HomeMy WebLinkAboutContract 51380-FP2 City Secretary 51380 -FP2
Contract No.
lk FORTWORTH. Date Received Aug 26,2019
C GAF 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 ® Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $352,555.39
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $352,555.39
,7oe ftelk Aug 21, 2019
Joe Winchester(Aug 21,2019)
Contractor Date
Operations Manager
Title
C.W.Young Construction,L.P.
Company Name
Aug 22, 2019
Albert Samaniego(Aug 22,20 )
Project Inspector DAate�� Q
Debbie J.Willhr 412,1119
g 22 2019 'u g 22, 201✓
Project Manager Date
4kff sf� &A"Af Aug 23, 2019
Janie Scarlett Morales(Aug 23,2019)
CFA Manager Date
Dana Burghdoff(A6g 23,2 Aug 23,2019
Asst. City Manager Date
UFFlk,r. RECORD
CITY SECRETARY Page 1 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 I
Statement of Contract Time
Contract Time: 40 WD Days Charged: 274
Work Start Date: 11/1/2018 Work Complete Date: 8/1/2019
Page 2 of 2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name REVELSTOKE,SECTION 1B
Contract Limits
Project Type STORM DRAIN
City Project Numbers 101388
DOE Number 1388
Estimate Number I Payment Number 1 For Period Ending 8/21/2019
WD
City Secretary Contract Number Contract Time 4WD
Contract Date Days Charged to Date 274
Project Manager NA Contract is 100.00 Complete
Contractor C.W.YOUNG CONSTRUCTION
210 S.SIXTH STREET
MANSFIELD, TX 76063
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 1
Project Type STORM DRAIN For Period Ending 8/21/2019
Project Funding
STORM DRAIN
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
-- - ------ ----
1 REMOVE 48"STORM LINE 8 LF $30.00 $240.00 8 $240.00
2 REMOVE T DROP INLET 1 EA $750.00 $750.00 1 $750.00
3 TRENCH SAFETY 1566 LF $0.15 $234.90 1566 $234.90
4 CONCRETE COLLAR 3 EA $100.00 $300.00 3 $300.00
5 21"RCP 156 LF $52.43 $8,179.08 156 $8,179.08
6 24"RCP 100 LF $60.64 $6,064.00 100 $6,064.00
7 27"RCP 50 LF $67.28 $3,364.00 50 $3,364.00
8 30"RCP 67 LF $76.07 $5,096.69 67 $5,096.69
9 36"RCP 32 LF $98.62 $3,155.84 32 $3,155.84
10 42"RCP 578 LF $128.97 $74,544.66 578 $74,544.66
11 48"RCP 241 LF $151.94 $36,617.54 241 $36,617.54
12 6X5 BOX CULVERT 342 LF $322.54 $110,308.68 342 $110,308.68
13 4'STORM JUNCTION BOX 1 EA $4,850.00 $4,850.00 1 $4,850.00
14 Y STORM JUNCTION BOX 2 EA $5,850.00 $11,700.00 2 $11,700.00
15 4'MANHOLE RISER 2 EA $3,550.00 $7,100.00 2 $7,100.00
16 10'CURB INLET 14 EA $4,400.00 $61,600.00 14 $61,600.00
17 INLET PROTECTION 14 EA $150.00 $2,100.00 14 $2,100.00
18 CONNECT TO EXISTING 6'X5'RCB 1 EA $300.00 $300.00 1 $300.00
19 BONDS FOR ALL UTILITY IMPROVEMENTS 1 LS $16,050.00 $16,050.00 1 $16,050.00
--------------------------------------
Sub-Total of Previous Unit $352,555.39 $352,555.39
--------------------------------------
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 STORM DRAIN For Period Ending 8/21/2019
Project Funding
Contract Information Summary
Original Contract Amount $352,555.39
Change Orders
Total Contract Price $352,555.39
Total Cost of Work Completed $352,555.39
Less %Retained $0.00
Net Earned $352,55539
Earned This Period $352,555.39
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 $352,555.39
Wednesday,August 21,2019 Page 3 of 4
City Project Numbers 101388 DOE Number 1388
Contract Name REVELSTOKE,SECTION 113 Estimate Number 1
Contract Limits Payment Number 1
Project Type STORM DRAIN For Period Ending 8/21/2019
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors OWEN / SAMANIEGO Contract Date
Contractor C.W.YOUNG CONSTRUCTION Contract Time 40 WD
210 S.SIXTH STREET Days Charged to Date 274 WD
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 $352,555.39
Less %Retained $0.00
Net Earned $352,555.39
Earned This Period $352,555.39
Retainage This Period $0.00
Less Liquidated Damages
0 Days n $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 $352,555.39
Wednesday,August 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 b
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 Section I B CPN 10 13 88
BY
o inchester- Operations Manage
Subscribed and sworn before in this date 5th of August,2U 19.
s Y K FAmGifr
�'= MY C MISSION EXPIRE
Notary Pu 2 ;„' 2t,zoos
Tarrant, Texas
Liberty BOND NUMBER 02222162
mutudl.
SURETY OWNER
ARCHITECT p
CONSENT OF SURETY CONTRACTOR ❑
TO FINAL PAYMENT SURETY p
Conforms with the American institute of OTHER ❑
Architects,AIA Document G707
TO OWNER: D.R.HORTON TEXAS,LTD AND CITY OF ARCHITECTS PROJECT NO.:
(Name and address) FORT WORTH 9848078
6751 North Freeway, Fort Worth,TX 76131 CONTRACT FOR:
Construction
PROJECT: Revelstoke,Section 1 B Water,Sewer&Storm
(Name and address) CONTRACT DATED:
09/10/2018
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(Insert name and address of Surely)
Liberty Mutual Insurance Company
175 Berkeley Street,Boston,MA 02116 SURETY,
on bond of
(Insert name and address ofContraetor)
C.W.Young Construction,L.P.
210 S.6th Ave.,Mansfield,Texas 76063 CONTRAGIOR,
hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve t e Surety of any 0 its
obligations to
(Insert name and address of Dinner)
D.R.HORTON TEXAS,LTD AND CITY OF FORT WORTH
6751 North Freeway, Fort Worth,TX 76131 OWNER,
as set forth in said Surety's bond.
1N WITNESS WHEREOF,the Surety has hereunto set its hand on this date: 08/05/2019
(Insert in writing the montt:folinwed by the numeric date and year.)
Liberty Mutual Insurance Company
(Surety)
Attest: (Signature of auth tatii e)
PV 1RSUt�
,tJ �pp¢tyr Fyn
1$12 0 'ra for Stoneba er,Attome -in-fact
o (Printed name and title)
�yl�84 ct:u5``b
LMS-20301 02113
This Power of Attorney limits the acts of those named herein,and they have no authority to
7 y bind the Com pany except in the manner and to the extent herein stated.
Li Ue� Liberty Mutual Insurance Company
mutuA The Ohio Casualty Insurance Company Certificate No: 1200812
West American Insurance Company
SURETY
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that
Liberty Mutual insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company s a corporation duly Organized
under the laws of the State of Indiana(herein collectively called the'Companies'),pursuant to and by authority herein set forth,does hereby name,constitu a and appoint, Bryant
nt
Alined,Bill BalIin er,Paul W.Bowei,Samantha Cantu-Crouch.Kevin Clabotn.Andrew P.Clark,Colin E.C'onby,Aaron T.DeRoss,Rach 1 Duncan.l Xashn
Grime,,Crystal A.Gutierrez,Richard S.Max .M.Ross McCormick,Andrew Miner,David W.M MEan, Diana Perez,Tomi L Pope,Can ace Reynolds,Mark
Rocewicr Brian A.Smith,']a ylor Stoncba er,lfilaria Tiierina,Todd Tschantz,Alisha Weis
all of the city of Piano state of TX each individually g there be more than one named,its true and llawfuI attomeyan-fact to make,
execute,seal,acknowledge and deliver,for and on its behalf as surety and as$s"and deed,any and all undertakings,bonds,recognizanoes and other urely obligations,in pursuance
of these presents and shall be as binding upon the Companies as it they have been duly signed by the president and attested by the secretary of the ompanies in their own proper
persons.
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized offlcer or official of the Companies and the corporate seals of the Companises have been affixed
thereto this 28th day of March 2019 .
Liberty Mutual Insurance Company
►tistlR ,SY INS& a ►"sire The Ohio Casualty Insurance Compa
�,PLORQo�r9yc JPGpRpp T VPLORro gyCN West American Insurance Company
Y � 1912 � o Q 1919 1991 c p Q)Yd��s'�CHUg�a� "AMP`' By:
ctt �7 yl * 1� 3•y * t�° in
David M.Carey,Assistant Secretary
State of PENNSYLVANIA ss
D County of MONTGOMERY m
c
U y On this 28th day of March 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mut4Insurance 0
462 Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do.execute the forego ng instrument for IN purposes—�
a] a therein contained by signing on behalf of the corporations by himself as a duly authorized officer. uJ
7
0) 'U IN WITNESS WHEREOF,€have he subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year fi rst a e written. CL
�C,
0 ��g� FW$}�C COMMONWEALTH OF PENNSYLVAN[A .y/,/{7( @ 4
N'talla.sofa I�s�
ej D � � OF x Teresa Posteda.Notary PublicC13
O.2 tipper MerionTwp..Mantgwnery County By:
C �F My Comm sslon Expires Mardi 28,2021 Teresa Pastella,Notary Public 0 Co
VN' rnxrener.Yerms3^•varna nesnm:im os Notanes a0
cQ kAv � rA a
9] This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual 0)
D Insurance Company,ad West American Insurance Company which resolutions are now in full force and affect reading as follows: o
E v ARTICLE IV-OFFICERS:Section 12.Power of Attorney.
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such I irr nation as the Chairman or the II
President may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute.seal,ack nowledge and deliver as surely >o
C any and all undertakings,bands,recognizances and other surety obligations.Such attomeys-in-fact,subject to tfhe limitations set forth in their respective powers of attorney,shall (D ry
> L have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such-T
� instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or atfomey-in-fact under the L m
provisions of this arkle may be revoked at any time by the Board,the Chairman.the President or by the officer or officers granting such power or a hority. o 0
ARTICLE]fill-Execution of Contracts:Section 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president.and subject to such limitations as the chairman or the president may prescribe,1a
shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as urety any and all undertakings,
bonds,recognizarlces and other surety obligations.Such atto meys-in-fact subject to the limitations set forth in their respective powers of attorney, ilhall 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 inst ents shah be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secret iry to appoint such attomeys-in-
fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and del lver as surety any and all undertakings,bonds,recognizances and other surety
obligations.
Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature f any assistant secretary of the
Company,wherever appearing upon a certified copy of any power of atto may issued by the Company In connection with surety bonds,shall be valid and bindi rig 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 A nerican Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Compan as.is in full force an effect and
has not been revoked.
IN TESTIMONY WHEREOF,I have hereunto set my hard and affixed the seals of said Companies this 5th day of August 2019
Pv►AISo �SY INS&.p � If1So.
.- 0 T�7 to Y rL0µAo14T�yn $Lpps Cl
191 Z p {919 OO rn
% 1991
o g
d, ���cKu�ti�'� °3�AMPg� �a ''p Narnrzr a° Y•Renee C.Llewellyn,Assistant Secretary
LMS-12873 LMIG OGIC WAIL Muth Co._062018
Liberty Llh"Mutual Surety
Mutual. Attention:LAMS CI ims
Po sox 34526
SURETY Seattle,WA 9812
Phone:(206)473 210
Fax:(866)548-68 73
Email:HQSCLCii ertymutual.corn
www.LibertyMut I5uretyClaims.c m
TEXAS TEXAS
IMPORTANT NOTICE AVISO WPORTANTE
To obtain information or make a complaint: Para obtener information o para someter una
quej a:
You may call toll-free for information or to Usted puede Ilamar al numero de elefono gratis
make a complaint at para information o para someter ur ia queja al
1-866-600-0461 1-866-600-0461
You may also write to: Usted tambien puede escribir a:
Liberty Mutual Surety Claims Liberty Mutual Surety Claims
P❑ Box 34526 PO Box 34526
Seattle, WA 98124 Seattle, WA 98124
You may contact the Texas Department of Puede comunicarse con e1 De artamento die
Insurance to obtain information on companies, Seguros de Texas pars obtener information
coverages, rights or complaints at acerca de companies, cobertura , derechos o
1-800-252-3439 quejas al
1-800-252-3439
You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros
Consumer Protection(I II-IA) de Texas Consumer Protection(I I I-IA)
P. 0. Box 149091 P. 0. Sox 149091
Austin, TX 78714-9091 Austin, TX 78714-9091
FAX: (512)490-1007 FAX#(512) 490-1007
Web: http://www.tdi.texas.goy Web: http://www.tdi.texas.gov
E-mail:ConsumerProtectioni@tdi.texasgcZ E-mail: ConsumerProtection tdi.t xas. ov
PREMIUM OR CLAIM DISPUTES: DISPUTES SOBRE PRIMAS O CLAMQS:
Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a
premium or about a claim you should first un reclamo, debe comunicarse c n el agente o
contact the agent or call 1-800-252-3439. primero. Si no se resuelve la isputa, puede
If the dispute is not resolved, you may contact the entonces comunicarse con el dep amento (TDI)
Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR UNA ESTE AVISO A SU POLI2 :
POLICY:
This notice is for information only and does not Este aviso es solo Para proposito de informacibn
become a part or condition of the attached y no se convierte en parte o condition del
document. documento adjunto.
LM&1528210115