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HomeMy WebLinkAbout061865-FP1 - Construction-Related - Contract - Woody Contractors, Inc.FORTWORTH. TRANSPORTATION AND PUBLIC WORKS -FP 1 NOTICE OF PROJECT COMPLETION City Secretary No: 61865 Date Received: 08/31 /2026 City Project No: 103969 Regarding Contract 61865 Round 5 - CD9 Street Repair Program for as required by the Transportation & Public Works Department as approved by City Council on 6/25/24 through M&C 24-0555 the Director of the Transportation & Public Works Department, upon the recommendation of the Assistant Director of the Transportation & Public Works Department, has accepted the 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: Total Deduction Amount: Total Cost of Work Completed: Less Previous Payments: Final Payment Due: $10,033,481.30 Days 450 $465,770.20 No 4 Days Added by CO 35 $10,499,251.50 Total Days 485 $8,481,219.45 Days Charged451 $ 0.00 Days @ /Day = $ 0.00 $8,481,219.45 ($ 8,057,158.38) OFFICIAL RECORD $ 424,061.07 CITY SECRETARY FT. WORTH, TX Recommended for Acceptance Assistant Director, Transportation & Public Works - Capital Delivery Lauren Prieur (Aug 27, 2026 15:26:38 CDT) Accepted Director, Transportation & Public Works 08/27/2026 Date 08/27/2026 Date a, o@ L U c ` O O O O N a al O U Q N j CM c o > O n v E o a c > Y O a c -° O c v C i a a C U a 0 C O T o « a Y N O 2 N 0) O 41 c C a d N E 3o o c a Y a o L v 0 Y v 3 0 0 o a m y a U > a 01 u v o o c "o u c m a Q Q ? 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O V N m n c m m 3 d O w w w V C O u •- CL C �— v Z m v7, °i° E v V '0o > N O v Vof O¢ V_ Ec - EEEE WK u o -C a Q E- o K 0c V N C = O'^. a O om 0V) Om O OO OO M O OM EC MO O OO tiVl O.y OM O p N ON p O Ov0O O O 0 0 O 0 O p 0"Ot u La< m m o w v 474 Ntm v c a N o a> ov o a G m m m rn m m 0 o o 071 0 o o �+Mi m m m m o 0 dcc ao ao m o v 'cccccccccc 0 o o O v v o v O o 0 v v v o o v c v v v 'c 'c 'cccc v v v FF7R� U W 0 O o 0 0 0 4 C m 10 LL cp N rl O m ry 1A 1I1 A � = 0 O o 0 O 0 o O 0 o O 0 0 oo o d v 00 h c R o 0 0 0 z v v y 0 y +� l7 0 0 0 0 0 0 O LL N N O � M iy N E O 0 i = a oo F 0 0 o O p N Lam+ � a o 0 0 o v ? — � •` N C > N Vf N W a a - co ` 3 a a 0 0 0 o c Y9 3 y 0 N m a v 0 0 0 0 V m a Way O O O O N O O O O Ol O .n an an v 41 0 0 00 0 0 O 0 o N H .n o 0 io O a` O� a N m � 0 0 0 0 CI � O y C O u•- a c v° v Z E 0 = m a m m N U E � m v v LL u O V1 N M O ti w ry � O Q £ � ^ 0 m m 0 o o N a o m Z E > E E > > E > 00 FORT WORTMi, Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE• Round 5 CD 9 Street Repair Program — Near Southside Med Dist. M&C: 24-0555 CPN: 103969/CO2445 CSO: 61865 DOC#: Date: 12/10/2024 To: Name Department Initials Date Out 1. Filogonio Munoz TPW - initial Jan 29, 2025 2. Troy Woody Contractor - signature 41 Feb 3, 2025 3. Charles Hayes TPW - signature Jan 28, 2025 4. Gustavo Vallejo TPW - signature Feb 4, 2025 5. Abolfazl Zakersalehi Water - initial Feb 4, 2025 6. Greg Robbins TPW - signature Feb 5, 2025 7 Mary Hanna TPW - signature N�1' Feb 5, 2025 8 Patricia Wadsack TPW - signature PLW Feb 5, 2025 9 Lauren Prieur TPW - signature I F v Feb 6, 2025 10. Doug Black Legal - signature 7- Feb 7, 2025 11. Jesica McEachern CMO - signature ,�' Feb 13, 2025 12. Jannette Goodall CSO - signature Feb 13, 2025 13. TPW Contracts TPW DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review and take the next steps. NEEDS TO BE NOTARIZED: DYES ®No RUSH: DYES ®No SAME DAY: DYES ®No NEXT DAY:DYES ®No ROUTING TO CSO: ®YES ❑No Action Required: ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return To: TPWContractskFortWorthTexas.gov at ext. 7233 for pick up when completed. Thank you! CSC No. 61865-COl FORT WORTH.., City of Fort Worth Change Order Request Project Name 103969 Round 5 CD 9 Street Repair Program City Sec # 61865 Client Project #(s) 103969 & CO2445 Project Description Street Repair Program Near South Side Medical District Water and Sanitary Improvements Contractor Woody Contractors Inc. Change Order # 1 Date 12/4/2024 City Project Mgr. Gustavo A. Vallejo City Inspector F Charles Hayes Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date Unit 1: Water Unit 2: Sewer Unit 3: Paving Totals Contract Time (CD) $4,489,626.40 $1,227,857.80 $4,315,997.10 $10,033,481.30 450 $4,489,626.40 $1,227,857.80 $4,315,997.10 $10,033,481.30 450 Amount of Proposed Change Order $0.00 $0.00 $0.00 $0.00 5 Revised Contract Amount $4,489,626.40 $1,227,857.80 $4,315,997.10 Original Funds Available for Change Order $224,481.00 $61,393.00 $215,799.86 Remaining Funds Available for this CO $224,481.00 $61,393.00 $215,799.86 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) $10,033,481.30 455 $501,673.86 $501,673.86 0.00% $12,541,851.63 JUSTIFICATION (REASONS) FOR CHANGE ORDER IN ACCORDANCE WITH THIS CHANGE ORDER, THE CONTRACTOR SHALL: Furnish all labor and material as per Change Order #1. Change Order #1 provides bid items for 2" surface milling and 2" of new asphalt type D overlay on the intersection of Broadway Ave and Galveston Ave. It also includes a change at the intersection of W. Magnolia Ave and S. Lake St. for 1- 30" gate valve and fittings. The contractor anticipated installing and had already purchased a butterfly valve. It was later decided to install the gate valve instead, and the Water Department will purchase the butterfly valve from the contractor, as this valve cannot be returned. This change order also includes a connection to an existing 42"X10" outlet, as well as installation of a 10" gate valve in lieu of providing a new connection to an exisiting 42" water main. Additionally, the embedment/backfill with crushed rock, due to groundwater was found at the time of the installation of the proposed water line, along with 1 additional 10" gate valve on W. Peter Smith St. & S. Ballinger St. Finally, this change order includes items for the replacement of a damaged 21" RCP pipe discovered during the installation of a proposed water line. These items were not included in the original bid proposal. Time: The contractor has requested 5 calendar days for the surface milling and new asphalt installation. The City approved these additional days. Cost: The City compared the new bid items to the current contract prices from other projects under construction at the time of the change order. The City finds the contractor's proposed pricing is fair and reasonable. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Contractor's Company Name Contractor (Name) Contract Signature Date Woody Contractors, Inc. Troy Woody Feb 3, 2025 Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date Jan 28, 2025 Feb 4, 2025 Program Manager Date Senior Capital Project Officer Date Feb 5, 2025-- Feb 5, 2025 Assistant Director (Dept) Date Director, Contracting Department (Dept) Date at�lcia L. Wad 4c Feb 5, 2025 Feb 6, 2025 Assistant City Attorney Date JAssistant City Manager Date Feb 7, 2025 �a�V,�_ Feb 13, 2025 Council Action (if required) M&C Number M&C Date Approved ATTEST: Jannette Goodall, City Secretary FORT WORTH City of Fort worth —� T-- Change Order Additions Project Name 103969 Round 5 CD 9 Street Repair Program City Sec # 61865 Client Project # 1039698,002445 Contractor Woody Contractors Inc. PM Gustavo A. Vallejo Inspector Charles Hayes Change Order Submittal # �J Date 12/4/2024 ADDITIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total 78 0241.1506 2" Surface Mill Unit 1: Water 240.00000000 SY $75.70 3,768.00 79 3212.03D12" Asphalt Type D Overlay Unit 1: Water 240.00000000 SY $23.65 $5,676.00 80 9999.1005 30" Butterfly Valve and Fittings Unit 1: Water 1.00000000 EA $68,107.00 $68,107.00 81 9999.1006 Connect to Existing 42"X10" Outlet Unit 1: Water 1.00000000 EA $14,300.00 $14,300.30 82 3312.300410" Gate Valve Unit 1: Water 2.00000000 EA $5,000.00 $50,000.00 83 0241.3014 Remove 21" Storm Line Unit 1: Water 80.00000000 LF $20.50 $1,640.30 84 3341.0201 21" RCP, Class III Unit 1: Water 80.000000001 LF $197.50 $15,800.00 85 3305.0204 Imported Embedment/Backfill, Crushed Rock Unit 1: Water 91.00000000 CY $52.00 $4,732.30 53 0241.15062" Surface MITI Unit 2: Sewer 200.00000000 SY $15.70 $3,140.00 54 3212.0301 2" Asphalt Type D Overlay Unit 2: Sewer 200.00000000 SY $23.65 $4,730.00 Unit 1: Water $124,023.00 Unit 2: Sewer $7,870.00 Unit 3: Paving $0.00 $0.00 Sub Total Additions $131,893.00 Lnange uraer Aaamons rage 4 oT o FORTWORTH City of Fort Worth Change Order Deletions Project Name 103969 Round 5 CD 9 Street Repair Program City Sec # 61865 Client Project # 103969 & CO2445 Contractor F Woody Contractors Inc. PM Gustavo A. Vallejo Inspector Charles Hayes Change Order Submittal# = Date 12/4/2024 DELETIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total 55 3312.0111 Connection to Existing 42" Water Main Unit 1: Water 1.00000000 EA $66,555.00 $66,555.00 23 0241.170011" Pavement Pulverization Unit 1: Water 240.00000000 SY $13.00 3,120.00 24 3211.0601 CEMLIME Unit 1: Water 3.84000000 TON $440.00 $1,689.60 30 3212.0303 3" Asphalt Pavement Type D Unit 1: Water 240.00000000 SY $27.00 6780.0o 77 9999.1004 Construction Allowance Unit 1: Water 0.46178400 LS $100,000.00 $46,178.40 11 0241.170011" Pavement Pulverization Unit 2: Sewer 200.00000000 SY $13.00 $2,600.00 18 13211.0601 CEMLIME Unit 2: Sewer 3.20000000 TON $440.00 $1,408.00 19 3212.0303 3" Asphalt Pavement Type D Unit 2: Sewer 143.03703703 SY $27.00 $3,862.00 Unit 1: Water 124,023.00 Unit 2: Sewer $7,870.00 Unit 3: Paving $0.00 $0.00 Sub Total Deletions $131,893.00 Change Order Deletions Page 5 of 6 M/SBE for this Change Order M/SBE Sub I Type of Service Amount for this CO Total $0.00 Previous Change Orders Co # I DATE I AMOUNT Total I $0.00 I 103969/CO2445-CNCO-Round 5 CD 9 Street Repair Program - Near Southside Med Dist. Final Audit Report 2025-02-18 Created: 2025-01-28 By: Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) Status: Signed Transaction ID: CBJCHBCAABAANc2wLg_4rZ1M0odoEsJw-b4J8H2CN3VW "103969/CO2445-CNCO-Round 5 CD 9 Street Repair Program - Near Southside Med Dist." History riu a Document created by Andrea Munoz (Andrea. M u noz@fortworthtexas.gov) 2025-01-28 - 11:30:09 PM GMT- IP address: 204.10.91.100 h Document emailed to Filogonio Munoz (Filogonio.Munoz@fortworthtexas.gov) for filling 2025-01-28 - 11:48:45 PM GMT - Document emailed to Troy Woody (twoody202O@aol.com) for signature 2025-01-28 - 11:48:45 PM GMT -". Document emailed to Charles Hayes (charles.hayes@fortworthtexas.gov) for signature 2025-01-28 - 11:48:45 PM GMT Document emailed to Gustavo Vallejo (Gustavo.Vallejo@fortworthtexas.gov) for signature 2025-01-28 - 11:48:46 PM GMT :- Document emailed to Abolfazl Zakersalehi (abolfazl.zakersalehi@fortworthtexas.gov) for filling 2025-01-28 - 11:48:46 PM GMT Email viewed by Charles Hayes (charles.hayes@fortworthtexas.gov) y 2025-01-28 - 11:50:02 PM GMT- IP address: 166.205.58.47 Document e-signed by Charles Hayes (charles.hayes@fortworthtexas.gov) Signature Date: 2025-01-28 - 11:52:44 PM GMT - Time Source: server- IP address: 166.205.58.47 ' Email viewed by Gustavo Vallejo (Gustavo.Vallejo@fortworthtexas.gov) 2025-01-29 - 1:13:04 PM GMT- IP address: 166.205.54.16 Email viewed by Filogonio Munoz (Filogonio.Munoz@fortworthtexas.gov) 2025-01-29 - 1:49:11 PM GMT- IP address: 204.10.91.100 FORTWORTH:, Paweredby Adobe Acrobat Sign c; Form filled by Filogonio Munoz (Filogonio.Munoz@fortworthtexas.gov) Form filling Date: 2025-01-29 - 2:23:01 PM GMT - Time Source: server- IP address: 204.10.91.100 Email viewed by Troy Woody (twoody202O@aol.com) o_y 2025-02-03 - 3:05:29 PM GMT- IP address: 69.147.93.95 C`Q Document e-signed by Troy Woody (twoody202O@aol.com) Signature Date: 2025-02-03 - 3:06:49 PM GMT - Time Source: server- IP address: 50.84.77.98 Email viewed by Abolfazl Zakersalehi (abolfazl.zakersalehi@fortworthtexas.gov) 2025-02-04 - 1:53:07 PM GMT- IP address: 204.10.90.100 4 Form filled by Abolfazl Zakersalehi(abolfazl.zakersalehi@fortworthtexas.gov) Form filling Date: 2025-02-04 - 1:53:35 PM GMT - Time Source: server- IP address: 204.10.90.100 Email viewed by Gustavo Vallejo (Gustavo.Vallejo@fortworthtexas.gov) 2025-02-04 - 5:24:19 PM GMT- IP address: 204.10.90.100 c Document e-signed by Gustavo Vallejo (Gustavo.Vallejo@fortworthtexas.gov) Signature Date: 2025-02-04 - 5:24:53 PM GMT - Time Source: server- IP address: 204.10.90.100 Document emailed to Gregory Robbins (Gregory.Robbins@fortworthtexas.gov) for signature 2025-02-04 - 5:24:59 PM GMT Document e-signed by Gregory Robbins (Gregory.Robbins@fortworthtexas.gov) Signature Date: 2025-02-05 - 1:44:46 PM GMT - Time Source: server- IP address: 204.10.90.100 Document emailed to Mary Hanna (Mary.Hanna@fortworthtexas.gov) for signature 2025-02-05 - 1:44:48 PM GMT Email viewed by Mary Hanna (Mary.Han na@fortworthtexas.gov) 2025-02-05 - 2:55:01 PM GMT- IP address: 204.10.90.100 Document e-signed by Mary Hanna (Mary.Hanna@fortworthtexas.gov) Signature Date: 2025-02-05 - 3:32:06 PM GMT - Time Source: server- IP address: 204.10.90.100 Document emailed to Patricia Wadsack (patricia.wadsack@fortworthtexas.gov) for signature 2025-02-05 - 3:32:08 PM GMT Signer Patricia Wadsack (patricia.wadsack@fortworthtexas.gov) entered name at signing as Patricia L. Wadsack 2025-02-06 - 1:34:18 AM GMT- IP address: 35.150.23.58 Document e-signed by Patricia L. Wadsack (patricia.wadsack@fortworthtexas.gov) Signature Date: 2025-02-06 - 1:34:20 AM GMT - Time Source: server- IP address: 35.150.23.58 FORTWORTH.. Paweredby Adobe Acrobat Sign Document emailed to Lauren Prieur (Lauren.Prieur@fortworthtexas.gov) for signature 2025-02-06 - 1:34:23 AM GMT Email viewed by Lauren Prieur (Lauren.Prieur@fortworthtexas.gov) o_y 2025-02-06 - 11:17:44 AM GMT- IP address: 107.115.112.23 C`Q Document e-signed by Lauren Prieur (Lauren.Prieur@fortworthtexas.gov) Signature Date: 2025-02-06 - 11:18:36 AM GMT - Time Source: server- IP address: 107.115.112.23 Document emailed to Priscilla Ramirez (Priscilla.Ramirez@fortworthtexas.gov) for approval 2025-02-06 - 11:18:38 AM GMT Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) added alternate approver Andrea Munoz (Andrea.Munoz@fortworthtexas.gov). The original approver Priscilla Ramirez (Priscilla.Ramirez@fortworthtexas.gov) can still approve. 2025-02-06 - 11:08:24 PM GMT- IP address: 204.10.91.100 Document emailed to Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) for approval 2025-02-06 - 11:08:24 PM GMT `y Email viewed by Andrea Munoz (Andrea. M u noz@fortworthtexas.gov) 2025-02-06 - 11:08:45 PM GMT- IP address: 204.10.91.100 Document approved by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) Approval Date: 2025-02-06 - 11:08:56 PM GMT - Time Source: server- IP address: 204.10.91.100 Document emailed to Douglas Black (Douglas.Black@fortworthtexas.gov) for signature 2025-02-06 - 11:08:57 PM GMT =- Document e-signed by Douglas Black (Douglas.Black@fortworthtexas.gov) Signature Date: 2025-02-07 - 5:11:17 PM GMT - Time Source: server- IP address: 208.184.124.181 "- Document emailed to Jesica McEachern (jesica.mceachern@fortworthtexas.gov) for signature 2025-02-07 - 5:11:19 PM GMT Document e-signed by Jesica McEachern(jesica.mceachern@fortworthtexas.gov) Signature Date: 2025-02-13 - 6:38:25 AM GMT - Time Source: server- IP address: 204.10.90.100 Document approval automatically delegated to Katherine Cenicola (Katherine.Cenicola@fortworthtexas.gov) by Ronald Gonzales (Ronald.Gonzales@fortworthtexas.gov) 2025-02-13 - 6:38:27 AM GMT Document emailed to Katherine Cenicola (Katherine.Cenicola@fortworthtexas.gov) for approval 2025-02-13 - 6:38:28 AM GMT - - Document emailed to Ronald Gonzales (Ronald.Gonzales@fortworthtexas.gov) for approval 2025-02-13 - 6:38:28 AM GMT FORTWORTH:. Paweredby Adobe Acrobat Sign c Document approved by Ronald Gonzales (Ronald.Gonzales@fortworthtexas.gov) Approval Date: 2025-02-13 - 4:35:01 PM GMT - Time Source: server- IP address: 208.184.124.181 Document emailed to Jannette Goodall Oannette.goodall@fortworthtexas.gov) for signature 2025-02-13 - 4:35:04 PM GMT Email viewed by Jannette Goodall Qannette.goodall@fortworthtexas.gov) 2025-02-13 - 8:24:24 PM GMT- IP address: 204.10.90.90 C Document e-signed by Jannette Goodall Oannette.goodall@fortworthtexas.gov) Signature Date: 2025-02-13 - 8:25:05 PM GMT - Time Source: server- IP address: 204.10.90.90 Form filling automatically delegated to Elisa Winterrowd (Elisa.Winterrowd@fortworthtexas.gov) by Allison Tidwell (allison.tidwell@fortworthtexas.gov) 2025-02-13 - 8:25:12 PM GMT Document emailed to Allison Tidwell (allison.tidwell@fortworthtexas.gov) for filling 2025-02-13 - 8:25:13 PM GMT Document emailed to Elisa Winterrowd (Elisa.Winterrowd@fortworthtexas.gov) for filling 2025-02-13 - 8:25:13 PM GMT Form filled by Elisa Winterrowd (Elisa.Winterrowd@fortworthtexas.gov) Form filling Date: 2025-02-18 - 8:01:32 PM GMT - Time Source: server- IP address: 208.184.124.181 Agreement completed. 2025-02-18 - 8:01:32 PM GMT FORTWORTH.. Paweredby Adobe Acrobat Sign FORTWORTH, Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Round 5 CD 9 Street Repair Program — Near Southside Med Dist. M&C: 24-0555 CPN: 103969/CO2445 CSO: 61865 DOC#: Date: 12/10/2024 To: Name Department Initials Date Out 1. Filogonio Munoz TPW - initial Mar 20, 2025 2. Troy Woody Contractor -signature ,oYwoodY Mar 19, 2025 3. Charles Hayes TPW - signature „aye=„aye= Mar31, 2025 4. Gustavo Vallejo TPW - signature ,,, Apr 4, 2025 5. Abolfazl Zakersalehi Water - initial A Apr 14, 2025 6. Greg Robbins TPW - signature ;,, Apr 18, 2025 7 Mary Hanna TPW - signature Apr 21, 2025 8 Patricia Wadsack TPW - signature pL Apr 23, 2025 9 Lauren Prieur TPW - signature ° Apr 24, 2025 10. Doug Black Legal - signature ,s ;,ak Apr 24, 2025 11. Jesica McEachern CMO - signature ! A May 1, 2025 12. Jannette Goodall CSO - signature May 1, 2025 13. TPW Contracts TPW DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, Jay will review and take the next steps. NEEDS TO BE NOTARIZED: ❑YES ®No RUSH: ❑YES ®No SAME DAY: ❑YES ®No NEXT DAY: ❑YES ®No ROUTING TO CSO: ®YES ❑No Action Required: ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return To: TPWContracts(cr�,FortWorthTexas. oovv at ext. 7233 for pick up when completed. Thank youl 61865-CO2 FORT WORTH, City of Fort Worth Change Order Request Project Name F103969 Round 5 CD 9 Street Repair Program City Sec # 61865 Client Project #(s) 103969 & CO2445 71 Project Description Street Repair Program Near South Side Medical District Water and Sanitary Improvements Contractor Woody Contractors Inc. Change Order # 2 Date 2/28/2025 City Project Mgr. Gustavo A. Vallejo City Inspector F Charles Hayes Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date Unit 1: Water Unit 2: Sewer Unit 3: Paving Totals Contract Time (CD) $4,489,626.40 $1,227,857.80 $4,315,997.10 $10,033,481.30 450 5 $4,489,626.40 $1,227,857.80 $4,315,997.10 $10,033,481.30 455 Amount of Proposed Change Order $25,424.80 $0.00 $0.00 $0.00 $25,424.80 10 Revised Contract Amount $4,515,0S1.20 $1,227,857.80 $4,315,997.10 Original Funds Available for Change Order $224,481.00 $61,393.00 $215,799.86 Remaining Funds Available for this CO $224,481.00 $61,393.00 $215,799.86 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACTAMOUNT (ORIGINAL CONTRACT COST + 25%) $10,OS8,906.10 465 $501,673.86 $501,673.86 0.25% $12,541,851.63 JUSTIFICATION (REASONS) FOR CHANGE ORDER IN ACCORDANCE WITH THIS CHANGE ORDER, THE CONTRACTOR SHALL: Furnish all labor and materials as specified in Change Order #2. Change Order #2 includes bid items for the replacement of 16 linear feet (LF) of existing 24" RCP storm drain,16 LF of existing 30" RCP storm drain, and the replacement of an existing storm drain junction box, all of which are located at the intersection of W. Magnolia Ave and S. Lake St. During installation of a proposed 30" waterline at this location, it was determined that above -mentioned stormwater assets in close proximity would need to be replaced for proper installation of the waterline. Time: Ten (10) calendar days (January 24, 2025 — February 3, 2025) have been approved and added to the contract time for the additional work. Cost: The City has compared the new bid items with current contract prices from other projects under construction at the time of the change order, and has determined that the contractor's proposed pricing is fair and reasonable. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Contractor's Company Name Contractor (Name) Contract Signature Date Woody Contractors, Inc. Troy Woody Mar 19, 2025 Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date �i+-L-- Mar31,2025 7w Apr4,2025 Program Manager Date Senior Capital Project Officer Date Apr 18, 2025 — Apr 21, 2025 Assistant Director (Dept) Date Director, Contracting Department (Dept) Date Apr 23, 2025 Apr 24, 2025 Assistant City Attorney Date JAssistant City Manager Date Apr 24, 2025 May 1, 2025 Council Action (if required) M&C Number N/A M&C Date Approved N/A ATTEST: y.....,. a -& Jannette Goodall, City Secretary FORT WORTH City of Fort Worth —1i*'--- Change Order Additions Project Name 103969 Round 5 CD 9 Street Repair Program City Sec # 61865 Client Project # 103969 & CO2445 Contractor Woody Contractors Inc. PM Gustavo A. Vallejo Inspector Charles Hayes Change Order Submittal# 1=J Date 2/28/2025 ADDITIONS 3341.0205 . rrrrrrrr � rr rr "rrr rrrrrrrr 'rr rr err rr r ,r - - � rrrrrrrr � rr rr rr rr 0241.3015 Remove - rrrrrrrr rrr rrr r r - - r - � rrrrrrrr � rrr rrr rrrrrrrr r rr r rr Change Urder Additions Page 4 Ot b FORT WORTH City of Fort Worth Change Order Deletions Project Name 103969 Round 5 CD 9 Street Repair Program City Sec # 61fi65 Client Project # 103969 & CO2445 Contractor Woody Contractors Inc. PM Gustavo A. Vallejo Inspector Charles Hayes Change Order Submittal # F 2 Date 2/28/2025 DELETIONS Change Order Deletions Page 5 of 6 Previous Change Orders CO # DATE AMOUNT 1 12/4/2024 $0.00 Total $0.00 103969/CO2445-C N CO -Round 5 CD 9 Street Repair Program - Near Southside Med Dist. Final Audit Report 2025-03-31 Created: 2025-03-19 By: Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) Status: Signed Transaction ID: CBJCHBCAABAAeXUIPZThQH40SXV4CY1BKirdwt 8ruTf "103969/CO2445-CNCO-Round 5 CD 9 Street Repair Program - Near Southside Med Dist." History Document created by Andrea Munoz (Andrea. M unoz@fortworthtexas.gov) 2025-03-19 - 11:01:07 PM GMT- IP address: 204.10.90.100 ? Document emailed to Filogonio Munoz (Filogonio.Munoz@fortworthtexas.gov) for filling 2025-03-19 - 11:05:30 PM GMT Document emailed to Troy Woody (twoody202O@aol.com) for signature 2025-03-19 - 11:05:30 PM GMT Document emailed to Charles Hayes (charles.hayes@fortworthtexas.gov) for signature 2025-03-19 - 11:05:30 PM GMT fI Email viewed by Troy Woody (twoody202O@aol.com) 2025-03-19 - 11:24:17 PM GMT- IP address: 209.73.183.38 u Document e-signed by Troy Woody (twoody202O@aol.com) Signature Date: 2025-03-19 - 11:25:24 PM GMT - Time Source: server- IP address: 50.84.77.98 ` Email viewed by Charles Hayes (charles.hayes@fortworthtexas.gov) 2025-03-19 - 11:43:02 PM GMT- IP address: 166.205.58.27 ' Email viewed by Filogonio Munoz (Filogonio.Munoz@fortworthtexas.gov) 2025-03-20 - 2:51:53 AM GMT- IP address: 204.10.90.100 1 Form filled by Filogonio Munoz (Filogonio.Munoz@fortworthtexas.gov) Form filling Date: 2025-03-20 - 2:40:36 PM GMT - Time Source: server- IP address: 204.10.90.100 N Email viewed by Charles Hayes(charles.hayes@fortworthtexas.gov) 2025-03-31 - 11:43:08 AM GMT- IP address: 99.103.200.141 FoRTWORTH. vaweredby Adobe ■ Acrobat Sign =I(, Document e-signed by Charles Hayes(charles.hayes@fortworthtexas.gov) Signature Date: 2025-03-31 - 11:45:23 AM GMT - Time Source: server- IP address: 99.103.200.141 Agreement completed. 2025-03-31 - 11:45:23 AM GMT FORT WORTH, v---day -- Adobe Acrobrob ■ af Sign 103969/CO2445-CNCO-Round 5 CD 9 Street Repair Program - Near Southside Med Dist. Interim Agreement Report 2025-04-21 Created: 2025-03-31 By: Andrea Munoz (Andrea. Munoz@fortworthtexas.gov) Status: Out for Signature Transaction ID: CBJCHBCAABAAMYuhsezE3fedNLQVGDoQjnrC50SMxSvh Agreement History Agreement history is the list of the events that have impacted the status of the agreement prior to the final signature. A final audit report will be generated when the agreement is complete. "103969/CO2445-CNCO-Round 5 CD 9 Street Repair Program - Near Southside Med Dist." History t Document created by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) 2025-03-31 - 1:10:49 PM GMT- IP address: 204.10.90.100 Document emailed to Troy Gardner (troy.gardner@fortworthtexas.gov) for signature 2025-03-31 - 1:54:26 PM GMT f1 Email viewed by Troy Gardner (troy.gardner@fortworthtexas.gov) 2025-03-31 - 1:54:53 PM GMT- IP address: 204.10.90.100 J Document e-signed by Troy Gardner (troy. gard ner@fortworthtexas.gov) Signature Date: 2025-03-31 - 1:57:42 PM GMT - Time Source: server- IP address: 204.10.91.100 Document emailed to Gustavo Vallejo (Gustavo.Vallejo@fortworthtexas.gov) for signature 2025-03-31 - 1:57:45 PM GMT Email viewed by Gustavo Vallejo (Gustavo.Vallejo@fortworthtexas.gov) 2025-04-04 - 1:26:24 PM GMT- IP address: 208.184.124.181 ro Document e-signed by Gustavo Vallejo (Gustavo.Vallejo@fortworthtexas.gov) Signature Date: 2025-04-04 - 1:27:12 PM GMT - Time Source: server- IP address: 208.184.124.181 '7. Document emailed to Abolfazl Zakersalehi (abolfazl.zakersalehi@fortworthtexas.gov) for filling 2025-04-04 - 1:27:14 PM GMT FART WORTH. Powered 6y Adobe Acrobat Sign Email viewed by Abolfazl Zakersalehi (abolfazl.zakersalehi@fortworthtexas.gov) 2025-04-12 - 5:45:50 PM GMT- IP address: 20.159.64.152 �J Email viewed by Abolfazl Zakersalehi (abolfazl.zakersalehi@fortworthtexas.gov) 2025-04-14 - 4:57:40 PM GMT- IP address: 20.159.64.138 Form filled by Abolfazl Zakersalehi (abolfazl.zakersalehi@fortworthtexas.gov) Form filling Date: 2025-04-14 - 6:19:38 PM GMT - Time Source: server- IP address: 204.10.90.100 Document emailed to Gregory Robbins (Gregory.Robbins@fortworthtexas.gov) for signature 2025-04-14 - 6:19:40 PM GMT Email viewed by Gregory Robbins (Gregory.Robbins@fortworthtexas.gov) 2025-04-18 - 4:12:44 PM GMT- IP address: 20.159.64.152 ra Document e-signed by Gregory Robbins (Gregory. Robb i ns@fortworthtexas.gov) Signature Date: 2025-04-18 - 7:14:36 PM GMT - Time Source: server- IP address: 204.10.90.100 Document emailed to Mary Hanna (Mary. Han na@fortworthtexas.gov) for signature 2025-04-18 - 7:14:39 PM GMT Email viewed by Mary Hanna (Mary.Hanna@fortworthtexas.gov) 2025-04-18 - 7:23:54 PM GMT- IP address: 166.205.58.29 FORT WORTH. Powered by Adobe Acrobat Sign 103969 CO2445-CNCO-Round 5 CD 9 Street Repair Program - Near Southside Med Dist. CO# 2 Final Audit Report Created: 2025-04-21 By: Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) Status: Signed Transaction ID: CBJCHBCAABAALYcIGEriDZ_bxXJh4Z2_JVLVNEgpsNfn 2025-05-02 "103969 CO2445-CNCO-Round 5 CD 9 Street Repair Program - Near Southside Med Dist. CO# 2" History f-'j- Document created by Andrea Munoz (Andrea. M u noz@fortworthtexas.gov) 2025-04-21 - 8:44:10 PM GMT- IP address: 208.184.124.181 Document emailed to Andrea Munoz (Andrea. Munoz@fortworthtexas.gov) for filling 2025-04-21 - 8:56:55 PM GMT ` Agreement modified by Andrea Munoz (Andrea. M u noz@fortworthtexas.gov) 2025-04-21 - 8:59:16 PM GMT L Agreement modified acknowledged by Andrea Munoz (Andrea. M u noz@fortworthtexas.gov) 2025-04-21 - 8:59:22 PM GMT c Form filled by Andrea Munoz(Andrea. M u noz@fortworthtexas.gov) Form filling Date: 2025-04-21 - 8:59:40 PM GMT - Time Source: server- IP address: 208.184.124.181 r- Document emailed to Mary Hanna (Mary.Hanna@fortworthtexas.gov) for signature 2025-04-21 - 8:59:42 PM GMT I Email viewed by Mary Hanna (Mary. Han na@fortworthtexas.gov) 2025-04-21 - 9:02:10 PM GMT- IP address: 104.47.64.254 L Document e-signed by Mary Hanna (Mary.Hanna@fortworthtexas.gov) Signature Date: 2025-04-21 - 9:02:33 PM GMT - Time Source: server- IP address: 208.184.124.181 Document emailed to Patricia Wadsack (patricia.wadsack@fortworthtexas.gov) for signature 2025-04-21 - 9:02:34 PM GMT FORTWORTH.. `-`dby Adobe Acrobat Sign =e Signer Patricia Wadsack (patricia.wadsack@fortworthtexas.gov) entered name at signing as Patricia L. Wadsack 2025-04-23 - 10:17:55 PM GMT- IP address: 208.184.124.181 c Document e-signed by Patricia L. Wadsack (patricia.wadsack@fortworthtexas.gov) Signature Date: 2025-04-23 - 10:17:57 PM GMT - Time Source: server- IP address: 208.184.124.181 y- Document emailed to Lauren Prieur (Lauren.Prieur@fortworthtexas.gov) for signature 2025-04-23 - 10:18:00 PM GMT Document e-signed by Lauren Prieur (Lauren.Prieur@fortworthtexas.gov) Signature Date: 2025-04-24 - 1:39:42 PM GMT - Time Source: server- IP address: 76.227.105.128 Document emailed to Lorita Lyles (Lorita.Lyles@fortworthtexas.gov) for approval 2025-04-24 - 1:39:44 PM GMT ` Email viewed by Lorita Lyles (Lorita.Lyles@fortworthtexas.gov) 2025-04-24 - 5:16:17 PM GMT- IP address: 208.184.124.181 Document approved by Lorita Lyles (Lorita.Lyles@fortworthtexas.gov) Approval Date: 2025-04-24 - 5:27:21 PM GMT - Time Source: server- IP address: 208.184.124.181 Document emailed to Douglas Black (Douglas.Black@fortworthtexas.gov) for signature 2025-04-24 - 5:27:24 PM GMT c Document e-signed by Douglas Black (Douglas.Black@fortworthtexas.gov) Signature Date: 2025-04-24 - 7:33:37 PM GMT - Time Source: server- IP address: 208.184.124.181 -' Document emailed to Jesica McEachern Qesica.mceachern@fortworthtexas.gov) for signature 2025-04-24 - 7:33:39 PM GMT Email viewed by Jesica McEachern aesica.mceachern@fortworthtexas.gov) 2025-05-01 - 5:01:10 PM GMT- IP address: 107.115.94.7 c Document e-signed by Jesica McEachern Oesica.mceachern@fortworthtexas.gov) Signature Date: 2025-05-01 - 9:22:21 PM GMT - Time Source: server- IP address: 204.10.90.100 Document approval automatically delegated to Katherine Cenicola (Katherine.Cenicola@fortworthtexas.gov) by Ronald Gonzales (Ronald.Gonzales@fortworthtexas.gov) 2025-05-01 - 9:22:23 PM GMT Document emailed to Ronald Gonzales (Ronald.Gonzales@fortworthtexas.gov) for approval 2025-05-01 - 9:22:23 PM GMT Document emailed to Katherine Cenicola (Katherine.Cenicola@fortworthtexas.gov) for approval 2025-05-01 - 9:22:23 PM GMT FORTINORTH.. Pawevmby Adobe Acrobat Sign ' Email viewed by Katherine Cenicola (Katherine.Cenicola@fortworthtexas.gov) 2025-05-01 - 9:29:39 PM GMT- IP address: 104.47.64.254 c Document approved by Katherine Cenicola (Katherine.Cenicola@fortworthtexas.gov) Approval Date: 2025-05-01 - 9:29:57 PM GMT - Time Source: server- IP address: 208.184.124.181 Document emailed to Jannette Goodall Qannette.goodall@fortworthtexas.gov) for signature 2025-05-01 - 9:29:58 PM GMT 15_'11 Email viewed by Jannette Goodall Oannette.goodall@fortworthtexas.gov) 2025-05-01 - 9:49:51 PM GMT- IP address: 204.10.90.100 4 Document e-signed by Jannette Goodall Qannette.goodall@fortworthtexas.gov) Signature Date: 2025-05-01 - 9:50:06 PM GMT - Time Source: server- IP address: 204.10.90.100 Form filling automatically delegated to Elisa Winterrowd (Elisa.Winterrowd@fortworthtexas.gov) by Allison Tidwell (allison.tidwell@fortworthtexas.gov) 2025-05-01 - 9:50:08 PM GMT Document emailed to Elisa Winterrowd (Elisa.Winterrowd@fortworthtexas.gov) for filling 2025-05-01 - 9:50:09 PM GMT 4 Document emailed to Allison Tidwell (allison.tidwell@fortworthtexas.gov) for filling 2025-05-01 - 9:50:09 PM GMT Form filled by Allison Tidwell (allison.tidwell@fortworthtexas.gov) Form filling Date: 2025-05-02 - 12:17:21 PM GMT - Time Source: server- IP address: 208.184.124.181 Agreement completed. 2025-05-02 - 12:17:21 PM GMT FORTWORTH.. Paweredby Adobe Acrobat Sign FORT WORTMi, Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE• Round 5 CD 9 Street Repair Program — Near Southside Med Dist. M&C: 25-0597 CPN: 103969/CO2445 CSO: 61865 DOC#: Date: 6/24/2025 To: Name Department Initials Date Out 1. Filogonio Munoz TPW - initial 07/28/25 2. Troy Woody Contractor - signature .,'odY 07/28/25 3. Charles Hayes TPW - signature Air 07/28/25 4. Gustavo Vallejo TPW - signature 6`! a„o 07/28/25 5. Greg Robbins TPW - signature M 07/28/25 6. Mary Hanna TPW - signatures 07/28/25 7. Patricia Wadsack TPW - signature 08/04/25 8. Lauren Prieur TPW - signature dfe°f1Pf 08/04/25 9. Doug Black Legal - signature 7oug1asB1ack 08/04/25 10. Jesica McEachern CMO - signature 08/08/25 11. Jannette Goodall CSO 08/08/25 12. TPW Contracts TPW DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, Jay will review and take the next steps. NEEDS TO BE NOTARIZED: ❑YES ®No RUSH: ❑YES ®No SAME DAY: ❑YES ®No NEXT DAY: DYES ®No ROUTING TO CSO: ®YES ❑No Action Required: ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return To: TPWContracts(a�FortWorthTexas.gov at ext. 7233 for pick up when completed. Thank you! CSC No. 61865-CO3 FORT WORTH. City of Fort Worth Change Order Request Project Name 1 103969 Round 5 CD 9 Street Repair Program City Sec # 61865 Client Project #(s)l 103969 & CO2445 ' I Street Repair Program Near South Side Medical District Water and Sanitary Improvements Description Contractor Woody Contractors Inc. Change Order # 3 Date 7/14/2025 City Project Mgr. I Gustavo A. Vallejo City Inspector Charles Hayes Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date Unit 1: Water Unit 2: Sewer Unit 3: Paving Unit 4: Storm Totals Contract Time CD $4,489,626.40 $1,227,857.80 $4,315,997.10 $0.00 10,033,481.30 450 $25,424.80 $25,424.80 15 $4,515,051.20 $1,227,857.80 $4,315,997.10 $0.00 $10,058,906.10 465 Amount of Proposed Change Order $0.00 $0.00 $365,325.00 $75,020.40 $440,345.40 15 Revised Contract Amount $4,515,051.20 $1,227,857.80 $4,681,322.10 $75,020.40 Original Funds Available for Change Orders $224,481.00 $61,393.00 $215,799.86 Remaining Funds Available for this CO $199,056.20 $61,393.00 $215,799.86 $0.00 Additional Funding (if necessary) $149,525.14 $75,020.40 CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%) $10,499,251.50 480 $501,673.86 $476,249.06 $224,545.54 4.64% $12,541,851.63 JUSTIFICATION (REASONS) FOR CHANGE ORDER IN ACCORDANCE WITH THIS CHANGE ORDER, THE CONTRACTOR SHALL: Furnish all labor and materials necessary to perform the work outlined in Change Order #3. Change Order #3 includes the replacement of a damaged storm drain inlet on W. Tucker St, and the replacement of approximately 78 feet of 24" storm drain pipe at the intersection of W. Tucker and Lipscomb St. It also includes the abandonment of an existing stormwater manhole and pipes that are in poor condition. This includes plugging and filling them from the existing inlet at the southeast comer of W. Tucker & Lipscomb to the inlet further southeast on W. Tucker Street. These stormwater-related items were not part of the original contract scope. In addition to the stormwater items, the change order includes the removal of existing concrete pavement at Galveston, Pulaski, 6th St, W. Peter Smith, May St, , and Lake St, and the necessary flexbase to raise the ground level due to the concrete pavement removal. The concrete was discovered beneath the existing asphalt during construction. Time: The staff supports the contractor's request for an additional 15 days to complete the expanded scope of work. Cost: The City has compared the new bid items with current contract prices from other projects under construction at the time of the change order, and has determined that the contractor's proposed pricing is fair and reasonable. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Contractor ar. ctor Na _ . ntract Si n Woody Contractors, Inc. Troy Wood 07/28/25 Inspector/Inspection Supervisor Date Project and Contract Compliance Manager ——�t—r� 07/28/25 07/28/25 Program Manager Date Senior Capital Project Officer Date I r�,. 07/28/25 �„�"" 07/28/25 9erh/icia L. wadsaak Date 08/04/25 Director, Contracing Department Dept 7' - Date 08/04/25 Assistant City Attorney Date Assistant City Manager Date p 08/04/25 08/08/25 ction if required) M&C Number 25-0597 M&C Date Approved 6/2412025 ATTEST Jannette Goodall, City Secretary FORT WORTH City of Fort Worth Change Order Additions Project Name 103969 Round 5 CD 9 Street Repair Program City Sec # 61865 Client Project # 103969 & CO2445 Contractorl Woody Contractors Inc. PMJ Gustavo A. Vallejo Inspector Charles Hayes Change Order Submittal # = Date 7114/2025 ADDITIONS ITEM DESCRIPTION ULPT ry Unit Unit Cost Total Mobilization ni : orm 2 0241.4001 Remove 6 Curb Inlet Unit 4: Storm 1.00000000 EA $1,500.00 $1,500.00 3 0241.1300 Remove Conc Curb & Gutter Unit 4: Storm 16.00000000 LF $14.30 $228.80 4 0241.0100 Remove Sidewalk Unit 4: Storm 48.00000000 SF $3.60 $172.80 5 0241.3013 Remove 18" Storm Line Unit 4: Storm 30.00000000 LF $20.00 $600.00 6 0241.3102 18" Storm Abandonment Plug Unit 4: Storm 7.00000000 CY $1,000.00 $7,000.00 7 13305.0112 Concrete Collar for Manhole Unit 4: Storm 2.00000000 EA 1 $2,500.00 $5,000.00 8 3349.5001 10' Curb Inlet Unit 4: Storm 1.00000000 EA $11,000.00 $11,000.00 9 3341.0103 1 B" RCP, Class III Unit 4: Storm 56.00000000 LF $190.00 $10,640.00 10 3213.0301 4" Conc Sidewalk Unit 4: Storm 48.00000000 SF $13.80 $662.40 11 3305.0103 Exploratory Excavation of Existing Utilities Unit 4: Storm 2.00000000 EA $1,870.00 $3,740.00 12 0241.170011" Pavement Pulverization Unit 4: Storm 56.33000000 SY $13.00 $732.29 13 3211.0601 CEMLIME TM Unit 4: Storm 1.08000000 TON $440.00 $475.20 14 3212.0302 3" Asphalt Pvmt Type D (DG-D) Unit 4: Storm 56.33000000 SY $27.00 $1,520.91 15 3301.0012 Post -CCTV Inspection Unit 4: Storm 180.00000000 LF $9.15 $1,647.00 16 3301.0003 Final -CCTV Inspection Unit 4: Storm 180.00000000 LF $7.00 $1,260.00 17 3471.0001 Traffic Control Unit 4: Storm 0.50000000 MO $4,900.00 $2,450.00 18 0241.3015 Remove 24" Storm Line Unit 4: Storm 78.00000000 LF $20.00 $1,560.00 19 3341.0205 24" RCP, Class III Unit 4: Storm 78.00000000 LF $212.00 $16,536.00 20 3211.0112 6" Flexible Base, Type A, GRA Unit 4: Storm 75.00000000 SY $30.60 $2,295.00 85 9999.0002 Remove Unreinforced Conc Pvmt Unit 3: Paving 6,875.00000000 SY $43.00 $295,625.00 86 3211.0112 6" Flexible Base, Type A, GRA Unit 3: Paving 1,700.00000000 TON $41.00 $69,700.00 Unit 1: WaterM$365�",325.0 Unit 2:Sewer Unit 3:Paving Unit 4: Storm ubTota Additions Change Order Additions Page 4 of 6 Fox_ rz�H City of Fort Worth Change Order Deletions Project Name 103969 Round 5 CD 9 Street Repair Program City Sec # 61865 Client Project # 103969 & CO2445 Contractor Woody Contractors Inc. PM Gustavo A. Vallejo Inspector Charles Hayes Change Order Submittal # Date 7/14/2025 DELETIONS Unit 1: Water 1 11 Unit 2: Sewer 1 11 Unit 3: Paving 1 11 Unit 4: '1 1 11 DeletionsSub Total 11 Change Order Deletions Page 5 of 6 MISBE for this Change Order M/SBE Sub Type of Service Amount for this CO Zamora Construction Concrete Flatwork $1,064.00 Lions Gate Logistics Hauling by dump truck - Rock & Sand Supplier $5,600.00 Klutz Contractors, Inc Concrete Structures $11,000.00 Total $17,664.00 Previous Change Orders CO # DATE AMOUNT 1 12/4/2024 $0.00 2 2/28/2025 $25,424.80 Total $25,424.80 6/26/25, 9:05 AM M&C Review Official site of the City of Fort Worth, Texas CITY COUNCIL AGENDA Fo Create New From This M&C REFERENCE **M&C 25- 20CD9 STREET REPAIR DATE: 6/24/2025 NO.: 0597 LOG NAME: PROGRAM ROUND 5 CO3- WOODY CODE: C TYPE: CONSENT PUBLIC NO HEARING: SUBJECT. (CD 9) Authorize Execution of Change Order No. 3 in the Amount of $440,345.40 and the Addition of 15 Calendar Days to the Construction Contract with Woody Contractors, Inc. for Round Five of the Council District 9 Street Repair and Reconstruction Program and Near Southside Medical District Water and Sanitary Sewer Main Improvements Project for a Total Revised Contract Amount of $10,499,251.50, Adopt Appropriation Ordinance, and Amend the Fiscal Years 2025-2029 Capital Improvement Program RECOMMENDATION: It is recommended that the City Council: 1. Authorize execution of Change Order No. 3 in the amount of $440,345.40 and the addition of 15 calendar days to City Secretary No. 61865 with Woody Contractors, Inc. for the construction of Round Five of the Council District 9 Street Repair and Reconstruction Program and Near Southside Medical District Water and Sanitary Sewer Main Improvements project (City Project No. 103969); for a total revised contract amount of $10,499,251.50; 2. Adopt the attached appropriation ordinance adjusting estimated receipts and appropriations in the Stormwater Capital Projects Fund by increasing estimated receipts and appropriations in the Round 5-CD 9 Street Repair Program project (City Project No. 103969) in an amount of $80,000.00 and decreasing estimated receipts and appropriations in the Drainage Improvements programmable project (City Project No. P00043) by the same amount; and 3. Amend the Fiscal Years 2025-2029 Capital Improvement Program. DISCUSSION: On June 25, 2024, Mayor and Council Communication (M&C) 24-0555, awarded City Secretary Contract No. 61865 to Woody Contractors, Inc., in the amount of $10,033,481.30 for the construction of the Round Five of the Council District 9 Street Repair and Reconstruction Program and Near Southside Medical District Water and Sanitary Sewer Main Improvements project (City Project No. 103969). Two subsequent change orders revised the construction contract. Change Order No. 1, administratively authorized on February 13, 2025, added bid items for 2-inch surface milling and asphalt overlay at the intersection of Broadway Avenue and Galveston Avenue. It also revised the scope at W. Magnolia Avenue and S. Lake Street to include a 30-inch gate valve in place of a butterfly valve and additional connections to existing water mains in the vicinity of the project at no additional cost. Change Order No. 2, administratively authorized on May 01, 2025, increased the contract amount by $25,424.80 and added bid items for the replacement of an existing junction box, 24" RCP storm drain, and 30" RCP storm drain pipes that was necessary to allow for the proper installation of the proposed 30" waterline. This Change Order No. 3 will add new bid items for the replacement of a damaged storm drain inlet and 24-inch pipe on West Tucker Street near Lipscomb Street, as well as the removal and grout filling of deteriorated storm lines not included in the original scope. It also includes an additional bid item for concrete pavement removal, which was discovered beneath the existing asphalt at several locations during construction. Transportation and Public Works Department Stormwater Division's share of this change order is $75,020.40. apps.cfwnet.org/cou nciI_packet/mc_review.asp?ID=33458&counciIdate=6/24/2025 1 /3 6/26/25, 9:05 AM M&C Review The staff has reviewed and verified the quantities for the additional work under Change Order No. 3. In addition, the staff recommends extending the contract time by 15 calendar days to complete the work. Staff recommends the use of the $215,799.86 in project contingency and $149,525.14 from the 2014 Bond Program — Fund 34014, already appropriated in the project, to fund the paving portion of this change order. The following table summarizes previous contracts actions and change orders: Construction Contract _I Date Amount Original Contract Amount (M&C 24-0555) ' 6/25/2024 F $10,033,481.30 Change Order No. 1 (Approved Administratively) 2/13/2025 $0.00 Change Order No. 2 (Approved Administratively) 5/1/2025 25,424.80 Change Order No. 3 This M&C I $440,345.40 Revised Contract Amount —� $10,499,251.50 The action in the M&C will appropriate funds in support of Stormwater Improvements for the Round 5- CD9 Street Repair Program project (City Project No. 103969), as follows: Fund Name Existing Funding Stormwater Capital Projects- Fund $0.00 52002 F 1 2014 Bond Program - Fund 34014 $932,545.14 r TIRZ - General Capital - Fund 30286 1 $3,431,005.32 Street Rehabilitation - Fund 39408 F $662,907.81 1 Additional Funding Project Total* $80,000.00 $80,000.00 $0.001 $932,545.14 $0.00 $3,431,005.32 $0.00 $662,907.81 (Project Total 1 $5,026,458.271 $80,000.00 $5,106,458.27 Funding is currently available in the Drainage Improvements programmable project (City Project No. P00043) within the Stormwater Capital Projects Fund and detailed in the budget summary below: FY2025 CIP Budget Change Revised Fund Name Project Name Appropriations Increase/Decrease FY2025 Budget Stormwater Drainage Capital Improvement Projects - Fund Projects - $3,365,781.33 ($80,000.00) $3,285,781.33 52002 P00043 This change order will have no impact on the Transportation and Public Works Department's annual operating budget. Funding is budgeted in the Drainage Improvements programmable project within the Stormwater Capital Projects Fund for the purpose of funding the Round 5-CD9 Street Repair Program project. DVIN/Business Equity — The Business Equity Division placed a 8.70\% business equity goal on this Change Order/Amendment. Woody Contractors, Inc., has agreed/committed to utilize 4.01\% business equity subcontractor participation, and Good Faith Effort (GFE) documentation was submitted, which is in accordance with the City's Business Equity Ordinance. Any changes in subcontractors will be reviewed by the Business Equity Division. This project is located in COUNCIL DISTRICT 9 FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies that funds are currently available in the Round 5-CD9 Street Repair Prog project within the 2014 Bond Program Fund and in the Drainage Improvement Projects programmable project within the Stormwater Capital Projects Fund and upon approval of the above recommendations and adoption of the attached appropriation ordinance, funds will be available in the 2014 Bond Program and Stormwater Capital Projects Funds for the Round 5-CD9 Street Repair apps.cfwnet.org/council_packet/mc_review.asp?ID=33458&councildate=6/24/2025 213 6/26/25, 9:05 AM M&C Review Program project to support the above recommendations and execution of this Change Order. Prior to any expenditure being incurred, the Transportation & Public Works Department has the responsibility to validate the availability of funds. TO Fund Department Account Project Program Activity Budget Reference # Amount ID I ID I I I Year Chartfield 2 FROM Fund Department Account Project Program Activity Budget Reference # Amount ID I ID Year Chartfield 2 Submitted for City Manager's Office by_ Originating Department Head: Additional Information Contact: Jesica McEachern (5804) Lauren Prieur (6035) Monty Hall (8662) ATTACHMENTS 103969 Compliance Memo Woody Contractors Inc.pdf (CFW Internal) 103969 Form 1295 Woody Contractors CO#3.pdf (CFW Internal) 103969 MC Map Woody Contractors CO#3.pdf (Public) 103969 Project Budget Summarypdf (CFW Internal) 20CD9 STREET REPAIR PROGRAM ROUND 5 CO3-WOODY funds availabilitypdf (CFW Internal) 20CD9 STREET REPAIR PROGRAM ROUND 5 CO3-WOODY Updated FID.xlsx (CFW Internal) 0RD.APP_20CD9 STREET REPAIR PROGRAM ROUND 5 CO3-WOODY_52002_A025(R2).docx (Public) SAM Report Woody Contractors Inc CO#3.pdf (CFW Internal) apps.cfwnet.org/counciI_packet/mc_review.asp?ID=33458&counciIdate=6/24/2025 3/3 FORT WORTW, Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE • Round 5 CD 9 Street Repair Program — Near Southside Med Dist. M&C: 25-0597 CPN: 103969/CO2445 CSO: 61865 DOC#: Date: 8/22/2025 To: Name Department Initials Date Out 1. Filogonio Munoz TPW - initial 09/02/25 2. Troy Woody Contractor - signature T1'„d 09/02/25 3. Charles Hayes TPW - signature „aYPS 09/02/25 4. Gustavo Vallejo TPW - signature 6V a„eO 09/02/25 5. Greg Robbins TPW - signature GR 09/08/25 6. Mary Hanna TPW - signature fl' 09/10/25 7. Patricia Wadsack TPW - signature 09/11/25 8. Lauren Prieur TPW - signature 09/11/25 9. Doug Black Legal - signature ���„k 09/12/25 10. Jesica McEachern CMO - signature 09/17/25 11. Jannette Goodall CSO - signature #7777 09/18/25 12. TPW Contracts TPW DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, Jay will review and take the next steps. NEEDS TO BE NOTARIZED: ❑YES ®No RUSH: EYES ®No SAME DAY: EYES ®No NEXT DAY: EYES ®No ROUTING TO CSO: ®YES ❑No Action Required: ❑ As Requested ❑ For Your Information ® Signature/Routing and or Recording ❑ Comment ❑ File ❑ Attach Signature, Initial and Notary Tabs Return To: TPWContractsOFortWorthTexas.gov at ext. Thank you! 7233 for pick up when completed. CSC No. 61865-004 FORT WORTH,,, City of Fort Worth _ Change Order Request Project Name 103969 Round 5 CD 9 Street Repair Program City Sec # 61865 Client Project #(s) 103969 & CO2445 Project Descriptionj Street Repair Program Near South Side Medical District Water and Sanitary Improvements Contractor Woody Contractors Inc. Change Order # 4 Date 8/20/2025 City Project Mgr. Gustavo A. Vallejo City Inspector Charles Hayes Dept. Original Contract Amount Extras to Date Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date Unit 1: Water Unit 2: Sewer Unit 3: Paving Unit 4: Storm Totals Contract Time (CD) $4,489,626.40 $1,227,857.80 $4,315,997.10 $0.00 $10,033,481.30 450 $25,424.80 $365,325.00 $75,020.40 $465,770.20 15 $4,515,051.20 $1,227,857.86 $4,681,322.10 $75,020.40 $10,499,251.50 465 Amount of Proposed Change Order $0.00 $0.00 1 $0.00 $0.00 1 5 Original Funds Available for Change Orders Remaining Funds Available for this CO Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 1 4.64% MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) 1 $12,541,851.63 JUSTIFICATION (REASONS) FOR CHANGE ORDER IN ACCORDANCE WITH THIS CHANGE ORDER, THE CONTRACTOR SHALL: Furnish all labor and materials necessary to perform the work outlined in Change Order #4. Change Order #4 includes the abandonment of three gas manholes and the removal of an abandoned gas valve located on W. Peter Smith Street, between S. Henderson and S. Lake Street. It also covers the placement of imported select fill to backfill an existing abandoned franchise utility trench on W. Tucker Street, between Lipscomb and Hemphill Streets. The existing backfill material in the trench was deemed unsuitable to pave over due to poor quality and excessive water saturation. These items were not included in the original contract scope. Time: Staff supports the contractor's request for an additional 5 calendar days to complete the expanded scope of work. Cost: The City has reviewed the contractor's proposed unit prices and compared them with recent bid item prices. Based on this analysis, the staff has determined that the proposed pricing is fair and reasonable. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Contractor's Company Name Contractor (Name) Contract Signature Date Woody Contractors, Inc. Troy Woody 09/02/25 Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date 6i „r 09/02/25 AW 09/02/25 Program Manager Date Senior Capital Project Officer Date 09/08/25 Sep 10, 2025 Assistant Director (Dept) Date Director, Contracting Department (Dept) Date P tr� a�.wuisuk( pu mzsu:zz:3sco7� 09/11/25 09/11/25 Assistant City Attorn Date 09/12/25 Assistant City Manager L01; Date 09/17/2025 CoulW. on (if required) M&C Number I N/A M&C Date Approved I N/A ATTEST Jannette Goodall, City Secretary FORT WORrr1 City of Fort Worth Change Order Additions Project Name 103969 Round 5 CD 9 Street Repair Program City Sec # 61665 Client Project # 103969 & CO2445 contractorl Woody Contractors Inc. PM Gustavo A. Vallejo Inspector) Charles Hayes Change Order Submittal # ® Date I8/20/2025 ADDITIONS � 9999.0004 Abandon Gas Manhole11111111 ', ' 11 11 ', 11 11 :�' 1 1 1 '®. II IIIIIIII � ',' II IIIIIIIIIIIIIIIIII6'$i'lIll�lhl 9999.0005 ®' 11111111 ', III ', 1 11 , 1 11 Change Order Additions FOR_ ORTH City of Fort Worth Change Order Deletions Project Name 103969 Round 5 CD 9 Street Repair Program City Sec # fi1865 Client Project # 103969 & CO2445 Contractorl Woody Contractors Inc. PM Gustavo A. Vallejo Inspectorl Charles Hayes Change Order Submittal # ® Date 8120/2025 ULLLI ION5 Change Order Deletions M/SBE for this Change Order M/SBE Sub Type of Service Amount for this CO N/A Total $0.00 Previous Change Orders co # DATE AMOUNT 1 12/4/2024 $0.00 2 2/28/2025 $25,424.80 3 7/14/2025 $440,345.40 Total $465,770.20 103969/CO2445-CNCO-Round 5 CD 9 Street Repair Program — Near Southside Med Dist. Interim Agreement Report 2025-09-08 Created: 2025-09-02 By: Andrea Munoz (Andrea. Munoz@fortworthtexas.gov) Status: Out for Signature Transaction ID: CBJCHBCAABAAxfugA5DOjObR5V2t1eOgfZw_93cigdd2 Agreement History Agreement history is the list of the events that have impacted the status of the agreement prior to the final signature. A final audit report will be generated when the agreement is complete. "103969/CO2445-CNCO-Round 5 CD 9 Street Repair Program — Near Southside Med Dist." History t Document created by Andrea Munoz (Andrea.Munoz@fortworthtexas.gov) 2025-09-02 - 8:45:18 PM GMT- IP address: 204.10.90.100 -- Document emailed to Filogonio Munoz (Filogonio.Munoz@fortworthtexas.gov) for filling 2025-09-02 - 8:51:32 PM GMT C7 Document emailed to Troy Woody (twoody202O@aol.com) for signature 2025-09-02 - 8:51:32 PM GMT L 2, Document emailed to Charles Hayes(charles.hayes@fortworthtexas.gov) for signature 2025-09-02 - 8:51:32 PM GMT TI Email viewed by Filogonio Munoz (Filogonio.Munoz@fortworthtexas.gov) 2025-09-02 - 8:52:24 PM GMT- IP address: 204.10.90.100 L?' Form filled by Filogonio Munoz (Filogonio.Munoz@fortworthtexas.gov) Form filling Date: 2025-09-02 - 9:05:13 PM GMT - Time Source: server- IP address: 204.10.90.100 fj Email viewed by Charles Hayes (charles.hayes@fortworthtexas.gov) 2025-09-02 - 9:26:36 PM GMT- IP address: 166.205.54.15 a Document e-signed by Charles Hayes(charles.hayes@fortworthtexas.gov) Signature Date: 2025-09-02 - 9:30:40 PM GMT - Time Source: server- IP address: 166.205.54.15 FORT WORTH. Powered 6y Adobe Acrobat Sign L: Email viewed by Troy Woody (twoody202O@aol.com) 2025-09-02 - 10:11:41 PM GMT- IP address: 69.147.87.55 Document e-signed by Troy Woody (twoody202O@aol.com) Signature Date: 2025-09-02 - 10:12:47 PM GMT - Time Source: server- IP address: 50.84.77.98 Document emailed to Troy Gardner (troy.gardner@fortworthtexas.gov) for signature 2025-09-02 - 10:12:49 PM GMT Document emailed to Gustavo Vallejo (Gustavo.Vallejo@fortworthtexas.gov) for signature 2025-09-02 - 10:12:49 PM GMT Email viewed by Gustavo Vallejo (Gustavo.Vallejo@fortworthtexas.gov) 2025-09-02 - 10:13:39 PM GMT- IP address: 166.205.58.57 Ya Document e-signed by Gustavo Vallejo (Gustavo.Vallejo@fortworthtexas.gov) Signature Date: 2025-09-02 - 10:16:39 PM GMT - Time Source: server- IP address: 166.205.58.57 Email viewed by Troy Gardner (troy.gardner@fortworthtexas.gov) 2025-09-03 - 12:26:28 PM GMT- IP address: 104.47.65.254 Document e-signed by Troy Gardner (troy.gardner@fortworthtexas.gov) Signature Date: 2025-09-03 - 12:27:06 PM GMT - Time Source: server- IP address: 99.21.80.29 Document emailed to Gregory Robbins (Gregory.Robbins@fortworthtexas.gov) for signature 2025-09-03 - 12:27:09 PM GMT b� Document e-signed by Gregory Robbins (Gregory.Robbins@fortworthtexas.gov) Signature Date: 2025-09-08 - 1:38:42 PM GMT - Time Source: server- IP address: 208.184.124.181 C _". Document emailed to Mary Hanna (Mary. Han na@fortworthtexas.gov) for signature 2025-09-08 - 1:38:44 PM GMT Email viewed by Mary Hanna (Mary.Hanna@fortworthtexas.gov) 2025-09-08 - 1:53:44 PM GMT- IP address: 104.47.64.254 FORT WORTH. Powered 6y Adobe Acrobat Sign 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 Troy Woody, President Of Woody Contractors, 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; FY21-CD9 STREET REPAIRAND RECONSTRUCTION & NEAR SOUTH SIDE MEDICAL DISTRICT - 103969 &02445 BY Troy Woody Subscribed and sworn before me on this date 28TH of JANUARY, 2026. J Notary Adblic Tarrant, Texas +� t Notary Public, soda at Taws : • 11 My COenmhtion Expire, '' *'+ APM 29, 2027 '�. �F �F�;E �e NOTARY ro 12WO 0 0 CONSENT OF OWNER SURETY COMPANY oN�c oR El TO FINAL PAYMENT SURETY ❑ (SIMT.AR TO AIA DOCUMENT G707) Bond No. K40202122 PROTECT: FY21 - CD 9 Street Repair and Reconstruction tar Near South Side Medical District Water and (name, address) Sewer Improvements, City Project No. 103969 tar 02445 To (Owner) Fort Worth, TX City of Fort Worth 100 Fort Worth Trail Fort Worth, TX 76102 CONTRACTOR: Woody Contractors, Inc. ARCHITECT'S PROJECT NO: CONTRACTFOR: CONTRACT DATE: June 25, 2024 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Company) Vigilant Insurance Company 5400 I.BJ Frwy, Suite 600 , SURETY COMPANY, Dallas, TX 75240 on bond of (here insert name and address of Contractor) Woody Contractors, Inc. 650 Tower Drive Kennedale, TX 76060 ,CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that the final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (here insert name and address of Owner) City of Fort Worth 100 Fort Worth Trail Fort Worth, TX 761022 0WNT;R, as set forth in the said Surety Company's bond. TN WITNESS WHEREOF, The Surety Company has hereunto set its hand this 2nd day of January 2026 VIGILANT INSURANCE COMPANY Surety "pCo�mfpany ��% By � �.�'l, ` f Signature of Authorized Representative Attest: (Seal): Elizabeth Gray Attorney —in —Fact Title Note: This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims, Current Edition CHUE3S: Power of Attorney Federal lnsurwiceCompany I Vigilant lnsurance Company I Pacific Indemnity Company Westchester Fire Insurance Company I ACE American Cnstirante Company ICttow AE by These Pl esetits, that FEDERAL INSURANCE COMPANY, an indlana.corpUtation, VIGILANT INSURANCE COMPANY, a New Yot'k coiporatlon, PACIFIC INDEMNITY COMPANY, a Delaware corporation, WES`IY.`IIEh rER FIRE INSURANCE COMPANY and ACE AMERiCAN INSURANCE COMPANY corporarlons ofthe Commonwealth of Pennsylvania, do each herebyconstituteand appoint.; Charles D. Sweeney, David W. Sweeney, Elizabeth Gray, Kyle W. Sweeney, and Michael A. Sweeney of FortWorth, Texas-------- - - — — — — ___ —------- -- -- ---------------- — ----- --- ---------------- ---------- — — -- -- --- each as their trite and lawful Attorney -in -Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their b.eh.V as surety thereon or otherwise, bonds and undertakings and other wrilings obligatory in the nature thereof (other than bail bonds) given or executed. in the course of business, .and. any In.stnimerits.amending or altering the same, and consents to the modification or alteration ofany hrstmirtent referred to hi said bonds orobligations. In Witness Whereof said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDHMNrrYCOMPANY, WESTCFiESTER MIRE, INSURANCE COMPANY and ACE.AMERICAN INSURANCE COMPANY have each executed and attested these presents and all xed their corporate:seals on this 246, day of October, 2025. Ritla tt rvtit e7ts.A.sittantS"retarr. STATHOr NEWJERSEY CountyofHunterdon Stephen M, flaney; Viet PreAdent fi� is € i yr ape On this 24ai day ofOctober, 2025 before tile, a Notary Public ofNew jersey, personally came. Rupert FID Swindells and Stephen M. Haney, to me known to be Assistant Secretary arid Vice President, respectively, of FEDERAL INSURANCE. COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTC13ESTER FIRE INSURANCE COMPANY and ACE AMERiCAN INSURANCE COMPANY, the companies which executed the foregoing Power of Attorney, and the said Rupert HD.Swindells and.Stephen M. Haney, being by me duly sworn, severally and each for himself did depose and say that they are Assistant Secretary and Vice President', respectively, of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WCSTCHBS rER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and know the corporate seals thereof, drat the seals affixed to the foregoing Power ofAttoriley are such corporate seals and were thereto affixed by authority of said Companies; and that theft, signatures as such officers were duly affixed and subscribed by like authority. Notarial Seal tosf a wiri ortltt wr RIAMYh(l KOFrltWjW& �pYAHi, Z ,►,.yq . f1Ei,.py3Q,.1�i�$,.r:t,1�y qyy�,� .-...-W.«� ...-. ..,.,Sr,�,;,�...."""r pG 641` t741'Nf6)Wi. aMpCp �v- -..•. •••• r Natru;k Fubtlg y JF.ti" CERIVICA'rION Resolutions adopted by the Boards Of Directors of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACiFIC.IN1DEMNITY COMPANY. On August 30. 20IG; WESTCHF.S'L'ER FIRE INSURANCE COMPANY on December 11,2006, and AGE AMERiCAN INSURANCE COMPANY on March 20, 2009: "RMLVkn,tlhat the following audhortzadons relate to the execution, fur and on belhalf of tide Company, of tlonds; umlertak'ings, recugnivinces, contracts and other written commitments of the Company oneredInto lit theordinary course orbusiness (encha WrfuenConnnBmenr?: (i) Each'ofthe CLiirman, ire President aad the Vice .Presidents, of.die CtrrnpanyIshereby authorized to execute any Written Con itnitmentforarid onbehatroftile Company, under tile seal of the Company or othet•wise. (2) RachdulyappolutedatrorneyinftdoftheComixmykherebyauthorizedtoexecuteanywrlttenCotnntitment for and onbehalfofOle company, oraler• tile sealofthe0umpanyorothetwlse, to the extent that such action Is antlwrized by the grant of powers provided for hisuch person's written appoimmentas Stich attorney-In•rect, (3) Each of the Chairman, the President and the Vice NvAdents of the t ompartyisherebyaulliorized,for and on behatfoltheCompany, toappoinIinwithig any person the atmrney hr-Fact of the Company with full power and authority to exewte, for and on behalf of the Company, under the seam of the Company or otherwise, such Written Coimnihnents of llm Comp_ony as may be specified in such written appointment, which speci{icadon may be by genatal type Or class of Written Commitments or by specification of one or more par dell lar Written Cmniniimetits, (4) Rach of the Cludrman, the PresiCent and the Vice Presidents of the Company is hereby authorized, for and on beimlf of the Company, to delegate Ili writing to any other omccr of the Company the authority to execrate, ftw and on behalf of the Company, under Ole Company's seal or otherwise, such Written cominhments of Die Company as Are specified in such written delegation, which spedfication may be by general type or class of written Commitments o• byspecification ofoneormore parti ularWrittenCommitments. (5) Tlie slgratturevfatty officer or other person executing any Written Commintwtt or appolatmetit or delegation pursuant to this Resolution, and the seal of the Conpany,may be aMxed by racshntte on such Written Commitment or written appointment. or delegation. FUMIERRMLVRT), that the foregoing Resolution shalI not be deemed to bean ex clos! ve staten i en t of the powers a nd au thority of officers, employees and other persom to act forand oil b6hatrof the Company, acid such Resolution shall not ]loot or otherwise affect lire exercise of any stich power or authority otherwise validlygratted or vested:' 1, Rupert HD Swindells, Assistant Secretary of FEDERAL INSURANCE COMPANY. VIGILANT INSURANCE COMPANY, PACIFIC INDEMNITY COMPANY, WESTCHESTER FIR13 INSURANCE COMPANY and ACE AMLiR1CAN INSURANCE COMPANY (the "Companies') do hereby certify that (1) the foregoing Resolutions adopted by the Board ofDireclurs oftlre Companies are true, correct and III full force and effect, (11) the foregoing Power ofAttorneyls true, correct and In full force and effect. Given under myhand and seals ofsaid Companies atwltitehouseStadDn,NJ, this January 2, 2026. Rugett HD 3trr.CseUs, r>,> istantSe,^h>ctar IN THE RVRNT YOU W(SHTO YrRIFY THP AUTHENTICITY OF THiS IIOND OR NVI'IFY US OF ANY OTHER MA97M, PLEASE CONTACT US AT: Tele lhone (908) 903.3493 Fax M08) 903.3656 e-mail. suirl hubb.com Combined FED-VIG-PI-WFIC-AAIC(rev. 11-19) f0 00- Name of person si€ Affidavit Of Compliance with City of Fort Worth Prevailing Wages ng affidavit) (Title) n f do hereby certify that the wages paid to all employees of j G o M ompany Name) for all hours worked on the Al (Project name and location) Project, during the period from "/ r I to (Project Dates) are in compliance with the requirements of Chapter 2258, Texas Government Code related to paying established City of Fort Worth wage rates per the project bid documents. I further certify that no rebates or deductions have been or will be made, directly or indirectly, from any wages paid in connection with this project, other than those provided by law. ignature atT Mt'L.er or Agent) Sworn to and subscribed in my presence this day of c 20. Revised 3/08/2024 (Notary Public) politZ 1ia�pii�P TarimMVCMM;M . *66 ''a•e a F `� E*.•` AMR no. 202 ARV 10 t? 410.0 FORTWORTH T- A0 TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Round 5 CD 9 Street Repair Program CITY PROJECT NUMBER: 103969 & CO2445 WATER PIPE LAID SIZE TYPE OF PIPE LF Main 6" PVC 151 Main 8" PVC 2364 Main 8 DIP 456 Main 12" PVC 807 Main 12" DIP 391 Main 30" DIP 829 FIRE HYDRANTS: 10 VALVES (16" OR LARGER) 1 - 30" PIPE ABANDONED SIZE TYPE OF PIPE LF Main 6" PVC 638 Main 12" PVC 63 Main 8" PVC 460 DENSITIES: All Passed NEW SERVICES: 1 " 607 LF 1.5" 25 LF 2" 54 LF SEWER PIPE LAID SIZE TYPE OF PIPE LF Main 8" PVC 491 Main 12" PVC 721 PIPE ABANDONED SIZE TYPE OF PIPE LF Main 6" PVC 932 DENSITIES: All Passed NEW SERVICES: 6" PVC 90 LF 4" PVC 22 LF TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 FORT WORTH. TRANSPORTATION AND PUBLIC WORKS March 2, 2026 Woody Contractors Inc 650 Tower Dr. Kennedale, TX 76060 RE: Acceptance Letter Project Name: Round 5 — CD 9 Street Repair Program Project Type: Water, Sewer, Paving City Project No.: 103969 & CO2445 To Whom It May Concern: On November 21, 2025 a final inspection was made on the subject project. There were punch list items identified at that time. The punch list items were completed on January 8, 2026. 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 January 8, 2026, 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 Gustavo.Vallejo@fortworthtexas.gov. Sincerely, Gustavo Vallejo, Project Manager c.stavo Vallejo (Aug 27, 202614:51:09 CDT) Greg Robbins P.E., Program Manager Cc: Charles Hayes, Inspector Marc Cantrell, Inspection Supervisor Steven Wester, Senior Inspector Greg Robbins P.E., Program Manager ANA Consultants, LLC, Consultant Woody Contractors Inc, Contractor N/A, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19