HomeMy WebLinkAboutContract 49809-FP2 /Ck _
lb City Secretary
49809 -FP2
i Contract No.
ORTWORTH.) Date Received'an 16,2019
v� s.
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: Marine Creek Ranch Section 4
City Project No.: 101052
Improvement Type(s): Water ® Sewer
Original Contract Price: $210,524.50
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $210,524.50
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t=, Jan 15,2019
Contractor Date
Contract Manager
Title
Burnsco Construction, Inc.
Company Name
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Project Inspector Date
�LWWUM Jan 15,2019
Project Manager Date
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2019
Manager Date
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Asst. City Manager Date
Page 1 of 2
OFFICIAL.RECORD
CITY SECRETARY
FT. WORTH,TX
i
Notice of Project Completion
Project Name: Marine Creek Ranch Section 4
City Project No.: 101052
City's Attachments
Final Pay Estimate N
Change Order(s): ❑ Yes N N/A
Pipe Report: N Yes ❑ N/A
p
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 180 CD Days Charged: 180
Work Start Date: 11/20/2017 Work Complete Date: 1/8/2019
I'
Page 2 of 2
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5-G Uv12- 10I 05- i•
City Project Numbers 101052 DOT;Number 1010
Contract Name MARINE CREEK RANCH SECTION 4 Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period landing 1/15/2019
Project Finding
Project Manager NA City Secretary Contract Number 3101052
Inspectors GREGORY / FLUTE Contract Date 8/30/2017
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 180 CD
6331 SOUTHWEST BLVD Days Charged to Date 180 CD
FORT WORTH, TY 76132 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 $210,524.50
Less %Retained $0.00
Net Earned $210,524.50
Earned This Period $210,524.50
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 $210,524.50
Monday,January 14,2019 Page 4 of
FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name MARINE CREEK RANCH SECTION 4
Contract Limits
Project'rype WATER&SEWER
City Project Numbers 101052
DOE Number 1010
Estimate Number I Payment Number I For Period Ending 1/15/2019
CD
City Secretary Contract Number 3101052 Contract Time I SED
0
Contract Date 8/30/2017 Days Charged to Date 180
Project Manager NA Contract is 100.00 Complete f
h
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD Ij
FORT WORTH, TX 76132
Inspectors GREGORY / FLUTE
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Monday,January ILI,2019 Page I of
City Project Numbers 101052 DOE Number 1010
Contract Name MARINE CREEK RANCH SECTION 4 Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 1/15/2019
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 1525 LF $0.10 $152.50 1525 $152.50
2 DUCTILE IRON WATER FITTINGS OS TN $8,600.00 $4,300.00 0.5 $4,300.00
W/RESTRAINT
3 8"DIP WATER 20 LF $35.00 $700.00 20 $700.00
4 8"PVC WATER PIPE 1505 EA $24.60 $37,023.00 1505 $37,023.00
5 FIRE HYDRANT 4 EA $3,300.00 $13,200.00 4 $13,200.00
6 CONNECTION TO EXISTING 4"-12"WATER 2 EA $750.00 $1,500.00 2 $1,500.00
MAIN
7 ]"WATER SERVICE 38 EA $840.00 $31,920.00 38 $31,920.00
8 8"GATE VALVE 3 EA $1,300.00 $3,900.00 3 $3,900.00
Sub-Total of Previous Unit $92,695.50 $92,695.50
UNIT 11:SANITARY SEWER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------- ----------- ---- -- ------------
1 POST-CCTV INSPECTION 1712 LF $1.50 $2,568.00 1712 $2,568.00
2 MANHOLE VACUUM TESTING 10 EA $110.00 $1,100.00 10 $1,100.00
3 TRENCH SAFETY 1712 LF $1.00 $1,712.00 1712 $1,712.00
4 CONCRETE COLLAR 3 EA $400.00 $1,200.00 3 $1,200.00
5 CONCRETE ENCASEMENT FOR UTILITY PIPES 2.21 CY $300.00 $663.00 2.21 $663.00
6 4"SEWER SERVICE 38 EA $625.00 $23,750.00 38 $23,750.00
7 8"SEWER PIPE 1632 LF $33.00 $53,856.00 1632 $53,856.00
8 8"SEWER PIPE CSS BACKFILL 80 LF $43.00 $3,440.00 80 $3,440.00
9 4'MANHOLE 9 EA $2,500.00 $22,500.00 9 $22,500.00
10 4'EXTRA DEPTH MANHOLE 14 VF $110.00 $1,540.00 14 $1,540.00
I I CONST 5'MH OVER EX.18"VC PIPE I EA $5,500.00 $5,500.00 1 $5,500.00
Sub-Total of Previous Unit $117,829.00 $117,829.00
Monday,January 14,2019 Page 2 of 4
City Project Numbers 101052 DOE Number 1010
Contract Name MARINE CREEK RANCH SECTION 4 Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 1/15/2019
Project Funding
Contract Information Summary
Original Contract Amount $210,524.50
Change Orders
Total Contract Price $210,524.50
Total Cost of Work Completed $210,524.50
Less %Retained $0.00
Net Earned $210,524.50
Earned This Period $210,524.50
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 $210,524.50
Monday,January 14,2019 Page 3 of
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Marine Creek Ranch Section 4
PROJECT NUMBER: 101052
DOE NUMBER: NA
WATER
PIPE LAID SIZE TYPE OF PIPE LF
DR-14 8" C900 JM Eagle Slip Joint 1505
McWane 8" Ductile Iron Pipe 20
FIRE HYDRANTS: 4 VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES: 1"(38) Copper
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
SDR-26 8" C900 JM Eagle Slip Joint 1632
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES: 4" (38) SDR-26
TRANSPORTATION AND PUBLIC WORKS
s' The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TZ 76012-6311
(817)392-7941 •Fax:(817)392-7845
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Marine Creek Ranch Section 4
PROJECT NUMBER: 101052
DOE NUMBER: NA
WATER
PIPE LAID SIZE TYPE OF PIPE LF
DR-14 8" C900 JM Eagle Slip Joint 1505
McWane 8" Ductile Iron Pipe 20
FIRE HYDRANTS: 4 VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
i
DENSITIES: qq
NEW SERVICES: 1±
SEWER
PIPE LAID SIZE TYPE OF PIPE LF s
SDR-26 8" C900 JM Eagle Slip Joint 1632
f�
I�
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
1
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•1000 Throclunorton Street•Fort Worth,TZ 76012-6311
(817)392-7941 •Fax:(817)392-7845 4'
I'
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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 Ab Grantges, Contract Manager of Burnsco Construction, Inc.,
known to me to be a credible person, who being 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;
Marine Creek Ranch Section 4—Water,Sanitary Sewer and Storni Drain
BY L
Ab Grantges, Contract Manager
Subscribed and sworn before me on this date 15`t'of January,2019.
L
No ary Public
Tarrant County, Texas
MARY PANNELL
�cNotary Public. Mato o exas
Comm.E.•,:Pires 10-19-2022
IQ 5144239
'�nnn�" Notary
'1 Q
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 022059319
PROJECT:
(name, addreSS)Marine Creek Ranch Section 4
Fort Worth TX
TO (Owner)
CRYSTAL LAKE DEVELOPMENT,LLC AND CITY OF—I ARCHITECT'S PROJECT NO:
FORT WORTH CONTRACT FOR:
3825 Camp Bowie Road Marine Creek Ranch Section 4-Water,Sanitary Sewer and Drainage
Improvements
Fort Worth TX 76107 CONTRACT DATE:
CONTRACTOR:BURNSCO CONSTRUCTION, INC.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(hero inson name and address of Surety Company)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 , SURETY COMPANY
on bond of there insert name and address of Contractor)
BURNSCO CONSTRUCTION,INC.
6331 Southwest Boulevard
Benbrook TX 76132 , 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 (here insert name and address of Owner)
CRYSTAL LAKE DEVELOPMENT, LLC AND CITY OF FORT WORTH
3825 Camp Bowie Road
Fort Worth TX 76107 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this 14th day of January,2019
LIBERTY MUTUAL INSURANCE COMPANY
J;A� Surety Company
Attest:Tina McEwan
(Seal): Signa re of Authorized Representative
Sophinie Hunter 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
This Power of Attorney limits the acts of those named herein,and they have no authority to
bind the Company except in the manner and to the extent herein stated.
Liberty, Liberty Mutual Insurance Company
Mutual, The Ohio Casualty Insurance Company Certificate No: 8200274
SURETY West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana(herein collectively called the"Companies'),pursuant to and by authority herein set forth,does hereby name,constitute and appoint,
Robbi Morales,Don E.Cornell,Sophinie Hunter,"lima IvlcEwan,Ricardo J.Reyna,Joshua Saunders,Kelly A.Westbrook
all of the city of Dallas state of T\ each individually if there be more than one named,its true and lawful attomey-in-fact to make,
execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this I I th day of January 2019 .
Liberty Mutual Insurance Company
1NSU,� P�11( INS`jqN tNSUR9 The Ohio Casualty Insurance Company
�J 40aP_Lq,., 0J 40RPCr+a�`9y Q'40pPCRaf�ym West American Insurance Company
rto
> � 1912 � 0 0 1919 o 2 1991 0
�dJ19�`SACHV`'�.da yO�nHAMPs�`,aa YS NDIANP .�a
to
C David M.Carey,Assistant Secretary
- State of PENNSYLVANIA >
a County of MONTGOMERY ss to
� � c
0 (D On this I I th day of January 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance O
o :3 Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes=
00
> therein contained by signing on behalf of the corporations by himself as a duly authorized officer. LU
T
IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. Q
m U) f�hr r-qi..` o
COMMONWEALTH OF PENNSYLVANIA
O QNotarial Seal 0
C
� � qr Bernsn Paslclla,Notary Public / co
O W 'r j Upper Morton 7wp.,Montgomery County By; �� N
C tai onvnissiExpires xpires tdur , ,2021
y CW2& Teresa Pastella,Notary Public o to
� �. ` Member,P—syl—a AGsociali-M Notaries Q.
� M O
C a; This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual c
o Insurance Company,and West Amedcan Insurance Company which resolutions are now in full force and effect reading as follows: o ro
N ARTICLE IV-OFFICERS:Section 12,Power of Attorney. :�3
o CU Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or the'�)
_0 >1 President may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety >o
M c any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall L N
> a) have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such" °p
Z � instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under the co
provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. o d
ARTICLE X111-Execution of Contracts:Section 5.Surety Bonds and Undertakings. o<a
Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe,F--.-
shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,
bonds,recognizances and other surety obligations.Such attorneys-in-fact subject to the limitations set forth in their respective powers of allomey,shall have full power to bind the
Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation—The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attomeys-in-
fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety
obligations.
Authorization—By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
1,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 14th day of January 1 2019
tNSUR 01 INS& � 1NSUR
Jp onrorq q2 Jp onvonyr y uP eApeRgTq� l
J 3e rFo F Q 3° Fo C+ a 3° Fo tem
19120 1919 1991 0 0!/ 7CJrCr
r 'm fiq 3 iiy e� a� S y>O By:
d,, SACI,U`Q as 'AMPK� aD` YS D
Ne[At1P aRenee C.Llewellyn,Assistant Secretary
LMS-1287 3 LMIC OCIC INAIC Multi Co_062018
0 Liberty
�Mutual.,
SURETY
TEXAS TEXAS
IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener informacion o para someter Iola
queja:
You may call toll-free for information or to Usted puede Ilamar al humero de telefono gratis
make a complaint at para informacion o para someter Una queja al
1-877-751-2640 1-877-751-2640
You may also write to: Usted tambien puede escribir a:
2200 Renaissance Blvd., Ste. 400 2200 Renaissance Blvd., Ste. 400
Icing of Prussia, PA 19406-2755 Icing of Prussia, PA 19406-2755
You may contact the Texas Department of Puede comunicarse con el Departamento de
Insurance to obtain information on companies, Seguros de Texas para obtener informacion
coverages, rights or complaints at acerca de companias, coberturas, derechos o
1-800-252-3439 quejas al
1-800-252-3439
You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros
Consumer Protection (1 11-I A) de Texas Consumer Protection (I 1 1-l A)
P. 0. Box 149091 P. 0. Box 149091
Austin, TX 78714-9091 Austin, TX 78714-9091
FAX: (512) 490-1007 FAX#(512)490-1007
Web: http://www.tdi.texas.egov Web: http://wwtiv.tdi.texas.gov
E-mail: ConsumerProtectionntdi.texas.a.ov E-mail: Con sumerProtection(2ctdi.texas.goy
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS 0 RECLAMOS:
Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a
premium or about a claim you should first un reclamo, debe comunicarse con el agente o
contact the agent or call 1-800-843-6446. primero. Si no se resuelve la disputa, puede
If the dispute is not resolved,you may contact the entonces comunicarse con el departamento (TDI)
Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR UNA ESTE AVISO A SU POLIZA:
POLICY:
This notice is for information only and does not Este aviso es solo para proposito de informacion
become a part or condition of the attached v no se convierte en parte o condieion del
document. documento adjunto.
NP 70 68 09 01
LMS-15252 10115
kms,. Green Sheet CPN 101052
Marine Creek Ranch Section 4
W av W&S
Adobe Sign Document History 01/17/2019
--- Created: 01/14/2019
By: Etta Bacy(etta.bacy@fortworthtexas.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAkdvDkYlcoKApm8POmK-cpOGvPIVLpIXN
"Green Sheet CPN 101052 Marine Creek Ranch Section 4 W&S
" History
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