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Contract 44460-FP1
)epa TP&W Const Services )Oer / Date ( CITE C AR Proj anage t]_ RT WORTH �TRACT N0 Risk Management J.Pane ` D.O.E. Brotherton CFA WestermanlScanned '"T" The Prooleft people ban toren Contacted conceming the request for r� psymKtd 6 have mmthis project for such pe rnMsf {/ ATION :SND PUBLIC WORKS 11 ,1 Ctaatattca Conducted By Shameka Kennedy p-,_- _1� F PROJECT COMPLETION c-5 -q 4 G 0 D.O.E.J9: 5358 Regudisig contract 41 i6B for SANITARY SEWER REHABILITATION CONTRACT 74 as r+ecluimd by the WATER DEPARTMENT as approved by City Council on 12/18/12 through M&C C-26032 the director of the WATER DEPARTMENT upon the rant Director of the Tunsportafioct&Public Works Dcpartxnent has accepted the project as Original Contract Prices: SEF $ 9 2015 $1,270,074.00 Amount of Approved Cbange Orders: $89,127.50 Ne 1 Revised Contract Amount: $1,359,201.50 Total Cost Work Completed: $1,345,725.57 Less Deductions: Liquidated Damages: Days®$420.00/Day Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: $1,345,72557 Len Previous Payments: $1,280,301.30 Final Payment Due $65,42427 Recommended for Acceptance Date Asst. Director, TPW- Infrastructure Design and Construction - orn �� AZ4cce.pted Date Director, WATER DEPARTMENT A7Re City Manager Date Comments: P254-541200-707170036083-UNIT I P258-541200-707170036083-UNIT II OFFICIAL RECORID CITY SECRETARY OCA 1220 5 FT. WORTH?SECRETA] n KEINE 2 9 2015 'P25 - 0o3G C541440 City Project Numbers 00360 DOE Number 5358 Contract Name Saoitmy Rehab Contract 74 on Chapin Rd,Fwrfxld Ave, Estimate Number 27 Contract Limits Willow Ridge Rd.&Eight Alleys Payment Number 27 Project Type SEWER For Period Ending Sf1/I.Oi15 Project Funding P254 Project Manager Schwinger City Secretary Contract Number 44160 Inspectors DICKINSON / WATSON Contract Date 12/18/2012 Contractor CIRCLE C CONSTRUCTION COMPANY Contract Time 371 CD PO BOX 40328 Days Charged to Date 371 CD FORT WORTH, TX 76140 Contract is .000000 Complete CITY OF FORT WORTH P # 13-710-7 summARY OF CHARGES INVOICE # '444 W—a1 Use Fund Account Center Amount Gross Retainage Net Funded -------- ---- S�I-OU (oU�1231- -- - - --- Total Coat of Work Completed $1,345,725.57 Las %Retained $0.00 WATER DEPARTMENT Net Earned $1,345,725.57 ENGINEERING AND FISCAL SERVICES Contact Person- Betdena Diggs-Ext 8429 Earned This Period $65,424.2 T so ent pprov ignaturc for: Retainage This Period f0.00 Las Liquidated Damages DEPARTMENT C ECK PICK-UP YES ❑ 0 Days @ $0.00 /Day $0.00 LessPavement Deficiency $0.00 Las Penalty $0.00 Less Previous Payment $1,280,301,36, RECEIVEDPlus Material on Hand Less 15% $0.00 Balance Due This Payment $65,424.? SEP 292015 Tuesday,September 22,2015 F w A S AP Page 6 of 6 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name Sanitary Rehab Contract 74 on Chapin Rd,Fairfield Ave, Contract Limits Willow Ridge Rd.&Eight Alleys Project Type SEWER City Project Numbers 00360 DOE Number 5358 Estimate Number 27 Payment Number 27 For Period Ending 5(/2015 CD City Secretary Contract Number 44460 Contract Time 37CD Contract Date 12/18/2012 Days Charged to Date 371 Project Manager Schinger Contract is 99.000 Complete Contractor CIRCLE C CONSTRUCTION COWANY PO BOX 40328 FORT WORTH, TX 76140 Inspectors DICKINSON / WATSON Tuesday,September 22,2015 Page 1 of 6 City Project Numbers 00360 DOE Number 5358 Contract Name Sanitary Rehab Contract 74 on Chapin Rd,Fairfield Ave, Estimate Number 27 Contract Limits Willow Ridge Rd.&Eight Alleys Payment Number 27 Project Type SEWER For Period Ending 5/7/2015 Project Funding P254 Unit I Sanitary Sewer Improv Tier lI Funding 11254 Item Description of Items Estimated unit knit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 Pipe-Sewer-10 Inch-Pressure Class 6 LF $95.00 $570.00 6 $570.00 2 Pipe-Sewer-8 Inch-PVC 7850 LF $37.00 6290,450.00 7954 $294,298.00 3 Pipe-Sewer-8lnch-SDR26 382 LF $39.00 $14,898.00 395 $15,405.00 4 Pipe-Pressure-8 Inch-0900 DR 25 PVC 194 LF $40.00 $7,760.00 193 $7,720.00 5 Pipe-Sewer-8 Inch-Pressure Class 350 591 LF $77.00 $45,507.00 582 $44,81400 6 Pipe-8 Inch to 8 Inch-Enlargement-HD 610 LF $42.00 $25,620.00 701 $29,442.00 7 Pipe-6 Inch to 8 Inch-Enlargement-HD 826 LF $42.00 $34,692.00 637 $26,754.00 8 Pipe-Rehab 8 inch by CIPP 474 LF $39.00 $18,486.00 9 Pipe-Sewer-6 Inch-PVC 84 LF $37.00 $3,108.00 32 $1,184.00 10 Pipe-Sewer-6 Inch-Pressure Class 350 6 LF $77.00 $462.00 11 Pipe-Rehab 61nch by CIPP 1189 LF $41.00 $48,749.00 1249.27 $51,220.07 12 Sewer-Point Repair-6 Inch PVC Open C 6 EA $3,000.00 $18,000.00 3 $9,000.00 13 Pipe-Sag Adjustment for Pipe 50 LF $49.00 $2,450.00 20 $980.00 14 Sewer Service-4 Inch 1522 LF $26.00 $39,572.00 1950 $50,700.00 15 Sewer Service-4 Inch-SDR 26 146 LF $28.00 $4,088.00 178 $4,984.00 16 Sewer Serv.-4 Inch-SDR 26 w/Cement 176 LF $45.00 $7,920.00 178 $8,010.00 16A Pipe-Pressure4 Inch-Install(Pres 17 LF $60.00 $1,020.00 11 $660.00 17 Sewer Service-I Inch Service Tap 175 EA $300.00 $52,500.00 186 $55,800.00 18 Sewer Service 4 Inch Service Tap to 27 EA $700.00 $18,900.00 11 $7,700.00 19 Sewer Service-I Inch-2 Way Clean Out 186 EA $200.00 $37,200.00 196 $39,200.00 20 Reinstate Existing Service in Pipe R 28 EA $210.00 $5,880.00 30 $6,300.00 21 Manhole-Abandon 3 EA $800.00 $2,400.00 2 $1,600.00 22 Manhole-Remove 30 EA $800.00 $24,000.00 28 $22,400.00 23 Manhole-Std.4 ft Diam-(to 6 FT dept 47 EA $2,800.00 6131,600.00 50 $140,000.00 24 Manhole-Std 4 Ft Diam-Added Depth(o 57 VF $180.00 $10,260.00 44 $7,920.00 25 Manhole-Drop-Std 4 Ft Diam-(to 6 FT 1 EA $3,500.00 $3,500.00 1 $3,500.00 26 Manhole-Drop-Std 4 Ft Diam-Added Dep 6 VF $200.00 $1,200.00 7 $1,400.00 27 Manhole-Shallow Std 4 Ft Diam-(Shall 4 EA $2,800.00 $11,200.00 2 $5,600.00 28 Manhole-Paint&Coating-Interior Pro 119 VF $185.00 $22,015.00 119 $22,015.00 29 Manhole-Adjustment-Install 15 EA $1,500.00 $22,500.00 13 $19,500.00 30 Collar-Manhole-32 Inch Frame and cov 67 EA $300.00 $20,100.00 61 $18,300.00 Tuesday,September 22,2015 Page 2 of 6 City Project Numbers 00360 DOE Number 5358 Contract Name Sanitary Rehab Contract 74 on Chapin Rd,Fairfield Ave, Estimate Number 27 Contract Limits Willow Ridge Rd.&Eight Alleys Payment Number 27 Project Type SEWER For Period Ending 5/7/2015 Project Funding P254 31 Concrete Pier Modification 5 EA $3,500.00 $17,500.00 5 $17.500.00 32 Curb&Gutter-Install 324 LF $25.00 $8,100.00 402.5 $10.062.50 33 Walk-Install 136 SF $7.00 $952.00 116 $812.00 34 6"Driveway-Install 2086 SF $7,00 $14,60200 3579.5 $25,056.50 35 Asphalt Transition-Driveways-Ins 10 SF $7.00 $70.00 15 $105.00 36 Pavement -Valley Gutter-Install 13 SY $65.00 $845.00 21 $1,365.00 37 Grass-Hydromulch Seeding-Install 7363 SY $3.00 $22,089.00 6883 $20,649.00 38 Grass-Sod-Install 590 SY $7.00 $4,130.00 631 $4,417.00 39 Top Soil-Install 60 CY $15.00 $900.00 80 $1,200.00 40 Concrete-Class"B"(2500 psi)-Misce 20 CY $1.00 $20.00 41 Concrete-Class"E"(1500psi)-Miscell 20 CY $1.00 $20.00 42 Fill Material-Ballast Stone-l nst 20 CY $1.00 $20.00 43 Fill Material-Type B Backfill-In 20 CY $100 $20.00 44 Pavement-Concrete Replacement on Exi 132 SY $65.00 $8,580.00 71 $4,615.00 45 Pavement-2 Inch Min HMAC on 2/27 Con 531 LF $35.00 $18,585.00 695 $24,325.00 46 Pavement-HMAC Replacement-Permanent 50 SY $14.00 $700.00 47 Pavement-2 Inch Min HMAC on 6-Inch F 1082 LF $12.00 $12,984.00 2015 $24,180.00 48 Alley Pavement Repair-Install(6" 155 SY $55.00 $8,525.00 79 $4,345.00 49 Alley Pavement Repair-Install(5" 733 SY $40.00 $29,320.00 646 $25,840.00 50 Alley Pavement Repair-Install(9" 1006 SY $20.00 $20,120.00 1069 $21,380.00 51 Inspection-Preconstruction Cleaning 5580 LF $5.00 $27,900.00 5307 $26,535.00 52 Inspection-Postconstruction Cleaning 12159 LF $3.00 $36,477.00 112585 $33,775.50 53 Manhole-VacuumTest-Services 67 EA $150.00 $10,050.00 69 $10,350.00 54 Dehole-Exploratory Excavation-Stud 3 EA $1,500.00 $4,500.00 5 $7,500.00 55 Concrete-Encasement-Install 149 LF $35.00 $5,215.00 219 $7,665.00 56 Pipe-Abandon(Fill w/Flowable Fill 2401 LF $15.00 $36,015.00 2205 $33,075.00 57 Fill Material-Cement Stabilized Back 88 LF $65.00 $5,720.00 66 $4,290.00 58 Fill Material-Flowable Fill(Cement) 10 CY $120.00 $1,200.00 59 Trench Safety System 5 Foot Depth- 9078 LF $1.00 $9,078.00 9405.5 $9,405.50 60 Signal Traffic Control-Design&Pr 1 LS $8.500.00 $8,500.00 1 $8,500.00 61 ALLEY PAVEMENT REPAIR CO#1 132 SY $25.00 $3,300.00 132 $3,300.00 62 6'FIBER GLASS MANHOLE CO#1 2 EA $2,800.00 $5,600.00 2 $5,600.00 63 WOOD BOX TUNNEL CO#1 120 LF $500.00 $60,000.00 120 $60,000.00 ----------------------------- -- ----------- Sub-Total of Previous Unit $1,308,244.00 $1,292,824.07 / Tuesday,September 22,2015 Page 3 of 6 City Project Numbers 00360 DOE Number 5358 Contract Name Sanitary Rehab Contract 74 on Chapin Rd,Fairfield Ave, Estimate Number 27 Contract Limits Willow Ridge Rd.&Eight Alleys Payment Number 27 Project Type SEWER For Period Ending 5/7/2015 Project Funding P254 Unit II Sanitary Sewer Improv(Funded by City) Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 Plumbing Service-4 Inch-Schedule 500 LF $48.00 $24,000.00 538 $25,824.00 2 Sewer Service-4 Inch Clean Out on P 11 EA $350.00 $3,850.00 11 $3,850.00 3 Grass-Sod-Install 240 SY $12.00 $2,880.00 250 $3,000.00 4 ALLEY PAVEMENT REPAIR 6"CO#1 312 SY $55.00 $17,160.00 312 $17,160.00 5 6"CONC CURB AND 12"GUTTER CO#1 100 LF $25.00 $2,500.00 100 $2,500.00 6 TOP SOIL PLACEMENT C041 7.5 CY $15.00 $112.50 7.5 $112.50 7 BLOCK SOD PLACEMENT CO#I 65 SY $7.00 $455.00 65 $455.00 Sub-Total of Previous Unit $50,957.50 / $52,901.50 Tuesday,September 22,2015 Page 4 of 6 City Project Numbers 00360 DOE Number 5358 Contract Name Sanitary Rehab Contract 74 on Chapin Rd,Fairfield Ave, Estimate Number 27 Contract Limits Willow Ridge Rd&Eight Alleys Payment Number 27 Project Type SEWER For Period Ending 5!1/2015 Project Fuoding P254 Contract Information Summary Original Contract Amount $1,270,074.00 Chane Orders Change Order Number 1 $89,127.50 Total Contract Price $1,359,201.50 f Date C4 b3l,-'S— Total Cost of Work Completed $1,345,725.57 Contract r Less %Retained $0.00 Net Earned $1,345,725.57 Earned This Period $65,424?'�2 Inspection Supervisor -� Retainage This Period $0.00 Less Liquidated Damages Project Man ,t Days @ /Day $0.00 DatooAL$-If LessPavemeot Deficiency $0.00 fist Di rNPW fiastructure Design and Construction Less Penny $0.00 Date Less Previous Payment S1,280,301�.2.1 Director on ting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $65,4247',-29 Tuesday,September 22,2015 Page 5 of 6 FORTWORTH rev 03/05/07 TRANSPORTATION&PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:27 NAME OF PROJECT: Sanitary Sewer Rehabilitation Contract 74 PROJECT NO.: 00-360 CONTRACTOR: Cirek C DOE NO.: 5358 PERIOD FROM:04/24/15 TO: 04/30/15 FINAL INSPECTION DATE: I-Ma -15 WORK ORDER EFFECTIVE:3/24/2014 CONTRACT TIME: 371 lhR m DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. F 0 Other 10. 25. S 0 Other 11. 26. Su 0 Other 12. 27. M 0 Other 13. 28. T 0 Other 14. 29. W 0 Other 15. 30. Th 0 Other 31. SAT,SUN, RAIN,TOO WET, UTILITIES OTHERS* DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS THIS 0 0 0 7 0 7 PERIOD PREVIOUS 0 0 0 24 371 395 PERIOD TOTALS 0 0 0 31 371 402 TO DATE *REMARKS: �i✓ G- �� CONTRACTW DATE INSPECTOR DATE ENGINEERING DEPARTMENT The City of Fort Worth-1000 Throckmorton Street•Fort Worth,TX 760164: (817)392-7941 •Fax:(817)392-7845 OFFICIAL RECORD CITY SECRETARY FT- (WORTH, TX FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR CONTRACTOR&PROJECT DATA Name of Contractor Project Name Circle C Construction Sanitary Sewer Rehab ilitation Contract 74 DOE Inspector DOE Number Donald Watson 5358 Elmpectar Project Manager ❑ water Q waste Water❑ Storm Drainage❑ Pavement Susan Schwin er Initial Contract Amount Project Difficulty $1,270,074.00 O Simple Qo Routine O Complex Final Contract Amount Date $1,345,725.57 5/22/2015 m PERFORMANCE EVALUATION 0-InMequate 1-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE 1 Submission of Documents 2 Y 4 8 8 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 4 60 60 5 Work Performed 15 Y 4 60 60 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance 15 Y 4 60 60 9 Daily Clean Up 5 Y 4 20 20 10 Citizen's Complaint Resolution 5 Y 4 20 20 11 Property Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 3 20 15 TOTAL ELEMENT SCORE(A) 443 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(I'S) 443 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which— 448 Rating(]TS/MS]*100%) 443 / 448 - lfY. Performance Category Excdlrat <20%-inadequate 20%to<40%—Deficient 40%to<60%—Standard 60%to<80'/—Good ?8096—Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector —NZ Signature Contractor •i Signature DOE Inspector's Supervisor /? CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth-1000 Throckmorm Street-Fort Worth,TX 76012-6311Q9 ' (817)392-7941 -Fax:(817)392-7845 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Sanitatoa Sewer Rehabilitation Contract 74 PROJECT NUMBER: 04360 DOE NUMBER: 5358 WATER PIPE LAID SIZE TYPE OF PIPE LF FIRE HYDRANTS: VALVES(16"OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF Sewer 10' Dig 6 Sewer 8" Pvc 7,954 Sewer 8" Pvc 395 Pipe Pmm" 8" DR25 193 Sewer 8" Dip 582 Sewer 8"to 8" Enlargement-HD PE 701 Sewer 6"to 8" Enlargement-HD PE 637 Sewer 6" Cipp 1,244 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTAnON AND PUBLIC WORKS _ The City of Fort Worth•1000 Throamorton Street•Fort Worth,TX 76012-6311 (817)392-7941 1 Fax:(817)392-7845 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Sanitatory Sewer Rehabilitation ConbW 74 PROJECT NUMBER: 00-360 DOE NUMBER: 5358 WATER PIPE LAID SIZE TYPE OF PIPE LF FIRE HYDRANTS: VALVES(16"OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF Sewer 6" PVC 32 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 ThrockmortDn Street•Fort Worth,TX 76012-6311 (817)392-7941•Fix:(817)392-7845 FORTWORTHRE02tM07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY PROJECT INFORMATION Date: 5/22/2015 Name of Contractor Project Name Circle C Construction Sanitary Sewer Rehabilitation Contract 74 DOE Inspector Project Manager Donald Watson Susan Schwin er DOE Number lFroject Dg iculty Type of Contract 5358 10 Simple QQ Routine Q Complex 1❑ water El waste Water❑ Stam Drainage❑ Pavement Initial Contract Amount Final Contract Amount $1,270,074.00 IS1,345,725.57 11)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3-Good 4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 12 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities q 13 AMficabifity of Specifications 4 Dis la Of Professionalism 14 14 Accuracy of Plan quantities 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Settingu Valve Crews,Labs 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid ninto Pre-Con Meeting Timeframe Iin COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS / The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 76012-6311 (817)392-7941 -Fax:(817)392-7845 i /1F1 1DAVIT STATF OF Texas COUNTY OF Tarrant Betbre me, the undersigned authority, a notary puhlic in the state and county aforesaid, on this clay personally appeared Teresa S Slceltv7 Vice President Of William J Schultz Inc..dba Circle C Construction Company lcno\kii to me to be a credible person. who being by me duly sworn- upon his oath deposed and said; That all persons, firms, associations. corporations. or other organizations furnishing labor and/or materials have been paid in Full; That the Davis Bacon prevailing rate determined by the Administrator of the wac*e and hour division of the United States Department of l,ahor included as a requirement in this Texas Water Development Board, as State Recipient, and United States Environmental Protection Acency-s loan funded contract in the City ofFort ort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; Sanitary Sewer Rehabilitation Contract 74 DOC; 5358 BY _ Teresa s Skelly Vl President Subscribed and sworn before me on this date d of September, 015 x .l'Clt .`) LAN pf riC Notary Public f, i 1 a Sri(E OF 'kAn My l "'In t..p c70 kT 1015 Tarrant, Texas 4 CONSENT OF SURETY OWNER TO FINAL PAYMENT ARCHITECT ❑ AIA Docutnent G707 CONTRACTOR ❑ SURETY ❑ OTHER ❑ Bond No.TXC107210 TO OWNER: ARCHITECT'S PROJECT NO.: Sewer No.P254-707170036083;P258-70170036083 City of Fort Worth City Project No.00360;D.O.E.No.5358 1000 Throckmorton Street Fort Worth,TX 76111 CONTRACT FOR: Utility Improvements CONTRACT DATED: December 18,2012 PROJECT: (mme,address) Sanitary Sewer Rehabilitation Contract 74(Basins M-170,M-204&M-272D2 in the City of Fort Worth,TX In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Merchants Bonding Company(Mutual) 2100 Fleur Drive Des Moines,IA 50321-1158 ,SURETY on bond of (hsurt name and address ofContracmr) William J.Schultz,Inc.,dba Circle C Construction Company P.O.Boa 40328 Fort Worth,TX 76140 ,CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (hurt name and address of Owner) City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76111 ,OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand this date: May 13,2015 (Insert to writing the month folbwed by the numeric date and year.) Merchan ndin Company usual (Surety) (Signature of authorized resentative) AHest: itness as to Surety: Shttryl A.!guar,Attoeg4n-Fact (SCSI): � (P,#nted name and dtde) John A.Miller,Witness Note: This form is to be used as a companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Curtent Edition AIA DOCUMENT G707•CONSENT OF SURETY COMPANY TO FINAL PAYMENT•April 1970 Edition*AIA® Ow rage 01970•THE AMERICAN INST1TTIfE OF ARCHITECTS,1735 New York Ave.,NW,Washingtoa,D.C.20006 M ERCHANT� BONDING COMPANYn POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC.,both being corporations duly organized under the laws of the State of Iowa(herein collectively called the"Companies"), and that the Companies do hereby make,constitute and appoint,individually, John A Miller; John R Stockton; Sheryl A Klutts of Fort Worth and State of Texas their true and lawful Attorney-in-Fact,with full power and authority hereby conferred in their name,place and stead,to sign, execute, acknowledge and deliver in their behalf as surety any and all bonds, undertakings, recognizances or other written obligations in the nature thereof,subject to the limitation that any such instrument shall not exceed the amount of: TEN MILLION($10,000,000.00)DOLLARS and to bind the Companies thereby as fully and to the same extent as if such bond or undertaking was signed by the duly authorized officers of the Companies, and all the acts of said Attorney-in-Fact, pursuant to the authority herein given,are hereby ratified and confirmed. This Power-of-Attomey is made and executed pursuant to and by authority of the following By-Laws adopted by the Board of Directors of the Merchants Bonding Company(Mutual)on April 23,2011 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 24,2011. "The President,Secretary,Treasurer,or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact,and to authorize them to execute on behalf of the Company,and attach the seal of the Company thereto,bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof. The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond,undertaking,recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and effect as though manually fixed." In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 13thday of August , 2014.,,..•1.11.,1, ��•G.••• * MERCHANTS BONDING COMPANY 1P� f © � •�?O`RP 'C"' MERCHANTS MERCHANTS NATIONAL BONDING(INC. 1933 c: By STATE OF IOWA all �•• .•`� •••. ••• COUNTY OF POLK ss. President a n.rH •••. On this 13th day of August 2014,before me appeared Larry Taylor,to me personally known,who being by me duly sworn did say that he is President of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.;and that the seals affixed to the foregoing instrument is the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. In Testimony Whereof,I have hereunto set my hand and affixed my Official Seal at the City of Des Moines,Iowa,the day and year first above written. �PgIAZ WENDY WOODY 0 Commission Number 784654 My Commission Expires • �owP June 20, 2017 Notary Public,Polk County,Iowa STATE OF IOWA COUNTY OF POLK ss. I, William Warner,Jr.,Secretary of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof,I have hereunto set my hand and affixed the seal of the Companies on this 13thday of May ,11.;111.2015.1 .•;oG Co,�• , 1933 C• Secretary •�,r: POA 0014(7/14) .��;��;••... :��r�,r MERCHANT�� BONDING COMPANY. MERCHANTS BONDING COMPANY(MUTUAL) - MERCHANTS NATIONAL BONDING, INC. 2100 FLEUR DRIVE - DES MOINES, IOWA 50321-1158 •(800)678-8171 (515) 243-3854 FAX IMPORTANT NOTICE To obtain information or make a complaint: You may contact your insurance agent at the telephone number provided by your insurance agent. You may call Merchants Bonding Company(Mutual) toll-free telephone number for information or to make a complaint at: 1-800-678-8171 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at: 1-800-252-3439 You may write the Texas Department of Insurance at: P. O. Box 149104 Austin, TX 78714-9104 Fax: (512)475-1771 Web: http://www.tdi.state.tx.us E-mail: ConsumerProtection@tdi.texas.gov PREMIUM AND CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should contact the agent first. If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not become a part or condition of the attached document. SUP 0032 TX(12/13) Schwmger, Susan From: Joel Smith <Joel.Smith@twdb.texas.gov> Sent: Thursday,June 25, 2015 4:52 PM To: Dinyarian, Nowzar;Schwinger,Susan Cc: Dean Crenshaw;Joel Smith Subject: Fort Worth#72275,CID 07 C/O 01 redux Attachments: Change Order Approval -Contract 07 co 01 - $68,900- D150625.pdf i Guys: F� (.LP1 'G �2vi� E l Thanks to Susan for pointing out the mistake I made on the first approval letter sent. Here's a new one with corrected funding amounts. Please destroy the first copy. C,�a rpt ��2©t T — _ Thanks, Joel s Joel H.Smith, P.E. E Project Engineer,Team 3 Northeast Texas Region 1oel.Smith(@twdb.texas.gov E (512)463-7971 t i pdp E k k 5 e 's F 3 A 3 3 e a 5 3 3 1 S Texas Water Development Board P.O.Box 13231,1700 N.Congress Ave. Austin,TX 78711-3231,www.twdb.texas.gov Phone(512)463-7847,Fax(512)475-2053 June 25, 2015 Mr. Nowzar Dinyarian, P.E. Senior Project Engineer Administration Division—Water Department City of Fort Worth 1000 Throckmorton St. Fort Worth,Texas 76102-6311 Re: City of Fort Worth TWD13 Project#72275 /CWSRF Non-Equivalent Loan L090003 CID 07: Sanitary Sewer Rehabilitation Contract 74 Change Order No. 1 Approval Dear Mr. Dinyarian: We have received your request for review of Change Order No. 1 pertaining to the above referenced contract. This change order is approved and the changes in the contract amount are summarized in the following table: CWSRF Funds City Funded Total Original Contract Amount $1,239,344.00 $30,730.00 $1,279,074.00 Chane Order#I +$68,900.00 +$20,227.50 +589,127.50 Total $1,308,244.00 $50,957.50 $1,359,201.50 It is noted that TWD13 funding is for the Unit I portion of the Contract only; the City is using its own funding for Unit II construction. The contract time is increased 151 calendar days as a result of Change Order 01. The new contract duration is 371 calendar days. The work authorized by Change Order 01 includes: • Installation of 2 fiberglass manholes instead of concrete due to access difficulties. • The installation of a wooden box tunnel rather than pipe enlargement/replacement of sanitary sewer line L-6666 due to access problems. • The installation of concrete pavement in the alleyway between El Campo Avenue and Pershing Avenue due to failure of the crushed stone surface originally installed, Our Mission Board Members To provide leadership,information,education,and Bech Bruun,Chairman I Carlos Rubinstein,Member I Kathleen Jackson,Member support for planning,financial assistance,and outreach for the conservation and responsible development of water for Texas Kevin Patteson,Executive Administrator Mr.Nowzar Dinyarian,P.E. June,2015 Page 2 If you have any questions,please contact me at(512)463-7971. Sincerely, 9 Joel H. Smith,P.E. Project Engineer,Northeast Region Regional Water Planning and Development JHS/ms c: Dean Crenshaw,IFS,TWDB Susan Schwinger—City of Ft Worth t i S S 3 fy 9 i L 9 7 i 's i i i 3 F t 9 GUY ECF,1�AW FonT WORT" City of Fort Worth CONTRACTPAO.— —C ; Change Order Request Project Name Sanitary Server Rehabilitation,Contract 74 City Sec No. 44460 Project No.(s)P254.7(17170035083(Unk 1)and P258-7071700x60&3(Unit U) DOE-No. 5358 CityPro.No. 00360 Proiect Description Sanitary Sewer Rehabilitation,Contract 74 on Chapin Road,Fairfield Avenue,Willow Ridge Road and Eight Alleys Cordraclorl William J.Schultz,Inc.dba Cirde'C'Conslrudian Co. _J Change Order n L J Date: d/2/2015 City Project Mgr.1 Susan Schwatger City Inspector Donald Watson Phone Number 817-392-6529 —� Phone Number: 817-205-8911 � Dept. Sewer(Unit 1) Sevier(Unit 11) Totals Contract Titne (Calendar Days) Original Contract Amount $1,239,344.00 $30,730.00 $1,270,074.00 220 Extras to Date Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $1,239,344.00 $30,730.00 $1,270,074,00 220 Amount of Proposed Change Order $68,900.00 $20,227.50 $89,127.50 151 Revised Contract Amount $1,30B,244.00 $60,957.50 $1,359,201.50 371 Original Funds Available for Change Orders $42,253.00 $42,253.00 Remaining Funds Available for this CO $42,253.00 $42,253.00 f Additional Funding(if necessary) $68,900.00 568,900.00 I CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 7.02% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,587,592.50 ,LiS FIC-TI0t (RF SONS}AOR C)A�1GE:QRD s'�_ .=', The change order will primarily for provide for the following: i i 1. The installation of fiberglass instead of concrete manholes due to the difficulty in gaining access to the existing easement between Miki Lynn Ave and Driskell Blvd with conventional size construction equipment. I r I 2. The installation of 120 Lf of wooden box tunnel in iieu of pipe enlargement replacement of sanitary sewer L-6666 due to the steepness of a hili to ascend and its proximity to a house foundation that showed signs of i existing cracks. 3. The installation of concrete pavement in the alleyway between EI Campo Avenue and Pershing Avenue due �0(J to failure of the permanent crushed stone pavement that was installed subsequent to replacement of ail `. sanitary sewer L-2139. Staff was prepared to install asphalt in the alley however, adjacent residents 11fii4requested and paid for the cost difference between concrete and asphalt pave,�gAs /AT�,R Staff concurs with the contractor's request for 151 additional calendar days on thiDPIghll,e�i PMENT BOARD Itis understood and agreed that the acceptance of this Change Order by the contractor constitutes an aMWQ1%kA' mpnI in full (both lime and money)for all costs arising out of,or incidental to,the above Change Order, APPROVED. 7 ^ o„r ���^ D ame J GoniraclorName _ grSi nalu Dates : Nfigiam J.Schultz,Incdba Cirde C Constr.Co. Teri Skelly f 4/_ s o 3 Dale 51 e6Crtilana -� Rade �--�UsntJ�, S�u.1► �1-Z-is eap ate,_. ..7 -=t3onsh[ic�on.Su "rvlsot:�Ataler_-Ae 1 Dafe /Uala 6Ass BORICrt Mede erg 1 _ Rate QotiaollAbiigri.if.�e uiretl M&C Number I NZA M&C Date Approved FORT WORTH City of Fort Worth Change Order Additions Project Name Gwk Sewer RehetaU'dDn,Contract 74 City Sec No. Project No.(s) P254 707170036083 Unll 0 and P2W707170036083 fiLr&II DOE No. 53513 City Pro.No. Project Sardtary Sewer Rehablila0on,Coalrad 74 on Chapin Road,Fairfield Avenue,Wellow(Edge Road and%N Allays Description Contractor Nam J.Schu6z,Inc.dba Circle V Constnadton Co. Change Order 8® Date: 15 City Project Mv. Straw mmin er city inspector F Donald Walson ADDITIONS IT EW. UPPRIPTION Is DEPT Unit Unit Coat Total AQe Pavement Re -9'Grave 1'Diameter L 2 la Sheet 30 Sewer nit 1 132.00 SY $260 $3,300.00 62 6'Fiberglass Manhole L-4913 Shoot 10 Sewer(Unit 2.00 EA $2,800,00 $5,600.00 63 Box Tunnel(L-6665 Shoot 18 Sewer Unit I 120.00 LF $500.00 5 ,000,00 e Pavement Repair.6'Cont Fwnt 8 PR Trans(L-2139 May Sheets 4145) Sewer Unit II 312.00 SY $55.00 $17,160.00 b 6'Conc Gurb and 12"Gutter L-2139 Alley Sheets 4145) Sewer nit II 100.00 LF 1 $25.00 $2,500.00 6 Top Son Plaosment -2139 Alley Sheets 41.45 Sewer Unit II 7.50 CY $15.00 $11250 7 Blodt Sod Placement -2139 Ailey Sheets 4145 Sewer nil II 65.00 SY $7.001 $455.00 I I . I Sewer Unit t $68,900.00 sower unit tl I $20,227.50 Additions Sub Total $89,127.50 Page 2 of 4 I i I I f I I Foxz-WoH City of Fort Worth Change Order Deletions i Project Name Sanitary Sewer Rehabilliation,Contract 74 City Sec No. 444fi0 Project No.(a) P254-707170036083{Unit I}and P083258-1b7170036 (Unit il} DOE No. 535!3 City Pro.No. 06380 Pmject Sanitary Sewer RehabNtation,Contract 74 on Chapin Road,FaMld Avenue,Willow Ridge Road and Eight Alleys Description Contactor WiNam J.Schultz,Inc.dba Clyde'C'Construction Co. Change Order#F—,—] Die 412!2015 j Ciily Project Mgr. Susen Schwinger City Inspector F Donald Watson i DELETIONS ITEM:DE8CM[ON DEPT Unit Unit Cost Total i r i i i i I I I I i Sewer(Unit I) Sewer(Unit 11) Deletions Sub Total Page 3 of 4 MOSE Breakdown for this Change Order e of service Amount far this CO. Total $0. 0 Previous Change orders DATE AMOUNT i Total 3 s r i 3 s 3 l i i 9 3 City of Fort Worth y Departmental Request for Waiver Of MSE/WBE Subcontracting/Supplier Goal •� C; Water $89,127.60 3/24/15 DEPARTMENT NAME: ESTIMATED COST / PROPOSAL DATE a Sanitary Sewer Rehabilitation,Contract 74 00360 as NAME OF PRO OT/BID; DOE/PROJECT NO. (Ony s�oj, A �at" �asFn !;AW�rAyer 0629 3/24/16 SIGNATURE OF PROJECT MANAGER EXTENSION DATE NICiP CODE Prior to edverdse;ment Ute oontracting/maneging department shell detemnhne whether the bid/proposal is one which NMBMB requirements should not be applied. MSB/PJBB requirements may be waived upon written approval of the M/WBB Manager. Mone of the conditlons listed below exists,the contracting/managing department shall notii)r the Manager via this form,stating the speolfse reason s for reggong a waiver. � If the contracting/managing department and the Manager are in conflict over the granting of aweiver,either may appeal to the City Manager,or designee,and his/her decision is final. I Me�ase Check Applicable Reason: EDA.�.fA. A public or administrative emergency wdsta which requires the goods or services to be rn provided with unusual immediacy;or H. Purchase of goods or services from sources)where subcontracting or supplier opportumitles are negligible;or �C. The application of the provisions of this ordinance will impose an economic risk on the City or unduly debut acquisition of the goods or services;or D. Other(explain) Justify Commodity or Service Waiver Request: Wob the aaajgon orkxwft omaws pavement to the eBay,the eonhclor self padormed d wadi on the ohmse order. i Please use a4dkkmat etmsh,UnnaW M/�CEUSE ONLY: Appmved Not Approved Signature ftftM Audbarixed Pe remnel City of For Worth Inspector's Estimate Worksheet '—it,/Project Plumbers C035C Contract Name Sanitary Rehab Cor,iract 7x on Chapin Rd, Fairfield A DOE Number 5358 Contract Limits Willow Ridge Pd. S Eight Alleys Estimate Number 27 Project Type SEVPjEP. Payment Number 27 Control Number 535801 For Period Ending -- Contract: 44460 Contract Date: 12/18/2012 Contract Tim 220 CD Days Charged to Date �? CD Inspectors DICKINSON WATSON J 1"-- Date Prepared by Inspector Contract is %Complete Construction ID: 9619 Iters Description of Items Estimated Uni Un t Cost Previous Quanity Completed Total Cost No. Quanify Quanity for Month Quanity ------------------------------------- ---- Unit I Sanitary Sewer Improv Tier II Funding 1 Pipe-Sewer-10 Inch-Pressure 6 LF $95.00 6 Class 2 Pipe-Sewer-8lnch-PVC 7850 LF $37.00 7954 3 Pipe-Sewer-8lnch-SDR26 382 LF $39.00 395 4 Pipe-Pressure-8 Inch-C900 DR 25 194 LF $40.00 193 PVC 5 Pipe-Sewer-8 Inch-Pressure Class 591 LF $77.00 582 350 6 Pipe-8 Inch to 8 Inch-Enlargement- 610 LF $42 OC 701 HD 7 Pipe-6 Inch to 8 Inch-Enlargement- 826 LF $42.00 637 / HD 8 Pipe-Rehab 8 Inch by CIPP 474 LF $39.00 9 Pipe-Sewer-6 Inch-PVC 84 LF $37,00 32 10 Pipe-Sewer-6 Inch-Pressure Class 6 LF $77.00 350 11 Pipe-Rehab 6 Inch by CIPP 1189 LF $41.00 12x9.27 12 Seaver-Point Repair-6 Inch PVC 6 EA $3,300.00 3 Open C 13 Pipe-Sag Adjustment for Pipe 5G LF $49.00 20 14 Sewer Service-4 Inch 1522 LF $26,00 1950 15 Sewer Service-4 Inch-SDR 26 '46 LF $28.00 178 Thmsday,April 30,2015 Page 1 City of Fort Worth Inspector's Estimate IdVorksheet City Project Numbers 00360 Contract Name Sanitary P,ehab Contract 74 on Chapin Rd,Fairfield A DOE Number 5358 Contract Limits Willow Ridge Rt.&Eight Alleys Estimate Number 27 Project Type SEVVER Payment Number 27 16 Sewer Serv.-4 Inch-SDR 26 w/ 17E LF $45.00 178 Cement 16A Pipe-Pressure-4 Inch-Install(Pres i7 LF $60.00 11 17 Sewer Service-4 Inch Service Tap 175 EA $300.00 186 18 Sewer Service-4 Inch Service Tap 27 EA $700.00 15 to ? % 19 Sewer Service-4 Inch-2 Way 186 EA $200.00 196 Clean Out �r 20 Reinstate Existing Service in Pipe 28 EA $210.00 26. Z,<� — L 21 Manhole-Abandon 3 EA $80C.00 2 22 Manhole-Remove 30 EA $800.00 28 23 Manhole-Std,4 ft Diam-(to 6 FT 47 EA $2,800.00 50 dept 24 Manhole-Std 4 Ft Diam-Added 57 VF $180.00 44 Depth(o 25 Manhoie-DropStd 4 Ft Diam-(to 6 1 EA $3,500.00 1 FT 26 Manhole-Drop-Std 4 Ft Diann- 6 VF $200.00 7 Added Dep 27 Manhole-Shallow Std 4 Ft Diam- 4 EA $2,800.00 2 (Shall 28 Manhole-Paint&Coating-Interior 119 VF $185.00 119 Pro 29 Manhole-Adjustment-Install 15 EA $1,5CO 00 13 30 C0112r-Manhole-32 Inch Frame 67 EA $300.00 61 and cov 31 Concrete Pier Mcdification 5 EA $3,500.00 5 32 Curb&Guter-Install 324 LF $25.00 402.5 33 Walk-Install 136 SF $7.00 116 34 6"Driveway-Install 2086 SF $7 00 3579.5 35 Asphalt Transition -Driveways-Ins 10 SF $7.00 15 36 Pavement -Valley Gutter-Install 13 SY $65.50 21 Thursday,Apr1 30,2015 Page 2 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers OC360 Contract dame Sanitan/Rehab Contract 74 on Chapin Rd, Fairfield A DOE Number 5358 Contract Limits Willow Ridge Rd &Eight Alleys Estimate Number 27 Project Type SEWER Payment Number 27 37 Grass-Hydromulch Seeding- 7363 SY $3.00 6883 Install 38 Grass-Sod-Install 590 SY $7.00 631 39 Top Soil-Install 60 CY 515.00 80 40 Concrete-Class"B"(2500 psi)- 20 CY $1.00 Misce 41 Concrete-Class"E"(1500psi)- 20 CY $1.00 Miscell 42 Fill Material-Ballast Stone-Inst 20 CY $1.00 43 Fill Material-Type B Backfill-In 2O CY $1.00 44 Pavement-Concrete Replacement 132 SY $65.00 71 on Exi 45 Pavement-2 Inch Min HMAC on 531 LF $35.00 695 2/27 Con 46 Pavement-HMAC Replacement- 50 SY $14.00 Permanent 47 Pavement-2 Inch Min HMAC on 6- 1082 LF $12.00 2015 Inch F 48 Alley Pavement Repair-Install(6" 155 SY $55.00 79 49 Alley Pavement Repair-Install(5" 733 SY $40.00 646 50 Alley Pavement Repair-Install(9" 1006 SY $20.00 1069 51 inspection-P reconstruction 5580 LF $5.00 5307 Cleaning 52 Inspection-Postconstruction 12159 LF $3,00 11258.5 Cleaning 53 Manhole-Vacuum Test-Services 67 EA $150.00 69 54 Dehole-Exploratory Excavation- 3 EA $1,500.00 5 Stud 55 Concrete-Encasement-Install 149 LF $35.00 219 56 Pipe-Abandon (Fill w/Towable Fill 2401 LF $15.00 2205 57 Fill Material-Cement Stabilized 88 LF 565.00 66 Back 58 Fill Mate rial-Flowable Fill(Cement) 10 CY $120.00 Thursday,April 30,2015 Page 3 City of For Wo rtii Irsaecior's Estimate Woresheet City Project Numbers 00380 Contract Name Sanitary Rehab Contract 74 or C-apin Rb, Fairfield,A DOE (lumber 5358 Contract Linits Willow Ridge.Rd.& Eight Alleys Estimate N ember 27 Project Type SEWER Payment Number 27 59 Trench Safety System 5 Foot 9078 LF $1.00 9405.5 Depth- 60 Signal Traffic Contrcl-Design€Pr 1 LS $8,500.00 1 61 ALLEY PAVEMENT REPAIR 132 SY $2500 132 CO#1 62 6'FIBER GLASS MANHOLE CO#1 2 EA $2,800.00 2 63 WOOD BOX TUNNEL CO#1 120 LF $500,00 120 --------------- ----------------------- -- Estimated Total This Unit $1,308,244.00 Completed Total This Unit $1,294,784.07 ----------------------------------- -- Construction ID: 9620 Item Description of!iems Estimated Uni Ucit Cost Previous Quanity Completed Total Cost No. Quanity Quanity for Month Quanity ----- -------------------------------- -- Unit II Sanitary Sewer Improv(Funded by City) 1 Plumbing Service-4 Incn- 500 LF $48.00 538 Schedule 2 Sewer Service-4 Inch Clean Out 11 EA $350.00 11 on P 3 Grass-Sod-Install 240 SY $12.00 250 4 ALLEY PAVEMENT REPAIR 6" 312 SY $55.00 312 CO#1 5 6"CONC CURB AND 12" i00 LF $25.00 100 GUTTER CO#1 6 TOP SOIL PLACEMENT C0#1 7.5 CY $15.00 7.5 7 BLOCK SOD PLACEMENT CO#1 65 SY $7.00 65 'estimated Total This Uni# $50,957.50 Completed Total This Unit $52,901.50 -------------------------------------- Thursday,April 30,2015 Page 4 City of Fort Worth Inspector's Estimate\Norksheet City Projec`Numbers C0360 Contract Marne Sanitary Rehab Contras 7=o- Chapin Rd, rail'e:d A DOE Number 5358 Contract Limits Wiilcw Ridge Rd. &Eight Alleys Est.maie Number 27 Project Type SEWER Payment Number 27 t Total Itemized Amount(Including Change Order $1,359%01.50 4:t — DATE r� l�- Tota:Cost of Work Completed Inspector Less d %Retained > I, Net Eamed `� r 0' l' 1 Previous Payment $1,280,301.30 Material on Hand 15% iq Balance Due This Payment Thursday,April 30,2015 Page 5 w 0 O O O C O O O O r Cl O O O O C O Cl Cl O ^ O O O O o O O O O O O O O o O O O O O G O o0 h O V N V O O Cl O O c O O O O CL N O 00 O 00 ^ IG O O O O Q. 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