HomeMy WebLinkAboutContract 55319-FP1 City Secretary 55319 -FP1
Contract No.
FORTWORTH. Date Received Jan 25,2022
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: Trails of Elizabeth PH 3
City Project No.: 102660
Improvement Type(s): Water ❑x Sewer ❑x
Original Contract Price: $731,468.60
Amount of Approved Change Order(s): -$18,774.40
Revised Contract Ammunt:
Total Cost of Work Complete: $712,694.20
'Aar- Jan 21 2022
ni.e..r_..,.,.,.e.., 1,2022 17:1 T) 7
Contractor Date
Vice President
Title
Burnsco Construction, Inc.
Company Name
Diaz(Jan 22,2022 08:55 CST)
Jan 22,2022
Project Inspector Date
P.c' Jan 24,2022
Project Manager Date
Ern,Rg'&rH-&K,6&L4� Jan 24 2022
Evelyn oberts on behalf of Janie M.(Jan 24,2 22 1 :38 CST) 7
CFA Manager Date
Dc q Bu�cih�%ff Jan 24 2022
Dana Riirghrinff an�a�n��1f��SSfST1 7
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name:Trails of Elizabeth PH 3
City Project No.: 102660
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑x 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: 70 WD Days Charged: 159
Work Start Date: 4/9/2021 Work Complete Date: 1/20/2022
Completed number of Soil Lab Test: 469
Completed number of Water Test: 20
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name TRAILS OF ELIZABETH CREEK PHASE 3
Contract Limits
Project Type WATER&SEWER IMPROVEMENTS
City Project Numbers 102660
DOE Number 2660
Estimate Number 1 Payment Number I For Period Ending 1/20/2022
WD
City Secretary Contract Number Contract Time 7WD
Contract Date 12/23/2020 Days Charged to Date 159
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors MILLER,W / DIAZ,F
Friday,January 21,2022 Page 1 of 4
City Project Numbers 102660 DOE Number 2660
Contract Name TRAILS OF ELIZABETH CREEK PHASE 3 Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER IMPROVEMENTS For Period Ending 1/20/2022
Project Funding
UNIT I:WATER IMPROVEMENTS
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
---------------------------------------
1 TRENCH SAFETY(CO#1) 5945 LF $0.10 $594.50 5945 $594.50
2 DUCTILE IRON WATER FITTINGS 1.91 TN $8,700.00 $16,617.00 1.91 $16,617.00
W/RESTRAINT
3 8"WATER PIPE(CO#1) 5945 LF $28.50 $169,432.50 5945 $169,432.50
4 8"WATER PIPE,CSS BACKFILL 120 LF $41.00 $4,920.00 120 $4,920.00
5 FIRE HYDRANT 3 EA $4,500.00 $13,500.00 3 $13,500.00
6 CONNECTION TO EXISTING 4"-12"WATER 4 EA $700.00 $2,800.00 4 $2,800.00
MAIN
7 1"WATER SERVICE 162 EA $890.00 $144,180.00 162 $144,180.00
8 8"GATE VALVE 17 EA $1,380.00 $23,460.00 17 $23,460.00
9 WATER TESTING(EXCLUDING GEOTECH)(CO 5945 LF $0.20 $1,189.00 5945 $1,189.00
#1)
Sub-Total of Previous Unit $376,693.00 $376,693.00
UNIT II:SANITARY SEWER L%IPROVEMENTS
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
---------------------------------------
1 POST CCTV INSPECTION 4579 LF $3.60 $16,484.40 4579 $16,484.40
2 MANHOLE VACUUM TESTING 21 EA $120.00 $2,520.00 21 $2,520.00
3 MANHOLE ADJUSTMENT MAJOR 4 EA $1,100.00 $4,400.00 4 $4,400.00
4 TRENCH SAFETY 4579 LF $1.00 $4,579.00 4579 $4,579.00
5 TRENCH WATER STOP 6 EA $300.00 $1,800.00 6 $1,800.00
6 4"SEWER SERVICE 132 EA $680.00 $89,760.00 132 $89,760.00
7 8"SEWER PIPE(SDR-26,ASTM D3034) 4439 LF $29.60 $131,394.40 4439 $131,394.40
8 8"SEWER PIPE,CSS BACKFILL 140 LF $48.00 $6,720.00 140 $6,720.00
9 EPDXY MANHOLE LINER(CO#1) 26.01 VF $340.00 $8,843.40 26.01 $8,843.40
10 4'MANHOLE 18 EA $2,600.00 $46,800.00 18 $46,800.00
11 4'DROP MANHOLE 2 EA $3,500.00 $7,000.00 2 $7,000.00
12 EXTRA DEPTH 4'MANHOLE 59 VF $150.00 $8,850.00 59 $8,850.00
13 CONNECT TO EXISTING MANHOLE 1 EA $900.00 $900.00 1 $900.00
14 CONCRETE ENCASEMENT 85 LF $70.00 $5,950.00 85 $5,950.00
Sub-Total of Previous Unit $336,001.20 $336,001.20
--------------------------------------
Friday,January 21,2022 Page 2 of 4
City Project Numbers 102660 DOE Number 2660
Contract Name TRAILS OF ELIZABETH CREEK PHASE 3 Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER IMPROVEMENTS For Period Ending 1/20/2022
Project Funding
Contract Information Summary
Original Contract Amount $731,468.60
Change Orders
Change Order Number 1 ($18,774.40)
Total Contract Price $712,694.20
Total Cost of Work Completed $712,694.20
Less %Retained $0.00
Net Earned $712,694.20
Earned This Period $712,694.20
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 $712,694.20
Friday,January 21,2022 Page 3 of 4
City Project Numbers 102660 DOE Number 2660
Contract Name TRAILS OF ELIZABETH CREEK PHASE 3 Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER IMPROVEMENTS For Period Ending 1/20/2022
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors MILLER,W / DIAZ,F Contract Date 12/23/2020
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 70 WD
6331 SOUTHWEST BLVD Days Charged to Date 159 WD
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 $712,694.20
Less %Retained $0.00
Net Earned $712,694.20
Earned This Period $712,694.20
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 $712,694.20
Friday,January 21,2022 Page 4 of 4
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FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Trails of Elizabeth ph3
PROJECT NUMBER: 102660
DOE NUMBER:
WATER
PIPE LAID SIZE TYPE OF PIPE LF
8" PVC Water Pipe 8" PVC 6065 LF
FIRE HYDRANTS: 3 VALVES(16"OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES: F'water services Copper 162
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
8" sewer Pipe 8" PVC 4579 LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES: 4" sewer services PVC 132
TRANSPORTATION AND PUBLIC WORKS
(D The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
January 20, 2022
Burnsco Construction Inc
6331 Southwest Blvd
Benbrook,Tx, 76132
RE: Acceptance Letter
Project Name:Trails of Elizabeth ph3
Project Type: 01,02
City Project No.: 102660
To Whom It May Concern:
On January 20, 2022 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 January 20, 2022,
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,
Yogesh Patel, Project Manager
Cc: Fabian Diaz, Inspector
Wade Miller, Inspection Supervisor
Emanuel Nieto, Senior Inspector
Victor V.Tornero, Program Manager
UA Engineering, Consultant
Burnsco Construction Inc, Contractor
Forestar(USA) Real Estate Group, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.08/20/19
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,
Contract Mgr, Of Burnsco Construction, 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;
Trails of Elizabeth Creek Ph. 3 - Water, Sanitary Sewer and Storm Drain
BY /I A,7&——,
b Grantge , ontract Manager
Subscribed and sworn before me on this date 21 st of January, 2021.
THERESA P. BOARDMAN
dd ar° e�,=Notary Public,State of Texas
Notary Public +* Comm. Expires 04-13-2024
Tarrant County, Texas ��' 0; `P Notary ID 10589053
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 022229588
PROJECT:
(name, address)Trails of Elizabeth Creek Phase 3-Water, Sanitary Sewer and Drainage Improvements
TO (Owner) Fart Worth TX
FORESTAR(USA)REAL ESTATE GROUP, INC.AND] ARCHITECT'S PROJECT NO:
CITY OF FORT WORTH
CONTRACT FOR:
14755 Preston Road,Suite 130 Trails of Elizabeth Creek Phase 3-Water,Sanitary Sewer and
Drainage Improvements
Dallas Tx 75254 � 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 insect name and address of Surety Company)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 , SURETY COMPANY
on bond of (here insert name and address of Contractort
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 (here insert name and address of Owner)
FORESTAR (USA) REAL ESTATE GROUP, INC.AND CITY OF FORT WORTH
14755 Preston Road, Suite 130
Dallas TX 75254 OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 21st day of January, 2022
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
Attest:
(Seal): Signature of Authorized Representative
So hinie Hunter Attarne -in-Fact
Title
NOTE; This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS.
Current Edition
ONE 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.
LibertX Liberty Mutual Insurance Company
Mutual., The Ohio Casualty Insurance Company Certificate No: 8205467-022020
SURETY West 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 dufy 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(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Don E.
Comell;Joshua Saunders;Kelly A.Westbrook,Mikaela Peppers;Ricardo J.Reyna;Robbi Morales;Sophinie Hunter;Tina McEwan;Tonie Petranek
all of the city of Dallas state of TX each individually ifthere be more than one named,its true and lawful attomey-in-fact to make,
lf a
execute,seal,acknowledge and deliver,for and on its behas surety and as its act and deed,any and all undertakings,bonds,recognizances 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 offidal of the Companies and the corporate seals of the Companies have been affixed
thereto this 23rd day of April 2021
Liberty Mutual Insurance Company
,Pt 1N°SU R P41Y INgUp a 1NSU/�R The Ohio Casualty Insurance Company
=ooa -0'o�m �J=°°APO TFo9� 1Q, oo"PO�rFoy, West American Insurance Company
1912 " 1919 m
ui r y o o y w r' 2 1991 0 //
CYddg''CHUS a� tiA aaysN�-aa� `IS�rN°IPHP�db B iF �� Ql O
'-' (0 State of PENNSYLVANIA David M.Carey,Assistant Secretary CT Co
�
County of MONTGOMERY ss _
U O
0 On this 23rd day of April , 2021 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance M w
W Company,The Ohio Casually Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes
therein contained by signing on behalf of the corporations by himself as a duly authorized officer. 8-
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. Q C'0
0 V]
Commonwealth of Pennsylvania-Notary Seal 0
2
60 �fita�`-'" �C�, Teresa Pastelia,Notary Public >�
O a) C3F Montgomery County /J y ® c E
r�or�
My commission expires March 28,2025 By �.0
Cammissloo number 1126044
eresa Pastella,Notary P
NgYt�y' Member,Pennsylvania Association of Notaries ry tll)IIC Q 0
ka oo t t 0
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 oOo
-� Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: 0"
CO
ARTICLE IV-OFFICERS:Section 12.Power of Attorney. -00
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�o
.0 > President may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety `p
M N any and al€undertakings,bonds,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 Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such oar
Z instruments shall be as binding as if signed by the President and attested to b the Secrets An authority g y p y
y Secretary, y power or authori ranted to an representative or attome-in-fact under the
provisions of this 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. n
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,
shall appoint such attomeys-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,
bonds,rocognizances and other surety obligations.Such attomeys-in-fact subject to the limitations set forth in their respective powers of attomey,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 ail undertakings,bonds,recognizances 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 attomey 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 21 st day of January 2022
��IAISU� Pt1Y INS& %t4srf4?4
jJ=cpRPOR4r�6y T r4U1+POM,4 `VP4°RPORRT�yC�
1912 n o x 1919 n 1991 ,E
dy1�ssv CHu �b O 8`�N4 MPr' D4 Y "NOIANF a By. .
Renee C.Llewellyn,Assistant Secretary
LMS-12873 LWO OCIC WAIC Mull!Co 02/27
-� L' erty
u utA
SURETY
TEXAS TEXAS
IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener information o para someter una
queja:
You may call toll-free for information or to Usted puede llamar a] numero de telefono gratis
make a complaint at Para information 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 King 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 obtener information
coverages, rights or complaints at acerca de companies, 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 Seguros
Consumer Protection (1l l-IA) de Texas Consumer Protection (I 11-1A)
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.tcxas.gov Web:bttp://www.tdi.texas.gov
E-mail: ConsumerProtection gtdi texas. ov E-mail: ConsumerProtection tdi.texas. ov
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS:
Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a
premium or about a claim you should first un reclamo, debe comunicarse con el agente o
contact the agent or call I-800-843-6446. primero. 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 aviso es solo para proposito de information
become a part or condition of the attached y no se convierte en parte o condition del
document. documento adjunto.
NP 70 68 09 01
LMS-15292 10115