 0 0 Total Completed $3,344,659.68 $2,520,093.22 7309 $834,976.87 Amt Remaining $146,811.32 $116, 772.78 $133,565.13 Gross ## Change Order1 56002-0600430-5740010-103381-001780-9999(water) 56002-0700430-5740010-103381-001780-9999(sewer) 30100-0200431-5740010-103381-002480-9999 (paving) 0 0 0 0 0 0 0 0 Change Order 2 56002-0600430-5740010-103381-001780-9999(water) 56002-0700430-5740010-103381-001780-9999(sewer) 30100-0200431-5740010-103381-002480-9999 (paving) 0 0 0 0 0 0 0 0 $29,700.00 ($29,700.00) 7655 9710 320430 101 6311 ## Retainage Net City of Fort Worth Summary of Char�es Ciry Secrerary Connact tvun,: 60068 Water & Sanitary Sewer Contract 2019 WSM-O, Part 2 � P� � FW060-0000024673 projecr Nun,ber: 103381-2 Application Period: 9/Ol/2025 to 9/30/2025 APPlicat�on 18 (Release Retainage ) Application Date: 10/8/2025 Number: Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net Change Order 3 56002-0600430-5740010-103381-001780-9999(water) 56002-0700430-5740010-103381-001780-9999 (sewer) 30100-0200431-5740010-103381-002480-9999 (paving) 0 0 0 0 0 0 0 0 Change Order 4 56002-0600430-5740010-103381-001780-9999(water) 56002-0700430-5740010-103381-001780-9999 (sewer) 30100-0200431-5740010-103381-002480-9999 (paving) 0 0 0 0 0 0 0 0 Change Order 5 56002-0600430-5740010-103381-001780-9999(water) 56002-0700430-5740010-103381-001780-9999 (sewer) 30100-0200431-5740010-103381-002480-9999(paving) 0 0 0 0 0 0 0 0 24 0 City of Fort Worth Summary of Char�es Ciry Secrerary Connact tvun,: 60068 Water & Sanitary Sewer Contract 2019 WSM-O, Part 2 � P� � FW060-0000024673 projecr Nun,ber: 103381-2 Application Period: 9/Ol/2025 to 9/30/2025 APPlicat�on 18 (Release Retainage ) Application Date: 10/8/2025 Number: Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net Change Order 6 56002-0600430-5740010-103381-001780-9999(water) 56002-0700430-5740010-103381-001780-9999 (sewer) 30100-0200431-5740010-103381-002480-9999 (paving) 7655 0 0 0 0 0 101 0 7655 0 0 Change Order 7 56002-0600430-5740010-103381-001780-9999(water) 56002-0700430-5740010-103381-001780-9999 (sewer) 30100-0200431-5740010-103381-002480-9999 (paving) 0 0 0 0 0 0 0 0 Change Order 8 56002-0600430-5740010-103381-001780-9999(water) 56002-0700430-5740010-103381-001780-9999 (sewer) 30100-0200431-5740010-103381-002480-9999(paving) 0 0 0 0 0 0 0 0 4000 City of Fort Worth Summary of Char�es Ciry Secrerary Connact tvun,: 60068 Water & Sanitary Sewer Contract 2019 WSM-O, Part 2 � P� � FW060-0000024673 projecr Nun,ber: 103381-2 Application Period: 9/Ol/2025 to 9/30/2025 APPlicat�on 18 (Release Retainage ) Application Date: 10/8/2025 Number: Funding Identification (FID) Totals 56002-0600430-5740010-103381-001780-9999(water) 56002-0700430-5740010-103381-001780-9999 (sewer) 30100-0200431-5740010-103381-002480-9999 (paving) 0 0 0 0 0 0 0 0 � Grand Total Total Completed $3,344,659.68 $2,549,793.22 $834,976.87 Amt Remaining $146,811.32 $87,072.78 $133,565.13 � � $6,729,429.77 � � $367,449.23 � � Gross Retainage Net $0.00 � � ($336,471.49) � � $336,471.49 I G620 Change Order Progress Estimate Construction Allowance Usage Contractor's Application ADDITIONS Por (mm�ac�} Water & Sauitary Sewer Contract 2019 WSM-Q Part 2 Ciry Secrerery Apphcecion Nmvber. 103381-2 co�na��N��n 60068 18 (Release Retainage ) `�Pa11a°°° �ef1Oa: 9/Ol/2025 to 9/30/2025 `�PP��°a°°° °aie� 10/8/2025 A H ( � F F liem Nela�celo h'inish Cs�imemdQunmiry P�cviously Vel�cThis MatcrielsPrescmly T��C��P�e1� �� I�em Number Descripnon Spuificatio� Uml of Qunnhty ro Add U�rt Pncc AdAiho� Valuc Inslnlled Valuc �nslnlled Velue Penod Slo�eel (noi m C) °nA Storcd to De�c (F) B- � Suho�No Mws��e (D+� g This doc�me�thas bee� moditied fto�n its original Pomi as an FJCDC documem and �he �se� did not highligh� �he moditicatio�s Yo� a�e e�co��aged ro read the doc�mem carelvlly end consult Legal Counsel prior �o its exewtion �.620 Ghan9e �rde< o»enl cn«[ 1\) �nd coo��\t le6 t�Oans \ 4riot to lts e, ecvi�ou. ca ¢d ro czadche d ..w Y JU sce ei� u � ��ilCvf�DY�`. �tsn`me m .`a �wc �:��' me "s" d mw�t n�r Cuw� ron» as an E1CD� da" enxh;usbeenIDo��edftou ' C1Usd �°m G620 Change Order Progress Estimate Construction Allowance Usage CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED F�• t`°°��a��> 103381-2 warrr & sao�ra�y srwr� co�r�a�r zo�9 wsna-o, ea�r z Aer��a�� x��„ne.�. `��P�""��°° �`°°�- 9/O]/2025 to 9/30/2025 �'PP�"°`�°° De1e- A [i C � E Item 6idltanN�mba Dcscription SpcciFcation Uni�of Q�a�nryroDcictc U�itPricc Rcd�ctionVal�c NotUscd NotUscA notUscd NotUscd No[Uscd Secnon Nu- Measiire To�als Contractor's Application 18 (Release Retainage ) iaxizozs F Not UscA No� Uscd Not UscA This doc�me�thas bee� moditied fto�n its original Pomi as an FJCDC documem and �he �se� did not highligh� �he moditicatio�s Yo� a�e e�co��aged ro read the doc�mem carelvlly end consult Legal Counsel prior �o its exewtion G620 Change Order Progress Estimate Change Order Number � 1 � Contractor's Application ADDITIONS Fo�(��aoep 103381-2 �'ater & Sauitary Sewer Contract 2019 WSM-Q Part 2 c�ry se«e�a.y fi11116H np�i��auo� rv�i�nne��. 10 Cona'actNum: App°`a`�°° Pef1Oa 9/Ol/2024 to 9/301/2024 "pp11etlo° °a1e tol2/2024 a �t c: u t r ue�» tsaia��e m e�o�si, Addi[io� . To[xl Complc[cd "/o EstimetcAQun�ary P�cnously VelucThis MatcnnlsPmsc�tly ChangeOrde�Item Speafcauon Unnof COQunntitytoAdd UnitPnce ChangeOrder Value undStored�uDete (F) iB-F) No Desc�iption Sectio�No Mess��e Vel�e �^%�allul [nslalleJValue Venod Slored(nolinC) �p+E) B 64 8"CIPP20LPforLfi968) Um�llScwa LS I.00000000 $26.40000 $26,40000 100000000 $26,40000 $26,400.00 $26,400.00 100.0% 65 8"Dewa[er/BypassPumOingroallowforC[PPIns[elle�ion Uni�llSewe� LS I.00000000 $3,30000 $3,30000 100000000 53,30000 $3,30000 $3,300D0 100.0% To�als $29,700.00 $29,7U0.00 $29,700.OU $29,700.OU IOOA% This doc�me�thas bee� moditied fto�n its original Pomi as an FJCDC documem and �he �se� did not highligh� �he moditications Yo� a�e e�co��aged ro read the doc�mem carelvlly end consult Legal Counsel prior �o its exewtion � szp Ghange Orde� Contractor's ApP�ica�►on 1 Change �rder Number " — �ELETIDN� ES��►ate Pr�gYESS t 2019 W SM'O^ part 2 C ganitary 5ewer Cuntcac Z024 to 9 7 3 01120 2 4 B water & 9f01t odoe;o� NotU.eA 3$1-� c�,s„b��e, 3 v*;,� �on,e Fo<«„a„ao= 10 co��>�nav�� u„a a�,�mao° n �u,»; <�r ne��e $aso.00 $ao �ou.00 1 arP�«iro» vw�a�. s�,e� n�+oon Mean��z zo o�00000 � s�s o00 001 1 ��m �za�m,ria. �e � o,2'�e��000� 1 I 1 UnM1 II Scwci CS Desc�lpdon Um,llSeµ`er i ['.OTOC (Rn D20A) I A��aw��nce � — --� �I — �I I— -- — � �I � � � � 1I� 11 � � I I I — — � f _ � -- — �— �� —� I ' � 1 �1 � II .1 � �o � nN�«'� ioiziz��4 on��e: � e � No� u ee Noi Used Noi�s� D1oiII � o Nai U,ed Noi�sed Nwu:e� � �i �i � li � � � I ! _� 1 11� ' � II I1 '' 1 �1 I � � 1 I � � f 'I I � 1 � 1II �I _� 1 I � � I _� 1� � 1 � � aY to!t'> ex¢G1l�ou efiilh ° nd co �sult l,e&�l Coun>el pn ur2€�° co rene ��,z aocamen� a,r . m n�� E1CDC doc��mant and the nser d�d not IUSt`��gh� the m��f�mtions Yov aie enco mo� rt�� ftom �� otbiuel Po� i� down�en(hna b�n Th G620 Change Order Progress Estimate Change Order Number � 2 � Contractor's Application ADDITIONS Por fcom�ecp�. 103381-Z Water & Sanitary Sewer Contract 2019 W SM-O, Part 2 ary surerary fi00fi8 Appi��non Nwnber. ] R(Release Retainage ) Conlrac� Num'. `�P��"°��°° r`°°�: 9/Ol/2025 to 9/30/2025 `�PP�"°��°° °a1 10/8/2025 s �s c u e e uem Ba�a�ce ro Pmish Addinon Chun �e Esmm�red Previousl � Value This Merenals Preseml - Totel Complc�cd % Changc Ordcr Itcm . Spccificenon Unitof CO QuanNty ro Add UnitPnce 6 Quni Value Y � } and Srored ro Da�e (F) B-F) No. Descnption Scc�ion No Mcas��m Ocdcr Veluc Installcd In.tellcd Vnluc Pcciod Srorcd (no in C) �� e� � � Thrs tlocumenl hes been modi(letl Gom ns ongmal fo�m as an G1CDC documevl and Ihe user did nol h�ghllghl �he motli�lce�ions. You ere encou�agetl lo read Ihe doc�menl careliJly antl consul� Legal Counsel p�iorlo ns execulion G620 Change Order PrOgress Estimate Change Order Number � 2 � DELETIONS F�� o�,ne�p: ] 03381-2 N'ater & Sanitary Sewer Courcact 2019 WSM-O, Part 2 nPNi��anooee��oa: 9/Ol/2025 to 9/30/2025 A B C Ihm CO Quanliry to Deleuon Chan� ChangcOrdc�Itcm Desm�tion Spccifca��ion Unitof Dele�e Uni�Pricc p��erValue No�Uscd No. Section Nu Measure Tuhls D Noi UscA No� UscA No[ Uscd AFlP�icenon Numbcr_ Applicanon Da[e E Not UscA Contractor's Application 1S (Release Retainage ) 10/Rl2025 F No[ Uud No[ Uscd No� Uscd Thrs tlocumenl hes been modi(letl Gom ns ongmal fo�m as an G1CDC documevl and Ihe user did nol h�ghllghl �he motli�lce�ions. You ere encou�agetl lo read Ihe doc�menl careliJly antl coneul� Legal Counsel p�iorlo ns execulion G620 Change Order Progress Estimate Change Order Number � 3 � ADDITIONS Por (com�ecp�. 1�3381-2 �yater & Sanitary Sewer Contract 2019 W SM-O, Part 2 Ciry Seaerary fi00fiR coo�a�i N�m� nP�i��a��o�rr��a: 9/p7/2025 to 9/30/2025 I�em Chnnge Orzlec Item �escriNnon No. Totals 4 e Addition S�ecificedo� U�itof COQuan��iNroAdd UnitPricc ChengcOrdcr Sccaon No- Mcasnrc Value Applica�ion Number Applicalion Dale: Contractor's Application 18 (Release Retainage ) 10/8/2025 F Bals�ce �o Fin�sh Total Complc4d % end Sro�cd �o Dah (F) (� - r� (D+g) B Thrs tlocumenl hes been modi(letl Gom ns ongmal fo�m as an G1CDC documevl and Ihe user did nol h�ghllghl �he motli�lce�ions. You ere encou�agetl lo read Ihe doc�menl careliJly antl coneul� Legal Counsel p�iorlo ns execulion G620 Change Order PrOgress Estimate Change Order Number � 3 � DELETIONS F�� o�,ne�p: ] 03381-2 N'ater & Sanitary Sewer Courcact 2019 WSM-O, Part 2 ApplicationPenod: 9/Q�/zOz$ t0 9/30/Z�Z$ A B C Ihm �ciction ChangcOrdc�Itcm . Spccifica��ion Unitof COQuanliryto Uni�Pncc ChnngcOrdcr NotUscd No Desrn�tion SuNo� No Meas�re Dele�e Value Tuhels D No[UscA NotUscd NotUscd Applicvtian Numbc� Applica�ion Da�e�. E Not UuA Contractor's Application 18 (Release Rctainage ) 10/8/2025 F No� Uscd No� Uscd No� UscA Thrs tlocumenl hes been modi(letl Gom ns ongmal fo�m as an G1CDC documevl and Ihe user did nol h�ghllghl �he motli�lce�ions. You ere encou�agetl lo read Ihe doc�menl careliJly antl coneul� Legal Counsel p�iorlo ns execulion G620 Change Order Progress Estimate Change Order Number � 4 � ADDITIONS Por (com�ecp�. 1�3381-2 �yater & Sanitary Sewer Contract 2019 W SM-O, Part 2 Ciry Seaerary fi00fiR coo�a�i N�m� nP�i��a��o�rr��a: 9/p7/2025 to 9/30/2025 I�em Chnn�.eOrderlrem Desaipnon No_ Tatnl� 4 e Addition S�ecifiwtio� ll�it of CO QuanM1ty W Add UnitPricc Chengc Ordcr Scction N�_ Mcasiirc Vxluc Applica�ion Number Applicalion Dale: Contractor's Application 18 (Release Retainage ) 10/8/2025 F Bals�ce �o Fin�sh Total Com�lctcd "/o o„a sro��a m oe« �r� �� - �1 (D+g) B Thrs tlocumenl hes been modi(letl Gom ns ongmal fo�m as an G1CDC documevl and Ihe user did nol h�ghllghl �he motli�lce�ions. You ere encou�agetl lo read Ihe doc�menl careliJly antl coneul� Legal Counsel p�iorlo ns execulion G620 Change Order PrOgress Estimate Change Order Number � 4 � DELETIONS F�� o�,ne�p: ] 03381-2 N'ater & Sanitary Sewer Courcact 2019 WSM-O, Part 2 ApplicationPenod: 9/Q�/zOz$ t0 9/30/Z�Z$ A B C Ihm �ciction ChangcOrdc�Itcm . Spccifica��ion Unitof COQuanliryto Uni�Pncc ChnngcOrdcr NotUscd No Desrn�tion SuNo� No Meas�re Dele�e Value Tuhels D No[UscA NotUscd NotUscd Applicvtian Numbc� Applica�ion Da�e�. E Not UuA Contractor's Application 18 (Release Rctainage ) 10/8/2025 F No� Uscd No� Uscd No� UscA Thrs tlocumenl hes been modi(letl Gom ns ongmal fo�m as an G1CDC documevl and Ihe user did nol h�ghllghl �he motli�lce�ions. You ere encou�agetl lo read Ihe doc�menl careliJly antl coneul� Legal Counsel p�iorlo ns execulion G620 Change Order Progress Estimate Change Order Number � 5 � ADDITIONS Por (com�ecp�. 1�3381-2 �yater & Sanitary Sewer Contract 2019 W SM-O, Part 2 Ciry Seaerary fi00fiR coo�a�i N�m� nP�i��a��o�rr��a: 9/p7/2025 to 9/30/2025 I�em Chnn�.eOrderlrem Desaipnon No_ Tatnl� 4 e Addition S�ecifiwtio� ll�it of CO QuanM1ty W Add UnitPricc Chengc Ordcr Scction N�_ Mcasiirc Vxluc Applica�ion Number Applicalion Dale: Contractor's Application 18 (Release Retainage ) 10/8/2025 F Bals�ce �o Fin�sh Total Com�lctcd "/o o„a sro��a m oe« �r� �� - �1 (D+g) B Thrs tlocumenl hes been modi(letl Gom ns ongmal fo�m as an G1CDC documevl and Ihe user did nol h�ghllghl �he motli�lce�ions. You ere encou�agetl lo read Ihe doc�menl careliJly antl coneul� Legal Counsel p�iorlo ns execulion G620 Change Order PrOgress Estimate Change Order Number � 5 � DELETIONS F�� o�,ne�p: ] 03381-2 N'ater & Sanitary Sewer Courcact 2019 WSM-O, Part 2 ApplicationPenod: 9/Q�/zOz$ t0 9/30/Z�Z$ A B C Ihm �ciction ChangcOrdc�Itcm . Spccifica��ion Unitof COQuanliryto Uni�Pncc ChnngcOrdcr NotUscd No Desrn�tion SuNo� No Meas�re Dele�e Value Tuhels D No[UscA NotUscd NotUscd Applicvtian Numbc� Applica�ion Da�e�. E Not UuA Contractor's Application 18 (Release Rctainage ) 10/8/2025 F No� Uscd No� Uscd No� UscA Thrs tlocumenl hes been modi(letl Gom ns ongmal fo�m as an G1CDC documevl and Ihe user did nol h�ghllghl �he motli�lce�ions. You ere encou�agetl lo read Ihe doc�menl careliJly antl coneul� Legal Counsel p�iorlo ns execulion G620 Change Order Progress Estimate Change Order Number � 6 � Contractor's Application ADDITIONS Por fcom�ecp�. 103381-Z Water & Sanitary Sewer Contract 2019 W SM-O, Part 2 Ciry seaerary fi00fiR App��ca�mn Number �g �Release Retainage ) Con�aci N�m� `�P�'�"°��°° r`°°�: 9/Ol /2025 to 9/30/2025 °'pp°caho° Da1: 10/8/2025 A B C U E F I�em Bals�ce m Fin�sh Addnio� Torel Comple[ed % FstimatcdQuanaty Prcviously VelucThis MehnulEPrescntly (B-F) Chxngc OrAa I[em . SpccificeNo� Unitof CO Quanlily lo Add Unil Pnce Change Onier Value and Slo�ed lo Dale (h') No. Desrnpnon Sec�io�No Measure Vnlue �ns�allcA InsmIlcAVel�c Pcriod S�omd[notinC) �p+E) B Talnla Thrs tlocumenl hes been modi(letl Gom ns ongmal fo�m as an G1CDC documevl and Ihe user did nol h�ghllghl �he motli�lce�ions. You ere encou�agetl lo read Ihe doc�menl careliJly antl consul� Legal Counsel p�iorlo ns execulion G620 Change Order PrOgress Estimate Change Order Number � 6 � DELETIONS F�� o�,ne�p: ] 03381-2 N'ater & Sanitary Sewer Courcact 2019 WSM-O, Part 2 ApplicationPenod: 9/Q�/zOz$ t0 9/30/Z�Z$ A B C Ihm �ciction ChangcOrdc�Itcm . Spccifica��ion Unitof COQuanliryto Uni�Pncc ChnngcOrdcr NotUscd No Desrn�tion SuNo� No Meas�re Dele�e Value Tuhels D No[UscA NotUscd NotUscd Applicvtian Numbc� Applica�ion Da�e�. E Not UuA Contractor's Application 18 (Release Rctainage ) 10/8/2025 F No� Uscd No� Uscd No� UscA Thrs tlocumenl hes been modi(letl Gom ns ongmal fo�m as an G1CDC documevl and Ihe user did nol h�ghllghl �he motli�lce�ions. You ere encou�agetl lo read Ihe doc�menl careliJly antl coneul� Legal Counsel p�iorlo ns execulion G620 Change Order Progress Estimate Change Order Number � 7 � Contractor's Application ADDITIONS Por fcom�ecp�. 103381-Z Water & Sanitary Sewer Contract 2019 W SM-O, Part 2 Ciry seaerary fi00fiR App��ca�mn Number �g �Release Retainage ) Con�aci N�m� `�P�'�"°��°° r`°°�: 9/Ol /2025 to 9/30/2025 °'pp°caho° Da1: 10/8/2025 A B C U E F I�em Bals�ce m Fin�sh Add �� . . To[al Compbtcd °� Etit�mateJQuant�ty P �ly ��IueThis M �I�P-: tly ,� �g p� Changc O�dcr Itc n Desc-i�rtion Spccit cenon Unitof CO QuaNity ro Add UnitPnce Che�ge O d r ��ltellcd �d�� Installcd l aluc Pcriod S o'cd (no�' i C) a�d S�o�ed �o Da[e (F) No. Scc�ionNo Mcasnm Velue (D+r) y � Thrs tlocumenl hes been modi(letl Gom ns ongmal fo�m as an G1CDC documevl and Ihe user did nol h�ghllghl �he motli�lce�ions. You ere encou�agetl lo read Ihe doc�menl careliJly antl coneul� Legal Counsel p�iorlo ns execulion G620 Change Order PrOgress Estimate Change Order Number � 7 � DELETIONS F�� o�,ne�p: ] 03381-2 N'ater & Sanitary Sewer Courcact 2019 WSM-O, Part 2 ApplicationPenod: 9/Q�/zOz$ t0 9/30/Z�Z$ A B C Ihm �ciction ChangcOrdc�Itcm . Spccifica��ion Unitof COQuanliryto Uni�Pncc ChnngcOrdcr NotUscd No Desrn�tion SuNo� No Meas�re Dele�e Value Tuhels D No[UscA NotUscd NotUscd Applicvtian Numbc� Applica�ion Da�e�. E Not UuA Contractor's Application 18 (Release Rctainage ) 10/8/2025 F No� Uscd No� Uscd No� UscA Thrs tlocumenl hes been modi(letl Gom ns ongmal fo�m as an G1CDC documevl and Ihe user did nol h�ghllghl �he motli�lce�ions. You ere encou�agetl lo read Ihe doc�menl careliJly antl coneul� Legal Counsel p�iorlo ns execulion G620 Change Order Progress Estimate Change Order Number � 8 � ADDITIONS Por (com�ecp�. 1�3381-2 �yater & Sanitary Sewer Contract 2019 W SM-O, Part 2 Ciry Seaerary fi00fiR coo�a�i N�m� nP�i��a��o�rr��a: 9/p7/2025 to 9/30/2025 I�em Chnn�.eOrderlrem Desaipnon No_ Tatnl� 4 e Addition S�ecifiwtio� ll�it of CO QuanM1ty w AAd UnitPricc Chengc Ordcr Scction N�_ Mcasiirc Vxluc Applica�ion Number Applicalion Dale: Contractor's Application 18 (Release Retainage ) 10/8/2025 F Bals�ce �o Fin�sh Total Com�lctcd "/o o„a sro��a m oe« �r� �� - �1 (D+g) B Thrs tlocumenl hes been modi(letl Gom ns ongmal fo�m as an G1CDC documevl and Ihe user did nol h�ghllghl �he motli�lce�ions. You ere encou�agetl lo read Ihe doc�menl careliJly antl coneul� Legal Counsel p�iorlo ns execulion G620 Change Order PrOgress Estimate Change Order Number � 8 � DELETIONS F�� o�,ne�p: ] 03381-2 N'ater & Sanitary Sewer Courcact 2019 WSM-O, Part 2 ApplicationPenod: 9/Q�/zOz$ t0 9/30/Z�Z$ A B C Ihm �ciction ChangcOrdc�Itcm . Spccifica��ion Unitof COQuanliryto Uni�Pncc ChnngcOrdcr NotUscd No Desrn�tion SuNo� No Meas�re Dele�e Value Tuhels D No[UscA NotUscd NotUscd Applicvtian Numbc� Applica�ion Da�e�. E Not UuA Contractor's Application 18 (Release Rctainage ) 10/8/2025 F No� Uscd No� Uscd No� UscA Thrs tlocumenl hes been modi(letl Gom ns ongmal fo�m as an G1CDC documevl and Ihe user did nol h�ghllghl �he motli�lce�ions. You ere encou�agetl lo read Ihe doc�menl careliJly antl coneul� Legal Counsel p�iorlo ns execulion CSC No. 60068-COl FORT WORTH City of Fort Worth s Change Order Request Projecl Name:� Waler & Sanifary Sewer Replacemenl Contracl 2019, WSM-0 Part 2 ! City Sec No.: � 60068 Project No.(s);� 56002-060043010700430�001180; 30100 0200431oo24eo � NTP � N/A � City Proj. No.: � 103381-2 Project Descriplion:� Water and Sewer Lfnes Replacement and Pavement Improvements Contractor:� Gra-Tex Ulilities, Inc. City Project Mgr.� Aaron Nivone � Phone Number.� 817-392-8404 � � Change Order #� 1 � Date: � 111712024 � City Inspeclor: � Stephen Bamard � Phone Number:� 817-897-3083 � Dept. Unit I Water Unit II Sewer Unit III Pavement 7otals Contract Time (Calendar days) OriginalContractAmount $3,491,471.00 $2,636,866.00 $968,542.00 $7,096,879.00 540 Exlras to Dafe � Credits lo Date � Pending Change Orders (in M&C Process) Conlract Cost lo Date $3,491,471.00 $2,636,866.00 $968,542.00 $7,096,879,00 540 �Amount of Proposed Change Order $0.00 $0,00 $0.00 $0.00 10 Revised Contraci Amounl $3,491,471.00 $2,636,866.00 $968,542.00 $7,096,879.00 550 OriginalFundsAvailableforChange0rders � $174,574.00 $131,843.00 $48,427.00 $354,844.00 RemainingFundsAvailabieforlhisCO $174,574.00 $131,843,00 $48,427.00 $354,844,00 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONEJ AS % OF ORIGINAL CONTRACT 0.00% II MAXALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST+ 25%J $8,871,098.75 �y JUSTIFICATION (REASONS) FOR CHANGE ORDER Due lo limitations oi an open cuf repiacement of a sewer laferal locafed in a resident's backyartl, it is necessary to rehabilitate by utilizing a trenchless cured-in-place pipe (CIPP) melhod. Dewalering and bypass pumping are required for the installation of C►PP. Change Order No. 1 provides for these two items. Staff concurs with the contractor's request for 10 additional calendar days for the change order. OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX If is understoal and agreed that the acceptance o( this Change Order by lhe conlraclor conslilutes an accord and satisfaction and represents payment in full (boih tine and money) fa all costs arising out of, a incidental to, the above Change Order. � Con�ctqr's �ampa�Y Name Gcy�UactnrN�me Contr�tQr �j�n�t�re Date ra-Tex Ufilifies, Inc. � John Crow ey ,, ��- — I tvov �, zoza Inspector � Date � Pro�gct Manager Nov 8, 2024 � r l,� Date Const�uction Supervisor (TPW Dept) _ ' 11 ! 1 �!?�,?'I , .,.�� Date Assistant City Manager Nov 19, 2024 („�,�,�.�, � Council Action (If Required) M&C Date Approved � N/A � Dale �1� I ��Zo``� _ _ Date _ _ N ov 8, 2024 Date Nov 19, 2024 Stephen Barnard sc�.ran-Fjavra-i� Direclor (Water Dep� �.�,.� ��. T. s Assistant City Aitomey _ � q� M&C Number I NIA FORT WORTH City of Fort Worth Change Order Additions Project Name � Water & Sanitary Sewer Repiacement Contract 2019, WSM-0 Part 2 Project No.(s): � 56002-060043010700430-001780; 30100-020043I002480 � Project I Water and Sewer Lines Replacement and Pavement Improvements Descriplion � City Sec No.: � 60068 DOE No.� N/A � City Proj. No.: � 103381-2 Contraclor � Gra-Tex Ulilities, Inc. � Change Order: � Date: � 9/212024 � City Projecl Mgr. � Aaron Nivone � City Inspector � Stephen Barnard � ADDITIONS � I I tM � U�SI:ttIN i IUN DEPT � Q � Unit � Unit Cost � Total 64 8" CIPP (20LF for L-6968) Unit II Sewer �.00 LS $26,400.00 $26,400.00 65 8" Dewaterl8ypass Pumping to allow for CIPP Installation Unit {I Sewer 1.00 LS $3,300.00 $3,300.00 IUnit I Water ',Unit II Sewer $29,700.00 IUnit III Pavement ��Addilions Sub Tolal $29,700.00 Page 1 of 3 FORT WORTH City of Fort Worth Change Order Deletions Project Name � Water & Sanilary Sewer Replacement Contracl 2019, WSM-0 Part 2 Project No.(s): � 56002-0600430/0700430-001780; 30100-0200431002480 � � City Sec No.: � 60068 � DOE No. � N/A � City Proj. No.: � 103381-2 � Project Description I Water and Sewer Lines Replacement and Pavement Improvements I � Contractor I Gra-Tex Ulililies, Inc. � Change Order: �1 Date � 9/212024 I City Projecl Mgr. � Aaron Nivone I City Inspector. � Stephen Barnard � DELETIONS ITEM � DESCRIPTION DEPT Qty Unit Unit Cost Total 4 8" Sewer Pipe BOTOC (per D204) Unit II Sewer 20.0000 LF �450.00 $9,000.00 63 Construction Allowance Unit II Sewer 0.2760 LS $75,000.00 $20,700.00 Page 2 of 3 �IUnit I Water I�Unit II Sewer IUnit III Pavement �iDeletions Sub Total $29,700.00 $29,700.00 MIWBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders co # DATE AMOUNT Total $0.00 Page 3 of 3 11/14/2024 Water & Sanitary Sewer Replacement Contract 2019, WSM-O Part 2 CSC: 60068 CPN: 103381-2 Chan�e Order 1 Notes Staff has reviewed the requested amount of days and considers them to be fair and reasonable. Contract Compliance Mana�er By signing I acknowledge tl�at I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. �/ Digitaily signed by Aaron Nivone �'i'n4ai� �ia¢i�� Date: 2024.11.13 10:17:28 -06'00' Signature Aaron Nivone Name of Employee Professional Engineer 000000an� Title PAo� FORr�aa� v �'° � '�9�d a!�g a.id ATTEST: °°o° o,o o, * �p � Q a ,�w� 1� ..t�.a � t�w °aa T`BX A5o4'p �dn¢p000 Jannette S. Goodall City Secretary OFFIGIAL RECORD CITY SECRETARY PT. WORTH, TX FURTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: WATER & SS REPLCEMENT CONTRACTY 2019 WSM-O PART 2 CITY PROJGCT NUMB�R: 103381-2 � WATER PIPE LAID SIZ� TYP� OF PIP� LF WATER PIPE 8" PVC WATER PIPE 8" DIP WATER PIPE 6 PVC FIRE HYDRANTS: 10 EA VALVES (16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE N/A DENSITIGS: NEW SERVIC�S: � PIPE LAID SEWER PIPE SEWER PIPE SEWER PtPE SEWER PIPE SEWER PIPE SEWER PIPE PIPE ABANDONED SEWER PIPE D�NSITIGS: NEW SERVICES: 1 1.5 2 SIZ� g�� g�� 6" 8�� g�� g�� SIZE g�� 4" 6" 170EA IEA lEA SEWER TYPE OF PIPE PVC SDR-26 CLASS 160 PR GREEN CIPP B.O.T.O.C. PVC SDR-26 DIP/EPDXY LINING 401 TYPE OF PIPE CLSM/EPDXY LINING 401 117EA 1 EA TRr1NSPORTATION AND PUBLIC \�/ORKS The Cit}� of Fort \�(/orth • 1000 7'l�rocicmorton Street • Fort \�/ordi,11 7601 2-63 1 1 (817) 392 - 7941 • Fas: (817) 392 - 7845 LF 7529 LF 249LF 401LF LF 5274LF 199LF 175LF 20LF IOLF IOLF LF l OLF F�RT�VORTH� `--� TRANSPORTATION AND PUBLIC WORKS May 16, 2025 Gra-Tex Utilities Inc PO Box 1038 Kennedale TX 76060 RE: Acceptance Letter Project Name: Water & Sewer Replacement Contract 2019, WSM-O Part 2 Project Type: CITY City Project No.: 103381 To Whom It May Concern: On May 27, 2024 a final inspection was made on the subject project. There were punch list items identified at that time. The punch list items were completed on December 3, 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 December 3, 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- 392-8271. Sincerely, Thahc� suvn rn.,��s��-, :��,�o�n,,,�,��s; Thang Sum, Project Manager Cc: Stephen Barnard, Inspector Mike Glover , Inspection Supervisor Daniel,Roy, Senior Inspector John Kasavich, Program Manager 'ryp�f,h �tiu,%��/N�dr. Joh Kas.vch (Fo �, 70�61��.5J�1� C51) A.N.Ay, Consultant Gra-Tex Utilities Inc, Contractor City of Fort Worth , Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 CONSENT OF SURETY TO FINAL PAYMENT Conforms with the American Institute af Archikects, AIA Dacument G7D7 TO 041'yElt: (Nmne c»id cidrirer.s! City of Fort worth 100Q Throckmorton Street Fort Worth, Texas 76102 R�: Bond #46BCSIT9178 OWNER ��«�TE�T CO%ITRACTQR SURFTY o�rH�R ARCI[ITF,CT'S PRf)JECTT�IO.: 103381-2 60068 CQI�TRAC'[' FOR: Water & Sanitary Sewer Con#ract 2019 WSM-O, Part 2 PROJI;CT: Il"nme nud ndiire.esl Wa#er & Sanitary Sewer Confract 2D19 WSM-0, Part 2 Fort Worth, Texas C(�1�TRACT 17AT�D: Augusi 8, 2�23 in accordance �a-ith lhe provisions of the Contract between the O�vne3- and the Cantractor as indicaFed above, the {Inserr ncwir w+d adrii�ee�.ti nf.l5vetl j Hartford Fire Insurance Company o� 6ond of Nnrcrr ntm�c urrd uddress afCoitlrnGorl Gra-Tex Utilities, Inc. � ❑ ❑ ❑ ❑ , SLIRETY, ,CONTRACTOR, hereb}� ap�roves of the fina] payment Eo the Contractor, and agrees that ttnal }�ayment to [he Cnntractor shall not relieve thc Surety of any of'ics obligations to fLisert uun�r urrd nddres.s nj (hr�rer) City of Fort Worth 1000 Throckmorton Straet Fort Worth, Texas 76102 as set forth in said 5urety's bond.` IN VJ[T1�irSS WIEERFOP, the Sureiy has hereunto set its hand on this date: Septem�y 10, 2025 (lr�ser! in x�ri!!ng tl�r iuuitiL Jnllrnre�f 6}' 1he mrmenc dcile cuvl��em�,l / /� % l .Srn�ehJ — Attest: (S'ig��atau�e of reidhori=ed re�resei�tUuveJ Bradley Baard, Attorney-In-Fact (Prir�red �i�rene a�id titlef O W%1 ElZ. 5-2134IAS 10101 xoP Direct lnquiries/Clairns io: THEHARTFORD PQ�]LTER QF ATTORNEY B��p=��" Dne Hartfo►d Plaza Hartiord, Cannecticut a8155 Bond.Cl a i ms(rDth eha rtfo rd, co m cal1.888-256-3488 oriax:860-75T-5835 KNOW ALL PER501�5 BY THESE PI2ES�NTS THAT: Agency Name: 1 N:= Uh I�r�. 1)1'I, : Vi� �b!�;`dC:i> :;VCS I�L�. � � � � 0 0 � � Agency Code: 46 -� ii4 A i HartFord Fire Insurance Company, a corporation duly organizrd under the lan�s of the State of Connecticut HartFord Casualty Insurance Company, a cmporation duly organized under the lativs of the State of Indiana Hartford Accident and Indemnity Company, a coiporation duly organized under the laws of the 5tate of Connecticut HartFord Underwriters Insurance Company, a corporation duly organized under the la�vs ofthe 5tate uf�Connccticut Twin City Fire Insurance Company, � corpnratiun dul� or�anized imdee thc la�vs of the State oP [ndiana Hartford Insurance Company of Illinpis, a coi�uratinn duit� oreatnized undar the la��s c�f the State of [llinois Hart€ord Insurance Company of the Midwes;, a co��oration dul} organizcd uncler the la�tis of thz 5tate of Indiana HartFord Insurance Company of the Southeast, a corpuration duly organi-r.ed u:zder the la«-s of The Scace of Flnrida having their home qffice in Narkford, Connecticuk, (hereinafter col4ectively referred to as the "Companies") da hereby make, conskitute and appoint, up fo fhe amount of U::1 ; m: Led ; Bradley Board, Jim H. Barr, Danie7 ['. Dacy III, 'ir.acie Gar.ne�:�, Chr.is Ho�t, Faula C, ��ot�es af FORT WORTH, Texas their true and lawful Attorney(s�-in-Fa�t, each in kheir separate capacity if more ihan one is named above, to sign its name as surety(€es) only as delinested above by �, end to execute, seal and acknawledge any and all bonds, undertakings, contracts and other written instrumenis in ihe 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. 1n Witness Whereof, and as authorized by a Resolution of the 8oard of Directars of {he Companies on May 23: 2fl16 the Companies have caused these presents to be signed by its Assisiartk Vice President and its corporate sea[s to be hereto affixed, duly attested by iks Assistant 5ecreiary, Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambtguously affirm that they are and wiil be bound by any mechanicafly applied signafures applied to this Power of Attorney. �[ri�� '�p�r� � � 1 �•.�'_ ,.� � � t°"•` �ie'�'�� 3�' �,��, . R : e ,��ss�',�� i 190T � �,ir�+v� F �•a,�4G, ; far,�r.� /Y►+� � • '�...u,� 4, _ ��si�Y� '�z 1�79 a� �_ lC794�• ,°� l4T9 =o ,� . :: ��.�� f * �x �:� �.�a' �Ia • ��, • �'^��if�a�y�y �� • _. �� ,� Shel6y Wiggins, Assistant Secretary ��,�n.. � Joelle L. LaPferre, Assistant Vice President SFATE OF Fi�RIDA ss. Lake Mary tOUNTY OF SEMINOLE On this 20th day of May, 2D21, before me personally came .foelle LaPierre. to me known, who being by me duly sworn, did depose and say: that (s)he resicfes in Seminole County, Stake of Florida; thak (s)he is the Assistant V'�ce President of the Companies, the corporations describeci in and which executed the above €nstrument; khat (s)he knaws the seals of the said carporations; #hat the seals affixed to the said instrument are such corporate seais; that they ware sa a�xed by authority of the Boards of Directors of said corporations and that (s)he signed his/her name thereto by iike authority. F:., . ;� .�� 4. 7 ��p� � � J� f.. . , � \J Jessica Ciccone My Commiss'�ou HFI 122?SO Gspires .iu3ie ?0, ?D2? I, the undersigned, Assistant Vice President pf the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Cnmpanies, which is still in ful! force effective as of 30th day of September, 2025. ��riey,� '��r Ei w �i,�t�� , WW � w�� ,t•-, 's. 4 F�� '"V+'� i�w4' '�;ti...�..>e:, : ; 1.o a r �,�.v� �?' .f,Ra•n��3_"� t a r� � �.". $ � • F s 1�t ' ��t�.��..�_•; •��euM► i�i fD7D � "�f� G79��^• t � 4-.._ . : ,�,. •-s► '�'' . c �...fa� I999 • "'�:;_Y�� ,�•m' ��;,s' • 'y�+.,'`�u.o�s' h�r.s.• ?�. ��i �J� ,/,�i �l . j- .r71 ,� .,,l:��, ��' Keith D. �ozois, Assistant Vice President �M?ORTANT NOTICE To obtain i�formation or make a�amptaint: Yvu may contact your Agent. You may caU The Hartford`s Consumer Affairs ta�[-free telephone number for information or to make a complaint at: 1-800-�i51-fi944 You may cantact the Texas Departm�nt of Ir�surance to obtain informat�on vn cnmpanies, coverages, rights, or complaints at: 1-80�-�52-3439 You may write the 7exas �epartment of Insurance: P.�. Box 149104 Austin, TX 78714-9104 �ax: (5i2) 49Q-1007 Web: www. tdi, texas. �ov E-mail: ConsumerProtection@tdi.�exas.Qov PR�M�UM OR CLAlM D(SPUTES: 5hould yau have a di�pute cor�cerning yaur premium or a�out a c�aim, ya� should contact the (agent) (company) �agent or the company) first. If the dispute rs not resolved, you may cant�ct the T�xas Department of lnsurance. ATTACH iHIS NOTIC� TQ YOUR POLICY: This notice is for information anly and dnes not berome a part or condition of the attathed dacumer�t. .Incaz�s-�. AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared John Crowley, Project Manager for Gra-Tex Utilities, Inc. , known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; That all persons, firms, associations, corporations, or other organizations furnishing labor and/or materials have been paid in full; That the wage scale established by the City Council in the City of Fort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; CPN# 103381-2 Water and Sanitary Sewer Replacement Contract 2019 WSM-O BY �� : o�ect Manager Subscribed and sworn before me on this date 11th Day of September, 2025 .�eR"'�� GREG STEVEN HUGDAHL i � Notary ID #1281609Si �+ t My Commission Expires Notary P 1C �'F af � April 5, 2026 � Tarrant County, Texas