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Home My WebLink AboutContract 50790-FP1 City Secretary 50790 -FPI Contract No. Date Received Oct 14,2019 RECEIVES FORT WORTH., OCT 14 2019 CITY OF FORT WORTH CITY ECRETARY 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: MARK IV PLAZA City Project No.: 101286 Improvement Type(s): ® Paving ® Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $71,983.00 Amount of Approved Change Order(s): Revised Contract Amount: $71,983.00 Total Cost of Work Complete: $71,983.00 --� ---Richard Nor, Oct 9, 2019 ' Contractor Date President Title Proline Utility Service, LTD Company Name IV&S/lw Oct 9 2019 ` l Project Inspector Date Victor V. Tornero Tr. Oct 9 2019 Virtor V.Torn—Jr.IOct9,20191 Prr000jjjee�c.''t Manager Date Qf 1,nnif-F,,,-,hairr,r i—wMr, 1—(n,t10 )0191 Oct 10, 2019 CFA Manager Date Dana Burandoff!Oct 1a,20 Oct 14, 2019 Asst. City Manager Date L L RECORD Page 1 of 2 CRETARY RTH,TX Notice of Project Completion Project Name: MARK IV PLAZA City Project No.: 101286 City's Attachments Final Pay Estimate x❑ Change Order(s): ❑ Yes ❑x N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 30 CD Days Charged: 30 Work Start Date: 7/2/2018 Work Complete Date: 7/31/2018 Page 2 of 2 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name MARK IV PLAZA Contract Limits Project Type PAVING&DRAINAGE City Project Numbers 101286 DOE Number 1286 Estimate Number 1 Payment Number I For Period Ending 7/31/2018 CD City Secretary Contract Number Contract Time 30:D Contract Date 3/2/2018 Days Charged to Date Project Manager NA Contract is 100.00 Complete Contractor PROLINE UTILITY SERVICES,LTD P.O.BOX 77941 FORT WORTH, TX 76177 Inspectors MILLER,W / POWERS i Tuesday,September 18,2018 Page 1 of 4 I, City Project Numbers 101286 DOE Number 1286 Contract Name MARK W PLAZA Estimate Number I Contract Limits Payment Number I Project Type PAVING&DRAINAGE For Period Ending 7/31/2018 Project Funding UNIT 1-PAVING AND DRAINAGE IMPROVEMENTS Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total --------------------------------------- I REMOVE SIDEWALK 117 SF $3.30 $386.10 117 $386.10 2 REMOVE FENCE 70 LF $27.15 $1,900.50 70 $1,900.50 3 REMOVE 24"STORM LINE 30 LF $22.00 $660.00 30 $660.00 4 REMOVE 30"STORM LINE 149 LF $22.00 $3,278.00 149 $3,278.00 I 5 REMOVE RIP RAP 27 SF $13.85 $373.95 27 $373.95 6 CONCRETE RIPRAP 10.5 SY $62.38 $654.99 10.5 $654.99 7 6"CONC PVMT HES 87 SY $133.00 $11,571.00 87 $11,571.00 8 4"CONC SIDEWALK 117 SF $3.35 $391.95 117 $391.95 9 4'SLD PVMT MARKING TAPE(Y) 40 LF $46.87 $1,874.80 40 $1,874.80 10 6'FENCES WOOD 70 LF $27.15 $1,900.50 70 $1,900.50 1 I UTILITY SERVICE SURFACE RESTORATION 268 SY $13.00 $3,484.00 268 $3,484.00 SODDING 12 PLANT 6"TREE 1 EA $2,200.00 $2,200.00 1 $2,200.00 13 TRENCH SAFETY 188 LF $7.55 $1,419.40 188 $1,419.40 14 24"RCP CLASS III 8 LF $160.00 $1,280.00 8 $1,280.00 15 30"RCP CLASS III 30 LF $180.00 $5,400.00 30 $5,400.00 16 36"RCP CLASS III 149 LF $205.00 $30,545.00 149 $30,545.00 17 TRAFFIC CONTROL 1 MO $4,662.81 $4,662.81 1 $4,662.81 -------------------------------------- Sub-Total of Previous Unit $71,983.00 $71,983.00 ------------------------------- Tuesday,September 18,2018 Page 2 of 4 City Project Numbers 101286 DOE Number 1286 Contract Name MARK IV PLAZA Estimate Number 1 Contract Limits Payment Number 1 Project Type PAVING&DRAINAGE For Period Ending 7/31/2018 Project Funding Contract Information Summary Original Contract Amount $71,983.00 Change Orders Total Contract Price $71,983.00 Total Cost of Work Completed $71,983.00 Less %Retained $0.00 Net Earned $71,983.00 Earned This Period $71,983.00 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 $71,983.00 Tuesday,September 18,2018 Page 3 of 4 City Project Numbers 101286 DOE Number 1286 Contract Name MARK IV PLAZA Estimate Number 1 Contract Limits Payment Number I Project Type PAVING&DRAINAGE For Period Ending 7/31/2018 Project Funding Project Manager NA City Secretary Contract Number Inspectors MILLER,W / POWERS Contract Date 3/2/2018 Contractor PROLINE UTILITY SERVICES,LTD Contract Time 30 CD P.O.BOX 77941 Days Charged to Date CD FORT WORTH, TX 76177 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 $71,983.00 Less %Retained $0.00 Net Earned $71,983.00 Earned This Period $71,983.00 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 $71,983.00 Tuesday,September 18,2018 Page 4 of 4 TICE: This document wives rights unconditionally and states that you have been paid for giving up those rights. It is prohibited for a person to require you to sign this document if you have not been paid the payment amount set forth below. If you have not been paid, use a conditional release form. UNCONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT Project MARK IV PLAZA Job No. The signer of this document has been paid and has received a progress payment in the sum Of$22909.04 for all labor, services, equipment, or materials furnished to the property or to PROLINE UTILITIES (person with whom signer contracted) on the property Of MARK IV PLAZA (owner) located at GRAND PRAIRIE,TEXAS FORT WORTH (location) to the following extent: FURNISHED MATERIALS (job description).The signer therefore waives and releases any mechanic's lien right, any right arising from a payment bond that complies with a state or federal statute, any common law payment bond right, any claim for payment, and any rights under any similar ordinance, rule, or statute related to claim or payment rights for persons in the signer's position that the signer has on the above referenced project to the following extent: This release covers a progress payment for all labor, services, equipment, or materials furnished to the property or to PROLINE UTILITIES (person with whom signer contracted) as indicated in the attached statement(s) or progress payment request(s), except for unpaid retention, pending modifications and changes, or other items furnished. The signer warrants that the signer has already paid or will use the funds received from this progress payment to promptly pay in full all of the signer's laborers, subcontractors, materialmen, and suppliers for all work, materials, equipment, or services provided for or to the above referenced project in regard to the attached statement(s) or progress payment request(s). Signature: 7�� r 4 t- _ Date: Company Name: Thompson Pipe Gro DALL_AS By (w/title): /1� STATE OF TEXAS § COUNTY OF.,,, § This instrument was acknowledged before me on this day of , 20 , by - (name), CPC ' (job title) of 9 (company name). NOTARY UBLIC S ATE OF TEXAS [( R.R" e MARLAJ.PHILLIPS ' My Notary ID#124203502 ! I YTF o S�+T Expires May 14,2022 M(! I IFW Christy Dailey From: Bruce Johnson Sent: Monday, September 30, 2019 7:41 AM To: Christy Dailey Subject: FW:Affidavit of bills Paid From: Richard Norris<pro line utilities@msn.com> Sent: Friday, September 27, 2019 11:39 AM To: Bruce Johnson<bruce.johnson@thompsonpipegroup.com> Subject:Affidavit of bills Paid Bruce Can you send me a affidavit of bills paid for the Mark IV Plaza project for the city of Fort Worth so we can final the job out? Richard Norris 817-228-8675 prolineutilities@msn.com Proline Utility Service, LTD "Piping Texas Since 2001" 1 CONSENT OF SURETY COMPANY TO FINAL PAYMENT Bond No. S918-5656 Project: Mark IV Plaza To Owner: CMW Office Services,LLC and the City of Fort Worth,Texas 777 Main Street,#600 Contract For: Paving & Drainage Improvements Fort Worth,Texas 76102 Contract Date: March 2,2018 Contractor: Proline Utility Services,Ltd. P.O. Box 77941 Fort Worth,Texas 76177 In accordance with the provision of the Contract between the Owner and the Contractor as defined above, Washington International Insurance Company 1200 Main Street, Suite 800 Kansas City, MO 64105 ,Surety Company on bond of Proline Utility Services,Ltd. P.O. Box 77941 Fort Worth, Texas 76177 ,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 CMW Office Services,LLC and the City of Fort Worth,Texas 777 Main Street,#600 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 7th day of October, 2019. Washington International Insurance Company Witn s : Surety Company 0 0�� evin J. Dun Attorney-in-Fact SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Kansas City,Missouri and Washington International Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Kansas City,Missouri,and Westport Insurance Corporation,organized under the laws of the State of Missouri,and having its principal office in the City of Kansas City,Missouri does hereby make,constitute and appoint: W.LAWRENCE BROWN,TRACY TUCKER,KEVIN J.DUNN,STEVEN TUCKER,AND ROBERTA H.ERB JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of. ONE HUNDRED TWENTY FIVE MILLION($125,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24,2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18,2011. "RESOLVED,that any two of the President,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." ,gi11111111111II& ,,*ssaaat1".A4,,,_ �p1At1Ty/.N// PoAC'�•YW '..... a c}t•opFof Gq f�oR Rgr N ByS. SEALh' t� titcven n arson, nor tce rear en o e9 mgton international nsurance Company r SEAL e.`l0_ _ .C, &Senior Vice President of North American Specialty Insurance Company if W: 1973 m= t � &Senior Vice President of Westport Insurance Corporation FS Vhigd'ON I�n11 Mike A.Ito,Senior Vitt President of Washington International Insurance Company &Senior Vice President of North American Specialty Insurance Company &Senior Vice President of Westport Insurance Corporation IN WITNESS WHEREOF,North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this this 26 day of February 120 19 North American Specialty Insurance Company Washington International Insurance Company State of Illinois Westport Insurance Corporation County of Cook SS: On this 26 day of February 20_L9,before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation and Michael A.Ito Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation,personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIAL SEAL No"Public-State of Ulimtis Y=•= CDotmisvion 61*13M.Kenny,Notary Public I, Jeffrey Goldberg , the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specially Insurance Company,Washington International Insurance Company and Westport Insurance Corporation which is still in full force and effect. IN WITNESS WHEREOF,I have set my hared and affixed the seals of the Companies this 7th day of October 20 19 Jefrrev Goldberg,Vice President&Assistant Secretary of Washington International Insurance Companv& North American Specialty Insurance Company&Vice President&Assistant Secretary of Westport Insuranct Corporation