HomeMy WebLinkAboutContract 57102-FP1 City Secretary 57102 -FPI
Contract No.
FORT WO RT H Date Received Dec 2,2022
c�
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: Hampton Villas
City Project No.: 101804
Improvement Type(s): Water M Sewer
Original Contract Price: $532,255.00
Amount of Approved Change Order(s): $4,800.00
Revised Contract Amount:
Total Cost of Work Complete: $537,055.00
2=D� Nov 30, 2022
Contractor Date
AR Manager
Title
Moss Utilities, LLC
Company Name
Nov 30, 2022
Project Inspector Date
Y'f P ' Nov 30, 2022
Project Manager Date
Iebeaa oklxe OWelr Nov 30, 2022
CFA Manager Date
Pam. Nov 30, 2022
Interim TPW Director Date
1 &*--` � Dec 1, 2022
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
Page 1 of 2
Notice of Project Completion
Project Name: Hampton Villas
City Project No.: 101804
City's Attachments
Final Pay Estimate
Change Order(s): ® Yes ❑ N/A
Pipe Report: ® Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 65 WD Days Charged: 48
Work Start Date 04/18/2022 Work Complete Date: 10/4/2022
Soil Lab Number of Tests 181
Water Number of Tests: 8
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name HAMPTON VILLAS
Contract Limits
Project Type WATER&SEWER
City Project Numbers 101804
DOE Number 1804
Estimate Number 1 Payment Number 1 For Period Ending l l/1/2022
WD
City Secretary Contract Number 12/22/2021 Contract Time 6WD
Contract Date Days Charged to Date 48
Project Manager NA Contract is 100.00 Complete
Contractor MOSS CONSTRUCTION CO.,INC.
3455 FM 544
WYLIE, TX 75098
Inspectors CORDOVA,R / GARDNER,T
Friday,November 11,2022 Pagel of 4
City Project Numbers 101804 DOE Number 1804
Contract Name HAMPTON VILLAS Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 11/1/2022
Project Funding
UNIT L•WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 8"WATER PIPE 1512 LF $45.00 $68,040.00 1512 $68,040.00
2 8"GATE VALVE(CO#1) 3 EA $2,000.00 $6,000.00 3 $6,000.00
3 FIRE HYDRANT 3 EA $5,600.00 $16,800.00 3 $16,800.00
4 DUCTILE IRON WATER FITTINGS 1 TN $6,000.00 $6,000.00 1 $6,000.00
W/RESTRAINT
5 1"WATER SERVICE 72 EA $1,500.00 $108,000.00 72 $108,000.00
6 CONNECTION TO EXISTING 4"-12"WATER 1 EA $2,500.00 $2,500.00 1 $2,500.00
MAIN
7 36"X8"TAPPING SLEEVE&VALVE 1 EA $10,300.00 $10,300.00 1 $10,300.00
8 TRENCH SAFETY 1512 LF $1.00 $1,512.00 1512 $1,512.00
9 WATER SYSTEM TESTING(EXCLUDING 1512 LF $2.00 $3,024.00 1512 $3,024.00
GEOTECH)
10 1"PRIVATE WATER SERVICE(CO#2) 1 EA $2,800.00 $2,800.00 1 $2,800.00
---------------------------------------
Sub-Total of Previous Unit $224,976.00 $224,976.00
UNIT II:SANITARY SEWER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 10"SEWER PIPE 1403 LF $51.00 $71,553.00 1403 $71,553.00
2 10"SEWER PIPE CSS BACKFILL 100 LF $60.00 $6,000.00 100 $6,000.00
3 8"SEWER PIPE 215 LF $52.00 $11,180.00 215 $11,180.00
4 4'MANHOLE 8 EA $10,300.00 $82,400.00 8 $82,400.00
5 TRENCH WATER STOPS 6 EA $1,100.00 $6,600.00 6 $6,600.00
6 4"SEWER SERVICE 72 EA $1,400.00 $100,800.00 72 $100,800.00
7 CONCRETE ENCASEMENT FOR UTILITY PIPES 29.5 CY $390.00 $11,505.00 29.5 $11,505.00
8 20"CASING BY OPEN CUT 95 LF $110.00 $10,450.00 95 $10,450.00
9 TRENCH SAFETY 1718 LF $1.50 $2,577.00 1718 $2,577.00
10 MANHOLE VACUUM TESTING 8 EA $170.00 $1,360.00 8 $1,360.00
11 CONNECT TO EXISTING SEWER STUB-OUT 1 EA $2,500.00 $2,500.00 1 $2,500.00
12 SEWER SYSTEM TESTING(EXCLUDING 1718 LF $3.00 $5,154.00 1718 $5,154.00
GEOTECH)
---------------------------------------
Sub-Total of Previous Unit $312,079.00 $312,079.00
---------------------------------------
Friday,November 11,2022 Page 2 of 4
City Project Numbers 101804 DOE Number 1804
Contract Name HAMPTON VILLAS Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 11/1/2022
Project Funding
Contract Information Summary
Original Contract Amount $532,255.00
Change Orders
Change Order Number 1 $2,000.00
Change Order Number 2 $2,800.00
Total Contract Price $537,055.00
Total Cost of Work Completed $537,055.00
Less %Retained $0.00
Net Earned $537,055.00
Earned This Period $537,055.00
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 $537,055.00
Friday,November 11,2022 Page 3 of 4
City Project Numbers 101804 DOE Number 1804
Contract Name HAMPTON VILLAS Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 11/1/2022
Project Funding
Project Manager NA City Secretary Contract Number 12/22/2021
Inspectors CORDOVA,R / GARDNER,T Contract Date
Contractor MOSS CONSTRUCTION CO.,INC. Contract Time 65 WD
3455 FM 544 Days Charged to Date 48 WD
WYLIE, TX 75098 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 $537,055.00
Less %Retained $0.00
Net Earned $537,055.00
Earned This Period $537,055.00
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 $537,055.00
Friday,November 11,2022 Page 4 of 4
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FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Hampton Villas
PROJECT NUMBER: 101804
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
C900 Water Pipe 8" 8"C900 PVC 1,512
FIRE HYDRANTS: 3 VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Densities taken and uploaded to Accela
NEW SERVICES: 1" 73 -Copper Services 1,260
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
SDR-26 Sewer Pipe 8" 8" SDR-26 215
SDR-26 Sewer Pipe 10" 10" SDR-26 1,403
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Densities taken and uploaded to Accela
NEW SERVICES: 4" 72-4" Sewer Services 1,260
i
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
, f
(817)392-7941 •Fax: (817)392-7845
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
November 11, 2022
Moss Utilities
3300 Rock Island Road
Irving,Texas 75060
RE: Acceptance Letter
Project Name: Hampton Villas
Project Type: Water&Sewer
City Project No.: 101804
To Whom It May Concern:
On November 11, 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 November 11,
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,
P Pc'
Yogesh Patel, Project Manager
Cc: Troy Gardner, Inspector
Ron Cordova, Inspection Supervisor
Edward Davila, Senior Inspector
Victor Tornero, Program Manager
Kimley Horn, Consultant
Moss Utilities, Contractor
Bridge Tower Homes, Developer
File
E-Mail: TPW_Acceptance@fortworthtexas.gov
Rev.08/20/19
Final Affidavit and Release of Claims
NOTICE
This document waives rights unconditionally and states that you have been paid for giving up those
rights.It is prohibited for a person to require you to sign this document if you have not been paid the
payment amount set forth below. If you have not been paid, use a conditional release form.
UNCONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT
Project Hampton Villas FW
Job No. 2202
The signer of this document has been paid in full for all labor, services, equipment, or materials furnished
to the property or to Bridge Tower Homes LLC (person with whom signer contracted)on the property of
BT Cole Three LLC— (owner) located atFM 11 87&McCmt Avenue,Fort Worth,TX(loc ation) to the following
extent: Site Utilities(Water&Sanitary Sewer Improvements) (job description). The signer therefore waives and
releases any mechanic's lien right, any right arising from a payment bond that complies with a state or
federal statute, any common law payment bond right, any claim for payment, and any rights under any
similar ordinance,rule, or statute related to claim or payment rights for persons in the signer's position.
The signer warrants that the signer has already paid or will use the funds received from this final payment
to promptly pay in full all of the signer's laborers, subcontractors,materialmen,and suppliers for all work,
materials,equipment,or services provided for or to the above referenced project up to the date of this waiver
and release.
Date: 11.22.22
Moss Utilities,LLC (Company name)
By: (Signature)
EPresident (Title)
STATE OF TEXAS }
COUNTY OF Dal[as )
On this 22 day of Novembef20 22 before me, a notary public,personally appeared,known to me to be
the person who executed the above instrument, and acknowledged that he/she executed t same.
r
otary Public
My term expires:
JESSICA DEANN DAVIS
qp G
?z,' =Notary Public,State of Taxas
Comm.Expires 12-09-2025
F Notary ID 133482603
..NY
AFFIDAVIT
STATE OF fGS
COUNTY OF
Before me,the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Name, Title Of
Company,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;
Contract Description
BY �—
�.S c�
Name or Ti le
Subscribed and sworn before me on this date Day of Month, Year.
iotar�y Public
County, State
,lllff/
`SPpY Pv�i� JESSICA DEANN DAVIS
Notary Public,State of Texas
%: Comm.Expires 12-09-2025
P;, �` Notary 1D 133482603
M_Mfg
Document.G707' - 1994
Consent 4f Surety to Final Payment
PROJECT:(Name and address) ARCHITECT'S PROJECT NUMBER: OWNER:
Hampton Villas ARCHITECT: ❑
Fort Worth,TX CONTRACT FOR:Water and Sewer
Improvements CONTRACTOR: ❑
TO OWNER:(Name and address) CONTRACT DATED:04/18/2022 SURETY: ❑
City of Fort Worth OTHER: ❑
1000ThrockmortonStreet BOND NUMBER CNB-40021-00
Fort Worth,TX 76012
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(Insert name and address of Surety)
Insurors Indemnity Company
PO Box 32577
Waco,TX 76703
on bond of SURETY,
(Insert name and address of Contractor)
Bridge Tower Homes,LLC
12801 N Central Expy,Ste 1675
Dallas,TX 75243
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
(Insert name and address of Owner)
City of Fort Worth
1000 Throekmorton Street
Fort Worth,TX 76012
OWNER,
as set forth in said Surety's bond.
IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date:November 23,2022
(Insert in writing the month followed by the numeric date and year.)
Insurors Indemnity Company
(Surety)
- (Signatur(Pfauth I ed representative)
Rttc5::.y Megan Liescheski,Attorney-in-Fact
(Scat). (Printed name and title)
AIA Document G707- -1994.Copyright®1982 and 1994 by The American Institute of Architects.All rights reserved.The'American Institute of Architects,"
'AIA.'the AIA Logo,and"AIA Contract Documents'are registered trademarks and may not be used without permission.This document was produced by AIA
software at 11:54:28 ET on 11/23/2022 under Order No.2114330382 which expires on 0610212023,is not for resale,is licensed for one-time use only,and may
only be used in accordance with the AIA Contract Documentse Terms of Service.To report copyright violations,e-mail copyright@aia.org.
User Notes: (369ADA4C)
IN SUlZr�kS
POWER OF ATTORNEY of INSURORS INDEMNITY COMPANY
Waco, Texas
KNOW ALL PERSONS BY THESE PRESENTS: Number: CNB-40021-00
That INSURORS INDEMNITY COMPANY,Waco,Texas,organized and existing under the laws of the State of Texas,
and authorized and licensed to do business in the State of Texas and the United States of America, does hereby
make, constitute and appoint
Megan Liescheski of the City of Spring, State of TX
as Attorney in Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and
deliver for and on its behalf as Surety and as its act and deed, all of the following classes of document, to-wit:
Indemnity, Surety and Undertakings that may be desired by contract, or may be given in any action
or proceeding in any court of law or equity; Indemnity in all cases where indemnity may be lawfully
given and with full power and authority to execute consents and waivers to modify or change or
extend any bond or document executed for this Company.
INSURORS INDEMNITY COMPANY
Attes — �,rY. ���,L '�c nn
Tammy Tieple pan, Sebretary Dave E. Talbert, President
State of Texas
County of McLennan
On the 11' day of November, 2014, before me a Notary Public in the State of Texas, personally appeared Dave E.
Talbert and Tammy Tieperman, who being by me duly sworn, acknowledged that they executed the above Power of Attorney in
their capacities as President, and Corporate Secretary, respectively/of suror ) mnity Company, and.acknowleclA d said
Power of Attorney to be the voluntary act and deed of t ompany.
JASMINE AR-MSTEAD
lySTATE OF
Pi l•�i.
o ry Publi6,lState of Texas Y,'ss, _ � l€]#1325mnzb
°._°i,,;�+ ',Ay Cnlrrr.C"D.JUMr'3.2:ti �I
Insurors Indemnity Company certifies that his Powgr of Attorney is granted ut►�itdrl-firs-sth�cfPt .
following resolutions of the Company adopted by the Board of Directors on November 11, 2014:
RESOLVED,that all bonds, undertakings, contracts or other obligations may be executed in the name of the Company
by persons appointed as Attorney in Fact pursuant to a Power of Attorney issued in accordance with these Resolutions. Said
Power of Attorney shall be executed in the name and on behalf of the Company either by the Chairman and CEO or the President,
under their respective designation. The signature of such officer and the seal of the Company may be affixed by facsimile to any
Power of Attorney, and, unless subsequently revoked and subject to any limitation set forth therein, any such Power of Attorney
or certificate bearing such facsimile signature and seal shall be valid and binding upon the Company and any such power so
executed and certified by facsimile signature and seal shall be valid and binding upon the Company with respect to any bond or
undertaking to which it is validly attached.
RESOLVED,that Attorneys in Fact shall have the power and authority, subject to the terms and limitations of the Power
of Attorney issued to them,to execute and deliver on behalf of the Company and to attach the seal of the Company to any and ali
bonds and undertakings, and any such instrument executed by such Attorneys in Fact shall be binding upon the Company as if
signed by an Executive Officer and sealed and attested to by the Secretary or Assistant Secretary of the Company.
I, Tammy Tieperman, Secretary of Insurors Indemnity Company, do hereby certify that the foregoing is a true excerpt
from the Resolutions of the said Company as adopted by its Board of Directors on November 11,2014, and that this Resolution
is in full force and effect. I certify that the foregoing Power of Attorney is in full force and effect and has not been revoked.
In Witness Whereof, I have set my hand and the seal of INSURORS INDEMNITY COMPANY on this 23rd
day of November 2022
4 �~� �t"_ .4,n �� L
Tammy Tieper an, Secrets
NOTE: IF YOU HAVE ANY QUESTION REGARDING THE VALIDITY OR WORDING OF THIS POWER OF ATTORNEY,
PLEASE CALL 800 933 7444 OR WRITE TO us A"r P.-O BOX 32577,WACO,TEXAS 76703 OR EMAIL US AT
BONDtaEPT TNSURORSINDEMNITY.COM.