HomeMy WebLinkAboutContract 49608-FP3 I
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City Secretary
Contract No. 49608 -FP3
FORT WORTH(k Date Received Dec 10,2018
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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: Copper Creek PH2
City Project No.: 100911
Improvement Type(s): ❑ Paving ❑ Drainage M Street Lights ❑ Traffic Signals
Original Contract Price: $85,881.93
Amount of Approved Change Order(s):
Revised Contract Amount $85,881.93
Total Cost of Work Complete: $85,881.93
Richard%elle(Nov , 018; Nov 5,2018
Contractor Date
Independent Utility Construction,Inc.
I Title
President
Company Name
CLIyyleI0 82y%ht
Charles D.Bevins(Det 6,2018) Dec 6,2018
Project Inspector Date
a,"bJ4 PM Dec 7,2018
Project Manager Date
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�Dec 7,:O1N1,7,NIM Dec 77 2018
J- r'ctt t.foralc:
'CFA Manager Date
SA(ratiAlatiir Dec 9,2018
Asst. City Manager Date
Page 1 of 2
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX
Notice of Project Completion
Project Name: Copper Creek PH2
City Project No.: 100911
City's Attachments
Final Pay Estimate
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: 162
Work Start Date: 10/16/2017 Work Complete Date: 10/29/2018
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10091 )
City Project Numbers 100911 DOE Number 9110
Contract Name COPPER CREEK PH2 Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHTS For Period Ending 10/29/2018
Project Funding
I
Project Manager NA City Secretary Contract Number
Inspectors CORDOVA / BEVINS Contract Date 7/25/2017
Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 30 CD
5109 SUN VALLEY DRIVE Days Charged to Date 162 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 $85,881.93
Less %Retained $0.00
Net Earned $85,881.93
Earned This Period $85,881.93
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 $85,881.93
Monday,November 5,2018 Page 4 of
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name COPPER CREEK PH2
Contract Limits
Project Type STREET LIGHTS
City Project Numbers 100911
DOE Number 9110
Estimate Number 1 Payment Number 1 For Period Ending 10/29/2018
CD
City Secretary Contract Number Contract Time 3ED
Contract Date 7/25/2017 Days Charged to Date 162
Project Manager NA Contract is 100.00 Complete
Contractor 1NDEPENDEN"1'UULrfY CONSTRUCTION
5109 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors CORDOVA / BEVINS
Monday,November 5,2018 Page 1 of 4
City Project Numbers 100911 DOE Number 9110
Contract Name COPPER CREEK PH2 Estimate Number 1
Contract Limits Payment Number 1
Project Type STREET LIGHTS For Period Ending 10/29/2018
Project Funding
STREET LIGHTING
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 LIGHT POLE ASSEMBLY TYPE 11 POLE, 25 EA $1,713.00 $42,825.00 25 $42,825.00
SINGLE 33B ARM ATBO LED LUMINATE
2 CONCRETE FOUNDATION TYPE 1 25 EA $825.60 $20,640.00 25 $20,640.00
3 2"CONDUIT PVC SCH 40(T) 2097 LF $8.23 $17,258.31 2097 $17,258.31
4 NO.6 INSULATED ELEC CONDR 6291 LF $0.82 $5,158.62 6291 $5,158.62
-----------------------------------------
Sub-Total of Previous Unit $85,881.93 $85,881.93
---------------------------------------
Monday,November 5,2018 Page 2 of 4
City Project Numbers 1.00911 DOE Number 9110
Contract Name COPPER CREEK PH2 Estimate Number 1
Contract Limits Payment Number 1
Project Type STREET LIGHTS For Period Ending 10/29/2018
Project Funding
Contract Information Summary
Original Contract Amount $85,881.93
Change Orders
Total Contract Price $85,881.93
Total Cost of Work Completed $85,881.93
Less %Retained $0.00
Net Earned $85,881.93
Earned This Period $85,881.93
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 $85,881.93
Monday,November 5,2018 Page 3 of 4
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, on this day personally appeared RICHARD
WOLFE, 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: Copper Creek Phase 2—City Project No. 100911
BY:
T-Kichard Wolfe,President
SI-MSCRIBED AND SWORN TO BEFORE ME on this day of
2018.
"urr! CHRISTINA GARCIA /
:�ZPQY PUB i
?i•' •c:Notary Public,State Texas
..,.`yQ� Comm. Expires 12-200-2020
OF h�� Notary ID 130940785rt
nnus�.
Notary Public, State of Texas
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT F1
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
OTHER
(SIMILAR TO AIA DOCUMENT G707)
Bond No. 8028456
PROJECT: Copper Creels Phase 2
(name,address)Fort Worth, Texas
TO (Owner)
ARCHITECTS PROJECT NO:
F—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 l Oth day of September 2018
WESTFIELD INSURANCE COMPANY
Surety Co an
B
Signature of Authorized Representative
Attest: '
(Seal): 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 t till JAMt
POWER#AND ISSUED PRIOR TO 04/20111, FOR ANY PERSON OR PERSONS NAMED BELOW,
General
POWER NO- 4220052 06
Power Westfield Insurance Co.
of Attorney Westfield National insurance Co.
Ohio Farmers Insurance Co.
CERTIFIED COPY 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 Attorneys)-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 GUARANI EL, MOR I GAGE DEFICIENCY, MORTGAGE
GUARANTEE, OR BANK DEPOSITORY BONDS.
and to bind any of the Companies thereby as fully and to the same extent as if 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 Attorneys)-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 �.•L1,L-;u � ,, �;ONgL�'• ��#SU` WESTFIELD INSURANCE COMPANY
seals \ •. •• C� ,� �o,..•• -•-YS''- j ,...R.(y.� WESTFIELD NATIONAL INSURANCE COMPANY
Affixed, .n. �, o: GP �-' ':F OHIO FARMERS INSURANCE COMPANY
µlb i Fa"s..l+.,tjn. _N: SEAL :m_' c:-
•.` .�. °Y - o," ='ra:,1848:-A-
By
State of Ohio "" k'' """ Richard 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 residesin Medina, Ohio;that he is Senior Exectitive 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,,`
Seat
Affixed A.P.
^ William J. Kahelin,A rney at Law,Notary Public
State of Ohio N a "w'?o My Commission Does Not Expire(Sec.147.03 Ohio Revised Code)
County of Medina ss.: ap Aiii, �,-
TeOF � .
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 affixed the seals of said Companies at Westfield Center, Ohio, this loth day of
Septembea„„-D;;�, 201
rte.\SSt1Fi tdf (1nNA �N
cL -sc~n SEAL •m_ -o iaE Secretary
�7,, 'o; ;.1848 :�_ Frank A. Carrino, Secretary
BPOAC2 (combined) (06-02)
Green Sheet CPN 100911
-� '- Copper Creek PH 2 Street
= _ Lights
-- Adobe Sign Document History 12/12/2018
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Status: Signed
Transaction ID: CBJCHBCAABAA_6KgwD2181JVnIGtj8p-FiLOL45AIr5F
"Green Sheet CPN 100911 Copper Creek PH 2 Street Lights" Hi
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