HomeMy WebLinkAboutContract 52571-FP1 FORTWORTH, CSC No.52571-FP1
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
City Project Ns: 101406
Regarding contract 52571 for ASH CRESCENT NEIGHBORHOOD IMPROVEMENTS (HMAC 2019-5) as
required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on
06/25/2019 through M&C C-29168 the director of the
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant
Director of the Transportation&Public Works Department has accepted the project as complete.
Original Contract Prices: $1,140,827.50
Amount of Approved Change Orders: Ns 1
Revised Contract Amount: $1,140,827.50
Total Cost Work Completed: $964,451.97
Less Deductions:
Liquidated Damages: Days @$650.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $964,451.97
Less Previous Payments: $916,229.37
Final Payment Due $48,222.60
Lauren Prieur Oct 28,2020
Lauren Prieu r(Oct 28,202013:26 CDT)
Recommended for Acceptance Date
Asst. Director, TPW - Capital Delivery
Oct 28,2020
Accepted Date
Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
Client Department
z?a'w'z Oct 28,2020
Dana Burghdoff(Oct 28,20 6:28CD
Asst. City Manager Date
Comments:
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX
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C-620 Signature Page
Contractor's Application for Payment Invoice No. 9--FINAL
T°(owacr) City of Fort Worth Invoicog Period(From-To): Invoice Date:
10/12020-10/312020 10/122020
P.G FW020-0000002119 From(Contractor): Rea it to(If Not Automatic Deposit):
Number: FNH CONSTRUCTION LLC
Project. 101406 Contractor's CFW vendor No.:
0000043266
City secretary Contract 52571 Contract Ash Crescent Neighborhood Improvements f A C 2019-5 CDBG
Number: Name: g II �(`�'�"'
Application For Payment
Change Order Summary
Acenoved Choose Orders 1.ORIGINAL CONTRACT PRICE................................._....._....._....—$ S1,140,827.50
Number Additions Deletions 2.Net change by Change Orders.............._...._......_..............._............_....$
1 3.Garment Contract Price(Live I x 2)....................._............... ...............S $1,140,827.50
2 4.TOTAL COMPLETED AND STORED TO DATE
3 (Progress Estimate,Construction Allowance and Change Orders).......S $964,451.97
4 5.RETAINAGE:
5 a X $964,451.97 Work Completed..........S
6 b. X Not Used S
7 c.Total Retismage(Line Se+Line Sb)..............-....._.........S
8 6.AMOUNT ELIGIBLE TO DATE(Line 4-Line 5c).............._...._........S $964,451.97
TOTALS 7.LESS PREVIOUS PAYMENTS(Line 6 from prior Application)......._$ S916,229.37
NET CHANGE BY 8.AMOUNT DUE THIS APPLICATION..........._...__.............................$ $48,222.60
CHANGE ORDERS 9.BALANCE TO FINISH,PLUS RETAINAGE
(Column G on Progress Estimate,CA+COs+Line 5 above)........_.....S S176X5.53
Contractor's Certification 10.CONTRACT TIME:
The Contractor certifies with the submittal ofthis document and associated Payment Request Submittal a. Days Awarded 210
on the City of Fort Worth Buvsaw system that to the beg of their knowledge:(1)all previous progress b, Days Added by CO
payments received from Owner on account of Work done under the Contmct have been applied on c Total Days 210
count to,discharge Conomme's legitimate obligations incurred in connection with Work covered by
prior Applications for Payment;(2)title of all Work,materials and equipment incorporated in said Work
or otherwise listed in or covered by this Application for Payment will pass to Owner at time of payment d Days Charged 210
free and clear of all Liems,security interests and eacumbrances(except such as are covered by a Bond
acceptable to Owner indemnifying Owner against my such Lieas,security interest or encumbrances); e. Days Remaining
and(3)all Wmk covered by thi^ ppl ca n for Payment is in accordance with the Contract Dmumrnls
and is not defective.
This domment has been modified from its original form as an EJCDC document and the user did not highlight the
modifications.You are encouraged to read the document carefully and consult Legal Counsel prior to its execution.
Citv of Fort Worth Summary of Char es
City Becretoy Connaa Num 52571 s rescent Neighborhood Improvements A -I) P 0_ FW020-0010002119 ProjectNmnber. 101406
CDBG
Application
Application Period: 10l172020-10131/2020 Number: —RINAL APpltoation Date: 10112/2020
Funding Identification(FID) Total Completed - Amt Remaining Gross Retainage Net
__ _... Original Contract _ _... _.. _... _.. __. _.....
210010200431 5740010101785 A01912 $74147085 $3402166 ($000) (50.00):
21001-0200431-5740010-100000-A01958 $222,981.13 $142,353.86
10
0
0
0
0
0
0
0
0
_ .Change Order l..
121001-0200431-5740010-101785-A01912
21001-0200431-5740010-100000-A01958
0
0
0
0
0
0
0
,0 :.
Order 2..
21001-0200431-5740010-101785-A01912
21001-0200431-5740010-100000-A01958
0
0
0
0
0
0
0
0
Citv of Fort Worth Summary of Charges
City Secretazy Contract Num: 52571 Xsh Cresccnt Neig orho oImprovements( -.) P d: FW020-0000002119 project Number 101406
CDBC
Application Permd: 1011I2020-10/3112020 Application 9--FINAL Application Data: 10/12/2.2.
N tuber:
Funding Identification(FID) Total Completed Amt Remaining Gross Retainage Net
_. Change Order3.
21001-0200431-5740010.101785-A01912
21001-0200431-5740010-100000-A01958
0
0
0
0
0
0
0
0
0
Change 0
rder4
121001-0200431-5740010-101785-A01912
21001-0200431-5740010-100000-AO i958
0
0
0
0
-0-
0
0
0
-_- Chanoe Orders
21001-0200431-5740010-101785-A01912
21001-0200431-5740010-100000-A01958
0
0
0
0
0
0
0
0
City of Fort Worth Summa of Charges
City SecretaryCwttectNmn: 52571 s rescent etg or oo mprovements( - P C y'Fy020.0000002119 project Number: 101405
CDSG
Applicat—P,-d: 10/1/2020-10/31/2020 Appti ba,; 9_FINAL Application Date: 10/12/2020
Nu,b"
Funding Identification(FIO) Total Completed Amt Remaining Gross Retainage Net
Change Order 6
21001-0200431-5740010-101785-A01912
21001-0200431-5740Q10-100000-A01958
0
0
0
0
0
0
0
0
Ghange Order?
21001-0200431-5740010-101785-A01912
21001-0200431-5740010-100000-A01958
0
0
0
0
Q
0
0
0
0
..Change Ord-8.. _... ...
'21001-0200431-5740010-101785-A01912
21001-0200431-5740010-100000-A01958
Q
0
0
0
0
0
0
0
0
Citv of Fort Worth Summa of Char es
city secretary Contrecc Num: 52591 s ,reseeut 'etg or on mprovements( -�) P o: FW020-000
CDBG
0002119 project Number. 101406
AppticatSon Period: 10f1(2020-10/31/2020 Application 9—FINAL Application..t 10/12/2020
Number:
Funding Identification(FID} TotalGompleted Amt Remaining Gross Retainage Net
Totals
21 0 0 1-02 0 043 1-5740 01 0-1017 8 5-A01912 $741,470.85 $34,021.66 ($0.00). {$0.00}
21 0 0 1-0 2 0 0431-5 740 01 0.100 000-A01958 $222981,13 $142,353.88
0
0
0
0
0
0
0
0
0
Grand Total $964,451.97 $176,375.53 ($0.00) ($48,222.60) $48,222.60
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