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Home My WebLink AboutContract 51025-FP4 i City Secretary 51025 -FP4 �y Contract No. �®RT WORTH Date Received Sep 19,2Q19 SEQ 19 wow NOTICE OF PROJECT COMPLETION C (Developer Projects) The Transportation and Public Works Department upon the recommendation of the Project Manager has accepted the following project as complete: Project Name: INNISBROOK PLACE PHASE 3 City Project No.- 101324 Improvement Type(s): ® Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $585,437.40 Amount of Approved Change Order(s): Revised Contract Amount: ; Total Cost of Work Complete: $595,437.40 Carmen E�2� Jun 27,2019 Contractor Date Office Manager Title Jackson Construction, Ltd Company Name 9e"0-Uaat�- Aug 30 2019 Jesse Davis(Aug 30,2019) Project Inspector Date z°ez4i�lezlaG"�� Aug 30, 2019 Patrick Buck,ey(Aug 30,2019) Project Manager Date jgkleS4Z tttilvlak Aug 30, 2019 Janie Scariett Morales(Aug 30,2019) YCxI^�FA Manager Date Dana Burghdoff(S6p 19,20 Sep 19, 2019 Asst. City Manager Date OFFICIAL RECORD Page 1 of 2 CITY SECRETARY FT. WORTH,TX Notice of Project Completion Project Name: INNISBROOK PLACE PHASE 3 City Project No.: 101324 City's Attachments Final Pay Estimate 0 Change Order(s): ❑ Yes 0 N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 100 CD Days Charged: 340 Work Start Date: 6/25/2018 Work Complete Date: 5/31/2019 Page 2of2 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name INNISBROOK PLACE-PHASE 3 Contract Limits Project Type PAVING City Project Numbers 101324 DOE Number 7210 Estimate Number 1 Payment Number 1 For Period Ending 6/21/2019 CD City Secretary Contract Number Contract Time 10aD Contract Date 5/10/2018 Days Charged to Date 340 Project Manager NA Contract is 100.00 Complete Contractor JACKSON CONSTRUCTION LTD 5112 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors DICKINSON / DAVIS,J Friday,June 21,2019 Page 1 of 4 City Project Numbers 101324 DOE Number 7210 Contract Name INNISBROOK PLACE-PHASE 3 Estimate Number I Contract Limits Payment Number 1 Project Type PAVING For Period Ending 6/21/2019 Project Funding UNIT IV:PAVING IMPROVEMENTS SHEETS 24-30 Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ----------------------------- 1 6"CONC PVMT 13184 SY $35.50 $468,032.00 13184 $468,032.00 2 6"LIME TREATMENT 14042 SY $3.70 $51,955.40 14042 $51,955.40 3 HYDRATED LIME 253 TN $173.00 $43,769.00 253 $43,769.00 4 BARRIER FREE RAMP TYPE R-I 8 EA $1,916.00 $15,328.00 8 $15,328.00 5 BARRIER FREE RAMP TYPE M-2 2 EA $1,664.00 $3,328.00 2 $3,328.00 6 BARRIER FREE RAMP TYPE P-1 2 EA $1,500.00 $3,000.00 2 $3,000.00 7 INSTALL ALUM SIGN GROUND MOUNT 9 EA $378.00 $3,402.00 9 $3,402.00 8 4"CONC SIDEWALK 56 SF $7.00 $392.00 56 $392.00 9 ROAD BARRIER(TYPE III) 58 LF $4.00 $232.00 58 $232.00 10 ROAD BARRIER(TYPE III) 1 EA $877.00 $877.00 1 $877.00 11 YELLOW SAFETY BOLLARD 2 EA $381.00 $762.00 2 $762.00 12 TRAFFIC CONTROL 5 MO $872.00 $4,360.00 5 $4,360.00 -------------------------------------- Sub-Total of Previous Unit $595,437.40 $595,437.40 -------------------------------------- Friday,June 21,2019 Page 2 of 4 City Project Numbers 101324 DOE Number 7210 Contract Name INNISBROOK PLACE-PHASE 3 Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 6/21/2019 Project Funding Contract Information Summary Original Contract Amount $595,437.40 Chant4e Orders Total Contract Price $595,437.40 Total Cost of Work Completed $595,437.40 Less %Retained $0.00 Net Earned $595,437,40 Earned This Period $595,437.40 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 $595,437.40 Friday,June 21,2019 Page 3 of 4 City Project Numbers 101324 DOE Number 7210 Contract Name INNISBROOK PLACE-PHASE 3 Estimate Number I Contract Limits Payment Number 1 Project Type PAVING For Period Ending 6/21/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / DAVIS,J Contract Date 5/10/2018 Contractor JACKSON CONSTRUCTION LTD Contract Time 100 CD 5112 SUN VALLEY DRIVE Days Charged to Date 340 CD FORT WORTH, TX 76119 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 $595,437.40 Less %Retained $0.00 Net Earned $595,437.40 Earned This Period $595,437.40 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 $595,437.40 Friday,June 21,2019 Page 4 of 4 * d;Q,(�MJ6A CONSTRUCTION LTD_ 51 12 SUN VALLEY DRIVE FORT WORTH,TX 76119 TEL 817-572-3303 FAX: 817-478-0443 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 Larry H. Jackson, Vice President Of Jackson Construction, 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; Innisbrook Place PH 3 BY l - L y H.Jackson, Vice President Subscribed and sworn before me on this date 27th of June, 2019. /tot--t! Notar P is Tarrant, Texas CARMEN L. ESTEP a; o'Notary Public,State of Texas Comm.Expires 04-06-2020 ON Notary ID 2910611 CONSENT OF SURETY 01XrNFR ❑ TO FINAL PAYMENT ARCIETEiCT D ALA Document G707 CONTRACTOR SURETY Bond No. 1068032 GTHFR TO OWNER- ARCT-TITECT"S PROJECT NO.: fName wid adeiren,;j Lackland Innisbrook, Inc./City of Fort Worth CQNT'RAC=i"'FOR. Paving Improvements Fort Worth TX PROJECTi CONTRACT DATET3: (AWmv and ad&ec Innisbrook Place-Phase 3 City Project#101324 In accordance With The provisions of€1-r-Contract between die Owner and the Co nuactor as indimted above,the (Ime7Y trarn(,and a adrxn cr Srnrry) The Hanover Insurance Company 440 Lincoln Street Worcester MA 01653 SURETY, on bond of f1men name and eddrr:;s of Lonfractor) Jackson Construction, Ltd. 5112 Sun Valley Drive Fort Worth TX 76119 CONTRACTOR, hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety of any of its obhga€ions to ()Grsert mmncand addmv of Otm,-7-1 Lackland Innisbrook, Inc./City of Fort Worth Fort Worth TX OWNER, as set forth in said Surety's bo;-�d. 1N WITNESS WHEREOF,the Surety has hereunto set its hand on this date: J u n e 27, 2019 (tJ:R'.fX fn uvllirg tltr ttronrk julhasrrd�?t'fiK anunar c cdareat;cf.r¢w:; �7 The Hanover Insurance Comp /Fig. By. (S{qt ofurttha:�tttrrprxxrnrutttr) Amst; Jack M. Crowley Attorney-in-Fact (t'riarlc�MUM atteltxd) Surety Phone No. 508-853-7200 x-4476 4s h f. 4p kU G707-1 994 THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWER OF ATTORNEY THIS Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. KNOW ALL PERSONS BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing under the laws of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICA,2 corporation organized and existing underthe laws of the State of Michigan,(hereinafter individually and collectively the"Company")does hereby constitute and appoint, Steven R.Foster,Jack M.Crowley,Sonia Lara and Teuta Luri Of Willis of Texas,Inc.of Dallas,TX each individually,if there be more than one named,as its true and lawful attorney(s)-in-fact to sign,execute,seal, acknowledge and deliver for, and on its behalf, and as its act and deed any place within the United States, any and all surety bonds, recognizances, undertakings,or other surety obligations.The execution of such surety bonds,recognizances,undertakings or surety obligations,in pursuance of these presents,shall be as binding upon the Company as if they had been duly signed by the president and attested bythe secretary of the Company,in their own proper persons.Provided however,that this power of attorney limits the acts of those named herein;and they have no authority to bind the Company except in the manner stated and to the extent of any limitation stated below: Any such obligations in the United States,not to exceed Thirty Five Million and No/l 00($35,000,000)in any single instance That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said Company,and said Resolutions remain in full force and effect: RESOLVED: That the President or any Vice President, in conjunction with any Vice President, be and they hereby are authorized and empowered to appoint Attorneys-in-fact of the Company,in its name and as it acts,to execute and acknowledge for and on its behalf as surety, any and all bonds,recognizances,contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with powerto attach thereto the seal of the Company.Any such writings so executed by such Attorneys-in-fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons. RESOLVED:That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed by the President or Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile. (Adopted October 7, 1981 —The Hanover Insurance Company;Adopted April 14, 1982—Massachusetts Bay Insurance Company;Adopted September 7,2001 —Citizens Insurance Company of America) IN WITNESS WHEREOF,THE HANOVER INSURANCE COMPANY,MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these Presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents,this loth day of April,2019. The Ran ver L—ance Kamp--ay Th. . I I...1-C-i-P-11 Say I ..1 - K — —ce Crsnvpany M--h—tts Bay!---C—pa.v Citizens Company of America Crtie—Eex—nce C.—ip,a ny f A—.6— John C.Fo che.E4-11',and President James H.Y--t-recld- ice President THE COMMONWEALTH OF MASSACHUSETTS COUNTY OF WORCESTER ss. On this I O'h day of April,2019 before me came the above named Vice Presidents of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,respectively,and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Corporations. NAME J. UARINO mw,g%4 M,C --i—E,_i—M—h 4.20 2 1,the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America,hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further certify that the said Powers of Attorney are still in force and effect. GIVEN under my hand and the seals Of Said Companies,at Worcester,Massachusetts,this 27thday of June 2018 CERTIFIED COPY Man- C HAT"nover The Hanover Insurance Company 1 440 Lincoln Street,Worcester,MA 01653 Insurance Group` Citizens insurance Company of America j 645 West Grand River Avenue,Howell,MI 48843 Texas Complaint Notice IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una queja: You may call The Hanover Insurance Company/Citizens Usted puede Ilamar al numero de telefono gratis de The Insurance Company of America's toll-free telephone Hanover Insurance Company/Citizens Insurance Company number for information or to make a complaint at: of America`s para informacion o para someter una queja al: 1-800-608-8141 1-800-608-8141 You may also write to The Hanover Insurance Company/ Usted tambien puede escribir a The Hanover Insurance Citizens Insurance Company of America at: Company/Citizens Insurance Company of America al: 440 Lincoln Street 440 Lincoln Street Worcester, MA 01615 Worcester, MA 01615 You may contact the Texas Department of Insurance to Puede comunicarse con el Departamento de Seguros de obtain information on companies, coverages, rights or Texas para obtener informacion acerca de companias, complaints at: coberturas, derechos o quejas al: 1-800-252-3439 1-800-252-3439 You may write the Texas Department of Insurance: Puede escribir al Departamento de Seguros de Texas: P. O. Box 149104 P. O. Box 149104 Austin, TX 78714-9104 Austin, TX 78714-9104 Fax: (512) 475-1771 Fax: (512) 475-1771 Web: http://wvvw.tdi.texas.gov Web: httpi//www.tdi.texas.gov E-mail: ConsumerProtection@tdi.state.tx.us E-mail: ConsumerProtection@tdi.state.tx.us PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS: Should you have a dispute concerning your premium or Si tiene una disputa concerniente a su prima o a un rec- about a claim you should contact the agent or the com- lamo, debe comunicarse con el agente o la compania pany first. If the dispute is not resolved, you may contact primero. Si no se resuelve la disputa, puede entonces the Texas Department of Insurance. comunicarse con el departamento (TDI). ATTACH THIS NOTICE TO YOUR POLIO: This notice is UNA ESTE AVISO A SU POLIZA: Este aviso es solo para for information only and does not become a part or con- proposito de informacion y no se convierte en parte o dition of the attached document. condicion del documento adjunto. 181-1457(5112)