HomeMy WebLinkAboutContract 49905-FP2 City Secretary 49905 -FP2
Contract No.
FORTWORTH Date Received Sep 9,2019
11019
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: SOUTHFORK ESTATES PHASE 1
City Project No.: 101051
Improvement Type(s): ® Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $1,205,544.85
Amount of Approved Change Order(s): -$156,663.00
Revised Contract Amount: $1,048,881.85
Total Cost of Work Complete: $1,048,881.85
f
5Sa Davis(5� Sep 3, 2019
Contractor Date
President
Title
JLB Contracting, LLC
Company Name
K4fi Ba s(Sep3,2019) Sep 3,2019
Project Inspector Date
Oal Taafari Se 3 2019
Sep 3,2019) P
Project Manager Date
act Morales(Sep 3,2019) Sep 3,2019
CFA M�anag Datekill, (�
Dana Burghdoff(S p3,2ola Sep 3, 2019
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX Page 1 of 2
Notice of Project Completion
Project Name: SOUTHFORK ESTATES PHASE 1
City Project No.: 101051
City's Attachments
Final Pay Estimate ❑x
Change Order(s): x❑ Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 260 CD Days Charged: 624
Work Start Date: 12/4/2017 Work Complete Date: 8/19/2019
Page 2of2
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name SOUTHFORK ESTATES PHASE 1
Contract Limits
Project Type
City Project Numbers 101051
DOE Number 1769
Estimate Number 1 Payment Number 1 For Period Ending 8/30/2019
CD
City Secretary Contract Number 2101051 Contract Time 11(ED
Contract Date 10/26/2017 Days Charged to Date 624
Project Manager NA Contract is 100.00 Complete
Contractor JLB CONTRACTING,L.L.C.
PO BOX 24131
FORT WORTH, TX 76124-1131
Inspectors GREGORY / DIVER
Friday,August 30,2019 Page 1 of 4
City Project Numbers 101051 DOE Number 1769
Contract Name SOUTHFORK ESTATES PHASE 1 Estimate Number I
Contract Limits Payment Number I
Project Type For Period Ending 8/30/2019
Project Funding
UNIT IV:PAVING IMPROVEMENTS
Item Estimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
---------------------------------------
I HYDRATED LIME CO#1 347 TN $160.05 $55,537.35 347 $55,537.35
2 6"LIME TREATMENT CO#1 23121 SY $2.09 $48,322.89 23121 $48,322.89
3 8"CONC PVMT CO#1 1373 SY $40.13 $55,098.49 1373 $55,098.49
4 6"CONC PVMT CO#1 20871 SY $32.25 $673,089.75 20871 $673,089.75
5 4'HMAC TRANSITION PAVEMENT CO#1 2398 SY $19.21 $46,065.58 2398 $46,065.58
6 4'CONC SIDEWALK CO#1 1549 SY $37.93 $58,753.57 1549 $58,753.57
7 BARRIER FREE RAMP TYPE R-1 20 EA $1,096.10 $21,922.00 20 $21,922.00
8 BARRIER FREE RAMP TYPE M-2 7 EA $793.41 $5,553.87 7 $5,553.87
9 MANHOLE ADJUSTMENT MINOR 31 EA $670.61 $20,788.91 31 $20,788.91
10 TRAFFIC CONTROL(CLEBURNE CROWLEY 1 MO $1,492.05 $1,492.05 1 $1,492.05
RD)
I I TRAFFIC CONTROL(LONGHORN TRAIL) 1 MO $1,492.05 $1,492.05 1 $1,492.05
12 VALVE BOX ADJUSTMENT 26 EA $317.82 $8,263.32 26 $8,263.32
13 DEAD CND BARRICADE 5 EA $844.72 $4,223.60 5 $4,223.60
14 R1-1 STOP SIGN 2 EA $458.66 $917.32 2 $917.32
15 24"WHITE STOP BAR PAVMENT MARKING 30 LF $25.22 $756.60 30 $756.60
16 UNCLASS ROADWAY EXCAVATION CO#1 1 LS $26,167.00 $26,167.00 1 $26,167.00
17 PORTABLE MESSAGE BOARD CO#1 8 WK $581.00 $4,648.00 8 $4,648.00
18 4"WHITE THERMO PVMT MARKING CO#1 1100 LF $1.35 $1,485.00 1100 $1,485.00
19 DOUBLE YELLOW THERMO PVMT MARKING 1100 LF $3.50 $3,850.00 1100 $3,850.00
CO#1
20 SGT GUARDRAIL CO#1 145 LF $72.10 $10,454.50 145 $10,454.50
--------------------------------------
Sub-Total of Previous Unit $1,048,881.85 $1,048,881.85
--------------------------------------
Friday,August 30,2019 Page 2 of 4
City Project Numbers 101051 DOE Number 1769
Contract Name SOUTHFORK ESTATES PHASE 1 Estimate Number 1
Contract Limits Payment Number 1
Project Type For Period Ending 8/30/2019
Project Funding
Contract Information Summary
Original Contract Amount $1,205,544.85
Chanj4e Orders
Change Order Number 1 ($156,663.00)
Total Contract Price $1,048,881.85
Total Cost of Work Completed $1,048,881.85
Less %Retained $0.00
Net Earned $1,048,881.85
Earned This Period $1,048,881.85
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 $1,048,881.85
Friday,August 30,2019 Page 3 of 4
City Project Numbers 101051 DOE Number 1769
Contract Name SOUTHFORK ESTATES PHASE 1 Estimate Number I
Contract Limits Payment Number I
Project Type For Period Ending 8/30/2019
Project Funding
Project Manager NA City Secretary Contract Number 2101051
Inspectors GREGORY / DIVER Contract Date 10/26/2017
Contractor JLB CONTRACTING,L.L.C. Contract Time 110 CD
PO BOX 24131 Days Charged to Date 624 CD
FORT WORTH, TX 76124-1131 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 $1,048,881.85
Less %Retained $0.00
Net Earned $1,048,881.85
Earned This Period $1,048,881.85
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 $1,048,881.85
Friday,August 30,2019 Page 4 of 4
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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 Sam Davis, President of JLB Contracting, LLC,
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;
Paving Improvements for Southfork Estates I
BY f
Sam Davis
President
]LB Contracting, LLC
Subscribed and sworn before me on this day of 12019.
NOTARY PdaIC IN AND FOR
THE STATE OF TEXAS
My commission expires
CATHY VILLARREAL
tary Public,State of Texas
Comm,Expires 10-02-2021
�'��nnON Notary ID 12543 227-7
CONSENT OF OWNER ❑
• SURETY COMPANY ARCHITECT rl
CONTRACTOR ❑
TO FINAL PAYMENT SURETYOTHER
❑
(SIMILAR TO AIA DOCUMENT G707)
Bond No. 8368018
PROJECT: Paving Improvements for Southfork Estates I
(name,address)Fort Worth, Texas
TO (Owner)
ARCHITECT'S PROJECT NO:
City of Fort Worth I CONTRACT FOR: Above Project
200 Texas Street
Fort Worth, Texas 76102
CONTRACT DATE:
CONTRACTOR: JLB Contracting,LLC
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)
JLB Contracting, LLC
P.O. Box 24131 ,CONTRACTOR,
Fort Worth,Texas 76124
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 OWNER,
Fort Worth, Texas 76102
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
The Surety Company has hereunto set its hand this 19th day of August 2019 -
.WESTFIELD INSURANCE COMPANY
Surety company
`,�.,o;��yz,, -o-1/
By
Signature resentative
Attest:
(Seal): Kyle W. Sweeney Attorney—in—Fact
Title
Note:This form is 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 HIS SAMI:
POWER#AND ISSUED PRIOR TO 04/20/11, FOR ANY PERSON OR PERSONS NAMED BELOW.
POWER NO. 4220052 06
General Westfield Insurance Co.
Power Westfield National Insurance Co.
of Attorney
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 pr(4hcipal 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)An-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:
'Bd 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 " • ... ......"" """ WESTFIELD INSURANCE COMPANY
%IsQ� SuN F':ct ?�,O�A� a_ ,`�, WESTFIELD NATIONAL INSURANCE COMPANY
Affixed �v: .Gu �►= a: • .�z ;`�• E' OHIO FARMERS INSURANCE COMPANY
sin r SEAL =�_ Epp?$� _
41848
• c�
By
State of OOhio °"""" "'*^ """"'"`.•," 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 residesin Medina, Ohio;that he is Senior Exectititre 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 �,..•+•"""•w,w
Seal
Affixed •CP`\`�"/%js�•,`
O
William J. Kahelin,A . rney at Law, Notary Public
State of Ohio f� do& o My Commission Does Not Expire(Sec. 147.03 Ohio Revised Code)
County of Medina ss.:
I,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 19th day of
AugUStD. 2019 ,,.«,.,.�.•.
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._�v� �r�� :' :_o 1848:;a Frank A.Camino, Secretary
BPOAC2 (combined) (06-02)