HomeMy WebLinkAboutContract 45695-FP1 Cfnr SECRETAW I
CITY OF FORT WORTH CONTRACT NO..
L _
PROPERTY MANAGEMENT DEPARTMENT
FACILITIES MANAGEMENT DIVISION
NOTICE OF PROJECT COMPLETION
Contract Data
City Secretary Contract No: 45695/ M&C No.: C26807/ M&C Date:_$/20!2014.//
Project Name: HOUSTON STREET GARAGE LOWER LEVER IMPROVEMENT
Address: 1209 THROCKMORTON ST
Architect: ELEMENTS OF ARCHITECTURE INC.
Contractor: BASECOM,INC
Using Department: 11j-�,( Ma A%6men,:
Managing Department: PROPERTY MANAGEMENT DEPARTMENT
Project �
E50
tchedule:
Contract Duration: I10 CALANDER DAYS
Extensions by Change Order: 0 CALANDER DAYS
Construction Start Date: AUGUST 4.2014
Contract Completion Date: NOVEMBER 22,2014
Substantial Completion Date: FEBURAM 13.2015
Days eligible for liquidated damages: 1 0
Final Acceptance Date: FEBURARY 13.2015
Costs:
Original Contract Price: S 444,527.00 V
Number of Change Orders: I J
Amount of Change Orders: S 138.48
Final contract Amount: S 458.445.48 V
Less Previous Payments: S 447,843.50,/
Final Payment Due: ll: V1r
Liquidated Damages by Change Order: 0 Days at $0.00/day=$0.00
tction
ce anc,
Submitted by: /�
ons anagrrXt--L-
awi�ectoronaging
roject Manager Date
Recommended for Acceptance: 1 q 7d Department Date
Recommended for Acceptance - �'�• �"� Zo /jLa I '
Director,Psing Department Date
Accepted: ,BO� .1 /
Assistant City Manager Date �--
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
1 +
TPW Construction Invoice
COntraCt: CS45695 P.O.# PO-15-87326&PO-14-93691 Payment Date: 2812015
TO:Basecom,Inc. MV-0 CS45695-6 Estimate No. 6 DOE:
5209 Vesta Farley ProjManager Meza/Bagamery
Fort Worth TX 76119
FOR: Existing Houston Street Parking Garage Ground Level improvements
Contract Amount: $458,445.48
Total to Date: $458,445.48 $0.00 $458,445.48
Previous Estimate: $456,575.00 $9,131.50 $447,443.50
Earned to Date: $1,870.48 +V59,131.50) 511,001.98
PVYBxxft
1Sm $459,445.48 _
Total to Date: $458,445.48 $0.00 $458,445.48
Previous Estimate: $456,575.00 $9,131.50 5447,443.50
Famed to Date: $1,870.4859,131.50) $11,001.98
PURCHASE ORDER MUST
APPEAR ON INVOICE
Transportation&Public Works
Facilities Management/Architectural Services
Contact Person f Phone Number:
ICKI MCDONALD EXT.2586
Department Approval Signature(Printed)
Tuesday,March 17,2015 GLENN BALOCa Page 1 of I
Department Ap roval Signa I Date:
OFFICIAL RECORD
JLZ�JACH CITY SECRETARY
FT. WORTH, TX
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CITY SECRETARY
FT.WORTH,TX
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LL N N N N 8 N 8 8 OFFICIAL RECORD
' CITY SECRETARY
FT.WORTH,TX
arta
Online Accounts Payable Department Access
NIGP Code Browse 1 MY Account I Customer Service 1 About March 18,2015 10:07:10 AM CDT P(1)e,l R x
Ftonts , thane , Decuntsnts _._.
Vendors I Quick Buy Fnd K Vicki McDonald
Invoice#: CS45695-FINAL Vendor#:0000030517 Vendor Group#:01 Status:41R-Ready for Approval No
General Iters Credits Subcontractors Accounts Routing Attachments Notes Reminder Change Order Summary Back to PO
Stang VsIlldeaon tVAtmitr♦s
• _ -J
Header Information
Invoice Number: 0845695-FINAL Invoice Status: 4iR-Ready for Approval Invoice Type: map
Invoice Description: CS45695-FINAL Invoice Data: 02102r"5 Effect Date: osn7n015
Payment Amount: $11,001.98 Handling Code: ACH(DIRECT DEPOSM Payment Date: 02272015
Payment Term Payment
Payment Terms: Day:
0 Discount: 0.0%
Paid-Bank/Check: Alternate id:
Entered By: Vicki McDonald Entered Date: 03117/2015
I
Credit Amount: $0.00
Updated By: Vicki McDonald Updated Date: 03/172015
Received Date: 02A22015 05-02:00 PM
Purchase Order Information
Purchase order CS45095 Esiating Notation Siren Parking
Number; PO-1 5-00007326 PO Description Garage Ground Level Improvements
PO Amount: $1,870.48 Remaining To moo Buyer, Vicki
Invoice: Mc)anaM
PoVendor Information
Vendor: 00030517-BASECOM INC Address Grp: 01
Vendor Remit-to Pa1rkL osases
Address: 5209 VESTA FARLEY
ACH ONLY
FORT WORTH,TX 76119 Fed ID: •""'6521
us Remit Text:
Email:pocranObasscanktcmm
Plane:(817)5890050
Id:402111$
M(sc&Freight Invoke Account
Event Type Flecal Year Account Code Transaction Amount
Mise 15 P259-20500040D00D21MM $9,131.50
Total: $9,131.50
Item Information
CS45695 Existing Houston Sired Parking Garage Grasnd Level knprowmeNs P259-541200-209070219960 M&C C-261107 5-20-14
Invoice Item#1PO Item 111:1 $444,527.00 CONI-$12,048.00 P259U1200-20g070219M COI2-$1,670.48 P259-541200-209070219980($458,445.46-
$458,575.00 spent an origkW PO.14.00083591-$1,870.48 rsmalri gi
PO Parma Invoke Discount 11 Ortelaai Fled
lam status To Pay Amount Pay Anneal Pay
3PCR-Complete Receipt $0.00 $1,870.48 0.0% $0.00 Yes
MAKE:
ASSET MODEL:
ASSET MANUF:
ASSET sERULL:
ASSET VN:
ASSET TAG:
Event Type Fiscel Year Account Code Transaction Amount
Eng. 15 P259541200-209070219980
Enc. 15 P259541200-208070219980 '�ICIA� RECORD
CITY SECRETARY
FT. WORTH, TX
Approval Path:
Ddek Approver Order Approval Level Approver Dela Dale Apprea vedUsapprawaMMOMad CDMMrd
So"nee Path Type Ra"sted ApprovedUsaPpowadlCeneNW by view
ID
Add Primary
New
AddlDeMs APWmw
Pr4M
CovpVd O 2015 Periscope Holdlnps,Yea-AN Rlphts Reserved default
OFFICIAL RECORD
ZITY SECRETARY
FT.WORTH,TX
e
AVAILABLE FUNDS
Fund:P259 Type:C
FM06/FY2015
Center Account Acct.Desc. Current Expenditure Encumbrance Commitment Available
Budget
0000000219900 205000 RUMNAGLPAYA X $0.00 ($9,131.50) $0.00 $0.00 $9,131.50
$0.00 ($9,131.50) 50.00 $0.00 $9,131.50
OFFICIAL RECORD
CITY SECRETARY
ff.WORTH,TX
1
I-m- Document G707 TO - 1994
Consent Of Surety to Final Payment
PROJECT:(Name and address) ARCHITECTS PROJECT NUMBER: OWNER:
TPW2013-14•City ProjedNo.02199 ARCHITECT:❑
Houston St.Garage Renovations
Fart Worth,TX CONTRACT FOR:Existing Houston Street CONTRACTOR:❑
Panting Crarap!s Ground Level Lnprovements
SURETY:❑
TO OWNER:(Name and adJws) CONTRACT DATED:May 29,2014
City of Fort Worth OTHER:❑
1000 Ttuodcmarton
Pat Vigrk TX 70.102
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(Inset name and addrew ofStrety)
Insarors Indemnity Company
PO Boot 2683
Waco,TX 76702
SURETY,
on bond of
(Insert none and ad&=of Cor mvior)
Basecom,Inc.
5209 Vesta Farley Rd
Fat Warty TX 76119
CONTRACTOR,
hereby approves of the final payment to the Contractor,and sgrees that fmal payment to the Contractor shall not relieve the Surety
of any of its obligations to
(!mart now and addrm ofAvner)
City of Fort Worth
1000 Throdcmorton
Fort Worth,TX 76102
OWNER,
as set forth in said Surety's bond.
IN WITNESS WHEREOF,the Surety has heretmto set its hand on this date:February 11,2015
(ImIlert in iwiling the month follrnved by the mnneric dale and year.)
mni Com an
(Surety)
r
ignalrr ofaut •ized reseniative)
Atttxt: � Je fifer Picchi torn -in-Fad
Printed nanie and title)
AIA Document G707m—1994.CopyrWd o 1992 and 1894 by The Anorlan Instiluls of Architects.All Aghts erved.WARNING:This AIAe Docu nt is
protected by U.S.Copyright Low and International Treaties.Unauthorized reproduction or dlstribuUon o1 1 it,may 1
result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under hs law. t oCume was pro y AIA
software st 17:36:03 on 0211112015 under Order No.27422IM117 1 which expires on 081122015,and is not for ril saig.-
User Notes: &ev r �1 tyk � Bt 5s)
FT. WORTH,Tit
INS .
i0op0ofTY camf4sfff4
POWER OF ATTORNEY of INSURORS INDEMNITY COMPANY
Waco,Texas
KNOW ALL PERSONS BY THESE PRESENTS: Number: CNB-17748-00
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
Jennifer Picchi of the City of Dallas,Stall of TX
as Attorney in t=act,with full power and authority hereby conferred upon him to sign,execute,acknowledge and deliver for
and on Its behalf as Surely 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
Attest. n__�` By:
Tammy TieperrAn,Sedretaty D va a E.Talbert, President
State of Texas
County of McLennan
On the 11w day of November,2014, before me a Notary Public in the State of Texas,personalilly,appeared Dave E.Talbert
and Tammy Tieperman, who being by me duly sworn, acknovIedged that they executed the above Power of Attorney In their
capacities as President and Corporate Secretary, respectively, nsumrs Indemnity Company, and ac n w i P r f
Attorney to be the voluntary act and deed of the Company. 3NERRI WHITEHOUSE
(W, �;. •�� Nolky Public
Notary Public,State of Texas S'f a �pj 201?
Insurors indemnity Company certifies that this Power of Attorney is granted under and by au hori y oft the 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 pursuent 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 sat 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 all 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[hat 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(his i -day of
Febm" 2015
ammy Tiepe an, ecreta y
NOTE: IF YOU HAVE ANY QUESTION REGARDING THE VALIDITY OR WORDIN OF THIS POWER OF ATTORNEY,PLEASE
CALL 800 933 7444 OR WRITE TO US AT P.O.BOX 2883,WACO,TEXAS 78702-21585 OR b&\iL US At
ONFIiEW11 NQ( INSU ORSINDEMNITY.DOM.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
0
Elease of Liens Form:706A
To Owner: City of Forth Worth Contract Date: 520/2014
401 W.13th Street Contract For.
Fort Worth,TX 76102 Houston Street Parking Garage
Lower Level improvements
Project Number/Contract Number.
45695
Contractor: Basecom,Inc.
5209 Vesta Farley Rd
Fort Worth,TX 76119
Prolect: Houston Street Parking Ground Level Improvements
tate
Of S County of. TAR NT
The undersigned herby certifies that to the best of the undersigned's knowledge,information
and belief,except as listed below,the Releases of Waivers of Lien attached hereto include the
Contractor,all Subcontractors,all suppliers of materials and equipment,and all performers of
Work,Labor or services who have or may have liens or encumbrances or the right to assert
liens or encumbrances against any property of the Owner arising in any manner out of the
performance of the Contract referenced above.
Exceptions:
Attached Supporting Documents:
1. Contractor's Release or Waiver of Liens,conditional upon receipt of final payment.
2. Separate Releases or Waivers of Liens from Subcontractors,material and equipment suppliers,to
the extent required by the Owner,accompanied by a list thereof.
Contractor
BasecqnNnc.
5209es a Farl oad Subscribed and sworn to before me on this date:
Fo h,T 19 L% t
Notary Public: �pNy�Ar.,.
Sigre o o p sen a rve
nf•C .4 i16A- Sr ,wy My Commission Expires: 011121 4)
neane
Natary Puoli .Mate of few �+ N
,� ?y My comfsaIOF N yx
'Fast Januat 12, fl f
Affidavit of Payment of Debts and Claims Form:706
To Owner: City of Fort Worth Contract Date: 5/20/2014
401 W. 13th Street Contract For.
Fort Worth,TX 76102 Houston Street Parking Garage
Ground Level Improvements
Project Number/Contract Number.
45695
Contractor: Basecom Inc.
5209 Vesta Farley Rd.
Ft.Worth,TX 76119
Pro*ect Houston Street Parking Garage Ground Level Improvements
State oU- Texas County arrant
This undersigned certifies that,with the exceptions listed below,payment has been made in full
and all obligations have been satisfied for the following
All Materials, Equipment,Work,Labor,Services and claims against the Contractor in
connection with the above mentioned Contract.
Exceptions:
Attached Supporting Documents:
1. Surety to Final Payment, if required.
Is document attached? Q ❑
O,Q h 4rQQ b 4-0- yes no
2. If required by the Owner:
Contractor's Release of Waiver of Liens
Separate Releases or Waivers of Liens from
Subcontractors,material and equipment
suppliers.
3. Release of Liens Affidavit.
Contractor
Basec Inc.
520 e a Far y d. Subscribed and sworn to before me on this date:
Fo W h, 7 19yZ
Notary Public:
s g ure o au Q presen a ve
Oscar Oaxaca'President My Commission Ex
6N—W nmw and We) pi
Sion Expires
Routing & Transmittal Slip
Date: March 18, 2015
To: Department Initials Date
01 Glenn Balog PMD
02 Wayne Corum PMD lk�
03 Doug Wiersig TPW 0�1 5 7z/.�r
04 Fernando Costa CMO
05 Vicki McDonald PMD 3ea
From: Vicki McDonald x2586
Subject: NOTICE OF PROJECT COMPLETION / FINAL PAYMENT
HOUSTON STREET PARKING GARAGE GROUND LEVEL
IMPROVEMENTS
Amount: $11,001.98
—Action _ File _ Note & Return
X Approval _For Clearance _ Per Conversation
—As Requested _ For Correction —Prepare Reply
_Circulate _ For Your Information _See Me
_Comment _ Investigate X Signature
_Coordination _Justify `Other
Remarks: If you should have any questions, please contact me at x2586.
Thank you.
C:%BAC KU P DftW P{W P}.B K2
FT. 'Y'IIort! ,irx