HomeMy WebLinkAboutContract 49170-FP3 City Secretary 49170 -FP3
Contract No.
FORTWORTH, Date Received 12/17/2018
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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: Morningstar Section 7 Phase 2
City Project No.: 100926
Improvement Type(s): ® Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $651,648.67
Amount of Approved Change Order(s):
Revised Contract Amount: $651,648.67
Total Cost of Work Complete: $651,648.67
fow&u� Dec 12, 2018
Contractor Date
President
Title
JLB Contracting,LLC
Company Name
r Dec 12, 2018
Project Inspector Date
Dec 12, 2018
Project Manager Date
jk#4Sr,� 1fkt91& Dec 18 2018
Janie a!"Masks M"IX 201D) f
CFA Manager Date
smx� diA Dec 18, 2018 _
Asst. City Manager Date
OFFICIAL RECORD Page 1 of 2
CITY SECRETARY
FT. WORTH,TX
Notice of Project Completion
Project Name: Morningstar Section 7 Phase 2
City Project No.: 100926
City's Attachments
Final Pay Estimate O
Change Order(s): ❑ Yes O N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 60 CD Days Charged: 60
Work Start Date: 2/12/2018 Work Complete Date: 11/27/2018
Page 2 of 2
I
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City Project Numbers 100926 DOE Number 9260
Contract Name MORNINGSTAR SECTION 7 PHASE 2 Estimate Number l
Contract Limits Payment Number 1
Project Type PAVING For Period Ending 11/27/2018
Project Funding
Project Manager NA City Secretary Contract Number 210926
Inspectors GREGORY / HOUSTON Contract Date 5/31/2017
Contractor JLB CONTRACTING,L.L.C. Contract Time 75 CD
PO BOX 24131 Days Charged to Date 60 CD
FORT WORTH, TX 76124-1131 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 $651,648.67
Less %Retained $0.00
Net Earned $651,648.57
Earned This Period $651,648.57
Retainage This Period $0.00
Less Liquidated Damages
0 Days a $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 $651,648.57
Wednesday,December 5,2018 Page 4 of 4
FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name MORNINGSTAR SECTION 7 PHASE 2
Contract Limits
Project Type PAVING
City Project Numbers 100926
DOE Number 9260
Estimate Number 1 Payment Number 1 For Period Ending 11/27/2013
CD
i
City Secretary Contract Number 210926 Contract Time 7CD
Contract Date 5/31/2017 Days Charged to Date 60
Project Manager NA Contract is 100.00 Complete
Contractor JLB CONTRACTING,L.L.C.
PO BOX 24131
FORT WORTH, TX 76124-113 1
Inspectors GREGORY / HOUSTON
Wednesday,December 5,2018 Page 1 of4
City Project Numbers 100926 DOE Number 9260
Contract Name MORNINGSTAR SECTION 7 PHASE 2 Estimate Number I
Contract Limits Payment Number 1
Project Type PAVING For Period Ending 11/27/2018
Project Funding
UNIT IV:PAVING RvTROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 6"CONC PYMT 16453 SY $31.91 $525,015.23 16453 $525,015.23
2 6"LIME TREATMENT 17522 SY $2.17 $38,022.74 17522 $38,022.74
3 HYDRATE LIME 263 TN $163.00 $42,869.00 263 $42,869.00
4 4"CONCRETE SIDEWALK 4244 SF $5.30 $22,493.20 4244 $22,493.20
5 BARRIER FREE RAMP-TYPE R-1 12 EA $1,122.00 $13,464.00 12 $13,464.00
6 BARREIR FREE RAMP-TYPE M-2 4 EA $813.00 $3,252.00 4 $3,252.00
7 FURNISH&INSTALL GROUND MOUND POST 12 EA $470.00 $5,640.00 12 $5,640.00
W/STOP&DIRECTIVE
8 STREET NAME PLATES FOR STREET 6 EA $148.75 $892.50 6 $892.50
INTERSECTION(4-BLADES)
Sub-Total of Previous Unit $651,648.67 $651,648.67
---------------------------------------
Wednesday,December 5,2018 Page 2 of 4
t
i
City Project Numbers 100926 DOE Number 9260
Contract Name MORNINGSTAR SECTION 7 PHASE 2 Estimate Number 1
Contract Limits Payment Number 1
Project Type PAVING For Period Ending 11/27/2018
Project Funding
Contract Information Summary
Original Contract Amount $651,648.67
ChanIze Orders
Total Contract Price $651,648.67
Total Cost of Work Completed $651,648.67
Less %Retained $0.00
Net Earned $651,648.57
Earned This Period $651,648.57
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 $651,648.57
Wednesday,December 5,2018 Page 3 of
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 Sam Davis, President of JLB Contracting, LLC,
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;
Paving Improvements for Morningstar-Section 7, Phase 2
City Project# 100926
BY_ „r
Sam Davis
President
JLB Contracting, LLC
� , l
Subscribed and sworn before me on this day f NOV2�.c�c�- 2018.
t
JAMIE GREENWAY
Notary Public,State of Texas
t comm.Expires 09.25-2020T RY UB IN AN
notary ID 1211545-4 AVANT COUNTY, TEXAS
My commission expires
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT SUORE7RYACTOR ❑❑
OTHER
(SIMILAR TO AIA DOCUMENT G707)
Bond No. 5063219
PROJECT: Paving Improvements for Morninuslar- Section 7. Phase 2
(name,address)Fort Worth. Texas
TO (Owner)
ARCHITECTS PROJECT NO:
City of tort Worth. Texas CONTRACT FOR: Above Project
200 Texas Street
Fort Worth. Texas 76102 I
�! CONTRACT DATE:
CONTRACTOR: JLB Contracting. LLC
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the(here instar name and
address of Surety Company) Westfield Insurance Company
555 Republic Drive. Suite 450
Plano, Texas 75071 ,SURETY COMPANY,
on bond of(here insert name and address of Contractor)
JLB Contracting. LLC
P.O. Box 24 13 1 ,CONTRACTOR,
Fort Worth. Texas 76121
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 6th day of November 2018 -
kYESTF11-1 D,I`tiSl CIS COMPANY
Surety Com
By
Attest; Signatu e A thorized Representative
(Seal): Kxle kV. oxveenet Attorney—in—Fact
Title
Note:This Corm is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition
POWER#AND ISSUED PRIOR TO 04120111,FOR ANY PERSON OR PERSONS NAMED BELOW,
General POWER NO. 4220052 06
Power Westfield Insurance Co.
of Attorney Westfield National Insurance Co.
CERTIFIED COPY Eo Farmers Insurance Co.
Westfield Cenler, Ohio
Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO
FARMERS INSURANCE COMPANY, corporations, hereinafter referred to ,ndividually 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 Atiorney(s)-in-Fact,with full power and authority hereby conferred in its nw7e,
place and stead, to execute, acknowledge and deliver any and all bondsrecognizances, undertakings, or other instruments ar 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 if such bonds were signed by the Presideni,sealed with the corporate
seal of the applicable Company and duly attested by its Secretary,hereby ratifying and confirming all that the said Attorneys)-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 shalt 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 .
�...«..wa.,, uHH,•..
Corporate a n ••••, � - ,... ,...
r' NS11R�tIr t I(ONAL r w.M4 WESTFIELD INSURANCE COMPANY
Seals 'e'-Q .... .t',P ` .,'?5 ..- -.!Y.s` ,11 MSUp�
Affixed ..: .a. ••G !7�i WESTFIELD NATIONAL INSURANCE COMPANY
�= io3 sem;'-•-. ••eOHIO FARMERS INSURANCE COMPANY
3 ro " SEAL =: �'�;GHARTFREp
ll'{�` in'
State of Ohio 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 resides in Medina, Ohio;that he is Senior Executive 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 seats of said Companies;that the seals affixed to said Instrument are such corporate seals;that they were so affixed
by order or the Boards of Directors of said Companies;and that he signed his name thereto by like order.
Notarial
Seal9L
Affixed gyp'�Yli"SF =z
State of Ohio al7 William J. Kahelin,A rney at Law,Notary Public
County of Medina ss.: R +�► �o My Commission foes Not Expire(Sec.147.03 Ohio Revised Code)
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 011 day of
November A.D. 2018
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`�.��,,,,�' -;•! Frank A. Carrino,Secretary
BPOAC2 (combined) (06-02)
Green Sheet CPN 100926
Moringstar Section 7 Phase 2
Paving & Traffic Signals
,w------- Adobe Sign Document History 12/27/2018
- Created: 12/05/2018
�W By: Etta Bacy(etta.bacy@fortworthtexas.gov)
Status: Signed
Transaction ID: CBJCHBCAABAABeXBgE5fN2j-Amo01dr2RIQ5PEe3COn-
II
Green Sheet CPN 100926 Moringstar Section 7 Phase 2 Pavin
g & Traffic Signals" History
I,
Q Document created by Etta Bacy (etta.bacy@fortworthtexas.gov)
12/05/2018-10:04:25 AM CST-IP address:209.194.29.100 1
. Document emailed to sluchman@jlbcontracting.com for signature
12/05/2018-10:08:55 AM CST 9
F-
6 Email sent to sluchman@jlbcontracting.com bounced and could not be delivered
12/05/2018-10:09:12 AM CST {
j Etta Bacy(etta.bacy@fortworthtexas.gov) replaced signer sluchman@jlbcontracting.com with Sam Davis
(sdavis@jlbcontracting.com)
12/12/2018-6:50:48 AM CST-IP address:209.194.29.100
Document emailed to Sam Davis (sdavis@jlbcontracting.com)for signature
12/12/2018-6:50:48 AM CST
Et' Email sent to sluchman@jlbcontracting.com bounced and could not be delivered
12/12/2018-6:52:12 AM CST
�! Document viewed by Sam Davis (sdavis@jlbcontracting.com)
12/12/2018-6:52:58 AM CST-IP address:64.233.172.140
Sam Davis (sdavis@jlbcontracting.com) uploaded the following supporting documents:
File Attachment 1
G File Attachment 2
12/12/2018-6:54:51 AM CST
Foree Si
Ado g,
r Document e-signed by Sam Davis (sdavis@jlbcontracting.com)
Signature Date:12/12/2018-6:54:51 AM CST-Time Source:server-IP address:47.51.207.250
C?, Document emailed to Habte Taezaz(habte.taezaz@fortworthtexas.gov)for signature
12/12/2018-6:54:52 AM CST
Email sent to Sam Davis (sdavis@jlbcontracting.com) bounced and could not be delivered
12/12/2018-6:55:02 AM CST
`l Document viewed by Habte Taezaz(habte.taezaz@fortworthtexas.gov)
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u Document e-signed by Habte Taezaz (habte.taezaz@fortworthtexas.gov)
Signature Date:12/12/2018-7:04:38 AM CST-Time Source:server-IP address: 174.47.154.90
Document emailed to Ariel Duarte (ariel.duarte@fortworthtexas.gov)for approval
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Document approved by Ariel Duarte (ariel.duarte@fortworthtexas.gov)
Approval Date: 12/12/2018-7:16:14 AM CST-Time Source:server-IP address:209.194.29.100
C� Document emailed to Patrick Buckley(patrick.buckley@fortworthtexas.gov)for signature
12/12/2018-7:16:16 AM CST
til
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i. Document e-signed by Patrick Buckley (patrick.buckley@fortworthtexas.gov)
Signature Date:12/12/2018-2:04:49 PM CST-Time Source:server-IP address:209.194.29.100
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12/12/2018-2:04:49 PM CST
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1
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Signature Date:12/13/2018-1:50:13 PM CST-Time Source:server-IP address:209.194.29.100
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i
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Ii
FLIRT WORTH
i Adobe Sign
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Signature Date:12/13/2018-3:07:02 PM CST-Time Source:server-IP address:24.240.254.62
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by Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov)
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Signed document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov), Patrick Buckley
(patrick.buckley@fortworthtexas.gov),Ariel Duarte (ariel.duarte@fortworthtexas.gov), Janie Scarlett Morales
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