HomeMy WebLinkAboutContract 49618-FP1 Department of TPW Const. Services
CPh# i ' `�'S� Date
Project Manage - iW
Risk Management S.Gatewood �E — "T 0 RT H o FACT NO, .
D.O.E. Brotherton
Water V. Gutzier
CFA Janie ie M rales/Scanned o 'ATION AND PUBLIC WORKS
'
'A V ►F PROJECT COMPLETION (�p C�5
The Proceeding people have been Contacted concerning the request
for final payment&have released this project for such payment. Developer Projects)
Clearance Conducted By Etta Bacy City Project Ns: 100957
C gq%wo
Regarding contract 100957 for QUIKTRIP NO. 883 as required by the WATER DEPARTMENT as approved by
City Council on N/A through M&C N/A the director of the WATER DEPARTMENT upon the recommendation of
the Assistant Director of the Trans ,�G" q partment has accepted the project as complete.
' 1
► '� JUN 2 8 2fl18
Original Contract Price: $202,151.75
r � ,
Amount of Approved Change Orders � $4,125.00 NQ 1
Revised Contract Amount: $206,276.75
Total Cost Work Completed: $206,276.75
cam? OWN,1�/
Recommen cceptance Date
Asst. Direc W - Development Services
Accepted Date
Asst. Director, WATER DEPARTMENT
Asst. City Manager Date
Comments:
OFFICIAL RECORD
CITY SECRETARY
RR.WORYM,TX
Rev.9/22/16 ;�^�
JUN. 8 2018
City Project Numbers 100957 i."..,... .. . ..... DOE Number
Contract Name QUIKTRIP NO.883 Estimate Number I
Contract Limits Payment Number 1
Project Type WATER do SEWER For Period Ending 4/16/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors ROLLS / BEVINS,D Contract Date 8/25/2017
Contractor FRANK DALE CONSTRUCTION Contract Time 210 CD
250 BANK STREET Days Charged to Date 173 CD
SOMELAKE, TX 76092 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 $206,276.75
Less %Retained $0.00
Net Earned $206,276.75
Earned This Period $206,276.75
Retainage This Period $0.00
Less Liquidated Damages
0 Days Qa $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 $206.276 FS
Tuesday,May 1,2018 Page 4 of 4
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name QUIKTRIP NO.883
Contract Limits
Project Type WATER&SEWER
City Project Numbers 100957
DOE Number 9570
Estimate Number 1 Payment Number 1 For Period Ending 4/16(2018
CD
City Secretary Contract Number Contract Time 21ED
Contract Date 8/25/2017 Days Charged to Date 173
Project Manager NA Contract is 100.00 Complete
Contractor FRANK DALE CONSTRUCTION
250 BANK STREET
SOUTHLAKE, TX 76092
Inspectors ROILS / BEVINS,D
Tuesday,May 1,2018 Page 1 of 4
City Project Numbers 100957 DOE Number 9570
Contract Name QUIKTRIP NO.983 Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 4/1 612 0 1 8
Project Funding
UNIT I:WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
——————————- - -———— -------------------
1 16"PVC C905 WATER PIPE 851 LF S65.00 $55,315.00 851 S55,315.00
2 16"GATE VALVE W/VAULT I E4 $11,000.00 SI1,000.00 1 $11,000.00
3 FIRE HYDRANT 2 EA $3,500.00 $7,000.00 2 S7,000.00
4 1 1/2'WATER SERVICE 2 EA $1,250.00 $2,500.00 2 $2,500.00
5 DUCTILE IRON WATER FITTIGS W/RESTRAINT 2.5 TN $5,000.00 S12,500.00 2.5 S12,500.00
6 CONNECTION TO EXISTING 16'WATER MAIN 1 EA S1,000.00 S1,000.00 1 $1,000.00
7 TRENCH SAFETY 851 LF S0.25 S212.75 851 S212.75
8 2"COMBINATION AIR VALVE ASSEMBLY FOR 1 EA $2.505.00 $2,505.00 1 $2,505.00
WATER
9 MANHOLE AADJUSTMENT MAJOR W/COVER 2 EA S1,000.00 $2,000.00 2 S2,000.00
Sub-Total of Previous Unit $94,032.75 $94,032.75
UNIT M,SANITARY SEWER 11"ROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
———— -————————— --------------------
I 10"SEWER PIPE 878 LF $90.00 $79,020.00 878 S79,020.00
2 10"SEWER PIPE CSS BACKFILL 50 LF $95.00 $4,750.00 50 $4,750.00
3 20'CASING BY OPEN CUT 35 LF S60.00 $2,100.00 35 $2,100.00
4 4-MANHOLE(CO N l) 6 E4 S4,000.00 $24,000.00 6 $24,000.00
5 MANHOLE VACUUM TESTING(CO N 1) 6 E4 $125.00 $750.00 6 $750.00
6 POST-CCTV INSPECTION 928 LF $1.25 $1,160.00 928 $1,160.00
7 TRENCH SAFETY 928 LF $0.50 $464.00 928 $464.00
Sub-Total of Previous Unit SI12,244.00 $112,244.00
----------------------- -------------------
Tuesday,May 1,2018 Page 2 of 4
City Project Numbers 100957 DOE Number 9570
Contract Name QUIKTRIP NO.883 Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 4/162018
Project Funding
Contract Information Summary
Original Contract Amount $202,151.75
Chan a Orders
Change Order Number 1 $4,125.00
Total Contract Price $206,276.75
6
Date - ?� b Total Cost of Work Completed $206,276.75
ontractor Less %Retained $0.00
/A Date Net Earned $206,276.75
Ins j�liEarned This Period $206,276.75
�Supcmrvb�so"r �
I� Retainage This Period $0.00
to Less Liquidated Damages
PrOje t anagcr
-:Zk _ Days Q /Day $0.00
7Date r J` 't� LessPavement Deficiency $0.00
Asst.Di to Infrastructure Design and Construction Less Penalty $0.00
„� {_-
G�7 a t. Less Previous Payment S0.00
Di
Director/Contracting Department Plus Material on Hand Less 15% $0.00
Balance Due This Payment S206,276.75
Tuesday,May 1,2018 Page 3 of 4
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: QuikTrip No.0883 CHANGE
CONTRACT: Water Sewer Paving&Drainage Improvements ORDER No:
CFA# 2017-104 CITY PARTICIPATION:
CITY PROJECT# 100957
DOE# n/a
WATER PROJECT# 56008-0600430-100957-001480
SEWER PROJECT# 56008-0700430-100957-001380
FILE# W-2488
INSPECTOR: Doug Bevins Phone No: 682429-3383
PROJECT MANAGER: GoPal Sahu Phone No: 817-392-7949
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREET LIGHTS CONTRACT
Developer Developer Developer Developer Developer DAYS
Cost Cost Cost miy cm Cost C Cwt Cost CRY Goat
ORIGINAL CONTRACT $94,032.75 $108 119.00 $134,214.27 $74,809.79
EXTRAS TO DATE
CREDITS TO DATE 7ozIS(•HS
CONTRACT TO DATE $94 032.75 NO $108,119.00 $134,214.27 $74,809.79 0.0a $0.00 10 pa 93
AMOUNT OF PROP.CHANGE ORDER $4 125 '
REVISED CONTRACT AMOUNT $94 032.75 5112,244.00 $134,214.27 $74,809.79 0.00 50.00 $0.04 93
TOTAL REVISED CONTRACT AMOUNT
PER UNIT $94,02.75 $112 244.00 $134,214.27 $74 809.79 0.00
REVISED COST SHARE Dov.Cost: $415,300.81 Cost: $0.00
TOTAL REVISED CONTRACT Zhu $415,300.81
Revised:10-12-2011 Page 1
You are directed to make the fo)Wng changes in ffw contract documents:
CITY BID REIN
PAY ITEM# # QUANTITY• UNIT ITEM DESCRIPTION UNIT PRICE TOTAL
1 E4 3339.1004 4'Manhole $4 000 $4 W0.00
1 EA 3301, 101 Manhole Vacuum Testing $ 2 $125.00
TOTAL $4125.00
REASONS FOR CHANGE ORDER Remove and Replaced wft*g ooncreW pavement w9th Marina Creek Pe.dwWto make said Connection betw"n wdsting and proposed. Changed manhole
cover for blow of valve to traffic rated manhole cover.
NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100%OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WALL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED., APPROVED: APPROVE:
(Consst"Engineer) (Developer
Y.
Nam . Jonathan Schindler Name: 1- Q Name:
TIGe:Ftncfin0er Mtte: G !Mu /tcCG)- r'1"dle 04-
Revised:10-12-2011 page 2
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: QuikTrip No. 983
PROJECT NUMBER: 100957
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
16"inch PVC C-900 851LF
6"inch PVC C-900 10 LF
FIRE HYDRANTS: 2 VALVES(16"OR LARGER) 1 16"Resilient Seat Valve
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
2 - 1 1/2"inch copper 10 LF
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
10"inch SDR 26 PVC 928 LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES:
NEW SERVICES:
6" inch SDR-26 PVC 10LF
TRANSPORTATION AND PUBLIC WORKS
s' The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 76012-6311
(817)392-7941 -Fax:(817)392-7845
AIC 000C237025
In Testimony Whereof,the Company has caused this instrument to be signed and its corporate seal to be affixed by their authorized
officers,this§!day of Februa ,20J 8.
Attested and Certified Arch Insurance Company
ex�icn7w�re 4
SEAL
4 isn {r�It
Patrick K.Nails,Secretary David M. in estein,Executive Vice President
STATE OF PENNSYLVANIA SS M(Sf00d
COUNTY OF PHILADELPHIA SS
I, Michele Tripod!,a Notary Pubic, do hereby certify that Patrick K. Nails and David M. Finkelstein personally known to me to be the
same persons whose names are respectively as Secretary and Executive Vice President of the Arch Insurance Company, a
Corporation organized and existing under the laws of the State of Missouri,subscribed to the forgoing instrument,appeared before me
this day in person and severally acknowledged that they being theraunto duly authorized signed, sealed with the corporate seal and
delivered the said instrument as the free and voluntary act of said corporation and as their own free and voluntary acts for the uses and
purposes therein set forth.
OKwrE>,tTx of rarrwnrAwtA
NOTARIAL SM
WC.WU TMPM,Notary PuOtk
city at ft4aW#".►hlla.
Mj[a�os FaprreslWy 11.=DOQ111
Michel T' i,Notary Public
My co fission expires 07/31 2021
CERTIFICATION
I,Patrick K Nails,Secretary of the Arch Insurance Company,do hereby certify that the attached Power of Attorney dated February 6.
2018 on behalf of the person(s)as listed above is a true artd correct copy and that the same has been in full force and effect since the
date thereof and is in full force and effect on the date of this certificate,and I do further certify that the said David M.Finkelstein,who
executed the Power of Attorney as Executive Vice President,was on the date of execution of the attached Power of Attorney the duly
elected Executive Vice President of the Arch Insurance Company.
IN TE TIMONY WHEREOF, I have hereuntq subscribed my name and affixed the wrporale seal of the Arch Insurance Company on
this day of 20 .
Patrick K.Nails,Secretary
This Power of Attorney limits the ads of those named therein to the bonds and undertakings specifically named therein and they have
no authorily to bind the Company except in the manner and to the extent herein stated.
PLEASE SEND ALL CLAIM INQUIRIES RELATING TO THIS BOND TO THE FOLLOWING ADDRESS:
Arch Insurance—Surety Division v �n
3 Parkway,Suite 1500 ,O
Philadelphia,PA 19102
tXltrtyrtATE 74
sut
btsso�
OOMLOO13 00 03 03 Page 2 of 2 Printed in U.S.A.
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 Frank Dale, CEO
Of Frank Dale Construction,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;
The public improvements for the QuikT ' 8 roje A# 95
BY
Frank Dale
Subscribed and sworn before me on this date 24 of April,2018.
Notary Public
Tarrant,Texas
�var.,�
DAWN MARIE MAYZAK
My Commission Expires
April 19,2019
r(Or tf!
CONSENT OF OWNER 0
SURETY COMPANY ARCHITECT
TO FINAL PAYMENT CONTRACTOR
SURETY
A/A DOCUMENT G707 OTHER
PROJECT: QuikTrip#883
(name, address) Fort Worth, TX
TO (Owner) ARCHITECTS PROJECT NO:
uikTrip & City of Fort Worth
1601 S. Lamar Street CONTRACT FOR: $415,298.00
Dallas, TX 75215
CONTRACT DATE: August 1, 2017
BOND NO: SU1144216
CONTRACTOR: Frank Dale, Ltd.
250 Bank Street
Southlake,TX 7W92
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 as it appears In the bond).
Arch Insurance Company , SURETY COMPANY,
On bond Of(here insert name and address of Contractor as it appears In the bond),
Frank Dale, Ltd.
, CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall
not relieve the Surety of any of its obligations to(here insert name and address of Owner)
QuikTrip&City of Fort Worth
OWNER,
as set forth in the said Surety's bond.
IN WITNESS WHEREOF ,
the Surety has hereunto set its hand this 1st day of May 2018
Arch Insurance Company
Surety
V
Signature of AuthArized Repr s ative
Attest: AOywin D �Atdr>m"-Indact
(Seal): Title
AIA DOCUMENT G707•CONSENT OF SURETY TO FINAL PAYMENT o APRIL 1970 OtJE PAGE
EDITION.ALA 0•0 1970•THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE.,NW,WASHINGTON,D.C.20006
FORTWORTH rev 03/05/07
TRANSPORTATION& PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:1
NAME OF PROJECT: Qd T no.n3
PROJECT NO.: 100957 CONTRACTOR: Frank Dale Construction
DOE NO.:
PERIOD FROM:10/23/17 TO: 04/13/18 FINAL INSPECTION DATE: 13-Apr-18
WORK ORDER EFFECTIVE:10/16/2017 CONTRACT TIME: 210 0 WD • CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED CREDITED
DURING DURING
1. 16.
2. 17.
3. 18.
4. 19.
5. 20.
6. 21.
7. 22.
8. 23.
9. 24.
10. 25.
11. 26.
12. 27.
13. 28.
14. 29.
15. 30.
31.
SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS
THIS 30 173
PERIOD
PREVIOUS
161 161
PERIOD
TOTALS 173 F173
TO DATE
*REMARKS:
a
CONTRACTOR DATE INSPECTOR DATE
ENGINEERING DEPARTMENT
The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax:(817)392-7845