HomeMy WebLinkAboutContract 49942-FP2 City Secretary49942 -FP2
Contract No.
FORTWORTHO
Date Received Aug 13,2018
5-9 01 -- / 0009
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: MORIAH AT TIMBERLAND ADDITION,PHASE 2
City Project No.: 100619
Improvement Type(s): Water ® Sewer
Original Contract Price: $283,059.72
Amount of Approved Change Order(s): $2357.31
Revised Contract Amount: $285,417.03
Total Cost of Work Complete: $285,417.03
Aug 8,2018
Contractor Date
Office Manager
Title
Jackson Construction,Ltd
Company Name
ttdQe ed y& Au Ts 9 2018
Adie&C&nwW Uug 9.201Q ID
Project Inspector Date /�
Khal Javan 1Au .018 Aug 9,2018
Project Manager Date
�JJanN S10,2018
le1"&carlett p Monies(Aon 10.2011) AuD '
CFA Manager Date
su.2ola) Aug 11,2018
!r
R Asst. City Manager Date
G�N�p OFFICIAL BEC 1 of 2
CITY SECRETARY
FT.WORN,TX
Notice of Project Completion
Project Name: MORIAH AT TIMBERLAND ADDITION PHASE 2
City Project No.: 100619
City's Attachments
Final Pay Estimate
Change Order(s): ® Yes ❑ N/A
Pipe Report: ® Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 90 CD Days Charged: 207
Work Start Date: 12/18/2017 Work Complete Date: 7/12/2018
Page 2 of 2
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City Project Numbers 100619 DOE Number 0619
Contract Name MORIAH AT TIMBERLAND ADDITION Estimate Number I
Contract Limits PHASE 2 Payment Number 1
Project Type WATER&SEWER For Period Ending 7/12/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON / CAZORLA Contract Date
Contractor JACKSON CONSTRUCTION LTD Contract Time 90 CD
5112 SUN VALLEY DRIVE Days Charged to Date 207 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 $285,417.03
Less %Retained $0.00
Net Earned $285,417.03
Earned This Period $285,417.03
Retainage This Period $0.00
Less Liquidated Damages
0 Days a $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 $285,417.03
Thursday,July 26,2018 Page 5 of 5
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FORTWORTH f
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name MORIAH AT TIMBERLAND ADDITION
Contract Limits PHASE 2
Project Type WATER&SEWER
City Project Numbers 100619
DOE Number 0619
Estimate Number 1 Payment Number I For Period Ending 7/12/2018
CD
City Secretary Contract Number Contract Time 9(ED
Contract Date Days Charged to Date 207
Project Manager NA Contract is 100.00 Complete
Contractor JACKSON CONSTRUCTION LTD
5112 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors DICKINSON / CAZORLA
Thursday,July 26,2018 Page 1 of 5
�FQ
City Project Numbers 100619 DOE Number 0619
Contract Name MORIAH AT TIMBERLAND ADDITION Estimate Number 1
Contract Limits PHASE 2 Payment Number 1
Project Type WATER&SEWER For Period Ending 7/12/2018
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total
Quanity Total
---------------------------------------
1 7"CONC PVrviT REPAIR 46 SY $121.00 $5,566.00 46 $5,566.00
2 4"CONC SIDEWALK 136 SF $6.00 $816.00 136 $816.00
3 TRENCH SAFETY 1987 LF $0.10 $198.70 1987 $198.70
4 DUCTILE IRON WATER FITTINGS 2.8 TN $7,200.00 $20,160.00 2.8 $20,160.00
W/RESTRAINT
5 8"WATER PIPE 30 LF $46.50 $1,395.00 30 $1,395.00
6 10"WATER PIPE 1987 LF $43.50 $86,434.50 1987 $86,434.50
7 FIRE HYDRANT 1 EA $4,372.00 $4,372.00 1 $4,372.00
8 CONNECTION TO EXISTING 4"-12"WATER 1 EA $2,000.00 $2,000.00 1 $2,000.00
MAIN
9 1"WATER SERVICE 1 EA $1,200.00 $1,200.00 1 $1,200.00
10 1 1/2"WATER SERVICE 1 EA $1,700.00 $1,700.00 1 $1,700.00
I 1 8"GATE VALVE 2 EA $1,300.00 $2,600.00 2 $2,600.00
12 10"GATE VALVE 7 EA $2,000.00 $14,000.00 7 $14,000.00
13 16"X 10"TAPPING SLEEVE&VALVE 1 EA $9,400.00 $9,400.00 1 $9,400.00
14 2"WATER SERVICE(CO#I) 1 EA $2,357.31 $2,357.31 1 $2,357.31
----------------------------------------
Sub-Total of Previous Unit $152,199.51 $152,199.51
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
--------------------------------------------
1 CONCRETE ENCASE SEWER PIPE 5.4 CY $475.00 $2,565.00 5.4 $2,565.00
2 POST CCTV INSPECTION 2306 LF $3.00 $6,918.00 2306 $6,918.00
3 MANHOLE VACUUM TESTING 6 EA $200.00 $1,200.00 6 $1,200.00
4 TRENCH SAFETY 1584 LF $1.00 $1,584.00 1584 $1,584.00
5 CONCRETE COLLAR 6 EA $680.00 $1,080.00 6 $4,080.00
6 8"SEWER PIPE,CSS BACKFILL 10 LF $76.00 $760.00 10 $760.00
7 4"SEWER SERVICE 2 EA $750.00 $1,500.00 2 $1,500.00
8 8"SEWER SERVICE 2 EA $1,700.00 $3,400.00 2 $3,400.00
9 8"SEWER PIPE 2073 LF $41.24 $85,490.52 2073 $85,490.52
10 4'MANHOLE 6 EA $3,600.00 $21,600.00 6 $21,600.00
11 4'EXTRA DEPTH MANHOLE 17 VF $160.00 $2,720.00 17 $2,720.00
Thursday,July 26,2018 Page 2 of 5
City Project Numbers 100619 DOE Number 0619
Contract Name MORIAH AT TIMBERLAND ADDITION ;estimate Number I
Contract Limits PHASE 2 Payment Number I
Project Type WATER&SEWER For Period Ending 7/12/2015
Project Funding
12 CONNECT TO EXISTING SANITARY SEWER 1 EA $1,400.00 $1,400.00 1 $1,400.00
LINE
Sub-Total of Previous Unit $133,217.52 $133,217.52
Thursday,July 26,2015 Page 3 of 5
City Project Numbers 100619 DOE Number 0619
Contract Name MORIAH AT TIMBERLAND ADDITION Estimate Number 1
Contract Limits PHASE 2 Payment Number 1
Project Type WATER&SEWER For Period Ending 7/12/2018
Project Funding
Contract Information Summary
Original Contract Amount $283,059.72
Change Orders
Change Order Number 1 $2,357.31
Total Contract Price $285,417.03
Total Cost of Work Completed $285,417.03
Less %Retained $0.00
Net Earned $285,417.03
Earned This Period $285,417.03
Retainage This Period $0.00
Less Liquidated Damages
Days a /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 $285,417.03
Thursday,July 26,2018 Page 4 of 5
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: Monah at Timberland-Phase 2 Infrastructure CHANGE
CONTRACT: Paving,Drainage.Water,and Sewer Improvements ORDER No:
CFA# 100619 CITY PARTICfPATION:1 NO
CITY PROJECT# 100619
DOE#
WATER PROJECT# 59601-0600430-100619-001580
SEWER PROJECT# 59607-0700430-100619-001380
FILE# W-2449
INSPECTOR: Adllda CaZOrla Phone No: 817-223-2282
PROJECT MANAGER:Khat Jaafarl Phone No: 817_392-7872
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREET LIGHTS CONTRACT
Developer z ',:Developer ;Developer _� ; oper Developer DAYS
cost .c3 ,;Cgslt�:cost C";C,osl! 3 Cost ,tGityCPstDevel,„?coat ;"Olia cost ., 0*114i6o'st”'
ORIGINAL CONTRACT $2,000,00
EXTRAS TO DATE
, t`ytaa''J
r4a:�{CREDITS TO DATE '0 .00 . 2
' 0CONTRACTTODATE $133,21752 $126,53550 2
AMOUNT OF PROP.CHANGE ORDER $2,357.31 �"t',.y i- „'1"T,�,' ':�'t ,3 s
REVISED CONTRACTAMOUNT $152,193.01 $103,21752 $6;d6'` - ;116,53550 "� 8,00' $0.00 't",$O,Od"` I $2,000.00 $0;00�•"' 0
TOTAL REVISED CONTRACTA41OUNi
PER UNIT $1S2193.01 $133,217.52 $126,53S.50 $0.00 $2,000,00
REVISEDCOSTSHARE Dov.Cost., $413,945.03 city}Coat
TOTAL REVISED CONTRACT $413,946.03
You are directed to make the follovAnn chances in the contract documents
CITY BID ITEM
PAY ITEM',F It QUAN71TY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL
14 3312.2203 1 EA 2"Water Service 52,357.31 52357.31
$0.00
SO*00
$0.00
$0.00
$0.00
$2,357.31
REASONS FOR CHANGE ORDER Water Servica required/arLot 3,Block 2. Changes cooaspond to Rovision No 1 as shorn on shaef 5 o!the constmclion plans.
NO CITY FUNDS INVOLVED IN THIS CONTRACT.DEVELOPER IS RESPONSIBLE FOR 100::OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BESOUGHT BY THE DEVELOPER
RECOMMENDED: APPROVED: APPROVED:
(Consulting En eer)77 (Davelop=r) (Contractor)
Name: t? P11 rAIf R
;L•:r<'._ S _����� ;:s�„c. ..�:.V.�._5.±.. $S.t�t. -n_
Title: r0 r i✓ 0 A 0
Revised:10-12-2011 Pagel
tORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Moriah at Timberland Addition Phase 2
PROJECT NUMBER: 100619
DOE NUMBER:
WATER
PIPE LAID SIZE TYPE OF PIPE LF
10" PVC 1987
8" PVC 30
FIRE HYDRANTS: 1 VALVES(16"OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
8 PVC 2073
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TY 76012-6311
(817)392-7941 •Fax:(817)392-7845
JACKSON
CONSTRUCTION LTD.
5112 SUN VALLEY DRIVE
FORT WORTH,TX 76119
TEL:817-572-3303
FAX:817-478-0443
Affidavit of All Bills Paid
STATE OF TEXAS
KNOW ALL MEN BY THESE PRESENTS:
COUNTY OF TARRANT
I,Troy L. Jackson, of the undersigned principal hereby certify that all
obligations, claims and debts due laborers, materialmen, subcontractors,
suppliers, and others incurred in or contingent to the performance of the
work on the project known as Moriah at Timberland Addition, PH 2 in the
City of Fort Worth,Texas have been fully paid.
This affidavit is made for the purpose of obtaining payment from the
City of Fort Worth on above construction work.
Subscribed and sworn to before me this Jackson Construction, Ltd.
Principal
7th Day of June, 2018
By' �-Qa<���Y�
otary Signature Troy .Jackson, resident
Commission Expires: 04/06/2020
CARMEN L.ESTEP
tsar°�o
Notary Public,State of Texas
Comm.Expires 04-06-2020
�fC OF S"�O
NOfary ID 2910611
@JACKSON
CONSTRUCTION LTD.
5112 SUN VALLEY DRIVE
FORT WORTH,TX 76119
TEL:817-572-3303
FAX 817-478-0443
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 Troy L. Jackson,
President Of Jackson Construction,Ltd,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;
Moriah At Timberland Addition,PH 2
BY /1
Troyt. Jackson,President
Subscribed and sworn before me on this date 7th of June,2018.
4w-JL
Notary Pu i
Tarrant,Texas
CARMEN L. ESTEP
Notary Public,State of Texas
Comm.Expires 04-06-2020
'•;;°;;�� Notary ID 2910611
CONSENT OF OWNER u
SURETY COMPANY ARCHITECT
CONTRACTOR El�
TO FINAL PAYMENT SURETY 91
OTHER 11
AIA DOCUMENT G707 Bond No. BCD1054959
PROJECT: Moriah at Timberland Addition Phase 2 Infrastructure
(name,address)
TO(Owner)
ARCHITECT'S PROJECT NO.
Triangle 1-35 Realty, LTD
CONTRACT FOR:Moriah at Timberland Addition Phase 2
303 W Wall Street Infrastructure
Midland,TX 79701
CONTRACT DATE:
L J
CONTRACTOR: Jackson Construction, Ltd.
5112 Sun Valley Drive Fort Worth,TX 76119
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)
The Hanover Insurance Company
440 Lincoln Street Worcester, MA 01653 SURETY COMPANY,
on bond of(here Insert name and address of Contractor)
Jackson Construction, Ltd.
5112 Sun Valley Drive Fort Worth,TX 76119 ,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)
Triangle 1-35 Realty, LTD
303 W Wall Street Midland,TX 79701 OWNERS,
as set forth in the said Surety Company's bond.
1N WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 11th day of June, 2018
The Hanover Insurance Company
Surety Company
amu-.Q- -R �►�s��
// Signature of Authorized Representative
Attest: �f
(Set)- Jen ose Phothirath Aimee R Perondine Attorney-in-Fact
Title
NOTE: This form is to be used as a companion document to 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
01970•THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVE.,NW,WASHINGTON,O.C.20006
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWER OF ATTORNEY
THIS Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in
the manner and to the extent herein stated.
KNOW ALL PERSONS BY THESE PRESENTS:
That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations
organized and existing under the laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a
corporation organized and existing under the laws of the State of Michigan,(hereinafter individually and collectively the"Company")does
hereby constitute and appoint,
Stacy Rivera,Jennifer M Garten,Donna M Planta,Joshua Sanford,Nicole Ann Clark,Aimee R Perondine,Alza Lopez,Keri Ann Smith,Brian
Peters,Danielle D Johnson,Stephani A Trudeau,Adam Martin,Ashley Sinclair and/or Michelle Anne McMahon
Of Willis of Connecticut,LLC of Hartford,CT each individually,if there be more than one named,as its true and lawful attorney(s)-in-
fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed any place within the United States,
any and all surety bonds,recognizances,undertakings,or other surety obligations.The execution of such surety bonds,recognizances,
undertakings or surety obligations, in pursuance of these presents,shall be as binding upon the Company as if they had been duly
signed by the president and attested by the secretary of the Company,in their own proper persons.Provided however,that this power of
attorney limits the acts of those named herein;and they have no authority to bind the Company except in the manner stated and to the
extent of any limitation stated below:
Any such obligations in the United States,not to exceed Twenty Million and No/100($20,000,000)in any single instance
That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said
Company,and said Resolutions remain in full force and effect:
RESOLVED: That the President or any Vice President, in conjunction with any Vice President, be and they hereby are authorized and
empowered to appoint Attorneys-in-fact of the Company,in its name and as it acts,to execute and acknowledge for and on its behalf as surety,
any and all bonds,recognizances,contracts of indemnity,waivers of citation and all otherwritings obligatory in the nature thereof,with powerto
attach thereto the seal of the Company.Any such writings so executed by such Attomeys-in-fact shall be binding upon the Company as if they
had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons.
RESOLVED:That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted
and executed by the President or Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the
same extent as if all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile.
(Adopted October 7,1981—The Hanover Insurance Company;Adopted April 14,1982—Massachusetts Bay Insurance Company;Adopted
September 7,2001—Citizens Insurance Company of America)
IN WITNESS WHEREOF,THE HANOVER INSURANCE COMPANY,MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS
INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by
two Vice Presidents,this 23rd day of September,2016.
THE MHOVER NSURAWW COMPANY
o� MASSACHUSETTS BAY NSURANCE COMPANY
+� CtTQEN3 IStNtANCE OMPANY AMERICA
.00
xobat Thomas,Vice President
THE HANOVER WSURANCE COAWMY
UC
Fonal!y
Yc0THE COMMONWEALTH OF MASSACHUSETTSCOUNTY OF WORCESTER )ss.On this 23rd day of September 2016 before me came the above named Vice PresidentsHanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me peknown to be the individuals and
officers described herein,and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover
Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,respectively,and that the
said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of
said Corporations.
wArie.I"'"MAallo
rEo� up
1110"Orp u Lll�1/1P�
w a--b-•-iR Yr Diane,. .Notary Public
My Coeur ssion Expires March 4.2022
I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance
Company of America,hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued
by said Companies,and do hereby further certify that the said Powers of Attorney are still in force and effect.
GIVEN under my hand and the seals of said Companies,at Worcester, Massachusetts,this 11th day of June,2018
CERTIFIED COPY - 4
Theodore G.Martinez,Vice Presidents
Greensheet for Moriah At
Timberland Phase 2 W&S
r Adobe Sign Document History 08/14/2018
Created: 07/26/2018
~� By: Etta Bacy(etta.bacy@fortworthtexas.gov)
-_ Status: Signed
Transaction ID: CBJCHBCAABAAk03Geue3aV7Gyipuhngii8G2]nc5aCRn
"Greensheet for Moriah At Timberland Phase 2 W&S" History
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Qulie.geho@fortworthtexas.gov), Janie Scarlett Morales (Janie.morales@fortworthtexas.gov), Ron Cordova
(Ronald.Cordova @fortworthtexas.gov), and 8 more
08/14/2018-7:29:25 AM CDT
FORTWORT11.
:
Adobe Sivbe Si
Sign