HomeMy WebLinkAboutContract 49116-FP2 0 City Secretary
Contract ala. 49116 -FP2
OF�o�wO
FORTWORTH, Date Received Feb 5,2019
!O O fo v
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: $YLVANIA AVE IMPROVEMENTS
City Project No.: 100681
Improvement Type(s): Water ® Sewer
Original Contract Price: $50,165.45
Amount of Approved Change Order(s): $71,933.70
Revised Contract Amount: $122,099.15
Total Cost of Work Complete: $122,099.15
& Layzi Feb 4,2019
Sun Dev(e)Feb 4,]019)
Contractor Date
President
Title
AB Contracting,LLC
Company Name
Russe(r'�0� Feb 4,2019
Project Inspector Date
sACI Z.CWggtFeb 4 2019
Aaron LwS(Feb 4.2011) s
Project Manager Date
JMZk L&A g&7 009m(g f Feb 5 2019
Janie Scadett Monies(Feb 5,2019) s
CFA Manager Date
Sm,mL'4&w4�, Feb 5 2019
Susan Alanis(Feb 5,A019) s
Asst. City Manager Date
Pa e 1 of 2
p OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
Notice of Project Completion
Project Name: SYLVANIA AVE IMPROVEMENTS
City Project No.: 100681
City's Attachments
Final Pay Estimate
Change Order(s): N Yes ❑ N/A
Pipe Report: ® Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
I
Statement of Contract Time
Contract Time: 180 CD Days Charged: 412
Work Start Date: 10/6/2017 Work Complete Date: 11/20/2018
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Page 2 of 2
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City Project Numbers 100631 DOE Number 0631
Contract Name SYLVANIA AVE IMPROVEMENTS Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 12/11/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON / ROGERS Contract Date
Contractor JLB CONTRACTING,L.L.C. Contract Time 180 CD
PO BOX 24131 Days Charged to Date 412 CD
FORT WORTH, TX 76124-1131 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 $122,099.15
Less %Retained $0.00
Net Earned $122,099.15
Earned This Period $122,099.15
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 $122,099.15
Tuesday,December 11,2018 Page 4 of 4
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name SYLVANIA AVE IMPROVEMENTS
Contract Limits
Project Type WATER&SEWER
City Project Numbers 100681
DOE Number 0681
Estimate Number 1 Payment Number 1 For Period Ending 12/11/2018
CD
City Secretary Contract Number Contract Time 18GD
Contract Date Days Charged to Date 412
Project Manager NA Contract is 100.00 Complete
Contractor JLB CONTRACTING,L.L.C.
PO BOX 24131
FORT WORTH, TX 76 124-1 13 1
Inspectors DICKINSON / ROGERS
Tuesday,December 11,2018 Page 1 of'I
City Project Numbers 100681 DOE Number 0681
Contract Name SYLVANIA AVE.IMPROVEMENTS Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 12/11/2018
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 2"WATER SERVICE 2 EA $2,287.75 $4,575.50 2 $4,575.50
2 FIRE HYDRANT 1 EA $9,425.00 $9,425.00 1 $9,425.00
3 MISC STRUCTURE ADJUSTMENT 19 EA $65.65 $1,247.35 19 $1,247.35
4 8"WATERLINE LOWERING 4 EA $7,495.00 $29,980.00 4 $29,980.00
5 WATER MOBILIZATION CO#3 1 LS $5,500.00 $5,500.00 1 $5,500.00
6 CONNECT TO EXISTING WATERLINE CO#3 2 EA $4,500.00 $9,000.00 2 $9,000.00
7 8"PVC WATERLINE C043 411 LF $50.00 $20,550.00 411 $20,550.00
8 6"PVC WATERLINE CO#3 25 LF $45.00 $1,125.00 25 $1,125.00
9 DI FITTINGS C093 0.2 TN $7,500.00 $1,500.00 0.2 $1,500.00
10 RECORRECT&TEST EXISTING FH CO#3 1 EA $3,750.00 $3,750.00 1 $3,750.00
11 8"GATE VALVE CO#3 I EA $1,500.00 $1,500.00 1 $1,500.00
12 6"GATE VALVE C093 1 EA $1,250.00 $1,250.00 1 $1,250.00
13 2"WATER SERVICE CO#3 2 EA $2,287.75 $4,575.50 2 $4,575.50
14 2"WATER RECONNECT CO#3 2 EA $425.00 $850.00 2 $850.00
Sub-Total of Previous Unit $94,828.35 $94,828.35
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
2 CONCRETE ENCASEMENT FOR UTILITY PIPES 4 CY $567.70 $2,270.80 4 $2,270.80
3 SANITARY SEWER,MANHOLE CO#3 4 EA $6,250.00 $25,000.00 4 $25,000.00
Sub-Total of Previous Unit $27,270.80 $27,270.80
Tuesday,December 11,2018 Page 2 of 4
City Project Numbers 100681 DOE Number 0681
Contract Name SYLVANIA AVE IMPROVEMENTS Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 12/11/2018
Project Funding
Contract Information Summary
Original Contract Amount $50,165.45
Change Orders
Change Order Number 3 $71,933.70
Total Contract Price $122,099.15
Total Cost of Work Completed $122,099.15
Less %Retained $0.00
Net Earned $122,099.15
Earned This Period $122,099.15
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 $122,099.15
Tuesday,December 11,2018 Page 3 of 4
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FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Sylvania ave Improvements
PROJECT NUMBER: 100681
DOE NUMBER:
WATER
PIPE LAID SIZE TYPE OF PIPE LF
8"pvc 8" C900 411
FIRE HYDRANTS: N/A VALVES(16"OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
81,pv 8" C900 411
i�
I
DENSITIES: yes u
NEW SERVICES: N/A
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
II
PIPE ABANDONED SIZE TYPE OF PIPE LF II
ii
DENSITIES:
NEW SERVICES:
I{
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TP.ANSPORTATION AND PUBLIC WORKS
iF The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TY 76012-6311
k
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TRANSPORTATION AND PUBLIC WORKS
INSPE,CTION PUNCH LIST
Slyvania ave improvements.
1.Clean out all storm inlets that were constructed on project
2.Repair and set to grade meter boxes at 4917 sylvania and 4821 sylvania
3.Route and seal panels discussed on final inspection
4.Replace panels of concrete at north end of slyvania on south bound lane and in intersection of
melody hills station 17+00 to 19+00 as discussed on final walk I -?
5.Clean out sewer man hole in drive of 4917 sylvania
Contractor a ' i
Inspector
I 'I
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 Sam Davis, President of JLB Contracting, ILC,
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;
Paving, Drainage, Grading and Street lighting Improvements to serve Sylvania Avenue
Project # 100681 ,--�
BY
Sam Davis
President
JLB Contracting, LLC
Subscribed and sworn before me on t;NAR�/PUBLIC
f 2018.
uuao JAMIE GREENWAY
gP-RY
�2°;' L�zNotary Public,State of Texas
Comm.Expires 09-25-2020 N AND FNotary ID 1211545-4OUNTY, TMy commission expires
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT BURET 171
THER
(SIMILAR TO AIA DOCUMENT G707)
Bond No. 8028453
PROJECT: Paving,Drainage. Grading and Street Lighting ImproNements to serve Sylvania Avenue
(name,address)Fort Worth.Texas
TO (Owner)
ARCHITECTS PROJECT NO:
City of Fort Worth. Texas CONTRACT FOR: Above Project
200 Texas Street
Fort Worth. 'texas 76102
CONTRACT DATE:
CONTRACTOR: JLB Contracting. LLC
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the(litre insert name and
address of5utctyCompany) Westfield Insurance Compan\
555 Republic Drive, Suite 450
Plano.Texas 75074 ,SURETY COMPANY,
on bond of(here insert name and address of Contractor)
JLB Contracting,. Ll C
P.O. Box 24131 ,CONTRACTOR,
Fort Worth.Texas 76124
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 ofOwncr)
City of Fort Worth
200'hexas Street
Fort Worth.Texas 76103 .OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WI[ERE OF,
The Surety Company has hereunto set its hand this 30th day of November 2018
N ES 1`1711:1_D INSURANCE COMPANY
Surety Comp
By
Attest: e
5ignatt - uthorize cpresentative
(Seal): h\Ie W. S,,teenev Attorney—in—Fact
rifle
Note:This form is intended to be used as a companion document to the Contractor's Allidavit of payment of Debts and Claims,Current Edition
THIS Pow R Or At f ORNEY SUPERCEDES ANY PREVIOUS BOWER BEARINU !HIS AML
POWER#AND ISSUED PRIOR TO 04120111,FOR ANY PERSON OR PERSONS NAhdED 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 Alf 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,d0 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 11wtul Attorney(s)-in-Fact,with full power and authonty hereby conferred in its name,
place and stead, to execute, acknowledge and delver any and all bonds, recognizances, undertakings, or other instruments or contracts of
suretyship- - - • - • - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - . - - - - - - - - - - - - - - - - - - - -- - - -
LIMITATIOW 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 i1 5ueh bunds were signed by the President,sea.:ed willi the corporate
seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming a( that the said Attorneys)-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 ti 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 Attorneys)-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
seat shall be valid and binding upon the Company with respect to any bond or undertaking Io 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.,2091 -
corporate���`��=•u�"''��rC�s',� o`'tStONAt rtis %%SU FWESTFIELD INSURANCE COMPANYa /aWESTFIELD NATIONAL INSURANCE
COMPANY
Affixed
OHIO FARMERS INSURANCE COMPANY
/�r rCKARTERED ;
€ i i7.t.cC9L� n :fount: SL7�.tal� ;mc .o: :JG -
rw% Z
�3:. 1846
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 CompaWcs;and that he signed his name thereto by like order.
Notarial a••`"'�'•� ""
Seal RIA L
Affixed0.
�P:1t11i_sF
William J. Kaltelin,A rney at Law,Notary Public
State of Ohio :;iris o My Commission foes Not Expire(Sec. 147.03 Ohio Revised Code)
County of Medfna ss.. q •Z`,
•.,�E O F O
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 stili 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 rpy hand and affixed the seals of said Companies at Westfield Center„ Ohio, this 3011' day of
November wa°;t., 2018 .,..,...,.
�.•`�Z�tJft(,rtC'y`•. �iONALry'•,• R' �itSUi7 .
F.��'' ,p. •zlp :='...•••..,SGw `�,pc1.,.....` .CFS
r 5L t SEAL• m` =ti�`'iVJCjH�-ARTfj?Ep:3e
�W_ :a 3u~i; • _n: :Ant
c > ,� Sccrary
1$48_ Frank A.Carrino, Secretary
BPOAC2 (combined) (06-02)
- ~4== Greensheet for Sylvania Ave
Improvements CPN#100681
WS
Adobe Sign Document History 02/11/2019
Created: 12/11/2018
By: Shameka.Kennedy@fortworthtexas.gov
Status: Signed
Transaction ID: CBJCHBCAABAAKYec81XHVtyvFFcm4_8b2oZ2eMwJcePs
"Greensheet for Sylvania Ave Improvements CPN#100681 WS"
History
u Document created by Shameka.Kennedy@fortworthtexas.gov
12/11/2018-11:20:55 AM CST-IP address:209.194.29.100
Document emailed to Sam Davis (aperez@jlbcontracting.com)for signature
12/11/2018-11:26:45 AM CST
3 Document viewed by Sam Davis (aperez@jlbcontracting.com)
02/04/2019-1:19:42 PM CST-IP address:47.51.207.249
Sam Davis (aperez@jlbcontracting.com) uploaded the following supporting documents:
File Attachment 1
File Attachment 2
02/04/2019-1:22:31 PM CST
r)-0 Document e-signed by Sam Davis (aperez@jlbcontracting.com)
Signature Date:02/04/2019-1:22:31 PM CST-Time Source:server-IP address:47.51.207.249
C Document emailed to russel.rogers2@fortworthtexas.gov for signature
02/04/2019-1:22:32 PM CST
`? Shameka.Kennedy@fortworthtexas.gov replaced signer russel.rogers2@fortworthtexas.gov with Russell Rogers
(russell.rogers@Iamb-star.com)
02/04/2019-2:57:32 PM CST-IP address:209.194.29.100
. Document emailed to Russell Rogers (russell.rogers@Iamb-star.com)for signature
02/04/2019-2:57:32 PM CST
FOR _d
Adobe Cbb
Sign
`u Document viewed by Russell Rogers (russell.rogers@Iamb-star.com)
02/04/2019-3:34:45 PM CST-IP address:107.77.198.38
Document e-signed by Russell Rogers(russell.rogers@Iamb-star.com)
Signature Date:02/04/2019-3:38:30 PM CST-Time Source:server-IP address: 107.77.198.38
Cs Document emailed to Randy Horton (randall.k.horton@fortworthtexas.gov)for approval
02/04/2019-3:38:31 PM CST
Document viewed by Randy Horton (randall.k.horton@fortworthtexas.gov)
02/04/2019-3:39:47 PM CST-IP address:209.194.29.100
6a Document approved by Randy Horton (randall.k.horton@fortworthtexas.gov)
Approval Date:02/04/2019-3:40:57 PM CST-Time Source:server-IP address:209.194.29.100
C'-► Document emailed to Aaron Long (edward.long@fortworthtexas.gov)for signature
02/04/2019-3:40:57 PM CST
Document viewed by Aaron Long (edward.long@fortworthtexas.gov)
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6p Document e-signed by Aaron Long (edward.long@fortworthtexas.gov)
Signature Date:02/04/2019-3:54:55 PM CST-Time Source:server-IP address:209.194.29.100
. Document emailed to Janie Scarlett Morales Qanie.morales@fortworthtexas.gov)for signature
02/04/2019-3:54:56 PM CST
Document viewed by Janie Scarlett Morales (Janie.morales@fortworthtexas.gov)
02/05/2019-7:47:11 AM CST-IP address:209.194.29.100
ba Document e-signed by Janie Scarlett Morales (Janie.morales@fortworthtexas.gov)
Signature Date:02/05/2019-7:52:30 AM CST-Time Source:server-IP address:209.194.29.100
Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature
02/05/2019-7:52:31 AM CST
Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov)
02/05/2019-10:17:25 AM CST-IP address:209.194.29.100
6a Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov)
Signature Date:02/05/2019-10:17:40 AM CST-Time Source:server-IP address:209.194.29.100
C-► Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling
02/05/2019-10:17:41 AM CST
Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov)
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FORT WORTH.
i Adobe sign
6b Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov)
Form filling Date:02/05/2019-4:41:06 PM CST-Time Source:server-IP address:209.194.29.100
Document emailed to Zelalem.Arega@fortworthtexas.gov for delivery
02/05/2019-4:41:07 PM CST
�-f Shameka.Kennedy@fortworthtexas.gov replaced certified recipient Zelalem.Arega@fortworthtexas.gov with
Trudy Brotherton (Therese.Brotherton@fortworthtexas.gov)
02/08/2019-3:25:51 PM CST-IP address:209.194.29.100
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G Document receipt acknowledged by Trudy Brotherton (Therese.Brotherton@fortworthtexas.gov)
Receipt Acknowledgement Date:02/11/2019-7:13:28 AM CST-Time Source:server-IP address:209.194.29.100
C Document emailed to Julie A Geho Oulie.geho@fortworthtexas.gov)for delivery
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Receipt Acknowledgement Date:02/11/2019-8:00:11 AM CST-Time Source:server-IP address:209.194.29.100
C, Document emailed to TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov)for delivery
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Receipt Acknowledgement Date:02/11/2019-10:39:01 AM CST-Time Source:server-IP address:209.194.29.100
Signed document emailed to Janie Scarlett Morales (Janie.morales@fortworthtexas.gov),
Zelalem.Arega@fortworthtexas.gov, Sam Davis (aperez@jlbcontracting.com), Julie A Geho
Oulie.geho@fortworthtexas.gov), and 9 more
02/11/2019-10:39:01 AM CST
FORT WORTH
Adobe sign