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Contract 49141-FP3
City Secretary 49141 -FP3 Contract No. Date Received Jul 26,2018 FORT WORTH, 5 q(oo I ioos3q 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): ❑ Paving ® Drainage ❑ Street Lights ❑Traffic Signals Original Contract Price: $615,610.90 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $615,610.90 aa-&Tlr t Jul 23 2018 Colton Tollett!Ju123,2018) Contractor Date Vice President Title D.T.Utility Contractors Inc. Company Name l`m�'pkq-r Jul 24,2018 James Diver(Jul 24,2018) Project In pector _ Date KV Jaaran P,E.' Z5,2,61 J u 125, 2018 Projgctr�anager Date J7ah"i� 1Gr��tc r J u l 25 2018 Janie Scarlettt Morales(Ju128,2018018?) CFA Manager Date S`sa"t" Jul 25 2018 Susan At.-(Jul 25,20181 Asst. City Manager Date OFFICIAL RECORD Page 1 of 2 CITY SECRETARY FT.WORTH,TX Notice of Project Completion Project Name: PRIMROSE CROSSING— PHASE 4 City Project No.: 100534 City's Attachments Final Pay Estimate Change Order(s): ❑ Yes © N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety 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 w E. 9X01- i oo5-3L! City Project Numbers 100534 DOE Number 5340 Contract Name PRIMROSE CROSSING-PHASE 4 Estimate Number 1 Contract Limits Payment Number I Project Type DRAINAGE For Period Ending 7/20/2018 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / DIVER Contract Date Contractor D T UTILITY CONTRACTORS,INC. Contract Time 160 CD 2614 CAUSBIE RD Days Charged to Date 380 CD WEATHERFORD, TX 76087 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 $615,610.90 Less %Retained $0.00 Net Earned $615,610.90 Earned This Period $615,610.90 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 $615,610.90 Friday,July 20,2018 Page 4 of 4 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name PRIMROSE CROSSING-PHASE 4 Contract Limits Project Type DRAINAGE City Project Numbers 100534 DOE Number 5340 Estimate Number 1 Payment Number I For Period Ending 7/20/2018 CD City Secretary Contract Number Contract Time 161ID Contract Date Days Charged to Date 380 Project Manager NA Contract is 100.00 Complete Contractor D T UTILITY CONTRACTORS,INC. 2614 CAUSSIE RD WEATHERFORD, TX 76087 Inspectors DICKINSON / DIVER Friday,July 20,2018 Page 1 of 4 City Project Numbers 100534 DOE Number 5340 Contract Name PRIMROSE CROSSING-PHASE 4 Estimate Number 1 Contract Limits Payment Number 1 Project Type DRAINAGE For Period Ending 7/20/2018 Project Funding UNIT III:DRAINAGE IMPROVEMENTS i} Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ------------------------------------------ 1 REMOVE 30"HEADWALL/SET I EA $500.00 $500.00 1 $500.00 2 LARGE STONE RIPRAP,DRY 88 SY $130.00 $11,440.00 88 $11,440.00 3 TRENCH SAFETY 2864 LF $1.00 $2,864.00 2864 $2,864.00 4 4'STORM MANHOLE 3 EA $3,900.00 $11,700.00 3 $11,700.00 5 5'STORM MANHOLE 1 EA $5,200.00 $5,200.00 1 $5,200.00 6 G STORM MANHOLE 1 EA $7,500.00 $7,500.00 1 $7,500.00 7 4'STORM MANHOLE RISER ONLY 2 EA $2,500.00 $5,000.00 2 $5,000.00 8 21"RCP CLASS 111 264 LF $54.40 $14,361.60 264 $14,361.60 9 24"RCP CLASS III 268 LF $160.50 $43,014.00 268 $43,014.00 10 30"RCP CLASS III 894 LF $82.70 $73,933.80 894 $73,933.80 11 36"RCP CLASS I1I 145 LF $108.00 $15,660.00 145 $15,660.00 12 42"RCP CLASS III 270 LF $138.80 $37,476.00 270 $37,476.00 13 48"RCP CLASS III 223 LF $160.50 $35,791.50 223 $35,791.50 14 5'X3'RCB 220 LF $290.00 $63,800.00 220 $63,800.00 15 6'X3'RCB 580 LF $344.00 $199,520.00 580 $199,520.00 16 10'CURB INLET 8 EA $4,100.00 $32,800.00 8 $32,800.00 17 15'CURB INLET 8 EA $5,800.00 $46,400.00 8 $46,400.00 18 36"SLOPED END HEADWALL 1 EA $2,150.00 $2,150.00 1 $2,150.00 19 6'X3'SLOPED END HEADWALL 1 EA $6,500.00 $6,500.00 1 $6,500.00 Sub-Total of Previous Unit $615,610.90 $615,610.90 s 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 1 Project Type DRAINAGE For Period Ending 7/20/2018 Project Funding Contract Information Summary Original Contract Amount $615,610.90 Chance Orders Total Contract Price $615,610.90 Total Cost of Work Completed $615,610.90 Less %Retained $0.00 Net Earned $615,610.90 Earned This Period $615,610.90 Retainage This Period $0.00 Less Liquidated Damages i 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 $615,610.90 Friday,July 20,2018 Page 3 of 4 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 COLTON TOLLETT, Vice President Of D.T.Utility Contractors, Inc.,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; Primrose Crossing Ph 4,Tarrant County,Texas. BY Colton Tollett,Vice President of D.T. Utility Contractors, Inc. Subscribed and sworn before me on this date 1 of June,2018. EEO toE D11c r NetSTATEID#M Comm. E Lori Totiett Notary Public Notary Public State of Texas ; STATE OF TEXAS ID#2008259 M Comm.Exp.Sep 5,2021 CONSENT OF SURETY OWNER ❑ ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ Conforms with the American institute ofArchitects G707form - SURETY 1:1OTHER ❑ r. t, ,'r 00rt&+ I,t171311509801033 TO OWNER: ARCHITECT'S PROJECT NO.: (Name and address) Wilbow-Llano Springs Development Corporation 4131 N.Central Expressway,Suite 990, CONTRACT FOR: Water, Sewer and Storm Drain Dallas,TX 75204 PROJECT: CONTRACT DATED: 3/21/2017 (Name and addressJ Primrose Crossing PH 4 Project#100534; Installing Water,Sewer,and Storm Drain In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (insert name and address of Surety) Philadelphia Indemnity Insurance Company One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004 SURETY on bond of (insert name and address of Contractor) D. T. UTILITY CONTRACTORS, INC. 2614 Causbie Road Weatherford,TX 76087 ,CONTRACTOR hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (Insert name and address of Owner) Wilbow-Llano Springs Development Corporation 4131 N. Central Expressway, Suite 990, Dallas,TX 75204 OWNER as set forth in said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: June 4,2018 (insert in writing the month followed by the numeric date and year.) Philadelphia Indemnity Insurance Company (surety) 4, 7--/ �- . 7 - (Signature of authorized representative) Attest: Fred A.Thetford, III.Attorney-in-fact (Seal): (Printed name and title) 5762 PIfILADELPlilA 1NDEI►1Nt-rY INSUIL%NCE COAiPANY Bond No. PB11509801033 One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004-0950 Power 2!ily i D r J""•,ti KNOW ALL PERSONS BY THLSE PRESENTS That PHILADELPHIA INDEMNITY I`` U51a1)(t:E:COW 'ANY(the Company),a corporation organized and existing under the laws of the Commonwvalth of Pennsylvania,does hereby constitute and appoint Jarei<"T'oui Fred A.Thetford,Jr.,Tobin Tucker,Tom Young, Fred A.Thetford IV and/or Fred A.Thetford,111 of Contract Mond Agency,LLC.• its true and lawful Attorney-in-fact with full authority to execute on its behalf bonds,undertakings,rccognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the course of its business and 10 bind the Company thereby,in an amount not to exceed$25,000,090 This Power of Attomey is granted and is signed and scaled by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDLMNI IY INSURANCE COMPANY on the 14'of November,2016. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company (1) Appoint Attorney(s) in Fact and authorize the Attomey(s) in Fact to execute on behalf of the Company bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto. and (2) to remove. at any time, any such Attomcy-m-Fact and revoke the authority given And,be it FIJRTI I ER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attomcy or certificate relating thereto by facsimile,and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN 'I'STIMONY WIIFREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY RIAS CAUSED TTHS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY]TS AUTHORIZED OFFICE THIS 27r°'DAY OE OCTOBER,2017 Robert D O'Leary Jr.President&CEO Philadelphia Indemnity Insurance Company On this 27"day of 0clober,2017.before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY.that the seal affixed to said instrument is the Corporate seal nrswd Company;that the said Corporate Seal and his signature were duly affixed. v ---n � w,uww Notary Public residing al; Bala Cvnwyd.PA (Notary Seal) My commission expires Scptemhcr 25.2021 I,Edward Sayago_Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do hereby certify that the foregoing resolution of the Board of Directors and the Power of Attorney issued pursuant thereto on the 27h day of October,2017 are true and correct and are still in full force and effect 1 do further certify that Robert D O'Leary Jr.,who executed the Power of Attomey as President,was on the date of execution of the attached Power of Attorney the duly elected President ol'PHILADELPHIA INDEMNITY INSURANCE COMPANY. In Testimony Whereof I have subscribed my name and aft:xed the facstmde seal of each Company this 4th day of June 20 18 ' T 92 Edward Sayago,Corporate Secretary PHILADELPHIA INDEdINITN INSURANCE COMPANY Greensheet for Primrose Crossing Phase 4 CPN#100534 SD - Adobe Sign Document History 07/31/2018 ~^ - Created: 07/20/2018 By: Shameka.Kennedy@fortworthtexas.gov Status: Signed Transaction ID: CBJCHBCAABAAxWi4HAP7cGGTFZRuO_y-5Cr4vGFSvyxW "Greensheet for Primrose Crossing Phase 4 CPN#100534 SD" History 5 Document created by Shameka.Kennedy@fortworthtexas.gov 07/20/2018-8:43:12 AM CDT-IP address:209.194.29.100 Document emailed to Colton Tollett(colton@dtutility.com)for signature 07/20/2018-8:47:24 AM CDT o� Document viewed by Colton Tollett(colton@dtutility.com) 07/23/2018-5:46:23 PM CDT-IP address: 142.147.114.57 (moi Colton Tollett(colton@dtutility.com) uploaded the following supporting documents: :5 File Attachment 1 le File Attachment 2 07/23/2018-5:48:14 PM CDT ✓c Document e-signed by Colton Tollett(colton@dtutility.com) Signature Date:07/23/2018-5:48:14 PM CDT-Time Source:server-IP address:142.147.114.57 Document emailed to James Diver oames.diver@fortworthtexas.gov)for signature 07/23/2018-5:48:15 PM CDT Document viewed by James Diver oames.diver@fortworthtexas.gov) 07/24/2018-7:46:02 AM CDT-IP address:209.194.29.100 G{c Document e-signed by James Diver Qames.diver@fortworthtexas.gov) Signature Date:07/24/2018-7:46:25 AM CDT-Time Source:server-IP address:209.194.29.100 E Document emailed to Michael O. Glover(michael.glover@fortworthtexas.gov)for approval 07/24/2018-7:46:26 AM CDT Foxe Ad d obe Sign Document viewed by Michael O. Glover(michael.glover@fortworthtexas.gov) 07/25/2018-9:44:32 AM CDT-IP address:209.194.29.100 do Document approved by Michael O. Glover(michael.glover@fortworthtexas.gov) Approval Date:07/25/2018-9:48:34 AM CDT-Time Source:server-IP address:209.194.29.100 o- Document emailed to Khal Jaafari P.E. (khal.jaafari@fortworthtexas.gov)for signature 07/25/2018-9:48:36 AM CDT ` Document viewed by Khal Jaafari P.E. (khal.jaafari@fortworthtexas.gov) 07/25/2018-3:24:03 PM CDT-IP address:209.194.29.100 Oo Document e-signed by Khal Jaafari P.E. (khal.jaafari@fortworthtexas.gov) Signature Date:07/25/2018-3:42:23 PM CDT-Time Source:server-IP address:209.194.29.100 + Document emailed to Janie Scarlett Morales Qanie.morales@fortworthtexas.gov)for signature 07/25/2018-3:42:24 PM CDT Document viewed by Janie Scarlett Morales Qanie.morales@fortworthtexas.gov) 07/25/2018-5:08:13 PM CDT-IP address:209.194.29.100 6a Document e-signed by Janie Scarlett Morales Qanie.morales@fortworthtexas.gov) Signature Date:07/25/2018-5:09:58 PM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 07/25/2018-5:09:59 PM CDT Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov) 07/25/2018-5:27:47 PM CDT-IP address:209.194.29.100 y Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:07/25/2018-5:28:13 PM CDT-Time Source:server-IP address:209.194.29.100 �� Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 07/25/2018-5:28:14 PM CDT Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 07/26/2018-8:23:23 AM CDT-IP address:209.194.29.100 t7o, Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:07/26/2018-8:24:05 AM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 07/26/2018-8:24:06 AM CDT `i Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 07/26/2018-8:26:44 AM CDT-IP address:68.116.135.3 Foxe dobe Sign Adobe 60& Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date:07/26/2018-8:27:04 AM CDT-Time Source:server-IP address:68.116.135.3 E-► Document emailed to Julie A Geho (julie.geho@fortworthtexas.gov)for delivery 07/26/2018-8:27:05 AM CDT u Document viewed by Julie A Geho Qulie.geho@fortworthtexas.gov) 07/27/2018-8:43:29 AM CDT-IP address:209.194.29.100 6a Document receipt acknowledged by Julie A Geho (julie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:07/27/2018-8:43:43 AM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov)for delivery 07/27/2018-8:43:44 AM CDT Document viewed by Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov) 07/31/2018-7:33:50 AM CDT-IP address:209.194.29.100 Document receipt acknowledged by Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:07/31/2018-7:34:27 AM CDT-Time Source:server-IP address:209.194.29.100 P-, Signed document emailed to Khal Jaafari P.E. (khal.jaafari@fortworthtexas.gov), Shameka.Kennedy@fortworthtexas.gov, Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov),Julie A Geho (julie.geho@fortworthtexas.gov), and 7 more 07/31/2018-7:34:27 AM CDT FOR i d Adobe Sibe Si Sign