HomeMy WebLinkAboutContract 50673-FP1 . t
CITY SECRETARY!` .
'����� ��iTRACTMO. 5 3-
FORTWORTH,
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
City Project NO: 101296 ✓
R:cgarding contract 50673ior BRIDGE REHABILIATIONAT NINE LOCATIONS(2018-11as requited by the
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 03/20/2018--
through M&C C-286204ke director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon
the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the
project as complete.
Original Contract Prices: $415,371.00 a
Amount of Approved Change Orders: $18,458.80 No 1 r,'
Revised Contract Amount: $433,829.80
Total Cost Work Completed: S418,744.86 ✓
Less Deductions:
Liquidated Domages: Days @$210.00/Day
Pavement Deficiencies:
Total Deduction Amount: S0.00
Total Cost Work Completed: $418,744.86
Less PrevAtD
ts: $397,807.62 ✓
Final Pay $20,937.24
f � J
Recommended for Acceptance Date
Asst. Director, TPW - Infrastructure Design and Gonstruction
Accep ed Date-
Director,
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
Asst. Ci Manager Date
Comments: i
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX
C ��
maimTPW Construction Invoice
Contract: CS50673 P.O.# 18-104446 Payment Date: 3/26/2019 ✓
TO:Gibson&Associates Inc. IIw.# CS50673-8 -VtMA L Estimate No. 8 DOE:
11210 Ryliecrest ProjManager Tariqul Islam
Balch Springs TX 75180
FOR: BRIDGE REHABILITATION AT NINE LOCATIONS(2018-1)
Contract Amount: $433,829.80 /
Completed Ret Pen Adj Pay
Total to Date: $418,744.86 $0.00 $0.00 $0.00 $418,744.86 ✓
Previous Estimate: $418,744.86 $0.00 $0.00 $0.00 $397,807.62 ✓
Earned to Date: $0.00 ($20,937.24) $0.00 $0.00 $20,937.24✓
Payments:
30100-0200431-5740010-101296-002680-9999 ✓ $433,829.80
CO#L$18,458.80
Total to Date: $418,744.86 $0.00 $0.00 $0.00 $418,744.86
Previous Estimate: $418,744.86 $20,937.24 $0.00 $0.00 $397,807.62
Earned to Date: $0.00 ($20,937.24) $0.00 $0.00 $20,937.24
Wednesday,June 5,2019 Page 1 of I
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6/7/2019 BIM 360 Document Management
B AUTODESK` BIM 360- fortworthgov > 101296- Bridge Rehabilitation 2018-1 - A KS
Document
••• FOLDERS REVIEWS TRANSMITTALS ISSUES
••• Management —
Reviews > Review detail
OPEN #3 - Final Review O Time left: 5 days Contractor Final Estimate Submittal Work Flow
Start review
Name PROGRESS
Invoice#8 and Final 03.01.19 thru 03.26.19.pdf
ED Edward Davila Jun 6, 1:00 PM ✓
_ <edward.davila@fortworthtexas.gov>
p Invoice#8 and Final 03.01.19 thru 03.26.19.xlsm
Submitted to Reviewer 2
Approved 6/06/19
Reviewer 2 Initial Review 2
SR Shammi Rahman Jun 6, 1:03 PM
<shammi.rahman@fortworthtexas.gov r''
Submitted to Reviewer 3
Reviewer 3 Initial Review 3
RN Had nusrallah Jun 6,2:17 PM
<riad.nusrallah@fortworthtexas.gov>
Submitted to Reviewer 4
Reviewer 4 Initial Review 4 n
LP Lauren Prieur Jun 7, 10:07 AM
<tauren.prieur@fortworthtexas.gov>
Submitted to Approver
s . ►
https://docs.b360.autodesk.com/projects/1 a34bbaO-ec1 f-4264-86f4-8f6c62d4fe3e/reviews/d847444c-7220-4869-bedO-bb864fd33f83 1/1
FORT WORM.
ROUTING TRANSMITTAL SLIP Date 4/23/19
TO: Initjais Date
Karen Striker
Shammi Rahman -S
Lauren Prieur
Steve Cooke ed I, I
Susan Alanis
❑ Action ❑ File ❑ Note and Return
❑Approval ❑ For Clearance ❑ Per Conversation
❑As Requested ❑ For Correction ❑ Prepare Reply
❑ Circulate ❑ For Your Information ❑See Me
❑ Comment ❑ Investigate ❑Signature
❑ Coordination ❑Justify ❑ Other
REMARKS:
FROM: EXTENSION
Nikki McLeroy 8363
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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 Alan C. Meador, III,
Vice President Of Gibson& Associates, Inc., 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;
Bridge Rehabilitation at Nine Locations (2018-1)
BY
L�
Alan C. Meador, III
Subscribed and sworn before me on this date 1 St of April, 2019.
FE--
PAM N DAVIS
I' state of Texas
maw
otary Pub ic,Notary Publicomm.Expires o3-30-2021
Dallas, Texas Notary ID'7�17'2
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 82460526
PROJECT:
(name, address Fort
Rehabilitation at Nine Locations (2018-1)
Fort Worth,TX
TO (Owner)
Fort Worth Transportation and Public Works Dept, ARCHITECT'S PROJECT NO:
Attn: Edward Davila CONTRACT FOR:
8851 Camp Bowie West Blvd.,3rd Floor Bridge Rehabilitation at Nine Locations(2018-1)-City Project No,
Fort Worth,TX 76116 101296
L CONTRACT DATE: 3/20/2018
CONTRACTOR: GIBSON &ASSOCIATES, 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)
FEDERAL INSURANCE COMPANY
202B Hall's Mill Road
Whitehouse Station NJ 08889 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
GIBSON &ASSOCIATES, INC.
P.O. Box 800579
Balch Springs TX 75180-0579 , 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)
Fort Worth Transportation and Public Works Department
Attn: Edward Davila
8851 Camp Bowie West Blvd.,3rd Floor , OWNER,
Fort Worth,TX 76116
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 27th day of March, 2019
FEDERAL INSURANCE COMPANY
Surety Company
Attest: _
(Seal): Signature of Authorized Representative
Robbi Morales Attorney-in-Fact
Title
NOTE: This form is to be used as a companion document to ALA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
� HUBB
Power of Attorney
Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company
Know All by These Presents,That FEDERAL INSURANCE COMPANY,an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,and PACIFIC
INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and appoint Don E. Cornell, Sophinie Hunter, Tina McEwan, Robbi Morales,
Tonie Petranek,Ricardo J.Reyna,Joshua Saunders and Kelly A.Westbrook of Dallas,Texas;Steven Dwain Brockinton of Little Rock,Arkansas----------
each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise,bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed in the course of business,and any
instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations.
In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested these
presents and affixed their corporate seals
p onn this 220'"day of March,2019.
1.�.,L1ser1.C� •"l
Wwn M,0k)r s.AsvistantSecretary etc{)hen%I 11a11ey.1'iccI'rc idcnt
QM
STATE OF NEW JERSEY
County of Hunterdon ss.
On this 20*day of March,2019,before me,a Notary Public of New Jersey,personally came Dawn M.Chloros,to me known to be Assistant Secretary of FEDERAL INSURANCE
COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY,the companies which executed the foregoing Power of Attorney,and the said Dawn M.
Chloros,being by me duly sworn,did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC
INDEMNITY COMPANY and knows the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by
authority of said Companies;and that she signed said Power of Attorney as Assistant Secretary of said Companies by like authority;and that she is acquainted with Stephen M.
Haney,and knows him to be Vice President of said Companies;and that the signature of Stephen M.Haney,subscribed to said Power of Attorney is in the genuine handwriting of
Stephen M.Haney,and was thereto subscribed by authority of said Companies and in deponent's presence.
Notarial Seal ROSE CUSS n
ypr�, NOTARY PUBLIC OF NEW JERSEY I�lj/�'I^.n�
No 50072400
y as Qmmisgm D11*0 NrnWtW 22.2M
tom+' kxary Public
CERTIFICATION
Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 30,2016:
"RESOLVED,that the following authorizations relate to the execution,for and on behalf of the Company,of bonds,undertaldngs,recognizances,contracts and other written commitments of the Company
entered into in the ordinary course of business(each a"Written Commitment"}
(1) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the
seal of the Company or otherwise.
(2) Each duty appointed attomey-in-fact of the Company is hereby authorized to execute any Written Commitment for and on behalf of the Company,under the seal of the Company or
otherwise,to the extent that such action is authorized by the grant of powers provided for in such person's written appointment as such attorney-in-fact.
(3) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized for and on behalf of the Company,to appoint in writing any person the attorney-
in-fact of the Company with full power and authority to execute,for and on behalf of the Company,under the seal of the Company or otherwise,such Written Commitments of the
Company as may be specified in such written appointment,which specification may be by general type or class of Written Commitments or by specification of one or more particular
Written Commitments.
(4) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalf of the Company,to delegate in writing to any other officer of the
Company the authority to execute,for and on behalf of the Company,under the Company's seal or otherwise,such Written Commitments of the Company as are specified in such
written delegation,which specification may be by general type or class of Written Comrfiitments or by specification of one or more particular Written Commitments.
(5) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Re0hition,and the seal of the Company,may be affixed by
facsimile on such Written Commitment or written appointment or delegation.
FURTHER RESOLVED, that the foregoing Resolution shall not be deemed to be an exclusive statement of the powers and authority of officers,employees and other persons to act for and on behalf of
the Company,and such Resolution shall not limit or otherwise affect the exercise of any such power or authority otherwise validly granted or vested."
I,Dawn M.Chloros,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY(the"Companies")do hereby
certify that
(i) the foregoing Resolutions adopted by the Board of Directors of the Companies are true,correct and in full force and effect,
(ii) the foregoing Power of Attorney is true,correct and in full force and effect.
Given under my hand and seals of said Companies at Whitehouse Station,NJ,this March 27, 2019
�*b• lklwn�I.t:hkxt�.;l�vst:lntSCYrctary
IN THE EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER PLEASE CONTACT US AT:
Telephone(908)903-3493 Fax(908)903-3656 e-mail:surety@chubb.com
FED-VIG-PI(rev.08-18)
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
STATEMENT OF CONTRACT TIME
STATEMENT#
FINAL STATEMENT# CPN# 101296
NAME OF PROJECT: Bridge Repair and Rehabilitation in Nine Locations(2018-1) Contractor Gibson&Ass.
YEAR: 2019
PROJECT NO.: FINAL INSPECTION DATE
(2018-1) WD CD
CONTRACT TIME 163 X
PERIOD FROM: 2/16/2019 TO: 1 2/19/2019 1 MID - Month I I DEVELOPMEN (Y/N)IN
WORK ORDER EFFECTIVE: 6/16/2016 BEG n MID /n 100.0%
LIP YR /n
DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR
CHARGED DAYS CREDITED CHARGED DAYS CREDITED
1 16 Sat 1
2 17 Sun 1
3 18 Mon 1
4 19 Tue 1
5 20 Wed 0
6 21 Thu 0
7 22 Fri 0
8 23 Sat 0
9 24 Sun 0
10 25 Mon 0
11 26 Tue 0
12 27 Wed 0
13 28 Thu 0
14 29
15 30
31
NA Wkn&Hol Wea Utl Oth
Not Applicable SAT,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS
HOLIDAYS RELOCATE CHARGED
THIS PERIOD 0 0 0 0 4 4
PREVIOUS PERIOD 0 159 159
TOTAL TO DATE 0 0 0 0 163 163
REMARKS:
Henrrietta Creek Road-Complete. Long Ave(E. bound)-Complete. E. Exchange Ave.-Complete. N. Riverside Drive-Complete. Western
Center BLVD-Complete. E. Northside Drive-Complete. Randol Mill Road-Complete. E.Seminary Drive-Complete.
Final Inspection 12/18/18. Punch List Completed 02/19/19.
Signature: Signature: r '
(Print Name) , (Print Na` � LL) f.
CONTRACTOR S OCi DATE f INSPECTOR DATE l