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Home My WebLink AboutContract 50954-FP4 City Secretary 50954 -FP4 Contract No. Date Received Jun 5,2019 FORT WO RT H�p� 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: COVENTRY EAST PHASE 3 City Project No.: 101342 Improvement Type(s): ❑ Paving ® Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $357,886.40 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $357,886.40 XA'01-e a� Albert Grantges(May 20,2 9) May 20,2019 Contractor Date Contract Manager Title Burnsco Construction, Inc. Company Name dg" °vim w May 21, 2019 yrran Oden(May 21,2019) Project Inspector Date Khat Ja 0197 Jun 4,2019 Project Manager Date JG z Vk',�tc A�;Vale r Jun 5 2019 Janie Scarlett Morales(Jun 5,2019) 7 CFA Manager Date � A Jun 5 2019 Susan Alanis(Jun 5,2019) Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT WORTH,TX Notice of Project Completion Project Name: COVENTRY EAST PHASE 3 City Project No.: 101342 City's Attachments Final Pay Estimate 0 Change Order(s): ❑ Yes 0 N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 180 CD Days Charged: 333 Work Start Date: 6/1/2018 Work Complete Date: 4/29/2019 Page 2 of 2 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name COVENTRY EAST PHASE 3 Contract Limits Project Type STORM DRAIN City Project Numbers 101342 DOE Number 1342 Estimate Number 1 Payment Number I For Period Ending 5/17/2019 CD City Secretary Contract Number Contract Time 18(rD Contract Date Days Charged to Date 333 Project Manager NA Contract is 100.00 Complete Contractor BURNSCO CONSTRUCTION,INC. 6331 SOUTHWEST BLVD FORT WORTH, TX 76132 Inspectors OWEN / HORN Friday,May 17,2019 Page 1 of 4 City Project Numbers 101342 DOE Number 1342 Contract Name COVENTRY EAST PHASE 3 Estimate Number I Contract Limits Payment Number 1 Project Type STORM DRAIN For Period Ending 5/17/2019 Project Funding STORM DRAIN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 REMOVE RIP RAP 1044 SF $0.60 $626.40 1044 $626.40 2 REMOVE HEADWALL/SET 2 EA $900.00 $1,800.00 2 $1,800.00 3 TWISTED GABIONS 20 CY $200.00 $4,000.00 20 $4,000.00 4 MEDIUM STONE RIPRAP 274 SY $50.00 $13,700.00 274 $13,700.00 5 TRENCH SAFETY 1644 LF $0.50 $822.00 1644 $822.00 6 21"RCP 215 LF $59.00 $12,685.00 215 $12,685.00 7 24"RCP 177 LF $66.00 $11,682.00 177 $11,682.00 8 30"RCP 127 LF $84.00 $10,668.00 127 $10,668.00 9 36"RCP 274 LF $114.00 $31,236.00 274 $31,236.00 10 42"RCP 133 LF $150.00 $19,950.00 133 $19,950.00 11 54"RCP 199 LF $226.00 $44,974.00 199 $44,974.00 12 60"RCP 479 LF $267.00 $127,893.00 479 $127,893.00 13 7X3 BOX CULVERT 40 LF $410.00 $16,400.00 40 $16,400.00 14 4'STORM JUNCTION BOX 1 EA $4,100.00 $4,100.00 1 $4,100.00 15 C STORM JUNCTION BOX 1 EA $5,200.00 $5,200.00 1 $5,200.00 16 8'STORM JUNCTION BOX 1 EA $6,700.00 $6,700.00 1 $6,700.00 17 24"FLARED HEADWALL 1 EA $2,500.00 $2,500.00 1 $2,500.00 18 HEADWALL BOX CULVERT 5 CY $890.00 $4,450.00 5 $4,450.00 19 10'CURB INLET 11 EA $3,500.00 $38,500.00 11 $38,500.00 -------------------------------------- Sub-Total of Previous Unit $357,886.40 $357,886.40 -------------------------------------- Friday,May 17,2019 Page 2 of 4 City Project Numbers 101342 DOE Number 1342 Contract Name COVENTRY EAST PHASE 3 Estimate Number 1 Contract Limits Payment Number 1 Project Type STORM DRAIN For Period Ending 5/17/2019 Project Funding Contract Information Summary Original Contract Amount $357,886.40 Change Orders Total Contract Price $357,886.40 Total Cost of Work Completed $357,886.40 Less %Retained $0.00 Net Earned $357,886.40 Earned This Period $357,886.40 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 $357,886.40 Friday,May 17,2019 Page 3 of 4 City Project Numbers 101342 DOE Number 1342 Contract Name COVENTRY EAST PHASE 3 Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN For Period Ending 5/17/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors OWEN / HORN Contract Date Contractor BURNSCO CONSTRUCTION,INC. Contract Time 180 CD 6331 SOUTHWEST BLVD Days Charged to Date 333 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 $357,886.40 Less %Retained $0.00 Net Earned $357,886.40 Earned This Period $357,886.40 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 $357,886.40 Friday,May 17,2019 Page 4 of 4 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; Coventry East Phase 3 —Water, Sanitary Sewer and Storm Drain BY Ab Grantges, Contract Manager Subscribed and sworn before me on this date 201h of May, 2019. FE- TarrantHERESA P. BOARDMAN ry Public,State of Texas mm. Expires 04-13-2020 NotaryID 10589053 Notary Public County, Texas CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects, AIA Document G707 Bond No 022220197 PROJECT: (name, address)Coventry East Phase 3 - Water, Sanitary Sewer and Fort Worth TX TO (Owner) IMPRESSION COVENTRY EAST, LLC AND CITY OF—] ARCHITECT'S PROJECT NO: FORT WORTH CONTRACT FOR: 420 N.Carroll Avenue,Suite 150 Coventry East Phase 3-Water, Sanitary Sewer and Drainage Improvements Southlake TX 76092 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) IMPRESSION COVENTRY EAST, LLC AND CITY OF FORT WORTH 420 N. Carroll Avenue, Suite 150 Southlake TX 76092 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS, WHEREOF, the Surety Company has hereunto set its hand this 6th day of May, 2019 LIBERTY MUTUAL INSURANCE COMPANY Surety Company Attest: A & (Seal): �/ Sign ture of Authorized Representative c� Soohinie 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 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 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 1 I th day of January , 2019 Liberty Mutual Insurance Company P�INSU/�q Poi INS& a \NSUgq The Ohio Casualty Insurance Company j2ooaPORafoYm 2`oµroRgTo9.P pP20RPORgTo'L� West American Insurance Company Y � 1912y0 0 1919 1991 0 „�14 co 0i ~dV19sS4C.0 .aa yO NAMP ,dL Ys �HDIANP' .da� _ C David M.Carey,Assistant Secretary T State of PENNSYLVANIA a a) County of MONTGOMERY ss to a) On this 1 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 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 Fu� a) > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. 0 W 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. CL `oo rA p. PAS M N ¢tf,5 ;Ut� .E4TN`� COMMONWEALTH OF PENNSYLVANIA ,44-, Q Notarial Seal Q/� O O O OF Teresa Pastefla,Notary Public , v i M 0 N Upper Marion Twp.,Montgomery County i By: N C ��Q My Commission Expires March 28,2021 l 2i E �'tSvVaR� �� eresa Pastella,Notary Public O M QN �'4FT/ �y�.. Member,Pennsylvania Association of Notaries L O �a) 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.S; Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o (a) a�S ARTICLE IV—OFFICERS:Section 12.Power of Attorney. w S o P 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 _0 >, 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 iu 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 +OO ZZ 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 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 0 ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings. 0(0 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 attomeys-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 6th day of May _, 2019 1NS(/R ��V INS& \14SU/0 jp'GoaroRgToyO� �J2Goaroggr•qy� \VP2oµPo�To2� 1912 0 0 1919 Lu 1991 0 y o & So By ACHua`�da O� AMve�as V, 'NnIANP as Renee C.Llewellyn,Assistant Secretary LMS-12873 LMIC OCIC WAIC Multi Co 062018 Liberty 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 a,tdi.texas.goy E-mail: ConsumerProtectiongtdi.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 1 011 5