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Home My WebLink AboutContract 50860-FP1 City Secretary 50860 -FP1 Contract No. FORT WORTH® Date Received Jun 25,2019 G\��pF SGG1�,E(�A v 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: PRIMROSE CROSSING PHASE 3D City Project No.: 101351 Improvement Type(s): M Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $452,070.44 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $452,070.44 Saw Jun 18, 2019 Sam Davis - 18,2019) Contractor Date President Title JLB Contracting, LLC Company Name NeaZK44� Jun 20 2019 Neal Kime(Jun 20,2019) ! Pr 'ect I ector Date khal Jaafari(Ju ,201 Jun 20, 2019 Project Manager Date �7ak ,14zy4 ttNoia' of Janie Scarlett Morales(Jun 21,2019) Jun 21,2019 ) CFA Manager Date Saisawy J4LW k Susan Alanis(Jun 24,2019) Jun 24,2019 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH,TX Notice of Project Completion Project Name: PRIMROSE CROSSING PHASE 3D City Project No.: 101351 City's Attachments Final Pay Estimate ❑x Change Order(s): ❑ Yes ❑x N/A Contractor's Attachments Affidavit of Bills Paid " Consent of Surety Statement of Contract Time Contract Time: 60 CD Days Charged: 160 Work Start Date: 7/16/2018 Work Complete Date: 6/10/2019 Page 2 of 2 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name PRIMROSE CROSSING PHASAE 31) Contract Limits Project Type PAVING City Project Numbers 101351 DOE Number 1351 Estimate Number 1 Payment Number 1 For Period Ending 6/17/2019 CD City Secretary Contract Number Contract Time 60;D Contract Date Days Charged to Date 60 Project Manager NA Contract is 100.00 Complete Contractor JLB CONTRACTING,L.L.C. PO BOX 24131 FORT WORTH, TX 76124-1131 l Inspectors OWEN / KIME Monday,June 17,2019 Page 1 of 4 City Project Numbers 101351 DOE Number 1351 Contract Name PRIMROSE CROSSING PHASAE 3D Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 6/17/2019 Project Funding PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 HYDRATED LIME 174 TN $165.00 $28,710.00 174 $28,710.00 2 6"LIME TREATMENT 10833 SY $2.30 $24,915.90 10833 $24,915.90 3 6"CONC PVMT 10161 SY $36.64 $372,299.04 10161 $372,299.04 4 5"CONC SIDEWALK 603 SF $10.50 $6,331.50 603 $6,331.50 5 BARRIER FREE RAMP 1 EA $842.60 $842.60 1 $842.60 6 BARRIER FREE RAMP 7 EA $707.35 $4,951.45 7 $4,951.45 7 REMOVE STANDARD FOR BARRICADE AND 4 EA $346.30 $1,385.20 4 $1,385.20 CONNECT TO EXIST PAVEMENT 8 SAWCUT AND REMOVE EXISTING CURB AND 69 LF $28.15 $1,942.35 69 $1,942.35 GUTTER 9 CONNECT TO EXISTING R-1 RAMPS 8 EA $29.20 $233.60 8 $233.60 10 STOP SIGNS 6 EA $268.00 $1,608.00 6 $1,608.00 11 STREET NAME BLADE 12 EA $268.00 $3,216.00 12 $3,216.00 12 STREET SIGN POLE 5 EA $268.00 $1,340.00 5 $1,340.00 13 TRAFFIC CONTROL I MO $2,610.00 $2,610.00 1 $2,610.00 14 REMOVE AND REPLACE EXISTING SIDEWALK 208 SF $8.10 $1,684.80 208 $1,684.80 ------------------- ------------------ Sub-Total of Previous Unit $452,070.44 $452,070.44 -------------------------------------- Monday,June 17,2019 Page 2 of 4 City Project Numbers 101351 DOE Number 1351 Contract Name PRIMROSE CROSSING PHASAE 3D Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 6/17/2019 Project Funding Contract Information Summary Original Contract Amount $452,070.44 ChanLxe Orders Total Contract Price $452,070.44 Total Cost of Work Completed $452,070.44 Less %Retained $0.00 Net Earned $452,070.44 Earned This Period $452,070.44 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 $452,070.44 Monday,June 17,2019 Page 3 of 4 City Project Numbers 101351 DOE Number 1351 Contract Name PRIMROSE CROSSING PHASAE 3D Estimate Number 1 Contract Limits Payment Number I Project Type PAVING For Period Ending 6/17/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors OWEN / KIME Contract Date Contractor JLB CONTRACTING,L.L.C. Contract Time 60 CD PO BOX 24131 Days Charged to Date 60 CD FORT WORTH, TX 761 24-1 1 3 1 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center AmountGross Retainage Net Funded - ------- - ------------------------------ Total Cost of Work Completed $452,070.44 Less %Retained $0.00 Net Earned $452,070.44 Earned This Period $452,070.44 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 $452,070.44 Monday,June 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 Sam Davis, President of JLB Contracting, 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; Primrose Crossing — Phase 3D Paving Improvements City Project # 101351 BY Sam Davis President JLB Contracting, LLC Subscribed and sworn before me on thi da of , 2019. 111„Y JAMIE GREENWAY Notary Public,State of Texas 'Q= Comm. Expires 09-25-2020 NQXAR PUbLICAAND FOR r�i TF'OF ,� Notary ID 1 21 1 545-4 ;RANT COUNTY, TEXAS My commission expires Z o CONSENT OF OWNER ❑ SURETY COMPANY ITECT Q CONTRACTOR TOR ❑ TO FINAL PAYMENT SURETY ❑ (SIMILAR TO AIA DOCUMENT G707) Bond No. 8966737 PROJECT: Paving Improvements to serve Primrose Crossing Phase 3D (name,address)Fort Worth, Texas TO (Owner) ARCHITECTS PROJECT NO: F-City of Fort Worth CONTRACT FOR: Above Project 200 Texas Street Fort Worth, Texas 76102 CONTRACT DATE: CONTRACTOR: JLB Contracting, LLC 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) Westfield Insurance Company 555 Republic Drive, Suite 450 Plano, Texas 75074 ,SURETY COMPANY, on bond of(here insert name and address of Contractor) JLB Contracting, LLC P.O. Box 24131 ,CONTRACTOR, Fort Worth, Texas 76124 hereby approves of the fmal payment to the Contractor, and agrees that the final payment to the Contractor shall not relieve the Surety Company of any of its obligations to(here insert name and address of Owner) City of Fort Worth 200 Texas Street Fort Worth, Texas 76102 'OWNER' as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, The Surety Company has hereunto set its hand this 5th day of June 2019 _WESTFIELD INSURANCE COMPANY Surety Co By Signs a of Authorized Representative Attest: (Seal): Kxle W. Sweeney Attorney—in—Fact Title Note:This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARINU I HIJ JAMt POWER#AND ISSUED PRIOR TO 04/20/11, FOR ANY PERSON OR PERSONS NAMED BELOW. POWER NO. 4220052 06 General Westfield Insurance Co. Power of Attorney Westfield National Insurance Co. Ohio Farmers Insurance Co. CERTIFIED COPY Westfield Center, Ohio Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, corporations, hereinafter referred to Individually as a "Company- and collectively as "Companies," duly organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Medina County, Ohio, do by these presents make,constitute and appoint CHARLES D. SWEENEY, MICHAEL A. SWEENEY, KYLE W. SWEENEY, ELIZABETH GRAY, JOINTLY OR SEVERALLY of FORT WORTH and State of TX its true and lawful Attorney(s)-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- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE GUARANTEE, OR BANK DEPOSITORY BONDS. and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President,sealed with the corporate seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorneys)-in-Fact may do in the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY: 'Be It Resolved,that the President, any Senior Executive, any Secretary or any Fidelity & Surety Operations Executive or other Executive shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: The Attorney-in-Fact. may be given full power and authority for and in the name of and on behalf of the Company,to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements of 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 as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary.' 'Be it Further Resolved, that the signature of any such designated person and the 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 signatures or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.- (Each adopted at a meeting held on February 8,2000). In Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 20th day of APRIL A.D.,2011 _ •�,,Wr...W.Yry ,,.....rr.r.r.. ,,,,••rl.Ir„r Corporate r4,4S 11111A °••. ��ONAL� �11SU WESTFIELD INSURANCE COMPANY Seals Qom,.• •-.�C�-,4 ;aP.•........-NpG; + S: %'�� WESTFIELD NATIONAL INSURANCE COMPANY Affixed .n. n '=0; P= _�:" •••••• �t�` OHIO FARMERS INSURANCE COMPANY "' SEAL =cHa�rfafo= 3 ��D - Jzi 8y State of Ohio " k"' """"" Richard L. Kinnaird, Jr., National Surety Leader and County of Medina ss.: Senior Executive On this 20th day of APRIL A.D., 2011 , before me personally came Richard L. Kinnaird, Jr. to me known, who, being by me duly sworn, did depose and say, that he resides-in Medina, Ohio;that he is Senior Executive of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above instrument;that he knows the seals of said Companies;that the seals affixed to said instrument are such corporate seals;that they were so affixed by order of the Boards of Directors of said Companies;and that he signed his name thereto by like order. Notarial .,••`• .....4, Seal .�•`'�1 A I- Affixed Affixed • William J. Kahelin, A rney at Law, Notary Public State of Ohio =1% My Commission Does Not Expire (Sec. 147.03 Ohio Revised Code) County of Medina ss.: I, Frank A.Carrino, Secretary of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies,which is still in full force and effect;and furthermore,the resolutions of the Boards of Directors,set out in the Power of Attorney are in full force and effect. 1n Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 5th day of Jung A°; ,019 - r�''��j11R.(k°',,� ,.•`'j�nNALr/br`'' ,r��+►�st/ j _P _ ,-�W •fir 4 go' 'roI : SEAL Z. ±Q 6H PEp=.�3 /` ` �/ �c J, :cn•, .m` ,a Secretary .>o �� •; 1✓B4® "ezz Frank A. Carrino, Secretary BPOAC2 (combined) (06-02)