HomeMy WebLinkAboutContract 50219-FP2 City Secretary 50219 -FP2
O Contract No.
FORTWORTHo Date Received May 22,2019
y
P
E
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: EVERMAN TRADE CENTER PUBLIC IMPROVEMENTS
City Project No.: 101083
Improvement Type(s): Water ® Sewer
Original Contract Price: $298,358.10
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $298,358.10
/Keyih G91;-,rteelrom May 107 2019
Kevin Gerstenkorn(May 10,2019)
Contractor Date
Executive VP of Operations
Title
PCI Construction Inc.
Company Name
Ad wWi,Awy May 21, 2019
Matthew Wilson(May 21,2019)
Project Inspector Date
May 21, 2019
Aaron Long(May 21,2019)
Project Manager Y Date
,7ayrre S2aPGettAt, May 22 2019
Janie Scarlett Morales(May 22,2019) 7
CFA Manager Date
Sum,,y ALwis, May 22, 2019
Susan Alanis(May 22.201CA
Asst. City Manager Date �--
OF�ICIAL RECORD
CITY SECRETARY Page 1 of 2
iFT WORTH,TX
Notice of Project Completion
Project Name: EVERMAN TRADE CENTER PUBLIC IMPROVEMENTS
City Project No.: 101083
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: 365 CD Days Charged: 393
Work Start Date 3/19/2018 Work Complete Date: 4/15/2019
Page 2 of 2
ORTORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name EVERMAN TRADE CENTER PUBLIC IMPROVEMENTS
Contract Limits
Project Type WATER&SEWER
City Project Numbers 101083
DOE Number 1083
Estimate Number I Payment Number 1 For Period Ending 4/24/2019
CD
City Secretary Contract Number Contract Time 366D
Contract Date Days Charged to Date 393
Project Manager NA Contract is 100.00 Complete
Contractor PCI CONSTRUCTION,INC.
P.O.BOX 2967
McKINNEY, TX 75070
Inspectors OWEN / SMITH
Tuesday,April 30,2019 Page I of 4
City Project Numbers 101083 DOE Number 1083
Contract Name EVERMAN TRADE CENTER PUBLIC IMPROVEMENTS Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 4/24/2019
Project Funding
WATER
Item Description of Items Unit Unit Cost
Estimated Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 TRENCH SAFETY 2645 LF $0.30 $793.50 2645 $793.50
2 DUCTILE IRON WATER FITTINGS 5.43 TN $3,171.64 $17,222.00 5.43 $17,222.00
W/RESTRAINT
3 8"PVC WATER PIPE 295 LF $28.20 $8,319.00 295 $8,319.00
4 12"PVC WATER PIPE 2350 LF $45.60 $107,160.00 2350 $107,160.00
5 FIRE HYDRANT 4 EA $4,448.50 $17,794.00 4 $17,794.00
6 CONNECTION TO EXISTING 16"WATER MAIN I EA $1,585.50 $1,585.50 1 $1,585.50
7 2"WATER SERVICE 6 EA $1,916.00 $11,496.00 6 $11,496.00
8 8"GATE VALVE 2 EA $1,254.00 $2,508.00 2 $2,508.00
9 12"GATE VALVE I EA $2,103.00 $23,133.00 11 $23,133.00
10 16"GATE VALVE W/VAULT 2 EA $8,689.00 $17,378.00 2 $17,378.00
--------------------------------------
Sub-Total of Previous Unit $207,389.00 $207,389.00
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 POST CCTV INSPECTION 967 LF $1.50 $1,450.50 967 $1,450.50
2 MANHOLE VACUUM TESTING 7 EA $125.00 $875.00 7 $875.00
3 TRENCH SAFETY 967 LF $0.30 $290.10 967 $290.10
4 CONCRETE ENCASEMENT FOR UTILITY PIPES 23 CY $167.00 $3,841.00 23 $3,841.00
CO#1
5 8"SEWER SERVICE 5 EA $634.00 $3,170.00 5 $3,170.00
6 8"SEWER PIPE 967 LF $30.50 $29,493.50 967 $29,493.50
7 T MANHOLE 7 EA $7,057.00 $49,399.00 7 $49,399.00
8 4'EXTRA DEPTH MANHOLE CO#1 14 VF $175.00 $2,450.00 14 $2,450.00
--------------------------------------
Sub-Total of Previous Unit $90,969.10 $90,969.10
--------------------------------------
Tuesday,April 30,2019 Page 2 of 4
City Project Numbers 101083 DOE Number 1083
Contract Name EVERMAN TRADE CENTER PUBLIC IMPROVEMENTS Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 4/24/2019
Project Funding
Contract Information Summary
Original Contract Amount $298,358.10
Change Orders
Total Contract Price $298,358.10
Total Cost of Work Completed $298,358.10
Less %Retained $0.00
Net Earned $298,358.10
Earned This Period $298,358.10
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 $298,358.10
Tuesday,April 30,2019 Page 3 of 4
City Project Numbers 101083 DOE Number 1083
Contract Name EVERMAN TRADE CENTER PUBLIC IMPROVEMENTS Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 4/24/2019
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors OWEN / SMITH Contract Date
Contractor PCI CONSTRUCTION,INC. Contract Time 365 CD
P.O.BOX 2967 Days Charged to Date 393 CD
McKINNEY, TX 75070 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 $298,358.10
Less %Retained $0.00
Net Earned $298,358.10
Earned This Period $298,358.10
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 $298,358.10
Tuesday,April 30,2019 Page 4 of 4
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Everman Trade Center
PROJECT NUMBER: 101083
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
8"PVC 8 C900 DR-14 2350
12"PVC 12 C900 DR-14 38
FIRE HYDRANTS: 4 VALVES(16" OR LARGER) 2
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES:
NEW SERVICES: 2" Copper 130'
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
8" PVC 8" SDR 26 967'
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES:
NEW SERVICES: 8" SDR-26 370'
8" Ductile Iron 79'
TRANSPORTATION AND PUBLIC WORKS
d
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 COLLIN
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Eric M Lindberg,
VP of Finance Of PCI Construction, Inc., 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;
CPN#101083 WS: Everman Trade Center Public Improvements
BY
Eric M Lindberg, VP of Finance
Subscribed and sworn before me on this date 8th of May, 2019.
AsYPO�� LISA RENE CHERREY
gL Notary PU liC Notary ID # 130734268
y My Commission Expires
COLLIN, Texas SrrEOFle*�` July 11, 2020
CONSENT OF CONTRACTOR
SURETY COMPANY ARCHITECT
TO FINAL PAYMENT SUBCONTRACTOR
SURETY
AIA DOCUMENT G 70 7(Modified) OTHER
Bond No. 2266254
PROJECT: Everman Trade Center Public Improvements,City project No. 101083,Ft.Worth TX
(name,address)
TO (Contractor) [ City of Fort Worth ] ARCHITECT'S PROJECT NO:
1000 Throckmorton Street
Fort Worth,TX 76102-6312 CONTRACT FOR:
[ ] CONTRACT DATE: 11/29/2017
PCI Construction,Inc.
SUBCONTRACTOR: P.O. Box 2967
McKinney,TX 75070
In accordance with the provisions of the Contract between the Contractor and the Subcontractor as indicated above,the
(here insert name and address of Surety Company)
North American Specialty Insurance Company
1200 Main Street, Suite 800
Kansas City,MO 64105 , SURETY COMPANY,
on bond of(here insert name and address of Subcontractor)
PCI Construction,Inc.
P.O. Box 2967
McKinney,TX 75070 , SUBCONTRACTOR,
hereby approves of the final payment to the Subcontractor, and agrees that final payment to the Subcontractor shall not
relieve the Surety Company of any of its obligations to(here insert name and address of Contractor)
City of Fort Worth
1000 Throckmorton Street
Fort Worth,TX 76102-6312 ,CONTRACTOR,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 1st day of May 2019
North American Specialty Insurance Company
Surety Company
Signature of Authorized Representative
Witness:
(Seal): Debra Lee Moon 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 DEISTS AND CLAIMS,
Current Edition
AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA ONE PAGE
1970 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave.,NW,WASHINGTON,D.C. 20006
SWISS RE CORPORATE SOLUTIONS
NORTH AMERICAN SPECIALTY INSURANCE COMPANY
WASHINGTON INTERNATIONAL INSURANCE COMPANY
WESTPORT INSURANCE CORPORATION
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under
laws of the State of New Hampshire,and having its principal office in the City of Overland Park,Kansas and Washington International Insurance
Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Overland
Park,Kansas,and Westport Insurance Corporation,organized under the laws of the State of Missouri,and having its principal office in the City of
Overland Park,Kansas each does hereby make,constitute and appoint:
SAMMY JOE MULLIS,JR.,JOHN WILLIAM NEWBY,CHERI LYNN IRBY,WILBERT RAYMOND WATSON,MICHAEL L.TULLIS,SANDRA LEE RONEY,DEBRA LEE MOON,
ANDREA ROSE CRAWFORD,MARY JO ZAKRZEWSKI,JAMES B.ROGERS,JR.,TROY RUSSELL KEY,LINDA MICHELLE STALDER AND CHRISTOPHER CARL SUNDBERG JOINTLY OR SEVERALLY
Its true and lawful Attomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings
obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by
law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the
amount of: ONE HUNDRED TWENTY FIVE MILLION($125,000,000.00)DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held
on March 24,2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18,2011.
"RESOLVED,that any two of the President,any Senior Vice President,any Vice President,any Assistant Vice President,
the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named
in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them
hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is
FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any
certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be
binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached."
Iul
�Q\����G11ALI7Y%//��� ��a,"tp,Z10NAJ/"N, MMC
gQ:pPFOq�.`PG� e 1�4�40ItPOcPGs By + .,......,E,Q
G °, •. % Sreven n crson, error ice resr ent o as mg on International Insurance Company � t
C P 't= �; S�i. ;n &Senior Vice President of North American Specialty Insurance Company
S•. 1873 �r to e =�Q ?� &Senior•Vice President of Westport Insurance C-pm•ation S
Mike A.Ito,SeniorVice President of Washington International Insurance Company °•• •
&Senior Vice President of North American Specialty Insurance Company
&Senior Vice President of Westport Insurance Corporation
IN WITNESS WHEREOF,North American Specialty Insurance Company,Washington International Insurance Company and Westport
Insurance Corporation have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this
this 20th day of August 20 18
North American Specialty Insurance Company
Washington International Insurance Company
State of Illinois Westport Insurance Corporation
County of Cook SS:
On this 20th day of August 20_8 before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of
Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of
Westport Insurance Corporation and Michael A.Ito Senior Vice President of Washington International Insurance Company and Senior Vice President
of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation,personally known to me,who
being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the
voluntary act and deed of their respective companies.
OFFICIAL SEAL
M.KENNY
Notary Public-State of Illh,nis
My Cotnmssion_xp6cs �
12JON2021 M.Kenny,Notary Public
I, Jeffrey Goldberg the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company,Washington
International Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is a true and correct copy of a
Power of Attorney given by said North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance
Corporation which is still in full force and effect.
IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this Ist day of May 120 19
Jeffrey Goldberg,Vice President&Assistant Secretary of Washington International Insurance Company&
North American Specialty Insurance Company&Vice President&Assistant Secretary of Westport Insurance Corporation
North American Specialty Insurance Company
Washington International Insurance Company
Westport Insurance Corporation
TEXAS CLAIMS INFORMATION
IMPORTANT NOTICE ADVISO IMPORTANTE
In order to obtain information or make a complaint: Para obtener informacion o para someter un queja:
You may contact Jeffrey Goldberg,Vice President Puede comunicarse con Jeffrey Goldberg,Vice
— Claims at 1-800-338-0753 President— Claims,al 1-800-338-0753
You may call Washington International Insurance Usted puede Ilamr al numero de telefono gratis de
Company and/or North American Specialty Insurance Washington International Insurance Company and/or
Company's and/or Westport Insurance Corporation North American Specialty Insurance Company's and/or
toll-free number for information or to make a Westport Insurance Corporation para informacion o
complaint at: para someter una queja al:
1-800-338-0753 1-800-338-0753
You may also write to Washington International Usted tambien puede escribir a Washington
Insurance Company and/or North American Specialty International Insurance Company and/or North
Insurance Company and/or Westport Insurance American Specialty Insurance Company and/or
Corporation at the following address: Westport Insurance Corporation al:
1450 American Lane 1450 American Lane
Suite 1100 Suite 1100
Schaumburg, IL 60173 Schaumburg, IL 60173
You may contact the Texas Department of Insurance Puede escribir al Departmento de Seguros de Texas
to obtain information on companies, coverages, para obtener informacion acerca de companias,
rights or complaints at: coberturas,derechos o quejas al:
1-800-252-3439 1-800-252-3439
You may write the Texas Department of Insurance: Puede escribir al Departmento de Seguros de Texas:
P.O. Box 149104 P.O. Box 149104
Austin,TX 78714-9104 Austin,TX 78714-9104
Fax: (512) 475-1771 Fax: (512)475-1771
Web: httn://www.tdi.state.tx.us Web: httn://www.tdm.state.tx.us
Email:ConsumerProtection@tdi.state.tx.us Email: ConsumerProtection@tdi.state.tx.us
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS 0 RECLAMOS:
Should you have a dispute concerning your premium Si tiene una disputa concerniente a su prima o a un
or about a claim you should first contact the reclamo, debe comunicarse con el Washington
Washington International Insurance Company and/or International Insurance Company and/or North
North American Specialty Insurance Company and/or American Specialty Insurance Company and/or
Westport Insurance Corporation. If the dispute is not Westport Insurance Corporation primero. Si no se
resolved,you may contact the Texas Department of resuelve la disputa, puede entonces comunicarse
Insurance. con el Departmento de Seguros de Texas.
ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTE AVISO A SU POLIZA
This notice is for information only and does not Este aviso es solo para proposito de infromacion y no
become a part or condition of the attached se converte en parte o condicion del documento
document. adjunto.