HomeMy WebLinkAboutContract 48943-FP1 City Secretary
Contract No.48943 -FP1
FORTWORTH.) Date Received Aug 29,2018
S X601 - 10653`"1
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:WILLOW SPRINGS ADDITION TO SERVE 12°WATER LINE EXTENSION
City Project No.: 100537
Improvement Type(s): Water CEJ Sewer ❑
Original Contract Price: $72,175.00
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $72,175.00
Louie Pah-fAuq 18.2018) Aug 28,2018
Contractor Date
Project Manager
Title
Wildstone Construction
Company Name
Ke�t�ie�SfunCest SccFEet^�ieir% Au 29 2018
Hrshel Stanley SutirrfirlJ, ug 29,2018) g f
Project Inspector Date
SAHU.P.E.IAuq r,.7019) Aug 29,2018
Project Manager w Date
Janie Scarlett 6luiales(auk z9,I018j Aug 29,2018
CFA Manager Date
S`t'L(A�s 2-io s Aug 29,2018
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT. WORTH,TX
Notice of Project Completion
Project Name: WILLOW SPRINGS ADDITION TO SERVE 12" WATER LINE EXTENSION
City Project No.: 100537
City's Attachments
Final Pay Estimate
Change Order(s): ❑ Yes ® N/A
Pipe Report: x❑ Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety I
Statement of Contract Time
Contract Time: 5 CD Days Charged: 206
Work Start Date: 1/22/2018 Work Complete Date: 8/15/2018
Page 2 of 2
City Project Numbers 100537 DOE Number 5371
Contract Name WILLOW SPRINGS ADDITION TO SERVE 12"WATER LINE EXTENSI Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER For Period Fnding 8/15/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors GREGORY / DAVIS,R Contract Date 11/6/2017
Contractor WILDSTONE CONSTRUCTION Contract Time 5 CD
P O BOX 164429 Days Charged to Date 206 CD
FORT WORTH, TX 76161 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 $72,175.00
Less %Retained $0.00
Net Earned $72,175.00
Earned This Period $72,175.00 !,
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 $72,175.00 f�
i!
Tuesday,August 21,2013 Page 4 oP4
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FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name WILLOW SPRINGS ADDITION TO SERVE 12"WATER LINE EXTENSION
Contract Limits
Project Type WATER
City Project Numbers 100537
DOE Number 5371
Estimate Number 1 Payment Number I For Period Ending 8/15/2018
CD
City Secretary Contract Number Contract Time ED
Contract Date 11/6/2017 Days Charged to Date 206
Project Manager NA Contract is 100.00 Complete
Contractor WILDSTONE CONSTRUCTION
P O BOX 164429
FORT WORTH, TX 76161
Inspectors GREGORY / DAVIS,R
Tuesday,August 21,2018 Page 1 of 4
E'
City Project Numbers 100537 DOE Number 5371
Contract Name WILLOW SPRINGS ADDITION TO SERVE 12"WATER LINE EXTENSI Estimate Number 1
Contract Limits Payment Number I
Project Type WATER For Period Ending 8/15/2018
Project Funding
UNIT I:WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 12"DR-14 PVC PIPE 420 LF $74.00 $31,080.00 420 $31,080.00
2 8"DR-14 PVC PIPE 20 LF $52.00 $1,040.00 20 $1,040.00
3 6"DR-14 PVC PIPE 20 LF $48.00 $960.00 20 $960.00
4 36"X 12"TAPPING SLEEVE&VALVE 1 EA $16,395.00 $16,395.00 1 $16,395.00
5 12"GATE VALVE&BOX I EA $3,867.00 $3,867.00 1 $3,867.00
6 6"GATE VALVE&BOX I EA $1,792.00 $1,792.00 1 $1,792.00
7 FIRE HYDRANT ASSEMBLY 1 EA $5,615.00 $5,615.00 1 $5,615.00
8 1"WATER SERVICE 1 EA $1,155.00 $1,155.00 1 $1,155.00
9 DI FITTINGS 1 LS $4,251.00 $4,251.00 1 $4,251.00
10 WATER LINE TESTING 1 LS $1,210.00 $1,210.00 1 $1,210.00
11 TRENCH SAFETY 1 LS $660.00 $660.00 1 $660.00
12 SURVEY&LAYOUT 460 LS $1.00 $460.00 460 $460.00
13 HAUL OFF SPOILS 140 CY $11.00 $1,540.00 140 $1,540.00
14 TRAFFIC CONTROL PLAN 1 LS $650.00 $650.00 1 $650.00
15 EROSION CONTROL PLAN 1 LS $1,500.00 $1,500.00 1 $1,500.00
Sub-Total of Previous Unit $72,175.00 $72,175.00
---------------------------------------
Tuesday,August 21,2018 Page 2 of 4
City Project Numbers 100537 DOE Number 5371
Contract Name WILLOW SPRINGS ADDITION TO SERVE 12"WATER LINE EXTENSI Estimate Number I
Contract Limits Payment Number 1
Project Type WATER For Period Ending 8/15/2018
Project Funding
Contract Information Summary
Original Contract Amount $72,175.00
Change Orders
Total Contract Price $72,175.00
Total Cost of Work Completed $72,175.00
Less %Retained $0.00
Net Earned $72,175.00
Earned This Period $72,175.00
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 $72,175.00
Tuesday,August 21,2018 Page 3 of 4
FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Willow Springs Storage Addition to Serve 12"Water Line
PROJECT NUMBER: 100537
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
12"PVC 12" DR-14 PVC 420
6"PVC 6" DR-14 PVC 20
FIRE HYDRANTS: 1 EA VALVES(16"OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: YES
NEW SERVICES: I " COPPER I EA
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
� s The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 0 Fax:(817)392-7845
AFFIDAVIT
STATE OF TX
COUNTY OF TARRANT
Before me,the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared John Jolb,President
Of Wildstone 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 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;
12"Water Line Extension to serve Willow Spring for 7e Addition
BY
John Kolb
Subscribed and sworn before me on this date 25 of pi' ,2018.
1
`Notary Pu lic
Tarrant, TX
APRIL D.SELESKA
ApY uMW
°
NotorY PubiiC.State of Texas
`e MY commission Expires
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT Bond #8246-09-00
Project: 12"Water Line Extension to Serve Willow Springs Storage Addition
To(Owner):
City of Ft Worth,TX and
Tarrant North Storage
200 Texas Street Contract For: See above
Ft Worth,TX 76102
Contract Date:
Contractor:
Wildstone Construction,LLC
In accordance with the provision of the Contract between the Owner and the Contractor as
defined above,the Federal Insurance Company
202B Hall's Mill Road
Whitehouse Station,NJ 08889
,Surety Company,
on bond of Wildstone Construction,LLC
12850 Hwy 287
Ft Worth,TX 76052
,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 the
City of Ft Worth,Texas and Tarrant North Storage
200 Texas Street
Ft Worth,TX 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 April,2018.
Federal Insurance Company
Witness:
�— Tracy Tucker, attorney-in Fact—i
CHUBB
Power of Attorney
Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company
Know All by These Presents,That FEDERAL INSURANCE COMPANY,an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,and PACIFIC
INDEMNITY COMPANY,a Wisconsin corporation,do each hereby constitute and appoint W.Lawrence Brown,Roberta H.Erb,Steven M.Tucker and Tracy Tucker
ofFort Worth,Texas-------------------------------------------------------------------------------------------------------------
each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise,bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed in the course of business,and any
instruments amending orattering the same.and consents to the modification or alteration of any instrument referred to in said bonds orobhgations.
In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested these
presents and affixed their corporate seals on this 28th day of February,2018.
Cklvm M.Cltl(xctc.A&,;istant Secretal}• Stephen M.I lancy.Vice Presldent
STATE OF NEW JERSEY
County of Hunterdon
On this 281h day of February,2018 before me,a Notary Public of New Jersey,personally came Dawn M.Chloros,tome known to be Assistant Secretary ofFEDERAL INSURANCE
COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY,the companies which executed the foregoing Power of Attorney,and the said Dawn M.
Chloros.being by me duly sworn,did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY-,and PACIFIC
INDEMNITY COMPANY and knows the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by
authority of said Companies;and that she signed said Power of Attorney as Assistant Secretary of said Companies by like authority;and that she is acquainted with Stephen M.
Haney,and knows him to be Vice President of said Companies;and that the signature of Stephen M.Haney.subscribed to said Power of Attorney is in the genuine handwriting of
Stephen M.Haney,and was thereto subscribed by authority of said Companies and in deponent's presence.
Notarial Seal ''o KATHERINE J.ADELAAR
OTAtt). NOTARY FOaLIC OF NEW JERSEY
�•� m) N6.2818606
PLtgL1 canmxwon expvea July 16,2019 vo my tubuc
rE
CERTIFICATION
Resolutions adopted by[he Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 30,2016:
"RESOLVED,that the following authorizations relate to the execution,for and on belial(ofthe Company,ofbonds,undertakings,recognizancm contracts and other written commitments ofthe Company
entered into in the ordinary course of business(each a'"Wrilten Commitment"),
(t) Each of the Chairman.the President and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment for and on behalfof the Company,under the
seal of Ute Company or otherwise.
(2) Each duly appointed attorney-in-fact of tire Company is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal of the Company or
otherwise,to the extent that such action is authorized by the grant of powers provided for in such persons written appointment as such attorney-in-fact
(3) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,forand on behalfof the Company,to appoint in writing any person the attorney-
in-fact of the Company with full power and authority to execute,for and on behalfofthe Company,under the seal ofthe Company or otherwise.such Written Commitments of the
Company as may be specified in such written appointment,which specification may be by general type or class of Written Commitments or by specification of one or more particular
Written Commitments.
(1) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalfof the Company,to delegate in wrltingto any other officer or[lie
Company the authority to execute,for and on behalf of the Company,under the Company's seal or otherwise,such Written Commitments of the Company as are specified in such
written delegation,which specification may he by general type or class of written Commitments or by specification of one or more particular Written Commimnenm
(5) The signature ofany officer or other person executing any Written Conunitruent orappointment or delegation pursuant to this Resolution,and the seal of the Company,may be affixed by
facsimile on such Written Commitment or written appointment or delegation.
FURTHER RESOLVED,that the foregoing Resolution shall not be deemed to be an exclusive statement of the powers and authority of officers.employees and other persons to as for and on behalfof
the Company.and such Resolution shall not limit or otherwise affect the exercise of any such power or authority otherwise validly granted or vested:
1,Dawn M.Chloros,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY.and PACWIG INDEMNITY COMPANY(the"Companies-)do hereby
certify that
(1) the foregoing Resolutions adopted by the Board of Directors of the Companies are true,correct and in full force and effect,
(H) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are
authorized by the U.S.Treasury Department;further,Federal and Vigilant are licensed in the U.S.Virgin Islands,and Federal is licensed in Guam,Puerto Pico,
and each of the Provinces of Canada except Prince Edward Island;and
(Iii) theforegoing Power ofAttomey is true,correct and in full force and effect.
Given under my hand and scalls,of said Companies at Whitehouse Station,M.this 25th day of April, 2018.
Iktwn%J.Chlor(t,.l�sistuntScociar}
1N THE EVENT YOU 117SH TO NOTIFY US OF A CLAIM,VERIFY THE AUTHENTICITY OF THIS BOND OR NO'T'IFY US OF ANY OTHER NATTER PLEASE CONTACT US AT: 71
Telephone(903)903-3493 Fax(908)903-3656 e-mail:surer@,chubb.com
Form 15-10-022513-U GEN CONSENT(rev.12-16)
_----_----_._._____ Green Sheet for Willow Spring s
Addition to Serve 12 Water Line
Extension CPN 100537 Water
Adobe Sign Document History 10/08/2018
Created: 08/28/2018
- By: Etta Bacy(etta.bacy@fortworthtexas.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAEBgnkDyuMTrK20gxk5cZkFu-uuTAoU2u
"Green Sheet for Willow Springs Addition to Serve 12 Water Lin
e Extension CPN 100537 Water" History
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