HomeMy WebLinkAboutContract 48582-FP2 City Secretary 48582 -FP2
Contract No,
FORTWORTH, Date Deceived Jan 8,2020
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: BAILEY B0SWELL WIN❑ RIVER TO OL❑ ❑ECATUR R❑
City Project No.: 02621
Improvement Type(s): Water ® Sewer
Original Contract Price: $115,089.50
Amount of Approved Change Orders): $22,021.50
Revised Contract Amount: $137,111.00
Less Previous Payment $102,507.47
Total Cost of Work Complete: $34,603.53
saw` ,/ Dec 4,2019
Sam Davis(Dec 4,2019)
Contractor Date
President
Title
JLB Contracting, LLC
Company Name
Jo°�ers e Dec 5,2019
Project Inspector Date
Khal Jaafari(Ja 020) Jan 7,2020
Project Manager Date
47"/r&leffAlotal&t Jan 7 2020
Janie Scarlett Morales(Jan 7,2020) f
CFA Manager Da`e
Deana do�yn6202 Jan 7,2020
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 9 of 2
FT.WORTH,TX
Notice of Project Completion
Project Name: BAILEY BOSWELL WIND RIVER TO OLD DECATUR RD
City Project No.: 02621
City's Attachments
Final Pay Estimate
Change Order(s): x❑ Yes ❑ NIA
Pipe Report: ® Yes ❑ NIA
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 325 CD Days Charged: 1069
Work Start Date: 5/16/2016 Work Complete Date: 4/25/2019
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name BAILEY BOSWELL WIND RIVER TO OLD DECATUR RD
Contract Limits
Project Type WATER&SEWER
City Project Numbers 02621
DOE Number 7481
Estimate Number 4 Payment Number 4 For Period Ending 9/26/2019
CD
City Secretary Contract Number 1I7481 Contract Time 32CD
Contract Date Days Charged to Date 1069
Project Manager Buckley Contract is 100,00 Complete
Contractor 7LB CONTRACTING,L.L.C.
PO BOY 24131
FORT WORTH, TX 76124-1131
Inspectors LAYER / GRINDSTAFF
Wednesday,October 2,2019 Page 1 of 4
City Project Numbers 02621 DOE Number 7481
Contract Name BAILEY BOSWELL WINO RIVER TO OLD DECATUR RD Estimate Number 4
Contract Limits Payment Number 4
Project Type WATER&SEWER For Period Ending 9/26/2019
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
I ^SALVAGE FIRE HYDRANT I EA $500.00 $500.00 1 $500,00
2 VALVE BOX ADJUSTMENT 5 EA $540,00 $2,700.00 5 $2,700.00
3 DUCTILE IRON WATER FITTINGS 1 TN $8,125.00 $8,125.00 1 $8,125.00
WIRESTRAINT
4 6"PVC WATER PIPE 25 LF $53.00 $1,325.00 25 $1,325.00
5 8"PVC WATER PIPE CO#1 1026 LF $64.00 $65,664.00 1026 $65,664.00
6 FIRE HYDRANT I EA $6,070.00 $6,070.00 1 $6,070.00
7 CONNECTION TO EXISTING 4"-12"WATER 3 EA $4,335.00 $13,005.00 3 $13,005.00
MAIN
8 8"GATE VALVE COO 3 EA $1,515.00 $4,545.00 3 $4,545.00
9 8"X6"TAPING SLEEVE&VALVE 1 EA $3,250.00 $3,250.00 I $3,250.00
10 CONCRETE ENCASEMENT FOR WATER PIPE 1 CY $3,250.00 $3,250.00 1 $3,250.00
11 CONCRETE CAP 30"WATER LINE 3 EA $1,085.00 $3,255.00 3 $3,255.00
12 TRENCH SAFETY CO#1 1040 LF $0.05 $52.00 1040 $52.00
13 1"WATER SERVICE CON 1 EA $1,050.00 $1,050.00 1 $1,050.00
14 8"CUT IN TEE C091 1 EA $5,850,00 $5,850.00 1 $5,850.00
15 8"PLUG COO 1 EA $250.00 $250.00 1 $250,00
16 8"PVC WATER PIPE COO 1 70 LF $80.00 $5,600.00 70 $5,600.00
17 2"WATER SERVICE CON i I EA $2,650.00 $2,650.00 1 $2,650.00
--------- - ---- - - -- - -- -----------------
Sub-Total of Previous Unit $127,141.00 $127,141.00
--- - - - -------------
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
—————— ———1 MANHOLE ADJUSTMENT,MAJOR 2 EA $4,985.00 $9,970.00 2 $9,970.00
--------------------------------------
Sub-Total of Previous Unit $9,97&00 $9,970.00
---------------------------------------
�I
'I
I
Wednesday,October 2,2019 Page 2 of 4 '
City Project Numbers 02621 DOE Number 7481
Contract Name BAILEY BOSWELL WIND RIVER TO OLD DECATUR RD Estimate Number 4
Contract Limits Payment Number 4
Project Type WATER&SEWER For Period Ending 9/26/20I9
Project Funding
Contract Information Summary
Original Contract Amount $1 15,089.50
Chan><e_orders
Change Order Number 1 $22,021.50
Change Order Number
Change Order Number
Total Contract Price $137,11I,00
Total Cost of Work Completed $137,111.00
Less %Retained $0.00
Net Earned $I37,111.00
Earned This Period $34,603.53
Retainage This Period $0.00
Less Liquidated Damages
Days @ 1 Day $0.00
LessPavement Deficiency $0.00
Less Penalty $0.00
Less Previous Payment $102,507.47
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $34,603.53
Wednesday,October 2,2019 Page 3 of 4
City Project Numbers 02621 DOE Number 7481
Contract Name BAILEY BOSWELL WIND RIVER TO OLD DECATUR RD Estimate Number 4
Contract Limits Payment Number 4
Project Type WATER&SEWER For Period Ending 9/26/2019
Project Funding
Project Manager Buckley City Secretary Contract Number 117481
Inspectors LAYER / GRTNDSTAFF Contract Date
Contractor ]LB CONTRACTING,L.L.C. Contract Time 325 CD
PO BOX 2413I Days Charged to Date 1069 CD
FORT WORTH, TX 76124-1 131 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 $137,1 I 1.00
Less %Retained $0.00
Net Earned $137,111.00
Earned This Period $34,603.53
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 I Day $0.00
LessPavement Deficiency $0.00
Less Penalty $0.00
Less Previous Payment $102,507.47
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $34,603.53
Wednesday,October 2,2019 Page 4 of 4
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FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Bailey Boswell- Wind River to Old Deeztur Rd.
PROJECT NUMBER: 2612
DOE NUMBER: 7481
WATER
PIPE LAID SIZE TYPE OF PIPE LF
Water b" PVC 25
8" PVC 1096
FIRE HYDRANTS: 1 VALVES(16" OR LARGER) NIA
PIPE ABANDONED SIZE TYPE OF PIPE LF
NIA
DENSITIES: All Passed
NEW SERVICES: 1"Dom Copper 15'
2" Dom Copper 15'
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
NIA
PIPE ABANDONED SIZE TYPE OF PIPE LF
NIA
DENSITIES: NIA
NEW SERVICES: NIA
TRr1NSPORTATION AND PUBLIC WORKS
The City of Fort Worth■1000'Tlirockmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, a notary public in the state and county
aforesaid, on this day personally appeared Sam Davis, President of JLB Contracting, 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;
Bailey Boswell — Wind River to Old Decatur Road
City Project # 02621
Sam Davis
President
JLB Contracting, LLC
Subscribed and sworn before me on this o� f� 2019.
f
JAMIE GREENWAY
Notery PubiLC.State of Texa•; r
_'=• 'z� comm.Expires 09 25-2020
` atiw{ tJatary ID 1�17�a34 NO PUB IC IN AND F R-
T R CANT COUNTY, TEXAS
My commission expires3"k,',-k-er- 00070
CONSENT OF OWNER ❑
SURETY COMPANY ARCHFMCT ❑
TO FINAL PAYMENT S CTOR ❑❑
OTHER
(SrMLAR TO AIA DOCUMENT G707)
Bond No. 7992089
PROJECT: Bailey Boswell- Wind River Drive to Old Decatur Road, City Project No. 02621
(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 GATE; April 1,2016
CONTRACTOR: JLB Contracting, LLC
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the(hers insert no=and
'rm of suety Company) Westfield Insurance Company
555 Republic Drive, Suite 450
Plano, Texas 75074 ,SURETY COMPANY,
on bond of(here insert name and address of Cowmtor)
JLB Contracting,LLC
P.O. Box 24131 ,CONTRACTOR,
Fort Worth, Texas 76124
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 Wine and address of Owner)
City of Fort Worth
200 Texas Street
Fort Worth, Texas 76102 .OAR,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
The Surety Company has hereunto set its hand this 23 rd day of October
2019
W 4. IE I1tiI NCE COMPANY
Surety Companzz
BAttest: Signature of Ative
{Seal}: Kyle W Sw enev Attorney-in-Fact
Title
Now: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 5UPERCEDES ANY PREVIOUS POWER BEAR11vu 111M, SAML
POWER#AND ISSUED PRIOR TO 0412o111, FOR ANY PERSON OR PERSONS NAME❑ BELOW,
Genera! POWER NO. 4220052 06
Power Westfield Insurance Co.
of Attorney Westfield National Insurance Co.
CERTIFIED COPY Ohio Farmers Insurance Co.
Westf-iefd 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 p4cipal office in Westfield Center, Medina County, Ohio, do by these
presents make, constitute and appoint
CHARLES D. SWEENEY, MICHAEL A. SWEENEY, KYLE 1N,SWEENEY, ELIZABETH GRAY, JOINTLY OR SEVERALLY
of FORT WORTH and Statr:of TX its true and lawful Attorneys)-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 Or, ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORIGAGE 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 Attorneys)-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:
"Se 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 Attorneys)-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 he 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 S,2000),
In Wrtness 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 seats to be hereto affixed this 20th day of
APRIL A.D.,2011 .
Corporate
r4s� C o ".1 µ �!ti� ,� 1115U �`"4 WESTFIELD 114SURANCE COMPANY
�40 of F •'r'• ;s �S fy' WESTFIELD NATIONAL INSURANCE COMPANY
Affixed �... sr+'�s�.# q. p: =yM` .._ `we OHIO FARMERS INSURANCE COMPANY
". FLU SEAL `- f
anLn
ti •x. .;a: � : 1848 ;_
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 duty
sworn,did depose and say,that he.residesIn Medina, Ohio;that he is Senior Exectittve 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
Seal rsxR1,
Affixed 0.
• William J. Kahelin, A )rney at Law,Notary Public
State of Ohio p My Commission Does Not Expire(Sec. 147.03 Ohio Revised Code)
County of Medina ss.:
r
I,Frank A. Carrinv,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 tarred copy of a Power of Attorney, executed by said
Companies, which is still 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.
1n Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this rd day of
October A D 2019 23
/ Yff S C3NA
4„= 5� : _L"; SEAL r
irVt fi -`r'- :s7 =�: 1B4 / i Sectary
-27 0= = = '!= Frank A. Camino,Secretary
. .,...
BPOAC2 (combined) (06.02)