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HomeMy WebLinkAboutContract 49314-FP2 City Secretary 49314 -FP2 Contract No. FORTWORTH. Date Received Oct 22,2018 Jvo5- 3 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: Lasater Ranch Phase 2 City Project No.: 100539 Improvement Type(s): ❑ Paving ❑ Drainage © Street Lights ❑ Traffic Signals Original Contract Price: $68,792.00 Amount of Approved Change Order(s): Revised Contract Amount: $68,792.00 Total Cost of Work Complete: $68,792.00 Oct 19,2018 Contractor Date President Title Independent Utility Construction,Inc. Company Name �7a�a�'So�rde�r Ja,ad soud—joct 10,.2019) Oct 19,2018 Project Inspector Date 6S,4 U,PM Oct 22 2018 G.SAHU,FM(Oct 22,2011; Project Manager Date Oct22,2018 2018 e Scarlett f.f gra le,(Oct i2...v1 ' CFA Manager Date `ff1rQeZ4-Ml Oct 22 2018 Susan Alam,IC,• ;OISI Asst. City Manager Date ®FFICl/ CITY S Page 1 of 2 FT WGk'da i, i;�® r: Notice of Project Completion Project Name: Lasater Ranch Phase 2 City Project No.: 100539 City's Attachments Final Pay Estimate Fx-1 Change Order(s): ❑ Yes ❑x N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 30 CD Days Charged: 103 Work Start Date: 3/12/2018 Work Complete Date: 10/12/2018 Page 2of2 I i City Project Numbers 100539 DOE Number 0539 Contract Name LASATER RANCII PHASE 2 Estimate Number 1 Contract Limits Payment Number I Project Type ST LIGHT For Period Ending 10/15/2018 Project Funding Project Manager NA City Secretary Contract Number Inspectors CORDOVA / SOUDERS,J Contract Date Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 220 CD 5109 SUN VALLEY DRIVE Days Charged to Date 103 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 $68,792.00 Less %Retained $0.00 Net Earned $68,792.00 Earned This Period $68,792.00 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 $68,792.00 Thursday,October 18,2018 Page 4 of 4 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name LASATER RANCH PHASE 2 Contract Limits Project Type ST LIGHT City Project Numbers 100539 DOE Number 0539 Estimate Number 1 Payment Number 1 For Period Ending 10/15/2018 CD City Secretary Contract Number Contract Time 22(ED Contract Date Days Charged to Date 103 Project Manager NA Contract is 100.00 Complete Contractor INDEPENDENT UTILITY CONSTRUCTION 5109 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors CORDOVA / SOUDERS,J 1 Thursday,October 18,2018 Page 1 of 4 City Project Numbers 100539 DOE Number 0539 Contract Name LASATER RANCH PHASE 2 Estimate Number I Contract Limits Payment Number 1 Project Type ST LIGHT For Period Ending 10/15/2018 Project Funding ST LIGHT Item Descriptiou of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ———————————————- 1 RDWY ILLUM ASSEMBLY 21 EA $1,504.00 $31,584.00 21 $31,584.00 2 RDWY ILLUM FOUNDATION 21 EA $948.00 $19,908.00 21 $19,908.00 3 6-6-6 TRIPLEX ALUM ELEC CONDUCTOR 1730 LF $2.35 $4,065.50 1730 $4,065.50 4 2"CONDT PVC SCH 40 1730 LF $7.65 $13,234.50 1730 $13,234.50 Sub-Total of Previous Unit $68,792.00 $68,792.00 Thursday,October 18,2018 Page 2 of 4 City Project Numbers 100539 DOE Number 0539 i Contract Name LASATER RANCH PHASE 2 Estimate Number 1 Contract Limits Payment Number I Project Type ST LIGHT For Period Ending 10/15/2018 Project Funding Contract Information Summary Original Contract Amount $68,792.00 Change Orders Total Contract Price $68,792.00 Total Cost of Work Completed $68,792.00 Less %Retained $0.00 Net Earned $68,792.00 Earned This Period $68,792.00 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 $68,792.00 Thursday,October 18,2018 Page 3 of 4 Ills 2 8 :i-- 84 8 s s 88a_ F a y i I �^ �W W P Ayq AAjZ�11I^ AAA WA1W': W �iWW NPA � Z � � sI Iii_ €l illiP3 + Y 1g �$j[@. 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SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS THIS PERIOD PREVIOUS PERIOD TOTALS 103 TO DATE *REMARKS: 30 contract days+73 days over contract Total days: 103 CONTRACTOR DATE INSPECT4k DATE ENGINEERING DEPARTMENT The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 AFFIDAVIT STATE OF TEXAS COUNTY OFTARRANT Before me, the undersigned authority, on this day personally appeared RICHARD W OLFE, 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: Lasater Ranch Phase 2—City Project No. 100539 BY: &, chard 1 ,President BS RI ED AND SWORN TO BEFORE ME on this�q/day of 2018. , gv'n�4� CH=GARCIAAzNotaryexasComm020Not5 otary Public, State of Texas CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT CONTRACTOR ❑ TO FINAL PAYMENT OTHER El (SIMILAR TO AIA DOCUMENT G707) Bond No. 8028450 PROTECT: Street Lighting Improvements for Lasater Ranch Phase 2 (name,address)Fort Worth, Texas TO (Owner) ARCHITECT'S PROJECT NO: City of Fort Worth CONTRACT FOR: Above Project 200 Texas Street Fort Worth, Texas 76102 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 name and address of Surety Company) Westfield Insurance Company 555 Republic Drive, Suite 450 Plano, 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 19th day of October ?018 WESTFIELD INSURANCE COMPANY Surety Comp By Signatur uthortzed Representative Attest: (Sea]): 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 THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARINU i HIS SAMt POWER#AND ISSUED PRIOR TO 04/20/11, 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 Attorney(s)-in-Fact,with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, 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 it such bonds were signed by the President,sealed with the corporate seal 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-Fact 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 Corporate •i 4% ,.,.u•.»...., ,..»a...N... Seals r S '� c" `P_%%o •L.:N`'•,, MSU Nry WESTFIELD INSURANCE COMPANY P �+p a-uR»•k�p ti, ,�`� qNA •sG •° �•.,-�y�, WESTFIELD NATIONAL INSURANCE COMPANY Affixed..; .es. -. p o; - OHIO FARMERS INSURANCE COMPANY Fz SEAL 1,2, i4c2ti84 — State of Ohio •'••••�•""` By: yRichard 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 resides`in Medina, Ohio;that he is Senior Exectftive 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 •."...•'••••""w, Seal William J. Kahelin,A rney at Law,Notary Public State of Ohio °s d. Q',#o My Commission Does Not Expire(Sec.147.03 Ohio Revised Code) County of Medina ss.: �'}•i�; ».,....•...•.. 1,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 atfixea the seals of said Companies at Westfield Center, Ohio, this 19t1i day of Octobe'�asu kN�2018 ,�.Q..A..N, "�%SU`"''4 Ln Itou fr 'si t p . c...• ;yz y w--VVkT 3 I 4 N• � A di SL'AL :m, _o: •mar ! Secretary ;.,y� { ,, o: :•1848.4 = Frank A.Carrino, Secretat*y _,. BPOAC2 (combined) (06-02) Green Sheet Lasater Ranch Phase 2 Street Lights . Adobe Sign Document History 10/29/2018 -- - Created: 10/19/2018 By: Etta Bacy(etta.bacy@fortworthtexas.gov) Status: Signed Transaction ID: CBJCHBCAABAAgVsd6NENM5WD5BLu5wog-IISIKHCdprk "Green Sheet Lasater Ranch Phase 2 Street Lights" History Document created by Etta Bacy(etta.bacy@fortworthtexas.gov) 10/19/2018-9:44:29 AM CDT-IP address:209.194.29.100 w. Document emailed to Richard Wolfe (rwolfe@iuctx.com)for signature 10/19/2018-9:48:52 AM CDT 5 Document viewed by Richard Wolfe(rwolfe@iuctx.com) 10/19/2018-11:06:57 AM CDT-IP address:66.249.80.62 Richard Wolfe(rwolfe@iuctx.com) uploaded the following supporting documents: (9/ File Attachment 1 (O/ File Attachment 2 10/19/2018-12:29:16 PM CDT O'. Document e-signed by Richard Wolfe (rwolfe@iuctx.com) Signature Date:10/19/2018-12:29:16 PM CDT-Time Source:server-IP address:75.139.243.146 C; Document emailed to Jarad Souders (farad.souders@fortworthtexas.gov)for signature 10/19/2018-12:29:16 PM CDT v Document viewed by Jarad Souders (farad.souders@fortworthtexas.gov) 10/19/2018-12:33:39 PM CDT-IP address:76.198.239.107 6 Document e-signed by Jarad Souders aarad.souders@fortworthtexas.gov) Signature Date:10/19/2018-12:35:01 PM CDT-Time Source:server-IP address:76.198.239.107 Document emailed to william mason (william.mason@fortworthtexas.gov)for approval 10/19/2018-12:35:02 PM CDT Document viewed by william mason (william.mason@fortworthtexas.gov) 10/19/2018-1:32:43 PM CDT-IP address:209.194.29.100 FoxJy _r Adobe Sign Fe cument approved by william mason (william.mason@fortworthtexas.gov) roval Date:10/19/2018-4:02:34 PM CDT-Time Source:server-IP address:209.194.29.100 'o- Document emailed to G.SAHU, PM (gopal.sahu@fortworthtexas.gov)for signature 10/19/2018-4:02:35 PM CDT Document viewed by G.SAHU, PM (gopal.sahu@fortworthtexas.gov) 10/22/2018-8:54:14 AM CDT-IP address:209.194.29.100 6p Document e-signed by G.SAHU, PM (gopal.sahu@fortworthtexas.gov) Signature Date: 10/22/2018-8:54:40 AM CDT-Time Source:server-IP address:209.194.29.100 P+ Document emailed to Janie Scarlett Morales (Janie.morales@fortworthtexas.gov)for signature 10/22/2018-8:54:41 AM CDT Document viewed by Janie Scarlett Morales Qanie.morales@fortworthtexas.gov) 10/22/2018-8:56:37 AM CDT-IP address:209.194.29.100 d@ Document e-signed by Janie Scarlett Morales (Janie.morales@fortworthtexas.gov) Signature Date:10/22/2018-8:57:25 AM CDT-Time Source:server-IP address:209.194.29.100 P-► Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 10/22/2018-8:57:25 AM CDT Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov) 10/22/2018-9:41:35 AM CDT-IP address:209.194.29.100 6p Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:10/22/2018-9:41:51 AM CDT-Time Source:server-IP address:209.194.29.100 P4 Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 10/22/2018-9:41:52 AM CDT Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 10/22/2018-11:50:54 AM CDT-IP address:209.194.29.100 �o Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date: 10/22/2018-11:51:08 AM CDT-Time Source:server-IP address:209.194.29.100 '► Document emailed to Zelalem Arega (Zelalem.Arega@fortworthtexas.gov)for delivery 10/22/2018-11:51:09 AM CDT Document viewed by Zelalem Arega (Zelalem.Arega@fortworthtexas.gov) 10/26/2018-9:04:46 AM CDT-IP address:209.194.29.100 6a Document receipt acknowledged by Zelalem Arega (Zelalem.Arega@fortworthtexas.gov) Receipt Acknowledgement Date:10/26/2018-9:32:35 AM CDT-Time Source:server-IP address:209.194.29.100 FORTWORTHy Adobe Sign C: Document emailed to Julie A Geho oulie.geho@fortworthtexas.gov)for delivery 10/26/2018-9:32:36 AM CDT Document viewed by Julie A Geho oulie.geho@fortworthtexas.gov) 10/26/2018-10:36:14 AM CDT-IP address:209.194.29.100 !�. Document receipt acknowledged by Julie A Geho Oulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:10/26/2018-10:36:25 AM CDT-Time Source:server-IP address:209.194.29.100 > Document emailed to TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov)for delivery 10/26/2018-10:36:27 AM CDT Document viewed by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) 10/29/2018-1:07:56 PM CDT-IP address:209.194.29.100 amu, Document receipt acknowledged by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:10/29/2018-1:08:03 PM CDT-Time Source:server-IP address:209.194.29.100 Signed document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov), william mason (william.mason @fortworthtexas.gov), Jarad Souders (farad.souders@fortworthtexas.gov), Allison Tidwell (cso_finalpay@fortworthtexas.gov), and 7 more 10/29/2018-1:08:03 PM CDT FORTWORTH. , Adobe Sign