HomeMy WebLinkAboutContract 49911-FP1 12 AM p�f Co tract No.
-FPI
CO FORTWORTH, Date Received Jan 11,2019
00
NOTICE OF PROJECT COMPLETION
Wb INd Z (Developer Projects)
The Transportation and Public Works Department upon the recommendation of the Project
Manager has accepted the following project as complete:
Project Name: ALTA VISTA BUSINESS PARK
City Project No.: 101058
Improvement Type(s): Water ® Sewer 21
Original Contract Price: $186,916.81
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $186,916.81
f1GCGClyI��aG�t
Adam 0...a (ha S.2019, Jan 8,2019
Contractor Date
Operations Manager
Title
ANA Site Construction, LLC
Company Name
7RO Jan 8 2019
TRO(Jan 8.2019]
Project Inspector Date
Patrick Buckley(Jan 9,2019) Jan 9,2019
Project Manager Date
rl-, nW�
Evelyn Rob,, (Jan 11,7039) Jan 11,2019
CFA Manager Date
c161f�1� %f 'an 11,2019
Sm Mann.0-11.20191
Asst. City Manager Date
Page 1 of 2
Notice of Project Completion
Project Name:ALTA VISTA BUSINESS PARK
City Project No.: 101058
City's Attachments
Final Pay Estimate FA
Change Order(s): ❑ Yes IJ N/A
Pipe Report: ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 180 CD Days Charged: 261
Work Start Date: 3/26/2018 Work Complete Date: 12/11/2018
t
Page 2 of 2
5-7.0 002
City Project Numbers 101058 DOE Number 1058
Contract Name ALTA VISTA BUSINESS PARK Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 12/27/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON / OVERSTREET Contract Date
Contractor ANA SITE CONSTRUCTION,LLC Contract Time 180 CD
10100 HORSESHOE NAIL RD Days Charged to Date 261 CD
PILOT POINT, TX 76258 Contract is .000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
1
II
I
�j
Total Cost of Work Completed $186,916.81
Less %Retained $0.00
Net Earned $186,916.81
Earned This Period $186,916.81
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 $186,916.81
Thursday,December 27,2018 Page 5 of 5
FoRT WoRTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name ALTA VISTA BUSINESS PARK
Contract Limits
Project Type WATER&SEWER
City Project Numbers 101058
DOE Number 1058
Estimate Number 1 Payment Number 1 For Period Ending 12/27/2018
CD
City Secretary Contract Number Contract Time 18CD
Contract Date Days Charged to Date 261
Project Manager NA Contract is 100.00 Complete
Contractor ANA SITE CONSTRUCTION,LLC
10100 HORSESHOE NAIL RD
PILOT POINT, TX 76258
Inspectors DICKINSON / OVERSTREET
Thursday,December 27,2018 Page 1 or 5
i
i
City Project Numbers 101058 DOE Number 1058
Contract Name ALTA VISTA BUSINESS PARK Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 12/27/2018
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
------------- -- - - - -- --- -- - --------
1 REMOVE 6"WATERLINE 340 LF $10.92 $3,712.80 340 $3,712.80
2 12"-18"TREE REMOVAL I EA $700.00 $700.00 I $700.00
3 EXPLORATORY EXCAVATION OF EXISTING 2 EA $850.00 $1,700.00 2 $1,700.00
UTILITIES
4 TRENCH SAFETY 887 LF $1.00 $887.00 887 $887.00
5 UTILITY MARKERS 1 LS $1,000.00 $1,000.00 1 $1,000.00
6 DUCTILE IRON WATER FITTINGS 0.75 TN $7,473.33 $5,605.00 0.75 $5,605.00
W/RESTRAINT
7 8"PVC WATER PIPE 8 LF $35.00 $280.00 8 $280.00
8 12"WATER PIPE 862 LF $52.00 $44,824.00 862 $44,824.00
9 FIRE HYDRANT 2 EA $3,645.00 $7,290.00 2 $7,290.00
10 CONNECTION TO EXISTING 20"WATER MAIN 1 EA $1,625.00 $1,625.00 1 $1,625.00
11 CONNECTION TO EXISTING 4"-12"WATER 2 EA $1,135.00 $2,270.00 2 $2,270.00
MAIN
12 1"WATER MAIN 2 EA $602.00 $1,204.00 2 $1,204.00
13 2"WATER MAIN 3 EA $975.00 $2,925.00 3 $2,925.00
14 8"GATE VALVE 1 EA $1,115.00 $1,115.00 1 $1,115.00
15 12:GATE VALVE 7 EA $2,050.00 $14,350.00 7 $14,350.00
16 20"X 12"TAPPING SLEEVE&VALVE 1 EA $3,500.00 $3,500.00 1 $3,500.00
17 TEMP WATER LINE AND SERVICES 1 LS $1,500.00 $1,500.00 1 $1,500.00
18 AUTOMATIC FLUSHING DEVICE ECLIPSE 9700I 1 EA $7,714.20 $7,714.20 1 $7,714.20
Sub-Total of Previous Unit $102,202.00 $102,202.00
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
------------------------------------------- ----------
I POST CCTV INSPECTION 1247 LF $1.50 $1,870.50 1247 $1,870.50
2 MANHOLE VACUUM TESTING 7 EA $107.16 $750.12 7 $750.12
3 TRENCH SAFETY 1247 LF $1.00 $1,247.00 1247 $1,247.00
4 VACUUM EXCAVATION 2 EA $750.00 $1,500.00 2 $1,500.00
5 20"CASING BY OTHER THAN OPEN CUT 32 LF $110.00 $3,520.00 32 $3,520.00
6 4"SEWER SERVICE 3 EA $2,156.33 $6,468.99 3 $6,468.99
Thursday,December 27,2018 Page 2 of 5
City Project Numbers 101058 DOE Number 1058
Contract Name ALTA VISTA BUSINESS PARK Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 12/27/2018
Project Funding
7 6"SEWER SERVICE 1 EA $1,720.00 $1,720.00 1 $1,720.00
8 8"SEWER SERVICE 1 EA $450.00 $450.00 1 $450.00
9 8"SEWER PIPE 1055 LF $37.04 $39,077.20 1055 $39,077.20
10 8"SEWER PIPE,CSS BACKFILL 48 LF $38.00 $1,824.00 48 $1,824.00
11 T MANHOLE 7 EA $3,200.00 $22,400.00 7 $22,400.00
12 4'EXTRA DEPTH MANHOLE 23 VF $169.00 $3,887.00 23 $3,887.00
Sub-Total of Previous Unit $84,714.81 $84,714.81
Thursday,December 27,2018 Page 3 of 5
'i
City Project Numbers 101058 DOE Number 1058
Contract Name ALTA VISTA BUSINESS PARK Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 12/27/2018
Project Funding
Contract Information Summary
Original Contract Amount $186,916.81
Change Orders
Total Contract Price $186,916.81
Total Cost of Work Completed $186,916.81
Less %Retained $0.00
"i
Net Earned $186,916.81
!r
Earned This Period $186,916.81
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 $186,916.81
Thursday,December 27,2018 Page 4 of 5
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Alta Vista Business Park
PROJECT NUMBER: 101058
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
WL-A 12" PVC 403.49
WL-A1 12" PVC 459.97
FIRE HYDRANTS: 2 VALVES(16"OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
Yes G" Asbestos 340
DENSITIES: Yes
NEW SERVICES: 1" PVC 2
2" Pvc 3
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
SS-A 8" PVC 593.37
SS-A1 8" PVC 423.57
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A N/A N/A N/A
DENSITIES: Yes
NEW SERVICES: 4" PVC 3
6" PVC 1
8" PVC 1
TRANSPORTATION t1ND PUBLIC WORKS
E' The City of Fort Worth•1000 Throdunorton Street•Fort Worth,TY 76012-6311
s
(817)392-7941 •Fax: (817)392-7845
AFFIDAVIT
STATE OF
COUNTY OF
Before me,the undersigned authority,a notary Public in the state
and county aforesaid, on this day personally appeared Adam Darrach,
Operations Manager Of ANA Site Construction, 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;
Alta Vista Business Park, City Project Number 10,1058 DOE# 1058
Project Type: Water& Sewer Contract-P e $186;916.81
BY
Adam Darrach
Subscribed and sworn before me on this date c 7 of ?;`i .
Notary Public
County, State w rL DON RICHMOND
o~ °� Notary Public
* * State of Texas
1D#1 0 7-7
OT s My Comm.Expires 05-19-2020
CONSENT OF SURETY OWNFR x
TO FINAL PAYMENT ARCHITECT X
AIA Document G707 CONTRACTOR XSURETY X
(Instructions on reverse side) Bond No. 714810P OTHER
TO OWNER: ARCHITECT'S PROJECT NO.: N/A
Mime anusad dAwN)
City of Fort Worth
1000 Throckmorton Street CONTRACT FOR: Improvements:Water and Sewer
Fort Worth, TX 76012-6311
PROJECT: CONTRACT DATED: Undated
(Name and aeklre.w
Alta Vista Business Park
City Project No. 101058
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above.the
(Irr.wnnameandaddre.c of Surety)
Developers Surety and Indemnity Company
P.O. Box19725
Irvine, CA 92623
SURETY,
on bond of
(Insert name andatkirctvof Coruracior)
ANA Site Construction, LLC
10100 Horseshoe Nail Rd.
Pilot Point, TX 76258
CONTRACTOR,
hereby approves of the final payment to the Contractor,and agree.,that final payment to the Contractor shall not relieve the Surety of
any of its obligations to
(In.K'li Ilam[Grrd rukirc!a'o/•Owner)
City of Fort worth
1000 Throckmorton Street
Fort Worth, TX 76012-6311
OWNER,
as set forth in said Surety's bond.
IN WITNFSS WHEREOF,the Surety has hereunto set its hand on this date: January7, 2019
(Iner7 in u•ritinNNh mon[h•follotr ed fir ibe rnanede date and_ivar)
Developers Surety and IndemnipfCompany
.�L
~_ (Sir?wvurrnjaw1x,r4ed rep aenlruircr
Attu'[:(/
Wi ss
Russ Frenzel,Attorney in Fact
(Seaf):NeiFqK&nandez,
tPrin[cr!uuone and nide)
M
CAUTION: You should sign an original AIA document that has this caution printed in red. An
original assures that changes will not be obscured as may occur when documents are reproduced.
See Instruction Sheet for Limited License for Reproduction of this document.
AIA DOCUMENT G707•CONSENT OF suRFTI'TO FINAL.PAYMF r•1941 EDITION•'AIA
01947•THE AMERICAN INS-17M-M.OF ARCHITECTS,1735 NEW YORK AVENUE,NW.W.tSH-
INGTON,D.C.20Wc 5292•WARNING:Unikensed Ph0tocoPyin9 violates U-S•-PY- G707-1994
doW laws and will subiaet the violator W legal orosecuftm
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
PO Box 19725,IRVINE,CA 92623 (949)263-3300
KNOW ALL BY THESE PRESENTS that except as expressly limited,DEVELOPERS SURETYAND INDEMNITY COMPANY,does hereby make,constitute and appoint:
"Brent Baldwin,Brock Baldwin,William D.Baldwin,Michael B.Hill,Brady K.Cox,Blaine Allen,Monica Campos, Russ Frenzel,
John A.Aboumrad,jointly or severally***
as its true and lawful Adomey(s)-in-Fact,to make,execute,deliver and acknowledge,for and on behalf of said corporation,as surety,bonds,undertakings and contracts of suretyship
giving and granting unto said Attorney(s)-tin-Fact full power and authority to do and to perform every act necessary,requisite or proper to be done in connection therewith as said
corporation could do,but reserving to said corporation fun power of substitution and revocation,and all of the arts of said Attomey(s�min-Fact,pursuant to these presents,are hereby
ratified and confirmed.
This Power ofAttomey is granted and is signed by facsimile under and by authority of the following resolutions adopted by the Board of Directors of DEVELOPERS SURETY AND
INDEMNITY COMPANY,effective as of January 1st,2008.
RESOLVED,that a combination of any two of the Chairman of the Board,the President,Executive Vice-President,Senior Vice-President or Vice-President of the corporation
be,and that each of them hereby is,authorized to execute this Power ofAttomey,qualifying the attomey(s)named in the Power ofAttomey to execute,on behalf of the corporation,
bonds,undertakings and contracts of suretyship;and that the Secretary or any Assistant Secretary of the corporation be,and each of them hereby is,authorized to attest the execution of
any such Power of Attorney;
RESOLVED,FURTHER,that the signatures of such officers may be affixed to any such Power ofAttomey or to any certificate relating thereto by facsimile,and any such
Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporation when so affixed and in the future with respect to any bond,undertaking
or contract of suretyship to which it is attached.
IN WITNESS WHEREOF,DEVELOPERS SURETY AND INDEMNITY COMPANY has caused these presents to be signed by its officers and attested by its Secretary orAssistant
Secretary this 4th day of October,2018.
AND
By , =yJ ,oPpoKijy
�`
Daniel Young,Senior Vice-President 1936_W,
BY:
Mark Lansdon,Vice-President
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document.
State of California
County of Orange
On October 4,2018 before me, Lucille Raymond Notary Public
Date Hero Insert Name and Tito of the macer
personally appeared Daniel Young and Mark Lansdon
Names)of Signers)
who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)is/are subscribed
to the within instrument and acknowledged to me that helshe/they executed the same in his/her/their authorized
capacity(ies),and that by his/hedtheir signature(s)on the instrument the person(s),or the entity upon behalf of
eMyLUCILLE RAYMOND which the person(s)acted,executed the instrument
Notary Public-CaliforniaGrange County I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
Commissionf 2258185 true and correct
Comm.Expires Oct 13.2022
WITNESS my hand and official seal.
Place Notary Seal Above Signature
Lucille C4
V,Aond,Notary Public
CERTIFICATE
The undersigned,as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY,does hereby certify that the foregoing Power ofAttomey
remains in full force and has not been revoked and,furthermore,that the provisions of the resolutions of the Board of Directors of said corporation set forth in the Power of Attorney are in
force as of the date of this Certificate.
AND
This Certificate is executed in the City of Irvine,California,this day of yw� ,��/. .•` o"
C = a 1936 i`'
By, ��•
Cassie J. rrisford,Assistant S tary '� +tn o "air'
ATS-1004(10/18) ''•�o��*�,,�`� _ __
Greensheet for Alta Vista
-� Business Park CPN#101058
: . w. WS
Adobe Sign Document History 01/14/2019
Created: 01/03/2019
w� By: Shameka.Kennedy@fortworthtexas.gov
Status: Signed
Transaction ID: CBJCHBCAABAASsftJi-CyjF407xwfOCtctnkbdHH6-XQ
"Greensheet for Alta Vista Business Park CPN#101058 WS" His
tory
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