HomeMy WebLinkAboutContract 50261-FP2 City Secretary 50261 -FP2
Contract No.
RECEIVED FORTWORTH(o Date Received May 1,2019
MAY- 12019
CITY OF FORT WORTH
NOTICE OF PROJECT COMPLETION
(Developer Projects)
The Transportation and Public Works Department upon the recommendaVon of the Project
Manager has accepted the following project as complete:
Project Name: Jerry Dunn Parkway
City Project No.: 101133
Improvement Type(s): Water ❑ Sewer
Original Contract Price: $117,460.02
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $117,460,02
�7M&Italf Zf12y. Apr 24,2019
Jonathan Lamev(Aor 24,2019)
Contractor Date
Project Manager/Estimator
Title
Blue Star Utilities
Company Name
James Ru!z(Apr 25,2019) Apr 25,2019
Project Inspector Date
Aaron Long(May 1,2019) May 1,2019
Project Manager Date
�7a�rre�faylmtZ±Lz�& May 1,2019
S ,iew u.-1—(may 1,'In,y�
CFA Manager Date
Susgoi,,4/4,ai;- M 1 2019
Susan Alanis("" a' 2019) Y
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX Page 1 of 2
Notice of Project Completion
Project Name: Jerry Dunn Parkway
City Project No.: 101133
City's Attachments
Final Pay Estimate x❑
Change Order(s): ❑ Yes x❑ N/A
Pipe Report: x❑ Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 100 CD Days Charged: 404
Work Start Date: 3/5/2018 Work Complete Date: 4/11/2019
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name JERRY DUNN PARKWAY IMPROVEMENTS
Contract Limits
Project Type SEWER IMPROVMENTS
City Project Numbers 101133
DOE Number 1133
Estimate Number 1 Payment Number 1 For Period Ending 4/11/2019
W
City Secretary Contract Number Contract Time low
Contract Date 1/24/2018 Days Charged to Date 404
Project Manager NA Contract is 100.00 Complete
Contractor BLUE STAR UTILITIES,LLC
103 W.BROAD ST.
MANSFIELD, TX 76063
Inspectors CORDOVA / RUIZ
Tuesday,April 16,2019 Page 1 of 4
City Project Numbers 101133 DOE Number 1133
Contract Name JERRY DUNN PARKWAY IMPROVEMENTS Estimate Number I
Contract Limits Payment Number I
Project Type SEWER IMPROVMENTS For Period Ending 4/11/2019
Project Funding
UNIT II-SEWER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost
Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 15" SEWER PIPE(SDR-26 ASTM D3034) 1409 LF $58.00 $81,722.00 1409 $81,722.00
2 10"SEWER PIPE(SDR-26 ASTM 3034) 28 LF $46.00 $1,288.00 28 $1,288.00
3 8"SEWER PIPE(SDR-26 ASTM 2241) 72 LF $35.00 $2,520.00 72 $2,520.00
4 CONCRETE ENCASEMENT FOR UTILITY PIPES 10 CY $273.00 $2,730.00 10 $2,730.00
5 T MANHOLE 6 EA $2,564.00 $15,384.00 6 $15,384.00
6 T DROP INLET I EA $3,943.00 $3,943.00 1 $3,943.00
7 T EXTRA DEPTH MANHOLE 14.36 VF $131.00 $1,881.16 14.36 $1,881.16
8 EPDXY MANHOLE LINER 14.38 VF $147.00 $2,113.86 14.38 $2,113.86
9 TRENCH SAFETY 1509 LF $1.00 $1,509.00 1509 $1,509.00
10 POST CCTV INSPECTION 1509 LF $2.00 $3,018.00 1509 $3,018.00
11 MANHOLE VACUUM TESTING 7 EA $193.00 $1,351.00 7 $1,351.00
--------------------------------------
Sub-Total of Previous Unit $117,460.02 $117,460.02
--------------------------------------
Tuesday,April 16,2019 Page 2 of 4
f
City Project Numbers 101133 DOE Number 1133
Contract Name JERRY DUNN PARKWAY IMPROVEMENTS Estimate Number 1
Contract Limits Payment Number 1
Project Type SEWER IMPROVMENTS For Period Ending 4/11/2019
Project Funding
Contract Information Summary
Original Contract Amount $117,460.02
Change Orders
Total Contract Price $117,460.02
Total Cost of Work Completed $117,460.02
Less %Retained $0.00
Net Earned $117,460.02
Earned This Period $117,460.02
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 $117,460.02
Tuesday,April 16,2019 Page 3 of 4
City Project Numbers 101133 DOE Number 1133
Contract Name JERRY DUNN PARKWAY IMPROVEMENTS Estimate Number 1
Contract Limits Payment Number 1
Project Type SEWER IMPROVMENTS For Period Ending 4/11/2019
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors CORDOVA / RUIZ Contract Date 1/24/2018
Contractor BLUE STAR UTILITIES,LLC Contract Time 100 W
I
103 W.BROAD ST. Days Charged to Date 404 W
MANSFIELD, TX 76063 Contract is .000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
i
I
Line Fund Account Center Amount Gross Retainage Net
Funded
I
i
Total Cost of Work Completed $117,460.02
Less %Retained $0.00
Net Earned $117,460.02
Earned This Period $117,460.02
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 $117,460.02
Tuesday,April 16,2019 Page 4 of 4
I
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Jerry Dunn Parkway
PROJECT NUMBER: 101133
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
N/A
FIRE HYDRANTS: N/A VALVES(16"OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES:
NEW SERVICES:
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
15" PVC 1409
10" PVC 28
8" PVC 72
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: Density Test Taken All Passed
NEW SERVICES: N/A
TRANSPORTATION AND PUBLIC WORKS
. t` The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
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 Steve Hugdahl,
President Of Blue Star Utilities, LLC., 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;
Jerry Dunn Parkway Utilities
BY
Steve Hugdahl
Subscribed and sworn before me on this date -?,3 of Rtr;1 , 2019.
Nota ub11C RNEI
le
sion Expires
County of Tarrant, State of 1
992149
Texas
1
n 03
C
SURETEC INSURANCE COMPAN
9737 Great Hills Trail, Suite 320, Austin, Tx 78759
OWNER ❑
ARCHITECT ❑
CONSENT OF SURETY CONTRACTOR
TO FINAL PAYMENT SURETY
OTHER ❑
BOND NO.: 4417683
TO OBLIGEE:
(Name and.4ddress) CONTRACT FOR:
PB Ventana I, LLC Utility Improvements
4145 Travis Street Suite 202
Dallas,TX 75204
PROJECT: CONTRACT DATED:
(Name and Address)
City of Fort Worth Project No. 101133, Jerry Dunn
Parkway
PRINCIPAL: Blue Star Utilities, LLC
At the request of the Obligee and the Principal indicated above,(Insert name and address of Surety)
SureTec Insurance Company, 9737 Great Hills Trail, Suite 320, Austin, Tx 78759
SURETY,
on bond of
(Insert name and address of Contractor) Blue Star Utilities, LLC
103 Broad Street, Mansfield,TX 76063
,CONTRACTOR,
and conditioned on the representation by Obligee that all Contract provisions relating to the payment of final
payment under the Contract have been satisfied by Principal as of the date of final payment,and that no claims
by Obligee or any third party are known or believed by Obligee or its representatives to exist as of the date of
final payment,representations as to the truth and accuracy of the foregoing conditions being deemed to have
been made by Obligee in connection with this request for Consent of Surety,hereby approves of the final
payment to the Principal,and agrees that final payment in accordance with the terms hereof shall not relieve the
Surety of its obligations to
(Insert name and address of Obligee) PB Ventana I, LLC
4145 Travis Street, Suite 202, Dallas,TX 75204
,OBLIGEE,
as set forth in said Surety's bond.
IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: April 17,2019
(Insert in writing the month followed by the numeric date and year.)
SureTec Insurance Company
(Signature of authorized representative)
Rhonda Wells
Attest: ,Attorney-in-Fact
(Seal): (Printed name and title)
i
SURETEC CONSENT TO FINAL PAYMENT REV. 1.1.2004
POA t#: 4221828
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make,constitute and appoint
Chris Lynn Holt, Mark Mitchell, Natalie R. McCalment,Jim H. Barr,
Russell Board, Roger A.Redden, Rhonda Wells
its true and lawful Attorney-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 to include waivers to the
conditions of contracts and consents of surety for,providing the bond penalty does not exceed j
Five Million and 00/100 Dollars($5,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO,sealed with the corporate seal p
of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the 1
premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec J
Insurance Company: j
Be it Resolved, that the President, any Vice-President,any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and
deliver,any and all bonds,recognizances,contracts,agreements or 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 binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved, that the signature of any authorized officer and 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 signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20'h of April,
1999) I
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO, and its corporate seal to
be hereto affixed this 16th day of August A.D.2018 .
SVRANC�
SURETEC INS ANY a
By:
W 6 John Kno ,CE
State of Texas ss: 7e 'Yp
County of Harris •••-
On this 16th day of August ,A.D.2018 before me personally came John Knox Jr.,to me known,who, being by me duly sworn,did depose and say,
that he resides in.Houston,Texas,that he is CEO of SURETEC INSURANCE COMPANY,the company described in and which executed the above
instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the I
Board of Directors of said Company;and that he signed his name thereto by like order.
i
atilt tYY���jr JACC_K)ELYN GREENLEAF
- Notary putalic,State of Texas i
^'• -;�w comm.Expires 05-18-2021
Notary ID 126903025 Jacq elyn Greenleaf,Notary Public j
My commission expires May 18,2021
I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney,executed by said Company,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set
out in the Power of Attorney are in full force and effect.
1
Given under my hand and the seal of said Company at Houston, Texas this r h- day of o� d A.D.
A.Breid Beaty,A tstant SecVetary
i
Any instrument issued in excess of the penalty stated above is totally void and without any validity.
For verification of the authority of this power you may call(713)812-0800 any business day between 8:30 am and 5:00 pm CST.