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Home My WebLink AboutContract 48944-FP1 City Secretary 48944 -FP1 Contract No. FoRTWORTHO. Date Received Nov 11,2019 RECE1VEpNW 112019 0,"r OFFORTWORTH 31ORETARY 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: DOMAIN AT THE BLUFF City Project No.: 100654 Improvement Type(s): ❑ Paving ❑ Drainage ® Street Lights ❑ Traffic Signals Original Contract Price: $129,746.00 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $129,746.00 Nov 6,2019 Randy Po elt(Nov 6,2019) Contractor Date Executive Vice President Title Embrey Builders, LLC Company Name Nevin Chamhei s _cr,h_,t Nov 6f 2019 '. oe�,.._ Project Ins p ctor Date Patrick)Buckley(Nov 7 19) Nov 1 7 7 2019 Project Manager Date 47g&i Swi&ttilo` l,gr Nov 7 2019 Janie Scarlett Morales(Nov 7,2019) 7 CFA Manager Date Dana Burg 20Af Nov 7,2019 Asst. City Manager Date_ — ----- 0111CIAL REC®RD CITY SEC FT WORTK IX Page 1 of 2 Notice of Project Completion Project Name: DOMAIN AT THE BLUFF City Project No.: 100654 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: 238 CD Days Charged: 828 Work Start Date: 6/12/2017 Work Complete Date: 9/17/2019 Page 2 of 2 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name DOMAIN AT THE BLUFF Contract Limits Project Type STREET LIGHTS City Project Numbers 100654 DOE Number 6540 Estimate Number 1 Payment Number 1 For Period Ending 10/11/2019 CD City Secretary Contract Number Contract Time 23CD Contract Date 4/17/2017 Days Charged to Date 828 Project Manager NA Contract is 100.00 Complete Contractor EMBREY BUILDERS,LLC 1020 NE LOOOP 410,SUITE 700 SAN ANTONIO, TX 78209 Inspectors DICKINSON / CHAMBERS Friday,October 11,2019 Page 1 of 4 City Project Numbers 100654 DOE Number 6540 Contract Name DOMAIN AT THE BLUFF Estimate Number I Contract Limits Payment Number I Project Type STREET LIGHTS For Period Ending 10/11/2019 Project Funding UNIT V:STREET LIGHTING IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 FURNISHANSTALL 10'-14'PED POLE ASSMBLY 21 EA $4,446.00 $93,366.00 21 $93,366.00 2 2"CONDT PVC SCH 80 OPEN CUT 1189 LF $20.00 $23,780.00 1189 $23,780.00 3 RDWY ILLUM FOUNDATION TY 7 21 EA $600.00 $12,600.00 21 $12,600.00 Sub-Total of Previous Unit $129,746.00 $129,746.00 -------------------------------------- Friday,October 11,2019 Page 2 of 4 City Project Numbers 100654 DOE Number 6540 Contract Name DOMAIN AT THE BLUFF Estimate Number I Contract Limits Payment Number I Project Type STREET LIGHTS For Period Ending 10/11/2019 Project Funding Contract Information Summary Original Contract Amount $129,746.00 Change Orders Total Contract Price $129,746.00 Total Cost of Work Completed $129,746.00 Less %Retained $0.00 Net Earned $129,746.00 Earned This Period $129,746.00 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 $129,746.00 Friday,October 11,2019 Page 3 of 4 City Project Numbers 100654 DOE Number 6540 Contract Name DOMAIN AT THE BLUFF Estimate Number 1 Contract Limits Payment Number 1 Project Type STREET LIGHTS For Period Ending 10/11/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / CHAMBERS Contract Date 4/17/2017 Contractor EMBREY BUILDERS,LLC Contract Time 238 CD 1020 NE LOOOP 410,SUITE 700 Days Charged to Date 828 CD SAN ANTONIO, TX 78209 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 $129,746.00 Less %Retained $0.00 Net Earned $129,746.00 Earned This Period $129,746.00 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 $129,746.00 Friday,October 11,2019 Page 4 of 4 AFFIDAVIT OF BILLS PAID Domain at the Bluff(Project 100654)—Streetlights STATE OF TEXAS § § KNOW ALL MEN BY THESE PRESENTS THAT: COUNTY OF BEXAR § BEFORE ME, the undersigned authority, on this day personally appeared Randy Powell, Executive Vice-President (in such capacity, "A rant") of Embrey Builders, LLC, a Texas limited liability company ("Contractor"), known to me to be the person whose name is subscribed below, and who being by me first duly sworn did on his oath state that, to his current actual knowledge, the following information is true and correct: Affiant has personal knowledge of the facts stated herein and has full authority to make the statements in this affidavit on behalf of Contractor. Pursuant to that certain Guaranteed Maximum Price Construction Contract between Domain at Bluff View, LLC and Contractor dated May 4, 2017 (as amended and supplemented, the "A reement") for the Project (as defined in the Agreement, as used herein, so called), Contractor furnished materials and labor for the Project. The Work (as defined in the Agreement) includes certain streetlight improvements reflected under City Project Number 100654 (collectively, the "Bonded Work"). All Bonded Work provided for under the Agreement has been fully completed in accordance with the terms and provisions thereof. Contractor has paid each of its subcontractors, laborers, suppliers and materialmen in full for all labor and materials provided to Contractor for or in connection with the construction, renovation, or repair of improvements relating to the Bonded Work, or any portion thereof. Contractor is not aware of any unpaid bills, claims, demands, or causes of action by any of its subcontractors, laborers, suppliers, or materialmen for or in connection with the furnishing of labor or materials, or both, for the construction, renovation, or repair of improvements with respect to the Bonded Work. Signature Page Follows AFFIDAVIT OFBILLS PAID(BLUFFS: STREETLIGHTS) PA{;E. 1 4833-6732-0233.v. 1 EXECUTED as of the date specified in the jurat, below- By: Randy owell, in his official capacity as Executive Vice-President of Embrey Builders, LLC THE STATE OF TEXAS § COUNTY OF BEXAR § This instrument was subscribed to and sworn before me on the � day of October, 2019 by Randy Powell, in his official capacity as Executive Vice-President of Embrey Builders, LLC. TERA MARTINEZ Notary Public.State of Texas of y pWad e S4oTs Comm.Expires 08 13 2021 Notary ID 88 66898 AFFIDAVIT OF BILLS PAID(BLUFFS: STREETLIGHTS) SIGNATURE PAGE 4833-6732-0233,v. 1 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ AIA DOCUMENT G707 OTHER ❑ Bond No.4410309 PROJECT: Domain At The Bluff,City Project No. 100654 TO(Owner) Domain at Bluff View,LLC and the Architect's Project No City of Port Worth Contract For Domain At The Bluff Contract Date: Contractor Embrey Builders, LLC 1020 NE Loop 410,Suite 700 San Antonio,TX 78209 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the SureTec Insurance Company 2103 CityWest Blvd.,Suite 1300 Houston,TX 77042 SURETY COMPANY, on bond of Embrey Builders, LLC 1020 NE Loop 410,Suite 700 San Antonio,TX 78209 ,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 Domain at Bluff View,LLC and the City of Fort Worth OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 17th day of October,2019. SureTec Insurance Company S ety Company Signature ofl th i ep ive Attest: Deborah L.Jung, for - n-Fa (Seal): Note: This form is to be used as a companion document to AEA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,Current Edition AIA DOCUMENT G 70 7•CONSENT OF SURETY COMPANY TO FINAL.PAYM, FNT tl April 1970 Edition•Al A® One Page�1970 •THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave,NW,Washington,DC 2000 01970•THE.AMERICAN INSTITUTE OF ARCHITECTS.1735 New York Ave,NW,Washington,D.0 2000 POA a: 4221835 SureTec Insurance Company LMTED POWER OF ATTORNEY Know AM Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, 'Texas, does by these presents make,constitute and appoint Catherine M Martinez,Deborah t Jung, Michael N.Venson,Robert S. Wray,S West Warren,Thomas E.Whitney, Donald E. Miller,Jr. its true and lawful Attorney-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 to include waivers to the conditions of contracts and consents of surety for,providing the bond penalty does not exceed Ten Million and 00/100 Dollars($10,000,000 00) and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO,sealed with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the premyses. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec Insurance Company: Be it Resolved, that the President,any Vice-President, any Assistant Via-President,any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorneys)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney-In-Fact may be given full power and authority for and in the name of and of behalf of the Company,to execute,acknowledge and deliver,any and all bonds,recognizances,contracts,agreements or 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 Attomey-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corpontte Secretary. Be it Resolved that the signature of any authorized officer and sea]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 signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted of a meeting held on 2094 of April, 1999) In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO,and its corporate seal to be hereto affixed this rth day of November ,A.D.2018 . `�SURANC�O SURETEC INS PANY By: > John Kno CE State of Texas SS: tr County of Harris s On this 7th day of November ,A.D.20is before me personally came John Knox Jr.,to me(mown,who,being by me duly sworn,did depose and say, that he resides in Houston,Texas,that he Is CEO of SURETEC INSURANCE COMPANY, the company described in and which executed the above instntment;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said Company;and that he signed his name thereto by like order. JACOUEl.YN GHEENEEAf n et,'Molar puhlic.State of Texas s: Y %r= Comm Expires 05-18-2021 Notary ID 126903029 Jacg elyn Greenleaf,Notary Public My commission expires May 18,2021 I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the,above and foregoing is a true and correct copy of a Power of Attorney,executed by said Company, which is stilt in full force and effect;and furthermore,the re tions of the Board of Directors,set out in the Power of Attorney are in full force and effect Given under my hand and the seal of said Company at Houston, Texas this1-a10k3ren y of A.D. eaty, rtaint Arty Instrument issued In excess of the penalty stated above is totally void and without any validity. For vertAcatlon of the authority of this power you may call(7131812-0800 any business day between 8:30 am and 6:00 pm CST. i SureTec Insurance Company THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION Statutory Complaint Notice To obtain information or make a complaint: You may call the Surety's toll free telephone number for information or to make a complaint at: 1-866-732-0099. You may also write to the Surety at. SureTec Insurance Company 9737 Great Hills Trail, Suite 320 Austin, TX 78759 You may contact the Texas Department of Insurance to obtain information on companies, coverage, rights or complaints at 1-800-252-3439. You may write the Texas Department of Insurance at PO Box 149104 Austin,TX 78714-9104 Fax#: 512-475-1771 PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim, you should contact the Surety first. If the dispute is not resolved, you may contact the Texas Department of Insurance. Terrorism Risks Exclusion The Bond to which this Rider is attached does not provide coverage for, and the surety shall not be liable for, losses caused by acts of terrorism,riot,civil insurrection,or acts of war. Exclusion of Liability for Mold,Mycotoxins, Fungi& Environmental Hazards The Bond to which this Rider is attached does not provide coverage for, and the surety thereon shall not be liable for, molds, living or dead fungi, bacteria, allergens, histamines, spores, hyphae, or mycotoxins, or their related products or parts, nor for any environmental hazards, b*-hazards, hazardous materials, environmental spills, contamination, or cleanup, nor the remediation thereof, nor the consequences to persons, property,or the performance of the bonded obligations, of the occurrence, existence, or appearance thereof. Rev 1.1.06