HomeMy WebLinkAboutContract 49586-FP3 City Secretary 49586 -FPS
�a Contract No.
^71VED FORTWORTH.) Date Received Dec 18,2018
DE 202018 5-9(001 -FORT
CIC FSE RETARY V"OR41
NOTICE OF PROJECT COMPLETION
(Developer Projects) 1
The Transportation and Public Works Department upon the recommendation of the Project i
Manager has accepted the following project as complete: Ii
Project Name: MARINE CREEK RANCH SECTION 12 #
City Project No.: 100635
Improvement Type(s): Water 0 Sewer
Original Contract Price: $522,759.80
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $522,759.80
n
Albert Gran 18,1 .8) . Nov 19,2018
Contractor Date
Contract Manager
Title
Burnsco Construction,Inc.
Company Name
N
Jesse ov*"Z_ oto} Nov 26,2018
Project Inspector Date
Aaron long(Neva,q- Nov 26,2018
Pryo ect Manager Date
Jennifer Ezernack on heha It of Janie Morales(Nov 28,2013) Nov 28,2018
CF Manager Date O
Susan Alanis(Nov 28,2018) Nov 28,2018
f
Asst. City Manager Date
OFFICIAL RECORD Page 1 of 2
CITY SECRETARY
FT WORTH,TX
p
Notice of Project Completion
Project Name: MARINE CREEK RANCH SECTION 12
City Project No.: 100635
City's Attachments
'
Final Pay Estimate 9 ,
Change Order(s): ❑ Yes 0 N/A
Pipe Report: 0 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
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City Project Numbers 100635 DOE Number 0635
Contract Name MARINE CREEK RANCH SECTION 12 Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER 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
FORT 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 $522,759.80
Less %Retained $0.00
Net Earned $522,759.80
Earned This Period $522,759.80
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 IS% $0.00
Balance Due This Payment $522,759.80
Monday,November 19,2018 Page 4 of 4
FORT WORTH
CITY OF FORT WORTII
FINAL PAYMENT REQUEST
i
Contract Name MARINE CREEK RANCH SECTION 12
Contract Limits
Project Type WATER&SEWER
City Project Numbers 100635
DOE Number 0635
Estimate Number 1 Payment Number I For Period Ending 11/19/2018
CD
City Secretary Contract Number Contract Time 18GD
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 Page I of 4
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City Project Numbers 100635 DOE Number 0635
Contract Name MARINE CREEK RANCH SECTION 12 Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 11/19/2018
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 TRENCH SAFETY 4208 LF $0.10 $420.80 4208 $420.80
2 DUCTILE IRON FITTINGS W/RESTRAINT 0.9 TN $8,800.00 $7,920.00 0.9 $7,920.00
3 8"PVC WATER PIPE 4138 LF $24.50 $101,381.00 4138 $101,381.00
4 8"DIP WATER 70 LF $66.00 $4,620.00 70 $4,620.00
5 FIRE HYDRANT 7 EA $2,800.00 $19,600.00 7 $19,600.00
6 P WATER SERVICE 106 EA $810.00 $85,860.00 106 $85,860.00
7 8"GATE VALVE 10 EA $1,250.00 $12,500.00 10 $12,500.00
8 6"GATE VALVE 6 EA $780.00 $4,680.00 6 $4,680.00
9, 12"X 6"TAPPING SLEEVE&VALVE 1 EA $3,800.00 $3,800.00 1 $3,800.00
10 12"X 8"TAPPING SLEEVE&VALVE 2 EA $4,400.00 $8,800.00 2 $8,800.00
--------------------------------------
Sub-Total of Previous Unit $249,581.80 $249,581.80
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
----------------------------------------
1 POST CCTV INSPECTION 3964 LF $1.50 $5,946.00 3964 $5,946.00
2 MANHOLE VACUUM TESTING 17 EA $110.00 $1,870.00 17 $1,870.00
3 TRENCH SAFETY 3964 LF $1.00 $3,964.00 3964 $3,964.00
4 CONCRETE ENCASEMENT FOR UTILITY PIPES 2.5 CY $400.00 $1,000.00 2.5 $1,000.00
5 4"SEWER SERVICE 106 EA $620.00 $65,720.00 106 $65,720.00
6 8"SEWER PIPE 3591 LF $33.00 $118,503.00 3591 $118,503.00
7 8"SEWER PIPE CSS BACKFILL 190 LF $43.00 $8,170.00 190 $8,170.00
8 1011 SEWER PIPE 143 LF $35.00 $5,005.00 143 $5,005.00
9 10"SEWER PIPE CSS BACKFILL 40 LF $47.00 $1,880.00 40 $1,880.00
10 4'MANHOLE 16 EA $2,500.00 $40,000.00 16 $40,000.00
11 4'EXTRA DEPTH MANHOLE 30 VF $110.00 $3,300.00 30 $3,300.00
12 5'MANHOLE 1 EA $5,100.00 $5,100.00 1 $5,100.00
13 Y EXTRA DEPTH MANHOLE 4 VF $180.00 $720.00 4 $720.00
14 EPDXY MANHOLE LINER 60 VF $200.00 $12,000.00 60 $12,000.00
-----------------------------------------
Sub-Total of Previous Unit $273,178.00 $273,178.00
Monday,November 19,2018 Page 2 of 4
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City Project Numbers 100635 DOE Number 0635
Contract Name MARINE CREEK RANCH SECTION 12 Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 11/19/2018
Project Funding
Contract Information Summary
Original Contract Amount $522,759.80
Change Orders
Total Contract Price $522,759.80
I
Total Cost of Work Completed $522,759.80
Less %Retained $0.00
Net Earned $522,759.80
I
Earned This Period $522,759.80
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 $522,759.80
Monday,November 19,2018 Page 3 of 4
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FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Marine Creek Ranch Section 12
PROJECT NUMBER: 100635
DOE NUMBER: 100635
WATER
PIPE LAID SIZE TYPE OF PIPE LF
Water 8" PVC C 900 4138
Water 1" Copper Pipe 106
Water 8" DIP 70
FIRE HYDRANTS: 7 VALVES(16" OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: yes
NEW SERVICES:
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
Sewer 8" PVC C900 3591
Sewer Clean out 4" PVC C900 106
Sewer CSS Backfill 8" PVC C900 190
Sewer 10" PVC C900 143
Sewer CSS Backfill 10" PVC C900 40
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: yes
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
i
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,
Contact Mgr, Of Burnsco Construction,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;
Marine Creek Ranch Section 12 -Water, anitary Sewer and Storm Drain
BY
Ab Granges, bntract Manager
Subscribed and sworn before me on this date 19th of November,2018.
CE5ILIA CANALES
Notary ID#131652996
Notary PublicMy Commission Expires
July 24, 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
TO (Owner) Fort Worth TX
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
(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)
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 (here 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
Lnt31f. ---' Sure Company
Attest:Tina.McFwan
(Seal):. Signa re of Authorized Representative
- _ Sophinie Hunter Attorney-in-Fact
Title
NOTE: This form is to 6e 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.
i 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.8174815
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 Nevi 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 and by authority herein set forth,does hereby name,constitute and appoint,
Robbi Morales;Don E.Cornell;-Sophinie Hunter;V.DeLene Marshalls 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
j 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 8th day of August 2018
0
)��por.rt.;`/h�, r�"tM$ry,�,�. CN cr1/:�•I•
Z
_/ <Y �., _��,• The Ohio Casualty Insurance Company 0
t}I Liberty Mutual Insurance Company a
f. s
West�merican Insurance Company
e STATE OF PENNSYLVANIA ss David M.Carey;Assistanl Secretary C
n
COUNTY OF MONTGOMERY t
d On this 8th day of August 2018,before me personally appeared David Ad.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o f—
O tv 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 V
0.2 therein contained by signing on behalf of the corporations by himself as a duly authorized officer. C U
R
0> > IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,ort the day and year first above written. 0 L
Ne,;, PAS, COMMONWEALTH OF PENNSYLVANIA C
QL`Fy�OtllYFp f f _ e B Q tx
( Notanai Seal : p� O d
I Teresa Pastella,Notary Public 8y ,(�C./LC CC��tt _.__.�
O i °F Upper merionTwp..Montgomery county Teresa Pastetia,Notary Public y
i ,i fly Commission Expires March 2S.2021 R
ORy pVgv tdemtx;r.Pennsplvania Asscx:Wnon ul Notaries a CS
C to This Power of Attorney is trade and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company,Liberty Mutual w
qj Insurance Company,and West American insurance Company which resolutions are now in full force and effect reading as follows: e
,, ..
w�
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
i 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, y a
O 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 respective 3
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
p 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 >
a 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. d
CN
Ca 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 presidento�
L and subject to such limitations as the chairman or[lie president may prescribe,shall appoint such altomeys-in-fact,as Wray be necessary to act in behalf of the Company to make,execute, M
oo vseal,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 �
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 president and attested by the secretary. O cD
y
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-in- h—
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 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 riot been revoked.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this day of 20 , .
~ 1912 \ .= 1991 _ By:
h. y" Z Renee C.Lley)erylT,Assistant Secretary
259 of 300
U.1S '12823 022017
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LibertT
mutual.
SURETY
TEXAS TEXAS
IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener informacion o para someter una
quej a:
You may call tall-free 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
i
You may contact the Texas Department of Puede comunicarse con el Departamento de
Insurance to obtain infonnation on companies, Seguros de Texas para obtener infonnacion
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 (111-IA)
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.texas.gov Web: http://www.tdi.texas.gov
E-mail: ConsumerProtection@tdi.texas.g_ov E-mail: ConsumerProtection@tdi.texas.aov
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 departarnento (TDI)
Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR UNA ESTE AVISO A SU POLIZA:
POLICY:
This notice is for infonnation only and does not Este aviso es solo para proposito de infonnacion
become a part or condition of the attached y no se convierte en parte o condicion del
document. documento adjunto.
NP 70 68 09 01
LMS•15292 10115
-- -Fner15�TicGreensheet for Marine Creek
� -------
= =. - Ranch Section 12 CPN#100635
WS Revised
Adobe Sign Document History 12/18/2018
-.•�-_______ Created: 12/18/2018
::, ..
By: Shameka.Kennedy@fortworthtexas.gov
Status: Delivered
Transaction ID: CBJCHBCAABAABCMHNnWT-xYHfYOJ9-G5odU2eWHnYVPS
"Greensheet for Marine Creek Ranch Section 12 CPN#100635
WS Revised" History
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