HomeMy WebLinkAboutContract 49790-FP2 91011City 7
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49790 -FP2
Jan 14,2019
CIV �,Eo FORT WORTH® Date Received
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NOTICE OF PROJECT COMPLETION
OL 6`� 1.� (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: $646,865.00
Amount of Approved Change Order(s): -$3,210.00
Revised Contract Amount: $643,655.00
Total Cost of Work Complete: $643,655.00
Jan 11,2019 '
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Contractor Date
President
Title
Moss Utilities,LLC
Company Name
A&Agr-z 1, Jan 11,2019
I4YaTr.riin 11'Jstn
Project Inspector Date
W-4iz&& W Jan 14,2019
Project Manager Date
T�tP fGAJ `/LIOf"�I
n4ScarkttHcnle{u,ia,�nie? Jan 14,2019
CFA Manager Date
SufA&AtA r&1 Jan 14,2019
Sean Mft(Jsh 14,=1%
Asst. City Manager Date
Page 1 of 2
OFFICIAL RECORD
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): x❑ Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 85 CD Days Charged: 85
Work Start Date: 11/29/2017 Work Complete Date: 12/5/2017
Page 2 of 2
0S- 101 oa(o
City Project Numbers 101026 DOE Number 1026
Contract Name PALMILLA SPRINGS Pl-IASE 4 Estimate Number I
Contract Limits Payment Number 1
Project Type DRAINAGE For Period Ending 12/5/2018
Project Funding
Project Manager NA City Secretary Contract Number 1101026
Inspectors MILLER,W / TAEZAZ Contract Date 10/5/2017
Contractor MOSS UTILITIES,LLC Contract Time 85 CD
18631 REMBRANDT TERRACE Days Charged to Date CD
DALLAS, TX 75287 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 $643,655.00
Less %Retained $0.00
Net Earned $643,655.00
Earned This Period $643,655.00
Retainage This Period $0.00
Less Liquidated Damages
0 Days a $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 $643,655.00
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 DRAINAGE
City Project Numbers 101026
DOE Number 1026
Estimate Number 1 Payment Number 1 For Period Ending 12/5/2018
Project Funding
CD
City Secretary Contract Number 1101026 Contract Time 85 CD
Contract Date 10/5/2017 Days Charged to Date
Project Manager NA Contract is 100.00 Complete
Contractor MOSS UTILITIES,LLC
18631 REMBRANDT TERRACE
DALLAS, TX 75287
Inspectors MILLER W / TAEZAZ
l'
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Friday,January 11,2019 Pagel of4
�.FBY
City Project Numbers 101026 DOE Number 1026
Contract Name PALMILLA SPRINGS PHASE 4 Estimate Number 1
Contract Limits Payment Number 1
Project Type DRAINAGE For Period Ending 12/5/2018
Project Funding
UNIT III-A ONSITE DRAINAGE IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total
Quanity Total
I 5'X3'BOX CULVERT 133 LF $233.00 $30,989.00 133 $30,989.00
2 8'X4'BOX CULVERT 120 LF $404.00 $48,480.00 120 $48,480.00
3 36"RCP CLASS IN 208 LF $119.00 $24,752.00 208 $24,752.00
4 30"RCP CLASS III 1321 LF $89.00 $117,569.00 1321 $117,569.00
5 24"RCP CALSS 111 53 LF $69.00 $3,657.00 53 $3,657.00
6 21"RCP CLASS III 76 LF $56.00 $4,256.00 76 $4,256.00
7 20'CURB INLET 6 EA $5,500.00 $33,000.00 6 $33,000.00
8 IO'CURB INLET 2 EA $3,000.00 $6,000.00 2 $6,000.00
9 4'STORM JUNCTION BOX 1 EA $2,800.00 $2,800.00 1 $2,800.00
10 6'STORM JUNCTION BOX I EA $7,800.00 $7,800.00 1 $7,800.00
11 SET TYPE I FOR BOX CULVERTS(8'X4' 1 EA $14,500.00 $14,500.00 1 $14,500.00
SLOPED)
12 REMOVE HEADWALL/SET 1 EA $1,000.00 $1,000.00 1 $1,000.00
13 6"CONCRETE FLUME W/6"CURBS 852 SF $10.00 $8,520.00 852 $8,520.00
14 BLOCK RIPRAP DRY(12") 310 SY $80.00 $24,800.00 310 $24,800.00
15 TRENCH SAFETY 1911 LF $1.00 $1,911.00 191.1 $1,911.00
Sub-Total of Previous Unit $330,034.00 $330,034.00
UNIT III-B OFFSTI'E DRAINAGE IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 10'X6'BOX CULVERT 90 LF $633.00 $56,970.00 90 $56,970.00
2 24"RCP CLASS 111 348 LF $58.00 $20,184.00 348 $20,184.00
3 21"RCP CLASS lII 54 LF $47.00 $2,538.00 54 $2,538.00
4 10'CURB INLET 5 EA $2,900.00 $14,500.00 5 $14,500.00
5 HEADWALL BOX CULVERT(I O'X6'STRAIGHT) 2 EA $85,000.00 $170,000.00 2 $170,000.00
7 BLOCK RIPRAP DRY(18") 62 SY $80.00 $4,960.00 62 $4,960.00
8 TRENCH SAFETY 492 LF $1.00 $492.00 492 $492.00
9 PEDESTRIAN RAIL PER TXDOT PR2(CO A4) 321 LF $137.00 $43,977.00 321 $43,977.00
Sub-Total of Previous Unit $313,621.00 $313,621.00
Friday,January 11,2019 Page 2 of
City Project Numbers 101026 DOE Number 1026
Contract Name PALMILLA SPRINGS PHASE 4 Estimate Number 1
Contract Limits Payment Number 1
Project Type DRAINAGE For Period Ending 12/5/2018
Project Funding
Contract Information Summary
Original Contract Amount $646,865.00
Change Orders
Change Order Number A4 ($3,210.00)
Total Contract Price $643,655.00
Total Cost of Work Completed $643,655.00
Less %Retained $0.00
Net Earned $643,655.00
Earned This Period $643,655.00
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 Rand Less 15% $0.00
Balance Due This Payment $643,655.00
Friday,January 11,2019 Page 3 of 4
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AFFIDAVIT
STATE OF TX
COUNTY OF Tarrant
Before me,the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Shawn Lain,Project
Manager Of Moss Utilities,LLC,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;
Palmilla Springs Phase 4 Project# 101026
BY
Shawn Lain Project Manager
Subscribed and sworn before me on this date 6 of butw"ber , atwe .
Ly LAURA SiMFIELD
Notary Public,State of Texas
hL4-
Notary Public Comm,Expires 05-17-2020
�if<'OF T"
County lCcrs^�", State��• o ''',,,,,,�"`` Notcry ID 10994274
TME The Guarantee Company of North America USA
GUARANTEE" One Towne Square, Suite 1470
Southfield, Michigan 48076
Phone: 248-281-0281 Fax: 248-750-0431
www.,qcna.com
Bond Number 75150605
OWNER
CONSENT OF SURETY COMPANY ARCHITECT p
TO FINAL PAYMENT CONTRACTOR ❑
SURETY ❑
OTHER ❑
PROJECT: Palmilla Springs/Homestead PH4
(name, address)
10525 Chapin Road Fort Worth,TX 76008
TO(Owner)
Jabez Development,L.P. ARCHITECT'S PROJECT NO. CFA Number 2017-100
1038 Texan Trail,Grapevine,TX 76051 CONTRACT FOR: Pahnilla Springs/Homestead PH4
&City of Fort Worth 200 Texas St.Fort Worth,TX 76102 Water,Sewer,and Drainage Improvements
CONTRACT DATE. 10/5/I7
CONTRACTOR: Moss Utilities,LLC 3300 Rock Island Rd.,Irving,TX 75060
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 as it appears in the bond).
The Guarantee Company of North America USA One Towne Square#1470 Southfield MI 48076 SURETY COMPANY,
on bond of(here insert name and address of Contractor)
Moss Utilities,LLC 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)
Jabez Development,L.P.&City of Fort Worth OWNERS,
As set forth in the said Surety Company's bond.
IN WITNESS WHEREOF, the Surety has hereunto set its hand this 6th day of December 2018
The Guarantee Company of North America USA
Sure Com n
. i ig ature of ut oriz d Representative
ATTEST: Lloyd Ray Pitts Jr Attorney-In-Fact
(Seal): Melissa Pitts,Bond Secretary Title
The language in this document confirms exactly to the language used in AIA Document G707—Consent of Surety Company to Final Payment.
THE The Guarantee Company of North America USA
GuARANTEETM Southfield,Michigan
POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS:That THE GUARANTEE COMPANY OF NORTH AMERICA USA,a corporation organized and existing under the
laws of the State of Michigan,having its principal office in Southfield,Michigan,does hereby constitute and appoint
Uoyd Ray Pitts,Jr.,Wiliam D.Birdsong
Pitts Fennell and Associates,LLC dba Pitts Birdsong Fennell&Associates
its true and lawful attorneys)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of
indemnity and other writings obligatory in the nature thereof,which are or may be allowed,required or permitted by law,statute,rule,regulation,contract
or otherwise.
The execution of such instrument(s)in pursuance of these presents, shall be as binding upon THE GUARANTEE COMPANY OF NORTH AMERICA
USA as fully and amply,to all intents and purposes,as if the same had been duly executed and acknowledged by its regularly elected officers at the
principal office.
The Power of Attorney is executed and may be certified so,and may be revoked,pursuant to and by authority of Article IX,Section 9.03 of the By-Laws
adopted by the Board of Directors of THE GUARANTEE COMPANY OF NORTH AMERICA USA at a meeting held on the 31�1 day of December,2003.
The President,or any Vice President,acting with any Secretary or Assistant Secretary,shall have power and authority:
1. To appoint Attorney(s)-in-fact,and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto,
bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof;and
2. To revoke,at any time,any such Attorney-in-fact and revoke the authority given,except as provided below
3. In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and authority hereby given
to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and
construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of
Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee,shall not relieve this surety
company of any of its obligations under its bond.
4. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to
the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner—
Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation.
Further,this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of the Company adopted at a meeting
duly called and held on the 81h day of December 2011,of which the following is a true excerpt:
RESOLVED that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any Power of Attorney or certification
thereof authorizing the execution and delivery of any bond, undertaking,contracts of indemnity and other writings obligatory in the nature thereof,and
such signature and seal when so used shall have the same force and effect as though manually affixed.
Me IN WITNESS WHEREOF,THE GUARANTEE COMPANY OF NORTH AMERICA USA has caused this instrument to be signed and
its corporate seal to be affixed by its authorized officer,this 2n°day of October,2015.
q / THE GUARANTEE COMPANY OF NORTH AMERICA USA
STATE OF MICHIGAN Stephen C.Ruschak,President&Chief Operating Officer Randall Musselman,Secretary
County of Oakland
On this 2nd day of October.2015 before me came the individuals who executed the preceding instrument,to me personally known,and being by me
duty sworn,said that each is the herein described and authorized officer of The Guarantee Company of North America USA:that the seal affixed to said
instrument is the Corporate Seal of said Company;that the Corporate Seal and each signature were duly affixed by order of the Board of Directors of
Cynthia A.Takai IN WITNESS WHEREOF,I have hereunto set my hand at The Guarantee
Notary Public,Public,State of Michigan Company of North America USA offices the day and year above written.
County of Oakland
r 4" My Commission Expires February 27,2018
a Acting in Oakland County
I,Randall Musselman,Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA,do hereby certify that the above and foregoing is a true
and correct copy of a Power of Attorney executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA,which is still in full force and effect.
IN WITNESS WHEREOF,I have thereunto set my hand and attached the seal of said Company this 6th day of December ,2018
"`"" p Randall Musselman,Secretary
Green Sheet CPN 101026
Palmilla Springs Phase 4
Drainage
- �--- - Adobe Sign Document History 01/14/2019
Created: 01/11/2019
By: Etta Bacy(etta.bacy@fortworthtexas.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAnvFvA9TenbXWf_p-OxbcWyFAmXSPuw-L
"Green Sheet CPN 101026 Palmilla Springs Phase 4 Drainage"
History
Document created by Etta Bacy(etta.bacy@fortworthtexas.gov)
01/11/2019-12:36:25 PM CST-IP address:209.194.29.100
Document emailed to Garrett Moss (tommy@mossutiIities.com)for signature
01/11/2019-12:41:02 PM CST
Document viewed by Garrett Moss (tommy@mossutilities.com)
01/11/2019-12:41:30 PM CST-IP address:64.233.172.159
�i Garrett Moss(tommy@mossutilities.com) uploaded the following supporting documents:
;/ File Attachment 1
,q File Attachment 2
01/11/2019-1:47:52 PM CST
Document e-signed by Garrett Moss (tommy@mossutilities.com)
Signature Date:01/11/2019-1:47:52 PM CST-Time Source:server-IP address: 172.108.130.195
C4 Document emailed to Habtz Taezaz(habte.taezaz@fortworthtexas.gov)for signature
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ley Document e-signed by Habtz Taezaz(habte.taezaz@fortworthtexas.gov)
Signature Date:01/11/2019-3:28:41 PM CST-Time Source:server-IP address:174.47.154.90
w Document emailed to Ariel Duarte (ariel.duarte@fortworthtexas.gov)for approval
01/11/2019-3:28:41 PM CST
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Adobe Sign
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Approval Date:01/11/2019-3:42:42 PM CST-Time Source:server-IP address:209.194.29.100
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01/11/2019-3:42:43 PM CST
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01/11/2019-4:02:29 PM CST-IP address:209.194.29.100
Etta Bacy(etta.bacy@fortworthtexas.gov) replaced signer patrick.buckley@fortworthtexas.gov with
Gopal.Sahu@fortworthtexas.gov
01/14/2019-5:56:57 AM CST-IP address:209.194.29.100
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01/14/2019-5:56:57 AM CST
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Signature Date:01/14/2019-9:16:28 AM CST-Time Source:server-IP address:209.194.29.100
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w Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature
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Signature Date:01/14/2019-2:04:08 PM CST-Time Source:server-IP address:108.218.148.43
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Form filling Date:01/14/2019-2:11:05 PM CST-Time Source:server-IP address:209.194.29.100
FORT
,
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Signed document emailed to Julie A Geho Oulie.geho@fortworthtexas.gov), G. SAHU, PM
(patrick.buckley@fortworthtexas.gov),Allison Tidwell (cso_finaipay@fortworthtexas.gov), TPW Fiscal Staff
(tpwcfafiscal@fortworthtexas.gov), and 8 more
01/14/2019-3:08:07 PM CST
FORTWORTH.
I
Adobe y
be Sign