HomeMy WebLinkAboutContract 51380-FP1 City Secretary 51380 -FP1
Contract No.
RECEIVED
FORTWORTH. Date Received Aug 22,2019
AUG 2 2 V
CUY Of FORT WORTH
CIV SECRETARY
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: REVELSTOKE, SECTION 1 B
City Project No.: 101388
Improvement Type(s): ® Paving O Drainage O Street Lights O Traffic Signals
Original Contract Price: $693,438.08
Amount of Approved Change Order(s):
;3
Revised Contract Amount:
Total Cost of Work Complete: $693,438.08
7myA-AlMeor Aug1,2019
James Mckibber i.'� ;21,2019) g
)
Contractor Date
Project Manger
Title
L.H. Lacy
Company Name
24.C6e�tSa�ca�ueAa-
Albert Samaniego(Aug 21,2o ) Aug 21,2019
Project Inspector Date
1�4' Aug 21 2019
Debbie J.Willhelm PE g21,2019)
Project 1�1&t
anager Date
I761�1/ /1 om0 f
Janie:S:erlett Morales(Aug 22,2019) Aug 22,2019
CFA Manager Date
„pis Burghdoff( g 22,20 Aug 22,2019
Asst. City Manager Date
OFFICIAL.RECORD
CITY SECRETARY ' Pagel of 2
FT. WORTH,'TX
Notice of Project Completion
Project Name: REVELSTOKE, SECTION 1 B
City Project No.: 101388
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: 38 WD Days Charged: 274
Work Start Date: 11/1/2018 Work Complete Date: 8/1/2019
Page 2 of 2
FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name REVELSTOKE,SECTION 1B
Contract Limits
Project Type PAVING
City Project Numbers 101388
DOE Number 1388
Estimate Number 1 Payment Number 1 For Period Ending 8/21/2019
WD
City Secretary Contract Number Contract Time 3WD
Contract Date Days Charged to Date 274
Project Manager NA Contract is 100.00 Complete
Contractor L.H.LACY COMPANY
P.O.BOX 541297
DALLAS, TX 75354
Inspectors OWEN / SAMANIEGO
Wednesday,August 21,2019 Page 1 of 4
City Project Numbers 101388 DOE Number 1388
Contract Name REVELSTOKE,SECTION 1B Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 8/21/2019
Project Funding
PAVING
Item Description of Items Unit Unit Cost
Estimated Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
I REMOVE BARRIER FREE RAMP 1 EA $633.51 $633.51 1 $633.51
2 HYDRATED LIME 280 TN $153.45 $42,966.00 280 $42,966.00
3 6"LIME TREATMENT 17470 SY $2.34 $40,879.80 17470 $40,879.80
4 6"CONC PVMT 16380 SY $33.11 $542,341.80 16380 $542,341.80
5 4"CONC SIDEWALK 2618 SF $5.37 $14,058.66 2618 $14,058.66
6 BARRIER FREE RAMP 12 EA $1,503.65 $18,043.80 12 $18,043.80
7 BARRIER FREE RAMP 7 EA $1,482.39 $10,376.73 7 $10,376.73
8 FURNISII/INSTALL ALUM SIGN GROUND 1 EA $137.50 $137.50 1 $137.50
MOUNT CITY STD ON EXISTING POLE
9 FURNISH/INSTALL ALUM SIGN GROUND i EA $385.00 $385.00 1 $385.00
MOUNT CITY STD&POLE
10 FURNISH/INSTALL ALUM SIGN GROUND 1 EA $385.00 $385.00 1 $385.00
MOUNT CITY STD&POLE
11 FURNISH/INSTALL ALUM SIGN GROUND 1 EA $137.50 $137.50 1 $137.50
MOUNT CITY STD&EX POLE
12 FURNISH/INSTALL ALUM SIGN GROUND 2 EA $385.00 $770.00 2 $770.00
MOUNT CITY STD&POLE
13 INSTALL EOR BARRICADE I EA $1,172.33 $1,172.33 1 $1,172.33
14 REMOVE BARRICADE&CONNECT TO 2 EA $620.38 $1,240.76 2 $1,240.76
EXISTING
15 PAVEMENT HEADER 29 LF $8.61 $249.69 29 $249.69
16 SWPPP MAINTENANCE I LS I
17 CITY BONDS FOR ALL PAVING 1 LS $16,500.00 $16,500.00 1 $16,500.00
IMPROVEMENTS —
Sub-Total of Previous Unit $690,278.08 $690,278.08
STREET SIGN
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
I FURNISWINSTALL ALUM SIGN GROUND 8 EA $395.00 $3,160.00 8 $3,160.00
MOUNT CITY STD-NAME BLADE
---------------------------------------
Sub-Total of Previous Unit $3,160.00 $3,160.00
--------------------------------------
Wednesday,August 21,2019 Page 2 of 4
City Project Numbers 101388 DOE Number 1388
Contract Name REVELSTOKE,SECTION 113 Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 8/21/2019
Project Funding
Contract Information Summary
Original Contract Amount $693,438.08
Chanj4e Orders
Total Contract Price $693,438.08
Total Cost of Work Completed $693,438.08
Less %Retained $0.00
Net Earned $693,438.08
Earned This Period $693,438.08
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 $693,438.08
Wednesday,August 21,2019 Page 3 of 4
City Project Numbers 101388 DOE Number 1388
Contract Name REVELSTOKE,SECTION 1B Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 8/21/2019
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors OWEN / SAMANIEGO Contract Date
Contractor L.H.LACY COMPANY Contract Time 38 WD
P.O.BOX 541297 Days Charged to Date 274 WD
DALLAS, TX 75354 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 $693,438.08
Less %Retained $0.00
Net Earned $693,438.08
Earned This Period $693,438.08
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 $693,438.08
Wednesday,August 21,2019 Page 4 of 4
AFFIDAVIT
STATE OF Texas
COUNTY OF Dallas
Before me, the undersigned authority, a notary public in the state and county
aforesaid, on this day personally appeared Bobby W. Gordon, President of L.H. Lacy
Company, Ltd.,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:
Revelstoke Phase 1B—City Project 101388
BY
B bby W. or o
Subscribed and sworn before me on this date of , 2019.
t , State of Texas, County as
PPY pV�' _
DARLENE CONEY
Notary iD # 10317501
My Commission Expires
Sr4 TEOr T6 0 March 9, 2020
CONSENT OF SURETY OWNMZ
TO FINAL PAYMENT AM-fiTEC'
ALA Document G707 SLTRMY 1D
Bond No, 2570230 OTHER Q
TO OWNNM: ARCH CT'S PROJECT NO.:
(NWm*.wrd addrrVj
City of Fort Worth & Dr,R, Horton -Texas, LTD.
6751 Borth Freeway CQN7RtlCI'PC>R Paving Work
Fort Worth,TX 76131
PROJBCT: CONTRACT DATED:
(Mnneandadcliwsj
Revelstoke, Section 1 B (Paving & Street Name Signs)
in occordance with the provisions of the Contract between the Gnawer and the Contractor as lndjuted above,the
Great American Insurance Company of New York
301 E Fourth Street
Cincinnati, OH 45202
SiIRF'1Z',
on bond of
{lnsen rxurae and addrres q{CorNn�c7w
L.H. Lacy Company, Ltd.
1880 Crown Road, Suite 1200
Dallas, TX 75234
CON-I'RAG".C'QR,
TYene approves oftbe final payment to the Contractor,and agrm Thst final payment to The Contractor shall not relleve the Surety of
any of its obligations to
{117Sfti7 JtQEirrEllIIL�CiL7rfri�r3fQ�ilrerJ
City of Fort Worth & Dr.R. Horton -Texas, LTD.
6751 North Freeway
Fort Worth,TX 76131
OWNER,
as set forth in said Surety's.bond.
IN WITNESS WHEREOF,the,%rety has hereunto set its hand tin this date: Aug Ust 2, 2019
(Jrraurr 02 M91MZV rbr ruantkfa axetif hr tfiN mr rrcricd asrrt jcic+>.J
Great American Insurance Company of New York
By:
' f;�rattaltN n irtbarxzcxt s u rr7�1
mot: Ashley Britt Platt Attorney-in-Fact
fS�' K sti Lovett, Witness [PiFrirydrraurearr[frPtle)
GREAT AMERICAN INSURANCE COMPANY®
Administrative Office: 301 E 4TH STREET • CINCINNATI, OHIO 45202 • 513-369-5000 • FAX 513-723-2740
The number of persons authorized by
this power of attorney is not more than TEN
No.4 21245
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the GREAT AMERICAN INSURANCE COMPANY,a corporation organized and existing under
and by virtue of the laws of the State of Ohio,does hereby nominate,constitute and appoint the person or persons named below,each individually if more than
one is named,its true and lawful attorney-in-fact,for it and in its name,place and stead to execute on behalf of the said Company,as surety,any and all bonds,
undertakings and contracts of suretyship,or other written obligations in the nature thereof,provided that the liability of the said Company on any such bond,
undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below.
Name Address Limit of Power
ALYSON CARMICHAEL TABITHA DORMAN ALL OF ALL
HEATHER NOLES ASHLEY BRITT PLATT HOUSTON,TEXAS $100,000,D00
DAVID T.MICLETTE ROBERT C. DAVIS
NIKOLE JEANNETTE LAUREN O. MOUDY
KRISTi LOVETT ROBERT M.OVERBEY,JR.
This Power ofAttomey revokes all previous powers issued on behalf of the attorneys)-in-fact named above.
IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate
officers and its corporate seal hereunto affixed this 27TH day of JUNE 2019
Attest GREAT AMERICAN INSU ANCE COMPAN
Assistant Secretary Uivisioncr!Senior Vice President
STATE OF OHIO,COUNTY OF HAMIi TON-ss: MARK ViCAAin(877-377-2406)
On this 27TH day of JUNE 2019 ,before me personally appeared MARK VICARIO,tome known,
being duly swom,deposes and says that he resides in Cincinnati,Ohio,that he is a Divisional Senior Vice President of the Bond Division of Great American
Insurance Company,the Company described in and which executed the above instrument;that he knows the seal of the said Company;that the seal affixed to the
said instrument is such corporate seal,that it was so affixed by authority of his office under the By-Laws of said Company,and that he signed his name thereto
by like authority.
&58JI A.Kdvist
hY I'tlt�e,Staff d� �•�-
�y
This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company
by unanimous written consent dated June 9,2008.
RESOLVED: That the Divisional President, the several Divisional Senior Fee Presidents,Divisional Vice Presidents and Divisonal Assistant Vice
Presidents,or any one of them, be and hereby is authorized,from time to time, to appoint one or more Attorneys-in-Fact to execute on behalf of the Company,
as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature thereof,'to prescribe their respective duties and
the respective limits of their authority;and to revoke any such appointment at any time.
RESOLVED FURTHER, That the Company seal and the signature of any of the aforesaid gfficers and any Secretary or Assistant Secretary of the
Company may be affixed by facsimile to any power of attorney or certificate of either given far the exectution of any bond, undertaking,contract of suretyship,
or other written obligation in the nature thereof,such signature and seal when so used being hereby adopted by the Company as the original signature of such
officer and the original seal of the Company, to be valid and binding upon the Conipany with the same force and effect as though manually affixed.
CERTIFICATION
1,STEPHEN C.BERAHA,Assistant Secretary of Great American Insurance Company,do hereby certify that the foregoing Power of Attorney and
the Resolutions of the Board of Directors of June 9,2008 have not been revoked and are now in full force and effect.`/,(}
Signed and sealed this day of > ` a
�msua�.c
Assistant Secretary
31029AG(07/18)