HomeMy WebLinkAboutContract 51675-FP2 City Secretary 51675 -FP2
Contract No.
FORTWORTH. Date Received Jan 25,2021
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: OJALA RIVER DISTRICT
City Project No.: 101623
Improvement Type(s): ❑ Paving ❑ Drainage 0 Street Lights ❑ Traffic Signals
Original Contract Price: $6,000.00
Amount of Approved Change Order(s):
Revised Contract Amount: $6,000.00
Total Cost of Work Complete: $6,000.00
Jan 16, 2021
Contractor Date
President
Title
Moss Utilities
Company Name
birdheGJt,�si&91 ela' Jan 19 2021
Hershel Stanley 5utte�eld(Ja 19,202115:28C T)
Project Inspector Date
Mrfch Ifolmos Jan 22 2021
Mitch Holmes(Jan 22,202111:50 -" )
Pr 'ect Manager Date
e Scarlett Morales(Jan 22,202115:35 CST) Jan 22, 2021
CFA Manager Date
`nwq aujd �z Jan 22 2021
Dana Burghdoff(J 22,20211 :03 CST)
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX Page 1 of 2
Notice of Project Completion
Project Name: OJALA RIVER DISTRICT
City Project No.: 101623
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: 365 CD Days Charged: 574
Work Start Date: 5/20/2019 Work Complete Date: 12/14/2020
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name OJALA RIVER DISTRICT
Contract Limits
Project Type STREET LIGHTING
City Project Numbers 101623
DOE Number 1623
Estimate Number 1 Payment Number 1 For Period Ending 12/15/2020
CD
City Secretary Contract Number Contract Time 36ED
Contract Date 4/18/2019 Days Charged to Date 574
Project Manager NA Contract is 100.00 Complete
Contractor MOSS UTILITIES,LLC
18631 REMBRANDT TERRACE
DALLAS, TX 75287
Inspectors MILLER W / SUTTERFIELD
i
Thursday,January 7,2021 Page I of 4
City Project Numbers 101623 DOE Number 1623
Contract Name OJALA RIVER DISTRICT Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHTING For Period Ending 12/15/2020
Project Funding
UNIT V:STREET LIGHTING
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
I LED LIGHTING FUYTURE 4 EA $1,500.00 $6,000.00 4 $6,000.00
--------------------------------------
Sub-Total of Previous Unit $6,000.00 $6,000.00
Thursday,January 7,2021 Page 2 of 4
City Project Numbers 101623 DOE Number 1623
Contract Name OJALA RIVER DISTRICT Estimate Number I
Contract Limits Payment Number 1
Project Type STREET LIGHTING For Period Ending 12/15/2020
Project Funding
Contract Information Summary
Original Contract Amount $6,000.00
Change Orders
Total Contract Price $6,000.00
Total Cost of Work Completed $6,000.00
Less %Retained $0.00
Net Earned $6,000.00
Earned This Period $6,000.00
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 $6,000.00
Tluarsday,January 7,2021 Page 3 of 4
City Project Numbers 101623 DOE Number 1623
Contract Name OJALA RIVER DISTRICT Estimate Number 1
Contract Limits Payment Number 1
Project Type STREET LIGHTING For Period Ending 12/15/2020
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors MILLER,W / SUTTER-FIELD Contract Date 4/18/2019
Contractor MOSS UTILITIES,LLC Contract Time 365 CD
18631 REMBRANDT TERRACE Days Charged to Date 574 CD
DALLAS, TX 75287 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 $6,000.00
Less %Retained $0.00
Net Earned $6,000.00
Earned This Period $6,000.00
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 $6,000.00
Thursday,January 7,2021 Page 4 of 4
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
January 5, 2021
Moss Utilities,LLC
3300 Rock Island Road
Irving,Texas 76006
RE: Acceptance Letter
Project Name:Water, Sewer, Paving and Drainage to Serve Ojala River Distrist
Project Type: Paving, Drainage, Street Lights
City Project No.: 101623
To Whom It May Concern:
On October 13, 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-
392-6826.
Sincerely,
Mrfch Ifolmes
Mitch Holmes(Jan 22,202111:50 CST)
Mitch Holmes, Project Manager
Cc: Hershel Stanley Sutterfield, Inspector
Wade Miller, Inspection Supervisor
Emanuel Nieto, Senior Inspector
Victor Tornero, Program Manager
Kimberly Horn,LLC, Consultant
Moss Utilities, LLC, Contractor
Standard River District,LP, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.8/20/19
AFFIDAVIT
STATE OF TX
COUNTY OF Tarrant
Before me,the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Shawn Lain, Project
Manager Of Moss Utilities, 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;
Ojala at River District Project# 101623
BY
Shawn Lain Project Manager
Subscribed and sworn before me on this date_13_of January ,
�2021
Notary Pu li
County las_,
State—TX-
1
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uly 29, 2023
IM The Guarantee Company of North America USA
GUARANTEE'" One Towne Square, Suite 1470
Southfield, Michigan 48076
Phone: 248-281-0281 Fax: 248-750-0431
www.gcna.com
Bond Number 75173195
General Contractor ❑
CONSENT OF SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR ❑
SURETY ❑
OTHER ❑
PROJECT: Ojala River District-Water,Sewer,Paving, Drainage Improvements
(name, address)
TO(General Contractor)
Standard River District,LP and City of Fort Worth ARCHITECT'S PROJECT NO.
6440 N.Central Expressway,Suite 900 &200 Texas St, CONTRACT FOR: Ojala River District
Dallas,TX 75206 Fort Worth,TX 76102 Water, Sewer,Paving,Drainage Improvements
CONTRACT DATE:
CONTRACTOR: Moss Utilities,LLC
In accordance with the provisions of the Contract between the General Contractor and the Contractor as indicated
above,the(here insert name and address of Surety as it appears in the bond).
The Guarantee Company of North America USA One Towne Square#1470 Southfield,MI 48076 , SURETY COMPANY,
on bond of(here insert name and address of Contractor)
Moss Utilities, LLC 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(here insert name and address of General Contractor)
Standard River District,LP and City of Fort Worth GENERAL CONTRACTORS,
As set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,the Surety has hereunto set its hand this_ 1_ th •day of January 2021 ,
The Guarantee Company of North America USA
Surety Company
Signature of Authorized resentative
ATTEST:
(Seal): Title Lloyd Ray itts Jr
The language in this document confirms exactly to the language used in AIA Document G707—Consent of Surety Company to Final Payment.
1� ct
INSURANCE
POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS:That THE GUARANTEE COMPANY OF NORTH AMERICA USA,a corporation organized and existing under the laws of the
State of Michigan,having its principal office in Southfield,Michigan,does hereby constitute and appoint William D.Birdsong,Lloyd Ray Pitts Jr.,Jordan A.Pitts
its true and lawful attorneys)-in-fact to execute,seal and deliver for and on its behalf as surety,any and all bonds and undertakings,contracts of indemnity and
other writings obligatory in the nature thereof,which are or may be allowed,required or permitted by law,statute,rule,regulation,contract or otherwise.
The execution of such instrument(s)in pursuance of these presents,shall be as binding upon THE GUARANTEE COMPANY OF NORTH AMERICA USA as fully
and amply,to all intents and purposes,as if the same had been duly executed and acknowledged by its regularly elected officers at the principal office.
The Power of Attorney is executed and may be certified so,and may be revoked,pursuant to and by authority of Article IX,Section 9.03 of the By-Laws adopted
by the Board of Directors of THE GUARANTEE COMPANY OF NORTH AMERICA USA at a meeting held on the 31 st day of December,2003. The President,or any
Vice President,acting with any Secretary or Assistant Secretary,shall have power and authority:
1. To appoint Attorney(s)-in-fact,and to authorize them to execute on behalf of the Company,and attach the Seal of the Company thereto,bonds and
undertakings,contracts of indemnity and other writings obligatory in the nature thereof;and
2. To revoke,at any time,any such Attorney-in-fact and revoke the authority given,except as provided below
3. In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and authority hereby given to the Attorney-
in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the
State of Florida Department of Transportation.It is fully understood that consenting to the State of Florida Department of Transportation making payment of
the final estimate to the Contractor and/or its assignee,shall not relieve this surety company of any of its obligations under its bond.
4. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-
Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner—Department of Highways of the
Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation.
Further,this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of the Company adopted at a meeting duly
called and held on the 6th day of December 2011,of which the following is a true excerpt:
RESOLVED that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any Power of Attorney or certification thereof
authorizing the execution and delivery of any bond,undertaking,contracts of indemnity and other writings obligatory in the nature thereof,and such signature and
seal when so used shall have the same force and effect as though manually affixed.
N E{ IN WITNESS WHEREOF,THE GUARANTEE COMPANY OF NORTH AMERICA USA has caused this instrument to be signed and its
o� f °o% corporate seal to be affixed by its authorized officer,this 26th day of May,2020.
THE GUARANTEE COMPANY OF NORTH AMERICA USA
STATE OF MINNESOTA Paul J.Brehm,Senior Vice President Chad A.Anderson,Senior Vice President Specialty
Hennepin County
On this 26th day of May,2020 before me came the individuals who executed the preceding instrument,to me personally known,and being by me duly sworn,said
that each is the herein described and authorized officer of The Guarantee Company of North America USA;that the seal affixed to said instrument is the
Corporate Seal of said Company;that the Corporate Seal and each signature were duly affixed by order of the Board of Directors of said Company.
IN WITNESS WHEREOF,I have hereunto set my hand at The Guarantee Company of North America
640
mianuary
TROUT USA offices the day and year above written.
ESOTA
pires
25 )
I,Chad A.Anderson,-Senior Vice President of THE GUARANTEE COMPANY OF NORTH AMERICA USA,do hereby certify that the above and foregoing is a true
and correct copy of a Power of Attorney executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA,which is still in full force and effect.
�yp,NTEEC oJA }},,oA'A IN WITNESS WHEREOF,I have thereunto set my hand and attached the seal of said Company this 13t Qay of January,202 1
7
T
Chad A.Anderson,Senior Vice President Specialty
Please direct bond verifications to surety@intactinsurance.com
THE
GUARANTEE`
TEXAS CONSUMER NOTICE
1. IMPORTANT NOTICE "ISO IMPORTANTE
To obtain information or make a complaint: Para obtener informacion o presenter una queja:
2. You may contact your agent at: Puede contactar a su agente en:
3. You may call The Guarantee Company of North Puede Ilamar al numero de telefono gratuito de
America USA's toll-free telephone number for The Guarantee Company of North America USA
information or to make a complaint at: para obtener informacion o presenter una queja en:
1-866-328-0567 1-866-328-0567
4- You may also write to The Guarantee Company of Tambien puede escribir a The Guarantee Company of
North America USA at: North America USA a;
One Towne Square, Suite 1470 One Towne Square, Suite 1470
Southfield, Michigan 48076 Southfield, Michigan 48076
Web: www.thequaranteeus.com Web: www.theguaranteeus.com
E-mail: Claims.US@thequarantee.com E-mail: Claims,US(cDtheguarantee.com
Fax: 248-750-0431 Fax: 248-750-0431
5. You may contact the Texas Department of Puede comunicarse con el Departamento de Seguros de
Insurance to obtain information on companies, Texas para obtener informacion sobre companias,
coverages, rights or complaints at: 1-800-252- coberturas, derechos o quejas en: 1-800-252-3439
3439
6. You may write the Texas Department of Puede escribir al Departamento de Seguros de
Insurance: Texas:
333 Guadalupe Street 333 Guadalupe Street
P.O. Box 149104 P.O. Box 149104
Austin, TX 78701 Austin, TX 78701
Fax: (512) 490-1007 Fax: (512)490-1007
Web: http://ww.tdi.texas.gov Web: http://ww.tdi.texas.gov
E-mail: ConsumerProtection@tdi.texas.gov_ E-mail. ConsumerProtectionCa�tdi.texas.gov
7. PREMIUM OR CLAIM DISPUTES. DISPUTAS PREMIUM 0 DE RECLAMACIbN:
Should you have a dispute concerning your Si tiene una disputa sobre su prima o sobre un reclamo,
premium or about a claim you should contact the debe comunicarse primero con el (agente) (compania)
(agent) (company) (agent or the company) first. If agente o la compania). Si la disputa no se resuelve,
the dispute is not resolved, you may contact the puede comunicarse con el Departamento de Seguros de
Texas Department of Insurance.
Texas (TDI)-
8. ATTACH THIS NOTICE TO YOUR POLICY: ADJUNTE ESTE AVISO A SU POLITICA: Este aviso es
This notice is for information only and does not solo para informacion y no se convierte en parte o
become a part or condition of the attached condicidn del documento adjunto.
document.
Rev 1 0/1 0120 1 9 Page 1 of 1
The Guarantee Company of North America,USA 248 281 02810431