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Home My WebLink AboutContract 55349-FP1 City Secretary 55349 -FP1 Contract No. FORTWORTH. Date Received Apr 5,2022 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: Marine Creek Ranch Section 9B City Project No.: 103027 Improvement Type(s): ❑ Paving ❑x Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $41,944.00 Amount of Approved Change Order(s): Revised Contract Amount: $41,944.00 Total Cost of Work Complete: $41,944.00 ALL LGIIY4f M a r 30,2022 Al bert Grantges(Mar30 2022 14:36 CDT) Contractor Date Vice President Title Burnsco Construction, Inc. Company Name mt Mar 30, 2022 Michael Flute(Mar 30,2022 14:44 CDT) Project Inspector Date C. Apr 1,2022 Sandi Ad hikari .E.F 202211:44 CDT) Project Manager Date .7aezr Alma gf A r 2 2022 Janie Scarlett Morales(Apr 2,202220:16 CDT) p CFA Manager Date BAGu7rr�F A r 4 2022 Dana Burghdoff( r4,202 4:51 CDT) p 7 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY FT.WORTH, TX Page 1 of 2 Notice of Project Completion Project Name: Marine Creek Ranch Section 9B City Project No.: 103027 City's Attachments Final Pay Estimate Fx Change Order(s): ❑ Yes Mx N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 90 WD Days Charged: 193 Work Start Date: 4/14/2021 Work Complete Date: 3/18/2022 Completed number of Soil Lab Test: 122 Completed number of Water Test: 0 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name MARINE CREEK RANCH SECTION 913 Contract Limits Project Type STORM DRAIN City Project Numbers 103027 DOE Number 3027 Estimate Number 1 Payment Number 1 For Period Ending 3/15/2022 WD City Secretary Contract Number Contract Time 9WD Contract Date Days Charged to Date 193 Project Manager NA Contract is 100.00 Complete Contractor BURNSCO CONSTRUCTION,INC. 6331 SOUTHWEST BLVD FORT WORTH, TX 76132 Inspectors MILLER,W / FLUTE,M Wednesday,March 30,2022 Page 1 of 4 City Project Numbers 103027 DOE Number 3027 Contract Name MARINE CREEK RANCH SECTION 9B Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN For Period Ending 3/15/2022 Project Funding UNIT III:DRAINAGE IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ——————————————————————————————————————- 1 TRENCH SAFETY 108 LF $1.00 $108.00 108 $108.00 2 2 1"RCP CLASS III 108 LF $92.00 $9,936.00 108 $9,936.00 3 5'STORM JUNCTION BOX 1 EA $5,500.00 $5,500.00 1 $5,500.00 4 10'CURB INLET 3 EA $4,000.00 $12,000.00 3 $12,000.00 5 15'CURB INLET 2 EA $5,200.00 $10,400.00 2 $10,400.00� 6 REMOVE EX.DROP INLET I EA $1,200.00 $1,200.00 1 $1,200.00 7 CONNECT TO EXISTING JUNCTION BOX 2 EA $600.00 $1,200.00 2 $1,200.00 8 CONNECT TO EXISTING RCP 2 EA $800.00 $1,600.00 2 $1,600.00 -------------------------------------- Sub-Total of Previous Unit $41,944.00 $41,944.00 -------------------------------------- Wednesday,March 30,2022 Page 2 of 4 City Project Numbers 103027 DOE Number 3027 Contract Name MARINE CREEK RANCH SECTION 913 Estimate Number I Contract Limits Payment Number 1 Project Type STORM DRAIN For Period Ending 3/15/2022 Project Funding Contract Information Summary Original Contract Amount $41,944.00 Chanl4e Orders Total Contract Price $41,944.00 Total Cost of Work Completed $41,944.00 Less %Retained $0.00 Net Earned $41,944.00 Earned This Period $41,944.00 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 $41,944.00 Wednesday,March 30,2022 Page 3 of 4 City Project Numbers 103027 DOE Number 3027 Contract Name MARINE CREEK RANCH SECTION 9B Estimate Number 1 Contract Limits Payment Number 1 Project Type STORM DRAIN For Period Ending 3/15/2022 Project Funding Project Manager NA City Secretary Contract Number Inspectors . MILLER,W / FLUTE,M Contract Date Contractor BURNSCO CONSTRUCTION,INC. Contract Time 90 WD 6331 SOUTHWEST BLVD Days Charged to Date 193 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 $41,944.00 Less %Retained $0.00 Net Earned $41,944.00 Earned This Period $41,944.00 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 $41,944.00 Wednesday,March 30,2022 Page 4 of 4 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS March 11, 2022 Burnsco Construction Inc. 6631 Southwest Blvd. Benbrook,Texas 76132 RE: Acceptance Letter Project Name: Maringe Creek Ranch Section 913 Project Type:01,02,03,04,06 City Project No.: 103027 To Whom It May Concern: On March 29, 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 March 29, 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- 392-8424. Sincerely, Sandi Ad hikari .E.(Apr 1,202211:44 CDT) Sandip Adhikari, Project Manager Cc: Michael Flute, Inspector Wade Miller, Inspection Supervisor Emanuel Nieto,Senior Inspector Victor Tornero, Program Manager MMA(Andrea Taylor), Consultant Bursco Construction, Gilco Contracting Inc.., Contractor M&C Development LTD., Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.08/20/19 AFFIDAVIT STATE OF TEXAS COUNTY OF TARR-ANT 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; Marine Creek Ranch Section 9B - Water, Sanitary Sewer& Drainage BY _az t ) Ab Grantges, Chfitract Manager Subscribed and sworn before me on this date 30th of March, 2022. U r ` _,+�"YAr,,y Notary PSA P. tote of ►.,- 2 Notary Public,State of texas Notary Public ��...�+T� Comm.Expires 04.13-2024 • ; Notary ID 10589053 [I 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 022229579 PROJECT: (name, address)Marine Creek Ranch Section 913 TX TO (Owner) IM&C DEVELOPMENT LTD.AND CITY OF FORT ARCHITECT'S PROJECT NO: WORTH CONTRACT FOR: 3825 Camp Bowie Blvd_ Marine Creek Ranch Section 913-Water, Sanitary Sewer and Storm Drain Improvements Fort Worth TX 76107 CONTRACT DATE: CONTRACTOR: BURNSCO CONSTRUCTION, INC. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the fhere insert name and address of Surety Company) LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston MA 02116 , SURETY COMPANY on bond of there 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 of Owner) M&C DEVELOPMENT LTD.AND CITY OF FORT WORTH 3825 Camp Bowie Blvd. Fort Worth TX 76107 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 30th day of March, 2022 LIBERTY MUTUAL INSURANCE COMPANY Surety Company '; ��Attest: =�1�1�. I`1��Z��ie,-� (Seal): Signature of Authorized Representative Sophinie Hunter Attorney-in-Fact Title NOTE: This form is to be used es 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 utu1L- 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;Tonic Petranek all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful attomey-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,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 official of the Companies and the corporate seals of the Companies have been affixed thereto this 231d day of April 2021 Liberty Mutual Insurance Company 04 oANo�U/ JP0,( INS&q PN R SE p, The Ohio Casualty Insurance Company A °'F c, q �oR Rapp 9y mac, oo af� c West American Insurance Company 1912 0 3 0 1919 1991 n /J � d3�s<crus`as o�yAntvs`�`,da� rs, �MOIAeYP as By. m David M.Carey,Assistant Secretary a k`a State ofPENNSYLVANIA m :County of MONTGOMERY o E (nD 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 5 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`72 therein contained by signing an behalf of the corporations by himself as a duly authorized officer. 7 @ 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� O co 0 o ' p >r ry CornmonwealurofPennsylvania-rJolarySeal Teresa Pastella,Notary Public ru do O " �F Montgomery county D�NNAA 4�,• E My em lOn expires March 26,2e26 Ely;;Co Commission number 1126044 Memher,Pennsylvania Association of Notaries Teresa Pastella,Notary Public Q_ O 0)U3 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 00 0= Insurance Company,and WestAmerican Insurance Company which resolutions are now in full farce and effect reading as follows: 0 M ARTICLE IV—OFFICERS:Section 12.Power of Attorney. 0 0 ? T 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�0 D President may presaibe,shall appoint such allomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety Co C any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall -o u L 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 as Zinstruments 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 atiomey-in-fad under the f cfo 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. ARTICLE XII I—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,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,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 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. 1,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,he and correct coot'of the Power of Attomey executed by said Companies,is in full farce and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of-said Companies this 30th day of March 2022 1NSUR 1-1 INS& IAtSU,? �l aGQ4lYO��m Tn T 24pRPOgQT� C� =°b 14Ci U 0 ly r �91912 � y� 1919�wo 1991 0 n g dy1 Ss4Crsu5aaNAMPS� a �N61ANP a y. �z7 * to dy �a s� Na Renee C.Llewellyn,Assistant Secretary LMS-12373 LMIC OCIC WAIC Multi Co 02121 Liberty tltui 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 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 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 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 (11 1-1A) de Texas Consumer Protection (I I I-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:l/www.tdi.texas.gov E-mail: ConsumerProtectionAtdi.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-15292 10115