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Contract 51677-FP1
City Secretary 51677 -FPI Contract No. �leOq FORTWORTH') Date Received Jul 11,2019 O� FG4` 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: EAST BONDS RANCH ROAD BLUE MOUND City Project No.: 100999 Improvement Type(s): ® Paving ® Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $359,386.03 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $359,386.03 tftey fz9/1, zWM9` Jul 10) 2019 Steven Lancaster(Jut 10,2019) Contractor Date Project Manager Title Reliable Paving,Inc. Company Name A' " Jul11, 2019 Matthew Mabry(Jul 11,201 ) Project Inspector Date Fred Chia u l 11) 2019 Fred Ehia(Jul 11,2019) NVManager Date Jennifer Ezernack(Jut 11,2019) Jul 1 1) 2019 CFA Manager , Date 1 Dana Burghdoff(Jul 11,20 Jul 11) 2019 OFFICIAL.RECORD Asst. City Manager Date SECRETARY FT. WORTH,TX Page 1 of 2 Notice of Project Completion Project Name: EAST BONDS RANCH ROAD BLUE MOUND City Project No.: 100999 City's Attachments Final Pay Estimate Change Order(s): ❑ Yes M NIA Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 180 CD Days Charged: 253 Work Start Date: 10/22/2018 Work Complete Date: 7/2/2019 Page 2of2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name EAST BONDS RANCH ROAD BLUE MOUND Contract Limits Project Type STORM DRAIN&PAVING City Project Numbers 100999 DUE Plumber 0999 Estimate Number I Payment Number 1 For Period Ending 7/11/2019 CD City Secretary Contract plumber Contract Time i8aD Contract Date Days Charged to hate 253 Project Manager NA Contract is 100.00 Complete Contractor RELIABLE PAVING,INC. 1903 N PEYCO DRIVE N ARLINGTON, TX 76001 Inspectors OWEN / MABRY Wednesday,July 10,2019 Page I of'4 City Project Numbers 100999 170E Number 0999 Contract Name EAST BONDS RANCH ROAD BLUE MOUND Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN&PAVING For Period Ending 711 1120 1 9 Project Funding STORM DRAIN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ----- ------- -------- ---------- --------- 1 MOBILIZATION 1 LS $12,731.71 $12,731.71 1 $12,731.71 2 REMOVE 18"STORM LINE 112 LF $12.00 $1,344.00 112 $1,344.00 3 REMOVE 36"STORM LINE 135 LF $22.00 $2,970.00 135 $2,970,00 4 REMOVE 14EADWALUSET 6 EA $660,00 $3,960.00 6 $3,960.00 5 MEDIUM STONE RIPRAP,DRY 75 SY $72.27 $5,420,25 75 $5,420.25 6 18"RCP CLASS Ill 20 LF $5E00 $I,120.00 20 $1,I20.00 7 18"FLARED HEADWALL 1 LF $1,200.00 $1,200,00 1 $1,200.00 8 4X3 BOX CULVERT I063 LF $210,65 $223,920.95 1063 $223,920.95 9 4'STORM JUNCTION BOX 3 EA $4,123.24 $12,369.72 3 $12,369.72 10 HEADWALL,BOX CULVERT 20 CY $1,347.37 $26,947.40 20 $26,947.40 Sub-Total of Previous Unit $291,984,03 $291,984.03 PAVING Item Description of Itcros Estimated Unit Unit Cost Estimated Completed Completed No. Quanity 'Total Quanity Total I MOBILIZATION ^I LS $20,10T00 $20,107.00 1 $20,107.00 2 REMOVE ASPHALT DRIVE 1095 SF $6.00 $6,570.00 I095 $6,570.00 3 SITE CLEARING I LS $9,600.00 $9,600.00 1 $9,600.00 4 SWPPP I LS $5,000,00 $5,000.00 1 $5,000.00 5 ASPHALT PVMT REPAIR BEYOND DEFINED 125 SY $25.00 $3,125.00 125 $3,125.00 WIDTH 6 TRAFFIC CONTROL 9 MO $2,000,00 $18,000.00 9 $18,000.00 7 EROSION CONTROL INSTALL&MAINTAIN 1 LS $5,000.00 $5,000.00 1 $5,000.00 Sub-Total of Previous Unit $67,402.00 $67,402.00 Wednesday,July 10,2019 Page 2 of 4 City Project Numbers 100999 DOE Number 0999 Contract name EAST BONDS RANCH ROAD BLUE MOUND Estimate Number 1 Contract Limits Payment Number I Project Type STORM DRAIN&PAVING For Period Ending 7/1 I/2019 Project Funding Contract Information Summary Original Contract Amount $359,386.03 Change Orders Total Contract Price $359,386.03 Total Cost of Work Completed $359,386.03 Less %Retained $0.00 Net Earned $359,386.03 Earned This Period $359,386.03 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 $359,386,03 Wednesday,July 10,2019 Page 3 of City Project Numbers 100999 DOE Number 0999 Contract Name EAST BONDS RANCH ROAD BLUE MOUND Estimate Number 1 Contract Limits Payment Number 1 Project Type STORM DRAIN&PAVING For Period Ending 7/11/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors OWEN I MABRY Contract Date Contractor RELIABLE PAVING,INC. Contract Time 180 CD 1903 N PEYCO DRIVE N Days Charged to Date 253 CD ARLINGTON, TX 76001 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Rctainage Net Funded Total Cost of Worlc Completed $359,386.03 Less %Retained $0.00 Net Earned $359,386.03 Earned This Period $359,3KM Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 1 Day KOO 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 $359,386.03 Wednesday,July 10,2019 Page 4 of 4 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 4417038 PROJECT: (name, addresS)AII Storage Blue Mound Addition Fort Worth TX TO (Owner) F ARCHITECT'S PROJECT NO: CITY OF FORT WORTH CONTRACT FOR: 1000 Throckmorton Street All Storage Blue Mound Addition Fort Worth TX 76102 —J CONTRACT DATE: CONTRACTOR: RELIABLE PAVING, INC. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (hare insert name and address of Surety Company) SURETEC INSURANCE COMPANY 1330 Past Oak Blvd. Houston TX 77056 , SURETY COMPANY on bond of (here insert name and address of Contractor) RELIABLE PAVING, INC. 1903 North Peyco Arlington TX 76001 , 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) CITY OF FORT WORTH 1000 Throckmorton Street Fort Worth TX 76102 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 1 Oth day of July,2019 SURETEC INSURANCE COMPANY Surety Company Attest:� � !Ih ro Signature of Authorized Representative So hinie Hunter Attorne -ir3-Fact Title NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBT5 AND CLAIMS, Current Edition ONE PAGE POA#: 4221097 SureTec Insurance Company LIMITED POWER OF ATTORNEY .Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make,constitute and appoint Don E.Cornell, Ricardo J. Reyna,Sophinie Hunter, Robbi Morales, Kelly A.Westbrook,Tina McEwan,Joshua Saunders,Tonie Petranek its true and lawful Attorney-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 to include waivers to the conditions of contracts and. consents of surety for,providing the bond penalty does not exceed Five Million and 001100 Dollars($5,000,000.00) and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO,sealed with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec Insurance Company: Be it Resolved, that the President, any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and deliver,any and all bonds,recognizances,contracts,agreements or 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 binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be ft Resolved,that the signature of any authorized officer and 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 signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 2&1 of April, 1999.) In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO, and its corporate seal to be hereto affixed this 291n day of March ,A.D.2019 , ^ SURETEC 11PANY ti; y :, By: Iz= John Kr Jr.,C State of Texas ss: County of Harris On this 29th day of March , A.D.2o19 before me personally came John Knox Jr.,to me known, who, being by me duly sworn, did depose and say, that he resides in Houston, Texas, that he is CEO of SLYRETEC INSURANCE COMPANY, the company described in and which executed the above instrument;that he knows the seal of said Company; that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said Company;and that he signed his name thereto by like order. fill' t4 { syg Xe evez, Notary Public commission expires September 10,2020 I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Company, which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set out in the Power of Attorney are in full force and effect. Given under my hand and the seal of said Company at Houston, Texas this fUr day of_ it , A.D_ B t eaty,Assistant Secrete Any instrument issued in excess of the penalty stated above is totally void and without any validity. For verification of the authority of this power you may call(713)812-0800 any business day between 6:30 am and 5.00 pm CST. SureTec Insurance Company THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION Statutory Complaint Notice/Filing of Claims To obtain information or make a complaint: You may call the Surety's toll free telephone number for information or to make a complaint or File a claim at: 1-866-732-0099. You may also write to the Surety at: SureTec Insurance Company 9737 Great Hills Trail, Suite 320 Austin, Tx 78759 You may contact the Texas Department of Insurance to obtain information on companies, coverage, rights or complaints at 1-800-252- 3439. You may write the Texas Department of Insurance at PO Box 149104 Austin,TX 78714-9104 Fax#: 512-490-1007 web: httD:llwww.tdi.state.ix.tis Email: Cons umerprotection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim, you should contact the Surety first, If the dispute is not resolved,you may contact the Texas Department of Insurance. E 1 Texas Rider 06042014 RELIABLE PAVING INC. DBA RELIABLE COMMERCIAL CONSTRUCTION 1903 N.PEYCO DRIVE ARLINGTON, TEXAS 76001 817-467-0779 AFFIDAVIT OF BILLS PAID 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 PAM DONALDSON, VICE PRESIDENT OF RELIABLE PAVING INC. DBA: RELIABLE COMMERCIAL CONSTRUCTION., known to me to be a credible person,who being by me duly sworn, upon her oath deposed and said; That all persons, firms, Subcontractors, associated, corporations, or other organizations furnishing labor and/or materials have been paid in full; That there are no claims pending for personal injury and/or property damages; on Contract described as; ALL STORAGE BLUE MOUND, Public Utility Improvements, City Project No.100999, in Fort Worth,Texas. By: . Pam Donaldson, VP SU C BED AND SWORN TO BEFORE ME, a Notary Public, this ]© day of 2019 tiotarvNot P "land fo the STATE OF TEXA W.Go it]mmis g 1i7307re s Se er T 2019 ''+a or