HomeMy WebLinkAboutContract 50034-FP3 City Secretary 50034 -FP3
Contract No,
FORT WORTH.. Date Received Oct 25,2018
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: FOSSIL CREEK PHASE I
City Project No.: 101077
Improvement Type(s): ❑ Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $47,942.80
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $47,942.80
va"' L� f�� Q
Rob Taylo�8, OctO�t 18, 2018
Contractor Date
Project Coordinator/AR
Title
Gilco Contracting,Inc.
Company Name
lorrie Pitts Oct 22.2018) Oct 22 72018
Project Inspector Date
k 2 �aOct 23 2018
Victor V.Tom—Jr.(Oct 23,2036)8) ,
Project Manager Date
�79;rre Lazp/t A(am44 r Oct 24, 2018
Janie Scarlett Idorales(Oct 24,2018)
CFA Manager Date
SaIA,,y Oct 24, 2018
Susan Alanis(Oct 24,2018)
Asst. City Manager Date
CITY SECRETARY ' Page 1 of 2
FT WORTH,TX
Notice of Project Completion
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Project Name: FOSSIL CREEK PHASE I it
City Project No.: 101077
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City's Attachments
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Final Pay Estimate N
Change Order(s): ❑ Yes N NIA
Contractor's Attachments
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Affidavit of Bills Paid
Consent of Surety ,r
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Statement of Contract Time
Contract Time: 180 CD Days Charged: 240
Work Start Date: 2/14/2018 Work Complete Date: 10/11/2018
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City Project Numbers 101077 DOE Number 1077
Contract Name FOSSIL CREEK PHASE I Estimate Number I
Contract Limits Payment Number 1
Project Type STREET LIGHTING For Period Ending 10/15/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON / CHAMBERS Contract Date 1/4/2018
Contractor GILCO CONTRACTING,INC. Contract Time 180 CD
6331 SOUTHWEST BLVD. Days Charged to Date 240 CD
BENBROOK, TX 76132-1063 Contract is .000000 Complete
CITY OF FORT WORTH
C �!
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
-- I
i
Total Cost of Work Completed $47,942.80
Less %Retained $0.00
Net Earned $47,942.80
Earned This Period $47,942.80
Retainage This Period $0.00
Less Liquidated Damages
0 Days a $0.00 /Day $0.00
LessPavement Deficiency $0.00 i
Less Penalty $0.00
Less Previous Payment $0.00
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $47,942.80
I
Monday,October 15,2018 Page 4 of 4
FORT VWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name FOSSIL CREEK PHASE 1
Contract Limits
Project Type STREET LIGHTING
City Project Numbers 101077
DOE Number 1077
f.
Estimate Number I Payment Number I For Period Ending 10/15/2015
CD
City Secretary Contract Number Contract Time 180D
Contract Date 1/4/2018 Days Charged to Date 240
Project Manager NA Contract is 100.00 Complete
Contractor GILCO CONTRACTING,INC.
6331 SOUTHWEST BLVD.
BENBROOK, TX 76132-1063
Inspectors DICKINSON / CHAMBERS
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Page I of 4
Monday,October 15,2015
4441
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City Project Numbers 101077 DOE Number 1077
Contract Name FOSSIL CREEK PHASE I Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHTING For Period Ending 10/15/2018
Project Funding
UNIT V:STREET LIGHTING IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 50 W LED LIGHTING FIXTURE TYPE I I W/3313 13 EA $2,740.00 $35,620.00 13 $35,620.00
ARM
2 2"CONDUIT PVC SCH 40(T) 1304 LF $7.20 $9,388.80 1304 $9,388.80
3 NO 10 INSULATED ELEC CONDR.COPPER 3912 LF $0.75 $2,934.00 3912 $2,934.00
Sub-Total of Previous Unit $47,942.80 $47,942.80
---------------------------------------
Monday,October 15,2018 Page 2 of 4
City Project Numbers 101077 DOE Number 1077
Contract Name FOSSIL CREEK PHASE 1 Estimate Number I
Contract Limits Payment Number 1
Project'rype STREET LIGHTING For Period Ending 10/15/2018
Project Funding
Contract Information Summary
Original Contract Amount $47,942.80
Chantze Orders
Total Contract Price $47,942.80
Total Cost of Work Completed $47,942.80
Less %Retained $0.00
Net Earned $47,942.80
Earned This Period $47,942.80
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 $47,942.80
Monday,October 15,2018 Page 3 of 4
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 Rob Taylor, Project
Coordinator of Gilco Contracting, Inc.,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 frill;
That the wage scale established by the City Council in the City of
Fort Worth has been paid in frill;
That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
Paving Improvements to serve: Fossil Creek ,Phase 1
BY: R4 Taylor
Subscribed and sworn before me on this l 3th of September ,2018.
tis•°�e CESILIA CANALES
NotaryID x7131652996 Notary Public
My Commission Expires
.July 24 2022 Tarrant County,TX
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 022059373
PROJECT:
(name, address)Fossil Creek Phase 1
Fort Worth TX
TO (Owner)
PULTE HOMES OF TEXAS,L.P.AND CITY OF FORT? ARCHITECT'S PROJECT NO:
WORTH CONTRACT FOR:
4800 Regent Blvd. Suite 100 Fossil Creek Phase 1 -Water,Sanitary Sewer,Drainage,Paving and
Street Lighting Improvements
Irving TX 75063 CONTRACT DATE:
CONTRACTOR:GILCO CONTRACTING, 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)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
GILCO CONTRACTING, INC.
6331 Southwest Boulevard
Benbrook TX 76132 , 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)
PULTE HOMES OF TEXAS, L.P.AND CITY OF FORT WORTH
4800 Regent Blvd. Suite 100
Irving TX 75063 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 13th day of September, 2018
LIBERTY MUTUAL INSURANCE COMPANY
Sur,�V Company
Attest:Robbi Morales avu;z-�, Z"
(Seal): Signa re of Authorized Representative
Sophinie Hunter 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
ONE PAGE
THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND.
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.
Certificate No.8138449
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly
organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to andbyauthority herein set forth,does hereby name,constitute and appoint,
Robbi Morales:Don E.Cornell-,Sophinie Hunter;V.DeLene Marshall;Tina McEwan•Ricardo J Reyna,Kelly A Westbrook
all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful attorney-in-fact to make,execute,seal,acknowledge
and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surely obligations,in pursuance of these presents and shall
be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons.
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 26th day of June 2018
co
�;ud„b t tt:S:'F •�1F•ISUr v
s ','"'„r ='P��^'�:<r°� r•^�'°^ ''`r The Ohio Casualty Insurance Company
cn
o �<
cl 15t�v iota ; >r iga1 1Liberty Mutual Insurance Company
West
/American Insurance Company
* * f �s L•Y
STATE OF PENNSYLVANIA ss David M.Carey.Assistant Secretary
+% COUNTY OF MONTGOMERY
On this 26th day of June , 2018,before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance ITS— L)f-
V d Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes
p 2 officer. W
therein contained by signing on behalf of the corporations by himself as a duly authorized
' > IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. O CL
N (C P PAS COMMONWEALTH OF PENNSYLVANIA (/�f-�� =:G
kl�d?° F t< Notarial Seal
.4) !^ " $ y' Teresa Paslella,Notary Public By: 1�'� �..._.LQ& p
0 �� °F Upper Marion Twp.,Monigome County Teresa Paslella,Notary Public
L F3 My Commission Expires March 28.2021 3 m
wL` v
O.(1) 20)q 4� Membef.Penrlt.'y1Va1Ua ASSOGiiilierl nr NOlanri6 a0 E
C «s This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual rp o
N Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: +=G
0)0 r..
M ID ARTICLE IV-OFFICERS-Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O O
to such limitation as the Chairman or the President may prescribe.shall a y y necessary Corporation y p appoint such attome s-in-fact,as may be necessa to act in behalf of the Co oration to make,execute,seal, ,>%�
O c acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such atiorneys-in-fact,subject to the limitations set forth in their respective T3 3
powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so @
O mt4 executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under >.0
the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. Q
..�
�c,s r ARTICLE XIII-Execution of Contracts-SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president,
> and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute, E N
o seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations, Such attomeys-in-fact subject to the limitations set forth in their —' :
respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to.attach thereto the seal of the Company. When so 00
executed such instruments shall be as binding as if signed by the president and attested by the secretary. o 0
Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-m-
fact
r
fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety
obligations.
Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this /v` day of lJG 20_Lk_.
M`� '�\7 �J��pPUfci,.�•}�.. „C1`i�.I•o/lq, 1C. /]
L
C,..1'1`3 t 19t7_ 2 ty9t J 1' By. -
D _ Renee C.Uew ssistant Secretary
+.• ',, v .,1;roll, 1+YAn!� 'C
160 of 300
LMS 12873_022017
Liberty
Mutual.
SURETY
TEXAS TEXAS
IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener information o para someter una
queja:
You may call toll-free for information or to Usted puede hamar al numero de telefono gratis
make a complaint at para information o para someter una queja al
1-877-751-2640 1-877-751-2640
You may also write to: Usted tambien puede escribir a:
2200 Renaissance Blvd., Ste. 400 2200 Renaissance Blvd., Ste. 400
King of Prussia, PA 1.9406-2755 King of Prussia,PA 19406-2755
You may contact the Texas Department of Puede comunicarse con el Departamento de
Insurance to obtain information on companies, Seguroacerca sde eTexas companiasara obteer coberturas, de echosioo
coverages, rights or complaints at
1-800-252-3439 quejas al
1-800-252-3439
You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros
y de Texas Consumer Protection (111-IA)
Consumer Protection (I I 1-lA) p
P. 0. Box 149091 P. p, Box 149091
Austin, TX 78714-9091 Austin, TX 78714-9091
FAX: (512) 490-1007 FAX#(512) 490-1007
Web: htto'//www tdi.texas.gov Web:http://www td.texas.EOV
E-mail: ConsumerProtectionna tdi.te�s.gov
E-mail: Cons umerProtection gtdi.texas.gov
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS 0 RECLAMOS:
Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a
premium or about a claim you should first un reclamo, debe comunicarse con el agente o
contact the agent or call 1-800-843-6446. primero. Si no se resuelve la disputa, puede
If the dispute is not resolved, you may contact the entonces comunicarse con el departamento (TDI)
Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR
UNA ESTE AVISO A SU POLIZA:
''•
POLICY:
This notice is for information only and does not Este aviso es solo para proposito de information
e attached y no se convierte en parte o condition del
become a part or condition of th
documento adjunto.
document.
NP 70 68 09 01
LMS-15292 10115
Greensheet for Fossil Creek
- -� Phase I CPN#101077 SL
Adobe Sign Document History 10/29/2018
_ Created: 10/15/2018
By: Shameka.Kennedy@fortworthtexas.gov
Status: Signed
Transaction ID: CBJCHBCAABAAIBpBu9gyHVLruPZrH-mvXCz6EZPM79uN
"Greensheet for Fossil Creek Phase I CPN#101077 SL" History
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