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Home My WebLink AboutContract 48336-FP5 FORTWORTH, CITY SECRETARYCONTRACT N0, TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION (Developer Projects) (� n F� Sealw el117 City Project Ns: 100472 (-`` 1 C5#t,115334, Regarding contract for WEST FORK RANCH PHASE 6A-STORM DRAIN as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on N/A through M&C N/A the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Price: $280,545.00 Amount of Approved Change Orders: Ns 1 Revised Contract Amount: $280,545.00 Total Cost Work Completed: i 0- Reommended for Acceptance Date Asst. Director, TPW - Infrastructure Design and Construction ZLL C'J ' bfzll!? Accepted 0 Date Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT Asst. City Manager ( Department of TPW Const.Services CPN# /J Dat Project Manager /�:Can dv Rjsk Mafia ement S. OFFICIAL RECORD g Comments: D.O.E. Brotherton —/ 7 CITY SECRETARY Water V. Gutzier �;' T� CFA Ja ' M ales/Scanned ❑ FT.WORTH, The Proceedu peoW have been Contacted concerning the request �J for final payment&have released this project for such payment. "4 Rev.92f16 �'�'' FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name WEST FORK RANCH PHASE 6A Contract Limits Project Type STORM DRAIN City Project Numbers 100472 DOE Number 0472 Estimate Number I Payment Number I For Period Ending 6/16/2017 CD City Secretary Contract Number Contract Time 18(ED Contract Date Days Charged to Date 138 Contract is 100.00 Complete Project Manager NA Contractor BURNSCO CONSTRUCTION,INC. 6331 SOUTHWEST BLVD FORT WORTH, TX 76132 Inspectors LAYER / MATTEGAT Monday,June 12,2017 Page 1 of 4 City Project Numbers 100472 DOE Number 0472 Contract Name WEST FORK RANCH PHASE 6A Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN For Period Ending 6/16/2017 Project Funding STORM DRAIN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 21"RCP — — 171 LF $46.00 $7,866.00 171 $7,866.00 2 24"RCP 42 LF $52.00 $2,184.00 42 $2,184.00 3 27"RCP 228 LF $59.00 $13,452.00 228 $13,452.00 4 30"RCP 217 LF $69.00 $14,973.00 217 $14,973.00 5 33"RCP 564 LF $77.00 $43,428.00 564 $43,428.00 6 36"RCP 87 LF $88.00 $7,656.00 87 $7,656.00 7 42"RCP 267 LF $142.00 $37,914.00 267 $37,914.00 8 24"CL III RCP 136 LF $101.00 $13,736.00 136 $13,736.00 9 10'CURB INLET 10 EA $3,300.00 $33,000.00 10 $33,000.00 10 TRENCH SAFETY 1712 LF $0.50 $856.00 1712 $856.00 11 5'STORM JUNCTION BOX 4 EA $16,800.00 $67,200.00 4 $67,200.00 12 36"SLOPED END HEADWALL I EA $3,500.00 $3,500.00 1 $3,500.00 13 42"SLOPED END HEADWALL 1 EA $4,300.00 $4,300.00 1 $4,300.00 14 24"SLOPED END HEADWALL 6 EA $2,700.00 $16,200.00 6 $16,200.00 15 CONCRETE RIPRAP 208 EA $60.00 $12,480.00 208 $12,480.00 16 CONCRETE COLLAR 3 EA $600.00 $1,800.00 3 $1,800.00 Sub-Total of Previous Unit $280,545.00 $280,545.00 Monday,June 12,2017 Page 2 of 4 City Project Numbers 100472 DOE Number 0472 Contract Name WEST FORK RANCH PHASE 6A Estimate Number I Payment Number I Contract Limits Project Type STORM DRAIN For Period Ending 6/16/2017 Project Funding Contract Information Summary Original Contract Amount $280,545.00 Cltaii2e Orders Total Contract Price $280,545.00 Date —' Total Cost of Work Completed $280,545.00 Less %Retained $0.00 Contrac r� ,f / 'i��sC (/"�— L � Net Earned $280,545.00 Date Earned This Period $280,545.00 Inspection Supervisor Retainage This Period $0.00 Date Less Liquidated Damages 4A-s�stir�ctor/TPW anager Days @ /Day $0.00 Date Z LessPavement Deficiency $0.00 -Infrastructure Design an Const ctio Less Penalty $0.00 Date Z Less Previous Payment $0.00 Directo Contracting Depart ent Plus Material on Hand Less 15% $0.00 Balance Due This Payment $280,545.00 Page 3 of 4 Monday,June 12,2017 City Project Numbers 100472 DOE Number 0472 Contract Name WEST FORK RANCH PHASE 6A Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN For Period Ending 6/16/2017 Project Funding Project Manager NA City Secretary Contract Number Inspectors LAYER / MATTEGAT Contract Date Contractor BURNSCO CONSTRUCTION,INC. Contract Time 180 CD 6331 SOUTHWEST BLVD Days Charged to Date 138 CD 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 $280,545.00 Less %Retained $0.00 Net Earned $280,545.00 Earned This Period $280,545.00 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 $280,545.00 Monday,June 12,2017 Page 4 of 4 CONSENT OF OWNER ❑ ARCHITECT ❑ SURETY COMPANY CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 022056014 PROJECT: West Fork Ranch Phase 6A-Water, Sanitary Sewer and Storm Drain Improvements (name, address) Fort Worth Texas TO (Owner) PULTE HOMES OF TEXAS,L.P.AND CITY OF FORT ARCHITECT'S PROJECT NO: WORTH CONTRACT FOR: 4800 Regent Blvd. Suite 100 West Fork Ranch Phase 6A-Water,Sanitary Sewer and Storm Drain Improvements Irving TX 75063 CONTRACT DATE: CONTRACTOR: BURNSCO CONSTRUCTION, INC. 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 Company) LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston MA 02116 , SURETY COMPANY on bond of (here insert name and address of Contractor) BURNSCO CONSTRUCTION, INC. 6331 Southwest Boulevard CONTRACTOR, Benbrook TX 76132 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) PULTE HOMES OF TEXAS, L.P.AND CITY OF FORT WORTH 4800 Regent Blvd. Suite 100 Irving TX 75063 , 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 ,lune,2017 LIBERTY MUTUAL INSURANCE COMPANY (� Sur ty Company Attest:J. DeLene Marshall (Seal): Signa �re of Authorized Representative Sophinie Hunter Attorney-in-Fact Title NOTE; This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition ONE PAGE THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. 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 Certificate stated. 7663113 Liberty Mutual Insurance Company The Ohio Casualty Insurance Company 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 Stale 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 Kelly A.Westbrook;Ricardo J.Reyna;Robbi Morales-So hinie Hunter Tina McEwan•V.DeLene Marshall all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful attorney-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 10th day of March 2017 t0 {INse,� ++SUa�r +�� f The Ohio Casualty Insurance Company N d �Y 2m fi Liberty Mutual Insurance Company o 19i9 1912 1991 3: West American Insurance Company N �y r1".* ?�� *' * By: srr David M.Gare ,Assistant Secretary r- STATE OF PENNSYLVANIA ss _ r_ " COUNTY OF MONTGOMERY NOn this 10th day of March 2017,before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual insurance v U) U N 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 >W 0 therein contained by signing on behalf of the corporations by himself as a duly authorized officer. L y > 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. C PAgT COMMONWEALTH OF PENNSYLVANIA /J \ �Q.o�taoriwEy�F!` Notarial SeatB V/,// O d. Teresa Pasfeila,Notary Public y: r`.�/LD�-� �.�%� y,•O of Upper MerionTwp.,Montgomery County Teresa Pastella,Notary Public d C y 3M O L q ��Q My Commission Ex,fres March 28,2D21 y ry�yy�P U d �LO �`''R1`PvB�.. Member,Pennsylvania lassociatinncf Notaries � Y 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 u1 p ` Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: +�+ two i ARTICLE IV—OFFICERS—Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O 0 It 4; to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal, �+ O 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 E 6c powers of attorney,shall 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 0 Lexecuted,such instruments 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 attorney-in-fact under > the 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. N v ARTICLE XIII—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, E o0 i and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute, M 0 3 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 O o Z v 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 0 0 executed such instruments shall be as binding as if signed by the president and attested by the secretary. 0 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- ~r 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. I, 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,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. / IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this day of 20 QJ 'r r 2m y Fo n 2�` o By: U o isle o t 1912 ° N 1491 Renee C.Llew ssistant Secretary Oa'jy�"tratnY�'�� 9/�'?,StttRb�'C�•�: 'Nvc40P. 275 of 300 — va n99M7 Liberty Mutual. SURETY TEXAS TEXAS IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una quej a: You may call toll-free for information or to Usted puede hamar al numero de telefono gratis make a complaint at para informacion o para someter una queja al t-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 companias, 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(I I I-1A) de Texas Consumer Protection(111-1A) 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://www.tdi.texas.gov E-mail: ConsumerProtection(cr�tdi.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-1529210115 FORTWORTH 0212210' TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORMATION Date: 16 19 2017 Name of Contractor Project Name Burnsco Construction West Fork Ranch Phase 6A DOE Inspector Project Manager William Mattegat Aaron Long DOE Number JProject D culty Type of Contract CPN 100472 O Simple Q Routine Q Complex ❑ water[-] waste water Storm Drainage[] Pavement Initial Contract Amount Final Contract Amount $280,545.00 $280,545.00 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3-Good 4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 2 Clarity!&Sufficiency of Details 3 Accuracy of Measured Quantities 3 Applicability of Specifications 4 Display Of Professionalism 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution K ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts N 3 Bid Opening to Pre-Con Meeting Timeframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Superv' or INSPECTOR'S COMMENTS 'TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 s 1 (817)392-7941 •Fax:(817)392-7845 FORTWORTHREV:8/20/16 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Burnsco Construction West Fork Ranch Phase 6A Inspector City Project Number William Mattegat 100472 awshncdjon Conponenls Project Manager [] Water EJ Waste WaterO Storm Drainage[] Pavement Aaron Long Initial Contract Amount ProjectDififtulty $280,545.00 10 Simple QQ Routine O Complex Final Contract Amount Date $280,545.00 16192017 II)PERFORMANCE EVALUATION 0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE 1 Submission of Documents 2 Y 4 8 8 2 Public Notifications 5 N 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 4 60 60 5 Work Performed 15 Y 3 60 45 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 3 60 45 8 Traffic Control Maintenance 15 Y 4 60 60 9 Daily Clean Up 5 Y 3 20 15 10 Citizen's Complaint Resolution 5 N 11 Property Restoration 5 N 12 After Hours Response 5 N 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 333 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 333 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 368 Rating(ITS/MS] * 100%) 333 / 368 = 90% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >_80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Inspector Signature Contractor Signature Inspector's SupervisorS' nature CONTRACTOR'S COM TS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•8851 Camp Boxvie West Blvd. •Fort Worth,TX 76116 •(817)392-8306 FORTWORTH rev 03/0 /07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: West Fork Ranch phase 6A PROJECT NO.: 100472 CONTRACTOR: Burnsco Contracting DOE NO.. PERIOD FROM;01/26/17 TO: 06/16/17 FINAL INSPECTION DATE: 16-Jun-17 WORK ORDER EFFECTIVE:1/26/2017 CONTRACT TIME: 180 W� CD DAYS DAY ODAYS F REASON FOR DAYS DAY OF CHARGED REASON FOR DAYS MONTH CHARGED CREDITED MONTH CREDITED DURING DURING 1 16. 2. 17. 3 18. 4 19. 5. 20. 6. 21. 7. 22. 8 23. 9. 24. 10. 25. 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES OTHERS* DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS THIS PERIOD PREVIOUS PERIOD TOTALS 138 138 TO DATE *REMARKS: 1'6 wn zo CONT TOR DATE SPE DATE ENGINEE G DEPARTMENT E The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845