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Home My WebLink AboutContract 57019-FP1 City Secretary 57019 -FP1 Contract No. FORTWORTH. Date Received Apr 21,2022 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: Sanitary Sewer To Serve Dutch Bros. Coffee Lot 1 R-1 Block City Project No.: 103847 Improvement Type(s): Water ❑ Sewer ❑x Original Contract Price: $38,145.00 Amount of Approved Change Order(s): -$6,500,00 Revised Contract Amount: Total Cost of Work Complete: $31,645.00 IV,.-2I.A- Apr 20, 2022 Shawn Fargo(Apr 20,2022 09:38 CDT) Contractor Date Project Manager Title Tejas comercial construction Company Name Riley Ro erson( pr 0 2 209:39 CD-,, ApY 20,2022 Project Inspector Date Apr 20, 2022 Project Manager Date Janie Scarlett Morales(Apr 20,202211:50 CDT) Apr 20, 2022 CFA Manager Date Dcgnc7 doAc Apr 20, 2022 Dana Burghdoff pr20,202219:41 CDT) Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT.WORTH, TX Notice of Project Completion Project Name: Sanitary Sewer To Serve Dutch Bros. Coffee Lot 1 R-1 Block City Project No.: 103847 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: 45 WD Days Charged: 25 Work Start Date: 3/7/2022 Work Complete Date: 4/11/2022 Completed number of Soil Lab Test: 0 Completed number of Water Test: 0 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name SANITARY SEWER TO SERVE DUTCH BROS COFFEE LOT 1R-1 BLOCK Contract Limits Project Type SANITARY SEWER City Project Numbers 103847 DOE Number 3847 Estimate Number 1 Payment Number 1 For Period Ending 4/15/2022 WD City Secretary Contract Number Contract Time 45VD Contract Date 2/2/2022 Days Charged to Date 25 Project Manager NA Contract is 100.00 Complete Contractor TEJAS COMMERCIAL CONSTRUCTION 1613 LAURA ROAD RIVER OAKS, TX 76114 Inspectors GLOVER,M / ROBERSON,W Tuesday,April 19,2022 Page 1 of 4 City Project Numbers 103847 DOE Number 3847 Contract Name SANITARY SEWER TO SERVE DUTCH BROS COFFEE LOT 1R-1 BLO Estimate Number 1 Contract Limits Payment Number 1 Project Type SANITARY SEWER For Period Ending 4/15/2022 Project Funding UNIT I:SANITARY SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity . Total --------------------------------------- I CONSTRUCTION STAKING 1 LS $550.00 $550.00 1 $550.00 2 T CONC SIDEWALK 65 SF $8.00 $520.00 65 $520.00 5 TRENCH SAFETY 20 LF $50.00 $1,000.00 20 $1,000.00 7 4"-2 WAY CLEANOUT 1 EA $525.00 $525.00 1 $525.00 8 4"DIP BORED SEWER SERVICE 1 EA $27,000.00 $27,000.00 1 $27,000.00 9 TRAFFIC CONTROL 1 MO $1,800.00 $1,800.00 1 $1,800.00 10 UTILITY SERVICE SURFACE RESTORATION 25 SY $10.00 $250.00 25 $250.00 SODDING -------------------------------------- Sub-Total of Previous Unit $31,645.00 $31,645.00 -------------------------------------- Tuesday,April 19,2022 Page 2 of 4 City Project Numbers 103847 DOE Number 3847 Contract Name SANITARY SEWER TO SERVE DUTCH BROS COFFEE LOT 1R-1 BLO Estimate Number 1 Contract Limits Payment Number 1 Project Type SANITARY SEWER For Period Ending 4/15/2022 Project Funding Contract Information Summary Original Contract Amount $38,145.00 Change Orders Change Order Number 1 ($6,500.00) Total Contract Price $31,645.00 Total Cost of Work Completed $31,645.00 Less %Retained $0.00 Net Earned $31,645.00 Earned This Period $31,645.00 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 $31,645.00 Tuesday,April 19,2022 Page 3 of 4 City Project Numbers 103847 DOE Number 3847 Contract Name SANITARY SEWER TO SERVE DUTCH BROS COFFEE LOT 1R-1 BLO Estimate Number 1 Contract Limits Payment Number I Project Type SANITARY SEWER For Period Ending 4/15/2022 Project Funding Project Manager NA City Secretary Contract Number Inspectors GLOVER,M / ROBERSON,W Contract Date 2/2/2022 Contractor TEJAS COMMERCIAL CONSTRUCTION Contract Time 45 WD 1613 LAURA ROAD Days Charged to Date 25 WD RIVER OAKS, TX 76114 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 $31,645.00 Less %Retained $0.00 Net Earned $31,645.00 Earned This Period $31,645.00 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 $31,645.00 Tuesday,April 19,2022 Page 4 of 4 i m 1 a � O K U z T 2.1 l7 0 0 � Dn ° 7O Opp m z0 a a a D I`n n U: T �k m [it <n Op n N a in21 00 ro o 0 0 o tO O n 1 o ai ��rob o O _ 0 m Z m 0 N �. 0 m z �Z� G � o m C A �i o ni O 0 o X W 1 0 w O i < K N O O D (CJ t7 0 o O o 0 5c rt O ~ Go N_ N �• � b O CD 00 N cy dr Y•�;of a� Y. C- m a 7 N .J m ID O j N co O I g W flu O Ql rn pit'�r' �J I•„]h� �f,, '�' '�' i e m n D n »m O a o 0 0 0 0 o Z D ' v ,�,.Po Pl: yt 2:2 s� 1:.'':'."f:l• z C coo z C7 N W.� <�ifii b q o} +nM �y°?.. �,aY j<i t�; �i'rytJt"'�•'ti N W Ill 00 O 'J O �J(( N rrl I ^.4� � �(� �k�1 kl`I .��• G1 Od � O n �:•.`, o.,�v*.4K"'u,^sir=9� m � �77 .a m R1 o v p p p mc ��ii• o P o P A � III P <y � r •�-• b n � O tl A h l A n V n N N O -I i `I II I I I » 2 [ \ \ - ) / °\ / § � ( \ _ (z � . - , z { )y ®a ( � � j§ . . \< \ \ »\ m( \® J 9; \ j( CL e K \\ ro g3 � : U§ } \ @o ( / 2 � § \ . < � ( \ — \ 3 ~\ /.00 0 � FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Dutch Bros.Coffee CITY PROJECT NUMBER: 103847 WATER PIPE LAID SIZE TYPE OF PIPE LF N/A FIRE HYDRANTS: N/A VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF i DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF Service 4" DIP 50' PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: 4" DIP 50' TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 FO RT WO RT H�� TRANSPORTATION AND PUBLIC WORKS April 15, 2022 Tejas Commercial Construction,LLC P.O. Box 10395 River Oaks,TX 76114 RE: Acceptance Letter Project Name: Dutch Bros. Coffee Project Type:Sewer City Project No.: 103847 To Whom It May Concern: On April 11, 2022 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 April 15, 2022. 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 April 15, 2022,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- 392-2481. Sincerely, Debbie Willhelm, Project Manager Cc: Riley Roberson, Inspector Mike Glover, Inspection Supervisor Daniel Roy,Senior Inspector Victor Tornero, Program Manager MJ Thomes, Consultant Tejas Commercial Construction,LLC.,Contractor Westover Western Center LLC, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev.8/20/19 A.FFIDAVITV IT STATE 4F Texas COUNTY OF Tarrant Before me, the undersigned authority, a notary public in the state E and county aforesaid, on this clay personally appeared Charles D.Allen, Vice Presidet Of Texas Commercial Construction LLC,known to me to he a credible person, who Ding by me duly sworn, upon his oath deposed and said; That al I persons, hrrns, 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; Dutch faros. Coffee BY ��._ l/ Charles D. AIlen Vice PrcS errt Subscribed and sworn before me on this date 18th of April, 2022. lot Notary Public Tarrant County, Texas LETICIA ANN ROJO V'T adT•_..�6•e = -Nctary PQWkc.state of`exa" Cgmr,. Expires 11-12-2023 Notary ID 124702839 Bond Number: 5940338 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ OTHER ❑ PROJECT: Dutch Bros Coffee (name,address) TO(Owner) City of Fort Worth CONTRACT FOR: Dutch Bros Coffee 200 Texas St. Fort Worth, TX 76102 PROJECT NO.: CONTRACTOR: CONTRACT DATE: Tejas Commercial Construction, LLC FINAL CONTRACT PRICE: $31,645.00 P.O. Sox 10395 River Oaks, TX 76114 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 Co.) Old Republic Surety Company 445 S. Moorland Road, Suite 200 Brookfield, WI 53005 ,SURETY COMPANY, on bond of(here insert name and address of Contractor) Tejas Commercial Construction, LLC P.O. Box 10395 River Oaks, TX 76114 ,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) City of Fort Worth 200 Texas St. Fort Worth, TX 76102 OWNER, as set forth in the said Surety Company's Bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 19th day of April 2022 Old Republic Surety Company urety Com (SEAL) By Signaturf 4 Authorized Representative Lloyd Ray Pitts Jr - Attorney-In-Fact Title * ,t * OLD REPUBLIC SURETY COMPANY POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That OLD REPUBLIC SURETY COMPANY,a Wisconsin stock insurance corporation,does make,constitute and appoint: LLOYD RAY PITTS JR,WILLIAM D. BIRDSONG,JORDAN A. PITTS of DALLAS,TX its true and lawful Attorney(s)-in-Fact, with full power and authority for and on behalf of the company as surety, to execute and deliver and affix the seal of the company thereto (if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof, (other than bail bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits, or black lung bonds),as follows: ALL WRITTEN INSTRUMENTS and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attorneys-in-Fact, pursuant to these presents, are ratified and confirmed. This appointment is made under and by authority of the board of directors at a special meeting held on February 18,1982. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18,1982. RESOLVED that, the president, any vice-president or assistant vice president, in conjunction with the secretary or any assistant secretary, may appoint attorneys-in-fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case,for and on behalf of the company to execute and deliver and affix the seal of the company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said officers may remove any such attorney-in-fact or agent and revoke any Power of Attorney previously granted to such person. RESOLVED FURTHER,that any bond,undertaking,recognizance,or suretyship obligation shall be valid and binding upon the Company (i) when signed by the president, any vice president or assistant vice president,and attested and sealed(if a seal be required)by any secretary or assistant secretary;or (ii) when signed by the president,any vice president or assistant vice president,secretary or assistant secretary,and countersigned and sealed(if a seal be required)by a duly authorized attorney-in-fact or agent;or (iii) when duly executed and sealed (if a seal be required) by one or more attorneys-in-fact or agents pursuant to and within the limits of the authority evidenced by the Power of Attorney issued by the company to such person or persons. RESOLVED FURTHER 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, recognizance,or other suretyship obligations of the company;and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer,and its corporate seal to be affixed this gar day of December 2021 ,•�4��`suRr}, OLD REPUBLIC SURETY COMPANY Qa, 0 43 SEAL _D _ *Secreta - STATE —an OF WISCONSIN,COUNTY OF WAUKESHA-SS President On this 9th day of December 2021 personally came before me, Alan Pavlic and Karen J Haffner to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say: that they are the said officers of the corporation aforesaid,and that the seal affixed to the above instrument is the seal of the corporation,and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation. A&800 Notary Public My Commission Expires: September 28, 2022 CERTIFICATE (Expiration of notary's commission does not invalidate this instrument) I,the undersigned.. assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Wisconsin corporation, CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked; and furthermore, that the Resolutions of the board of directors set forth in the Power of Attorney,are now in force. QCO ODA tT}�o. 2022 89�054 p: SEA.L : = Signed and sealed at the City of Brookfield,WI this 1 9th April day of CRSC 22262(3-M) �t Secretes PITTS,FENNELL&ASSOCIATES LLC