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Contract 49964-FP1
12 � ��N 08 iSecretary Contract o. 499CA -FPL G�Nx;�9 FORTWORTH. Date Received Jan 10,2019 Nk � 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:ALLIANCE TOWN CENTER NORTH City Project No.: 101107 Improvement Type(s): Water ® Sewer Original Contract Price: $40,883.00 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $40,883.00 JH! ilah P tton(Od s,2018) Oct 5,2018 Contractor Date Project manager Title Conatser Construction Company Name W Jan 2 2019 William Matteyt(Jan 2,2019 Project Inspector Date Fr�Chia Jan 2 2019 Fred Ehia(Jan 2,2019) P jest Manager Date ,041 Barlett MonEft.,Jan 0.2019) Jan 6, 2019 nager Date SmanAlanfc(Jan 7,2019) Jan 7, 2019 Asst. City Manager Date Page 1 of 2 OFFICIAL.KEcORD CITY SECRETARY FT. WORTH,TX Notice of Project Completion i Project Name:ALLIANCE TOWN CENTER NORTH it City Project No.: 101107 i! i� SII City's Attachments i. I' Final Pay Estimate ® j Change Order(s): ❑ Yes Z N/A i Pipe Report: © Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 60 CD Days Charged: 197 Work Start Date: 2/21/2018 Work Complete Date: 9/5/2018 Page 2 of 2 I� City Project Numbers 101107 DOE Number 1107 I i Contract Name ALLIANCE TOWN CENTER NORTH Estimate Number I Contract Limits Payment Number 1 i Project Type SEWER For Period Ending 9/27/2018 Project Funding II I� Project Manager NA City Secretary Contract Number Inspectors DHONSON / MATTEGAT Contract Date ;I Contractor CONATSER CONSTRUCTION TxLP Contract Time 60 CD 5327 WICHITA ST Days Charged to Date 197 CD FORT WORTH, TX 76119 Contract is .000000 Complete 7 CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net j. Funded - ---- — --- -- F l Total Cost ofWork Completed $40,883.00 Less %Retained $0.00 Net Earned $40,883.00 Earned This Period $40,883.00 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 Ij Plus Material on Hand Less 15% $0.00 Balance Due This Payment $40,883.00 Thursday,September 27,2018 Page 4 of 4 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name ALLIANCE TOWN CENTER NORTH Contract Limits Project Type SEWER City Project Numbers 101107 DOE Number 1107 Estimate Number 1 Payment Number 1 For Period Ending 9/27/2018 CD City Secretary Contract Number Contract Time 6CD Contract Date Days Charged to Date 197 Project Manager NA Contract is 100.00 Complete Contractor CONATSER CONSTRUCTION TxLP 5327 WICHITA ST FORT WORTH, TX 76119 Inspectors DIKINSON / MATTEGAT Thursday,September 27,2018 Page 1 of 4 i i City Project Numbers 101107 DOE Number 1107 Contract Name ALLIANCE TOWN CENTER NORTH Estimate Number 1 Contract Limits Payment Number 1 Project Type SEWER For Period Ending 9/27/2018 Project Funding SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ---------=----------------------------- 1 8"SEWER PIPE 322 LF $56.00 $18,032.00 322 $18,032.00 2 8"2-WAY CLEANOUT I EA $1,000.00 $1,000.00 1 $1,000.00 3 4'DROP MANHOLE I EA $6,500.00 $6,500.00 1 $6,500.00 4 4'EXTRA DEPTH MANHOLE 5 VF $205.00 $1,025.00 5 $1,025.00 5 EPDXY MANHOLE LINER 1 EA $2,500.00 $2,500.00 1 $2,500.00 6 CONNECT TO EXISTING MANHOLE 1 EA $4,500.00 $4,500.00 1 $4,500.00 7 TRENCH SAFETY 322 LF $4.00 $1,288.00 322 $1,288.00 8 POST CCTV INSPECTION 322 LF $4.00 $1,288.00 322 $1,288.00 9 MANHOLE VACUUM TESTING 1 EA $250.00 $250.00 1 $250.00 -------------------------------------- Sub-Total of Previous Unit $36,383.00 $36,383.00 EROSION CONTROL Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- I SWPPP>1 ACRE 1 LS $4,500.00 $4,500.00 1 $4,500.00 --------------------------------------- Sub-Total of Previous Unit $4,500.00 $4,500.00 -------------------------------------- Thursday,September 27,2018 Page 2 of 4 i3 t City Project Numbers 101107 DOE Number 1107 Contract Name ALLIANCE TOWN CENTER NORTH Estimate Number 1 Contract Limits Payment Number 1 Project Type SEWER For Period Ending 9/27/2018 i Project Funding Contract Information Summary Original Contract Amount $40,883.00 Change Orders Total Contract Price $40,883.00 Total Cost of Work Completed $40,883.00 Less %Retained $0.00 Net Earned $40,883.00 Earned This Period $40,883.00 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 $40,883.00 i Thursday,September 27,2018 Page 3 of 4 FORTWORTH }{)J} TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Alliance Town Center North Assisted living G PROJECT NUMBER: 101107 DOE NUMBER: N/A WATER PIPE LAID SIZE TYPE OF PIPE LF i FIRE HYDRANTS: N/A VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: Yes NEW SERVICES: N/A SEWER PIPE LAID SIZE TYPE OF PIPE LF 8" PVC 322 PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: NEW SERVICES: N/A TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Wordi,T176012-6311 F (817)392-7941 •Fax:(817)392-7845 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 Brock Huggins, President of Conatser Management Group, Inc., general partner of Conatser Construction TX, LP, 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; and That there are no claims pending for personal injury and/or property damages; On Contract described as: ALLIANCE TOWN CENTER NORTH—Prestige Multi Family Water, Sanitary Sewer, Paving&Drainage Improvements Multi Family-Offsites DOE#: N/A CFA PRJ #: 2017-143 CITY PROJCT #: N/A CITY OF FORT WORTH STATE OF TEXAS CONATS CONSTRUCTION TX, LP 4 Brock Huggins Subscribed and sworn to before me this 14th day of Sep er, " BERTHA GIANULIS Notary Public, state of texas Notary Public in Tarrant County, Texas ' ,: _ My Commission Expires September 18, 2019 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 0213774 PROJECT: (name, addreSS)Alliance Town Center North-Prestige Multi Family Fort Worth,TX TO (Owner) HILLWOOD ALLIANCE SERVICES,LLC AND THE -I ARCHITECT'S PROJECT NO: CFA No.2017-143 CITY OF FORT WORTH CONTRACT FOR: Water,Sewer,Paving,&Drainage Improvements for Alliance Town Center North-Prestige Multi Family Oflsites L TX `I CONTRACT DATE: CONTRACTOR:CONATSER CONSTRUCTION TX,L.P. 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) BERKLEY INSURANCE COMPANY 475 Steamboat Road Greenwich CT 06830 , SURETY COMPANY on bond of (here insert name and address of Contractor) CONATSER CONSTRUCTION TX,L.P. 5327 Wichita St. Fort Worth TX 76119-6035 , CONTRACT hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relle the Surety Company of any of its obligations to (here insert name and address of Owner) HILLWOOD ALLIANCE SERVICES,LLC AND THE CITY OF FORT WORTH TX as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 13th day of September,2018 BERKLEY INSURANCE COMPANY J Surety Company Attest: (Seal): Signature of Authorized Representative Bobbi Morales Attorney-in-Fact Title NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition ONE PAGE r re Greensheet for Alliance Town Center North CPN#101107 WS Adobe Sign Document History 01/14/2019 Created: 10/04/2018 By: Shameka.Kennedy@fortworthtexas.gov Status: Signed Transaction ID: CBJCHBCAABAAxK_Rrldb73fjwhw3vRFowQgkbEf8CFt- "Greensheet for Alliance Town Center North CPN#101107 WS" History -;= Document created by Shameka.Kennedy@fortworthtexas.gov 10/04/2018-12:50:35 PM CDT-IP address:209.194.29.100 Document emailed to Jeremiah Patton Qp@conatserconstruction.com)for signature 10/04/2018-12:53:47 PM CDT Document viewed by Jeremiah Patton Qp@conatserconstruction.com) 10/05/2018-11:08:18 AM CDT-IP address: 184.205.151.189 Ci Jeremiah Patton Op@conatserconstruction.com) uploaded the following supporting documents: G File Attachment 1 File Attachment 2 10/05/2018-11:11:27 AM CDT Document e-signed by Jeremiah Patton Op@conatserconstruction.com) Signature Date:10/05/2018-11:11:27 AM CDT-Time Source:server-IP address:184.205.151.189 C-► Document emailed to William Mattegat(william.mattegat@fortworthtexas.gov)for signature 10/05/2018-11:11:29 AM CDT Document viewed by William Mattegat(william.mattegat@fortworthtexas.gov) 10/05/2018-11:30:28 AM CDT-IP address:107.77.199.12 Document e-signed by William Mattegat(william.mattegat@fortworthtexas.gov) Signature Date:01/02/2019-8:20:38 AM EST-Time Source:server-IP address:209.194.29.100 C� Document emailed to Joe Rogers Qoseph.rogers@fortworthtexas.gov)for approval 01/02/2019-8:20:39 AM EST FoR Ad. rg n-11--- "L Document viewed by Joe Rogers Qoseph.rogers@fortworthtexas.gov) 01/02/2019-9:14:00 AM EST-IP address:209.194.29.100 Document approved by Joe Rogers Ooseph.rogers@fortworthtexas.gov) Approval Date:01/02/2019-9:14:38 AM EST-Time Source:server-IP address:209.194.29.100 Document emailed to Fred Ehia (freidoon.ehia@fortworthtexas.gov)for signature 01/02/2019-9:14:39 AM EST Document viewed by Fred Ehia (freidoon.ehia@fortworthtexas.gov) 01/02/2019-11:24:32 AM EST-IP address:209.194.29.100 Document e-signed by Fred Ehia (freidoon.ehia@fortworthtexas.gov) Signature Date:01/02/2019-11:45:33 AM EST-Time Source:server-IP address:209.194.29.100 Document emailed to Janie Scarlett Morales Qanie.morales@fortworthtexas.gov)for signature 01/02/2019-11:45:35 AM EST Document e-signed by Janie Scarlett Morales(Janie.morales@fortworthtexas.gov) Signature Date:01/06/2019-11:02:42 AM EST-Time Source:server-IP address:209.194.29.100 Document emailed to SusanAlanis (susan.alanis@fortworthtexas.gov)for signature 01/06/2019-11:02:43 AM EST Document viewed by SusanAlanis (susan.alanis@fortworthtexas.gov) 01/07/2019-8:43:19 AM EST-IP address:209.194.29.100 141 b& Document e-signed by SusanAlanis (susan.alanis@fortworthtexas.gov) j Signature Date:01/07/2019-8:43:43 AM EST-Time Source:server-IP address:209.194.29.100 CY Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 01/07/2019-8:43:44 AM EST k Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 01/10/2019-9:31:42 AM EST-IP address:209.194.29.100 Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:01/10/2019-9:32:20 AM EST-Time Source:server-IP address:209.194.29.100 I=w. Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 01/10/2019-9:32:21 AM EST + Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 01/10/2019-9:39:02 AM EST-IP address:209.194.29.100 Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date:01/10/2019-9:39:22 AM EST-Time Source:server-IP address:209.194.29.100 Adobe Sign E'-. Document emailed to Julie A Geho Oulie.geho@fortworthtexas.gov)for delivery 01/10/2019-9:39:23 AM EST Document viewed by Julie A Geho Oulie.geho@fortworthtexas.gov) 01/10/2019-9:48:17 AM EST-IP address:209.194.29.100 dQ Document receipt acknowledged by Julie A Geho Oulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:01/10/2019-9:48:42 AM EST-Time Source:server-IP address:209.194.29.100 C'w Document emailed to TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov)for delivery 01/10/2019-9:48:43 AM EST Document viewed by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) 01/14/2019-9:18:35 AM EST-IP address:209.194.29.100 6© Document receipt acknowledged by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:01/14/2019-9:19:03 AM EST-Time Source:server-IP address:209.194.29.100 8 Signed document emailed to Joe Rogers Qoseph.rogers@fortworthtexas.gov), SusanAlanis (susan.alanis@fortworthtexas.gov),Allison Tidwell (cso_finalpay@fortworthtexas.gov),William Mattegat (william.mattegat@fortworthtexas.gov), and 7 more 01/14/2019-9:19:03 AM EST FoR_ _e I :, w_aeoi Adobe Sign