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Home My WebLink AboutContract 51146-FP1 City Secretary^ 51146 -FP1 Contract No. Yi l Y 2019 FORTWORTH. Date Received May 20,2019 'TH 1 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: LAKEPOINTE PHASE 4A City Project No.: 101282 Improvement Type(s): ❑ Paving ® Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $204,408.00 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $204,408.00 10 Albert Grantges(May 9,20 ) May 9, 2019 Contractor Date Contract Manager Title Burnsco Construction,Inc. Company Name Ebb/E DEE- WAI-KER 6 May 13 2019 EDDIE DEE WALKER 11(May 13,2019)- 7 P ject Ins actor Date P„ ,,r ,13,201- May 13, 2019OFFICIAL RECORD Project Manager Date ,7ai4 JGaJ�'et A01ak CITY SECRETARY Janie Scarlet[Morales(May 13,2019) May 13,2019 FT. WfIRTH.T)( CFA Manager Date &"& May 13, 2019 Susan Alanis(May 13,2019) Asst. City Manager Date Page 1 of 2 Notice of Project Completion Project Name: LAKEPOINTE PHASE 4A City Project No.: 101282 City's Attachments Final Pay Estimate O Change Order(s): ❑ Yes ❑x N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 180 CD Days Charged: 226 Work Start Date: 9/12/2018 Work Complete Date: 3/25/2019 I i I Page 2 of 2 FoRT WORTH i CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name LAKEPOINTE PHASE 4A Contract Limits Project Type STORM DRAIN City Project Numbers 101282 DOE Number 1282 Estimate Number I Payment Number 1 For Period Ending 5/8/2019 CD City Secretary Contract Number Contract Time 18GI) Contract Date Days Charged to Date 226 Project Manager NA Contract is 100.00 Complete Contractor BURNSCO CONSTRUCTION,INC. 6331 SOUTHWEST BLVD FORT WORTH, TX 76132 Inspectors DICKINSON/ WALKER Wednesday,May 8,2019 Page I of 4 f City Project Numbers 101282 DOE Number 1282 Contract Name LAKEPOINTE PHASE 4A Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN For Period Ending 5/8/2019 Project Funding STORM DRAIN Item Description of items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ——— —--—————----— ------— -------- 1 21"RCP 72 LF $56.50 $4,068.00 72 $4,068.00 2 24"RCP 591 LF $65.00 $38,415.00 591 $38,415.00 3 30"RCP 672 LF $82.00 $55,104.00 672 $55,104.00 4 33"RCP 249 LF $96.00 $23,904.00 249 $23,904.00 5 10'CURB INLET 2 EA $3,900.00 $7,800.00 2 $7,800.00 6 I T CURB INLET 10 EA $5,500.00 $55,000.00 10 $55,000.00 7 T STORM JUNCTION BOY 2 EA $4,500.00 $9,000.00 2 $9,000.00 ) 8 33"SLOPED END HEADWALL 1 EA $2,100.00 $2,100.00 1 $2,100.00 9 CONCRETE RIPRAP 50 SY $48.50 $2,425.00 50 $2,425.00 10 TRENCH SAFETY 1584 LF $0.50 $792.00 1584 $792.00 11 T DROP INLET 1 EA $4,900.00 $4,900.00 1 $4,900.00 12 REMOVE 4'DROP INLET 1 LS $550.00 $550.00 1 $550.00 13 REMOVE 27"STORM LINE 35 LF $10.00 $350.00 35 $350.00 ---------------------------------------- Sub-Total of Previous Unit $204,408.00 $204,408.00 --------------------------------------- Wednesday,May 8,2019 Page 2 of 4 City Project Numbers 101282 DOE Number 1282 Contract Name LAKEPOINTE PHASE 4A Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN For Period Ending 5/8/2019 Project Funding Contract Information Summary Original Contract Amount $204,408.00 ChanjZe Orders Total Contract Price $204,408.00 Total Cost of Work Completed $204,408.00 Less %Retained $0.00 Net Earned $204,408.00 Earned This Period $204,408.00 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 $204,408.00 Wednesday,May 8,2019 Page 3 of 4 City Project Numbers 101282 DOE Number 1282 Contract Name LAKEPOINTE PHASE 4A Estimate Number 1 u �i Contract Limits Payment Number 1 ;1 Project Type STORM DRAIN For Period Ending 5/8/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / WALKER Contract Date Contractor BURNSCO CONSTRUCTION,INC. Contract Time 180 CD 6331 SOUTHWEST BLVD Days Charged to Date 226 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 $204,408.00 Less %Retained $0.00 Net Earned $204,408.00 I Earned This Period $204,408.00 Retainage This Period $0.00 Less Liquidated Damages 0 Days r@i $0.00 /Day $0.00 LessPavernent Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $204,408.00 Wednesday,May 8,2019 Page 4 of 4 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 Bumsco Construction, Inc., known to me to be a credible person, who being duly sworn, upon his oath deposed and said; i 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; Lakepointe Phase 4A—Water, Sanitary Sewer and Storm Drain BY Ab Grantges, Contract Manager Subscribed and sworn before me on this date 9111 of May,2019. Notary Public Tarrant County, Texas CESILIA CANALES ° Notary ID#131652996 2 r My Commission Expires N'TF OF S`'+P July 24, 2022 it II CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT SURETY CONTRACTOR ❑❑ Conforms with the American Institute of OTHER Architects, AIA Document G707 Bond No 022221126 PROJECT: (name, address)Lakepointe Phase 4A-Water,Sanitary Sewer and Storm Drain Improvements Fort Worth TX TO (Owner) PULTE HOMES OF TEXAS, L.P.AND CITY OF FORT ] ARCHITECT'S PROJECT NO: WORTH CONTRACT FOR: 9111 Cypress Waters Blvd.,Suite 100 Lakepointe Phase 4A-Water,Sanitary Sewer and Storm Drain Improvements Coppell TX 75019 __j CONTRACT DATE: CONTRACTOR: BURNSCO CONSTRUCTION, INC. I 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 i 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) PULTE HOMES OF TEXAS, L.P.AND CITY OF FORT WORTH 9111 Cypress Waters Blvd.,Suite 100 Coppell TX 75019 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 26th day of April,2019 I LIBERTY MUTUAL INSURANCE COMPANY Sure Company Attest: (Seal): Signat re 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 I 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 Mutual, 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 ov+n 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 I th day of January , 2019 . Liberty Mutual Insurance Company P�INSURE PV1`t INS&R %Hsu The Ohio Casualty Insurance Company �J 4O(rO zqr y� �J GOFPol? -I \Q oof,0 yn West American Insurance Company > 3 o m ve 3 Fo m w 3 Fo m a 19 0 0 1919 0 2 1991 0 d��SACHUSF'�.dD y0�NA MPS�,aD `�s �NDIANP .aa� By: N /7 * h yl * 1N �M * f� y rn David M.Carey,Assistant Secretary Q State of PENNSYLVANIA a =3 County of MONTGOMERY ss ca rT c v a> On this I I 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 Fu 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— > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. L)w E 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. c CL —� 00 to P PAS O 0) �1 S1 '01 Ve 1QC COMMONWEALTH OF PENNSYLVANIA Q Ir Notarial Seal Oj O f' or Teresa Pastella,Notary Public i , P O 0 N .o Upper Merton Twp.,Montgomery County By: N C �3 tvly Commission Expires March c 2021 Teresa Pastella,Notary Public p ((oo �k.��1SYull �� Arm p�v Member,Pennsylvania Association of Notaries a CD�O NCD t(D 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 o.E- Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o E aS ARTICLE IV-OFFICERS:Section 12.Power of Attorney. o 12 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 MC: 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 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 c? Z � 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 attomey-in-fact under the E M 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 i CD ARTICLE XIII-Execution of Contracts:Section 5.Surety Bonds and Undertakings. 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,(._.- shall appoint such attorneys-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 26th day of April 2019 . 1NS(/R HIV INS& %NSUR �JP`O(tPOly,rgy� `jJPr,00.POq,QT'•yy (�Q'40RPeRq n 3 Fo m Q 3 Fo n 1912 � 0 1919 � n 1991 o a g �SACHU`S�.40 y0�NA MP`��dD 'rs �NOIANP' �a3 y Renee C.Llewellyn,Assistant Secretary /7 LMS-12873 LMIC OCIC WAIC Multi CO 062018 Liberty 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(111-1 A) P. 0. Box 149091 P. 0. 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: ConsumerProtectionatdi.texas.gov E-mail: ConsumerProtectionatdi.texas.gov PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS 0 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 j 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-15292 10/15