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HomeMy WebLinkAboutContract 49790-FP1 , 23456 City Secretary D � Contract No. 49790 -FP1 ®�T wO�Z Date Received Jan 14,2019 r a . ` © //�� o C1TV 0'F FORT WORTH � � V�0;2(0 a 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: Palmilla Springs Phase 4 City Project No.: 101026 Improvement Type(s): ❑ Paving ❑ Drainage ® Street Lights ❑ Traffic Signals Original Contract Price: $89,098.00 Amount of Approved Change Order(s): Revised Contract Amount; $89,098.00 Total Cost of Work Complete: $89,098.00 1kh8dV0@„ ,LWW Jan 11,2019 Contractor Date President Title Independent Utility Construction, Inc. Company Name Jan 11, 2019 Project Inspector Date Jan 11,2019 P ject Manager Date wAn(Jan 2%2019) �� Jan 13,2019 CFA Manager Date ,—�ffQilAmi Jan 13 2019 WR AW,uaO MMISl Asst. City Manager Date OFFICIAL RECORD Page 1 of 2 CITY SECRETARY FT. WORTH,TX Notice of Project Completion Project Name: Palmilla Springs Phase 4 City Project No.: 101026 City's Attachments Final Pay Estimate Change Order(s): ❑ Yes ❑x N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 50 CD Days Charged: 50 Work Start Date: 11/29/2017 Work Complete Date: 12/5/2017 i; I I' i i p i Page 2of2 t 57&00('-- /010 0'2(.0 City Project Numbers 101026 DOE Number 1026 Contract Name PALMILLA SPRINGS PHASE 4 Estimate Number 1 Contract Limits Payment Number I Project Type STREET LIGHTING For Period Ending 12/5/2018 Project Funding Project Manager NA City Secretary Contract Number 3101026 Inspectors MILLER,W / TAEZAZ Contract Date 10/26/2017 Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 50 CD 5109 SUN VALLEY DRIVE Days Charged to Date 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 -------------------------------------- G I' I Total Cost of Work Completed $89,098.00 Less %Retained $0.00 Net Earned $89,098.00 Earned This Period $89,098.00 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 Hand Less 15% $0.00 Balance Due This Payment $89,098.00 Friday,January 11,2019 Page 4 of 4 FORTWORTH CITY OF FORT WORTH PARTIAL PAYMENT REQUEST Contract Name PALMILLA SPRINGS PHASE 4 Contract Limits Project Type STREET LIGHTING City Project Numbers 101026 DOE Number 1026 Estimate Number 1 Payment Number I For Period Ending 12/5/2018 Project Funding CD City Secretary Contract Number 3101026 Contract Time 50 CD Contract Date 10/26/2017 Days Charged to Date Project Manager NA Contract is 100.00 Complete Contractor INDEPENDENT UTILITY CONSTRUCTION 5109 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors MILLER,W / TAEZAZ Friday,January 11,2019 Page 1 of 4 City Project Numbers 101026 DOE Number 1026 Contract Name PALMILLA SPRINGS PHASE 4 Estimate Number 1 Contract Limits Payment Number 1 Project Type STREET LIGHTING For Period Ending 12/5/2018 Project Funding UNIT V A ONSITE STREET LIGHTING IMPROVEMENT Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 2"CONDT PVC SCH 80(T) 1545 LF $6.53 $10,088.85 1545 $10,088.85 2 GROUND BOX WITH LID AND APRON-SMALL I I EA $397.00 $4,367.00 11 $4,367.00 3 RDWY ILLUM ASSEMBLY TY 11 17 EA $1,755.00 $29,835.00 17 $29,835.00 4 RDWY ILLUM FOUNDATION TY 1 17 EA $868.00 $14,756.00 17 $14,756.00 5 6-6-6 TRIPLEX ALUM ELEC CONDUCTOR 1545 LF $2.55 $3,939.75 1515 $3,939.75 Sub-Total of Previous Unit $62,986.60 $62,986.60 UNIT V-B OFFSITE STREET LIGHTING IMPROV CHAPI Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 2"CONDT PVC SCH 80(T) 1055 LF $6.53 $6,889.15 1055 $6,889.15 2 GROUND BOX WITH LID AND APRON-SMALL 2 EA $397.00 $794.00 2 $794.00 3 RDWY ILLUM ASSEMBLY TY 11 6 EA $1,755.00 $10,530.00 6 $10,530.00 4 RDWY ILLUM FOUNDATION TY 1 6 EA $868.00 $5,208.00 6 $5,208.00 5 6-6-6 TRIPLEX ALUM ELEC CONDUCTOR 1055 LF $2.55 $2,690.25 1055 $2,690.25 Sub-Total of Previous Unit $26,111.40 $26,111.40 Friday,January 11,2019 Page 2 of 4 City Project Numbers 101026 DOE Number 1026 Contract Name PALMILLA SPRINGS PHASE 4 Estimate Number 1 Contract Limits Payment Number 1 Project Type STREET LIGHTING For Period Ending 12/5/2018 Project Funding Contract Information Summary Original Contract Amount $89,098.00 Changze Orders Total Contract Price $89,098.00 Total Cost of Work Completed $89,098.00 Less %Retained $0.00 Net Earned $89,098.00 Earned This Period $89,098.00 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' $89,098.00 Friday,January 11,2019 Page 3 of 4 AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me, the undersigned authority, on this day personally appeared RICHARD WOLFE, President of INDEPENDENT UTILITY CONSTRUCTION INC. known to me to be a credible person, and after being duly sworn by me, 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: Palmilla Springs Phase 4—Ci!y Project No. 101026 BY: 'chard Wolfe,President SLIBSCRIBJEDD AND SWORN TO BEFORE ME on this day of 2018. CIJRIS`fINA GARCIA - - NotAry Publlc Stets of Texas ILL I'LP Cor11m,GN;pifd'3 1240,2020 Notilty ID.13f19+0785 Notary Public, State of Texas CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT OAR El (SIMILAR TO AIA DOCUMENT G707) Bond No. 8368026 PROJECT: Street Lighting Improvements Palmilla Springs, Phase 4 (name,address)Fort Worth,Texas TO (Owner) ARCHITECTS PROJECT NO: City of Fort Worth CONTRACT FOR: Above Project 200 Texas Street Fort Worth, Texas 76102 CONTRACT DATE: CONTRACTOR: Independent Utility 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) Westfield Insurance Company 555 Republic Drive, Suite 450 Plano, Texas 75074 ,SURETY COMPANY, on bond of(here insert name and address of Contractor) Independent Utility Construction, Inc. 5109 Sun Valley Drive ,CONTRACTOR, Fort Worth,Texas 76119 hereby approves of the final payment to the Contractor, and agrees that the final payment to the Contractor shall not relieve the Surety Company of any of its obligations to(here insert name and address of Owner) City of Fort Worth 200 Texas Street Fort Worth, Texas 76102 ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, The Surety Company has hereunto set its hand this 5t11 day of November 2018 - WESTFIELD INSURANCE COMPANY Surety Compa By /(M Signatur Authoriz epresentative Attest: (Seal): Kyle W. Sweeney Attorney—in—Fact Title Note:This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING 1 HIS SAMt POWER##AND ISSUED PRIOR TO 04/20/11, FOR ANY PERSON OR PERSONS NAMED BELOW. POWER NO. 4220052 06 General Power Westfield Insurance Co. of Attorney Westfield National Insurance Co. Ohio Farmers Insurance Co. CERTIFIED COPY Westfield Center, Ohio Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a "Company" and collectively as -Companies,- duly organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Medina County, Ohio, do by these presents make,constitute and appoint CHARLES D. SWEENEY, MICHAEL A.SWEENEY,KYLE W.SWEENEY,ELIZABETH GRAY,JOINTLY OR SEVERALLY of FORT WORTH and State of TX its true and lawful Attorney(s)-in-Fact,with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instruments or contracts of suretyship- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE GUARANTEE,OR BANK DEPOSITORY BONDS. and to bind any of the Companies.thereby as fully and to the same extent-as if such bonds were signed by the President,sealed with the corporate seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney(s)-in-Fact may do in the-premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY: 'Be It Resolved,that the President,any Senior Executive,any Secretary or any Fidelity&Surety Operations Executive or other Executive shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: The Attorney-in-Fact. may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and deliver,any and all bonds, recognizances,contracts, agreements of indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary.' 'Be it Further Resolved,that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signatures or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.' (Each adopted at a meeting held on February 8,2000). •In Witness Whereof,WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 20th day of APRIL A-D.,2011 Corporate ,,w•w.w,».y ,,duua ,,.w••(gb.A. rP �� UR %0 AC WESTFIELD INSURANCE COMPANY Seals r �aS«»��!C • aP��-•••�!+YS'',, r•'QS��SURA,jf•°- WESTFIELD NATIONAL INSURANCE COMPANY Affixed x ' o,. •GP �`� • •••�'E`�= OHIO FARMERS INSURANCE COMPANY &W-I +�7'r�JG L ro� � sE�, c.,m= =`�'CNtrRTFR raj:•�a / �/} _ 4 : 1848 .01 State of Ohio Richard L. Kinnaird,Jr.,National Surety Leader and County of Medina ss.: Senior Executive On this 20th day of APRIL A.D.,2011 ,before me personally came Richard L. Kinnaird, Jr.to me known,who, being by me duly sworn,did depose and say,that he resides'in Medina, Ohio;that he is Senior Executive of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above instrument;that he knows the seals of said Companies;that the seals affixed to said instrument are such corporate seals;that they were so affixed by order of the.Boards of Directors of said Companies;and that he signed his name thereto by like order. Notarial Seat Affixed /I ��ll�//%•.F:Z • William J. Kailelin,A rney at Law,Notary Public State of Ohio o My Commission Does Not Expire(Sec.147.03 Ohio Revised Code) County of Medina ss r a o.,, I,Frank A..Carrino,Secretary of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, do hereby.certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies,which is stili in full force and effect;and furthermore,the resolutions of the Boards of Directors,set out in the Power of Attorney are in full force and effect. In Witness Whereof, i have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 5t1i day of NovemberrA-D., 2018 ...... 9`= :4• 3 SEAL rm:. ^o�C ;mac � � Secretary v� r YZ` •. .0" , .1848 •4t= Frank A.Carrino, gecretary •k ',`..;.......••••, BPOAC2 (combined) (06-02) Green Sheet CPN 101026 Palmilla Springs Phase 4 Street Lights - Adobe Sign Document History 01/14/2019 -^ Created: 01/11/2019 By: Etta Bacy(etta.bacy@fortworthtexas.gov) Status: Signed Transaction ID: CBJCHBCAABAAOMubPRYMoHoMSOhJWFofZ6izKHTwawAR "Green Sheet CPN 101026 Palmilla Springs Phase 4 Street Ligh ts" History Document created by Etta Bacy(etta.bacy@fortworthtexas.gov) 01/11/2019-12:24:54 PM CST-IP address:209.194.29.100 Document emailed to Richard Wolfe (rwolfe@iuctx.com)for signature 01/11/2019-12:31:14 PM CST Document viewed by Richard Wolfe(rwolfe@iuctx.com) 01/11/2019-12:33:23 PM CST-IP address:66.102.7.78 �i Richard Wolfe (rwolfe@iuctx.com) uploaded the following supporting documents: 6 File Attachment 1 Cr/ File Attachment 2 01/11/2019-2:06:27 PM CST Jc, Document e-signed by Richard Wolfe (rwolfe@iuctx.com) Signature Date:01/11/2019-2:06:27 PM CST-Time Source:server-IP address:75.139.243.146 L$ Document emailed to Habte Taezaz(habte.taezaz@fortworthtexas.gov)for signature 01/11/2019-2:06:28 PM CST ! Document viewed by Habte Taezaz(habte.taezaz@fortworthtexas.gov) 01/11/2019-3:26:17 PM CST-IP address:174.47.154.90 C5& Document e-signed by Habte Taezaz(habte.taezaz@fortworthtexas.gov) Signature Date:01/11/2019-3:27:52 PM CST-Time Source:server-IP address: 174.47.154.90 C'> Document emailed to Ariel Duarte (ariel.duarte@fortworthtexas.gov)for approval 01/11/2019-3:27:53 PM CST FORTWORTH. Adobe e Sign "L Document viewed by Ariel Duarte(ariel.duarte@fortworthtexas.gov) 01/11/2019-3:39:37 PM CST-IP address:209.194.29.100 f` . Document approved by Ariel Duarte (ariel.duarte@fortworthtexas.gov) Approval Date:01/11/2019-3:40:59 PM CST-Time Source:server-IP address:209.194.29.100 Ew Document emailed to G.Sahu, pm (gopal.sahu@fortworthtexas.gov)for signature 01/11/2019-3:40:59 PM CST 5 Document viewed by G.Sahu, pm (gopal.sahu@fortworthtexas.gov) 01/11/2019-3:48:50 PM CST-IP address:209.194.29.100 60, Document e-signed by G.Sahu, pm (gopal.sahu@fortworthtexas.gov) Signature Date:01/11/2019-3:49:17 PM CST-Time Source:server-IP address:209.194.29.100 C'Y Document emailed to Janie Scarlett Morales oanie.morales@fortworthtexas.gov)for signature 01/11/2019-3:49:18 PM CST Document viewed by Janie Scarlett Morales(Janie.morales@fortworthtexas.gov) 01/13/2019-8:01:14 AM CST-IP address:209.194.29.100 OC,. Document e-signed by Janie Scarlett Morales (Janie.morales@fortworthtexas.gov) Signature Date:01/13/2019-8:02:06 AM CST-Time Source:server-IP address:209.194.29.100 Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 01/13/2019-8:02:07 AM CST 5 Document viewed by Susan Alanis(susan.alanis@fortworthtexas.gov) 01/13/2019-8:41:06 PM CST-IP address:209.194.29.100 c Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:01/13/2019-8:44:45 PM CST-Time Source:server-IP address:209.194.29.100 C'� Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 01/13/2019-8:44:46 PM CST TD Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 01/14/2019-8:42:46 AM CST-IP address:209.194.29.100 bc, Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:01/14/2019-8:43:51 AM CST-Time Source:server-IP address:209.194.29.100 Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 01/14/2019-8:43:52 AM CST Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 01/14/2019-8:44:25 AM CST-IP address:209.194.29.100 FoR — -Off' - I Adobe y Sign Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date:01/14/2019-8:44:45 AM CST-Time Source:server-IP address:209.194.29.100 Document emailed to Julie A Geho Oulie.geho@fortworthtexas.gov)for delivery 01/14/2019-8:44:46 AM CST '7L-"i Document viewed by Julie A Geho Oulie.geho@fortworthtexas.gov) 01/14/2019-8:57:31 AM CST-IP address:209.194.29.100 Document receipt acknowledged by Julie A Geho Qulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:01/14/2019-8:57:45 AM CST-Time Source:server-IP address:209.194.29.100 C Document emailed to TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov)for delivery 01/14/2019-8:57:46 AM CST �7 Document viewed by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) 01/14/2019-11:43:27 AM CST-IP address:209.194.29.100 . Document receipt acknowledged by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:01/14/2019-11:43:40 AM CST-Time Source:server-IP address:209.194.29.100 L' Signed document emailed to Susan Alanis (susan.aianis@fortworthtexas.gov), TPW Fiscal Staff (tpwcfafiscal@fortworthtexas.gov), Janie Scarlett Morales Qanie.morales@fortworthtexas.gov), Trudy Brotherton (therese.broth erton@fortworthtexas.gov), and 7 more 01/14/2019-11:43:40 AM CST FoRTWORTH. Adobe Adobe Sign