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HomeMy WebLinkAboutContract 49809-FP4 City Secretary �'_� Contract No. 49809 -FP4 CE�V D FORTWORTH, Jan 16,2019 Date Received VA a , 1014 c o moo 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): ❑ Paving ❑ Drainage ® Street tights ❑ Traffic Signals Original Contract Price: $24,699.06 Amount of Approved Change Order(s): Revised Contract Amount: $24699.06 Total Cost of Work Complete: $24,699.06 Rlchar Golfe(Jan 14,2019) Jan 14, 2019 Contractor Date President Title Independent Utility Construction,Inc. Company Name &V_ Jan 16, 2019 MkM"V ftWn16,7013, Project Inspector Date "Aaron W ;d19, Jan 16, 2019 Project Manager Date J e Scarlett Morales(Jan 16,2D19) Jan 16, 2019 CFA Manager Date C�ifah dkk Jan 16� 2019 Asst. City Manager Date OFFICIAL RECORD Page 1 of 2 CITY SECRETARY FT. WORTH,TX Notice of Project Completion Project Name: Marine Creek Ranch Section 4 City Project No.: 101052 City's Attachments Final Pay Estimate 0 Change Order(s): ❑ Yes 0 N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 30 CD Days Charged: 30 Work Start Date: 11/20/2017 Work Complete Date: 1/8/2019 N� i Ii I1 F i f' {j Page 2 of 2 City Project Numbers 101052 DOE Number 1010 Contract Name MARINE CREEK RANCH SECTION 4 Estimate Number I Contract Limits Payment Number I Project Type STREET LIGHTING For Period Ending 1/15/2019 Project Funding Project Manager NA City Secretary Contract Number 2101052 Inspectors GREGORY / FLUTE Contract Date 11/20/2017 Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 30 CD 5109 SUN VALLEY DRIVE Days Charged to Date 30 CD FORT WORTH, Ta 76119 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded Total Cost of Worh Completed $24,699.06 Less %Retained $0.00 Net Earned $24,699.06 Earned This Period $24,699.06 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 $24,699.06 Monday,January 14,2019 Page 4 of 4 I FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name \MARINE CREEK RANCH SECTION 4 Contract Limits Project Type STREET LIGHTING City Project Numbers 101052 DOE Number 1010 Estimate Number I Payment Number 1 For Period Ending 1/15/2019 CD City Secretary Contract Number 2101052 Contract Time 30;D Contract Date 11/20/2017 Days Charged to Date 30 Project Manager NA Contract is 100.00 Complete Contractor INDEPENDENT UTILITY CONSTRUCTION 5109 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors GREGORY / FLUTE 1 d 8 I` s I Monday,January 14,2019 Page 1 of 4 City Project Numbers 101052 DOE Number 1010 Contract Name MARINE CREEK RANCH SECTION 4 Estimate Number I Contract Limits Payment Number 1 Project Type STREET LIGHTING For Period Ending 1/15/2019 Project Funding UNIT V:STREET LIGHTING IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ---------------------------.._ .. — — ------------ 1 2"CONDT PVC SCH 80(T) 180 LF $13.43 $2,417.40 180 $2,417.40 2 RDWY ILLULM ASSMBLY TY 8,1 i,D-25 AND D- 6 EA $1,755.00 $10,530.00 6 $10,530.00 30 3 LED LIGHTING FIXTURE 6 EA $366.00 $2,196.00 6 $2,196.00 4 RDWY ILLUM FOUNDATION TY 1,2,AND 4 6 EA $1,491.51 $8,949.06 6 $8,949.06 5 6-6-6 TRIPLEX ALUM ELEC CONDUCTOR 1.80 LF $3.37 $606.60 180 $606.60 Sub-Total of Previous Unit $24,699.06 $24,699.06 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 STREET LIGHTING For Period Ending 1/15/2019 Project Funding Contract Information Summary Original Contract Amount $24,699.06 Change Orders Total Contract Price $24,699.06 Total Cost of Work Completed $24,699.06 Less %Retained $0.00 Net Earned $24,699.06 Earned This Period $24,699.06 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 $24,699.06 Monday,January 14,2019 Page 3 of 4 AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me, the undersigned authority, on this day personally appeared RICHARD 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; "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—City Project No. 101052 BY: chard of resident S-UBSCRIBED AND SWORN TO BEFORE ME on this 14* day of 2019. 0gYPU4i CHRISTINA GARCIA /7 Notary Public,State of Texas Qz Comm.Expires 12-20-2020 l Notary ID 130940785 Notary Public, State of Texas CONSENT OF OWNER ❑ El SURETY COMPANY COCr .c OR TO FINAL PAYMENT SURETY ❑ OTHER (SIMILAR TO AIA DOCUMENT G707) Bond No. 8028466 PROJECT: Street Lighting Improvements for Marine Creek Ranch Section 4 (name,address)Fort Worth,Texas TO (Owner) ARCHITECT'S PROJECT NO: F City of Fort Worth CONTRACT FOR: Above Project 200 Texas Street Fort Worth,Texas 76102 CONTRACT DATE: CONTRACTOR: Independent Utility Construction,Inc. 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, 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 final 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, The Surety Company has hereunto set its hand this 14th day of January 2019 WESTFIELD INSURANCE COMPANY Surety Comppy By Signa o ' epresentative 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 THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARINU I HIS 5AMt POWER#AND ISSUED PRIOR TO 04120111,FOR ANY PERSON OR PERSONS NAMED BELOW. POWER NO. 4220052 06 General Power Westfield Insurance Co. of Attorney Westfield National Insurance Co. Ohio Farmers Insurance Co. CERTIFIED COPY 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 seal 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-FacL 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). •fn 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 o "'. �H$U WESTFIELD INSURANCE COMPANY Affixed �.OP?.a. C�` ;v0 P�`eNAC/�'SG" `=�••` �.y<e. WESTFIELD NATIONAL INSURANCE COMPANY �t e �� 1. ••.c a OHIO FARMERS INSURANCE COMPANY €t-`•wet'� =rod N= SEAL .��- �o��HARTFRfp•:3c 184ES 1, 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 Exectftive 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 ���.N•«•«•...k„� ,, Seal a\A L S Affixed W lliam J. Kahelin,A rney at Law,Notary Public State of Ohio =N d �o My Commission Does Not Expire(Sec.147.03 Ohio Revised Code) County of Medina ss.: ,q �'�•i�,.- TE `0 1,Frank A..Carrino,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, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 14th day of January.azuR�.”"'•20L9 �'Nfu� �tISU I� •",q,'g;!r � -N. SEAL •z:rn- • aRrob3 :ro F-; ? o• an / Secretary .�r ��F z.. :o; =. 11348 Wit; Frank A. Carrino, Secretary BPOAC2 (combined) (06-02) Fnm�m. •-- -- Green Sheet CPN 101052 b ~_ Marine Creek Ranch Section 4 �M. Street Lights —---- Adobe Sign Document History 01/17/2019 �- Created: 01/14/2019 By: Etta Bacy(etta.bacy@fortworthtexas.gov) Status: Signed Transaction ID: CBJCHBCAABAA4mvjnKHUHpXnFM_dulhiS9g9bWTWOzxi "Green Sheet CPN 101052 Marine Creek Ranch Section 4 Stree t Lights" History Tj Document created by Etta Bacy(etta.bacy@fortworthtexas.gov) 01/14/2019-11:25:19 AM CST-IP address:209.194.29.100 C'► Document emailed to Richard Wolfe (rwolfe@iuctx.com)for signature 01/14/2019-11:28:55 AM CST Document viewed by Richard Wolfe(rwolfe@iuctx.com) 01/14/2019-11:34:24 AM CST-IP address:64.233.172.136 Chi Richard Wolfe(rwolfe@iuctx.com) uploaded the following supporting documents: Cry File Attachment 1 (P/ File Attachment 2 01/14/2019-2:21:19 PM CST 6q Document e-signed by Richard Wolfe (rwolfe@iuctx.com) Signature Date:01/14/2019-2:21:19 PM CST-Time Source:server-IP address:75.139.243.146 �'. Document emailed to Michael V. Flute(michael.flute@freese.com)for signature 01/14/2019-2:21:20 PM CST Document viewed by Michael V. Flute(michael.flute@freese.com) 01/14/2019-2:47:47 PM CST-IP address:172.56.6.72 ba Document e-signed by Michael V. Flute (michael.flute@freese.com) Signature Date:01/15/2019-7:25:37 AM CST-Time Source:server-IP address:174.47.154.90 P* Document emailed to Ariel Duarte (ariel.duarte@fortworthtexas.gov)for approval 01/15/2019-7:25:38 AM CST FORTWORTIJ. Adobe obe Sign Document viewed by Ariel Duarte (ariel.duarte@fortworthtexas.gov) 01/15/2019-8:36:16 AM CST-IP address:209.194.29.100 Document approved by Ariel Duarte (ariel.duarte@fortworthtexas.gov) Approval Date:01/15/2019-8:36:54 AM CST-Time Source:server-IP address:209.194.29.100 Document emailed to Aaron Long (edward.long@fortworthtexas.gov)for signature 01/15/2019-8:36:55 AM CST 5 Document viewed by Aaron Long (edward.long@fortworthtexas.gov) 01/15/2019-9:29:19 AM CST-IP address:209.194.29.100 Oc' Document e-signed by Aaron Long (edward.long@fortworthtexas.gov) Signature Date:01/15/2019-9:29:34 AM CST-Time Source:server-IP address:209.194.29.100 C'-► Document emailed to Janie Scarlett Morales Oanie.morales@fortworthtexas.gov)for signature 01/15/2019-9:29:35 AM CST CSa Document e-signed by Janie Scarlett Morales (Janie.morales@fortworthtexas.gov) Signature Date:01/16/2019-7:58:43 AM CST-Time Source:server-IP address:209.194.29.100 C� Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 01/16/2019-7:58:44 AM CST Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov) 01/16/2019-8:00:22 AM CST-IP address:209.194.29.100 6© Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:01/16/2019-8:00:36 AM CST-Time Source:server-IP address:209.194.29.100 L-74 Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 01/16/2019-8:00:37 AM CST Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 01/16/2019-8:19:43 AM CST-IP address:209.194.29.100 fSo, Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:01/16/2019-8:20:04 AM CST-Time Source:server-IP address:209.194.29.100 Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 01/16/2019-8:20:05 AM CST Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 01/16/2019-10:38:33 AM CST-IP address:209.194.29.100 6o Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date:01/16/2019-10:38:47 AM CST-Time Source:server-IP address:209.194.29.100 Adobe Sign C' Document emailed to Julie A Geho Oulie.geho@fortworthtexas.gov)for delivery 01/16/2019-10:38:48 AM CST Document viewed by Julie A Geho Oulie.geho@fortworthtexas.gov) 01/16/2019-12:03:46 PM CST-IP address:209.194.29.100 60 Document receipt acknowledged by Julie A Geho Qulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:01/16/2019-12:04:01 PM CST-Time Source:server-IP address:209.194.29.100 Co- Document emailed to TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov)for delivery 01/16/2019-12:04:02 PM CST "u Document viewed by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) 01/17/2019-8:59:24 AM CST-IP address:209.194.29.100 Document receipt acknowledged by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:01/17/2019-8:59:31 AM CST-Time Source:server-IP address:209.194.29.100 Signed document emailed to Aaron Long (edward.long @fortworthtexas.gov), TPW Fiscal Staff (tpwcfafiscal@fortworthtexas.gov), Allison Tidwell (cso_finaipay@fortworthtexas.gov), Etta Bacy (etta.bacy@fortworthtexas.gov), and 7 more 01/17/2019-8:59:31 AM CST FORT WORTH. 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