HomeMy WebLinkAboutContract 49629-FP2 FORT WORTH. caysEcRuA
CONTRACT NO, -
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
(Developer Projects)
City Project Ns: 100850
Regarding contract 100850 for FOSSIL CREEK PHASE 4 as required by the c�#y?4zy
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.
m
Original Contract Price: $35,630.98
•o s
m
Amount of Approved Change Orders: Ns
r °' c
Revised Contract Amount: Vcc
E
Total Cost Work Completed:
¢
p N c °• $35,630.98
d 19 v
U)
1.
� ppC > IO oN
a IL
d
0LC
md ndtM m
Rd - aW
dV N 0 c
C 1�0 � � V d C +L•' d
C a0. t!1 V •� •p V
O y C
d 111 d a V (0
�ZO we 6 U. O � d
pcQia` R � c) c7i— v ;v v f
Recommen ceptance Date T
Asst. Direct r W - Development Services
Accepted Date
Asst. D"00,r, TRANSPORTATION & PUBLIC WORKS
Asst. C anager Date
Comments:
OFFICIAL RICORD
CITY 1111111ORNT 1RY
Rev.9/22/16 _..
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name FOSSIL CREEK PHASE 4
Contract Limits
Project Type ST LIGHT
City Project Numbers 100850
DOE Number 0850
Estimate Number I Payment Number 1 For Period Ending 5/25/2018
CD
City Secretary Contract Number Contract Time 3BD
Contract Date Days Charged to Date 186
Project Manager NA Contract is 100.00 Complete
Contractor INDEPENDENT UTILITY CONSTRUCTION
5109 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors DICKINSON / CHAMBERS
Friday,May 25,2019 Page]of 4
City Project Numbers 100850 DOE Number 0850
Contract Name FOSSIL CREEK PHASE 4 Estimate Number I
Contract Limits Payment Number I
Project Type ST LIGHT For Period Ending 5/25/2018
Project Funding
ST LIGHT
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
-------------- -----------------------
1 50W LED LIGHTING FIXTURE 11 EA $2,954.00 $32,494.00 It $32,494.00
2 2"CONDUIT PVC SCH 40 231 LF $10.64 $2,457.84 231 $2,457.84
3 INSULATED ELEC CONDR ALUM k6 XHHW 231 LF $2.94 $679.14 231 $679.14
--------------------------------------
Sub-Total of Previous Unit $35,630.98 $35,630.98
--------------------------------------
Friday,May 25,2018 Page 2 of 4
City Project Numbers 100850 DOE Number 0850
Contract Name FOSSIL CREEK PHASE 4 Estimate Number 1
Contract Limits Payment Number 1
Project Type ST LIGHT For Period Ending 5!252018
Project Funding
Contract Information SUInlllM
Original Contract Amount $35,630.98
CitanMe Orders
Total Contract Price $35,630.98
Total Cost of Work Completed $35,630.98
Contractor Less %Retained $0.00
Net Earned $35,630.98
Da e4; 41 Earned This Period $35,630.98
inspection Supervisor
V _! D , Retainage This Period $0.00
414 "U Date �o Less Liquidated Damages
Pro Manager
Days @ 1 Day $0.00
Date l-`� LessPavement Deficiency $0.00
fit•llt �' Less Penalty $0.00
Date Less Previous Payment $0.00
Director/Contracting Department Plus Material on Hand Less 15% $0.00
Balance Due This Payment $35,630.98
Friday,May 25,2018 Page 3 of 4
City Project Numbers 100850 DOE Number 0850
Contract Name FOSSIL CREEK PHASE 4 Estimate Number 1
Contract Limits Payment Number
Project Type ST LIGHT For Period Ending 5/25/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON / CHAMBERS Contract Date
Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 30 CD
5109 SUN VALLEY DRIVE Days Charged to Date 186 CD
FORT WORTH, TX 76119 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 $35,630.98
Less %Retained $0.00
Net Earned $35,630.98
Earned This Period $35,630.98
Retainage This Period $0.00
Less Liquidated Damages
0 Days Q $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 $35,630.98
Friday,May 25,2018 Page 4 of 4
FORTWORTHrev 03/05/07
TRANSPORTATION&PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:1
NAME OF PROJECT: Fossil Creek Phase 4
PROJECT NO.: 100850 CONTRACTOR: Independent Utility
DOE NO.:
PERIOD FROM:04/11/18 TO: 05/-10/18 FINAL INSPECTION DATE: 10-May-18
WORK ORDER EFFECTIVE:4/100 CONTRACT TIME: 30 Q WIZ§) CD
DAY OF DAYS CHARGED REASON FOR DAYS DAY OF DAYS CHARGED REASON FOR DAYS
MONTH DURING CREDITED MONTH DURING CREDITED
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 30 30
PREVIOUS
0 0
PERIOD
TOTALS 30 30
TO DATE
*REMARKS:
CONTRACTO DATE INSP CTOR DATE
ENGINEERING DEPARTMENT
The City of Fort Worth•1000 Throckmorton Street•Fore Worth,TX 76012-6311
(817)392-7941 •Fax:(817)392-7845
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, on this day personally appeared RICHARD
WOLFE, President of INDEPENDENT UTILITY CONSTRUCTION, INC., known
to me to be a credible person, and after being duly sworn by me, 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: Fossil Creek Phase 4—City Project No. 100850
BY:
Richard Wolfe,President
SUBSCRIBED AND SWORN TO BEFORE ME on this 2�day of
2018.
CHRISTINA
CHR
CIA
Notary Public,State ofTe
xas
9., Comm,Expires 12-20-2020
Notary ID 130940785 Notary Public, State of Texas
5109 Sun Valley Drive
U
' Fort Worth,Texas 76119
817-478-4444
www.luctx.com
OP
April 231d,2017
City of Fort worth
CFA Administration
200 Texas St.
f Fort Worth,TX 76102
Project Name: Fossil Creek Phase 4
City Project No.: 100850
Please accept this letter as our formal acknowledgment to the City of Fort Worth that Independent
Utility Construction,Inc.,the Street Light Contractor for Fossil Creek Phase 4,.has not been assessed
any liquidated damages under its contract with D.R Horton.
If you need any further information in regards to this matter,feel free to contact me.
Since ly,
Richard Wolfe
President
5109 Sun Valley Drive
IEll Id lilt/ Fort Worth,Texas 76119
817-478-4444
www.iuctx.com
April 231d,2017
City of Fort worth
CFA Administration
200 Texas St.
Fort Worth,TX 76102
Project Name: Fossil Creek Phase 4
City Project No.: 100850
The purpose of this letter is to acknowledge that Independent Utility Construction, Inc. (the
"Contractor") has been paid in full by D.R. Horton (the "Developer") for the public improvements
constructed to serve Fossil Creek Phase 4 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,
M
Richard Wolfe
President
CONSENT OF OWNER ❑
ARCHrrECT SURETY COMPANY CONTRACTOR 0
TO FINAL PAYMENT OSUFXryHER
❑
RECEIVE TO AIA DOCUMENT G707)
APR 5 Bond No.W28463
PROJECT: Street Lighting Improvements for Fossil Creek Phase 4
(name,address)
TO (Owner)
ARCHITECTS PROJECT NO:
City of Fort Worth CONTRACT FOR: Above Project
200 Texas Street
Fort Worth,Texas 76102
CONTRACT DATE:
CONTRACTOR: Independent Utility Construction,Inc.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the(here insert name and
ad&=of Surety Company) Westfield Insurance Company
555 Republic Drive, Suite 450
Plano,Texas 75074 ,SURETY COMPANY,
on bond of(has insert name and nor=of Contractor)
Independent Utility Construction,Inc.
5109 Sun Valley Drive ,CONTRACTOR,
Fort Worth,Texas 76119
hereby approves of the final payment to the Contractor, and agrees that the final payment to the Contractor shall not relieve the
Surety Company of any of its obligations to(hero insert name and atkiress of owner)
City of Fort Worth
200 Texas Street
Fort Worth,Texas 76102 '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 April 2018
WESTFIELD INSURANCE COMPANY
Surety Comp
B
Signature u onze epresentative
Attest:
(Seal): &le . SSW fey Attorney—in—Fact
Title
Note:This fora is inteaeod to.be.used,to a companion document to the Contractors Afftdsvit of Payment of Debts and Claims,Current Edition
THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARINU 1 FITS SAMt
POSHER#AND ISSUED PRIOR TO 04/20/11,FOR ANY PERSON OR PERSONS NAMED BELOW.
POWER NO. 4220052 06
General Westfield Insurance Co.
Power
of Attorney Westfield National Insurance Co.
CERTIFIED COPY Ohio Farmers Insurance Co.
Westfield Center, Ohio
Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO
FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a 'Company' and collectively as 'Companies,' duly
organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Meolne County,Ohio,do by these
presents make,constitute and appoint
CHARLES D.SWEENEY, MICHAEL A. SWEENEY, KYLE W.SWEENEY, ELIZABETH GRAY,JOINTLY OR SEVERALLY
of FORT WORTH and State of TX its true and lawful Attorneys)-in-Fact,with full power and authority hereby conferred in its name,
place and stead, to execute, acknowledge and deliver any and all bonds, recognlzances, undertakings, or other instruments or contracts of
suretyship- - - - - - - - •- - - - - - - • - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - •
LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO'EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE
GG AARANTEE,OR BANK DEPOSITORY BONDS.
and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President,sealed with the corporate
seat of the applicable Company and duty attested by its Secretary,hereby ratifying and confirming all that the said Attorney(s)-in-Fad may do in
the-premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the
WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY:
'Be It Resolved,that the President,any Senior Executive, any Secretary or any Fidelity&Surety Operations Executive or other Executive shall
be and Is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-In-Fad to represent and act for
and on behalf of the Company subject to the following provisions:
The Attorney-In-Fact may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and
deliver,any and all bonds, recognizances, contracts, agreements of 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 as binding upon the Company as If signed by the President and sealed and attested by the Corporate Secretary.'
'Be It Further Resolved,that the signature of any such designated person and the 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 signatures or facsimile
seal shall be valid and binding upon the Company with respect to any bond or undertaking to which It Is attached.' (Each adopted at a meeting
held on February B,2000).
°!n Witness Whereof,WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE
COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 20th day of
APRIL A.D.,2011
.••••""M• Mt•• ,,.......«•.. .,.4N111111/
Caporals rr. gYR.( "••. %0 At r 'w WESTFIELD INSURANCE COMPANY
Seals �� .......�fC •''s�..• •.H 1KSU
's ,.•'� . s r° ,..... �; WESTFIELD NATIONAL INSURANCE COMPANY
Affixed,��''..eY t�,: o; ••GP OHIO FARMERS INSURANCE COMPANY
t O '9 °
�iiy.�/yM{Qr�o R LLr .7--
A11ARTfIQfp;3�
~� 1✓L4A M�1 '�► cr: SEAL •c�_ ��„• :A'
�.��•,�.� ���� ��; {�o s�S 1948::!
State of Ohio r�rr..•• Richard L. Kinnaird, Jr.,National Surety Leader and
County of Medina ss.: Senior Executive
On this 20th day of APRIL A.D.,2011 , before me personally came Richard L. Kinnaird, Jr. to me known,who, being by me duty
sworn, did depose and say,that he resides'in Medina, Ohio;that he is Senior Exectftive of WESTFIELD INSURANCE COMPANY,WESTFIELD
NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above
Instrument;that he knows the seals of said Companies;that the seals affixed to said instrument are such corporate seals;thAt they were so affixed
by order of the Boards of Directors of said Companies;and that he signed his name thereto by like order.
Notarial �."•``0"r'M"•wo + `
Seal
Affixed �(p•'"�l/ F•:
• wlliam J. Kahelin,A rney at•Law,Notary Public
State of Ohio -N ✓. o My Commission Does Not Expire(Sea 147.03 Onto Revised Code)
County of Medina ss: A9 r
"..T6 OF oa`
I,Frank A..Carrino,Secretary of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS
INSURANCE COMPANY, do hereby.certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said
Companies,which is still In full force and effect;and furthermore,the resolutions of the Boards of Directors,set out in the Power of Attorney are
In full force and effect.
Gln.Witness Whe-eof have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, th1s23rd day of
A nl A o; I
rr
•
.`` N`a•SYR.tpc'•+, pi,t?..!utrq,%
�•Qf"•,,,py•''� Q�% �O •'SG,Sj% ��`•::''•� '•:Cln�. �''"
SEAL . ' 'CHYERfp � i�
=r: :mQe Secretary
y tr. a►L
4k,
s6l..18413: Frank A.Carrino,•SecretaYy
BPOAC2 (combined) (06-02)