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Home My WebLink AboutContract 47678-FP1 Department of TP&WConst.Services CPN# Date Project Magnager -y —�—PO ZT WO D T y j Risk Mana emenf Canad — ,� 1Vr j� �j C�wCm� �j D.O.E. Brotherton Z� =15 - CONTRACT NO. /�/ CFA Morales/Scanned (p_a� _ Gutzler/Scanned g ZV--I The Proceeding people have been Contacted 'ATION AND PUBLIC WORKS concerning the request for final payment&have )F PROJECT COMPLETION �y /� released this project for such payment. Developer Projects) �"C((pb I — 1003-4 Clearance Conducted By � City Project Ns: 1003240"66djr# 4/7l0/"B Regarding contract 100324 for REYNOLD INDUSTRAIL ADDITION,LOTS 1&2,BLK 1 as required by the WATER DEPARTMENT as approved by City Council on N/A through M&C N/A the director of the WATER DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the pro tAs„csimplete.- •-•— c U, Original Contract Price: I JUN 2 7 2018 $78,695.00 Amount of Approved Change Orcrg: Ns l..w..,..•�..�w'.M Revised Contract Amount: Total Cost Work Completed: $78,695.00 Recomm'OV Acceptance Date Asst. Dire - Development Services r"e / r Accepted Date Asst. Director, WATER DEPARTMENT Asst. City Manager Date T Comments: OFFICIAL.RECORD CITY EItCRITARY IMontit TX Rev.9/22/16 � ' " ' � -, r t "1 JUN 2 7 2018 15-q&O City Project Numbers 100324 `E.YDOE Number 0324 Contract Name 12"WATER LINE TO SERVE � Estimate Number 1 Contract Limits REYNOLD INDUSTRIAL ADDITION,LOTS 1 2,BLOCK 1 Payment Number 1 Project Type WATER For Period Ending 6/6/2018 Project Funding Project Manager NA City Secretary Contract Number Inspectors LAYER/ ODEN Contract Date Contractor JACKSON CONSTRUCTION LTD Contract Time 360 CD 5112 SUN VALLEY DRIVE Days Charged to Date 694 CD FORT WORTH, TX 76119 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 $78,695.00 Less %Retained $0.00 Net Earned $78,695.00 Earned This Period $78,695.00 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 Nand Less 15% $0.00 Balance Due This Payment $78,695.00 Wednesday,June 6,2018 Page 4 of 4 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name 12"WATER LINE TO SERVE Contract Limits REYNOLD INDUSTRIAL ADDITION,LOTS 1&2,BLOCK 1 Project Type WATER City Project Numbers 100324 DOE Number 0324 Estimate Number 1 Payment Number 1 For Period Ending 6/6/2018 CD City Secretary Contract Number Contract Time 36aD Contract Date Days Charged to Date 694 Project Manager NA Contract is 100.00 Complete Contractor JACKSON CONSTRUCTION LTD 5112 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors LAYER I ODEN Wednesday,June 6,2018 Page 1 of 4 City Project Numbers 100324 DOE Number 0324 Contract Name 12"WATER LINE TO SERVE Estimate Number 1 Contract Limits REYNOLD INDUSTRIAL AMMON,LOTS I&2,BLOCK 1 Payment Number 1 Project Type WATER For Period Ending 6/62018 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------.v,,. . —---------� ---.,_-__,_.---- 1 TRENCH SAFETY 900 LF $1.00 $900.00 900 $900.00 2 DUCTILE IRON WATER FITTINGS 0.5 TN $13,200.00 $6,600.00 0.5 $6,600.00 W/RESTRAINT 3 6'PVC WATER PIPE 40 LF $33.25 $1,330.00 40 $1,330.00 4 8"PVC WATER PIPE 80 LF $37.75 $3,020.00 80 $3,020.00 5 12'PVC WATER PIPE 840 LF 551.75 $43,470.00 840 $43,470.00 6 FIRE HYDRATED AND APPURTENANCES 2 EA $4,000.00 $8,000.00 2 $8,000.00 7 CONNECT TO EXISTING 4"42"WATER MAIN I EA $2,200.00 $2,200.00 1 $2,200.00 8 12"GATE VALVE 3 EA $2,500.00 57,500.00 3 $7,500.00 9 8"GATE VALVE 2 EA $1,250.00 $2,500.00 2 $2,500.00 10 NON STANDARD ITEM I EA $3,175.00 $3,175.00 1 $3,175.00 ——————————————————---—————————————————— Sub-Total of Previous Unit $78,695.00 $78,695.00 -------------------------------------- Wednesday,June 6,2018 Page 2 of 4 City Project Numbers 100324 DOE Number 0324 Contract Name 12"WATER LINE TO SERVE Estimate Number 1 Contract Limits REYNOLD INDUSTRIAL ADDITION,LOTS 1&2.BLOCK 1 Payment Number 1 Project Type WATER For Period Ending 6/62018 Project Funding Contract Information Summary Original Contract Amount $78,695.00 Chance Orders Total Contract Price $78,695.00 )ate (P I f Total Cost of Work Completed S78,695.00 Contractor Less %Retained $0.00 �.... Date 6 Net Earned 578.695.00 L_„r�;,,,e„ Earned This Period $78,695.00 .3pec...,.. .per,is Retainage This Period $0.00 Date Less Liquidated Damages Pro' c ana;er Days @ /Day $0.00 Date �J'^'1 LessPavement Deficiency 50.00 Asst&�J Less Penalty $0.00 1. pate �, 27Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% 50.00 Balance Due This Payment $78,695.00 Wednesday,June 6,2018 Page 3 of 4 FoRTWORTH rev 03/05/07 TRANSPORTATION&PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: 12"water Relocation Reynolds Industrial addition PROJECT NO.: 100324 CONTRACTOR: Jackson Construction DOE NO.: N/A PERIOD FROM:07/11/16 TO: 06/04/18 FINAL INSPECTION DATE: 4-Jun-18 ' WORK ORDER EFFECTIVE-7111/2016 CONTRACT TIME: 694 0 WIIJ's CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS CHARGED CHARGED MONTH DURING CREDITED MONTH DURING CREDITED 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 &HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS THIS 0 0 0 0 694 694 PERIOD PREVIOUS 0 0 0 0 0 PERIOD TOTALS 0 0 0 0 694 694 TO DATE *REMARKS: � CONTRACTOR DATE INSPECrbR DATE _ ENGINEERING DEPARTMENT The City of Fort Worth.•1000 Throckrnorton Soret•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 FoRTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: 12"Wtawline reynolds Addition PROJECT NUMBER: CPN# 100324 DOE NUMBER: WATER PIPE LAID SIZE TYPE OF PIPE LF Water 12" PVC SDR 14 840 Water 8" PVC SDR 14 s0 Water 6" PVC SDR 14 40 FIRE HYDRANTS: VALVES(16"OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: yee NEW SERVICES: NIA N/A N/A SEWER PIPE LAID SIZE TYPE OF PIPE LF PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 76012-6311 (817)392-7941 -Fax:(817)392-7845 CONSTRUCTION LTD. 5112 SUN VALLEY DRIVE FORT WORTH,TX 76119 TEL:817-572-3303 FAX:817-478-0443 Affidavit of All Bills Paid STATE OF TEXAS KNOW ALL MEN BY THESE PRESENTS: COUNTY OF TARRANT I,Troy L. Jackson, of the undersigned principal hereby certify that all obligations, claims and debts due laborers, materialmen, subcontractors, suppliers, and others incurred in or contingent to the performance of the work on the project known as 12" Water Line to service Reynolds Industrial Addition, Lots 1&2, Block 1 in the City of Fort Worth,Texas have been fully paid. This affidavit is made for the purpose of obtaining payment from the City of Fort Worth on above construction work. Subscribed and sworn to before me this Jackson Construction, Ltd. Principal 1 1 t ay of June, 2018 By: Z otary Signa re Troy L. Jacks n, Presid nt Commission Expires: 04/0 /2020 CARMEN L. ESTEP Notary Putiic,state of Texas Comm.Expires 04-06-2020 Notary ID 2910611 ,'"rgrnNN CONSTkUCTION LTD. 51 12 SUN VALLEY DRIVE FORT WORTH,TX 76119 TEL:817-572-3303 FAX:817-478-0443 AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Troy L. Jackson, President Of Jackson Construction, Ltd,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; 12" Water Line to ervice Reynolds Industrial Addition, Lots 1&2, Block 1 BY Tr6y—X. Jaikson, President Subscribed and sworn before me on this date 11th of June,2018. Notary Public Tarrant,Texas CARMEN L.ESTEP Notary Public,State of Texas Comm.Expires 04-06-2020 Notary 1D 2410611 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY OTHER ❑ AIA DOCUMENT G707 Bond No. BCD1032196 PROJECT: (name,address) TO(Owner) �°-- ARCHITECTS PROJECT NO: (Reynolds Asphalt Company � CONTRACT FOR:Reynolds Industrial Addition ,TX tt II CONTRACT DATE: L.... J CONTRACTOR Jackson Construction,Ltd. 5112 Sun Valley Drive Fort Worth,TX 76119 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (hero Insert name and address of Surety Company) The Hanover Insurance Company 440 Lincoln Street Worcester, MA 01653 ,SURETY COMPANY, on bond Of(hero Insert name and address of Contractor) Jackson Construction, Ltd. 5112 Sun Valley Drive Fort Worth,TX 76119 ,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) Reynolds Asphalt Company ,TX OWNERS, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 13th day of June,2018 ucte The Hanover Insurance Company Surety�A�y Attest: Signature of Authorized Repre entative ( DarAefe 0 Johnson Attorney-in-Fact Tftle NOTE: This form is to be used as a compares document to AIA DOCUMENT G708,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,Current Edition AIA DOCUMENT G707-CONSENT OF SURETY COMPANY TO FINAL PAYMENT-APRIL 1970 EDITION-AIA6 ONE PAGE ®1970•THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVE.,NW,WASHINGTON,D.C.20008 .i - THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWERS OF A77ORNEY CERTIFIED COPY KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing under the laws of the State of New Hsmp"e,and CITIZENS INSURANCE COMPANY OF AMERICA,a corporation organized and existing under the laws of the State of Michigan,do hereby constitute and appoint Danielle D Johnson Of Addison,TX and each is a true and lawful Adomey(s)•in-fact to sign,execute,seal.acknowledge and deOver for, and on its behalf,and as its act and deed arty place within the United States,or,if the following One be filled in,only within the area therein designated any and all bonds,recognizances,undertakings,contracts of Indemnity or other writings obligatory In the nature thereof,as follows: Surety Bond Nurnber. BCD1032196 Principal: Jackson Construction,Ltd. Obligee: Reynolds Asphalt Company and said companies hereby ratify and confirm all and whatsoever said Attorney(s)at--fact may lawfully do in the premises by virtue of these presents. These appointments are made under and by authority of the following Resolullo t passed by the Board of Directors of said Companies which resolutions are stilt in effect "RESOLVED,That the President or any Vice President,in cor4unttion with anyVice President,be and they are hereby authorized and empowered to appoint Attomeys-In-fact of the Company,in its name and as He ads,to execute and acknowledge for and on Its behar as Surety any and all bonds,mcognasroas. contracts of indemnity,waivers d citation and ail other writings obligatory N the nature thereof,with power to attach thereto the seal of the Company.Any such writings so executed by such Attomeys-in-fad shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected otfioam of the Company in their own proper parsort4 7(Adopted October T.1981-The Hanover Insurance Company,Adopted April 14.1962- Massachusetts Bay Irw rance Company,Adopted September 7,2001-Cilmsns Isrransa Company of America) IN WITNESS WHEREOF,THE HANOVER INSURANCE COMPANY,MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly aftested by two Vice Presidents, this 6th day of October 2011. THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS 1 E ANY OF AMERICA 1DPs tare Robert onhas,Vice President �� THE COMMONWEALTH OF MASSACHUSETTS ) COUNTY OF WORCESTER On this 6th day of October 2011 before me came the above named Vice Presidents of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein.and sckrwwiedged that t o seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company.Massachusetts Bay Insurance Company and C)Yzens Insurance Company of America,respectively,and that the said corporate assts lard their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Corporations. 9Ar9ARIUA `c" rrorsxy mass ] h]awMa,aarsscw+s BMbara A.Garlick,Notary Public My Commission Expires September 21,2018 1,the undersigned Vice President of The Hanover insurance Company,Massactalsetts Bay Insurance Company and Citizens Insurance CompanyofAmerics. hereby certify that the above and foregoing is a f iA,true and correct copy of fife Oro"Power of Attorney issued by said Companies.and do hereby further certify that the said Powers of AUon ey are stili in force and efts r. This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Cornpany, Massachusetts Bay Insurance Company and Citizens Insurance Company of America. RESOLVED,That any and sit Pavers of Attorney and CerMad Copies of such Pourers ofAttomey and certification In respect thereto,granted and exsurted by the President or any Vie President In conjunction with any Vice President of the Company,shall be binding on the Company to the some extent as I as sgnshaea therein were manually even though one or more d a"suck signakses theraanmay be IscsMrab- (Adopted Oclaber 7.1961-The Hanover n Ir�ce Company'. Apol 14,1982-Massachusetts Bay ksurencaCompany.Adopbd SepNmDr 7.2001-Caiesns Ineumnee Compseyof GIVEN under my hand and the seals of said Companies,at Worcester.Massachusetts,this 13th day of June 2018 THE HANOVER INSURANCE COMPANY MASSACHUSETTS 13AY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA =" 1 A".S(a4— C�6Margosian,Vice President CONSTRUCTION LTD. 5112 SUN VALLEY DRIVE FORT WORTH,TX 76119 TEL:817-572-3303 FAX:817-478-0443 June 12, 2018 City of Fort Worth CFA Administration 1000 Throckmorton St. Fort Worth, TX 76102 RE: 12"Water Line to service Reynolds Industrial Addition, Lots 1&2, Block 1 City Project#100324 The purpose of this letter is to acknowledge that we have been paid in full by Reynolds Asphalt & Construction Company for the public improvements constructed to serve 12" Water Line to service Reynolds Industrial Addition, Lots 1&2,Block 1 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, G��cvtit Troy L. Jackson President