HomeMy WebLinkAboutContract 48762-FP2 FORT WDRTH@ CITY SECRETMMY -
CONTRACT N0.
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
(Developer Projects)
C )r,4 City Project Ns: 100685
C� C S# X87
Regarding contract 100685 for WEST FORK RANCH 7A as required by the
TRANSPORTATION& PUBLIC WORKS as approved by City Council on N/A through M&C N/A the director
of the TRANSPORTATION&PUBLIC WORKS upon the recommendation of the Assistant Director of the
Transportation&Public Works Department has accepted the project as complete.
Original Contract Price: $79,681.50
Amount of Approved Change Orders: Ns
Revised Contract Amount:
Total Cost Work Completed: $79,681.50
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Recommen4 ceptance Date
Asst. Direct W - Development Services �. = - .- x ..""- - � `
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Accepted Date
®. Director TRANSPORTATION & UBLIC WORKS
LIZ DL
Asst. City Manager Date
Depart nt of TP VV Const. Services
CPN#
Project Manager owy
RECEIVED FEB 19 Management Canady t -®
Comments: E. Brotherton E _ .� , EOFFICIALRECO CFA Morales /Scanned t T I� TARPGutzler/Scanned 4— @�The Proceeding people have been Contacted ��9 Y
Ci�� concerning the request for final payment& have
released this project for such payment.
Rev.9/22/16 Clearance Conducted By /.wu&
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name WEST FORK RANCH 7A
Contract Limits
Project Type STORM DRAIN
City Project Numbers 100685
DOE Number 0685
Estimate Number 1 Payment Number 1 For Period Ending 1/29/2018
CD
City Secretary Contract Number Contract Time 18GD
Contract Date Days Charged to Date 332
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors LAYER/ MATTEGAT
Monday,Jaiwary 29,2018 Page 1 of 4
City Project Numbers 100685 DOE Number 0685
Contract Name WEST FORK RANCH 7A Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN For Period Ending 1/29/2018
Project Funding
STORM DRAIN
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 21"RCP 46 LF $51.00 $2,346.00 46 $2,346.00
2 24"RCP 518 LF $58.00 $30,044.00 518 $30,044.00
3 36"RCP 31 LF $94.00 $2,914.00 31 $2,914.00
4 42"RCP 112 LF $127.00 $14,224.00 112 $14,224.00
5 10'CURB INLET 2 EA $3,400.00 $6,800.00 2 $6,800.00
6 15'CURB INLET 4 EA $4,700.00 $18,800.00 4 $18,800.00
7 4'STORM JUNCTION BOX 1 EA $3,800.00 $3,800.00 1 $3,800.00
8 TRENCH SAFETY 707 LF $0.50 $353.50 707 $353.50
9 CONCRETE COLLAR I EA $400.00 $400.00 1 $400.00
Sub-Total of Previous Unit $79,681.50 $79,681.50
----------------- ----- --- ------------ ---
Monday,January 29,2018 Page 2 of 4
City Project Numbers 100685 DOE Number 0685
Contract Name WEST FORK RANCH 7A Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN For Period Ending 1/29/2018
Project Funding
Contract Information Summary
Original Contract Amount $79,681.50
Change Orders
Total Contract Price $79,681.50
/ 0 Total Cost of Work Completed
Date $79,681.50
Contractor Less %Retained $0.00
Net Earned $79,681.50
Date
Inspecti upe r Earned This Period $79,681.50
a �j V/' ) Retainage This Period $0.00
Date U ! l Less Liquidated Damages
rojei ge Days @ /Day $0.00
,:, Z Date E LessPavement Deficiency $0.00
Ass. 'r PWS�-I' {VevC7 � Less Penalty $0.00
W. (/!J Date Z /i"' Z F Less Previous Payment $0.00
Director Contracting Department Plus Material on Hand Less 15% $0.00
Balance Due This Payment $79,681.50
Monday,January 29,2018 Page 3 of 4
City Project Numbers 100685 DOE Number 0685
Contract Name WEST FORK RANCH 7A Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN For Period Ending 1/29/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors LAYER / MATTEGAT Contract Date
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 180 CD
6331 SOUTHWEST BLVD Days Charged to Date 332 CD
FORT WORTH, TX 76132 Contract is .000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
Total Cost of Work Completed $79,681.50
Less %Retained $0.00
Net Earned $79,681.50
Earned This Period $79,681.50
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 /Day $0.00
LessPavement Deficiency $0.00
Less Penalty $0.00
Less Previous Payment $0.00
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $79,681.50
Monday,January 29,2018 Page 4 of 4
FORTWORTH rev 03/05/07
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:I
NAME OF PROJECT: West Fork Ranch Phase 7A
PROJECT NO.: 100685 CONTRACTOR: Burnsco Construction
DOE NO.:
PERIOD FROM:03/06/17 TO: 02/01/18 FINAL INSPECTION DATE: I-Feb-18
WORK ORDER EFFECTIVE:3/6/2017 CONTRACT TIME: 180 O W0* CD
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.
10. 25.
11. 26.
12. 27.
13. 28•
14. 29.
15. 30.
31.
SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL
E
&HOLIDAYS &TOO COLD RLOCATIONS OTHERS* CHARGED DAYS
THIS 0 0 0 0 0 0
PERIOD
PREVIOUS 0 0 0 0 0 0
PERIOD
TOTALS 0 0 0 0 332 332
TO DATE
*REMARKS:
CPNTRACTOR DATE PYT DATE
ENGINE IG DEPAR 1 IE
(a The City of Fort Worth• 1000 Thro&lnorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817) 392-7845
FORTWORTHREV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
n PROJECT INFORMATION s Date: 1-Feb-18
Name of Contractor Project Name
Burnsco Construction West Fork Ranch Phase 7A
DOE Inspector Project Manager
William Mattegat Patrick Buckley _
DOE Number ProjectD culty I)pe of Contract
CPN 100685 O Simple QQ Routine Q Complex ❑ Water[:] Waste Water❑✓ StormDrainage[] Pavement
Initial Contract Amount Final Contract Amount
$79,681.50 $79,681.50 ��
M 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 2 Clarity&Sufficiency of Details
3 Accuracy of Measured Quantities 3 Applicability of Specifications
4 Display Of Professionalism 4 Accuracy of Plan Quantities
5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs Lf I 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 Opening to Pre-Con Meeting Timeframe
III)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector ,
Signature DOE Inspector's Supervisor
INSPECTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
(D The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax:(817)392-7845
FORTWORTHREV.8/20/16
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR&PROJECT DATA
Nance of Contractor Project Name
Burnsco Construction West Fork Ranch Phase 7A
Inspector City Project Number
William Mattegat 100685
Construction Components Project Manager
❑ Water❑ Waste WaterO Storm Drainage❑ Pavement Patrick Buckley
Initial Contract Amount ProjectDcurlty
$79,681.50 O Simple QQ Routine Q Complex
Final Contract Amount Date
$79,681.50 1-Feb-18
II)PERFORMANCE EVALUATION
0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent
ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE
I Submission of Documents 2 Y 4 8 8
2 Public Notifications 5 N
3 Plans on Site 5 Y 4 20 20
4 Field Supervision 15 Y 4 60 60
5 Work Performed 15 Y 3 60 45
6 Finished Product 15 Y 4 60 60
7 Job Site Safety 15 Y 3 60 45
8 Traffic Control Maintenance 15 Y 4 60 60
9 Daily Clean Up 5 Y 3 20 15
10 Citizen's Complaint Resolution 5 N
11 Property Restoration 5 N
12 After Hours Response 5 N
13 Project Completion 5 Y 4 1 20 20
TOTAL ELEMENT SCORE(A) 333
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 333
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 368
Rating([TS/MS] *100%) 333 / 368 = 90%
Performance Category Excellent
<20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >80%=Excellent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Inspector Signature Contractor Signature
Inspector's Supervisor Signature V
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•8851 Camp Bowie West Blvd.•Fort Worth,TK 76116•(817)392-8306
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects, AIA Document G707
Bond No 022056809
PROJECT: West Fork Ranch Phase 7A-Water, Sanitary Sewer& Storm Drain Improvements
(name, address) Fort Worth Texas
TO (Owner)
PULTE HOMES OF TEXAS,L.P.AND CITY OF FORT— ARCHITECT'S PROJECT NO:
WORTH CONTRACT FOR:
4800 Regent Blvd. Suite 100 West Fork Ranch Phase 7A-Water,Sanitary Sewer&Storm Drain
Improvements
Irving TX 75063 .J CONTRACT DATE:
CONTRACTOR: BURNSCO CONSTRUCTION, INC.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(here insert name and address of Surety Company)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
BURNSCO CONSTRUCTION, INC.
6331 Southwest Boulevard
Benbrook TX 76132 , CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve
the Surety Company of any of its obligations to (here insert name and address of Owner)
PULTE HOMES OF TEXAS, L.P. AND CITY OF FORT WORTH
4800 Regent Blvd. Suite 100
Irving TX 75063 OWNER,
as set forth in the said Surety Company's bond,
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 5th day Of December, 2017
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
Attest:Robbi Morales
(Seal): Sign�re Authorized Representative
Sophinie Hunter Attorney-in-Fact
Title
NOTE; This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
THIS MOWER OF ATTORNEY ISNOT VALID UNLESS IT IS PRINTED_ON RED BACKGROUND.
This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated.
Certificate No.7877096
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company West American Insurance Company
POWER OF-ATTORNEY
KNOWN-ALL PERSONS BY THESE PRESENTS:That The Ohio Casually Insurance Company-is a corporation dulyorganized under the laws of-the State of New Hampshire, that
Liberty Mufual Insuranca Company is a corporation duly_organized-tinder the-laws_of the Stale of Massachusetts,-and West American insurance Company is a corporation-duly
organized under the laws of the State of Indiana(herein collectively called the"Companies'),pursuant to and by authority..herein set.forth,does hereby name;constitute and appoint,
Don E Cornell;Kelly A Westbrogk-Ricardo J Reyna-Robb)Morale8 �p-11nie Hunter Flrsa<MsEwari V f7etene Marshall
all ofthe city of Dallas state' TX each indivitlually if there be more.thanone named;Its trueai lawful attorney-in66t to make,execute,seal,acknowledge
and deliver,for and on its behalf as surety attr}_asats acS Arid deed dqi.and all undertakings,bonds,recognizances and othersurety obhgatlons irrpursuance of these presents and shall
be as binding upon the Companies as,if they bauebeerxdutysigned b=ytfie president and attested by the secretary of the Co itpanies in their own:ptoper persons.
IN WITNESS WHEREOF,this Power of Attorney bias been subscribcer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 25th day of August
1NI "' r`i"'v The Ohio Casualty Insurance Company N
Liberty Mutual Insurance Company d
West American Insurance Company
ui )i * *;, 'ray - B -
yr >+
STATE OF PENNSYLVANIA ss David M:Carey,Assistant Secretary
COUNTY OF MONTGOMERY 0
CZ
C
- On this 25th day of August 201 T;before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance v H
tY-d Company.The,Ohio Casualty Company,and West American Insurance Company,and that he,as such; being authorized so to do,execute the foregoing instrument for the purposes >,Cn
p? W
therein contained by signing on behalf of the-corporations by himself as a duly authorized officer. =
` � E
�_ 'N WITNESS V CD
WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year First above written. C.
F+ fC N PAs . COMMONWEALTH OF PENNSYLVANIA
. J r{wEq Ft
� ) . ,Notarial Seal
Teresa PatellaNotary PblicCBy: 4a -
Q-L
ru-a) upper M=rionrwia..MontgomeryCounly
M-Q
Teresa Pastella,Notary Public d !_
My Commission Expires March 28.2021
Member.:Pennsylvania Association of Notaries _ - _ _ _. - _ - 0 E
CL
e to- This Power ofAitomey is made and executed pursuant to and by authority of he following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual us p
Insurance Company,and West American insurance Company which resolutions are now in full force and effect reading as follows: r
ARTICLE IV-.OFFICERS—Section 12.-Power dUAttorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject-O d
d to such limitation the Chairman or the President may prescdbe-shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,- y
{= 4)
O C acknowledge and deliver assurety anyandall undertakings,bonds,recognizancesand other surety obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective-
E -powers of attorney,shall have full power to bind the Corporation by their signature-and execution of any such instruments and to allach,thereto the seal-of the Corporation. When so .@ a)
0 executed,such instruments shall be binding as if signed by the President and attested-to by the Secretary.Any power orauthority granted to any representative or attomey-fn-fact under >o
6 T the provislcns o€this article may be revoked at any time by the Board,the Chairman:the President or by the officer or officers granting such power or authority.
"ARTICLE Xlll—Execution of Contracts SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president, o;'
=.d _and subject to such limitations -the chairman orahe president may prescribe,shall appoint such attorneys-in-fact,as maybe necessary to act in behalf of the Company to make,execute, h
p_ -seal;acknowledge and deliver assurety any and ail undertakings,bonds,recognizances and other surety obligations._Such attorneys-in-fact subject to the limitations set forth in their- _,
.v respectivepowers of attorney,shall have full power to bind the Company by their signature and execution of anysuch instruments and to attach thereto the sea!of the Company. When so 00
executed sunstruments shall be asbinding as if signed by_-the presfdentand a�tegbiT y
chithe secretary = FO
Certificate of Designation_-The Presideiitof the Company:acting pgrsuanttaihei3ylawszifthe-Companyutfionzes David_M.Carey Assistant Secretary to appoint such attomeys in-
fact as
may necessary to act on behalf of the Companyto make:ei<ecti#e,,seal,acknowledge and dehvet as suretyanyand all undertalungs;fiopds,recognizances and other surety
obligations:
Authorization=By unanimous consent oflheCompanyis bard of Directors,the Company consents that facsimile or mech*anicallyreproduced sid6afure of any assistant secretary of the:
"Company,wherever appearing upon:a certitiedeopy of arty=posver of-attorney issued by the Company.:in connection wltlysurefy bonds,shall be valid and binding upon the Company with
the same force and effect as though manuaify affixed.
1, Renee C. Llewellyn, the undersigned, Assistant-Secretary, The Ohio--Casualty Insurance:.Company, Liberty Mutual 1680raftce Company, and;West American InsuranceCompany.do-
-hereby cerffy that IN original power of attorney-of--which the foregoing is a full, true_and correct copy of the Power ofAttomey executed by-sola Companies,is in full force and effect and
has not been.revoked. = 177J
INTESTIMONY WHEREOF;I have hereunto set my hand and affixed the seals of said Companies this day of e e/)1 20
9 ^ `y197 r t 991 By
o a Renee C.C_lew Assistant Secretary
231 of 400
LMS---"t287.3 022017
Liberty
multual.
SURETY
TEXAS TEXAS
IMPORTANT NOTICE
AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener informacion o para someter una
quej a:
formation or to Usted puede hamar al numero de telefono gratis
You may call toll-free for inpara information o para someter una queja al
make a complaint at 1-877-751-2640
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You may also write to: Usted tambien puede escribir a:
2200 Renaissance Blvd., Ste. 400
2200 Renaissance Blvd., Ste. 400 King of Prussia, PA 19406-2755
King of Prussia, PA 19406-2755
may contact the Texas Department of Puede comunicarss cera olbtDe arinformacioamento e
You y Se uros de Texas p
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coverages, rights or complaints at quejas al
1-800-252-3439 1-800-252-3439
de
You may write the Texas Department of Insurance Puede as Consumeer Protectionibir al (I 1 S 1 A)os
de Tex
Consumer Protection (111-1A) p. 0, Box 149091
P. 0, Box 149091 Austin, TX 78714-9091
Austin, TX 78714-9091 FAX # (512) 490-1007
FAX: (512) 490-1007 Web: http:/www.tdi.texas.�OV
Web: htt�.tdi.texas,gov E-mail: ConsumerProtection tdi.texas. ov
E-mail: Cons imerProtection tdi.texas. ov
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS 0 RECLAMOS:
Should you have a dispute concerning your Si tiena una dispeutcomunirme t a selprima o
premium or about a claim you should first un reclamo, debcede
contact the agent or call 1-800-84 . p
rimero. Si no se resuelve la disputa, p
contact
the entonces comunicarse con el departamento (TDI)
If the dispute is not resolved, you may
Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR
UNA ESTE AVISO A SU POLIZA:
POLICY: osito de information
This notice is for information only and does not Estnoav8e° es solo se para en parte o condition del
become a part or condition of the attached y
documento adjunto.
document.
NP 70 68 09 01
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Ab Grantges,
Contract Mgr, Of Burnsco construction, Inc., known to me to be a credible
person, who being by me duly sworn, upon his oath deposed and said;
That all persons, firms, associations, corporations, or other
organizations furnishing labor and/or materials have been paid in full;
That the wage scale established by the City Council in the City of
Fort Worth has been paid in full;
That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
West Fork Ranch Ph. 7A-Water, Sanitary Sewer and Storm Drain
BY
kAb Grantges, o Manager
Subscribed and sworn before me on this date 1st of February, 2018.
Nott' Public
Tarrant County, Texas
MARY PANNELL
Notary Public, Stam of le'xa-
"'.�4rQ Comm. Expires 10-19-20
�'�. .... `�� Notc;ry ID 5144239 1s
t
aim
February 1, 2018
City of Fort Worth
CFA Administration
1000 Throckmorton St.
Fort Worth, TX 76102
RE: Final Waiver of Lien;Water, Sanitary Sewer&Drainage Improvements to serve
West Fork Ranch 7A: City Project #100685
The purpose of this letter is to acknowledge that we have been paid in full by 287/156
Partners LP for the public improvements constructed to serve Ridgeview Farms Phase 5,
in Fort Worth, Texas. As a result, we hereby waive, release and relinquish all rights to
assert any claim or demand for lien in connection with this project.
Please feel free to contact me with any questions you may have.
Sincerely,
Ab Grantges
Contract Manager