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Home My WebLink AboutContract 51380-FP4 City Secretary 51380 -FP4 Contract No. 2019 FORT NORTH® Date Received Sep 9,2019 V 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 i i Original Contract Price: $215,752.98 Amount of Approved Change Order(s): { Revised Contract Amount: Total Cost of Work Complete: $215,752.98 i Richard Wol a(Aug 21,2019) Aug 21, 2019 Contractor Date President Title Independent Utility Construction,Inc. Company Name Gb IW ' o Aug 21, 2019 Albert Samaniego(Aug 21,201gr Project Inspector Date Agbki,.Z. Iy lhelw, 25 Aug 29 2019 C,H)t,J V,iii�,1m PEf�,;71? Project Manager Date 1 srt�t,uo� Aug 30, 2019 Janie Scarlett Morales(Aug 30,2019) CFA Manager Date Dana E YGIhdoff Dana Dana Bu�:,31,2019) Aug 31, 2019 Asst. City Manager afle EFTWORTH, L RECORD CRETARY TX Page 1 of 2 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: 30 WD Days Charged: 274 Work Start Date: 11/1/2018 Work Complete Date: 8/1/2019 Page 2of2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name REVELSTOKE,SECTION IB Contract Limits Project Type ST LIGHT City Project Numbers 101388 DOE Number 1388 Estimate Number 1 Payment Number 1 For Period Ending 8/21/2019 CD City Secretary Contract Number Contract Time 30:D Contract Date Days Charged to Date 274 Project Manager NA Contract is 100.00 Complete Contractor INDEPENDENT UTILITY CONSTRUCTION 5109 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors OWEN / SAMANIEGO i I I I i I i I Wednesday,August 21,2019 Page 1 of 4 i 3 1 City Project Numbers 101388 DOE Number 1388 Contract Name REVELSTOKE,SECTION IB Estimate Number I Contract Limits Payment Number I Project Type ST LIGHT For Period Ending 8/21/2019 Project Funding ST LIGHT Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ------ ----------- ---------- 1 2"CONDT PVC SCH 80(T) 1514 LF $11.82 $17,895.48 1514 $17,895.48 2 NO 10INSULATED ELEC CONDR 4542 LF $1.25 $5,677.50 4542 $5,677.50 3 RDWY ILLUM FOUNDATION TY 7 38 EA $1,109.00 $42,142.00 38 $42,142.00 4 RDWY ILLUM ASSEMBLY WASHINGTON 38 EA $3,876.00 $147,288.00 38 $147,288.00 A 14/20 5 CITY BONDS FOR ALL ST LIGHT 1 LS $2,750.00 $2,750.00 1 $2,750.00 IMPROVEMENTS -------------------------------------- Sub-Total of Previous Unit $215,752.98 $215,752.98 -------------------------------------- i 1 I l Wednesday,August 21,2019 Page 2 of 4 P �i City Project Numbers 101388 DOE Number 1388 I Contract Name REVELSTOKE,SECTION I Estimate Number 1 Contract Limits Payment Number I Project Type ST LIGHT For Period Ending 8/21/2019 Project Funding I i Contract Information Summary is Original Contract Amount $215,752.98 Change Orders I `i Total Contract Price $215,752.98 Total Cost of Work Completed $215,752.98 Less %Retained $0.00 Net Earned $215,752.98 II Earned This Period $215,752.98 Retainage This Period $0.00 Less Liquidated Damages Days 0 /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 $215,752.98 Wednesday,August 21,2019 Page 3 of 4 is ii City Project Numbers 101388 DOE Number 1388 Contract Name REVELSTOKE,SECTION 113 Estimate Number I Contract Limits Payment Number I Project Type ST LIGHT For Period Ending 8/21/2019 Project Funding a Project Manager NA City Secretary Contract Number i Inspectors OWEN / SAMANIEGO Contract Date Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 30 CD 5109 SUN VALLEY DRIVE Days Charged to Date 274 CD FORT WORTH, TX 76119 Contract is .000000 Complete j i CITY OF FORT WORTH SUMMARY OF CHARGES i Line Fund Account Center Amount Gross Retainage Net Funded --------------------------------------- Total Cost of Work Completed $215,752.98 Less %Retained $0.00 Net Earned $215,752.98 Earned This Period $215,752.98 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 IIand Less 15% $0.00 Balance Due This Payment $215,752.98 Wednesday,August 21,2019 Page 4 of 4 AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me, the undersigned authority, on this day personally appeared RICHARD W OLFE, President of INDEPENDENT UTILITY CONSTRUCTION, INC., known to me to be a credible person, and after being duly sworn by me, 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 1B—City Project No. 101388 BY: 6�14 ro, and AWe,President SCRIBE AND SWORN TO BEFORE ME on this day of 2019. i �� FY PUi CHRISTINA GARCIA :Notary Public,State of Texas 9 e� Comm.Expires 12-20-2020 Notary ID 130940785 airy Public, State of Texas CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT SURETY cTOR ❑ OTHER (SIMILAR TO AIA DOCUMENT G707) Bond No. 9848079 PROJECT: Street Light Improvements to serve Revelstoke Section I (name,address)Fort Worth, Texas TO (Owner) ARCHITECTS PROJECT NO: City of Fort Worth CONTRACT FOR: Above Project 200 Texas Street Fort Worth, Texas 76102 �.J CONTRACT DATE: CONTRACTOR: Independent Utility Construction,Iuc. 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) Independent Utility Construction, Inc. 5109 Sun Valley Drive 'CONTRACTOR, Fort Worth, Texas 76119 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 Fort Worth, Texas 76102 ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, The Surety Company has hereunto set its hand this 7th day of August 2019 , WESTFIELD INSURANCE COMPANY Surety Comp By Attest: Signature of Authorized Representative (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 POWER#AND ISSUED PRIOR TO 04/20/11, FOR ANY PERSON OR PERSONS NAMED BELOW. General POWER NO. 4220052 06 Power Westfield Insurance Co. of Attorney Westfield National Insurance Co. CERTIFIED COPY Ohio Farmers Insurance Co. 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 principal 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)-in-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: 'Be 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 �Xa1�..... �j�n•N��.!N" ."QS14lSUp� WESTFIELD INSURANCE COMPANY Affixed �v' .a. n== c p`' SGp; ;="""'"'�(�;a WESTFIELD NATIONAL INSURANCE COMPANY 4`i tiQ '`u' 'zARTE OHIO FARMERS INSURANCE COMPANY 4 :x _h SEAL R£p _m_ _C* = — 184 State of Ohio "....k..... 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 resides'in Medina, Ohio;that he is Senior Executive 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 `H Seal .�Rti A L s, r Affixed ............ 9z • William J. Kahelin,A rney at Law, Notary Public State of Ohio =;N d O County of Medina ss.: My Commission Does Not Expire(Sec.147.03 Ohio Revised Code) - 1. ; 9rf or 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, this7th day of August +,wA°.�.,, t.,7� >v4 wQ�.'`VCHF.f '� 4�.• :ro SEAL `' ART - - f4•:�3 =Nu+� .s. { } 'A. n= 1�4i9 .••�= J 1 Secretary ''�.•, �tr =;�i' o; ��; Frank A. Carrino,.Secretary ••'"wa.rr.. ..k.. • ..... ... BPOAC2 (combined) (06-02)