HomeMy WebLinkAboutContract 50305-FP4 O City Secretary SO?05 -FP4
Contract No.
FORTWORTH.) Date Received Feb 8,2019
/O U COCO�
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: Summer Creek Ranch Section XIII Phase C
City Project No.: 100665
Improvement'rype(s): ❑ Paving ❑ Drainage 0 Street Lights O Traffic Signals
Original Contract Price: $38,027.26
Amount of Approved Change Order(s):
Revised Contract Amount: $38,027.26
Total Cost of Work Complete: $38,027.26
—L Feb 1,2019
Contractor Date
President
Title
Independent Utility Construction,Inc.
Company Name
1119a Calk Feb 2 2019
M,3::Cain jreb 1019; 2,
2019
Inspector Date
a-sahu,PM Feb 4,2019
PAect ManWer Date
e ScarleU Morales(Feb 8,2019) Feb 8,2019
CFA Manager Date
CSI &114�mlzt Feb 8 2019
Susan Alanis(Feb 8,2019)
Asst. City Manager Date
OFFICIAL.RECORD
CITY SECRETA)WI of 2
FT. (NORTH, TX
Notice of Project Completion
Project Name:Summer Creek Ranch Section XIII Phase C
City Project No.: 100665
City's Attachments
Final Pay Estimate
Change Order(s): ❑ Yes 0 N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 40 CD Days Charged: 193
Work Start Date: 7/16/2018 Work Complete Date: 01/24/2019
Page 2 of 2
City Project Numbers 100665 DOE Number 6650
Contract Name SUMMER CREEK RANCH SECTION XIII PHASE C Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHTING For Period Ending 1/24/20199
Project Funding 9(p� l v o&
�I
Project Manager NA City Secretary Contract Number 100665
Inspectors CORDOVA / CAIN Contract Date 6/12/2018
Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 30 CD
5109 SUN VALLEY DRIVE Days Charged to Date 193 CD
FORT WORTH, TX 76119 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 $38,027.26
Less %Retained $0.00
Net Earned $38,027.26
Earned This Period $38,027.26
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 $38,027.26
Thursday,January 31,2019 Page 4 of 4
FORT NORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name SUMMER CREEK RANCH SECTION XM PHASE C
Contract Limits
Project Type STREET LIGHTING
City Project Numbers 100665
DOE Number 6650
Estimate Number 1 Payment Number I For Period Ending 1/24/2019
CD
City Secretary Contract Number 100665 Contract Time 3ED
Contract Date 6/12/2018 Days Charged to Date 193
Project Manager NA Contract is 100.00 Complete
Contractor INDEPENDENT UTILITY CONSTRUCTION
5109 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors CORDOVA / CAIN
Thursday,January 31,2019 Page 1 of 4
City Project Numbers 100665 DOE Number 6650
Contract Name SUMMER CREEK RANCH SECTION XIII PHASE C Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHTING For Period Ending 1/24/2019
Project Funding
UNIT V:STREET LIGITTS IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
—————————————————————————--————————-___- —
1 2"CONDT PVC SCH 80(T) 393 LF $11.22 $4,409.46 393 $4,409.46
2 NO 10 INSULATED ELEC.CONDR(COPPER) 1179 LF $2.20 $2,593.80 1179 $2,593.80
3 FURNISHANSTALL LED LIGHTING FIXTURE 70 8 EA $2,368.00 $18,944.00 8 $18,944.00
WATT ATBO COBRA HEAD&TY 11 POL
4 RDWY ILLUM FOUNDATION TY 1,2,AND 4 8 EA $1,510.00 $12,080.00 8 $12,080.00
---------------------------------------
Sub-Total of Previous Unit $38,027.26 $38,027.26
----------------------------------------
Thursday,January 31,2019 Page 2 of 4
City Project Numbers 100665 DOE Number 6650
Contract Name SUMMER CREEK RANCH SECTION XIII PHASE C Estimate Number I
Contract Limits Payment Number 1
Project Type STREET LIGHTING For Period Ending 1/24/2019
Project Funding
Contract Information Summary
Original Contract Amount $38,027.26
Change Orders
Total Contract Price $38,027.26
Total Cost of Work Completed $38,027.26
Less %Retained $0.00
Net Earned $38,027.26
Earned This Period $38,027.26
Retainage This Period $0.00
Less Liquidated Damages
Days a I 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 $38,027.26
Thursday,January 31,2019 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: Summer Creek Ranch Section 13 Phase C—City Project No
100665
BY:
Richard e,President
SUBSCRIBED AND SWORN TO BEFORE ME on this I � day of
2019.
CHRISTINA GARCIA
.�tiPPY Pie�� _
=r' Lc,cNotary Public,state of Texas
•Q; Comm, Expires 12-20-2020
Notary ID 130940785
Notary Public, State of Texas
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
j�1 OTHER
(SIMILAR TO��C DENT G707)
Bond No. 8966733
PROJECT: Street Lights to serve Summer Creek Ranch Section XIII Phase C
(name,address)Fort Worth, Texas
TO (Owner)
ARCHITECTS PROJECT NO:
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 151h day of January 2019
WESTFIELD INSURANCE COMPANY
Surety Company
By Az o/,
Attest: Signature of A onzed Representative
(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
.ua euvvc" yr r - 'ur"r-T JVPtit C:tUtJ ANY PREVIOUS POWER BEARING IHIJ SAlvlt
POWER#AND ISSUED PRIOR TO 04120111, FOR ANY PERSON OR PERSONS NAMED BELOW.
General POWER NO. 4220052 06
Power Westfield Insurance Co.
of Attorney Westfield National Insurance Co.
CERTIFIED COPY ®Ilio Farmers Insurance Co.
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 bondsrecognizances, 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 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 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-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
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).
-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.,2011 .
...w,
Corporate
'\aSur'.',0V0 p�tON�L rY' \NSUQ`�"'�'' WESTFIELD INSURANCE COMPANY
Affixed ` +a.`''� �` '``�` S '' "=�?' WESTFIELD NATIONAL INSURANCE COMPANY
Gy? '��''� OHIO FARMERS INSURANCE COMPANY
z i--= , SEAL _ = AREo: 3
�e
;e `W' rY3 :O; ��d: 1848 .�c `
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 Companies;and that he signed his name thereto by like order.
Notarial �N
Seal ,•r�1 A t_ a,y
Affixed
William J. Kahelin,A rney at Law, Notary Public
State of Ohio T d J0 My Commission Does Not Expire(Sec.147.03 Ohio Revised Code)
County of Medina ss.: i ;.
QTCOFO .
I, 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, 1 have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this day of
January �_A D;
` 2019 ,�t� F
i 5
-vet' N
O s P t C 14S% \gSUk _
4 N•` , _' -"' SEAL
:fie a _cn; .m �� 1Et48 'a= Secretary
N_ %�' •.0- = = ate_ Frank A. Carrino..Secretary
vw.,.. , ....... ...... ...
BPOAC2 (combined) (06-02)
Green Sheet CPN 100665
-- --� Summer Creek Ranch Section
XIII Phase C - Lights
- - - --- Adobe Sign Document History 02/11/2019
- Created: 02/01/2019
By: Etta Bacy(etta.bacy@fortworthtexas.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAJ_U5KOJkoO-ML-yp8PmM_kTMKxF993TV
"Green Sheet CPN 100665 Summer Creek Ranch Section XIII P
hase C - Lights" History
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