HomeMy WebLinkAboutContract 53564-FP1 City Secretary 53564 -FPl
Contract No.
FORTWORTH, Date Received Dec 28,2020
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: Liberty Trails Phase 1A
City Project No.: 101805
Improvement Type(s): Water 0 Sewer 0
Original Contract Price: $425,124.00
Amount of Approved Change Order(s): $24,765.00
Revised Contract Amount:
Total Cost of Work Complete: $449,889.00
AlbeertG �"""�26T, CST) Dec 21,2020
Contractor Date
Vice President
Title
Burnsco Construction, Inc.
Company Name
Dgniel Rov 0836 CSp Dec 22,2020
Daniel Rov(Dec 22,2020
Project Inspector Date
Khal Jaafari P.E.(Dec 23,20201152 CST) Dec 23, 2020
Project Manager Date
langu -Scaw,-4 tMar`►lgk Dec 23 2020
Janie Scarlett Morales(Dec 23,2020 21:25 CSC ,
CFA Manager Date
Dana surAhdof�
Dana Burghdoff ec24,202009,09 CST) Dec 24,2020
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY
Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Liberty Trails Phase 1A
City Project No.: 101805
City's Attachments
Final Pay Estimate 0
Change Order(s): 0 Yes ❑ N/A
Pipe Report: 0 Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 190 CD Days Charged: 190
Work Start Date: 3/30/2020 Work Complete Date: 12/8/2020
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name LIBERTY TRAILS PHASE IA WATER,SEWER,AND DRAINAGE IMPRO
Contract Limits
Project Type WATER&SEWER
City Project Numbers 101805
DOE Number 1805
Estimate Number 1 Payment Number I For Period Ending 11/30/2020
CD
City Secretary Contract Number Contract Time 19CLD
Contract Date Days Charged to Date 190
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors MILLER,W / ROY,D
Friday,December 18,2020 Page 1 of 5
City Project Numbers 101805 DOE Number 1805
Contract Name LIBERTY TRAILS PHASE IA WATER,SEWER,AND DRAINAGE IMPR Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 11/30/2020
Project Funding
UNIT I:WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 TRENCH SAFETY 3940 LF $0.10 $394.00 3940 $394.00
2 DUCTILE IRON WATER FITTINGS 3.5 TN $4,800.00 $16,800.00 3.5 $16,800.00
W/RESTRAINT
3 12"PVC WATER PIPE 1542 LF $44.00 $67,848.00 1542 $67,848.00
4 8"PVC WATER PIPE(CO#Al 2671 LF $31.00 $82,801.00 2671 $82,80L00
5 FIRE HYDRANT 3 EA $4,400.00 $13,200.00 3 $13,200.00
6 1"WATER SERVICE(CO#At) 53 EA $970.00 $51,410.00 53 $51,410.00
7 2"WATER SERVICE(CO#AI) 2 EA $2,000.00 $4,000.00 2 $4,000.00
8 8"GATE VALVE(CO#A1) 6 EA $1,400.00 $8,400.00 6 $8,400.00
9 12"GATE VALVE(CO#AI) 3 EA $2,400.00 $7,200.00 3 $7,200.00
11 2"COMBINATION AIR VALVE ASSEMBLY FOR I EA $7,800.00 $7,800.00 I $7,800.00
WATER
12 3"CONDT PVC SCH 40(T)(CO At,A2) 410 LF $10.00 $4,100.00 410 $4,100.00
14 4"CONDT PVC SCH 40(T)(CO Al) 100 LF $10.00 $1,000.00 100 $1,000.00
--------------------------------------
Sub-Total of Previous Unit $264,953.00 $264,953.00
UNIT II:SANITARY SEWER IMPROVEMENTS
Item Description of Items Unit Unit Cost
Estimated Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
I POST-CCTV INSPECTION 1699 LF $4.00 $6,796.00 1699 $6,796.00
2 MANHOLE VACUUM TESTING 9 EA $110.00 $990.00 9 $990.00
3 TRENCH SAFETY 1699 LF $1.00 $1,699.00 1699 $1,699.00
4 MANHOLE ADJUSTMENT,MAJOR W/COVER 4 EA $6,800.00 $27,200.00 4 $27,200.00
(CO AI)
5 TRENCH WATER STOPS 4 EA $300.00 $1,200.00 4 $1,200.00
6 4"SEWER SERVICE(CO At) 49 EA $860.00 $42,140.00 49 $42,140.00
7 6"SEWER SERVICE 1 EA $1,300.00 $1,300.00 1 $1,300.00
8 8"SEWEE PIPE 1639 LF $39.00 $63,921.00 1639 $63,921.00
9 8"SEWER PIPE CSS BACKFILL 60 LF $54.00 $3,240.00 60 $3,240.00
10 T MANHOLE 9 EA $2,800.00 $25,200.00 9 $25,200.00
11 T EXTRA DEPTH MANHOLE 19 VF $150.00 $2,850.00 19 $2,850.00
12 EPDXY MANHOLE LINER(CO AI) 20 VF $420.00 $8,400.00 20 $8,400.00
Friday,December 18,2020 Page 2 of 5
City Project Numbers 101805 DOE Number 1805
Contract Name LIBERTY TRAILS PHASE IA WATER,SEWER,AND DRAINAGE IMPR Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 11/30/2020
Project Funding
Sub-Total of Previous Unit $184,936.00 $184,936.00
--------------------------------------
Friday,December 18,2020 Page 3 of 5
City Project Numbers 101805 DOE Number 1805
Contract Name LIBERTY TRAILS PHASE IA WATER,SEWER,AND DRAINAGE IMPR Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 11/30/2020
Project Funding
Contract Information Summary
Original Contract Amount $425,124.00
Change Orders
Change Order Number Al $31,300.00
Change Order Number A2 ($6,535.00)
Total Contract Price $449,889.00
Total Cost of Work Completed $449,889.00
Less %Retained $0.00
Net Earned $449,889.00
Earned This Period $449,889.00
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 $449,889.00
Friday,December 18,2020 Page 4 of 5
City Project Numbers 101805 DOE Number 1805
Contract Name LIBERTY TRAILS PHASE IA WATER,SEWER,AND DRAINAGE IMPR Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 11/30/2020
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors MILLER,W / ROY,D Contract Date
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 190 CD
6331 SOUTHWEST BLVD Days Charged to Date 190 CD
FORT WORTH, TX 76132 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 $449,889.00
Less %Retained $0.00
Net Earned $449,889.00
Earned This Period $449,889.00
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 $449,889.00
Friday,December 18,2020 Page 5 of 5
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FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Liberty Trails Phase 1A
PROJECT NUMBER: 101805
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
PVC 8" PVC 2671
PVC 12" PVC 1542
FIRE HYDRANTS: 3 VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Yes
NEW SERVICES: 1" Copper 53
2" Copper 2
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
PVC 8" PVC 1639
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Yes
NEW SERVICES: 4" PVC 49
6" PVC 1
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•1000 Throcknorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fat:(817)392-7845
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
December 15, 2020
Burnsco Construction, Inc
6331 Southwest Blvd.
Benbrook,Tx 76132
RE: Acceptance Letter
Project Name: Liberty Trails Phase 1A
Project Type: Water&Sewer
City Project No.: 101805
To Whom It May Concern:
On December 8, 2020 a final inspection was made on the subject project. There were punch list items
identified at that time. The punch list items were completed on December 14, 2020. The final
inspection and the corrected punch list items indicate that the work meets the City of Fort Worth
specifications and is therefore accepted by the City. The warranty period will start on December 14,
2020,which is the date of the punch list completion and will extend of two (2)years in accordance with
the Contract Documents.
If you have any questions concerning this letter of acceptance, please feel free to contact me at 817-
392-7872.
Sincerely,
ehigZ4 '?,1
Khal Jaafari P.E.(D c 23,202011:52 CST)
Khal Jaafari, Project Manager
Cc: Daniel Roy, Inspector
Wade Miller, Inspection Supervisor
Manny Nieto,Senior Inspector
Victor Tornero, Program Manager
Pape Dawson Engineering, Consultant
Burnsco Construction, Inc, Contractor
DR Horton, Inc, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
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 Ab Grantges, Vice
President, Of Bumsco Construction,known to me to be a credible person,
who being by me duly swom, 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;
Liberty Trails Phase lA- Water, Sanitary Sewer and Storm Drain
BY
Ab Gr •e President
Subscribed and sworn before me on this date 8th of December, 2020.
CES ILIA CANALES
Notary ID#131652996
My Commission Expires
Notary Public °Fc ��+ 3oly 24, 2022
Tarrant County,Texas
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT SURETY CTOR ❑❑
Conforms with the American Institute of OTHER
Architects, AIA Document G707
Bond No 022224743
PROJECT:
(name, address)Liberty Trails Phase 1A-Water, Sanitary Sewer,and Storm Drain Improvements
Fort Worth TX
TO (Owner)
❑RH-HVdY 114, LLC AND THE CITY OF FORT ARCHITECT'S PROJECT NO:
WORTH CONTRACT FOR:
6751 North Freeway Liberty Trails Phase 1A-Water,Sanitary SeweF,and Storm Drain
Improvements
Fort Woth TX 76131 CONTRACT DATE:
CONTRACTOR:BURNSCO CONSTRUCTION, INC.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(here insert name and address of Surety Company)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 , SURETY COMPANY
on bond of ihere insert name and address of Contractor)
BURNSCO CONSTRUCTION, INC.
6331 Southwest Boulevard
Benbrook TX 76132 , 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 There insert name and address of owner)
DRH -HWY 114, LLC AND THE CITY OF FORT WORTH
6751 Borth Freeway
Fort Woth TX 76131 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 7th day of December,2020
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
} 1
Attest: +1u tYl�. arc � ]���
(Seal). Signature of Authorized Representative
S❑ hinie Hunter Attorney-in-Fact
Title
NOTEr This form is to be used as a companion document to AIA DOCUMENT G705, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
LINE PAGE
This Power of Attorney limits the acts of those named herein,and they have no authority to
bind the Company except in the manner and to the extent herein stated.
Liberty Liberty Mutual Insurance Company
Mutual, The Ohio Casualty Insurance Company Certificate No: 8200743
SURETYWest American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana(harein collectively called the"Companies'),pursuant to and by authority herein set forth,does hereby name,constitute and appoint,
Robb.Morales,Don E.Cornell.So hinie Hunter,Tina McL-:wan.'I'onie Pctranek,Ricardo J.Rey na, Joshua Saunders, Kelly A.Westbrook
all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful attomey-+n-fact to make,
execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bands,recog n I zan oes and other surety obligations,in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 19th day of March 2019
Liberty Mutual Insurance Company
A� INStl� P01 INS& INSirRq The Ohio Casualty Insurance Company
tiS �aRPOp�r �n ya ooRP°Par'r 4P�oRp'114r yc West American Insurance Company i
3 = m ar $ fin m r4
1912 o x 1919 0 4 1991 0
y
N �v1�S4CIJO � 'ha MP°+a�lit' 1� �NorAi1P a [4• � N
am 8z ,. a s a
By-
David M.Carey,Assistant Secretary
State of PENNSYLVANIA y
=1 County of MONTGOMERY ss ❑
L
cD On this 19th day of March 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o
❑- Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes
oa a therein contained by signing on behalf of the corporations by himself as a duly authorized officer. ❑Ld
1 IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written.
�-v
03' tx nasr r�
❑ L a CCMMONWEALTH OF PENNSYLVANIA ¢4
¢ NoWriai Soal � 6 b
nF Tern:$a F'uslerin,Notary Public } I,
p L
ar Mahon T�vp.,Mon}gnm°ry CountyBy-, ^-� 0
C [p �,q Cammisaiori Exp€res Mam4 28,2e21.._..._._.__ Teresa Pastel€a,Notary Public o
Q] 4py G.S Mumbxr, AU.0daivi of 4o:enaa 11 Q
rA
a) This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty insurance Company, Liberty Mutual E°'
❑ Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: a 0
ai ARTICLE IV-OFFICERS:Section 12.Power of Attorney. '
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or the )
-a m. President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety a o
M a❑ k
Ci any and all undertaings,bonds,reoogn izan ces and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney shall 10 ry
have null power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such
instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attomey-in-fact under the E r4
provisions of[his article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. o
ARTICLE XIII-Execution of Contracts:Section 5,Surety Bonds and Undertakings. "-
Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe, r
shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,
bands,recognizances and other surety obligations.Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the
Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in-
fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recog n iza n ces and other surety
obligations.
Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 7th day of December , 2020
P4 1NSURq �11 INS& d 1tpstrgq
jGOpP 0174 Gyfi 7 r",%Po�pNrp�i"r 4P 4C�P 0RA� gn
21912� 0 1919� 31991 -a,.4__
4 4 ❑ d ❑ 8
���;T4cHus�aa °�HaMP�Ada ys�'rya nKa�aa Y Renee C.Llewellyn,Assistant Secretary
LMS-12873 LMIC OCIC WA IC Multi Co 062CI1a
µ. Liberty
�utua....
SURETY
TEXAS TEXAS
IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener informacion o para someter una
queja:
You may call toll-free for information or to Usted puede Ilamar al numero de telefono gratis
make a complaint at para informacion o para someter una queja al
1-877-751-2640 1-877-751-2640
You may also write to: Usted tambien puede escribir a:
2200 Renaissance Blvd., Ste. 400 2200 Renaissance Blvd., Ste.400
King of Prussia, PA 19406-2755 Bing of Prussia, PA 19406-2755
You may contact the Texas Department of Puede comunicarse con el Departamento de
Insurance to obtain information on companies, Seguros de Texas para ❑btener informacion
coverages, rights or complaints at acerca de companias, coberturas, derechos o
1-800-252-3439 quejas al
1-800-252-3439
You may write the Texas Department of Insurance Puede escribir al Departamento de Scguros
Consumer Protection (I I I-IA) de Texas Consumer Protection (1 I 1-IA)
P. O. Box 149091 P. O. Box 149091
Austin, TX 78714-9091 Austin, TX 78714-9091
FAX: (512) 490-1007 FAX # (512)490-1007
Web: http://www.tdi.texas.gov Web: http://www.tdi.texas.gov
E-mail: ConsumerProtection@tdi.texas.gov E-mail: C❑nSL[merProtection a tdi.texas.goy
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMDS:
Should you have a dispute concerning your Si tiena una disputa concerniente a su prima ❑ a
premium or about a claim you should first Lin reclamo, debe comunicarse con el agente o
contact the agent or call 1-800-843-6446. primer❑. Si no se resuelve la disputa, puede
If the dispute is not resolved, you may contact the entonces comunicarse con el departamento(TDI)
Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR UNA ESTE AVISO A SU POLIZA:
POLICY:
This notice is for information only and does not Este avisa es solo para proposito de informacion
become a part or condition of the attached y no se convierte en parte o condicion del
document. documento adjunto.
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