Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
048737-FP3 - Construction-Related - Contract - Circle C Construction Company
FORT WORTH® WATER DEPARTMENT NOTICE OF PROJECT COMPLETION -FP3 City Secretary No: 48737_ 6/8/2026 Date Received: City Project Ns: 100434 48737 SS EXTENSIONS, REPLACEMENT & RELOCATIONSS CONTRACT 2016 Regarding contract for as required by the WATER DEPARTMENT as approved by City Council on 01/24/2017 through M&C C-28089 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 Christopher Har er (Jun 2 2026 17.43.05 CDT) Accepted Director, WATER DEPARTMENT Dana suvghdoff Dana Burghdoff (Jun5� 2026 16'.47'.34 CDT) Asst. City Manager Comments: $ 1,000,000.00 $ NN $ 1,000,000.00 $ 978,302.57 Days @ $650.00/ Day $ 978,302.57 $ 978,302.57 $ 0.00 05/26/2026 Date 06/02/2026 Date 06/05/2026 Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX C-620 Signature Page Contractor's Application for Payment Invoice No. I Four (Final) )(Owner) City of Fort Worth Invoicing Period (From - To): Invoice Date, 9717.20 to 9:17!20 I 911712020 P. O 4897 From (Contractor): Remit to (If Not Automatic Deposit): Number• Project: 100434 Commctot's CFW Vendor No.: City Secretary Contract 48737 Contract SS EXTENSIONS,REPLACEMENTS & RELOCATIONS CONTRACT 201 Number. Name: Application For Payment Deletions 7 3 4 5 6 7 8 TOTALS NET CHANGE BY CHANGE ORDERS ORIGINAL CONTRACT PRICE ...._...._........._...._............................. S_$1,000.000.00._ '.. Net change by Change Orders._.............................................................. S Current Contract Price (Line I t 2) ........................................................ S_S1,000,000.00_ L TOTAL COMPLETED AND STORED TO DATE (Progress Estimate, Construction Allowance and Change Orders)....... S-5978.302.57 i. RETAINAGE: A. x _$978,302.5'L Work Completed..........S b. X Not Used S c. Total Retainage (Line Sa+ Line 5b) ............................... S i. AMOUNT ELIGIBLE TO DATE (Line 4 -Line Se) ............................. S-5978,302.57 % LESS PREVIOUS PAYMENTS (Lined from prior Application)......... S..........S978,302.57- t. AMOUNT DUE TFDS APPLICATION ................................................. S I. BALANCE TO FINISH, PLLS RETAINAGE (Column G on Progress Estimate+ CA+COs+Line 5 abner) ........... S S21.097.43 Contractor's Certification 10. C The Contractor unifies with the submittal of this document and associated Payment Request Submittal on 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 Contractors legitimate obligations incurred in connection with Work covered by prior Applications for Paymcnt; (2) title of all Work, materials and equipment incorporated 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 of all Liens, security interests and encumbrances (except stch 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 defective. ; e, n Jar /�J Z,/44?//27 ONTRACT TIME: a. DaysAw•arded 360 b. Days Added by CO S Total Days 200 d. Days Charged 369 e. Days Remaining .9 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. Progress Estimate = 48737 Contractor's Application m�o� rwY<gem.oe�e�ao�w�nr�u<oa�n�cwma�wm<.A,4;� C4200Um15.Pw03E4191210 Progress Estimate 48737 Contractor's Application P°`r`°"°"')' SS EXTENSIONS,REPLACEMENTS & RELOCATIONS CONTRACT 20162nd RENEWAL PP'�° ' Fora (I+iv91) nge0om" a 9/17/20 to 9/17/20 40048,05.0 9117/0020 4.0. 5 '°" D Uw Px< e�avL�r vNw< uilrim°Ilmvw venue tau. Pe lm 3 c518484. a10 . mix kla (D E)Lb4 .._® CPVC Sm_n 161018 cL5. -MP 11915835 u .... E1ID:00 ...-.. .. _.. 06 __ s3 14 0V3085000115214/01C 31300. 10 -- rPvc 519.8% a s cLsu e;ama LI. Is 1 E0 15148803/4 -- PVOOar.K PVC 585 14 4 Foe 8 18 CLSM BxY9d 5 PVG 58x8 Z, DLSM 0a40I0 - 993l5 55 33013 J6 u ____. ___ 102 14 Npe 14016, 3/0310841410 (!, U ..._ 102 302ewr Sew 0 PG° ... CISM ......_..___ 8888.. u 8888. 1W 1300281P4,3516/0I8.04.2016 tlmA 13008407 331.5 U... 1Lts 103 0001Pile PSm4%pe 1302 0x00 P Sewer%pe DLSM BuO 0 -�—' 013 Ix f13 u u 100 4 S,CLSM0xk1 J 333:3014 LL im vPPoe 00/Peso 4 1pe TO CIS09:XA0 LY 8888 110... . ..._— r .CLSMBatl4e _—_ LI_. III 5384 504x1 Porn lsiote,c/sMeaM4o DP40.er%ce 0,584x,/0 191.5043 a fix 110 8888 0 OPSxreI PIPe 808 GLSM Eac08 OPS"rMp ..__ _..__ SMeunn 19/ 5043 13JL38xi u. Lf 8888 ..116, 116 _ 40PSe.0.r %P0 LgM OxkM � 13315x5 LI. LI. 118 ....114 4 DIPsex8Pga,I401f, IL205W4q .__......__ 109,.50x5 LI. 4 31022864,2,I481 4130 OatlMO 4/502 e. --- 303,3a1 33/0.53x7 LI. _.le_ 118 rOPSner,V 8 4130 BadNI� _-�� 586.0 0 08144 3JSLSvt 39:.3030 u. LI. 1 21 41 8888. 8484 184 iz 184?__ 14 OIP 461500.6016,CLOM 081047, -�— -�- 020x00 ........_ SM 08400 ............ .. DIP �Sexer, t e GLSM-98411: �� ��—� 8,88.8. Sxrer,t 0084001 PSw.... 0a0A1 _ 91.3039 m - 03315543 3331.580.1 01313849 Lr. LI. LI. Lr. LI. 123 f29 ._. fA 131 192 _ 194 1i4 Serw 6 0x00 —..—.— Swrer.1 L503x0D ._139/5610 8888.._ ..—_.. DP 1 L9M0W91 Scv,1 8,0/00208400 _ zDIP sew,s.cLOM e.wn ssw 3802nD 4350089/3 4DIPsa ssxai cisM —.___ --_ _.._. 344,8 884,/0 15 50 '9919251 ..113:.5::3 /015859 LI. LI. Lr. (. _. 8888...? 98 _ 33 .-8888 .._ 133 6WP 9�°wv..t 8888. GLSM 0x011 _.__. 1 13 5.1401 ISM Bxki3 8888_- 140 .1 018 14 DIP Sww,t 018 CL3M 011400 4DI 09,3aW 193:.9001 Lf Lt. Lf. Lf. LI_ 140 Itl 06430384 7/02 4D.1Sewx CSM rPlpe 33asJoox LI u _. _. .__-. 14 .I Plea 3305.9804 u. 144 143 404035.46 Sxvwd 70. 1105.3004 u. 144 S D.I. Ca 08 �._ 88_88-_ 3905.3007 .1005.001 LI _... 16 YCssbn OY Ope 34 0305.1 u.. _1_43. 119. 9090 0CN G225 e3002013/ 390] 1 3 u .,, tae 3a."a 9rpPa 11 _ 025x 487114 liyo __. udsloa u... 1ao 1W CasFq BY Otlu Opm�it4__ 151 1 /426207006130503042P ... 3305.002 LI II? w38N1g0901tu1... 9 1905.1003 u. 53 xa38349409036113800909CN 131043/ 158 =/00,4 03 070111109 op.,04 IJa03/0 PP 3305,103 153 117 B SJauV 015 PIPo 3 LI s� lX rO 88013' 0841P02 U. 150 Bare SJcN140I3ewer Ppe-----___ J. 130 Coruree E086*00or704 033301 u. __.u.._ 140 PreCN I"a0833wl TV IS.p°clkn 5001.391 190,.09/0 101. ...__...,Q MMY w29S 094 J... u, _._ 109... Ex3310019102804410050581208,/06/1ti. ..._..___.. 3003 Ea �.. 1905 9023044 4.4 40001440,3 Iw 00644! 1010 0 02 03003 8 8484 84 0110 0,0 0684 44/411.014 42 404.00x°0, 044 04 044411000 Oi0245400000m.mel!Ur ma 00000 legal C°uW 03141w 04401061 Progress Estimate 48737 ��6 D4„ P9� P�„ess Ea6ma� Contractor's Application °x SS F.XTENSIONS,REPLACEMENTS & RELOCATIONS CONTRACT 2016 2nd RENEWAL Four (Final) ApPlbtim000d: 917/20 to 9/17/20 AP'°"D°'e' 8/17/2020 r° xt s L Pn rur eevi t au. ) nmv vy 'rnu P.>,m ue and ranalvrmc) �e "a ° S1UNE)� 31 (B /0-01 @"F) edam a N an Semon Fn 165 9Mwa1ay6xaamnaf EVs009 Uwsa (S18) 3305.0103 Ea. ..... 52000.00... 2.00000600 %000. %00000 %00000 165 9_ :AlmY meddlrD wlMn (f9 -M'5 301501oI Ea 4300000 .. .._1� _._ 000n -n 4pa.6WMaNa DNB) __— 3339.1001 F —._. _.. %000.00 0000000000 31160.. 41160/003 Stt6.0.00 _... t6! d'64 M4nhde OlraDNS 3339.1 w. __— a2.. 55.3a0oo000 31126e. 511266. t 26006 108 —. ........__ D4 0334240/009(033/05300?) ... .._. _._ ....... 07 /02 Ey._. ..__ ....... ....... 55.44000 &[0000000 590.6. EagL.. 0000]... 169 OIa.OmP ManMM bale Daps w._.__ ....._...____. �00 460000U0. 513.6.. 31 J,e... $13,MJcO 171 .. f D14 MmMe _._.__ ...._._._... ....... _ ._ .............._... 54,000.00 1]t 1015. TyPaAMaM9b(PS OepO) r.0v w0n(00n 3339.100! ....... SBOOo.. w. ......___— 3000/ 179_,dD1e. Fs u9(94i--Sw _. )339.1006 Fa 54000.00 1.00000000 %CCO. 54.000.00 %000.00 t)4 A' Du. R6m9MaMwWeEma ONN ......... w .... 5200.00 1n-_ 40b. FEx➢b%E DNp Muscle l?b'@gn) 9339.1 Fa SS000DO _.. 179 dpa. Fl6eysa OraP942wM 002040 03400 ._. VI ....—. 245000 177 dda fLM5jo4rypeA MmMeN80y11p __ 3139.1 0 Ep,..... _._—.._. - 2402000 56.000.00 ._......_...._. ._....... ......129 dDY. ab.ryorypaAMa lwleEC Dep9 ___. VI ............._..._.._-- _1A Rdee91pN 95P t?.1aM9 A6M91e(UPb90Ip) -DN......_...... .....0._._ ...................___..__+`a .4.I,—__ -- .._._._._ f.OJW660o 4450000 4050030 52,SM.66 100 sma nxgn(Dm®NO E+4urid uPP NS) 5200.00 INmW DNp Mb OtivIhMMH Ea. 4300.00 142 ..... .�_... INenYDNp Ema Ox .___. .....__ 2440wso1D1N) 1>•�1m+mlroaDNin) _. 3339.116, 010_. ... 4554°66 1°" ------ sD16 nrEula oma DN9i 3339.443 w_ $).. _. _. _... ---_ s pe,sn:ewMabola 39.1 6. .ss,000:. 339.1 - Fa .... %.60000 198 _.. SDb. TryaAMmlma6uc Daps w 0.00 10/ 904 PEs6Em MaYW D rosNw ..___— ....... v33.110: B% ...V[.... ..._ .. 555[040.00 ......... .. 191 9WA Finapkv MerimlvEWa DNOr _ __... X3.00 .... ... ..._1 FIDvplm Oup MMu (d eps) 3339.40/ Ea..... %500.00 1000 Sda. Pc991m DNPM99tle6uaDNs .. ..._._. _. w. 3300.00 _._ � s ON. �MdTy➢aAMmMeros 046q ...—_— 3n9ub34,5)024 P.-- a6 sr,n44 _ 195 Sf14 fAeylm TYPaR p.00000084003090th _..—_ w 5300.00 18$ 195 AzmCl9nbr 00000.1_4 Wq OagM1) _..._ 3339.0003 __. 5$000.00 —_— /40400000 3200000 4200000 52000.00 192 Carnue CrYr —__ -- 334501/2 ...33°1.0101 Fg 40 _.. 5400. .... 40.00000000 .36.00000000 $16000. Ef6o.M1.. 316000. 168 L_ .844 .._ 3150.. 55.]00.00 45]00.00 55]00.00 f>b AE9JIMe AO}1Mnae,M(da4e RYgA411ob9u) n05.0107 50, Ea "Al __ Musce A4ubt96 WucuvMMOsl6aWr) .....__. -.. Fe. _.. .— ... s__ 49P4 .o t0oo0. 3250000 42500.00 -.. 52500.00 201 MwrxlaAqudnwd, $99214010002140arMCem _... 33:3.x74 Fa . _._.. .._... _ ......... Sb.00000000 - 41130400 41130400 51130400 11YIMC4M000988002 20! 2[6 206 20] 205 - 2. __ A9u104rrAM541a R d4A eaave ane:ie R 5 �h. SemrManO:e :earyLlne GrcuOns —_ a' sewer Ae"racnmenl P�9 s sewerAnine nme"1 Pros .._ 'Sewer Abarecn4em Pa9 _ Abano°nmem P 4g °415001 0241.3202 _ 0x41.1001 01416101 0/41.x101 0x41.2101 0x42.5109 Ea. Ea Cv.... fa. Ea... Ea; Ea. ... _.- — _ SSOD. .... 51.500.00 4200.00 51..000.00 51,500.00 52.000.00 52.000.00 _.... -__... _ 200000000 127]0000000 200000000 1.Oo0o.. 6;00000000 51600.00 5255x000. 52000.00 4f 500. 312000.00 51..600.00 425.540.00 42,000.00 Et 500.00 Et2000. $t 600;00 525.540.00 1200 . 51,5... 000.0 ...,.,. 30 a1 r - 4 -ew a g 18'8ewer Aban40rmer Pus _ ..__.. PPV0 sewer Servce,ine 40x_04 sewer serv,ce L -.re rer se nc fDP e e4 Sew L:r -- 341.1 m 0x41.3507 .U31J101 y3iJ103 JJJIJ 0] Fa Lf. Lt. LI. -.... -..... uso644 SJ,o00.Op 526.00 55.5.00 386.03 _ -- 4000100000 ..00000000 - 51412330 %400. 414,1.30 5400000 514,123.20 %.400.00 -._- .._- 213 _ HB 21] NB - 220 dPsare Srnersemw Lne CDIPPssleSwe SeaNce lne 62-NkypVC CleanoN 62AYaYCaat lmn Cleanout _ 3331303 433]3109 331.3102 LL LI. Ea $55.. 3100.00 8250.00 693..000000 4 04 X12.00000000 SJ61ba50 - 11-00 536 t64.. 46500.00 9"w 164.50 %60/.00 221 ____ 225 221 - RNete 6ernu Vc cicarrk Sealer B Servi.e TaP eIf c'.inc - 33313x01 3313 03 Ea. Ea. Lt. LI 5300.. $6... 535. %0.00 ...- 1100000000 235.44000000 52,4..44 %6..00 %2x0 a0 45600.00 46340.x0 %.600.0 56x40.40 rP _ Zd e:se Line BorM4ew nic5 __ BPMele 601x' re Line PMmeicvaemre Lire 33313x00 3)313205 3AuxN LI. LI. L( 5..00 500w 300. 41.000..0 3..900..0 %690. 526964.. b®0.. 525.86x.. 53690. $28054.00 310 91_ _2 4409440Os002834 _____ ..........._ S244094401150028340 33313202 La. Es. 511000 ............ R.OOfA'A000 3345000 43150.... 5915000 __ 235 P3rgyCWlrn Clnm4 _______ 4Phal�erNu a Es. $0040 5x00. S�oo.00 ..._...__... 2.00.0.0 %00.00 5004.. $6.. Ili gy - _ _ •PVC eanou[ 50.00525300189 _.. .��.. 8'PVC Sw.r 5arAcatlne _ Eo. En 5I.. g4p.. -.. 600000000 54300.00. %2t0. .5.140.. .1.00. m 0,5?4l fern a, an 040 4000/44 240.24 0, aor sign #400 020000/030 24240.0030304004100009005090 0007047.040400411L050200 rw.w11050200 ree0Pn 0400.0,4.20 G.020UW77ee71a0r0Ea00Ne Progress Estimate m5eovwr 48737 Contractor's Application 5artfov°'"I' SS EXTENSIONS,REPLACEMENTS & RELOCATIONS CONTRACT 2016 2nd RENEWAL 300044 2'l Four (Finap 042110'03Pend: 9/17/2010 9/17/20 '^P' 2 11"`' 0/02000 Na. no Ox 258 5�a;P�P"56�au" 271170 awe,S.Mntlne ._......_. rDIP Buetl3w.r5eMce Une n311322 33)1.3300 ul°I51. Lr Lr t,dte„� 580.00 .590.00 emvm.. Iwa"am:y 7mu. �Ir5�..11uewl .m�aTue Pmm arrlr rra ones, E1w to <BI�mw 5xaer SeMw LRw nu]Os U. 590.0 xaz... 249 rave. wai:xaRDwwm Prtm5wke Lim200873rN00 E�. E7mm exr semwl _ ...__.... ceR R1P081 -. ,7.101 Fa. sv. S+?. at5d55 Lmp .9//000 ... 247 tae 2ae,_ Letce Rlpni @eWN ... 'P a0.mkd.FmBNrer49e NActsu... ImwleG EmbgplWBa<YALCv11pP .k ._ —:_ 71170103 la0f O1n3 nO5.0xo4 Ov CY: SBIONp SYN. ..—_ �_ __. 159.0mttv90 E9i Bmm SJt m0 C9 531 Ain rvi :-.. 50 251— 252 1908_=; :a Bh�rReOEPharnBe —.—.. _.—.—.____ 3x5z01aa V-. Sv. 07002 51400 --390000100 SY^.m 539.00 Sivw -- 256 _,_._...... 258 - 25/-- 258- 259 � - nw HMmm M 000420 sallRete en BgnN ._. rcancs Mevax - eewa.N Emum APprmau .. . _—.— r Gmete Omerm7 - ..__.__. - rt, C 0.lNLvm EmuN 000108 ... .._....___ r fsnc Cwb_mq Gu@r ]x920000 3x9z0500 3x1iO3o1 x13.0 sl n1J.0a01 n13.o451 816.0101 Sv. Sr. Sv. sY- sv:- sv. Lt. - S.m S15.m Sl0.m 580.0 5]5.00 585.0 Pc.W - - 18x6...aIXpNN 50.11 CiCM0 -09.2a0pp01,G 159.W3wb] 3129952/ 33.so7.T0 56.693.00 Ea770.M 412.995.ID 53.507.70 56,693.00 5a,Tm.uO ____,,. - � �- 512.995.20 53,soi YO 56®300 5,77000 - LI-- �' Z61- 286 __. 2650150820232002222 _ _._._ rC°nc cu25 Anxnetl t°OPPp PsaOL ___ cVa1Rv,O noel .,_.....-._ 11 Gpnc V9lry GWr ARMaNmlaRhl aPM1aR Pvmt Raper sexy SeMce ...___ "-13010150 r7.321.xr, Reaaenw'-izoiA111 3216.0301 3216.0301 Li:. sY SV. 17 u. ..04.00 E7o.0J 390.W r5om 040 20 SCWOppppp ].mcxp,a 41.600.00 Sa90W 51,600.00 SA90.m _._. --_-- Sl 01.10 5nYE:m -- - . 288 508806002 PmB Repair Res4 02 -...._ 3201.0110 55.00 toa3.500m000 55738150 57,38150 57351.50 284 jiN 80 ae20704170 45 500 )xaln IJ LC 17 .561.0 ...--2m 0522 8'008 AaPnvt Repar, Arterial _-- - 222! 012111 SSm. .-... 5088 PSP�_yl epalr A8e8al- 60880000 RepairA08010 - 3x11.0123 3201.01x] L0. 560.00 - 2..400000 51503800 51503800 -- 5'503fim- -- 270 211 Par Ina r 088 hPvmt Re uWpl J3o1.o 131 V-- u. %s.m 45.00 36.509,09 Sz 17151 523720-- 5x.372.0 - 262 22000 04202PM1z2 _..3:61oi3 3201.01]3 a:... $'/100 m_._ 272 2220 50888 Aagnir RePalr.lneo-w ii. nsm .520.0 244... ABPM1Nt Prmt50190Bry°ntl00004 VlIeN 0 - 121.0201 sv... 189.-75000001 5]395.0 53]95.00 -.... 53,395.00 ZI3.._ bPM1a6 P301020 008004 ee WIe1M1, 27.201 -_-- 1.0 O3 sY 025.03 -- - - --- - _... - 278 apM1eR 51,10.307 00305 Beynne Oerrri 72(241 020 0 0x0 _-. ]101.00] Sv 330.00 m.._ _ E1 TTnkk Fwr0W00Aa5002Pa2005.521 -.-_. -. 32010221 Sr 520.0 ....___.... -- _ _.... _... a s TTnkh Eare ValMn PapnaR PavmewfiepW 3311 2 .001 sv. -sv: sYc.m _.. _..- zie ._.. cTnitii010301540610622247007580008200 ....... fmf:mm sioao _.. 280 T Due700, Regan .. --._ -- __ 32010 LI 520.0 66.001005 EI.nO.00 017m.m __.. 5/.x10 281.....- -_---._�FlaEda rFktleM Bee type e, GR-1 2110 12 SY. - _._....... _. 292 Baae, Type 9, GR3--.____.___-- _- -.- n1f.113z SY. $200 520.03 --- ---- --- Ox .-- r_ PVMR;WkeaMmiNl 3x01.0610 s7 575.0 28155000000 421123.75. 5211x375 7I23 004 Pmi 0008. ]x01.0615 47 00080 10.7600000 415260.80 515.x50.80 016300.80 285 -.. P.50000800.2md DeMeEOem200 sv- 540.0 06.71000000 E1,96e,W 51.869.00 {gym 288 .207 fist. P5mt .01W RmW Brpla OeNIeGVJMM aVl"EuaWxl ..__ ......._.._ ......_- .... s', SS.m .-eanPHle ---- .. BeNt PrlRR800 3310010 sv.... .. 370.00 _ _.. _.......__ ..... me Ox ....._._.__ ._rvJalaMe Rewn(Gnys1pl15ee1- .....----- ......-- _. baalOY 18401 x11.101 6w 0660. - __... __-'- 2BO 291 ._..- --444.4 __.. rwatawlap„wn _ 43005022 Ep. Ea. 4444.. 5.000.0 5,000.0 4.444 ---.. __. --- 4_44_4 zst ._ __ r1NWNRro Iaw2p _..ib5m1. x13.110:. 4444. __. 5.011.01 4444_.._ ......_ffi...... 4.444—_ ........---4444. trWal.22010 is S 05243000 Ea:. Ea. �11w __. 01 00 ._. _ � _ _ — e..... tTwaknLwvll® ..._ .- 4444.. ........_.._ _ 285- 285 _. SbeayU8803816 p 6nYdINe70 wawwM 3!]1.003 Ea. Ea. 514.0.00 50000 4444.. 23.-0000000 24000 523 m].m 5230.00 100.0 4230. 0 _ - __....... 4_444.. _-- 4444. ___4444. 523,000.00. 4230000 29] ......__...___._...�ewea N ... adnlma .._.......__. ..........._.._ ... ff YYoeE BmTuanl5mP Smreery .____—_ 0r. 532501 __ 4444 - _ 50x500 p ........+ AAA �' ....._........._ .... .........._._. -1 Ls 667sp0 sl,a37s0 95.0011300 010,3]5.00 014375.0 . 4444_..__ Aab2 0500 .. __........ ........ ........ __ Relnlre7Tlee Reel¢ N15N 010020X073 Elmeme GllMrcP -F Smkn 4444.. -. Ls 5150 44__44 — _... _..__......_. 905 — CSS BRLa3B - - Box OR c P Ee:_. CY. 50.715.10 435.0 4.444 am 907 2444.._ IN9TALLANO REMOVE TFAWORART BARB Wi WIRE FENCE OI0P0512000% Lr. 11. 04800, 51000 t. 52200.0 522000 41200000 ...2319 0110 . 1770N500NNE0TION 50 GRINDER NO CONTROL PANEL 1.0,._.,. 13 _4444 4444. 24950% 575000 _.. .0000000 1.100 0100 1.00000000 x550.00 387'9.00. 6000 5750.00 , __ _44.44 0,955.00 58.0000 _- 0 PIPE L0 Aatt 0 PEPIA THR HAT5r RCP PIPE -... Ls 62__. ATER tiNE LowER NG 4444. 4444 FA... 52.8500 130000000 4470003 425400 _ 59.00.0 4444 1. .000001 00000 E9 0110.-. 444_____4—... 44,,44 _.. 8030060.._...... _._.___ mWO:.W ___ .-39,00.0, 170024 004,3 08022 ,,00011wmaon31 4404204 520nee. cnn6124ismeie o300800w 0100020008420.0400 .301300 201ma000100.1008408/ Priorto i0.xatim Progress Estimate 48737 Contractor's Application Pg�"N1O°T SS EXTENSIONS,REPLACEMENTS & RELOCATIONS CONTRACT 2016 2nd RENEWAL Fonr (Fool) "�F^ud1O° 9/17120009/17/20 (0(0 00,0000 9/172020 0em _ Um(loo $100, - __ 0, /00, EnimmGimury 560970WW0 5652100W00 vd oo E502W __. _,_ 331000, Y Wv 3800110 EE, 0W $108W vJ TmP m m m.imJ,emvJy wN0u,C1 Swrimpm M ry�EI 2W 501010, 0 �...— BdmireoFmi.h (0.0) 04.W Sd10&W as 0®xa 03 gy - 9a_.. nmm00m WFRRENCOATNG ..— REN COATI TESTING ._. _... E0000I1 EpJ7 N Sw U000fYmme 6F— EF ramE I 3f 024 8379722.51 073,20177 07.0* 331,074E bm Ettnmm102000 Om Ny4bd20 m 4o20mYou00o,000Ee0mand0vdmwm,aM00Yand•on L,plc0madpmmmornoo City of Fort Worth Summary of Charges City Secretary Contract Num: 48737 ' P. O.: 4897 Project Number: 100434 CONTRACT 2016 2nd RENEWAL Application Period: 9/17/20 to 9/17/20 Application Four (Final) Application Date: 9/17/2020 Number: - Funding Identification (FID) Total Completed Amt Remaining Grass Retainage Net Original Contract 56002-0700430-5740010-100434-001380-9999 $959,491.97 $40,508.03 0 0 0 City of Fort Worth Summary of Charges City Secretary Contract Num: 48737 p O : 4897 Project Number: 100434 CONTRACT 2016 2nd RENEWAL Application Period: 9/17/20 to 9/17/20 Application Four (Final) Application Date: 9/17/2020 Number: Funding Identification (FID) :TotaICompitiaT Amt Remain i Gross Retainage Net 56002-0700430-5740010-100434-001380-9999 0 0 0 0 0 0 0 0 0 ChangeOrder4 _-- ------ 56002-0700430-5740010-100434-001380-9999 0 City of Fort Worth Summary of Charges City Secretary Contract Num: 48737 'REPLACEMJN-IS P. O.: 4897 Project Number: 100434 CONTRACT 2016 2nd RENEWAL Application Per od. 9/17/20 to 9/17/20 Application Four (Final) Application Date: 9/17/2020 Number Funding Identification FID - -" — C ) Total Completed Amt Remaining Gross Retsinae g Net Change Order6 '------- _--- - - 0 0 0 0 56002-0700430-5740010-100434-001380-9999 - - 0 0 0 0 1 0 1 0 o 0 0 Change Order 8 56002-0700430-5740010-100434-001380-9999 0 0 0 0 0 City of Fort Worth Summary of Charaes City Secretary Contract Num: 48737SS EXTENSLOINS,REPLACEMENTSP. 0.: 4897 Project Number: 100434 CONTRACT 2016 2nd RENEWAL Application Period: 9117120 to 9117/20 Application Four (Final) Application Date: 9/17/2020 Number: Funding Identification (FID) Total Completed Amt Remaining Gross Retainage Net Totals 56002-0700430-5740010-100434-001380-9999 $959,491.97 $40,508.03 0 0 0 0 0 0 I Grand Total $959,491.97 $40,508.03 I I $0.00 $0.00 $0.00 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 William J Schultz Inc dba Circle C Construction Company, 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; Second Renewal - Sewer Main Extensions, Replacements & Relocations Contract 2016 City Project Number 1004341 BY President Subscribed and sworn before me on this date 20 of October, 2020. °�v""►� MICHELE S LANKFORD, *; w STATE OF TEXAS Notary Public rr,��Notary ID # 1175946'6 4 �tF o f gym. Fxp• pctobm 7.2023 9; Tarrant, Texas ' " CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT ❑ AIA Document G707 CONTRACTOR ❑ SURETY ❑ OTHER ❑ Bond No. TXC611149 TO OWNER: City of Fort Worth 1000 Throckmorton Street Fort Worth, TX ARCHITECT'S PROJECT NO.: City Project No. 100434 CONTRACT FOR: Utilities CONTRACT DATED: PROJECT: (name, address) Sewer Main Extensions, Replacements & Relocations Contract 2016 - 2"d Renewal in the City of Fort Worth, TX 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 , 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 76102 , OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand this date: September 17, 2020 (Insert in writing the month followed by the numeric date and year.) Witness as to Sure (Se Jo A. Miller Merchants Bonding Company (Mutual) (Surety) fn g (Si afore of authoriz representative) 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 • AIAOO One Page ©1970 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave., NW, Washington, D.C. 20006 MERCHANT \ 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 Iowa (herein collectively called the "Companies") do hereby make, constitute and appoint, individually, John A Miller; John R Stockton; 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 11th day of February , 2020 ,"t0Ng4•'o .•O�NGC'•. •'� �' '� •• MERCHANTS BONDING COMPANY (MUTUAL) o99 • AP••. . �:'G q�'•�'t ; • �: VO . 1• MERCHANTS NATIONAL BONDING, INC. v%. 2003 ;0 :a'` 1933 .•C: By '•.�••'••••��••� '•�W .• 22ZPresident STATE OF IOWA •. COUNTY OF DALLAS ss. On this 11th day of February 2020 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. �PRtA� s POLLY MASON o Commission Number 750576 ''o -"---- Z ° 00 ° My Commission Expires /oWP • January 07, 2023 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 17th day of September , 2020. '��.�P•110 N4 ���� •, a otkG Co�A • :y VLP0R '., :4o. oQPo9q.gy. : 2003 ; G) ; y 1933 • Secretary . r POA 0018 (1/20) •••''•••••�••••�°' • S. '•••••• FORT W0RTH® TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME STATEMENT# FINAL STATEMENT# 1 CPN 100434 NAME OF PROJECT: SS Extensions, Replacements & Relocations Cont. 2016 Contractor Circle C Const. YEAR:J 2020 PROJECT NO.: I FINAL INSPECTION DATE 100434 WD CD CONTRACT TIME I 360 X PERIOD FROM: I 10/1/2020 TO: I 10/15/2020 I BEG - Month I DEVELOPMENT (Y/N N WORK ORDER EFFECTIVE: I 11/6/2018 I BEG y / n Y MID/n 100.0% DAY OF MONTH DAYS CHARGED REASON FOR DAYS CREDITED DAY OF MONTH DAYS CHARGED REASON FOR DAYS CREDITED 1 Thu 16 2 Fri 17 3 Sat 18 4 Sun 19 5 Mon 20 6 Tue 21 7 Wed 22 8 Thu 23 9 Fri 24 10 Sat 25 11 Sun 26 12 Mon 27 13 Tue 28 14 Wed 29 15 Thu 30 31 NA Wkn & Hol Wea Utl I 0th Not Applicable SAT,SUN,and HOLIDAYS WEATHER UTILITIES RELOCATE I OTHERS DAYS CHARGED TOTAL DAYS THIS PERIOD 0 0 0 I 0 PREVIOUS PERIOD 0 360 360 TOTAL TO DATE 0 0 0 0 360 360 Signature: / a �� Signature: (Print Name) fd..// I Shawn Fargo CONTRACTOR DATE I/2DZ41NsrEcToR DATE J 10/7/2020 FORT WORTH® TRANSPORTATION AND PUBLIC WORKS October 7, 2020 Circle C Construction 500 W. Trammell Ave. Fort Worth, TX. 76140 RE: Acceptance Letter Project Name: Sanitary Sewer Extensions, Replacements and Relocations Contract 2016 Project Type: City 02 Sanitary Sewer City Project No.: 100434 Second Renewal To Whom It May Concern: On June 19, 2020 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 19, 2020, 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 817-991-8260. Sincerely, For Adolfo Lopez Project Manager Cc: Shawn Fargo, Inspector Wade Miller, Inspection Supervisor Ariel Duarte, Senior Inspector Tony Sholola, Program Manager N/A, Consultant Circle C, Contractor N/A, Developer File E -Mail: Douglas W. Wiersig, P.E., PhD., Director, TPW Richard Martinez, Assistant Director, TPW Marisa Conlin, Traffic Engineering Allen Hall, Superintendent, TPW John Robert Carman, P.E., Director, Water Chris Harder, P.E., Assistant Director, Water Wendy Chi-Babulal, P.E., Water Tony Sholola, P.E., Water Richard Zavala, Director, PARD David Creek, Assistant Director, PARD Rev. 9/15/16