HomeMy WebLinkAboutContract 49840-FP3 City Secretary 49840 -FP3
Contract No.
FORTWORTH, Date Received Aug 8,2018
5gb01 - I0a8 ��!
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: PINE MEADOWS PHASE II
City Project No.: 100824
Improvement Type(s): ❑ Paving ❑ Drainage ® Street Lights ❑ Traffic Signals
Original Contract Price: $34,292.50
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $34,292.50
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Q ryf�
Richard Wolfe(Ju J, 0018) u I L 1% 2018 N
Contractor Date HqN
President
Title
Independent Utility Construction, Inc.
Company Name I�
I
7Zl ;ffaf 6V. Ray- Ju 119,2018
r1h.—,W.Miller f-I 19.2018)
Project Inspector Date
Pat✓icK BucKley
P,trick Buckley(Aug i,20181 Aug 7,2018
Project Manager Date
cl�o Aug 8 2018
J� ie Scarlett M-1-(Aug 8,2018) ) I
`CFA Manager Date
If�lf1y'1 &a �I
Su,0aA1,1-(Aue 8,2018) Aug 8,2018
Asst. City Manager Date I{
I
Page 1 of 2
Notice of Project Completion
Project Name: PINE MEADOWS PHASE II �k
U'
City Project No.: 100824
City's Attachments
Final Pay Estimate F
P,
Change Order(s): ❑ Yes 0 N/A 11
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Contractors Attachments h
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Affidavit of Bills Paid
Consent of Surety Ii
Statement of Contract Time
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Contract Time: 90 CD Days Charged: 197
Work Start Date: 1/3/2018 Work Complete Date: 7/18/2018
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Page 2of2
City Project Numbers 100824 DOE Number 0824
Contract Name PINE MEADOWS PHASE Il Estimate Number 1 f
Contract Limits Payment Number 1
Project Type ST LIGHT For Period Ending 7/19/2018 k
Project Funding
G
e
P
Project Manager NA City Secretary Contract Number
Inspectors OWEN / RODRIGUEZ Contract Date
Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 30 CD
5109 SUN VALLEY DRIVE Days Charged to Date 197 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 $34,292.50
Less %Retained $0.00
Net Earned $34,292.50
Earned This Period $34,292.50
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 $34,292.50
Thursday,July 19,2018 Page 4 of 4
k
FORTWORTH
r
CITY OF FORT WORTH
FINAL PAYMENT REQUEST f
h
V
Contract Name PINE MEADOWS PHASE II
Contract Limits {{f
Project Type ST LIGHT H
City Project Numbers 100824 k{
DOE Number 0824 G
Estimate Number I Payment Number I For Period Ending 7/19/20181
CD {'
City Secretary Contract Number Contract Time 3CD
Contract Date Days Charged to Date 197
Project Manager NA Contract is 100.00 Complete
Contractor INDEPENDENT UTILITY CONSTRUCTION
5109 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors OWEN / RODRIGUEZ
i,
Thursday,July 19,2018 Page I of 4
City Project Numbers 100824 DOE Number 0824
Contract Name PINE MEADOWS PHASE H Estimate Number 1
Contract Limits Payment Number i
Project Type ST LIGHT For Period Ending 7/19/2018
Project Funding
ST LIGHT
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total
Quanity Total
1 2"CONDT PVC SCH 80 595 LF $9.00 $5,355.00 595 $5,355.00
2 RDWY ILLUM FOUNDATION 9 EA $950.00 $8,550.00 9 $8,550.00
3 FURNISHANSTALL RDWY ILLUM 9 EA $1,250.00 $11,250.00 9 $11,250.00
4 FURNISH/INSTALL TYPE 33B ARM 9 EA $500.00 $4,500.00 9 $4,500.00
5 6-6-6 TRIPLEX ALUM ELEC CONDUCTOR 595 LF $2.50 $1,487.50 595 $1,487.50
6 FURNISWINSTALL LED LIGHTING FIXTURE 9 EA $350.00 $3,150.00 9 $3,150.00
--------------------------------------
Sub-Total of Previous Unit $34,292.50 $34,292.50
-------------------------------------
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j"
Thursday,July 19,2018 Page 2 of 4
j
City Project Numbers 100824 DOE Number 0824
Contract Name PINE MEADOWS PHASE II Estimate Number 1
Contract Limits Payment Number 1
Project Type ST LIGHT For Period Ending 7/19/2018
Project Funding
i
Contract Information Summary
Original Contract Amount $34,292.50
Change Orders
Total Contract Price $34,292.50
Total Cost of Work Completed $34,292.50
Less %Retained $0.00
Net Earned $34,292.50
Earned This Period $34,292.50
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 $34,292.50
Thursday,July 19,2018 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: Pine Meadows Phase 2—City Project No. 100824
BY:
Richar of esident
SUB BED AND SWORN TO BEFORE ME on this day of
2018.
CHRISTINA GARCIA
=r Notary Public,State Texas
Comm.Expires 12-200-2020
Notary ID 130940785
Notary Public, State of Texas
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT
CONTRACTOR ❑❑
(SIMILAR TO AIA DOCUMENT G707) OTHER
JUN 2 7 7019BondNo 836808
PROJECT: Pine Meadows,Phase 2 (Street Lights)
(name,address)Fort Worth, Texas
TO (Owner)
ARCHITECTS PROJECT NO:
City of Fort Worth CONTRACT FOR: Above Proj ect
200 Texas Street
Fort Worth, Texas 76102
�J 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 named
address ofSurety Company) Westfield Insurance Company
555 Republic Drive, Suite 450
Piano, 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 25th day of June
2018 -
W STFIELD INSURANCE COMPANY
Surety Company
By
Attest:
Signature o presentative
(Seal): Kyle W. Sweeney Attorney-in-Fact
Title
Note:This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition
. yr^4. Nncr JV"rKI.tUCD ANY PRtVIUUJ PUWtR btARINV IMIJ JAMt
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 Attorneys)-in-Fact,with full power and authority hereby conferred in its name,
place and stead, to execute, acknowledge and deliver any and all bondsrecognizances, undertakings, or other instruments or contracts of
,
suretyship- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - --
- -
LIMITATION: 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
seat of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney(s)-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 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 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 .
�,,......w.titi
Corporate "1, r ' 10NA ' •••,•• ,,,,
Seals p......... !4v•.; ,,QS��SUp`" WESTFIELD INSURANCE COMPANY
a f' `•�+"°t `' :SG= . tom •'=.y - WESTFIELD NATIONAL INSURANCE COMPANY
Affixed v; .c2�
s ipTi °? Z? -� OHIO FARMERS INSURANCE COMPANY
;LL: SEAL
4 _rn_ =o:
�7'''-�.'�.' ��'�� y: '�' ��. 1848 •aca �
By:
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 residesln 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 .• t A L s, '
Affixed
z .�►�Fr'
William J. Kahelin,A rney at Law,Notary Public
State of Ohio ';A 0 My Commission Does Not Expire(Sec.147.03 Ohio Revised Code)
County of Medina ss.:
.4TH OF O.
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.
In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 25th day of
June A„-D 2018
SEAL
secretary`j:.1848 a Frank A. Carrino,Secretary
BPOAC2 (combined) (06-02)
FORTIVOR H •-.--
- Greensheet for Pine Meadows
Phase 11 CPN#10 0 8 2 4 SL
Adobe Sign Document History 08/09/2018
Created: 07/19/2018
By: Shameka.Kennedy@fortworthtexas.gov
Status: Signed
tires Transaction ID: CBJCHBCAABAADmIIAEvxxS-hQOU3TkEOtzChktGooHnC
"Greensheet for Pine Meadows Phase II CPN#100824 SL" Histo
ry
i Document created by Shameka.Kennedy@fortworthtexas.gov
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-4 Document emailed to Richard Wolfe(rwolfe@iuctx.com)for signature
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Richard Wolfe (rwolfe@iuctx.com) uploaded the following supporting documents:
CO/ File Attachment 1
& File Attachment 2
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FORTWORTHd
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FORTWORTH.
Adobe Adobe
Sign
City Secretary 49840 -FP3
Contract No.
FORTWORTH, Date Received Aug 8,2018
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: PINE MEADOWS PHASE II
City Project No.: 100824
Improvement Type(s): ❑ Paving ❑ Drainage X Street Lights ❑ Traffic Signals
Original Contract Price: $34,292.50
Amount of Approved Change Ordegs):
Revised Contract Amount:
Total Cost of Work Complete: $34,292.50
Jul 19, 2018
Contractor Date
President
Title
Independent Utility Construction, Inc.
Company Name
7GrowV jt '. &u,
Jul 19,2018
' i h—ra:'N.Miner;,tu119.:G1.`.',
Project Inspector Date
Patrick BuoKlev Aug 7,2018
Project Manager _ Date
Sc ai'.ett Alora'.ec;Aub 8,'_'Jld;
Aug 8,2018
CFA Manager Date
-- ..
�rR.
ii Aug 8f 2018
Suun A:ani:,Aug Y.2vlb;
Asst. City Manager Date
OFFICIAL RECORD
RECEIVED CITY SECRETARY
AUG 14 2018 FT. WORTH
YX age 1 of 2
CIN OF FORT NORTH
CITY SECRETARY