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Home My WebLink AboutContract 49586-FP1 City Secretary -FPl ECEINED Contract No. 2 0 2018 FoRTWORTH, Date Received Dec 18,2018 Cl ��A�O _ / W3 5 ►Ns c� 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: MARINE CREEK RANCH SECTION 12 City Project No.: 100635 Improvement Type(s): O Paving ® Drainage O Street Lights 0 Traffic Signals Original Contract Price: $271,656.50 Amount of Approved Change Order(s): Revised Contract Amount Total Cost of Work Complete: $271,656.50 AlbenGran4M(Nov 19,2 a) Nov 19, 2018 Contractor Date Contract Manager Title Burnsco Construction,Inc. Company Name -; ��„ Nov 27; 2018 Project Inspector Date A.eeow4iw.vY/.m1q• Nov 27, 2018 Projpct�ager Date JemdferEslftanbebel-1JwieV""(Nov2%204 Nov 28, 2018 CFA Manager Date �� l30 Nov 28,2018 Asst. City Manager Date OFFICIAL RECORD Page 1 of 2 CITY SECRETARY FT. WORTH,TX Notice of Project Completion Project Name: MARINE CREEK RANCH SECTION 12 City Project No.: 100635 'i City's Attachments Final Pay Estimate Change Order(s): ❑ Yes ® N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 180 CD Days Charged: 400 Work Start Date: 10/2/2017 Work Complete Date: 11/6/2018 Page 2 of 2 City Project Numbers 100635 DOE Number 0635 Contract Name MARINE"CREEK RANCH SECTION 12 Estimate Number I Contract Limits Payment Number 1 r Project Type STORM DRAIN For Period Ending 11/19/2018 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / DAVIS Contract Date Contractor BURNSCO CONSTRUCTION,INC. Contract Time 180 CD 6331 SOUTHWEST BLVD Days Charged to Date 400 CD PORT WORTH, TX 76132 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 $271,656.50 Less %Retained $0.00 Net Earned $271,656.50 Earned This Period $271,656.50 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 $271,656.50 Monday,November 19,2018 Page 4 of 4 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name MARINE CREEK RANCH SECTION 12 Contract Limits Project Type STORM DRAIN City Project Numbers 100635 DOE Number 0635 Estimate Number 1 Payment Number 1 For Period Ending 11/19/2018 CD City Secretary Contract Number Contract Time 18CD Contract Date Days Charged to Date 400 Project Manager NA Contract is 100.00 Complete Contractor BURNSCO CONSTRUCTION,INC. 6331 SOUTHWEST BLVD FORT WORTH, TX 76132 Inspectors DICKINSON / DAVIS Monday,November 19,2018 Pagel of h it City Project Numbers 100635 DOL Number 0635 Contract Name MARINE CREEK RANCH SECTION 12 Estimate Number i Contract Limits Payment Number i Project Type STORM DRAIN For Period Ending 11/19/2018 Project Funding STORM DRAIN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ----------- -------------------------------- I TRENCH SAFETY 2033 LF $0.50 $1,016.50 2033 $1,016.50 2 MEDIUM STONE RIPRAP 264 SY $48.00 $12,672.00 264 $12,672.00 3 4'MANHOLE 2 EA $4,100.00 $8,200.00 2 $8,200.00 4 6'MANHOLE 1 EA $4,900.00 $4,900.00 1 $4,900.00 5 2111 RCP 214 LF $62.00 $13,268.00 214 $13,268.00 6 24"RCP 451 LF $71.00 $32,021.00 451 $32,021.00 7 27"RCP 915 LF $77.00 $70,455.00 915 $70,455.00 8 33"RCP 284 LF $101.00 $28,684.00 284 $28,684.00 9 39"RCP 29 LF $142.00 $4,118.00 29 $4,118.00 10 5X4 BOX CULVERT 140 LF $290.00 $40,600.00 140 $40,600.00 I 1 HEADWALL,BOX CULVERT 6.9 CY $880.00 $6,072.00 6.9 $6,072.00 12 15'CURB INLET 8 EA $4,500.00 $36,000.00 8 $36,000.00 13 20'CURB INLET 2 EA $6,300.00 $12,600.00 2 $12,600.00 14 REMOVE HEADWALL/SET I EA $800.00 $800.00 1 $800.00 15 REMOVE RIP RAP 250 SF $1.00 $250.00 250 $250.00 Sub-Total of Previous Unit $271,656.50 $271,656.50 ---------------------------------------- Monday,November 19,2018 Page 2 of 4 i ii City Project Numbers 100635 DOE Number 0635 Contract Name MARINE CREEK RANCH SECTION 12 Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN for Period Ending 11/19/2018 Project funding Contract Information Summary Original Contract Amount $271,656.50 Change Orders Total Contract Price $271,656.50 Total Cost of Work Completed $271,656.50 Less %Retained $0.00 Net Earned $271,656.50 Earned This Period $271,656.50 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 $271,656.50 i I� Monday,November 19,2018 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 Ab Grantges, Contract Mgr, Of Burnsco Construction,laiown 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; Marine Creek Ranch Section 12 -Water, Sanitary Sewer and Storrn Drain BY Ab Gran ges, 'ontract Manager Subscribed and sworn before me on this date 19th of November,2018. •�CESILIA CANALES Notary ID#131652996 Notary Public < My Commission Expires '•` t` July 2.1,2022 Tarrant County,Texas CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 022056866 PROJECT: (name, address)Marine Creek Ranch Section 12 Fort Worth TX TO (Owner) M&C DEVELOPMENT LTD.AND CITY OF FORT ARCHITECT'S PROJECT NO: WORTH CONTRACT FOR: 3825 Camp Bowie Blvd. Marine Creek Ranch Section 12-Water,Sanitary Sewer&Drainage Improvements Fort worth TX 76107 CONTRACT DATE: CONTRACTOR:BURNSCO CONSTRUCTION, INC. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the there 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) BURNSCO CONSTRUCTION, 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 there insert name and address of Owner) M&C DEVELOPMENT LTD.AND CITY OF FORT WORTH 3825 Camp Bowie Blvd. Fort Worth TX 76107 , 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 November,2018 LIBERTY MUTUAL INSURANCE COMPANY Gatic�j�� SureCompany Attest:Tina_McF_wan Signa re of Authorized Representative _ Sophinie Hunter Attorney-in-Fact Title NOTE: This form is to bo used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition ONE PAGE I 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.8174615 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 Casually 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 Stale 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 and by authority herein set forth,does hereby name,constitute and appoint, Robbi Morales;Don E.Cornell;'Sophmie Hunter;.V.DeLene Marshall;Tina McEwan•Ricardo J Reyna;Joshua Saunders;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 surety 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 file corporate s@als of the Companies have been affixed thereto this 8th day of August 2018 0 ��'`pra,v.p fi7. �`• .v,:,trr''�,t. c' , "tv, tr. <.,• ;;,- �c�., �.• , The Ohio Casualty Insurance Company a Liberty Mutual Insurance Company a rT 19?9 d 7912 E r P791 o WestAmerican Insurance Company ;x fl u STATE OF PENNSYLVANIA ss David M.Carey;Assistant Secretary t COUNTY OF MONTGOMERY c ;v On this 8th day of August 2018,before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance v I. a> Company,The Ohio Casually Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes >'(f p 2 therein contained by signing on behalf of the corporations by himself as a duly authorized officer. LL C C) > 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. 0 C NgA PAS,,. COMMONWEALTH OF PENNSYLVANIA Q Notarial Seal ,L OY- 0 d Teresa Pastella,Notary Public By ��R/ o aF Upper MerionTwp..Montgomery County Teresa Pastella,Notary Public y �„ •Ot„ a3 My Commission Expires March 23.2027 a tv 0 ^m::Q .0 3 +-ate+ PUg�. hlembm Pf�nuylwwia Awe.w.on of Notaries 0a. R C tc 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 .0 e Qi,� Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: w c R L 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 C ,_4-0' to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal, >a 0 acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surely obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective ' E 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 a 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 >Q 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. o s itY 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, oc E > and subject to such limitations as the chairman or the president may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Company to make,execute. N oU seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their v r 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 0 executed such instruments shall be as binding as if signed by the president and attested by the secretary, o T— Certificate of Designation—The President of the Company,acting pursuant to the Bylaws of the Company,.authorizes.pavid M.Carey,Assistant Secretary to appoint such attorneys-in- fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surely.any and all undertakings,bonds,recognizances and other surety obligations. Authorization-By unanimous consent of the Cgmpany's'Board of Directors,the Company consents that facsimile or mechanically reproduced signature or any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection wifti'aurety 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. 144 IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Ccimpanies this I day of 20Q_, �(Y INyp•, �,7ttSL,F, ,,;tt:Str�•,1 .. .. - — JA.:S�rY<,.4u 1y �.jP!%rYt"�/h11^ ��W1't%?�<.•F. _ ._ �7��._�... , ,/' By: ts` =•, ;5 ? Renee C.Llev;e ,Assistant Secretary V�<�FLiG:F'i•�tC`. ,9�)•"f c V. ~�` •;'rG1aIlA 259 of 300 LMS_12873 022017 LibertX SURETY TEXAS TEXAS IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener information o para someter una quej a: You may call toll-fr-ee for information or to Usted puede llamar al numero de telefono gratis make a complaint at para informacion 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 19406-2755 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, Seguros de Texas para obtener informacion coverages,rights or complaints at acerca de companias, coberturas, derechos o 1-800-252-3439 quejas al 1-800-252-3439 You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros Consumer Protection (111-1A) de Texas Consumer Protection (1 I I-1A) P. O. Box 149091 P. O. Box 149091 Austin, TX 78714-9091 Austin,TX 78714-9091 FAX: (512) 490-1007 FAX# (512)490-1007 Web: http://www.tdi.texaa.g_ov Web: htip://www.tdi.texas.gov E-mail: Consui-nerProtection@tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O 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 informacion become a part or condition of the attached y no se convierte en parte o condition del document. documento adjunto. NP 70 68 09 01 LMS•15292 10/15 Greensheet for Marine Creek Ranch Section 12 CPN#100635 n w,w:w SD Revised Adobe Sign Document History 12/18/2018 Created: 12/18/2018 w^ By: Shameka.Kennedy@fortworthtexas.gov Status: Delivered Transaction ID: CBJCHBCAABAAdPRU1VS2Rkn4HY71tu7HmROLxg5PeTeS "Greensheet for Marine Creek Ranch Section 12 CPN#100635 SD Revised" History Document created by Shameka.Kennedy@fortworthtexas.gov 12/18/2018-9:05:42 AM CST-I P address:209.194.29.100 C' Document emailed to Janie Scarlett Morales (Janie.morales@fortworthtexas.gov)for filling 12/18/2018-9:07:20 AM CST Document viewed by Janie Scarlett Morales Qanie.morales@fortworthtexas.gov) 12/18/2018-9:18:11 AM CST-IP address:209.194.29.100 I. b Form filled by Janie Scarlett Morales Qanie.morales@fortworthtexas.gov) p` Form filling Date:12/18/2018-9:19:46 AM CST-Time Source:server-IP address:209.194.29.100 Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 12/18/2018-9:19:46 AM CST Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 12/18/2018-9:59:22 AM CST-IP address:209.194.29.100 6,b. Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:12/18/2018-10:00:29 AM CST-Time Source:server-IP address:209.194.29.100 Document emailed to Pedro Hernandez(zelalem.arega@fortworthtexas.gov)for delivery 12/18/2018-10:00:30 AM CST Document viewed by Pedro Hernandez(zelalem.arega@fortworthtexas.gov) 12/18/2018-12:00:17 PM CST-IP address:209.194.29.100 Fox Jo Adobe p be Sign d: Document receipt acknowledged by Pedro Hernandez(zelalem.arega@fortworthtexas.gov) Receipt Acknowledgement Date:12/18/2018-12:40:11 PM CST-Time Source:server-IP address:209.194.29.100 Document emailed to Julie A Geho Qulie.geho@fortworthtexas.gov)for delivery 12/18/2018-12:40:12 PM CST `Li Document viewed by Julie A Geho Oulie.geho@fortworthtexas.gov) 12/18/2018-12:52:42 PM CST-IP address:209.194.29.100 . Document receipt acknowledged by Julie A Geho Oulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:12/18/2018-12:52:54 PM CST-Time Source:server-IP address:209.194.29.100 Document emailed to TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov)for delivery 12/18/2018-12:52:55 PM CST GI Document viewed by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) 12/18/2018-3:16:45 PM CST-IP address:209.194.29.100 Document receipt acknowledged by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:12/18/2018-3:16:54 PM CST-Time Source:server-IP address:209.194.29.100 Document emailed to Julie A Geho Qulie.geho@fortworthtexas.gov), Shameka.Kennedy@fortworthtexas.gov, TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov), Janie Scarlett Morales Qanie.morales@fortworthtexas.gov), and 2 more 12/18/2018-3:16:54 PM CST Adobe Sign