HomeMy WebLinkAboutContract 51382-FP1 City Secretary 51382 -FP1
Contract No.
o FORTWORTH. Date Received Sep 19,2019
cm oFfo�`N°
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: FOSSIL CREEK PHASE 2
City Project No.: 101097
Improvement Type(s): ❑ Paving ® Drainage ❑ Street Lights ❑ Traffic Signals
Original Contract Price: $121,397.50
Amount of Approved Change Order(s):
Revised Contract Amount:
Total Cost of Work Complete: $121,397.50
,44 Gra13,21S)
� Sep 13, 2019
Contractor Date
Contract Manager
Title
Burnsco Construction,Inc.
Company Name
Russell Rogers(Sep ,2019) Sep 13,2019
Project Inspector Date
� 2 /I/ % Sep 19, 2019
Victor V.Tornero Jr.(Sep 19,2019)
Project Manager Date
7a�rre JG�7t Ro`aGe f Sep 19, 2019
Janie Scarlett Morales(Sep 19,2019)
CFA Manager Date
Dana urghdoff( p19,20 Sep 19, 2019
Asst. City Manager Date
OFFICIAL RECORD
CITY SECRETARY Page 1 of 2
FT.WORTH,TX
Notice of Project Completion
Project Name: FOSSIL CREEK PHASE 2
City Project No.: 101097
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: 50 CD Days Charged: 210
Work Start Date: 12/17/2018 Work Complete Date: 8/12/2019
Page 2of2
FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name FOSSIL CREEK PHASE 2
Contract Limits
Project Type STORM DRAIN&BONDS
City Project Numbers 101097
DOE Number 1097
Estimate Number I Payment Number I For Period Ending 9/10/2019
CD
City Secretary Contract Number Contract Time 56D
Contract Date Days Charged to Date 210
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors DICKINSON / ROGERS
Tuesday,September 10,2019 Page I of 4
City Project Numbers 101097 DOE Number 1097
Contract Name FOSSIL CREEK PHASE 2 Estimate Number 1
Contract Limits Payment Number 1
Project Type STORM DRAIN&BONDS For Period Ending 9/10/2019
Project Funding
STORM DRAIN&BONDS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
-----------------------------------
1 10'CURB INLET 6 EA $3,600.00 $21,600.00 6 $21,600.00
2 4'STORM JUNCTION BOX I EA $4,100.00 $4,100.00 1 $4,100.00
3 21"CLASS III RCP 40 LF $57.00 $2,280.00 40 $2,280.00
4 24"CLASS III RCP 345 LF $66.00 $22,770.00 345 $22,770.00
5 27"CLASS III RCP 27 LF $75.00 $2,025.00 27 $2,025.00
6 30"CLASS III RCP 29 LF $85.00 $2,465.00 29 $2,465.00
7 36"CLASS III RCP 34 LF $115.00 $3,910.00 34 $3,910.00
8 24"SET I EA $2,000.00 $2,000.00 1 $2,000.00
9 36"SET 1 EA $2,600.00 $2,600.00 1 $2,600.00
10 24"POND OUTLET HEADWALL I EA $3,600.00 $3,600.00 1 $3,600.00
11 27"POND OUTLET HEADWALL I EA $4,000.00 $4,000.00 1 $4,000.00
12 MEDIUM STONE RIPRAP 375 SY $50.00 $18,750.00 375 $18,750.00
13 TRENCH SAFETY 475 LF $0.50 $237.50 475 $237.50
14 CONNECT TO EXISTING 21"RCP 1 EA $400.00 $400.00 1 $400.00
15 CONNECT TO EXISTING 24"RCP I EA $400.00 $400.00 I $400.00
16 CONNECT TO EXISTING 4'X4'DROP INLET 2 EA $500.00 $1,000.00 2 $1,000.00
17 CONCRETE FLUME 1720 SF $8.00 $13,760.00 1720 $13,760.00
18 REMOVE 21"STORM LINE 16 LF $25.00 $400.00 16 $400.00
19 REMOVE 24"STORM LINE 24 LF $25.00 $600.00 24 $600.00
20 REMOVE HEADWALL/SET I EA $700.00 $700.00 1 $700.00
21 REMOVE 4'DROP INLET 2 EA $900.00 $1,800.00 2 $1,800.00
22 PAYMENT,PERFORMANCE&MAINTENANCE I LS $12,000.00 $12,000.00 1 $12,000.00
BONDS
--------------------------------------
Sub-Total of Previous Unit $121,397.50 $121,397.50
--------------------------------------
Tuesday,September 10,2019 Page 2 of 4
City Project Numbers 101097 DOE Number 1097
Contract Name FOSSIL CREEK PHASE 2 Estimate Number 1
Contract Limits Payment Number I
Project Type STORM DRAIN&BONDS For Period Ending 9/10/2019
Project Funding
Contract Information Summary
Original Contract Amount $121,397.50
Change Orders
Total Contract Price $121,397.50
Total Cost of Work Completed $121,397.50
Less %Retained $0.00
Net Earned $121,397.50
Earned This Period $121,397.50
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 $121,397.50
i
I
I
Tuesday,September 10,2019 Page 3 of 4
City Project Numbers 101097 DOE Number 1097
Contract Name FOSSIL CREEK PHASE 2 Estimate Number 1
Contract Limits Payment Number 1
Project Type STORM DRAIN&BONDS For Period Ending 9/10/2019
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKIINSON / ROGERS Contract Date
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 55 CD
6331 SOUTHWEST BLVD Days Charged to Date 210 CD
FORT WORTH, TX 76132 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 $121,397.50
Less %Retained $0.00
Net Earned $121,397.50
Earned This Period $121,397.50
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 $121,397.50
Tuesday,September 10,2019 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 Ab Grantges,
Contract Mgr, Of Burnsco Construction, 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;
Fossil Creek Phase 2 - Water, Sanitary Sewer and Storm Drain
BY
Ab Gran s, Contract Manager
Subscribed and sworn before me on this date 5th of August, 2019.
PUe' s CESILIA CANALES
Notary Public 2 Notary ID#131652996
Tarrant County Texas 9, +P My Commission Expires
FOF tE July 24, 2022
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 022221168
PROJECT:
(name, address)Fossil Creek Phase 2-Water,Sanitary Sewer and D
Fort Worth,TX
TO (Owner)
PULTE HOMES OF TEXAS,L.P.AND CITY OF FORT ARCHITECT'S PROJECT NO: CFA#2018-048
WORTH CONTRACT FOR:
9111 Cypress Waters Blvd.,Suite 100 Fossil Creek Phase 2-Water,Sanitary Sewer and Drainage
Improvements
Coppell TX 75019 CONTRACT DATE:
CONTRACTOR: BURNSCO CONSTRUCTION, 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)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
BURNSCO CONSTRUCTION, INC.
6331 Southwest Boulevard
Benbrook TX 76132 , 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)
PULTE HOMES OF TEXAS, L.P.AND CITY OF FORT WORTH
9111 Cypress Waters Blvd.,Suite 100
Coppell TX 75019 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 2nd day of August,2019
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
Attest: —,Zt �
(Seal): ���`C. Signature of Authorized Representative
Robbi Morales Attorney-in-Fact
Title
NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR's AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
- 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.
Liberty Liberty Mutual Insurance Company
Mutual. The Ohio Casualty Insurance Company Certificate No: 8200743
SURETY West American Insurance Company
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 is 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,constitute and appoint,
Robbi Morales,Don E.Comell,Sophinie Hunter,Tina McEwan,Tonie Petranek,Ricardo J.Reyna, Joshua Saunders, Kelly A.Westbrook
all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful attomey-in-fact to make,
execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 19th day of March 2019
Liberty Mutual Insurance Company
P�INSU/Q j PV11 INs& INSU,�q The Ohio Casualty Insurance Company o°pPO�roy(m ��2�ot PORarF 9y �GP�OaPORaT �n West American Insurance Company T
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to
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1912 2� 0 0 1919 0 1991
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N Yd.�9SSACHU90 da yO s
f/AMPS a `l �NMAHP a3 !
e,7 * t� �yl * ��,a '�M * tea By:
c David M.Carey,Assistant Secretary
-12 State of PENNSYLVANIA
�
County of MONTGOMERY ss
L ❑1
a) On this 19th day of March 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o
o m Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes=
a) > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. Co w
IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. a
@ Cn 5P PAST M
o N �2♦h�O"yyF F� COMMONWEALTH OF PENNSYLVANIA
0 ��o� 9�i y Notarial Seal
OF Teresa Pastella,Notary Public
��/� -0� O C p a) Upper MarionTwp.,Montgomery County By:
C to ��Q' My Commission Expires March 28,2021 E
2 snvP `� Teresa Pastella,Notary Public o
�N OTq�4��, Member,Pennsylvania Association of Notaries a O
CU N N O
C(D 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 w rn
o.S Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o m
` ai 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 limitation as the Chairman or the D
>, President may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety >o
CU r— any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall N
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 cc)Z � 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 attorney-in-fact under the E cr i
provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. o 0
ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings. 0 m
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,0 T
shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,
bonds,recognizances and other surety obligations.Such attomeys-in-fact subject to the limitations set forth in their respective powers of attorney,shall 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 instruments shall 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 Secretary to appoint such attorneys-in-
fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver 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 of any assistant secretary of the
Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding 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 American 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 Companies,is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 2nd day of August 2019 .
INSO -IliINSV INSIJ
j aPon�r y ejS3 o�e�TF�yc+ �v °o�ok
191 0c 1919 0 s 1991
d�ss�CH°g da y0 """P'a�pa�o By�s Renee C.Llewellyn,Assistant Secretary
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