HomeMy WebLinkAboutContract 45695-FP2 Commallo. (6
CITY OF FORT WORTH
PROPERTY MANAGEMENT DEPARTMENT
FACILITIES MANAGEMENT DIVISION
NOTICE OF PROJECT COMPLETION
Contract Data
City Secretary Contract No: 45695 ✓ M&C No.: C26807/ M&C Date: 220/2014./
Project Name: HOUSTON STREET GARAGE LOWER LEVER IMPROVEMENT
Address: 1209 THROCKMORTON ST
Architect: ELEMENTS OF ARCHITECTURE INC.
Contractor: _ BASECOM.INCI,
Using Department: a PQr 1'Y ma wy..D�
Managing Department: PROPERTY MANAGEMENT DEPARTMENT
Project Data: Mq-SNS)M'a0g0f7bat R9 E50
Schedule:
Contract Duration: 110 CALANDER DAYS
Extensions by Change Order: 0 CALANDER DAYS
Construction Start Date: AUGUST 4.2014
Contract Completion Date: NOVEMBER 22.2014
Substantial Completion Date: FEBURARY 13.2015
Days eligible for liquidated damages: 0
Final Acceptance Date: FEBURARY 13.2015
Costs:
Original Contract Price: S 444.527.00 V
Number of Change Orders: 2, *'
Amount of Change Orders: 9 1-3.9.18.48 y"
Final contract Amount: 5 458.445,48�z
Less Previous Payments: $ 447.443,50+✓
Final Payment Due: $ l.m.98./ syr
Liquidated Damages by Change Order: 0 Days at 50.00/day c$0.00
ece anc
Submitted by:
ons ction Manag r(Project Manager Date
Recommended for Acceptance:
�� ' ector naging Department Date
Recommended for Acceptance - �'`�• ' ZY
1, o ITLO/
Director, sing Department Date
Accepted: 45i L--� /
Assistant City Manager Date
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH, TX
e .
TPW Construction Invoice
Contract: CS45695 P.O.# PO-15-87326&PO-14-83691 Payment Date: 2=015
TO:Baseaom,Inc. TNV.# CS45695-6 Estimate No. 6 DOE:
5209 Vesta Farley ProjManager Meza/Begamery
Fort Worth TX 76119
FOR: Existing Houston Street Parking Garage Ground Level improvements
Contract Amount: 5458,445.48
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: 51,870.48 39,131.50) 511,001.98
Psymenw.
9980 $458,445.48 — -`
Total to Date: $458,445.48 $0.00 5458,445.48
Previous Estimate: $456,575.00 $9,131.50 5447,443.50
Earned to Date: $1,870.48 +59,131.50) 511,001.98
PURCHASE ORDER MUST
APPEAR ON INVOICE
Transportation&Public Works
Facilities Management/Architectural Services
Contact Person/Phone Number.
ICKI MCDONALD EXT.2586
partment Approval Signature(Printed) _
Tuesday,March 17,2015 GLENN BALOG QFFICfI 'RECQRD
Department Ap oval Signa /Date:
CITY SECRETARY
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LL o a a' OFFICIA RECo
RD
CITY SECRETARY
FT.WORTH,TX
o
Online Accounts Payable DepadmantAccess
NIGP Code Browse I My Account I Customer Service I About March 18,201510:07:10 AM CDT P x
Ftotna lterali Dbcutrtatts
Vendors Quick Buy CED Vicki McDonald
Invoice#:CS45695-FINAL Vendor#:0000030517 Vendor Group#:01 Status:4IR-Ready for Approval
General Items Credits Subcontractors Accounts Routing Attachments Notes Reminder Change Order Summary Back to PO
04WM Vallldafen WwnkW
• Acao nl able 15416'$-841�19ss0le to M rad tty$4a2,7$0.04
Header Information
Invoice Number: CS456WFINAL Invoice Status: 41R-Ready for Approval Invoke Type: m
way
Invoice Description: C845M5-RNAL Invoice Date: 02/02/2015 Effect Date: 031172015
Payment Amount: 611,001.98 Handling Code: ACH(DiRECTDEPOSrrl Payment Data: 02/272015
Payment Terms: Payment Term 0 Payment 0.0%
Day: Discount:
Paid-Bank/Check: Alternate Id:
Entered By: Vicki McDonald Entered Date: 03M72015
Credit Amount: $0.00
Updated By: Vicki McDonald Updated Date: 031172015
Received Date: 02/022015 08.02:00 PM
Purchase Order Information
Purchase order CS45695 Existing Houston Street Parkkg
Number. PO 15-00087326 PO Description Garage Ground Level Impmements
Remaining To Vida
PO Amount: $1,e7446 Invoice: $0.00 Buyer: McDonald
PoVendor information
Vendor: 0000030517-BASECOM INC Address Grp: 01
Vendor Remit-to Palricla Oaxaca
Address: 5209 VESTA FARLEY
ACH ONLY
FORT WORTH,TX 76119 Fed ID: •••"'8521 Remit Text:
us
Ernst pocaaQDaaecornknoom
Phone:(81TA864050
Id:48359
Misc&Freight Invoice Account
Event Type Fiscal Year Accent Code Transaction Amount
Misc 15 P259-205000400000219900 $9,131.50
Total: $9.131.50
Item Information
CS45M Exisift Houston Street Pwkkv Garage Ormnd Leval Improvernents P259-541200-209070219980 M&C C-26907 5-20.14
Invoice Item#/PO Item#:1 $444.527.00 COi1-$12,048.00P259-641200-20907021911900002-$1.870.46P269-54120a209070219OW($458,445.46-
$458,575.00 spell on Odgi al PO-14-00083891-41,670.46 remak*V)
PO Perm* Invoke Discount% 0111111041 Rel
item Slat" To Pay Amount Pay Amount Pay
3PCR-Complete Receipt $0.00 $1,870.48 0.0%
MAKE: OFFICIAL RECORD
ASSET�_MODEL: CITY SECRETARY
ASSET_MANUF:
ASSET SERIAL: FT.WORTH,TX
ASSET VM:
ASSET TAG:
Event Type Fiscal Yew Account Code Transaction Amount
Exp. 15 P259541200-209070219980 $1,870.46
Enc. 15 P259-541200-209070219980 51,870.48
Approval Path:
Delete Approver Order Approval Level Approver Date Date Approved/Diaappmved/Caneeled Comment
Sequence Path Type Requested Approved/Dlaapproved/Canceled by View
ID
Add
New Primary
AddlDelete Approver
Print
Copyright®2015 Periscope Holdings,Inc.-All Rights Reserved.default
i
P
r
OFFICIAL RECORD
CITY SECRETARY
I.T.WORTH,T%
e
AVAILABLE FUNDS
Fund: P259 Type:C
FM06/FY20I S
Center Account Acct.Desc. Current Expenditure Encumbrance Commitment Available
Budget
0000000219900 205000 RE1AWAM PAYABLU $0.00 ($9,131.50) $0.00 $0.00 $9,131.50
$0.00 ($9,131.50) $0.00 $0.00 $9,131.50
N
RECORDCRETARYRTH,TX
21.1
1A Document G707Tu - 1994
Consent Of Surety to Final Payment
PR :(A wx and ) APJIMCrS PMACT OWNER 29
17W2013-1.4;City ProjilO No.02199 ARCHITECT.❑
Houston St.Cfw rge Renovations
Fat Worth,TX CONTRACT FOR:Existing Houston Street CONTRACTOR❑
Parking Garage's Ground Level Improvements
SURETY:❑
TO OWNER:(Afame and addess) CONTRACT DATED:May 29,2014
City of Fort Worth OTHER.❑
1000 Ttaodtmorton
Fort Worttl,TX 76102
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(Insert name and add ass ofSneety)
Insurors hidem_nity Company
PO Box 2683
Waco,TX 76702
,SURETY,
on bond of
(insert name and adders of Contractor)
Basecom,Inc.
5209 Vesta Farley Rd
Fort Worth,TX 76119
CONTRACTOR,
hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shal I not relieve the Surety
of any of its obligations to
(Insert name and adders ofUvrrer)
City of Fort Worth
1000 Throckmorttm
Fort Worth,TX 76102
OWNER,
as set forth in said Surety's bond.
IN WTMESS WHEREOF,the Surety has hereunto set its hand on this date:February 11,2015
(Insert in writing the month followed by the nnoneric date and yam:)
iIzed&
an
(Surety)
\ s
ignalu ofresentative)
Attest: J fifer Piechin-Fact
Printed name and tille)
OFFICIAL RECORD
AIA Document 0707m—1294.Copyright O 1982 and 1994 by The American Institute of Arehksels.All rights reserved.WARM ARY
protected by U.S.Copyright Law and international Trestles.Unauthorized reproduction or distribution of this AIA*locum t,of�q�tt f k may
resull In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This d menfiiVh
software at 17:38:03 on 02/11/2015 under Order No.2742298287_1 which expires on 08112/2015,and Is not for resale. M
User Notes: 1406&&IAM_
I N S L
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 Daly,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
Attest. By:..��
Tammy Tieper n, ecreta Dave E.Talbert, President
Slate of Texas
County of McLennan
On the 11°day of November,2014, before me a Notary Public in the Stale of Texas,personally appeared Dave E.Talbert
and Tammy Tleperman, who being by me duly swom, acknoviedged that they executed the above Power of Attorney in their
capacities as President and Corporate Secretary, respectively, t1Jjf� nsurors Indemnity Company, and ac n e T P f
Attorney to be the voluntary act and deed of the Company. t t r �,+ 3NEWFG WHffEHOUSE
iW� �,�' ►k Notilry Public
OF TEW
Notary Public,State of Texas STATE
ar �»
Insurors Indemnity Company certifies that this Power of Attorney Is granted under and by au hort y 6f th6 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.Sold 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 shell 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 TTeperman,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 Die seal of INSURORS INDEMNITY COMPANY on this I1tlr. day of
Fobnmy 2015
YLrN � �l YY1
ammy TleprCF
, ecreta
NOTE: IF YOU HAVE ANY QUESTION REGARDING THE VALIDITY OR WORDINTHIS POVVER OF A7TORNFY,PLEASE
CALL 800 933 7444 OR WRITE TO US AT P.O.BOX 2683,WACO,TEXAS 78702-268s OR ItMAIL US At
CONFIt MAATI N IINSURORSIN(EMNITY.COMA.
CITY SECRETARY
FT.WORTH,TX
�
0
[Release of Liens Fortn:706A
To Owner: City of Forth Worth Contract Date: 5/20/2014
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
r ect: Houston Street Parking Ground Level Improvements
State Of. TEXAS Mnty of. TARRANT
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
Basec nc.
5209 as a Farl oad Subscribed and sworn to before me on this date:
Fo h,T 19 0?/0iA / li5
Notary Public:
Sigre o o P sen a ive
frame ,Q yc f a R— /�FS,r My Commission Expires: p A 12 ! 1q
.+ w L.ROMAN
Nolaay"ic.8101e
Of leas MyCorroftWon Expa
FICIAL RECORD
January1Z,201
TY SECRETARY
FT. WORTH,TX
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'ec : Houston Street Parking Garage Ground Level Improvements
state Of. 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? 21 ❑
00e�Qr2Qd e.-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 Fa y d. Subscribed and sworn to before me on this date:
Fo W h, 7 19 Q'.f D41 / in%
Notary Public: c.1As
s g ure of a presen a ve
Oscar Oaxaca=President My Commission Expires: O t I t7 lick
name
� * Notary a °s AI�OF RECORD
i MV Commis+ n oS C6�ETA�t�
January ) RTH9 TX
Routing & Transmittal Slip
Date: March 18, 2015
To: Department Initials Date
01 Glenn Balog PMD
02 Wayne Corum PMD
03 Doug Wiersig TPW 3/7'a/s�
04 Fernando Costa CMO 3�2,3�iS
05 Vicki McDonald PMD 3
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:%BACKUPDIIWP(WP).BK2 OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX