HomeMy WebLinkAboutContract 49636-FP3 I
City Secretary 49636 -FP3
Contract No.
Date Received Dec 28,2018
FORTWORTH,
NOTICE- OF PROJECT COMPLETION
(Developer Projects)
P
The Transportation and Public Works Department upon the recommendation of the Project
Manager has accepted the following project as complete:
Project Name: FOSSIL CREEK PHASE 3
City Project No.: 100849
i Improvement Type(s): ❑ Paving ❑Drainage 0 Street Lights ❑ Traffic Signals
Original Contract Price: $73,411.77
Amount of Approved Change Ordei%:
Revised Contract Amount:
Total Cost of Work Complete: $73,411.77
Nov 19,2018
Contractor Date
President
Title
Independent Utility Construction,Inc.
Company Name
f
egni Chambetd Nov 20,2018
Xevin Clanbts(Nai 20,20131
Project Inspector Date
Victor V. TorneroTr. Nov 26,2018
%i W V.T--.Jr.(N-26,20101
Project Manager Date
30'+— Nov 28 2018
Jennifer Eu...c en keh.lf u(J-ie kl—kz(Nov 27,:O1a) 7
CFA Manager Date
`74'f y'`4A'f` Nov 28,2018
S—,Al-i,(Nov 20,2C 25)
Asst. City Manager Date
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OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX
Notice of Project Completion
Project Name: FOSSIL CREEK PHASE 3
City Project No.: 100849
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: 230 CD Days Charged: 302
Work Start Date: 11/17/2017 Work Complete Date: 9/14/2018
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Page 2of2
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100 eq 9
City Project Numbers 100849 DOE Number 0849
Contract Name FOSSIL CREEK PHASE 3 Estimate Number I
Contract Limits Payment Number 1
Project Type ST LIGHT For Period Ending 11/19/2018
Project Funding
Project Manager NA City Secretary Contract Number I
Inspectors DICKINSON / CHAMBERS Contract Date
Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 30 CD
5109 SUN VALLEY DRIVE Days Charged to Date 302 CD
FORT WORTH, TX 76119 Contract is .000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
l
Line fund Account Center Amount Gross Retainage Net
Funded
f
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Total Cost of Work Completed $73,411.77
Less %Retained $0.00
Net Earned $73,411.77
Earned This Period $73,411.77
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 $73,411.77
Monday,November 19,2018 Page 4 of 4 ,I
.FORTWORTH
CITY OF FORT WORTH
PARTIAL PAYMENT REQUEST
Contract Name FOSSIL CREEK PHASE 3
Contract Limits
Project Type ST LIGHT
City Project Numbers 100849
DOE Number 0849
i
Estimate Number I Payment Number I For Period Ending 11/19/2018
Project Funding
CD
City Secretary Contract Number Contract Time 30 CD
Contract Date Days Charged to Date 302
Project Manager NA Contract is 100.00 Complete
Contractor INDEPENDENT UTILITY CONSTRUCTION
5109 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors DICKINSON / CHAMBERS
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Monday,November 19,2018 Page 1 of 4 H
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City Project Numbers 100849 DOE Number 0849
Contract Name FOSSIL CREEK PHASE 3 Estimate Number I
Contract Limits Payment Number 1
i
Project Type ST LIGHT For Period Ending 11/19/2018
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Project Funding
a
ST LIGHT
t
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
a
1 50W LED LIGHTING FIXTURE 17 EA $2,757.00 $46,869.00 17 $46,869.00
2 2"CONDT PVC SCH 40 2181 LF $9.46 $20,632.26 2181 $20,632.26
3 INSULATED ELEC CONDR,ALUM#6 XHHW 2181 LF $2.71 $5,910.51 2181 $5,910.51
Sub-Total of Previous Unit $73,411.77 $73,411.77
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Monday,November 19,2018 Page 2 of 4
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City Project Numbers 100849 DOE Number 0849
C
Contract Name FOSSIL CREEK PHASE 3 Estimate Number i
Contract Limits Payment Number 1 P
Project Type ST LIGHT For Period Ending 11/19/2018 f
Project funding
1
Contract Information Summary j
Original Contract Amount $73,411.77
Change Orders
Total Contract Price $73,411.77
'I
Total Cost of Work Completed $73,411.77
Less %Retained $0.00
Net Earned $73,411.77
Earned This Period $73,411.77
Retainage This Period $0.00
ii
Less Liquidated Damages
Days a /Day $0.00
LessPavement Deficiency $0.00
I
Less Penalty $0.00
r.
Less Previous Payment $0.00
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $73,411.77 j
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Monday,November 19,2018 Page 3 of 4
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AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, on this day personally appeared RICHARD
t
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;
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"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: Fossil Creek Phase 3–City Project No. 100849
1
BY:
c d Ace4ie,President
�i
SUBSC BED AND SWORN TO BEFORE ME on this day of
-�- � ,2018.
CHRISTINA GARCIA
1PPY P(�6iL
4�^Notary Public,state of Texas
Na; 'Q Comm,Expires 12-20-2020
Notary ID 130940785
Notary Public, State of Texas
i
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECONTRACT
❑
TO FINAL PAYMENT SURETY El
(SIMILAR TO AIA DOCUMENT G707)
Bond No. 8028462
JUL , ,
PROJECT: Street Lighting Qrovements for Fossil Creels Phase 3
(name,address)Fort Worth,Texas
TO (Owner)
ARCHITECTS PROJECT NO:
City of Fort Worth CONTRACT FOR: Above Project
200 Texas Street
Fort Worth,Texas 76102
—.1 CONTRACT DATE:
CONTRACTOR: Independent Utility Construction,Inc.
ii
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, p
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 fmal 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,
r
The Surety Company has hereunto set its hand this 11th day of July 2018
ii
WE TFIELD INSURANCE COMPANY
Surety Compap
• s
By
Signatur 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 h
f
THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING I r+ts SAMt
POWER; AND ISSUED PRIOR TO 04120111,FOR ANY PERSON OR PERSONS NAMED BELOW.
General POWER NO. 4220052 OG
Power Westfield Insurance Co.
of Attorney Westfield National Insurance Co.
CERTIFIED COPY Ohio Farmers Insurance Co.
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 Attorney(s)-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 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 President,sealed with the corporate
seat 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 Attorney(s)-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 w. , ..,.,.,,,,
Seals �k%Vfl't�r0:', \�P��nN��! WESTFIELD N�• MSU WESTFIELD INSURANCE COMPANY
Affixed �* -c%- n ,=or `�'P= ,.� �'c�`'s OHIO FARMERS I�SURANCNAL E INSURANCE COMPANY
' � �f `0 j4: .Zx G::%ViARTEQ�O
$u� r7 SEAL
b';ey'• :o ; 1848.4 :
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 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.
u
Seal ..•``��{AL 4`' ,
Affixed
William J. Kahelin,A rney at Law,Notary Public
State of Ohio s N d wpzgo My Commission Does Not Expire(Sec.147.03 Ohio Revised Code)
County of Medina ss.:
1,Frank A..Carr 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, t have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 11th day of
July, -a-e-2018
� No
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s ti•_ . .i o � :v�c =��,•`:cTCt1•ARTr=IpE'p �3
f N •SUL :, .r: SEAL :m. =o' :'o- Secretary
,ar% �+�{� o; ? :. 184H_:F_>` Frank A.Camino,Secretary
BPOAC2 (combined) (06-02)
�R — Greensheet for Fossil Creek
=~ -� Phase 3 CPN#100849 SL
Revised
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Status: Delivered
Transaction ID: CBJCHBCAABAA1tjhBw66PKYp4W4HLMgkGC5mgKFSQRKI
"Greensheet for Fossil Creek Phase 3 CPN#100849 SL Revised
" History
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