HomeMy WebLinkAboutContract 49929-FP1 Department of TP &W Const.Services
Projec Manager 'T WO Dj�T
Risk Management Canad 1 ® CITY SECRETARY
D.O.E. Brotherton — — CONTRACT N0.
CFA Morales/Scanned
Gutzier/Scanned
The Proceeding people have been Contacted TION AND PUBLIC WORKS
concerning the request for final payment&have ;PROJECT COMPLETION (9 d
released this project for such payment.
leveloper Projects)
Clearance Conducted By
City Project Ns: 101137
�/�isiae�ar. CS`AlY99=y
Regarding contract 101137 for GOLDEN CHICK RESTAURANT as required by the WATER DEPARTMENT as
approved by City Council on N/A through M&C N/A the director of the WATER DEPARTMENT upon the
recommendation of the Assistant iw e;. kon&Public Works Department has accepted the project
as completes i , ��� 't1 &U
V� r
!� jUN 01 20-18
Original Contract Price: S $14,750.00
By
10 ;-—1-= --.i
Amount of Approved Change Orders: $34,102.07 Ne 1
Revised Contract Amount: $48,852.07
Total Cost Work Completed: $48,852.07
41
I�
Vt'Vi
Recom menu ptance Date
Asst. Direct W - Development Services
Accepted Date
Asst. Director, WATER DEPARTMENT
Asst. Cify Manager Date
12345���
mmeni
T RECEIVED j
N JUN q 2018 ro
CITY OF FORT WORTH
O� C SECRETARY
9 �
�C
1
► �� JUN 01 2018
S6 00 -- f (13 `7
City Project Numbers 101137 ---
DOE Number 1137
Contract Name GOLDEN CHICK RESTAURANT Estimate Number 1
Contract Limits Payment Number I
Project Type WATER For Period Ending 5/22/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON / PITTS Contract Date
Contractor MORA CONSTRUCTION,INC. Contract Time 180 CD
109 S.STORY#E Days Charged to Date 60 CD
IRVING, TX 75060 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 $48,852.07
Less %Retained $0.00
Net Earned $48,852.07
Earned This Period $48,852.07
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 $48,852.07
Tuesday,May 22,2018 Page 4 of 4
FoRTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name GOLDEN CHICK RESTAURANT
Contract Limits
Project Type WATER
City Project Numbers 101137
DOE Number 1137
Estimate Number 1 Payment Number 1 For Period Ending 5/22/2018
CD
City Secretary Contract Number Contract Time 18GD
Contract Date Days Charged to Date 60
Project Manager NA Contract is 100.00 Complete
Contractor MORA CONSTRUCTION,INC.
109 S.STORY#E
IRVING, TX 75060
Inspectors DICKINSON / PITTS
Tuesday,May 22,2018 Page 1 of 4
L
�1
City Project Numbers 101137
DOE Number 1137
Contract Name GOLDEN CHICK RESTAURANT Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER For Period Ending 5/22/2018
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No.
QTotal Quanity Total
-----------------------------------------
IA 16"X 8"TAPPING SLEEVE&VALVE CO#1 1 EA $16,000.00 $16,000.00 1 $16,000.00
2A 8"DR-14 PVC WATER PIPE CO#1 60 EA $230.00 $13,800.00 60 $13,800.00
3A 6"DR-14 PVC WATER PIPE CO#1 10 LF $80.00 $800.00 10 $800.00
4A FITTINGS CO#1 0.25 LF $1,400.00 $350.00 0.25 $350.00
5A 6"GATE VALVE CO#1 1 TN $1,400.00 $1,400.00 1 $1,400.00
6A FIRE HYDRANT CO#1 1 EA $3,500.00 $3,500.00 1 $3,500.00
7 1 1/2"WATER SERVICE CO#1 1 EA $2,900.00 $2,900.00 1 $2,900.00
8 1"WATER SERVICE CO#1 1 EA $2,700.00 $2,700.00 1 $2,700.00
9 CONC PVMT REPAIR,ARTERIAL/INDUSTRIAL 21.11 SY $315.02 $6,650.07 21.11 $6,650.07
10 CLEANING WYE&POLYPIG CO#1 1 LS $750.00 $750.00 1 $750.00
1 4"SEWER SERVICE CO#1 1 EA $1.00 $1.00 1 $1.00
2 4"2-WAY CLEANOUT CO#I 1 EA $1.00 $1.00 1 $1.00
Sub-Total of Previous Unit $48,852.07 $48,852.07
----------------------------------------
Tuesday,May 22,2018 Page 2 of 4
City Project Numbers 101137
DOE Number 1137
Contract Name GOLDEN CHICK RESTAURANT Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER For Period Ending 5/22/2018
Project Funding
Contract Information Summary
Original Contract Amount $14,750.00
ChanIze Orders
Change Order Number 1 $34,102.07
Total Contract Price $48,852.07
Dates Total Cost of Work Completed $48,852.07
Contra or Less %Retained $0.00
Net Earned $48,852.07
Inspection Superviso Earned This Period $48,852.07
Retainage This Period $0.00
Less Liquidated Damages
Projectger
Days @ /Day $0.00
Date I ��1.� LessPavement Deficiency $0.00
Asst.Di r Less Penalty $0.00
�C Date C'I"'Y111f Less Previous Payment $0.00
46
Director/Contracting Department Plus Material on Hand Less 15% $0.00
Balance Due This Payment $48,852.07
Tuesday,May 22,2018 Page 3 of 4
FORT WORTH
rev 03/05/07
x;7
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:1
NAME OF PROJECT: Golden Chick
PROJECT NO.: 101137 CONTRACTOR: Mora Construction,Inc.
DOE NO.; N/A
PERIOD FROM.03/23/18 TO: 05/21/18 FINAL INSPECTION DATE: 21-May-18
WORK ORDER EFFECTIVE:3/23/2018 CONTRACT TIME: 180 Q WD* CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHDURINGGE CREDITED MONTH CHARGED CREDITED
DURING
1. 16.
2. 17.
3. 18.
4. 19.
5. 20.
6. 21.
7. 22.
S. 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 60 60
PREVIOUS
PERIOD 0 0
TOTALS
TO DATE 160 160
*REMARKS:
AV 62
ONTRACTO DATE N'ECTOR DATE
ENGINEERING DEPARTMENT
The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817) 392-7845
CD _
N
. O M O z m X �7 z -n co < 0 C) 0 C) m
CD C/) r m y 0 O
v m Z m D z O0- p m * -I m �G D Z O
O D C/ N D m It m m 4t --i
N m N N 'O Q p D z O (7
o < p m mp D o y m m A D ;t7 0 0 m -I zD
m O C O -1 n m n Z m m —i
p �' Z D x D n C7 m
O vii '' --1g z 0
z D 0 Oc m �#
Z O
n m 9 a
O m
z X
2
1
0
00 T (T M
< en 40 M M u0i < N O (A pj O O
A A A �' O A O O V (p Q-
O c a N W Oo Cl) _ (D
N o o o O O O v .p N
CD pAD V V O O O O Q- Q'
O O
Ch D A Cn
CDD
CD f7 M O O (D
m m m
0 454
0 0 Z`- a CD 0 0 �' G
o c s o, n" mG) m
0 0 0 o 0 o O
v' m
o o
0 o O) 0OD 00
0 m
N N O O O O O
O O O O N
{p O O O O
en
D
00 N
W
N o '.. m (7
v o o d 0 0
0 0` n CD CD m
0 0
.. .. �
0 CD C7 C7
0
a o o `D z 2
0o v q O y
0o c D Z z
0 c, —� v m
00W w
o o. ' 2 Z co (D O
CD o p -I N N
� W
00 .P 111) rn a .0
O CD
.D'. N
0 o O
0 CD a
0 0 � p
p D
0
o z
O D
n Q .x 0
o" o m M D
0 0- 0X
CA 61 p m
0 t
Cl
00
O O W
U). N
O O O
OO (A
O O fD
to m
c m
o r'
n G)
0 0 2 vi
0 o
o c 0 O
N -
n
O
n
CD
i
I
m m o
c
0 i
� o � m
l z I a
N w w w w W W W w w w W W W W W 0
w w w w w w w w N W W W W W W W W a
O Q
N
NN_.-+ [Oii��� pNN N-�-+ G
zz [J 0000 1 W ONNOwOOO;m 3
z S ogbo a'S0000rn�'�3 x
.) w V CO N N W W W N -�N i7. m
m
0
m A I o
m o
3 m
m
A
v A zI A m M 8= mm
o m m O C7 0 I � �
o25
CL sq 3 " caT to go
c n i m �
m I " zz m oa co
o o
P-4m
v o p S
-n
fD {I (1 A0 rA
�4 m n �cWnC4�vwi�Wn� � '�oo''� o
` m c !
m
mz m I
�f-1 n ��tn1 I�7-�ti a�ritt otrnf
n 2 DD'nZrii�i D(r»�D DDDZT-nq�
r n pb �
mmino m9 n
yOA S �a
O a c -04090000
0
d $ < oo o� ;mmmmm N
_ v m m
0 0 �I 0 1 ? o = � ci00!0-_I V y
<p A O C I9 O
TI `.. O O f3G OL
> �. 7
C O 0 C W I �.
N O IH 1 fp
m;a C d 7 N 0
d
i m
m co
{ m z7 + 0 x
�Lo ro .Zl AA m AA
/ m c N �.17 <N�lci A j.13
� to
T n
N
N
11 mm � �
°' 2 �cD0
0
N T�QoZ
C
n w
aiIO m CD
m
o d a a'
o m z
m o
o
OO �_
1 �
ou c
Z 3
D mC N �ZW
SO Os
S
Q�0
25N
V
M
N
N N o N N w : d 1
�� NN _r mwa+-I
o -+00 W po W N' pO�io00C op OpmS�
C,
O S o O O 0 v S O S S O o Q p r
N
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Golden Chick
PROJECT NUMBER: 101137
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
DR-14 8" PVC 60
DR-14 6" PVC 10
FIRE HYDRANTS: 1 VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: YES
NEW SERVICES: 1 1/2" Copper 3'
1" Copper 3'
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
SEWER SERVICE 4" PVC 5'
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: YES
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TK 76012-6311
(817)392-7941 •Fax: (817)392-7845
1 I
I
I 1
AFFIDAVIT
I �
STATE OF Texas
t
COUNTY OF Dallas
I
Before me,the undersigned authority, a notary public in the state
i I
and county aforesaid, on this day personally appeared Roger Mora,
i
President Of Mora Construction, Inc., known to me to be a credible
I I
person,who being by me duly sworn,upon his oath deposed and said;
That all persons;firms, associations, corporations, or other
I
I
organizations furnishing labor and/or materials have been paid in full;
I
That the wage scale established by the City Council in the City of
ort Worth has been paid in full; I
I
That there are no claims pending for personal injury and/or
I
I
property damages;
On Contract described as;
0olden Chick 4341 W Risinger
I
BY
Roger Mora,Pres
i
Subscribed and sworn before me on this date 15 of May,2018.
i
I
I
'P `
I Not ubli ° BRETT CHARLES LEDBETTER
My Commission Expires
Dallas,TX February 9,2019
ST, OF 16Y'�
I
I I
I i
I
i
I
I
I
I
I
i
I
CONSENT OF OWNER
SURETY COMPANY ARCHITECT
TO FINAL PAYMENT CONTRACTOR
SURETY
AIA DOCUMENT G707 OTHER
Bond No 4416955
PROJECT: Golden Chick-Water improvements to serve Hulen Risinger Addition,Ft Worth
(name,address)
TO (Owner) [ City of Fort Worth ] ARCHITECT'S PROJECT NO:
1000 Throckmorton Street
Fort Worth,TX 76102-6312 CONTRACT FOR: Construction
] CONTRACT DATE: 2/9/2018
CONTRACTOR: Mora Construction,Inc.
Po Box 154897
Irving,TX 75015
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)
SureTec Insurance Company
1330 Post Oak Boulevard,Suite 1100 , SURETY COMPANY,
Houston,TX 77056
on bond of(here insert name and address of Contractor)
Mora Construction,Inc.
Po Box 154897
Irving,TX 75015 , CONTRACTOR,
hereby approves of the final payment to the Contractors, 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)
City of Fort Worth
1000 Throckmorton Street
Fort Worth,TX 76102-6312 ,OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 23rd day of May 2018
SureTec Insurance Company
Surety Company
ure of Authorized Representative
Attest: q) A, Signat
G�
(Seal): Debra Lee Moon 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
AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA ONE PAGE
1970 THE AMERICAN INSTffUTE OF ARCHITECTS, 1735 New York Ave.,NW,WASHINGTON,D.C. 20006
POA#: 4221756
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make,constitute and appoint
Sammy J. Mullis Jr.,John William Newby,Wilbert Raymond Watson,Troy Russell Key,
Sandra Lee Roney, Debra Lee Moon,Andrea Rose Crawford
its true and lawful Attorney-in-fact,with full power and authority hereby conferred in its name,place and stead,to execute, acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments,or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for,providing the bond penalty does not exceed
Five Million and 00/100 Dollars($5,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President, sealed with the corporate
seal of the Company and duly attested by its Secretary,hereby ratifying and confirming all that the said Attorney-in-Fact may do in the
premises. Said appointment shall continue in force until 12/31/2019 and is made under and by authority of the following
resolutions of the Board of Directors of the SureTec Insurance Company:
Be it Resolved, that the President,any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company,to execute,acknowledge and
deliver,any and all bonds,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved,that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 201'of April,
1999.)
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President, is corporate seal
to be hereto affixed this loth day of May ,A.D. 2017 ,
SVRIANC�c�"� SURETEC SURAN C
By:
w{w a= John Knox�.17res'dt
State of Texas ss: ��; `'��County of Harrisulnm nNn�'MOn this 10th day of may A.D. 2017 before me personally came John Knox Jr.,to me known,who,being by me ,did depose and say,that he
resides in Houston, Texas, that he is President of SURETEC INSURANCE COMPANY, the company described in and which executed the above
instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the
Board of Directors of said Company;and that he signed his name thereto by like order.
JACQUELYN GREENLEAF
, .. r�o•:
?i? nNotary Public,State of Texas
Comm.Expires 05-18-2021
Notary ID 126903029
JacqVelyn Greenleaf,Notary Public
My commission expires May 18,2021
I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney,executed by said Company,which is still in full force and effect; and furthermore,the resolutions of the Board of Directors,set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this day of �� , A.D.
J D/LOW-
M.Brent Beaty,Assistant Secretary
Any instrument issued in excess of the penalty stated above is totally void and without any validity.
For verification of the authority of this power you may call(713)812-0800 any business day between 8:00 am and 5:00 pm CST.
SureTec Insurance Company
THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION
Statutory Complaint Notice/Filing of Claims
To obtain information or make a complaint: You may call the Surety's toll free telephone number for information or to make a
complaint or file a claim at: 1-866-732-0099. You may also write to the Surety at:
SureTec Insurance Company
9737 Great Hills Trail, Suite 320
Austin, Tx 78759
You may contact the Texas Department of Insurance to obtain information on companies,coverage,rights or complaints at 1-800-252-
3439. You may write the Texas Department of Insurance at
PO Box 149104
Austin,TX 78714-9104
Fax#: 512-490-1007
Web:httR://ww-w.tdi.state.tx.us
Email: ConsumerProtection@tdi.texas.gov
PRENIIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim,you should contact the
Surety first. If the dispute is not resolved,you may contact the Texas Department of Insurance.
------------------------------------------------------------------------------------------------------------------------------
Texas Rider 06042014 1