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BRIDGE REPAIR AT SILVER CREEK ROAD OVER
LIVE OAK CREEK (2004-21)
PROJECT: GS93-020930260660
FOR
THE CITY OF FORT WORTH,TEXAS
JULY 2004
MICHAEL J. MONCRIEF GARY JACKSON
MAYOR CITY MANAGER
ROBERT D. GOODE,PE
DIRECTOR OF TRANSPORTATION
AND PUBLIC WORKS DEPARTMENT
GEORGE BEHMANESH,PE—ASSISTANT DIRECTOR
OF TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
A.DOUGLAS RADEMAKER,P.E.
DIRECTOR OF ENGINEERING DEPARTMENT
Prepared by: w
TranSystems Corporation
500 West Seventh St.,Suite 600
Fort Worth,Texas 76102
City of Fort Worth, Texas
Mayor and Council Communication
COUNCIL ACTION: Approved on 9/14/2004
DATE: Tuesday, September 14, 2004
LOG NAME: 20SILVER CREEK REFERENCE NO.: **C-20268
SUBJECT:
' Confirm Emergency Procurement Contract with Gibson & Associates, Inc. for Repair of Silver Creek
Road Bridge over Live Oak Creek Due to Damage to the Structure
RECOMMENDATION:
It is recommended that the City Council confirm an emergency procurement contract with Gibson &
Associates, Inc. for the structural repair of the Silver Creek Road bridge over Live Oak Creek based upon a
low bid of$62,902.00.
DISCUSSION:
As part of the routine bi-annual inspection by the Texas Department of Transportation of City bridges which
have a span equal to or greater than 20 feet, Silver Creek Bridge over Live Oak Creek was identified as
having structural damage to the deck and supporting beams. On April 26, 2004, City staff met with Texas
Department of Transportation bridge inspection staff and the City's bridge consultant to inspect the
deteriorating condition of Silver Creek Road bridge. It was agreed that the deterioration was progressing
rapidly and that immediate repair was required. After receiving approval from the Department of Law, bids
were solicited from the following three contractors.
Contractor Amount
Gibson &Associates, Inc. $62,902.00
Delta Structural Technology non-responsive
Mobile Enterprises non-responsive
The low bidder, Gibson & Associates, Inc. was selected and is in compliance with the City's M/WBE
Ordinance by committing to 2% MWBE participation and documenting good faith effort. Gibson &
Associates, Inc. identified several subcontracting and supplier opportunities. However, the M/WBEs
contacted in the areas identified did not submit the lowest bids. The City's goal on this project is 7%.
City Council will be notified of specific closure dates by an Informal Report to Council prior to the bridge
closure. The contract provides five calendars days for the work to be done and provides an
�^ incentive/disincentive clause which will pay the contractor an additional $2,000 per day for completion of
work in less than five days and will deduct $2,000 per day if the bridge remains closed in excess of five
days.
This property is located in Council District No. 7
FISCAL INFORMATION/CERTIFICATION:
The Finance Director certifies that funds are available in the current capital budget, as appropriated, of the
Contract Street Maintenance Fund.
TO Fund/Account/Centers FROM Fund/Account/Centers
GS $62,902.00
93 541200 020930260660
Submitted for City Manager's Office by: Marc Ott (8476)
Originating Department Head: Robert Goode (7804)
Additional Information Contact: Robert Goode (7804)
CITY OF FORT WORTH
DEPARTMENT OF ENGINEERING
ADDENDUM NO. 1
BRIDGE REPAIRS AT SILVER CREEK ROAD/LIVE OAK CREEK
PROJECT: GS93-020930260660
Addendum No. 1 Issued:June 28,2004
Bid submittal Due Date: July 2,2004
Addendum No. 1 Issued: June 28,2004
Prospective Bidders are hereby notified of the following revisions:
1. Bidders are hereby advised to refer to the attached preliminary Traffic Control Plan for bidding purposes
only.
2. Contractors shall note quantity for bid item number 4 has been adjusted. The following attached bid items
shall be adjusted to the bid proposal and specifications :
Pay Specification Approximate Description of Bid Item Prices Unit Total
Item Item Quantity Written in Words Price Price
Furnish and install, install all appurtenant work, complete in place,the following items.
4. SP 28 EA Neoprene Pads(Installed) $ $
Dollars&
Cents per SF
3. In the Proposal, "Special Provisions" the following Non-Pay Items shall be included:
NON-PAY ITEM NO. 5 - PRESSURE INJECTED EPDXY:
1. Description: This Item shall govern for the sealing and bonding of cracks in concrete structures by pressure injection
ir of epoxy adhesive into such cracks in accordance with the details shown on the plans and this specification.
2. Materials: The materials used for sealing the surface of cracks to be injected shall be an epoxy adhesive capable of
bonding to wet or dry surfaces. The adhesive shall be gray in color. It shall have adequate strength and adhesion to
confine the injection material in the cracks being injected until the injection material has cured.
The epoxy used for injection shall be Type IX of Item 5699,"Epoxy and Adhesives"and in accordance with TxDOT
Departmental Materials Specification D-9-6100. The viscosity of the epoxy shall be adjusted as necessary to obtain
penetration and retention in the cracks. Where there is considerable variation in crack widths, it may be necessary to
use more than one epoxy formulation. The epoxy shall contain no solvents and no solvents shall be added at any time.
The mixing ration of the components in terms of volume and weight shall be clearly stated.
3. Construction Methods: The cracks to be injected shall be designated by the Engineer. Unless otherwise approved
by the Engineer,injection will not be permitted unless the concrete temperature is above 50°F and the air temperature
is above 50°F and rising.
Bid submittal Due Date:July 2,2004 ,J if Q1JI`�1�`?7�f 1 9
'r�e •':�•:'NJ'd�Qll, p��U�
CITY OF FORT WORTH
DEPARTMENT OF ENGINEERING
ADDENDUM NO. 1
BRIDGE REPAIRS AT SILVER CREEK ROAD/LIVE OAK CREEK
PROJECT: GS93-020930260660
Addendum No. 1 Issued:June 28,2004
Surface mount or recessed injection ports may be used. Equipment used in drilling recessed injection portholes shall
be equipped with a vacuum attached swivel drill chuck and hollow drill bits capable of removing the dust and debris
when drilling. The equipment used will be tested and approved by the Engineer prior to drilling to insure satisfactory
operation. There shall be no evidence of any dust or debris remaining in the drilled holes,which will be detrimental to
the injection process.
The epoxy shall be injected with automatic two component proportioning and mixing equipment. The machine shall
be equipped with positive displacement type pumps for each component provided with interlock to insure proper
proportioning. The two components shall be mixed by the machine just prior to injection. The machine must be
capable of proportioning the materials within+/- 5 percent of the ratio stated by the epoxy supplier. The mixing head
must be designed so that an intimate mix of the two components will be obtained. Dwell time in the mixing head shall
not exceed ten seconds. The injection pressure shall not exceed 30 PSI.
The top surface of cracks designated for injection shall be cleaned free of dust, silt, laitance, oil and grease or any
other material that would interfere with the bond of the surface sealer. Entry ports for epoxy shall be provided,spaced
far enough apart to assure that when the adhesive material shows at the adjacent port,it has completely filled the crack
to its full depth. Entry ports shall be spaced along cracks a maximum of 12 inches on centers and usually determined
by the tightness of the crack and the depth of the concrete substrate. Spacing is generally between 4 and 10 inches
with the port to be recessed a minimum of 1/2 inch. A small reservoir shall be provided below the bottom of port to
aid in resin flow. Care shall be exercised not to drill beyond a crack,which may be running at an angle to the surface.
A surface seal or epoxy patch meeting the requirements of these specifications shall first be applied to the exterior
crack to prevent the escape of the epoxy. The cracks shall be covered with a bead of patch and smoothed with a putty
knife to insure sealing. Injection ports shall be inserted into the drilled holes to about 1/2-inch allowing for the small
reservoir below the port. The ports are then bonded into position with epoxy patch being careful not to seal the ports
from resin flow.
Injection of the epoxy into a given crack shall,unless otherwise permitted by the Engineer,begin first at the entry port
of lowest elevation and continue until the epoxy begins to flow out of the adjacent port. Injection pressure shall be
kept as low as practicable and shall not exceed 30 PSI. The connection between entry port and head of the injection
gun must be sufficiently tight to prevent epoxy from running out onto the concrete surface. After injection at a given
port is complete, this port shall be sealed and injection started at the next adjacent port. This procedure shall be
repeated until the crack is completely filled. Where exceptionally wide cracks are encountered(1/4 inch or wider),the
adhesive may be modified by addition of an approved filler provided it can be demonstrated that the modified
adhesive will readily penetrate the full depth of the crack without void inclusions and will flow from the entry port
adjacent to that in which the modified adhesive is injected.
Before beginning injection and at hourly intervals during injection work, a small sample of the mixed epoxy shall be
taken from the injection gun. Should these sample show any evidence of improper proportioning or mixing, injection
work shall be suspended until the equipment or procedures are corrected.
The surface of the crack herein treated shall be finished flush with the adjacent concrete surfaces and show no
indentations or evidence of port fitting.
4. Sampline and Testing: Samples of the injection epoxy shall be taken by the Engineer and tested by the Engineer for
compliance with specification requirements prior to use.
Bid submittal Due Date:July 2,200457 Y,+.?.�,G��U ���� of 9
CITY OF FORT WORTH
DEPARTMENT OF ENGINEERING
ADDENDUM NO. 1
BRIDGE REPAIRS AT SILVER CREEK ROAD/LIVE OAK CREEK
PROJECT: GS93-020930260660
Addendum No. 1 Issued:June 28,2004
5. Quality of Work: The overall quality of work will be judged by the Contractor's ability to achieve full penetration of
the cracks.
In case of question as to quality of work, the Engineer will have core samples taken from completed work and assess
the completeness of crack penetration. The cores will be taken at locations determined by the Engineer. The expense
of taking and testing core samples will be borne by the City.
In general, core samples indicating 90% or more adhesive penetration into the crack will signify acceptable work.
Work considered unacceptable will not be paid for. Work not acceptable for payment, if satisfactorily corrected by
the Contractor, will be paid for. The Contractor will not be responsible for the presence of inclusions of foreign
matter in cracks injected if such foreign matter is not amenable to removal by usual crack cleaning practices as
required herein. In evaluating core sample penetration for compliance, the Engineer will take into account the
presence of foreign matter to be removed by the required cleaning practices. It is expected that Contractor will furnish
adequate labor, materials and equipment such that the work will progress without undue interruption. If frequent
delays in the work are caused by the Contractor's inability to prosecute the work, the Engineer may direct the
Contractor to cease operations until the deficiencies in production are remedied.
+� 6. Experience of Workmen: This work shall only be performed by Contractors who are authorized applicators of the
process;that is,it has been successfully used by them on at least three similar structural repairs of 1000 linear feet or
longer and such repairs have not failed in a minimum of three years. The injection application shall be supervised by
factory trained technicians who are certified by the epoxy injection resin manufacturer to be proficient in the art of
injection repairs.
7. Measurement and Payment: The material furnished and the work performed as prescribed by this specification
shall not be paid for directly but shall be subsidiary to beam"Beam Repair". This shall be full compensation for all
costs in connection with furnishing of material,mixing of materials,testing,preparation of surface,application of
epoxy,and finishing of surface,as well as all hauling,equipment,tools,labor,and incidentals necessary to complete
the work.
NON-PAY ITEM NO. 6-CARBON-FIBER REINFORCED EPDXY COMPOSITE
MATERIAL:
PART I-GENERAL
1.01 This specification is intended for use in defining the minimum requirements of structural strengthening using a
carbon-fiber reinforced composite system.
1.02 The general contractor or subcontractor shall furnish all materials,tools,equipment,transportation,necessary storage,
access,labor and supervision required for the proper installation of the composite system.
1.03 Composite system shall be installed by individuals certified by the manufacturer by means of written verification.
Certified applicator shall have a minimum of two years experience in performing composite retrofits.
1.04 SUBMITTALS
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The installer's submittal shall include the followingquality assurance information: j`�
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Bid submittal Due Date:July 2,2004 �� 101 9
9
CITY OF FORT WORTH
DEPARTMENT OF ENGINEERING
ADDENDUM NO. 1
BRIDGE REPAIRS AT SILVER CREEK ROAD/LIVE OAK CREEK
PROJECT: GS93-020930260660
Addendum No. 1 Issued:June 28,2004
A. Manufacturer's product data,specifications and recommended installation procedures
showing compliance with all project requirements,including(1)system environmental durability testing by an
independent testing agency,(2)large scale structural testing results of the proposed composite material on
representative test specimens,conducted and reported by an independent testing facility,(3)certification from
the system manufacturer of the material and section properties for the supplied material,(4)an independent
evaluation of the proposed composite system such as International Conference of Building Officials(ICBG),or
similar system evaluation. If the system is approved by ICBO,the installer shall provide the Evaluation Report
number and the name of the system and system's manufacturer to verify performance.
B. The material supplier shall submit complete shop drawings for each installation of the composite system.The
shop drawings shall contain details of the number and thickness of layers,joint and end details and locations to be
applied as per Part 3 of this specification.
C. System manufacturer's Quality Control Manual in compliance with ICBO ACID,"Acceptance Criteria for Quality
Control Manuals."
D. Design calculations for the composite system shall be submitted for approval by the engineer of record prior to
the bid date. Calculations shall be based on required tension force and strain limits to ensure strain compatibility
with the existing structure.
E. A list of a minimum one hundred(100)completed composite strengthening projects completed with the
manufacturer's composite system.The list should include at a minimum,the dates of work,type,description and
amount of work performed.
F. A list of a minimum of five(5)completed composite strengthening projects performed by the certified applicator.
The list should include at a minimum,the dates of work,type,description and amount of work performed,and
the name and telephone number of a contact person at the agency or company for which the work was completed.
In addition,provide the names of the applicator's key personnel(superintendent and assistant)who will perform
the actual work.The superintendent and assistant shall have a minimum experience of 2 years involvement in
directing projects such as this.
The engineer of record shall have the right to approve or reject the personnel qualifications as submitted.The
engineer may suspend the work if the contractor substitutes an unauthorized composite system or unauthorized
personnel for authorized personnel during construction.
1.05 PERFORMANCE
A. Material supplier shall design the composite system to safely achieve the required structural performance shown on
the structural drawings while ensuring strain compatibility.
B. Material supplier shall have past experience in the installation and actual testing of composites in shock tube for
blast testing of composites.
1.06 PRODUCT DELIVERY,STORAGE,AND HANDLING
e T
Bid submittal Due Date:July 2,2004 of 9
CITY OF FORT WORTH
DEPARTMENT OF ENGINEERING
ADDENDUM NO. 1
BRIDGE REPAIRS AT SILVER CREEK ROAD/LIVE OAK CREEK
PROJECT: GS93-020930260660
Addendum No. 1 Issued: June 28,2004
A. Deliver epoxy materials in factory-sealed containers with the manufacturer's labels intact and legible with
verification of date of manufacture and shelf life.
B. Store materials in a protected area at a temperature between 35°F and 1007.
C. Products shall be stored according to the manufacturer's requirements and shall avoid contact with moisture.
PART 2-PRODUCTS
2.01 ACCEPTABLE MANUFACTURERS
For the design of the composite systems,the following strain limits shall be maintained for the design of the
composites.
Flexure static loads;0.002 Shear 0.004
The design of the composites shall be in accordance to ACI 440 in the application of the CE environmental reduction
factor to the Elastic Design Modulus to determine the design modulus in the use of the design of composites,or the
reductions factors established by the System Manufacturer.
2.02 MATERIALS
A.Provide other materials as needed for the proper installation of the complete composite system as selected by
the contractor in conformance with these specifications.
PART 3 -EXECUTION OF WORK
3.01 The work described under this specification shall be performed by an applicator with—proven past experience
utilizing the manufacturer's system. The applicator company shall be certified by the manufacturer through written
verification and shall provide a quality control procedure in compliance with the manufacturer's installation
requirements. Contact manufacturer listed in Section 2.02 for a list of certified applicators.
3.02 Surface Preparation
A. Contact Critical Application:
This application is for columns and other elements that allow full encasement of the element and are not bond-critical.
The surface to receive composite shall be free from fns,sharp edges and protrusions that will cause voids behind the
installed composite or that,in the opinion of the Engineer,will damage the fibers. Existing uneven surfaces to receive
composite shall be filled with epoxy filler or other material approved by the Engineer. Filling of large voids in surfaces
to receive composite shall be paid for as an extra to the contract work of installing the composite system(small
pinholes or micro-bubbles in the concrete surface or resin,do not require special detailing).The contact surfaces shall
have no free moisture on them at the time of application. If moisture cannot be avoided,use the manufacturer's
suggested wet prime epoxy. 1
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Bid submittal Due Date:July 2,2004 ^'� `'I 1 5 of 9
V��ti uS`iULS
CITY OF FORT WORTH
DEPARTMENT OF ENGINEERING
ADDENDUM NO. 1
BRIDGE REPAIRS AT SILVER CREEK ROAD/LIVE OAK CREEK
PROJECT: GS93-020930260660
Addendum No. 1 Issued: June 28,2004
B. Bond Critical Applications:
➢ Applications that do not allow encasement of the element such as beams,slabs,and walls.
➢ Application surfaces shall have all foreign materials removed and be abraded by sand blasting,high pressure water
blasting,or grinding the surface to 1/16"minimum amplitude.Application areas must be cleaned to remove all
dust and unsound materials.
➢ Anchorage(if required)will require the drilling of holes during the abrasion process prior to cleaning of the
prepared substrate.
➢ ASTM D454 1-98 can be used to verify the tensile strength of the concrete prior to the application of the composite
system.
C. Round off sharp and chamfered comers to receive the composite system to a radius of 1 inch to 2.5"by means of
grinding or forming with the system's thickened epoxy.Variations in the radius along the edge shall not exceed
1/2" for every 12" of length.
3.03 Procedures for Application
A. Preparation work for project: Visit site to insure that all surface preparation(if required)is acceptable and the
patchwork is complete and cured.Review project specifications and drawings in detail.
B. Verify ambient and concrete temperatures.No work shall proceed if the temperature of the concrete surface being
repaired is less than 35 °F or greater than 100 T.The temperature of the epoxy components shall be between 35
°F and 100°F at the time of mixing or as specified on the component labels. When air temperature is outside the
prescribed range,other measures must be employed to ensure components'temperature is maintained within this
range.
C. Prepare the epoxy matrix by combining components at a weight(or volume)ratio specified on the manufacturer's
labeled units,with an allowable tolerance of+/- 10%.The components of epoxy resin shall be mixed with a
mechanical mixer until uniformly mixed,typically 5 minutes at 400-600 rpm. Components that have exceeded
their shelf life(as designated on the material label)shall not be used.
D. Saturation of the fabric shall be performed and monitored according to manufacturer's specified fiber-resin ratio.A
previously calibrated saturator can be used to achieve the specified ratio. Fabric shall be completely saturated prior
to application to contact surface in order to assure complete impregnation of fabric. Saturation shall be supervised
and checked by the certified installer.
E. Both the epoxy resin and fabric shall be measured accurately,combined,and deposited uniformly at the rates
shown on the approved working drawings and per manufacturer's recommendations. The composite system shall
be comprised of fibers completely saturated with epoxy resin per proper ratio.
F. Quality control procedures:Record batch numbers for fabric and epoxy used each day,and note locations of
installation. Measure square footage of fabric and volume of epoxy used each day.Label test specimens from each
day's production and submit modified ASTM 3039 test results,as they are made available. Complete report and
submit to Owner and system manufacturer.Ensure that the testing data results meet or exceed the values used in
the design of the composite system.The bond strength of the installed composite system can also be verified for
bond critical applications by the ASTM D4541-98 field test.
G. Installation Procedures:
1. Prepare surface as required.
Bid submittal Due Date:July 2,2004 `,;';1 G U 6 of 9
CITY OF FORT WORTH
DEPARTMENT OF ENGINEERING
ADDENDUM NO. 1
BRIDGE REPAIRS AT SILVER CREEK ROAD/LIVE OAK CREEK
PROJECT: GS93-020930260660
Addendum No. 1 Issued: June 28,2004
2. Clean surface per specification.
3. Clean up and protect area adjacent to element.
4. Using a roller or trowel,apply one prime coat of thickened epoxy resin to the prepared surface(2 mil. min.).Allow
primer to become tacky to the touch.
5. Saturate fabric with epoxy matrix through calibrated saturator or according to manufacturer's specified fiber-resin
ratio.
6. Apply composite system per the project drawings and specifications.
7. Apply epoxy(if required)to smooth the substrate prior to the installation of the composite system.
8. Apply composite to the prepared substrate by hand lay-up,using methods that produce a uniform,constant tensile
force that is distributed across the entire width of composite.Under certain application conditions,the system may
be placed entirely by hand methods assuring a uniform,even final appearance. Gaps between composite bands may
not exceed 1/2 inch in width in the fabric's transverse joint unless otherwise noted on project drawings.A lap
length of at least 6 inches is required at all necessary over-laps in the longitudinal direction of the fabric.
9. Apply subsequent layers,continuously or spliced,until designed number of layers is achieved,per project
drawings.
10. Using a roller or hand pressure, insure proper orientation of fibers,release or rollout entrapped air,and ensure that
each individual layer is firmly bedded and adhered to the preceding layer or substrate.
11. Apply a final coat of thickened epoxy. Detail all fabric edges,including butt splice,termination points,and jacket
edges,with epoxy.
12. Finish: Paint to be color matched to existing structure.Apply as specified between 24 and 72 hours after final
application of epoxy. If after 72 hours the epoxy is cured,the surface must be roughened by sanding or brush
blasting.Dust and residue shall be removed prior to application of paint coats.
H. Curing of composite system
Epoxy curing temperatures shall be maintained in the temperature range designated for the formulation used.
Temperature cure ranges and times to be determined by manufacturer.
3.04 Procedure Modifications
A. Installation procedures may be modified to achieve maximum results,subject to approval by the engineer of
record or Owner. Procedure modifications shall be discussed with the engineer of record and Owner prior to
implementing the modifications.
3.05 Field Quality Control
A. Installers:
Record batch numbers for fabric and epoxy used each day,and note locations of installation. Measure square footage
of fabric and volume of epoxy used each day.Complete report and submit to Owner and system manufacturer.
B. Inspection:
The City of Fort Worth or a Certified Special Inspector,approved by the city, shall periodically observe all aspects of
preparation,mixing,and application of materials,including the following:
➢ Material container labels W^ 7
➢ Surface PreparationBid submittal Due Date:Jul 2 2004 of 9
CITY OF FORT WORTH
DEPARTMENT OF ENGINEERING
ADDENDUM NO. 1
BRIDGE REPAIRS AT SILVER CREEK ROAD/LIVE OAK CREEK
PROJECT: GS93-020930260660
Addendum No. 1 Issued:June 28,2004
➢ Mixing of epoxy
➢ Application of epoxy to the fiber
➢ Application of composite system
➢ Curing of composite material
The composite casing shall be completely inspected by the Deputy Inspector during and immediately following
application of the composite.The contractor shall monitor the mixing of all epoxy components for proper ratio and
adherence to manufacturer's recommendations.
C. Repairs:
All defects(including bubbles,delaminations,and fabric tears)spanning more than 5%of the surface area,or as
specified by the owner or engineer,shall be repaired.
Two types of repairs shall be performed:
1. Small defects(on the order of 3" diameter)shall be injected or back filled with a epoxy.Two small holes shall
be drilled into the bubble to allow injection of the epoxy and escape of entrapped air.
�.- 2. Bubbles less than 6" in diameter shall be either repaired by injecting with epoxy,or removal.The proper
method for the location shall be determined by the applicator and approved by the engineer of record.
3. Bubbles and delaminations greater than 12"in diameter shall be repaired by removing and re-applying the
required number of layers of the composite and the required finish coatings.The engineer of record shall
approve all repair procedures.
D. Small entrapped air pockets and voids naturally occur in mixed resin systems and do not require repair or
treatment.
r
E. Remedial Measures:
In the event that material testing determines a"batch"to possess insufficient material properties,remedial
measures shall be taken.Any structural member where the installed composite system has material properties
determined to be below the minimum specified values,additional layers shall be installed until the composite
thickness is increased by the same percentage as the deficiency of the material's tensile modulus.
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Bid submittal Due Date:July 2,2004 8 of 9
CITY OF FORT WORTH
DEPARTMENT OF ENGINEERING
ADDENDUM NO. 1
BRIDGE REPAIRS AT SILVER CREEK ROAD/LIVE OAK CREEK
PROJECT: GS93-020930260660
Addendum No. 1 Issued: June 28,2004
This Addendum No. 1,forms part of the Specifications&Contract Documents for the above referenced Project and
modifies the original Specifications&Contract Documents of the same.
Acknowledge your receipt of this Addendum No. 1 by completing the requested information at the following locations:
(1) In the space provided below
(2) Indicate in upper case letters on the outside of your sealed bid envelop:
"RECEIVED &ACKNOWLEDGED ADDENDUM NO. 1"
Failure to acknowledge the receipt of this Addendum No. 1 could cause the subject bidder to be considered
"NONRESPONSIVE",resulting in disqualification.
ADDENDUM NO. 1 ACKNOWLEDGEMENT:
By: George Behmanesh, P.E.
Title: Assistant Director,
Address: Department of Transportation Public Works
Telephone:
By:
Don McChesney,P.E.
NE
Bid submittal Due Date:July 2,2004 9 of 9
Preliminary Traffic Control Plan
For
Silver Creek Bridge Maintenance
Point No. 1: Silver Creek Road and Interstate Highway 820
Sign Number
Quantity or Barricade Sign Size Sign Description
Type
4 R11-3a 60X30 Bridge Closed 2 Miles Ahead Local Traffic Onl
4 M4-9N 30X12 Silver Creek Road North Bound
9
Point No. 2: Silver Creek Road and Verna
Sign Number
Quantity or Barricade Sign Size Sign Description
Type
1 R11-3a 60X30 Bridge Closed 1 Miles Ahead Local Traffic Only
1 M4-8 24X12 Detour
1 M4-9R 30X24 Detour with Right Arrow
1 M4-9N 30X12 Silver Creek Road North Bound
1 M4-15 60X12 Temporary
Point No. 3: Silver Creek Road and Heron Drive
Sign Number
Quantity or Barricade Sign Size Sign and Barricade Description
Type
2 R11-2 48X30 Bridge Closed
4 R5-1 30X30 Do Not Enter
6 TYPE III Type III Barricade
Point No. 4: Silver Creek Road and Watercress Drive
Sign Number
Quantity or Barricade Sign Size Sign Description
Type
1 R11-3a 60X30 Bridge Closed 1 Miles Ahead Local Traffic Only
1 M4-91- 30X24 Detour with Left Arrow
1 M4-9N 30X12 Silver Creek Road South Bound
1 M4-15 60X12 Temporary
Point No. 5: Silver Creek Road and F.M. 1886
Sign Number
Quantity or Barricade Sign Size Sign Description
Type
1 R11-3a 60X30 Bridge Out 2.5 Miles Ahead Local Traffic Only
1 M4-9R 30X24 Detour with Right Arrow
1 M4-9N 30X12 Silver Creek Road South Bound
1 M4-15 60X12 Temporary
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SPECIFICATIONS AND CONTRACT DOCUMENTS
FOR
BRIDGE REPAIR AT SILVER CREEK ROAD OVER
LIVE OAK CREEK (2004-21)
PROJECT: GS93-020930260660
FOR
THE CITY OF FORT WORTH,TEXAS
JULY 2004
MICHAEL J. MONCRIEF GARY JACKSON
MAYOR CITY MANAGER
ROBERT D. GOODE,PE
DIRECTOR OF TRANSPORTATION
AND PUBLIC WORKS DEPARTMENT
GEORGE BEHMANESH,PE—ASSISTANT DIRECTOR
OF TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
A.DOUGLAS RADEMAKER,P.E.
DIRECTOR OF ENGINEERING DEPARTMENT
Prepared by:
TranSystems Corporation
500 West Seventh St., Suite 600
Fort Worth,Texas 76102
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SPECIFICATIONS
AND
CONTRACT DOCUMENTS
FOR
BRIDGE REPAIR AT SILVER CREEK ROAD OVER LIVE OAK CREEK(2004-21)
IN THE CITY OF FORT WORTH, TEXAS
TP/W PROJECT NO. GS93-020930260660
2004-21
A. DOUGLAS RADEMAKER, P.E. DATE
DIRECTOR, DEPARTMENT OF ENGINEERING
GEORGE BEHMANESH, P.E. DATE
ASSISTANT DIRECTOR
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
DOO KIM, P.E. DATE
CAPITAL PROJECT ENGINEER WATER DEPARMENT
�e :" v UuY CtlU
TABLE OF CONTENTS
1 - Notice to Bidders
2 - Special Instructions to Bidders
3— Scope of Work
4— Prevailing Wage Rates
5— Proposal
6 -Vendor Compliance to State Law
7 - City of Fort Worth Minority/Women Business Enterprise Policy
8 - Special Provisions
f
9 - Performance Bond
10— Payment Bond
11 — Maintenance Bond
12— Experience Record
13 - Certificate of Insurance
14 - Contractor Compliance with Workers' Compensation Law
15— Contract
E E
APP NDIC S.
Appendix A: Location Map
Appendix B: Exhibits and Details
Appendix C: Pictures
1^
i
eg 00411 TOC TC-1
NOTICE TO BIDDERS
Sealed proposals for the following
For: BRIDGE REPAIR AT SILVER CREEK ROAD OVER LIVE OAK CREEK(2004-21)
Project: GS93-020930260660
Addressed to Mr. George Behmanesh, Assistant Director TP/W for the City of Fort Worth, Texas, will be
received at the TP/W front desk until 1:30 PM,July 2,2004.
A mandatory pre-bid meeting will be held on June 23,2004 at 3:00 PM at the south end of the bridge.
All bidders are required to attend.
At the time of Issuing this "Notice to Bidders", a 7% goal for MBE/WBE participation has been
established.
For additional information, please contact Don McChesney, P.E. at(817)392-7901 or Mr. Mark Assaad,
P.E. at(817)335-9900.
Bid security is required in accordance with the Special Instruction to Bidders.
In accord with City of Fort Worth Ordinance No. 15530, the City of Fort Worth has goals for the
participation of minority business enterprises and women business enterprises in City contracts. A copy
of the Ordinance can be obtained from the Office of the City Secretary. The bidder shall submit the
MBE/WBE UTILIZATION FORM, SUBCONTRACTOR/SUPPLIER UTILIZATION FORM, PRIME
CONTRACTOR WAIVER FORM, GOOD FAITH EFFORT FORM, and/or the JOINT VENTURE FORM as
appropriate. The Documentation must be received by the managing department no later than 5:00 p.m.,
five (5) City business days after the bid opening date. The bidder shall obtain a receipt from the
appropriate employee of the managing department to whom delivery was made. Such receipt shall be
evidence that the documentation was received by the City. Failure to comply shall render the bid non-
responsive.
Bidders are responsible for obtaining all Addenda to the contract documents and acknowledging receipt
of the Addenda by initialing the appropriate spaces on the PROPOSAL form. Bids that do not
acknowledge receipt of all Addenda may be rejected as being nonresponsive. Information regarding the
status of Addenda may be obtained by contacting Mr. Mark Assaad, P.E. at(817)335-9900.
The Managing Department for the project is the Department of Transportation and Public Works.
GARY W.JACKSON GLORIA PEARSON
CITY MANAGER CITY SECRETARY
George Behmanesh, P.E.
Assistant Director,
Department of Transportation Public Works
Fort Worth,Texas II��IQQI111I
1-eg 00411 NoticeToBidders 1 (1) '..,1� tid.
SPECIAL INSTRUCTIONS TO BIDDERS
1. BID SECURITY: Cashier's check or an acceptable bidder's bond payable to the City of
Fort Worth, in an amount of not less than 5 percent of the largest possible total of the bid
submitted must accompany the bid, and is subject to forfeit in the event the successful
bidder fails to execute the contract documents within ten days after the contract has been
awarded.
To be an acceptable surety on the bid bond, the surety must be authorized to do business
in the state of Texas. In addition, the surety must (1) hold a certificate of authority from
the Untied States secretary of the treasury to qualify as a surety on obligations permitted
or required under federal law; or (2) have obtained reinsurance for any liability in excess
of$100,000 from a reinsurer that is authorized and admitted as a reinsurer in the state of
Texas and is the holder of a certificate of authority from the Untied States secretary of the
treasury to qualify as a surety on obligations permitted or required under federal law.
Satisfactory proof of any such reinsurance shall be provided to the City upon request.
The City, in its sole discretion,will determine the adequacy of the proof required herein.
2. PROPOSAL: After proposals have been opened and read aloud, the proposals will be
tabulated on the basis of the quoted prices,the quantities shown in the proposal, and the
application of such formulas or other methods of bringing items to a common basis as
may be established in the Contract Documents.
The total obtained by taking the sum of the products of unit prices quoted and the
estimated quantities plus any lump sum items and such other quoted amounts as may
enter into the cost of the completed project will be considered as the amount of the bid.
Until the award of the contract is made by the Owner, the right will be reserved to reject
any or all proposals and waive technicalities,to re-advertise for new proposals, or to
proceed with the work in any manner as maybe considered for the best interest of the
Owner.
The quantities of work and materials to be furnished as may be listed in the proposal
forms or other parts of the Contract Documents will be considered as approximate only
and will be used for the purpose of comparing bids on a uniform basis. Payment will be
made to the Contractor for only the actual quantities of work performed or materials
furnished in strict accordance with the Contract Documents and Plans. The quantities of
work to be performed and materials to be furnished may be increased or decreased as
hereinafter provided, without in any way invalidating the unit prices bid or any other
requirements of the Contract Documents.
3. ADDENDA: Bidders are responsible for obtaining all addenda to the Contract
Documents prior to the bid receipt. Information regarding the status of addenda may be
obtained by contacting the Department of Engineering Construction Division at(817)
871-7910. Bids that do not acknowledge all applicable addenda will be rejected as nnn-
responsive. v � � � �� �
SPECIAL INSTRUCTIONS TO BIDDERS
_ I .
4. AWARD OF CONTRACT: The contract, if awarded,will be awarded to the lowest
responsive bidder. The City reserves the right to reject any or all bids and waive any or
all irregularities. No bid may be withdrawn until the expiration of forty-nine (49) City
business days from the date that the M/WBE UTILIZATION FORM, PRIME
CONTRACTOR WAIVER FORM and/or the GOOD FAITH EFFORT FORM
("Documentation") is received by the City.
5. PAYMENT, PERFORMANCE AND MAINTENANCE BONDS: The successful bidder
entering into a contract for the work will be required to give the City surety in a sum
equal to the amount of the contract awarded. The successful bidder shall be required to
furnish bonding as applicable in a sum equal to the amount of the contract awarded. The
form of the bond shall be as herein provided and the surety shall be acceptable to the
City. All bonds furnished hereunder shall meet the requirements of Chapter 2253 of the
Texas Government Code, as amended.
A. If the total contract price is $25,000 or less,payment to the contractor shall be
made in one lump sum. Payment shall not be made for a period of 45 calendar
days from the date the work has been completed and accepted by the City.
B. If the contract amount is in excess of$25,000, a Payment Bond shall be
executed, in the amount of the contract, solely for the protection of all claimants
supplying labor and material in the prosecution of the work.
C. If the contract amount is in excess of$100,000, a Performance Bond shall be
executed, in the amount of the contract conditioned on the faithful performance of
the work in accordance with the plans, specifications, and contract documents.
Said bond shall solely be for the protection of the City of Fort Worth.
D. A Two-year Maintenance Bond is required for all projects to insure the prompt,
- full and faithful performance of the general guarantee as set forth in Paragraph 7
of the Special Provisions.
To be an acceptable surety on the performance, payment and maintenance bonds, the
surety must be authorized to do business in the state of Texas and meet all requirements
of Texas Insurance Code, section 7.19-1. In addition, the surety must (1) hold a
certificate of authority from the Untied States secretary of the treasury to qualify as a
surety on obligations permitted or required under federal law; or (2) have obtained
reinsurance for any liability in excess of$100,000 from a reinsurer that is authorized and
admitted as a reinsurer in the state of Texas and is the holder of a certificate of authority
from the Untied States secretary of the treasury to qualify as a surety on obligations
permitted or required under federal law. Satisfactory proof of any such reinsurance shall
be provided to the City upon request. The City, in its sole discretion, will determine the
adequacy of the proof required herein.
No sureties will be accepted by the City that are at the time in default or delinquent on
any bonds or which are interested in any litigation against the City. Sho7TJV,.8:
the contract be determined unsatisfactory at any time by the City, noticei
the contractor to thateffect and the contractor shall immediately providesatisfactory to the City �, p �
SPECIAL INSTRUCTIONS TO BIDDERS
-2-
6. LIQUIDATED DAMAGES: The Contractor's attention is called to Part 1 - General
Provisions, Item 8, Paragraph 8.6, Standard Specifications for Street and Storm Drain
MW Construction of the City of Fort Worth,Texas, concerning liquidated damages for late
completion of projects.
7. EMPLOYMENT AND NON-DISCRIMINATION: The Contractor shall not
discriminate against any person(s)because of sex,race, religion, color or national origin
and shall comply with the provisions of sections 13A-21 through 13A-29 of the Code of
the City of Fort Worth (1986), as amended, prohibiting discrimination in employment
practices.
8 WAGE RATES: All bidders will be required to comply with provision 5159a of
"Vernons Annotated Civil Statutes" of the State of Texas with respect to the payment of
prevailing wage rates as established by the City of Fort Worth, Texas, and set forth in
Contract Documents for this project.
9. FINANCIAL STATEMENT: A current certified financial statement may be required by
the Department of Engineering Director for use by the CITY OF FORT WORTH in
determining the successful bidder. This statement, if required, is to be prepared by an
independent Public Accountant holding a valid permit issued by an appropriate State
Licensing Agency.
10. INSURANCE: Within ten days of receipt of notice of award of contract, the Contractor
�^ must provide, along with executed contract documents and appropriate bonds,proof of
insurance for Workers Compensation(statutory); Comprehensive General Liability
($1,000,000 per occurrence, $2,000,000 aggregate); and Automobile Insurance
($1,000,000 each accident on a combined single basis or$250,000 property
damage/$500,000 bodily injury per person per occurrence. A commercial business
policy shall provide coverage on"any auto", defined as autos owned, hired, and non-
owned). Additional lines of coverage may be requested. If such a request is made after
bid opening, Contractor shall be entitled to additional compensation equal to 110% of the
additional premium cost. For worker's compensation insurance requirements, see Special
4M Instructions to Bidders - Item 16.
ADDITIONAL INSURANCE REQUIREMENTS:
A. The City, its officers, employees and servants shall be endorsed as an additional
insured on Contractor's insurance policies excepting employer's liability insurance
coverage under Contractor's workers' compensation insurance policy.
B. Certificates of insurance shall be delivered to the City of Fort Worth, contract
administrator in the respective department as specified in the bid documents, 1000
Throckmorton Street, Fort Worth, TX 76102, prior to commencement of work on
MP the contracted project.
C. Any failure on part of the City to request required insurance doc a1PQQ "19T 9 �lr
not constitute a waiver of the insurance requirements specified he ei"tt "}'-� "'
°"VTC NC BERRY
D. Each insurance policy shall be endorsed to provide the City ami rr ir (,
days notice of cancellation, non-renewal, and/or material chang
SPECIAL INSTRUCTIONS TO BIDDERS
-3-
W
I
or coverage. A ten days notice shall be acceptable in the event of non-payment of
premium.
MP
E. Insurers must be authorized to do business in the State of Texas and have a
current A.M. Best rating of A: VII or equivalent measure of financial strength and
solvency.
F. Deductible limits, or self-funded retention limits, on each policy must not exceed
$10,000.00 per occurrence unless otherwise approved by the City.
G. Other than worker's compensation insurance, in lieu of traditional insurance, City
may consider alternative coverage or risk treatment measures through insurance
pools or risk retention groups. The City must approve in writing any alternative
coverage.
H. Workers' compensation insurance policy(s) covering employees employed on the
project shall be endorsed with a waiver of subrogation providing rights of
recovery in favor of the City.
I. City shall not be responsible for the direct payment of insurance premium costs
for contractor's insurance.
J. Contractor's insurance policies shall each be endorsed to provide that such
insurance is primary protection and any self-funded or commercial coverage
maintained by City shall not be called upon to contribute to loss recovery.
K. In the course of the project, Contractor shall report, in a timely manner, to City's
officially designated contract administrator any known loss occurrence which
could give rise to a liability claim or lawsuit or which could result in a property
loss.
L. Contractor's liability shall not be limited to the specified amounts of insurance
required herein.
M. Upon the request of City, Contractor shall provide complete copies of all
insurance policies required by these contract documents.
11. NON-RESIDENT BIDDERS: Pursuant to Texas Government Code, art. 2252.002, the
City of Fort Worth will not award this contract to a non-resident bidder unless the non-
resident's bid is lower than the lowest bid submitted by a responsible Texas resident
bidder by the same amount that a Texas resident bidder would be required to underbid a
non-resident bidder to obtain a comparable contract in the state in which the non-
resident's principal place of business is located.
"Non-resident bidder" means a bidder whose principal place of business is not in
this state, but excludes a contractor whose ultimate parent company of
r owner has its principal place of business in this state. M;;'J � c
H. W 1-CalSIH I TES,
SPECIAL INSTRUCTIONS TO BIDDERS
"Texas resident bidder" means a bidder whose principal place of business is in this
state, and includes a contractor whose ultimate parent company or majority owner
�. has its principal place of business in this state.
This provision does not apply if the project is funded in whole or in part with federal
.• funds.
The appropriate blanks of the Proposal must be filled out by all non-resident bidders in
order for its bid to meet specifications. The failure of a non-resident contractor to do so
will automatically disqualify that bidder.
12. MINORITY/WOMEN BUSINESS ENTERPRISE: In accordance with City of Fort
Worth Ordinance No. 11923, as amended by Ordinance No. 13471, the City of Fort
Worth has goals for the participation of minority business enterprises and women
business enterprises in City contracts. You may obtain a copy of the Ordinance from the
Office of the City Secretary.
The M/WBE Utilization Form, Prime Contractor Waiver Form and the Good Faith Effort
Form, as applicable, must be submitted no later than 5:00 p. m. five (5) City business
days after the bid opening date, exclusive of the bid opening date. The bidder shall
submit the documentation at the reception area of the Department of Engineering
("Managing Department"), 2nd floor, City Hall, and shall obtain a receipt. Failure to
comply shall render your bid non-responsive.
Upon contract execution between the City of Fort Worth and the successful bidder,now
known as Contractor, a pre-construction meeting will be scheduled at which time the
Contractor is required to submit either Letters of Intent or executed agreements with the
M/WBE firm(s) to be utilized on this project. Such Letters of Intent or executed
agreements shall include the following information:
1. Name of Contract
2. Name of M/WBE firm utilized
3. Scope of Work to be performed by the M/WBE firm
4. Monetary amount of work to be performed by the M/WBE firm
5. Signatures of all parties
A notice to proceed will not be issued until the signed letter(s) or executed
agreement(s) have been received.
Throughout the duration of this project, the Contractor comply with the M/WBE
Ordinance by complying with the following procedures:
• A M/WBE Participation Report Form must be submitted monthly until the contract is
completed. The first report will be due 30 days after commencement of work. The
monthly report MUST have an original signature to ensure accountability for audit
purposes.
��ff
• Reports are to be submitted monthly to the M/WBE Office, regardles o
not the M/WBE firm has been utilized. If there was no activity by an I
Fm particular month,place a "0" or"no participation" in the spaces provi edptid � ,
SPECIAL INSTRUCTIONS TO BIDDERS
-5-
a brief explanation.
• The Contractor shall provide the M/WBE Office proof of payment to the M/WBE
subcontractors and suppliers only. The M/WBE Office will accept the following as
proof of payment:
1. Copies of submitted invoices with front and back copies of canceled check(s), OR
2. A notarized letter explaining, in detail:
a Subcontractor/supplier Scope of Work
b. Date when services were received from subcontractor/supplier
c. Amounts paid to the subcontractor/supplier
d. Original signatures from both parties must be included on this letter.
• If the Contractor foresees a problem with submitting participation reports and/or
proof of payment on a monthly basis, the M/WBE Office should be notified.
If the Contractor wishes to change or delete an M/WBE subcontractor or supplier, adhere
to the following:
1. Immediately submit a Request for Approval of Change Form to the M/WBE
Office explaining the request for the change or deletion.
2. If the change affects the committed M/WBE participation goal, state clearly how
and why in documentation.
a. All requests for changes must be reviewed and pre-approved by the M/WBE
Office.
b. If the Contractor makes change(s)prior to approval, the change will not be
considered when performing a post compliance review on this project.
• Upon the Contractor's successful completion of this project, and within ten days after
receipt of final payment from the City of Fort Worth, The Contractor will provide the
M/WBE Office with a Final Participation Report Form to reflect the total
participation from ALL subcontractors/suppliers utilized on the project.
.. • All forms are available at the M/WBE Office, 3rd floor- City Hall. For additional
information regarding compliance to the M/WBE Ordinance, call (817) 871-6104.
•• Upon request, Contractor agrees to provide to Owner Complete and accurate information
regarding actual work performed by a Minority/Women Business Enterprise (M/WBE)
on the contract and payment therefore. Contractor further agrees to permit an audit and/or
examination of any books,records or files in its possession that will substantiate the
actual work performed by an M/WBE. The misrepresentation of facts (other than a
negligent misrepresentation) and/or the commission of fraud by the Contr top will bye���•��1�
grounds for termination of the contract and/or initiating action under app r rid"'k
state or local laws or ordinances relating to false statements; further, any s
misrepresentation(other than a negligent misrepresentation) and/or comm si'
SPECIAL INSTRUCTIONS TO BIDDERS
-6-
WN
will result on the Contractor being determined to be irresponsible and barred from
participating in City work for a period of time of not less than three years.
13. AMBIGUITY: In case of ambiguity or lack of clearness in stating process in the
proposal, the City reserves the right to adopt the most advantageous construction thereof
or to reject the proposal.
14. PROGRESS PAYMENTS. FINAL PAYMENT, PROJECT ACCEPTANCE AND
WARRANTY:
a. The contractor will receive full payment (less 5%retainage) from the city for each pay
period.
b. Payment of the retainage will be included with the final payment after acceptance of the
project as being complete.
c. The project shall be deemed complete and accepted by the City as of the date the final
punch list has been completed, as evidenced by a written statement signed by the
contractor and the City.
d. The warranty period shall begin as of the date that the final punch list has been
completed.
e. Bills Paid Affidavit and Consent of Surety shall be required prior to final payment
becoming due and payable.
f. In the event that the Bills Paid Affidavit and Consent of Surety have been delivered to the
city and there is a dispute regarding(i) final quantities, or(ii) liquidated damages, city
shall make a progress payment in the amount that city deems due and payable.
g. In the event of a dispute regarding either final quantities or liquidated damages, the
parties shall attempt to resolve the differences within 30 calendar days.
15. AIR POLLUTION WATCH DAYS: The Contractor shall be required to observe the
following guidelines relating to working on City construction sites on days designated as
"AIR POLLUTION WATCH DAYS". Typically, the OZONE SEASON,within the
Metroplex area,runs from May 1, through October 31, with 6:00 a.m. - 10:00 a.m. being
critical because emissions from this time period have enough time to bake in the hot
atmosphere that leads to early afternoon ozone formation.
The Texas Commission on Environmental Quality(TCEQ), in coordination with the
National Weather Service, will issue the AIR POLLUTION WATCH by 3:00 p.m. on the
afternoon prior to the WATCH day. On designated AIR POLLUTION WATCH DAYS,
the Contractor shall bear the responsibility of being aware that such days have been
designated AIR POLLUTION WATCH DAYS and as such shall not begin work until
10:00 a.m. whenever construction phasing requires the use of motorized e
periods in excess of 1 hour.
CITY SK!RERRY
However, the Contractor may begin work prior to 10:00 a.m. if use of mori
NM equipment is less than 1-hour or if equipment is new and certified b EP asT` LoW
SPECIAL INSTRUCTIONS TO BIDDERS
-7-
Emitting", or equipment burns Ultra Low Sulfur Diesel (ULSD), diesel emulsions, or
alternative fuels such as CNG.
If the Contractor is unable to perform continuous work for a period of at least seven hours
between the hours of 7:00 a.m. - 6:00 p.m., on a designated AIR POLLUTION WATCH
.. DAY, that day will be considered as a weather day and added onto the allowable weather
days of a given month.
�.• 16. WORKERS COMPENSATION INSURANCE COVERAGE: Contractors compliance
with Workers Compensation shall be as follows:
A. Definitions:
Certificate of coverage ("certificate") -A copy of a certificate of insurance, a
certificate of authority to self-insure issued by the commission, or a coverage
agreement (TWCC-81, TWCC-82, TWCC-83, or TWCC-84), showing statutory
workers' compensation insurance coverage for the person's or entity employees
providing services on a project, for the duration of the project.
Duration of the project - includes the time from the beginning of the work on the
project until the contractor's/person's work on the project has been completed and
accepted by the governmental entity.
Persons providing services on the project("subcontractor" in 406.096) - includes all
persons or entities performing all or part of the services the contractor has undertaken
to perform on the project,regardless of whether that person has employees. This
includes, without limitation, independent contractors, subcontractors, leasing
companies, motor carriers, owner-operators, employees of any such entity, or
employees of any entity which furnishes persons to provide services on the project.
"Services" include,without limitation,providing, hauling, or delivering equipment or
materials, or providing labor, transportation, or other service related to a project.
"Services" does not include activities unrelated to the project, such as foodibeverage
vendors, office supply deliveries, and delivery of portable toilets.
B. The contractor shall provide coverage,based on proper reporting of classification
codes and payroll amounts and filing of any coverage agreements, which meets the
statutory requirements of Texas Labor Code, Section 401.011(44) for all employees
of the contractor providing services on the project, for the duration of the project.
C. The Contractor must provide a certificate of coverage to the governmental entity prior
to being awarded the contract.
D. If the coverage period shown on the contractor's current certificate of coverage ends
during the duration of the project, the contractor must,prior to the end of the
coverage period, file a new certificate of coverage with the governmental entity
showing that coverage has been extended.
E. The contractor shall obtain from each person providing services on aof„ .G�-
provide to the City: �”
SPECIAL INSTRUCTIONS TO BIDDERS
-8-
(1) a certificate of coverage,prior to that person beginning work on the project, so
the City will have on file certificates of coverage showing coverage for all
persons providing services on the project; and
(2) no later than seven days after receipt by the contractor, a new certificate of
coverage showing extension of coverage, if the coverage period shown on the
current certificate of coverage ends during the duration of the project.
E. The contractor shall retain all required certificates of coverage for the duration of the
project and for one year thereafter.
G. The contractor shall notify the governmental entity in writing by certified mail or
personal delivery, within ten days after the contractor knew or should have known, of
any change that materially affects the provision of coverage of any person providing
services on the project.
H. The contractor shall post on each project site a notice, in the text, form and manner
prescribed by the Texas Workers' Compensation Commission, informing all persons
providing services on the project that they are required to be covered, and stating how
a person may verify coverage and report lack of coverage.
I. The contractor shall contractually require each person with whom it contracts to
provide services on a project, to:
(1) provide coverage,based on proper reporting on classification codes and payroll
amounts and filing of any coverage agreements, which meets the statutory
requirements of Texas Labor Code, Section 401.011(44) for all of its employees
providing services on the project, for the duration of the project;
(2) provide to the contractor,prior to that person beginning work on the project, a
certificate of coverage showing that coverage is being provided for all employees
of the person providing services on the project, for the duration of the project;
(3) provide the contractor, prior to the end of the coverage period, a new certificate
of coverage showing extension of coverage, if the coverage period shown on the
current certificate of coverage ends during the duration of the project;
(4) obtain from each other person or entity with whom it contracts, and provide to
the contractor:
(a) a certificate of coverage, prior to the other person or entity beginning work
on the project; and
(b) a new certificate of coverage showing extension of coverage,prior to the end
of the coverage period, if the coverage period shown on the current certificate
of coverage ends during the duration of the project;
5 retain all required certificates of coverage on file for the duration -
and for one year thereafter.
SPECIAL INSTRUCTIONS TO BIDDERS
-9-
(6) notify the governmental entity in writing by certified mail or personal delivery,
within ten days after the person knew or should have known, of any change that
materially affects the provision of coverage of any person providing services on
the project; and
(7) contractually require each person with whom it contracts, to perform as required
by paragraphs (1) - (7), with the certificates of coverage to be provided to the
person for whom they are providing services.
J. By signing this contract or providing or causing to be provided a certificate of
coverage, the contractor is representing to the governmental entity that all employees
of the contractor who will provide services on the project will be covered by workers'
compensation coverage for the duration of the project, that the coverage will be based
on proper reporting of classification codes and payroll amounts, and that all coverage
lop agreements will be filed with the appropriate insurance carrier or, in the case of a self-
insured, with the commission's Division of Self-Insurance Regulation. Providing
false of misleading information may subject the contractor to administrative penalties,
criminal penalties, civil penalties or other civil actions.
K. The contractor's failure to comply with any of these provisions is a breach of contract
by the contractor which entitles the City to declare the contract void if the contractor
does not remedy the breach within ten days after receipt of notice of breach from the
City.
"The contractor shall post a notice on each project site informing all persons
providing services on the project that they are required to be covered, and stating how
a person may verify current coverage and report failure to provide coverage. This
notice does not satisfy other posting requirements imposed by the Texas Workers'
Compensation Act or other Texas Workers' Compensation commission rules. This
notice must be printed with a title in at least 30 point bold type and text in at least 19
point normal type, and shall be in both English and Spanish and any other language
common to the worker population. The text for the notices shall be the following
text, without any additional words or changes:
REQUIRED WORKERS' COMPENSATION COVERAGE
"The law requires that each person working on this site or providing services related
to this construction project must be covered by workers' compensation insurance.
This includes persons providing, hauling, or delivering equipment or materials, or
providing labor or transportation or other service related to the project,regardless of
the identity of their employer or status as an employee."
"Call the Texas Workers' Compensation Commission at (512) 440-3789 to receive
information on the legal requirement for coverage, to verify whether your employer
has provided the required coverage, or to report an employer's failure to provide
coverage."
PAK• i'�
17. AGE DISCRIMINATION: In accordance with the policy("Policy") of eut'y�-
• Branch of the federal government, contractor covenants that neither it nor a y "
members, agents or employees who engage in the performance of this conti ct iA40JUH, 701
SPECIAL INSTRUCTIONS TO BIDDERS
- 10-
connection with such employment, advancement or discharge of employees or in
connection with the terms, conditions or privileges of their employment, discriminate
against any person because of their age except on the basis of a bona fide occupational
qualification, retirement plan or statutory requirement.
Contractor further covenants that neither it nor its officers, members, agents or employees
acting on their behalf, shall specify in solicitations or advertisements for employees to
work on those contract a maximum age limit for such employment unless the specified
maximum age limit is based upon a bona fide occupational qualification, retirement plan
or statutory requirement.
Contractor warrants that it will fully comply with the Policy and will defend, indemnify
and hold City harmless against any and all claims or allegations filed by third parties
against City arising out of Contractor's alleged failure to comply with the Policy in the
performance of this contract.
18. DISCRIMINATION DUE TO DISABILITY: In accordance with the provisions of the
Americans with Disabilities Act of 1990 ("ADA'), Contractor warrants that it will not
unlawfully discriminate on the basis of disability in the provision of services to the
general public, nor in the availability, terms or conditions of employment for applicants
for employment with, or current employees of, Contractor. Contractor warrants that it
will fully comply with the ADA's provisions and any other applicable federal, state, or
local laws concerning disability and will defend, indemnify and hold City harmless
against any and all claims or allegations filed by third parties against City arising out of
Contractor's alleged failure to comply with the ADA in the performance of this contract.
END OF SECTION
SPECIAL INSTRUCTIONS TO BIDDERS
Scope of Work
w
The project is for the repair of the S i Iver Creek Road Bridge over Live
Oak Creek. The ends of themultiple beams exhibit shear cracking from
the bearing a rea t o the end o f the beans. These beams a re p roposed to
be repaired using a multi stage process including:
1 . Epoxy i n j ect c racks to re-deve lop stee I and p romote bond ing w i th
concrete.
2. Use a f i ber re info rced polymer wrap to f urther secure the bean
ends.
3. Install bearing columns underneath the diaphragm to distribute the
bearing across the bottom of the cap.
The contractor wi I I be responsible for closing the roadway and
detouring traffic during construction. Contractor wi I I provide traffic
control in accordance with the "Manual of Uniform Traffic Control
Devices " . A detour p Ian showing a I I s igns and detour route wi I I be
submitted to the City for approval prior to construction commencing.
h
Plot,( ED
J:\030852\Specs\3-Scope—of—Work.doc
3(1)
CITY OF FORT WORTH
HIGHWAY CONSTRUCTION
PREVAILING WAGE RATES FOR 2000
ASPHALT RAKER $10.32
ASPHALT SHOVELER 9.75
BATCHING PLANT WEIGHER 9.65
CARPENTER(ROUGH) 13.64
CONCRETE FINISHER-PAVING 10.16
CONCRETE FINISHER HELPER(PAVING) 9.70
CONCRETE FINISHER-STRUCTURES 13.44
FLAGGER 7.00
FORM BUILDER-STRUCTURES 13.44
FORM SETTER-PAVING&CURB 10.25
FORM SETTER-STRUCTURES 9.75
LABORER-COMMON 7.64
LABORER-UTILITY 8.64
MECHANIC 13.25
SERVICER 10.13
PIPE LAYER 7.35
PIPE LAYER HELPER 6.75
ASPHALT DISTRIBUTOR OPERATOR 11.45
ASPHALT PAVING MACHINE OPERATOR 11.09
CONCRETE PAVING SAW 10.53
CRANE,CLAMSHELL,BACKHOE,DERRICK,DRAGLINE,SHOVEL(<1 Y.CY) 10.00
CRANE,CLAMSHELL,BACKHOE,DERRICK,DRAGLINE,SHOVEL(>1 Y.CY) 11.52
FRONT END LOADER(<2%CY) 9.94
FRONT END LOADER(>2%CY) 9.32
MILLING MACHINE OPERATOR 8.00
MIXER 11.00
MOTOR GRADER OPERATOR(FINE GRADE) 12.31
MOTOR GRADER OPERATOR 13.75
PAVEMENT MARKING MACHINE 11.00
ROLLER,STEEL WHEEL PLANT-MIX PAVEMENTS 9.88
ROLLER,STEEL WHEEL OTHER FLATWHEEL OR TAMPING 12.12
ROLLER,PNEUMATIC,SELF-PROPELLED SCRAPER 8.02
TRAVELING MIXER 10.00
REINFORCING STEEL SETTER-PAVING 9.75
TRUCK DRIVER-SINGLE AXLE LIGHT 8.00
TRUCK DRIVER-TANDEM AXLE SEMI TRAILER 10.22
TRUCK DRIVER-LOWBOY/FLOAT 10.54
TRUCK DRIVER-TRANSIT MIX 10.63
TRUCK DRIVER-WINCH 9.80
4-eg00411 WAGE RATE
PROPOSAL
TO: GEORGE BEHMANESH FROM. Et atr-S V1
ASSISTANT DIRECTOR TP/W P.O. Am &k6lq
FORT WORTH, TEXASin i
FOR: BRIDGE REPAIRS AT SILVER CREEK ROAD OVER LIVE OAK (2004-21)
PROJECT: GS93-020930260660
Pursuant to the foregoing "Notice to Bidders," the undersigned has thoroughly examined the
plans, specifications, and the site, understands the amount of work to be done and hereby
proposes to do all the work and furnish all labor, equipment, and materials necessary to fully
complete the work as provided in the Plans and Specifications, and subject to the inspection
�- and approval of the Director, Department of Engineering of the City of Fort Worth.
Total quantities given in the bid proposal may not reflect actual quantities; however, they are
given for the purpose of bidding on and awarding the contract
Upon acceptance of this proposal, the bidder is bound to execute a contract and furnish
Performance and Payment Bond approved by the City of Fort Worth for performing and
completing the said work within the time stated and for the following sums to-wit:
Pay Specification Approximate Description of BM Item Prices Unit Total
Item Item Quantity Written In Words Price Price
Furnish and install, install all appurtenant work,complete in place,the following items.
1. 101 1.00 LS Mobilization $ Z4,912C $
�yMfts_��Usa,,el
&Ln a4-eJ Dollars&
LS
Cents per 8F
2. 524 1 LS Barriers and Warning and / $ Z3 t o. $ Z 30o
& S.P. or Detour Signs
7a).0 I/�or,sa.ed
,'N��ice ! n de Pd Dollars&
LS
O Cents per-8F
J-,W308521Specsl5-eg 00411 Proposal.doc
E�7`�t
PROPOSAL
Pay SpecHication Approximate Description of Old Mem Prices Unit Total
Mem Item Quantity Written In'Words Price Price
Furnish and install, install all appurtenant work,complete in place,the following items.
3. SP 8 EA Beam Repair $ zzcy°" $ /T, 64!P=
1:3o liw&1er al Dollars&
EA
��QQ .a Cents per aF
I0
4. SP -0"' EA Neoprene Pads (Installed) $ 37S " $ 10, Soa
to-
AAW Zere 14m...,d rad
Sygre Five Dollars&
eA
,41y _Cents per£F
5. SP 8 EA Bearing Column $ 1.be `—� $ Seo ao
J51A 6liurrta1✓'td
Douars&
10 Cents per&F
6. SP 46 LF Joint Sealant $ ¢7 $ Z//,z
fes- -S'eWM Dalars&
Liz
D Cents per-OF
TOTAL BID: $ �vZ, dZ va
.J
J.0308520pecs15-eg 0041 i Proposal.doc C
r o ':�J`✓1i YCi "4�a
PROPOSAL
Within ten (10) days after acceptance of this Proposal, the undersigned will execute the formal
contract and will deliver an approved Survey Bond and such other bonds as required by the
Contract Documents, for the faithful performance of the Contract. The attached bid security in the
amount of 5% is to become the property of the City of Fort Worth, Texas, in the event the
contract and bond or bonds are not executed and delivered within the time above set forth, as
liquidated damages for the delay and additional work caused thereby.
The undersigned bidder certified that he has been furnished at least one set of the most recent
edition of the Standard Specifications for Street and Storm Drain Construction, City of Fort
Worth, Texas and that he has read and thoroughly understands all the requirements and
conditions of those standard specifications and the specific Contract Documents and
appurtenant plans.
The undersigned assures that its employees and applicants for employment and those of any
labor organization, subcontractors, or employment agency in either furnishing or referring
employee applicants to the undersigned are not discriminated against as prohibited by terms of
City Ordinance No. 7278 as amended by City Ordinance No. 7400.
The Bidder agrees to begin construction within 10 working days after issue of the work
order, and to complete the contract within 30 working days after beginning construction as set
forth in the written work order to be furnished by the Owner.
(Complete A or B below, as applicable):
[]A. The principal place of business of our company is in the State of
[] Nonresident bidders in the State of , our principal place of business,
are required to be percent lower than resident bidders by state law. A copy of the
statute is attached.
[] Nonresident bidders in the State of , our principal place of business,
are not required to underbid resident bidders.
B. The principal place of business of our company or our parent company or majority owner
is in the State of Texas.
J:1030852%SpecsV&eg 00411 Proposal.doc
PROPOSAL
Receipt is acknowledged of the following addenda:
Addendum No. 1
Addendum No. 2
Addendum No. 3
(Seal) If Bidder Corporation
Respectfully submitted,
By: pp
Title: 1��eZ l e, Vice- Fre °+
Address: 1.D. toV EODdSr79
54t, n�ngs �518D-o S'?y
J:1030852%SpecsO-eg 00411 ProposaWDc -
5 (4)
VENDOR COMPLIANCE TO STATE LAW
The 1985 Session of the Texas Legislature passed House Bill 620 relative to the award of contracts to
nonresident bidders. This law provides that, in order to be awarded a contract as low bidder, nonresident
bidders (out-of-State contractors whose corporate offices or principal place of business are outside of the
State of Texas) bid projects for construction, improvements, supplies or services in Texas at an amount
lower than the lowest Texas resident bidder by the same amount that a Texas resident bidder would be
required to underbid a nonresident bidder in order to obtain a comparable contract in the State in which the
nonresident's principal place of business is located. The appropriate blanks in Section A must be filled out
by all out-0f--State or nonresident bidders in order for your bid to meet specifications. The failure of out-of-
State or nonresident contractors to do so will automatically disqualify that bidder. Resident bidders must
check the box in Section B.
A. Nonresident vendors in (give State), our principal place of business, are required to
be percent lower than resident bidders by State law. A copy of the Statute is attached.
Nonresident vendors in (give State),our principal place of business,are not
required to underbid resident bidders.
B. Our principal place of business or corporate offices are in the State of Texas.
BIDDER:
C l 6SOn + ksDLI1te By: !t
(Please print)
• WX 8W5 1 Signature:
W& Title: V IGG Fre's �CA+
city State Zip (Please print)
THIS FORM MUST BE RETURNED WITH YOUR QOTATION
ATTACHMENT IA
Page 1 of 4
F...... ORT-H City of Fort Worth
s
Subcontractors/Suppliers Utilization Form
PRIME COMPANY NAME: Check applicable block to describe prime
Gibson &Associates, Inc.
PROJECT NAME: M/W/DBE X NON-M/W/DBE
Silvercreek Bridge Maintenance BID DATE
July 2, 2004
City's M/WBE Project Goal: Prime's M/WBE Project Utilization: PROJECT NUMBER
7% 2% GS93-020930260660
Identify all subcontractors/suppliers you will use on this project
Failure to complete this form, in its entirety with requested documentation, and received by the Managing
Department on or before 5:00 p.m. five (5) City business days after bid opening, exclusive of bid opening date,
will result in the bid being considered non-responsive to bid specifications.
The undersigned Offeror agrees to enter into a formal agreement with the M/WBE firm(s) listed in this
utilization schedule, conditioned upon execution of a contract with the City of Fort Worth. The intentional
and/or knowing misrepresentation of facts is grounds for consideration of disqualification and will result in the
bid being considered non-responsive to bid specifications
M/WBEs listed toward meeting the project goal must be located in the nine (9) county marketplace or
currently doing business in the marketplace at the time of bid. Marketplace is the geographic area of Tarrant,
Parker, Johnson, Collin, Dallas, Denton, Ellis, Kaufman and Rockwall counties.
Identify each Tier level. Tier is the level of subcontracting below the prime contractor, i.e., a direct
payment from the prime contractor to a subcontractor is considered 1St tier, a payment by a subcontractor to
its supplier is considered 2nd tier
ALL MIWBEs MUST BE CERTIFIED BEFORE CONTRACT AWARD.
Certification means those firms, located or doing business at the time of bid opening within the Marketplace, that have
been determined to be bonafide minority or women businesses by the North Central Texas Regional Certification
Agency (NCTRCA), or the Texas Department of Transportation (TX DOT), highway division. Disadvantaged Business
Enterprise(DBE) is synonymous with Minority=omen Business Enterprise (M/WBE).
If hauling services are utilized, the prime will be given credit as long as the M/WBE listed owns and
operates at least one fully licensed and operational truck to be used on the contract. The MNVBE may lease
trucks from another M/WBE firm, including M/WBE owner-operators, and receive full M/WBE credit. The
M/WBE may lease trucks from non-M/WBEs, including owner-operators, but will only receive credit for the
fees and commissions earned by the M/WBE as outlined in the lease agreement.
alt
Rev.5/30/03
ATTACHMENT 1A
FORT WORTH Page 2 of 4
Primes are required to identify ALL subcontractorstsuppliers,regardless of status; i.e., Minority,Women and non-M/WBEs.
Please list M/WBE firms first, use additional sheets if necessary.
Certification N
(check one) o
SUBCONTRACTOR/SUPPLIER T n
Company Name i N T Detail Detail
Address e M wC X M Subcontracting Work Supplies Purchased Dollar Amount
T D W
Telephone/Fax r B B R O B
E E C T E
A
CrossRoads, LP X Barricades/Signs $2,095.00
2809 N. Beach Str
Ft. Worth, TX 76111
Ph: 817-759-1199
Fx: 817-759-1135
Concrete Accessories X Structural Steel $1,000.00
1359 Motor Street Pedestals
Dallas, TX 75207
Ph: 214-630-4277
Fx: 214-905-9507
Jaster & Quintanilla X Enginerring $1,000.00
2105 Commerce Ste. Services
Ste. 300
Dallas, TX 75201
Ph: 214-752-9098
Fx: 214-752-8711
Dynamic Rubber X Bearing Pads $2,198.40
1391 Flat Creek Rd
Athens, TX 75751
Ph: 903-677-2871
Fx: 903-675-4776
Rev.5/30/03
ATTACHMENT 1A
FORT WORTH Page 3 of 4
Primes are required to identify ALL subcontractors/suppliers, regardless of status; i.e., Minority,Women and non-M/WBEs.
Please list M/WBE firms first,use additional sheets if necessary.
Certification N
(check one)
SUBCONTRACTORISUPPLIER T
Company Name ; N T Detail Detail
Address i M W C X M Subcontracting Work Supplies Purchased Dollar Amount
T D Vy
Telephone/Fax r B B
E E R O B
C T E
A
r
UNHI V A.
Rev. 5/30/03
ATTACHMENT IA
FORT WORTH Page 4 of 4
Total Dollar Amount of M/WBE Subcontractors/Suppliers $ 1,000.00
Total Dollar Amount of Non-M/WBE Subcontractors/Suppliers $ 5,293.40
TOTAL DOLLAR AMOUNT OF ALL SUBCONTRACTORS/SUPPLIERS $ 6,293.40
The Contractor will not make additions, deletions, or substitutions to this certified list without the prior approval
of the Minority and Women Business Enterprise Office Manager or designee through the submittal of a
Request for Approval of Change/Addition. Any unjustified change or deletion shall be a material breach of
contract and may result in debarment in accord with the procedures outlined in the ordinance. The contractor
shall submit a detailed explanation of how the requested change/addition or deletion will affect the committed
M/WBE goal. If the detail explanation is not submitted, it will affect the final compliance determination.
By affixing a signature to this form, the Offeror further agrees to provide, directly to the City upon request,
complete and accurate information regarding actual work performed by all subcontractors, including
MM/DBE(s) arrangements submitted with the bid. The Offeror also agrees to allow an audit and/or
examination of any books, records and files held by their company. The bidder agrees to allow the
transmission of interviews with owners, principals, officers, employees and applicable
subcontractors/suppliers/contractors participating on the contract that will substantiate the actual work
performed by the M/W/DBE(s) on this contract, by an authorized officer or employee of the City. Any
intentional and/or knowing misrepresentation of facts will be grounds for terminating the contract or debarment
from City work for a period of not less than three (3) years and for initiating action under Federal, State or
Local laws concerning false statements. Any failure to comply with this ordinance and create a material
breach of contract may result in a determination of an irresponsible Offeror and barred from participating in
City work for a period of time not less than one (1) year.
w
Patricia M. Gibson
Authorized ignature Printed Signature
CEO
Title Contact Name/Title(if different)
Gibson &Associates, Inc. 972-557-1199/972-557-1552
Company Name Telephone and/or Fax
P.O. Box 800579
Address E-mail Address
Balch Springs,TX 75180-0579 July 7, 2004
City/State/Zip Date
Rev.5/30.03
ATTACHMENT 1B
FORT wO�RTH Page 1 of 1
City of Fort Worth
Prime Contractor Waiver Form
PRIME COMPANY NAME: Check applicable block to describe
t rime
Gibson &Associates, Inc.
PROJECT NAME: M/W/DBE X NON-MNV/DBE
Silvercreek Bridge Maintenance BID DATE
July 2, 2004
City's M/WBE Project Goal: PROJECT NUMBER
7% GS93-020930260660
If both answers to this form are YES, do not complete ATTACHMENT 1C(Good Faith Effort Form). All questions on
this form must be completed and a detailed explanation provided, if applicable. If the answer to either question is
NO, then you must complete ATTACHMENT 1C. This form is only applicable if both answers are yes.
Failure to complete this form in its entirety and be received by the Managing Department on or before 5:00
pm.,five(5) City business days after bid opening, exclusive of the bid opening date,will result in the bid
being considered non-responsive to bid specifications.
Will you perform this entire contract without subcontractors? YES
If yes, please provide a detailed explanation that proves based on the size and scope of this X NO
project, this is your normal business eractice and erovide an operational profile of your business.
Will you perform this entire contract without suppliers? YES
If yes, please provide a detailed explanation that proves based on the size and scope of this X
project, this is your normal business practice and provide an inventory profile of your business. NO
The bidder further agrees to provide, directly to the City upon request, complete and accurate information
regarding actual work performed by all subcontractors, including MNVBE(s)on this contract, the payment therefore
and any proposed changes to the original MNVBE(s) arrangements submitted with this bid. The bidder also
agrees to allow an audit and/or examination of any books, records and files held by their company that will
substantiate the actual work performed by the MNVBEs on this contract, by an authorized officer or employee of
the City. Any intentional and/or knowing misrepresentation of facts will be grounds for terminating the contract or
debarment from City work for a period of not less than three (3)years and for initiating action under Federal, State
or Local laws concerning false statements. Any failure to comply with this ordinance creates a material breach of
contract may result in a determination of an irresponsible offeror and barred from participating in City work for a
period of time not less than one (1)year.
Patricia M. Gibson
Authorized Signature Printed Signature
CEO
Title Contact Name(if different)
Gibson &Associates, Inc. 972-557-1199 972-557-1552
Company Name Phone Number Fax Number
P. O. Box 800579
Address Email Address
Balch Springs, Texas 75180-0579 July 7 2004
City/State/Zip Date j
ATTACHMENT 1C
Page 1 of 3
FORT WORTH City of Fort Worth
Good Faith Effort Form
PRIME COMPANY NAME: Check applicable block to describe
rime
Gibson &Associates, Inc.
PROJECT NAME: M/W/DBE X NON-MM//DBE
Silvercreek Bridge Maintenance BID DATE
July 2 2004
City's M/WBE Project Goal: PROJECT NUMBER
7% GS93-020930260660
If you have failed to secure M/WBE participation and you have subcontracting and/or supplier opportunities or if your
DBE participation is less than the City's project goal,you must complete this form.
If the bidder's method of compliance with the M/WBE goal is based upon demonstration of a
"good faith effort", the bidder will have the burden of correctly and accurately preparing and
submitting the documentation required by the City. Compliance with each item, 1 thru 6 below,
shall satisfy the Good Faith Effort requirement absent proof of fraud, intentional and/or
knowing misrepresentation the facts or intentional discrimination by the bidder.
Failure to complete this form, in its entirety with supporting documentation, and received by the
Managing Department on or before 5:00 p.m.five(5)City business days after bid opening, exclusive of bid
opening date,will result in the bid being considered non-responsive to bid specifications.
1.) Please list each and every subcontracting and/or supplier opportunity2 for the completion of this
project, regardless of whether it is to be provided by a M/WBE or non-M/WBE. (DO NOT LIST NAMES
OF FIRMS)FT—tier.
On Combined Projects, list each subcontracting and or supplier opportunity through the
(Use additional sheets, if necessary)
List of Subcontracting Opportunities List of Supplier Opportunities
Barricades/Signs Structural Steel
Engineering Services Pedestals
Bearing Pads
Rev.05/30/03
ATTACHMENT 1C
Page 2 of 3
2.) Obtain a current(not more than three(3)months old from the bid open date) list of MIWBE
subcontractors and/or suppliers from the City's M/WBE Office.
X Yes Date of Listing 06/21/2004
No
3.) Did you solicit bids from M/WBE firms,within the subcontracting and/or supplier areas previously
listed, at least ten calendar days prior to bid opening by mail, exclusive of the day the bids are
opened?
X Yes (If yes,attach M/WBE mail listing to include name of firm and address and a dated copy of letter mailed.)
No
4.) Did you solicit bids from M/WBE firms,within the subcontracting and/or supplier areas previously
listed, at least ten calendar days prior to bid opening by telephone, exclusive of the day the bids are
opened?
X Yes (If yes,attach list to include name of M/WBE firm,person contacted,phone number and date and time of contact.)
No
NOTE: A facsimile may be used to comply with either 3 or 4, but may not be used for both. If a facsimile
is used, attach the fax confirmation, which is to provide M/WBE name, date, time, fax number and
documentation faxed.
NOTE: If the list of MIWBEs for a particular subcontracting/supplier opportunity is ten (10) or less, the
bidder must contact the entire list to be in compliance with questions 3 and 4. If the list of MIWBEs for a
particular subcontracting/supplier opportunity is ten (10) or more, the bidder must contact at least two-
thirds (2/3) of the list within such area of opportunity, but not less than ten to be in compliance with
questions 3 and 4.
5.) Did you provide plans and specifications to potential MIWBEs or information regarding the location of
plans and specifications in order to assist the MIWBEs?
X_Yes
No
6.) Submit documentation if M/WBE quotes were rejected. The documentation submitted should be in
the forms of an affidavit, include a detailed explanation of why the M/WBE was rejected and any
supporting documentation the bidder wishes to be considered by the City. In the event of a bona fide
dispute concerning quotes, the bidder will provide for confidential in-camera access to and inspection
of any relevant documentation by City personnel.
(Please use additional sheets, if necessary, and attach.
Co��Ipan�y "dame Telephone Contact Person Scope of Work Reason for Rejection
N/A
Rev.05/NW
ATTACHMENT 1C
Page 3 of 3
ADDITIONAL INFORMATION:
Please provide additional information you feel will further explain your good and honest efforts to obtain
M/WBE participation on this project.
Allied Steel declined to bid because the project is too small
Cowtown was non-responsive after many attempts.
There are no minority suppliers for the bearing pads.
We were able to locate a minority Engineering firm and we accepted their bid price.
The bidder further agrees to provide, directly to the City upon request, complete and
accurate information regarding actual work performed on this contract, the payment
thereof and any proposed changes to the original arrangements submitted with this bid.
The bidder also agrees to allow an audit and/or examination of any books, records and
files held by their company that will substantiate the actual work performed on this
contract, by an authorized officer or employee of the City.
Any intentional and/or knowing misrepresentation of facts will be grounds for
terminating the contract or debarment from City work for a period of not less than three
(3) years and for initiating action under Federal, State or Local laws concerning false
statements. Any failure to comply with this ordinance and creates a material breach of
contract may result in a determination of an irresponsible offeror and barred from
participating in City work for a period of time not less than one (1) year.
The undersigned certifies that the information provided and the M/WBE(s) listed
was/were contacted in good faith. It is understood that any M/WBE(s) listed in
Attachment 1C will be contacted and the reasons for not using them will be verified by
t 's M/WBE Office.
�= Patricia M. Gibson
Authorized Signature Printed Signature
CEO
Title Contact Name and Title(if different)
Gibson &Associates, Inc. 972-557-1199 972-557-1552
Company Name Phone Number Fax Number
P. O. Box 800579
Address Email Address
Balch Springs,TX 75180-0579 July 7.2004
City/State/Zip Date
Rev.05/30/03
SPECIAL PROVISIONS
CITY OF FORT WORTH TRANSPORTATION & PUBLIC WORKS DEPARTMENT
FOR: BRIDGE REPAIRS AT SILVER CREEK ROAD/ LIVE OAK CREEK
PROJECT: GS93-020930260660
1. SCOPE OF WORK: This work shall include all materials, labor, equipment, tools and incidentals
necessary to construct the proposed culvert and channel repairs in accordance with the
specifications. This work shall consist of repair of bridge beams for the aforementioned bridge. This
work shall include all other miscellaneous items to be performed as outlined on the specifications that
are necessary to satisfactorily complete the work.
Prior to beginning operations, a conference between the contractor's representative and the City will
be arranged by the City. In this meeting,the contractor will be required to outline the proposed repair
procedures, sequence of work to be followed, and estimated progress schedule. The contractor will
also provide manufacturer's data on all materials to be used for the repair of the culvert and channel
at this meeting. The City may take up to seven days to approve these materials.
This contract and project are governed by the two following published specifications except as
modified by these special Provisions:
Standard Specifications for street and storm drain Construction—City of Fort Worth
Standard specifications For Public Works Construction—North Central Texas
Standard Specifications for Construction of Highways Streets and Bridges-TxDOT
Specifications may be purchased (except TxDOT)at the office of the Department of Engineering,
1000 Throckmorton Street,2nd floor, Municipal Building, Fort Worth,Texas, 76102. The
specifications applicable to each pay item are indicated on the call out for the pay item by the
designer. If not shown the applicable published specifications in wither of these documents may be
followed at the discretion of the Contractor. General provisions shall be those of the Fort Worth
document rather than division 1 of the North Texas Central Document.
2. AWARD OF CONTRACT: Contract may not necessarily be awarded to the lowest bid or bidder. The
Director of Transportation and Public Works shall evaluate and recommend to the City Council the bid
and bid alternate which is considered to be in the best interest of the City. Contract will be awarded
to the lowest responsive bidder.
The City reserves the right to abandon,without obligation to the Contractor, any part of the project, or
the entire project, at any time before the Contractor begins any construction work authorized by the
City.
Bidders shall not separate, detach or remove any portion, segment or sheets from the contract
documents at any time. Failure to bid or fully execute contract without retaining contract documents
intact may be ground for designating bids as "non-responsive" and rejecting bids or voiding contract
as appropriate and as determined by the City.
3. SCHEDULE: The Contractor agrees to complete the Contract within 30 working days. If the
Contractor fails to complete the work within the number of calendar days specified, liquidated
damages shall be charged, as outlined in Part 1, Item 8, Paragraph 8.6 of the"General Provisions"of
the Standard Specification for Construction of the City of Fort Worth,Texas.
It shall be the responsibility of the Contractor to furnish the Construction Engineer, prior to
construction, a schedule outlining the anticipated time each phase of construction will begin and be
completed, including sufficient time being allowed for cleanup.
Final cleanup work shall be done for this project as soon as each bridge has been completed. No
more than seven (7)days shall elapse after completion of construction before the roadway and right-
of-way is cleaned up to the satisfaction of the Engineer. o r r
D
8-Silvefcreek-Special mvisloll$ ='���^ Stix
SPECIAL PROVISIONS
CITY OF FORT WORTH TRANSPORTATION & PUBLIC WORKS DEPARTMENT
4. INCREASE OR DECREASE IN QUANTITIES: The quantities shown in the proposal are
approximate. It is the Contractor's sole responsibility to verify all the minor pay item quantities prior to
submitting a bid.
When the quantity of the work to be done or materials to be furnished under any major pay item of the
Contract is more than 125% of the quantity stated in the Contract, whether stated by Owner or by
Contractor, then either parry to the Contract, upon demand, shall be entitled to negotiate for revised
consideration on the portion of work above 125%of the quantity stated in the Contract.
When the quantity of the work to be done or materials to be furnished under any major pay item of the
Contract is less than 75% of the quantity stated in the Contract, whether stated by Owner or by
Contractor, then either party to the Contract, upon demand, shall be entitled to negotiate for revised
consideration on the portion of work below 75%of the quantity stated in the Contract. This paragraph
shall not apply in the event Owner deletes a pay item in its entirety from this Contract.
A major pay item is defined as any individual bid item included in the proposal that has a total cost
equal to or greater than five(5%)percent of the original contract.
A minor pay item is defined as any individual bid item included in the proposal that has a total cost
less than five(5%)percent of the original contract.
In the event Owner and Contractor are unable to agree on a negotiated price, Owner and Contractor
agree that the consideration will be the actual field cost of the work plus fifteen (15%) percent as
described herein below, agreed upon in writing by the Contractor and Director, Department of
Engineering and approved by the City Council after said work is completed, subject to all other
conditions of the Contract. As used, herein, field cost of the work will include the cost of all workmen,
foremen, time keepers, mechanics and laborers; all materials, supplies, trucks, equipment rental for
such time as actually used on such work only, plus all power, fuel, lubricants, water and similar
operating expenses; and a ratable portion of premiums on performance and payment bonds, public
liability, Workers Compensation and all other insurance required by law or by ordinance. The Director,
Department of Engineering will direct the form in which the accounts of actual field cost will be kept
and will recommend in writing the method of doing the work and the type and kind of equipment to be
used, but such work will be performed by the Contractor as an independent Contractor and not as an
agent or employee of the City. The fifteen (15%) percent of the actual field cost to be paid to the
Contractor shall cover and compensate him for profit, overhead, general supervision and field office
expense, and all other elements of cost and expense not embraced within the actual field cost as
herein specified. Upon request, the Contractor shall provide the Director, Department of Engineering
access to all accounts, bills and vouchers relating thereto.
5. MAINTENANCE STATEMENT: The Contractor shall be responsible for defects in this project due to
faulty materials and workmanship, or both, for a period of two (2) year from date of final acceptance
of this project by the City Council of the City of Fort Worth and will be required to replace at his
expense any part or all of the project which becomes defective due to these causes.
6. TRAFFIC CONTROL: The Contractor shall be responsible for providing traffic control during the
construction of this project consistent with the provisions set forth in the "1980 Texas Manual on
Uniform Traffic Control Devices for Streets and Highways"issued under the authority of the "State of
Texas Uniform Act Regulating Traffic on Highways", codified as Article 6701d Vernon's Civil Statutes,
pertinent sections being Section Nos. 27,29,30 and 31.
The Contractor will not remove any regulatory sign, instructional sign, street name sign.-or other sign _
which has been erected by the City. If it is determined that a sign must be rerhoved to perrgit,,
required construction, the Contractor shall contact the Transportation and Public W ks Departrnekii `)I)
8-Silvercreek-Special_Provisions N1 yen
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SPECIAL PROVISIONS
CITY OF FORT WORTH TRANSPORTATION 8t PUBLIC WORKS DEPARTMENT
Signs and Markings Division (telephone number 817-870-8075) to remove the sign. In the case of
regulatory signs, the Contractor must replace the permanent sign with a temporary sign meeting the
requirements of the above referenced manual and such temporary sign must be installed prior to the
removal of the permanent sign. If the temporary sign is not installed correctly or if it TP/Ws not meet
the required specifications, the permanent sign shall be left in place until the temporary sign
requirements are met. When construction work is completed to the extent that the permanent sign
can be reinstalled, the Contractor shall again contact the Signs and Markings Division to reinstall the
permanent sign and shall leave his temporary sign in place until such reinstallation is completed.
7. PAYMENT: The Contractor will receive a monthly payment(minus 5% retainage)from the City for all
work for each monthly pay period. Payment of the remaining amount shall be made with the final
payment, and upon acceptance of the project.
8. DELAYS: The Contractor shall receive no compensation for delays or hindrances to the work, except
when direct and unavoidable extra cost to the Contractor is caused by the failure of the City to
provide information or material, if any, which is to be furnished by the City. When such extra
compensation is claimed a written statement thereof shall be presented by the Contractor to the
Engineer and, if by him found correct, shall be approved and referred by him to the Council for final
approval or disapproval; and the action thereon by the Council shall be final and binding. If delay is
caused by specific orders given by the Engineers to stop work, or by the performance of extra work,
or by the failure of the City to provide material or necessary instructions for carrying on the work, then
such delay will entitle the Contractor to an equivalent extension of time, his application for which shall,
however, be subject to the approval of the City Council; and no such extension of time shall release
the Contractor or the surety on his performance bond from all his obligations hereunder which shall
remain in full force until the discharge of the contract.
9. DETOURS AND BARRICADES: The Contractor shall prosecute his work in such a manner as to
create a minimum of interruption to traffic and pedestrian facilities and to the flow of vehicular and
pedestrian traffic within the project area. Contractor shall protect the construction area, as required
by the City, by providing barricades.
Barricades, warning and detour signs shall conform to the Standard Specifications "Barriers and
Warning and/or Detour Signs", Item 524, and/or as shown on the plans.
Construction signing and barricades shall conform to the latest edition of the 'Texas manual on
Uniform Traffic Control Devices,Vol. No. 1".
The Contractor shall conduct his activities to minimize obstruction of access to drives and property
during the progress of construction. Notification should be made to an owner prior to his driveway
being rebuilt.
10. DISPOSAL OF SPOIL/FILL MATERIAL: Prior to the disposing of any spoil/fill material, the
Contractor shall advise the Director of Department of Engineering, acting as the City of Fort Worth's
Flood Plain Administrator ("Administrator'), of the location of all sites where the Contractor intends to
dispose of such material. Contractor shall not dispose of such material until the proposed sites have
been determined by the Administrator to meet the requirements of the Flood Plain Ordinance of the
City of Fort Worth (Ordinance No. 10056). All disposal sites must be approved by the Administrator
to ensure the filling is not occurring within a flood plain without a permit. A flood plain permit can be
issued upon approval of necessary engineering studies. No fill permit is required if disposal sites are
not in a flood plain. Approval of the Contractors disposal sites shall be evidenced by a letter signed
by the Administrator stating that the site is not in a known flood plain or by a Flood Plain Fill Permit
authorizing fill within the flood plain. Any expenses associates with obtaining the fill permit, including
any necessary engineering studies, shall be at Contractors expense. In the event that the-Qw.Uactor_
disposes of spoil/fill material at a site without a fill permit or a letter from the Admi 'istrato ,approxi g„
8-Silvercreek-Special_Provisions iv"• L/ �%°` rt`����r
8(3)
I
SPECIAL PROVISIONS
CITY OF FORT WORTH TRANSPORTATION & PUBLIC WORKS DEPARTMENT
the disposal site, upon notification by the Director of Transportation and Public Works, Contractor
shall remove the spoil/fill material at its expense and dispose of such materials in accordance with the
Ordinance of the City and this section.
11. ZONING REQUIREMENTS: During the construction of this project, the Contractor shall comply with
present zoning requirements of the City of Fort Worth in the use of vacant property for storage
purposes.
12. CLEARING AND GRUBBING: All objectionable matter required to be removed within the right-of-
way and not particularly described under these specifications shall be covered by Item No. 102,
"Clearing and Grubbing"and shall be subsidiary to the other items of the contract.
13. PROPERTY ACCESS: Access to adjacent property shall be maintained at all times unless otherwise
directed by the Engineer.
14. SAFETY RESTRICTION WORK NEAR HIGH VOLTAGE LINES: The following procedures will be
followed regarding the subject item on this contract:
a. A warning sign not less than five inches by seven inches (5" x 7"), painted yellow with black
letters that are legible at twelve (12') feet shall be placed inside and outside vehicles such as
cranes, derricks, power shovels, drilling rigs, pile drive, hoisting equipment or similar apparatus.
The warning sign shall read as follows:
"WARNING - UNLAWFUL TO OPERATE THIS EQUIPMENT WITHIN SIX FEET OF
HIGH VOLTAGE LINES"
b. Equipment that may be operated within ten (10')feet of high voltage lines shall have an insulating
cage type or guard about the boom or arm, except backhoes or dippers, and insulator links on the
lift hook connections.
c. When necessary to work within six (6') feet of high voltage electric lines, notification shall be
given the power company (T.U. Electric Service Co.) who will erect temporary mechanical
barriers, de- energize the line, or raise or lower the line. The work done by the power company
shall not be at the expense of the City of Fort Worth. The notifying department shall maintain an
accurate log of all such calls to T.U. Electric Service Company and shall record action taken in
each case.
d. The Contractor is required to make arrangements with the TU Electric Service Company for the
temporary relocation or raising of high voltage lines at the Contractor's sole cost and expense.
e. No person shall work within six (6') feet of a high voltage line without protection having been
taken as outlined in Paragraph (3).
15. RIGHT TO AUDIT:
a. Contractor agrees that the City shall, until the expiration of three (3) years after final payment
under this contract, have access to and the right to examine and photocopy any directly pertinent
books, documents, papers, and records of the Contractor involving transactions relating to this
contract. Contractor agrees that the City shall have access during normal working hours to all
necessary Contractor facilities and shall be provided adequate and appropriate work space in
order to conduct audits in compliance with provisions of this section. The City shall give
Contractor reasonable advance notice of intended audits.
b. Contractor further agrees to include in all its subcontracts hereunder a provision to the effect that
the subcontractor agrees that the City shall, until the expiration of three (3 after final --
payment under the subcontract, have access to and the right to examine d jDFop
Ly,Iisny {",
8-Silvercreek-Special_Provisions
SPECIAL PROVISIONS
CITY OF FORT WORTH TRANSPORTATION 8, PUBLIC WORKS DEPARTMENT
directly pertinent books, documents, papers, and records of such subcontractor, involving
transactions to the subcontract,and further,that the City shall have access during normal working
hours to all subcontractor facilities, and shall be provided adequate and appropriate work space,
in order to conduct audits in compliance with the provisions of this article. City shall give
subcontractor reasonable advance notice of intended audits.
c. Contractor and subcontractor agree to photocopy such documents as may be requested by the
City. The City agrees to reimburse contractor for the cost of copies as follows:
1) 50 copies and under- 10 cents per page
2) More than 50 copies-85 cents for the first page plus fifteen cents for each page thereafter
16. TEMPORARY EROSION, SEDIMENT AND WATER POLLUTION CONTROL:
a. DESCRIPTION: This item shall consist of temporary soil erosion, sediment and water pollution
control measures deemed necessary by the Engineer for the duration of the contract. These
control measures shall at no time be used as a substitute for the permanent control measures
unless otherwise directed by the Engineer and they shall not include measures taken by the
CONTRACTOR to control conditions created by this construction operations. The temporary
measure shall include dikes, dams, berms, sediment basins, fiber mats, jut netting, temporary
seeding, straw mulch, asphalt mulch, plastic liners, rubble liners, baled-hay retards, diked, slope
drains and other devices.
b. CONSTRUCTION REQUIREMENTS: The Engineer has the authority to define erodible earth and
the authority to limit the surface area of erodible-earth material exposed by excavation, borrow
and to direct the CONTRACTOR to provide temporary pollution control measures to prevent
contamination of adjacent streams, other water courses, lakes, ponds or other areas of water
impoundment. Such work may involve the construction of temporary berms, dikes, dams,
sediment basins, slope drains and use of temporary mulches, mats, seeding or other control
devices or methods directed by the Engineer as necessary to control soil erosion. Temporary
pollution control measures shall be used to prevent or correct erosion that may develop during
construction prior to installation of permanent pollution control features, but are not associated
with permanent control features on the project.
The Engineer will limit the area of preparing the right-of-way, clearing and grubbing, excavation
and borrow to be proportional to the CONTRACTOR'S capability and progress in keeping the
finish grading, mulching, seeding and other such permanent pollution control measures current in
accordance with the accepted schedule. Should seasonal conditions make such limitations
unrealistic, temporary soil erosion control measures shall be performed as directed by the
Engineer.
The contractor shall also conform to the following practices and controls. All labor, tools,
equipment and incidentals to complete the work will not be paid for directly, but shall be
considered as subsidiary work to the various items included in the contract.
Waste or disposal areas and construction roads shall be located and constructed in a manner
that will minimize the amount of sediment entering streams.
When work areas or material sources are located in or adjacent to live streams, such areas shall
be separated from the stream by a dike or other barrier to keep sediment from entering a flowing
stream. Care shall be taken during the construction and removal of such barriers to minimize the
muddying of a stream.
10 2 DD
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8-SiivenaeekSisi
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8(5) Uo 'a:�Wr � i��o
SPECIAL PROVISIONS
CITY OF FORT WORTH TRANSPORTATION & PUBLIC WORKS DEPARTMENT
All waterways shall be cleared as soon as practicable of falsework, piling, debris or other
obstructions placed during construction operations that are not part of the finished work.
The CONTRACTOR shall take sufficient precautions to prevent pollution of streams, lakes and
reservoirs with fuels, oils, bituments,calcium chloride or other harmful materials. He shall conduct
and schedule his operations so as to avoid or minimize siltation of streams, lakes and reservoirs
and to avoid interference with movement of migratory fish.
c. MEASUREMENT AND PAYMENT: All work, materials and equipment necessary to provide
temporary erosion control shall be considered subsidiary to the contract and not extra pay will be
given for this work.
17. EXAMINATION OF SITE: It shall be the responsibility of the prospective bidder to visit the project site
and make such examination and explorations as may be necessary to determine all conditions which
f may affect construction of this project. Particular attention should be given to methods of providing
ingress and egress to adjacent private and public properties, procedures for protecting existing
improvements and disposition of all materials to be removed. Proper consideration should be given to
pr these details during the preparation of the Proposal and all unusual conditions which may give rise to
later contingencies should be brought to the attention of the Owner prior to the submission of the
Proposal.
18. WATER FOR CONSTRUCTION: Water for construction will be furnished by the Contractor at his own
expense.
19. PROTECTION OF EXISTING UTILITIES AND IMPROVEMENTS: The contractor shall be
responsible for verifying the locations of and protecting all existing utilities, service lines, or property
exposed by his construction operations. Contractor shall make all necessary provisions for the
support, protection and or temporary relocation of all utility poles, gas lines, telephone cables, utility
services, water mains, sanitary sewers lines, electrical cables, drainage pipes, and all other utilities
and structures both above and below ground during construction. The contractor is liable for all
damages done to such existing facilities as a result of his operations and any and all cost incurred for
the protection and/or temporary relocation of such facilities are deemed subsidiary work and the cost
of same and shall be included in the cost bid for the various bid items. No additional compensation
will be allowed.
20. CONTRACTOR'S RESPONSIBILITY FOR DAMAGE CLAIMS: Contractor covenants and agrees to
indemnify City's engineer and architect, and their personnel at the project site for Contractor's sole
negligence. In addition, Contractor covenants and agrees to indemnify, hold harmless and defend, at
its own expense, the Owner, its officers, servants and employees, from and against any and all
claims or suits for property loss, property damage, personal injury, including death, arising out of, or
alleged to arise out of, the work and services to be performed hereunder by Contractor, its officers,
agents, employees, subcontractors, licensees or invitees, whether or not any such injury, damage or
death is caused, in whole or in part, by the negligence or alleged negligence of Owner, its officers,
servants, or employees. Contractor likewise covenants and agrees to indemnify and hold harmless
the Owner from and against any and all injuries to Owner's officers, servants and employees and any
damage, loss or destruction to property of the Owner arising from the performance of any of the terms
and conditions of this Contract, whether or not any such injury or damage is caused in whole or in
part by the negligence or alleged negligence of Owner, its officers, servants or employees.
In the event Owner receives a written claim for damages against the Contractor or its subcontractors
rprior to final payment,final payment shall not be made until Contractor either(a)submits to Owner
8-Silvercreek-Special_Provisions
8(6) i
SPECIAL PROVISIONS
CITY OF FORT WORTH TRANSPORTATION & PUBLIC WORKS DEPARTMENT
satisfactory evidence that the claim has been settled and/or a release from the claimant involved, or
(b) provides Owner with a letter from Contractor's liability insurance carrier that the claim has been
referred to the insurance carrier.
The Director may, if he deems it appropriate, refuse to accept bids on other City of Fort Worth public
work from a Contractor against whom a claim for damages is outstanding as a result of work
performed under a City Contract.
21. SANITARY FACILITIES FOR WORKERS: The Contractor shall provide all necessary sanitary
conveniences for the use of workers at the project site. Specific attention is directed to this
requirement.
22. SUBSIDIARY WORK: Any and all work specifically governed by documentary requirements for the
project such as conditions imposed by the Plans, the General Contract Documents or these Special
Contract Documents, in which no specified item for bid has been provided in the Proposal, shall be
considered as a subsidiary item of work, the cost of which shall be included in the price in the
FP Proposal for each bid item. Surface restoration, cleanup and relocation of mailboxes are general
items of work which fall in the category of subsidiary work.
23. LEGAL RELATIONS AND RESPONSIBILITIES TO THE PUBLIC: The Contractor's particular
attention is directed to the requirements of Iter 7,"Legal Relations and Responsibilities to the Public"
of the Standard Specifications.
24. INCENTIVE FOR EARLY COMPLETION. The City shall pay the Contractor an incentive for opening
Silver Creek Road in less than 5 calendar days from the day it was closed. Completion shall be
considered the date the roadway is opened and not closed again. In the case of multiple closings of
Silver Creek Road, completion shall be considered when all work is complete and accepted. The daily
incentive rate the City will pay will be$2,000.00 per day. The incentive will be paid for each calendar
day under 5 that Silver Creek is opened to traffic. A fee, in the amount of$2000.00 per day will be
assessed for each calendar day over 5 that Silver Creek is closed. This fee will be subtracted from
the contractor's monthly invoice. No credit or fee will be assessed if Silver Creek Road is opened on
the fifth day. A calendar day will be assessed after the roadway is closed for 1 hour between 12:01
am and 12 midnight.
Time charges for the completion incentive will not be adjusted for weather,weekends, holidays,
suspension of contract time; unforeseen utility, right of way,or railroad issues; or any other
unforeseeable event not under the control of the City.
CONSTRUCTION
NON-PAY ITEM NO. 1 -PROJECT CLEAN-UP:
The Contractor shall be aware that keeping the project site in a neat and orderly condition is considered
an integral part of the contracted work and as such shall be considered subsidiary to the appropriate bid
items. Clean up work shall be done as directed by the Engineer as the work progresses or as needed. If,
in the opinion of the Engineer it is necessary,clean-up shall be done on a daily basis. Clean up work
shall include, but not be limited to:
• Removal of debris and dumped materials presently under bridge
• Removal of weeds and other vegetation which interferes with the operation
of the bridge or the completion of this project
• Sweeping the street clean of dirt or debris
• Storing excess material in appropriate and organized manner
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B-Siivercreek-Special Provisions IV
8 (7) IQId ���rr�,�� '[1'��I7 /\�f
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SPECIAL PROMO U
CITY OF FORT WORTH TRANSPORTATION 8r PUBLIC WORKS DEPARTMENT
• Keeping trash of any kind off or under bridge property.
If the Engineer does not feel that the jobsite has been kept in an orderly condition, on the next estimate
payment(and all subsequent payments until completed)of the appropriate bid item(s)will be reduced by
25%.
Final cleanup work shall be done for this project as soon as the painting has been completed. No more
than seven days shall elapse after completion of construction before the roadway and right-of-way is
cleaned up to the satisfaction of the Engineer.
NON-PAY ITEM NO. 2 -PROJECT DESIGNATION SIGN:
The contractor shall construct and install two(2)Project Designation Signs and it will be the responsibility
of the contractor to maintain the signs in a presentable condition at all times on each project under
construction. Maintenance will include painting and repairs as directed by the Engineer.
It will be the responsibility of the Contractor to have the individual project signs lettered and painted in
accordance with the enclosed detail. The quality of the paint, painting and lettering on the signs shall be
approved by the Engineer. The height and arrangement of the lettering shall be in accordance with the
enclosed detail. The sign shall be constructed of 3/," fir plywood, grade A-C (exterior) or better. These
signs shall be installed on barricades or as directed by the Engineer and in place at the project site upon
commencement of construction.
The work,which includes the painting of the signs, installing and removing the signs,furnishing the
materials, supports and connections to the support and maintenance shall be to the satisfaction of the
Engineer.
NON-PAY ITEM NO. 3 - MAINTAINING ACCESS: Contractor shall be responsible for maintaining
access to all homes and businesses during construction.
NON-PAY ITEM NO. 4 — MEASURING: Contractor shall measure and submit to the engineer all
quantities for payment prior to beginning construction.
PAY ITEM NO.2: BARRIERS AND WARNING AND/OR DETOUR SIGNS:
Item 524.8. Description of the City of Fort Worth Standard Specification for Street and Storm Drain
Construction shall be eliminated and replaced as follows
The work performed under this item and measured as provided for under measurement shall pay for at
the unit price bid for"Barriers and Warning and /or Detour Signs". This price shall be full compensation
for furnishing, placing and maintaining of barriers and warning and /or detour signs; including tools,
equipment, labor,and incidentals necessary to complete the work.
PAY ITEM NO.3: END BEAM REPAIR:
PART1 GENERAL
1.1 This item shall govern for repairing beam ends by pressure injecting epoxy into cracks in
beam and wrapping same beam ends with fiber reinforced polymer material as shown on
the details or as directed by the engineer.
PART 2 CONSTRUCTION METHODS
2.1 Jacking and lowing of span shall be done without damage to the structure. The contractor
shall provide the engineer with a jacking plan 48 hours prior to commencing work.: LAny=
F)
8-Si ivercreek-Special Provisions
8(8)
SPECIAL PROVISIONS
CITY OF FORT WORTH TRANSPORTATION & PUBLIC WORKS DEPARTMENT
damage to the bridge components by the jacking shall be repaired at the sole expense of
the contractor. The repair procedure shall be approved by the engineer prior to beginning
the work.
2.2 Pressure injection epoxy of crack under this item shall be placed in areas shown on the
details and as designated by the engineer in accordance with Non-pay Item No. 5.
2.3 Fiber reinforced polymer material under this item shall be placed in areas shown on the
details and as designated by the engineer in accordance with Non-pay Item No. 6.
PART3 MEASUREMENT
3.1 End beam repair shall be measured per each beam end in place. This is a detail quantity
measurement item and the quantity to be paid for will be that quantity shown in the bid
items.
PART 4 PAYMENT
4.1 The work performed under this item and measured as provided for under measurement shall
be paid for at the unit price bid for"End Beam Repair'. This price shall be full compensation
all materials for jacking and lowering bridge, placing pressure injecting epoxy, and
installation of fiber reinforced polymer material; including tools, equipment, labor, and
incidentals necessary to complete the work.
PAY ITEM NO.4: NEOPRENE PADS (INSTALLED):
PART1 GENERAL
1.1 This item shall govern for removing and disposal of existing steel bearing plates and
installation of neoprene pad with redwood shims in areas as shown on the details or as
directed by the engineer.
PART 2 CONSTRUCTION METHODS
2.1 Existing steel bearing plates shall be removed from area shown in the details. Steel bearing
plates that are removed shall be disposed of properly at a cost subsidiary to this bid item.
2.2 Neoprene pads under this item shall be placed in areas shown on the details and as
designated by the engineer in accordance with TxDOT Specification Item 435 Elastomeric
Materials.
PART3 MEASUREMENT
3.1 Neoprene Pads shall be measured per each in place. This is a detail quantity measurement
item and the quantity to be paid for will be that quantity shown in the bid items.
PART 4 PAYMENT
4.1 The work performed under this item and measured as provided for under measurement shall
be paid for at the unit price bid for "Neoprene Pads (Installed)". This price shall be full
compensation for all materials needed for removing and disposing of existing steel bearing
plates and installation of neoprene pads and redwood shims; including tools, equipment,
labor, and incidentals necessary to complete the work.
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8-Silvercreek-Special_Provisions V 'i — I� LAI
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8(9)
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SPECIAL PROVISIONS
CITY OF FORT WORTH TRANSPORTATION & PUBLIC WORKS DEPARTMENT
PAY ITEM NO. 5: BEARING COLUMN:
PART1 GENERAL
1.1 This item shall govern for the installation of steel bearing columns and elastomeric pads as
shown on the details or as directed by the engineer.
PART 2 CONSTRUCTION METHODS
2.1 Bearing columns shall be constructed in area shown in the details and as designated by the
engineer
2.2 Neoprene pads under this item shall be placed in areas shown on the details and as
designated by the engineer in accordance with TxDOT Specification Item 435 Elastomeric
Materials.
2.3 Structural steel for this item shall be provided in accordance with the requirements of TxDOT
Specification Item 441 Steel Structures and referenced items.
PART3 MEASUREMENT
�,. 3.1 Bearing Columns shall be measured per each complete and in place.
PART 4 PAYMENT
4.1 The work performed under this item and measured as provided for under measurement shall
be paid for at the unit price bid for"Bearing Column". This price shall be full compensation
for all materials needed for installation of bearing columns including anchor bolts, tools,
equipment, labor, and incidentals necessary to complete the work.
Lc V
8-SilvercreekSpecial_Provisions IiCI 6N; 0-1R1111\I `I�
AGORD_ DATE(MMA7WYY)CERTIFICATE OF LIABILITY INSURANCE OW1712004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Allied N. Amwh a Corp. of Tk ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Colt Road, 9utte 750 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
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12TF0TX 75251 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(972)455-1100 F:(04W4111197 INSURERS AFFORDING COVERAGE
INSURED INSURER A TrineConLMIMlfal boUrenCe Co
Gftw i Aeeoclatee, MIC. INSURER B:COnUnW til Comity Colnlwy
P. O. BOX 000179 INSURER C:Gnat Anlefk:iR MMiINar" Co
Belch %wkiips, TeXai 75110 INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR LTR TYPE OF INSURANCE POLICY NUMBER FOLK Y EFFECTIVEPOLICY EXPIRATIONLIMITS
GENERAL LIABILITYEACH OCCURRENCE S 1 01XIAM
A X I COMMERCIAL GENERAL LIABILITY GL2O77879D40 Cil/90/04 _ 01/90/05 FIRE DAMAGE(Any one flre 100 00
CLAIMS MADE rxl OCCUR MED EXP(Any one portion)
PERSONAL 6 ADV INJURY 1
GENERAL A13GREGATE
GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG
POLICY X LOC
AUTOMOBILE LIABILITY
B X ANY AUTO BUA207787M 01/90/04 01/90/05 accident)SINGLE LIMB S 1,000,000
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTO (Per pe—)
X HIRED AUTOS BODILY INJURY S
X NON-aWNED AUTOS (PersocidenI)
PROPERTY DAMAGE S
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT
ANY AUTO
OTHER THAN EA ACC
AUTO ONLY: AGO
C EXCESS LIABILITY TUU8527M W30/04 01/90/05 EACH RRE E 1
X OCCUR FICLAIMS MADE AGGREGATE 1
DEDUCTIBLE
RETENTION S S
A WORKERS COMPENSATION AND WC2QT1879098 W30/04 01/90/05 XAT
EMPL.OYERB'UABRJTY
E.L.g&H ACCIDENT 1,000,000
E.L.DISEASE-EA EMP `YE I1
E.L.DISEASE-POLICY LIMIT $ 1000
OTHEA
DESCRIPTION OF OPERATK*4WLOCATKX4WVEHICLES EXCLUBIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Project: Emerommy Repdr; Sllwr Crook Road Brkip Over Live Oak
Creek 2001-21 rrr II requked by Written Contrect signed by
Named Mm md, Cw"ftete Holder In nirned Addklond Mound for
coveripei except Workers' Compenaatlon-
CERTIFICATE HOLDER ADRMf1ONAL HOMED;INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL --K_DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
City of Fort Worth - Department of IMPOSE NOOBUGATION OR LIABILITY OF AMY KIND UPON THE INSURER,ITS AGENTS OR
Transportation and Public Works REPRESENTATIVES
1000 Throckmortonl, AUTHORIZED REPRE ATIVE
Fort W rth Texas 7 102
ACORD 25S(7/17) �A _.[RInryI�4F1^Pf O[IryIHIIr�7¢I1�IpI7I1.11//
CONTRACTOR COMPLIANCE WITH
WORKERS' COMPENSATION LAW
Pursuant to V.T.C.A. Labor Code §406.96 (2000), as amended, Contractor certifies that
it provides workers' compensation insurance coverage for all of its employees employed
on City of Fort Worth Project Emergency Repair- Silver Creek Road Bridge over
Live Oak Cheek 2004-21 and City of Fort Worth Project No. GS93-020930260660.
CONTRACTOR:
C-1 I pies I mac.
By:
Name: 19.�AVJA1LjAQ&J
Title: y.. N[r Qnr
Date: lit •C�
STATE OF TEXAS §
COUNTY OF TARRANT §
Before me, the undersigned authority, on this day personally appeared
known to to4m the person whose name is subscribed to the foregoing instrument,
and acknowledged to me that he executed the same as the act and deed of
for the purposes and consideration therein expressed and in the capacity therein stated.
Given Under My Hand and Seal of Office thisq_4-f-41day of , 20-Q4.
} �ptPMV PUe(C` RAMONA JOLLEY 4Na4Pubiiqli the State of
NOTARY PUBLIC Texas
STATE OF TEXAS
of tMy Comm.Expires 02-17-2008
011
Bond No. 8196-55-00
PERFORMANCE BOND
THE STATE OF TEXAS §
§ KNOW ALL BY THESE PRESENTS:
COUNTY OF TARRANT §
That we, (1) Gibson & Associates. Inc. , as Principal
herein, and (2) Federal Insurance Company ,
a corporation organized under the laws of the State of(3) Indiana ,
and who is authorized to issue surety bonds in the State of Texas, Surety herein, are
held and firmly bound unto the City of Fort Worth, a municipal corporation located in
Tarrant and Denton Counties, Texas, Obligee herein, in the sum of Sixty Two
Thousand, Nine Hundred Two Dollars and No Cents Dollars ( $62,902.00 ) for the
payment of which sum we bind ourselves, our heirs, executors, administrators,
successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, Principal has entered into a certain written contract with the Obligee
dated the 14"' day of September , 2004, a copy of which is attached hereto and
made a part hereof for all purposes, for the construction of EMERGENCY REPAIR —
Y SILVER CREEK ROAD BRIDGE OVER LIVE OAK CREEK (2004-21) Proiect No.
GS93-020930260660.
NOW, THEREFORE, the condition of this obligation is such, if the said Principal
shall faithfully perform the work in accordance with the plans, specifications, and
contract documents and shall fully indemnify and hold harmless the Obligee from all
costs and damages which Obligee may suffer by reason of Principal's default, and
reimburse and repay Obligee for all outlay and expense that Obligee may incur in
making good such default, then this obligation shall be void; otherwise, to remain in full
force and effect.
PROVIDED, HOWEVER, that this bond is executed pursuant to Chapter 2253 of
the Texas Government Code, as amended, and all liabilities on this bond shall be
determined in accordance with the provisions of such statute, to the same extent as if it
were copied at length herein.
IN WITNESS WHEREOF, the duly authorized representatives of the Principal
and the Surety have executed this instrument. - ova LU°t D
SIGNED and SEALED this 14"' day of September , 2004
Gibson & Associates, Inc.
PRINCIPAL
ATT S By:
Name:
(Principal) Secretary
Title:
ee a_
(SEAL) Address: 11210 Byliecrest
Balch Springs, T$ .75180-0.W,9
ss as I
Federal Insurance Company
SURETY
ATTf-ST: By:"A��Zln�
Name: Robbi Morales
Se retary UAttorney in Fact
(S E A L) Address: 2711 N. Haskell Ave. . Suite 800
Dallas, T% 75204
Y �
Witness as to Surety Telephone Number: 214/989-0000
NOTE: (1) Correct name of Principal (Contractor).
(2) Correct name of Surety.
(3) State of incorporation of Surety
Telephone number of surety must be stated. In addition, an original copy of
Power of Attorney shall be attached to Bond by the Attomey-in-Fact.
The date of bond shall not be prior to date of Contract.
!', ��7•: 7. GCC"fLi'
J
Bond No. 8196-55-00
PAYMENT BOND
THE STATE OF TEXAS §
§ KNOW ALL BY THESE PRESENTS:
COUNTY OF TARRANT §
That we, (1) Gibson & Associates, Inc. , as Principal
herein, and (2) Federal Insurance Company ,
a corporation organized and existing under the laws of the State of(3) Indiana_,
as surety, are held and firmly bound unto the City of Fort Worth, a municipal corporation
located in Tarrant and Denton Counties, Texas, Obligee herein, in the amount of Sixty
Two Thousand, Nine Hundred Two Dollars and No Cents Dollars ( $62,902.00 ) for
the payment whereof, the said Principal and Surety bind themselves and their heirs,
executors, administrators, successors and assigns, jointly and severally, firmly by these
presents:
WHEREAS, the Principal has entered into a certain written contract with the
Obligee dated the 14th day of September , 2004, which contract is hereby referred
to and made a part hereof as if fully and to the same extent as if copied at length, for the
following project: EMERGENCY REPAIR — SILVER CREEK ROAD BRIDGE OVER
LIVE OAK CREEK (2004-21) Proiect No. GS93-020930260660.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if
the said Principal shall faithfully make payment to each and every claimant (as defined
in Chapter 2253, Texas Government Code, as amended) supplying labor or materials in
the prosecution of the work under the contract, then this obligation shall be void;
otherwise, to remain in full force and effect.
PROVIDED, HOWEVER, that this bond is executed pursuant to Chapter 2253 of
the Texas Government Code, as amended, and all liabilities on this bond shall be
determined in accordance with the provisions of said statute, to the same extent as if it
were copied at length herein.
IN WITNESS WHEREOF, the duly authorized representatives of the Principal
and the Surety have executed this instrument.
SIGNED and SEALED this 14th day of September , 2004.
u 6 uCi:
Gibson & Associatse Inc.
PRINCIPAL
ATTE By:
Name:
(Principal) Secretary
Title: VXIP— U i CZ p(,es1)DQf+
(S E A L) Address: 11210 Ryliecrest
Balch Springs, T% 75180-0579
u
W' s -s 10 P n
Federal Insurance Company
SURETY
ATTEST: By: 6
Name:
Robbi Morales
Secretary Attorney in Fact
(S E A L) Address: 2711 M. Haskell Ave. . Suite 800
Dallas, T% 75204
k
Witness as to Surety Telephone Number: 214/989-0000
NOTE: (1) Correct name of Principal (Contractor).
(2) Correct name of Surety.
(3) State of incorporation of Surety
Telephone number of surety must be stated. In addition, an original copy of
Power of Attorney shall be attached to Bond by the Attomey-in-Fact.
The date of bond shall not be prior to date of Contract.
Bond No. 8196-55-00
MAINTENANCE BOND
THE STATE OF TEXAS §
COUNTY OF TARRANT §
KNOW ALL BY THESE PRESENTS:
That Gibson & Associates, Inc. ("Contractor"), as principal, and,
Federal Insurance Cc=a�y a
corporation organized under the laws of the State of Indiana ("Surety"), do hereby
acknowledge themselves to be held and bound to pay unto the City of Fort Worth, a Municipal Corporation
chartered by virtue of Constitution and laws of the State of Texas, ("Citv7 in Tarrant County, Texas, the sum
of Sixty Two Thousand, Nine Hundred Two Dollars and No Cents Dollars ( $62,902.00 ), lawful
money of the United States, for payment of which sum well and truly be made unto said City and its
successors, said Contractor and Surety do hereby bind themselves, their heirs, executors, administrators,
assigns and successors,jointly and severally.
This obligation is conditioned, however, that:
WHEREAS, said Contractor has this day entered into a written Contract with the City of Fort Worth,
dated the 14th of September , 20 04, a copy of which is hereto attached and made a part hereof, for
the performance of the following described public improvements: EMERGENCY REPAIR — SILVER
CREEK ROAD BRIDGE OVER LIVE OAK CREEK (2004-21) the same being referred to herein and in
said contract as the Work and being designated as project number(s) GS93-020930260660 and said
contract, including all of the specifications, conditions, addenda, change orders and written instruments referred
to therein as Contract Documents being incorporated herein and being made a part hereof; and,
WHEREAS, in said Contract, Contractor binds itself to use such materials and to so construct the work
that it will remain in good repair and condition for and during a period of after the date of the final acceptance of
the work by the City; and
WHEREAS, said Contractor binds itself to maintain said work in good repair and condition for said term
Of 2 (Two)Years ; and
WHEREAS, said Contractor binds itself to repair or reconstruct the Work in whole or in part at any time
within said period, if in the opinion of the Director of the City of Fort Worth Department of Engineering, it be
necessary; and,
WHEREAS, said Contractor binds itself, upon receiving notice of the need therefore to repair or
reconstruct said Work as herein provided.
NOW THEREFORE, if said Contractor shall keep and perform its said agreement to maintain, repair or
reconstruct said Work in accordance with all the terms and conditions of said Contract, these presents shall be
null and void, and have no force or effect. Otherwise, this Bond shall be and remain in full force and effect, and
the City shall have and recover from Contractor and Surety damages in the premises as prescribed by said
Contract.
This obligation shall be a continuing one and successive recoveries may be had hereon for successive
breaches until the full amount hereof is exhausted.
IN WITNESS WHEREOF, this instrument is executed in 6 counterparts, each of which shall be
deemed an original, this le day of September ,A.D. 2004.
Gibson & Associates, Inc.
PRINCIPAL
ATTE By:
7)44�
Name: t� l. l
(Principal) Secretary
Title: % k P(42SiM, k
(S E A L) Address: 11210 Bylicrest
Balch Springs, T% 75180-0579
k4_1
VAPIjis as to
Federal Insurance Company
SURETY /
ATT ST: By:
J��'
y Name: Robbi Morales
Sec etary Attorney in Fact
(S E A L) Address: 2711 N. Haskell Ave., Suite 800
Dallas. T% 75204
Witness as to Surety Telephone Number: 214/989-0000
NOTE: (1) Correct name of Principal (Contractor).
(2) Correct name of Surety.
(3) State of incorporation of Surety
Telephone number of surety must be stated. In addition, an original copy of Power ofr,�
Attorney shall be attached to Bond by the Attomey-in-Fact. IN
The The date of bond shall not be prior to date of Contract.
ATTACHMENT IA
FORT WORTH Page a of a
Total Dollar Amount of M/WBE Subcontractors/Suppliers $ 1,000.00
Total Dollar Amount of Non-MIWBE Subcontractors/Suppliers $ 5,293.40
TOTAL DOLLAR AMOUNT OF ALL SUBCONTRACTORS/SUPPLIERS $ 6,293.40
The Contractor will not make additions, deletions, or substitutions to this certified list without the prior approval
of the Minority and Women Business Enterprise Office Manager or designee through the submittal of a
Request for Approval of Change/Addition. Any unjustified change or deletion shall be a material breach of
contract and may result in debarment in accord with the procedures outlined in the ordinance. The contractor
shall submit a detailed explanation of how the requested change/addition or deletion will affect the committed
M/WBE goal. If the detail explanation is not submitted, it will affect the final compliance determination.
By affixing a signature to this form, the Offeror further agrees to provide, directly to the City upon request,
complete and accurate information regarding actual work performed by all subcontractors, including
MAW/DBE(s) arrangements submitted with the bid. The Offeror also agrees to allow an audit and/or
examination of any books, records and files held by their company. The bidder agrees to allow the
transmission of interviews with owners, principals, officers, employees and applicable
subcontractors/suppliers/contractors participating on the contract that will substantiate the actual work
performed by the M/W/DBE(s) on this contract, by an authorized officer or employee of the City. Any
intentional and/or knowing misrepresentation of facts will be grounds for terminating the contract or debarment
from City work for a period of not less than three (3) years and for initiating action under Federal, State or
Local laws concerning false statements. Any failure to comply with this ordinance and create a material
breach of contract may result in a determination of an irresponsible Offeror and barred from participating in
City work for a period of time not less than one (1)year.
Patricia M. Gibson
Authorized ignature Printed signature
CEO
Title Contact Name/Title(if different)
Gibson &Associates, Inc. 972-557-1199/972-557-1552
Company Name Telephone and/or Fax
P. O.Box 800579
Address E-mail Address
Balch Springs,TX 75180-0579 July 7, 2004
City/stateop Date
Rev.5/30/03
ATTACHMENT 1 B
FORT WORTH Page 1 of 1
City of Fort Worth
Prime Contractor Waiver Form
PRIME COMPANY NAME: Check applicable block to describe
rime
Gibson &Associates, Inc.
M/W/DBEX NON-MNV/DBE
PROJECT NAME:
Silvercreek Bridge Maintenance BID DATE
July 2, 2004
City's M/WBE Project Goal: PROJECT NUMBER
7% GS93-020930260660
If both answers to this form are YES, do not complete ATTACHMENT 1C(Good Faith Effort Form). All questions on
this form must be completed and a detailed explanation provided, if applicable. If the answer to either question is
NO, then you must complete ATTACHMENT 1C. This form is only applicable if both answers are yes.
Failure to complete this form in its entirety and be received by the Managing Department on or before 5:00
p.m.,five(5) City business days after bid opening,exclusive of the bid opening date,will result in the bid
being considered non-responsive to bid specifications.
Will you perform this entire contract without subcontractors? YES
If yes, please provide a detailed explanation that proves based on the size and scope of this X NO
project, this is your normal business practice and erovide an o erational rofile of your business.
Will you perform this entire contract without suppliers? YES
If yes, please provide a detailed explanation that proves based on the size and scope of this X
project, this is your normal business practice and provide an inventory profile of your business. NO
The bidder further agrees to provide, directly to the City upon request, complete and accurate information
regarding actual work performed by all subcontractors, including MANBE(s)on this contract, the payment therefore
and any proposed changes to the original MANBE(s) arrangements submitted with this bid. The bidder also
agrees to allow an audit and/or examination of any books, records and files held by their company that will
substantiate the actual work performed by the MANBEs on this contract, by an authorized officer or employee of
the City. Any intentional and/or knowing misrepresentation of facts will be grounds for terminating the contract or
debarment from City work for a period of not less than three (3)years and for initiating action under Federal, State
or Local laws concerning false statements. Any failure to comply with this ordinance creates a material breach of
contract may result in a determination of an irresponsible offeror and barred from participating in City work for a
period of time not less than one (1) year.
r4Patricia M. Gibson
Authorized Signature Printed Signature
CEO
Title Contact Name(if different)
Gibson &Associates, Inc. 972-557-1199 972-557-1552
Company Name Phone Number Fax Number
P. O. Box 800579
Address Email Address
Balch Springs, Texas 75180-0579 July 7, 2004
City/State/Zip Data
ir Rev. 5/30/03
ATTACHMENT 1C
Page 1 of 3
FORT WORTH City of Fort Worth
Good Faith Effort Form
PRIME COMPANY NAME: Check applicable block to describe
rime
Gibson &Associates, Inc.
PROJECT NAME: MM/DBE X NON-MM/DBE
Silvercreek Bridge Maintenance BID DATE
July 2, 2004
City's M/wBE Project Goal: PROJECT NUMBER
7% GS93-020930260660
If you have failed to secure M/WBE participation and you have subcontracting and/or supplier opportunities or if your
DBE participation is less than the City's project goal,you must complete this form.
If the bidder's method of compliance with the M/WBE goal is based upon demonstration of a
"good faith effort", the bidder will have the burden of correctly and accurately preparing and
submitting the documentation required by the City. Compliance with each item, 1 thru 6 below,
shall satisfy the Good Faith Effort requirement absent proof of fraud, intentional and/or
knowing misrepresentation the facts or intentional discrimination by the bidder.
Failure to complete this form, in its entirety with supporting documentation, and received by the
P Managing Department on or before 5:00 p.m.five (5) City business days after bid opening, exclusive of bid
opening date, will result in the bid being considered non-responsive to bid specifications.
1.) Please list each and every subcontracting and/or supplier opportunity] for the completion of this
project, regardless of whether it is to be provided by a M/WBE or non-M/WBE. (DO NOT LIST NAMES
OF� FIRMS) On Combined Projects, list each subcontracting and or supplier opportunity through the
Z� tl@r.
(Use additional sheets, if necessary)
� List of Subcontracting Opportunities List of Supplier Opportunities
Barricades/Signs Structural Steel
Engineering Services Pedestals
BearingPads
i
Rev.05/30/03
ATTACHMENT 1C
Page 2 of 3
2.) Obtain a current(not more than three(3)months old from the bid open date) list of M/WBE
subcontractors and/or suppliers from the City's M/WBE Office.
X Yes Date of Listing 06/21/2004
No
3.) Did you solicit bids from M/WBE firms,within the subcontracting and/or supplier areas previously
listed, at least ten calendar days prior to bid opening by mail, exclusive of the day the bids are
opened?
X Yes (If yes,attach M/WBE mail listing to include name of firm and address and a dated copy of letter mailed.)
No
4.) Did you solicit bids from M/WBE firms,within the subcontracting and/or supplier areas previously
listed,at least ten calendar days prior to bid opening by telephone, exclusive of the day the bids are
opened?
X Yes (If yes,attach list to include name of M/WBE firm,person contacted,phone number and date and time of contact.)
No
Ir. NOTE: A facsimile may be used to comply with either 3 or 4, but may not be used for both. If a facsimile
is used, attach the fax confirmation, which is to provide M/WBE name, date, time, fax number and
documentation faxed.
NOTE: If the list of MfWBEs for a particular subcontracting/supplier opportunity is ten (10) or less, the
bidder must contact the entire list to be in compliance with questions 3 and 4. If the list of M/WBEs for a
particular subcontracting/supplier opportunity is ten (10) or more, the bidder must contact at least two-
thirds (2/3) of the list within such area of opportunity, but not less than ten to be in compliance with
questions 3 and 4.
5.) Did you provide plans and specifications to potential M/WBEs or information regarding the location of
plans and specifications in order to assist the MfWBEs?
X Yes
No
6.) Submit documentation if M/WBE quotes were rejected. The documentation submitted should be in
the forms of an affidavit, include a detailed explanation of why the M/WBE was rejected and any
supporting documentation the bidder wishes to be considered by the City. In the event of a bona fide
dispute concerning quotes, the bidder will provide for confidential in-camera access to and inspection
of any relevant documentation by City personnel.
(Please use additional sheets,if necessary,and attach.
Company Name Telephone Contact Person Scope of Work Reason for Rejection
N/A
1
Rev.05/30/03
ATTACHMENT 1C
Page 3 of 3
ADDITIONAL INFORMATION:
Please provide additional information you feel will further explain your good and honest efforts to obtain
M/WBE participation on this project.
Allied Steel declined to bid because the project is too small
Cowtown was non-responsive after many attempts.
There are no minority suppliers for the bearing pads.
We were able to locate a minority Engineering firm and we accepted their bid price.
The bidder further agrees to provide, directly to the City upon request, complete and
accurate information regarding actual work performed on this contract, the payment
thereof and any proposed changes to the original arrangements submitted with this bid.
The bidder also agrees to allow an audit and/or examination of any books, records and
files held by their company that will substantiate the actual work performed on this
contract, by an authorized officer or employee of the City.
Any intentional and/or knowing misrepresentation of facts will be grounds for
terminating the contract or debarment from City work for a period of not less than three
(3) years and for initiating action under Federal, State or Local laws concerning false
statements. Any failure to comply with this ordinance and creates a material breach of
contract may result in a determination of an irresponsible offeror and barred from
participating in City work for a period of time not less than one (1) year.
The undersigned certifies that the information provided and the MIWBE(s) listed
was/were contacted in good faith. It is understood that any MIWBE(s) listed in
Attachment 1C will be contacted and the reasons for not using them will be verified by
' 's M/VNBE Office.
Patricia M. Gibson
Authorized Signature Printed Signature
CEO
Title Contact Name and Title (if different)
Gibson &Associates, Inc. 972-557-1199 972-557-1552
Company Name Phone Number Fax Number
P. O. Box 800579
Address Email Address
Balch Springs, TX 75180-0579 July 7. 2004
City/State/Zip Date 1 1I
Rev.05/30/03