HomeMy WebLinkAboutContract 49942-FP1 City Secretary 49942 -FPI
Contract No.
FORT WORTH, Date Received Aug 6,2018
NOTICE OF PROJECT COMPLETION
(Developer Projects)
The Transportation and Public Works Department upon the recommendation of the Project
Manager has accepted the following project as complete:
Project Name: MORIAH AT TIMBERLAND ADDITION PHASE 2
City Project No.: 100619
Improvement Type(s): 21 Paving ❑ Drainage U Street Lights O Traffic Signals
Original Contract Price: $128,535.50
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $128,535.50
Aug 3,2018
Carmen ES:ero IAu V.3.201
Contractor Date
Office Manager
Title
Jackson Construction, Ltd
Company Name
A.12dZ4, Aug 3,2018
arlil�a CA.orla(Aur 3.70181
Project Inspector Date
A
Aug 3,2018
xhal Jaaiari!Aur ot8
Proje Manager Date
47a&i 140l <kmk Aug 6,2018
nni�1;-rl..n Mnrolo•,tangy 20181
CFA Manager Date
Suomi A 6;i i
Susan Alaniz(Aug 6.2D18) Aug 6,2018 !
Asst. City Manager Date
Pacie'i of 2
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
Notice of Project Completion
Project Name: MORIAH AT TIMBERLAND ADDITION PHASE 2
City Project No.: 100619
City's Attachments
Final Pay Estimate
Change Order(s): ❑ Yes ® N/A i
Contractor's Attachments
G
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
r
Contract Time: 90 CD Days Charged: 207 D
Work Start Date: 12/18/2017 Work Complete Date: 7/17/2018
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City Project Numbers 100619 DOE Number 0619
Contract Name MORIAH AT TIMBERLAND ADDITION Estimate Number 1
Contract Limits PHASE 2 Payment Number 1
Project Type PAVING&ST LIGHT For Period Ending 7/17/2018
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Project Funding u
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Project Manager NA City Secretary Contract Number
Inspectors DICKINSON / CAZORLA Contract Date
Contractor JACKSON CONSTRUCTION LTD Contract Time 90 CD
5112 SUN VALLEY DRIVE Days Charged to Date 207 CD
FORT WORTH, TX 76119 Contract is 000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
i'
Line Fund Account Center Amount
Funded Gross Retainage Net
4�
---------------
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Total Cost of Work Completed $128,535.50
Less %Retained $0.00 j
Net Earned $128,535.50 j
Earned This Period $128,535.50 II
Retainage This Period $0.00 I
i
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 $128,535.50
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Wednesday,July 25,2018 Page 4 of 4
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FORT WORTH r
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name MORIAH AT TIMBERLAND ADDITION
Contract Limits PHASE 2
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Project Type PAVING&ST LIGHT 1
City Project Numbers 100619 1
1
DOE Number 0619
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Estimate Number 1 Payment Number 1 For Period Ending 7/17/2018
CD
City Secretary Contract Number Contract Time 90:D
Contract Date Days Charged to Date 207
Contract is 100.00 Complete
Project Manager NA P
Contractor JACKSON CONSTRUCTION LTD
5112 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors DICKINSON / CAZORLA
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td
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Wednesday,July 25,2018 Page 1 of 4
1
City Project Numbers 100619 DOE Number 0619
Contract Name MORIAH AT TIMBERLAND ADDITION Estimate Number 1
Contract Limits PHASE 2 Payment Number 1
Project Type PAVING&:ST LIGHT For Period Ending 7/17/2018
Project Funding
PAVING
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
——————————————————————————————————————-
1 MOBILIZATION I LS $21,150.00 $21,150.00 1 $21,150.00
2 SITE CLEARING 1 LS $6,110.00 $6,110.00 1 $6,110.00
3 UNCLASSIFIED EXCAVATION BY PLAN 73 CY $32.00 $2,336.00 73 $2,336.00
4 SWPPP I LS $9,000.00 $9,000.00 1 $9,000.00
5 HYDRATED LIME 15.5 TN $182.00 $2,821.00 15.5 $2,821.00
6 6"LIME TREATMENT 1150 SY $6.25 $7,187.50 1150 $7,187.50
7 7"CONC PVMT 1093 SY $64.00 $69,952.00 1093 $69,952.00
8 4"CONC SIDEWALK 252 SF $6.00 $1,512.00 252 $1,512.00
9 BARRIER FREE RAMP 2 EA $1,600.00 $3,200.00 2 $3,200.00
10 4"SLD PVMT MARKING HAS 1022 LF $1.00 $1,022.00 1022 $1,022.00
11 REFL RAISED MARKER 13 EA $6.00 $78.00 13 $78.00
12 REMOVE RAISZED MARKER 52 EA $1.00 $52.00 52 $52.00
13 TOPSOIL 27 CY $45.00 $1,215.00 27 $1,215.00
14 FURNISHANSTALL ALUM SIGN GROUND 2 EA $450.00 $900.00 2 $900.00
MOUNT CITY STD
--------------------------------------
Sub-Total of Previous Unit $126,535.50 $126,535.50
ST LIGHT
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
--------- --------------------------------
1 LED LIGHT FIXTURE 2 LS $1,000.00 $2,000.00 2 $2,000.00
----------------------------------------
Sub-Total of Previous Unit $2,000.00 $2,000.00
--------------------------------------
Wednesday,July 25,2018 Page 2 of
G
City Project Numbers 100619 DOE Number 0619
Contract Name MORIAH AT TIMBERLAND ADDITION Estimate Number 1
Contract Limits PHASE 2 Payment Number 1
Project Type PAVING&ST LIGHT For Period Ending 7/17/2018
Project Funding
Contract Information Summary
Original Contract Amount $128,535.50
Chante Orders
Total Contract Price $128,535.50
Total Cost of Work Completed $128,535.50
Less %Retained $0.00
Net Earned $128,535.50
Earned This Period $128,535.50
Retainage This Period $0.00
Less Liquidated Damages
Days @ /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 $128,535.50
Wednesday,July 25,2018 Page 3 of 4
JACKSON
CONSTRUCTION LTD.
MEMNON
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 Moriah at Timberland Addition, PH 2 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
7th Day of June,2018
gy;_ moi!
otary Signature Troy .Jackson, resident
Commission Expires: 04/06/2020
CARMEN L.ESTEP
:�tr`Y pV6
==°r
Lc. Notary Public,State of Texas
� :, Comm.Expires 04-06-2020
Notary ID 2910611
anJACKSON
CONSTRUCTION LTD.
5112 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;
Moriah At Timberland Addition,PH 2
-"7BY lwnw
TroyX.Jackson,President
Subscribed and sworn before me on this date 7th of June,2018.
Notary NMI'
Tarrant,Texas
Y�Y
CARMEN L. ESTEP
sir' �o m Notary Public,State of Texas
Comm.Expires 04-06-2020
� °„ .o` Notary ID 2910611
i
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY 91
OTHER ❑
AIA DOCUMENT G707 Bond No. BCD1054959
PROJECT: Moriah at Timberland Addition Phase 2 Infrastructure
(name,address)
TO(Owner)
ARCHITECT'S PROJECT NO:
Triangle 1-35 Realty, LTD CONTRACT FOR:Moriah at Timberland Addition Phase 2
303 W Wall Street Infrastructure
Midland,TX 79701
CONTRACT DATE:
L
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
(here insert name and address of Surety Company)
The Hanover Insurance Company
440 Lincoln Street Worcester, MA 01653 SURETY COMPANY,
on bond Of(here 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)
Triangle 1-35 Realty, LTD
303 W Wall Street Midland,TX 79701 OWNERS,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF, ,
the Surety Company has hereunto set its hand this 11th day of June, 2018
The Hanover Insurance Company
Surety Company
Inv-.Q-
/� Signature of Authorized Representative
Attes�Je
J
(Se Inose Phothirath Aimee R Perondine Attomey-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
CLAW.Current Edition
AIA DOCUMENT G707•CONSENT OF SURETY COMPANY TO FINAL PAYMENT•APRIL 1970 EDITION•AIA6 ONE PAGE
01970-THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVE.,NW,WASHINGTON.D.C.20006
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWER OF ATTORNEY
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.
KNOW ALL PERSONS 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 Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a
corporation organized and existing under the laws of the State of Michigan,(hereinafter individually and collectively the"Company")does
hereby constitute and appoint,
Stacy Rivera,Jennifer M Garten,Donna M Planta,Joshua Sanford,Nicole Ann Clark,Aimee R Perondine,Alza Lopez,Keri Ann Smith,Brian
Peters,Danielle D Johnson,Stephani A Trudeau,Adam Martin,Ashley Sinclair and/or Michelle Anne McMahon
Of Willis of Connecticut,LLC of Hartford,CT each individually,if there be more than one named,as its true and lawful attorney(s)-in-
fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed any place within the United States,
any and all surety bonds,recognizances,undertakings,or other surety obligations.The execution of such surety bonds,recognizances,
undertakings or surety obligations, in pursuance of these presents, shall be as binding upon the Company as if they had been duly
signed by the president and attested by the secretary of the Company,in their own proper persons.Provided however,that this power of
attorney limits the acts of those named herein;and they have no authority to bind the Company except in the manner stated and to the
extent of any limitation stated below:
Any such obligations in the United States,not to exceed Twenty Million and NoM00($20,000,000)in any single instance
That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said
Company,and said Resolutions remain in full force and effect:
RESOLVED: That the President or any Vice President, in conjunction with any Vice President, be and they hereby are authorized and
empowered to appointAttomeys-in-fact of the Company,in its name and as it acts,to execute and acknowledge for and on its behalf as surety,
any and all bonds,recognizances,contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to
attach thereto the seal of the Company.Any such writings so executed by such Attomeys-in-fact shall be binding upon the Company as if they
had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons.
RESOLVED:That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted
and executed by the President or Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the
same extent as if all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile.
(Adopted October 7,1981—The Hanover Insurance Company;Adopted April 14,1982—Massachusetts Bay Insurance Company;Adopted
September 7,2001—Citizens Insurance 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 attested by
two Vice Presidents,this 23rd day of September,2016.
THE HANOVER NSURANCE COMPANY
MASSACMr3EM BAY ROURANCE COMPANY
q a MDMA",UrQ1imclE MPANY OF AMERICA
Robert Thomas,V kc PlWident
TM MMMOVER OMURAPME COSW^MY
THE COMMONWEALTH OF MASSACHUSETTS )
COUNTY OF WORCESTER )ss. 7onall
On this 23rd day of September 2016 before me came the above named Vice Presidentsanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company ofAmedca,tome penown to be the individuals and
officers described herein,and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover
Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,respectively,and that the
said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of
said Corporations.
OMN!J.MAwINO /� 'o�
oorMaoa�rarw�rrou SR.i'M'l��J�Q.tl/JLt/
w oaa.twa Ma raa Diane J. Notary Public
My Commr -:Expires March 4.2022
1,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance
Company of America,hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued
by said Companies,and do hereby further certify that the said Powers of Attorney are still in force and effect.
GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 11th day of June,2018
CERTIFIED COPY �-
Thwdm G.Martina,VikMe Pmida t
Greensheet for Moriah At
w ,Mw� Timberland Addition Phase 2
Paving & Lights
__ -- Adobe Sign Document History 08/06/2018
Created: 07/26/2018
�r-- - By: Etta Bacy(etta.bacy@fortworthtexas.gov)
a Status: Signed
Transaction ID: CBJCHBCAABAAgNoD_1JW5hKY21FgOYIMfQOYsfg5u4vz
"Greensheet for Moriah At Timberland Addition Phase 2 Paving
& Lights History
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