The URL can be used to link to this page

Home My WebLink AboutContract 50262-FP4 City Secretary 50262 -FP4 Contract No. FORTWORTH. Date Received Jun 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: ROCKLYN TRINITY UPTOWN MULTIFAMILY City Project No.: 101039 Improvement Type(s): ❑ Paving ❑x Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $11,383.00 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $11,383.00 Drew Davis Jun 4 2020 Drew Davis(Jun 4,202015:45 CDT) 7 Contractor Date Davis Excavation,Inc Title President Company Name J u n 5 2020 TRO(Jun 5,202015:37 CDT) 7 Pro'ect� sector Date Patrick okley(JurA,202015:44CDT) Jun 5, 2020 Project Manager Date Jun 5 2020 Laurie Lewis(Jun 5,202019:39 CDT) 7 CFA Manager Date Dana Burandaff Jun 6 2020 Dana Burghdoff un 6,2020 09:09 CDT) f Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: ROCKLYN TRINITY UPTOWN MULTIFAMILY City Project No.: 101039 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: 120 CD Days Charged: 605 Work Start Date: 3/26/2018 Work Complete Date: 11/21/2019 Page 2 of 2 FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name ROCKLYN TRINITY UPTOWN MULTIFAMILY Contract Limits Project Type STORM DRAIN City Project Numbers 101039 DOE Number 1039 Estimate Number 1 Payment Number I For Period Ending 12/7/2019 CD City Secretary Contract Number Contract Time 12GD Contract Date Days Charged to Date 605 Project Manager NA Contract is 100.00 Complete Contractor DAVIS EXCAVATION,INC. P.O.BOX 1169 VAN ALSTYNE, TX 75495 Inspectors DICKINSON I OVERSTREET Saturday,December 7,2019 Page 1 of 4 City Project Numbers 101039 DOE Number 1039 Contract Name ROCKLYN TRINITY UPTOWN MULTIFAMILY Estimate Number 1 Contract Limits Payment Number I Project Type STORM DRAIN For Period Ending 12/7/2019 Project Funding DRAINAGE Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ------ ----------------------------- 1 REMOVE 10'CURB INLET 1 EA $4,200.00 $4,200.00 1 $4,200.00 2 21"RCP CLASS IV 61 LF $103.00 $6,283.00 61 $6,283.00 3 10'CURB INLET 1 EA $900.00 $900.00 1 $900.00 -------------------------------------- Sub-Total of Previous Unit $11,383.00 $11,383.00 -------------------------------------- Saturday,December 7,2019 Page 2 of 4 City Project Numbers 101039 DOE Number 1039 Contract Name ROCKLYN TRINITY UPTOWN MULTIFAMILY Estimate Number I Contract Limits Payment Number 1 Project Type STORM DRAIN For Period Ending 12/7/2019 Project Funding Contract Information Summary Original Contract Amount $11,383.00 Chanae Orders Total Contract Price $11,383.00 Total Cost of Work Completed $11,383.00 Less %Retained $0.00 Net Earned $11,383.00 Earned This Period $11,383.00 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 $11,383.00 Saturday,December 7,2019 Page 3 of 4 City Project Numbers 101039 DOE Number 1039 Contract Name ROCKLYN TRINITY UPTOWN MULTIFAMILY Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN For Period Ending 12/7/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / OVERSTREET Contract Date Contractor DAVIS EXCAVATION,INC. Contract Time 120 CD P.O.BOX 1169 Days Charged to Date 605 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 $11,383.00 Less %Retained $0.00 Net Earned $11,383.00 Earned This Period $11,383.00 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 $11,383.00 Saturday,December 7,2019 Page 4 of 4 CONSENT OF SURETY OWNER D TO FINAL PAYMENT ARCHITECT El CONTRACTOR L3 AIADoCunumt G7U7 SURETY ER (instructions on reverse side) Bond No. PB03228302144 OTHER El TO OWNER: ARCHITECT'S PROJECT NO.: NIA (Nome tip d addr-u) City of Fort Worth CONTRACT FOR: Utilities in Public!tight of Way for Rocklyn Trinity Uptown Multifamily City Project 101039 PROJECT: CONTRACT DATED: (Nrane am!addm:w Utilities in Public Right of Way for Rock lyn Trinity Uptown Multifamily City Project 101039 In accordance with the provisions of the Contract between the Owner and the Contraoor as indicated above,the fla rr nnnte and aeklr e-w of tiuren7 Philadelphia Indemnity Insurance Company One Bala Plaza East, Suite 100 Bala Cynwyd, PA 19004-1403 SURFrY on Weld of (In err name and awrml t f G)tr(racrurJ Davis Excavation, Inc. 3807 CR 276 Melissa,Texas 75454 CONTRACTOR, hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to on.wrr name anr(aciclrra�ufOrrrtrrt City of Fort Worth OWNER, asset forth in siid Surety's bond. 1N WITNESS WHEREOF,the Surety has hereunto set iL+hand on this(Lite: ,tune 4,2020 (liowrl in u•riany thc•rnonrb,roflvuvgf in the numeric(hae and veav j Philadelphia Indemnity Insurance Company ourt7l'r, l r - ttir{rtautrr of rrrrr&Wizen!rrpn�•rrlttflt r•1 Attu . orena Majncia, Witness (5eat): Michael B. Hill, Attorney-in-Fact - (Printerl rrirwe and rule! CAUTfON: You should sign an original AIA document that has this caution printed in red. An l vri&al 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. AIIA DOCLUENT GM-CONSENT OF SURt:€Y TCl RNAL PAYMENI'- 199-f FD1110N-'ALA 01994"nit:AA MCAIN INSITR-rF.OF ARCHITF M.1735 NEW YORK AVF.VI T.NW.WASti- INrTON.n(: 2(lx)6-i29'-WARNING:UnIkensed photocopying violates U.S.copy- G707--1994 right laws ano will subject the violator to raga€ptosecutton. 19207 PHILADELPHIA INDEMNITY INSURANCE COMPANY One Bala Plaza,Suite 100 Bala Cynwyd,PA 1900"950 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,Brack Baldwin,Michael B.Hill,Brady I{.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 14L'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 Attorney(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. Fi.•'c.°scrwg.f G -a 1927` (Seal) Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this 27s`day of October,2017,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly swom 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, uu r N v i � RorulM6t;u Notary Public: � wrner..a.ei ra,n:i residing at: Bala Cynwyd.-PA (Notary Seal) My commission expires: September 25.2021 I,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 27'a 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 Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY, ��jj�/ In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this J day of ,206V ra:� F�.•, s t Edward Sayago,Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY V11- NOTICE This document waives 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. UNCONDITIONAL WAIVER AND BILLS PAID AFFIDAVIT Project: Rocklyn Job No. 1801 Property Owner: Carleton Construction 4201 Spring Valley Rd Suite#800 Dallas,TX 75244 Affiant: Davis Excavation 3807 County Road 276 Melissa, TX 75454 Affiant has actual knowledge that all bills owed by the Subcontractor, Davis Excavation, Inc., for materials supplied or labor performed in connection with Job 1801 Rocklyn, have been fully paid and satisfied; and,that no liens currently exist against stated property. Date: D V i S ; E X 0 1 �V\ C (Company Name) (Signature) P f-P S l j e 11-� (Title) STATE OF TEXAS COUNTY OF Collin This Unconditional Waiver and Releae on Progress Payment was 4cknowledged before me on this day of , 207 by on behalf of v' f� 4 j- Notary Public—State o exas My Commission Expires: KRISTEN DANIELS Notary Public, State of Texas Comm. Expires 04-19-2021 �''�nii � Notary ID 11^73252