HomeMy WebLinkAboutContract 51257-FP1 FORT WORTH.
RECEIVED *� CSC No.51257-FPI
FEB 2 8 2020
111Y111011Wpp7If TRANSPORTATION AND PUBLIC WORKS
CNSECREC NOTICE OF PROJECT COMPLETION
City Project NQ: 101602
Regarding contract 51257 for CONCRETE RESTORATION(2019-3)as required by the
TRANSPORTATION&PUBLIX WORKS as approved by City Council on 8/28/2018 through M&C C-28814 the
director of the TRANSPORTATION&PUBLIX WORKS upon the recommendation of the Assistant Director of
the Transportation&Public Works Department has accepted the project as complete.
Original Contract Prices: $940,678.00
Amount of Approved Change Orders: $169,788.00 NO 1 &2
Revised Contract Amount: $1,110,466.00
Total Cost Work Completed: $1,110,466.00
Less Deductions:
Liquidated Damages: Days @$210.00/Day
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed: $1,110,466.00
Less Previous Payments: $1,054,669.10
Final Payment Due $55,796.90
jPn;Wr Feb 28,2020
ismen Priw reb a 20am)
Recommended for Acceptance Date
Asst. Director, TPW - Capital Delivery
William Jo son(IFeb28"20! Feb 28,2020
Accepted Date
Director, TRANSPORTATION & PUBLIX WORKS
Client Department
Dgna&i-
Dana Burghdoff eb28,2020) Feb 28,2020
Asst. City Manager Date
Comments:
OFFICIAL.RECORD
CITY SECRETARY
FT. WOR"f TX
Department of TP &W Const. Services
CPNtt Lg���
Da e
Project
Risk Management Gatewood -
D.O.E. Brothertonj-(tp.-lq
CFA Morales /Scanned
Gutzler/Scanned
The Proceeding people have been Contacted
concerning the request for final payment& have
released this project for such payment.
Clearance Conducted By 0,�
FORTWORTH rev 03/05/07
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:16
NAME OF PROJECT: Concrete Restoration-(2019-3)
PROJECT NO.: 101602 CONTRACTOR: Select Striping,LLC.
DOE NO.: n/a
PERIOD FROM:]1/12/18 TO: 10/21/19 FINAL INSPECTION DATE: 21-Oct-19
WORK ORDER EFFECTIVE:n/a CONTRACT TIME: 292 O WD(§) CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED CREDITED
DURING DURING
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 OTHERS * DAYS TOTAL
& HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS
THIS
PERIOD
PREVIOUS
PERIOD
TOTALS
TO DATE 150 150
*REMARKS:
x J
1A A, /-ZO �Z-
RA OR DATE rARTMENT
ECTOR DATE
ENGINEERING DE
The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817) 392-7941 •Fax: (817)392-7845
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CONSENT OF SURETY C1WN?R o
TO FINAL PAYMENT ARCHITECT 0
.ALA Document G707 CONTRACTOR �
SURETY
Bond No. 9294754 OTHER 0
TO OWNER: ARCHITECT'S PROJECT NO.:
City of Fort Worth
1000 Throckmorton Street CONTRACT FOR: Concrete Work
Fort Worth,TX 76102
PROJECT. CONTRACT DATED:August 28, 2018
(Nance and addrrnq
Concrete Restoration (2019-3) at Various Locations, Project No. 101602
In accordance uftb the provisions of the Contract between the Owner and the Contractor as indicated above,the
(Insert name,and addrt�ofSm"V
Fidelity and Deposit Company of Maryland
1299 Zurich Way, 5th Floor
Schaumburg, IL 60196-1056
SURETY,
on bond of
jlnstn,rat,ia a,id acldrres p/Cwznactw)
Select Striping LLC
P.O. Box 1130
Euless,TX 76039
CONTRACTOR,
hereby approves of the final payment to the Conti-actor,and agrees that final payment to tale Contractor shall not relieve the Surety of
any of its obligations to
(liisC'Yr nlrnTecrnd addr'ers of otf F,erJ
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 hereunm set its hand on this date: January 15, 2020
rinaerfinwtitlr,J;(1hnrontbMibuxdhrdx,rrane:*darta?zd car,)
�' 0fP0Sr
r Fidelity and Deposit Company of Maryland
A. �r',� � f SxtrtF
�
B y:
(y�narure oJarNJrd„+xrtt irprtxerrraris�J
1Stte'S; ��a
(Se Debra Hutts Attorney-in-Fact
y Feae rfck
'U (Ptxi,ted uarur arrtlraleJ
Surety Phone No. 812-514-5038
G707-1994
Bond Number 9294754
Obligee City of Fort Worth
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New
York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois,and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by
Robert D.Murray,Vice President,in pursuance of authority granted by Article V,Section 8,of the By-Laws of said Companies,which are
set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof,do hereby nominate,constitute,
and appoint Debra Hutts its true and lawful agent and Attorney-in-Fact,to make,execute,
seal and deliver,for,and on its behalf as surety,and as its act and deed: any and all bonds and undertakings,and the execution of such
bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and
purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE
COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND
SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT
COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of
the By-Laws of said Companies,and is now in force.
IN WITNESS WHEREOF,the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 19th day of June,A.D.2019.
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
OSEAL
By: Robert D.Murray t
Vice President A*°`�
04— aGthL
By: Dawn E.Brown z l teas e?
fa=
Secretary
State of Maryland
County of Baltimore
On this 19th day of June, A.D.2019, before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,Robert D.
Murray,Vice President and Dawn E.Brown,Secretary of the Companies,to me personally known to be the individuals and officers described in and who
executed the preceding instrument,and acknowledged the execution of same,and being by me duly sworn,deposeth and saith,that he/she is the said officer of
the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and
the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written.
Q,
Constance A.Dunn,Notary Public
���,f�i,•�x;pi���`� My Commission Expires:July 9,2023
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V,Section 8,Attorneys-in-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies,
recognizances, stipulations,undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any
time."
CERTIFICATE
I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,do hereby certify that the
foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V,Section 8,of
the By-Laws of the Companies is still in force.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the Sth day of
May, 1994,and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the 1 Oth day of May,1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice-President,Secretary,or Assistant Secretary of the Company,whether made heretofore or hereafter,wherever appearing upon a
certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect
as though manually affixed.
IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies,
this 15th dayof January ,2020 .
CASLLk
Brian M.Hodges,Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND,PLEASE SUBMIT A COMPLETE DESCRIPTION
OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND,THE BOND NUMBER,AND YOUR CONTACT
INFORMATION TO:
Zurich Surety Claims
1299 Zurich Way
Schaumburg,IL 60196-1056
www.reportsfclaimsna)zurichna.com
800-626-4577
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 Rahul Patil,
Operations Manager Of Select Striping, 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 t'ull;
That there are no claims pending for personal injury and'or
property damages;
On Contract described as.
Concrete Restoration at Various Locations
BY
Rahul Patil, Operations Manager
Subscribed and sworn before me on this date 15 of January. 2020.
``P av aye` �'' MAYRA KARINA GOMEZ
:ems Notary Public,state of Texas
v.= Comm. p 01-2021
-v•.... Expires 08-
AotairyiC Notary ID 131229240
County, State
TO: AMP>ER. LAWSON/ TPW
FR-OM: SHtAMEK-4 ICENNEDY/ TAW CAPITAL DELIVERY
DATE:
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