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Contract 47531-FP1
FSO RT WO RT H C"cmc NO TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION �O (Developer Projects) City Project Ns: 02675 -yrs3l Regarding contract 02675 for RESERVE AT QUEBEC 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: $123,188.50 Amount of Approved Change Orders: No Revised Contract Amount: Total Cost Work Completed: $123,188.50 *r C.- Recommen ceptance Date Ze W Developmen AcceDate sst. Director, WATER DEPARTMENT Asst. City Manager Date pul _ Department of TP&W Const.Services CPN# / Date �� o, Project ana er V l v 1 Risk Management Canad OFFICIAL RECORD D.O.E. Brotherton CFA Morales/Scanned CITY SECRETARY Gutzfer/Scanned FT�WORTH Tx a � The Proceeding people have een Contacted r Cr " concerning the request for final payment&have released this project for such payment. 0 Vv07 Rev.9/22/16 Clearance Conducted By p"uma& t5l 601 o" City Project Numbers 02675 DOE Number 7533 Contract Name RESERVE AT QUEBEC Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 3/9/2018 Project Funding Project Manager Ehia City Secretary Contract Number 117533 Inspectors LAYER / SALINAS Contract Date Contractor MV RESIDENTIAL CONSTRUCTION,INC. Contract Time 180 CD 9349 WATERSTONE BLVD Days Charged to Date 618 CD CINCINNATI, OH 45249 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 $123,188.50 Less %Retained $0.00 Net Earned $123,188.50 Earned This Period $123,188.50 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 $123,188.50 Friday,March 9,2018 Page 4 of 4 FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name RESERVE AT QUEBEC Contract Limits Project Type WATER&SEWER City Project Numbers 02675 DOE Number 7533 Estimate Number I Payment Number 1 For Period Ending 3/9/2018 CD City Secretary Contract Number 117533 Contract Time 180;D Contract Date Days Charged to Date 618 Project Manager Ehia Contract is 100.00 Complete Contractor MV RESIDENTIAL CONSTRUCTION,INC. 9349 WATERSTONE BLVD CINCINNATI, OH 45249 Inspectors LAYER / SALINAS Friday,March 9,2018 Page 1 of 4 City Project Numbers 02675 DOE Number 7533 Contract Name RESERVE AT QUEBEC Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 3/9/2018 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------- --------- I ----------------- ----- — — 1 DUCTILE IRON WATER FITTINGS 2 TN $4,000.00 $8,000.00 2 $8,000.00 W/RESTRAINT 2 12"X10"TAPPING SLEEVE&VALVE 1 EA $6,000.00 $6,000.00 1 $6,000.00 3 8"WATER PIPE 1118 LF $22.75 $25,434.50 1118 $25,434.50 4 10"WATER PIPE 685 LF $28.00 $19,180.00 685 $19,180.00 5 FIRE HYDRANT 2 EA $3,300.00 $6,600.00 2 $6,600.00 6 2"WATER SERVICE 1 EA $1,400.00 $1,400.00 1 $1,400.00 7 6"WATER METER AND VAULT 1 EA $16,000.00 $16,000.00 1 $16,000.00 8 6"GATE VALVE 2 EA $950.00 $1,900.00 2 $1,900.00 9 8"GATE VALVE 2 EA $1,300.00 $2,600.00 2 $2,600.00 10 12"GATE VALVE 1 EA $2,250.00 $2,250.00 1 $2,250.00 11 8"WATERLINE LOWERING 1 EA $4,154.00 $4,154.00 1 $4,154.00 12 18"WATERLINE LOWERING 2 EA $6,100.00 $12,200.00 2 $12,200.00 13 TRENCH SAFETY 1950 LF $1.00 $1,950.00 1950 $1,950.00 ------------------------------------------ Sub-Total of Previous Unit $107,668.50 $107,668.50 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ---------------------------------------- 1 6"SEWER SERVICE 1 EA $1,400.00 $1,400.00 1 $1,400.00 2 ADDITIONAL DEPTH MANHOLE 4 VF $400.00 $1,600.00 4 $1,600.00 3 4'DROP MANHOLE 1 EA $3,000.00 $3,000.00 1 $3,000.00 4 MANHOLE ADJUSTMENT 3 EA $1,000.00 $3,000.00 3 $3,000.00 5 CONCRETE COLLAR 7 EA $300.00 $2,100.00 7 $2,100.00 6 WASTEWATER ACCESS CHAMBER I EA $3,000.00 $3,000.00 1 $3,000.00 7 POST CCTV INSPECTION 10 LF $1.00 $10.00 10 $10.00 8 MANHOLE VACUM TESTING 1 EA $150.00 $150.00 1 $150.00 9 TRENCH SAFETY 60 LF $1.00 $60.00 60 $60.00 10 LOCK DOWN SEWER MANHOLE LID 3 EA $400.00 $1,200.00 3 $1,200.00 Sub-Total of Previous Unit $15,520.00 $15,520.00 --------------------------------------- Friday,March 9,2018 Page 2 of 4 City Project Numbers 02675 DOE Number 7533 Contract Name RESERVE AT QUEBEC Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 3/9/2018 Project Funding Contract Information Summary Original Contract Amount $123,188.50 Change Orders y' Total Contract Price $123,188.50 717Y Date kh Total Cost of Work Completed $123,188.50 Contractor Less %Retained $0.00 Date Net Earned $123,188.50 �Zj�� Inspection Supero' r Earned This Period $123,188.50 Retainage This Period $0.00 Date L9 Less Liquidated Damages Proje anager _ Days @ /Day $0.00 Date 1 LessPavement Deficiency $0.00 o Less Penalty $0.00 to (� Less Previous Payment $0.00 Jr/Contracting Department I Plus Material on Hand Less 15% $0.00 Balance Due This Payment $123,188.50 Friday,March 9,2018 Page 3 of 4 FoRTWORTH rev 03/05i. TRANSPORTATION &PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: Reserve Quebec CONTRACTOR: Miller Vaaine Construction PROJECT NO.: CPN 02675 DOE NO.; TO: 03/06/18 FINAL INSPECTION DATE: 5-Mar-1688 PERIOD FROM,06/27/ CONTRACT TIME: WORK ORDER EFFECTIVE: DAYS REASON FOR DAYS DAYS REASON FOR DAYS DAY OF CHARGED CREDITED DAY OF CHARGED CREDITED MONTH DURING MONTH DURING 16. 1. 17 2. 18. 3. 19. 4. 20. 5. 21. 6. 22. 7. 23. 8. 24. 9. 25. 10. 26. 11. 27 12. 28. 13. 29. 14. 30. 15. 31. DAYS TOTAL SAT,SUN, RAIN,TOO WET, UTILITIES OTHERS* CHARGED DAYS &HOLIDAYS &TOO COLD RELOCATIONS 618 THIS PERIOD 0 PREVIOUS PERIOD 618 TOTALS TO DATE *REMARK Z K l� j DATE DATE 1NS CTOR CONT CTOR ENGINEERING DEPARTMENT " �S The City of Fort Worth• 1000 Throckmorton Street•Fort Woxth,TX 76012-6311 (817) 392-7941 •Fax: (817) 392-7845 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Reserve at Quebec PROJECT NUMBER: #02675 DOE NUMBER: #7533 WATER PIPE LAID SIZE TYPE OF PIPE LF Water 8" PVC 1118 Water 10" PVC 685 FIRE HYDRANTS: 2 VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF none DENSITIES: Passed NEW SERVICES: 2" Copper 1 EA SEWER PIPE LAID SIZE TYPE OF PIPE LF none PIPE ABANDONED SIZE TYPE OF PIPE LF none DENSITIES: passed NEW SERVICES: 6" PVC 1 EA TRANSPORTATION AND PUBLIC WORKS � $ The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 b (817)392-7941 •Fax: (817)392-7845 AFFIDAVIT STATE OF OHIO COUNTY OF WARREN Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Christopher J. Knueven, Authorized Signer Of MVRC TCHP, LLC, a Texas limited liability company, 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; Developer Awarded Project Agreement dated February 15, 2016 ("Contract") and entered into between MVRC TCHP ("Contractor") and MV Residential Development LLC ("Developer"), whereby Contractor was to construct off-site improvements at the cost of$796,049.00 and composed of Water, Sewer, Paving, Drainage, and Street Lighting improvements as set forth in the Contract. BY / Chrisopher J. Knuev�''e'n, as Authorized Signer of MVRC TCHP, LLC, a Texas limited liability company Subscribed and sworn before me on this date 201h of June, 2018. 0 Notary Pu c BETSY A.0 G Warren County, Ohio :* = Nobby Pubk, s..,: My Comte Expires 05.28-2022 F Q. ueu uue'+� CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ OTHER ❑ AIA DOCUMENT G 70 7 Bond 933BCSHJ7013 PROJECT: Reserve at Quebec(Off-Site Work),Fort Worth,Texas,Tarrant County,Texas (name,address) TO(Owner) Reserve at Quebec,LLC through its agent ARCHITECT'S PROJECT NO: MV Residential Development LLC and The City of Fort Worth,Texas CONTRACT FOR: Reserve at Quebec(Off-Site Work) 1000 Throckmorton Street Fort Worth,Texas 76102 CONTRACT DATE: February25,2016 L CONTRACTOR: MVRC TCHP,LLC 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) Hartford Fire Insurance Company,One Hartford Plaza,Hartford Connecticut 06155-0001 .. . .- - _. SURETY COMPANY on bond Of(here insert name and address of Contractor) MVRC TCHP,LLC,9349 WaterStone Boulevard, Cincinnati, Ohio;45249 ,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(here insert name and address of Owner) MV Residential Development LLC and The City of Fort Worth,Texas, 1000 Throckmorton Street,Fort Worth, Texas 76102 OWNERS, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 11th day of July, 2018 Hartford Fire Insurance Company Surety,Company Signator—o �. f Authorized Representative t Attest (Seal) - Amanda L.Morris,Attorney-in-Fact Title NOTE: This Form is to be used as a companion-doemnenf-fo 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 INSTITUTE OF ARCHITECTS.1735 NEW YORK AVE.,NW,WASHINGTON,D.C.20006 ' ��J�Z �� 7�T�J� ���� �' ���� �'����� �����m��l�'L'� �������z��� � Hartford, Conne cticut Finaneial Statement, June 30, 7077 Statutory Basis ASSETS LIABILITIES U.S.Government BonUa ------. $ 007.225,948 Reserve for Claims $ onndsofOtherGuvemments----. 134,088,801 and Claim Expenme...... ................... 7.905�74,972 State,County Municipal RosenmforUneamedPremiums —----. 2.154.900.357 MisceUmnnounBondo ---- 5,782757,431 Reserve for Taxes, License Stocks................. ............. 5.978.423,368 andFrao ------------- 61.378.282 ShortTenm|nventnonts------. 462,290,574MisoeUaneovmLiahlitio»—-------' 2,880,489,103 a 12,962,767,120 Total Liauxitien---'--------' $ 13,002,042,714 Real Eotate-----------' $ 335148,217 Capital Paid In $ 55.320.000 Canh --------------. 45,584542 Surplun -----. - 12,751,573,594 AUents'Balanumu(Under 90Day) -- 3,037980,240 Other{nveotedHooetu ------- 6,431.048.108 Surplus psregards Policyholders........... $ 12,806,893,594 Misnel|aneouo ---------- 2,996,427,081Total Liabilities,Capital Total Admitted Assets ................... $ and Surplus ................. .'............ S 25,808,936,308 STATE OFCONNECTICUT. COUNTY OFHARTFORD � CITY OFHARTFORD Michael Fl Hazo,Vice President and CnnUnUor,and Allen R. Craig,Assistant Secretary ofthe Hartford Fire Insurance Cnmpony, being duly sworn, each deposes and say that the foregoing ioatrue and correct statement ofthe said uornpany's financial condition ancfJune 3O.2O1T ` Subscribed and sworn tnbefore mo this 19thday ofSeptember, 2O17. Vice �ntroller Notary Public Assistant Secretary V Form CS-19-37 HF printed mu.u/� an' TtIE ' Producer Compensation Notice ffiiTFORD You can review and obtain information on The Hartford's producer compensation practices at www.thehartford.com or at 1-800-592-5717. HR 00 H093 00 0207 0 2007,The Hartford Page 1 of 1 Direct Inquiries/Claims to: THE HARTFORD Bond T-12 _rkjWEX UF ATTORNE Y_ One Hartford Plaza Hartford,Connecticut 06155 email:bond.claims@thehartford.com call:888-266-3488 1 fax:860-757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Aciencv Code:33-700174 0 Hartford Fire Insurance Company, a corporation duly organized under the laws of the State of Connecticut 0 Hartford Casualty Insurance Company,a corporation duly organized under the laws of the State of Indiana 0 Hartford Accident and Indemnity Company,a corporation duly organized under the laws of the State of Connecticut Hartford Underwriters Insurance Company,a corporation duly organized under the laws of the State of Connecticut Twin City Fire Insurance Company,a corporation duly organized under the laws ofthe State of Indiana Hartford Insurance Company of Illinois,a corporation duly organized under the laws of the State of Illinois Hartford Insurance Company of the Midwest,a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut(hereinafter collectively referred to as the"Companies")do hereby make, constitute and appoint, up to the amount of Unlimited Nicholas J. Bertke, Michelle A. Demmitt, Amanda L. Morris, Jennifer L. Salm, Katherine J. Scarberry, Brenda G. Taylor of Dayton OH, Tyler Bertke, Lisa Dawson-Knight, David E. Griffin, Phyllis Jacobson, Nicole A. Laber of DAYTON, Ohio their true and lawful Attorney(s)-in-Fact,each in their separate capacity if more than one is named above,to sign its name as surety(ies)only as delineated above by®,and to execute,seal and acknowledge any and all bonds,undertakings,contracts and other written instruments in the nature thereof,on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on August 1, 2009, the Companies have caused these presents to be signed by its Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. 1Y ,> - fu lH RtIEP^ L>G fiW. �p x+►t'� ^ 8 i l4GauryP.itlei� N i9d r �� z,�.razlto '. �ctcasvya� . gora'e► g - ^..'``aHltct,cv,,� �rb1aM► Z87q l.. 3r' r87a Izio _A. �. c'�.;t3' - r�'� `idrQ.;o..9�p+ '4 � }• .sh� '!,a�c` '�A'•.....-�"se�' �^.y�-. y i anc� fff F t.ic:14 .vtr 4q,t,�o` •.....,,,.,,..a:f John Gray,Assistant Secretary M.Ross Fisher, Vice President STATE OF CONNECTICUT ss. Hartford COUNTY OF HARTFORD On this 12th day of July,2012, before me personally came M. Ross Fisher,to me known,who being by me duly sworn,did depose and say:that he resides in the County of Hartford,State of Connecticut;that he is the Vice President of the Companies,the corporations described in and which executed the above instrument;that he knows the seals of the said corporations;that the seals affixed to the said instrument are such corporate seals;that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. Kathleen T.Maynard CERTIFICATE Notary Public My Commission Expires July 31,2016 I,the undersigned,Vice President of the Companies,DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which is still in full force effective as of July 11, 2018 Signed and sealed at the City of Hartford. vtr� ns m, � [t rr „aa'.[es:rro- �u rn�. '�orvr�4•`®e. :, t' °tcca t P r.i� a8a�► $ et ax c`�„ "+ataw► : I97 tFf 3 s$ I 4 � xs�'�`tl �'eYA�o�9�+m g� s }� •`'xryt_etao>4�e*,a" �'•`�r'...-�i4't 5,.� 9.'`$•S; f Kevin Heckman,Assistant Vice President POA 2012