HomeMy WebLinkAboutContract 47527-FP1 City Secretary 47527 -FP1
Contract No. i
a
FORT WORTHO Date Received Sep 6,2018
e
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: HOTEL ON ENDICOTT AVE
City Project No.: 100023
Improvement Type(s): Water E Sewer E
Original Contract Price: $83,685.50
t
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $83,685.50,
fat�at2G Aug 31,2018
Pat Patel jAug31,7018) �
Contractor Date
Contractor
Title k
a
PVA Construction
Company Name
I
a
Traumas MAI.,.Aug 31,70381 Aug 31,2018
Project Inspector Date
Sep 5,2018
Project Manager Date
,1&1/ ,2yi eAgial&r Sep 6,2018
Janie Scar ora
lett Mles JSep 6,7038)
CFA Manager Date
s` }Ila�ccy Sep 6,2018
Susan hlanis tSep fi,.GI9;
�A* City Manager Date
3oQK OFFICIA7 Page 1 of 2
ok �Q CITY SEC*,f.—f vt
FT.WORTH,TX
Notice of Project Completion
Project Name: HOTEL ON ENDICOTTAVE
City Project No.: 100023
City's Attachments
Final Pay Estimate x❑
Change Order(s): ❑ Yes x❑ N/A
Pipe Report: ❑x Yes ❑ NIA
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 365 CD Days Charged: 648
Work Start Date: 8/29/2016 Work Complete Date: 6/7/2018
f
Page 2of2
5-9601 - ) 000a3
City Project Numbers 100023 DOE Number 0023 k
Contract Name HOTEL ON ENDICOTT AVE Estimate Number 1 G
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 7/19/2018
i
Project Funding
I
Project Manager NA City Secretary Contract Number
Inspectors LAYER/ MILLER Contract Date
Contractor PVA CONSTRUCTION LLC Contract Time 365 CD
200 BIRKES ROAD Days Charged to Date 648 CD
EUFAULA, OK 74432 Contract is .000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
-----------
r
r
Total Cost of Work Completed $83,685.50
Less %Retained $0.00
Net Earned $83,685.50
Earned This Period $83,685.50
i
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 /Day $0.00
LessPavement Deficiency $0.00
Less Penalty $0.00 3
r
Less Previous Payment $0.00
Plus Material on Iland Less 15% $0.00 s
Balance Due This Payment $83,685.50 j
t
Thursday,July 19,2018 Page 5 of 5
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FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name HOTEL ON ENDICOTT AVE
Contract Limits
Project Type WATER&SEWER
City Project Numbers t00023
DOE Number 0023
Estimate Number I Payment Number I For Period Ending 7/19/2018
CD
City Secretary Contract Number Contract Time 366D
Contract Date Days Charged to Date 648
Project Manager NA Contract is 100.00 Complete
Contractor PVA CONSTRUCTION LLC
200 BIRKES ROAD
EUFAULA, OK 74432
Inspectors LAYER / MILLER
Thursday,July 19,2018 Page I of 5
City Project Numbers 100023 DOE Number 0023
Contract Name HOTEL ON ENDICOTT AVE Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 7/19/2018
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---- - ^
I -CONNECTION TO EXISTING 4"-12"WATER 4 EA $3,000.00 $12,000.00 4 $12,000.00
MAIN
2 12"X6"TAPPING SLEEVE&VALVE I EA $2,800.00 $2,800.00 1 $2,800.00
3 10"X6"TAPPING SLEEVE&VALVE 3 EA $2,400.00 $7,200.00 3 $7,200.00
4 2"WATER SERVICE 2 EA $2,000.00 $4,000.00 2 $4,000.00
5 6"WATER PIPE 41 LF $15.00 $615.00 41 $615.00
6 4"WATER PIPE 3 LF $13.00 $104.00 8 $104.00
7 DUCTILE IRON WATER FITTINGS 2 TN $1,000.00 $2,000.00 2 $2,000.00
W/RESTRAINT
8 4"METER&VAULT I EA $4,000.00 $4,000.00 1 $4,000.00
9 TRENCH SAFETY 49 LF $2.00 $98.00 49 $98.00
10 6"WATER PIPE CSS BACKFILL 11 LF $6.50 $266.50 41 $266.50
11 4"WATER PIPE CSS BACKFILL 8 LF $6.50 $52.00 8 $52.00
Sub-Total of Previous Unit $33,135.50 $33,135.50
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
--- --------------------------------- --
1 8"SEWER PIPE 330 LF $48.00 $15,840.00 330 $15,840.00 t,
2 T EXTRA DEPTH MANHOLE 10 VF $200.00 $2,000.00 10 $2,000.00
3 REMOVE 4'SEWER MANHOLE 1 EA $2,000.00 $2,000.00 1 $2,000.00 �
4 REMOVE 8'SEWER LINE 200 LF $33.00 $6,600.00 200 $6,600.00
5 PRE CCTV INSPECTION 200 LF $3.25 $650.00 200 $650.00
6 POST CCTV INSPECTION 330 LF $2.56 $845.00 330 $845.00
7 TRENCH SAFETY 330 LF $2.00 $660.00 330 $660.00
8 8"SEWER PIPE CSS BACKFILL 330 LF $6.50 $2,145.00 330 $2,145.00
9 MANHOLE VACUUM TESTING 3 EA $1,000.00 $3,000.00 3 $3,000.00
10 EPDXY MANHOLE LINER 5 VF $200.00 $1,000.00 5 $1,000.00
3;
11 T MANHOLE 2 EA $4,000.00 $8,000.00 2 $8,000.00
12 6"SANITARY SEWER SERVICE 2 EA $1,000.00 $2,000.00 2 $2,000.00
13 6"SANITARY PIPE 10 LF $25.00 $250.00 10 $250.00
14 4'DROP MANHOLE I EA $5,500.00 $5,500.00 1 $5,500.00
Thursday,July 19,2018 Page 2 of 5
1i
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City Project Numbers 100023 DOE Number 0023
Contract Name HOTEL ON ENDICOTT AVE Estimate Number 1
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 7/1912018
Project Funding
15 6"SEWER PIPE CSS BACKFILL 10 LF $6.00 $60.00 10 $60.00
Sub-Total of Previous Unit $50,550.00 $50,550.00
Thursday,July 19,2018 Page 3 of 5
City Project Numbers 100023 DOE Number 0023
Contract Name HOTEL ON ENDICO'IT AVE Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER.SEWER For Period Ending__ 7/19/2018
Project Funding
Contract Information Summary
Original ContractAmount $83,685.50
Change Orders
Total Contract Price $83,685.50
Total Cost of Work Completed $83,685.50
Less %Retained $0.00
Net Earned $83,685.50
Earned This Period $83,685.50
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 $83,685.50
Thursday,July 19,2018 Page 4 of 5
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Hotel On Endicott Avenue
PROJECT NUMBER: 100023
DOE NUMBER: NA
WATER
PIPE LAID SIZE TYPE OF PIPE LF
6" pvc 41'
4" pvc 8'
FIRE HYDRANTS: 0 public, 1 Private VALVES(16" OR LARGER) NA
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES: 6"FL 2"DOM
4"DOM 6"FL
2"IRR
6"FL
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
8" pvc 330'
6" pvc 10'
PIPE ABANDONED SIZE TYPE OF PIPE LF
8" pvc 174'
DENSITIES:
NEW SERVICES: 6"X2
TRANSPORTATION AND PUBLIC WORKS
3 cr The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax,(817)392-7845
AF'FIDA'VIT
STATE OF TEXAS
COUNTY OF TOM GREEN
Before me,the undersigned authority,a notary public in the state
and county aforesaid,on this day personally appeared Pat Patel,
Contractor of PVA Construction LLC,known to me to be a credible
person,who being by me duly sworn,upon his oath deposed and said;
That all persons,firms,associations,corporations,or other
organizations furnishing labor and/or materials have been paid in full;
That the wage seals established by the City Council in the City of j
Fort Worth has been paid in full;
That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
Water and Sewer.Located at 5100 Endico Ave,Ft Worih exas 76137
BY c=
41
Name or Title
Subscribed and sworn before me on this date Day of Month,Year.
Not Public
County,State '�o
Bond Number: E258110
Effective Date 8/24/2018 1200 00 AM
CONTINUING SURETY AGRE6NSNT
KNOW ALL MEN BY T4668 PRBSSHTS; That
DFW Hosytality LLC dba Nome ui es o o _
as Principal, and_ Great American Insurance ompany
as'Surety, hereby acknowledge ourselves to be jointly and -severally
bound unto the- City of Fort Worth Water Department (hereinafter referred to as City), in
the sum of Ninety Thousand Dollars--- Dollars, lawful money of the United States of
America, to be paid to the City, xti succe@$or and assigns; for the payment of vhigh sum,
well and truly to be made, we bind ourselves, our heirs, executors, sdministrators,
successors and assigns,jointly and severally, by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas, the Principal desires to
take and pay for and/or continue to take and pay for water and/or sever service from City,
at one or more toeationc of the male class of water/sewer service, vbich service Principal
bas requested that Cite render to these one o: more locations in City's service area; and
whereas, as a candido" precedent r.o the co+amenceuent and/or continuation of such Water
service, the Principal agreed to ftiraiph Ciry with a surety bond, issued by the said
Surety in as amount equal to tete: 44444 weposit vn t►ese one or more locations whish City
xould require at such ali ety bond mernos go fgvt:iahed, for the purpose of establishing
credit and securing tt;.e payrseat of aA,? and ail b;.11o for service rendered to said one or
more locationr , T11ta bond asy `.,c: .a;:olied tis any writer/.sever service account at any
location (for the same cictwa cr r serv3ce) under which Principal has an
obligation to raise payment to Cita.
NOW, THEltfFvkc, in -:tz: ; '- .4i1+ of any of the foregoing promises and/or
conditions by Principal, the dc►.*_ hmattif bound as Principal, hereunder, for
paytoent of such bilin,, t<saivi:ag s.`? air eaW Witti respect to notice to default of payment,
notice of extension of time of psi;astir,, mamavx tud 04ligence, and waiving any obligation
on the part of City to instituto legnl scii.on or proceedings against the Principal.
This is a continuing bond but WAY bit cancelled by Surety, effective as to
obligations incurred by principal, sixty (60) d?eys after receipt by Principal and City of
Surety's written notice of cancetistion. sent by registered mail; such notice to Principal
to be addressed to Principal at the following address;
5100 i t Avenue Ft. Worth,
, and such notice to City to be addressed to
City's office at P.O, Box 870, Fort Worth, Texas 16101. City reserves the right to cancel
this agreement by giving a similar sixty (60) days' notice to Principal and Surety.
IN WITNESS WHEREOF, the parties hereto have caused this agreement to be duly
executed this 24th day of August , 2018 .
Great American Insurance Company SURETY DFW Hospitality LLC,ooa Home2 Suites Forth Worth Fossil Creek PRINCIPAL
t�SUp� Nagle of Surety Company Name of Indio dual
Partnership or.Corporstion
. gy By
Donna Williams `
+' •
Title -in-Fact
in Fact 7�itle f�'-?kV4 t iry i P ("47r'sP�'
Countersignedii
Distribution: . White copy - Return to Fort Worth Witer Department
Yellow copy - surety Ooapaay's reeordi
Pink Copy - rrinclpal's records
GREAT AMERICAN INSURANCE COMPANY®
Administrative office: 301 E 4TH STREET • CINCINNATI,OHIO 45202 • 513-369-5000 • FAX 513-723-2740
The number of persons authorized by
this power of allorney is not more than one
Bond No. E258110
PO EROFAI"IORNI-1 _
KNOIiI NU MEN Hl"Illi S1;PRESM N1:C:'That the GRI AI AMERICAN INSURANC'F COMPANY,a corporation organized and existing under
and by virtue ofthe laws of the SLtlr,,I()bio.does herehy nominate.constitute and appoint the person or persons named below its true and lawful attomey-in•
fad,for it and in its name.place and stead to execute on behalf of the said Company.m surety.the specific bond.undertaking or contract ofsurclyship referenced
herein:provided that the liability of the said Compare on any such bond.undertaking or coniracl of suretyship executed under this authority shall not exceed
the limit stated below. I'he boolf number on this Power of Attorney must march the hoed number on the Mond to which it is attached or it is invalid.
Name Address Limit of Power
Donna Williams 1235 Cavender Dr, Suite 101 390000--
Hurst,TX 76053-4445
IN WITNESS I1'11I::RFOF the GRFATAMFRIC•AN INSURANCI (ONIPANY has caused thesepresents to be signed and attested by its appropriate
officers and its corporate seal hereunto affixed this 24th day of August • 2018
Attest ORFAI AMERICAN INSURANCE COMPANY
;•' '• �• � ��'f/fir' •
4,-
A,.10aill Secretarr Divisional Senior Vice President
STATF OF OHIO.COUNTY OF IIAMILTON-ss: DAVID C.KITCHIN te77-317-2405:
On this 24th day of` August 2018 ,before me personally appeared DAVID C. KITCMN.to me
Lnowlt.being duly sworn,deposes and says that hr resides in Cincinnati Ohio.drat he is a Divisional Senior Vice President of the Bond Division of Great
American Insurance Compan3.the Company described in and schich executed the above instrument that he knows the seal of the said Company:that the seal
of iscd to the said instrument is such corporate seal.that it was so Mixed by authority of his office under the By-Laws of said Company.and that he signed his
name thereto hs like audurritN.
Ibis Pocaer ol•Attorrte3 is granted b3 authority of the Bellowing resolutions adopted by the Board of Directors of Great.American Insurance Company
hi unanimous wriucn consent dated June 9.2008.
RLSOLi'LD That the Dnvnsionall'resident,lite.several Divisional Senior•lice Presidents,Divisional I ice Presidents and Dir Isonal dsststtntl I ice
1'residettls.or ant ime of thein.he and hereh}'is untheir r_c,l.Brun time 10 litne,to appoint one or more Attorneys rte-Fact to e.rc•cuk on hchalfot'the('ont,r»),
as sttrktt;ani azul all honds entderlakings ttnd ranuat is of snr,vr,htlr.or other a ntten oh/rgwions in the nature tlterecrf.robot scr(hc thea rr pert;ve(hures(11141
the respectne hntitr ul their awhoray-, and to retvtke an3'sut h aly,oinune nt at ant tittle
101-S01,I7 ll FlIR77111? Thai the C`nntpany seal and the signature of at(r of the ajorestrd q jjicecs and ann Sectetarl or:I Wslaw Secr•erar•r n!the
C�'anrpant may he t?lh.ted 1iy facsiurdr to un}ironer ul nnarite r or ceriificale pJ either given fur Ilse execution of ant pond,tnulcrtakinti connllct or•sutvtlshih.
or other tt rtnen obligalion in the narttre thereof,sii,h.%igiw r,,and seal when so used hetn•�herehr adopted hr the('ottithint os dn,ongi nal s(gnantre of sac h
fi icer and Ilre original seal of the C•ongwn);to he rated,ural hinting upon the Comlktnt otrh the stinte ftnc'e azul elk el as'thoii h mmruahr tr'lired.
CERTIFICATION
1.S'ITPl II.N C 11 RAIIA,Assistant Secretary of(ire;(American Insurance Company,do hereby caiilj that the thrceoin Pocccrof Attorney and
the Resolutions of tile Board of Directors of•June+).2009 hat c not been revoked and are nolo in 11411 force and effect.
Signed and scaled This 24th day of August 2018
4�. e. .3
Assistant Secretary
$I 194C(6/15)
Great American Insurance
=� Company of New York
G�ATAMERICAN, Great American Alliance Insurance Company
INSURANCE GROUP Great American Insurance Company
IMPORTANT NOT1('1;,r
TO obtain III tormation or make n complaint:
You ma)-contact theTexas Dcpartinent of Insurance to obtain information on companies,
coverages_ rights or rom}Taints a(:
1-800-252-3439
You nuay write the Texas Department of Insurance at:
P,O. Box 149104
Austin, TX 78714-9091
FAX: 1-512-490-1007
Your notice oi'clairn against the attached bond may be given to the surety company that
issued the bond by sending it by certified or registered mail to the following address:
ing Address,, Ch-cal American Insurance Company
P.O. Box 2119
Cincinnati,Ohio 45202
Physical Address: Great American Insurance Company
301 F. Fourth Street
Cincinnati, Ohio 45202
You may also contact the Great American Insurance Company Claim office by:
Fax: 1-888-290-3706
Telephone: 1-513-369-5091
Email: bondclaims(it)gaic.com
PREMIUM OR CLAIM DISPUTES:
If you have a dispute concerninf;a premium, you should contact the agent first. Ifyou
have a dispute concerning a claim,you should contact the company first. If the dispute is
not resolved, you may contact the Texas I)epartment of Insurance.
ATTACH THIS NO'T'ICE TO YOUR IJOND:
This notice is for information only and does not become a part or condition of the attached
document.
1'.9667A(10/16)
- - Greensheet for Hotel on
Endicott Ave CPN#100023 WS
n Adobe Sign Document History 09/07/2018
Created: 08/09/2018
By: Shameka.Kennedy@fortworthtexas.gov
Status: Signed
Transaction ID: CBJCHBCAABAAwgSbZNpsjzWBn5GZmOkHcbgB6GmiOLIh
"Greensheet for Hotel on Endicott Ave CPN#100023 WS" Histor
Y
Document created by Shameka.Kennedy@fortworthtexas.gov
08/09/2018-3:54:19 PM CDT-IP address:209.194.29.100
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08/31/2018-2:12:57 AM CDT
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FORT WORTHS I =:nKoev
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FORT WORTHS
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FORTWORTHS I
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