HomeMy WebLinkAboutContract 54631-FP1 City Secretary 54631 -FP1
Contract No.
FORTWORTH, Date Received Feb 23,2022
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: Tavolo Park Lots 2-5 Block 3
City Project No.: 102423
Improvement Type(s): Water 0 Sewer Fx1
Original Contract Price: $240,527.60
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $240,527.60
Feb 22,2022
Albert Grantges(Feb 22, 02214:49 CST)
Contractor Date
Vice President
Title
Burnsco Construction, Inc.
Company Name
Al"WA Feb 22, 2022
Rod rick Wallace(Feb 22,202215:01 CST)
Project Inspector Date
J,u„r ,(' Feb 22, 2022
Project Manager Date
e Scarlett Morales(Feb 22 202215:27 CST) Feb 22 2022
CFA Manager Date
lea S�,qhWW Feb 22 2022
Dana Burghdoff(Fe 22,202 1 :54 CST)
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH, TX
Notice of Project Completion
Project Name: Tavolo Park Lots 2-5 Block 3
City Project No.: 102423
City's Attachments
Final Pay Estimate ❑x
Change Order(s): ❑ Yes ❑x N/A
Pipe Report: ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 45 WD Days Charged: 84
Work Start Date: 9/27/2021 Work Complete Date: 2/22/2022
Completed number of Soil Lab Test: 58
Completed number of Water Test: 4
Page 2of2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name TAVOLO PARK
Contract Limits LOTS 2-5,BLOCK 3
Project Type WATER&SEWER
City Project Numbers 102423
DOE Number 2423
Estimate Number 1 Payment Number 1 For Period Ending 2/22/2022
WD
City Secretary Contract Number Contract Time 4WD
Contract Date Days Charged to Date 84
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors OWEN / WALLACE
i
Tuesday,February 22,2022 Page 1 of 4
City Project Numbers 102423 DOE Number 2423
Contract Name TAVOLO PARK Estimate Number 1
Contract Limits LOTS 2-5,BLOCK 3 Payment Number 1
Project Type WATER&SEWER For Period Ending 2/22/2022
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
I CONNECTION TO EXISTING 41-42"WATER 2 EA $1,000.00 $2,000.00 2 $2,000.00
MAIN
2 2"WATER SERVICE 4 EA $1,950.00 $7,800.00 4 $7,800.00
3 6"PVC WATER PIPE 44 LF $30.00 $1,320.00 44 $1,320.00
4 8"PVC WATER PIPE 78 LF $35.00 $2,730.00 78 $2,730.00
5 12"PVC WATER PIPE 964 LF $58.00 $55,912.00 964 $55,912.00
6 6"GATE VALVE 4 EA $900.00 $3,600.00 4 $3,600.00
7 8"GATE VALVE 2 EA $1,370.00 $2,740.00 2 $2,740.00
8 TRENCH SAFETY 1086 LF $0.10 $108.60 1086 $108.60
9 FIRE HYDRANT 3 EA $4,500.00 $13,500.00 3 $13,500.00
10 DUCTILE IRON WATER FITTINGS 2.18 TN $7,500.00 $16,350.00 2.18 $16,350.00
W/RESTRAINT
11 12"WATERLINE LOWERING 4 EA $6,500.00 $26,000.00 4 $26,000.00
12 2"IRRIGATION WATER SERVICE 4 EA $1,950.00 $7,800.00 4 $7,800.00
Sub-Total of Previous Unit $139,860.60 $139,860.60
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 CONNECTION TO EXISTING 8"SEWER LINE 2 EA $900.00 $1,800.00 2 $1,800.00
2 4'MANHOLE 3 EA $3,900.00 $11,700.00 3 $11,700.00
3 8"SEWER PIPE 936 LF $61.00 $57,096.00 936 $57,096.00
4 6"SEWER PIPE 6 EA $1,520.00 $9,120.00 6 $9,120.00
5 TRENCH SAFETY 936 LF $1.00 $936.00 936 $936.00
6 TRENCH WATER STOPS 3 EA $300.00 $900.00 3 $900.00
7 POST CCTV INSPECTION 936 LF $5.00 $4,680.00 936 $4,680.00
8 MANHOLE VACUUM TESTING 3 EA $120.00 $360.00 3 $360.00
9 EPDXY MANHOLE LINER 35 VF $325.00 $11,375.00 35 $11,375.00
10 4'EXTRA DEPTH MANHOLE 18 VF $150.00 $2,700.00 18 $2,700.00
--------------------------------------
Sub-Total of Previous Unit $100,667.00 $100,667.00
--------------------------------------
Tuesday,February 22,2022 Page 2 of 4
City Project Numbers 102423 DOE Number 2423
Contract Name TAVOLO PARK Estimate Number 1
Contract Limits LOTS 2-5,BLOCK 3 Payment Number 1
Project Type WATER&SEWER For Period Ending 2/22/2022
Project Funding
Contract Information Summary
Original Conti-act Amount $240,527.60
ChanjZe Orders
Total Contract Price $240,527.60
Total Cost of Work Completed $240,527.60
Less %Retained $0.00
Net Earned $240,527.60
Earned This Period $240,527.60
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 $240,527.60
Tuesday,February 22,2022 Page 3 of 4
City Project Numbers 102423 DOE Number 2423
Contract Name TAVOLO PARK Estimate Number 1
Contract Limits LOTS 2-5,BLOCK 3 Payment Number 1
Project Type WATER&SEWER For Period Ending 2/22/2022
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors OWEN / WALLACE Contract Date
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 45 WD
6331 SOUTHWEST BLVD Days Charged to Date 84 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 $240,527.60
Less %Retained $0.00
Net Earned $240,527.60
Earned This Period $240,527.60
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 $240,527.60
Tuesday,February 22,2022 Page 4 of 4
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: TAVOLO PARK,LOTS 2-5,BLOCK 3
CITY PROJECT NUMBER: 102423
WATER
PIPE LAID SIZE TYPE OF PIPE LF
Open Trench 12" PVC 964
Open Trench 8" PVC 78
Open Trench 6" PVC 44
FIRE HYDRANTS: 3 VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: Passed
NEW SERVICES: 2"(4)Dom Copper
2"(4)IRR Copper
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
Open Trench 8" PVC/Sewer 936
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: Passed
NEW SERVICES: 6(6") SDR26PVC
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•1000 Throckmorton Street•Fort Worth,T%76012-6311
(817)392-7941 •Fax:(817)392-7845
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
February 22, 2022
Burnsco Construction Inc.,
6331 Southwest Blvd.
Benbrook, TX 76132
RE: Acceptance Letter
Project Name:Tavolo Park Lots 2-5, Block 3
Project Type: 01,02
City Project No.: 102433
To Whom It May Concern:
On February 22,2022 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 February 22,
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-
392-6251.
Sincerely,
C,,&,
Andrew Goodman, Project Manager
Cc: Rodrick Wa Ilace, Inspector
Wade Miller, Inspection Supervisor
Ariel Duarte,Senior Inspector
VictorTornero, Program Manager
Dunaway,Consultant
Burnsco Construction Inc..,Contractor
Pate Ranch Commercial, L.P., 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;
Tavolo Lots 2-5, Blk 3 - Water and Sanitary Sewer
BY
Ab Grantg , Contract Manager
Subscribed and sworn before me on this date 2nd of February, 2022.
l (SMY
C=CANALESNota CNotary Public
Tarrant County, Texas
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 022227307
PROJECT:
(name, address)Tavolo Park, Lots 2-5 Block 3-Water and Sanitary
TO (Owner) Fort Worth TX
PATE RANCH COMMERCIAL,LP AND CITY OF FORT I ARCHITECT'S PROJECT NO:
WORTH
CONTRACT FOR:
10210 N.Centrai Expressway,Suite 300 Tavolo Park,Lots 2-5 Block 3-Water and Sanitary Sewer
Improvements
Dallas rx 75231 _J 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 {here 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 (here insert name and address cf Owner)
PATE RANCH COMMERCIAL., LP AND CITY OF FORT WORTH
10210 N. Central Expressway, Suite 300
Dallas TX 75231 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 17th day of February, 2022
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
Attest:
(Seal):
Signatu a of Authorized Representative
So hinie Hunter Attorne -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.
Liberty 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 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(herein collectively called the"Companies'),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Don E.
Cornell;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 if there be more than o�nd its true an�G=
mey in 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,bonds,rec and othergations,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 btary of thes 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 23rd day of aril 2021
Liberty Mutual Insurance Company
P�1Nsugq Qv t e INsr, �, +NSlIR•9 The Ohio Casualty Insurance Company
j=G°RPo�la�m �Jau°FOR'��2 �uPooNPCR'rF yn West American Insurance Company
Z 1912 " 1991 rn
V1 Y ; y D a = 1919 o a 0
(D YdV?p�SA-05 .aa� S0�gHAMPS a� Y MOlANP D �1 /r Q) O
ei� ti� dyl * �� By: /// .= 0
"=12(a State of PENNSYLVANIA David M.Carey,Assistant Secretary
m :3 County of MONTGOMERY ss c
b �
O0) On this 23rd day of April 202I before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance Q
M 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
_ therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
N � 7Of
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.ca
Ccmmonweallh of Pennsylvania-Nolary Seal
di O z3 -C,�, Teresa Pastella,Notary Public /f 0.f
QF Montgomery county �1/LnJl�(
My commission expires March 28,2025 � 04 N
Commission number 1126044 y
Member,Penryylvania Associaticn of Notaries eresa Pastella,N otary Public Q O
16 N QFs� p O
This Power of Attomey is made and executed pursuant to and by authority of the fallowing By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual allo
0•� Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o N
(6 ��
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:8 CZ)
President may prescribe,shall appoint such attomeys-in-faet,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety co
(n m any and all undertakings,bonds,recognizances and other surety obligations.Such attomeys-in-fact,subject to the limitations set forth in their respective powers of attomey,shall -0 IS
o It: 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 o m
Z instruments shall be as binding as if signed by the President and attested to b the Secrets An y g y p y
y ry. y power or authorit ranted to an representative or attome in-fact under the m
provisions of this article may be revoked at any 5me by the Board,the Chairman,the President or by the officer or officers granting such power or authority, 6 T
ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings.
ILL c-
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,recognizances and other surety obligations.Such altomeys-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 all undertakings,bonds,recognizances and other surety
obligations.
Authorization—By unanimous consent of the Carl 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 17th day of February , 2022
41NSU,Q �S'f ft"�.Q INSRq
j?ORPO �FOySn 2GORPOgq�'Pgy VP�oRPortUyr�yn
of � 3 oc�
Y 41912y0 oy1919� o s 1991
rd���'cllus a a Day kgMp5 By
iAs YS�ND,aNPaaa� Renee C.Llewellyn,Assistant Secretary
* 1 * ?• of * f,
LMS-12873 LMIC OCIC WAIC Multi Co 02121
10� Liberty
.Mutu'R
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 llamar at numero de telefono gratis
make a complaint at para informacion o para someter una queja at
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 19406-2 75 5 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 informacion
coverages, rights or complaints at acerca de companias, coberturas, derechos o
1-800-252-3439 quejas at
1-800-252-3439
You may write the Texas Department of Insurance Puede escribir at Departamento de Seguros
Consumer Protection (I I I-IA) de Texas Consumer Protection (I 114A)
P. O. Box 149091 P. O- Box 149091
Austin, TX 78714-9091 Austin, TX 78714-9091
FAX: (512)490-1007 FAX 4 (512)490-1007
Web: httpa/www.tdi.texas.gov Web: hLttp://www.tdi.texas.gov
E-mail: ConsumerProtection@tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov
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 1-800-843-6446. 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 informacion
become a part or condition of the attached y no se convierte en parte o condicion del
document. documento adjunto.
NP 70 68 09 01
LMS-16292 10M