HomeMy WebLinkAboutContract 49619-FP3 City Secretary49619 -FP3
Contract No.
FORTWORTH. Date Received Apr 15,2019
"d_`���9
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: Rainbow Ridge Phase1 B
City Project No.: 100932
Improvement Type(s): Water M Sewer
Original Contract Price: $532,142.10
Amount of Approved Change Order(s): $28,761.00
Revised Contract Amount:
Total Cost of Work Complete: $560,903.10
Albert Grant¢es(Anr 7 9191 Apr 11,2019
Contractor Date
Contract Manager
Title
Burnsco Construction,Inc.
Company Name
IAJW"-RU14r- Apr 11,2019
James Ruiz(Apr 11,20191
Project Inspector Date
Keith Ghanma 12,2019) Apr 12,2019
Project Manager Date
,7a&4 2yleff Rata,,&f
Janie Scarlett Morales(Apr 12,201% Apr 12,2019
CFA Manager Date
Sum,n, L&4, Apr 14 2019
Susan Alanis(Apr 14,20191 P
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX Page 1 of 2
Notice of Project Completion
Project Name: Rainbow Ridge Phase1 B
City Project No.: 100932
City's Attachments
Final Pay Estimate 0
Change Order(s): ❑x Yes ❑ N/A
Pipe Report: 0 Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 180 CD Days Charged: 506
Work Start Date: 11/13/2017 Work Complete Date: 4/2/2019
Page 2of2
FORT Wo RT H
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name RAINBOW RIDGE PHASE 1-B
Contract Limits
Project Type WATER&SEWER
City Project Numbers 100932
DOE Number 9320
Estimate Number 1 Payment Number I For Period Ending 4/2/2019
CD
I
City Secretary Contract Number 2100932 Contract Time 150;D
Contract Date 8/15/2017 Days Charged to Date 506
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors GREGORY / RUIZ
i
I'
it
I�
I.
I'
I
Thursday,April 11,2019 Page 1 of 4
i
City Project Numbers 100932 DOE Number 9320
Contract Name RAINBOW RIDGE PHASE 1-13 Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 4/2/2019
Project Funding
WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 CONNECT TO EXISTING 4"-12"WATER MAIN 4 EA $1,000.00 $4,000.00 4 $4,000.00
2 8"WATER PIPE(CO Al,A2) 2959 LF $33.00 $97,647.00 2959 $97,647.00
3 TRENCH SAFETY 2806 LF $0.10 $280.60 2806 $280.60
4 V WATER SERVICE(CO Al,A2) 101 EA $930.00 $93,930.00 101 $93,930.00
5 8"GATE VALVE 3 EA $1,340.00 $4,020.00 3 $4,020.00
6 FIRE HYDRANT 5 EA $4,235.00 $21,175.00 5 $21,175.00
7 DUCTILE IRON WATER FITTIGNS 2.6 TN $4,100.00 $10,660.00 2.6 $10,660.00
W/RESTRAINT
--------------------------------------
Sub-Total of Previous Unit $231,712.60 $231,712.60
SEWER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 7"SEWER PIPE(CO Al,A2) 3001 LF $53,00 $159,053.00 3001 $159,053.00
2 4"SEWER SERVICE(CO Al,A2) 101 EA $900.00 $90,900.00 101 $90,900.00
3 4'EXTRA DEPTH MANHOLE(OVER 6'DEPTH) 15 VF $120.00 $1,800.00 15 $1,800.00
4 4'MANHOLE(CO Al,A2) 18 EA $3,800.00 $68,400.00 18 $68,400.00
5 TRENCH SAFETY 2867 LF $1.00 $2,867.00 2867 $2,867.00
6 POST-CCTV INSPECTION 2867 LF $1.50 $4,300.50 2867 $4,300.50
7 MANHOLE VACUUM TESTING 17 EA $110.00 $1,870.00 17 $1,870.00
--------------------------------------
Sub-Total of Previous Unit $329,190.50 $329,190.50
--------------------------------------
Thursday,April 11,2019 Page 2 of 4
City Project Numbers 100932 DOE Number 9320
Contract Name RAINBOW RIDGE PHASE 1-B Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 4/2/2019
Project Funding
Contract Information Summary
Original Contract Amount $532,142.10
Change Orders
Change Order Number Al $28,761.00
Change Order Number
Total Contract Price $560,903.10
Total Cost of Work Completed $560,903.10
Less %Retained $0.00
Net Earned $560,903.10
Earned This Period $560,903.10
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 $560,903.10
I
I
i
I
Thursday,April 11,2019 Page 3 of 4
City Project Numbers 100932 DOE Number 9320
Contract Name RAINBOW RIDGE PHASE 1-B Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 4/2/2019
Project Funding
Project Manager NA City Secretary Contract Number 2100932
Inspectors GREGORY / RUIZ Contract Date 8/15/2017
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 150 CD
6331 SOUTHWEST BLVD Days Charged to Date 506 CD
FORT WORTH, TX 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 $560,903.10
Less %Retained $0.00
Net Earned $560,903.10
Earned This Period $560,903.10
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 $560,903.10
Thursday,April 11,2019 Page 4 of 4
p m K o A X A 0 Z T1 Cn >C 0 0 00
D (n o z o 00 �p m D �{ Y zz 0
o r- m z n m m m `n —i �—
'Xl D m m O O -, p n (� '� 77 ()
O T O { 0 p
(D m D m -Zi m O D o Z - X 0 o m �I Z
U) 0 z n � °0 1) gy m mz m m --A K
o m y a z -1 O m D C� (� m
N -i 51 -i � m
n0 (n
a D 0 z m 0
m 3 o
c m
z
v o cn cn x N a
t hia y Nw N o o PQ o
0o ' C w co co W o 0j O
N m b o v,
V' N N o 0 4f V O A
N A j. L
N p p Q
a
o p o n 0) (D p p = m
N (D to
CD m o o N N N CD
W o
v O C N O O U) m
m
m W r 0 w < co co 7
rn + w +n 0 0 0 n y
w M a ? M v
0
w o o w cn
i0 o o o O
<o ( p
<A o m
N A z -0z7 90 m
i'a c to O 7' 0 3 (�
o a O O
IA oo c n (D (D ()
N O
C-
m
iq
n n iv
4„ o c,
fA Ci O Cl O O03
1] m D ()
D
a Z (D
O) uni n O V �I :En
3 m
O
o� o co o o roao
-4 10 (D V7 m
z
IA (�jl (III N O
14 .A m fA G9 OI
4� O V O O
� " O V o O O
W A
N C)
o n m D O
z
0 0 o D f�Ti
G.
N 7J
rr
i!
(C C0 o
!A 69 bf
O '-1
O O X
4 4(o IJ FJ I.J O
i�
io r'
In
0 o t�
0 o A
fA
O
m Z
to ui vi (» rA tr O O
0 0 0 0 0 0 In
0 0 0 0 0 o m n
� n >
o V' T7
n �
to en G1
0 o y
0 0 o Q
Z
m
(OD p
D �
n
I
m 0
( z 2#\2m
/ # C?
k CD i / % % % ; k
/ 2 I� §�*� -
/ z 2aa88 § /
\ M } k ) ) `
z 2 a
a ) _ } $
CD
} 2 ° m m § coQ g g
! A G $] (] SHd\/� \
{ 0
! 2 q � fg \§e�; f
°(
, Sr § M z§
Sr n ,. � Z , � o §
m k) {/ - ®§\ /
R ■ m R ; ) N
mz f§
)\ }\ 9%%§% cE
n
/2 °
}k
a z C _ > m § , k
j m / k \ /
2 k ® m $m R@
M k R m (§
§ })rn
k2
m
{® mm ) 3� />
om § °a0ci0
�k & §§7}§A
/. • F » C(0
m [ W\ m
}\ ID
% » 2
® )\/ r\
} -� ;-
a w 2
# T m y
/ § > §
} \ .0 m )
{ { m k
§ CD ( .
m Eft . §
} c
z ® \\/j
k lb 1Uzi � BCD
ID
/ �M 0 CO
pk�)
E ek§ks0
/
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Rainbow Ridge Ph 1-B
PROJECT NUMBER: 100932
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
8" C900 2959
FIRE HYDRANTS: 3 VALVES(16"OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A N/A N/A N/A
DENSITIES: Density taken and all passed
NEW SERVICES: 1" COOPER 101
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
8' SDR-26 3001
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Density taken and all passed
NEW SERVICES: 4" SDR-26 101
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
0
(817)392-7941 •Fax: (817)392-7845
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 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; 1
Rainbow Ridge Phase 1-B—Water, Sanitary Sewer and Storm Drain
BY
Ab Grantges, Contract Manager
Subscribed and sworn before me on this date 1 Ph of April, 2019.
Notary Public
Tarrant County, Texas
a
CESILIA CANALES
Notary ID#131652996
My Commission Expires
July 24,2022
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT SURETY CONTRACTOR ❑❑
Conforms with the American Institute of OTHER
Architects, AIA Document G707
Bond No 022058106
PROJECT:
(name, address)Rainbow Ridge Phase 1-B
Fort Worth TX
TO (Owner)
F ARCHITECT'S PROJECT NO:
RAINBOW RIDGE, LLC AND CITY OF FORT WORTH CONTRACT FOR:
6751 North Freeway Rainbow Ridge Phase 1-B-Water,Sewer,and Drainage
Improvements
Fort Worth TX 76131 CONTRACT DATE:
CONTRACTOR: BURNSCO 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)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 , SURETY COMPANY
on bond of (here 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)
RAINBOW RIDGE, LLC AND CITY OF FORT WORTH
6751 North Freeway
Fort Worth TX 76131 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this 5th day of April, 2019
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
Attest:
(Sear: � Signature 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
R
L V utudl, 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,Tina McEwan,Ricardo J.Reyna,Joshua Saunders,Kelly A.Westbrook
all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful attorney-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 lth day of January , 2019
Liberty Mutual Insurance Company
INS(ul ASV INS&,p tNSURq The Ohio Casualty Insurance Company
j�4UtaPOfy�To'r�tn QJ=40(tPOrytTOgy� a e°o�PORArey� West American Insurance Company �
1912 0 0 1919 2 1991 0 �
o ° � `n
(D dV1'PP4CHUS .da yO f MP`�a,aa� '(s �Nb1ANP ,aa x 1=
N 9,7 * a �y� * �� �M * �� By: / (n
c David M.Carey,Assistant Secretary
— 2 State of PENNSYLVANIA >�
"a � County of MONTGOMERY ss cu
c) a) On this 11 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 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
(D > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. v LU
a) 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
`o
00 `'�o, STF COMMONWEALTH OF PENNSYLVANIA Q d'
Q' �E.F �4 t
L O F Notarial Seal 0
N O OF Teresa Pastella,Notary Public i
O 4) Upper Merton Twp.,Montgomery County By: N
My Commission Expires March 28,2021 3: E
,r� YtvA`'$cr eresa Pastella,Notary Public O M
� � Member,Pennsylvania Association of Notaries -O
O N O
-,0)(1) 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 w
o.S Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o aa)
aS ARTICLE IV—OFFICERS:Section 12.Power of Attorney.
o 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 )
-a >. President may prescribe,shall appoint such attorneys-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 a N
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 CO
Zv 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 -
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 0
ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings. L
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, 0
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 attorney,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 attorneys-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.
I,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 5th day of April 2019
sli VI-4
IN S
allo ARo2t� �JQ=oaao�y& 'D
gym `VP2 o vo q C, o2�
1912 n o 1919 1991 0
z �, o � B
dV19SSACHU`� .da ti0 R�NAMV, a ! �N01ANr' a y-
s7� * gad Renee C.Llewellyn,Assistant Secretary
LMS-12873 LMIC OCIC WAIC Multi Co 062018
LibertX
Mutual.
SURETY
TEXAS TEXAS
IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener informacion o para someter una
quej a:
You may call toll-free for information or to Usted puede llamar al numero 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
King of Prussia, PA 19406-2755 King 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 (I I I-1 A) de Texas Consumer Protection(I I I-1 A)
P. O. Box 149091 P. O. Box 149091
Austin, TX 78714-9091 Austin, TX 78714-9091
FAX: (512) 490-1007 FAX# (512) 490-1007
Web: http://www.tdi.texas.gov Web: http://www.tdi.texas.gov
E-mail: ConsumerProtection@tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O 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 y no se convierte en parte o condicion del
document. documento adjunto.
NP70680901
LMS-1 5292 10115