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Home My WebLink AboutContract 48945-FP2 FORTWORTH, � CITY SECRETARY JUL 16 2018 CONTRACT N0, �- TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION ,Jr-p C/d I — 6 0 30 (Developer Projects) lI , City Project Ns: 100309 4.f-#w'90 Regarding contract 100309 for BAYLOR ALL SAINTS MEDICAL CENTER 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 Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Price: $20,509.43 Amount of Approved Change Orders: Ne Revised Contract Amount: Total Cost Work Completed: $20,509.43 51 I l Recom d for Acceptance Date Asst. Di to , TPW - Development Services /T mlille Accepted Date Asst. or, W ER DEPARTMENT LC/ t Ass . ity M ager Date Depart e t of TP&W Con t.Services CPN# Date Project Manager C 6 Risk Managemen C a D.O.E. Brotherton Q � �o'% CFA Morales/Scanned Gutzler/Scanned _ OFFICIAL RECORD FtEGE�v�� The Proceeding people have been Contacted CITY SECRETARY < 9�,� concerning the request for final payment&have released this project for such payment. FT.WORTH,TX V. � � Clearance Conducted By Qiaa16 A sl JUL 16 20181 1 0 6 3 09 City Project Numbers 100309 DOE Number 0309 Contract Name BAYLOR ALL SAINTS MEDICAL CENTER Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER For Period Ending 5/16/2018 Project Funding Project Manager NA City Secretary Contract Number Inspectors LAYER / SAMANIEGO Contract Date Contractor MEDCO CONSTRCTION Contract Time 50 CD 4005 CRUTCHER ST.,SUITE 200 Days Charged to Date 361 CD DALLAS, TX 74246 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 $20,509.43 Less %Retained $0.00 Net Earned $20,509.43 Earned This Period $20,509.43 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 $20,509.43 Wednesday,May 16,2018 Page 4 of 4 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name BAYLOR ALL SAINTS MEDICAL CENTER Contract Limits Project Type WATER City Project Numbers 100309 DOE Number 0309 Estimate Number 1 Payment Number 1 For Period Ending 5/16/2018 CD City Secretary Contract Number Contract Time 5(TD Contract Date Days Charged to Date 361 Project Manager NA Contract is 100.00 Complete Contractor MEDCO CONSTRCTION 4005 CRUTCHER ST.,SUITE 200 DALLAS, TX 74246 Inspectors LAYER / SAMANIEGO Wednesday,May 16,2018 Page 1 of 4 City Project Numbers 100309 DOE Number 0309 Contract Name BAYLOR ALL SAINTS MEDICAL CENTER Estimate Number I Contract Limits Payment Number 1 Project Type WATER For Period Ending 5/16/2018 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ----------- - -- --------------------------- 1 REMOVE 8"WATER LINE 110 LF $21.16 $2,327.60 110 $2,327.60 2 SALVAGE 6"WATER METER 1 EA $1,000.00 $1,000.00 1 $1,000.00 3 SALVAGE WATER SAMPLING STATION 1 EA $1,500.00 $1,500.00 1 $1,500.00 4 8"PVC WATER PIPE 48 LF $31.97 $1,534.56 48 $1,534.56 5 12"GATE VALVE 1 EA $2,145.47 $2,145.47 1 $2,145.47 6 12"X 8"TAPPING SLEEVE&VALVE 2 EA $4,312.50 $8,625.00 2 $8,625.00 7 TRENCH SAFETY 48 LF $7.85 $376.80 48 $376.80 8 CONNECTION TO EXISTING 4"-12"WATER 2 EA $1,500.00 $3,000.00 2 $3,000.00 MAIN Sub-Total of Previous Unit $20,509.43 $20,509.43 -------------------------------------- Wednesday,May 16,2018 Pale 2 of 4 City Project Numbers 100309 DOE Number 0309 Contract Name BAYLOR ALL SAINTS MEDICAL CENTER Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER For Period Ending 5/16/2018 Project Funding Contract Information Summary Original Contract Amount $20,509.43 Chante Orders Total Contract Price $20,509.43 1 '1 Date �, V Total Cost of Work Completed $20,509.43 Coit,aJtor Less %Retained $0.00 Date Net Earned $20,509.43 C/Yc� Inspection Supervisor Earned This Period $20,509.43 / Retainage This Period $0.00 Date Proj Mger Less Liquidated Damages rn Days @ /Day $0.00 Date �IA LessPavement Deficiency $0.00 Asst. r/TPW / Less Penalty $0.00 1. Date Less Previous Payment $0.00 Director/ ontracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $20,509.43 Wednesday,May 16,2018 Page 3 of 4 FORTWORTH rev 03/05/07 TRANSPORTATION& PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.: 1 NAME OF PROJECT: Baylor All Saints Medical Center PROJECT NO.: 100309 CONTRACTOR: Medco DOE NO.: N/A PERIOD FROM: /,55//7. TO: 5/3//3 FINAL INSPECTION DATE: 3-May-18 WORK ORDER EFFECTIVE:5/8/2017 CONTRACT TIME: 50 o WD o 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 361 PERIOD PREVIOUS PERIOD FT OTALSO DATE 361 *REMARKS: 17 L6,/- CONAACTOR DATt INSPECTOR DATE V ENGINEERING DEPARTMENT (D The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 J� (817)392-7941 •Fax: (817)392-7845 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Baylor All Saints Medical Center PROJECT NUMBER: 100309 DOE NUMBER: N/A WATER PIPE LAID SIZE TYPE OF PIPE LF 8" PVC 48 FIRE HYDRANTS: VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS a The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 CONSENT OF SURETY COMPANY TO FINAL PAYMENT Bond #PRF9234140 Project: Baylor All Saints Medical Center—ED Expansion To (Owner): City of Ft Worth, Texas and Baylor Scott & White Health 200 Texas Street Ft Worth, TX 76102 Contract For: See above Contract Date: Contractor: MEDCO Construction, L.L.C. In accordance with the provision of the Contract between the Contractor and the Owner as defined above, the Colonial American Casualty and Surety Company 1299 Zurich Way, 5"'Floor Schaumburg, IL 60196 ,Surety Company, on bond of MEDCO Construction,L.L.C. 4005 Crutcher St. #200 Dallas, TX 75246 ,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 City of Ft Worth,TX and Baylor Scott& White Health 200 Texas Street Ft Worth, TX 76102 ,Owner as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 13th day of June, 2018. Colonial American Casualty and Surety Company Wit i Tracy TuckeIr, ey-in-Fact ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by DAVID MCVICKER,Vice President,in pursuance of authority granted by Article V, Section 8,of the By-Laws of said Companies,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Tracy TUCKER,W. Lawrence BROWN, Kevin J. DUNN, Steven TUCKER and Bennett BROWN, all of Ft. Worth, Texas, EACH its true and lawful agent and Attorney-in-Fact,to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, EXCEPT bonds on behalf of Independent Executors, Community Survivors and Community Guardians. and the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies, as fully and amply,to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York,New York.,the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 23rd day of January,A.D.2018. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND 08A a oEPps-'�Y9\�Itw/fF 7. SecretLary is Vice President Michael McKibben David McVicker State of Maryland County of Baltimore On this 23rd day of January,A.D.2018,before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, DAVID MCVICKER,Vice President, and MICHAEL MCKIBBEN, Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. '11111111�``` Constance A.Dunn,Notary Public My Commission Expires:July 9,2019 POA-F 168-2829B 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 Aaron Autin, Project Manager Of MEDCO Construction LLC, known to me to be a credible person,who being by me 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; Baylor All Saints Medical Center- ED Expantion BY ` Aaron Autin Subscribed and sworn before me on this date 22 of June, 20 8. Notary Public ��,,• 8°��'G •,,, Tarrant, Texas \.. yT 010 Cn or- 2' FS,03„2,x,,,,