The URL can be used to link to this page

Home My WebLink AboutContract 49141-FP2 City Secretary 49141 -FP2 Contract No. FORTWORTH, Date Received Jul 26,2018 1606-3<4 NOTICE OF PROJECT COMPLETION (Developer Projects) The Transportation and Public Works Department upon the recommendation of the Project Manager has accepted the following project as complete: Project Name: PRIMROSE CROSSING—PHASE 4 City Project No.: 100534 Improvement Type(s): . 0 Paving 0 Drainage Z Street Lights 0 Traffic Signals Original Contract Price: $60,520.67 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $60,520.67 Jul 20,2018 Contractor Date President Title Independent-Utility Construction, Inc. Company Name 7awAf Ju124,2018 James Diver(Jul 24,20351 Project Inspector Date kha/ -aafari.oF- Jul 25,2018 Anal Jaafa:i P.E.1-u1 25.20151 Pect�Mana e_� Date Evelyn Rot s(Jul 25.2019) Ju125,2018 SFA M nagiar Date V I geld 5—,Al-is(Jul 25,2018) Jul 25,2018 Asst. City Manager Date .. Pa e1of2 ORFFICIAL RECORD CITX.SEC�tETAR1f I'T.WORTH,TX Notice of Project Completion Project Name: PRIMROSE CROSSING — PHASE 4 City Project No.: 100534 City's Attachments Final Pay Estimate 0 Change Order(s): El Yes ® N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety r Statement of Contract Time Contract Time: 160 CD Days Charged: 380 Work Start Date: 6/27/2017 Work Complete Date: 7/11/2018 Page 2 of 2 0 i 5_9'to0 City Project Numbers 100534 DOE Number 5340 Contract Name PRIMROSE CROSSING-PHASE 4 Estimate Number I Contract Limits Payment Number 1 Project Type STREET LIGHTS For Period Ending 7/20/2018 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / DIVER Contract Date Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 160 CD 5109 SUN VALLEY DRIVE Days Charged to Date 380 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 $60,520.67 Less %Retained $0.00 Net Earned $60,520.67 Earned This Period $60,520.67 Retainage This Period $0.00 Less Liquidated Damages 0 Days n $0.00 /Day $0.00 LessPavement Deficiency Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $60,520.67 Friday,July 20,2018 Page 4 of 4 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name PRIMROSE CROSSING-PHASE 4 Contract Limits Project Type STREETLIGHTS City Project Numbers 100534 DOE Number 5340 Estimate Number 1 Payment Number 1 For Period Ending 7/20/2018 CD City Secretary Contract Number Contract Time 16aD Contract Date Days Charged to Date 380 Project Manager NA Contract is 100.00 Complete Contractor INDEPENDENT UTILITY CONSTRUCTION 5109 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors DICKINSON / DIVER Friday,July 20,2018 Page 1 of 4 I City Project Numbers 100534 DOE Number 5340 Contract Name PRIMROSE CROSSING-PHASE 4 Estimate Number 1 Contract Limits Payment Number 1 Project Type STREET LIGHTS For Period Ending 7/20/2018 Project Funding UNIT V:STREET LIGHTING WROVEMENTS Itcm Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ------------------— —————————————————----- 1 — 1 2"CONDT PVC SCH 80(T) 1759 LF $5.71 $10,043.89 1759 $10,043.89 2 LED LIGHTING FIXTURE(70W) 20 EA $301.00 $6,020.00 20 $6,020.00 3 RDWY ILLUM TY D-25-6 POLE 20 EA $1,133.51 $22,670.20 20 $22,670.20 4 RDWY ILLUM FOUNDATION TY 4 20 EA $750.51 $15,010.20 20 $15,010.20 5 6-6-6 TRIPLEX ALUM ELEC CONDUCTOR 1759 LF $1.82 $3,201.38 1759 $3,201.38 W/#10 COPPER GROUND IN POLE ONLY 6 GROUND BOX TYPE B W/APRON 1 I EA $325.00 $3,575.00 11 $3,575.00 Sub-Total of Previous Unit $60,520.67 $60,520.67 l 1 Friday,July 20,2018 Page 2 of 4 City Project Numbers 100534 DOE Number 5340 Contract Name PRIMROSE CROSSING-PHASE 4 Estimate Number 1 Contract Limits Payment Number I Project Type STREETLIGHTS For Period Ending 7/20/2018 i Project Funding I Contract Information Summaz Original Contract Amount $60,520.67 Change Orders Total Contract Price $60,520.67 Total Cost of Work Completed $60,520.67 Less %Retained $0.00 Net Earned $60,520.67 Earned This Period $60,520.67 Retainage This Period $0.00 Less Liquidated Damages Days @ /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 $60,520.67 Friday,July 20,2018 Page 3 of 4 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: Primrose Crossing Phase 4—City Project No 100534 BY: chard olfe,President SUBSCRIBED AND SWORN TO BEFORE ME on this day of 2018. CHRISTINA GARCIA rC :Notary Public,State of Texas ,;f v� Comm,Expires 12-20-2020 Notary ID 130940785 otary Public, State of Texas CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ ❑ TO FINAL PAYMENT CONTRACTOR SURETY ❑ (SIMILAR TO AIA DOCUMENT G707) OTHER mg 0 3 101 Bond No. 5063179 PROJECT: Street Lights for Primrose Crossing -Phase 4 (name,address)Fort Worth, Texas TO (Owner) ARCHITECTS PROJECT NO: City of Fort Worth CONTRACT FOR: Above Project 200 Texas Street Fort Worth, Texas 76102 �1 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 address of Surety Company) Westfield Insurance Company and 555 Republic Drive, Suite 450 Plano, Texas 75074 ,SURETY COMPANY, on bond of(here insert name and address 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(here insert name and address 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 1st day of May 2018 WESTFIELD INSURANCE COMPANY Surety Company ' By Attest: Signature of orized Representative (Seal): Kyle W. Sweeney Attorney-in-Fact Title Note:This form is intended to be used as a companion dccumeat to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition ,nw rvttvrn yr ,,,1 Vnmr, buNtKt;tutb ANY PREVIOUS POWER 13EARINU IHlb bAME POWER#AND ISSUED PRIOR TO 04120111, FOR ANY PERSON OR PERSONS NAMED BELOW. General POWER NO. 4220052 06 Power Westfield Insurance Co. 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, Medina 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 Attorney(s)-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, undertakingsor other instruments or contracts of , suretyship- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- -, THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE GUARANTEE,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 seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorneys)-in-Fact 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 Attorneys)-in-Fact 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 8,2000). In 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 . ' •"UR'«. Corporate 2A A& ``.\\oNAI_ �Ksit WESTFIELD INSURANCE COMPANY Seals r'Q f . ..,C� ,.`'�P,.. !vp% •T .�%• WESTFIELD NATIONAL INSURANCE COMPANY Affixed v: .As '+ G '•• •i�oY _ 1iARI OHIO FARMERS INSURANCE COMPANY SE.AL c �:3c- State of Ohio 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 duly sworn, did depose and say,that he resides-in.Medina, Ohio;that he is Senior Executive 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 Seal R1 A L Affixed ,LP\\ %%9•: O / _ • William J. Kahetin,A rney at Law, Notary Public State of Ohio i.N '�10 M Commission Does Not E County of Medina ss.: `;y �'�,t`;. y Expire(Sec.147.03 Ohio Revised Code) •.tip bFO 1,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. In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this day of May N.1"° O 18 1st.............. \\. NAC r ,.dap�_c?......!YSCO G; ,��tF�� '•=?C�e;� V ;y: SEAL m` 30: Secretary ;.1848: Frank A. Carrino,Secretary BPOAC2 (combined) (06-02) Greensheet for Primrose Crossing Phase 4 CPN#100534 SL - - -- Adobe Sign Document History 07/31/2018 -- Created: 07/20/2018 By: Shameka.Kennedy@fortworthtexas.gov Status: Signed Transaction ID: CBJCHBCAABAA5JpYQR0ac8nGjA7UCLgpXC-bZFTimgSE "Greensheet for Primrose Crossing Phase 4 CPN#100534 SL" H istory Document created by Shameka.Kennedy@fortworthtexas.gov 07/20/2018-8:50:27 AM CDT-IP address:209.194.29.100 i Document emailed to Richard Wolfe(rwolfe@iuctx.com)for signature 07/20/2018-8:55:07 AM CDT Document viewed by Richard Wolfe (rwolfe@iuctx.com) 07/20/2018-8:56:05 AM CDT-IP address:66.102.7.218 �i Richard Wolfe(rwolfe@iuctx.com) uploaded the following supporting documents: File Attachment 1 S File Attachment 2 07/20/2018-8:57:31 AM CDT . Document e-signed by Richard Wolfe (rwolfe@iuctx.com) Signature Date:07/20/2018-8:57:31 AM CDT-Time Source:server-IP address:75.139.243.146 Document emailed to James Diver games.diver@fortworthtexas.gov)for signature 07/20/2018-8:57:32 AM CDT i Document viewed by James Diver oames.diver@fortworthtexas.gov) 07/24/2018-8:17:05 AM CDT-IP address:209.194.29.100 %o Document e-signed by James Diver oames.diver@fortworthtexas.gov) Signature Date:07/24/2018-8:17:25 AM CDT-Time Source:server-IP address:209.194.29.100 C'> Document emailed to Michael O. Glover(michael.glover@fortworthtexas.gov)for approval 07/24/2018-8:17:26 AM CDT Foxed _ Adobe Signe 5 Document viewed by Michael O. Glover(michael.glover@fortworthtexas.gov) 07/25/2018-9:41:25 AM CDT-IP address:209.194.29.100 ba Document approved by Michael O. Glover(michael.glover@fortworthtexas.gov) Approval Date:07/25/2018-9:42:11 AM CDT-Time Source:server-IP address:209.194.29.100 U-4 Document emailed to khal Jaafari P.E. (khal.jaafari@fortworthtexas.gov)for signature 07/25/2018-9:42:12 AM CDT Document viewed by khat Jaafari P.E. (khal.jaafari@fortworthtexas.gov) 07/25/2018-3:23:27 PM CDT-IP address:209.194.29.100 d� Document e-signed by khal Jaafari P.E. (khal.jaafari@fortworthtexas.gov) Signature Date:07/25/2018-3:40:21 PM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Evelyn Roberts oanie.morales@fortworthtexas.gov)for signature 07/25/2018-3:40:23 PM CDT Document viewed by Evelyn Roberts (Janie.morales@fortworthtexas.gov) 07/25/2018-5:08:43 PM CDT-IP address:209.194.29.100 6a Document e-signed by Evelyn Roberts oanie.morales@fortworthtexas.gov) Signature Date:07/25/2018-5:10:37 PM CDT-Time Source:server-IP address:209.194.29.100 C'. Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 07/25/2018-5:10:38 PM CDT Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov) 07/25/2018-5:27:22 PM CDT-IP address:209.194.29.100 CJp Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:07/25/2018-5:27:37 PM CDT-Time Source:server-IP address:209.194.29.100 . Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 07/25/2018-5:27:39 PM CDT Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 07/26/2018-8:22:20 AM CDT-IP address:209.194.29.100 da Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:07/26/2018-8:22:42 AM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 07/26/2018-8:22:43 AM CDT Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 07/26/2018-8:26:09 AM CDT-IP address:68.116.135.3 Adobe Sign G;; Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date:07/26/2018-8:26:29 AM CDT-Time Source:server-IP address:68.116.135.3 r Document emailed to Julie A Geho (julie.geho@fortworthtexas.gov)for delivery 07/26/2018-8:26:30 AM CDT 5 Document viewed by Julie A Geho (julie.geho@fortworthtexas.gov) 07/27/2018-8:43:55 AM CDT-IP address:209.194.29.100 &Q Document receipt acknowledged by Julie A Geho (julie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:07/27/2018-8:44:10 AM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Sylvia Kelley (tpwcfafiscal@fortworthtexas.gov)for delivery 07/27/2018-8:44:12 AM CDT Document viewed by Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov) 07/31/2018-7:22:15 AM CDT-IP address:209.194.29.100 Document receipt acknowledged by Sylvia Kelley (tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:07/31/2018-7:22:27 AM CDT-Time Source:server-IP address:209.194.29.100 Signed document emailed to Evelyn Roberts Qanie.morales@fortworthtexas.gov), khal Jaafari P.E. (khal.jaafari@fortworthtexas.gov), Shameka.Kennedy@fortworthtexas.gov, Julie A Geho Qulie.geho@fortworthtexas.gov), and 7 more 07/31/2018-7:22:27 AM CDT Adobe Sign