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Home My WebLink AboutContract 54004-FP2City Secretary 54004 -FP2 Contract No. FORTWORTHo Date Received May 4, 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: Sewer and Street Lighting Improvements to Serve Resident Inn Waterside City Project No.: 102286 Improvement Type(s) Original Contract Price: Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: C� � -�� ` � Contractor Vice President Title Rumsey Construction, LLC. Company Name Ped�o G. Nernavrdez pP,�r� r, HPr,an�P, ln� �ro� n�nq cnrl Project Inspector Y�e,IG� �qteC, �� Yogesh Patel, RE �Apr 3Q 20211334 CDTI Project Manager �i�cie- Sc�Ce tt M��Ce� JanieScarlett Morales (Apr3Q 202115:35 CDT) CFA Manager D�h� Bu�qhdoff Dana Burghdoff pr3Q20211541 CDT) Asst. City Manager Apr 29, 2021 Date Apr 30, 2021 Date Apr 30, 2021 Date Apr 30, 2021 Date Apr 30, 2021 Date $38,305.00 $38,305.00 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Water ❑ Sewer 0 Page 1 of 2 Notice of Project Completion Project Name: Sewer and Street Lighting Improvements to Serve Resident Inn Waterside City Project No.: 102286 City's Attachments Final Pay Estimate x❑ Change Order(s): ❑ Yes � N/A Pipe Report: x❑ Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid �" Consent of Surety �' Statement of Contract Time Contract Time: 24 WD Days Charged: 43 Work Start Date: 8/3/2020 Work Complete Date: 11/19/2020 Completed number of Soil Lab Test: 18 Completed number of Water Test: 0 Page 2 of 2 F��r ��Tx CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name SEWER AND STREET LIGHTING IMPROVEMENTS TO SERVE RESIDEN Contract Limits Project Type SANITARY SEWER City Project Numbers 102286 DOE Number 2286 Estimate Number � Payment Number 1 City Secretary Contract Number Contract Date 4/29/2020 For Period Ending 12/15/2020 CD Contract Time 6�D Days Charged to Date 43 Project Manager NA Contractor RUMSEY CONSTRUCTION, LLC 6617 VILLAGE SPRINGS DRNE PLANO , TX 75024 Inspectors MLLLER, W/ HERNANDEZ, P Contract is 100.00 Complete Wednesday, December 9, 2020 Page 1 of 4 City Project Numbers 102286 DOE Number 2286 Contract Name SEWER AND STREET LIGHTING IMPROVEMENTS TO SERVE RESID Estimate Number 1 Contract Limits Payment Number 1 Project Type SANITARY SEWER For Period Ending 12/15/2020 Project Funding UNTI' II: SANTI'ARY SEWER IMPROVMENTS Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total 1 REMOVE 6" SEWER LINE 12 LF $366.00 $4,392.00 12 $4,392.00 2 CONC PVMT REPAIR, ARTERIAL/INDUSTRIAL 6 SY $1,595.00 $9,570.00 6 $9,570.00 3 TRENCH SAFETY 12 LF $628.00 $7,536.00 12 $7,536.00 4 8" SEWERPII'E 12 LF $1,020.00 $12,240.00 12 $12,240.00 5 TRAFFIC CONTROL 1 LS $2,350.00 $2,350.00 1 $2,350.00 6 CONNECT TO EXISTING MANHOLE 1 EA $2,217.00 $2,217.00 1 $2,217.00 Sub-Total of Previous Unit �38,305.00 �38,305.00 Wednesday, December 9, 2020 Page 2 of 4 City Project Numbers 102286 DOE Number 2286 Contract Name SEWER AND STREET LIGHTING IMPROVEMENTS TO SERVE RESID Estimate Number 1 Contract Limits Payment Number 1 Project Type SANITARY SEWER For Period Ending 12/15/2020 Project Funding Contract Information Summary Original Contract Amount Change Orders Total Cost of Work Completed $38,305.00 Less % Retained $0.00 Net Earned $38,305.00 Earned This Period �38,305.00 Retainage This Period $0.00 Less Liquidated Damages Days @ / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment Total Contract Price $38,305.00 $38,305.00 $0.00 $0.00 $0.00 $0.00 $0.00 $38,305.00 Wednesday, December 9, 2020 Page 3 of 4 City Project Numbers 102286 DOE Number 2286 Contract Name SEWER AND STREET LIGHTING IMPROVEMENTS TO SERVE RESID Estimate Number 1 Contract Limits Payment Number 1 Project Type SANITARY SEWER For Period Ending 12/15/2020 Project Funding Project Manager NA Inspectors MILLER, W/ HERNANDEZ, P Contractor RUMSEY CONSTRUCTION, LLC 6617 VILLAGE SPRINGS DRNE PLANO , TX 75024 City Secretary Contract Number Contract Date 4/29/2020 Contract Time 60 CD Days Charged to Date 43 CD 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 Less % Retained Net Earned Earned This Period $38,305.00 Retainage This Period $0.00 Less Liquidated Damages � Days @ $0.00 / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment $38,305.00 $0.00 $38,305.00 $0.00 $0.00 $0.00 $0.00 $0.00 $38,305.00 Wednesday, December 9, 2020 Page 4 of 4 PROJECT NAME: PROJECT NUMBER: DO� NUMBER: PIPE LAID n/a FIRE HYDRANTS: PIPE ABANDONED DENSITIES: NEW SERVICES: PIPE LAID PVC PIPE ABANDONED FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: Residence Inn Waterside 102286 n/a SIZE n/a SIZE SIZE g�� SIZE WATER TYPE OF PIPE n/a VALVES (16" OR LARGER) TYPE OF PIPE SEWER TYPE OF PIPE SDR-26 TYPE OF PIPE LF LF LF LF n/a 12 DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS ��c� The City of Fart Woith • 1000 Thiockmorton Street • Fort Worth, T�i 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 �ORTWORTH� TRANSPORTATION AND PUBLIC WORKS December 1, 2020 Rumsey Constrution, LLC 4329 Reeder Dr. Carrolton, TX 75010 RE: Acceptance Letter Project Name: Residence Inn Waterside Project Type: 02 City Project No.: 102286 To Whom It May Concern: On November 19, 2020 a final inspection was made on the subject project. There were no punch list items identified at that time. The final inspection indicates that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on November 19, 2020, which is the date of the final inspection 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- 392-2373. Sincerely, Y�esG� �ateG, �� Yogesh Patel, RE (Apr 3Q 202113:34 CDT) Yogesh Patel, Project Manager Cc: Pedro G. Hernandez, Inspector Wade Miller, Inspection Supervisor Ariel Duarte, Senior Inspector Yogesh Patel, Program Manager Kimley-Horn & Associates, Consultant Rumsey Construction, LLC, Contractor Raymond Management Company, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. OS/20/19 AFFIDAVIT STATE OF Texas COUNTY OF Denton Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Corey Caughron, Vice President Of Rumsey Construction, Inc., 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; Sewer and Street Lighting Improvements to Serve : t Inn Watexside Corey Caughron Subscribed and sworn before me on this date 29th of April, 2021. C Notary Public Denton, Texas �� `��p.YPV�/i RH�NUA ESCOBAR . �P � �� _z°.��' -�_Notary Public, State of Texas % vT �.+Q: Comrn. Expires 05-14-2024 . F "'h a� ��,,;;,��` Notary ID 132478255 CONSENT OF SURETY COMPANY TO FINAL PAYMENT OWNER 0 ARCHITECT � CONTRACTOR � SURETY � AlA DOCUMENT G707 OTHER PROJECT: Resident Waterside Inn - Sewer (name, address) Fort Worth, TX TO (Owner) CITY PROJECT NO: Fort Worth Waterside Lodging � ssociates, LLC and The City of Fort Worth CONTRACT FOR: $38,305.00 Fort Worth, TX � �CONTRACT DATE BOND NO: April, 2020 1077890 CONTRACTOR: Rumsey Construction, LLC 4329 Reeder Drive Carrollton, TX 75010 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 as it appears in the bond). The Hanover Insurance Company , SURETY COMPANY, On bOnd Of (here insert name and address of Contractor as it appears in the bond), Rumsey Construction, LLC , 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 (here insert name and address of Owner) Fort Worth Waterside Lodging Associates, LLC and the City of Fort Worth as set forth in the said Surety's bond. IN WITNESS WHEREOF , the Surety has hereunto set its hand this 9th day of December The Hanover Insurance Com S u rety� '� , OWNER, ,2020 Signature of Au orized R�presentative-' � �. � � � � ,, �� ,� �,� Attest: ,_ ��, � f,, Allyson Dean, Attorney-in-Fact (Seal): � Title AIA DOCUMENT G707 . CONSENT OF SURETY TO FINAL PAYMENT • APRIL 1970 ONE PAGE SWiSS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North Ainerican Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Kansas City, Missouri and Washington International Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the Ciry of Kansas Citv, Missouri and Westport Insurance Corporation, organized imder tl�e laws of the State of Missouri, and having its principal office in the Ciry of Kansas City, �Vlissouri, each does hereby make constitute and appoint: JOHN R. WARD, THOMAS D. MOORE, EVA O. LIMMER, EMILY MIKESKA, ALLYSON DEAN-WEST, AND MONICA VEAZEY JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver, for and on iCs behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Coinpanies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION ($50,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsiinile under and by the authority of the following Resolutions adopted by the Boards of Directors of NorCh American Specialry Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24, 2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18, 2011. "RESOLVED, that any two of the President, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attarney named in the given Power of Attarney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." \�ou�xnnnn�turu,ri� , �. ��p'f10Nq( ��'��.,,� ^,z, ,41V', aRFOk� S'G �?+ � 2: C' T '. � �. S�AL � `�'� �rn = .�—`-- L�`S? .: t7 .��' '� �%`•. e r� , y�ys��'•:b��T �� n17iF'3�lill4llll�� By �,� �� --. ... Steven . n ersou, emm� �ce res� enta as mgton nternahuna nsuranceCompany & Senior Vice President o( North American Specialty Insurance Company & Senior Vice President of Wes[porf Insurance Corporation ��f � By - / - �`,.�`1 � D7ichael A. Ito, Senior Vice President of Washington International Insurance Compsny & Senior Vice President of North American Specialty Insurance Company & Senim� Vice President of Westpa�t Insurance Capora[ion .� �., ,� IN WITNESS WHEREOF, North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this this 9th day of SEPTEMBER , 2p 20 , North American Specialty Insurance Company Washington International Insurance Company State of Illinois Westport Insurance Corporation County of Cook ss: On this 9th day of SEPTEMBER 20?�, before me, a Notary Public personally appeared Steven P. Anderson , Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport I�isurance Corporation and Michael A. Ito Seuior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation, personally known to me, who being by me duly swarn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFF[Clr'tL ScAL � �, �cENr�'� �w � � NotsryS'u6lic. Sl�tanttllini�i; � My Cnmmrsseon £x��irc�s � �uaa��aso M. Kenr;y, I��tary Fttblic �`, I, Jeffrey Goldberg , the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company, Washington International Insurance Company aud Westport Insurance Corporation do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said Narth American Specialty Insurance Company, Washington International Insurance Company and Westport lnsurance Corparation which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this��ay of _�, 2� 20 �r , �rr,"' � e � ._-_ . i .: .. � leffrey Goldberg Vica Pres3dent & Assistant Secretary of Washington lntemational Insuranee Company d North American Specialty Insurance Company ,� Vice Presiden[ & Assis[ant Secretary of Wes[port insurance Corporation Hanover Insurance Group'" Texas Complaint Nc�tice Commercial Lines {MPORTAI�IT NOTICE To obtain information or make a complaint: You may calf The Hanover lnsurance Companyl Citizens Insurance Company of America's tc�li-free telephane number for infarmatian or to make a complaint at: AYISC} IMPORTANTE Para obtener informacion o para sc�meter una queja: Usted puede Ilamar al numero de telefono gratis de The Hanover Insurance eompany/Citizens Insurance Campany of America's para informacion o para someter una queja al: 1-800-bd8-8149 1-80Q-b08-8141 You may also write to "fhe Hanover Insurance Company/ Usted tambien puede escribir a The Hanover Insurance Citizens Insurance Company of America at: Company/Citizens fnsurance Company of America al: 44C} Lincoln Street Warcester, MA Q1 b15 44D Lincoln Street Worcester, MA 01 b15 You may contact the Texas Department of Insurance to obtain information on companies, caverages, rights or complaints at: 1-80Q-�52-3439 You may write the Texas Department of Insurance: P. O. Box 149104 Austin, TX 78714-9104 Fax: {512} q75-1771 Web: http://www.tdi.texas.gov E-mail: ConsumerProtectionC�tdi.texas.gov PREMIUM t�R CI.AIM DISPUTES: 5hould you have a dispute concerning your premium or about a claim you should contact the agent c�r the campany first, If the dispute is not resolved, yau may contact the �'exas Department of Insurance. ATTACH THIS NC}l'ICE TO YC}UR P{}LICY: This notice is for informatian only and does not become a part or condition of the attached dacument. Puede comunicarse can el Departamento de Seguros de Texas para obtener infarmacion acerca de companias, coberturas, derechos o quejas al: 1-80Q-252-3439 Puede escribir al Departamento de Seguros de Texas: P. O. Box 1491 p4 Austin, TX 78714-9104 Fax: (512� 475-1771 Web: http:/Iwww.tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov DISPUTAS SC}BRE PRIMAS t7 RECLAMOS: Si tiene una disputa concerniente a su prima fl a un reclamo, debe comunicarse con el agente o la com- pania primero. Si no se resuelve la disputa, puede entonces comunicarse con el departamento (TDI). UNA E5TE AVISO A SU P(?LIZA: Este aviso es solo para proposito de informacion y no se canvierte en parte o condicion del documento adjunto. The Hanover Insurance Company ( 4d0 Lincoln Street, Worcester, MA Q1653 �e+-�as� ntii� Page 1 oi 1 Gitizens Insurance Company of America I 808 North Highlander Way, Howefl, MI 48843 hanoveccom