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Home My WebLink AboutContract 51025-FP1 City Secretary 51025 -FP1 $1 Contract No. IC 13ECEIVE0 FORT WORTH® Date Received Jun 26,2019 JUN 26 2019 C�as aaE7q°n7H RY 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: INNISBROOK PLACE PHASE 3 City Project No.: 101324 Improvement Type(s): ❑ Paving ® Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $2,560.00 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $2,560.00 ,702&U ff grtg Jun 21,2019 Joe Winchester(Jun 21,2019) Contractor Date Operations Manager Title C.W. Young Construction, L.P. Company Name >"S�-Z541(� Jun 25 2019 Jesse Davis Jun 25,2019) Project Inspector Date Patrick Buckley(Jun 25,2019) Jun 25,2019 Project Manager Date ,7,v? � IMe/"V1o�ai9-r Janie Scarlett Morales(Jun 26,2019) Jun 26,2019 CFA Manager Date Susan An 26,201S Jun 26,2019 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH,TX Notice of Project Completion Project Name: INNISBROOK PLACE PHASE 3 City Project No.: 101324 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: 100 CD Days Charged: 340 Work Start Date: 6/25/2018 Work Complete Date: 5/31/2019 Page 2 of 2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name INNISBROOK PLACE PHASE 3 Contract Limits Project Type STORM DRAIN City Project Numbers 101324 DOE Number 1324 Estimate Number 1 Payment Number 1 For Period Ending 6/21/2019 CD City Secretary Contract Number Contract Time I OaD Contract Date Days Charged to Date 340 Project Manager NA Contract is 100.00 Complete Contractor C.W.YOUNG CONSTRUCTION 210 S.SIXTH STREET MANSFIELD, TX 76063 Inspectors DICKINSON/ DAVIS Friday,June 21,2019 Page 1 of 4 City Project Numbers 101324 DOE Number 1324 Contract Name INNISBROOK PLACE PHASE 3 Estimate Number 1 Contract Limits Payment Number 1 Project Type STORM DRAIN For Period Ending 6/21/2019 Project Funding STORM DRAIN Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total --------------------------------------- 1 MEDIUM STONE RIPRAP 64 SY $40.00 $2,560.00 64 $2,560.00 -------------------------------------- Sub-Total of Previous Unit $2,560.00 $2,560.00 -------------------------------------- Friday,June 21,2019 Page 2 of 4 City Project Numbers 101324 DOE Number 1324 Contract Name INNISBROOK PLACE PHASE 3 Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN For Period Ending 6/21/2019 Project Funding Contract Information Summary Original Contract Amount $2,560.00 Change Orders Total Contract Price $2,560.00 Total Cost of Work Completed $2,560.00 Less %Retained $0.00 Net Earned $2,560.00 Earned This Period $2,560.00 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 $2,560.00 Friday,June 21,2019 Page 3 of 4 City Project Numbers 101324 DOE Number 1324 Contract Name INNISBROOK PLACE PHASE 3 Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN For Period Ending 6/21/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / DAVIS Contract Date Contractor C.W.YOUNG CONSTRUCTION Contract Time 100 CD 210 S.SIXTH STREET Days Charged to Date 340 CD MANSFIELD, TX 76063 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 $2,560.00 Less %Retained $0.00 Net Earned $2,560.00 Earned This Period $2,560.00 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 $2,560.00 Friday,June 21,2019 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 Joe Winchester. Operations Manager Of CW Young Construction, L.P., 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; Innisbrook Place, Ph, 3 CPN 101324 BY Joe inchester- Operations Manager Subscribed and sworn before me n this to 29th of May, 2019. Notary Public Tarrant, Texas errw STEW r T1u y ,�'1„ LbrCh IZ 20 Liberty BOND NUMBER 02221998 mutuile SURETY OWNER ARCHITECT CONSENT OF SURETY CONTRACTOI ❑ TO FINAL PAYMENT SURETY Conforms with the American Institute of Architects,AIA Document G707 OTHER ❑ TO OWNER: Lackland Innisbrook, Inc.and City of Fort Worth ARCHITECT'S PROJECT NO.: (Name and address) 13045 Lackland Rd,Fort Worth,TX 76116 CONTRACT FOR: PROJECT: Innisbrook Place, Ph.3 (Name and address) CONTRACT DATED: 412712018 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Liberty Mutual Insurance Company 175 Berkeley Street, Boston, MA 02116 ,SURETY, on bond of (Insert name and address afContractor) C.W.Young Construction,L.P. 210 S.Bth Ave.,Mansfield,Texas 76063 CONTRACTOR, hereby approves of the final payiuent to the Contractor.and agrees that final payment to the Contractor shall not relieve he Surety of any of its obligations to (Insert name and address of Ownes) Lackland Innisbrook, Inc.and City of Fort Worth 13045 Lackland Rd, Fort Worth,TX 76116 OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: 512$12019 Onserl in writing the month folloiwd br the numeric date and year.) Liberty Mutual Insurance Company (Sureh'l Attest: (Signs use ojauthori esentatile) lNiBi!- P�" 2, 2 n T_a for 5toneba er,Attorrle -in-fact tPrinted name and title) LMS-20301 02113 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: 8 00812 SURETYWest American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organ€zed under the laws of the 11,fate of New Hemps re,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company i a corporation duly organized under the laws of the State of Indana(herein collectively called the"Companies'),pursuant to and by authority herein set forth,does hereby name,constitu and appoint, Bmattt AhmLd.Bill Ballinger,Paul W.Bower,Samantha Cantu-Crouch,Ke%,w Clabom.Andrew P.Clark,Colin I .C'only,Aaron T.DeRoss,Rache Duncan.LaCasha Grimes,Crystal A.Gntierrez,Richard S.Maxey,M.Ross RtcCurmick,Andrew Miner,David W.Ntor an, Diana Perez,Tomi 1.Pope,Cand,cc Reyrwlds.Nlark Roaewicz,Brian A.Smith,Taylor Stonebarger,Hilaria Ti'erina_Todd Tschantz,Alisha Weis all of the City of Plano state of TX each individually if there be more than one named,its true and L fwful attorney4n-fact 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 sL rely obligations,in putsuance of these presents and shall be as binding upon the Companies as if they have been duly sign ad by the president and attested by the secretary of the C panies in their ovw 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 beet affixed thereto this 29th day of March 2019 . Liberty Mutual Insurance Company �L%Nsu'� P411 INsp IN811. The Ohio Casualty Insurance Company a 3Pv�m Qovro p1r9�n Piefra� m West American Insurance Company g v fi r y1912� � 1919� 0 1991 0 ' N N �' �8�crk11B a Q 0A.0 a� '� �'y810.%F b I� e7 W �e'7 * �yt * a By: N C David M.Carey,Assistant Secretary :3 State of PENNSYLVANIA County of MONTGOMERY ss m On this 28th day of March 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secrete of Liberty Mutual In urance o ❑ Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoin instrument for the p rposes qr a therain contained by signing on behalf of the corporations by himself as a duly authorized officer. LL DIN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at Icing of Prussia.Pennsylvania,on the day and year first abw P written. �C to V) y� P-0ar ❑� Q Q N.E irk COMMONWEALTH_OF PENNSYLVANIA IYorarsdlsem a ❑ Dr Teresa Psslega.No+ary P.dAo Q L1pFmr hlenonTwp Mongwm y County By. +u `m C ILIMy Cormnission Expires Mar&28-2021 � E ,. Term Pastella,Notary Public Qf; Member Parml*yNarre AIMMMM d NoW as v {p Cr N!7 t This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurar ca Company, Liberty Mutual ❑ c Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: v W }i ARTICLE III—OFFICERS:Section 12-Power of Attorney. �'3 a Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limi -on as the Chairman or the a > President may prescribe,shall appoint such attomsys-in-fact as may be necessary to act in behalf of the Corporation to make,execute,seal,acknc Madge and deliver as surety n C3 m any and all undertakings,bands,recognizances and other surety obligations.Such attomeys-in-fact,subject to the limitations set forth In their resp five 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 Corporal n.When se executed,such E 0 U instruments shall be as binding as if signed by the President and attested to by the Secretary-Any power or authority granted to any representat or attomey-in-fact url-der the co 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 auth rity. a p ARTICLE All—Executton of Contracts:Section 5-Surety Bonds and Undertakings. Any offxar of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman the president may proscribe,l-r shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,exeaate,seal,acknowledge and defivar as so any and all undertakings, bonds.recogni7ancas and other surety obligations.Such ottomeys-in-fact subject to the limitations set forth in their respective powers of attorney,sh ilI 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 instru m ants shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation—The President of the Company,acting pursuwt to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretor 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,r nizances 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 attomey issued by the Company in connection with surety bonds,shall be valid and bi i ding 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 Ame can Insurance Company do hereby ce"that the original power of attorney of which the foregoing is a fu11,true and correct copy of the Power of Attorney executed by said Companies is in full force and at act and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 28th day of May 2019 v iNS(I 01 INS& I su# Y, ORpO '�$� �nµp0�4p�ym " 1912 p 1919 n 1991 M t m G d da+��Acnus�pD �Y y°��A�vs a�' �s �"°I,"* as Renee C-Llewellyn,Assistant Secrets LMS-12873 LMIC CCIC WAIC MUM Ca 002a18