HomeMy WebLinkAboutContract 50040-FP1 City Secretary 50040 -FP1
Contract No.
FORT WORTE, Date Received Jul 15,2019
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: Sienna Hills Addition
City Project No.: 101320
Improvement Type(s): Water ® Sewer
Original Contract Price: $277,558.50
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $277,558.50
Jun 21, 2019
Drew Davis(Jun 21,2019)
Contractor Date
President/Owner
Title
Davis Excavation
Company Name
�� Jun 24 2019
Mark McFadin(Jun 24,2619)
Project Inspector Date
Jun 24, 2019
Project kfanaier Date
�7-Wle Sgylett tiloValef Jun 25 2019
Janie Scarlett Morales(Jun 25,2019) 1
CFA Manager Date (�
Dana Bur¢hdoff( 2,201 Jul 2,2019
Asst. City Manager Date
L
RECORDETARY Page 1 of 2
TH, T3(
Notice of Project Completion
Project Name: Sienna Hills Addition
City Project No.: 101320
City's Attachments
Final Pay Estimate x❑
Change Order(s): ❑ Yes ❑x N/A
Pipe Report: x❑ Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety '
Statement of Contract Time
Contract Time: 90 CD Days Charged: 268
Work Start Date: 3/26/2018 Work Complete Date: 12/18/2018
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name SIENNA HILLS ADDITIONAL
Contract Limits
Project Type WATER&SEWER
City Project Numbers 101320
DOE Number 1320
Estimate Number 1 Payment Number 1 For Period Ending 12/10/2018
CD
City Secretary Contract Number Contract Time 9CD
Contract Date 12/7/2017 Days Charged to Date 268
Project Manager NA Contract is 100.00 Complete
Contractor DAVIS EXCAVATION,INC.
P.O.BOX 1169
VAN ALSTYNE, TX 75495
Inspectors CORDOVA / MCFADIN
Thursday,June 6,2019 Page 1 of 4
City Project Numbers 101320 DOE Number 1320
Contract Name SIENNA HILLS ADDITIONAL Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 12/10/2018
Project Funding
UNIT I:WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 8"PVC WATER PIPE 1876 LF $27.00 $50,652.00 1876 $50,652.00
2 8"GATE VALVE 6 EA $1,475.00 $8,850.00 6 $8,850.00
3 FIRE HYDRANT W/7"GATE VALVE 4 EA $5,200.00 $20,800.00 4 $20,800.00
4 CONNECT TO EXISTING 16"WATER 1 EA $14,000.00 $14,000.00 1 $14,000.00
5 CONNECT TO EXISTING 30"WATER I EA $21,500.00 $21,500.00 1 $21,500.00
6 TRENCH SAFETY 1876 LF $1.00 $1,876.00 1876 $1,876.00
7 DUCTILE IRON WATER FITTINGS 1.2 TN $5,500.00 $6,600.00 1.2 $6,600.00
W/RESTRAINT
8 6"TURBINE METER WITH VAULT 2 EA $15,000.00 $30,000.00 2 $30,000.00
Sub-Total of Previous Unit $154,278.00 $154,278.00
UNIT II:SANITARY SEWER IMPROVEMENTS
Item Description of Items Unit Unit Cost Estimated Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 12"SEWER PIPE 909 LF $50.00 $45,450.00 909 $45,450.00
2 8"SEWER PIPE 852 LF $30.00 $25,560.00 852 $25,560.00
3 4'STANDARD MANHOLE 10 EA $2,150.00 $21,500.00 10 $21,500.00
4 4'DROP MANHOLE 2 EA $3,000.00 $6,000.00 2 $6,000.00
5 CONCRETE ENCASE SEWER PIPE 45 LF $50.00 $2,250.00 45 $2,250.00
6 POST CCTV INSPECTION 1761 LF $1.75 $3,081.75 1761 $3,081.75
7 MANHOLE VACUUM TESTING 12 EA $175.00 $2,100.00 12 $2,100.00
8 TRENCH SAFETY SANITARY SEWER 1761 LF $1.25 $2,201.25 1761 $2,201.25
9 T EXTRA DEPTH MANHOLE 21 VF $250.00 $5,250.00 21 $5,250.00
10 EPDXY MANHOLE LINER(4'MH) 56.5 VF $175.00 $9,887.50 56.5 $9,887.50
Sub-Total of Previous Unit $123,280.50 $123,280.50
--------------------------------------
Thursday,June 6,2019 Page 2 of 4
City Project Numbers 101320 DOE Number 1320
Contract Name SIENNA HILLS ADDITIONAL Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 12/10/2018
Project Funding
Contract Information Summary
Original Contract Amount $277,558.50
Change Orders
Total Contract Price $277,558.50
Total Cost of Work Completed $277,558.50
Less %Retained $0.00
Net Earned $277,558.50
I
Earned This Period $277,558.50
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 $277,558.50
it
I
Thursday,June 6,2019 Page 3 of 4
i
I;
City Project Numbers 101320 DOE Number 1320
Contract Name SIENNA HILLS ADDITIONAL Estimate Number 1
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 12/10/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors CORDOVA / MCFADIN Contract Date 12/7/2017
Contractor DAVIS EXCAVATION,INC. Contract Time 90 CD
P.O.BOX 1169 Days Charged to Date 268 CD
VAN ALSTYNE, TX 75495 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 $277,558.50
Less %Retained $0.00
Net Earned $277,558.50
Earned This Period $277,558.50
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 $277,558.50
Thursday,June 6,2019 Page 4 of 4
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Sienne Hills Addition
PROJECT NUMBER: Water 56008-0600430-101320-001580,Sewer 56008-0700430-101320-001380
DOE NUMBER: 101320
WATER
PIPE LAID SIZE TYPE OF PIPE LF
PVC 8" Pvc 1876
FIRE HYDRANTS: 4 VALVES(161' OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: yes Passed
NEW SERVICES: 6" PVC 2
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
PVC 12" PVC 909
PVC 8" PVC 852
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Yes Passed
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
64), The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
FORTWORTH rev 03/05/07
TRANSPORTATION & PUBLIC WORDS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.: 1
NAME OF PROJECT: Sienna Hills Addition
PROJECT NO.: Water 56008-0600430-101320-001580 CONTRACTOR: Davis Construction
Sewer 56008-0700430-101320-001380 DOE NO.: 101320
PERIOD FROM:03/26/18 TO: 12/10/18 FINAL INSPECTION DATE: 10-Dec-18
WORK ORDER EFFECTIVE:3/26/2018 CONTRACT TIME: O WD o CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH DURINEG CREDITED MONTH CHARGED 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 260 260
PERIOD
PREVIOUS 0 0
PERIOD
TOTALS 260 260
TO DATE
*REMARKS:
Davis Construction couldn't fmish till other aspects of the project was completed on the private side.
i
CONTRACTOR DATE INSPECTOR DATE
ENGINEERING DEPARTMENT
The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
AFFIDAVIT OF BILLS PAID
STATE OF TEXAS §
§COUNTY OF
Tarrant §
BEFORE ME, the undersigned authority, on this day personally appeared
Jack Daniels Executive Superintendent [title] of Davis Excavation
[subcontractor/supplier], and, upon oath, after first being duly sworn, deposed and stated:
"My name is Jack Daniels and I am the Executive Superintendent title] of
Davis Excavation [subcontractor/supplier], hereinafter referred to in this affidavit as
"Subcontractor'. The facts set forth herein are within my personal knowledge and are true and correct, and I
am competent and authorized to make this affidavit on behalf of Subcontractor.
Subcontractor has supplied labor, materials, equipment and/or services under a contract with
Treymore Construction, LLC ("Contractor"), for work to be performed on that certain project known as
Sienna Hills Addition (the"Project"), located at
Fort Worth, Texas (the"Property').
Subcontractor has paid each and all of its subcontractors, laborers, suppliers, vendors and
materialmen in full for all labor, materials, equipment and/or services provided to it for incorporation in or
use or work on the Project for the period ending May 29th, 2019 (the"Pay Period"). Subcontractor
acknowledges that Contractor is relying on Subcontractor's statements and representations herein in
making payment to Subcontractor.
Subcontractor hereby waives and releases any and all rights, claims and causes of action which
Subcontractor may have against Contractor and/or the owner of the Project, including any and all costs,
expenses and damages incurred by Subcontractor, arising out of or related to all labor, materials,
equipment and/or services furnished for incorporation in or use or work on the Project through the Pay
Period.
The undersigned affiant agrees to indemnify Contractor of and from any and all loss, cost or
expense resulting from any false or incorrect information contained in this affidavit.
Davis Excavation
[Signature of Affiant]
Printed Name:Jack Daniels
Title: Executive Superintendent
SUBSCRIBED AND SWORN TO before me on this 17 day of juytt- 201 qby
E X Ccw"f-i 01, )-,-Ic k— r)Am;(lc,[title]of l-5 c cct y,v c Sw✓t r�k Ott-�oGt n t
[subcontractor/supplier], known to me or proved through photo identification.
Notary Public in and for the State of Texas
My commission expires:
ASHLI TRUSCOTT
Notary Puhi1C, State of Texas
K = My Corn i sion Expires
y. 4.�C�
October 05, 2019
Revised 1-1-2012
CONSENT OF SURETY OWNER it
TO FINAL PAYMENT ARCHITECT n
CONTRACTOR
ALA Docuinew G707 Sl-RE Y
(Instructions on reverse:side) Bond No. PB03228302096 OTHER
TO OWNER: ARCHITECT'S PROJECT NO.: NIA
City of Fort Worth
1000 Throckmorton Street CONTRACT FOR:
Fort Worth,TX 76102 Sienna Hills Addition
PROJECT. CONTRACT DATED: Undated
(!Saint-urul atVreuJ
Sienna Hills Addition to Include Water and Sanitary Sewer Service
In accordance with the provisions of the Contract be wLen the Owner and the Contractoras indicated alxwe,the
ffikwry n[nne em1 urkfr[av[+f lrrftNe!
Philadelphia Indemnity Insurance Company
One Bala Plaza East, Suite 100
Bala Cynwyd, PA 19004-1403
sty RF'IY.
on bond of
omwrt name unrf aturms of Lulrraoor)
Davis Excavation, Inc.
3807 CR 276
Melissa,Texas 75454
CONTRACTOR,
hereby approves of the final payment to the Ctmtractor,and agrees that final payment to the Contractor shall not relieve the Surety of
any of its obligations to
Onwir rutrnr uftd whlrew r+f'Orrrreri
City of Fort Worth
1000 Throckmorton Street
Fort Worth, TX 76102
OWNER.
as set forth in said Surety's bond.
IN WITNESS WHEREOF,the Surety has hereunto set its hand on this clad: June 20,2019
(lawn in wridn'q dm Jrtarflb,(ofllJJrcaf M•ili�rnrnreric rkrte urrd liar:)
Philadelphia Indemnity Insurance Company
-- FS{Kr+ruxn•rrJ'urrrlxrriz[•rl+k]rn. frrrirrJ
Att -t: Lorena Mancia, Witness Michael B. Hill,Attorney-in-Fact
(Seal):
i!'Flirterl nanrr ruirf,rrlrl
CAUTION: You should sign an original AIA document that has this caution printed In red. An
t + original assures that changes will not be obscured as may occur when documents are reproduced.
See Instruction Sheet for Limited License for Reproduction of this document.
AIA I'MUM£NT G707•CDNSFNT OF 5URF1 •It)FKAJ,P!t MF3c1-• 1994 FIXTT(Nd• AIA
kJ K9)-,•TNF:AMERICAN WS-11n.71F.OF ARCHITFCIN.1''35 NEW YORK AVENt-F..W'.WASH-
I`eTON,D.C.2m)(i-5-n2•WARNING:Unkensed photocopying violates U.S.Copy G707-1994
right laws and will subject the violator to legal prosecution.
18225
PHILADELPHIA INDEMNITY INSURANCE COMPANY
One Bala Plaza,Suite 100
Bala Cynwyd,PA 19004-0950
Power of Attorney
KNOW ALL PERSONS BY THESE PRESENTS:That PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and
existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint William D.Baldwin,Blaine Allen,Brent Baldwin,Brock
Baldwin,Michael B.Hill,Brady K.Cox,and/or Russ Frenzel of Baldwin-Cox Agency LLC,its true and lawful Attorney-in-fact with full authority to execute on
its behalf bonds,undertakings,recognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the course of its business and to
bind the Company thereby,in an amount not to exceed$50,000,000.
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of
PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 14'"of November,2016.
RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the
Company: (1) Appoint Attorney(s) in Fact and authorize the Attoricy(s) in Fact to
execute on behalf of the Company bonds and undertakings,contracts of indemnity and
other writings obligatory in the nature thereof and to attach the seal of the Company
thereto; and (2) to remove, at any time, any such Attorney-in-Fact and revoke the
authority given. And,be it
FURTHER
RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any
such Power of Attorney or certificate relating thereto by facsimile,and any such Power of
Attorney so executed and certified by facsimile signatures and facsimile seal shall be
valid and binding upon the Company in the future with respect to any bond or
undertaking to which it is attached.
IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS
CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 27TH DAY OF OCTOBER,2017.
(Seal)
Robert D.O'Leary Jr.,President&CEO
Philadelphia Indemnity insurance Company
On this 2r day of October,2017,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said
that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY;that the seal affixed to said instrument is
the Corporate seal of said Company;that the said Corporate Seal and his signature were duly affixed.
COA-IC4WMr.0( V 1,Y1 �
Iq(MML}L/�
Notary Public: �
�F 9a�1'�axMY
}ryCmmo,on PaWv,Seyl t},ttf 1
residing at: Bala Cvnwvd.PA
(Notary Seal)
My commission expires: September 25,2021
1,Edward Sayago,Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do hereby certify that the foregoing resolution of the Board of
Directors and this Power of Attorney issued pursuant thereto on this 27ei day of October,2017 are true and correct and are still in full force and effect_I do further
certify that Robert D.O'Leary Jr.,who executed the Power of Attorney as President,was on the date of execution of the attached Power of Attomey the duly elected
President of PHILADELPHIA INDEMNITY INSURANCE COMPANY,
In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this_ Z!5V! day of 20 .
t 1927 `m i Edward Sayago,Corporate Secretary
PHILADELPHIA INDEMNITY INSURANCE COMPANY