HomeMy WebLinkAboutContract 49336-FP1 City Secretary 49336 -FP1
Contract No.
FORTWORTH, Date Received Dec 10,2018
- 1 C6 6 S3
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:Weber Presidio Tract W
City Project No.: 100653
Improvement Type(s): Water ® Sewer
Original Contract Price: $199,933.99
Amount of Approved Change Order(s): $62,137.30
Revised Contract Amount:
Total Cost of Work Complete: $262,071.29
elwllmu:artls m Nov 13,2018
Contractor Date
Project Manager
Title
Maverick Utility Construction
Company Name
Ck"6y,1% 8srrrir Nov 14,2018
CkWW 0.boft(Mv 11.20A
Project Ins ector Date
Nhal J� 01B) Dec 5,2018
Project Manager Date
7,w%e cSGGtY�6�t/L1v�al�t
Janie Scarlett Morales(Dec 5,3018) Dec 5,2018
CFA Manager Date
3uunAtWsMvc%201 l Dec 9,2013
Asst. City Manager Date
ftge 1 of 2
Notice of Project Completion
Project Name:Weber Presidio Tract UV
City Project No.: 100653
City's Attachments
Final Pay Estimate ❑x
Change Order(s): 0 Yes ❑ N/A
Pipe Report: 0 Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 270 CD Days Charged: 270
Work Start Date: 10/12/2017 Work Complete Date: 8/28/2018
Page 2 of 2
bo(P 3
City Project Numbers 100653 DOE Number 6530
Contract Name WEBER PRESIDIO TRACT UV Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 10/15/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors ROLLS / BEVINS,D Contract Date 8/30/2017 �I
Contractor MAVERICK UTILITY CONSTRUCTION Contract Time 120 CD
P.O.BOX 728 Days Charged to Date 270 CD j1
h
EULESS, TX 76039 Contract is .000000 Complete
u
II
'd
CITY OF FORT WORTH
SUMMARY OF CHARGES
f!
Line Fund Account Center Amount Gross Retainage Net
Funded
——————— ------ -- — —————————————
�k
d
1
i
Total Cost of Work Completed $262,071.29 l;
l;
Less %Retained $0.00
Net Earned $262,071.29 f
I'
Earned This Period $262,071.29
Retainage This Period $0.00
Less Liquidated Damages
I�
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 $262,071.29
Wednesday,October 31,2018 Page 5 of 5
h
FORT WORTH
CITY OF FORT WORTII
FINAL PAYMENT REQUEST
Contract Name WEBER PRESIDTO TRACT UV
Contract Limits
Project Type WATER&SEWER
City Project Numbers 100653
DOE Number 6530
Estimate Number 1 Payment Number 1 For Period Ending 10/15/2018
CD I
ii
City Secretary Contract Number Contract Time 12IED
Contract Date 8/30/2017 Days Charged to Date 270
Project Manager NA Contract is 100.00 Complete
Contractor MAVERICK UTILITY CONSTRUCTION
P.O.BOX 728
EULESS, TX 76039
Inspectors ROLLS / BEVINS,D
1
ii
,I
�i
fi
I�
I!
fl
�I
Wednesday,October 31,2018 Page 1 of 5
� i
City Project Numbers 100653 DOE Number 6530
Contract Name WEBER PRESIDIO TRACT UV Estimate Number 1
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 10/15/2018
Project Funding
UNIT I:WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
I TRENCH SAFETY(CO Al) 1271 LF $1.00 $1,271.00 1271 $1,271.00
2 UTILITY MARKERS 35 LS $25.00 $875.00 35 $875.00
3 8"WATER PIPE 1253 LF $25.00 $31,325.00 1253 $31,325.00
4 CONNECTION TO EXISTING 4"-12"WATER 2 EA $750.00 $1,500.00 2 $1,500.00
MAIN
5 2"PRIVATE WATER SERVICE 385 LF $13.00 $5,005.00 385 $5,005.00
6 FIRE HYDRANT 5 EA $3,103.00 $15,515.00 5 $15,515.00
7 2"WATER SERVICE(CO D1) 20 EA $1,950.00 $39,000.00 20 $39,000.00
8 8"GATE VALVE 18 EA $1,544.00 $27,792.00 18 $27,792.00
9 6"GATE VAVLE(CO#AI) 15 EA $950.00 $14,250.00 15 $14,250.00
10 4"-12"PRESSURE PLUG(CO#Al,DI) 3 EA $458.00 $1,374.00 3 $1,374.00
11 12"&8"TAPPING SLEEVE AND VALVE I EA $4,899.00 $4,899.00 1 $4,899.00
12 6"DR-14 PVC PIPE(CO#Al) 18 LF $25.00 $450.00 18 $450.00
13 2"WATER SERVICE NO METER(CO#Al) 2 EA $2,382.00 $4,764.00 2 $4,764.00
14 8"MJ TEE(CO AI) 1 EA $1,006.00 $1,006.00 1 $1,006.00
15 RELOCATE FIRE HYDRANT(CO Al) 1 EA $3,103.00 $3,103.00 1 $3,103.00
16 TESTING(CO Al) 18 LF $2.40 $43.20 18 $43.20
17 REMOVE 2"DR-14 PVC PIPE(CO#C1) 34 LF $26.40 $897.60 34 $897.60
18 REMOVE 6"DR-14 PVC PIPE(CO#Cl) 17 LF $30.00 $510.00 17 $510.00
19 REMOVE 6"GATE VALVE&BOX(CO#Cl) I EA $1,470.00 $1,470.00 1 $1,470.00
20 REMOVE 2"WATER SERVICE(CO#Cl) 2 EA $1,860.00 $3,720.00 2 $3,720.00
21 6"MJ PLUG(CO#C I) 1 EA $571.20 $571.20 1 $571.20
22 2"MJ PLUB(CO#C1) 2 EA $270.00 $540.00 2 $540.00
23 UTILITY CONTRACTOR REMOBILIZATION(CO I LS $977.20 $977.20 1 $977.20
#DI)
24 2"WATER SERVICE NO METER(CO Dl) -2 EA $2,382.00 ($4,764.00) -2 ($4,764.00)
25 6"MJ PLUG(CO#D 1) -1 EA $571.20 ($571.20) -1 ($571.20)
Sub-Total of Previous Unit $155,523.00 $155,523.00
UNIT II:SANITARY SEWER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
Wednesday,October 31,2018 Page 2 of 5
i
City Project Numbers 100653 DOE Number 6530
Contract Name WEBER PRESIDIO TRACT UV Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 10/15/2018
Project Funding
1 UTILITY MARKERS 17 LS $25.00 $425.00 17 $425.00
2 TRENCH SAFETY 812 LF $1.00 $812.00 812 $812.00
3 T SEWER PIPE SDR 26(CO#Al) 1018 LF $30.00 $30,540.00 1018 $30,540.00
4 6"SEWER PIPE SDR35(CO#Al&Dl) 126 LF $25.00 $3,150.00 126 $3,150.00
5 4'MANHOLE(CO#Al) 5 EA $5,159.00 $25,795.00 5 $25,795.00
6 DROP MANHOLE I EA $9,406.99 $9,406.99 1 $9,406.99
7 EXTRA DEPTH MANHOLE 34 VF $125.00 $4,250.00 34 $4,250.00
8 POST-CCTV INSPECTION(CO#Al) 1128 LF $0.50 $564.00 1128 $564.00
9 MANHOLE VACUUM TESTING(CO#Al&DI) 5 EA $150.00 $750.00 5 $750.00
10 6"SEWER ABANDONMENT PLUG I EA $250.00 $250.00 1 $250.00
11 EPDXY INTERNAL LINER 50 VF $150.00 $7,500.00 50 $7,500.00
12 4'DIAMETER MANHOLE W/EPDXY LINER(CO I EA $9,406.99 $9,406.99 1 $9,406.99
#AI)
13 TRENCH WATER STOP(CO#AI) 2 EA $492.00 $984.00 2 $984.00
14 CONNECT TO EXISTING SEWER(CO#A1) 1 EA $2,185.00 $2,185.00 1 $2,185.00
15 TRENCH SAFETY(CO#Al) 316 LF $2.00 $632.00 316 $632.00
16 6"SDR 26 PVC SEWER(CO cl) 16 LF $51.02 $816.32 16 $816.32
17 4'DIAMETERMHW/EPDXY LINER(CO C1) 1 EA $10,256.40 $10,256.40 1 $10,256.40
18 CLEANOUT(CO C1) t EA $826.80 $826.80 1 $826.80
19 MANHOLE VACUUM TESTING(CO#C 1) 1 EA $540.00 $540.00 1 $540.00
20 UTILITY CONTRACTOR REMOBLIZATION(CO 1 LS $806.32 $806.32 1 $806.32
#Dl)
21 6'SDR-26 PVC SEWER(CO D1) -16 LF $51.02 ($816.32) -16 ($816.32)
22 MH VACUUM TESTING(CO DI) -1 EA $540.00 ($540.00) -1 ($540.00)
23 CLEAN OUT(CO D1) -1 EA $826.80 ($826.80) -1 ($826.80)
24 TRENCH SAFETY(CO#D1) -316 LF $1.00 ($316.00) -316 ($316.00)
25 4'DIA MH W/EXPDXY LINE(CO DI) 1 EA $9,406.99 $9,406.99 1 $9,406.99
26 4'DIA MH W/EPDXY LINER(CO#Dl) -1 EA $10,256.40 ($10,256.40) -1 ($10,256.40)
---------------------------------------
Sub-Total of Previous Unit $106,548.29 $106,548.29
--------------------------------------
Wednesday,October 31,2018 Page 3 of 5
City Project Numbers 100653 DOE Number 6530
Contract Name WEBER PRESIDIO TRACT UV Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 10/15/2018
Project Funding
Contract Information Summary
Original Contract Amount $199,933.99
Change Orders
Change Order Number At $43,981.19
Change Order Number B1 $0.00
Change Order Number CI $20,148.32
Change Order Number Dl ($1,992.21)
Total Contract Price $262,071.29
Total Cost of Work Completed $262,071.29
Less %Retained $0.00
Net Earned $262,071.29
Earned This Period $262,071.29
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 $262,071.29
Wednesday,October 31,2018 Page 4 of 5
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECTNANiE: WEBER.PRESIDIOTRACTUV _ CILkNGE
CONTRACT: 49136 ORDER No:
CFA I! 2017-036 CITY PARTICIPATION:
CITY PROJECT S 100653 _
DOES
WATER PROJECT 11 50601-OCOG430-00653.001580 Al
_
SEl4ER PROJECT ft 59607-0700430-100653.001380
FILE# W-2443 S X-23943
INSPECTOR: Doug Blevins Phono No: 602-420-3383
PROJECT MANAGER: Khal Jaafarl Phono No: 817-392-7872
CONTRACT UNIT _
NATER SEWER PAVING DRAINAGE STREETLIGHTS CONTRACT
Dmolotwr oovelop9r Davolepar DAYS
_ C-t CIIyC..l Cost cl rm1 Cos! city Cor1 cou CI coal Cocl cit7cc.t
OPIGINAL CONTRACT 51.77,022.00 So2,011.00 f22,01D.TA $2.240.01
EXTRAS IODATE
CFEDITS IODATE _
CONTRACT TO DAT[ _.!j.17,022 00 10.00 SS2,011.00 SOHO $22,010.60 $0.00 10.00 10.00 $2,240.01 $0.00 0
AMOUNT OF PROP.CRVIGE ORDER $10,702.20 532.100.00 $11,019.00 _$740.47
REVISED CONTRACT PM BUNT 5147.814.20 30.00 590,100,98 $0.00 $33.050W $0.00 $0.00 1 30.00 52,990.40 1 $000 0
TOTAL nEVISEO CONTRACT AMOUNT
PER UNIT S14701420 594.100.90 Sal,0GB 60 _ f000 S2,0¢048
REVISED COST SHARE Dov,Coat: $270,960.1G city Coal: $0.00
TOTAL REVISED CONTRACT $279,960.10
You are d:recied to make the folloMn than eo in the COnlract documonls
CITY 13,11)ITEI.1
PAI'ITE!!n n CUAUTRY 1 UNIT ITEM DESCRIPTION UNIT PRICE TOTAL
YIAI ER FACILITIES
WATER SUBTOTAL S10,T92.2
SEl4ER FACIL171ES
v SEWER SUBTOTAL $33188.99
PAVING FACILITIES
_ PAVING SU..lALj S11 039.00
_ STREETLIGHT FACILITIES _
STREETLIGHT SUBTOTA 5746.47
OM7m 7070 366,TGO.BG
REASONS FOR CHANGE ORDER s-.c-.:.r::.•n .,_.,.Fa..,.y www tet+::.uw y.�..w..�qp .,.•q.r _
:T•rs r_r t.x .V^�7_Harorovn 7ti', 'a4 atp.�raw Ml+ehl a7.rlr;'e.+A+- ..I . .
Ito CITY F11RS1.X nfYOLt,'CO Rt 7388 Col/1PfG i.UtWE.LGPkII III RY.9voNS11fL S:f0}i tU4'i f9f 7/11:CiIAhUE ORIICR 0051 A17V NO
pt,/MMURM.16YEW FreOM TME CHT 1411 L BL 5E1UGSST BY THE,GEV7ELOPER
RECOMMENDED: APPROVED: APPROVED:
Br S.: By:
Nemo: Namo: � Name: (;
T11W PrDGLJ5MilAJjPr rem: -:*I. Vim T TAW I1— 17
Roused:10-12.2011 Page 1
Q,EVELOPER-AWARDED-PROJECT CHANGE ORO R
PROJECT NAME: WESER PRESIDID TRACT W CHANGE
CONTRACT' 49336 ORDER No:
CFA d 2017.086 CITY PARTICIPATION
CITY PROJECT d 100653
DOE d 81
WATER PROJECT d s96ot-060043000653-oot5ao
SEWER PROJECT d 50607.0700430-IO0653.001380
FILE d W-2443&X-23043
INSPECTOR: Doug Blavins Phono No. 602-429.3383
PROJECT MANAGER' Khal Janfon Phono No 817-392-7872
CONTRACT UNI
WATER SEWER PAVING DRAINAGE STREETLIGHTS CONTRACT
L>9v41ap4r DawbPar Dwalow DmVbp4r tMvH9p4r DAYS
Costci�coa Cost ._cA cert coot _ortxCoat cowl wycod coa ctf-t�
ORIGINAL CONTRACT $13T.022.00 $62.111.11 smallAo i-kascal _ _ 120
EXTRAS TO DATE 110,792.20 33]166.19 S11,039.00 1716,42
CREDITS TO DATE
CONTRACT TO DATE 114),114.70 _.10.00 WAG0.14 lwx 634wo"60 sm 60000 "36 &L906M Si00 120
AMOUNT OF PROP.CHANCE ORDER $0.00 10.00 $0.00 $0.09 10.00 80
REVISED CONTRACT AMOUNT 1 1147.614.10 1 ;a.00 619100.91 I ;9.00 132,066.60 W10 $0.00 1 Sa00 62,191 1 an 1lW
TOTAL REV18EO CONTRACT AMOUNT
PER UNIT 1147,61420 196to9.99 $3300140 20.00 12960.44
RMSEOCOSTSHARE 04v.Cost: 5279,000.10 ,`f{y Catt:
TOTAL REVISED CONTRACT S279,DWAd
REMIONS FOR CHANGE ORDER Cac1011.1,+fi-aW the&wwarl:.+.Ior mr:na^f.on r0111v 61151.:g SM"Sbghv;1"7n po:x."5;,c'enne0 Tr,.cm dear clranye order
firm N7as a n4ev d'an L Pra IVa of rhe remsed can?:ccLOn
NO CITY FUNDS INVOLVED R3 THIS CONTRACT, DEVELOPER 15 RESPONSIBLE FOR 100'%OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED: APPROVED: APPROVED:
nsw rlp Er -N r 1 l plve:dn:7 -' + lConbaer
BY BYAll 6
Name � SI�y Namo N9m0 J✓(-%A^p
TIDO TNa &o,cc--f 1114-A
Ravied ID•12.2011 Page 1
OF,�QPER.A7NARDER•PRO,IFCT CHANGE ORDER
PROJECT NAME: WEBER PRES1010 TRACT UV CHANGE
CONTRACT: 49336 ORDER No:
CFA N 2017.0136 CITY PARTICIPATION:
CITY PROJECT tl 1BOS53
DOE V C9
WATER PROJECT{+ _5�301.00gOrl30-p0653.0015c70
SEWER PROJECT 0 59607-0700420-100,M-001080
FILE i! W-2443 R R-734.73
INSPECTOR. Doul)Nevins Phone No. 602.420-3303
PROJECT MANAGER 1:1101 Jontnri Phone No: 017-392.7072
CONTRACT Ul7r
VJATLR DEYJSR PAVIING OTNMOE OTAEET UGMG CONTRACT
OOvalopar DnrJupar Dcvaiapar Daralapor o—opar DAYS
Ca 11
vj Cori Cnrl C!y Cm1 Cot! cty Coal Coat crtvcon Cort C:, Cast
ORIGIIJALCONTRACT 013TD210) $02,DS1,Q0 522501640 5224041 120
OGRASTOOATE 610707.20 S33,10a.00 411,070.00 9740.47 60
CREDrrr TO DATE
COZMIAGT TO BATE 6147 14.50 040 300100.70 Td,Co 37303040 %co 90.60 10.00 63064409of.0 160
Ah'OUtrT OF PRO?.CIiMC3E CNOUt of T09.00 .1143343
REVISED CONTRACT A HUNT 5163 627.03 SADO $100 0.56 3d.rA i]7 QSD.CO 3403 90.00 G2,9U.43 �dt0 270
TOTAL REVISED CONTRACT AMOUNT
PERUNIY '+YOe rsz3,C6 510345040 57700040 30.00 L200oliC
REVIDW CO3T 01740E Dov.Cant: s30D,100.C4 CRYCoat $11.00
TOTAL RSVOEU CONTRACT T000,9UU•d4
You Ora dlmrlad tom31a0 lho tOft, VJA Lh5nnD3 In Ulo LOnln:cl docuntanta
C-DID ITEM
PAY ITUIC n OUAtSTITY UNIT REM F"CRIPTIDN UNIT PNCC Toini,
VJATFR rACILMEG
:H LF Ramova TDR-14 PVC Ploe520.40 X97 BO
17 LF RDI1 -GOR44 FVC P4>3 _ __— 5700) -Slope
1 EA ROMV0 W Onto V01v0 S Lou St 4 DD -11,47.20
2 EA Rrmrov02'WatcrSMvlOo 31,cm.00 5372000
1 EA 6!wpw W1.20 $571.20
2 EA 7.Mj m3m 5270.00 W, DO
7VATOR OUOTOTAL .7706.00
6ANlTARY SEWER MUMS
10 LF WOOR 23 PVC DNnr S 51.112 581630
1 FA cr 510 AD 51025640'
1 EA CL^OnoA 5 520.00 502080 1 6..R..
1 EA ltWW.,Vewsm TcWro R 340 DO 454000 5115'r��•+
OJ'911TARY661'M OUDTOTAL 61?, 9All
ORAJ:OTOTAL 6211 700.36
REASNS FOR CtMGE ORDER Wamr Sorvices Jo 6a ram0vcd lrOm 1110 eanrme(PSrdavai6pa�s 7xquost t0 occomrnodara u3ors 77tih41(110 davclopmenf ChaA9Vse0+m5p0nd(0R0vl7Ln Rb I
aszhmvnonshoel4oflhaccn30Ucdon PlJns This ChOagc Ordar 0130 adds lhosaORarysor:ar ZmAx(a Mc C11ns9an Bmthrrs sdc
NOCITYFUNDSINVOLVEDItJT14ISCONTRA0T.DEVELOPER IS RESPONSIBLE FOR 10014 OF THE CHANGE ORDER COST A14D NO
REJJ,IBURSEMENT FROM THE CITY VALL BE SOUGHT BY THE DEVELOPER.
tiECOMhlE9J0ED• APPROVF�: APPROVED:
(Cons.V,V Erginaer) (00"IDJxr) ✓ (COnlfaclod
s---=�•-
Nemo Nama �
711177. WeJ
PLOD 1
Ravlrsall 10.12.2071
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: WESER PRESIDIO TRACT UV CHANGE
CONTRACT- 49336 ORDER No:
CFA# 2017.086 CITY PARTICIPATION:
CITY PROJECT N 100653
DOE# DI
WATER PROJECT 11 59601.0600430.00653.001580
SEW59
ER PROJECT 0 607.0700430.100653.001380
FILE# W-2443 R X-23943
INSPECTOR: Doug 131evins Phone No: 682.429.3383
PROJECT MANAGER: Khol Janfari Phone No: 017-392-7872
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREETLIGHTS CONTRACT
DovalaPor Owclopn DovOtojwr Dav:InOcr Oevclopc� — DAYS
Co>t Ci Cott Cost Cil Coat Coat citI,Cost Corl Ci, C.It Curl Qty.Cott
ORIGINALCVNTRACr 5177.072.00 10.00 S63,011.09 m0 S27.010.50 10.00 _ 3000 S2.240.01 50.00 120
EXIRASTODAIF $10.501.00 410,00 $45.628.57 So.00 slt.mo.nn Sn.OD 10100 f748A7 30.00 60
CREDITS To DAT f
CONTRACT TO OATC f155,523.00 30.00 $100,540.50 30Ao $33050.50 16.00 $0.00 So.00 $2,056A6 S0,00 270
AMOUNT OF PROP.CHANGE ORDER $0.00 $0.00 i:. , f0.00 f0.00 _ 0,00 So.IO ____ 0 _ O
REVISED C014TRACT AMOUNT $155,527.00 0.00 5100,540.75 10,00 533.050.50 soon 16.00 SOHO � $2.068.0A $0.00 270
TOTAL REVISED CONTRACT AMOUNT
PER UNIT $155,523.00 3504540.25 131.050.50 50.00 S7,001:.6n
REVISED COST SHARE Elm Cost: 5298,116,53 .CITY COAI: $000
TOTAL REVISED CONTRACT S290,116.53
You nre rArOcted b mDke Wn IoPavdn chDn es In the contract documents:
CITY PID ITFIA
PAY ITEM# # QUANTITY UNIT ITEM DESCWPTION UNIT PRICE TOTAI.
WATER FACILITICS
•1_1�'
WATER SUDTOTAL $000
SANITARY SEVER FACILITIES
F••
----_--_ SANITARY SEWER SUDTOTAL •S 2
1 992.21
STREETLIGHT FACILITIES
I
_... _ STREETLIGHT SUBTOTAL SO 20
GRAND TOTAL -51.992.01 1
REASONS FOR CHANGE ORDER T7,,,Cf—g.0,4-rro..o••e.:r Pyq CO,a•Nr�m.h cmvxT{rr-�g M7vry.•u Aral
f'
NO CITY FUNDS INVOLVED IN THIS CONTRACT.DEVELOPER 15 RESPONSIBLE FOR 100%OF THE CHANGE ORDER COST AND NO p
RETNInURSEMENT I ROM THE CITY WILL BE SOUGHT BY THE DEVELOPER 14
RECOMMENOED: APPROVED: APPROVED:
By
Name DREW DONOSKY Nano: e-mi
TM.:PROJECT ENGINEER Ti00. • �� TNe:d�� 2 r"4 4
f
f
Roused-10-12.2011 Pagel
III
I�
FORTWORTH
TRANSPORTATION AND PUBLIC WORI{S
PIPE REPORT FOR:
PROJECT NAME: Weber Presidio,Tract UV
PROJECT NUMBER: 100653
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
8"inch PVC C-900 1.253LF
6"inch PVC 35LF
FIRE HYDRANTS: 5 VALVES(16"OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
20-2"inch Copper 376LF
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
8"inch SDR-26 PVC 1,016LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES:
NEW SERVICES:
4-6"inch 42LF
2-8"inch 35LF
TRANSPORTATION AND PUBLIC WORKS
id The City of Fort Worth•1000 Throckmorton Street•Fort Worth,T-A.-76012-6311
(817)392-7941•Fax:(817)392-7845
ORTWORTH
rev 03/0 /07
TRANSPORTATION&PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:1
NAME OF PROJECT: Weber Presidio,Tract UV
PROJECT NO.: 100653 CONTRACTOR: Maverick Utility Const..Inc.
DOE NO.:
PERIOD FROM:08/01/18 TO: 08/20/18 FINAL INSPECTION DATE: 20-Aum 18
WORK ORDER EFFECTIVE:10/12/2017 CONTRACT TIME: 120+ 150 O WD O CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED CREDITED
DURING DURING
1. 16.
2. 17.
3. 18.
4. 19.
5. 20.
6. 21.
7. 22.
8. 23.
9. 24.
10. 25.
11. 26.
12. 27.
13. 28.
14. 29.
15. 30.
31.
SAT,SUN RAIN,TOO WET, UTILITIES DAYS TOTAL
& HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS
THIS
PERIOD
PREVIOUS 270
PERIOD
TOTALS
TO DATE
*REMARKS:
270 days(150 C.O.Days)
CONTRACTOR DATE INSPECTOR DATE
ENGINEERING DEPARTMENT
t` The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax:(817)392-7845
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 Todd Bonnet,
President Of Maverick Utility 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;
Weber Presidio Tract UV
BY
Todd Bonnet
Subscribed and sworn before me on this date 9th of November, 2018.
Not ublic
Tarrant, Texas �ot?pYPUg� Brian CooD
Notary State of
* + My commission03/25/202Notary ID 1305
CONSENT OF OWNER 9
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR ❑
SURETY ❑ Bond No.S454957
OTHER
PROJECT: Weber Presidio Tract UV-Public Utilities
TO: (Owner) City of Fort worth PROJECT NO. CFA#100653
1000 Throckmorton St
Fort Worth,TX 76102-6312
CONTRACT FOR: Site Utilities
CONTRACTOR: Maverick Utility Construction,Inc. CONTRACT DATE:
1001 W.Euless Blvd.,Suite 312
Euless,TX 76040
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,
the
Employers Mutual Casualty Company SURETY,
on Bond of
Maverick Utility Construction,Inc. 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
City of Fort Worth ,OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety has hereunto set its hand this 9th day of November 2018
Employers Mutual Casualty Company
Surety Company
I Signature of Autho i e Rep esentative
Aii:est. Steven J.Zinecker,Attorney-In-Fact
(Sea!) kL. Title
CONSENTOFS1-IRE?YCOMPAWTORNALPAYMENT ONE PAGE
ArEMe
P.O.Box 712•Des Moines,Iowa 50306-0712 INSURANCE
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT
KNOW ALL MEN BY THESE PRESENTS,that:
1.Employers Mutual Casualty Company,an Iowa Corporation 4.Illinois EMCASCO Insurance Company,an Iowa Corporation
2.EMCASCO Insurance Company,an Iowa Corporation 5.Dakota Fire Insurance Company,a North Dakota Corporation
3.Union Insurance Company of Providence,an Iowa Corporation 6.EMC Property&Casualty Company,an Iowa Corporation
hereinafter referred to severally as"Company"and collectively as"Companies",each does,by these presents,make,constitute and appoint:
STEVEN J. ZINECKER
its true and lawful attorney-in-fact,with full power and authority conferred to sign,seal,and execute the Bid Bond
Any and All Bonds
and to bind each Company thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of each such Company,and all
of the acts of said attorney pursuant to the authority hereby given are hereby ratified and confirmed.
AUTHORITY FOR POWER OF ATTORNEY
This Power-of-Attomey is made and executed pursuant to and by the authority of the following resolution of the Boards of Directors of each of the Companies at the
first regularly scheduled meeting of each company duly called and held in 1999:
RESOLVED:The President and Chief Executive Officer,any Vice President,the Treasurer and the Secretary of Employers Mutual Casualty Company shall have
power and authority to(1)appoint attomeys-in-fact and authorize them to execute on behalf of each Company and attach the seal of the Company thereto,bonds
and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof;and(2)to remove any such attomey-in-fact at any time
and revoke the power and authority given to him or her.Attorneys-in-fact shall have power and authority,subject to the terms and limitations of the power-of-attomey
issued to them,to execute and deliver on behalf of the Company,and to attach the seal of the Company thereto,bonds and undertakings,recognizances,contracts of
indemnity and other writings obligatory in the nature thereof,and any such instrument executed by any such attorney-in-fact shall be fully and in all respects binding upon
the Company.Certification as to the validity of any power-of-attorney authorized herein made by an officer of Employers Mutual Casualty Company shall be fully and in all
respects binding upon this Company.The facsimile or mechanically reproduced signature of such officer,whether made heretofore or hereafter,wherever appearing upon
a certified copy of any power-of-attomey of the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed.
IN WITNESS THEREOF,the Companies have caused these presents to be signed for each by their officers as shown,and the Corporate seals to b hereto affixed this
1st day of July 2018 .
Seals
•S�o;Narr;, ;•��o;aagti Bruce G.Kelley, EO,Cha' an of Todd Strother
ion Q�,`oP...",r;,�:; o9:; Companies 2,3,4,5&6;President Senior Vice President
° o- -e = =9- -a= =a: of Companies 1,2&6;Treasurer of
-
o SEAL a= `!-
° 1863 ;o;; 1953 = = Companies 1,2,3,4&6
%'9�%, •:�3 ;y IOWA
On this 1st day of July 2018 before me a Notary Public in and for the State
"suaav'' "s'u'n ,•01un_" of Iowa,personally appeared Bruce G.Kelley and Todd Strother,who,being by me duly
", "°e' s*",,,,,,°Q sworn,did say that they are,and are known to me to be the CEO,Chairman,President and
.. 4
'Pon �;<•
4:•0.POR ,<• yT`,•pPOq ',�.
°- Treasurer,and/or Senior Vice President,respectively,of each of the Companies above;that
:1i SEAL <_ `_o SEAL g ? SEAL;A the seals affixed to this instrument are the seals of said corporations;that said instrument
was signed and sealed on behalf of each of the Companies by authority of their respective
,;py,,p•+,,� - �OA),.,ppKO�P.� "•��'tiio',NEs.� p'� Boards of Directors;and that the said Bruce G.Kelley and Todd Strother,as such officers,
"" acknowledged the execution of said instrument to be their voluntary act and deed,and the
voluntary act and deed of each of the Companies.
KATW LOVERIDGE M Commission Expires October 10,2019.
Commisslon Numberission 7W769Y P
MyOntober 10,2019
Notary PubH6 in and for the State o owa
CERTIFICATE
1,Janes C.Clough,Vice President of the Companies,do hereby certify that the foregoing resolution of the Boards of Directors by each of the Companies,and
this Power of Aitomay issued pursuant thereto on 1st day of July 2018 ,are true and correct and are still in full force and effect.
In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this 9th day of November 2018
Vice President
7854(7-18) 8002117 17320 952 A 000000-00 "For verification of the authenticity of the Power of Attorney you may call(515)345-2689."
PORTAH17 NOTICE
TO OBTAIN INFORMATION OR MAKE A COMPLAINT:
You may contact Employers Mutual Casualty Company, Union Insurance of
Providence, and/or EW'DASCO Insurance Company for information or to make
a complaint at:
Employers Casualty y Company
L L
Attn: Surety Claims
P.O. Box 712
Des Moines, IA 50303
(515) 280-2689
(515) 280-2994 Fax -71
You may contact the Texas Department of Insurance to obtain information on
companies, coverages, rights or complaints at:
Texas Department of Insurance
P.O. Box 149104
Austin, TX 78714-9104
(BOO) 252-3439
ATTACH THIS NOTICE TO YOUR BOND. This notice is for information only
and does not become a part or a condition of the attached document and is
given to comply with Section 2253-048, Government Code, and Section
53.202, Property Code, effective September 1, 2001.
7209
Green Sheet CPN 100653
-------------
=- Weber Presidio Tract UV W&S
Adobe Sign Document History 12/27/2018
Created: 11/05/2018
By: Etta Bacy(etta.bacy@fortworthtexas.gov)
-- —-- Status: Signed
Transaction ID: CBJCHBCAABAAZR90hd_Cs1S4KgAxWOgyx-gDpRg6oygJ
"Green Sheet CPN 100653 Weber Presidio Tract UV W&S" Hist
ory
-] Document created by Etta Bacy(etta.bacy@fortworthtexas.gov)
11/05/2018-12:38:30 PM CST-IP address:209.194.29.100
Document emailed to Brian Holliday (bholliday@mavutility.com)for signature
11/05/2018-12:42:54 PM CST
0 Document viewed by Brian Holliday(bholliday@mavutility.com)
11/05/2018-1:08:17 PM CST-IP address:99.203.22.208
�i Brian Holliday(bholliday@mavutility.com) uploaded the following supporting documents:
File Attachment 1
G File Attachment 2
11/13/2018-3:29:19 PM CST
mac. Document e-signed by Brian Holliday(bholliday@mavutility.com)
Signature Date:11/13/2018-3:29:19 PM CST-Time Source:server-IP address:72.54.18.202
C� Document emailed to Charles D. Bevins (doug.bevins@fortworthtexas.gov)for signature
11/13/2018-3:29:21 PM CST
5 Document viewed by Charles D. Bevins (doug.bevins@fortworthtexas.gov)
11/14/2018-4:06:48 PM CST-IP address:174.206.22.17
c, Document e-signed by Charles D. Bevins (doug.bevins@fortworthtexas.gov)
Signature Date:11/14/2018-4:08:10 PM CST-Time Source:server-IP address: 174.206.22.17
Document emailed to William Mason (william.mason@fortworthtexas.gov)for approval
11/14/2018-4:08:12 PM CST
Foxe
Adobe Sign
�i Document viewed by William Mason (william.mason@fortworthtexas.gov)
12/05/2018-8:36:35 AM CST-IP address:209.194.29.100
C Document approved by William Mason (william.mason@fortworthtexas.gov)
Approval Date: 12/05/2018-8:38:05 AM CST-Time Source:server-IP address:209.194.29.100
C. Document emailed to Khal Jaafari (khal.jaafari@fortworthtexas.gov)for signature
12/05/2018-8:38:07 AM CST
Document viewed by Khal Jaafari (khal.jaafari@fortworthtexas.gov)
12/05/2018-10:17:13 AM CST-IP address:209.194.29.100
Document e-signed by Khal Jaafari (khal.jaafari@fortworthtexas.gov)
Signature Date:12/05/2018-10:18:58 AM CST-Time Source:server-IP address:209.194.29.100
-:- Document emailed to Janie Scarlett Morales aanie.morales@fortworthtexas.gov)for signature
12/05/2018-10:19:00 AM CST
Document viewed by Janie Scarlett Morales oanie.morales@fortworthtexas.gov)
12/05/2018-11:38:02 AM CST-IP address:209.194.29.100
6o Document e-signed by Janie Scarlett Morales (Janie.morales@fortworthtexas.gov)
Signature Date:12/05/2018-11:38:18 AM CST-Time Source:server-IP address:209.194.29.100
Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature
12/05/2018-11:38:19 AM CST
Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov)
12/09/2018-6:00:08 PM CST-IP address:209.194.29.100
6o Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov)
Signature Date:12/09/2018-6:00:22 PM CST-Time Source:server-IP address:209.194.29.100
C'ti Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling
12/09/2018-6:00:23 PM CST
Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov)
12/10/2018-12:40:13 PM CST-IP address:209.194.29.100
bc. Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov)
Form filling Date:12/10/2018-12:40:51 PM CST-Time Source:server-IP address:209.194.29.100
04 Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery
12/10/2018-12:40:52 PM CST
Etta Bacy (etta.bacy@fortworthtexas.gov) replaced certified recipient therese.brotherton@fortworthtexas.gov
with Pedro.Hernandez@fortworthtexas.gov
12/11/2018-8:53:07 AM CST-IP address:209.194.29.100
FORT WORTH. =
J Adobe Sign
24 Document emailed to Pedro.Hernandez@fortworthtexas.gov for delivery
12/11/2018-8:53:08 AM CST
AD+ Etta Bacy(etta.bacy@fortworthtexas.gov) replaced certified recipient therese.brotherton@fortworthtexas.gov
with Zelalem.Arega@fortworthtexas.gov
12/11/2018-12:28:51 PM CST-IP address:209.194.29.100
C Document emailed to Zelalem.Arega@fortworthtexas.gov for delivery
12/11/2018-12:28:52 PM CST
`iJ Document viewed by Zelalem.Arega@fortworthtexas.gov
12/11/2018-3:33:14 PM CST-IP address:209.194.29.100
J;, Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov)
Receipt Acknowledgement Date:12/27/2018-8:15:41 AM CST-Time Source:server-IP address:209.194.29.100
Cw Document emailed to Julie A Geho Qulie.geho@fortworthtexas.gov)for delivery
12/27/2018-8:15:42 AM CST
Document viewed by Julie A Geho Qulie.geho@fortworthtexas.gov)
12/27/2018-8:18:02 AM CST-IP address:209.194.29.100
.. Document receipt acknowledged by Julie A Geho Qulie.geho@fortworthtexas.gov)
Receipt Acknowledgement Date:12/27/2018-8:19:25 AM CST-Time Source:server-IP address:209.194.29.100
12+ Document emailed to TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov)for delivery
12/27/2018-8:19:26 AM CST
Document viewed by TPW Flscal Staff(tpwcfafiscal@fortworthtexas.gov)
12/27/2018-8:46:59 AM CST-IP address:209.194.29.100
CSa Document receipt acknowledged by TPW Flscal Staff(tpwcfafiscal@fortworthtexas.gov)
Receipt Acknowledgement Date: 12/27/2018-8:47:07 AM CST-Time Source:server-IP address:209.194.29.100
Signed document emailed to Zelalem.Arega@fortworthtexas.gov, Pedro.Hernandez@fortworthtexas.gov, Etta
Bacy (etta.bacy@fortworthtexas.gov), Khal Jaafari (khal.jaafari@fortworthtexas.gov), and 9 more
12/27/2018-8:47:07 AM CST
FOR% Adobe d aweaea
Sign