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Home My WebLink AboutContract 51025-FP3 City Secretary 51025 -FP3 Contract No. A FORTWORTHO. Date Received Jun 26 2019 JUEC�I A126 2019 Cln'OF�O�T - y 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 ❑x Street Lights ❑ Traffic Signals Original Contract Price: $59,212.50 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $59,212.50 e,d—d W, 1.2019) Jun 21,2019 Contractor Date President Title Independent Utility Construction, Inc. Company Name ,7&rre Uzxir Jun 25 2019 Jesse Davis(Jun 25,20191 Project Inspector Date SafricK UacXL�y Jun 25 2019 Patrick Buckley(Jun 25,2019) s P ject Manager Date e Scarlett Morales(Jun 25,2019) Jun 25,2019 FA Manager Date Susan Alanis(Jun 25,2019) Jun 25, 2019 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page I 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 0 Change Order(s): ❑ Yes 0 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 ST LIGHT 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 IOaD Contract Date Days Charged to Date 340 Project Manager NA Contract is 100.00 Complete Contractor INDEPENDENT UTILITY CONSTRUCTION 5109 SUN VALLEY DRIVE FORT WORTH, TX 76119 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 I Contract Limits Payment Number I Project Type ST LIGHT For Period Ending 6/21/2019 Project Funding ST LIGHT Item Description of Items Unit Unit Cost Estimated Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 2"SCH 80 PVC 765 LF $9.52 $7,282.80 765 $7,282.80 2 NO 10 INSULATED ELEC CONDR 2295 LF $1.99 $4,567.05 2295 $4,567.05 3 RDWY ILLUM ASSEMBLY 15 EA $1,550.00 $23,250.00 15 $23,250.00 4 RDWY ILLUM FOUNDATION 15 EA $1,104.51 $16,567.65 15 $16,567.65 5 LED LIGHTING FIXTURE 15 EA $295.50 $4,432.50 15 $4,432.50 6 FURNISHANSTALL TYPE 33B ARM 15 EA $207.50 $3,112.50 15 $3,112.50 -------------------------------------- Sub-Total of Previous Unit $59,212.50 $59,212.50 -------------------------------------- Friday,June 21,2019 Page 2 of 4 City Project Numbers 101324 DOE Number 1324 Contract Name INNISBROOK PLACE PHASE 3 Estimate Number 1 Contract Limits Payment Number I Project Type ST LIGHT For Period Ending 6/21/2019 Project Funding Contract Information Summary Original Contract Amount $59,212.50 Chanye Orders Total Contract Price $59,212.50 Total Cost of Work Completed $59,212.50 Less %Retained $0.00 Net Earned $59,212.50 Earned This Period $59,212.50 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 $59,212.50 Friday,June 21,2019 Page 3 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 ST LIGHT For Period Ending 6/21/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / DAVIS Contract Date Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 100 CD 5109 SUN VALLEY DRIVE Days Charged to Date 340 CD FORT WORTH, TX 76119 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 $59,212.50 Less %Retained $0.00 Net Earned $59,212.50 Earned This Period $59,212.50 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 $59,212.50 Friday,June 21,2019 Page 4 of 4 AFFIDAVIT STATE OF TEXAS COUNTY OFTARRANT Before me, the undersigned authority, on this day personally appeared RICHARD WOLFE, President of INDEPENDENT UTILITY CONSTRUCTION INC. known to me to be a credible person, and after being duly sworn by me, 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 Phase 3 —City Project No. 101324 BY: (�Uc kic and Wolfe, President SU CRIBED AND SWORN TO BEFORE ME on this ( � day of , 2019. ""Y""'' CHRISTINA GARCIA 6 _Notary Public, State of Texas Comm. Expires 12-20-2020 Notary ID 130940785 Notary Public, State of Texas CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT F-1 CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ OTHER (SIMILAR TO AIA DOCUMENT G707) Bond No. 8966735 PROJECT: Street Lighting Improvements to serve Innisbroolc Place - Phase 3 (name,address)Fort Worth, Texas TO (Owner) ARCHITECT'S PROJECT NO: City of Fort Worth CONTRACT FOR: Above Project 200 Texas Street Fort Worth, Texas 76102 CONTRACT DATE: CONTRACTOR: Independent Utility 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) Westfield Insurance Company 555 Republic Drive, Suite 450 Plano, Texas 75074 ,SURETY COMPANY, on bond Of(here insert name and address of Contractor) Independent Utility Construction, Inc. 5109 Sun Valley Drive CONTRACTOR, Fort Worth, Texas 76119 hereby approves of the final 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 17th day of May 2019 WESTFIELD INSURANCE COMPANY Surety Company By Signature t orized Itepresentative Attest: (Seal): Kyle W. Sweeney Attorney—in—Fact Title Note:This form in 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 BEARING I 111S SAML POWER#AND ISSUED PRIOR TO 04/20/11, FOR ANY PERSON OR PERSONS NAMED BELOW. POWER NO. 4220052 06 General Power Westfield Insurance Co. 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 Attorney(s)-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 Corporate r,eNSUpjA�f••,, �%0NALi' ;Itsu,/��,, WESTFIELD INSURANCE COMPANY Seals �rQ`,:• ••.C�'a; nsG': ••=~y� , WESTFIELD NATIONAL INSURANCE COMPANY Affixed �v. .roO•.SEAL A T •,�' ��H�T�R f0.*'$ OHIO FARMERS INSURANCE COMPANY SEAL •m_ _o: State of Ohio '..... 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 „a "•"""•w. , Seal l A L S Affixed • William J. Kahelin,A rney at Law, Notary Public State of Ohio `-.1P d o My Commission Does Not Expire (Sec.147.03 Ohio Revised Code) County of Medina ss.: y •2 TeOFO 1, 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. In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 17th day of May TWA° ,19 r�•�!�=Ult.(,(/Cs,,, •,,• -\\(;IJA(�ti , r �iwUq��4 P z/� 'm_ =c•: Secretary .ti•,gi o = 184e = Frank A. Carrino, Secretary BPOAC2 (combined) (06-02)