HomeMy WebLinkAboutContract 49794-FP2 FORTWORTH.
�•.. CITY SECRETARY
CONTRACT N0.
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
(Developer Projects)
SFA .Sdmb eat 4/4h, City Project Ns: 100958
y
Regarding contract 100958 for HAWTHRONE MEADOWS PHASE 3 as required by the
TRANSPORTATION&PUBLIC WORKS as approved by City Council on N/A through M&C N/A the director
of the TRANSPORTATION&PUBLIC WORKS upon the recommendation of the Assistant Director of the
Transportation&Public Works Department has accepted the project as complete.
Z9 �
Original Contract Price: 1 ` = $16,281.50
s 08
Amount of Approved Change Orders: I ,` Ns
w OEaci
Revised Contract Amount: Z p c c. >
Total Cost Work Completed: !r .0 c ,� $16,281.50
C O > L O
O t 0 N �,
jV
o
CO c 0 0' 0 v
c M a m
I- m � a�i0
ma
4) E - ccda c
O Mm N car N O
r � - mrn :E v )
E
L. 0 .2 .0
+, L0 � �,
c
v
w m
d a
m Z ,d„Y d
ro
aara � �nOLL0rod m
O0aR60C7I- V
til _
Recomme cceptance Date
Asst. Direc PW - Development Services
(a �') LJ 'e-/(a1/Y
Accepted d Date
4W. Director, TRANSPORT TIO & PUBLIC WORKS
Por-
Asst.
C' ger Date
00
Co nts� �
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH TX
Rev.9/22/16
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name HAWTHRONE MEADOWS PHASE 3
Contract Limits
Project Type STORM DRAIN
City Project Numbers 100958
DOE Number 0958
Estimate Number 1 Payment Number 1 For Period Ending 5/8/2018
CD
City Secretary Contract Number Contract Time 6aD
Contract Date Days Charged to Date 141
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors OWEN / MABRY
Tuesday,May 8,2018 Page 1 of 4
City Project Numbers 100958 DOE Number 0958
Contract Name HAWTHRONE MEADOWS PHASE 3 Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN For Period Ending 5/8/2018
Project Funding
STORM DRAIN
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
I 24"RCP CLASS III 27 LF $64.00 $1,728.00 27 $1,728.00
2 10'CURB INLET 3 EA $3,600.00 $10,800.00 3 $10,800.00
3 REMOVE HEADWALL 2 EA $500.00 $1,000.00 2 $1,000.00
4 24"SLOPING HEADWALL I EA $2,200.00 $2,200.00 1 $2,200.00
5 TRENCH SAFETY 27 LF $0.50 $13.50 27 $13.50
6 LARGE STONE RIPRAP 9 SY $60.00 $540.00 9 $540.00
Sub-Total of Previous Unit $16,281.50 $16,281.50
----------------------------------------
Tuesday,May 8,2018 Page 2 of 4
City Project Numbers 100958 DOE Number 0958
Contract Name HAWTHRONE MEADOWS PHASE 3 Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN For Period Ending 5/8/2018
Project Funding
Contract Information Summary
Original Contract Amount $16,281.50
Chante Orders
Total Contract Price $16,281.50
Date t i l Total Cost of Work Completed $16,281.50
Contractor Less %Retained $0.00
ate s 'l� Net Earned $16,281.50
Ins tion Supervisor Earned This Period $16,281.50
r j� Retainage This Period $0.00
Date tJ i�/�tJ Less Liquidated Damages
roj anager
Days @ /Day $0.00
Date Yv LessPavement Deficiency $0.00
As t. c r� p
PW ) C Less Penalty $0.00
WL 0 Date �� a/j Less Previous Payment $0.00
DirectorivContracting Departm t Plus Material on Hand Less 15% $0.00
Balance Due This Payment $16,281.50
Tuesday,May 8,2018 Page 3 of 4
City Project Numbers 100958 DOE Number 0958
Contract Name HAWTHRONE MEADOWS PHASE 3 Estimate Number I
Contract Limits Payment Number 1
Project Type STORM DRAIN For Period Ending 5/8/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors OWEN / MABRY Contract Date
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 60 CD
6331 SOUTHWEST BLVD Days Charged to Date 141 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 $16,281.50
Less %Retained $0.00
Net Earned $16,281.50
Earned This Period $16,281.50
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 $16,281.50
Tuesday,May 8,2018 Page 4 of 4
FORTWORTH rev 03/05/07
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.: I
NAME OF PROJECT: Hawthorne Meadows Phase III
PROJECT NO.: 100958 CONTRACTOR: Burnsco
DOE NO.:
PERIOD FROM:12/18/17 TO: 05/01/18 FINAL INSPECTION DATE: 1-May-18
WORK ORDER EFFECTIVE: CONTRACT TIME: 60
CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED 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 DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS
THIS
PERIOD
PREVIOUS
PERIOD
TOTALS 141 141
TO DATE
*REMARKS:
i/
CONTRACTOR* I DATE INSPECTOR DATE
ENGINEERING DEPARTMENT
y 's The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
FORTWORTHREV:02,22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I)PROJECT INFORMATION Date: 5/2/2018
Name of Contractor Project Name
Burnsco Hawthorne Meadows Phase III
DOE Inspector Project Manager
Matthew Mabry Gopal Sahu
DOE NtunberProject Difficulty Type of Contract
100958 Simple ® Routine o Complex ❑ Wa ❑ Waste Water o Storm Drainage ❑ Pavement
Initial Contract Amount Final Contract Amount
$16,281.50 $16,281.50
II)PERFORMANCE EVALUATION
0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent
ELEMENT i RATING ELEMENT RATING
(0-4) (0-4)
INSPECTION EVALUATION PLANS&SPECIFICATIONS
1 Availability of Inspector il 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
_ ADMINISTRATION 2 Availability of Project Manager
1 Change Order Processing Time 3 Communication
2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts
3 Bid Opening to Pre-Con Meeting Timeframe
III)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Supervisor
INSPECTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•1000 Thiockmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
FORTWORTHREV:8/20/16
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR&PROJECT DATA
Name of Contractor Project Nan7e
Burnsco Hawthorne Meadows Phase III
Inspector City Project Number
Matthew Mabry 100958
Construction Con7ponents Project Manager
❑ Water ❑ Waste Water 0 Storm Drainage ❑ Pavement Gopal Sahu
Initial Contract Amount Project Difficult,
$16,281.50 D Simple O Routine O Complex
Final Contract A 1101117 Date
$16,281.50 5/2/2018
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 Y 4 20 20
3 Plans on Site 5 Y 4 20 20
4 Field Supervision 15 Y 4 60 60
5 Work Performed 15 Y 4 60 60
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) 368
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 368
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 388
Rating( [TS/MS] * 100%) 368 / 388 = 95%
Performance Category Excellent
<20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >80%=Excellent
Inspectm°s Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Inspector Signature Contractor Signature
Inspector's Supervisor Signature
CONTRACTOR'S COMMENTS -
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 8851 Camp Boxvie West Blvd. •Fort Worth,TX 76116 • (817)392-8306
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects, AIA Document G707
Bond No 022059345
PROJECT:
(name, addresS)Hawthorne Meadows Phase 3-Water, Sanitary Sewer and Storm Drain Improvements
Fort Worth TX
TO (Owner)
ID.R.NORTON-TEXAS,LTD AND CITY OF FORT -I ARCHITECT'S PROJECT NO:
WORTH CONTRACT FOR:
6751 North Freeway Hawthorne Meadows Phase 3-Water,Sanitary Sewer and Storm
Drain Improvements
Fort worth TX 76131 __j 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
Benbrook TX 76132 , 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)
D.R. HORTON-TEXAS,LTD AND CITY OF FORT WORTH
6751 North Freeway
Fort Worth TX 76131 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this 11th day of April, 2018
LIBERTY MUTUAL INSURANCE COMPANY
Sure Company
��4KeW ( � 0 1 . 40 /
AtteA.Westbrook
(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 herein stated.
Certificate No,7988829
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 Casually 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 State 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,
Robbi Morales Don E.Cornell-"
ornell 5obhinie Hunter::V."peLene Marshall Tma_McEwan;Ricardo J.Rey6a Kelly-A._Westbrook
all of the city of Dallas state of TX. each ii dividually if there be morethan:one named,its true arid:lawful attorney in-fact"to make,execute,seal,acknowledge
and deliver,for and on its behalf as surety and as_its act and*ed any and all undertakings,bonds recognizances and othb :surety obligations;in pursuance of these presents and shall
be as binding upon the Companies as if they have beep ddlysgned by-the-president and at b:the secretary of the Companies in their own proper persons.
IN WITNESS WHEREOF,this Power ofAttorney^has been subscribedtiyan authorized o#ficer or officialof the;Gompanies and the corporate:seals of the Companies have been affixed
thereto this 24th day of January 2018
tC
J�J aoc,zyg JAS,, „,;G}r� sic w 2„ The Ohio Casualty Insurance Company
ins
Liberty Mutual Insurance.Company m
0 1919 n > r _
1912 1991 `_
— � WestAmerican Insurance Company
Ge�'�"'r'�Z /t
+( >
+ 1 * h * By.
STATE OF PENNSYLVANIA ss David M.Care ,Assistant Secretary
+X COUNTY OF MONTGOMERY o
dp� On this 24th day of January 2018 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance v h
U O 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 AW
p =i therein contained by signing on behalf of the corporations by himself as a duly authorized officer. O
L M - i E
> 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, 00
5p f4w < COMMONWEALTH OF PENNSYLVANIA ��%�� Rf Q
Q��Fr,w �` Notarial Seal
""'�`— �—
C u c� F'U1'1'--TM11-:1'
a Pastella,Notary Public BY -a
d OF ionTwp.,Montgomery County Teresa Pastella,Notary Public v
rO� \P ssion Expires March 28,2021 3 N
L_ 't'SYl-vP \U O
O yOpA _,,qy Member,Pennsylvania Association of Notaries I E
00
Y fC
C (a 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 rA p
Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: ��CD
Cn
,�as
LARTICLE 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 e
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, ?+y
O C 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 6 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)
O m executed,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. �.*
>+ a,N
= 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 00
L and subject to such limitations as the chairman or the president may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Company to make,execute, M
O 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
executed such instruments shall be asbind'ing as if signed bythe president an-it.ti estedbythe:secretary p
Certificate of Designation—The President riy`,.
-of the Compaacfing pursuant to the Bylaws oftheCompany authorizes David M CareYl ssisiaiitsecretary to appoint such attorneys-in- ~
fact as may be necessary to act on behalf ofahe Company tomake=ezeente,seal,acknowledgaa�td deliver assuretyany=and all undertakings,bonds,recognizances and other surety
obligations.
Authorization—By unanimous consent of the Companry's Board of Directors,the Company consents jhat facsimile or mechanically reproduced signature of any assistant secretary of the
Company,wherever appearing upon a certlfted:copy of anyrpower ofaftorney issued by the Companyin connection with surety bonds,shall be valid and binding upon the Company with
the same force and effect as though manually 4ffized
I, Renee C. Llewellyn, the undersigned, Assistant-Secretary, The Ohio=Casualty Insurance;Company, Liberty Mutual Insurance.Company and.:lNest American Insurance Company do
hereby certify that the original power of attorney&-which the foregoing is a fulltnie and coi�ect_copy of the Pouter of Attorney executed.b 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 Pmri20 .
�(Y iMSU �SNSU,? - ;SNS UP,
p 1919 n i 1912 1991 By:
a w a Renee C.Llew ssistant Secretary
H S
AraeSF'C\�
126 of 400
LMS 12873_022017
Liberty
Mutual
SURETY
TEXAS TEXAS
IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener informacion o para someter una
queja:
You may call toll-free for information or to Usted puede llamar al numero de telefono gratis
make a complaint at para informacion o para someter una queja al
1-877-751-2640 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 1.9406-2755 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 (111-1A) de Texas Consumer Protection (111-1A)
P. 0. Box 149091 P. 0. Box 149091
Austin, TX 78714-9091 Austin, TX 78714-9091
FAX: (512) 490-1007 FAX # (512) 490-1007
Web: http //www tdi texas. ov Web: http,//www.tdi.texas.gov
E-mail: Cons umerProtectionna tdi.texas.gov E-mail: ConsumeTProtection(�tdl texas.gov
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS 0 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 age te 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-15292 10/15
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, a notary public in the state and county aforesaid,
on this day personally appeared Ab Grantges, Contract Manager of Burnsco Construction, Inc.,
known to me to be a credible person, who being 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;
Hawthorne Meadows Phase 3—Water, Sanitary Sewer and Storm Drain
BY
Ab Grantges, Contract Manager
Subscribed and sworn before me on this date l2'h of April, 2018.
No Public
Tarrant County, Texas
MARY PANNE
u
Notary Publio,State of Texa
Comm.Expires 10-19-2018
Notary ID 5144239
1 ,
j
April 12,2018
City of Fort Worth
CFA Administration
1000 Throckmorton St.
Fort Worth, TX 76102
RE: Final Waiver of Lien; Water, Sanitary Sewer&Drainage Improvements to serve
Hawthorne Meadows Phase 3: City Project#100958
The purpose of this letter is to acknowledge that we have been paid in full by D.R.
Horton- Texas for the public improvements constructed to serve Hawthorne Meadows
Phase 3, in Fort Worth, Texas. As a result,we hereby waive,release and relinquish all
rights to assert any claim or demand for lien in connection with this project.
Please feel free to contact me with any questions you may have.
Sincerely,
� )C��
Ab Grantges
Contract Manager